FURP.ORG / PUBLIC DATA EXPLORER

FORT WASHINGTON MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FORT WASHINGTON MEDICAL CENTER INC (EIN 52-1682858)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349302363
Schema version
2011v1.2
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)
Timestamp2012-11-15T12:53:14-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE SOUTH WAKER DRIVE SUITE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521682858EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FORT WASHINGTON MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFORTNameControl
Phone3012927000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111711 LIVINGSTON ROADAddressLine1
CityFORT WASHINGTONCity
StateMDState
ZIP Code20744ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH B TUCKERName
TitleSR VP/CFOTitle
Phone3012927000Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWAYNE L HARDERName
PTINP00294296PTIN
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVERNA MEACHAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1174 WATERFRONT STREET SUITE 225AddressLine1
CityNATIONAL HARBORCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43129598GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FORTWASHINGTONMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO ENSURE HIGH QUALITY, COMPASSIONATE AND RESPONSIVE HEALTH CARE SERVICES DEDICATED TO ADVANCING THE HEALTH OF OUR COMMUNITY CUSTOMERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees469TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year41631ContributionsGrantsPriorYear
Contributions Grants Current Year66204ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40838196ProgramServiceRevenuePriorYear
Program Service Revenue CY42582142ProgramServiceRevenueCY
Investment Income Prior Year5495InvestmentIncomePriorYear
Investment Income Current Year-89587InvestmentIncomeCurrentYear
Other Revenue Prior Year451226OtherRevenuePriorYear
Other Revenue Current Year455549OtherRevenueCurrentYear
Total Revenue Prior Year41336548TotalRevenuePriorYear
Total Revenue Current Year43014308TotalRevenueCurrentYear
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 Year21344913SalariesEtcPriorYear
Salaries Etc Current Year21675517SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19589557OtherExpensePriorYear
Other Expenses Current Year20363788OtherExpensesCurrentYear
Total Expenses Prior Year40934470TotalExpensesPriorYear
Total Expenses Current Year42039305TotalExpensesCurrentYear
Revenues Less Expenses Prior Year402078RevenuesLessExpensesPriorYear
Revenues Less Expenses CY975003RevenuesLessExpensesCY
Total Assets BOY19054558TotalAssetsBOY
Total Assets EOY20580978TotalAssetsEOY
Total Liabilities BOY18110886TotalLiabilitiesBOY
Total Liabilities EOY18662303TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY943672NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1918675NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENSURE HIGH QUALITY, COMPASSIONATE AND RESPONSIVE HEALTH CARE SERVICES DEDICATED TO ADVANCING THE HEALTH OF OUR COMMUNITY CUSTOMERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense32027118Expense
Revenue42661116Revenue
DescriptionDURING REPORTING YEAR 2011, FORT WASHINGTON MEDICAL CENTER (FWMC) PROVIDED BENEFITS TO THE COMMUNITY THAT INCLUDED CHARITY CARE, TEACHING-PRECEPTOR OPPORTUNITIES, HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION, COMMUNITY SPONSORSHIP OPPORTUNITIES, AND COMMUNITY ENGAGEMENT ACTIVITIES.SEE SCHEDULE H.Description
Total Program Service Expense32027118TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees469NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THERESA PITTMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3016861523TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1174 WATERFRONT STREET SUITE 225AddressLine1
CityNATIONAL HARBORCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
BEVERLY ANDERSON PH D
IMMEDIATE PAST CHAIR1.50XX000
SAMIR AZER MD
DIRECTOR1.50X000
CHARLES E DAY SR
DIRECTOR1.50X000
ELIAS G DEBBAS MD
DIRECTOR1.50X000
LAURIE M DIPPOLD
DIRECTOR1.50X000
MONICA HOLMAN EVANS ESQ
TREASURER1.50XX000
REV ALTHEA J HAYWARD
DIRECTOR (THROUGH 12/5/11)1.50X000
REGINALD A JONES
DIRECTOR1.50X000
YVONE S MAGEE
DIRECTOR1.50X000
VIRGIL C MCDONALD
DIRECTOR1.50X000
JOHN A PETTY
EXECUTIVE SECRETARY1.50XX000
MANERVIA W RIDDICK
CHAIR1.50XX000
KIMBERLY D ROBERTSON
CHAIR-ELECT1.50XX000
VERNA S MEACHAM
PRESIDENT/CEO40.00XX260172017680
HENRY W MOSLEY
DIRECTOR1.50X000
JOSEPH B TUCKER
SR. VP FINANCE/CFO40.00X17612707068
SOCORRO OBEDOZA
DIRECTOR OR & PACU40.0015683305814X
BEVERLY L ARCIAGA
CLINICAL NURSE II40.0013608805778X
FREDERICK L ASHBY
DIRECTOR INFORMATION TECHNOLOGY40.00128731020740X
HOWARD L ROBINSON
DIRECTOR OF PHARMACY40.0012262809519X
LILLIAN A PARAOAN
CLINICAL NURSE II45.0012055405960X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1101133TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation72559TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
VIMLA BHOOSHAN
9739 AVENSEL FARM DRPOTOMACMD20854PHYSICIAN664559
QUEST DIAGNOSTICS
14225 NEW BROOK DRCHANTILLYVA20153LAB376443
ALPHA SECURITY
12805 OLD FORT RD SUITE 302FORT WASHINGTONMD20744SECURITY362566
CPSI
6600 WALL STREETMOVILEAL36695COMPUTER SERVICES303815
AMERICAN RADIOLOGY INC
10373A REISTERSTOWN ROADOWINGS MILLSMD21117RADIOLOGY217058
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
All Other Contributions66204AllOtherContributions
Total Contributions66204TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6214004255586842555868
DIETARY SERVICES9000992627426274
FieldValueIRS element (for citing)
Total Program Service Revenue42582142TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4260TotalRevenueColumn
Exclusion$4,260ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real64021Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real21443Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real42578Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column42578TotalRevenueColumn
Related Or Exempt Function Income42578RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other93847Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-93847Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-93847TotalRevenueColumn
Exclusion-$93,847ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS9000993815454970$376,575
REPORT AND RECORD FEES9000993142631426
FieldValueIRS element (for citing)
Total Other Revenue412971TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column43014308TotalRevenueColumn
Related Or Exempt Function Income42661116RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$286,988ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total461520Total
Management And General461520ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17966973Total
Program Services14825370ProgramServices
Management And General3141603ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1906269Total
Program Services1237456ProgramServices
Management And General668813ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1340755Total
Program Services1091945ProgramServices
Management And General248810ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total70442Total
Management And General70442ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total122470Total
Management And General122470ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6483882Total
Program Services3961684ProgramServices
Management And General2522198ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27951Total
Management And General27951ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1071235Total
Program Services728501ProgramServices
Management And General342734ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total958143Total
Program Services22704ProgramServices
Management And General935439ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14761Total
Program Services804ProgramServices
Management And General13957ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total41470Total
Program Services12943ProgramServices
Management And General28527ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total602391Total
Management And General602391ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total782775Total
Program Services774947ProgramServices
Management And General7828ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total916518Total
Program Services192364ProgramServices
Management And General724154ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES522127952169894290
BAD DEBT35673993567399

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total483072Total
Program Services394012ProgramServices
Management And General89060ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42039305Total
Program Services32027118ProgramServices
Management And General10012187ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1664694BOY
EOY1718087EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY48093BOY
EOY46000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5762382BOY
EOY6354135EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY937878BOY
EOY1032530EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2206417BOY
EOY767525EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23611967LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16928538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5507360BOY
EOY6683429EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY781504BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2146230BOY
EOY3979272EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19054558BOY
EOY20580978EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6923017BOY
EOY7298577EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9816851BOY
EOY9534993EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY355748BOY
EOY407902EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1015270BOY
EOY1420831EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18110886BOY
EOY18662303EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY836672BOY
EOY1811675EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY107000BOY
EOY107000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY943672BOY
EOY1918675EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19054558BOY
EOY20580978EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses975003ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,710OtherActivitiesAmount
Total Lobbying Expenditures IIB1710TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDUES PAID TO MARYLAND HOSPITAL ASSOCIATION RELATING TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis122528OtherCostOrOtherBasis
Book Value122528BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8835188OtherCostOrOtherBasis
Depreciation6279456Depreciation
Book Value2555732BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis736041OtherCostOrOtherBasis
Depreciation507250Depreciation
Book Value228791BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12138880OtherCostOrOtherBasis
Depreciation10141832Depreciation
Book Value1997048BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1779330OtherCostOrOtherBasis
Book Value1779330BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6683429TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES1189644
MISCELLANEOUS ACCOUNTS RECEIVABLE62824
ASSETS LIMITED AS TO USE1176311
DEPOSITS70167
DEFERRED FINANCIING COSTS1480326
FieldValueIRS element (for citing)
Total Book Value Other Assets3979272TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM THIRD PARTY PAYEE$973,128
CAPITAL LEASE$447,703
FieldValueIRS element (for citing)
Total Of Amounts1420831TotalOfAmounts
Total Revenue43014308TotalRevenue
Total Expenses42039305TotalExpenses
Excess Or Deficit For Year975003ExcessOrDeficitForYear
Excess Or Deficit Per FS975003ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt43035751TotRevenueEtcAuditedFinclStmt
Other Revenues21443OtherRevenues
Revenue Not Rptd F99021443RevenueNotRptdF990
Revenue Subtotal43014308RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99043014308TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42060748TotExpensesEtcAuditedFinclStmt
Other Expenses Included21443OtherExpensesIncluded
Expenses Not Rptd F99021443ExpensesNotRptdF990
Expenses Subtotal42039305ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042039305TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE HOSPITAL HAS ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED THE HOSPITAL'S TAX POSITIONS AND HAS CONCLUDED THAT THE HOSPITAL HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2008.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES NETTED WITH REVENUE 21,443.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES NETTED WITH REVENUE 21,443.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense570653TotalCommunityBenefitExpense
Net Community Benefit Expense570653NetCommunityBenefitExpense
Percent Of Total Expense0.01360PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5491475TotalCommunityBenefitExpense
Direct Offsetting Revenue5027756DirectOffsettingRevenue
Net Community Benefit Expense463719NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6062128TotalCommunityBenefitExpense
Direct Offsetting Revenue5027756DirectOffsettingRevenue
Net Community Benefit Expense1034372NetCommunityBenefitExpense
Percent Of Total Expense0.02460PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense47440TotalCommunityBenefitExpense
Net Community Benefit Expense47440NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense324350TotalCommunityBenefitExpense
Direct Offsetting Revenue7822DirectOffsettingRevenue
Net Community Benefit Expense316528NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense371790TotalCommunityBenefitExpense
Direct Offsetting Revenue7822DirectOffsettingRevenue
Net Community Benefit Expense363968NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

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Total Community Benefit Expense6433918TotalCommunityBenefitExpense
Direct Offsetting Revenue5035578DirectOffsettingRevenue
Net Community Benefit Expense1398340NetCommunityBenefitExpense
Percent Of Total Expense0.03320PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$2,844,867BadDebtExpenseAmount
Amount Reimbursed By Medicare13502919AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare11207422CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2295497MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
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 Line1FORT WASHINGTON MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line111711 LIVINGSTON ROADAddressLine1
CityFORT WASHINGTONCity
StateMDState
ZIP Code20744ZIPCode
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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 Line1FORT WASHINGTON MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 5:FORT WASHINGTON MEDICAL CENTER WILL PROVIDE CHARITY CARE TO EVERY PATIENT THAT QUALIFIES FOR FINANCIAL ASSISTANCE, REGARDLESS OF THE BUDGETED AMOUNT OF CHARITY CARE. FORT WASHINGTON MEDICAL CENTER DOES NOT SET A LIMIT AS TO THE AMOUNT OF CHARITY CARE IT WILL PROVIDE.
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT FOR FORT WASHINGTON MEDICAL CENTER IS FILED ANNUALLY WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION WHICH ALLOWS FOR PUBLIC ACCESS TO INFORMATION FILED.
PART I, LINE 7A, COLUMN D:MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
PART I, LINE 7B, COLUMNS B, C, D, AND F:MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM. THE HOSPITAL PORTION OF THE MEDICAID ASSESSMENT FOR FORT WASHINGTON MEDICAL CENTER WAS $131,405 IN 2010.
PART I, LINE 7F, COLUMNS C AND D:MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
PART I, LINE 7F:BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART II: THE HOSPITAL ROUTINELY PARTICIPATES IN COMMUNITY HEALTH FAIRS PROVIDING EDUCATION AND BLOOD PRESSURE SCREENINGS AT VARIOUS LOCATIONS THROUGHOUT THE SERVICE AREA. CLASSES ARE ALSO HELD TO EDUCATE THE COMMUNITY ON DIABETES, HEART DISEASE AND SMOKING CESSATION.
PART III, LINE 4: TO PROVIDE INFORMATION TO ASSIST FINANCIAL STATEMENT USERS IN ASSESSING AN ENTITY'S SOURCES OF NET REVENUE AND CHANGES IN ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS, THE FASB HAS ISSUED ASU 2011-07, HEALTH CARE ENTITIES (TOPIC 954): PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES (A CONSENSUS OF THE FASB EMERGING ISSUES TASK FORCE). THIS ASU REQUIRES HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH THEY DO NOT ASSESS THE PATIENT'S ABILITY TO PAY, TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ON THEIR STATEMENTS OF OPERATIONS. THIS REPRESENTS A CHANGE IN THE PRESENTATION OF CERTAIN HEALTH CARE ENTITIES' STATEMENTS OF OPERATIONS AS THE PROVISION FOR BAD DEBTS WILL BE RECLASSIFIED FROM AN OPERATING EXPENSE TO A REDUCTION FROM REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). ALSO, A HEALTH CARE ENTITY IS REQUIRED TO PROVIDE ENHANCED DISCLOSURE ABOUT ITS POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS. FURTHER, THE ASU REQUIRES DISCLOSURES OF PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ASWELL AS QUALITATIVE AND QUANTITATIVE INFORMATION ABOUT CHANGES IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMENDMENTS IN THIS ASU ARE EFFECTIVE FOR THE FIRST ANNUAL PERIOD ENDING AFTER DECEMBER 15, 2012, AND ANNUAL PERIODS THEREAFTER, WITH EARLY ADOPTION PERMITTED. THE AMENDMENTS TO THE PRESENTATION OF THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE IN THE STATEMENTS OF ACTIVITIES SHOULD BE APPLIED RETROSPECTIVELY TO ALL PRIOR PERIODS PRESENTED. THE DISCLOSURES REQUIRED BY THE AMENDMENTS IN THE ASU SHOULD BE PROVIDED FOR THE PERIOD OF ADOPTION AND SUBSEQUENT REPORTING PERIODS. MANAGEMENT IS CURRENTLY EVALUATING THE IMPACT OF THIS PRONOUNCEMENT ON THE HOSPITAL'S FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES.
PART III, LINE 8: A COST-TO-CHARGE METHODOLOGY WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS.
PART III, LINE 9B: ONCE THE COLLECTION PROCESS HAS BEGUN, THE ORGANIZATION CONTINUES TO MONITOR WHETHER THE PATIENT QUALIFIES FOR CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY. IF THE ORGANIZATION DETERMINES THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING ONCE THE COLLECTION PROCESS HAS BEGUN, THE ORGANIZATION WILL APPROVE THE PATIENT FOR CHARITY CARE. ONCE CHARITY CARE HAS BEEN APPROVED, THERE IS NO FURTHER ATTEMPT MADE BY THE ORGANIZATION TO COLLECT.
PART V, SECTION B, LINE 19D: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.FORT WASHINGTON MEDICAL CENTER, INC.
PART VI, LINE 2: FWMC GAUGES COMMUNITY NEED FROM A VARIETY OF SOURCES THAT INCLUDE STUDIES, REPORTS, FACE TO FACE MEETINGS, COMMUNITY ENGAGEMENT ACTIVITIES AND DIALOGUE WITH FWMC CLINICIANS.THE PRINCE GEORGE'S COUNTY COUNCIL, WHICH ALSO SERVES AS THE COUNTY'S HEALTH BOARD, CONTRACTED WITH THE RAND RESEARCH ORGANIZATION IN 2008 TO CONDUCT A LANDMARK STUDY. CALLED "ASSESSING HEALTH AND HEALTH CARE IN PRINCE GEORGE'S COUNTY," THE PURPOSE OF THE STUDY WAS TO ASCERTAIN THECHANGING HEALTH CARE NEEDS OF COUNTY RESIDENTS AND TO BETTER UNDERSTAND IF IN FACT THOSE NEEDS WERE BEING MET THROUGH THE HEALTH CARE SYSTEM.IN APRIL OF 2010, THE COUNCIL FORMALLY ADOPTED THE STUDY DURING THE 2010 LEGISLATIVE SESSION BY ESTABLISHING RESOLUTION CR-12-2010, FOR THE PURPOSE OF CREATING A BLUEPRINT FOR THE FUTURE TO HELP ADDRESS THE HEALTH DISPARITIES IN PRINCE GEORGE'S COUNTY. FOLLOWING ARE THE SALIENTHIGHLIGHTS OF THE STUDY:-PRINCE GEORGE'S COUNTY HAS A DISPROPORTIONATE PRESENCE OF CHRONIC DISEASE, I.E. DIABETES, HEART DISEASE, ASTHMA, AND OBESITY, THAN ANY OTHER JURISDICTION IN THE STATE OF MARYLAND; AND THAT THESE CONDITIONS OUTPACE NEIGHBORING JURISDICTIONS (DISTRICT OF COLUMBIA AND VIRGINIA).- PRIMARY CARE PHYSICIANS ARE IN SHORT SUPPLY IN PRINCE GEORGE'S COUNTY COMPARED WITH NEIGHBORING JURISDICTIONS.- THERE ARE 80,000 (SOME BELIEVE AS MANY AS 140,000) RESIDENTS IN PRINCE GEORGE COUNTY WHO ARE MEDICALLY UNINSURED.- DEMOGRAPHICALLY PRINCE GEORGE'S IS COMPRISED OF 7 GEOGRAPHIC AREAS (100,000 PEOPLE) DEFINED BY THE U.S. CENSUS BUREAU AS NON-OVERLAPPING PUBLIC USE MICRODATA AREAS OR PUMAS. FOUR OF THE 7 AREAS, ARE LOCATED INSIDE OF THE CAPITOL BELTWAY, AND REFLECT CITIES THAT ARE LOWER INCOME, LOSING POPULATION, MAJORITY AFRICAN-AMERICAN, AND A GROWING HISPANIC POPULATION. ALL FOUR ARE CONSIDERED LOWER INCOME. *NOTE: 2 OF FWMC'S 3 PRIMARY SERVICE AREAS (OXON HILL AND TEMPLE HILLS), ARE WITHIN THESE 4 PUMAS.- THERE IS LIMITED ACCESS TO QUALITY HEALTH CARE SERVICES IN PRINCE GEORGE'S COUNTY.- ALTHOUGH HOSPITAL CAPACITY IS IN COMPLIANCE WITH POPULATION NUMBERS, THERE IS A LOW SUPPLY PER CAPITA OF MEDICAL/SURGICAL, PEDIATRIC, PSYCHIATRIC AND OBSTETRIC BEDS. - PRINCE GEORGE'S LACKS A PRIMARY CARE SAFETY NET. AGAINST THE BACKDROP OF THE RAND STUDY, DATA TAKEN FROM THE MARYLAND VITAL STATISTICS ANNUAL REPORT 2009, CONFIRMED THAT PRINCE GEORGE'SCOUNTY RANKED SIGNIFICANTLY HIGHER THAN THE MARYLAND AVERAGE FOR DEATHS DUE TO HEART DISEASE. THE REPORT INDICATES THAT THE LEADING CAUSES OF DEATH IN RANK ORDER FOR THE STATE OF MARYLAND WERE (1) DISEASES OF THE HEART (25%); CANCER (24%); CEREBROVASCULAR DISEASES; FOLLOWED BY CHRONIC LOWER RESPIRATORY DISEASES; AND ACCIDENTS. WHILE DEATHS FROM DIABETES HAVE BEEN FALLING, PARTICULARLY FOR AFRICAN-AMERICANS, IT WAS THE SIXTH LEADING CAUSE OF DEATH IN 2009, 20.7 PER 100,000. IN PREVIOUS DATA TAKEN FROM PGHD'S CORE PUBLIC HEALTH FUNDING PLAN (FY 2006), IT WAS REVEALED THAT MARYLAND RANKED FOURTH HIGHEST IN THE NATION FOR DIABETES PREVALENCE.A REVIEW OF THE TOP 10 DRGS AT FORT WASHINGTON MEDICAL CENTER REVEALED THAT FIVE OF THOSE CONDITIONS CAN BE SIGNIFICANTLY IMPACTED BY LIFESTYLE. LIFESTYLE IS CONSIDERED THOSE FACTORS THAT CAN POSITIVELY IMPACT HEALTH INCLUDING (A) DIET AND NUTRITION (B) STRESS MANAGEMENT (C) BEHAVIORMODIFICATION (D) EDUCATION AND (E.) EXERCISE. LISTED BELOW ARE 5 OF THE TOP 10 CONDITIONS PRESENTED AT FWMC DURING THIS PERIOD.A. CHEST PAINB. MALIGNANT HYPERTENSIONC. HYPERTENSION - UNSPECIFIEDD. ISSUES RELATED TO CONGESTIVE HEART FAILUREE. ISSUES RELATED TO DIABETESTHE MAJOR NEEDS THAT WERE IDENTIFIED FROM THE STUDIES AND MEETINGS, AND ACTUALIZED THROUGH THIS REPORTING PERIOD WERE AS FOLLOWS:- ONGOING HEALTH EDUCATION, I.E. HEART HEALTH, DIABETES MANAGEMENT,RESPIRATORY CARE AND LIFESTYLE MANAGEMENT, I.E., NUTRITION, STRESS MANAGEMENT, EXERCISE AND OBESITY MANAGEMENT- ONGOING HEALTH SCREENINGS, I.E. BLOOD PRESSURE, DIABETES,- ONGOING COMMUNITY ENGAGEMENT AND COLLABORATION OPPORTUNITIES TO DISCUSS HEALTH MATTERS WITH COMMUNITY MEMBERS AROUND HEALTH ISSUES. AN INTERNAL COMMITTEE WHICH CONSISTS OF REPRESENTATIVES FROM THE FWMC EMERGENCY ROOM, THE EDUCATION/PERFORMANCE IMPROVEMENT DEPARTMENT, PATIENTCARE SERVICES AND CORPORATE DEVELOPMENT DISCUSS THE BEST WAYS OF ADDRESSING HEALTH CONDITIONS IMPACTING THE COMMUNITY AS SEEN BY THE HOSPITAL. THE COMMITTEE PROVIDES GUIDANCE ON OUTREACH EFFORTS THAT THE HOSPITAL UNDERTAKES TO SUPPORT THE COMMUNITY BENEFIT PROGRAM. DURING THIS REPORTING PERIOD, A COMMUNITY ADVISORY GROUP WAS ALSO ESTABLISHED.THE HOSPITAL CONTINUES TO WORK WITH STRATEGIC PARTNERS TO CARRY OUT ITS PROGRAMMING. THE HOSPITAL CONTINUES TO PARTNER WITH A HOST OF CHURCHES, SCHOOLS AND COMMUNITY AND CIVIC ASSOCIATIONS TO PROVIDE HEALTH EDUCATION AND OR SCREENINGS. THE HOSPITAL SERVES AS AN AMBASSADOR WITH THEAMERICAN HEART ASSOCIATION, AND COORDINATES EVENTS WITH BOTH THE YMCA-POTOMAC OVERLOOK, AND MARYLAND PARK AND PLANNING'S HARMONY HALL. ALL OF THESE ORGANIZATIONS HAVE A HEALTH OUTREACH FOCUS. THEY WORK WITH FWMC TO PROVIDE VENUES TO ACCESS SPECIFIC, AND SOMETIMES HARD TO REACHAUDIENCES.THE RECOMMENDATIONS OF INTERNAL AND EXTERNAL GROUPS FOR INCORPORATION INTO THE OVERALL COMMUNITY BENEFIT PROGRAM ARE SHARED WITH THE BOARD OF TRUSTEES, THROUGH ITS COMMUNITY RELATIONS COMMITTEE.
PART VI, LINE 3: FORT WASHINGTON MEDICAL CENTER COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE HOSPITAL WEBSITE AND IN HOSPITAL PUBLICATIONS. FINANCIAL ASSISTANCE PROGRAM NOTICES ARE POSTED FOR PUBLIC VIEW IN THE ADMITTING AREA, REGISTRATION AREA, PATIENT ACCOUNTS OFFICE, THE EMERGENCY DEPARTMENT AND ADMINISTRATION. FURTHERMORE, A COPY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS OR THEIR FAMILIES AS PART OF THE ADMISSION PROCESS. ALSO, ONCE THE PATIENT IS DISCHARGED, EACH BILLING STATEMENT CONTAINS A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. STAFF HAS BEEN TRAINED TO ASSIST PATIENTS WHO WISH TO UTILIZE THE FINANCIAL ASSISTANCE PROGRAM BY REFERRING THEM TO FINANCIAL COUNSELORS THAT HELP THE PATIENTS TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATIONS.
PART VI, LINE 4: FORT WASHINGTON, OXON HILL AND TEMPLE HILLS COMPRISE FORT WASHINGTON MEDICAL CENTER'S COMMUNITY BASED SERVICE AREA (CBSA) AND ARE LOCATED IN PRINCE GEORGE'S COUNTY. THE SUBURBAN CITIES ARE WITHIN A SHORT DISTANCE FROM THE WASHINGTON, D.C./MARYLAND LINE.ACCORDING TO THE U.S. CENSUS BUREAU (2010), FORT WASHINGTON, WHICH ENCOMPASSES A 14-SQUARE MILE RADIUS, HAS A POPULATION OF 23,717 PEOPLE. THE RACIAL DYNAMIC OF FORT WASHINGTON IS PRIMARILY AFRICAN-AMERICAN WITH 70.64% RESIDENTS; 13.4% WHITE RESIDENTS; 9.2% ASIAN, AND THE REMAINDER OF OTHER RACES, INCLUDING ASIAN, NATIVE-AMERICAN INDIAN, AND PACIFIC ISLANDER. THE AVERAGE HOUSEHOLD INCOME IS $102,907. HOWEVER, 4.1% OF RESIDENTS ARE CONSIDERED BELOW THE POVERTY LINE. ACCORDING TO ZIP-CODE.COM, THE MEDIAN AGE OF FORT WASHINGTON RESIDENTS IS 41.5 YEARS.SURROUNDING PORTIONS OF FORT WASHINGTON IS 9-SQUARE MILES OF LAND IN OXON HILL, MARYLAND. IT EXTENDS ALONG THE 210 NORTH CORRIDORS AND ALONG SOUTHERN AVENUE, WHICH SEPARATES IT FROM WASHINGTON, D.C. ACCORDING TO THE U.S. CENSUS BUREAU, ITS POPULATION IS 17,722 RESIDENTS. THE RACIAL MAKE-UP OF OXON HILL IS 75.5% AFRICAN-AMERICANS; 10.9% HISPANIC RESIDENTS AND 8.4% WHITE RESIDENTS. THE REMAINDER OF RESIDENTS CONSISTS OF ASIAN, NATIVE AMERICAN, AND PACIFIC ISLANDER.ZIP-CODES.COM REFERENCES THE AVERAGE AGE OF OXON HILL RESIDENTS AS 35.4 YEARS AND THE AVERAGE INCOME PER HOUSEHOLD AS $42,247. HOWEVER, DATA FROM THE CENSUS BUREAU REGARDING RESIDENTS BELOW THE POVERTY LINE WAS NOTED AS NOT APPLICABLE.ANOTHER COMPONENT OF THE FWMC SERVICE AREA IS TEMPLE HILLS, WHICH IS 1.4 SQUARE MILES, AND IS WEST OF OXON HILL AND SOUTHEAST OF WASHINGTON, D.C. TEMPLE HILLS HAS A POPULATION OF 7,852 PEOPLE. AFRICAN-AMERICANS COMPRISE THE MAJORITY OF THE POPULATION WITH 86.9% RESIDENTS, 6.2% HISPANIC RESIDENTS AND 5.6% WHITE RESIDENTS. THERE IS A SMALL POPULATION OF NATIVE AMERICANS, ASIANS, PACIFIC ISLANDERS.THE AVERAGE AGE OF THE RESIDENTS IN TEMPLE HILLS IS 38.4 YEARS AND THE MEDIAN INCOME IS $53,331. NEARLY 14% OF THE POPULATION IS CONSIDERED BELOW THE POVERTY LINE.ACCORDING TO THE U.S. CENSUS BUREAU, 14.8% OF THE 825,284 RESIDENTS OF PRINCE GEORGE'S COUNTY ARE UNINSURED. INFORMATION FROM WORLDLIFEEXPECTANCY.COM PROVIDES A LIFE EXPECTANCY RATE FOR MALE RESIDENTS OF 73.5 AND 79.2 FOR THE FEMALE POPULATION. ADDITIONALLY, COUNTYHEALTHRANKINGS.ORG CITES PRINCE GEORGE'S COUNTY'S MORTALITY RATE AS 8,374.
PART VI, LINE 5: THE HOSPITAL HAS A BOARD THAT IS MADE UP OF MEMBERS OF THE COMMUNITY WHO SERVE AS THE OVERSIGHT BODY FOR THE ACTIVITIES OF THE HOSPITAL. SURPLUS HOSPITAL FUNDS ARE REINVESTED IN THE OPERATION TO SECURE REQUIRED REPLACEMENT EQUIPMENT AND BUILDING UPGRADES/REPAIRS. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS FOR ALL OF ITS DEPARTMENTS.FORT WASHINGTON MEDICAL CENTER ROUTINELY PARTICIPATES IN COMMUNITY HEALTHFAIRS, PROVIDING EDUCATION AND BLOOD PRESSURE SCREENINGS AT VARIOUSLOCATIONS THROUGH THE PATIENT SERVICE AREA. IN ADDITION, CLASSES ARE HELD TO EDUCATE THE COMMUNITY ON A NUMBER OF HEALTH ISSUES, INCLUDING:DIABETES, HEART DISEASE AND SMOKING CESSATION.FORT WASHINGTON MEDICAL CENTER HAS A BOARD OF DIRECTORS COMPRISEDPREDOMINANTLY FROM MEMBERS OF THE COMMUNITY WHO SERVE AS THE OVERSIGHTBODY FOR THE ACTIVITIES OF THE HOSPITAL. SURPLUS FUNDS ARE REINVESTED INTHE HOSPITAL TO PROVIDE REQUIRED REPLACEMENT EQUIPMENT AND BUILDINGUPGRADES/REPAIRS AS WELL AS TO CONTINUE TO PROVIDE COMMUNITY BENEFITACTIVITIES FOR THE COMMUNITY.IT IS BELIEVED THAT A SUBSTANTIAL NUMBER OF THE EMERGENCY ROOM CASES AT FWMC ARE LINKED TO DIABETES. IN AN EFFORT TO HELP PATIENTS BETTER MANAGE DIABETES, AND TO REDUCE THE INCIDENCE OF RECIDIVISM, PATIENTS NOW SEEN AT FWMC OR THROUGH THE EMERGENCY ROOM, OR IF HOSPITALIZED, ARE RECRUITED TO PARTICIPATE IN THE CLASSES.DURING THIS REPORTING YEAR, FWMC PROVIDED THE FOLLOWING PROGRAMMATICACTIVITIES RELATED TO COMMUNITY NEED:- CONDUCTED (2) 4-WEEK DIABETES MANAGEMENT SERIES HELD IN THE SPRING AND FALL.- PROVIDED A HEALTH EDUCATION PRESENTATION SPECIFICALLY ON HEART HEALTH FOCUSING ON HYPERTENSION, CONGESTIVE HEART FAILURE, AND LIFESTYLE ELEMENTS.- PROVIDED A HEALTH EDUCATION PRESENTATION ON RESPIRATORY AILMENTS, INCLUDING ASTHMA, EMPHYSEMA AND BRONCHITIS.- PROVIDED NEARLY 30 COMMUNITY-BASED EVENTS TO 450 PARTICIPANTS.- PARTNERED WITH CHURCHES, COMMUNITY AND SOCIAL GROUPS, SCHOOLS, AND SERVICE ORGANIZATIONS TO PROVIDE HEALTH EDUCATION AND SCREENINGS.- ESTABLISHED A FRAMEWORK TO HOLD COMMUNITY ENGAGEMENT ACTIVITIES.- WORKED WITH OTHER HEALTH CARE PROVIDERS, INCLUDING THE PRINCE GEORGE'S HEALTH DEPARTMENT, THE AMERICAN HEART ASSOCIATION, AND THE FWMC MEDICAL STAFF.- PROVIDED PROFESSIONAL HEALTH EDUCATION TO 108 PARTICIPANTS.EVALUATIONS ARE DONE ON PARTS OF THE PROGRAM, WHICH HAVE INCLUDED THE DIABETES AWARENESS PROGRAM, MAJOR COMMUNITY OFFERINGS AND SPECIAL MEETINGS. THE DIABETES PROGRAM AT FWMC HAS BEEN HIGHLY SUCCESSFUL. PARTICIPANTS THEMSELVES RATE THE PROGRAM HIGHLY, NOTING THE EXPERTISE OF THE INSTRUCTORS, THE DESIGN OF THE CLASS AND THE EASY ACCESS TO THE CLASS.HEALTH FAIRS AND SCREENING PROGRAMS ARE EVALUATED ON A CASE-BY-CASE BASIS TO ASCERTAIN COMMUNITY PARTICIPATION, SPONSOR FEEDBACK, CLINICAL FOLLOW-UP, EDUCATIONAL MATERIALS, COMMUNITY AWARENESS AND AFFIRMATION, AND GENERAL FEEDBACK.EVALUATION OF PRECEPTOR-SHIP PROGRAMS ARE BUILT IN AND ARE DONE ON A CONTINUAL BASIS. FORT WASHINGTON MEDICAL CENTER'S TEACHING - PRECEPTOR PROGRAM CONTINUES TO BE A MAJOR PORTION OF COMMUNITY BENEFIT. IN REPORTING YEAR 2010-2011, NURSING AND ALLIED TRAINING PRECEPTOROPPORTUNITIES HAVE INCREASED AT FWMC. UNDER THE DIRECTION OF THE FWMC'S PERFORMANCE IMPROVEMENT DEPARTMENT, WHICH ADHERES TO THE STANDARD ESTABLISHED BY JACHO, STUDENTS ARE REQUIRED TO MEET CERTAIN HOSPITAL STANDARDS. THE DEPARTMENT WORKS WITH THE NURSING AND ALLIED HEALTH SCHOOLS TO INSURE THAT THE STANDARDS ARE MET AND THAT THERE IS APPROPRIATE REPORTING, AS REQUIRED FROM ALL PARTICIPANTS.
PART VI, LINE 6: THE NEXUS HEALTH CARE SYSTEM PROVIDES MEDICAL CARE TO COMMUNITIES IN PRINCE GEORGE'S COUNTY, MARYLAND AND WASHINGTON, D.C. THROUGH ITS OWNERSHIP IN FORT WASHINGTON MEDICAL CENTER AND CAROLYN BOONE LEWIS HEALTH CARE CENTER. CAROLYN BOONE LEWIS HEALTH CENTER IS A 183-BED TEACHING NURSING HOME LOCATED ON THE MARYLAND-WASHINGTON, D.C. LINE IN SOUTHEAST WASHINGTON D.C. IT PROVIDES SKILLED NURSING, REHABILITATION SERVICES, AND LONG-TERM CARE. FORT WASHINGTON MEDICAL CENTER IS A 37-BED HOSPITAL, CURRENTLY LICENSED FOR 41 BEDS. THE HOSPITAL UTILIZES 33 ACUTE CARE BEDS, WITH FOUR BEDS DESIGNATED FOR INTENSIVE CARE. THE HOSPITAL PROVIDES MEDICAL AND SURGICAL SERVICES, INCLUDING SPECIALTY SERVICES SUCH AS ENDOCRINOLOGY, PATHOLOGY AND HEMATOLOGY ON BOTH AN INPATIENT AND OUTPATIENT BASIS. ADDITIONALLY, THE HOSPITAL PROVIDES 24/7 EMERGENCY ROOM SERVICES.
PART VI, LINE 7MDREPORTS FILED WITH STATES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 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 OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
VERNA S MEACHAM
260172000007937097430277852000
JOSEPH B TUCKER
176127000005293017750183195000
SOCORRO OBEDOZA
156833000004710011040162647000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER OF VOLUNTEERSPART 1, LINE 6VOLUNTEER ASSISTED PATIENT'S FAMILY AND FRIENDS WITH GENERAL FACILITY INFORMATION AND DIRECTIONS.
FORM 990, PART VI, SECTION B, LINE 11UPON COMPLETION OF THE FORM 990 BY THE EXTERNAL ACCOUNTING FIRM, A REVIEW OF THE RETURN IS COMPLETED BY THE CORPORATE FINANCE DEPARTMENT AS WELL AS THE SENIOR VICE PRESIDENT FOR FINANCE AND THE PRESIDENT & CEO. THE 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. THE FINAL VERSION OF THE DOCUMENTS ARE THEN MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CIN CONNECTION WITH ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE PRESIDENT, DIRECTORS AND/OR MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. INTERESTED PERSONS ALSO SHOULD BE ALERT TO DISCLOSE ANY SITUATION THAT, BY VIRTUE OF A TRANSACTION OR ARRANGEMENT UNDER CONSIDERATION, COULD BE PERCEIVED BY ANYONE AS A CONFLICT OF INTEREST. A. DURING THE YEAR ALL INTERESTED PERSONS ARE OBLIGATED TO MONITOR THEIR OUTSIDE ACTIVITIES WITH REGARD TO ENTITIES THAT DO BUSINESS WITH NEXUS HEALTH, INC OR ITS SUBSIDIARIES. AT ANY TIME DURING THE YEAR, INTERESTED PERSONS MAY HAVE A CHANGE IN A FINANCIAL ARRANGEMENT OR ADDITION OF A NEW POTENTIAL CONFLICT OF INTEREST THAT MAY HAVE AN EFFECT ON BUSINESS. IT IS THE RESPONSIBILITY OF THE INDIVIDUAL TO REPORT THIS INFORMATION TO THE CHAIR PERSON OF THE BOARD OF TRUSTEES, PRESIDENT OR COMPLIANCE OFFICER. THE INDIVIDUAL WILL BE PROVIDED WITH THE APPROPRIATE DOCUMENTS TO REPORT THE POTENTIAL CONFLICT. B. ANNUAL REPORTING ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER, SENIOR MANAGER, DIRECTOR, MEMBER OF THE MEDICAL STAFF EXECUTIVE COMMITTEE, OR MEDICAL DIRECTOR, SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND REVIEW THE CONFLICTS OF INTEREST POLICY. TRUSTEES SHOULD ALSO REVIEW THE CORPORATION BYLAWS. THE CONFLICT OF INTEREST DISCLOSURE AND POLICY WILL BE ISSUED TO EACH INTERESTED PERSON DURING THE MONTH OF NOVEMBER BY THE EXECUTIVE ASSISTANT TO THE CEO. ALL FORMS ARE TO BE RETURNED TO THE EXECUTIVE ASSISTANT TO THE CEO NO LATER THAN DECEMBER 31ST. MANAGEMENT OF CONFLICTS: IF AN INTERESTED PERSON HAS A POTENTIAL CONFLICT OF INTEREST, IT MUST BE DISCLOSED. THE INTERESTED PERSON INVOLVED IN THE CONFLICT MAY NOT PARTICIPATE IN ANY PROCESS LEADING TO THE APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING THE CONFLICT, INCLUDING ANY VOTE OR OTHER SUBMISSION OF OPINION. IN ADDITION, THE INTERESTED PERSON MUST NOT INDIRECTLY ATTEMPT TO INFLUENCE THE DECISION-MAKING PROCESS. INTERESTED PERSONS WHO FAIL TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AND AVOID ANY DIRECT OR INDIRECT INFLUENCE IN ACCORDANCE WITH THIS POLICY SHALL BE APPROPRIATELY DISCIPLINED. VIOLATION OF THIS POLICY WILL SUBJECT THE INDIVIDUAL TO DISCIPLINARY ACTION INCLUDING POSSIBLE DISMISSAL AND MEMBERS OF THE BOARD OF TRUSTEES WILL BE SUBJECT TO REMOVAL. DISCIPLINE WILL BE COMMENSURATE WITH THE SERIOUSNESS OF THE ACTION. ALL REPORTS OF CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST WILL BE REVIEWED BY THE CHAIRMAN OF THE BOARD OF TRUSTEES, PRESIDENT AND THE COMPLIANCE OFFICER. CONFLICT DISCLOSURES WILL ALSO BE REVIEWED BY LEGAL COUNSEL. THE CHAIRMAN, PRESIDENT, COMPLIANCE OFFICER, AND LEGAL COUNSEL WILL DETERMINE IF ANY ACTION MUST BE TAKEN TO PROTECT NEXUS HEALTH, INC. OR ITS AFFECTED AFFILIATES. A REPORT OF ALL CONFLICTS OF INTEREST SHALL BE SHARED WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION: PURPOSE: THE WAGE AND SALARY STRUCTURE GOVERNING EXECUTIVE COMPENSATION IS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS OF NEXUS HEALTH, INC. VIA THE EXECUTIVE COMPENSATION COMMITTEE IN CONSULTATION WITH THE CEO. PHILOSOPHY: THE INTENT OF THIS POLICY IS TO GUIDE THE EXECUTIVE COMPENSATION PRACTICES OF THE ORGANIZATION TO ASSURE A FAIR AND EQUITABLE, WELL-DEFINED PROCESS FOR DETERMINING COMPENSATION, AND TO PROVIDE A STANDARDIZED STRUCTURE FOR MANAGING THIS ISSUE. 1. COMPENSATION OF THE PRESIDENT AND CEO OF THE ORGANIZATION IS GOVERNED BY CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT STUDY AS PART OF THEIR PROCESS IN DETERMINING THE COMPENSATION OF THE CEO. 2. COMPENSATION FOR THE SENIOR EXECUTIVE STAFF IS ESTABLISHED AS FOLLOWS: THE HUMAN RESOURCES DEPARTMENT, OR AN EXTERNAL ORGANIZATION WILL DETERMINE THE CURRENT MARKET SALARY RANGES FOR EXECUTIVE LEVEL POSITIONS BY CONDUCTING PERIODIC SALARY SURVEYS. A RANGE SHALL BY ESTABLISHED FOR EACH EXECUTIVE POSITION. THIS SHALL BE PRESENTED TO THE BOARD THROUGH THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS AT THE APRIL BOARD MEETING. 3. THE CEO HAS THE AUTHORITY TO SET EXECUTIVE COMPENSATION AND SALARY INCREASES WITHIN THE RANGES DETERMINED BY THE HR DEPARTMENT AND APPROVED BY THE BOARD. SENIOR EXECUTIVE STAFF IS DEFINED AS AN INDIVIDUAL WITH THE TITLE VICE PRESIDENT, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT, OR CORPORATE DIRECTOR. 4. EXECUTIVES SHALL BE ENTITLED TO ALL BENEFITS BEYOND SALARY AS EXTENDED TO OTHER EMPLOYEES OF THE CORPORATION. THESE INCLUDE HEALTH AND MEDICAL BENEFITS, 403B MATCH FOR RETIREMENT SAVINGS, LIFE, SHORT AND LONG-TERM DISABILITY INSURANCES OR ANY OTHER BENEFITS THAT MAY BE OFFERED AT SOME FUTURE DATE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
BOARD OF DIRECTORSFORM 990, PART VII, SECTION AALL DIRECTORS OF FWMC ARE ALSO DIRECTORS OF CAROLYN BOONE LEWIS HEALTH CARE CENTER, A RELATED ORGANIZATION. EXCEPT FOR VERNA MEACHAM, THE DIRECTORS SPEND ONE HOUR PER WEEK WORKING WITH THE RELATED ORGANIZATION. VERNA MEACHAM SPENDS APPROXIMATELY 16 HOURS PER WEEK AT THE RELATED ORGANIZATION. JOSEPH TUCKER, CFO, ALSO SPENDS APPROXIMATELY 16 HOURS PER WEEK AT THE RELATED ORGANIZATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NEXUS HEALTH INC
174 WATERFRONT STREET SUITE 225NATIONAL HARBORMD20745520238460PARENT ORGANIZATIONMD501(C)(3)509(A)(2)N/A0
CAROLYN BOONE LEWIS HEALTH CARE CENTER
1380 SOUTHERN AVE SEWASHINGTONDC20032521127260NURSING HOMEDC501(C)(3)LINE 90NEXUS HEALTH

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NEXUS CONSULTING SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1174 WATERFRONT STREET SUITE 225AddressLine1
CityNATIONAL HARBORCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
EIN521602159EIN
Primary ActivityCURRENTLY INACTIVEPrimaryActivity
Legal Domicile StateDELegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg