MERITUS MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MERITUS MEDICAL CENTER INC (EIN 52-0607949)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201501359349301035
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-15T06:33:30-07:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 Market Street Suite 3100	AddressLine1
City	Philadelphia	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520607949	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	MERI	BusinessNameControlTxt
Phone	3017908872	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Thomas Chan	PersonNm
Person Title	VP/Treasurer	PersonTitleTxt
Signature	2015-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Frank D Giardini	PreparerPersonNm
PTIN	P00532355	PTIN
Phone	2155614200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	$365,724,704	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.meritushealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1904	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	Meritus Medical Center, Inc. (MMC) is an acute care hospital located in Hagerstown, Maryland and serves the residents of western Maryland, southern Pennsylvania and the panhandle of West Virginia.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2987	TotalEmployeeCnt
Total Volunteers	376	TotalVolunteersCnt
Total Gross UBI	$3,910,547	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$19,307	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,934,159	PYContributionsGrantsAmt
CY Contributions Grants	$1,311,522	CYContributionsGrantsAmt
PY Program Service Revenue	$330,699,932	PYProgramServiceRevenueAmt
CY Program Service Revenue	$334,184,721	CYProgramServiceRevenueAmt
PY Investment Income	$6,988,038	PYInvestmentIncomeAmt
CY Investment Income	$5,787,061	CYInvestmentIncomeAmt
PY Other Revenue	$5,240,157	PYOtherRevenueAmt
CY Other Revenue	$5,008,399	CYOtherRevenueAmt
PY Total Revenue	$344,862,286	PYTotalRevenueAmt
CY Total Revenue	$346,291,703	CYTotalRevenueAmt
PY Grants And Similar Paid	$240,858	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$482,374	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$152,004,079	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$151,881,731	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$183,786,476	PYOtherExpensesAmt
CY Other Expenses	$180,497,093	CYOtherExpensesAmt
PY Total Expenses	$336,031,413	PYTotalExpensesAmt
CY Total Expenses	$332,861,198	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,830,873	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,430,505	CYRevenuesLessExpensesAmt
Total Assets BOY	$531,472,385	TotalAssetsBOYAmt
Total Assets EOY	$554,456,199	TotalAssetsEOYAmt
Total Liabilities BOY	$300,182,204	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$297,184,144	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$231,290,181	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$257,272,055	NetAssetsOrFundBalancesEOYAmt
Mission	MissionMMC exists to improve the health status of our region by providing comprehensive health services to patients and families.The mission emphasizes three core activities of MMC:1. Providing patient and family centered care by bringing patient and family perspectives into the planning, delivery, and evaluation of care to improve healthcare quality and safety at MMC.2. Improving the health status of our region by responding to national healthcare reform and total patient revenue economic structures that incentivize value by expanding the focus of MMC to include improving the health staus of our region.3. Functioning as a regional health system by meeting the healthcare needs of the communities beyond MMC's traditional service area of Washington County.VisionMMC will relentlessly pursue excellence in quality, service, and performance.ValuesThe culture of MMC is driven by the values of teamwork, stewardship, accountability, integrity, advocacy, and innovation.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$256,247,314	ExpenseAmt
Grant	$482,374	GrantAmt
Revenue	$334,184,721	RevenueAmt
Desc	The mission, vision and values of the Meritus Medical Center (MMC) are summarized in MMC's pledge: Responsiveness to need. Excellence in Caring. Respect for All. The pledge says that MMC strives to meet the healthcare needs of the citizens of the tri-state region, is dedicated to providing quality patient care in a safe and caring environment and that MMC esteems the personal diginity of patients and staff.Every day, the hospital's employees live out MMC's values by treating others as they would like to be treated. MMC participates in a variety of activities that focus on the well-being of the patients, including committees and teams that evaluate the progress in the areas of quality patient care, patient safety and professional development. Many staff members provide outreach to the community through educational offerings which have been identified by a survey of community health education needs.As a tax exempt hospital, MMC contributes funds to help many people who might not be able to afford their healthcare. These dollars are used to provide free, reduced-cost or subsidized services to many individuals in the community. It's a collaborative effort involving numerous areas of the health system in activities such as health education and outreach, screenings, programs and events, as well as helping individuals obtain prescription medications, access to needed services, and even transportation to healthcare appointments.MMC is governed by a local board of directors made up entirely of volunteers. In addition to attending quarterly meetings to determine the direction that MMC will take, the board members, who are community and business leaders as well as physicians, serve on various committees, including quality, finance and capital, audit and business integrity, compensation, and governance.The board and its committees ensure that MMC complies with state and federal requirements, while keeping the organization's mission of providing quality care front and center. By working together toward this goal, the board members create policies and procedures that help deliver results.MMC, an acute care hospital, has 272 single-patient rooms, along with the most advanced technologies available. MMC offers a variety of specialized services to meet the healthcare needs of the tri-state region.The Cardiac Catheterization Lab has focused on bringing the very best in cardiac services to the community. Services in cardiac screening, diagnosis, intervention, and rehabilitation are offered. MMC has invested in the most up-to-date technologies to assist physicians in diagnosing and treating heart disease. The board certified cardiologists and interventional cardiologists offer patients a highly specialized experience in structual heart disease and electrical heart malfunctions. They are supported by a team of highly-trained nurses and technicians.The Center for Clinical Research is a growing program that manages from fifteen to twenty active research studies at any given time. The researchers are certified by the Association of Clinical Research Professionals. Physicians serve as the principal investigators for the research studies performed by the center.The Center for Joint Replacement offers a comprehensive program that includes pre- and postoperative therapy as well as the actual surgery. The program has clearly demonstrated a decreased length of hospital stay and improved recovery rates.The Family Birthing Center is a special place where single-room maternity care provides privacy and family bonding. The room is equipped for labor, delivery, postpartum, and newborn care. The special care nursery allows babies born as early as 32 weeks gestation to be treated at MMC.The Home Health Care Services cover the full spectrum of care, ranging from skilled nursing to assistance with the activities of daily living. They also can help with medication management issues.The John R. Marsh Cancer Center offers chemotherapy, intensity modulated radiation therapy, and image guided radiation therapy. The center also offers MammoSite whichdelivers partial irradiation treatment for breast cancer patients in just five days.Total Rehab Care is a comprehensive service providing a full range of rehabiliation programs, including pediatric services, traumatic brain injury rehab, outpatient therapies, inpatient joint replacement, occupational rehabiliation, and support groups. Skilled physicians, nurses, and therapists develop individualized treatment plans for every patient.As a level III trauma service, MMC offers twenty four hour a day, seven days a week access to trauma surgeons, neurosurgeons, and orthopedic surgeons, as well as a specialized trauma team and consulting physicians.The Weight Loss Clinic offers bariatric surgery which includes the most common procedures of gastric bypass and adjustable gastric banding. This can be a treatment for the lifelong condition of morbid obesity.The Wound Center care is customized to each patient's unique situation to promote the healing process. The Wound Center team specializes in diabetic foot and leg ulcers, bone infections, preparation and preservation of skin grafts, crash injuries, and thermal burns.The vision of the Nursing Department at MMC is to be a dynamic force in the advancement of nursing practice and an advocate for the promotion of quality healthcare for all. Their mission is to foster the development and advancement of nursing practive and to work to achieve quality healthcare for all. They believe that the excellence of care for patients and families matters the most and that superior customer service and constant innovation sustains excellence.MEI is a leading provider in ambulatory health care services in the tri-state region. Its mission is to engage in ambulatory health activities that complement the goals and objectives of MMC. MEI vigorously recruits physicians and other healthcare providers to the region, to assure an adequate supply of physicians in many medical specialties. MEI has a very successful record of joint-venture relationships with physicians that has greatly benefited the wellbeing of tri-state area residents. MEI includes a number of medical practices an urgent care clinic, medical laboratories, surgery center and diagnostic imaging services. MHF is a private, not-for-profit, tax-exempt organization managed by a volunteer board of community leaders whose mission is to support hospital programs and services, scientific research, equipment, technology, medical training and community education. The foundation is an integral part of the overall health system organization, and contributions have a direct impact on the quality of care MMC is able to provide. The Foundation Board of Directors works closely with the MMC boards and leadership to match resources with MMC needs, enabling caregivers to provide the very best care possible every single day.Care delivery is undergoing unprecedented change and new, more coordinatedmodels of care delivery have arrived. Ultimately enacted as part of healthcare reform, accountable care organizations (ACOs) link physiciansand hospitals together with the goal of keeping patients healthy and helpingpatients manage their conditions. Many view ACOs as a way to overcome fragmentation in care delivery, eliminatefee-for-service incentives and promote health and wellness. In 1995, MMC began the work of clinical integration by creating Tri-State Health Partners (THP), a physician-hospital partnership that offers patient and disease management services. As validation of its unique approach to patient care, THP received approvalfrom the Federal Trade Commission for its clinical integration program. MMC was one of the first Maryland hospitals to participate in the TotalPatient Revenue (TPR) system where hospitals are paid on effectively treatingpatient illnesses versus fee for service. These initiatives, rooted in comprehensivepatient care and physician engagement, laid the groundwork for MMCto become an ACO in participation with the Medicare Shared SavingsProgram. We also became a member of Premiers Partnership for CareTransformation (PACT), a collaboration of health systems that share knowledgeand best practices while measuring and benchmarking care to improvepopulation health and contain costs.The goal of an ACO is to keep patients healthy, prevent them from having chronicconditions or prevent the conditions from worsening. The THP-Meritus ACOis a partnership between Medicare beneficiaries, physicians and MeritusMedical Center. The patient-centered health care model bridges 16,000 areaMedicare patients and 150 physicians with the intent of improving carecoordination, patient outcomes and the overall health of our community.MMC's innovative efforts will pave the way for bridging primary,specialty and hospital care to provide patients with the right care, at theright place, at the right time.	Desc
Total Program Service Expenses	$256,247,314	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	208	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2987	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Thomas T Chan	PersonNm
Phone	3017908872	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Wayne Alter
Director	3.00	0.00	Yes (X)	$0	$0	$0
Thomas Gilbert MD
Director	50.00	0.00	Yes (X)	$600,998	$0	$28,518
William Wright
Director	3.00	0.00	Yes (X)	$0	$0	$0
William Su MD
Director	20.00	3.00	Yes (X)	$126,242	$0	$0
Barbara Miller
Director	3.00	0.00	Yes (X)	$0	$0	$0
Cynthia Pellegrino
Director	3.00	0.00	Yes (X)	$0	$0	$0
Gregory Snook
Director	3.00	0.00	Yes (X)	$0	$0	$0
Fr Stuart Dunnan
Director	3.00	0.00	Yes (X)	$0	$0	$0
Debra Ann Gorbsky
Director	3.00	0.00	Yes (X)	$0	$0	$0
George Newman II PhD MD
Director	3.00	0.00	Yes (X)	$0	$0	$0
William Reuter
Director	3.00	0.00	Yes (X)	$0	$0	$0
Brendan Fitzsimmons
Director	3.00	0.00	Yes (X)	$0	$0	$0
Jeanne Singer Esq
Director	3.00	0.00	Yes (X)	$0	$0	$0
David Solberg MD
Director	3.00	0.00	Yes (X)	$0	$0	$0
Peter Spellar
Director	3.00	0.00	Yes (X)	$0	$0	$0
Michael Twigg
Director	3.00	0.00	Yes (X)	$0	$0	$0
Abdul Waheed MD
Director	3.00	3.00	Yes (X)	$0	$0	$0
Frederick C Wright III
Director	3.00	0.00	Yes (X)	$0	$0	$0
Shaheen Iqbal MD
Director	3.00	0.00	Yes (X)	$0	$0	$0
Steve Hull
Vice Chairman	3.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
James Stojak
Chairman	3.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
Joseph Ross
President & CEO	50.00	3.00	Yes (X)	$642,933	$0	$246,251	Yes (X)
Carolyn Simonsen
VP/Secretary	50.00	3.00		$253,281	$0	$24,059	Yes (X)
Raymond Grahe
VP/Treasurer	50.00	0.00		$427,696	$0	$34,341	Yes (X)
Deborah Addo-Samuels
Senior Vice President	50.00	0.00		$301,924	$0	$26,721		Yes (X)
Kelly Corbi
Vice President	50.00	0.00		$264,633	$0	$23,256		Yes (X)
Jesus Cepero
Vice President	50.00	0.00		$236,635	$0	$11,735		Yes (X)
Heather Lorenzo
Vice President	50.00	0.00		$344,702	$0	$35,547		Yes (X)
Jake Dorst
Vice President	50.00	0.00		$221,530	$0	$26,594		Yes (X)
Dale Bushey
Vice President	50.00	0.00		$182,728	$0	$30,767		Yes (X)
Dawn Crumel
Vice President	50.00	0.00		$185,155	$0	$14,956		Yes (X)
Lee Shaver
Vice President	50.00	0.00		$180,909	$0	$9,762		Yes (X)
Jayantilal Kadiwar MD
Physician	50.00	0.00		$321,629	$0	$25,223			Yes (X)
Matthew Wagner MD
Physician	50.00	0.00		$306,471	$0	$24,802			Yes (X)
Gaylen Johnson MD
Physician	50.00	0.00		$220,090	$0	$22,214			Yes (X)
Adriana Maldonado-Brem MD
Physician	50.00	0.00		$198,624	$0	$20,560			Yes (X)
Garry Seligman MD
Physician	50.00	0.00		$214,685	$0	$34,722			Yes (X)
Marc Kross
Former officer	50.00	0.00		$480,918	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,711,783	TotalReportableCompFromOrgAmt
Total Other Compensation	$640,028	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	127	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Hospital Medicine Associates LLC
P O Box 634850	Cincinnati	OH	45263	Medical	$2,299,858
Incontext LLC
P O Box 921	New Market	MD	21774	Consulting	$1,527,639
Shock Trauma Associates PA
11 S Paca St Ste 500	Baltimore	MD	21201	Medical	$1,343,000
Berkeley Research Group LLC
2200 Powell St Ste 1200	Emeryville	CA	94608	Consulting	$1,092,725
Parkway Neuroscience & Spine Institute
17 Western MD Parkway Ste 100	Hagerstown	MD	21740	Medical	$825,717

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	46	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,295,372	RelatedOrganizationsAmt
All Other Contributions	$16,150	AllOtherContributionsAmt
Total Contributions	$1,311,522	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria sales	900099	$1,533,103	$1,533,103
Meaningful use-EHR	900099	$2,040,210	$2,040,210
Patient revenue	900099	$324,414,764	$324,414,764
Retrospective premium	900099	$1,209,939	$1,209,939
School Nursing Program	900099	$2,679,497	$2,679,497

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,307,208	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,319,005	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$11,797	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$334,184,721	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,355,054	TotalRevenueColumnAmt
Exclusion	$3,355,054	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,399,779	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,313,724	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,086,055	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,086,055	TotalRevenueColumnAmt
Exclusion	$1,086,055	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$19,536,656	SecuritiesAmt
Other	$14,628	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$17,119,277	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,417,379	SecuritiesAmt
Other	$14,628	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,432,007	TotalRevenueColumnAmt
Exclusion	$2,432,007	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Clinical Trials	541700	$487,587	$487,587
Lab Revenue	621500	$3,122,648	$3,122,648
Robinwood Food Service	722210	$312,109	$312,109

Field	Value	IRS element (for citing)
Other Revenue Total	$3,922,344	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$346,291,703	TotalRevenueColumnAmt
Related Or Exempt Func Income	$334,196,518	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,910,547	UnrelatedBusinessRevenueAmt
Exclusion	$6,873,116	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$250,000	TotalAmt
Program Services	$250,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$232,374	TotalAmt
Program Services	$232,374	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,019,071	TotalAmt
Management And General	$4,019,071	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$112,898,678	TotalAmt
Program Services	$90,318,942	ProgramServicesAmt
Management And General	$22,579,736	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,374,307	TotalAmt
Program Services	$3,499,446	ProgramServicesAmt
Management And General	$874,861	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,986,911	TotalAmt
Program Services	$15,989,529	ProgramServicesAmt
Management And General	$3,997,382	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,602,764	TotalAmt
Program Services	$8,482,211	ProgramServicesAmt
Management And General	$2,120,553	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,674,847	TotalAmt
Program Services	$2,939,878	ProgramServicesAmt
Management And General	$734,969	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$833,379	TotalAmt
Program Services	$666,703	ProgramServicesAmt
Management And General	$166,676	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$507,870	TotalAmt
Program Services	$406,296	ProgramServicesAmt
Management And General	$101,574	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$13,553	TotalAmt
Management And General	$13,553	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$268,877	TotalAmt
Program Services	$215,102	ProgramServicesAmt
Management And General	$53,775	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,461,114	TotalAmt
Program Services	$20,368,891	ProgramServicesAmt
Management And General	$5,092,223	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,102,760	TotalAmt
Program Services	$882,208	ProgramServicesAmt
Management And General	$220,552	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$711,462	TotalAmt
Program Services	$569,170	ProgramServicesAmt
Management And General	$142,292	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,989,972	TotalAmt
Program Services	$2,391,978	ProgramServicesAmt
Management And General	$597,994	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,008,784	TotalAmt
Program Services	$3,207,027	ProgramServicesAmt
Management And General	$801,757	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$681,940	TotalAmt
Program Services	$545,552	ProgramServicesAmt
Management And General	$136,388	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$291,272	TotalAmt
Program Services	$233,018	ProgramServicesAmt
Management And General	$58,254	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,408,464	TotalAmt
Program Services	$8,645,078	ProgramServicesAmt
Management And General	$5,763,386	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,151,638	TotalAmt
Program Services	$12,090,982	ProgramServicesAmt
Management And General	$8,060,656	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,639,474	TotalAmt
Program Services	$1,311,579	ProgramServicesAmt
Management And General	$327,895	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$30,149,977	$24,119,982	$6,029,995
Drugs & pharmaceuticals	$25,440,516	$20,352,413	$5,088,103
Bad debt expense	$15,222,793	$12,178,234	$3,044,559
Purchased lab services	$12,532,051	$10,025,641	$2,506,410

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,406,350	TotalAmt
Program Services	$16,325,080	ProgramServicesAmt
Management And General	$4,081,270	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$332,861,198	TotalAmt
Program Services	$256,247,314	ProgramServicesAmt
Management And General	$76,613,884	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,478,321	BOYAmt
EOY	$37,278,542	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$61,180,000	BOYAmt
EOY	$59,145,256	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,069,547	BOYAmt
EOY	$6,951,190	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,930,034	BOYAmt
EOY	$6,322,281	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,920,790	BOYAmt
EOY	$5,416,037	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$403,965,005	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$155,869,677	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$261,815,243	BOYAmt
EOY	$248,095,328	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$90,322,129	BOYAmt
EOY	$114,979,339	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$74,756,321	BOYAmt
EOY	$76,268,226	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$531,472,385	BOYAmt
EOY	$554,456,199	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,358,810	BOYAmt
EOY	$41,546,473	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$256,309,718	BOYAmt
EOY	$252,712,036	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,248,877	BOYAmt
EOY	$1,425,649	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,264,799	BOYAmt
EOY	$1,499,986	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$300,182,204	BOYAmt
EOY	$297,184,144	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$227,300,418	BOYAmt
EOY	$248,085,478	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,961,145	BOYAmt
EOY	$8,157,959	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,028,618	BOYAmt
EOY	$1,028,618	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$231,290,181	BOYAmt
EOY	$257,272,055	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$531,472,385	BOYAmt
EOY	$554,456,199	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,430,505	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,807,804	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,743,565	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$13,553	OtherActivitiesAmt
Total Lobbying Expenditures	$13,553	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,037,683	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,020	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,669	OtherExpendituresAmt
End Year Balance	$1,032,034	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,048,319	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,958	InvestmentEarningsOrLossesAmt
Other Expenditures	$15,594	OtherExpendituresAmt
End Year Balance	$1,037,683	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,046,226	BeginningYearBalanceAmt
Investment Earnings Or Losses	$26,365	InvestmentEarningsOrLossesAmt
Other Expenditures	$24,272	OtherExpendituresAmt
End Year Balance	$1,048,319	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,044,234	BeginningYearBalanceAmt
Investment Earnings Or Losses	$24,155	InvestmentEarningsOrLossesAmt
Other Expenditures	$22,163	OtherExpendituresAmt
End Year Balance	$1,046,226	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$23,318	ContributionsAmt
Grants Or Scholarships	$35,126	GrantsOrScholarshipsAmt
Administrative Expenses	$1,044,234	AdministrativeExpensesAmt
End Year Balance	$1,044,234	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,680,317	OtherCostOrOtherBasisAmt
Book Value	$6,680,317	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$197,726,430	OtherCostOrOtherBasisAmt
Depreciation	$40,395,355	DepreciationAmt
Book Value	$157,331,075	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,085,276	OtherCostOrOtherBasisAmt
Depreciation	$6,869,354	DepreciationAmt
Book Value	$12,215,922	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$180,055,012	OtherCostOrOtherBasisAmt
Depreciation	$108,604,968	DepreciationAmt
Book Value	$71,450,044	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$417,970	OtherCostOrOtherBasisAmt
Book Value	$417,970	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$248,095,328	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Assets held by trustee-debt & construct.	$27,751,124
Net assets held by MHF	$6,493,544

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$76,268,226	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Accrued retirement benefits	Desc
Amt	$1,499,986	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,499,986	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

The purpose of the Endowment Funds is to pay the outstanding balances for those patients who meet certain criteria. In order to qualify, individuals must have made 10 consecutive payments, have not been turned over to collections, and have never applied for financial assistance.

Part X : FIN48 Footnote

MMC follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. MMC does not believe its consolidated financial statements include any material uncertain tax positions. As of June 30, 2014, the Meritus tax years ended June 30, 2011 through June 30, 2014 for federal tax jurisdiction remain open to examination.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Cen Ame and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program services	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance	SpecificServicesProvidedTxt
Region Total Expenditures	$846,565	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$846,565	SubtotalSpentAmt
Total Spent	$846,565	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	2742	PersonsServedCnt
Total Community Benefit Expns	$6,239,802	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,239,802	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,086,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,086,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	2742	PersonsServedCnt
Total Community Benefit Expns	$7,326,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,326,177	NetCommunityBenefitExpnsAmt
Total Expense	0.02300	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	24773	PersonsServedCnt
Total Community Benefit Expns	$1,141,952	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,141,952	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	6085	PersonsServedCnt
Total Community Benefit Expns	$284,036	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$284,036	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	18803	PersonsServedCnt
Total Community Benefit Expns	$15,466,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,562,483	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,903,841	NetCommunityBenefitExpnsAmt
Total Expense	0.04060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	482	PersonsServedCnt
Total Community Benefit Expns	$721,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$487,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$233,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	4721	PersonsServedCnt
Total Community Benefit Expns	$360,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$260,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,255	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	54864	PersonsServedCnt
Total Community Benefit Expns	$17,974,474	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,310,455	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,664,019	NetCommunityBenefitExpnsAmt
Total Expense	0.04610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	57606	PersonsServedCnt
Total Community Benefit Expns	$25,300,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,310,455	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,990,196	NetCommunityBenefitExpnsAmt
Total Expense	0.06910	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$124,179	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124,179	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	241	PersonsServedCnt
Total Community Benefit Expns	$9,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,537	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$2,026	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,026	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$951	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$951	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	269	PersonsServedCnt
Total Community Benefit Expns	$136,693	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$136,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,222,793	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,283,419	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$292,347,127	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$251,378,512	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$40,968,615	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Maryland Care Inc
healthcare	0.20000
Tri-State Health Part Inc
PHO	0.50000	0.50000
THP-Meritus ACO LLC
ACO	0.01000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Medical Center Inc	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.meritushealth.com	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Form4720 Filed	false	Form4720FiledInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	150.0000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.0000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 1j - Description of Other Needs Assessment	There has been no other needs assessment conducted other than the CHNA performed in 2013 (See disclosure for Part VI - Needs Assessment).
Part V, Line 3 - Account Input from Person Who Represent the Community	See discussion regarding performance of 2013 CHNA - Schedule H, Part VI.
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why	Due to limited resources, some of the health needs not being addressed by MMC at this time include access to dental care, lack of insurance coverage, child abuse, geriatric mental health and healthy environments. Other community providers and organizations are using the results of the CHNA to help target these other unmet needs based on strengths, expertise and resources. The plan is being reviewed periodically to measure progress towards goal achievement and modify action steps as needed. As resources become available and can be allocated the action plan will incorporate additional needs and goals.
Part V, Line 14g - Other Means Hospital Facility Publicized the Policy	Meritus Medical Center's (MMC) patient acceptance policy is based upon its mission statement and its charitable purposes. This policy results in MMC's assumption of higher-than-normal credit risk from its patients. To the extent that MMC realizes additional losses resulting from such higher credit risks and clients are not identified or do not meet MMC's defined charity care policy, such additional losses are included in the provision for bad debt.
Part V, Line 20d - Other Billing Determination of Individuals Without Insurance	MMC is a part of Maryland's regulatory system that differs from the rest of the nation. Maryland's Health Services Cost Review Commission (HSCRC)has a rate-setting process whereas all rates charged for emergency or other medically necessary care are the same for all persons at the hospital for the same services delivered. Therefore all patients are billed on a (cost) basis, not on a (gross charge) basis.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report	Meritus Medical Center (MMC) prepares a community benefits report through the Maryland Health Services Cost Review Commission (HSCRC), and it is available via their website. This is in addition to the Community Health Needs Assessment report prepared by MMC in accordance with IRC Section 501(r).
Part I, Line 7 - Explanation of Costing Methodology	The direct cost was calculated by using the expense categories for salaries and wages, benefits, expendable suppiles, purchased services, repairs and maintenance and depreciation. The indirect cost was calculated using the approved methodology on the community benefit report.
Part I, Line 7, Column F - Explanation of Bad Debt Expense	Meritus Medical Center (MMC) is committed to providing quality health care for all patients regardless of their ability to meet the associated financial obligation and without discrimination on the grounds of race, color, national origin or creed. It shall be the policy of MMC to ensure that all appropriate and reasonable efforts have been made prior to referring an account to bad debt, a collection agency or outside attorney. In addition, a satisfactory level of control is maintained over bad debts and levels of management are involved in the decision making process prior to write-off and/or assignment of bad debt.
Part I, Line 7g - Costs Associated With Physicans Clinics	Subsidized health services for Meritus Medical Center include the following: (1) Hospital owned endocrinology and diabetes program (2) The Medication Assistance Center (3) Hospital owned psychiatric practice (4) Level III trauma program (5) On-call fees for emergency specialist call (6) Hospice of Washington County allowed a voluntary contractual allowance
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	MMC uses historical reimbursement trends in determining bad debt expense and adjusts the accounting based on known variances or adjustments. MMC utilizes HFMA statement #15 to report bad debt expense.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	MMC is using the number of denied charity care applications as a percentage of total charity care applications to determine the percentage applied against bad debt expense to obtain the estimated bad debt attributable to the charity care policy.
Part III, Line 4 - Bad Debt Expense	Meritus Medical Center (MMC) provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management detemines that recovery is unlikely and MMC ceases collection efforts. Losses have been consistant with management's expectations.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Meritus Medical Center is committed to providing quality health care for all patients regardless of their inability to meet the associated financial obligation and without discrimination on the grounds of race, color, national origin or creed. Financial assistance can be offered during, or after services are rendered. The financial assistance procedures are designed to assist individuals who qualify for less than full coverage under available federal, state and local medical assistance programs, but whom residual "self-pay" balances exceed their own ability to pay.Meritus Medical Center informs patients and/or their families of the hospital's financial assistance policy by providing a copy of the policy and contact information as part of the intake process. The financial assistance policy and contact information is posted in the admitting area, emergency room and other areas throughout the facility where eligible patients are likely to present. When applicable, a representative of the hospital discusses the availability of financial assistance as well as Medicaid and other governmental benefits with patients or their families. The hospital makes every effort to inform patients of this policy throughout their visit.A financial application that has been approved for financial assistance will remain eligible for a period of six months. Patients or guarantors incurring accounts after the six month period will be required to reapply, so that any changes in their financial status can be reassessed. Accounts receivable accounts approved for financial assistance will be reconciled by the Finance Department at fiscal year endand reported annually to the Health Services Cost Review Commission of the State of Maryland. If financial assistance is denied, a payment arrangement will be obtained on any balance due by the patient or the guarantor by a Patient Financial Services Representative.It is important to note that MMC's policies and practices governing financial assistance, limitation of health service charges billing as well as bill collection are consistent with the requirements of the Affordable Care Act and Internal Revenue Services new finalized treasury regulations related to IRC Section 501r and are being updated to be complaint with the IRS.
Part VI - Needs Assessment	Community Health Needs Assessment Plan and Implementation as requested by IRC Section 501(r).Meritus Medical Center conducted a Community Health Needs Assessment that conforms to the IRS definition. This report includes a comprehensive review and analysis of the data regarding health issuesand needs of Washington County, MD. This study was conducted to identify the health needs and issues of the region and to provide useful information to health care providers, policy makers, collaborative groups, social service agencies, communitygroups and organizations, churches, businesses, and consumers who areinterested in improving the health status of the community and region. The results enable the health system and other providers to morestrategically establish priorities, develop interventions and commit resources to improve the health status of the region.Improving the health of the community is foundational to the mission of Meritus Medical Center and should be an important focus for everyone in the county, individually and collectively. In addition to the education, patient care and program interventions provided through the health system, hopefully the information in this study will encourage additional activities and collaborative efforts to improve the health status of the community.The Community Needs Health Assessment (CHNA) data collection occurred between July 1, 2012 November 15, 2012 (FY2013). Meritus Medical Center (MMC) conducted a behavioral risk factor surveillance survey and community questionnaire from a random sample of adult residents living in the service region to learn about their health and health needs. Individual focused interviews were conducted at the local Hispanic Festival, and a provider focus group was conducted with MMC Care Management staff. A broad coalition of community leaders and providers joined together to design the data gathering process and analyze the results. The Meritus Medical Center Board of Directors reviewed the CHNA findings and approved a plan of action on March 28, 2013 (FY2013). A public press conference was conducted on November 29, 2012 to present the CHNA findings and answer questions.Following approval by the Meritus Medical Center Board of Directors, the FY2013 CHNA was publically posted on the organization website and can be publically viewed online at: http://www.meritushealth.com/About-Meritus-Health/Serving-Our-Community/Community-Health-Needs-Assessment.aspxA direct link to the FY2013 CHNA is: http://www.meritushealth.com/documents/MERITUS-MASTER-REPORT-5-3-13.pdf The CHNA results identified forty-two community health needs. The CHNA steering committee invited members of Meritus Senior Leadership team and all community leaders to review the data, needs and issues on October 24, 2012. The group used four criteria to prioritize the needs; 1. Magnitude of the problem, 2. Variance against benchmarks, 3. Impact on other health outcomes, and 4. Capacity to address. The prioritization criterion narrowed and identified the issues that when addressed will have the greatest potential impact on improving the communitys health. The six prioritized FY2013 CHNA needs are:1. Reduce obesity and increase physical activity2. Improve the management of diabetes and reduce mortality3. Reduce heart disease mortality and promote smoking cessation4. Reduce cancer mortality by expanding access to care and research5. Improve mental health treatment access and reduce ED visits6. Reduce teen pregnancyCompleting the CHNA process provided the opportunity to increase awareness and rally community providers. In September 2011, the Office of Population Health Improvement introduced the Maryland States Health Improvement Process (SHIP) to provide constantly updated data, resources and tools for localities to work collaboratively to identify needs and improve population health. At the local level, these concepts lead to an alignment of community health improvement efforts between Meritus CHNA and the states SHIP. A sustained outcome of the CHNA process was the development of a local Washington County Health Improvement Coalition (WCHIC) which MMC helped lead and continues to co-facilitate with the local department of health.At the conclusion of the CHNA data assessment it was recognized that many more needs were identified and exist than can be successfully met by the hospital alone due to limited, finite resources. Some of the health needs not made a priority for MMC at this time include access to dental care, lack of insurance coverage, child abuse, geriatric mental health and healthy environments. Other community providers and organizations are using the results of the CHNA to help target these other unmet needs based on strenghts, expertise and resources. For example the Walnut Street Clinic, an FQHC, is expanding access to dental care to persons in Washington County. The local Washington County Health Improvement Coalition Meritus Medical is using the CHNA to address access to healthcare issues and a lack of health insurance by providing locations for the MD Health Exchange Navigators to reach uninsured persons. Other identified CHNA health needs are being addressed by the Strategic Community Impact Council (SCIP), a collaboration of diverse community providers, leaders and volunteers who are targeting needs through eleven different work committees; Education, Arts, Culture and Tourism, Jobs and Economic Development, Health and Well-Being, Family Safety, Older Adults, Transportation, Public Safety, Disability, Self Sufficiency and Civic Engagement. SCIP is leading a new initiative to help meet the health and well-being needs of children in this community.Meritus Medical Center continues to provide leadership, guidance and active participation on achieving the initiatives and goals of all these population health improvement efforts. The initial CHNA Action Plan was approved by the Meritus Medical Center Board of Directors on March 28, 2013 as part of the CHNA requirement. Since that date the action plan has been expanded to include specific, measurable, attainable, relevant, time-bound goals that align with the prioritized needs. Meritus Medical Center has established a Community Health Team that routinely meets to assess how the organization is making progress on the goals and meeting CHNA needs. The Action Plan includes collaborative efforts between Meritus Medical Center and the local Washington County Health Improvement Coalition to guide county wide community health initiatives to meet needs and improve the overall health of people living in the region. The plan is being reviewed periodically to measure progress towards goal achievement and modify action steps as needed. As resources become available and can be allocated the action plan will incorporate additional needs and goals. The CHNA process has been included in Meritus Medical Centers strategic planning process. As we reach the FY 2016 planning period, a comprehensive review of the progress that has been made towards meeting these prioritized health needs will be taken into account as we prepare to conduct the next community health needs assessment.
Part VI - Patient Education of Eligibility for Assistance	Meritus Medical Center informs patients and/or their families of the hospital's financial assistance policy by providing a copy of the policy and contact information as part of the intake process. The financial assistance policy and contact information is posted in the admitting area, emergency room and other areas throughout the facility where eligible patients are likely to present. When applicable, a representative of the hospital discusses the availability of financial assistance as well as Medicaid and other governmental benefits with patients or their families. The hospital makes every effort to inform patients of this policy throughout their visit.MMC follows the Maryland Hospital Association's Standards for Financial Assistance for Maryland. MMC will provide 100 percent free hospital care for patients below 150 percent of Federal Poverty levels and who have less than $10,000 in net assets. When a patient's income and/or net assets does not qualify them for 100 percent financial assistance, they may be eligible to qualify for financial assistance based on a sliding scale. MMC will consider the size of a patient's bill relative to their ability to pay in determining financial assistance options, which could include payment plans. MMC will grant financial assistance for services determined to be medically necessary.
Part VI - Community Information	MMC is the largest healthcare provider in Western MD, located at the crossroads of western MD, southern PA, and the eastern panhandle of WV. MMC is an acute care hospital with 272 single-patient rooms providing services including a special care nursery, a designated trauma center, a primary stroke center, a wound center, and a designated cardiac interventional center. As the leading provider of health care services in the tri-state region, MMC's primary service area is Washington County, MD including primary service area zip codes 21740, 21742, 21795, 21713 and 21783 - with residents of that county making up the majority of the hospital's customers - while also serving residents of Frederick County, MD; Franklin County, PA; Fulton County, PA; Morgan County, WV; Jefferson County, WV; and Berkeley County, WV.Within MMC's community service benefit area; the total population is 149,180 with 51.1% male residents and 48.9% female residents; median age is 39.5; median household income is $52,028; percentage of households with incomes below the federal poverty guidelines is 11.2%; the percentage of uninsured people by county is 12%; percentage of Medicaid recipients by County is 9.7%; and the life expectancy by county is 78.2.
Part VI - Community Building Activities	MMC participates in several community building activities. MMC nutrition center staff are used for the coordination and support of the weekly Farmer's Market held at MMC. The Care Managment staff spend time attending the outreach social planning meeting. MMC staff spend time in coordinating and distributing materials for the annual United Way campaign. Several other activities MMC has participated in include the following: American Heart Walk, Cancer Survivor's Picnic, Frederick Rescue Mission event, Children's Health event, volunteer EMT, Habitat for Humanity event and assistance with the Community Free Clinic.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	See Schedule O for explanation under Program Service Accomplishments.
Part VI - Affilated Health Care System Roles and Promotion	Meritus Healthcare Foundation - 501(c)(3) - provides fund development, financial & other assistance to MMC. MHF is operated exclusively for the charitable & educational purpose of supporting quality health care & related services of MMC.Meritus Enterprises - C corp - provider of ambulatory health care services. MEI insures an adequate supply of physicians in many medical specialities are available in this region.
Part VI - States Where Community Benefit Report Filed	MD
Part VI - Additional Information	Maryland Healthcare Regulatory SystemPart I, Lines 7a & 7b Columns (c) through (f) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any directed offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Healthcare Foundation	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	520607949	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$250,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	Support for quality healthcare	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	HSCRC Nursing Grant	GrantTypeTxt
Recipient	13	RecipientCnt
Cash Grant	$232,374	CashGrantAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	The HSCRC grant provides money to employees of the Hospital who are enrolled in the Hagerstown Community College nursing program. The grant program pays for all of the student's tuition, books, and fees with an agreement that upon graduation the student will work for the Hospital as a registered nurse. The grant also provides monies for registered nurses who are working on their MSN in education. Each award recipient will be required to sign a Service Card Agreement with the Meritus Medical Center. The length of payback will be one year of service (equivalent to 2,080 hours of service) for each year of the grant you receive. The program is five semesters long and most recipients will owe 4,160 hours.The organization during the year made a grant to its supporting organization, Meritus Healthcare Foundation.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Adriana Maldonado-Brem MD
Physician	$198,624	$3,185	$17,375	$219,184
Carolyn Simonsen
VP/Secretary	$212,681	$13,880	$10,179	$277,340	$40,600
Dale Bushey
Vice President	$159,894	$10,459	$20,308	$213,495	$22,834
Dawn Crumel
Vice President	$165,680	$5,840	$9,116	$200,111	$19,475
Deborah Addo-Samuels
Senior Vice President	$252,924	$12,803	$13,918	$328,645	$49,000
Garry Seligman MD
Physician	$204,416	$9,722	$25,000	$249,407	$10,269
Gaylen Johnson MD
Physician	$220,090	$10,028	$12,186	$242,304
Heather Lorenzo
Vice President	$287,702	$15,750	$19,797	$380,249	$57,000
Jake Dorst
Vice President	$192,662	$7,853	$18,741	$248,124	$28,868
Jayantilal Kadiwar MD
Physician	$282,000	$10,538	$14,685	$346,852	$35,895	$3,734
Jesus Cepero
Vice President	$206,379	$9,726	$2,009	$248,370	$28,543	$1,713
Joseph Ross
President & CEO	$520,564	$218,142	$28,109	$889,184	$110,121	$12,248
Kelly Corbi
Vice President	$115,381	$9,229	$14,027	$287,889		$149,252
Lee Shaver
Vice President	$154,529	$8,093	$1,669	$190,671	$25,327	$1,053
Marc Kross
Former officer				$480,918		$480,918
Matthew Wagner MD
Physician	$276,471	$11,475	$13,327	$331,273	$30,000
Raymond Grahe
VP/Treasurer	$363,436	$17,250	$17,091	$462,037	$64,260
Thomas Gilbert MD
Director	$468,000	$11,475	$17,043	$629,516	$82,438	$50,560

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7: Non-Fixed payments not listed above	Incentive based compensation is determined by agreed upon individual and corporate goals by the Compensation Committee of the MMC Board.
Part III, Additional Information	Joseph Ross is a participant in a 457F plan that was approved by the Compensation Committee of the MMC Board of Directors. For the current yeat, $211,306 was deferred by Meritus Medical Center and is not substantially vested.Kelli Corbi was paid severence in the amount of $124,615.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MD Hlth & Hig Ed Fac Aut	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	520936091	BondIssuerEIN
CUSIP	574217T21	CUSIPNum
Bond Issued	2008-02-12	BondIssuedDt
Issue Price	$264,300,000	IssuePriceAmt
Purpose	Construction-new hospital	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$262,855,181	TotalProceedsAmt
In Reserve Fund	$18,344,513	InReserveFundAmt
Issuance Costs From Proceeds	$3,121,975	IssuanceCostsFromProceedsAmt
Capital Expenditures	$235,980,961	CapitalExpendituresAmt
Other Spent Proceeds	$5,407,732	OtherSpentProceedsAmt
Substantial Completion	2010	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00800	PrivateBusUseByOthersPct
Total Private Business Use	0.00800	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (true)	Form8038TFiledInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Greg Snook
Director	$105,865	See suppl. info. below	false
William Reuter
Director	$25,659	See supp info below	false
David Solberg MD
Director	$254,992	See supp info below	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Greg Snook owns space in which an entity under MMC leases space and a family member owns a storage company in which MMC leases space. Bill Reuter's family member is an employee of MMC. David Solberg, MD is part owner in property leased by an entity under MMC. These are all arms' length transactions disclosed in accordance with the conflict of interest policy. All interested persons have recused themselves from any decision-making surrounding the disclosure.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	MMC nominates candidates for their board through the board designated Governance Committee. Final election occurs through the MMC Board.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Along with the election of governing members to the board, the MMC Board also needs to review and approve the following before becoming effective and before the action is implemented: 1. Any merger, consolidation or dissolution of the corporation. 2. Annual Business Plan. 3. Annual Budget. 4. Contractual obligations that meet any one of the folowing criteria: a. Outside the scope of the Corporation's annual business plan. b. Require approval by external health and/or financial regulatory agency. c. Having the potential of adversely impacting the operation of any subsidiary of the Member. 5. Any joint venture between the corporation and another person or entity that meets with any one of the following criteria: a. Extends beyond the scope of the annual business plan of the Corporation. b. Requires external approval by external health and/or financial regulatory agency. c. Has the potential of adversely impacting the operation of any subsidiary of the Member. 6. Sales or transfers of all or substantially all of the assets of the Corporation or sales or transfers of assets that meet with any one of the following criteria: a. Fall outside the scope of the Corporation's annual business plan. b. Require approval by external health and/or financial regulatory agency. c. Has the potential of adversely impacting the operations of any subsidiary of the Member. 7. Formation of a subsidiary. 8. Adoption and amendment of the mission and vision statements.
Form 990, Part VI, Line 11b: Form 990 Review Process	The Form 990 was prepared by the Finance department and reviewed by an independent accounting firm. A copy of the Form 990 was provided to the Audit and Business Integrity Committee of the Board. Acting under the authority of the Board, the Committee reviewed the Form 990 prior to the submission of the Form 990 to the Internal Revenue Service. In addition, the Form 990 will be provided to all Boards before it is filed with the Internal Revenue Service.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	An annual disclosure of interest is required for all officers, directors or trustees, and key employees. These disclosures are then reviewed against the accounts payable system to determine the amount, if any, of transactions that have occurred. All disclosures and transactions are reviewed in detail by the following group of individuals: Vice President & Chief Compliance Officer, Executive Director of Internal Audit & Compliance, Chair of the MMC Board, Chair of the Audit and Business Integrity Committee, President and CEO of MMC, Chair of the Governance Committee and Legal Counsel. A summary of all disclosures are then provided to the full Audit and Business Integrity Committee for review. After this review, a copy of the disclosures, by Board or Committee, listing the type of involvement/transactions the entity has with the named disclosure, if any, are provided to the chair of the Board or Committee. Any director with a determined conflict is prohibited from participating in the Board's decisions and decisions with regards to that transaction.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Annually in September, the Compensation Committee of the MMC Board meets and reviews the following as it relates to compensation of the CEO and other key employees: Market Data - Presented by an independent third party compensation consultant Performance Evaluation - Provided by the CEO Overall Financials- used for Bonus Current Salary Along with Merit GuidelinesThe independent third party compensation consultant then makes recommendations to the compensation committee and the committee deliberates, discusses, and approves the recommendation as is or makes amendments to it before approval. The report and resulting decision is then reported to the MMC Board.The positions reviewed in September of 2013 were as follows: President & CEO,Senior VP-Chief Financial Officer, Senior VP-Chief Operating Officer, VP-Chief Information Officer, VP for Financial Services, VP for Support Services, VP-Chief Medical Officer, VP-Chief Compliance Officer, VP-Chief Administrative Officer, and VP-Chief Nursing Officer.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, conflict of interest policy, and financial statements are available upon request. In addition, the annual audited financial statements are available on the organization's website.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in partnership interest = -$646813
Other Changes In Net Assets Or Fund Balances - Other Increases	Net assets held by Meritus Healthcare Foundation = $4390378
Part I, Line 6 - Volunteers	Meritus Medical Center receives volunteers that are recruited by the Meritus Medical Center Auxiliary, Inc. ("Auxiliary"). The mission of the Auxiliary is to cooperate and assist in the work of the medical center by promoting the medical center's work in the community and supplementing the work of the staff of the medical center.
Part VI, Line 16a	Meritus Medical Center holds a 20% equity interest in Maryland Care, Inc. Maryland Care, Inc. d/b/a Maryland Physicians Care is a managed care organization ("MCO") that was established to serve Maryland's Medicaid population as a result of the State's requirement for Medicaid patients to be a member of an MCO.Meritus Medical Center holds a 50% equity interest in Tri-State Health Partners ("THP"). THP is an innovative physician-hospital organization ("PHO") established to organize, assemble and facilitate the provision of cost effective health care services. The partnership consists of more than 200 local physicians and the Hospital. THP is involved in the medical management of more than 6,000 covered lives through regional self-insured businesses. MMC holds a 1% interest in the THP-Meritus ACO, LLC("ACO"). The ACO is a group of doctors, MMC and other health care providers who came together to give coordinated high quality care to their Medicare patients. The goal of the coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unneccessary duplication of services and preventing medical errors.
Part VI, Line 16b	As defined by the Meritus Medical Center bylaws which state the process for joint venture activity, a joint venture arrangement with a taxable entity would first be evaluated by the the Meritus Medical Center Board. After presentation and approval by the board, the Finance & Capital Committee of Meritus Medical Center, Inc. would evaluate the financial implications of the joint venture. The Audit & Business Integrity Committee of the Meritus Medical Center, Inc. Board would analyze any possible interested party transactions and the limitations and prohibitions associated with the section 501(c)(3) status of the medical center. The Meritus Medical Center, Inc. Board would ultimately need to approve any joint venture resolutions.
Part VII, Section A, Line 2	The salary & benefits that Dr. Gilbert received are for his services as a physician.Compensation provided to this person was for services provided in his capacity as an officer/employee of MMC and affiliates, not in his capacity as a director.
Part XII, Line 2b	Meritus Medical Center received consolidated audited financial statements prepared in accordance with GAAP from an independent accounting firm.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt
Meritus Holdings LLC
11116 Medical Campus Road	Hagerstown	MD	21742	452382196	Health services	MD	MMC
Meritus Urgent Care LLC
11116 Medical Campus Road	Hagerstown	MD	21742	711050982	Health services	MD	MMC	-$462,838	$4,474,915
Meritus Medical Lab LLC
11116 Medical Campus Road	Hagerstown	MD	21742	800728035	Health services	MD	MMC	$2,386,264	$26,656,294
Health Work LLC
11116 Medical Campus Road	Hagerstown	MD	21742	342014438	Health services	MD	MMC	$29,260	$839,860
Medical Practices of Antietam LLC
11116 Medical Campus Road	Hagerstown	MD	21742	522315129	Health services	MD	MEI	-$4,490,359	$1,001,571
Downtown Urgent Care LLC
11116 Medical Campus Road	Hagerstown	MD	21742	273483086	Health services	MD	MMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Healthcare Foundation Inc	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Field	Value	IRS element (for citing)
EIN	010639265	EIN
Primary Activities	Fundraising	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	11c	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MMC	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Robinwood Surgery Center LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Field	Value	IRS element (for citing)
EIN	521770185	EIN
Primary Activities	Health services	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Share Of Total Income	-$923,590	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,891,900	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Meritus Enterprises Inc
11116 Medical Campus Road	Hagerstown	MD	21742	521393624	Health serv	MD	MMC	C corp	$2,123,107	$37,872,033	1.00000	Yes (true)
Meritus Insurance Company Ltd
				980162257	Captive insurance		MMC			$13,641,382	1.00000	Yes (true)	P O Box 1109GT	Grand Cayman	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Healthcare Foundation Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	c	TransactionTypeTxt
Involved	$1,295,371	InvolvedAmt
Method Of Amount Determination	Cost	MethodOfAmountDeterminationTxt