FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201311349349306956
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T17:17:40-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 NORTH WACKER DRIVE	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60606	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591612	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% MICHELLE MAHAN	InCareOfName
Name Control	FRED	NameControl
Phone	2405663300	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Michelle Mahan	Name
Title	CFO	Title
Date Signed	2013-05-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3128792000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THOMAS A KLEINHANZL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 WEST 7TH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	398441099	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FMH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1897	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	3233	TotalNbrEmployees
Total Nbr Volunteers	790	TotalNbrVolunteers
Total Gross UBI	9843	TotalGrossUBI
Contributions Grants Prior Year	1975386	ContributionsGrantsPriorYear
Contributions Grants Current Year	1544404	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	340072234	ProgramServiceRevenuePriorYear
Program Service Revenue CY	349642033	ProgramServiceRevenueCY
Investment Income Prior Year	7459520	InvestmentIncomePriorYear
Investment Income Current Year	5813060	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-876778	OtherRevenuePriorYear
Other Revenue Current Year	-454399	OtherRevenueCurrentYear
Total Revenue Prior Year	348630362	TotalRevenuePriorYear
Total Revenue Current Year	356545098	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	100000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	100000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	167577086	SalariesEtcPriorYear
Salaries Etc Current Year	178059458	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	760292	TotalFundrsngExpCurrentYear
Other Expense Prior Year	164986730	OtherExpensePriorYear
Other Expenses Current Year	171529894	OtherExpensesCurrentYear
Total Expenses Prior Year	332663816	TotalExpensesPriorYear
Total Expenses Current Year	349689352	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15966546	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6855746	RevenuesLessExpensesCY
Total Assets BOY	406175936	TotalAssetsBOY
Total Assets EOY	415327620	TotalAssetsEOY
Total Liabilities BOY	228526672	TotalLiabilitiesBOY
Total Liabilities EOY	253045947	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	177649264	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	162281673	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	40119017	Expense
Grants	100000	Grants
Revenue	62184089	Revenue
Description	In FY2012, Frederick Memorial Hospital's Inpatient Medical-Surgical Departments provided quality, patient-centered care, regardless of ability to pay, to approximately 22,758 inpatients and observation patients. Major Medical and Surgical Services include Cardiology, Congestive Heart Failure, Post-Cardiac Catheterization, Center for Chest Pain, Hemodialysis, Peritoneal Dialysis, Neurology, Neurosurgery, Pulmonology, Oncology, Orthopedics, General Medicine and Surgical Care. Inpatient care is supported by a team of Board-Certified Physician Hospitalists. In 2012 FMH opened a brand new 12-bed inpatient unit specializing in the care of patients requiring Medical and Surgical Oncology, Thoracic Surgery, and Inpatient Hospice Care. This unit was designed with the patient and family at the center of thought in all planning activities. The FMH Joint Works Program received the UnitedHealth Premium Total Joint Replacement Specialty Center Designation in recognition of quality care, serving approximately 2,150 patients in 2012. In addition, FMH is designated as a Primary Stroke Center by the Maryland Institute of Emergency Medical Service Systems (MIEMSS) and we pursued and achieved the Stroke Center Gold Performance Award by the American Heart Association in 2012. In addition to the program services expense listed here, FMH incurred $37.7 million of general and administrative expenses in meeting the health needs of our primary service area.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	20819263	Expense
Revenue	28512457	Revenue
Description	FMH's Oncology Program provides integrated, multidisciplinary, patient centered cancer care for patients with malignancies, regardless of ability to pay. Services include medical oncology consultations, chemotherapy, radiation oncology consultations and treatment, and surgical oncology consultations and treatment. FMH offers coordinated multidisciplinary clinics for patients with cancers of the lung, breast and prostate. Integrated palliative care and hospice services, both inpatient and outpatient are available for patients with advanced malignancies. Support services include nutrition, patient navigation and social work, as well as other forms of psychosocial support. For those with additional financial need, financial counselors and a patient assistance fund are available. The program treats approximately 800 newly diagnosed cancers per year and also has a community outreach program that includes education and screening. This past year, educational seminars were held for the community on breast and prostate cancer, as well as a community screening event for prostate cancer. The program is accredited by the American College of Surgeons Commission on Cancer, and in 2013, received an award of exceptional achievement from the commission, meriting commendation in all 8 of the 8 assessed competencies.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	36101543	Expense
Revenue	50478801	Revenue
Description	PMH's Perioperative Services provided high quality care to 13,800 surgical and endoscopy patients in fiscal year 2012. Procedures were performed in our state of the art facility which includes a dedicated imaging room for vascular and other procedures. Our total joint replacement patients participate in a program deemed as a Center of Excellence. In FY2012 we performed thoracic and GYN robotics cases as our robotics program began. We have participated in the SCIP Quality improvement project for continual improvements in care following evidence based medicine.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	214145953	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	208466686	TotalOfOtherProgramServiceRev
Total Program Service Expense	311185776	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	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	true	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	true	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	true	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	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	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	301	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3233	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	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
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	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
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	MICHELLE MAHAN	NamePerson
Telephone Number	2405663300	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 WEST 7TH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Thomas A Kleinhanzl
President and CEO	40.0	X	X	700823	0	155432
Neil Waravdekar MD
Chief Of Staff	10.0	X	X	42319	0	0
Ravi Yalamanchili
Vice Chief Of Staff	6.0	X	X	66499	0	0
Adriane Wodey
Chairman	6.0	X	X	0	0	0
Anne Herbert Rollins
Vice Chairman	6.0	X	X	0	0	0
E James Reinsch
Secretary And Treasurer	2.0	X	X	0	0	0
Marvin Ausherman
Director	2.0	X		0	0	0
James R Dixon
Director (End 10/1/11)	2.0	X		0	0	0
Gregory P Dormitzer
Director	2.0	X		0	0	0
Bernard Gouin
Director	2.0	X		0	0	0
Theodore Luck
Director	2.0	X		0	0	0
J Frederick Manning
Director	2.0	X		0	0	0
Joann Ramsburg
Director	2.0	X		0	0	0
Adriana Roa BSN
Director	2.0	X		0	0	0
Rev Roger W Wilmer Jr
Director	2.0	X		0	0	0
Gerald Winnan MD
Director	2.0	X		0	0	0
Shawn Wolf
Director	2.0	X		0	0	0
Saeed Zaidi Md
Past Chief Of Staff	2.0	X		1000	0	0
P Gregory Rausch MD
Chair, FMH Devlopment Council	6.0	X		12883	0	0
Greg Powell PhD
Past Chairman Of The Board	8.0	X		0	0	0
John Molesworth DO
Past Chief Of Staff	10.0	X		38997	0	0
Michelle Mahan
Sr VP and CFO	40.0		X	375640	0	64944
John Verbus
Sr VP and COO	40.0		X	372760	0	39123
Manuel A Casiano
VP Medical Staff	40.0			337731	0	68322	X
Kenneth R Coffey II
VP Chief Development Officer	40.0			186802	0	28691	X
Hannah R Jacobs
VP Finance	40.0			149903	0	8115	X
Rose A Labriola
Sr VP Patient Care	40.0			272122	0	25410	X
Terry P O'Malley
VP Human Resources	40.0			199161	0	40867	X
David Quike
VP Chief Information Officer	40.0			247732	0	41398	X
Craig F Rosendale
VP Ancillary Services	40.0			187752	0	26913	X
Donald R Schilling
VP Ambulatory Services	40.0			192473	0	22629	X
Lucy A Shamash
VP Srvc Line Dev & Ops	40.0			230036	0	16722	X
Jennifer G Teeter
AVP Payor Contracting	40.0			157935	0	20774	X
Jim R Williams
VP Bus Dev and Prof Srvcs	40.0			194547	0	27217	X
Jared R Berkowitz
Physician	40.0			355730	0	19782		X
Paul N Chomiak
Physician	40.0			438131	0	24624		X
Elhamy D Eskander
Physician	40.0			382593	0	33609		X
Brian M O'Connor
Physician	40.0			383987	0	33976		X
Brian T Tully
Physician	40.0			354437	0	20064		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5881993	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	718612	TotalOtherCompensation
Number Individuals GT100 K	141	NumberIndividualsGT100K
Formers Listed	false	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	CompensationCompensation
TXTEAM REHAB INC
4625 East Stop 11 Road	INDIANAPOLIS	IN	46237	7390414
PRIME DOC OF FREDERICK PA
PO Box 7568	ASHEVILLE	NC	28802	2133254
ALLIANCE RADIOSURGERY LLC
PO Box 6600	NEWPORT BEACH	CA	92658	1945320
SLEEPMED DIGITRACE CARE SERVICES
200 Corporate Place	PEABODY	MA	01960	1051980
FIRST COLONIES ANESTHESIA ASSOCIATE
7490 New Technology Way	FREDERICK	MD	21703	1051094

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	23	NumberOfContractorsGT100K
All Other Contributions	1544404	AllOtherContributions
Noncash Contributions	26592	NoncashContributions
Total Contributions	1544404	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Inpatient Revenue	624100	168299302	168299302
Outpatient Revenue	621400	173056704	173056704
Transcription Services	561000	460187	460187
Group Purchasing (Premier)	525990	778773	768930	9843
Hitech and Medical Home Revenues	621610	4818644	4818644

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2228423	TotalRevenueColumn
Related Or Exempt Function Income	2228423	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	349642033	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3632188	TotalRevenueColumn
Exclusion	$3,632,188	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	572964	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	572964	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	572964	TotalRevenueColumn
Exclusion	$572,964	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	44020960	Securities
Other	55913	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	41773753	Securities
Other	122248	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2247207	Securities
Other	-66335	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2180872	TotalRevenueColumn
Exclusion	$2,180,872	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	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria and Coffee Shop	722210	1257794	$1,257,794
Mt. Airy Joint Venture management fee	541610	302669	$302,669
Realized losses on interest rate swap	900099	-2587826	-$2,587,826

Field	Value	IRS element (for citing)
Total Other Revenue	-1027363	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	356545098	TotalRevenueColumn
Related Or Exempt Function Income	349632190	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	9843	UnrelatedBusinessRevenue
Exclusion	$5,358,661	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	100000	Total
Program Services	100000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

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	5642767	Total
Management And General	5642767	ManagementAndGeneral

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	135501022	Total
Program Services	125137898	ProgramServices
Management And General	10060358	ManagementAndGeneral
Fundraising	302766	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7014470	Total
Program Services	6486956	ProgramServices
Management And General	521513	ManagementAndGeneral
Fundraising	6001	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20089058	Total
Program Services	18507510	ProgramServices
Management And General	1514512	ManagementAndGeneral
Fundraising	67036	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9812141	Total
Program Services	9074231	ProgramServices
Management And General	729515	ManagementAndGeneral
Fundraising	8395	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	12841423	Total
Program Services	11612907	ProgramServices
Management And General	1220516	ManagementAndGeneral
Fundraising	8000	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	811300	Total
Program Services	200	ProgramServices
Management And General	810200	ManagementAndGeneral
Fundraising	900	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	312280	Total
Management And General	312280	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	399680	Total
Management And General	399680	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	36944735	Total
Program Services	31826779	ProgramServices
Management And General	5055581	ManagementAndGeneral
Fundraising	62375	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	931776	Total
Program Services	27152	ProgramServices
Management And General	742351	ManagementAndGeneral
Fundraising	162273	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5306668	Total
Program Services	4620298	ProgramServices
Management And General	575751	ManagementAndGeneral
Fundraising	110619	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3292475	Total
Program Services	3292475	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4317171	Total
Program Services	3682515	ProgramServices
Management And General	634656	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	121425	Total
Program Services	74436	ProgramServices
Management And General	46590	ManagementAndGeneral
Fundraising	399	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	283324	Total
Program Services	173685	ProgramServices
Management And General	108709	ManagementAndGeneral
Fundraising	930	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4569501	Total
Program Services	4281644	ProgramServices
Management And General	278719	ManagementAndGeneral
Fundraising	9138	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19949560	Total
Program Services	16003920	ProgramServices
Management And General	3933990	ManagementAndGeneral
Fundraising	11650	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5136180	Total
Program Services	361055	ProgramServices
Management And General	4775125	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES AND COGS	62471742	62081461	380471	9810
Bad debt expense	13840654	13840654

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	349689352	Total
Program Services	311185776	ProgramServices
Management And General	37743284	ManagementAndGeneral
Fundraising	760292	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	25713868	BOY
EOY	29890405	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3277527	BOY
EOY	3136826	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	45891896	BOY
EOY	50427786	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	135316	BOY
EOY	81190	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	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4355878	BOY
EOY	4648660	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2357935	BOY
EOY	2430944	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	392792936	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	203755335	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	174734246	BOY
EOY	189037601	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	107206670	BOY
EOY	99649453	EOY

Investments Other Securities InvestmentsOtherSecurities

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

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	36930641	BOY
EOY	28573661	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	5571959	BOY
EOY	7451094	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	406175936	BOY
EOY	415327620	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	35316086	BOY
EOY	41374475	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	138926650	BOY
EOY	137149099	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	372575	BOY
EOY	278511	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	53911361	BOY
EOY	74243862	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	228526672	BOY
EOY	253045947	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	171475327	BOY
EOY	156164358	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5197760	BOY
EOY	5141138	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	976177	BOY
EOY	976177	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	177649264	BOY
EOY	162281673	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	406175936	BOY
EOY	415327620	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6855746	ReconcilationRevenueExpenses
Reconcilation Other Changes	-22223337	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$24,666	OtherActivitiesAmount
Total Lobbying Expenditures IIB	24666	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of lobbying activities	Identifier
Return Reference	Schedule C Part II-B line 1i	ReturnReference
Explanation	The expense of $24,666 is a portion of dues paid to the American Hospital Association, Maryland Hospital Association, National Association for Home Care, and National Hospice and Palliative Care Organization.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Field	Value	IRS element (for citing)
Term Endowment EOY Balance	1.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2421745	OtherCostOrOtherBasis
Book Value	2421745	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	173584497	OtherCostOrOtherBasis
Depreciation	57203764	Depreciation
Book Value	116380733	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18776137	OtherCostOrOtherBasis
Depreciation	14200767	Depreciation
Book Value	4575370	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	184504575	OtherCostOrOtherBasis
Depreciation	132350804	Depreciation
Book Value	52153771	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13505982	OtherCostOrOtherBasis
Book Value	13505982	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	189037601	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Assets limited as to use	11097224	F
Investments in subsidiaries	17476437	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	28573661	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Advances from third parties	$10,065,289
Interest rate swap contract	$16,512,477
Pension liability	$26,368,362
Malpractice insurance liability	$7,510,975
Capital lease obligations	$7,416,649
Other liabilities	$6,370,110

Field	Value	IRS element (for citing)
Total Of Amounts	74243862	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	INTENDED USE OF ENDOWMENT FUNDS	Identifier
Return Reference	FORM 990, SCHEDULE D, PART V, LINE 4	ReturnReference
Explanation	ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. ASC 740 FOOTNOTE DISCLOSURE FORM 990, SCHEDULE D, PART X, LINE 2 THERE WAS NO ASC 740 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS BECAUSE THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2012.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Specific Services ProvidedSpecificServicesProvided
Central America and the Caribbean	1	Investments	6574661
Central America and the Caribbean	1	Program Services	2347614	Self-insurance

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	2	SubtotalNumberOfOffices
Total Number Of Offices	2	TotalNumberOfOffices
Subtotal Amount Spent	8922275	SubtotalAmountSpent
Total Amount Spent	8922275	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
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	6928711	TotalCommunityBenefitExpense
Net Community Benefit Expense	6928711	NetCommunityBenefitExpense
Percent Of Total Expense	0.02060	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31120266	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21965939	DirectOffsettingRevenue
Net Community Benefit Expense	9154327	NetCommunityBenefitExpense
Percent Of Total Expense	0.02730	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38048977	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21965939	DirectOffsettingRevenue
Net Community Benefit Expense	16083038	NetCommunityBenefitExpense
Percent Of Total Expense	0.04790	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2464195	TotalCommunityBenefitExpense
Direct Offsetting Revenue	871460	DirectOffsettingRevenue
Net Community Benefit Expense	1592735	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	115495	TotalCommunityBenefitExpense
Net Community Benefit Expense	115495	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15424981	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1968152	DirectOffsettingRevenue
Net Community Benefit Expense	13456829	NetCommunityBenefitExpense
Percent Of Total Expense	0.04010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	174700	TotalCommunityBenefitExpense
Net Community Benefit Expense	174700	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18179371	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2839612	DirectOffsettingRevenue
Net Community Benefit Expense	15339759	NetCommunityBenefitExpense
Percent Of Total Expense	0.04560	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	56228348	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24805551	DirectOffsettingRevenue
Net Community Benefit Expense	31422797	NetCommunityBenefitExpense
Percent Of Total Expense	0.09350	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$13,840,654	BadDebtExpenseAmount
Amount Attributable To	1384065	AmountAttributableTo
Amount Reimbursed By Medicare	124665018	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	112121288	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	12543730	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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	FREDERICK MEMORIAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
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
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
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	17	NumberOfOtherFacilities

Other Facilities OtherFacilities (17 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FMH KLINE HOSPICE HOUSE
7000 KIMMEL ROAD	mt airy	MD	21771	INPATIENT HOSPICE PATIENT FACILITY
MT AIRY HEALTH SERVICES
1502 SOUTH MAIN STREET	MT AIRY	MD	21771	OUTPATIENT HLTH SRVC FACILITY
PARKVIEW MEDICAL GROUP
1502 SOUTH MAIN STREET	MT AIRY	MD	21771	PHYSICIAN PRACTICE
PARKVIEW MEDICAL GROUP
3000-D VENTRIE COURT	MYERSVILLE	MD	21773	PHYSICIAN PRACTICE
PARKVIEW MEDICAL GROUP
1564 OPPOSSUMTOWN PIKE	FREDERICK	MD	21702	PHYSICIAN PRACTICE
FMH REGIONAL CANCER CARE THERAPY CENTER
501 WEST SEVENTH STREET	FREDERICK	MD	21701	OUTPATIENT CANCER TREATMENT CENTER
FMH ROSE HILL
1562 OPPOSSUMTOWN PIKE	FREDERICK	MD	21701	OUTPATIENT HLTH SRVC FACILITY
UNION BRIDGE FAMILY PRACTICE
104 NORTH MAIN STREET	UNION BRIDGE	MD	21791	PHYSICIAN PRACTICE
FMH Home Medical Equipment and Supplies
605 East Church Street	FREDERICK	MD	21701	DURABLE MEDICAL GOODS ORGANIZATION
FMH Home Health Services
605 East Church Street Suite 2	FREDERICK	MD	21701	HOME HEALTH NURSING ORG
Hospice of Frederick County
PO Box 1799 516 Trail Ave	FREDERICK	MD	21702	HOSPICE CARE ORGANIZATION
FMH Rose Hill Rehab Services
1562 Opossumtown Pike	FREDERICK	MD	21702	REHABILITATION CLINIC
FMH CRESTWOOD
7211 Bank Court	FREDERICK	MD	21703	OUTPATIENT HLTH SRVC FACILITY
FMH WELLNESS CENTER
5500 BUCKEYSTOWN PIKE	FREDERICK	MD	21702	HEALTH SERVICE CENTER
FMH ECHO AND VASCULAR LAB
1560 OPPOSSUMTOWN PIKE	FREDERICK	MD	21702	HEALTH SERVICE CENTER
FMH URBANA
3430 WORHTINGTON BLVD	FREDERICK	MD	21704	OUTPATIENT HLTH SRVC FACILITY
FMH IMMEDIATE CARE
850 OAK STREET	FREDERICK	MD	21702	WALK-IN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Explanation	PART I, LINE 7B For the last 30 years, Maryland hospitals have met their community benefit obligations in a unique manner that builds the costs of uncompensated care (charity care and patient bad debt) and graduate medical education into the rates that hospitals are reimbursed by all payors. The system is based in federal and state law and benefits all Maryland residents, including those in need of financial assistance to pay their hospital bills. Maryland is the only state in which all payors (governmentally-insured, commercially-insured, or self-pay) are charged the same price for services at any given hospital. Under this system, Maryland hospitals are regulated by a state agency -the Health Services Cost Review Commission (HSCRC)-that is required to: -Publicly disclose information on the cost and financial position of hospitals; -Review and approve hospital rates; -Collect information detailing transactions between hospitals and firms with which their trustees have a financial interest; and, -Maintain the solvency of efficient and effective hospitals. Since 2000, the rate setting commission has had its own framework for reporting hospitals' community benefits and issuing a report annually regarding hospitals' community benefit totals. That report is available on http://www.hscrc.state.md.us/ Because of this unique structure Maryland hospitals' community benefits numbers will not compare with the rest of the nation's hospitals. However, Maryland hospitals meet or exceed the community benefit standard established by the IRS in 1969. Additional detail illustrating this can be found within this Schedule H report. PART I, LINE 7, COLUMN (F) Our total expense from Form 990, Part IX, Line 25, Column (A) is $349,689,352. The bad debt expense included in this amount is $13,840,654. This left a total expense of $335,848,698 for purposes of calculating Line 7, Column (F). PART I, LINE 7 Amounts were calculated using the cost-to-charge ratio derived from Worksheet 2. PART III, Line 4 The amount included in part III, line 2 is the amount of charges written off of patient accounts after pursuing payment and other alternatives such as qualifying the patient for charity care or for state and federal government programs. The charges are reduced to approximate cost using the cost to charge ratio computed in schedule h, worksheet 2. Any adjustments or payments received on accounts previously written off to bad debt have the impact of reducing the reported bad debt cost. fmh adopted FASB-issued ASU 2011-07 which provided guidance on the presentation and disclosure of patient service revenue, provisions for bad debts, and the allowance for doubtful accounts for certain health care entities effective for the fiscal year ending June 30, 2012. The Hospital's policy is to write off all patient accounts that have been identified as uncollectible. An allowance for doubtful accounts is recorded for accounts not yet written off that are anticipated to become uncollectible in future periods. Insurance coverage and credit information are obtained from patients when available. No collateral is obtained for accounts receivable. Accounts receivable from third-party payors have been adjusted to reflect the difference between charges and the estimated reimbursable amounts. Recoveries of previously written off patient receivables are recorded when received. PART III, LINE 8 AMOUNTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO CALCULATED USING WORKSHEET 2. PART III, LINE 9B Patients who qualify for charity care or financial assistance are specifically excluded from the collection process. Part V, Sec B, Line 19d Maryland's HSCRC determines rates charged. NEEDS ASSESSMENT IN 2011, THE COMMUNITY FOUNDATION OF FREDERICK COUNTY COMMISSIONED A FREDERICK COUNTY HUMAN NEEDS ASSESSMENT. ONE OF THE PRIORITY AREAS COVERED IN THE ASSESSMENT WAS THE COUNTY'S HEALTH NEEDS. THREE AREAS WERE IDENTIFIED IN THE ASSESSMENT AS REQUIRING SPECIAL ATTENTION: 1. AFFORDABLE HEALTH CARE 2. A "MEDICAL HOME" FOR LOW-INCOME FAMILIES AND INDIVIDUALS 3. THE NEED FOR AFFORDABLE MENTAL HEALTH SERVICES LOCAL HEALTH IMPROVEMENT PRIORITY SETTING SUMMIT FREDERICK MEMORIAL HOSPITAL PARTNERED WITH THE FREDERICK COUNTY HEALTH DEPARTMENT AND THE FREDERICK COUNTY HEALTH CARE COALITION TO SPONSOR AND PARTICIPATE IN THE LOCAL HEALTH IMPROVEMENT PRIORITY (LHIP) SETTING SUMMIT. THE PURPOSE OF THE DAY-LONG SUMMIT WAS TO ESTABLISH THE PRIORITIES FOR HEALTH IMPROVEMENT IN FREDERICK COUNTY AND TO DEVELOP GOALS AND ACTION PLANS TO ACHIEVE IMPROVEMENT IN THOSE PRIORITY AREAS THROUGH COMMUNITY ENGAGEMENT. FREDERICK COUNTY LOCAL HEALTH IMPROVEMENT PLAN (LHIP) THE FREDERICK HEALTH IMPROVEMENT PLAN SETS FREDERICK-SPECIFIC OBJECTIVES FOR IMPROVING THE HEALTH OF FREDERICK COUNTY RESIDENTS. IN ADDITION, THE LHIP PRESENTS ACTION STEPS FOR HOW TO ACHIEVE THESE OBJECTIVES. THE PRIORITY AREAS INCLUDED IN THE DOCUMENT WERE CHOSEN BY THE OCTOBER 2011 SUMMIT ATTENDEES. ATTENDEES THEN MET IN WORKGROUPS TO CLARIFY AND DEFINE THE TOP 5 PRIORITIES FOR LOCAL HEALTH IMPROVEMENT. THOSE AREAS ARE: 1. MENTAL HEALTH 2. AFFORDABLE DENTAL CARE 3. WELLNESS & PREVENTION 4. HEALTH INEQUITIES AWARENESS 5. ACCESS TO CARE WHAT IS THE RELATIONSHIP OF THE LHIP TO HEALTHY PEOPLE 2020? HEALTHY PEOPLE 2020 PROVIDES SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. FOR THREE DECADES, HEALTHY PEOPLE HAS ESTABLISHED BENCHMARKS AND MONITORED PROGRESS OVER TIME IN ORDER TO ENCOURAGE COLLABORATIONS ACROSS SECTORS; GUIDE INDIVIDUALS TOWARD MAKING INFORMED HEALTH DECISIONS; AND MEASURE THE IMPACT OF PREVENTION ACTIVITIES. THE FREDERICK COUNTY LOCAL HEALTH IMPROVEMENT PLAN FOCUSES ON A SMALL SUBSET OF THE CDC'S HEALTHY PEOPLE 2020 OBJECTIVES SO THAT (1) WE CAN FOCUS ON FACTORS THAT ARE MOST CRITICAL TO HEALTH EQUITY AND IMPROVING THE HEALTH OF ALL FREDERICK COUNTY RESIDENTS, (2) AND WE CAN MEASURE OUR SUCCESS AND IMPROVE OUR LEADERSHIP IF OUR PLANS AREN'T MEETING OUR GOALS. FREDERICK REGIONAL HEALTH SYSTEM'S COMMUNITY BENEFITS PROGRAM THE FINDINGS OF THE SURVEY TOOLS DESCRIBED ABOVE COINCIDE REMARKABLY WELL WITH THE HEALTH SYSTEM'S INTERNAL DATA THAT CLEARLY INDICATES THAT RESOURCES NEED TO FOCUS UPON THE SAME 5 AREAS OF NEED IDENTIFIED BY THE LOCAL HEALTH IMPROVEMENT PLAN AND THE HUMAN NEEDS ASSESSMENT. THESE DOCUMENTS AND OUR CLOSE WORKING RELATIONSHIP WITH THE FREDERICK COUNTY HEALTH DEPARTMENT AND THE FREDERICK COUNTY HEALTH CARE COALITION WILL HELP TO FOCUS THE HEALTH SYSTEM'S COMMUNITY BENEFITS PROGRAM MOVING FORWARD. FMH WILL ALLOCATE RESOURCES TO ADDRESS MORE SPECIFICALLY THOSE IDENTIFIED COMMUNITY NEEDS, WHILE CONTINUING TO PROVIDE EDUCATIONAL AND SUPPORT PROGRAMS, EARLY DETECTION SCREENINGS AND WELLNESS CLASSES, COUNSELING AND DEMONSTRATIONS TO A BROADER AUDIENCE IN OUR COMMUNITY. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Frederick Memorial Hospital posts its charity care policy and financial assistance contact information in admission areas, the FMH Emergency Department, and in all of our satellite facilities in areas where eligible patients are likely to present. FMH provides a summary of the Charity Care Policy and financial assistance contact information to all patients at the time of admission to the hospital. FMH admissions personnel discuss the availability of various government benefits such as Medicaid or state programs with patients and/or their family members, and they assist patients with qualification for the programs. Frederick Memorial Hospital increased its efforts to provide financial assistance to its patients through a variety of initiatives. FMH increased ITS financial assistance for catastrophic situations. In our program, patients may receive financial assistance if their bill is 25% or more of their annual income. In FY11 a financial counselor met with patients who had no insurance the day after admission to explain our financial assistance program and the state's medical assistance program. Because the meeting with the patient was early in their stay, the patient's accumulated charges typically did not reach a catastrophic stage. Therefore, we had patients who left the hospital without a detailed catastrophic financial assistance discussion and without a Financial Assistance application. Now, every inpatient or outpatient who accumulates $10,000 or more in charges will receive a second visit from a financial counselor along with a financial assistance application. Also, we mail these patients another financial assistance application with a cover letter stating that due to the balance of their bill, they may qualify for financial assistance. FREDERICK MEMORIAL HOSPITAL ATTEMPTS TO IDENTIFY AND NOTIFY ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL PATIENTS ARE NOTIFIED AT THE TIME OF REGISTRATION OF OUR FINANCIAL ASSISTANCE POLICY. DESPITE OUR EFFORTS, WE ESTIMATE AS MUCH AS 10% OF OUR BAD DEBT EXPENSE COULD BE THE RESULT OF A LACK OF INFORMATION ON PATIENTS THAT WOULD OTHERWIS	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Frederick Community College	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7932 Opossumtown pike	AddressLine1
City	Frederick	City
State	MD	State
ZIP Code	21702	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	520743590	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	100000	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	Support of Allied Health Education Program	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE (501(C)(3)) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM, A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	true	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 (19 entries)

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
Thomas A Kleinhanzl
538976	0	158508	0	3339	0	140143	0	15289	0	856255	0	0	0
Manuel A Casiano
301303	0	34106	0	2322	0	53297	0	15025	0	406053	0	0	0
Kenneth R Coffey II
166646	0	17834	0	2322	0	14033	0	14658	0	215493	0	0	0
Hannah R Jacobs
149797	0	0	0	106	0	6968	0	1147	0	158018	0	0	0
Rose A Labriola
247013	0	22787	0	2322	0	12907	0	12503	0	297532	0	0	0
Michelle Mahan
306947	0	66371	0	2322	0	52758	0	12186	0	440584	0	0	0
Terry P O'Malley
175134	0	20463	0	3564	0	28959	0	11908	0	240028	0	0	0
David Quike
222503	0	24689	0	540	0	31378	0	10020	0	289130	0	0	0
Craig F Rosendale
166508	0	17680	0	3564	0	15075	0	11838	0	214665	0	0	0
Donald R Schilling
172429	0	17722	0	2322	0	10762	0	11867	0	215102	0	0	0
Lucy A Shamash
194576	0	34650	0	810	0	4809	0	11913	0	246758	0	0	0
Jennifer G Teeter
139821	0	16872	0	1242	0	9118	0	11656	0	178709	0	0	0
John Verbus
314939	0	55499	0	2322	0	31436	0	7687	0	411883	0	0	0
Jim R Williams
173541	0	18684	0	2322	0	15337	0	11880	0	221764	0	0	0
Jared R Berkowitz
355514	0	0	0	216	0	5638	0	14144	0	375512	0	0	0
Paul N Chomiak
437771	0	0	0	360	0	10216	0	14408	0	462755	0	0	0
Elhamy D Eskander
381561	0	0	0	1032	0	19201	0	14408	0	416202	0	0	0
Brian M O'Connor
382403	0	0	0	1584	0	19568	0	14408	0	417963	0	0	0
Brian T Tully
354245	0	0	0	192	0	5656	0	14408	0	374501	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Return Reference	SCHEDULE J, PART I, LINE 1	ReturnReference
Explanation	FREDERICK MEMORIAL HOSPITAL HOLDS TWO CORPORATE MEMBERSHIPS TO A LOCAL GOLF/COUNTRY CLUB THAT ARE USED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FUND DEVELOPMENT OFFICER OF THE HOSPITAL. WHILE THE MAJORITY OF THE FEES ASSOCIATED WITH THE CLUB DUES, ETC. IS BUSINESS RELATED, GENERAL PERSONAL USE EXPENSES ARE REIMBURSED BACK TO THE HOSPITAL BY THESE INDIVIDUALS AS NEEDED. SCHEDULE J, PART I, LINE 4B Frederick Memorial Hospital has one 457(f) non-qualified deferred compensation plan for certain members of senior management. Under the plan, they may contribute amounts from their compensation to the plan and may receive a discretionary employer contribution. Employees are fully vested in all employee contributions to the plan. Vesting in employer contributions occurs in accordance with the underlying plan documents. All assets of the plan are held in a separate trust. Total Hospital contributions to this plan were $191,707 and there were no payments from the Plan during the year. SCHEDULE J, PART I, LINE 6A THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIR, VICE CHAIR, IMMEDIATE PRECEDING CHAIR, CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE GOVERNANCE COMMITTEE. ANNUALLY, THE COMMITTEE REVIEWS AND RECOMMENDS TO THE BOARD VARIABLE PAY GOALS FOR THE COMING YEAR, AND PAYMENT LEVELS BASED ON PERFORMANCE FOR THE CURRENT YEAR. THE EXECUTIVE COMPENSATION PHILOSOPHY OF THE BOARD PROVIDES FOR BASE COMPENSATION AT THE 50TH TO 60TH PERCENTILE WITH VARIABLE PAY DESIGNED TO PROVIDE A TARGET OPPORTUNITY FOR TOTAL COMPENSATION TO REACH THE 75TH PERCENTILE. VARIABLE PAY CRITERIA ARE CLINICAL QUALITY (33%), CUSTOMER SERVICE (11%), PEOPLE (11%), FINANCIAL VIABILITY (28%), AND GROWTH (17%). GOALS USING THE VARIABLE PAY CRITERIA ARE ESTABLISHED AT BOTH THE CORPORATE AND INDIVIDUAL LEVEL. INDIVIDUAL PAYMENTS ARE BASED ON PERFORMANCE AGAINST CORPORATE GOALS, INDIVIDUALS GOALS, AND DISCRETION OF THE BOARD.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MARYLAND HEALTH & HIGHER EDUC FACILITIES AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	520936091	IssuerEIN
CUSIP Number	574217Y25	CUSIPNumber
Date Issued	2008-07-09	DateIssued
Issue Price	72160000	IssuePrice
Description Of Purpose	SEE PART VI	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	72160000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	975844	IssuanceCostsFromProceeds
Credit Enhancement	166621	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	71017535	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00800	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00800	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	false	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	UBS AG STAMFORD	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	3.8	TermOfHedge
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF TAX-EXEMPT BONDS	Identifier
Return Reference	0	ReturnReference
Explanation	SCHEDULE K, PART I, COLUMN F THE MHHEFA SERIES 2008 REVENUE BONDS, ISSUED ON JULY 9, 2008 WERE A REFUNDING OF THE SERIES 2006 BONDS, WHICH WERE ISSUED ON MAY 23, 2006. MANAGEMENT PRACTICES AND PROCEDURES SCHEDULE K, PART III, LINE 7 THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX-EXEMPT BOND POST ISSUANCE COMPLIANCE, BUT WRITTEN POLICIES ARE BEING CREATED AND EVALUATED AND WILL BE ADOPTED BY THE FMH BOARD PRIOR TO JUNE 30, 2013.	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	PAUL CHOMIAK	NamePerson
Purpose Of Loan	SEE SCH L, PART V	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$649,518	OriginalPrincipalAmount
Balance Due	81190	BalanceDue
Default	false	Default
Approved By Board	false	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	81190	TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	LOANS TO AND FROM INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART II	ReturnReference
Explanation	PURPOSE OF LOAN: PHYSICIAN RECRUITMENT AND INCOME GUARANTEE AGREEMENT.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	26592	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION STATEMENT	FORM 990, PART III, LINE 1	The mission of Frederick Memorial Hospital, Inc. is to contribute to the health and well-being of area residents by providing quality healthcare in a caring, cost efficient, safe and convenient manner through a coordinated program of prevention, diagnosis and treatment, rehabilitation, and support.
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, QUESTION 2	MARVIN AUSHERMAN, DIRECTOR OF FMH, INC. IS ENGAGED IN AN INDIRECT BUSINESS RELATIONSHIP WITH THOMAS KLEINHANZL, JOHN VERBUS, KENNETH COFFEY, JAMES REINSCH AND ANNE HERBERT ROLLINS. FORM 990, PART VI, QUESTION 6 The sole member of the organization is Frederick Regional Health System. FORM 990, PART VI, QUESTION 7A The sole member, Frederick Regional Health System, has the power to appoint the president/CEO and the directors of Frederick Memorial Hospital. FORM 990, PART VI, QUESTION 7B The sole member, Frederick Regional Health System, must approve the incurrence of debt if such debt exceeds a certain amount to be designated by the member, capital expenditures exceeding a certain amount to be designated by the member, the decision to dissolve or liquidate, the creation of a subsidiary, and amendments to the bylaws. DESCRIBE THE PROCESS USED BY MANAGEMENT/GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B FORM 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 WILL BE PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C THE FREDERICK MEMORIAL HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT EITHER THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS' AND OFFICERS' TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX-EXEMPT ORGANIZATIONS WHO PARTICIPATE IN "EXCESS BENEFIT TRANSACTIONS" (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). The President and CEO shall be responsible for monitoring transactions or arrangements in which a director or officer may have a conflict of interest and for assuring that the director or officer serves the organization's best interests. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTIONS 15A & 15B THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. THE EXECUTIVE COMPENSATION PHILOSOPHY OF THE BOARD PROVIDES FOR BASE COMPENSATION AT THE 50TH TO 60TH PERCENTILE OF OUR PEER GROUP. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. WRITTEN POLICIES AND PROCEDURES FOR JOINT VENTURES FORM 990, PART VI, QUESTION 16B FREDERICK MEMORIAL HOSPITAL USES LEGAL COUNSEL WHEN EVALUATING ANY POTENTIAL JOINT VENTURES WITH FOR-PROFIT ENTITIES. IN ADDITION, TAX EXPOSURES RELATED TO THESE ENTITIES ARE CONSIDERED ANNUALLY IN THE PREPARATION OF THE FIN 48 MEMO REQUIRED AS PART OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS. FMH IS IN THE PROCESS OF COMPILING A FORMAL POLICY IN THIS AREA AND WRITTEN POLICIES WILL BE ADOPTED PRIOR TO 6/30/13. AVAIL OF GOV DOCS, CONFL. OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK MEMORIAL HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FMH.ORG. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 UNREALIZED LOSS ON INVESTMENT SECURITIES AND EBURG ($4,038,143) UNREALIZED LOSS ON INTEREST RATE SWAP ($6,797,708) PENSION ADJUSTMENT ($10,303,587) TRANSFER TO FMH FROM EMMITSBURG, NET ($1,227,876) CHANGE IN TEMP RESTRICTED NET ASSETS ($56,622) RELEASES FROM RESTRICTION $198,171 OTHER $2,428 ----------- TOTAL ($22,223,337)
AVERAGE HOURS WORKED FOR A RELATED ORGANIZATION	FORM 990, PART VII, SECTION A, COLUMN B	THE FOLLOWING INDIVIDUALS ALSO WORK FOR HOSPICE OF FREDERICK, INC., A RELATED ORGANIZATION. THOMAS KLEINHANZL 1 HOUR JOHN VERBUS 4 HOURS MICHELLE MAHAN 1 HOUR

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	EMMITSBURG PROPERTIES LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
EIN	521910823	EIN
Primary Activities	Holding Invts	PrimaryActivities
Legal Domicile State	MD	LegalDomicileState
Total Income	105439	TotalIncome
EOY Assets	406796	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Controlled OrgControlledOrg
Hospice of Frederick County Inc
521164513	HOSPICE CARE	MD	501(c)(3)	7	true
Frederick Regional Health System
454133096	Health System	MD	501(c)(3)	11b	false
Monocacy Health Partners LLC
453007639	Physician Org	MD	501(c)(3)	7	false

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Frederick Health Services Corporation
521851661	MANAGEMENT CO.	MD	N/A	C Corp	868572	10054214	1.00000
Frederick Surgical Services Corporation
521642334	Holding Company	MD		C CORP	336446	1964454	1.00000	FHSC
Monocacy Insurance Ltd
981011570	Insurance	MD		C Corp				NA

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	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
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	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	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	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Hospice of Frederick County Inc
n	799634	FMV
Frederick Health Services Corporation
n	192388	FMV