2015-05-15T06:33:30-07:00 2014-06-30 Grant Thornton 2001 Market Street Suite 3100 Philadelphia PA 19103 990 2013-07-01 520607949 Meritus Medical Center Inc MERI 3017908872 11116 Medical Campus Road Hagerstown MD 21742 Thomas Chan VP/Treasurer 2015-05-15 true Frank D Giardini P00532355 2155614200 2013 2016-03-07 17:11:31Z 365724704 false false X www.meritushealth.com X 1904 MD 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. 19 12 2987 376 3910547 -19307 1934159 1311522 330699932 334184721 6988038 5787061 5240157 5008399 344862286 346291703 240858 482374 0 152004079 151881731 0 0 183786476 180497093 336031413 332861198 8830873 13430505 531472385 554456199 300182204 297184144 231290181 257272055 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. false false 256247314 482374 334184721 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. 256247314 true true false true false false false false false true true false false true true true false true false false true false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true 208 0 true 2987 true true false false false false false false 0 false false false false false false false false false false X 19 12 false false false false false true true true true false false true true true true true true true true true true X Thomas T Chan 3017908872 11116 Medical Campus Road Hagerstown MD 21742 X Wayne Alter Director 3.00 0.00 X 0 0 0 Thomas Gilbert MD Director 50.00 0.00 X 600998 0 28518 William Wright Director 3.00 0.00 X 0 0 0 William Su MD Director 20.00 3.00 X 126242 0 0 Barbara Miller Director 3.00 0.00 X 0 0 0 Cynthia Pellegrino Director 3.00 0.00 X 0 0 0 Gregory Snook Director 3.00 0.00 X 0 0 0 Fr Stuart Dunnan Director 3.00 0.00 X 0 0 0 Debra Ann Gorbsky Director 3.00 0.00 X 0 0 0 George Newman II PhD MD Director 3.00 0.00 X 0 0 0 William Reuter Director 3.00 0.00 X 0 0 0 Brendan Fitzsimmons Director 3.00 0.00 X 0 0 0 Jeanne Singer Esq Director 3.00 0.00 X 0 0 0 David Solberg MD Director 3.00 0.00 X 0 0 0 Peter Spellar Director 3.00 0.00 X 0 0 0 Michael Twigg Director 3.00 0.00 X 0 0 0 Abdul Waheed MD Director 3.00 3.00 X 0 0 0 Frederick C Wright III Director 3.00 0.00 X 0 0 0 Shaheen Iqbal MD Director 3.00 0.00 X 0 0 0 Steve Hull Vice Chairman 3.00 0.00 X X 0 0 0 James Stojak Chairman 3.00 0.00 X X 0 0 0 Joseph Ross President & CEO 50.00 3.00 X X 642933 0 246251 Carolyn Simonsen VP/Secretary 50.00 3.00 X 253281 0 24059 Raymond Grahe VP/Treasurer 50.00 0.00 X 427696 0 34341 Deborah Addo-Samuels Senior Vice President 50.00 0.00 X 301924 0 26721 Kelly Corbi Vice President 50.00 0.00 X 264633 0 23256 Jesus Cepero Vice President 50.00 0.00 X 236635 0 11735 Heather Lorenzo Vice President 50.00 0.00 X 344702 0 35547 Jake Dorst Vice President 50.00 0.00 X 221530 0 26594 Dale Bushey Vice President 50.00 0.00 X 182728 0 30767 Dawn Crumel Vice President 50.00 0.00 X 185155 0 14956 Lee Shaver Vice President 50.00 0.00 X 180909 0 9762 Jayantilal Kadiwar MD Physician 50.00 0.00 X 321629 0 25223 Matthew Wagner MD Physician 50.00 0.00 X 306471 0 24802 Gaylen Johnson MD Physician 50.00 0.00 X 220090 0 22214 Adriana Maldonado-Brem MD Physician 50.00 0.00 X 198624 0 20560 Garry Seligman MD Physician 50.00 0.00 X 214685 0 34722 Marc Kross Former officer 50.00 0.00 X 480918 0 0 5711783 640028 127 true true false Hospital Medicine Associates LLC P O Box 634850 Cincinnati OH 45263 Medical 2299858 Incontext LLC P O Box 921 New Market MD 21774 Consulting 1527639 Shock Trauma Associates PA 11 S Paca St Ste 500 Baltimore MD 21201 Medical 1343000 Berkeley Research Group LLC 2200 Powell St Ste 1200 Emeryville CA 94608 Consulting 1092725 Parkway Neuroscience & Spine Institute 17 Western MD Parkway Ste 100 Hagerstown MD 21740 Medical 825717 46 X 1295372 16150 1311522 Cafeteria sales 900099 1533103 1533103 Meaningful use-EHR 900099 2040210 2040210 Patient revenue 900099 324414764 324414764 Retrospective premium 900099 1209939 1209939 School Nursing Program 900099 2679497 2679497 2307208 2319005 -11797 334184721 3355054 3355054 0 0 3399779 2313724 1086055 1086055 1086055 19536656 14628 17119277 2417379 14628 2432007 2432007 0 0 0 Clinical Trials 541700 487587 487587 Lab Revenue 621500 3122648 3122648 Robinwood Food Service 722210 312109 312109 3922344 346291703 334196518 3910547 6873116 250000 250000 232374 232374 0 0 4019071 4019071 0 112898678 90318942 22579736 4374307 3499446 874861 19986911 15989529 3997382 10602764 8482211 2120553 3674847 2939878 734969 833379 666703 166676 507870 406296 101574 13553 13553 0 268877 215102 53775 25461114 20368891 5092223 1102760 882208 220552 711462 569170 142292 2989972 2391978 597994 0 4008784 3207027 801757 681940 545552 136388 0 291272 233018 58254 14408464 8645078 5763386 0 20151638 12090982 8060656 1639474 1311579 327895 Medical supplies 30149977 24119982 6029995 Drugs & pharmaceuticals 25440516 20352413 5088103 Bad debt expense 15222793 12178234 3044559 Purchased lab services 12532051 10025641 2506410 20406350 16325080 4081270 332861198 256247314 76613884 0 0 25478321 37278542 0 61180000 59145256 0 0 6069547 6951190 5930034 6322281 5920790 5416037 403965005 155869677 261815243 248095328 90322129 114979339 0 0 0 74756321 76268226 531472385 554456199 41358810 41546473 256309718 252712036 1248877 1425649 1264799 1499986 300182204 297184144 X 227300418 248085478 2961145 8157959 1028618 1028618 231290181 257272055 531472385 554456199 X 13430505 8807804 3743565 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 13553 13553 false false 1037683 3020 8669 1032034 1048319 4958 15594 1037683 1046226 26365 24272 1048319 1044234 24155 22163 1046226 23318 35126 1044234 1044234 1.00000 false false false 6680317 6680317 197726430 40395355 157331075 19085276 6869354 12215922 180055012 108604968 71450044 417970 417970 248095328 Assets held by trustee-debt & construct. 27751124 Net assets held by MHF 6493544 76268226 Accrued retirement benefits 1499986 1499986 X 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. Cen Ame and the Caribbean 0 0 Program services Insurance 846565 846565 846565 true false true false false false true true true X true X true true false false true true 2742 6239802 6239802 0.01960 1086375 1086375 0.00340 2742 7326177 7326177 0.02300 24773 1141952 1141952 0.00360 6085 284036 284036 0.00090 18803 15466324 2562483 12903841 0.04060 482 721522 487587 233935 0.00070 4721 360640 260385 100255 0.00030 54864 17974474 3310455 14664019 0.04610 57606 25300651 3310455 21990196 0.06910 2 124179 124179 0.00040 241 9537 9537 1 2026 2026 25 951 951 269 136693 136693 0.00040 true 15222793 2283419 292347127 251378512 40968615 X true true Maryland Care Inc healthcare 0.20000 Tri-State Health Part Inc PHO 0.50000 0.50000 THP-Meritus ACO LLC ACO 0.01000 1 1 Meritus Medical Center Inc 11116 Medical Campus Road Hagerstown MD 21742 X X X X Meritus Medical Center Inc 1 true X X X X X X X X X X 13 true false true X www.meritushealth.com X X X X X X X X X false false false true true 150.0000 true 300.0000 true X X X X X X X true true X X X X X X X true false X X X X true X false false 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. 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. true Meritus Healthcare Foundation 11116 Medical Campus Road Hagerstown MD 21742 520607949 501(c)(3) 250000 0 Support for quality healthcare 1 0 HSCRC Nursing Grant 13 232374 N/A N/A Grantmaker's Description of How Grants are Used 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. X X X X X true true false false false false false true false false Adriana Maldonado-Brem MD Physician 198624 3185 17375 219184 Carolyn Simonsen VP/Secretary 212681 40600 13880 10179 277340 Dale Bushey Vice President 159894 22834 10459 20308 213495 Dawn Crumel Vice President 165680 19475 5840 9116 200111 Deborah Addo-Samuels Senior Vice President 252924 49000 12803 13918 328645 Garry Seligman MD Physician 204416 10269 9722 25000 249407 Gaylen Johnson MD Physician 220090 10028 12186 242304 Heather Lorenzo Vice President 287702 57000 15750 19797 380249 Jake Dorst Vice President 192662 28868 7853 18741 248124 Jayantilal Kadiwar MD Physician 282000 35895 3734 10538 14685 346852 Jesus Cepero Vice President 206379 28543 1713 9726 2009 248370 Joseph Ross President & CEO 520564 110121 12248 218142 28109 889184 Kelly Corbi Vice President 115381 149252 9229 14027 287889 Lee Shaver Vice President 154529 25327 1053 8093 1669 190671 Marc Kross Former officer 480918 480918 Matthew Wagner MD Physician 276471 30000 11475 13327 331273 Raymond Grahe VP/Treasurer 363436 64260 17250 17091 462037 Thomas Gilbert MD Director 468000 82438 50560 11475 17043 629516 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. A MD Hlth & Hig Ed Fac Aut 520936091 574217T21 2008-02-12 264300000 Construction-new hospital false false false A 262855181 18344513 3121975 235980961 5407732 2010 false false true true A false false false false 0.00800 0.00800 true false true A true false false false true A true Greg Snook Director 105865 See suppl. info. below false William Reuter Director 25659 See supp info below false David Solberg MD Director 254992 See supp info below false Schedule L, Part V Supplemental Information 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. 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. 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 -462838 4474915 MMC Meritus Medical Lab LLC 11116 Medical Campus Road Hagerstown MD 21742 800728035 Health services MD 2386264 26656294 MMC Health Work LLC 11116 Medical Campus Road Hagerstown MD 21742 342014438 Health services MD 29260 839860 MMC Medical Practices of Antietam LLC 11116 Medical Campus Road Hagerstown MD 21742 522315129 Health services MD -4490359 1001571 MEI Downtown Urgent Care LLC 11116 Medical Campus Road Hagerstown MD 21742 273483086 Health services MD MMC Meritus Healthcare Foundation Inc 11116 Medical Campus Road Hagerstown MD 21742 010639265 Fundraising MD 501(c)(3) 11c MMC true Robinwood Surgery Center LLC 11116 Medical Campus Road Hagerstown MD 21742 521770185 Health services MD N/A -923590 1891900 false false Meritus Enterprises Inc 11116 Medical Campus Road Hagerstown MD 21742 521393624 Health serv MD MMC C corp 2123107 37872033 1.00000 true Meritus Insurance Company Ltd P O Box 1109GT Grand Cayman CJ 980162257 Captive insurance CJ MMC 13641382 1.00000 true false false true false false false false false false false false false false false false false false false false Meritus Healthcare Foundation Inc c 1295371 Cost