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      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
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      <NumberIndividualsGT100K>52</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MEDQUIST TRANSCRIPTIONS LTD</NamePerson>
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        <AddressOfContractor>
          <AddressUS>
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            <State>NY</State>
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        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL RECORD TRAN</DescriptionOfServices>
        <Compensation>497329</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>EMERGENCY MEDICINE ASSOCIATES PA PC</NamePerson>
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          <AddressUS>
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      <NumberOfContractorsGT100K>25</NumberOfContractorsGT100K>
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      <GovernmentGrants>773927</GovernmentGrants>
      <TotalContributions>1032422</TotalContributions>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID REVENUE</Description>
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      <IncomeFromInvestBondProceeds>
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      <RoyaltiesRevenue>
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      </RoyaltiesRevenue>
      <GrossRents>
        <Real>40013</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>56894</Real>
      </LessRentalExpenses>
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        <TotalRevenueColumn>0</TotalRevenueColumn>
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      <NetIncomeFromFundraisingEvents>
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      <NetIncomeFromGaming>
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      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
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      <OtherRevenueMisc>
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      <OtherRevenueMisc>
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        <UnrelatedBusinessRevenue>10228</UnrelatedBusinessRevenue>
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      <OtherRevenueMisc>
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      <MiscellaneousRevenue>
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      <TotalRevenue>
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        <UnrelatedBusinessRevenue>924028</UnrelatedBusinessRevenue>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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      </ForeignGrants>
      <BenefitsToMembers>
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      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>1929396</ManagementAndGeneral>
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      <CompDisqualPersons>
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      <PensionPlanContributions>
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        <ProgramServices>2109108</ProgramServices>
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      <OtherEmployeeBenefits>
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      <PayrollTaxes>
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      <FeesForServicesManagement>
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        <ProgramServices>508344</ProgramServices>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>100302</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>117460</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
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        <ProgramServices>3221948</ProgramServices>
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      <Advertising>
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        <ProgramServices>120602</ProgramServices>
        <ManagementAndGeneral>52748</ManagementAndGeneral>
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      </OfficeExpenses>
      <InformationTechnology>
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        <ProgramServices>962251</ProgramServices>
        <ManagementAndGeneral>223225</ManagementAndGeneral>
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      <Royalties>
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      </Royalties>
      <Occupancy>
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        <ManagementAndGeneral>237640</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>97283</ProgramServices>
        <ManagementAndGeneral>23870</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>87211</Total>
        <ProgramServices>69742</ProgramServices>
        <ManagementAndGeneral>17469</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>2940264</ProgramServices>
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      <PaymentsToAffiliates>
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      </PaymentsToAffiliates>
      <DepreciationDepletion>
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        <ProgramServices>6694656</ProgramServices>
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      <Insurance>
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        <ProgramServices>1201185</ProgramServices>
        <ManagementAndGeneral>28917</ManagementAndGeneral>
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      <OtherExpenses>
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        <ProgramServices>5765127</ProgramServices>
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      <OtherExpenses>
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      <OtherExpenses>
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        <ManagementAndGeneral>3903</ManagementAndGeneral>
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        <ManagementAndGeneral>4059</ManagementAndGeneral>
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      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>3318412</DirectOffsettingRevenue>
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        <NetCommunityBuildingExpense>60319</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>22092</NetCommunityBuildingExpense>
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        <TotalCommunityBuildingExpense>142438</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>12000</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>130438</NetCommunityBuildingExpense>
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      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>5755395</BadDebtExpenseAmount>
      <AmountAttributableTo>1858993</AmountAttributableTo>
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      <CostOfCareReimbursedByMedicare>31108215</CostOfCareReimbursedByMedicare>
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        <Other>X</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Calvert Memorial Hospital of Calvert Co</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>100 Hospital Road</AddressLine1>
          <City>Prince Frederick</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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        <Other>skilled nursing fac urgent care centers family practice clin</Other>
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        <CostingMethodUsed>The costing methodology used to calculate amounts reported in line 7 was a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges.</CostingMethodUsed>
        <SubsidizedHealthServicesExpln>In FY 2010, Calvert Memorial Hospital contributed $1,492,402 to the Maryland Uncompensated Care Fund. The Uncompensated Care Fund provides healthcare to individuals who qualify for financial assistance in the state of Maryland. Subsidized health services include the following clinics: Woman's Wellness Center, Dunkirk Urgent Care, GYN-Oncology Clinic, Pediatric Orthopedic Clinic, Solomons Urgent Care, Spine Clinic and TWIN BEACHES COMMUNITY HEALTH CENTER. Costs attributable to the clinics totaled $1,533,774.</SubsidizedHealthServicesExpln>
        <PercentOfTotalExpenseExpln>Bad debt expense included on Form 990, Part IX, line 25, column (A), but subtracted for purposes of calculating the percentage in this column - $5,675,692.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Calvert Memorial Hospital has studied uncompensated care to track and trend financial performance at any specified period. This has included ensuring that the system is in compliance with all state requirements regarding CMH's tax-exempt status and the deliverance of financial assistance to patients who may be unable to reimburse the provider for their health care needs. CMH provides a board approved financial assistance program that provides some level of discount services for patients that are 300% or below the federal poverty level. This includes the review of several documents submitted by patients, the acceptance of need based government or community assistance that proves the patient's probable eligibility, and the utilization of software that examines several financial factors and places them in an algorithym to determine their probability to meet CMH's 100% level of financial assistance. This information was utilized over a 2 quarter period to determine the estimate of the amount of CMH's bad debt expense attributable to patients eligible under the charity care policy. The financial statements for Calvert Memorial Hospital do not contain a footnote regarding bad debt expense. Bad debt expense is classified as an operating expense, "Provision for Uncollectible Accounts," in the Hospital's Statement of Operations.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>The costing source is the Medicare Cost Report and the methodology is Medicare allowable cost to Medicare revenues received.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>As stated in Calvert Memorial Hospital's Financial Assistance Policy, Part V, Section G: Calvert Memorial Hospital's management shall develop policies and procedures for internal and external collection practices that take into account the extent to which the patient qualifies for financial assistance, a patient's good faith effort to apply for a governmental program or for financial assistance from Calvert Memorial Hospital, and a patient's good faith effort to comply with his or her payment agreements with Calvert Memorial Hospital. For patients who are cooperating with applying and qualifying for either Medical Assistance or financial assistance, Calvert Memorial Hospital will not send unpaid bills to outside collection agencies and will cease all collection activities.</DebtCollectionPolicy>
        <GeneralExplanation>Part 1, Line 7a, column (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Part 1, Line 7b, columns (c), (d), (e) and (f) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate setting system. Part 1, Line 7f, column (c), (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.</GeneralExplanation>
        <GeneralExplanation>Calvert Memorial Hospital offers charity care to patients who are unable to pay for their services and meet the eligibility criteria regardless of the amount budgeted for charity care in the Hospital's annual Operating Plan.</GeneralExplanation>
        <NeedsAssessment>Calvert Memorial Hospital (CMH) uses a variety of resources to identify the health needs of its community. As stated in 2009's Community Benefit Report narrative, between July 2007and November 2007, CMH in collaboration with the Calvert County Community Health Improvement Roundtable completed a comprehensive community health assessment. This is done by the Roundtable approximately every five years and takes about one year to complete. On a quarterly basis, Roundtable partners provide an action plan update. A community health assessment interim report is planned for FY11. The Roundtable membership is representative of the major community partners for health and human services and includes the leadership from the Calvert County Health Department, Calvert County Public Schools, Calvert County Office on Aging, Calvert County of Community Resources, the Calvert County Department of Social Services, Calvert Hospice, Calvert Alliance Against Drug Abuse, the Calvert County Traffic Safety Council and the ARC of Southern MD with CMH as the primary facilitator of the Roundtable. The purpose of the assessment was to determine the current status of community health in the county, to project future needs and to identify areas where their gaps in services. The assessment consisted of two components: the first being the collection of data on the health status of the county as available through local, state and national data sources. It also consisted of personal interviews with key leaders in the community in order to gather information on their perception of the health of this community. These leaders included a county commissioner, the Superintendent of Schools, the County Health Officer, a leading clergy representative from a minority church, the Director of Aging Services at the Office on Aging and the CEO of CMH. The second phase was the development of a public community survey designed to determine resident's views about their health and the local health care system. It utilized face-to face methods, online availability and a paper system. The survey was distributed by community agencies such as the United Way, the local Interagency Council, local churches and employers as well as at a community health forum at the College of Southern Maryland. A total of 1,418 surveys were returned to CMH. In October 2007, the Community Health Improvement Roundtable held a community health forum at the College of Southern Maryland, Calvert County campus. It consisted of a panel presentation by the county's health officer, a private physician and the hospital's president with a question and answer period afterwards. Approximately 50 people attended this forum. In the fall of 2007, the Community Wellness Department of CMH surveyed its Faith-Based Ministry Council for their concerns and perceptions regarding the health of the community and what recommendations they had for CMH to address in future planning. In January 2008, CMH's 2004 Medical Staff Development Plan was updated. This process is completed every 4 years. Applying very specific quantitative analysis along with qualitative medical staff input, the study showed the need for a significant number of primary care physicians as well as medical and surgical sub-specialties. In the spring of 2008, CMH's Board of Directors initiated a strategic planning process for the years 2009-2012. The purpose of the Plan is to amalgamate and synthesize the essential findings and recommendations of key studies and to present a "roll-up" of recommended actions that remain to be implemented. The plan was completed in FY-09 and serves as a guide for service development, implementation and continuation. The local health department is integral to the assessment and planning of health care services at CMH. Through active participation on the Community Health Roundtable and other collaborative efforts the hospital and the health department work closely to improve the health of the community. For example, both the county health officer and the hospital's CEO presented the results of the community health assessment to the county commissioner's at their meeting on December 16, 2008.</NeedsAssessment>
        <PatientEducationAssistance>Notification about the availability of financial assistance from Calvert Memorial Hospital includes a contact number and is disseminated by Calvert Memorial Hospital by various means, which includes, but is not limited to, the publication of notices in patient bills and by posting notices in the Emergency Department, Urgent Care Centers, admitting and registration departments, and patient financial services offices. Information is also included on the hospital's website and in the Patient Handbook. In addition, notification of the Hospital's financial assistance program is also provided to each patient through an information sheet provided to each patient at the time of registration. Such information is provided in the primary languages spoken by the population serviced by Calvert Memorial Hospital. Referral of patients for financial assistance may be made by any member of the Calvert Memorial Hospital staff or medical staff, including physicians, nurses, financial counselors, social workers, case managers, and chaplains. A request for financial assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws.</PatientEducationAssistance>
        <CommunityInformation>Calvert Memorial Hospital (CMH) is the sole hospital provider in Calvert County, Maryland. Calvert County is located in Southern Maryland and is essentially a peninsula bordered on the east by the Chesapeake Bay and on the west by the Patuxent River. With a long and skinny topography, the county's "spine" is Maryland Routes 2/4 running from Dunkirk in the north to Solomons Island in the south for approximately 45 miles. This topography presents challenges to both transportation and service delivery that are unique to Calvert County. In response to this unique topography, CMH's strategic goal is to ensure access to primary care services within a 15 minute drive from any county location and specialty care within 30 minutes. In addition, CMH's secondary market area includes the surrounding areas of southern Prince Georges and Anne Arundel Counties, St Mary's County on its southern border and Charles County on its western border. Calvert County is in the outer ring of suburban Washington, D.C. Population estimates from the U.S. Census Bureau for 2009 is 89,212. Population density increased in the county from 346.5 to 412 people per square mile over the period of 2000-2009. Population projections are for Calvert to continue to grow to 100,700 people in 2020. The future is projected to bring small growth in population of young people, large increases (on a percentage basis) of the elderly, and modest growth in total number of households and in size of the labor force. Calvert County's estimated median household income is $89,049 in 2008 inflation adjusted dollars. Despite its relative high income level, Calvert County is home to pockets of people who live in poverty. US Census American Community Survey data indicated that individuals living below the poverty level were 5.6% of the population. The age distribution of those living below the poverty level reveals the following: Under age 19 25.7% Age 19-64 64.1% Age 65-84 9.1% Age 85+ 1.2% The Community Health Status Report from DHHS indicates that there are 9207 uninsured individuals under age 65 in Calvert County. It also reports that there are 8,311 Medicare beneficiaries and 8,887 Medicaid beneficiaries. Financial analysis of FY2010 for Calvert Memorial Hospital reveals that 5.1% of gross revenue is from self-pay or uninsured patients, 11.6% of gross revenue is from Medicaid recipients and 36.9% is from Medicare recipients. In 2009, Maryland Vital Statistics report that Calvert County's crude death rate for all causes of death is 656.9 per 100,000 people which is below the state average of 767.8 deaths per 100,000 people. Heart disease, cancer, cerebrovascular disease and chronic lower respiratory disease are the leading causes of death in Calvert. Death from heart disease, cancers and chronic lower respiratory disease in Calvert County is higher than the Maryland state average.</CommunityInformation>
        <CommunityBuildingActivities>Calvert Memorial Hospital (CMH) is recognized as a leader in the provision of health care in the local area. It partners with many organizations and agencies to expand the reach for improving the health of its community. Activities include: 1. Developing and leading a health ministry team program with 15 local area churches. 2. Supporting staff participation on local area boards, coalitions and collaboratives, such as the United Way of Calvert County, Hospice of Calvert County, Maryland Rural Health Association, the Office on Aging, Southern Maryland Community Network, Calvert County Oral Health Coalition, Tri-County Council, EMS Council, Maryland Perinatal Patient Safety Collaborative, Comptroller's Advisory Board and the Calvert Cancer Coalition. 3. Leader with Calvert County HealthCare Career Partnership - coordinating meetings, annual expo and student mentorships. Purpose is to expose more students to a variety of health career opportunities with the goal to attract them to future careers in healthcare. 4. Chair of the Calvert County Improved Pregnancy Outcome Program that is a partnership with physicians, the local health department, child care providers and CMH that performs case reviews of deliveries with potential poor outcome to identify trends. These trends then serve as a guide for program and service development. Two areas of recent attention have been safe sleep education for parents and identification of early labor and action plan for the maternity patient. 4. Calvert County Nuclear Power Plant Disaster Preparedness is an ongoing program for CMH since CMH is the designated receiving hospital for accidents or emergencies. CMH provides salaries and travel expenses for Emergency Department staff to train offsite for such emergencies. It also drills at least annually with the county, the power plant and FEMA on accident management. The hospital has a part of its Emergency Department a decontamination unit that is fully equipped and available 24/7 for handling patients needing this procedure. These are just a few of CMH's community building activities. Improving the health of the community is a priority area for the hospital and therefore drives many of our strategic plans.</CommunityBuildingActivities>
        <OtherInformation>The Hospital is governed by a community board comprised of civic leaders throughout Calvert County who are committed to and represent the healthcare needs of the community. The Hospital extends medical staff privileges to all qualified physicians for all of its departments. All financial surpluses the Hospital generates are used exclusively to further the charitable purposes of the organization.</OtherInformation>
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        <CapitalExpenditures>31774470</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>MORGAN STANLEY</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>2.2</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>James Xinis</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Director and officer</Relationship>
        <AmountOfTransaction>23353000</AmountOfTransaction>
        <DescriptionOfTransaction>CareFirst transactions (on bd)</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF 990 REVIEW PROCESS</Identifier>
        <ReturnReference>PART VI, LINE 11</ReturnReference>
        <Explanation>The 990 is reviewed by the Audit Committee of the Calvert Health System, Inc. Board of Directors after completion and prior to submission to the IRS. The document is delivered to the Committee members prior to the Committee meeting so that they can review the information and respond to or question any or all of the data. The Chief Executive Officer and Chief Financial Officer are present at the Audit Committee meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICTS MONITORING AND ENFORCEMENT</Identifier>
        <ReturnReference>PART VI, LINE 12C</ReturnReference>
        <Explanation>Calvert Health System, Inc. has a Conflict Management Policy which describes how the organization will manage or resolve conflict at all leadership levels in the organization including management staff, medical staff leadership and Board members. This policy requires all organizational leadership to disclose any conflict of interest that exists at the time of business decisions, medical staff credentialing, and strategic planning. Annual disclosures are required and documented. In addition when any conflict arises there is an internal mediation process available to resolve a potential conflict as well as external conflict management resources to assist the organization. Internal methods include utilizing trained mediators to facilitate conflict resolution and external resources are available to bring into the organization if required. These resources include trained crisis communication/management counselors, employee assistance counselors and community based professionals trained in conflict resolution and legal representation if appropriate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>PART VI, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY,AND APPROVAL BY BOARD/COMPENSATION COMMITTEE TO DETERMINE COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT AVAILABILITY</Identifier>
        <ReturnReference>PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDITED FINANCIAL STATEMENTS</Identifier>
        <ReturnReference>Part XI line 2b</ReturnReference>
        <Explanation>The organizations financial statements are audited by an independent accounting firm as part of the consolidated audit of the health system.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CALVERT PHYSICIANS ASSOCIATES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 HOSPITAL RD</AddressLine1>
          <City>PRINCE FREDERICK</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
        </AddressUS>
        <EIN>263828176</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <TotalIncome>2362947</TotalIncome>
        <EOYAssets>2007295</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CALVERT HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 HOSPITAL RD</AddressLine1>
          <City>PRINCE FREDERICK</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
        </AddressUS>
        <EIN>522347324</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1Aiii</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CMH HOLDING CO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 HOSPITAL RD</AddressLine1>
          <City>PRINCE FREDERICK</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
        </AddressUS>
        <EIN>522176827</EIN>
        <PrimaryActivities>REAL ESTATE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CMH II HOLDING CO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 HOSPITAL RD</AddressLine1>
          <City>PRINCE FREDERICK</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
        </AddressUS>
        <EIN>522178784</EIN>
        <PrimaryActivities>REAL ESTATE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CALVERT MEMORIAL HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 HOSPITAL RD</AddressLine1>
          <City>PRINCE FREDERICK</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
        </AddressUS>
        <EIN>521680647</EIN>
        <PrimaryActivities>FUND RAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CALVERT HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 HOSPITAL RD</AddressLine1>
          <City>PRINCE FREDERICK</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
        </AddressUS>
        <EIN>521625432</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>5684894</ShareOfTotalIncome>
        <ShareOfEOYAssets>5562951</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CALVERT COMMUNITY HEALTH INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 HOSPITAL RD</AddressLine1>
          <City>PRINCE FREDERICK</City>
          <State>MD</State>
          <ZIPCode>20678</ZIPCode>
        </AddressUS>
        <EIN>521996371</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CALVERT PHYSICIANS ASSOCIATES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>2911000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CALVERT HEALTH VENTURES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j,n,p</TransactionType>
        <AmountInvolved>162578</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>calvert memorial hospital foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c,l</TransactionType>
        <AmountInvolved>258495</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>