FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201111369349307016
Schema version
2009v1.7
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)
Timestamp2011-05-16T18:36:04-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Ernst & Young US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11901 6TH AVENUE NORTH SUITE 1200AddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35203ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520591612EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Frederick Memorial Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFREDNameControl
Phone2405663300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST 7TH STREETAddressLine1
CityFREDERICKCity
StateMDState
ZIP Code21701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELLE MAHANName
TitleCFOTitle
Date Signed2011-05-16DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2052512000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS A KLEINHANZLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 WEST 7TH STREETAddressLine1
CityFREDERICKCity
StateMDState
ZIP Code21701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts365716328GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.FMH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1897YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees3026TotalNbrEmployees
Total Nbr Volunteers819TotalNbrVolunteers
Total Gross UBI27576TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4115496ContributionsGrantsPriorYear
Contributions Grants Current Year3600853ContributionsGrantsCurrentYear
Program Service Revenue Prior Year285540207ProgramServiceRevenuePriorYear
Program Service Revenue CY303546203ProgramServiceRevenueCY
Investment Income Prior Year-3545599InvestmentIncomePriorYear
Investment Income Current Year-1304105InvestmentIncomeCurrentYear
Other Revenue Prior Year1789877OtherRevenuePriorYear
Other Revenue Current Year1438862OtherRevenueCurrentYear
Total Revenue Prior Year287899981TotalRevenuePriorYear
Total Revenue Current Year307281813TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY100000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year152677049SalariesEtcPriorYear
Salaries Etc Current Year153752164SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year749338TotalFundrsngExpCurrentYear
Other Expense Prior Year136526716OtherExpensePriorYear
Other Expenses Current Year149886646OtherExpensesCurrentYear
Total Expenses Prior Year289303765TotalExpensesPriorYear
Total Expenses Current Year303738810TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1403784RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3543003RevenuesLessExpensesCY
Total Assets BOY355525760TotalAssetsBOY
Total Assets EOY371155162TotalAssetsEOY
Total Liabilities BOY211722268TotalLiabilitiesBOY
Total Liabilities EOY226506128TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY143803492NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY144649034NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense273167801Expense
Grants100000Grants
Revenue303546203Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense273167801TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
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 DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096319NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3026NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHELLE MAHANNamePerson
Telephone Number2405663300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 WEST 7TH STREETAddressLine1
CityFREDERICKCity
StateMDState
ZIP Code21701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
E James Reinsch
Director2.0X000
Anne Herbert Rollins
Secretary And Treasurer6.0X000X
Neil Waravdekar MD
Vice Chief of Staff10.0X1505900X
Gerald Winnan MD
Director2.0X000
Adriane Wodey
Vice Chairman6.0X000X
Saeed Zaidi Md
Former Chief Of Staff/director2.0X000
Earl Mackintosh III
DIRECTOR2.0X000
John Molesworth DO
Chief Of Staff10.0X3649900X
Greg Powell Phd
Chairman of the Board8.0X000X
Marvin E Ausherman
Director2.0X000
Wendy Brundage
Director2.0X000
Carol W Eaton Phd
Director2.0X000
Bernard Gouin
Director2.0X000
Phil Hammond
Director2.0X000
Paula L Jagemann
Director2.0X000
Thomas A Kleinhanzl
President and CEO40.0X998737029206X
Craig Rosendale
VP Ancillary Services40.0181611029410X
Donald Schilling
VP Ambulatory Services40.0188759019147X
Jennifer Teeter
AVP Payor Contracts40.0146335020865X
John Verbus
Sr VP And COO40.0338897027537X
Jim Williams
VP Bus Dev And Prof Svcs40.0182897025749X
Rose Labriola
Sr VP Patient Care40.0252720018297X
Michelle Mahan
Sr VP And CFO40.0338897023082X
Terry O'Malley
VP Human Resources40.0190828021279X
David Quirke
VP Of Info Services40.0229626018036X
Manuel Casiano
VP Med Staff40.0302729024291X
Kenneth Coffey
VP And CDO40.0174236028290X
Michael Gaskins
VP Finance40.0200196023616X
Kimanh T Le Md
Physician40.0337049029657X
Brian M Oconnor MD
Physician40.0293099034069X
Joseph E Asuncion MD
Physician40.0312750029387X
Paul N Chomiak
Physician40.0379591021202X
Paul G Rausch
Physician40.0398592032393X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5499107TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation455513TotalOtherCompensation
Number Individuals GT100 K133NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
TX TEAM REHAB INC
4625 EAST STOP 11 ROADINDIANAPOLISIN46237REHABILITATION SVCS6216461
QUEST DIAGNOSTICS
PO BOX 740709LOS ANGELESCA90084LABORATORY SERVICES1684561
PRIME DOC OF FREDERICK PA
PO BOX 7568ASHEVILLENC28802PHYSICIAN SERVICES1683975
KINSLEY CONSTRUCTION
1922 GREENSPRING DRIVETIMONIUMMD21093CONSTRUCTION SVCS1490257
SLEEPMEDDIGITRACE CARE SERVICES
200 CORPORATE PLACEPEABODYMA01960MEDICAL SERVICES1463380
FieldValueIRS element (for citing)
Number Of Contractors GT100 K47NumberOfContractorsGT100K
All Other Contributions3600853AllOtherContributions
Noncash Contributions50675NoncashContributions
Total Contributions3600853TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Inpatient Revenue900099161838566161838566
Outpatient Revenue621400139478277139478277
Transcription Services561000503498503498
Group Purchasing (Premier)90009964926962169327576
All other program service revenue90009910765931076593
FieldValueIRS element (for citing)
Total Program Service Revenue303546203TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2669018TotalRevenueColumn
Exclusion$2,669,018ExclusionAmount

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)
Real21301Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real21301Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column21301TotalRevenueColumn
Exclusion$21,301ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities54461393Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities58434515Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3973122Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3973123TotalRevenueColumn
Exclusion-$3,973,123ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria and Coffee Shop7222101125321$1,125,321
Mt. Airy Joint Venture management fee541610292240$292,240
FieldValueIRS element (for citing)
Total Other Revenue1417561TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column307281813TotalRevenueColumn
Related Or Exempt Function Income303518627RelatedOrExemptFunctionIncome
Unrelated Business Revenue27576UnrelatedBusinessRevenue
Exclusion$134,757ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total100000Total
Program Services100000ProgramServices

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)
Total4051402Total
Management And General4051402ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total119106605Total
Program Services109739135ProgramServices
Management And General9082847ManagementAndGeneral
Fundraising284623Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2092555Total
Program Services1930817ProgramServices
Management And General159809ManagementAndGeneral
Fundraising1929Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19494485Total
Program Services17968046ProgramServices
Management And General1458598ManagementAndGeneral
Fundraising67841Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9007117Total
Program Services8310938ProgramServices
Management And General687877ManagementAndGeneral
Fundraising8302Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2438807Total
Program Services2243702ProgramServices
Management And General195105ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total540022Total
Management And General540022ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total336290Total
Management And General336290ManagementAndGeneral

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)
Total244974Total
Management And General244974ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32292467Total
Program Services29077367ProgramServices
Management And General3140658ManagementAndGeneral
Fundraising74442Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total868782Total
Program Services51801ProgramServices
Management And General632473ManagementAndGeneral
Fundraising184508Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7482315Total
Program Services6690235ProgramServices
Management And General696202ManagementAndGeneral
Fundraising95878Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2315615Total
Program Services2315615ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4290100Total
Program Services3817158ProgramServices
Management And General472942ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total105672Total
Program Services82492ProgramServices
Management And General23180ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total89758Total
Program Services35354ProgramServices
Management And General54087ManagementAndGeneral
Fundraising317Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6976093Total
Program Services6536599ProgramServices
Management And General425542ManagementAndGeneral
Fundraising13952Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17708575Total
Program Services14303661ProgramServices
Management And General3394002ManagementAndGeneral
Fundraising10912Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2594799Total
Program Services216605ProgramServices
Management And General2378194ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
COST OF GOODS SOLD, SUPPLIES52898670525385953562053870
Bad Debt Expense1279923912799239
ALL OTHER EXPENSES5904468441044214912622764

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total303738810Total
Program Services273167801ProgramServices
Management And General29821671ManagementAndGeneral
Fundraising749338Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3872662BOY
EOY1713322EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY27660986BOY
EOY32461636EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4694936BOY
EOY3112781EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY40614085BOY
EOY43739800EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY189443EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3974198BOY
EOY4155677EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1290470BOY
EOY2181733EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis341381504LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec166096051LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY172828942BOY
EOY175285453EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY58778330BOY
EOY69011624EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY34331477BOY
EOY33813787EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7479674BOY
EOY5489906EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY355525760BOY
EOY371155162EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30580584BOY
EOY33272469EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY140482951BOY
EOY139767920EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1436966BOY
EOY461278EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY39221767BOY
EOY53004461EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY211722268BOY
EOY226506128EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY136679001BOY
EOY138989704EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6148314BOY
EOY4683153EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY976177BOY
EOY976177EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY143803492BOY
EOY144649034EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY355525760BOY
EOY371155162EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$31,100OtherActivitiesAmount
Total Lobbying Expenditures IIB31100TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHE EXPENSE OF $31,100 REPRESENTS A PORTION OF DUES PAID TO AMERICAN HOSPITAL ASSOCIATION, MARYLAND NATIONAL CAPITAL HOMECARE ASSOCIATION, AND NATIONAL ASSOCIATION FOR HOMECARE.Explanation

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 Balance976177BeginningOfYearBalance
End Of Year Balance976177EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2421745OtherCostOrOtherBasis
Book Value2421745BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis169723804OtherCostOrOtherBasis
Depreciation45241274Depreciation
Book Value124482530BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis17306609OtherCostOrOtherBasis
Depreciation9443037Depreciation
Book Value7863572BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis149567536OtherCostOrOtherBasis
Depreciation111411740Depreciation
Book Value38155796BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2361810OtherCostOrOtherBasis
Book Value2361810BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings175285453TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Life insurance policy687699F
Investment in subsidiaries19193476F
Assets limited as to use13932612F
FieldValueIRS element (for citing)
Total Of Book Value Program Related33813787TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Advances from third parties$8,048,198
Interest rate swap contract$11,265,309
Pension liability$22,415,459
Malpractice insurance liability$4,807,951
Capital lease obligations$1,549,754
Other liabilities$4,917,790
FieldValueIRS element (for citing)
Total Of Amounts53004461TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USE OF ENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PART V, LINE 4ReturnReference
ExplanationENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. FIN 48 FOOTNOTE DISCLOSURE SCHEDULE D, PART X, LINE 2 THERE WAS NO FIN 48 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS, BECAUSE THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2010.Explanation

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)
Total Community Benefit Expense3394008TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3394008NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24386824TotalCommunityBenefitExpense
Direct Offsetting Revenue27505389DirectOffsettingRevenue
Net Community Benefit Expense-3118565NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense27780832TotalCommunityBenefitExpense
Direct Offsetting Revenue27505389DirectOffsettingRevenue
Net Community Benefit Expense275443NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1604721TotalCommunityBenefitExpense
Direct Offsetting Revenue341169DirectOffsettingRevenue
Net Community Benefit Expense1263552NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense100000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense100000NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense11306727TotalCommunityBenefitExpense
Direct Offsetting Revenue162217DirectOffsettingRevenue
Net Community Benefit Expense11144510NetCommunityBenefitExpense
Percent Of Total Expense0.03830PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense129333TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense129033NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13140781TotalCommunityBenefitExpense
Direct Offsetting Revenue503386DirectOffsettingRevenue
Net Community Benefit Expense12637095NetCommunityBenefitExpense
Percent Of Total Expense0.04290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense40921613TotalCommunityBenefitExpense
Direct Offsetting Revenue28008775DirectOffsettingRevenue
Net Community Benefit Expense12912538NetCommunityBenefitExpense
Percent Of Total Expense0.04390PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$10,624,688BadDebtExpenseAmount
Amount Attributable To1593703AmountAttributableTo
Amount Reimbursed By Medicare104516952AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare102958930CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1558022MedicareSurplusOrShortfall

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 V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1FREDERICK MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1400 WEST SEVENTH STREETAddressLine1
CityFREDERICKCity
StateMDState
ZIP Code21701ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedMedicare allowable costs were calculated using a cost-to-charge ratio.CostingMethodUsed
Subsidized Health Services ExplnN/ASubsidizedHealthServicesExpln
Percent Of Total Expense ExplnOur total expense from Form 990, Part IX, Line 25, Column (A) is $303,738,810. The bad debt expense included in this amount is $12,799,239. This left a total expense of $290,929,571 for purposes of calculating Line 7, Column (F).PercentOfTotalExpenseExpln
Bad Debt FootnoteThe Hospital's policy is to write off all patient accounts that have been identified as uncollectible. An allowance for doubtful accounts is recorded for accounts not yet written off that are anticipated to become uncollectible in future periods. Insurance coverage and credit information are obtained from patients when available. No collateral is obtained for accounts receivable. Accounts receivable from third-party payors have been adjusted to reflect the difference between charges and the estimated reimbursable amounts. Recoveries of previously written off patient receivables are recorded when received.BadDebtFootnote
Shortfall As Community BenefitMedicare allowable costs were calculated using a cost-to-charge ratio.ShortfallAsCommunityBenefit
Debt Collection PolicyPatients who qualify for charity care or financial assistance are specifically excluded from the collection process.DebtCollectionPolicy
Number Of Facility Type ExplnThere is one outpatient urgent care facility, one inpatient facility for hospice patients, one outpatient cancer treatment center, one durable medical goods organization, one home health nursing organization, one hospice care organization, one outpatient rehabilitation clinic, one outpatient treatment center, one long term care facility, five outpatient diagnostic centers and four outpatient physician clinics.NumberOfFacilityTypeExpln
General ExplanationFrederick Memorial Hospital attempts to identify and notify all patients eligible for financial assistance. All patients are notified at the time of registration of our financial assistance policy. Despite our efforts, we estimate as much as 15% of our bad debt expense could be the result of a lack of information on patients that would otherwise qualify for assistance if this information was available to us. Frederick Memorial Hospital continues to look for ways to improve our charity care process to ensure that all patients eligible for charity do receive charity.GeneralExplanation
Needs AssessmentIn 2007, the Frederick County Health Department contracted Professional Research Consultants, Inc., to perform a telephone survey of 1,000 Frederick County, Maryland adults aged 18 and older. This was the first time that a community wide Health Assessment was performed for the Frederick community. The survey instrument used for this study was based largely upon the Centers for Disease Control and prevention (CDC) Behavioral Risk Factor Surveillance System, as well as other public health surveys. As part of this community health assessment, there were five health related community focus groups. These focus groups included meetings with Physicians, Social Services Providers, Political and Community leaders, and Allied Health Professionals. The data collected by the Community Health Assessment served as a tool for reaching three basic county-wide goals: 1. To improve residents' health status, increase their life spans, and elevate their overall quality of life. 2. To reduce the health disparities among residents 3. To increase accessibility to preventive services for all community residents.NeedsAssessment
Patient Education AssistanceFrederick Memorial Hospital posts its charity care policy and financial assistance contact information in admission areas, the FMH Emergency Department, and in all of our satellite facilities in areas where eligible patients are likely to present. FMH provides a summary of the Charity Care Policy and financial assistance contact information to all patients at the time of admission to the hospital. FMH admissions personnel discuss the availability of various government benefits such as Medicaid or state programs with patients and/or their family members, and they assist patients with qualification for the programs.PatientEducationAssistance
Community InformationFrederick Memorial Hospital's patients are primarily from Frederick County, Maryland. Referrals for primary care coming from outside the county include Washington County and Carroll Counties. Regional areas from which patients come for specialty services such as cancer care, CyberKnife Radiosurgery, Interventional Cardiology procedures and Neonatal Intensive Care, include Southern Pennsylvania, Eastern West Virginia and Northern Virginia. Frederick Memorial Hospital is located in the south central portion of Frederick County, Maryland with a 2010 population of 233,600 and a projected 2020 population of 287,900.CommunityInformation
Reports Filed With StatesMDReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Frederick Community CollegeBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17932 Opossumtown PikeAddressLine1
CityFrederickCity
StateMDState
ZIP Code21702ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient520743590EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant100000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationCASHMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantSupport of Allied Health Education ProgramPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule I, Part I, Line 2Identifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationThe Hospital provides funding to a local community college (501c3) in an effort to enhance its Allied Health program. Through this program, a formal education forum is established resulting in fully accredited Programs that meet the Hospital's needs.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 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
Craig Rosendale
17045208837023220141300152800211021000
Donald Schilling
179752085820425038380153090207906000
Jennifer Teeter
137309082160810082240126410167200000
John Verbus
2904810306740177420118750156620366434000
Jim Williams
168906011669023220132050125440208646000
Rose Labriola
218865010870022985010688076090271017000
Kimanh T Le Md
3366890003600143250153320366706000
Michelle Mahan
2870200341350177420105030125790361979000
Brian M Oconnor MD
2922300008690187370153320327168000
Terry O'Malley
1779810928303564086870125920212107000
David Quirke
2160230130630540010427076090247662000
Joseph E Asuncion MD
3123930003570143250150620342137000
Manuel Casiano
284630016857012420116060126850327020000
Paul N Chomiak
32511100054480058700153320400793000
Kenneth Coffey
162392010602012420127850155050202526000
Michael Gaskins
1867830128730540079540156620223812000
Thomas A Kleinhanzl
50467006581104282560131000161060102794303315210
Paul G Rausch
39554400030480200750123180430985000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL COMPENSATION INFORMATIONIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1ReturnReference
ExplanationFREDERICK MEMORIAL HOSPITAL HOLDS TWO CORPORATE MEMBERSHIPS TO A LOCAL GOLF/COUNTRY CLUB THAT ARE USED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FUND DEVELOPMENT OFFICER OF THE HOSPITAL. WHILE THE MAJORITY OF THE FEES ASSOCIATED WITH THE CLUB DUES, ETC. ARE BUSINESS RELATED, GENERAL PERSONAL USE EXPENSES ARE REIMBURSED BACK TO THE HOSPITAL BY THESE INDIVIDUALS AS NEEDED. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4B FREDERICK MEMORIAL HOSPITAL INC HAS ONE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN WITH AN EFFECTIVE DATE OF DECEMBER 15, 2004, FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE $77,500 FOR THE YEAR ENDED JUNE 30, 2010. THOMAS KLEINHANZL RECEIVED A PAYMENT OF $331,521 FROM THE SECTION 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 6A THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIR, VICE CHAIR, IMMEDIATE PRECEDING CHAIR, CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE GOVERNANCE COMMITTEE. ANNUALLY, THE COMMITTEE REVIEWS AND RECOMMENDS TO THE BOARD VARIABLE PAY GOALS FOR THE COMING YEAR, AND PAYMENT LEVELS BASED ON PERFORMANCE FOR THE CURRENT YEAR. THE EXECUTIVE COMPENSATION PHILOSOPHY OF THE BOARD PROVIDES FOR BASE COMPENSATION AT THE 50TH TO 60TH PERCENTILE WITH VARIABLE PAY DESIGNED TO PROVIDE A TARGET OPPORTUNITY FOR TOTAL COMPENSATION TO REACH THE 75TH PERCENTILE. VARIABLE PAY CRITERIA ARE; CLINICAL QUALITY (33%), CUSTOMER SERVICE (11%), PEOPLE (11%), FINANCIAL VIABILITY (28%), AND GROWTH (17%). GOALS USING THE VARIABLE PAY CRITERIA ARE ESTABLISHED AT BOTH THE CORPORATE AND INDIVIDUAL LEVEL. INDIVIDUAL PAYMENTS ARE BASED ON PERFORMANCE AGAINST CORPORATE GOALS, INDIVIDUAL GOALS, AND DISCRETION OF THE BOARD.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MARYLAND HEALTH & HIGHER EDUC FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
CUSIP Number574217Y25CUSIPNumber
Date Issued2008-07-09DateIssued
Issue Price72160000IssuePrice
Description Of PurposeSEE SCHEDULE ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds72160000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Amount Defeased0AmountDefeased
Amount Unspent0AmountUnspent
Issuance Costs From Proceeds1142505IssuanceCostsFromProceeds
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00720PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00720TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1UBS AG StamfordBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge3.8TermOfHedge
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonPaul ChomiakNamePerson
Purpose Of LoanSee Schedule OPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$649,518OriginalPrincipalAmount
Balance Due189443BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due189443TotalBalanceDue

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99050675NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSION STATEMENTFORM 990, PART III, LINE 1THE MISSION OF FREDERICK MEMORIAL HOSPITAL, INC. IS TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER THROUGH A COORDINATED PROGRAM OF PREVENTION, DIAGNOSIS AND TREATMENT, REHABILITATION, AND SUPPORT. PROGRAM SERVICE ACTIVITIES FORM 990, PART III, LINE 4A OVER THE PAST YEAR, FMH HAS ENJOYED STRONG PATIENT VOLUME GROWTH IN BOTH THE OUTPATIENT AND INPATIENT SETTINGS. THIS CONTINUING GROWTH IS, IN LARGE MEASURE, THANKS TO OUR DEDICATED EMPLOYEES, PHYSICIANS AND VOLUNTEERS WHO CONTINUE TO PROVIDE SUPERB CUSTOMER SERVICE AND COMPASSIONATE, QUALITY CARE TO OUR PATIENTS. DESPITE CHALLENGING ECONOMIC CONDITIONS, AND INCREASED WORK LOADS DUE TO GROWING VOLUMES AND SERVICE EXPANSIONS, FMH CONTINUED TO IMPROVE PATIENT SATISFACTION SCORES. THE HEALTHCARE SYSTEM ENDED THE FISCAL YEAR WITH THE HIGHEST PERCENTILE INPATIENT SATISFACTION SCORE WE HAVE EVER ACHIEVED. THE EMERGENCY DEPARTMENT HAS BEEN NOTHING SHORT OF AMAZING BY RECORDING A PATIENT SATISFACTION SCORE IN THE 85TH PERCENTILE. THE REGIONAL CANCER THERAPY CENTER AND FMH HOMECARE HIT PATIENT SATISFACTION HOME RUNS BY SCORING IN THE TOP 10 PERCENT OF THEIR NATIONAL PEER GROUP. SUBSTANTIAL PATIENT SATISFACTION PROGRESS WAS ALSO REALIZED IN AMBULATORY SURGERY AND MAIN CAMPUS OUTPATIENT SERVICES. THE IMPLEMENTATION OF OUR CONCIERGE AND PATIENT AMBASSADOR PROGRAMS, AS WELL AS THE RE-ESTABLISHMENT OF FREE VALET PARKING HAVE HELPED TO INCREASE SCORES AND DRAW ATTENTION TO THE HEALTHCARE SYSTEM'S CONTINUING COMMITMENT TO PATIENT SATISFACTION. OVER THE PAST TWELVE MONTHS, THE HEALTHCARE SYSTEM HAS DRAWN THE REGION'S ATTENTION FOR MORE THAN EXCEPTIONAL CUSTOMER SERVICE. OUR PROGRAMS AND SERVICES ARE WINNING AWARDS, CERTIFICATIONS, ACCREDITATIONS AND CENTER OF EXCELLENCE DESIGNATIONS AT A REMARKABLY RAPID RATE. THE STROKE PROGRAM, THE FMH JOINT WORKS - HIP AND KNEE SURGERY - THE INTERVENTIONAL CARDIOLOGY PROGRAM, THE PULMONARY FUNCTION LABORATORY, AND THE REGIONAL CANCER THERAPY CENTER ARE JUST A FEW FMH DEPARTMENTS AND SERVICES THAT HAVE RECEIVED RECOGNITION FOR EXCELLENCE. THE FMH WOUND CARE CENTER IS NOW ONE OF ONLY A FEW HUNDRED CENTERS NATIONALLY ACCREDITED FOR HYPERBARIC MEDICINE TREATMENT. IN ADDITION, HIMSS (THE NATIONAL HEALTHCARE INFORMATION SYSTEMS SOCIETY) RECOGNIZED FMH AS A LEVEL 6 PROVIDER ON THE NATIONWIDE ELECTRONIC MEDICAL RECORD ADOPTION MODEL RANKING SCALE. IN THE PAST YEAR, FMH RECEIVED 8 AWARDS FROM THE MEDICARE HOSPITAL QUALITY INCENTIVE DEMONSTRATION (HQID) PROJECT. THE HEALTHCARE SYSTEM RECEIVED PAYMENTS IN EXCESS OF $140,000 IN RECOGNITION OF OUR CONTINUED COMMITMENT TO MEETING EXCEPTIONAL QUALITY STANDARDS IN HIGH VOLUME DIAGNOSES. IMPORTANT WORK CONTINUES IN THE AREA OF REDUCING PATIENT INFECTIONS AS WELL. A RENEWED COMMITMENT TO IMPROVING HAND HYGIENE AND DECREASING HOSPITAL ACQUIRED INFECTIONS HAS BEGUN TO PRODUCE RESULTS BENEFITING OUR PATIENTS. IN THE SPIRIT OF IMPROVING QUALITY, THE MEDICAL EXECUTIVE COMMITTEE AND THE MEDICAL STAFF HAVE DECIDED TO RESTRUCTURE THE MANNER IN WHICH PHYSICIAN PEER REVIEW IS CONDUCTED WITH THE ESTABLISHMENT OF THE SYSTEMS REVIEW OVERSIGHT COMMITTEE (SROC). THIS NEW PEER REVIEW PROCESS WILL PROVIDE FOR GREATER CONTINUITY OF PHYSICIAN PEER REVIEWERS AND IMPROVED TIMELINESS OF REVIEWS OF INDIVIDUAL CASES WHILE IDENTIFYING OPPORTUNITIES FOR EDUCATION. MAJOR EXPANSIONS IN SOME OF THE HEALTHCARE SYSTEM'S CLINICAL SERVICES, AND THE OPENING OF NEW SATELLITE FACILITIES, WILL BENEFIT THE CITIZENS OF THE REGION FOR MANY YEARS TO COME. WE HAVE WORKED IN CONCERT WITH SEVERAL OF OUR PHYSICIAN GROUPS TO EXPAND ACCESS TO HEALTHCARE BY CREATING OFFICE SPACE FOR THEIR PRACTICES IN THE FMH URBANA FACILITY, AND MOST RECENTLY, IN SOUTH FREDERICK IN FMH CRESTWOOD. THIS FACILITY HOUSES THE WOMEN'S CENTER, A NEW CONCEPT IN THE PROVISION OF WOMEN'S HEALTH SERVICES IN FREDERICK COUNTY THAT PROVIDES COMPREHENSIVE DIAGNOSTIC, TREATMENT AND REHABILITATION SERVICES IN ONE CONVENIENT LOCATION. SIGNATURE SERVICE LINES WERE STRENGTHENED IN FY10 WITH THE ADDITION OF SEVERAL OUTSTANDING PHYSICIANS WHO ARE RECOGNIZED LEADERS IN THEIR FIELDS OF MEDICINE. DR. GREGORY GAGNON, A PIONEER IN CYBERKNIFE RADIOSURGERY AND RECOGNIZED WORLDWIDE AS THE LEADING AUTHORITY IN THE DISCIPLINE, IS THE NEW MEDICAL DIRECTOR OF THE FMH CYBERKNIFE CENTER. PEDIATRIC CARE AT FMH TOOK A MAJOR STEP FORWARD WITH THE ADDITION OF DR. ROBERT WACK, MEDICAL DIRECTOR FOR EMERGENCY PEDIATRIC SERVICES. DR. WACK HAS IMPLEMENTED 24/7 EMERGENCY CARE FOR PEDIATRIC PATIENTS AND LAUNCHED THE CO-LOCATION OF PEDIATRIC EMERGENCY SERVICES AND PEDIATRIC INPATIENT CARE ON THE SECOND FLOOR OF THE HOSPITAL. DR. ERIC BUSH IS THE NEW MEDICAL DIRECTOR OF HOSPICE OF FREDERICK COUNTY AND HAS ASSUMED RESPONSIBILITY FOR THE HOSPITAL'S PALLIATIVE END OF LIFE CARE PROGRAM. FREDERICK COUNTY'S OFFICE OF ECONOMIC DEVELOPMENT, WORKFORCE SERVICES AND THE FREDERICK CHAMBER OF COMMERCE ALONG WITH THE CITY OF FREDERICK'S DEPARTMENT OF ECONOMIC DEVELOPMENT RECENTLY HONORED FMH AS ONE OF THE TOP FIVE MOST "FAMILY FRIENDLY" BUSINESSES IN THE AREA. OUR COMMITMENT TO PROVIDE OUR EMPLOYEES WITH A WORK ENVIRONMENT THAT IS WELCOMING AND SAFE HAS NEVER BEEN STRONGER. WE LAUNCHED A WEB-BASED RESOURCE CALLED CULTURE VISION, DESIGNED TO HELP HEALTHCARE WORKERS BETTER UNDERSTAND THE DIVERSE NEEDS OF OUR PATIENTS; AND, IN AUGUST, THE HEALTHCARE SYSTEM'S FIRST DIRECTOR OF CULTURAL AWARENESS AND INCLUSION WILL CHAMPION NEW INITIATIVES AND EVENTS TO CELEBRATE DIVERSITY IN THE WORKPLACE. FMH WAS ALSO THE RECIPIENT OF THE 2010 FREDERICK COUNTY BUSINESS ETHICS AWARD BESTOWED BY THE ROTARY CLUB OF CARROLL CREEK AND SPONSORED BY THE FREDERICK NEWS POST. THE FREDERICK COUNTY BUSINESS ETHICS AWARD RECOGNIZES BUSINESSES IN FREDERICK COUNTY THAT EXEMPLIFY A STRONG COMMITMENT TO BUSINESS EXCELLENCE AND TO THE HIGHEST STANDARDS OF CIVIC AND SOCIAL RESPONSIBILITY. THE AWARD HONOR BUSINESSES THAT HAVE PROMOTED ETHICAL CONDUCT FOR THE BENEFIT OF THE WORKPLACE, THE MARKETPLACE, THE ENVIRONMENT AND THE COMMUNITY. AS THE IMPLEMENTATION OF FEDERAL HEALTH CARE REFORM BEGINS TO TAKE ROOT, WE KNOW WE WILL BE CALLED UPON TO DO MORE WITH LESS. WE WILL BE REQUIRED TO FOCUS ON PROVIDING HIGHER VALUE, AND QUALITY, RATHER THAN VOLUME AND QUANTITY OF SERVICE TO OUR PATIENTS. TOGETHER WITH OUR PHYSICIAN PARTNERS, WE WILL CONTINUE TO REDEFINE HOW WE COORDINATE AND DELIVER COMMUNITY BASED CARE FOR THE RESIDENTS OF FREDERICK COUNTY AND BEYOND. BY WORKING TOGETHER, OUR 108-YEAR LEGACY OF PROVIDING FOR THE HEALTH AND WELL BEING OF OUR COMMUNITY WILL LAST WELL INTO THE 21ST CENTURY. AS THE REGIONAL LEADER FOR SUPERB CARE, WE LOOK FORWARD TO OUR CONTINUED JOURNEY. FREDERICK MEMORIAL HOSPITAL IS BEING RECOGNIZED THROUGHOUT THE REGION AS THE PHYSICIANS' DESTINATION OF CHOICE FOR OUTSTANDING PATIENT CARE, SERVICE EXCELLENCE AND QUALITY OUTCOMES. THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL WAS AWARDED TO FMH FOR ADHERING TO STRICT STANDARDS OF OPERATIONAL EXCELLENCE IN THE PROVISION OF PATIENT CARE, THE MAINTENANCE OF METRIC STANDARDS RELATIVE TO CORE MEASURES, AND PROVIDING A SAFE ENVIRONMENT OF CARE. THE FMH REGIONAL CANCER THERAPY CENTER HAS BEEN AWARDED A 3-YEAR ACCREDITATION BY THE COMMISSION ON CANCER, THE HIGHEST DEGREE OF ACCREDITATION POSSIBLE. THE COMMISSION HAS RECOGNIZED THE FMH CANCER PROGRAM AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM, AN HONOR ONLY 22% OF HOSPITALS IN THE NATION ACHIEVE. THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES HAS ACCREDITED THE FMH ECHO LABORATORY IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY. THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES HAS ACCREDITED THE FMH VASCULAR LABORATORY IN EXTRACRANIAL CEREBROVASCULAR, PERIPHERAL ARTERIAL AND PERIPHERAL VENOUS TESTING. THE UNDERSEA & HYPERBARIC MEDICAL SOCIETY HAS ACCREDITED THE FMH CENTER FOR ADVANCED WOUND CARE & HYPERBARIC MEDICINE. FMH IS THE REGION'S ONLY HYPERBARIC OXYGEN THERAPY CENTER ACCREDITED BY THE UHMS.
PROGRAM SERVICE ACTIVITIES CONTINUED...THE AMERICAN COLLEGE OF RADIOLOGY HAS ACCREDITED THE FMH IMAGING SERVICES DEPARTMENT IN CT, MAMMOGRAPHY, MRI, NUCLEAR MEDICINE AND ULTRASOUND. INTERVENTIONAL CARDIOLOGY WAS DESIGNATED BY UNITEDHEALTH AS A PREMIUM INTERVENTIONAL CARDIOLOGY SPECIALTY CENTER. THE FMH JOINT WORKS PROGRAM HAS BEEN DESIGNATED AS A PREMIUM JOINT SURGERY SPECIALTY CENTER BY UNITEDHEALTH, AND RECEIVED THE BLUE DISTINCTION CENTER OF EXCELLENCE FOR HIP AND KNEE SURGERY BY THE NATIONAL BLUECROSS & BLUESHIELD ASSOCIATION, AND A DESIGNATED AETNA INSTITUTE OF QUALITY ORTHOPEDIC CARE TOTAL JOINT REPLACEMENT. FMH STROKE CENTER WAS DESIGNATED BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS (MIEMSS) AS A PRIMARY STROKE CENTER AND AWARDED A STROKE CENTER BRONZE PERFORMANCE AWARD BY THE AMERICAN HEART ASSOCIATION. FREDERICK MEMORIAL HEALTHCARE SYSTEM'S PATIENTS ARE PRIMARILY FROM FREDERICK COUNTY, MARYLAND, THAT HAS AN ESTIMATED POPULATION OF 233,000 CITIZENS. REFERRALS FOR PRIMARY CARE COMING FROM OUTSIDE THE COUNTY INCLUDE WASHINGTON COUNTY AND CARROLL COUNTIES. REGIONAL AREAS FROM WHICH PATIENTS COME FOR SPECIALTY SERVICES SUCH AS CANCER CARE, CYBERKNIFE RADIOSURGERY, INTERVENTIONAL CARDIOLOGY PROCEDURES AND NEONATAL INTENSIVE CARE, INCLUDE SOUTHERN PENNSYLVANIA, EASTERN WEST VIRGINIA AND NORTHERN VIRGINIA. FREDERICK MEMORIAL HEALTHCARE SYSTEM IS LOCATED IN THE SOUTH CENTRAL PORTION OF FREDERICK COUNTY, MARYLAND WITH A 2010 POPULATION OF 233,600 AND A PROJECTED 2020 POPULATION OF 287,900. INCOME PROFILE OF PRIMARY SERVICE AREA ACCORDING TO THE 2006 AMERICAN COMMUNITY SURVEY, FREDERICK COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $74,029. THIS IS $8,885 MORE THAN THE MEDIAN INCOME OF MARYLAND, $65,144. SINCE 1979, WHEN COUNTY RESIDENTS MADE ONLY $560 MORE THAN THE AVERAGE STATE RESIDENT, FREDERICK COUNTY HAS CONTINUED TO INCREASE THE GAP BETWEEN THE MEDIAN INCOME OF THE MARYLAND AND THE COUNTY. WITHIN THE PAST 27 YEARS, FREDERICK COUNTY RESIDENTS HAVE INCREASED THEIR MEDIAN HOUSEHOLD INCOME BY 114%. THE GREATEST INCREASE IN HOUSEHOLD INCOME WAS BETWEEN 1989 AND 1999, WHEN RESIDENTS WENT FROM MAKING $41,382 TO $60,276 IN 10 YEARS; A 46% INCREASE. EVEN WITHIN THE LAST 8 YEARS RESIDENTS HAVE SEEN A 23% OR $13,753 INCREASE IN INCOME. THIS TREND ENDED ABRUPTLY WITH THE ADVENT OF THE ECONOMIC DOWNTURN. IN 2010, THE UNEMPLOYMENT RATE IN BETHESDA, FREDERICK AND GAITHERSBURG (THE AREAS ARE REPORTED IN "PLACE OF RESIDENCE" BUNDLE BY THE MARYLAND DEPARTMENT OF LABOR, LICENSING AND REGULATION) WAS 5.8. IN 2007 THE UNEMPLOYMENT RATE WAS 2.7. SINCE 1999, THE MAJORITY OF HOUSEHOLDS MAKE $50,000 - $74,999 A YEAR. IN 1999, THE INCOME RANGES OF HOUSEHOLDS WERE MORE EVENLY DISTRIBUTED THAN IN 2006, TAKING ON A BELL SHAPED CURVE APPEARANCE. INCOMES SPIKED AT $50,000 - $74,999 AND ON BOTH SIDES OF THIS SPIKE THE PERCENTAGE OF HOUSEHOLDS SLOWLY DROPPED. IN 2006, THE HOUSEHOLD INCOME STILL SPIKED AT THE $50,000 - $74,999 RANGE; HOWEVER THE 2 SIDES OF THIS SPIKE WERE NOT EVENLY DISTRIBUTED. THE INCOME RANGES RISE AT A SLOW RATE UNTIL SPIKING AND THEN REMAIN AT CONSTANTLY HIGHER PERCENTAGE LEVELS. IN ESSENCE, THE DIVISION OF POOR AND RICH HOUSEHOLDS IN FREDERICK COUNTY HAS BECOME MORE EXTREME WITHIN THE PAST 7 YEARS. POVERTY LEVELS IN 1989 17.3% OF THESE HOUSEHOLDS WERE BELOW POVERTY LEVEL; IN 2006 THIS HAS DECREASED TO ONLY 7.7%. FEMALE HOUSEHOLDERS WITH CHILDREN STILL HAVE THE HIGHEST PERCENTAGE OF POVERTY LEVELS BUT THE DECREASE HAS BEEN VERY SIGNIFICANT WITHIN THE PAST 17 YEARS. COMMUNITY HEALTH ASSESSMENT IN 2007, THE FREDERICK COUNTY HEALTH DEPARTMENT CONTRACTED PROFESSIONAL RESEARCH CONSULTANTS, INC., TO PERFORM A TELEPHONE SURVEY OF 1,000 FREDERICK COUNTY, MARYLAND ADULTS AGED 18 AND OLDER. THIS WAS THE FIRST TIME THAT A COMMUNITY WIDE HEALTH ASSESSMENT WAS PERFORMED FOR THE FREDERICK COMMUNITY. THE SURVEY INSTRUMENT USED FOR THIS STUDY WAS BASED LARGELY UPON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, AS WELL AS OTHER PUBLIC HEALTH SURVEYS. AS PART OF THIS COMMUNITY HEALTH ASSESSMENT, THERE WERE FIVE HEALTH RELATED COMMUNITY FOCUS GROUPS. THESE FOCUS GROUPS INCLUDED MEETINGS WITH PHYSICIANS, SOCIAL SERVICES PROVIDERS, POLITICAL AND COMMUNITY LEADERS, AND ALLIED HEALTH PROFESSIONALS. THE DATA COLLECTED BY THE COMMUNITY HEALTH ASSESSMENT SERVED AS A TOOL FOR REACHING THREE BASIC COUNTY-WIDE GOALS: 1. TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. FMH ACTION 2009: THE FMH WELLNESS CENTER CREATED A NUMBER OF SCREENINGS, PROGRAMS AND EDUCATIONAL EVENTS TO INCREASE THE COMMUNITY'S KNOWLEDGE ABOUT SPECIFIC DISEASE CONDITIONS THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT AS AREAS OF CONCERN FOR OUR COMMUNITY: CANCER, HEART DISEASE, NUTRITION AND WEIGHT MANAGEMENT. ARMED WITH THE KNOWLEDGE NEEDED TO MAKE THE NECESSARY LIFESTYLE AND BEHAVIORAL CHANGES TO REMAIN HEALTHY HAS ENHANCED OUR COMMUNITY'S HEALTH STATUS IN MANY POSITIVE WAYS. FMH ACTION 2010: THE RADIOLOGY DEPARTMENT IN CONJUNCTION WITH CORP OHS, ORGANIZED BLOCK APPOINTMENT TIMES FOR SCREENING MAMMOGRAMS FOR THE BUSINESS COMMUNITY IN FREDERICK COUNTY. OVER 300 WOMEN PARTICIPATED IN THE PROGRAM. THE FMH COMMUNITY OUTREACH PROGRAM WAS LAUNCHED IN FY 2010. THIS GROUP OF FMH VOLUNTEER EMPLOYEES ORGANIZED A NUMBER OF SCREENING AND EDUCATIONAL EVENTS INCLUDING: ASTHMA AWARENESS DAY, COPD SCREENINGS & SEMINARS, SMOKING CESSATION & TOBACCO PREVENTION PROGRAMS. THIS SAME GROUP BROUGHT ATTENTION TO THE HIGH INCIDENCE OF HEART ATTACK AND STROKE IN FREDERICK COUNTY BY PARTICIPATING IN THE AMERICAN HEART ASSOCIATION'S START! GREATER WASHINGTON HEART WALK. DOZENS OF FMH EMPLOYEES AND THEIR FAMILY MEMBERS PARTICIPATED IN THE WALK RAISING OVER $7,000 FOR THE CAUSE. THE FMH CENTER FOR ADVANCED WOUND CARE AND HYPERBARIC MEDICINE SPONSORED A FREE SEMINAR AND SCREENING EVENT TO ASSESS WOUNDS THAT WOULD NOT HEAL. THE EDUCATIONAL SEMINAR EXPLAINED THE LATEST ADVANCES IN WOUND CARE PROTOCOLS AND TECHNIQUES, AND OFFERED A TOUR OF THE HYPERBARIC CHAMBERS. THE FMH WELLNESS PROGRAM SPONSORED A NUMBER OF BLOOD PRESSURE SCREENINGS AND GENERAL WELLNESS MAINTENANCE LECTURES THROUGHOUT THE COMMUNITY. 2. TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. THE DEMOGRAPHIC INFORMATION GATHERED DURING THE SURVEY PROCESS HAS ALLOWED THE HEALTH DEPARTMENT AND THE FREDERICK MEMORIAL HEALTHCARE SYSTEM TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. FMH ACTION 2009: THE FMH REGIONAL CANCER THERAPY CENTER HOSTED PROSTATE CANCER SCREENING EVENTS, AND VASCULAR SERVICES PERFORMED SCREENINGS FOR PERIPHERAL ARTERY DISEASE IN AREAS OF THE COUNTY WHERE ACCESS TO SUCH SERVICES IS CHALLENGING. THE AFRICAN AMERICAN AND HISPANIC POPULATIONS REPRESENT HIGH-RISK DEMOGRAPHICS IN FREDERICK COUNTY FOR BOTH OF THESE DISEASE CONDITIONS. FMH ACTION 2010: FREDERICK MEMORIAL HOSPITAL'S PARTICIPATION IN THE FREDERICK COUNTY HEALTH CARE COALITION (FCHCC) HAS INCREASED OVER THE PAST 12 MONTHS. THE CHAIRMAN OF THE EXECUTIVE COMMITTEE IS AN FMH EMPLOYEE AS IS ANOTHER MEMBER OF THE BOARD. THE FCHCC HAS BEEN WORKING BEHIND THE SCENES WITH THE COMMUNITY ACTION AGENCY TO ENCOURAGE THEIR APPLICATION FOR FEDERAL FUNDING TO EXPAND PROGRAMS AND SERVICES AS A COMMUNITY HEALTH CLINIC. THE ESTABLISHMENT OF A FREE COMMUNITY CLINIC WOULD HELP TO ADDRESS THE IDENTIFIED DISPARITIES IN ACCESSING CARE. THE HEALTHCARE SYSTEM CONTINUED TO OFFER LABORATORY DIAGNOSTIC TESTING TO THE FREDERICK COUNTY MISSION OF MERCY. 3. TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. FMH ACTION 2009: AN AREA IDENTIFIED BY THE COMMUNITY HEALTH ASSESSMENT AS REQUIRING IMMEDIATE ACTION RELATIVE TO ACCESS ISSUES WAS IN THE PRENATAL CARE ARENA. MANY WOMEN IN FREDERICK COUNTY WERE RECEIVING NO PRENATAL CARE. THEIR BABIES BEING DELIVERED AT FMH WERE REQUIRING ADMISSION TO THE NEONATAL CARE INTENSIVE CARE UNIT IN PERCENTAGES FAR ABOVE THE EXPECTED ADMISSION RATE WHEN COMPARED WITH ACTUAL PATIENT ADMISSIONS. THE FMH AUXILIARY PRENATAL CENTER WAS ESTABLISHED TO PROVIDE THESE UNDERINSURED OR UNINSURED WOMEN WITH THE PRENATAL CARE NECESSARY TO ENSURE A HEALTHY BIRTH WEIGHT BABY THAT WAS FULL-TERM GESTATIONAL AGE. IT WORKED!
PROGRAM SERVICE ACTIVITIES CONTINUED...FMH ACTION 2010: THE CARDIAC AND PULMONARY REHABILITATION DEPARTMENT ORGANIZED VASCULAR SCREENINGS AND ONE-ON-ONE CONSULTATIONS WITH CARDIOVASCULAR PHYSICIANS AND PULMONOLOGISTS. THE FMH WELLNESS CENTER SPONSORED A NUMBER OF DIET AND NUTRITION CLASSES IN CONJUNCTION WITH THEIR HEALTHY WEIGH PROGRAM TARGETING OBESITY IN CHILDREN IN FREDERICK COUNTY. FMH WELLNESS CENTER THE FMH WELLNESS CENTER IS A DIVISION OF THE FREDERICK MEMORIAL HEALTHCARE SYSTEM WHICH PROMOTES HEALTHIER LIFESTYLES AND ENHANCED LEVELS OF WELLNESS BY PROVIDING HEALTH EDUCATION CLASSES, HEALTH SCREENINGS AND INDIVIDUAL SERVICES. BECAUSE EARLY DETECTION AND EDUCATION ARE THE KEYS TO A HIGHLY INFORMED AND EDUCATED COMMUNITY, THE HOSPITAL VIGOROUSLY SUPPORTS THE WELLNESS CENTER IN A VARIETY OF CLIENT CENTERED WELLNESS ACTIVITIES. IN FY 2010, THE FMH WELLNESS CENTER TOUCHED OVER 122,000 MEMBERS OF OUR COMMUNITY. CORPORATE PARTNERS AND COMMUNITY WELLNESS SERVICES - 2010 THE HEALTH AND WELLNESS OF THE RESIDENTS OF FREDERICK COUNTY AND THE SURROUNDING AREAS IS THE MOST IMPORTANT CONTRIBUTION OF THE FREDERICK MEMORIAL HEALTHCARE SYSTEM WELLNESS CENTER. EACH YEAR WE SEARCH FOR NEW PARTNERSHIPS AND PROGRAMS THAT FOCUS ON GUIDING OUR FRIENDS AND FAMILIES TOWARDS HEALTHIER LIFESTYLES. THESE ORGANIZATIONS AND BUSINESSES JOINED US IN A COLLABORATIVE EFFORT TO SECURE A GREATER LEVEL OF HEALTH FOR MEMBERS OF OUR COMMUNITY: - AIRLINE OWNERS AND PILOTS ASSOCIATION - AMERICAN RED CROSS - AMERICAN CANCER SOCIETY - AMERICAN DIABETES ASSOCIATION - AMERICAN HEART ASSOCIATION - BECHTEL - BIG BROTHERS AND SISTERS OF AMERICA - BOY SCOUTS OF AMERICA - CHRIST REFORMED UCC - CITY OF FREDERICK - CORPORATE OCCUPATIONAL HEALTH SERVICES - EDCO - ELDER EXPO - FAMILIES PLUS - FMH SELECT - FRANCES SCOTT KEY MALL - FREDERICK COMMUNITY COLLEGE - FREDERICK COUNTY COMMISSION ON WOMEN - FREDERICK COUNTY HEALTH DEPARTMENT - FREDERICK COUNTY HEAD START - FREDERICK COUNTY HOSPICE - FREDERICK COUNTY PUBLIC SCHOOL SYSTEM - FREDERICK NEWS POST - FT. DETRICK - FSK MALL - GAL PALS PROGRAM (FREDERICK POLICE DEPT.) - GREATER FREDERICK FAIR - HOLISTIC HEALTH CONFERENCE PLANNING COMMITTEE - HOOD COLLEGE - JEANNIE BUSSARD - KEY 103 - KIWANIS CLUB - LIFE AND DISCOVERY INC. - LORIEN HEALTH SYSTEM, MT. AIRY - MARYLAND MENTAL HEALTH ASSOCIATION - MCLAUGHLIN FAMILY CHIROPRACTIC - MEDIMMUNE - MENTAL HEALTH ASSOCIATION OF FREDERICK COUNTY - MT. ST. MARY'S - PFIZER - RED DEVIL ORGANIZATION - SAIC OF FORT DETRICK - TRANSIT SERVICES OF FREDERICK COUNTY - TRINITY SCHOOL OF FREDERICK - TUSCARORA HIGH SCHOOL SAFE "N" SANE COMMITTEE - TX TEAM - UNITED HEALTHCARE - UP COUNTY FAMILY SERVICES - URBANA MUSIC FESTIVAL - VISITATION ACADEMY - VOLUNTEER FREDERICK EITHER THROUGH JOINT EFFORTS WITH OUR COLLABORATIVE PARTNERS OR INDEPENDENTLY, THE FOLLOWING SERVICES WERE DESIGNED AND IMPLEMENTED BY THE FREDERICK MEMORIAL HEALTHCARE SYSTEM WELLNESS CENTER. - 12 BLOOD PRESSURE SCREENINGS ATTENDED BY 47 PARTICIPANTS - 1 QUIT SMOKING CLINIC ATTENDED BY 20 PARTICIPANTS - 10 WELLNESS LECTURES SERVING 75 MEMBERS OF THE FREDERICK COUNTY COMMUNITY. - 1 MALL WELLNESS EVENT SPECIFICALLY DESIGNED TO ADDRESS THE GENERAL HEALTH ISSUES OF ALL AGES FOR MORE THAN 1,500 COMMUNITY MEMBERS. - GENERAL HEALTH AND WELLNESS INFORMATION EVENT BOXES, DISTRIBUTED TO ELEMENTARY SCHOOL AND COLLEGE EVENTS, AND FORT DETRICK, THAT REACHED OVER 900 INDIVIDUALS. - GENERAL HEALTH AND WELLNESS INFORMATION DISTRIBUTED DURING 5 COMMUNITY EVENTS SERVING OVER 1,100 MEMBERS OF THE COMMUNITY. - GENERAL HEALTH AND WELLNESS INFORMATION, AND HEALTH SCREENINGS PROVIDED DURING 3 COMMUNITY EVENTS SERVING OVER 200 PARTICIPANTS. - PHYSICIAN INFORMATION AND REFERRAL SERVICE FOR GREATER THAN 1,536 INDIVIDUALS AND FAMILIES. - WELLNESS INFORMATION SESSIONS 3,782 ATTENDEES AT VARIOUS BUSINESSES AND COMMUNITY ORGANIZATIONS. EMPLOYEE WELLNESS PROGRAM - 2010 THE WELLNESS CENTER IN PARTNERSHIP WITH THE FMH HUMAN RESOURCES DEPARTMENT AND CORPOHS, CONTINUED THE EMPLOYEE WELLNESS PROGRAM IN 2010. THIS PROGRAM, DESIGNED TO ADDRESS THE SPECIFIC HEALTH NEEDS OF MEMBERS OF THE HOSPITAL FAMILY PROVIDED 130 EVENTS FOR OVER 1,880 MEMBERS OF THE HOSPITAL STAFF AND VOLUNTEERS. FAMILY FOCUS PROGRAM SERVICES - 2010 THE WELLNESS CENTER'S FAMILY FOCUS PROGRAM PROVIDES EDUCATION AND SUPPORT TO THE CORE OF OUR COMMUNITY - THE FAMILY. THE PROGRAM WORKS IN CONJUNCTION WITH THE FMH BIRTHPLACE TO PROVIDE EXPECTANT PARENTS A PREVIEW TOUR OF THE BIRTH FACILITY. THE FAMILY FOCUS PROGRAM ALSO HELPS PARENTS PREPARE FOR THE BIRTH OF THEIR CHILD BY PROVIDING QUALITY CHILDBIRTH AND PARENTING EDUCATION CLASSES TO THOUSANDS OF PARENTS EVERY YEAR. SIBLINGS-TO-BE PARTICIPATE IN THE EVER-POPULAR "SMALL WONDER" PROGRAM TO HELP THEM WELCOME A NEW BABY BROTHER OR SISTER. FAMILY FOCUS HAS SERVED OVER 10,337 COMMUNITY MEMBERS. JUST LIKE THE FAMILY - THIS PROGRAM CONTINUES TO GROW AND THRIVE EACH YEAR TO BENEFIT OUR COMMUNITY! SAFETY AND INJURY PREVENTION PROGRAMS - 2010 FMH CONTINUES TO SUPPORT SAFE KIDS FREDERICK COUNTY, A LOCAL COALITION AFFILIATED WITH SAFE KIDS WORLDWIDE - THE ONLY GRASSROOTS, LONG-TERM EFFORT DEDICATED SOLELY TO PREVENTING UNINTENTIONAL INJURY - THE NUMBER ONE KILLER OF CHILDREN AGE 0-14 YEARS. FMH WELLNESS CENTER AND FREDERICK COUNTY HEALTH DEPARTMENT ARE THE CO-LEAD AGENCIES. THE CO-LEAD AGENCIES CONDUCT 10 ANNUAL MEETINGS WITH REPRESENTATIVES FROM THE MEMBER AGENCIES TO DISCUSS, PLAN, AND DEVELOP A COORDINATED PROGRAM OF PUBLIC AWARENESS, EDUCATION, LEGISLATIVE ACTION AND ENFORCEMENT TO HELP TO PREVENT THESE UNINTENTIONAL INJURIES IN FREDERICK COUNTY CHILDREN. ACCESS TO LOW COST SAFETY PRODUCTS IS ALSO OFFERED TO FREDERICK COUNTY FAMILIES. ADOPT A PHARMACIST A NEW PROGRAM WAS STARTED THIS YEAR PARTNERING WITH THE MARYLAND POISON CENTER. WE RECRUITED LOCAL PHARMACISTS WHO ATTENDED TRAINING SESSIONS TAUGHT BY ONE OF THE PHARMACIST/EDUCATORS FROM THE MARYLAND POISON CENTER. TEACHING KITS WERE SUPPLIED TO THE PHARMACISTS AND THEY WENT INTO FREDERICK COUNTY PUBLIC SCHOOL FIRST GRADE CLASSROOMS TO TEACH THE CHILDREN ABOUT POISON SAFETY. IT IS CALLED ADOPT A PHARMACIST.
PROGRAM SERVICE ACTIVITIES CONTINUED...WE HAVE CREATED UNIQUE PARTNERSHIPS WITH THE FOLLOWING ORGANIZATIONS AND BUSINESSES TO PROVIDE QUALITY SAFETY SERVICES TO MEMBERS OF OUR COMMUNITY: - AMERICAN CANCER SOCIETY - AMERICAN RED CROSS - BIKERS AGAINST CHILD ABUSE - BRUNSWICK POLICE DEPARTMENT - CARROLL COUNTY HEALTH DEPT. - CENTRO HISPANO - CHILD CARE CHOICES - FAMILIES PLUS! - FAMILY PARTNERSHIP - FITZGERALD AUTO MALL - FREDERICK AIRPORT - FREDERICK COUNTY AUTISM SOCIETY OF AMERICA - FREDERICK COUNTY CRIME AWARENESS TASK FORCE - FREDERICK COUNTY DEPT. OF EMERGENCY PLANNING - FREDERICK COUNTY DEPT. OF FIRE & RESCUE SERVICES - FREDERICK COUNTY EVEN START - FREDERICK COUNTY HEAD START - FREDERICK COUNTY HEALTH DEPARTMENT - FREDERICK COUNTY PARKS & RECREATION - FREDERICK COUNTY PHARMACISTS - FREDERICK COUNTY PUBLIC SCHOOLS - FREDERICK COUNTY SHERIFF'S DEPARTMENT - FREDERICK COUNTY VOLUNTEER FIRE & RESCUE ASSOCIATION - FREDERICK MEMORIAL HOSPITAL - PEDIATRICS DEPT. & NEONATAL ICU - FREDERICK PEDALERS - FREDERICK POLICE DEPARTMENT - FREDERICK RESCUE MISSION - FT. DETRICK - GOLDEN GEARS CAR CLUB - HEALTHY FAMILIES FREDERICK - HEARTLY HOUSE - HOPE ALIVE - JEFF BARNES CHEVROLET - KIWANIS CLUB OF SUBURBAN FREDERICK - MARRIOTT INTERNATIONAL - MARYLAND POISON CENTER - MARYLAND SCHOOL FOR THE DEAF - MARYLAND STATE POLICE - MID WESTERN TRAFFIC SAFETY COALITION - MIEMSS - PARENT POWER (MENTAL HEALTH ASSOCIATION) - PRIORITY PARTNERS - STATE FARM INSURANCE - THURMONT POLICE DEPARTMENT - UP COUNTY FAMILY PARTNERSHIP - US FIRE ADMINISTRATION - VOLUNTEER FREDERICK! - WIC - YMCA OF FREDERICK COUNTY IN FY'10 THE FOLLOWING SERVICES WERE PROVIDED: - 719 FIRST GRADERS IN 8 FREDERICK COUNTY PUBLIC SCHOOLS (FCPS) WERE TAUGHT POISON SAFETY - 496 FCPS ELEMENTARY CHILDREN PARTICIPATED IN WALK TO SCHOOL EVENTS - 168 FCPS MIDDLE SCHOOL CHILDREN PARTICIPATED IN WALK TO SCHOOL EVENTS - 477 TELEPHONE CONSULTATIONS EDUCATING PARENTS AND CARETAKERS ON CHILD SAFETY ISSUES - 91 CAR SEATS RENTED/DISTRIBUTED TO LOW INCOME FAMILIES OR INDIVIDUALS HAVING OUT OF TOWN GUESTS WITH SMALL CHILDREN - 445 INDIVIDUAL CAR SAFETY SEAT CHECKS - 39 PARENTS/CAREGIVERS ATTENDED CAR SEAT TRAINING CLASSES - 1 CAR SEAT CHALLENGE PERFORMED FOR AN INFANT DISCHARGED FROM FMH NICU IN A CAR BED TO DETERMINE IF THE INFANT CAN MOVE TO A REGULAR INFANT CAR SEAT. - 4 CHILD PASSENGER SAFETY TECHNICIANS ATTENDED AN UPDATE CLASS ON LATCH - 11 LAW ENFORCEMENT OFFICERS, FIREFIGHTERS, EMTS AND HEALTH EDUCATORS TRAINED AS CHILD PASSENGER SAFETY TECHNICIANS - 2 FIREFIGHTER CHILD PASSENGER SAFETY TECHNICIANS MENTORED THROUGH THE FINAL PART OF THEIR INSTRUCTOR CANDIDACY PROCESS. - 2210 COMMUNITY MEMBERS ATTENDED 24 EVENTS/SAFETY FAIRS. SIX (6) OF THESE EVENTS WERE HELD FOR ESL RESIDENTS - 101 BICYCLE & MULTI-SPORT HELMETS DISTRIBUTED & FITTED PROPERLY - 240 CHILDREN PARTICIPATED IN 6 BICYCLE RODEOS - 55 CARBON MONOXIDE DETECTORS DISTRIBUTED TO FAMILIES WITHOUT ONE IN A HOME THAT IS HEATED WITH A FOSSIL FUEL. AN ADDITIONAL 30 INDIVIDUALS ATTENDED THE AWARENESS PROGRAMS BUT DID NOT LIVE IN HOMES HEATED WITH FOSSIL FUELS. - 381 COMMUNITY RESIDENTS INSTRUCTED IN CPR/FIRST AID - 21 COMMUNITY RESIDENTS TAUGHT H1N1 PREVENTION TIPS THE INJURY PREVENTION COORDINATOR AT FMH WELLNESS CENTER AND AN FMH TX TEAM OCCUPATIONAL THERAPIST ATTENDED A CARFIT TRAINING PROGRAM IN APRIL AND THEN ASSISTED IN A COMMUNITY EVENT TO HELP 18 MATURE DRIVERS MAKE ADJUSTMENTS IN THEIR VEHICLES TO MAKE THEM MORE COMFORTABLE AND HAVE BETTER CONTROL OF THEIR VEHICLE. CARFIT WAS DEVELOPED THROUGH COLLABORATION AMONG THE AMERICAN SOCIETY ON AGING, AARP, THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION AND AAA. THE INJURY PREVENTION COORDINATOR AT FMH WELLNESS CENTER PARTICIPATES WITH THE FOLLOWING COUNTY/STATE COMMITTEES AS AN INJURY PREVENTION EXPERT. - FREDERICK COUNTY INTERAGENCY EARLY CHILDHOOD COMMITTEE - FREDERICK COUNTY HIGHWAY SAFETY TASK FORCE - MARYLAND CHILD PASSENGER SAFETY ADVISORY BOARD - MARYLAND OCCUPANT PROTECTION COMMITTEE - SAFE KIDS MARYLAND FMH WELLNESS CENTER PROVIDED CLASSROOM SPACE FOR OTHER GROUPS: - 28 PARTICIPANTS ATTENDED PALS (PEDIATRIC ADVANCED LIFE SUPPORT) CLASSES - 80 COMMUNITY MEMBERS ATTENDED MENTAL HEALTH FIRST AID SESSIONS BY THE MENTAL HEALTH ASSOCIATION OF FC - 49 COMMUNITY MEMBERS ATTENDED OTHER PROGRAMS BY THE MENTAL HEALTH ASSOC. - 86 LOCAL CUB SCOUTS LEARNED CPR AND FIRST AID NUTRITION AND WEIGHT MANAGEMENT - 2010 IN ADDITION TO THE PROVISIONS DESCRIBED ABOVE, THE NUTRITION AND WEIGHT MANAGEMENT SERVICES DIVISION HOSTED MORE THAT 10,452 VISITS FROM CLIENTS WITH A VARIETY OF HEALTH NEEDS. CLIENTS WERE MONITORED WEEKLY FOR CHANGES IN WEIGHT AND BLOOD PRESSURE. THOSE WHO PARTICIPATED IN THE WEEKLY EDUCATION OFFERINGS RECEIVED INFORMATION AND COUNSELING IN ALL AREAS OF CARDIOVASCULAR DISEASE AND STROKE PREVENTION. HEALTHY LIFESTYLE CHANGES INCLUDING REGULAR EXERCISE PROGRAMS, NUTRITION ENHANCEMENTS AND STRESS MANAGEMENT WERE EMPHASIZED WITH ALL CLIENTS. DIABETES SERVICES FMH DIABETES SERVICES HOSTED A NUMBER OF SUPPORT GROUPS, EDUCATIONAL SEMINARS AND SCREENING EVENTS THROUGHOUT THE COUNTY. - SUPPORT GROUPS: 65 - PRENATAL CLINIC: 18 - CARDIAC REHAB: 123 - OTHER EVENTS: 235 ADA WALK EMPLOYEE WELLNESS BOSCOV'S CANDY EXCHANGE DIABETES CENTER OPEN HOUSE DIABETES ALERT DAY @ FSK FMH STROKE CENTER OF EXCELLENCE THE FMH STROKE PROGRAM CONTINUES TO PROVIDE OUTSTANDING CARE AND SERVICE TO THE CITIZENS OF FREDERICK COUNTY. THE STROKE PROGRAM WAS RECOGNIZED BY GET WITH THE GUIDLELINES AS A FACILITY THAT PROVIDES EXCELLENT CARE TO STROKE VICTIMS. THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS, (MIEMSS) DESIGNATED THE FMH PROGRAMS AS A PRIMARY STROKE CENTER. IN ADDITION, THE AMERICAN HEART ASSOCIATION AWARDED A STROKE CENTER BRONZE PERFORMANCE AWARD TO THE FMH PROGRAM. FREDERICK COUNTY RESIDENTS NO LONGER HAVE TO BE TRANSPORTED TO NEIGHBORING FACILITIES TO RECEIVE ACUTE STROKE CARE. A PROGRAM WITH THE HIGHEST LEVEL OF PREPAREDNESS AND STATE RECOGNITION IS RIGHT HERE AT FREDERICK MEMORIAL HOSPITAL. FMH STROKE PROGRAM PARTNERS WITH FREDERICK COUNTY EMERGENCY MEDICAL SYSTEMS TO PROVIDE ANNUAL STROKE TRAINING. THIS TRAINING ENSURES THAT FIRST-RESPONDERS ARE AWARE OF STROKE SIGNS AND SYMPTOMS AND ALSO THE MOST CURRENT TREATMENTS. THE COOPERATION BETWEEN THESE TWO ENTITIES ENABLES THE PATIENT TO HAVE THE BEST CARE POSSIBLE AT EVERY STAGE OF TREATMENT. THE STROKE PROGRAM OFFERS FREE STROKE WORKSHOPS TO THE CITIZENS OF FREDERICK COUNTY. THE STROKE WORKSHOPS INCREASE AWARENESS AND PROVIDE DETAILS ON STROKE CARE AND PREVENTION. ATTENDEES ARE GIVEN INFORMATION ON RISK FACTORS AND STEPS THEY CAN TAKE RIGHT AWAY TO CHANGE THEIR OWN RISK FOR STROKE. AT THE CONCLUSION OF THE WORKSHOP, ATTENDEES ARE ABLE TO NAME AND IDENTIFY STROKE SIGNS AND SYMPTOMS AND KNOW WHAT TO DO IN CASE THEY, OR SOMEONE THEY KNOW, ARE HAVING A STROKE.
PROGRAM SERVICE ACTIVITIES CONTINUED...IN A PARTNERSHIP WITH THE FREDERICK COUNTY DIABETES COALITION, THE STROKE PROGRAM HAS SCREENED HUNDREDS OF AREA RESIDENTS FOR STROKE AND RISK FACTORS ASSOCIATED WITH STROKE. THE STROKE PROGRAM ALSO TEACHES STROKE PREVENTION TO THE POWER TO PREVENT CLASSES OFFERED BY THE FREDERICK COUNTY HEALTH DEPARTMENT. THE DIRECTOR OF THE FMH STROKE CENTER OF EXCELLENCE HAS HOSTED AND BEEN INVITED TO A NUMBER OF GROUPS AND ORGANIZATIONS TO PRESENT INFORMATION AND EDUCATIONAL MATERIALS ABOUT STROKE AND STROKE PREVENTION: - FREDERICK COUNTY HEALTH DEPT.: 65 - ASBURY METHODIST CHURCH: 30 - FRED. CTY DEPT. OF AGING: 50 - FCC NURSING STUDENTS: 150 - INDIAN ASSOCIATION OF FREDERICK: 100 - FMH WELLNESS CENTER: 100 - ST. CATHERINE'S CHURCH: 100 - MARANATHA CHURCH OF GOD: 150 - FREDERICK COUNTY SENIOR CENTER: 50 - URBANA SENIOR CENTER: 20 PULMONARY REHABILITATION COMMUNITY OUTREACH PROGRAM SMOKING CESSATION TOBACCO CONTINUES TO BE THE LEADING CAUSE OF PREVENTABLE DISEASE AND DEATH IN THE UNITED STATES. SMOKING HARMS NEARLY EVERY ORGAN OF THE BODY AND GENERALLY DIMINISHES THE HEALTH OF SMOKERS. QUITTING SMOKING HAS IMMEDIATE AND LONG-TERM AFFECTS. PEOPLE WHO STOP SMOKING GREATLY REDUCE THE RISK OF DYING PREMATURELY AND LOWER THEIR RISK OF HEART DISEASE, STROKE, LUNG DISEASE AND OTHER HEALTH CONDITIONS. FREDERICK MEMORIAL HOSPITAL'S COMMUNITY OUTREACH PROGRAM PROMOTES A HEALTHIER COMMUNITY BY OFFERING INTERMEDIATE AND INTENSIVE SMOKING CESSATION COUNSELING PROGRAMS. SMOKING CESSATION FACILITATORS PROVIDE INFORMATION, RESOURCES AND TOOLS TO TREAT TOBACCO USE AND DEPENDENCE. IN FY 2010, FMH'S SMOKING CESSATION FACILITATORS WERE ACTIVE PARTNERS WITH THE LOCAL TOBACCO COALITION TO REDUCE TOBACCO USE IN FREDERICK COUNTY. FMH TAKES THE LEAD, AND SUPPORTS LIKE-MINDED EFFORTS WITHIN FREDERICK COUNTY, TO PREVENT CHRONIC DISEASE BY DECREASING THE PREVALENCE OF SMOKING AND PREVENTING THE TEEN POPULATION FROM BECOMING SMOKERS. WE WILL CONTINUE TO WORK WITH THE FREDERICK COUNTY HEALTH DEPARTMENT TO MONITOR THE SUCCESS OF OUR COMBINED EFFORTS TO REDUCE TOBACCO USE WITHIN THE COMMUNITY. THE NUMBER OF ADMISSIONS TO THE HOSPITAL AND EMERGENCY DEPARTMENT VISITS WILL ALSO BE CLOSELY MONITORED. FMH'S COMMUNITY OUTREACH PROGRAM PROVIDES A WONDERFUL OPPORTUNITY TO MAKE A DIFFERENCE IN THE LUNG HEALTH OF MANY INDIVIDUALS. ASTHMA AWARENESS ASTHMA IS A CHRONIC LUNG DISEASE WITH VARYING LEVELS OF SEVERITY AND IS CHARACTERIZED BY EPISODIC SYMPTOM EXACERBATIONS. WITH ACCESS TO QUALITY HEALTHCARE AND APPROPRIATE MEDICATIONS, COMBINED WITH AN UNDERSTANDING OF HOW TO AVOID SPECIFIC ENVIRONMENTAL TRIGGERS, ASTHMA IS A CONTROLLABLE DISEASE. THE KEYS TO CONTROL ARE KNOWLEDGE, SKILL AND BEHAVIOR. THE GOAL OF FREDERICK MEMORIAL HOSPITAL'S COMMUNITY OUTREACH PROGRAM IS TO INCREASE AWARENESS OF THE FACT THAT ASTHMA IS A SIGNIFICANT HEALTH PROBLEM. FMH HAS CERTIFIED ASTHMA EDUCATORS (AE-C) THAT ARE DEDICATED TO EDUCATING THE COMMUNITY ABOUT THIS CHRONIC DISEASE THAT STRIKES SO MANY THROUGHOUT THE STATE OF MARYLAND. FREDERICK MEMORIAL HOSPITAL HOSTED THE 2ND ANNUAL ASTHMA AWARENESS DAY ON MAY 22, 2010. THIS EVENT TOOK PLACE IN CENTER COURT AT FRANCIS SCOTT KEY MALL AND MANY COMMUNITY MEMBERS TOOK ADVANTAGE OF THE OPPORTUNITY TO LEARN ABOUT THE ADVANCES IN SELF-MANAGEMENT OF ASTHMA AND SYMPTOMATIC CONTROL OF THE DISEASE. SPEAKERS FROM MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND FREDERICK MEMORIAL HOSPITAL SPOKE TO PARTICIPANTS ABOUT THE IMPORTANCE OF SELF-MANAGEMENT OF ASTHMA AND PROVIDED INFORMATION ABOUT COMMON ASTHMA TRIGGERS AND HOW TO KEEP THEM UNDER CONTROL. FREE PORTABLE SPIROMETRY SCREENING AND PULSE OXIMETRY CHECKS WERE OFFERED. THE ASTHMA AWARENESS DAY REACHED APPROXIMATELY 300 INDIVIDUALS FROM THE FREDERICK COMMUNITY. STAFF DEVELOPMENT ON SEPTEMBER 24TH AND 25TH A STAFF MEMBER ATTENDED THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING FACILITATOR TRAINING PROGRAM. THIS WAS A WORKSHOP THAT PROVIDED AN OPPORTUNITY TO LEARN HOW TO WORK WITH ADULTS IN A GROUP SETTING. INFORMATION ABOUT NICOTINE ADDICTION WAS SHARED, AS WELL AS FACTS ABOUT TOBACCO CONTROL AND CONTENT OF THE FFS CLINIC SESSIONS. ON OCTOBER 9TH A STAFF MEMBER RECEIVED HER AE-C CERTIFICATION. THIS STAFF MEMBER PASSED AN EXAMINATION OFFERED BY THE NATIONAL ASTHMA EDUCATOR CERTIFICATION BOARD, INC. PASSING THIS EXAMINATION ALLOWED HER TO USE THE DESIGNATION AE-C. ON JUNE 17TH AND 18TH STAFF ATTENDED THE NATIONAL ASTHMA FORUM IN WASHINGTON DC. THIS FORUM PROVED STAFF THE OPPORTUNITY TO DISCOVER BEST PRACTICES, EXPLORE THE LATEST SCIENCE, HEAR FROM LEADING ASTHMA CARE PROGRAMS, AND DEVELOP LEADERSHIP AND ACTION PLANS FOR DEVELOPING CLOSE TIES TO OUR COMMUNITY. COMMUNITY EDUCATION ON OCTOBER 1ST FMH COMMUNITY OUTREACH STAFF PARTICIPATED IN AOPA'S HEALTH FAIR. THIS EVENT OFFERED SELF-MANAGEMENT OF ASTHMA TOOLS AND SYMPTOMATIC CONTROL OF THE DISEASE. FREE PORTABLE SPIROMETRY AND CARBON MONOXIDE SCREENINGS WERE OFFERED. STAFF ALSO PROVIDED INFORMATION ON TOBACCO DEPENDENCE AND NICOTINE ADDICTION. THE HEALTH FAIR REACHED APPROXIMATELY 50 INDIVIDUALS. ON NOVEMBER 18TH STAFF PROVIDED A TOBACCO PREVENTION PROGRAM TO A GROUP OF UNDERPRIVILEGED CHILDREN AND INCORPORATED FUN ACTIVITIES PROMOTING THE GREAT AMERICAN SMOKE OUT. THIS EVENT WAS ABLE TO REACH 18 CHILDREN. ON JANUARY 13TH, MARCH 17TH, APRIL 28TH AND JUNE 9TH STAFF PRESENTED A TOBACCO PREVENTION PROGRAM TO LOCAL MIDDLE AND HIGH SCHOOL STUDENTS. THESE PRESENTATIONS REACHED APPROXIMATELY 17 STUDENTS IN THE SCHOOL SYSTEM.
PROGRAM SERVICE ACTIVITIES CONTINUED...ON JUNE 9TH STAFF PARTICIPATED IN THE FREDERICK BOARD OF EDUCATION'S ANNUAL HEALTH FAIR. THIS EVENT OFFERED SELF-MANAGEMENT OF ASTHMA TOOLS AND SYMPTOMATIC CONTROL OF THE DISEASE. FREE PORTABLE SPIROMETRY AND CARBON MONOXIDE SCREENINGS WERE OFFERED. STAFF ALSO PROVIDED INFORMATION ON TOBACCO DEPENDENCE AND NICOTINE ADDICTION. THE HEALTH FAIR REACHED APPROXIMATELY 80 INDIVIDUALS. THE FMH EMERGENCY DEPARTMENT THE FMH EMERGENCY DEPARTMENT CONTINUES TO BE ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE STATE OF MARYLAND. IN FISCAL YEAR 2010, OVER 74,000 PATIENT VISITS WERE RECORDED. THE FREDERICK MEMORIAL HEALTHCARE SYSTEM HAS BEEN PROVIDING EMERGENCY CARE TO THE CITIZENS OF FREDERICK COUNTY EVER SINCE A ONE BED "ACCIDENT ROOM" WAS SET-ASIDE IN 1905 ON THE FIRST FLOOR OF THE OLD FREDERICK CITY HOSPITAL. SINCE THAT DAY, THE DOORS HAVE REMAINED OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR FOR NEARLY 107 YEARS. FAST TRACK THE FMH 7-BED FAST TRACK AREA IS STAFFED BY A PHYSICIAN ASSISTANT, R.N. AND AN ED TECHNICIAN. APPROXIMATELY 40 - 50 PATIENTS ARE TREATED AND RELEASED FROM THE FAST TRACK AREA EVERYDAY WITH AN AVERAGE LENGTH OF STAY OF 95 MINUTES. THE GEORGE L. SHIELDS EMERGENCY DEPARTMENT IS ONE OF THE LARGEST EMERGENCY DEPARTMENTS IN THE REGION. WITH OVER 24,000 SQUARE FEET, THE ED HOUSES: - 50 BEDS AND TREATMENTS ROOMS - 14 GENERAL-PURPOSE ROOMS - 5 CRISIS ROOMS - 1 SAFE ROOM - 15 ACUTE CARE BEDS - CT SCANNER DEDICATED TO ED PATIENTS ONLY - X-RAY SUITE DEDICATED TO ED PATIENTS ONLY THE FMH EMERGENCY DEPARTMENT HAS FORGED STRONG WORKING RELATIONSHIPS WITH THE FREDERICK COUNTY SCHOOL SYSTEM, THE FREDERICK COUNTY COURT SYSTEM, AND COMMUNITY LAW ENFORCEMENT AGENCIES. MANY OF THE COMMUNITY BENEFIT PROGRAMS OFFERED BY THE EMERGENCY DEPARTMENT ARE THE RESULT OF COLLABORATIVE EFFORTS BETWEEN THESE AGENCIES AND ORGANIZATIONS AND FREDERICK MEMORIAL HOSPITAL'S ED STAFF. COMMUNITY BENEFIT PROGRAMS THE EMERGENCY DEPARTMENT IN CONJUNCTION WITH THE ABOVE MENTIONED ORGANIZATIONS HAVE DEVELOPED THE FOLLOWING PROGRAMS: - SAFE PROGRAM - LETHALITY ASSESSMENT PROGRAM - TAKE A MOMENT SAFE PROGRAM SINCE 1997, FREDERICK MEMORIAL HOSPITAL HAS PROVIDED MEDICAL FORENSIC EXAMINATIONS PERFORMED BY A FORENSIC NURSE EXAMINER, TO ANY PATIENT WHO PRESENTS TO THE EMERGENCY DEPARTMENT WITH A CHIEF COMPLAINT OF RAPE OR SEXUAL ASSAULT. OUR PROGRAM FOLLOWS THE NEW DEPARTMENT OF JUSTICE MANDATE THAT PATIENTS HAVE A RIGHT TO EVIDENCE COLLECTION AND TREATMENT PROVIDED WHETHER LAW ENFORCEMENT IS INITIALLY INVOLVED OR NOT. FMH EMPLOYS 10 FORENSIC NURSES WHO, AS PART OF THE FMH SAFE TEAM, PROVIDE 24/7 COVERAGE. THE SAFE PROGRAM TREATED 72 PATIENTS IN FY10. AN ESSENTIAL COMPONENT OF THE SAFE TEAM'S CHARGE IS TO EDUCATE MEMBERS OF THE SEXUAL ASSAULT RESPONSE TEAM (SART). WE HAVE PRESENTED IN-SERVICES ON RAPE TRAUMA TO: - ALL OFFICERS OF THE FREDERICK COUNTY SHERIFF'S DEPARTMENT, - FREDERICK CITY POLICE ACADEMY (15), AND - MOUNT SAINT MARY'S UNIVERSITY RESIDENT ADVISORS AND MEMBERS OF THE FRESHMAN CLASS OF 2010. (100) THE SAFE PROGRAM TEAM MEMBERS PROVIDED UNIT VICTIM ADVOCATES (UVA) CONTINUING EDUCATION TRAINING AT FORT DETRICK. (50 PARTICIPANTS) IN THE COMMUNITY, SAFE STAFF HAS SERVED AS GUEST SPEAKERS/EDUCATORS AT: - HOOD COLLEGE'S INTO THE LIGHT PROGRAM (100) AND, - MOUNT ST MARY'S DOMESTIC VIOLENCE PANEL DISCUSSION. (70) SAFE HAS BECOME AN INTEGRAL PART OF THE COMMUNITY BY BEING A MEMBER OF: - THE FREDERICK COUNTY DOMESTIC VIOLENCE COORDINATING COUNCIL (15) - THE FREDERICK COUNTY DOMESTIC VIOLENCE FATALITY REVIEW BOARD (20) - THE EXECUTIVE BOARD OF THE FREDERICK COUNTY CHILD ADVOCACY CENTER (15) - THE FREDERICK COUNTY SART (20) - THE MARYLAND BOARD OF NURSING RN FNE ADVISORY BOARD (10) - TWO OF OUR FORENSIC NURSES WERE PART OF THE TRAINING TEAM FOR THE ADULT FORENSIC NURSE EXAMINER ADULT TRAINING HOSTED BY WASHINGTON COUNTY HOSPITAL. (12 NEW NURSES WERE TRAINED) RECENTLY, THERE HAVE BEEN NEW CRITICALLY IMPORTANT FEDERAL INITIATIVES FOCUSED ON THE CRIMINAL JUSTICE SYSTEM AND COMMUNITY RESPONSE TO SEXUAL ASSAULT. A SENATE SUB-COMMITTEE HEARING FOCUSING UPON THE POLICE RESPONSE TO RAPE WAS CONVENED, AND A WHITE HOUSE ROUNDTABLE WAS HELD ON THE TOPIC OF VIOLENCE AGAINST WOMEN. KIM DAY, RN, FNE A/P, AN FMH FORENSIC NURSE EXAMINER, PARTICIPATED IN THE WHITE HOUSE ROUNDTABLE IN HER POSITION AS THE INTERNATIONAL ASSOCIATION OF FORENSIC NURSES' SAFE TECHNICAL ASSISTANCE COORDINATOR. LETHALITY ASSESSMENT PROGRAM INTERPERSONAL VIOLENCE OCCURS TO APPROXIMATELY 5.3 MILLION PEOPLE A YEAR (MOSTLY WOMEN). FIFTEEN HUNDRED OF THOSE VICTIMS ARE KILLED EACH YEAR. FORTY SEVEN PERCENT OF THOSE KILLED HAD PREVIOUSLY SOUGHT MEDICAL ATTENTION. AT FREDERICK MEMORIAL HEALTHCARE SYSTEM WE SEE PATIENTS WHO PRESENT WITH INJURIES, OR RELATED MEDICAL CONDITIONS AGGRAVATED BY DOMESTIC VIOLENCE .WE HAVE ALWAYS TREATED THE WOUNDS, BUT HAVE BEEN LESS EFFECTIVE IN HELPING THE VICTIMS UNDERSTAND THAT THEY COULD BE IN LETHAL DANGER. THE SAFE PROGRAM STAFF MADE CONNECTING OUR PATIENTS WITH THE DOMESTIC VIOLENCE SERVICES AVAILABLE TO HELP THEM DEVELOP IMMEDIATE AND LONG TERM SAFETY PLANS A PROGRAM GOAL. WHEN THE MARYLAND NETWORK AGAINST DOMESTIC VIOLENCE (MNADV) HEARD OF OUR PLANS, THEY CHOSE FMH AS ONE OF TWO HOSPITALS IN THE STATE OF MARYLAND TO MODEL THE LETHALITY ASSESSMENT PROGRAM - A PROGRAM DESIGNED WITH THE SAME GOAL AS THAT WE SET INTERNALLY FOR THE SAFE PROGRAM. IT WAS A PERFECT FIT! EVERY NURSE IN THE EMERGENCY DEPARTMENT WAS EDUCATED HOW TO PRESENT THE QUESTIONNAIRE TO THE PATIENT AND THEN IMMEDIATELY CONNECT THEM BY PHONE TO HEARTLY HOUSE, THE FREDERICK COUNTY RESOURCE FOR DOMESTIC VIOLENCE SHELTER, SUPPORT AND LEGAL RESOURCES.
PROGRAM SERVICE ACTIVITIES CONTINUED...SAFE PROGRAM SINCE 1997, FREDERICK MEMORIAL HOSPITAL HAS PROVIDED MEDICAL FORENSIC EXAMINATIONS PERFORMED BY A FORENSIC NURSE EXAMINER, TO ANY PATIENT WHO PRESENTS TO THE EMERGENCY DEPARTMENT WITH A CHIEF COMPLAINT OF RAPE OR SEXUAL ASSAULT. OUR PROGRAM FOLLOWS THE NEW DEPARTMENT OF JUSTICE MANDATE THAT PATIENTS HAVE A RIGHT TO EVIDENCE COLLECTION AND TREATMENT PROVIDED WHETHER LAW ENFORCEMENT IS INITIALLY INVOLVED OR NOT. FMH EMPLOYS 10 FORENSIC NURSES WHO, AS PART OF THE FMH SAFE TEAM, PROVIDE 24/7 COVERAGE. THE SAFE PROGRAM TREATED 72 PATIENTS IN FY10. AN ESSENTIAL COMPONENT OF THE SAFE TEAM'S CHARGE IS TO EDUCATE MEMBERS OF THE SEXUAL ASSAULT RESPONSE TEAM (SART). WE HAVE PRESENTED IN-SERVICES ON RAPE TRAUMA TO: - ALL OFFICERS OF THE FREDERICK COUNTY SHERIFF'S DEPARTMENT, - FREDERICK CITY POLICE ACADEMY (15), AND - MOUNT SAINT MARY'S UNIVERSITY RESIDENT ADVISORS AND MEMBERS OF THE FRESHMAN CLASS OF 2010. (100) THE SAFE PROGRAM TEAM MEMBERS PROVIDED UNIT VICTIM ADVOCATES (UVA) CONTINUING EDUCATION TRAINING AT FORT DETRICK. (50 PARTICIPANTS) IN THE COMMUNITY, SAFE STAFF HAS SERVED AS GUEST SPEAKERS/EDUCATORS AT: - HOOD COLLEGE'S INTO THE LIGHT PROGRAM (100) AND, - MOUNT ST MARY'S DOMESTIC VIOLENCE PANEL DISCUSSION. (70) SAFE HAS BECOME AN INTEGRAL PART OF THE COMMUNITY BY BEING A MEMBER OF: - THE FREDERICK COUNTY DOMESTIC VIOLENCE COORDINATING COUNCIL (15) - THE FREDERICK COUNTY DOMESTIC VIOLENCE FATALITY REVIEW BOARD (20) - THE EXECUTIVE BOARD OF THE FREDERICK COUNTY CHILD ADVOCACY CENTER (15) - THE FREDERICK COUNTY SART (20) - THE MARYLAND BOARD OF NURSING RN FNE ADVISORY BOARD (10) - TWO OF OUR FORENSIC NURSES WERE PART OF THE TRAINING TEAM FOR THE ADULT FORENSIC NURSE EXAMINER ADULT TRAINING HOSTED BY WASHINGTON COUNTY HOSPITAL. (12 NEW NURSES WERE TRAINED) RECENTLY, THERE HAVE BEEN NEW CRITICALLY IMPORTANT FEDERAL INITIATIVES FOCUSED ON THE CRIMINAL JUSTICE SYSTEM AND COMMUNITY RESPONSE TO SEXUAL ASSAULT. A SENATE SUB-COMMITTEE HEARING FOCUSING UPON THE POLICE RESPONSE TO RAPE WAS CONVENED, AND A WHITE HOUSE ROUNDTABLE WAS HELD ON THE TOPIC OF VIOLENCE AGAINST WOMEN. KIM DAY, RN, FNE A/P, AN FMH FORENSIC NURSE EXAMINER, PARTICIPATED IN THE WHITE HOUSE ROUNDTABLE IN HER POSITION AS THE INTERNATIONAL ASSOCIATION OF FORENSIC NURSES' SAFE TECHNICAL ASSISTANCE COORDINATOR. LETHALITY ASSESSMENT PROGRAM INTERPERSONAL VIOLENCE OCCURS TO APPROXIMATELY 5.3 MILLION PEOPLE A YEAR (MOSTLY WOMEN). FIFTEEN HUNDRED OF THOSE VICTIMS ARE KILLED EACH YEAR. FORTY SEVEN PERCENT OF THOSE KILLED HAD PREVIOUSLY SOUGHT MEDICAL ATTENTION. AT FREDERICK MEMORIAL HEALTHCARE SYSTEM WE SEE PATIENTS WHO PRESENT WITH INJURIES, OR RELATED MEDICAL CONDITIONS AGGRAVATED BY DOMESTIC VIOLENCE .WE HAVE ALWAYS TREATED THE WOUNDS, BUT HAVE BEEN LESS EFFECTIVE IN HELPING THE VICTIMS UNDERSTAND THAT THEY COULD BE IN LETHAL DANGER. THE SAFE PROGRAM STAFF MADE CONNECTING OUR PATIENTS WITH THE DOMESTIC VIOLENCE SERVICES AVAILABLE TO HELP THEM DEVELOP IMMEDIATE AND LONG TERM SAFETY PLANS A PROGRAM GOAL. WHEN THE MARYLAND NETWORK AGAINST DOMESTIC VIOLENCE (MNADV) HEARD OF OUR PLANS, THEY CHOSE FMH AS ONE OF TWO HOSPITALS IN THE STATE OF MARYLAND TO MODEL THE LETHALITY ASSESSMENT PROGRAM - A PROGRAM DESIGNED WITH THE SAME GOAL AS THAT WE SET INTERNALLY FOR THE SAFE PROGRAM. IT WAS A PERFECT FIT! EVERY NURSE IN THE EMERGENCY DEPARTMENT WAS EDUCATED HOW TO PRESENT THE QUESTIONNAIRE TO THE PATIENT AND THEN IMMEDIATELY CONNECT THEM BY PHONE TO HEARTLY HOUSE, THE FREDERICK COUNTY RESOURCE FOR DOMESTIC VIOLENCE SHELTER, SUPPORT AND LEGAL RESOURCES. THE MNADV 2010 SECOND QUARTER STATISTICAL REPORT - THE FIRST REPORT TO CAPTURE A FULL QUARTER'S WORTH OF INFORMATION FROM HOSPITALS - DOCUMENTS THE RESULTS OF THE LETHALITY ASSESSMENT PROGRAM'S ADMINISTRATION BY A DISCIPLINE OUTSIDE OF THE LAW ENFORCEMENT ARENA. BECAUSE DOMESTIC VIOLENCE LETHALITY ASSESSMENT IS SUCH A NEW APPROACH WITHIN THE HOSPITAL SETTING, WE DID NOT KNOW WHAT TO EXPECT IN TERMS OF THE SCREENING PROCESS AND PROTOCOL REFERRAL. THE SECOND QUARTER'S DATA YIELDED SOME INTERESTING AND USEFUL RESULTS: - A RELATIVELY HIGH NUMBER OF SCREENED VICTIMS (36); - AN EXCEEDINGLY HIGH RATE OF PATIENTS WHO SCREENED IN AT HIGH DANGER (86%); - A VERY HIGH SCREENING RATE WITH HEARTLY HOUSE, PERHAPS HIGHER THAN EXPECTED, ESPECIALLY FOR A FIRST-TIME EFFORT; (74%) THE MARYLAND NETWORK AGAINST DOMESTIC VIOLENCE'S (MNADV) LETHALITY ASSESSMENT PROGRAM-MARYLAND MODEL (LAP) WAS SELECTED AS ONE OF FOUR 2010 NATIONAL RECIPIENTS OF THE PRESTIGIOUS CELEBRATING SOLUTIONS AWARD GIVEN ANNUALLY BY THE MARY BYRON PROJECT. MARCIA ROTH, EXECUTIVE DIRECTOR OF THE PROJECT, LAUDED THE LAP FOR ITS OUTSTANDING WORK. "WE RECEIVED ALMOST 300 APPLICATIONS THROUGHOUT THE UNITED STATES. OUR NATIONAL REVIEW TEAM FELT THAT MARYLAND'S PROGRAM SHOWS PROMISE IN MOVING BEYOND CRISIS MANAGEMENT TO PROVIDE ANSWERS EVERY COMMUNITY SHOULD USE IN ENDING THE EPIDEMIC CRIME OF DOMESTIC VIOLENCE. IT IS AN OUTSTANDING ORGANIZATION AND PROGRAM." YOUTHFUL OFFENDERS PROGRAM THE FMH SAFE TEAM IS PART OF THE YOP WHICH WAS INITIATED BY THE STATE'S ATTORNEY'S OFFICE. EVERY MONTH ONE OF OUR FORENSIC NURSE EXAMINER'S SPEAKS TO DIFFERENT AT-RISK JUVENILE MALES WHO HAVE BEEN TO COURT ON CRIMINAL CHARGES ABOUT THE CYCLE OF VIOLENCE, AND POSITIVE CHANGES THEY CAN MAKE IN DEALING WITH ANGER. EACH MONTHLY GROUP HAS 15 PARTICIPANTS (180). THE "TAKE A MOMENT" PROGRAM THE TAKE A MOMENT PROGRAM WAS DEVELOPED AT THE REQUEST OF THE FREDERICK COUNTY COURT SYSTEM, AND THE FREDERICK COUNTY AND FREDERICK CITY LAW ENFORCEMENT AGENCIES WHO IDENTIFIED THE NEED TO PRESENT A "DRUNK DRIVING" AWARENESS PROGRAM. THIS PROGRAM IS NOW SHOWN AT SPECIAL TIMES. TAKE A MOMENT TARGETS OFFENDERS CONVICTED OF DRIVING WHILE INTOXICATED, AND IS DESIGNED TO SHOW THE CONSEQUENCES OF DRIVING UNDER THE INFLUENCE OF DRUGS OR ALCOHOL.
PROGRAM SERVICE ACTIVITIES CONTINUED...THE PROGRAM IS A TWO-PART PRESENTATION: - A PROGRAM FOCUSING UPON "CHOICES AND THEIR CONSEQUENCES" IS PRESENTED TO PARTICIPANTS, AND THEY ARE SHOWN PICTURES FROM FATALITY SCENES THAT GRAPHICALLY DEPICT THE RESULTS OF POOR CHOICES. - PARTICIPANTS ENGAGE IN "ROLE PLAY" SCENARIOS WHEREIN ONE IS A PATIENT AND THE OTHER A HEALTHCARE WORKER HAVING TO DEAL WITH AN INTOXICATED PATIENT. THE PATIENT IS PLACED IN RESTRAINTS, AND THE UNPLEASANT PROCEDURE KNOWN AS A GASTRIC LAVAGE (HAVING YOUR STOMACH PUMPED) IS DEMONSTRATED. THE VICTIM IMPACT PANEL PRESENTS THE "TAKE A MOMENT" PROGRAM EVERY OTHER MONTH TO OFFENDERS OF DRIVING UNDER THE INFLUENCE, WHO ARE ORDERED BY THE COURT TO ATTEND THIS PROGRAM. TAKE A MOMENT WAS PROVIDED TO FREDERICK COMMUNITY COLLEGE (50-75) AND ST. JOHN'S HIGH SCHOOL (ENTIRE STUDENT BODY). FREDERICK COUNTY COURT SYSTEM'S RATE OF RECIDIVISM STATISTIC IS USED AS THE GAUGE BY WHICH THE PROGRAM'S EFFICACY IS MEASURED. THE RATE OF RECIDIVISM HAS DECLINED SINCE THE IMPLEMENTATION OF THIS PROGRAM IN FREDERICK COUNTY. MOTHERS AGAINST DRUNK DRIVING (MADD) SUPPORTS THE TAKE A MOMENT PROGRAM. THEIR EVALUATIONS PROVIDE FEEDBACK TO THE FMH EMERGENCY DEPARTMENT STAFF AND THE STATE POLICE INSTRUCTORS. FREDERICK COUNTY MARATHON MEMBERS OF THE FMH EMERGENCY DEPARTMENT FURNISHED SUPPLIES AND MEDICAL STAFF FOR THE FIRST AID TENT AT THE FREDERICK COUNTY RUNNING MARATHON HELD IN MAY 2010. IT WAS A HOT STEAMY DAY AND CARE WAS PROVIDED FOR OVER 200 PATIENTS. PERIOPERATIVE SERVICES OPEN HOUSE FMH'S PERIOPERATIVE SERVICES HOSTED THEIR THIRD ANNUAL OPEN HOUSE ON SATURDAY, NOVEMBER 6, 2010. OVER 100 CHILDREN AND ADULTS ATTENDED THIS YEAR'S EVENT TO GET A CLOSE UP LOOK AT THE FMH SURGICAL SUITES. PARTICIPANTS WERE ABLE TO TOUCH THE EQUIPMENT AND ASK THE SURGICAL NURSES ABOUT THEIR JOBS, SURGICAL PROCEDURES AND THE MANY REWARDS OF BEING A "SCRUB NURSE." THE OPEN HOUSE GAVE GROWNUPS AND YOUNGSTERS ALIKE THE OPPORTUNITY TO ACTUALLY TRY THEIR HAND AT LAPAROSCOPIC SURGERY BY REMOVING GUMMIE SNAKES AND OTHER REPTILES FROM A SIMULATED ABDOMEN. AFTER VISITING THE OPERATING ROOM SUITES, VISITORS WERE INVITED TO TOUR THE PRE-OPERATIVE AREAS WHERE PATIENTS ARE PREPARED FOR THE OPERATING ROOMS, AND THE POST-ANESTHESIA CARE UNIT WHERE PATIENTS RECOVER FROM THE EFFECTS OF ANESTHESIA. THIS EVENT HAS GROWN CONSIDERABLY OVER THE YEARS AND THE COMMUNITY LOOKS FORWARD TO THE FMH OR OPEN HOUSE ANNOUNCEMENT EVERY YEAR. PREVENTIVE CARDIOLOGY AND REHABILITATION MEDICAL FITNESS PROGRAM THE FMH MEDICAL FITNESS PROGRAM IS A MEDICALLY SUPERVISED FITNESS PROGRAM THAT HELPS SPECIAL POPULATIONS PROMOTE HEALTH, IMPROVE PHYSICAL FITNESS AND ENHANCE THE QUALITY OF THEIR LIFE THROUGH EXERCISE, EDUCATION AND SERVICE. THE MEDICAL FITNESS PROGRAM IS RECOMMENDED FOR PEOPLE WITH HEALTH CONCERNS SUCH AS HIGH BLOOD PRESSURE, HEART DISEASE, DIABETES, LUNG DISEASE, CIRCULATORY PROBLEMS AND WEIGHT ISSUES. EVIDENCE CLEARLY SUPPORTS THAT REGULAR EXERCISE IMPROVES QUALITY OF LIFE. MANY PEOPLE WHO LIVE DAY TO DAY WITH THE CHALLENGES ASSOCIATED WITH A NUMBER OF CONDITIONS AND DISEASES MISS OUT ON THE HEALTHY BENEFITS OF ROUTINE EXERCISE BECAUSE OF THE FEARS ASSOCIATED WITH CARDIOVASCULAR WORKOUTS. THE STAFF AT MEDICAL FITNESS CONSISTS OF REGISTERED NURSES AND DEGREED EXERCISE PHYSIOLOGISTS TRAINED AND CERTIFIED IN BLS AND ADVANCED CARDIAC LIFE SUPPORT. THE STAFF PREPARES AN INDIVIDUALIZED EXERCISE PROGRAM FOR EACH PARTICIPANT AND MONITORS THE EXERCISE ROUTINE. INCLUDED IN THIS PROGRAM IS REGULAR BLOOD PRESSURE READINGS, GLUCOSE MEASUREMENT (AS NEEDED), EXERCISE PRESCRIPTION, ONE-ON-ONE ASSISTANCE FROM OUR STAFF (AS NEEDED) AND REGULAR FEEDBACK AND COMMUNICATION WITH PHYSICIANS. SIGN LANGUAGE AND FOREIGN LANGUAGE INTERPRETERS ARE ALSO USED WHEN NEEDED. THE MEDICAL FITNESS PROGRAM WAS PROVIDED FREE OF CHARGE TO 10 PATIENTS IN FY 10. THESE PATIENTS MUST ATTEND THE FITNESS PROGRAMS REGULARLY. THE GRATIS PARTICIPANTS IN THE PROGRAM REMAIN IN EXCELLENT HEALTH. THEIR ENERGY LEVELS, RANGE OF MOTION, CARDIOVASCULAR CONDITION AND OVERALL HEALTH IS EXPONENTIALLY BETTER THAN IF THEY HAD NOT HAD ACCESS TO A MEDICALLY SUPERVISED EXERCISE PROGRAM. FMH VASCULAR SERVICES FMH VASCULAR SERVICES IN CONJUNCTION WITH THE PREVENTIVE CARDIOLOGY AND REHABILITATION DEPARTMENT HOSTED TWO VASCULAR SCREENING EVENTS IN THE SECOND FLOOR CLASSROOMS OF THE FREDERICK MEMORIAL HOSPITAL. A VASCULAR SONOGRAPHER USING ULTRASOUND SCREENED 150 PRE-REGISTERED INDIVIDUALS FOR ABDOMINAL AORTIC ANEURYSM, CAROTID STENOSIS, AND PERIPHERAL ARTERY DISEASE. CERTAIN RISK FACTORS FOR THESE DISEASES WERE ASSESSED INCLUDING HYPERTENSION, FAMILY HISTORY AND SMOKING. PATIENTS PRESENTING WITH ABNORMAL FINDINGS WERE PERMITTED TO CONSULT WITH A PHYSICIAN FROM THE HORIZON VASCULAR SURGERY GROUP WHO WERE PRESENT AT THE SCREENING EVENT. THE CONSULTATIONS DIRECTED THE PARTICIPANTS TO FOLLOW UP WITH THEIR PCP, OR WITH A VASCULAR SURGEON IF THE PATIENTS DID NOT HAVE A PCP AND THEIR CONDITION WAS SUCH THAT IT REQUIRED IMMEDIATE TREATMENT. ALL PARTICIPANTS IN THE VASCULAR SCREENING WERE REGISTERED INTO A SOPHISTICATED DATABASE THAT RECORDED THE RESULTS OF THEIR VASCULAR SCREEN. THIS DATABASE WILL ALLOW US TO TRACK THE IMPACT THE VASCULAR SCREENING EVENTS HAVE ON THE HEALTH OF OUR COMMUNITY. IN ADDITION TO SCREENING THE RESIDENTS OF FREDERICK COUNTY FOR THE PRESENCE OF VASCULAR DISEASE, A ROBUST EDUCATIONAL COMPONENT OF THE SCREENING EVENTS ALLOWS PARTICIPANTS TO TRULY UNDERSTAND HOW TO PREVENT THE ONSET OF VASCULAR DISEASE. THE PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE A THREE-HOUR LECTURE SERIES THAT EXPLAINS HOW VASCULAR DISEASE IS DIAGNOSED AND THE TREATMENT MODALITIES AVAILABLE TO THEM AFTER THE DIAGNOSIS HAS BEEN MADE. SCREENINGS ARE OFFERED TO THE COMMUNITY - FREE OF CHARGE TO THE COMMUNITY. RAISING THE COMMUNITY'S AWARENESS AND UNDERSTANDING OF VASCULAR DISEASE IS A PRIORITY FOR FMH. STATISTICALLY, ONLY THREE OUT OF FOUR ADULTS HAVE HEARD OF PERIPHERAL ARTERY DISEASE, AND FREQUENTLY LIFE-THREATENING CONDITIONS SUCH AS ABDOMINAL AORTIC ANEURYSM AND CAROTID STENOSIS ARE NOT DISCOVERED IN TIME BECAUSE OF ABSENT OR VAGUE SYMPTOMS FOR SURGICAL INTERVENTION TO MAKE A DIFFERENCE IN UNFORTUNATE OUTCOMES. OVER 150 PARTICIPANTS HAVE BEEN SCREENED THIS YEAR IN FREDERICK COUNTY, AND SIGNIFICANT VASCULAR DISEASE HAS BEEN DETECTED AND TREATED. THE VASCULAR DISEASE SCREENING EVENTS SPONSORED BY FMH VASCULAR SERVICES HAVE MADE A SIGNIFICANT DIFFERENCE IN THE LIVES OF THE CITIZENS WE SERVE BY PREVENTING PROBABLE STROKE OR RUPTURED ANEURYSM. BY RAISING THE PUBLIC'S AWARENESS OF VASCULAR DISEASE, AND ACTUALLY DETECTING THE PRESENCE OF THE DISEASE IN THE POPULATION, FMH VASUCLAR SERVICES HAS TRULY MADE A DIFFERENCE IN THE HEALTH STATUS OF OUR COMMUNITY. AS RECENT PARTICIPANTS COMMENTED: - "I AM VERY GRATEFUL FOR THIS SCREENING AND APPRECIATE THE WORK INVOLVED", - "THIS HAS BEEN A CONCERN OF MINE FOR SOME TIME AND I AM VERY HAPPY TO HAVE THIS CHANCE TO ATTEND", AND - "VERY INFORMATIVE. A GREAT COMMUNITY OFFERING AND SERVICE." HUMANITARIAN AID THE FMH MEDICAL SUPPLIES MANAGEMENT DEPARTMENT THE WORLD WITNESSED AN UNEXPECTED NUMBER OF NATURAL DISASTERS IN FY 10. HURRICANES, CYCLONES, TORNADOS, DEVASTATING EARTHQUAKES, FAMINE, DISEASE AND FLOODS WERE FOUND IN VIRTUALLY EVERY CONTINENT OF THE GLOBE. FMH PHYSICIANS AND NURSING STAFF WERE QUICK TO RESPOND TO THE NATURAL DISASTERS NO MATTER THEIR SEVERITY OR LOCATION. THE NEED FOR MEDICAL SUPPLIES WAS UNPRECEDENTED IN FY 10, AND DESPITE THE DIFFICULT ECONOMIC ENVIRONMENT AND THE NEED TO CURB EXPENSE AND MANAGE THE SUPPLY CHAIN EFFECTIVELY, FMH STEPPED UP TO PROVIDE THE SUPPLIES OUR TEAMS NEEDED AS THEY JOURNEYED ACROSS THE GLOBE TO HELP OTHERS. THE FOLLOWING MEDICAL SUPPLIES WERE DONATED TO RELIEF EFFORTS: - 16 CASES OF USED, CLEAN LINENS FOR DR. RAZI'S HUMANITARIAN TRIP TO PAKISTAN - 8 CASES OF USED, CLEAN LINENS FOR DR. HAQUE'S PAKISTANI RELIEF EFFORTS - 4 CASES OF USED, CLEAN LINEN FOR AMVETS - 11 SKIDS OF MEDICAL SUPPLIES AND IV FLUIDS TO DR. RAZA'S MISSION TO PAKISTAN - 10 SKIDS OF MEDICAL SUPPLIES AND IV FLUIDS FOR DR. GOUGH'S TRIP TO SOUTH AMERICA - MEDICAL SUPPLIES DONATED TO THE BOY SCOUTS OF AMERICA OVER $37,000 OF SUPPLIES AND MEDICINES WERE DONATED IN FY 2010.
PROGRAM SERVICE ACTIVITIES CONTINUED...THE FMH PHARMACY & CARE COORDINATION DEPARTMENT COMBINED WITH THE EMERGENCY DISASTERS AROUND THE WORLD, THE LOCAL ECONOMY ADVERSELY AFFECTED A NUMBER OF FREDERICK COUNTY RESIDENTS. JOB LOSS AND THE LOSS OF MEDICAL INSURANCE LEFT A NUMBER OF OUR CITIZENS IN DIRE STRAIGHTS RELATIVE TO RECEIVING THE HEALTHCARE AND MEDICATIONS THEY NEEDED TO KEEP CHRONIC DISEASE IN CHECK. THE FMH PHARMACY IN CONJUNCTION WITH THE CARE COORDINATION PROVIDED $1,500 OF MEDICATIONS TO THE DISASTER TEAMS MENTIONED ABOVE, INCLUDING ANTIBIOTICS, OINTMENTS, CREAMS, CHILDREN'S' MEDICATIONS. ON THE LOCAL SCENE, THE FMH PHARMACY PROVIDED $4,000 WORTH OF MEDICATIONS TO INDIGENT PATIENTS OR TO PATIENTS WHO DID NOT HAVE THE RESOURCES TO PAY FOR THEIR MEDICATIONS. THE CARE COORDINATION DEPARTMENT WAS INSTRUMENTAL IN COORDINATING THE DISPENSING OF THE MEDICATIONS TO THOSE UNABLE TO PAY. THEY ASSISTED THE PATIENTS WITH THE PAPER WORK NECESSARY TO APPLY FOR FINANCIAL ASSISTANCE AND TO ACCESS COMMUNITY RESOURCES AVAILABLE TO HELP THEM. TRAINING & ORGANIZATIONAL DEVELOPMENT DEPARTMENT THE TRAINING AND ORGANIZATION DEVELOPMENT DEPARTMENT SUPPORTS FMH MISSION, VISION, AND STRATEGIC GOALS BY HELPING TO DEVELOP THE SKILLS AND COMPETENCIES OF FMH STAFF. COMPETENT AND SKILLED STAFF CONTRIBUTE TO CUSTOMERS CHOOSING FMH AS THEIR HEALTH CARE PROVIDER OF CHOICE. FMH HAS SIGNED STUDENT AFFILIATION AGREEMENTS WITH COLLEGES WHOSE PROGRAMS INCLUDE AMONGST OTHERS: NURSING, IMAGING, AND REHABILITATION. THESE COLLABORATIVE EFFORTS ALLOW STUDENTS THE OPPORTUNITY TO COMPLETE A CLINICAL ROTATION AT FMH. SCHOOLS THROUGHOUT MARYLAND, AS FAR AS THE EASTERN SHORE, HAVE SIGNED AFFILIATION AGREEMENTS WITH FMH. GIVEN THE SHORTAGE OF BOTH NURSING AND ALLIED HEALTH PROFESSIONALS, MANY SCHOOLS HAVE LOOKED TO INCREASE ENROLLMENT IN THESE PROGRAMS. ANY INCREASE IN ENROLLMENT HAS MEANT THE NEED FOR ADDITIONAL CLINICAL PLACEMENTS. DURING FY10 FMH CONTINUED ITS PARTNERSHIP WITH THE NUCLEAR MEDICINE COURSE AT FREDERICK COMMUNITY COLLEGE, HELPING IN AN ADVISORY ROLE AND CLINICAL ROTATION SITE. THIS COURSE WAS STARTED BASED UPON THE SEVERE SHORTAGE OF NUCLEAR MED TECHNICIANS THROUGHOUT THE STATE OF MARYLAND. FMH IS PROUD TO PROVIDE CLINICAL PLACEMENTS FOR THESE STUDENTS. COMMUNITY BENEFIT SERVICES CLINICAL PLACEMENTS AT FMH PROVIDE A REAL-WORLD ENVIRONMENT IN WHICH THE STUDENTS MAY OBSERVE, LEARN, AND PRACTICE THEIR SKILLS UNDER THE DIRECT SUPERVISION OF A LICENSED PRACTITIONER. STRUCTURING A POSITIVE STUDENT CLINICAL HAS LED TO MANY STUDENTS APPLYING FOR OPEN POSITIONS AT FMH. IN ADDITION, FMH PROVIDES DIRECT FINANCIAL SUPPORT TO FREDERICK COMMUNITY COLLEGE ENABLING IT TO OFFER ASSOCIATE DEGREE PROGRAMS IN NURSING, RESPIRATORY THERAPY, AND NUCLEAR MEDICINE. OUTCOMES ASSESSMENT EVERY PROGRAM IS EVALUATED VIA REGULAR CONTACT WITH SCHOOL FACULTY, THE COMPLETION OF A STUDENT EVALUATION, AS WELL AS FEEDBACK FROM THE HOSPITAL DEPARTMENT STAFF. MODIFICATIONS TO THE CLINICAL ROTATIONS HAVE BEEN MADE WHEN WARRANTED. PRESENTATION SCHEDULE STUDENTS ARE PLACED AT FMH YEAR ROUND, WITH THE BUSIEST PERIODS BEING IN THE SPRING AND FALL. ON AVERAGE, DURING A SPRING OR FALL SEMESTER, ABOUT 130 NURSING STUDENTS FROM A VARIETY OF COLLEGES COULD BE COMPLETING A CLINICAL ROTATION AT FMH. IMAGING AND REHABILITATION STUDENTS NUMBER FROM 1 TO 5 IN ANY GIVEN SEMESTER. SUPPORT OF FREDERICK COMMUNITY COLLEGE (FCC) MONETARY SUPPORT PAID TO FCC TO HELP FUND THEIR ALLIED HEALTH AND NURSING PROGRAM = $100,000.00. IN ADDITION, FMH PLEDGED $40,000.00 TO FCC THROUGH THE MARYLAND HOSPITAL ASSOCIATION'S "PARTNERS IN NURSING PROGRAM". FINALLY, FMH ALSO PROVIDES SPACE AND PHONE AT NO CHARGE FOR A TRAINING LAB VALUED AT $1032.48 MONTHLY AND THE PHONE SERVICE WE PROVIDE IS VALUED AT $60.40 PER MONTH = $13,114.56 THE TOTAL SUPPORT OF FCC COMES TO $153,114.56 SUPPORT OF BUSINESS AND EDUCATIONAL PARTNERSHIPS THROUGH THE FREDERICK COUNTY CHAMBER OF COMMERCE (FCBRE). FMH IS A FOUNDING MEMBER OF THE FREDERICK COUNTY BUSINESS ROUNDTABLE FOR EDUCATION. THIS GROUP SUPPORTS, AMONGST OTHER INITIATIVES, EDUCATIONAL INTERNSHIPS FOR HIGH SCHOOL STUDENTS, CAREER FAIRS HIGHLIGHTING THE MATH AND SCIENCE JOBS WITHIN FREDERICK COUNTY, AND CONTINUING EDUCATIONAL PROGRAMS FOR PUBLIC SCHOOL TEACHERS. FMH PROVIDES COMMITTEE MEMBERS WHO DEDICATE THEIR TIME AND IDEAS TO THIS EFFORT, ALONG WITH AN ANNUAL MONETARY PLEDGE OF $10,000.00. COMMUNITY CONTRIBUTIONS FMH RECEIVES NUMEROUS REQUESTS FOR FINANCIAL SUPPORT FROM A WIDE VARIETY OF WORTHY COMMUNITY ORGANIZATIONS. THE FMH DEPARTMENT OF MARKETING AND COMMUNICATIONS SERVES AS THE HEALTHCARE SYSTEM'S CLEARING HOUSE FOR VETTING THE MANY REQUESTS. WHILE THE HOSPITAL HELPS WHENEVER AND WHEREVER IT CAN IN PROVIDING IN-KIND CONTRIBUTIONS OF TIME AND TALENT; CASH CONTRIBUTIONS ARE USED TO SUPPORT THOSE ORGANIZATIONS OR COMMUNITY INITIATIVES THAT ESPOUSE A CAUSE THAT IS MOST IN KEEPING WITH THAT OF THE HEALTHCARE SYSTEM'S MISSION TO CONTRIBUTE TO THE HEALTH AND WELL BEING OF AREA RESIDENTS. HEARTLY HOUSE IS A NATIONALLY RECOGNIZED ORGANIZATION DEDICATED TO COMBATING DOMESTIC VIOLENCE, AND PROVIDING SHELTER, LEGAL ASSISTANCE AND TRANSITIONAL HOUSING TO VICTIMS. FMH WORKS CLOSELY WITH HEARTLY HOUSE, AS ADVOCATES FROM THAT ORGANIZATION OFTEN ACCOMPANY WOMEN TO THE FMH SAFE PROGRAM DESCRIBE ABOVE, AND OBSERVE THE PROCESS OF FORENSIC EXAMINATIONS. WE ASSISTED HEARTLY HOUSE WITH THEIR LIFESAVING WORK BY HELPING THEM PUBLICIZE THEIR SERVICES AND BY PRINT MATERIALS FOR THEIR FUNDRAISING EVENTS. WHILE SOME OF THE ASSISTANCE FMH PROVIDED WAS IN THE FORM OF PURCHASING ADVERTISING SPACE IN LOCAL PUBLICATIONS, SOME IN-KIND CONTRIBUTIONS IN TIME AND TALENTS PROVED TO BE EVEN MORE VALUABLE TO THE ORGANIZATION. TOTAL HEARTLY HOUSE CONTRIBUTIONS = $5,000 ANOTHER IMPORTANT CAUSE TO WHICH FMH HAS PROVIDED SUPPORT TOUCHES UPON A TOPIC THAT WAS IDENTIFIED IN THE 2007 COMMUNITY HEALTH ASSESSMENT AS AN AREA OF GROWING CONCERN RELATIVE TO ACCESS TO CARE AND ADEQUATE NUMBER OF PHYSICIAN/EXTENDER PROVIDERS. THE MENTAL HEALTH ASSOCIATION'S GUIDE TO MENTAL HEALTH AND COMMUNITY SUPPORT SERVICES IS A COMPREHENSIVE REFERRAL RESOURCE THAT IS USED EXTENSIVELY THROUGHOUT THE REGION BY PHYSICIAN OFFICE PRACTICES, FIRE AND POLICE DEPARTMENTS AND OTHER COMMUNITY ORGANIZATIONS SEEKING APPROPRIATE INTERVENTIONAL RESOURCES. FREDERICK COUNTY MENTAL HEALTH ASSOCIATION CONTRIBUTION = $2,500 OTHER COMMUNITY EVENTS TO WHICH THE HEALTHCARE SYSTEM CONTRIBUTED: - ASIAN LUNAR NEW YEAR DIVERSITY EVENT: $1,000 - INDIAN ASSOCIATION OF FREDERICK: $ 300 - COMMUNITY FOUNDATION GOLF TOURNAMENT: $1,000 - MENTAL HLTH ASS. OF FREDERICK - CATOCTIN AFFAIR $2,000 - LEADERSHIP MONTGOMERY: $ 300 - MISSION OF MERCY: $ 500 - FREDERICK MARATHON (IN KIND MEDICAL SUPPORT SERVICES): $5,000 - INDIAN ASSOCIATION OF FREDERICK: $ 300 - THE GREAT FREDERICK FAIR, COMMUNITY TENT: $1,000 - YMCA SPECIAL EVENTS: $1,000 - YMCA CAMPAIGN FOR KIDS GOLF TOURNAMENT: $ 600 THE DEPARTMENT OF MARKETING AND COMMUNICATIONS HAS CONTRACTED WITH NASSAU BROADCASTING AND CLEAR CHANNEL RADIO TO BROADCAST A HEALTH AWARENESS PROGRAM CALLED "FMH MEDICAL MINUTE." THE 60-SECOND SPOTS AIR ON 4 RADIO STATIONS: WWEG - 106.9, WAFY 103.1, WFRE - 99.9, AND WFMD 930 AM. THE SPOTS ARE NOT ADVERTISEMENTS FOR SERVICES OR PROGRAMS. THEY ARE EDUCATIONAL IN NATURE, AND INFORM THE PUBLIC ABOUT TOPICS SUCH AS: - ASTHMA - TRIGGERS AND RESPONSE - COPD MANAGEMENT - PERIPHERAL ARTERY DISEASE - IS IT THE FLU OR JUST A COLD? - COLD WEATHER AND YOUR HEART - EXERCISING IN THE COLD - BEE STINGS AND OTHER INSECT BITES - SPRING/SUMMER ALLERGIES - SUNBURN: SIGNS, SYMPTOMS AND CARE - DEHYDRATION INVESTMENT IN FY 10 = $20,000.00 TOTAL CONTRIBUTION TO COMMUNITY EVENTS = $40,500.00
PROGRAM SERVICE ACTIVITIES CONTINUED...MISSION DRIVEN HEALTH SERVICES THE MISSION OF FREDERICK MEMORIAL HEALTHCARE SYSTEM IS TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT AND CONVENIENT MANNER THROUGH A COORDINATED PROGRAM OF PREVENTION, DIAGNOSIS AND TREATMENT, REHABILITATION, AND SUPPORT. IN ORDER TO FULFILL OUR MISSION, THE HEALTHCARE SYSTEM HAS ENTERED INTO A NUMBER OF EXCLUSIVE CONTRACTS AND/OR SUBSIDY ARRANGEMENTS WITH HOSPITAL BASED PHYSICIANS/PHYSICIAN GROUPS. THESE ARRANGEMENTS PROVIDED FOR TIMELY PATIENT CARE IN A COST EFFECTIVE MANNER, AND ALLOW FOR EFFICIENT ALLOCATION OF PHYSICIAN TIME AND RESOURCES. THE FOLLOWING SPECIALTY PRACTICE PHYSICIANS ARE SUBSIDIZED TO BE ON-CALL, 24/7 AT FMH: - HOSPITALISTS FMH HOSPITALISTS ARE SPECIALISTS TRAINED IN THE CARE OF HOSPITALIZED PATIENTS. THEY PROVIDE CARE TO THE PATIENTS OF THOSE PHYSICIANS WITH WHOM THEY HAVE ESTABLISHED A RELATIONSHIP, AND ASSUME THE MEDICAL MANAGEMENT OF THE PATIENT THROUGHOUT THE DURATION OF THEIR HOSPITAL STAY. THE HOSPITALISTS ALSO PROVIDE CARE TO THOSE PATIENTS WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN AND/OR ARE UNINSURED. - SURGICALISTS FMH EXPANDED ITS HOSPITALIST PROGRAM BY INCLUDING TWO NEW IN HOUSE PROGRAMS: SURGICALISTS AND PEDIATRIC HOSPITALISTS (SEE BELOW). SURGICALISTS ARE SURGEONS WHO ARE IN-HOUSE 24/7 AND ENSURE THAT FREDERICK COUNTY RESIDENTS RECEIVED AROUND-THE-CLOCK QUALITY SURGICAL CARE. SURGICALISTS NOT ONLY PROVIDE BETTER ACCESS TO THE HIGHEST QUALITY SURGICAL CARE, BUT ARE AVAILABLE TO ANSWER PATIENTS' QUESTIONS ABOUT THEIR SURGICAL PROCEDURE. - PEDIATRIC HOSPITALISTS FMH HAS EXPANDED ITS SERVICE PROVISION RELATIVE TO OUR PEDIATRIC POPULATIONS. A SUBSET OF OUR HOSPITALIST PROGRAM IS PEDIATRIC HOSPITALISTS, PHYSICIANS WHO SPECIALIZE IN THE MEDICAL MANAGEMENT OF THE HOSPITALIZED PEDIATRIC PATIENT. IN ADDITION, SOME OF OUR PEDIATRIC HOSPITALISTS HAVE ADVANCED TRAINING IN PEDIATRIC EMERGENCY SERVICES AND PROVIDE CARE IN OUR PEDIATRIC EMERGENCY DEPARTMENT THAT IS CO-LOCATED WITH OUR INPATIENT PEDIATRIC UNIT ON THE SECOND FLOOR OF THE HOSPITAL - INTENSIVISTS THE FMH INTENSIVIST PROGRAM WAS INITIATED AS AN ADJUNCT SERVICE FOR THE EXPANSION OF THE FMH HEART SERVICE LINE. WITH THE ADVENT OF THE INTERVENTIONAL CARDIOLOGY PROGRAM, IT WAS NECESSARY TO HAVE 24/7 SPECIALTY CARE IN THE INTENSIVE CARE UNIT. INTENSIVISTS ARE PHYSICIANS WHO HAVE SPECIAL TRAINING IN CRITICAL CARE MEDICINE. THE SPECIALTY REQUIRES ADDITIONAL FELLOWSHIP TRAINING FOR PHYSICIANS WHO COMPLETE THEIR PRIMARY RESIDENCY TRAINING IN INTERNAL MEDICINE, ANESTHESIOLOGY, OR SURGERY. RESEARCH HAS DEMONSTRATED THAT ICU CARE PROVIDED BY INTENSIVISTS PRODUCES BETTER OUTCOMES AND MORE COST EFFECTIVE CARE. - OBSTETRICIANS FMH'S RECENT DESIGNATION AS A NEONATAL INTENSIVE CARE CENTER HAS INCREASED THE NUMBER OF HIGH-RISK PREGNANCIES CHOOSING TO DELIVERY IN OUR BIRTHPLACE. AN INCREASE IN OUR DEMOGRAPHIC PROFILE OF THOSE INDIVIDUALS LESS LIKELY TO HAVE ADEQUATE - OR ANY - PRENATAL CARE HAS ALSO INCREASED THE PROBABILITY THAT IMMEDIATE/EMERGENT OBSTETRICAL CARE BE AVAILABLE. OUR OBSTETRIC ON-CALL SCHEDULE PERMITS FOR THAT NEED 24/7. - EMERGENCY PHYSICIANS FMH'S EMERGENCY DEPARTMENT IS THE THIRD BUSIEST ED IN MARYLAND, REGISTERING OVER 65,000 ANNUAL PATIENT VISITS. BECAUSE OF THE NATURE OF OUR GROWING COMMUNITY, AND THE SEVERITY OF THE EMERGENCIES ENCOUNTERED, IT IS INCREASING NECESSARY TO PROVIDE AROUND-THE-CLOCK PHYSICIAN SPECIALTY CARE. A VARIETY OF SPECIALTY AND SUB-SPECIALTY PHYSICIANS ARE ON CALL TO PROVIDE THE EMERGENT CARE 24/7. - ANESTHESIOLOGISTS IN ADDITION TO THE ON-SITE, 24/7, OB ANESTHESIOLOGY COVERAGE, FMH HAS A "FIRST-CALL" ANESTHESIOLOGIST AVAILABLE TO COVER EMERGENCY CASES SHOULD THE IN HOUSE ANESTHESIOLOGIST BE OCCUPIED WITH ANOTHER PATIENT. THE AVAILABILITY OF AN ON-CALL ANESTHESIOLOGIST HAS DECREASED THE TIME INTERVAL BETWEEN DIAGNOSES AND SURGICAL INTERVENTION, RESULTING IN SIGNIFICANTLY BETTER PATIENT OUTCOMES. - INTERVENTIONAL CARDIOLOGIST FMH CONTRACTED A GROUP OF INTERVENTIONAL CARDIOLOGIST TO PROVIDE 24-HOUR SERVICE FOR EMERGENCY ANGIOPLASTY SERVICES. THE INTERVENTIONALISTS ARE AVAILABLE 7-DAYS A WEEK AND SERVE AS THE CODE HEART TEAM LEADERS WHEN RESPONDING TO AN EMERGENCY SITUATION. COMMUNITY BENEFITS 2010 COMMUNITY HEALTH SERVICES $1,730,641.00 HEALTH PROFESSIONS EDUCATION $115,628.00 MISSION DRIVEN HEALTH SERVICES $10,929,046.00 FINANCIAL CONTRIBUTIONS $129,333.00 CHARITY CARE $4,062,500.00 TOTAL $16,967,148.00 CHARITY CARE POLICY INFORMATION TO PATIENTS FREDERICK MEMORIAL HEALTHCARE SYSTEM POSTS ITS CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSION AREAS, THE FMH EMERGENCY DEPARTMENT, AND IN ALL OF OUR SATELLITE FACILITIES IN AREAS WHERE ELIGIBLE PATIENTS ARE LIKELY TO PRESENT. FMH PROVIDES A SUMMARY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO ALL PATIENTS AT THE TIME OF ADMISSION TO THE HOSPITAL. FMH ADMISSIONS PERSONNEL DISCUSS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS WITH PATIENTS AND/OR THEIR FAMILY MEMBERS, AND THEY ASSIST PATIENTS WITH QUALIFICATION FOR THE PROGRAMS. MISSION/VISION/VALUE STATEMENTS WHILE THE COMPOSITION OF THE INDIVIDUAL FMH MISSION, VISION AND VALUE STATEMENTS IS NOT EXTRAORDINARY - THE ORCHESTRATION OF THE THREE TO CREATE A HARMONIOUS WHOLE - IS EXCEPTIONAL. FMH MISSION STATEMENT THE MISSION STATEMENT IS QUITE AMBITIOUS, AND DESCRIBES IN A SINGLE SENTENCE THE PURPOSE TO WHICH THE EMPLOYEES AND STAFF HAVE DEDICATED THEIR PROFESSIONAL LIVES. IN ADDITION TO PURPOSE, OUR MISSION STATEMENT CHARACTERIZES THE PARAMETERS WITHIN WHICH OUR OPERATIONS ARE DELIVERED, AND DETAILS THE PROGRAMS THROUGH WHICH SERVICES ARE RENDERED. BUT MORE THAN THAT, THE FMH MISSION STATEMENT ANCHORS THE FREDERICK COMMUNITY BY SOLIDIFYING A COMMITMENT TO CARE THAT HAS NEVER FALTERED. THERE IS A STABILITY TO THE WORDS THAT SUGGESTS COMPETENCY, COMPASSION AND CONFIDENCE. THEY ARE COMFORTING WORDS TO THE CITIZENS OF OUR COMMUNITY, AND REMAIN STEADFAST AND TRUE REGARDLESS OF WORLD CONDITION OR PERSONAL CIRCUMSTANCE. FMH STATEMENT OF VALUES OUR VALUE STATEMENT REFLECTS THOSE QUALITIES OF COMPORTMENT AND SERVICE DELIVERY IN WHICH WE BELIEVE AS AN ORGANIZATION. THESE ATTRIBUTES DOVETAIL WITH OUR MISSION STATEMENT IN THAT THEY DESCRIBE THE PHILOSOPHY THAT DIRECTS OUR BUSINESS OPERATIONS AND GOVERNS OUR PROVISION OF CARE. EACH STATEMENT IS POWERFUL AS A STAND-ALONE EXPRESSION OF PURPOSE AND BELIEF; BUT TOGETHER THEY PROVIDE THE FOUNDATION UPON WHICH THE FREDERICK MEMORIAL HEALTHCARE SYSTEM HAS BEEN BUILT. FMH VISION AS POWERFUL AS OUR MISSION AND VALUES STATEMENTS ARE, IT IS OUR VISION STATEMENT THAT MOST DIRECTLY GOVERNS DAY-TO-DAY OPERATIONS, PROVISION OF CARE, AND THE PERSONAL COMPORTMENT OF EMPLOYEES AND STAFF. SUPERB QUALITY. SUPERB SERVICE. ALL THE TIME. THESE SEVEN WORDS ARE THE IDEALS TO WHICH WE ASPIRE EVERY SINGLE DAY. THEY GUIDE OUR BUSINESS PRACTICES, OUR INTERACTIONS WITH OUR CUSTOMERS AND VISITORS, THE CARE DELIVERED TO EVERY PATIENT, AND THE DEGREE OF RESPECT WITH WHICH WE TREAT ONE ANOTHER.
DESCRIPTION OF RELATIONSHIPSFORM 990, PART VI, QUESTION 2MARVIN AUSHERMAN, DIRECTOR OF FMH, INC. IS ENGAGED IN AN INDIRECT BUSINESS RELATIONSHIP WITH THOMAS KLEINHANZL, JOHN VERBUS, KENNETH COFFEY, JAMES REINSCH AND ANNE HERBERT ROLLINS. CHANGES IN ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, QUESTION 4 ON DECEMBER 21, 2010 THE BOARD OF DIRECTORS VOTED TO EXPAND BY ONE VOTING MEMBER. DESCRIBE THE PROCESS USED BY MANAGEMENT/GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. COPY OF FORM 990 WILL BE PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C THE FREDERICK MEMORIAL HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT EITHER THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX-EXEMPT ORGANIZATIONS WHO PARTICIPATE IN "EXCESS BENEFIT TRANSACTIONS" (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTIONS 15A & 15B THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. THE EXECUTIVE COMPENSATION PHILOSOPHY OF THE BOARD PROVIDES FOR BASE COMPENSATION AT THE 50TH TO 60TH PERCENTILE OF OUR PEER GROUP. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT. WRITTEN POLICIES AND PROCEDURES FOR JOINT VENTURES FORM 990, PART VI, QUESTION 16B FREDERICK MEMORIAL HOSPITAL USES LEGAL COUNSEL WHEN EVALUATING ANY POTENTIAL JOINT VENTURES WITH FOR-PROFIT ENTITIES. IN ADDITION, TAX EXPOSURES RELATED TO THESE ENTITIES ARE CONSIDERED ANNUALLY IN THE PREPARATION OF THE FIN 48 MEMO REQUIRED AS PART OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS. FMH IS IN THE PROCESS OF COMPILING A FORMAL POLICY IN THIS AREA AND PLANS TO ADOPT A POLICY IN THE NEAR FUTURE. AVAIL OF GOV DOCS, CONFL. OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK MEMORIAL HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FMH.ORG. DESCRIPTION OF TAX-EXEMPT BONDS SCHEDULE K, PART I, COLUMN F THE MHHEFA SERIES 2008 REVENUE BONDS, ISSUED ON JULY 9, 2008 WAS A REFUNDING OF THE SERIES 2006 BONDS, WHICH WERE ISSUED ON MAY 23, 2006. SCHEDULE K, PART II, LINE 5 PROCEEDS USED FOR BOND ISSUANCE COSTS: $975,844 PROCEEDS USED FOR CREDIT ENHANCEMENT: $166,621
LOANS TO AND FROM INTERESTED PERSONSSCHEDULE L, PART IIPURPOSE OF LOAN: PHYSICIAN RECRUITMENT AND INCOME GUARANTEE AGREEMENT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1EMMITSBURG PROPERTIES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 WEST SEVENTH STREETAddressLine1
CityFREDERICKCity
StateMDState
ZIP Code21701ZIPCode
FieldValueIRS element (for citing)
EIN521910823EIN
Primary ActivitiesHolding InvtsPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Total Income109492TotalIncome
EOY Assets2240669EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Hospice of Frederick County IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 West Seventh StreetAddressLine1
CityFrederickCity
StateMDState
ZIP Code21701ZIPCode
FieldValueIRS element (for citing)
EIN521164513EIN
Primary ActivitiesHOSPICE CAREPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status7PublicCharityStatus

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Frederick Health Services Corporation
400 West Seventh StreetFrederickMD21701521851661MANAGEMENT CO.MDN/AC Corp-46100049040001.00000
Frederick Surgical Services Corporation
400 West Seventh StreetFrederickMD21701521642334Holding CompanyMDC CORPFHSC
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Hospice of Frederick County Inc
n602096
Frederick Health Services Corporation
n283627

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