CALVERTHEALTH MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CALVERTHEALTH MEDICAL CENTER INC (EIN 52-0619000)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-13
IRS object ID: 201421339349301292
Schema version: 2012v2.3
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 D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-13T09:21:30-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COHEN RUTHERFORD KNIGHT PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	6903 ROCKLEDGE DRIVE SUITE 500	AddressLine1
City	BETHESDA	City
State	MD	State
ZIP Code	208171800	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520619000	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Calvert Memorial Hospital of Calvert County	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% ROBERT KERTIS	InCareOfName
Name Control	CALV	NameControl
Phone	4105354000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Hospital Road	AddressLine1
Address Line2	Suite	AddressLine2
City	Prince Frederick	City
State	MD	State
ZIP Code	20678	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES XINIS	Name
Title	PRESIDENT AND CEO	Title
Phone	4105354000	Phone
Date Signed	2014-05-05	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TINA C ECKLOFF	Name
Phone	3018281008	Phone
Date Prepared	2014-05-01	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES XINIS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL RD	AddressLine1
City	PRINCE FREDERICK	City
State	MD	State
ZIP Code	20678	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	126185046	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.calverthospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1918	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	CALVERT MEMORIAL HOSPITAL PROVIDES QUALITY INPATIENT AND AMBULATORY HEALTH CARE TO THE PEOPLE OF SOUTHERN MARYLAND THAT IS ACCESSIBLE, COST-EFFECTIVE AND COMPASSIONATE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	1299	TotalNbrEmployees
Total Nbr Volunteers	198	TotalNbrVolunteers
Total Gross UBI	1799338	TotalGrossUBI
Net Unrelated Business Txbl Income	-19725	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	609604	ContributionsGrantsPriorYear
Contributions Grants Current Year	725689	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	122875723	ProgramServiceRevenuePriorYear
Program Service Revenue CY	120837283	ProgramServiceRevenueCY
Investment Income Prior Year	266230	InvestmentIncomePriorYear
Investment Income Current Year	437957	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6490394	OtherRevenuePriorYear
Other Revenue Current Year	4102507	OtherRevenueCurrentYear
Total Revenue Prior Year	130241951	TotalRevenuePriorYear
Total Revenue Current Year	126103436	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	66329303	SalariesEtcPriorYear
Salaries Etc Current Year	61667920	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	61113821	OtherExpensePriorYear
Other Expenses Current Year	57341758	OtherExpensesCurrentYear
Total Expenses Prior Year	127443124	TotalExpensesPriorYear
Total Expenses Current Year	119014678	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2798827	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7088758	RevenuesLessExpensesCY
Total Assets BOY	106515249	TotalAssetsBOY
Total Assets EOY	111862040	TotalAssetsEOY
Total Liabilities BOY	86442833	TotalLiabilitiesBOY
Total Liabilities EOY	84365248	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	20072416	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	27496792	NetAssetsOrFundBalancesEOY
Mission Description	CALVERT MEMORIAL HOSPITAL PROVIDES QUALITY INPATIENT AND AMBULATORY HEALTH CARE TO THE PEOPLE OF SOUTHERN MARYLAND THAT IS ACCESSIBLE, COST-EFFECTIVE AND COMPASSIONATE. CMH WORKS IN PARTNERSHIP WITH THE COMMUNITY TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	105909836	Expense
Grants	5000	Grants
Revenue	123153488	Revenue
Description	CALVERT MEMORIAL HOSPITAL'S MISSION IS FOR THE CHARITABLE PURPOSE OF PROVIDING QUALITY INPATIENT AND AMBULATORY HEALTH CARE SERVICES TO THE CITIZENS OF SOUTHERN MARYLAND THAT IS ACCESSIBLE, COST EFFECTIVE AND COMPASSIONATE. THE HOSPITAL WORKS IN PARTNERSHIP WITH THE COMMUNITY TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS. THE HOSPITAL PROVIDES MEDICAL SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN FY 2013, THE HOSPITAL SERVED 8,001 INPATIENTS, 123,642 OUTPATIENTS AND PROVIDED 41,585 EMERGENCY ROOM VISITS. IN ADDITION TO THE INPATIENTS SERVED, THE HOSPITAL ALSO TREATED 1,546 MEDICAL OBservation PATIENTS. FOR FY 2013, THE HOSPITAL FILED WITH THE STATE OF MARYLAND A COMMUNITY BENEFIT REPORT THAT DOCUMENTED $18,620,002 IN COMMUNITY BENEFIT PROVIDED BY CALVERT MEMORIAL HOSPITAL. THE COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST. ALL FINANCIAL SURPLUSES THE HOSPITAL GENERATES ARE USED EXCLUSIVELY TO FURTHER THE CHARITABLE PURPOSES OF THE ORGANIZATION. THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF CIVIC LEADERS THROUGHOUT CALVERT COUNTY WHO ARE COMMITTED TO AND REPRESENT THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL IN FY 2013 PROVIDED $7,447,000 IN CHARITY CARE, TO RESIDENTS WHO WERE UNABLE TO PAY FOR THOSE SERVICES AND MET ELIGIBILITY CRITERIA. THE HOSPITAL, AS A SOLE COMMUNITY PROVIDER, PROVIDES ESSENTIAL HEALTHCARE SERVICES SUCH AS OBSTETRICS, PSYCHIATRY (BOTH INPATIENT AND OUTPATIENT), EMERGENCY SERVICES, URGENT CARE AND LONG-TERM CARE THAT OTHERWISE WOULD NOT BE PROVIDED WITHIN CALVERT COUNTY OR WOULD HAVE TO BE PROVIDED BY THE GOVERNMENT. MANY OF THESE SERVICES BY THEIR NATURE ARE UNPROFITABLE SERVICES DUE TO THEIR HIGH COSTS AND LOW REIMBURSEMENT. THESE SERVICES WOULD NOT BE PROVIDED IF THE HOSPITAL DID NOT STEP IN TO PROVIDE THEM. IN ADDITION, IN FY 2013, THE HOSPITAL PROVIDED $427,150 OF FREE HEALTH SERVICES FOR CALVERT HEALTHCARE SOLUTIONS PATIENTS. CALVERT HEALTHCARE SOLUTIONS IS A PARTNERSHIP BETWEEN THE LOCAL HEALTH DEPARTMENT, LOCAL PHYSICIANS AND THE HOSPITAL THAT PROVIDES PRIMARY CARE SERVICES TO PATIENTS WHO ARE UNINSURED.	Description
Total Program Service Expense	105909836	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	151	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1299	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ROBERT KERTIS	NamePerson
Telephone Number	4105354000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL ROAD	AddressLine1
City	PRINCE FREDERICK	City
State	MD	State
ZIP Code	20678	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
CLIFF STEWART
DIRECTOR	1.0	1.0	X	0	0	0
JOSEPH BOYD
DIRECTOR	1.0	1.0	X	0	0	0
KEVIN BETZ
DIRECTOR	1.0	3.0	X	0	0	0
GAIL GIBSON
director	1.0	1.0	X	0	0	0
ERIC FRANKLIN
DIRECTOR	1.0	1.0	X	0	0	0
UDAY PATEL
DIRECTOR	1.0	1.0	X	0	0	0
KEVIN NIETMANN
CHAIRPERSON	4.0	2.0	X	0	0	0	X
MARSHA PLATER
DIRECTOR	1.0	1.0	X	1472	0	0
SALLY SHOWALTER
DIRECTOR	1.0	3.0	X	0	0	0
LAURIE UHEREK
SECRETARY	1.0	1.0	X	0	0	0	X
JAMES XINIS
PRESIDENT AND CEO	40.0	8.0	X	1242289	0	216310	X
PETER DALY
DIRECTOR	1.0	1.0	X	0	0	0
JOHN WEIGEL
DIRECTOR	1.0	1.0	X	0	0	0
CIARAN BROWNE
DIRECTOR	2.0	1.0	X	0	0	0
HENRY TRENTMAN
VICE CHAIRPERSON	5.0	5.0	X	0	0	0	X
PATRICIA EDDLEMAN
DIRECTOR	4.0	1.0	X	0	0	0
BARBARA ESTES
DIRECTOR	4.0	1.0	X	23371	0	0
RICHARD FLEMING
DIRECTOR	1.0	1.0	X	0	0	0
ALONZO BARBER III
DIRECTOR	1.0	1.0	X	0	0	0
GEORGE GELLRICH
DIRECTOR	1.0	1.0	X	0	0	0
VARKEY MATHEW
DIRECTOR	3.0	1.0	X	26580	0	0
DONALD PARSONS JR
TREASURER	20.0	15.0	X	0	0	0	X
ROBERT KERTIS
VP FINANCE AND CFO	40.0	8.0		212809	0	22641	X
ROBERT MCWHIRT
VP CNE PATIENT CARE SERVICES	40.0	0.0		130173	0	19423		X
SUSAN DOHONY
VP CQO PERFORM IMPROVEMENT	40.0	0.0		199089	0	64050		X
EDWARD GROGAN
VP IT	40.0	0.0		161780	0	33809		X
DIANE COUCHMAN
VP CNO CLINICAL SERVICES	40.0	0.0		135447	0	25323		X
DEAN TEAGUE
COO	40.0	0.0		97216	0	4424		X
JOHN BROOKS
VP MEDICAL AFFAIRS	40.0	0.0		35916	0	73		X
ANTHONY BLADEN
VP HUMAN RESOURCES	40.0	0.0		177620	0	15360		X
SEYED ALI MOHAMMADI
PHYSICIAN	40.0	0.0		357765	0	33056			X
SCOTT INTNER
AVP BUS DEVEL CORP COMPLIANCE	40.0	0.0		165440	0	20347			X
KARA HARRER
DIRECTOR OF PHARMACY	40.0	0.0		142166	0	13613			X
PILAR CROOK
R.N.	40.0	0.0		142034	0	34808			X
SHARON BAKER
PHARMACY CLINICAL COORDINATOR	40.0	0.0		135605	0	18323			X
ROBERT SCHLAGER
VP MEDICAL AFFAIRS	40.0	0.0		121961	0	12606				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3508733	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	534166	TotalOtherCompensation
Number Individuals GT100 K	44	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
EMERGENCY MEDICINE ASSOCIATES PA PC
20010 CENTURY BLD STE 200	GERMANTOWN	MD	20874	URGENT CARE PHYS STF	575179
MARYLAND INPATIENT CARE SPECIALISTS
6934 AVIATION BLVD STE B	GLEN BURNIE	MD	21061	HOSPITALIST	558247
DIPAK K SHAH MD
22740 AVENMAR DRIVE	LEONARDTOWN	MD	20650	BEHAVIORAL HEALTH	473500
CALVERT INTERNAL MEDICINE GROUP
110 HOSPITAL RD STE 310	PRINCE FREDERICK	MD	20678	OP CARDIAC TEST SERV	441229
MAYO MEDICAL LABORATORIES
PO BOX 9146	MINNEAPOLIS	MN	55480	LAB TESTING	393429

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	33	NumberOfContractorsGT100K
Federated Campaigns	30000	FederatedCampaigns
Related Organizations	220536	RelatedOrganizations
Government Grants	444331	GovernmentGrants
All Other Contributions	30822	AllOtherContributions
Total Contributions	725689	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT REVENUE	26498068	26498068
OUTPATIENT REVENUE	30125451	30125451
EMERGENCY REVENUE	13307416	13307416
OTHER PATIENT REVENUE	569748	569748
MEDICARE/MEDICAID REVENUE	50336600	50336600

Field	Value	IRS element (for citing)
Total Program Service Revenue	120837283	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	435437	TotalRevenueColumn
Exclusion	$435,437	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	70519	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	81610	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-11091	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-11091	TotalRevenueColumn
Unrelated Business Revenue	1945	UnrelatedBusinessRevenue
Exclusion	-$13,036	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	2520	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	2520	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2520	TotalRevenueColumn
Exclusion	$2,520	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Business CodeBusinessCode	Unrelated Business RevenueUnrelatedBusinessRevenue
OTHER REVENUE	1345062	1345062
PHARMACY SALES	5666		446110	5666
PHYSICIAN ANS SER	33328		561000	33328

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2729542	TotalRevenueColumn
Related Or Exempt Function Income	971143	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1758399	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	4113598	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	126103436	TotalRevenueColumn
Related Or Exempt Function Income	123153488	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1799338	UnrelatedBusinessRevenue
Exclusion	$424,921	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	5000	Total
Program Services	5000	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2155444	Total
Program Services	0	ProgramServices
Management And General	2155444	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	47946804	Total
Program Services	43401054	ProgramServices
Management And General	4545750	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3145523	Total
Program Services	2765866	ProgramServices
Management And General	379657	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4756495	Total
Program Services	4120312	ProgramServices
Management And General	636183	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3663654	Total
Program Services	3173639	ProgramServices
Management And General	490015	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	549635	Total
Program Services	509135	ProgramServices
Management And General	40500	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	510992	Total
Management And General	510992	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	124570	Total
Management And General	124570	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4718865	Total
Program Services	4718865	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	102352	Total
Program Services	102112	ProgramServices
Management And General	240	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5597553	Total
Program Services	4931682	ProgramServices
Management And General	665871	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2623666	Total
Program Services	2465197	ProgramServices
Management And General	158469	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2783531	Total
Program Services	2510196	ProgramServices
Management And General	273335	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	128661	Total
Program Services	49561	ProgramServices
Management And General	79100	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	185585	Total
Program Services	165479	ProgramServices
Management And General	20106	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2348788	Total
Program Services	2294061	ProgramServices
Management And General	54727	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8209515	Total
Program Services	8127929	ProgramServices
Management And General	81586	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1488777	Total
Program Services	1458025	ProgramServices
Management And General	30752	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	17768494	17768494
PURCHASED SERVICES	4740684	3880369	860315
REPAIRS AND MAINTENANCE	2851508	2770259	81249
OTHER	2110378	692601	1417777

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	498204	Total
Management And General	498204	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	119014678	Total
Program Services	105909836	ProgramServices
Management And General	13104842	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11081171	BOY
EOY	15229579	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	106741	BOY
EOY	46016	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	13243805	BOY
EOY	12234989	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	8184	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2315807	BOY
EOY	2236702	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1330572	BOY
EOY	1354549	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	143323614	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	84407314	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	62108594	BOY
EOY	58916300	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	5275414	BOY
EOY	4742261	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3069034	BOY
EOY	1784162	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	7975927	BOY
EOY	15317482	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	106515249	BOY
EOY	111862040	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17029456	BOY
EOY	14233776	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	52174352	BOY
EOY	50370745	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	17239025	BOY
EOY	19760727	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	86442833	BOY
EOY	84365248	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19961405	BOY
EOY	26058970	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	111011	BOY
EOY	628893	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	808929	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	20072416	BOY
EOY	27496792	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	106515249	BOY
EOY	111862040	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7088758	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	118618	ReconciliationUnrealizedInvest
Reconcilation Other Changes	217000	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4881046	OtherCostOrOtherBasis
Book Value	4881046	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66522713	OtherCostOrOtherBasis
Depreciation	31857746	Depreciation
Book Value	34664967	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2893739	OtherCostOrOtherBasis
Depreciation	1614707	Depreciation
Book Value	1279032	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66493796	OtherCostOrOtherBasis
Depreciation	49645324	Depreciation
Book Value	16848472	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2581891	OtherCostOrOtherBasis
Depreciation	1215079	Depreciation
Book Value	1366812	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	59040329	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
LT BOND FINANCING COSTS	825896
OTHER RECEIVABLES	498282
GOODWILL	15000
INVEST IN AFFILIATED ENTERPRIS	2644587
LT MIN LEASE PYMTS RECD	30000
MALPRACTICE INS RECOVERY	7064435
INVESTMENT IN FOUNDATION	3510489
DUE FROM RELATED PARTIES	728793

Field	Value	IRS element (for citing)
Total Book Value Other Assets	15317482	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
EXECUTIVE 457B 457F PLANS	$2,124,185
ADVANCES FROM THIRD PARTIES	$3,708,463
ACCRUED PENSION COSTS	$5,727,143
PROFESSIONAL LIABILITY	$8,200,936

Field	Value	IRS element (for citing)
Total Of Amounts	19760727	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5272522	TotalCommunityBenefitExpense
Net Community Benefit Expense	5272522	NetCommunityBenefitExpense
Percent Of Total Expense	0.04430	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5272522	TotalCommunityBenefitExpense
Net Community Benefit Expense	5272522	NetCommunityBenefitExpense
Percent Of Total Expense	0.04430	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1397214	TotalCommunityBenefitExpense
Direct Offsetting Revenue	253137	DirectOffsettingRevenue
Net Community Benefit Expense	1144077	NetCommunityBenefitExpense
Percent Of Total Expense	0.00960	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	852620	TotalCommunityBenefitExpense
Net Community Benefit Expense	852620	NetCommunityBenefitExpense
Percent Of Total Expense	0.00720	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12965459	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4454349	DirectOffsettingRevenue
Net Community Benefit Expense	8511110	NetCommunityBenefitExpense
Percent Of Total Expense	0.07160	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24081	TotalCommunityBenefitExpense
Net Community Benefit Expense	24081	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15239374	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4707486	DirectOffsettingRevenue
Net Community Benefit Expense	10531888	NetCommunityBenefitExpense
Percent Of Total Expense	0.08860	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20511896	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4707486	DirectOffsettingRevenue
Net Community Benefit Expense	15804410	NetCommunityBenefitExpense
Percent Of Total Expense	0.13290	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	548060	TotalCommunityBuildingExpense
Direct Offsetting Revenue	26400	DirectOffsettingRevenue
Net Community Building Expense	521660	NetCommunityBuildingExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	92391	TotalCommunityBuildingExpense
Net Community Building Expense	92391	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	26656	TotalCommunityBuildingExpense
Net Community Building Expense	26656	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	667107	TotalCommunityBuildingExpense
Direct Offsetting Revenue	26400	DirectOffsettingRevenue
Net Community Building Expense	640707	NetCommunityBuildingExpense
Percent Of Total Expense	0.00540	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,131,256	BadDebtExpenseAmount
Amount Reimbursed By Medicare	46896643	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	33850158	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	13046485	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Calvert Memorial Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	100 Hospital Road	AddressLine1
City	Prince Frederick	City
State	MD	State
ZIP Code	20678	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	skilled nursing fac urgent care ctrs family prac clinic	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Calvert Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
DUNKIRK URGENT CARE
10845 TOWN CENTER BLVD SUITE 108	DUNKIRK	MD	20754	URGENT CARE CENTER
SOLOMONS URGENT CARE
14090 HG TRUEMAN ROAD SUITE 1300	SOLOMONS	MD	20688	URGENT CARE CENTER
CMH LABORATORY SERVICES
130 HOSPITAL ROAD SUITE 204	PRINCE FREDERICK	MD	20678	LABORATORY DRAW STATION
CMH LABORATORY SERVICES
14090 HG TRUEMAN ROAD SUITE 1400	SOLOMONS	MD	20688	LABORATORY DRAW STATION
BREAST CARE CENTER
130 HOSPITAL ROAD SUITE 102	PRINCE FREDERICK	MD	20678	OUTPATIENT CLINIC
WOMAN'S WELLNESS CENTER
130 HOSPITAL ROAD SUITE 102	PRINCE FREDERICK	MD	20678	OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (25 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3	FINANCIAL NEED WILL BE DETERMINED IN ACCORDANCE WITH PROCEDURES THAT INVOLVE A FACTS AND CIRCUMSTANCES ASSESSMENT OF THE FINANCIAL NEED OF THE PATIENT, WHICH MAY INCLUDE THE FOLLOWING: A) AN APPLICATION PROCESS, IN WHICH THE PATIENT OR THE PATIENT'S GUARANTOR ARE REQUIRED TO COOPERATE AND SUPPLY PERSONAL, FINANCIAL AND OTHER INFORMATION AND DOCUMENTATION RELEVENT TO MAKING A DETERMINATION OF FINANCIAL NEED. THE APPLICATION FORM IS THE MARYLAND STATE UNIFORM FINANCIAL ASSISTANCE APPLICATION. B) THE USE OF EXTERNAL PUBLICALLY AVALIABLE DATA SOURCES THAT PROVIDE INFORMATION ON A PATIENT'S OR A PATIENT'S GUARANTOR'S ABILITY TO PAY (SUCH AS CREDIT SCORING); C) REASONABLE EFFORTS BY CALVERT MEMORIAL HOSPITAL TO EXPLORE APPROPRIATE ALTERNATIVE SOURCES OF PAYMENT AND COVERAGE FROM PUBLIC AND PRIVATE PAYMENT PROGRAMS; D) TAKING INTO ACCOUNT THE PATIENT'S AVAIABLE ASSETS, AND ALL OTHER FINANCIAL RESOURCES AVAILABE TO THE PATIENT; AND E) A REVIEW OF THE PATIENT'S OUTSTANDING ACCOUNTS RECEIVABLE FOR PRIOR SERVICES RENDERED AND THE PATIENT'S PAYMENT HISTORY. IT IS PREFERRED BUT NOT REQUIRED THAT A REQUEST FOR FINANCIAL ASSISTANCE AND A DETERMINATION OF FINANCIAL NEED OCCUR PRIOR TO THE RENDERING OF SERVICES. HOWEVER, THE DETERMINATION MAY BE DONE AT ANY POINT IN THE COLLECTION CYCLE. THE NEED FOR PAYMENT ASSISTANCE SHALL BE RE-EVALUATED AT EACH SUBSEQUENT TIME OF SERVICES IF THE LAST FINANCIAL EVALUATION WAS COMPLETED MORE THAN SIX MONTHS PRIOR, OR AT ANY TIME ADDITIONAL INFORMATION RELEVENT TO THE ELIGIBILITY OF THE PATIENT FOR FINANCIAL ASSISTANCE BECOMES KNOWN. CALVERT MEMORIAL HOSPITAL PERFORMS REASONABLE COLLECTION EFFORTS AS DEFINED IN THEIR PRIVATE PAY COLLECTIONS POLICY BY SENDING PATIENTS THAT HAVE NOT YET QUALIFIED UNDER THE HOSPITAL'S FINANCIAL POLICY AT LEAST THREE STATEMENTS. PATIENTS MAY ALSO RECEIVE PHONE CALLS REMINDING THEM A BALANCE IS DUE. UNPAID PATIENT ACCOUNTS ARE IDENTIFIED AS PRE-BAD DEBT AFTER 75 TO 90 DAYS. PRIOR TO TRANSFERRING ACCOUNTS TO AN EXTERNAL COLLECTION AGENCY OR UNDERTAKING ANY OTHER COLLECTION ACTIONS, THE ACCOUNTS ARE BATCHED AND SCREENED FOR THE PATIENT'S ABILITY TO PAY AGAINST THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY STANDARDS WITHIN SEARCH AMERICA. ANY PATIENTS WHOSE FINANCIAL CONDITIONS QUALIFY FOR FINANCIAL ASSISTANCE PER THE SOFTWARE'S SEARCH ARE IMMEDIATELY APPROVED BY THE HOSPITAL FOR CHARITY CARE AND ALL COLLECTION EFFORTS ARE IMMEDIATELY CEASED.
PART I, LINE 5A AND 5B	Calvert Memorial Hospital offers free or discounted care to patients who are unable to pay for their services and meet the eligibility criteria regardless of the amount budgeted for financial assistance in the hospital's annual operating plan.
PART I, LINE 6A, 6B	Maryland's Health Services Cost Review Commission (HSCRC) requires all Maryland hospitals to complete and submit a Community Benefit Report annually. The HSCRC is responsible for collecting the data from the individual hospitals and compiling a statewide document that contains summary information as well as individual hospital reports. The statewide document is made available to the public on the HSCRC's website.
PART I, LINE 7A, COLUMN D	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 offsetting revenue related to Uncompensated Care.
PART I, LINE 7B, COLUMNS C, D, E AND 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 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. The hospital portion of the Maryland Medicaid assessment for CMH for the 2012 tax year was $514,581.
PART I, LINE 7F, COLUMN C AND D	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 offsetting revenue related to Uncompensated Care.
PART I, LINE 7G	Subsidized health services include the following non-physician clinics: Woman's Wellness Center, Dunkirk Urgent Care, GYN-Oncology Clinic, Pediatric Orthopedic Clinic, Solomons Urgent Care and Spine Clinic. Costs attributable to the clinics totaled $1,119,675. THese services would likely not be undertaken in the community if not provided by Calvert Memorial Hospital. As a result Calvert Memorial Hospital has identified a community need for the provision of these services.
PART I, LINE 7	The costing methodology used to calculate amounts reported in line 7 was a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges.
PART II	Calvert Memorial Hospital (CMH) is recognized as a leader in the provision of health care in the local area. It partners with many organizations and agencies to expand the reach for improving the health of its community. Activities include: Developing and leading a health ministry team program with 25 local area churches, school wellness council and area businesses to improve health of their employees. Supporting staff participation on local area boards, coalitions and collaboratives, such as the United Way of Calvert County, Hospice of Calvert County, Maryland Rural Health Association, the Office on Aging, Southern Maryland Community Network, Calvert County Oral Health Coalition, Tri-County Council, EMS Council, Maryland Perinatal Patient Safety Collaborative, Comptroller's Advisory Board and the Calvert Cancer Coalition. These are just a few of CMH's community building activities. Improving the health of the community is a priority area for the hospital and therefore drives many of our strategic plans.
PART III, LINE 4	The following is the text of the footnote to the organization's financial statements that describes the organization's bad debt expense: Accounts receivable are reported at their net realizable value from third-party payers, patients, residents and others for services rendered. Allowances are provided for third-party payers based on estimated reimbursement rates. Allowances are also provided for bad debts on an estimate of uncollectible accounts. Write-off of uncollectible accounts is determined on a case-by-case basis after a review of the circumstances surrounding individual patient accounts. The amount reported on Part III, line 2 was determined by taking the amount reported as Provision for Uncollectible Accounts in the Hospital's Statement of Operations and applying the cost to charge ratio, as calculated in Worksheet 2, to calculate the cost of the organization's bad debt expense. The Hospital estimates that none of the actual bad debt expense in the 2012 tax year was attributable to patients eligible for financial assistance. This is based upon the process that has been put in place (described in the disclosure to Part I, Line 3) to determine if patients qualify for financial assistance prior to classifying the patient(s) account as bad debt.
PART III, LINE 8	The costing source is the Medicare Cost Report and the methodology is Medicare allowable cost to Medicare revenues received.
PART III, LINE 9B	As stated in Calvert Memorial Hospital's Financial Assistance Policy, Part V, Section G: Calvert Memorial Hospital has developed policies and procedures for internal and external collection practices that take into account the extent to which the patient qualifies for financial assistance, a patient's good faith effort to apply for a governmental program or for financial assistance from Calvert Memorial Hospital, and a patient's good faith effort to comply with his or her payment agreements with Calvert Memorial Hospital. For patients who are cooperating with applying and qualifying for either Medical Assistance or financial assistance, Calvert Memorial Hospital will not send unpaid bills to outside collection agencies and will cease all collection activities. Once the collection process has begun, the Hospital continues to monitor whether the patient qualifies for charity care under the financial assistance policy. If the Hospital determines that a patient qualifies for financial assistance, including once the collection process has begun, the organization will approve the patient for charity care. Once charity care has been approved, there is no further attempt made by the organization to collect. Collection efforts will be stopped at any time during the collection process if the patient qualifies for charity care under the financial assistance policy. Furthermore, if a patient's financial situation changes at any point during the collection process, the patient may qualify for financial assistance at such point. Patients determined to be eligible for financial assistance subsequent to the date of service may be eligible for a refund of payments made if it is determined that the patient was eligible for financial assistance at the time of service.
Part V, Line 3	CALVERT MEMORIAL HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, COMMUNITY LEADERS, AND LEADERS OR REPRESENTATIVES OF LOW INCOME OR UNDERSERVED GROUPS SERVED IN THE COMMUNITY. In PARTICULAR, CALVERT MEMORIAL HOSPITAL PARTNERED WITH NUMEROUS COMMUNITY LEADERS THROUGH THE CALVERT COUNTY COMMUNITY HEALTH IMPROVEMENT ROUNDTABLE (THE "ROUNDTABLE") TO JOINTLY DEVELOP THE CHNA. THE SPECIFIC MEMBERS OF THE ROUNDTABLE WERE AS FOLLOWS: BABS BUCHEISTER, RN, DIRECTOR OF NURSING CALVERT COUNTY HEALTH DEPARTMENT SEAN CROSBY DEPARTMENT OF SOCIAL SERVICES CANDICE D'AGOSTINO CALVERT ALLIANCE AGAINST SUBSTANCE ABUSE FATHER PETER DALEY SAINT JOHN VIANNEY CATHOLIC CHURCH RAYMON NOBLE,MD CALVERT HOSPICE BRENDA CALVERT HOSPICE MARGARET FOWLER, COMMUNITY WELLNESS DIRECTOR CALVERT MEMORIAL HOSPITAL HARRIET S YAFFE, EXECUTIVE DIRECTOR THE ARC OF SOUTHERN MARYLAND MAUREEN T HOFFMAN,COMMUNITY RESOURCES DIRECTOR CALVERT COUNTY GOVERNMENT KERI LIPPERINI OFFICE ON AGING, DIVISION CHIEF VACANCY PENDING DEPARTMENT OF JUVENILE SERVICES LISA LASCHALT,R.S., M.P.H., PROGRAM SUPERVISOR CALVERT COUNTY HEALTH DEPARTMENT DONNA NICHOLS, SUPERVISOR OF HEALTH CALVERT COUNTY PUBLIC SCHOOLS LAURENCE POLSKY,MD,M.P.H., HEALTH OFFICER CALVERT COUNTY HEALTH DEPARTMENT KASIA SWEENEY, PUBLIC RELATIONS DIRECTOR CALVERT MEMORIAL HOSPITAL TAMMY HALTERMAN, HEALTH PROMOTIONS CALVERT COUNTY HEALTH DEPARTMENT MARY BAHEN,RN,BSN - HEALTH MINISTRY CALVERT MEMORIAL HOSPITAL JENNIFER MORELAND, DIRECTOR OF COMMUNITY IMPACT UNITED WAY OF CALVERT COUNTY JAMES XINIS, PRESIDENT&CEO CALVERT MEMORIAL HOSPITAL
Part V, Line 5a	THE DIRECT WEBSITE ADDRESS FOR THE HOSPITAL'S CHNA IS - http://www.calverthospital.org/workfiles/Calvert_Memorial_Hospital_impleme ntation_Plan_Document_FY12_14.pdf
Part V, Line 6	During the 2012 tax year, the Hospital undertook a number of different programs to begin addressing the community health needs identified in the Community Health Needs Assessment (CHNA). Amoung the initiatives undertaken to attempt to improve the outcomes with respect to adolescent heatlh, heart disease, and obesity were the following: the provision of free online nutrition program through the Vitabot program, Walk off Weight program to churches and general community, developed walking clubs at 3 elementary schools, collaborated with Calvert County Health Department to provide smoking cessation programs, promoted 1800MD Quit Now, provided Tobacco Road Show education and awareness programs, undertook Calvert Can: Eat Right, Move More campaign, and engaged in Breathe Free county wide initiative with seven collaborating partners to offer healthy lifestyle programs focusing on fitness and nutrition.
Part V, Line 7	THERE WERE TWO COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED BY CALVERT MEMORIAL HOSPITAL . THESE TWO COMMUNITY HEALTH NEEDS ARE: (1) TRAFFIC SAFETY AND (2) AUTISM. AS DISCUSSED IN FURTHER DETAIL BELOW, CALVERT MEMORIAL HOSPITAL DETERMINED THAT IMPROVING TRAFFIC SAFETY WOULD BE ADDRESSED MORE EFFECTIVELY BY OTHER STAKEHOLDERS IN THE COMMUNITY BECAUSE TRAFFIC SAFETY IS NOT IN THE HOSPITAL'S CORE MISSION AND THE HOSPITAL DOES NOT CURRENTLY HAVE THE SKILL SET REQUIRED TO EFFECTIVELY MEET THIS COMMUNITY NEED. IN ADDITION, IT WAS DETERMINED THAT, DUE TO LIMITED RESOURCES AND A LACK OF THE REQUIRED SKILL SET, CALVERT MEMORIAL HOSPITAL IS NOT THE BEST PLACED ORGANIZATION WITHIN THE COMMUNITY TO ADDRESS THE COMMUNITY HEALTH NEEDS ASSOCIATED WITH AUTISM. THE TRAFFIC SAFETY ISSUES ARE BEING ADDRESSED BY DEBBIE JENNINGS OF THE CALVERT COUNTY TRAFFIC SAFETY COUNCIL. A SEPARATE TRAFFIC SAFETY ACTION PLAN HAS BEEN DRAFTED WHICH INCORPORATES INITIATIVES THAT ARE BEING HANDLED BY THE MARYLAND STATE HIGHWAY ADMINISTRATION. THE AUTISM NEEDS ARE BEING ADDRESSED BY HARRIET YAFFE, EXECUTIVE DIRECTOR OF THE ARC OF SOUTHERN MARYLAND. SHE IS WORKING IN COLLABORATION WITH OTHER AGENCIES WITHIN SOUTHERN MARYLAND WHO SERVE THE SPECIAL NEEDS POPULATION TO IDENTIFY GAPS IN SERVICES FOR THE AUTISM POPULATION. CURRENTLY, THE KENNEDY KRIEGER INSTITUTE AND CHILDREN'S NATIONAL MEDICAL CENTER ARE CONDUCTING A REGIONAL NEEDS SURVEY TO DETERMINE WHAT PROGRAMS EXIST IN SOUTHERN MARYLAND AND WILL SHARE THE SURVEY RESULTS WITH THE ROUNDTABLE.
Part V, Line 18	The Hospital facility or an authorized third party did not undertake any of the collection actions noted in Part V, Section B, Line 17 before making reasonable efforts to determine any patient's eligibility under the Hospital's financial assistance policy. In order to help determine patients' eligibility under the Hospital's financial assistance policy, the Hospital undertakes a number of actions, including notifying patients of the financial assistance policy on admission, notifying patients of the financial assistance policy prior to discharge, notifying patients of the financial assistance policy in communications with the patients' bills, and documenting its determination of whether patients were eligible for financial assistance under the Hospital's financial assistance policy.
Part V, Line 20D	CALVERT MEMORIAL HOSPITAL PROVIDES A DISCOUNT OF AT LEAST 20% OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE TO ANY INDIVIDUAL THAT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. PURSUANT TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) ALL-PAYOR SYSTEM FOR HOSPITALS IN THE STATE OF MARYLAND, THE GREATEST DISCOUNT OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PERMITTED TO ANY COMMERCIAL INSURER OR MEDICARE IS ONLY 6%. AS A RESULT, THE HOSPITAL FACILITY WAS ABLE TO DETERMINE THAT THE MAXIMUM AMOUNT CHARGED TO INDIVIDUALS THAT WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY WAS NOT GREATER THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
Part V, Line 22	Calvert Memorial Hospital does not charge any individuals that are eligible for financial assistance an amount equal to the gross charge for any service. The Hospital uses the charge master rates for a service as a starting point against which reductions are applied to determine the amount actually billed to patients eligible under the financial assistance policy.
Needs Assessment	IN ADDITION TO BEGINNING TO IMPLEMENT THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY(IMPLEMENTATION STRATEGY), IN FY13 THE HOSPITAL ADOPTED THE MARYLAND STATE HEALTH IMPROVEMENT PLAN (SHIP) WHICH FOCUSES ON 39 OBJECTIVES FOR EACH COUNTY WITHIN THE STATE OF MARYLAND. THE DEPARTMENT OF HEALTH AND MENTAL HYGIENE REQUESTED THAT THESE SHIP OBJECTIVES BE ADDRESSED BY THE CHNA AND INTEGRATED INTO THE HOSPITAL'S IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE SHIP OBJECTIVES WERE RATED RED, YELLOW OR GREEN IN EACH COUNTY, BASED UPON THE EXTENT TO WHICH THE COUNTY MET THE STATE STANDARDS FOR SUCH OBJECTIVES. THOSE OBJECTIVES THAT THE COUNTY HAD STRUGGLED TO MEET WERE GIVEN RED INDICATORS AND WERE DESIGNATED AS OBJECTIVES FOR THE COUNTY TO ADDRESS MOVING FORWARD. IN ORDER TO ADDRESS THOSE OBJECTIVES RECEIVING A RED INDICATOR, THE COMMUNITY HEALTH IMPROVEMENT ROUNDTABLE, A GROUP THAT THE CALVERT MEMORIAL HOSPITAL PARTICIPATES IN WITH OTHER COMMUNITY LEADERS TO ADDRESS COMMUNITY HEALTH ISSUES, DEVELOPED A SHIP ACTION PLAN DOCUMENT TO ADDRESS THE FOLLOWING TARGETED OBJECTIVES: SMOKING, OBESITY, DEATH RATES FROM HEART DISEASE, DEATH RATES FROM CANCER AND DISPARITIES IN EMERGENCY ROOM UTILIZATION BY AFRICAN AMERICAN FOR DIABETES AND HYPERTENSION.	Part VI, Line 2
Patient Education of eligibility for assistance	NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CALVERT MEMORIAL HOSPITAL INCLUDES A CONTACT NUMBER AND IS DISSEMINATED BY CALVERT MEMORIAL HOSPITAL BY VARIOUS MEANS, WHICH INCLUDES, BUT IS NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTERS, waiting rooms, ADMITTING AND REGISTRATION DEPARTMENTS, AND PATIENT FINANCIAL SERVICES OFFICES. INFORMATION IS ALSO INCLUDED ON THE HOSPITAL'S WEBSITE AND at least annually, the hospital publishes in the local newspapers a notice of financial assistance and also highlights other programs the Hospital offers for patients without insurance or for patients in financial need. Notification of the hospital's financial assistance policy program is provided to each patient at the time of registration and a second time when patients receive their bill/statement. Such information is provided in the primary languages spoken by the population serviced by Calvert Memorial Hospital. Referral of patients for financial assistance may be made by any member of the Calvert Memorial Hospital staff or medical staff, including physicians, nurses, financial counselors, social workers, case managers, and chaplains. A request for financial assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws.	Part VI, Line 3
Community Information	CALVERT MEMORIAL HOSPITAL (CMH) IS THE SOLE HOSPITAL PROVIDER IN CALVERT COUNTY, MARYLAND. CALVERT COUNTY IS LOCATED IN SOUTHERN MARYLAND AND IS ESSENTIALLY A PENINSULA BORDERED ON THE EAST BY THE CHESAPEAKE BAY AND ON THE WEST BY THE PATUXENT RIVER. WITH A LONG AND SKINNY TOPOGRAPHY, THE COUNTY'S "SPINE" IS MARYLAND ROUTES 2/4 RUNNING FROM DUNKIRK IN THE NORTH TO SOLOMONS ISLAND IN THE SOUTH FOR APPROXIMATELY 45 MILES. THIS TOPOGRAPHY PRESENTS CHALLENGES TO BOTH TRANSPORTATION AND SERVICE DELIVERY THAT ARE UNIQUE TO CALVERT COUNTY. IN RESPONSE TO THIS UNIQUE TOPOGRAPHY, CMH'S STRATEGIC GOAL IS TO ENSURE ACCESS TO PRIMARY CARE SERVICES WITHIN A 15 MINUTE DRIVE FROM ANY COUNTY LOCATION AND SPECIALTY CARE WITHIN 30 MINUTES. IN ADDITION, CMH'S SECONDARY MARKET AREA INCLUDES THE SURROUNDING AREAS OF SOUTHERN PRINCE GEORGES AND ANNE ARUNDEL COUNTIES, ST MARY'S COUNTY ON ITS SOUTHERN BORDER AND CHARLES COUNTY ON ITS WESTERN BORDER. Although CALVERT COUNTY is one of the most affluent counties in Maryland, it has pockets of impoverished areas. The median household income varies from $75,227 in the southern portion of the county to $120,119 in the north as compared to an $89,393 county average. Approximately 10% of the total households earn less than $25,000 annually. Overall, Calvert County has a poverty rate of 4.2% as compared to a state level of 8.6%. Within census tracts, this poverty rate ranges from 0.3% just north of hte county seat in Prince Frederick to 13.9% in an area just east of Prince Frederick. Financial assistance of Fy 2013 for CMH reveals that 5.3% of gross revenue was from self-pay or uninsured patients, 11.8% of gross revenue was from Medicaid recipients and 35.3% was from Medicare recipients. Caucasian residents comprise 81.3% of the population while African Americans comprise 13%. Major sources of employment with the area include education and healthcare, public administration, professional/research, construction and retail trade. The life expectancy in Calvert County is 77.9 years. Heart disease and cancer death rates are significantly higher than the state and national rates at 227.6 and 189.3 deaths per 100,000 respectively.	Part VI, Line 4
Promotion of community health	THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF CIVIC LEADERS THROUGHOUT CALVERT COUNTY WHO ARE COMMITTED TO AND REPRESENT THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL OF ITS DEPARTMENTS. ALL FINANCIAL SURPLUSES THE HOSPITAL GENERATES ARE USED EXCLUSIVELY TO FURTHER THE CHARITABLE PURPOSES OF THE ORGANIZATION.	Part VI, Line 5
Affiliated health care system	CALVERT MEMORIAL HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, Calvert Health System, Inc.(CHS), that cooperates in providing health care services to its community. The hospital, as a sole community provider, provides essential health care services such as obstetrics, psychiatry(inpatient and outpatient), emergency services, urgent care and long-term care that otherwise would not be provided within Calvert county due to their unprofitable nature(high cost services with low reimbursement), or would need to be provided by another tax-exempt organization or the government. For the 2012 tax year, the hospital provided $5,272,522 in charity care, at cost, to patients that qualified for financial assistance. Furthermore, the hospital provided $427,150 of free health services for Calvert Healthcare Solutions patients. Calvert Healthcare Solutions is a partnership between the local health department, local physicians and the hospital that provides primary care services to patients who are uninsured. In addition to the hospital, CHS is also the sole member and employer of a physician group, Calvert Physician Associates, LLC, which provides primary and specialty care services to the community. The provision of these physician services to the community meets an identified need.	Part VI, Line 6
STATE FILING OF COMMUNITY BENEFIT REPORT	MD,	990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES XINIS
PRESIDENT AND CEO	405511	0	214122	0	622656	0	215050	0	1260	0	1458599	0	0	0
ROBERT KERTIS
VP FINANCE AND CFO	189775	0	22464	0	570	0	17135	0	5506	0	235450	0	0	0
SUSAN DOHONY
VP CQO PERFORM IMPROVEMENT	149421	0	14753	0	34915	0	55051	0	8999	0	263139	0	0	0
EDWARD GROGAN
VP IT	145501	0	16279	0	0	0	21848	0	11961	0	195589	0	0	0
ROBERT SCHLAGER
VP MEDICAL AFFAIRS	71216	0	0	0	50745	0	9000	0	3606	0	134567	0	21501	0
SEYED ALI MOHAMMADI
PHYSICIAN	312387	0	31824	0	13554	0	21007	0	12049	0	390821	0	0	0
DIANE COUCHMAN
VP CNO CLINICAL SERVICES	135447	0	0	0	0	0	13363	0	11960	0	160770	0	0	0
SCOTT INTNER
AVP BUS DEVEL CORP COMPLIANCE	138548	0	26892	0	0	0	8386	0	11961	0	185787	0	0	0
ANTHONY BLADEN
VP HUMAN RESOURCES	153352	0	19088	0	5180	0	14938	0	422	0	192980	0	0	0
KARA HARRER
DIRECTOR OF PHARMACY	133629	0	7717	0	820	0	12729	0	884	0	155779	0	0	0
PILAR CROOK
R.N.	86852	0	0	0	55182	0	25921	0	8887	0	176842	0	0	0
SHARON BAKER
PHARMACY CLINICAL COORDINATOR	135235	0	0	0	370	0	9594	0	8729	0	153928	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation
PART I, LINE 1A	THE PRESIDENT/CEO RECEIVED BENEFITS THAT ARE INCLUDED IN PART I, LINE 1.
PART I, LINE 4	The following employees contributed to (employee and employer portion) the organization's 457(f) deferred compensation plan: James Xinis $148,661 Robert Kertis $ 7,799 Anthony Bladen $ 6,997 Diane Couchman $ 4,073 Robert Schlager $ 3,796 Dean Teague $ 2,369 In addition, during the 2012 tax year, as part of the supplemental retirement plan issued to him, the president and CEO, James Xinis, exercised options issued to him pursuant to a grandfathered mutual fund option plan. All of the options that were exercised were issued to James Xinis prior to May 8, 2002. The value of the exercised options minus the exercise price was $386,276.
PART II, LINE 1, COLUMN B(II)	THE BONUS AND INCENTIVE COMPENSATION PAID TO THE PRESIDENT AND CEO, JAMES XINIS, DURING THE 2012 TAX YEAR WAS FOR INCENTIVES EARNED FOR BOTH CALENDAR YEAR 2011 AND CALENDAR YEAR 2012. THE BONUS RELATED TO THE 2011 CALENDAR YEAR WAS PAID TO THE PRESIDENT AND CEO, JAMES XINIS, DURING JANUARY 2012. THE BONUS RELATED TO THE 2012 CALENDAR YEAR WAS PAID TO THE PRESIDENT AND CEO, JAMES XINIS, DURING DECEMBER 2012.
PART II, LINE 1, COLUMN B(III)	OTHER REPORTABLE COMPENSATION PAID TO THE PRESIDENT AND CEO, JAMES XINIS, INCLUDES VACATION PAYOUT FOR HOURS ACCUMULATED OVER THE LAST TWENTY PLUS YEARS OF SERVICE (567 HOURS OF VACATION, WHICH EQUALED $109,044).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MD HEALTH & HIGHER EDUCATIONAL FAC AUTHORITY
A	520936091	574127sp1	2004-07-01	32925000	ACQUIRE, RENOVATE AND CONSTRUCTION	false	false	false
maryland health & higher educational fac authority
B	520936091	000000000	2012-07-01	19199000	refund the series 1998 revenue bon	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	495000	0	34646470	4253714	3639436	0	450216	0	572942	28195347	0	0	2008	false	false	true	true
B	881159	0	19199000	0	0	0	27962	0	0	0	19171038	0		true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	true	true	false	false	0	false	false	true
B							0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
0
A	false	false	false	true	false	false	true	morgan	2.2	false	false	true
0
B	false	true	false	false	false	false	false	0			false	true

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	false
B	false

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule K, Part II, Line 7, Column B	0	Monies in the amount of 151,023(representing amounts in the debt service FUND for the refunded 1998 bonds) was used to pay the costs of issuance of the 2012 bonds.
Schedule K, Part IV, Line 2c, Column A	0	The 2004 bond rebate computation was performed on 7/1/2009.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JAMES XINIS
DIRECTOR AND OFFICER	24620826	CAREFIRST TRANSACTIONS (ON BD)	false
ARATI PATEL
SPOUSE OF DIRECTOR	387497	EMPLOYEE OF CALVERT PHYS ASSOC	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L, PART IV	Identifier
Explanation	CMH received net revenue of $24,620,826 from Blue Cross for health care services provided to patients insured by Blue Cross.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF 990 REVIEW PROCESS	PART VI, LINE 11	The Form 990 is reviewed by the Audit Committee of the Calvert Health System, Inc. Board of Directors after completion and prior to submission to the IRS. The document is delivered to the Committee members prior to the Committee meeting so that they can review the information and respond to or question any or all of the data. The Chief Executive Officer and Chief Financial Officer are present at the Audit Committee meeting. Prior to submission to the IRS, a copy of the final Form 990 is posted on the Board of Directors portal which is password-protected. All board members are notified by email that the Form 990 has been posted on the portal and is available for review. Any additional comments or questions from board members are responded to prior to filing the form 990.
CONFLICTS MONITORING AND ENFORCEMENT	PART VI, LINE 12C	Calvert Health System, Inc. and subsidiaries (the Health System) have a Conflict of Interest process. At its core are three distinct policies; one each for the Board of Directors, Medical Staff, and all employees and associates of the Health System. These policies require all organizational leadership, as well as rank and file associates in key positions or with relationships with outside parties that do business with the Health System, to disclose any actual or potential conflict of interest. Annual disclosures are required and documented with a further requirement to promptly supplement when an actual or potential conflict is discovered or created. The Health System requires that these policies be construed broadly to avoid the appearance of improper activity and requires disclosure and resolution of potential conflicts as well. The process is overseen by the Chief Compliance Officer of the Health System who has access to external resources, including outside counsel. Remedies range from disclosure and monitoring for the most attenuated potential conflicts to resignation/termination for unresolvable conflicts.
PROCESS FOR DETERMINING COMPENSATION	PART VI, LINE 15	THE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, APPROVAL BY BOARD/COMPENSATION COMMITTEE AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS TO DETERMINE COMPENSATION of the ceo.
DOCUMENT AVAILABILITY	PART VI, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
AUDITED FINANCIAL STATEMENTS	Part XI line 2b	The organizations financial statements are audited by an independent accounting firm as part of the consolidated audit of the health system.
OTHER CHANGES TO NET ASSETS	PART XI, LINE 5	investment in foundation 3,393,741 net asset transfer to CHS (7,312,591) PENSION RELATED CHANGES 4,152,279 UNREALIZED loss (16,429) ----------- TOTAL $ 217,000

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CALVERT HEALTH SYSTEM INC
100 HOSPITAL RD	PRINCE FREDERICK	MD	20678	522347324	HEALTHCARE	MD	501(C)(3)	170B1Aiii	N/A	false
CMH HOLDING CO
100 HOSPITAL RD	PRINCE FREDERICK	MD	20678	522176827	REAL ESTATE	MD	501(C)(2)			true	CHS
CMH II HOLDING CO
100 HOSPITAL RD	PRINCE FREDERICK	MD	20678	522178784	REAL ESTATE	MD	501(C)(2)			true	CHS
CALVERT MEMORIAL HOSPITAL FOUNDATION INC
100 HOSPITAL RD	PRINCE FREDERICK	MD	20678	521680647	FUND RAISING	MD	501(C)(3)	509(A)(3)		true	CMH

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
CALVERT HEALTH VENTURES INC
100 HOSPITAL RD	PRINCE FREDERICK	MD	20678	521625432	HEALTHCARE	MD	chs	C CORP	0	0	0.00000	true
CALVERT COMMUNITY HEALTH INC
100 HOSPITAL RD	PRINCE FREDERICK	MD	20678	521996371	HEALTHCARE	MD	CMH	C CORP	0	0	1.00000	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CALVERT MEMORIAL HOSPITAL FOUNDATION INC
c and	220536	cash
cmh holding co
l and	368908	cash
cmh ii holidng co
d, l,	8683555	cash
calvert health ventures inc
l and	82223	cash