UPMC WESTERN MARYLAND CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UPMC WESTERN MARYLAND CORPORATION (EIN 52-0591531)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-01
IRS object ID
201331219349300868
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-01T12:07:08-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 3100AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520591531EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTERN MD HEALTH SYSTEM CORP INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% WESTERN MARYLAND HEALTH SYSTInCareOfName
Name ControlWESTNameControl
Phone2409648003Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 539AddressLine1
CityCUMBERLANDCity
StateMDState
ZIP Code215010539ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKIMBERLY S REPACName
TitleVP CFOTitle
Date Signed2013-04-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFrank GiardiniName
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKIMBERLY S REPACNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 539AddressLine1
CityCUMBERLANDCity
StateMDState
ZIP Code21501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts411804188GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WMHS.COMWebSite
Year Formation1905YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF WESTERN MD HEALTH SYSTEM IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE INDIVIDUALS AND THE COMMUNITIES SERVED, ESPECIALLY THOSE IN NEED - SUPERIOR CARE FOR ALL WE SERVEActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2545TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI820867TotalGrossUBI
Net Unrelated Business Txbl Income96894NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year553674ContributionsGrantsPriorYear
Contributions Grants Current Year1902139ContributionsGrantsCurrentYear
Program Service Revenue Prior Year357244346ProgramServiceRevenuePriorYear
Program Service Revenue CY366612044ProgramServiceRevenueCY
Investment Income Prior Year6892177InvestmentIncomePriorYear
Investment Income Current Year8163641InvestmentIncomeCurrentYear
Other Revenue Prior Year5578838OtherRevenuePriorYear
Other Revenue Current Year1982026OtherRevenueCurrentYear
Total Revenue Prior Year370269035TotalRevenuePriorYear
Total Revenue Current Year378659850TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year135322094SalariesEtcPriorYear
Salaries Etc Current Year143447254SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year223956359OtherExpensePriorYear
Other Expenses Current Year237601648OtherExpensesCurrentYear
Total Expenses Prior Year359278453TotalExpensesPriorYear
Total Expenses Current Year381048902TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10990582RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2389052RevenuesLessExpensesCY
Total Assets BOY558711707TotalAssetsBOY
Total Assets EOY556652526TotalAssetsEOY
Total Liabilities BOY411234728TotalLiabilitiesBOY
Total Liabilities EOY450740686TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY147476979NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY105911840NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF WESTERN MD HEALTH SYSTEM IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE INDIVIDUALS AND THE COMMUNITIES SERVED, ESPECIALLY THOSE IN NEED - SUPERIOR CARE FOR ALL WE SERVEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense224694756Expense
Revenue242187919Revenue
DescriptionANCILLARY CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OFFERS A COMPREHENSIVE RANGE OF GENERAL AND SPECIALTY SERVICES FOR PATIENTS. SURGICAL, LABORATORY, RADIOLOGY, CARDIOLOGY, CANCER, RESPIRATORY AND PULMONARY ARE THE LARGER SERVICES PROVIDED AT THE HOSPITAL. A SMALLER SCALE OF ANCILLARY SERVICES ARE PROVIDED AT THE NURSING HOME.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense79423826Expense
Revenue85729796Revenue
DescriptionINPATIENT ROUTINE CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) IS A FULL SERVICE COMMUNITY HOSPITAL LICENSED FOR 283 BEDS INCLUDING MEDICAL-SURGICAL, INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC REHABILITATION, NURSERY, AND 88 NURSING HOME BEDS. FOR THE YEAR, 14,807 PATIENTS WERE ADMITTED TO THE HOSPITAL AND FOR THE NURSING HOME, THE AVERAGE DAILY CENSUS WAS 81 PATIENTS. THE HEALTH SYSTEM ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THOSE PATIENTS WHO MEET CERTAIN CRITERIA UNDER WMHS'S CHARITY CARE POLICIES RECEIVE SERVICES AT NO CHARGE OR AT AN AMOUNT LESS THAN FULL CHARGES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense24098682Expense
Revenue25922143Revenue
DescriptionPHYSICIAN PRACTICES, CLINICS, AND HOME CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OPERATES 18 PHYSICIAN PRACTICES, 2 URGENT CARE CLINICS, AND A HOME CARE PRACTICE. THE PHYSICIAN PRACTICES HAD 77,830 ENCOUNTERS; THE CLINICS HAD 16,627 ENCOUNTERS AND HOME CARE HAD 26,819 VISITS FOR THE YEAR.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense11200796Expense
Revenue11959527Revenue
DescriptionEMERGENCY CAREDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp11200796TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev11959527TotalOfOtherProgramServiceRev
Total Program Service Expense339418060TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096123NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2545NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWESTERN MARYLAND HEALTH SYSTNamePerson
Telephone Number2409648002TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 539AddressLine1
CityCUMBERLANDCity
StateMDState
ZIP Code21502ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BRIAN HASSLINGER
BOARD MEMBER1.0X000
JOYCE K LAPP CFP
BOARD MEMBER1.0X000
ELIZABETH HURWITZ-SCHWAB
BOARD MEMBER1.0X000
FREDERICK THAYER
BOARD MEMBER1.0X000
M KATHRYN BURKEY
BOARD MEMBER1.0X000
MARY PIROLOZZI
BOARD MEMBER1.0X000
ROLF HAARSTAD
BOARD MEMBER1.0X000
SCOTT WATKINS MD
BOARD MEMBER1.0X000
SHARON NICOL
BOARD MEMBER1.0X000
RICHARD J WATRO
BOARD MEMBER1.0X000
BARRY P RONAN
PRESIDENT/CEO40.06941600159101X
DONALD ALEXANDER
CHAIRMAN1.0000X
GREGG WOLFF MD
SECRETARY1.0000X
JOHN DAVIS
VICE CHAIRMAN1.0000X
KIM LEONARD
TREASURER1.0000X
KIMBERLY S REPAC
VP CFO40.0310801042476X
THOMAS C DOWDELL
VP OPERATIONS COO40.0322573048654X
JO M WILSON
VP SUPPORT OPERATIONS40.0171371029279X
KEVIN R TURLEY
VP SUPPORT OPERATIONS40.0163875034762X
MARK J SULLIVAN
VP HUMAN RESOURCES40.0205636035443X
MICHELE R MARTZ
VP FINANCIAL SERVICES40.0146797032016X
NANCY D ADAMS
VP CNO40.0232672038810X
WILLIAM BYERS
VP CIO40.0136977030871X
GARY SCHMIDT MD
PHYSICIAN40.0814278077367X
CHRISTOPHER B HAAS MD
PHYSICIAN40.0579140054085X
MARK G NELSON MD
PHYSICIAN40.0621027062463X
ROBERT CHOU MD
PHYSICIAN40.0503031055375X
SUBRATO J DEB MD
PHYSICIAN40.0590181060491X
JAMES M RAVER MD
PHYSICIAN40.0271710017567X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5764229TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation778760TotalOtherCompensation
Number Individuals GT100 K84NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HAYSTACK IMAGING
PO Box 539CUMBERLANDMD21502DIAGNOSTIC12417991
PHARMACARE
3 COMMERCE DRIVECUMBERLANDMD21502PHARMACY3949919
ARAMARK HEALTHCARE
25271 NETWORK PLACECHICAGOIL606731252DIETARY2161535
CUMBERLAND ANESTHESIA PAIN
PO BOX 1571CUMBERLANDMD215011571ANESTHESIA2104226
CROTHALL HEALTHCARE
13028 COLLECTIONS CENTER DRIVECHICAGOIL60693HOUSEKEEPING1177613
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Related Organizations2469RelatedOrganizations
Government Grants817197GovernmentGrants
All Other Contributions1082473AllOtherContributions
Total Contributions1902139TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
ANCILLARY CARE621990243000578242187919812659
INPATIENT ROUTINE CARE6219908572979685729796
PHYSICIAN PRACTICES, CLINICS & HOME CARE6219902592214325922143
EMERGENCY CARE6219901195952711959527
FieldValueIRS element (for citing)
Total Program Service Revenue366612044TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7882147TotalRevenueColumn
Unrelated Business Revenue8208UnrelatedBusinessRevenue
Exclusion$7,873,939ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real884468Real
Personal15180Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real671887Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real212581Real
Personal15180Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column227761TotalRevenueColumn
Exclusion$227,761ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities30782615Securities
Other1971330Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities30501129Securities
Other1971322Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities281486Securities
Other8Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column281494TotalRevenueColumn
Exclusion$281,494ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA621500155709155709
REIMBURSEMENT OF EXPENSES62150011791961179196
MISCELLANEOUS621500419360419360
FieldValueIRS element (for citing)
Total Other Revenue1754265TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column378659850TotalRevenueColumn
Related Or Exempt Function Income367553650RelatedOrExemptFunctionIncome
Unrelated Business Revenue820867UnrelatedBusinessRevenue
Exclusion$8,383,194ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2929690Total
Program Services2724612ProgramServices
Management And General205078ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total107221255Total
Program Services99715767ProgramServices
Management And General7505488ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8566357Total
Program Services7966712ProgramServices
Management And General599645ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17282067Total
Program Services16072322ProgramServices
Management And General1209745ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7447885Total
Program Services6926533ProgramServices
Management And General521352ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total244286Total
Management And General244286ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total298934Total
Program Services278009ProgramServices
Management And General20925ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total70185780Total
Program Services65272775ProgramServices
Management And General4913005ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3573615Total
Program Services3323462ProgramServices
Management And General250153ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4368361Total
Program Services4015544ProgramServices
Management And General352817ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total658368Total
Program Services612282ProgramServices
Management And General46086ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total15788388Total
Management And General15788388ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total28773261Total
Program Services26759133ProgramServices
Management And General2014128ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4758341Total
Program Services4425257ProgramServices
Management And General333084ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTUAL/CHARITY76832956714546495378307
BAD DEBTS58173915410174407217
MEDICAL PROFESSIONAL FEES64744896021275453214
MINORITY INTEREST46277954303849323946

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15199683Total
Program Services14135705ProgramServices
Management And General1063978ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total381048902Total
Program Services339418060ProgramServices
Management And General41630842ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY40422879BOY
EOY40319518EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17627379BOY
EOY28189638EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44624768BOY
EOY41515157EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6995412BOY
EOY5690768EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5037911BOY
EOY4018510EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis588061789LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec233610084LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY373141092BOY
EOY354451705EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY70862266BOY
EOY82467230EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY558711707BOY
EOY556652526EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28343570BOY
EOY30486432EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY332874301BOY
EOY325778295EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY50016857BOY
EOY94475959EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY411234728BOY
EOY450740686EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY145897920BOY
EOY105146654EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1333477BOY
EOY524327EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY245582BOY
EOY240859EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY147476979BOY
EOY105911840EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY558711707BOY
EOY556652526EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2389052ReconcilationRevenueExpenses
Reconcilation Other Changes-39176087ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1567441BeginningOfYearBalance
Contributions30000Contributions
Investment Earnings Or Losses-4723InvestmentEarningsOrLosses
Other Expenditures-871859OtherExpenditures
End Of Year Balance2464577EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2281205BeginningOfYearBalance
Contributions94675Contributions
Investment Earnings Or Losses-755InvestmentEarningsOrLosses
Other Expenditures-807684OtherExpenditures
End Of Year Balance3182809EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2244200BeginningOfYearBalance
Contributions353302Contributions
Investment Earnings Or Losses12294InvestmentEarningsOrLosses
Other Expenditures-328591OtherExpenditures
End Of Year Balance2938387EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance185778BeginningOfYearBalance
Contributions2058879Contributions
Investment Earnings Or Losses9552InvestmentEarningsOrLosses
Other Expenditures-10009OtherExpenditures
End Of Year Balance2264218EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.33410BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.66590PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6391699OtherCostOrOtherBasis
Book Value6391699BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis400563339OtherCostOrOtherBasis
Depreciation108179358Depreciation
Book Value292383981BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis171197908OtherCostOrOtherBasis
Depreciation121923846Depreciation
Book Value49274062BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9908843OtherCostOrOtherBasis
Depreciation3506880Depreciation
Book Value6401963BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings354451705TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS ON DEPOSIT WITH TRUSTEE15303034
OTHER ACCOUNTS RECEIVABLE5168971
A/R FROM AFFILIATES1647358
IMPREST FUND - W/C1037166
INVESTMENT-BOARD DESIGNATED944709
RESTRICTED BY DONOR732477
INVESTMENT IN AFFILIATES16752365
OTHER LONG TERM INVESTMENTS36623391
UNDER BOND INDENTURE4257759
FieldValueIRS element (for citing)
Total Book Value Other Assets82467230TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
FEDERAL INCOME TAXES$1,268
PAYABLES TO THIRD PARTY PROGRAMS$8,049,643
UNAMORTIZED BOND PREMIUM$10,189,547
EQUIPMENT LOAN PAYABLE$558,844
DEFERRED COMP$658,481
PROFESSIONAL INSURANCE$12,376,949
PENSION LIABILITY$60,202,223
MINORITY INTEREST PAYABLE$2,094,229
ASBESTOS ABATEMENT$344,775
FieldValueIRS element (for citing)
Total Of Amounts94475959TotalOfAmounts
Total Revenue378659850TotalRevenue
Total Expenses381048902TotalExpenses
Excess Or Deficit For Year-2389052ExcessOrDeficitForYear
Net Unrealized GL On Investments660637NetUnrealizedGLOnInvestments
Other-$39,836,724OtherAmount
Total Adjustments-39176087TotalAdjustments
Excess Or Deficit Per FS-41565139ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt303164141TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments665360NetUnrealizedGainsInvestments
Revenue Not Rptd F990665360RevenueNotRptdF990
Revenue Subtotal302498781RevenueSubtotal
Other Revenues Not Included76161069OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt76161069RevenueNotRptdOnFinStmt
Total Revenue Per Form990378659850TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt300260038TotExpensesEtcAuditedFinclStmt
Expenses Subtotal300260038ExpensesSubtotal
Other Expenses Not Included80788864OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt80788864ExpensesNotRptdOnFinStmt
Total Expenses Per Form990381048902TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Endowment FundsPart V Line 4Intended uses of the income from the pugh endowment fund are to provide free beds and free service to those who may become patients and who through financial inability may be unable to make provisions for their own medical and/or surgical relief. Anderson family foundation endowment fund is restricted for use to address hospital Acquired infections.
Other Changes in Net AssetsPart XI Line 8Minimum Pension Liability Adjustment $ (39,795,000) Transfer to Operations (1,576,716) Income Released from Restricted 807,146 Restricted Donations 734,857 Caring Fund 6/30/2011 (39,720) Caring Fund 6/30/2012 32,709 ----------- Total $ (39,836,724) ===========
Other revenues included on Form 990Part XII Line 4bDeductions from revenue: Contractual Allowances: $ 60,884,103 Charity: 15,948,853 Rental Expenses Included in Revenue: (671,887) ----------- Total $ 76,161,069 ===========
Other Expenses included on Form 990Part XIII Line 4bDeductions from revenue: Contractual Allowances: $ 60,884,103 Charity: 15,948,853 Rental Expenses Included in Revenue: (671,887) Distributions to non-controlling interests: 4,627,795 ------------ Total: $ 80,788,864 ============
Liability for Uncertain Tax Positions (FIN 48 Footnote)Schedule D Part XThe Health System and substantially all of its affiliates are exempt from federal income tax, except for unrelated business income, which is nonexistent, under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes is made in the consolidated financial statements for these entities.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedINSURANCESpecificServicesProvided
Total Expenditures2048884TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Total Number Of Offices1TotalNumberOfOffices
Subtotal Amount Spent2048884SubtotalAmountSpent
Total Amount Spent2048884TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served27970PersonsServed
Total Community Benefit Expense14375312TotalCommunityBenefitExpense
Net Community Benefit Expense14375312NetCommunityBenefitExpense
Percent Of Total Expense0.03770PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense7886184TotalCommunityBenefitExpense
Direct Offsetting Revenue6743673DirectOffsettingRevenue
Net Community Benefit Expense1142511NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served27970PersonsServed
Total Community Benefit Expense22261496TotalCommunityBenefitExpense
Direct Offsetting Revenue6743673DirectOffsettingRevenue
Net Community Benefit Expense15517823NetCommunityBenefitExpense
Percent Of Total Expense0.04070PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served23454PersonsServed
Total Community Benefit Expense673618TotalCommunityBenefitExpense
Direct Offsetting Revenue12264DirectOffsettingRevenue
Net Community Benefit Expense661354NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served105609PersonsServed
Total Community Benefit Expense731686TotalCommunityBenefitExpense
Net Community Benefit Expense731686NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served89794PersonsServed
Total Community Benefit Expense35230927TotalCommunityBenefitExpense
Direct Offsetting Revenue15363113DirectOffsettingRevenue
Net Community Benefit Expense19867814NetCommunityBenefitExpense
Percent Of Total Expense0.05200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served12901PersonsServed
Total Community Benefit Expense470326TotalCommunityBenefitExpense
Direct Offsetting Revenue65506DirectOffsettingRevenue
Net Community Benefit Expense404820NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served231758PersonsServed
Total Community Benefit Expense37106557TotalCommunityBenefitExpense
Direct Offsetting Revenue15440883DirectOffsettingRevenue
Net Community Benefit Expense21665674NetCommunityBenefitExpense
Percent Of Total Expense0.05670PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served259728PersonsServed
Total Community Benefit Expense59368053TotalCommunityBenefitExpense
Direct Offsetting Revenue22184556DirectOffsettingRevenue
Net Community Benefit Expense37183497NetCommunityBenefitExpense
Percent Of Total Expense0.09740PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense138138TotalCommunityBuildingExpense
Net Community Building Expense138138NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense130586TotalCommunityBuildingExpense
Net Community Building Expense130586NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense865771TotalCommunityBuildingExpense
Net Community Building Expense865771NetCommunityBuildingExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1134495TotalCommunityBuildingExpense
Net Community Building Expense1134495NetCommunityBuildingExpense
Percent Of Total Expense0.00300PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,390,933BadDebtExpenseAmount
Amount Attributable To1573541AmountAttributableTo
Amount Reimbursed By Medicare136383559AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare110693459CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall25690100MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
CUMBERLAND PROPERT
RENTAL1.00000
WILLOWBROOK HEALTH S
HEALTHCARE1.00000
JOHNSON HEIGHTS MED
RENTAL0.839500.16050
MEMORIAL MED CTR SER
BUILDING MAINTENANCE1.00000
HAYSTACK IMAGING
HEALTHCARE0.500000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTERN MD REG MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line112500 WILLOWBROOK ROADAddressLine1
CityCUMBERLANDCity
StateMDState
ZIP Code21502ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WESTERN MD REG MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs AddressedtrueAllNeedsAddressed
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1FROSTBURG NURSING AND REHAB CTBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line148 TARN TERRACEAddressLine1
CityFROSTBURGCity
StateMDState
ZIP Code21532ZIPCode
FieldValueIRS element (for citing)
Facility TypeNURSING HOMEFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIESCommunity Support - WMHS has in place a disaster readiness program. As the largest hospital in the area and the largest employer, WMHS has incurred costs to be able to deal with a disaster if the need arises. Coalition building - WMHS works with community partners to improve the health in the community. Education programs, screenings, and various other events are conducted by WMHS. Workforce development - WMHS is actively involved in the recruitment of physicians and other health professionals for the federally medical underserved area through a collaboration with regional partners.
SCHEDULE H, PART III BAD DEBT EXPENSE, LINE 4Bad debt expenses are for those services rendered to patients who have been determined to have the financial capacity, but are unwilling to pay. The total expense is write-offs, made after following the provisions of the hospital's collection and write-off policy, less bad debt recoveries. An estimate of the amount of charity care attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information was available to make a determination of their eligibility, is based upon a review of records of patients who had accounts written off. WMHS has an audit of its financial statements prepared. The community benefits amount shown in Schedule H - Part I do not include bad debt expense.
SCHEDULE H, PART III SECTION B MEDICARE, LINE 8Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Court 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.
SCHEDULE H, PART III SECTION B MEDICARECost to charge ratio.LINE 8, COSTING METHODOLOGY
SCHEDULE H, PART III SECTION C COLLECTION PRACTICES, LINE 9B- The Western Maryland Health System provides care to all patients seeking care, regardless of their ability to pay. A patient's ability to pay is based on a review which is done by a member of the Health System's Business Office. This review assures that all patients who seek emergency or urgent care receive those services regardless of the patient's ability to pay. -In accordance with Maryland law, the Western Maryland Health System has a financial assistance policy and patients may be entitled to receive financial assistance with the cost of medically necessary hospital services if they have a low income, do not have insurance, or their insurance does not cover medically-necessary hospital care. -The Western Maryland Health System meets or exceeds the state's legal requirement by providing financial assistance based on income established by and published by the Federal Government each year. -Those patients that meet the financial assistance policy criteria described above may receive assistance from the Health System in paying their bill. If a patient believes he has wrongly been referred to a collection agency, he has the right to contact the hospital to request assistance.
SCHEDULE H, PART V FACILITY INFORMATIONLine 1, Description Line 3, Persons Consulted Line 5c, Available to Public Utilizing the Association of Community Health Improvement Toolkit, WMHS compiled a list of desired data and potential sources. Raw data from the over 40 sources was compiled and put on a dashboard, along with additional narrative for analysis. A complete list of the source list can be found at: http://www.alleganyhealthplanningcoalition.com/pdf/AlleganyCoDataSourceLis t07_2011.pdf Management teams from both the WMHS and the Allegany County Health Department reviewed the raw data, narrative, and source list, to identify missing elements, raise questions, and begin analysis. Criteria to identify the most significant health issues included magnitude, severity compared to target and level of need for vulnerable populations. The need for transportation was unclear based on the secondary data, so a survey was created and distributed to patients in the emergency department, health department clinics, and Tri-State Community Health Center (FQHC). The results of the survey were added to the data. WMHS worked collaboratively with the health department to create a presentation utilizing the following framework: - Demographics- Characteristics of community and patients - Lifestyle choices and environment - Health needs & disease status - Access to care (payors & providers, barriers) The WMHS Community Advisory Board helped create a list of community organizations and focus groups to participate in the process. Between July and October 2011, the WMHS Director of Community Health & Wellness and a representative from the Allegany County Health Department, shared the process and results of community health needs assessment in a public forum and in sessions with over 20 groups including: - WMHS Board of Directors & Community Advisory Board - Workgroup on Access to Care - Local Drug and Alcohol Abuse Council - Local Management Board - Community Wellness Coalition - Western Maryland AHEC Board - School Health Council - Mental Health Advisory Board - Board of Health - Cumberland Ministerial Assn. - County United Way - Cumberland Housing Rental Advisory Board - Neighborhood Advisory Commission - Community Trust Foundation - Allied Health Students at Allegany College of Maryland After presenting the data, participants were asked to identify the top 5 priorities in rank order based on a list of 13 identified community health needs, taking into consideration: - Community capacity to act on issue (money, politics, culture) - Feasibility of having measurable impact on issue - Community resources already focused on issue - Issue is root cause of other problems The option to identify additional needs was made available, but none were suggested. Participants were also asked to identify potential partners for addressing these needs and any known barriers. To examine the connection between community health needs, social determinants and economic development, meetings were held with City and County Government officials and representatives identified by County Administrator--from transportation, housing, economic development, public safety, and GIS as well as with the Allegany County Chamber of Commerce Economic Development Committee. A nominal process was used to combine the various rankings from the groups into a final draft list of priorities. Tobacco use, obesity, access to care, emotional & mental health, and substance abuse, top the list of priorities identified by the community. In August 2011, WMHS and ACHD met to identify the proposed membership of the Allegany County Health Planning Coalition. By October, the Coalition was confirmed; members met with representatives from SHIP, established a vision and mission, and approved the organizational structure and priority list. Rather than create duplicative committees, the Allegany County Health Planning Coalition utilizes established workgroups and committees already functioning successfully in the community. Communication is maintained between these entities and the Coalition either by Coalition members who serve on the committees or designated staff from WMHS or ACHD. The operational structure of the Coalition is provided by targeted staff at the Allegany County Health Department and the Western Maryland Health System. Once the priority needs were finalized, representatives from WMHS and ACHD researched and compiled evidence base practices, current programs/services, and potential partnerships to address each priority. Service line leaders at WMHS were asked to review this information and recommend strategies to address the needs. Members of the Allegany County Health Planning Coalition did the same. Based on these recommendations, the WMHS Director of Community Health and Wellness and the ACHD Health Planner, compiled a draft action plan for each priority need. The draft action plan was reviewed and edited by WMHS service line leaders and System Management. In addition to the strategies in the Local Health Action Plan, WMHS identified several strategies to independently address the needs of the community. By December 31, 2011, the data sources, analysis, identified community priorities and implementation plan were posted for the public at: http://www.alleganyhealthplanningcoalition.com/and the WMHS website has a link to the site. For each of the priorities, there are overall strategies, actions, identified partners, progress measures and a timeframe. The WMHS Board of Directors approved the plan of action on January 26, 2012. From January - April 2012, commitments to the action plan and suggested improvements were obtained from the identified community organizations and workgroups. Either WMHS or ACHD was identified as the lead agency for all actions in the plan, and lead and support sources for all of the measures were identified. Progress on the strategic actions are assessed and reported every six months. The lead agencies report to the Coalition, and then the members rank the level of progress made. The average ranking is used and demonstrated with signal strength symbols ranging from 1 for no progress to 5 for excellent. Justification for the progress assessment can be found in the Coalition minutes. The Local Health Action Plan has a baseline measure and 2014 goal for each of the 13 priorities. When appropriate, these measures were linked to a SHIP measure. A dashboard that shows the status based on the percentage variance between the county baseline and state baseline for each goal is posted at: http:/www.alleganyhealthplanningcoalition.com/ , under Local Health Action Plan. This dashboard will be updated annually. Information about community health needs was sought from the Allegany County Health Officer and various public health experts at both the local health department and state health department. As noted in the prior section, there were numerous community organizations consulted in the process including: Local Drug and Alcohol Abuse Council, Community Wellness Coalition, Mental Health Advisory Board, Cumberland Ministerial Association, Cumberland Housing Rental Advisory Board, Neighborhood Advisory Commission, Community Trust Foundation, and Allied Health Students at Allegany College of Maryland. Many of these entities are actually groups of organizations involving representatives from diverse sub populations within the service area. For example, the Local Drug and Alcohol Abuse Council involves representatives from Department of Social Services, Department of Juvenile Services, Regional Parole & Probation, State's Attorney, District Public Defender-Allegany and Garrett Counties, County Sheriff, Administrative Judge of the Circuit Court, substance abuse provider, Consumer - Addictions Treatment, ACHD, MD State Police, Board of Education, Frostburg State University, Allegany College of MD, Allegany Radio Corporation, Salvation Army, Chessie Federal Credit Union, Community Unity in Action, Affected Newborn Program, Youth Representative. Individuals ranging from elected officials to residents of public housing have been engaged in the process. In addition to the over 25 groups with which we discussed the community health needs assessment and local health action plan, we engaged the members of the Allegany County Health Planning Coalition. In addition to WMHS and ACHD, Coalition members are from: - Allegany County Public Schools - Western Maryland Area Health Education Center - County United Way - Tri-State Community Health Center (FQHC) - Allegany County Human Resources Development Commission It is the role of the Allegany County Health Planning Coalition to coordinate the strategic actions among community groups. Coordination includes monitoring progress and promoting public education regarding community health status. WMHS is the co-leader of the Coalition.COMMUNITY HEALTH NEEDS ASSESSMENT
SCHEDULE H, PART V FACILITY INFORMATIONWMHS determines the maximum amounts that can be charged to the Financial Assistance Policy ("FAP") eligible individuals by using sliding scale tables based upon percentages of Federal Poverty Levels ("FPL").FINANCIAL ASSISTANCE POLICY, Line 19
SCHEDULE H, PART V FACILITY INFORMATIONWMHS and the Allegany County Health Department conducted a community health assessment in the summer of 2011. A local health action plan was developed to address the top 13 priorities identified by the assessment. Rising to the top of the list of priorities were tobacco use, obesity, access to care, and emotional and mental health. The WMHS board approved the needs assessment and action plan on January 26, 2012.COMMUNITY HEALTH NEEDS ASSESSMENT, LINE 6I
SCHEDULE H, PART V FACILITY INFORMATIONMaryland'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 government payors, pay the same amount for the same services delivered at the same hospital. In accordance with Maryland law, the Western Maryland Health System has a financial assistance policy and patients may be entitled to receive financial assistance with the cost of medically necessary hospital services if they have a low income, do not have insurance, or their insurance does not cover medically-necessary hospital care.INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE, LINE 21
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATIONWestern Maryland Health System is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual situation. A patient can qualify for Financial Assistance either through lack of sufficient insurance or financial hardship due to excessive medical debt. It is the policy of WMHS to provide Financial Assistance based on indigence or excessive medical debt for patients who meet specified financial criteria and request such assistance. WMHS will post notices of availability at patient registration sites, Admissions, Business Office and at the Emergency Department. Notice of availability will also be sent to patients on patient bill statements. A Patient Billing and Financial Assistance Information Sheet will be provided to inpatients via the Admission Handbook given to every admitted patient. This is provided to patients prior to discharge and is also available to all patients upon request.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE, LINE 3
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATIONWMHS provides primary and secondary acute care services for a six county region covering the Upper Potomac region of Maryland, Eastern West Virginia and Southwestern Pennsylvania. With almost 87% of the patients residing in either Allegany County, Maryland (72.5%) or mineral county, West Virginia (13.94%), WMHS considers these communities its Community Benefit Service Area.COMMUNITY INFORMATION, LINE 4
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATIONSEE COMMUNITY BENEFIT SUMMARY IN SCHEDULE O.PROMOTION OF COMMUNITY HEALTH, LINE 5
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION- WESTERN MD HEALTH SYSTEM (EIN: 52-1971675), TAX EXEMPT UNDER 501(c)(3), PUBLIC CHARTY STATUS 3, HEALTH CARE FACILITY -SETON REGIONAL HEALTH SYSTEM (EIN: 52-1333566), TAX EXEMPT UNDER 501(c)(3), PUBLIC CHARITY STATUS 11 TYPE I, CHARITABLE -WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(c)(3), PUBLIC CHARITY STATUS 11 TYPE I, FUNDRAISING -MEMORIAL MEDICAL CENTER SERVICES (EIN: 52-1317704), C CORPORATION, BUILDING MAINTENANCE -WILLOWBROOK HC CONDO (37-1538510), C CORPORATION, CONDO MANAGEMENT -HAYSTACK CONSOLIDATED (52-1335895), C CORPORATION, MEDICAL SERVICES -WESTERN MD MEDICAL SUPPLY (26-0119241), C CORPORATION, MEDICAL SUPPLY SALESAFFILIATED HEALTH CARE SYSTEM, LINE 6
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATIONWMHS files a community benefit report with the Maryland Health Services Cost Review Commission (HSCRC).STATE FILING OF COMMUNITY BENEFIT REPORT, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
BARRY P RONAN
501031010000009312901394310204260854017077564
KIMBERLY S REPAC
269351040500095002536401769103538560
THOMAS C DOWDELL
2779460418080281902816602109703718360
JO M WILSON
155004015500086701549301410802009720
KEVIN R TURLEY
148301015080049401535101974101989670
MARK J SULLIVAN
1852780186000175801898601686202414840
MICHELE R MARTZ
133302013208028701364601866001791030
NANCY D ADAMS
2009580304500126402131401793402719200
GARY SCHMIDT MD
810367000391105956601843108922750
CHRISTOPHER B HAAS MD
5109300600000821004452001032106339810
MARK G NELSON MD
57917903000001184804704001617906842460
ROBERT CHOU MD
467190035000084103966501646605591620
SUBRATO J DEB MD
5086950750000648604506901617906514290
JAMES M RAVER MD
161846000109864017291043502894360
WILLIAM BYERS
12982706907024301293301822801681380

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Severence PaymentsSchedule J, Line 4a and Line 7James M. Raver, MD received a severence payment in the amount of $108,435.
Supplemental Non-qualified Retirment PlanSchedule J, Line 4b and Line 7Barry P. Ronan received a SERP payout in the amount of $77,564.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MHHEFABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
CUSIP Number574217ZYACUSIPNumber
Date Issued2006-11-14DateIssued
Issue Price348650000IssuePrice
Description Of PurposeREPLACE HOSPITAL FACILITYDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired16170000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds360637993TotalProceeds
Amount In Reserve Fund25500000AmountInReserveFund
Capitalized Interest31542000CapitalizedInterest
Refunding Escrow8371923RefundingEscrow
Issuance Costs From Proceeds2823891IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures292400179CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1WACHOVIA SECURITIESBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC30.TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
KIMBERLY S REPAC
SR. VP CFO25208694MD PHYSICIAN CAREfalse
BARRY P RONAN
PRESIDENT & CEO25208694MD PHYSICIAN CAREfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L PART IVReturnReference
ExplanationThese transactions represent the monetary value of business transactions between MD Physicians Care and Western Maryland Health System.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICESPART III LINE 4DEMERGENCY CARE Western Maryland Health System (WMHS) operates a 24-hour/7-day-a-week emergency room which serves as the designated area-wide trauma center. 57,146 visits were registered in the emergency room for the year ending June 30, 2012.
Officers and Trustees Business RelationshipsPart VI, Line 2Michele R. Martz (Key Employee) serves on the Board of the United Way of the Potomac Highlands of which Mary Beth Pirolozzi (Trustee) is the Executive Director. M. Kathryn Burkey (Trustee) serves on the Board of First United Corporation and First United Bank and Trust, of which Frederick Thayer (trustee) is a Senior Vice president.
Form 990 Governing Body ReviewPart VI, Line 11On an annual basis, the Executive Committee of the Board of Directors meets to review IRS Form 990 and 990T before it is filed with the Internal Revenue Service. The Chief Financial Officer (CFO) presents an executive summary and then provides a detailed review and explanation of each form. Any open items or questions are resolved prior to the filing of the form. Subsequent to its review, the Executive Committee reports back to the Board regarding its oversight of the Form 990. The board is informed that a complete copy of the Form 990 is available on the board's secure password protected web site.
Conflict of Interest Policy CompliancePart VI, Line 12cThe WMHS Board of Directors monitors proposed or ongoing transactions for conflicts of interest and addresses any potential or actual conflicts. Pursuant to the Conflicts of Interest Policy, an annual conflict questionnaire is distributed to all interested persons. Interested persons are required to disclose real or potential conflicts at the time when such conflicts arise. When one becomes an interested person and annually thereafter, they are required to sign a statement affirming that they have received, read, understand, and agree to comply with the policy. The completed questionnaires are reviewed by the Board. The procedures for addressing any conflict include the conflict being fully disclosed and discussed with the interested person along with the potential resolutions of the conflict.
Process for Determining CompensationPart VI, Line 15a & 15bThe Board appoints a Compensation Committee of independent directors without a conflict of interest with respect to the compensation arrangement, responsible for setting reasonable compensation packages for each officer or key employee, including the CEO. The Committee develops, consistent with organizational philosophy and principle, the annual performance goals and criteria to be used in determining merit increases and variable compensation. The Committee also hires an independent compensation and benefits specialist to review, analyze and provide benchmarking data for the total compensation and benefits packages. Comparability data is obtained for similar job responsibilities. Written records of all analyses are maintained to support decisions related to key employees and officers.
Availability of Governing Documents to PublicPart VI Line 19While the federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request. In Maryland, the organization's financial statements are also submitted to the Health Services Cost Review Commission which is available for public inspection as well.
Other Changes in Net Assets or Fund BalancesPart XI Line 5Minimum Pension Liability Adjustment $ (39,795,000) Transfer to Operations (1,576,716) Income Released from Restricted 807,146 Restricted Donations 734,857 Caring Fund 6/30/2011 (39,720) Caring Fund 6/30/2012 32,709 Unrealized loss on investments 660,637 ----------- Total $ (39,176,087) ===========
Schedule H - Community Benefit SummaryMission Statement: Superior care for all we serve Vision Statement: Demonstrated leader in the delivery of exceptional healthcare services throughout the tri-state region Core Values - i2care: - Integrity: Demonstrate honesty and straightforwardness in all relationships - Innovation: Pursue continuous improvement through creative new ideas, methods, and practices - Compassion: Show care and kindness to all we serve and with whom we work - Accountability: Ensure effective stewardship of the community's trust - Respect: Demonstrate a high regard for the dignity and worth of each person - Excellence: Strive for superior performance in all that we do
Community Benefit Summary (continued)WMHS Overview: Western Maryland Health System (WMHS) strives to enhance patient care while reducing healthcare costs. Improving the overall health of the community is another important goal of WMHS. The Western Maryland Health System offers a comprehensive range of general and specialty services for medical, surgical, pediatric, and obstetrical patients. Sophisticated diagnostic testing services are provided at the hospital, as well as at off-site, outpatient diagnostic centers. An extensive range of physician specialties is available, with over 200 physicians practicing in the community. In an effort to further enhance health care services, WMHS developed 8 Specialty Centers - Behavioral Health, Cardiac Services, Children's and Adolescents' Health, Oncology Services, Outpatient Services, Orthopedics and Joint Reconstruction, Trauma Services and Women's Health. Emergency services are provided at the Western Maryland Regional Medical Center, which serves as the designated Area wide Trauma Center in the Maryland Institute for Emergency Medical Services Systems (MIEMSS). Critical care services, as well as surgical services, a trauma program and comprehensive inpatient rehabilitation unit. The Heart Institute at WMHS provides a comprehensive range of cardiac diagnostic and treatment services, including open-heart surgery and interventional cardiology (angioplasty). A full range of cancer services is available through the Schwab Family Regional Cancer Center, which is accredited by the American College of Surgeons. Included in the WMHS program are diagnostic testing; a wide array of treatment services, including radiation oncology; hospice services, and many patient support services. Long-term care services are provided through the Frostburg Nursing and Rehabilitation Center, an 88-bed nursing home. Improving the community's overall health is an important aspect of WMHS. Health promotion activities include health screenings, classes on adopting healthy lifestyles, and exercise programs. Special activities for children and senior citizens, as well as other at-risk populations, are offered throughout the year.
WMHS Strategic Goals FY2012 - FY2014Increase Physician Collaboration: - Select and On-board Chief Medical Officer - Develop Physician Integration Working Group - Develop Financial Alignment Pilot Program - Implement Computerized Physician Order Entry/Electronic Health Records (CPOE/HER) Redesign Care Delivery: - Increase Primary Care Physician (PCP) Network and Reach - Develop Acute Care Pathways and Protocols - Expand Case Management to Comprehensive Disease Management - Enhance Care Transition Process to Post-Acute Care Providers Engage Patients and Improve Access to Care: - Identify and Act Upon Mission-Critical Aspects of Community Health and Wellness that WMHS Can Best Influence - Expand Employee Wellness to Improve the Health Status of WMHS Workforce and Establish WMHS as a Role Model for Healthy Living in the Community - Launch a Comprehensive Mission-Focused Campaign to Communicate Health and Wellness Information and Actively Engage At-Risk Populations in-Healthy Living Focus on Business Model Discipline: - Define Geographic and Product/Service Mix - Develop and Implement IT Infrastructure to Align with Strategic Initiatives - Improve the WMHS Value Proposition - Reduce Cost Structure - Improve the WMHS Value Proposition - Increase Clinical Quality - Develop Workforce Leadership to Improve Patient Experience
Community Health AssessmentThe Western Maryland Health System is committed to improving the health of the citizens we serve and is a founding member of the Allegany County Health Planning Coalition. This is a group of community partners working together for a healthier community. WMHS and the Allegany County Health Department conducted a community health assessment in the summer of 2011. A local health action plan was developed to address the top 13 priorities identified by the assessment. Rising to the top of the list of priorities were tobacco use, obesity, access to care, and emotional and mental health. The statistical information compiled about the health status of the County and a summary of community health needs are available at www.alleganyhealthplanningcoalition.com. Actions to address each of the top 13 priorities are on the site as well. "These action plans are designed to engage everyone in the community, including businesses, churches, civic organizations, and individuals," explains Nancy Forlifer, Director of Community Health and Wellness at WMHS. "The strategies range from education about making healthier choices on a personal level to implementation of public policy changes that promote better health." The Coalition meets monthly and the public is welcome to attend the meetings, which are held at the Allegany County Health Department on Willowbrook Road. The meeting schedule and the minutes from the meetings are available on the website. Members of the Allegany County Health Planning Coalition include the Allegany County Health Department, WMHS, Allegany County Board of Education, County United Way, Tri-State Community Health Center, and the Western Maryland Area Health Education Center.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WESTERN MD HEALTH SYSTEM
PO BOX 539CUMBERLANDMD21501521971675HLTH CAREMD501(C)(3)3NAfalse
SETON REGIONAL HEALTH SYSTEM
900 SETON DRIVECUMBERLANDMD21502521333566CHARITABLEMD501(C)(3)I-ONAfalse
CUMBERLAND PROPERTIES INC
PO BOX 539CUMBERLANDMD21501521522252RENTALMD501(C)(3)3NAfalse
WMHS FOUNDATION
PO BOX 539CUMBERLANDMD21501352289841FUNDRAISINGMD501(C)(3)I-ONAfalse
WILLOWBROOK HEALTH SERVICES
PO BOX 539CUMBERLANDMD21501522005140HLTH CAREMD501(C)(3)3NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
JOHNSON HEIGHTS
625 KENT AVENUECUMBERLANDMD21502521775175RENTALMDNARELATED-687531560202false$0true0.83950
HAYSTACK IMAGING
900 SETON DRIVECUMBERLANDMD21502043783141HLTH CAREMDNARELATED46469172772055false$0false0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
MEMORIAL MED CTR SVCS
PO BOX 539CUMBERLANDMD21501521317704BLDG MAINTMDNAC CORP-16046114621.00000
WILLOWBROOK HC CONDO
PO BOX 539CUMBERLANDMD21501371538510CONDO MGMTMDNAC CORP112720300.53300
HAYSTACK CONSOLIDATED
900 SETON DRIVECUMBERLANDMD21504521335895MED SVCSMDNAC CORP00
WESTERN MD MED SUPPLY
11110 MEDICAL CAMPUS RDHAGERSTOWNMD21742260119241MED SALESMDNALLC-224644375780.33330
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
JOHNSON SEIGHTS MEDICAL BLDG PARTNERSHIP
J P Q273879MARKET
HAYSTACK IMAGING SERVICES LLC
LKMNP13820590MARKET
MEMORIAL MEDICAL CENTER SERVICES
P50466MARKET
WILLOWBROOK HEALTH CENTER CONDOMINIUM
K P318903MARKET
WMHS FOUNDATION INC
C N P1277184MAREKT
WESTERN MARYLAND MEDICAL SUPPLY
P826356MARKET

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