2026-05-13T10:41:45-05:00 2025-06-30 991856619 GRANT THORNTON ADVISORS LLC 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2024-07-01 520607949 MERITUS MEDICAL CENTER INC MERI 3077908872 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 JOSHUA REPAC CFO/TREASURER 3077908872 2026-05-13 1 0 MARY TORRETTA P00847851 7038477500 2026-05-12 2024 2025-03-06 01:10:19Z MAULIK JOSHI DRPH 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 864767639 0 X WWW.MERITUSHEALTH.COM X 1904 MD THE MISSION OF MERITUS MEDICAL CENTER, INC. (MMC) IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. 10 7 4278 200 8416723 286167 10516540 8474844 592233255 675171869 12888489 24959616 17951193 12738281 633589477 721344610 10156 77000 0 0 299156629 328971244 0 0 0 292040758 357427284 591207543 686475528 42381934 34869082 911559587 1068369869 422697717 537914112 488861870 530455757 X SEE SCHEDULE O 0 0 583172118 77000 673340189 SEE SCHEDULE O 583172118 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 297 0 1 4278 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X JOSHUA REPAC 3017908872 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 X ROBERT GOETZ JR CHAIRMAN 5.00 0.00 X X 0 0 0 KENT REYNOLDS VICE CHAIR 3.00 0.00 X X 0 0 0 ERIN HERSHEY DIRECTOR 3.00 0.00 X 0 0 0 SHAHEEN IQBAL MD DIRECTOR 20.00 0.00 X 20786 0 0 BARBARA JACOBS RN DIRECTOR 3.00 0.00 X 0 0 0 MAULIK JOSHI DR PH PRESIDENT & CEO 50.00 3.00 X X 1413371 0 248681 JAMES KERCHEVAL DIRECTOR 3.00 0.00 X 0 0 0 AL MARTIN DIRECTOR (THRU 12/2024) 3.00 0.00 X 0 0 0 JAMES STOJAK DIRECTOR (THRU 12/2024) 3.00 0.00 X 0 0 0 WILLIAM SU MD DIRECTOR (THRU 12/2024) 3.00 0.00 X 0 0 0 SCOTT WORRELL MD DIRECTOR 3.00 0.00 X 0 0 0 KALIM AHMED MD DIRECTOR 20.00 0.00 X 33333 0 0 STEVE HULL DIRECTOR (AS OF 1/2025) 3.00 0.00 X 0 0 0 JOSHUA REPAC CFO/TREASURER 50.00 3.00 X 495589 0 70721 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 50.00 3.00 X 347451 0 61048 CARRIE ADAMS CHIEF OPERATING OFFICER 50.00 0.00 X 495271 0 71896 DAVID LEHR CHIEF STRATEGY OFFICER 50.00 0.00 X 535441 0 71381 VICTORIA GIFFI MD PHYSICIAN 50.00 0.00 X 768606 0 28111 GENTIAN TOSHKEZI MD PHYSICIAN 50.00 0.00 X 1112021 0 16065 CHIKEZIE ESEONU MD PHYSICIAN 50.00 0.00 X 959880 0 30010 ADRIAN PARK MD PHYSICIAN 50.00 0.00 X 862476 0 37473 MAHINUR KHAN MD PHYSICIAN 50.00 0.00 X 846883 0 33214 7891108 0 668600 469 0 1 0 QUALIVIS 5930 CORNERSTONE CT ST LOUIS MO 63150 MEDICAL 24599456 ROBINWOOD ORTHOPAEDIC SPECIALTY CTR 11110 MEDICAL CAMPUS ROAD STE 205 HAGERSTOWN MD 21742 MEDICAL 13177725 HAGERSTOWN HEART PA 1733 HOWELL RD HAGERSTOWN MD 21740 MEDICAL 6677236 COMPHEALTH MEDICAL STAFFING INC PO BOX 972651 DALLAS TX 75397 MEDICAL 5866332 TRIMEDX LLC PO BOX 636129 CINCINNATI OH 45263 MEDICAL 5121569 77 2563749 5892180 18915 8474844 PATIENT REVENUE 621400 636369549 636369549 340B PROGRAM REVENUE 621400 17146959 17146959 SCHOOL NURSING PROGRAM 621400 4908377 4908377 MDPCP FEES 621400 3463169 3463169 CAFETERIA SALES 621400 1831680 1831680 11452135 11452135 675171869 5689256 5689256 562827 66050 496777 496777 496777 154172108 8455231 143356979 0 10815129 8455231 19270360 19270360 RETAIL PHARMACY 456110 5949925 5949925 EQUITY EARNINGS IN SUB 900099 3824781 3824781 LAB REVENUE 621500 1486915 1486915 979883 979883 12241504 721344610 673340189 8416723 31112854 X 77000 77000 3496496 3496496 267389586 213911669 53477917 10921294 8737035 2184259 26779982 21423986 5355996 20383886 16307109 4076777 439771 351817 87954 509209 407367 101842 78729 62983 15746 339641 271713 67928 124004163 110255271 13748892 3470008 3470008 788365 630692 157673 10092038 8073630 2018408 11078034 8862427 2215607 1675662 1340530 335132 933866 747093 186773 11319596 9055677 2263919 33723630 26978904 6744726 6671529 5337223 1334306 DRUGS & PHARMACEUTICALS 74607593 74607593 MEDICAL SUPPLIES 40283570 40283570 BAD DEBT EXPENSE 10468701 10468701 UBI TAXES 55526 55526 26887653 21510120 5377533 686475528 583172118 103303410 0 161980059 242002191 61394873 76569165 107493 64145 11493721 13428908 6164451 7589774 675151438 325065246 296531753 350086192 248952978 234239632 16287189 14884256 7189281 5655599 101457789 123850007 911559587 1068369869 92572255 83446755 225721812 369224320 63716137 55026757 40687513 30216280 422697717 537914112 X 477381639 525758616 11480231 4697141 488861870 530455757 911559587 1068369869 X 34869082 14325907 -7601102 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 78729 78729 0 PART II-B, LINE 1, LOBBYING ACTIVITIES DURING FY2025, MMC PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH PROVIDED MMC WITH THE SPECIFIC PERCENTAGE OF THE AMOUNT PAID THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. IN ADDITION, MMC PAID A FEE TO A GOVERNMENT RELATIONS CONSULTING FIRM TO ASSIST IN UNDERSTANDING GOVERNMENTAL AND LEGISLATIVE MATTERS RELATED TO LOBBYING. 1028618 1028618 1028618 1028618 1028618 1028618 1028618 1028618 1028618 1028618 1.00000 0 0 8444093 8444093 355858670 149780562 206078108 6696018 3036599 3659419 233618154 172248085 61370069 70534503 70534503 350086192 NET ASSETS HELD BY MHF 2505142 OPERATING LEASES 25031847 OTHER ASSETS 9091492 RETRO PREMIUM CREDIT RECEIVABLE 12876255 EQUITY INVESTMENTS IN AFFILIATES 47341985 DUE FROM RELATED PARTIES 27003286 123850007 ACCRUED RETIREMENT BENEFITS 8785943 OPERATING LEASES 21430337 30216280 X PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PAY THE OUTSTANDING BALANCES FOR THOSE PATIENTS WHO MEET CERTAIN CRITERIA. IN ORDER TO QUALIFY, INDIVIDUALS MUST HAVE MADE TEN CONSECUTIVE PAYMENTS, HAVE NOT BEEN TURNED OVER TO COLLECTIONS, AND HAVE NEVER APPLIED FOR FINANCIAL ASSISTANCE. PART X, LINE 2: MERITUS FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE-LIKELY-THAN-NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MERITUS DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AS OF JUNE 30, 2025, THE MERITUS TAX YEARS ENDED JUNE 30, 2022 THROUGH JUNE 30, 2025, FOR FEDERAL TAX JURISDICTION REMAIN OPEN TO EXAMINATION. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 120000 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES INSURANCE PREMIUMS 5049044 0 0 0 0 0 0 5169044 0 5169044 0 0 1 0 0 0 PART I, LINE 3 INVESTMENTS IN MMC'S BOOKS AND THE FORM 990 ARE REPORTED ON AN ACCRUAL BASIS. 1 1 1 X 1 X 1 1 1 0 1 1 19936800 19936800 0.02950 6959650 5626478 1333172 0.00200 26896450 5626478 21269972 0.03150 2237292 2237292 0.00330 3065790 3065790 0.00450 222350749 132062815 90287934 0.13360 104543 65263 39280 0.00010 367855 367855 0.00050 228126229 132128078 95998151 0.14200 255022679 137754556 117268123 0.17350 3592 3592 0.00000 3592 3592 0.00000 1 10468701 1570305 443414577 434546285 8868292 X 1 1 1 GENERAL SURGERY RE LLC REAL ESTATE 0.50000 0.50000 1 1 MERITUS MEDICAL CENTER INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 WWW.MERITUSHEALTH.COM 21-0001 X X X X MERITUS MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 25 1 1 1 1 X HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/CHNA X HTTPS://WWW.BROOKLANE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 25 1 HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/CHNA 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: AS A PART OF THE PRIMARY DATA COLLECTION, A COMMUNITY SURVEY CONSISTING OF 30 QUESTIONS WAS DEVELOPED BY A SUB-COMMITTEE OF HEALTHY WASHINGTON COUNTY PARTNERS. THE SURVEY COVERED VARIOUS HEALTH AND WELLNESS RELATED TOPICS SUCH AS PERSONAL COMMUNITY HEALTH, PHYSICAL ACTIVITY LEVELS, HEALTHCARE ACCESS, BARRIERS TO CARE, AND UNMET NEEDS, AS WELL AS SEVERAL DEMOGRAPHIC QUESTIONS TO ASSESS FOR HEALTH DISPARITIES. THE SURVEY WAS MADE AVAILABLE TO THE PUBLIC FROM OCTOBER 21, 2024 TO DECEMBER 13, 2024. TO BE ELIGIBLE FOR THE SURVEY, PARTICIPANTS WERE REQUIRED TO BE 18 YEARS OF AGE OR OLDER AND EITHER A WASHINGTON COUNTY RESIDENT OR OUT OF COUNTY RESIDENT WHO REGULARLY WORKED OR USED SERVICES IN WASHINGTON COUNTY. A TOTAL OF 1,109 RESPONSES WERE RECEIVED.THE SECOND PART OF THE PRIMARY DATA COLLECTION CONSISTED OF 10 COMMUNITY FOCUS GROUPS FACILITATED BY THE HEALTH DEPARTMENT AND MERITUS STAFF. THE FOCUS GROUPS WERE CONDUCTED AMONGST UNDERSERVED AND MARGINALIZED POPULATIONS THAT ARE OFTEN NOT WELL-REPRESENTED IN SURVEY DATA, AND POPULATIONS THAT HAD LIVED EXPERIENCE WITH COMMON HEALTH CONCERNS IDENTIFIED IN PREVIOUS CHNAS. ELEVEN FOCUS GROUP QUESTIONS WERE DEVELOPED BY A SURVEY AND FOCUS GROUP SUB-COMMITTEE OF HEALTHY WASHINGTON COUNTY PARTNERS, AND COVERED TOPICS SUCH AS GENERAL SENTIMENTS TOWARD LIVING IN WASHINGTON COUNTY, COMMON HEALTH AND WELLNESS CONCERNS, HEALTH HABITS, HEALTHCARE QUALITY, HEALTHCARE ACCESS AND BARRIERS, AND AWARENESS OF COMMUNITY RESOURCES. FOCUS GROUPS WERE CONDUCTED AMONGST THE FOLLOWING POPULATIONS AT VARIOUS SITES IN THE COMMUNITY: AFRICAN-AMERICANS, BEHAVIORAL HEALTH, DIABETES/OBESITY, HISPANIC/LATINO, LGBTQ+, PARENTS WITH CHILDREN, WELLNESS, VETERANS, 18-24 YEAR OLDS, AND 55 YEARS AND OLDER. A TOTAL OF 67 INDIVIDUALS PARTICIPATED IN THE FOCUS GROUP DISCUSSIONS. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH BROOK LANE. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: THE OTHER GROUPS INVOLVED IN THE CHNA CREATION ARE HEALTHY WASHINGTON COUNTY AND WASHINGTON COUNTY HEALTH DEPARTMENT. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: AS A COMMUNITY HOSPITAL, MMC PURPOSEFULLY INCORPORATES OUR COMMITMENT TO COMMUNITY SERVICE INTO OUR INTERNAL MANAGEMENT AND GOVERNANCE STRUCTURES AS WELL AS STRATEGIC AND OPERATIONAL PLANS. MMC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND SERVICE GAPS. AN ACTION PLAN OF INITIATIVES AND GOALS IS DEVELOPED TO ADDRESS THE PRIORITIZED HEALTH NEEDS. THE ACTION PLAN IS REVIEWED BY THE MMC STRATEGIC PLANNING COMMITTEE AND APPROVED BY THE MMC BOARD.THE MOST RECENT PRIORITIZED COMMUNITY NEEDS FROM FY25 MMC CHNA INCLUDE:1. FOOD/NUTRITION AND WELLNESS: LACK OF ACCESS TO AFFORDABLE HEALTHY FOOD - ENGAGE AND EMPOWER PEOPLE TO CHOOSE HEALTHY BEHAVIORS AND MAKE CHANGES TO REDUCE CHRONIC DISEASES;2. OBESITY - LOSE 1 MILLION POUNDS BY 2030 AND REDUCE CHRONIC DISEASE;3. MENTAL HEALTH: LACK OF AWARENESS OF RESOURCES - IMPROVE ACCESS AND KNOWLEDGE OF BEHAVIORAL HEALTH, PREVENTION, TREATMENT AND RECOVERY RESOURCES; 4. COSTS AND AFFORDABILITY: AFFORDABLE HOUSING - INCREASE KNOWLEDGE OF HOUSING AVAILABILITY RESOURCES IN THE COMMUNITY;5. COMMUNITY CONNECTION INCREASE AWARENESS OF COMMUNITY RESOURCES.MMC ADDRESSED THE COMMUNITY NEEDS IDENTIFIED IN ITS FY22 CHNA DURING FY25 THROUGH VARIOUS PROGRAMS INCLUDING: - DIABETES RISK SCREENINGS WITH REFERRALS TO THE DIABETES PREVENTION PROGRAM OR DIABETES SELF-MANAGEMENT TRAINING FOR PERSONS DIAGNOSED WITH TYPE II DIABETES; - WARM HAND-OFF TO RESIDENTIAL TREATMENT OR IOP AIMED AT DISRUPTING THE CYCLE OF ADDICTION FOR PATIENTS OF THE CRISIS INTERVENTION CENTER; - MD MOM MATERNAL HEALTH EQUITY COLLABORATIVE THAT ADDRESSES EQUITY ISSUES THAT PLACE VULNERABLE OB POPULATIONS AT HIGHER RISK FOR MATERNAL MORALITY/MORBIDITY; - OB EDUCATIONAL OUTREACH PROGRAM THAT TARGETS UNDERSERVED AND VULNERABLE OB POPULATIONS.OTHER IDENTIFIED CHNA NEEDS NOT ADDRESSED:THE HOSPITAL HAS LIMITED, FINITE RESOURCES AND CANNOT SUCCESSFULLY MEET ALL OF THE IDENTIFIED HEALTH NEEDS OF THE COMMUNITY. SOME OF THE HEALTH NEEDS FOR THE COMMUNITY INCLUDE CANCER, ACCESS TO DENTAL CARE, CHRONIC PAIN, AND LACK OF SLEEP. FINDINGS FROM THE FY2025 CHNA MAY BE USED TO SUPPORT GRANT PROCUREMENT, DONATIONS, AND GIFTS TO FUND NEW PROGRAMS SERVICES. THE PRIORITIZATION CRITERION AND ASSIGNED WEIGHTS ASSISTED THE COALITION TO NARROW THE FOCUS AND DIRECTLY ADDRESS THE ISSUES THAT WOULD HAVE THE GREATEST IMPACT FOR IMPROVING THE HEALTH OF PEOPLE IN OUR COMMUNITY. WHEN OTHER COMMUNITY ORGANIZATIONS HAVE A MISSION ALIGNED TO MEET THE CHNA NEEDS THAT WERE IDENTIFIED, THE NEED WAS SCORED AS A LOWER PRIORITY FOR MMC, AVOIDING THE DUPLICATION OF EXISTING COMMUNITY SERVICES AND PROVIDING AN OPPORTUNITY TO COORDINATE THE LINKAGE OF PATIENTS TO ALTERNATIVE SERVICES WHENEVER APPROPRIATE. OUR COMMUNITY PROVIDERS ARE USING THE RESULTS OF THE CHNA TO HELP TARGET THESE UNMET NEEDS BASED ON STRENGTHS, EXPERTISE, AND RESOURCES OF INDIVIDUAL ORGANIZATIONS, AND WHERE INTERESTS ARE SHARED, NEW COLLABORATIVE RELATIONSHIPS BETWEEN ORGANIZATIONS WILL BE FORMED IF INTERESTS ARE SHARED. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 13B: MMC STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. MMC RESERVES THE RIGHT TO GRANT FINANCIAL ASSISTANCE WITHOUT FORMAL APPLICATION BEING MADE BY PATIENTS. THESE PATIENTS MAY INCLUDE THE HOMELESS OR INDIVIDUALS WITH RETURNED MAIL AND NO FORWARDING ADDRESS. PATIENTS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE MAY BE ELIGIBLE FOR MMC'S FINANCIAL ASSISTANCE PROGRAM. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 16J: MMC MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES ARE AVAILABLE THROUGHOUT THE COMMUNITY WITHIN MMC LOCATIONS. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT APPROPRIATE ADMISSION AREAS, THE PATIENT FINANCIAL SERVICES DEPARTMENT, AND OTHER KEY PATIENT ACCESS AREAS. A STATEMENT ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT BILLING STATEMENTS. IF THERE ARE ANY QUESTIONS REGARDING THE FINANCIAL ASSISTANCE POLICY, THE PATIENT ACCESS/REGISTRATION PERSONNEL REFER THE UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. THE FINANCIAL ASSISTANCE POLICY FOR MMC IS AVAILABLE ON THE WEBSITE AND IS TRANSLATED INTO SPANISH. PART I, LINE 6A: MMC PREPARES A COMMUNITY BENEFITS REPORT THROUGH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), AND IT IS AVAILABLE VIA THEIR WEBSITE. THIS IS IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT PREPARED BY MMC IN ACCORDANCE WITH IRC SECTION 501(R). PART I, LINE 7: THE DIRECT COST WAS CALCULATED USING THE EXPENSE CATEGORIES FOR SALARIES AND WAGES, BENEFITS, EXPENDABLE SUPPLIES, PURCHASED SERVICES, REPAIRS AND MAINTENANCE, AND DEPRECIATION. THE INDIRECT COST WAS CALCULATED USING THE APPROVED METHODOLOGY ON THE COMMUNITY BENEFIT REPORT. PART I, LINE 7G: THE COMMUNITY THAT MMC SERVES HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA. MMC SUBSIDIZES CERTAIN MEDICAL SERVICES SO THAT THE COMMUNITY HAS ACCESS TO THE MEDICAL CARE THAT IS NEEDED. SUBSIDIZED HEALTH SERVICES FOR MMC INCLUDE THE FOLLOWING: (1) HOSPITAL OWNED PRACTICES(2) THE MEDICATION ASSISTANCE CENTER(3) MMG PHYSICIAN PRACTICES(4) LEVEL III TRAUMA PROGRAM(5) ON-CALL FEES FOR EMERGENCY SPECIALISTS(6) VOLUNTARY WRITE-OFFS ON INPATIENT HOSPICE ACCOUNTS (HOSPICE OF WASHINGTON COUNTY)(7) MEDICAL URGENT CARE(8) HOSPITALIST SUBSIDY(9) COMMUNITY HEALTH (COMMUNITY HEALTH, EMPLOYEE WELLNESS, PARISH NURSING)(10) FAMILY PRACTICE RESIDENCY PROGRAM(11) HEALTH@WORK PART I, LN 7 COL(F): MMC COMPLIES WITH APPLICABLE FEDERAL CIVIL RIGHTS LAWS AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, DISABILITY, SEXUAL ORIENTATION, OR GENDER IDENTITY AND EXPRESSION. IT IS THE POLICY OF MMC TO ENSURE THAT ALL APPROPRIATE AND REASONABLE EFFORTS HAVE BEEN MADE PRIOR TO REFERRING AN ACCOUNT TO BAD DEBT, A COLLECTION AGENCY, OR OUTSIDE ATTORNEY. IN ADDITION, A SATISFACTORY LEVEL OF CONTROL IS MAINTAINED OVER BAD DEBTS AND LEVELS OF MANAGEMENT ARE INVOLVED IN THE DECISION-MAKING PROCESS PRIOR TO WRITE-OFF AND/OR ASSIGNMENT OF BAD DEBT. THE PERCENTAGES IN COLUMN F ARE BASED ON COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSE LESS BAD DEBT EXPENSE OF $10,468,701. PART I, LINES 7A & 7B, COLUMNS (C) THROUGH (F) MARYLAND'S UNIQUE ALL-PAYER SYSTEM INCLUDES A METHOD FOR FACTORING IN UNCOMPENSATED CARE IN EACH PAYER'S RATES. THEREFORE, MARYLAND HOSPITALS CANNOT ATTRIBUTE ANY DIRECT REVENUE OFFSET TO UNCOMPENSATED CARE, EXCEPT FOR ITS EFFECT ON THE HOSPITAL'S SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS ADDRESSED FISCAL SHORTFALLS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.THE LEGAL ENTITIES REFLECTED ON THIS FORM 990 INCLUDE MMC AND ITS CONSOLIDATED SUBSIDIARIES, WHICH ARE DISREGARDED ENTITIES STRUCTURE IN THE FORM OF LIMITED LIABILITY COMPANIES. MMC ACHIEVES ITS MISSION TO PROVIDE CARE TO PATIENTS AND COMMUNITY BENEFITS THROUGH ITS CONTROLLED ENTITIES. THESE ENTITIES ARE RESPONSIBLE FOR MANAGING AND OPERATING A RANGE OF HEALTHCARE SERVICES. THROUGH THESE ENTITIES, MMC PROVIDES CRITICAL MEDICAL SERVICES TO INDIVIDUALS WHO MAY NOT OTHERWISE HAVE ACCESS TO AFFORDABLE HEALTHCARE. IN TOTAL, THE CONTROLLED ENTITIES PROVIDED CHARITY CARE IN THE AMOUNT OF $22,036,386 DURING FISCAL YEAR 2025. PART II, COMMUNITY BUILDING ACTIVITIES: IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, MMC WAS INVOLVED IN MANY COMMUNITY BUILDING ACTIVITIES THAT FOCUSED ON IMPROVING ACCESS TO ADDICTION TREATMENT, REDUCING THE SUICIDE RATE, AND INCREASING ACCESS TO CARE. PART III, LINE 2: MMC USES HISTORICAL REIMBURSEMENT TRENDS IN DETERMINING BAD DEBT EXPENSE AND ADJUSTS THE ACCOUNTING BASED ON KNOWN VARIANCES OR ADJUSTMENTS. MMC UTILIZES HFMA STATEMENT #15 TO REPORT BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED AT THE UNDISCOUNTED RATE WHICH MATCHES THE REPORTING OF THE BAD DEBT ON THE FINANCIAL STATEMENTS. PART III, LINE 3: THE COSTS FOR PATIENTS ACCEPTED UNDER MMC'S FINANCIAL ASSISTANCE POLICY ARE INCLUDED IN CHARITY CARE AND ARE NOT A PART OF MMC'S BAD DEBT EXPENSE. MMC USES AN ESTIMATION PROCESS TO CALCULATE MMC'S BAD DEBT EXPENSE. MMC TAKES INTO ACCOUNT THE NUMBER OF FINANCIAL ASSISTANCE APPLICATIONS THAT ARE DENIED. MMC HAS DETERMINED THERE IS HISTORICALLY A DENIAL RATE THAT EQUATES TO APPROXIMATELY 15% OF TOTAL BAD DEBT EXPENSE. THESE DENIED FINANCIAL ASSISTANCE APPLICANTS PRESENT AS FUTURE BAD DEBT CASES THAT ARE WRITTEN OFF. THERE IS NO BAD DEBT EXPENSE INCLUDED IN THE NET COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: ESTIMATES FOR UNCOLLECTIBLE AMOUNTS ARE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED JUNE 30, 2025 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: MMC USES THE COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO TOTAL REVENUE RECEIVED FROM MEDICARE. MMC DID NOT REPORT A SHORTFALL IN MEDICARE REVENUE RECEIVED THAT WOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 9B: 1. MERITUS EXPECTS PATIENT PAYMENT AT THE TIME SERVICE IS PROVIDED OR WITHIN THIRTY (30) DAYS OF THE FIRST BILLING TO PATIENT FOR SERVICES NOT COVERED BY INSURANCE OR FINANCIAL ASSISTANCE.2. MERITUS MUST TAKE EFFECTIVE ACTION TO MAINTAIN TIMELY ACCOUNTS RECEIVABLE TURNOVER AND ENSURE THAT THE VALUE OF ACCOUNTS RECEIVABLE IS ACCURATELY STATED. TO DO THIS, PATIENT ACCOUNTS WILL BE AGED AND WRITTEN OFF AS BAD DEBTS OR CHARITY AND MAY BE OUTSOURCED TO COLLECTION AGENCIES FOR FURTHER FOLLOW-UP.3. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. SCHEDULED SERVICES WILL BE PROVIDED AFTER APPROPRIATE FINANCIAL ARRANGEMENTS ARE CONFIRMED BY MERITUS. DEPOSITS MAY BE REQUIRED PRIOR TO SCHEDULING SERVICES. FAILURE TO PAY REQUIRED DEPOSITS MAY RESULT IN THE RESCHEDULING OF THE SERVICE.4. FINANCIAL ASSISTANCE IS POTENTIALLY AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN MERITUS' FINANCIAL ASSISTANCE POLICY. IT IS THE PATIENT'S RESPONSIBILITY TO PROVIDE ACCURATE INFORMATION REGARDING ADDRESS, EMPLOYMENT, AND HEALTH INSURANCE IN ORDER TO DETERMINE ELIGIBILITY FOR SERVICES, AMOUNTS DUE FROM THE PATIENT AND/OR ELIGIBILITY FOR FINANCIAL ASSISTANCE.5. MERITUS COMPLIES WITH ALL STATE AND FEDERAL LAW AND THIRD-PARTY REGULATIONS TO PERFORM CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER.6. MMC DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX, OR ABILITY TO PAY.7. MERITUS WILL NOT SELL THE BAD DEBT RECEIVABLES OR CHARGE A PREJUDGMENT INTEREST RATE FOR SELF-PAY OR BALANCES AFTER INSURANCE.8. MERITUS MAY USE EXTERNAL COLLECTION AGENCIES FOR EXTENDED BUSINESS OFFICE, LEGAL AND/OR COLLECTION ACTIVITY TO ASSIST WITH COLLECTING ON PATIENT ACCOUNTS. THESE AGENCIES DO NOT SELL THE RECEIVABLE AND ACT AS AN EXTENDED BUSINESS OFFICE ON BEHALF OF MERITUS.9. MERITUS PROVIDES WRITTEN NOTICE TO THE PATIENT OR RESPONSIBLE PARTY AT LEAST THIRTY (30) DAYS PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECAS). THIS WRITTEN NOTICE INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND IDENTIFY THE ACTIONS THAT MERITUS INTENDS TO INITIATE TO OBTAIN PAYMENTS. THESE ACTIONS INCLUDE REPORTING ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR CREDIT BUREAU, AND INITIATING A CIVIL ACTION WHICH MAY RESULT IN WAGE GARNISHMENT OR ATTACHMENT OF BANK ACCOUNTS.THE ABOVE LISTED COLLECTION PRACTICES ARE FOR ALL PATIENTS. PART VI, LINE 2: MMC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT CONFORMS TO THE IRS DEFINITION. THIS REPORT INCLUDES A COMPREHENSIVE REVIEW AND ANALYSIS OF THE DATA REGARDING HEALTH ISSUES AND NEEDS OF WASHINGTON COUNTY, MD.UPON FULL REVIEW OF THE CHNA FINDINGS THE MMC BOARD OF DIRECTORS APPROVED AND ADOPTED THE PLAN OF ACTION ON FEBRUARY 24, 2025. FOLLOWING BOARD APPROVAL, THE FY2025 CHNA WAS PUBLICLY POSTED AT: HTTPS://WWW.MERITUSHEALTH.COM/FILES/FY26-28-CHNA.PDF. PART VI, LINE 3: FINANCIAL ASSISTANCE IS OFFERED BEFORE, DURING, OR AFTER SERVICES ARE RENDERED AT MMC. MMC OFFERS FINANCIAL ASSISTANCE APPLICATION AND A SELF-PAY BROCHURE AT THE POINT OF REGISTRATION. AFTER APPLYING, THE HOSPITAL WILL SEND AN ACKNOWLEDGEMENT LETTER TO THE PATIENT WITHIN TWO (2) BUSINESS DAYS AND AN ELIGIBILITY DETERMINATION WILL BE MADE WITHIN THIRTY (30) DAYS.NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE:A. MMC MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES WILL BE AVAILABLE THROUGHOUT THE COMMUNITY AND WITHIN MMC LOCATIONS.B. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT APPROPRIATE ADMISSION AREAS, THE PATIENT FINANCIAL SERVICES DEPARTMENT, THE ER, AND OTHER KEY PATIENT ACCESS AREAS.C. A STATEMENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT BILLING STATEMENTS.D. A PLAIN LANGUAGE SUMMARY OF MMC'S FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS RECEIVING INPATIENT SERVICES WITH THEIR SUMMARY BILL AND IS MADE AVAILABLE TO ALL PATIENTS UPON REQUEST.E. MMC'S FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE TO PATIENTS UPON REQUEST AT MMC, THROUGH MAIL (POSTAL SERVICE), AND ON MMC'S WEBSITE AT WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.F. MMC'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE IN SPANISH.G. ON AN ANNUAL BASIS, MMC SHALL ASSESS THE NEEDS OF OUR LIMITED ENGLISH PROFICIENCY COMMUNITY AND DETERMINE WHETHER ADDITIONAL TRANSLATIONS ARE NEEDED.H. MMC CONTRACTS WITH AN ON-SITE WASHINGTON COUNTY SOCIAL WORKER THAT SCREENS AND NOTIFIES PATIENTS AND POTENTIAL PATIENTS OF THEIR ELIGIBILITY FOR ALL PUBLIC ASSISTANCE PROGRAMS OFFERED BY THE COUNTRY, STATE, AND FEDERAL GOVERNMENTS. MMC HAS POLICIES INCLUDING FINANCIAL ASSISTANCE, BILLING AND COLLECTIONS, AND EMERGENCY CARE THAT INSURE COMPLIANCE WITH THE LEGISLATION OF SECTION 501(R). PART VI, LINE 4: IN ADDITION TO THE 155,033 RESIDENTS OF WASHINGTON COUNTY, MARYLAND, MMC CARES FOR PEOPLE LIVING THROUGHOUT A 60-MILE RADIUS OF THE QUAD-STATE AREA, WHICH INCLUDES MARYLAND, PENNSYLVANIA, VIRGINIA, AND WEST VIRGINIA. ACCORDING TO THE 2025 CHNA, A PORTION OF THE POPULATION MMC SERVES INCLUDES THOSE CONSIDERED "MEDICALLY UNDERSERVED" AS WELL AS POPULATIONS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL, OR OTHER BARRIERS.THE RACIAL DEMOGRAPHICS OF WASHINGTON COUNTY INCLUDES WHITE 74.5%, BLACK OR AFRICAN AMERICAN 11.3%, HISPANIC OR LATINO 7.3%, ASIAN 1.6%, AMERICAN INDIAN 0.1%, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER 0.1%, SOME OTHER RACE 0.3%, AND TWO OR MORE RACES 4.8%. THE MEDIAN AGE IN WASHINGTON COUNTY IS 41. THE AGE DEMOGRAPHICS IN WASHINGTON COUNTY INCLUDE PERSONS UNDER 5 YEARS 5.5%, PERSONS UNDER 18 YEARS 21.9%, PERSONS 65 YEARS AND OLDER 17.8%. THE MEDIAN HOUSEHOLD INCOME IS $74,157. THE PERCENTAGE OF FAMILIES LIVING AT OR BELOW THE POVERTY LINE IS 12.5%, AND THE PERCENTAGE OF UNINSURED RESIDENTS IS 7.2%. PART VI, LINE 5: MMC BELIEVES THAT HEALTHCARE IS NOT JUST FOR PEOPLE WHEN THEY ARE SICK OR INJURED. THROUGH MANY AVENUES, WE REACH OUT TO THE COMMUNITY AND OFFER WAYS TO HELP YOU STAY HEALTHY. ONE EXAMPLE IS THE COLLABORATION WITH OUR LOCAL HEALTH IMPROVEMENT COALITION, CONSISTING OF OVER 100 OTHER COMMUNITY PARTNERS KNOWN AS "HEALTHY WASHINGTON COUNTY." THE GOAL OF HEALTHY WASHINGTON COUNTY IS TO EDUCATE AS MANY ADULTS IN THE REGION AS POSSIBLE ABOUT THE IMPORTANCE OF UNDERSTANDING YOUR OWN PERSONAL HEALTH NUMBERS AND WHAT THEY MEAN FOR YOUR OVERALL HEALTH STATUS.THE MEDICATION ASSISTANCE CENTER (MAC) PROVIDES ACCESS TO FREE OR REDUCED-COST PRESCRIPTION DRUGS TO LOW-INCOME OR CHRONICALLY ILL PATIENTS WITH NO PRESCRIPTION INSURANCE. DURING FY25 APPROXIMATELY 2,000 PRESCRIPTIONS WERE FILLED FOR RESIDENTS OF WASHINGTON COUNTY OR THOSE WHO WERE TREATED BY PHYSICIANS LOCATED IN WASHINGTON COUNTY OR AT MMC. SINCE 2000, THIS SERVICE HAS BEEN PROVIDED FREE OF CHARGE.MEDICAL SCREENINGS KEEP OUR COMMUNITY HEALTHY AND ARE HELD THROUGHOUT THE YEAR. FREE VASCULAR, BLOOD PRESSURE, AND OTHER SCREENINGS ARE HELD AT MMC AND THROUGHOUT THE COMMUNITY. OUR FINANCIAL ASSISTANCE PROGRAM SERVICES MMC PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR MEDICAL BILLS. IMPROVING HEALTHCARE ACCESS TO THOSE WITH LIMITED INCOMES AND RESOURCES IS AN IMPORTANT PART OF MMC'S MISSION.THE YOUR HEALTH MATTERS PROGRAM USES MAGAZINE, RADIO, AND NEWSLETTERS TO KEEP THE PUBLIC INFORMED OF MMC-SPONSORED COMMUNITY WORKSHOPS, SUPPORT GROUPS, CLASSES AND OFFERS TIPS ON LIVING A HEALTHIER LIFE.THROUGHOUT THE ENTIRE YEAR, OUR FARMER'S MARKET PRESENTS THE PUBLIC WITH HEALTHY FOOD CHOICES AND GIVES LOCAL FARMERS AN OPPORTUNITY TO MARKET THEIR FRESH PRODUCE. 55 UP IS FOR PEOPLE AGE 55 AND OLDER WHO ENJOY LEARNING ABOUT HEALTH-RELATED TOPICS OVER LUNCH. THE GROUP MEETS WITH PHYSICIANS AND HEALTHCARE PROFESSIONALS 6 TIMES PER YEAR TO UNDERSTAND HEALTH TOPICS OF INTEREST.MERITUS MOBILE HEALTH PROVIDES PRIMARY AND ACUTE CARE, WELLNESS SCREENING, AND HEALTH EDUCATION THROUGHOUT WASHINGTON COUNTY, MARYLAND, TO IMPROVE THE HEALTH OF THE COMMUNITY. OUR TEAM PROVIDES HIGH-QUALITY, PATIENT-CENTERED, EQUITABLE CARE AT OUR WALK-UP CLINICS WITH NO APPOINTMENT NECESSARY. MOBILE HEALTH SERVES ALL PATIENTS REGARDLESS OF ABILITY TO PAY.AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, WE ARE COMMITTED TO ENSURING THAT NO PATIENTS IN OUR COMMUNITY WILL MISS A MEDICAL APPOINTMENT DUE TO TRANSPORTATION ISSUES. OUR MERITUS TRANSPORTATION INITIATIVE CONNECTS OUR PATIENTS WITH FREE RIDES, SCHEDULED THROUGH THEIR PHYSICIAN'S OFFICE, SO THAT THEY CAN FOCUS ON THE CARE, PREVENTATIVE SCREENINGS AND APPOINTMENTS THEY NEED. WHETHER A PATIENT DOESN'T HAVE ACCESS TO A VEHICLE OR THE ABILITY TO DRIVE, THEY ARE EXPERIENCING A SHORT-TERM INJURY OR DRIVING RESTRICTION, OR THEY USE A WHEELCHAIR OR NEED ADDITIONAL ASSISTANCE AMBULATING THAN WHAT MIGHT BE AVAILABLE THROUGH A PUBLIC TRANSPORTATION OFFERING, WE ARE HAPPY TO HELP MAKE SURE THEY HAVE SAFE AND RELIABLE TRANSPORTATION. APPROPRIATE NUTRITION IS IMPORTANT TO THE HEALTH OF OUR COMMUNITY, THE MERITUS CARE TO SHARE BOXES ARE LOCATED THROUGHOUT OUR CAMPUS AND PROVIDE BOTH PERISHABLE AND NON-PERISHABLE FOOD. THE PROGRAM IS BASED ON GIVE WHAT YOU CAN AND TAKE WHAT YOU NEED. AN INCREASE OF COMMUNITY MEMBERS REPORTED THAT THEY WERE LONELY. WITH THE IMPLEMENTATION OF A 15-20 MINUTE CALL PER WEEK TO THOSE SELF-IDENTIFIED 95% OF PEOPLE RECEIVING A CALL STATED THEY FELT LESS LONELY IN 4 MONTHS.THE JOHN R MARSH HAS A BREAST CANCER OUTREACH, EDUCATION, AND SCREENING PROJECT THAT PROVIDE SERVICES TO UNINSURED AND UNDERINSURED WOMEN OF WASHINGTON COUNTY AND THE TRI-STATE AREA. THE PROGRAM IS FUNDED BY MMC'S JOHN R. MARSH CANCER CENTER, WASHINGTON COUNTY HEALTH DEPARTMENT'S BREAST AND CERVICAL CANCER PROGRAM (BCCP), AND BREAST CANCER AWARENESS CUMBERLAND VALLEY (BCA-CV) AND DIAGNOSTIC IMAGING SERVICES.THE SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) PROGRAM IS A COMPREHENSIVE AND COMPASSIONATE APPROACH TO THE TREATMENT OF VICTIMS OF SEXUAL ASSAULT AND ABUSE. THE PROGRAM USES TRAINED AND CERTIFIED SAFE EXAMINERS TO PROVIDE SPECIALIZED MEDICAL CARE, EVIDENCE COLLECTION, AND EMOTIONAL SUPPORT TO VICTIMS OF SEXUAL ASSAULT.EACH YEAR MMC EMPLOYEES CONTRIBUTE TIME AND MONEY TO IMPROVE THE WELL-BEING OF OUR FRIENDS AND NEIGHBORS. FUNDRAISING CAMPAIGNS, LIKE THE UNITED WAY INSPIRE OUR HEALTHCARE PROFESSIONALS TO GIVE BACK TO CAUSES NEAR TO THEIR HEARTS AND PROFESSIONS. DURING THE HOLIDAY SEASON, OUR PHYSICIANS AND TEAM MEMBERS MAKE AND DELIVER HOT MEALS TO AREA FAMILIES THROUGH OUR LEND-A-HAND EVENT. CANCER SURVIVORS CELEBRATE THE GIFT OF LIFE EACH JUNE WHEN THE JOHN R. MARSH CANCER CENTER SPONSORS A FAMILY PICNIC FOR THOSE TOUCHED BY THIS LIFE-CHANGING DISEASE.CANCER CONTINUES TO BE THE SECOND LEADING CAUSE OF DEATH FOR WASHINGTON COUNTY RESIDENTS. MMC WILL CONTINUE INVESTMENT IN THE CANCER SERVICE PROGRAMS TO INCLUDE THE DEVELOPMENT OF THE MERITUS HEMATOLOGY ONCOLOGY SPECIALISTS PRACTICE, PROVIDING FOUR REGISTERED NURSE CLINICAL NAVIGATORS, ADDING REGISTERED DIETICIAN SERVICES, AND INITIATING THE HOPE SOARS SURVIVORSHIP PROGRAM AS A SUPPORT TO PATIENTS IN RECOVER.THE JOHN R. MARSH CANCER CENTER, ACCREDITED WITH COMMENDATION BY THE COMMISSION ON CANCER, IS PART OF COMPREHENSIVE CANCER SERVICES THAT INCLUDE SCREENINGS, DIAGNOSIS, TREATMENT, AND RECOVERY. A PART OF THE MMC COMMITMENT TO OFFER PATIENTS EXPERT CARE, CLOSE TO HOME, IS MERITUS MEDICAL GROUP, A MEDICAL NEIGHBORHOOD OF PRIMARY AND SPECIALTY CARE PRACTICES, PROVIDING A FULL SPECTRUM OF OUTPATIENT SERVICES FROM A TEAM OF MORE THAN 100 HEALTH CARE PROFESSIONALS LOCATED THROUGHOUT THE COMMUNITY.A MAJORITY OF MMC'S GOVERNING BODY ARE INDEPENDENT PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREAMMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY.SURPLUS FUNDS ARE DEDICATED TO IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION AND RESEARCH. PART VI, LINE 6: MERITUS HEALTH IS THE HOSPITAL ENTITY IN AN INTEGRATED HEALTH DELIVERY SYSTEM, AND THE SYSTEM INCLUDES OTHER LEGAL ENTITIES WHICH ARE ORGANIZED IN A WAY TO SERVE THE MERITUS HEALTH COMMUNITY. INCLUDED IN THE SYSTEM ARE MERITUS HEALTHCARE FOUNDATION, INC., WHICH RAISES MONEY FOR MMC'S MEDICAL PROGRAMS, HEALTHCARE OBJECTIVES, SCIENTIFIC RESEARCH, EDUCATIONAL PROGRAMS, AND RELATED COMMUNITY ACTIVITIES, AND MSOM, INC., WHICH WAS ESTABLISHED TO OPERATE A SCHOOL OF OSTEOPATHIC MEDICINE. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 HSCRC NURSING GRANT 22 77000 PART I, LINE 2: THE HSCRC GRANT PROVIDES MONEY TO EMPLOYEES OF THE HOSPITAL WHO ARE ENROLLED IN THE HAGERSTOWN COMMUNITY COLLEGE NURSING PROGRAM. THE GRANT PROGRAM PAYS FOR ALL OF THE STUDENT'S TUITION, BOOKS, AND FEES WITH AN AGREEMENT THAT UPON GRADUATION THE STUDENT WILL WORK FOR THE HOSPITAL AS A REGISTERED NURSE. THE GRANT ALSO PROVIDES MONIES FOR REGISTERED NURSES WHO ARE WORKING ON THEIR MSN IN EDUCATION. EACH AWARD RECIPIENT WILL BE REQUIRED TO SIGN A SERVICE CARD AGREEMENT WITH MMC. THE LENGTH OF PAYBACK WILL BE ONE YEAR OF SERVICE (EQUIVALENT TO 2,080 HOURS OF SERVICE) FOR EACH YEAR OF THE GRANT RECEIVED. THE PROGRAM IS FIVE SEMESTERS LONG AND MOST RECIPIENTS WILL OWE 4,160 HOURS. X X X X 0 1 0 0 0 0 0 1 0 MAULIK JOSHI DR PH PRESIDENT & CEO 899267 0 355869 0 158235 0 229775 0 18906 0 1662052 0 135235 0 GENTIAN TOSHKEZI MD PHYSICIAN 1109021 0 3000 0 0 0 15525 0 540 0 1128086 0 0 0 CHIKEZIE ESEONU MD PHYSICIAN 779380 0 157500 0 23000 0 15525 0 14485 0 989890 0 0 0 ADRIAN PARK MD PHYSICIAN 683455 0 156021 0 23000 0 15525 0 21948 0 899949 0 0 0 MAHINUR KHAN MD PHYSICIAN 491789 0 332094 0 23000 0 15525 0 17689 0 880097 0 0 0 VICTORIA GIFFI MD PHYSICIAN 485187 0 283419 0 0 0 10422 0 17689 0 796717 0 0 0 DAVID LEHR CHIEF STRATEGY OFFICER 415382 0 120059 0 0 0 53385 0 17996 0 606822 0 0 0 CARRIE ADAMS CHIEF OPERATING OFFICER 365593 0 83613 0 46065 0 49940 0 21956 0 567167 0 46065 0 JOSHUA REPAC CFO/TREASURER 403385 0 92204 0 0 0 51165 0 19556 0 566310 0 0 0 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 276053 0 68997 0 2401 0 39678 0 21370 0 408499 0 0 0 PART I LINE 4B SEVERAL OFFICERS ARE PARTICIPANTS IN A 457F PLAN THAT WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD OF DIRECTORS. FOR THE CURRENT YEAR, THE FOLLOWING AMOUNTS WERE DEFERRED BY MMC AND ARE NOT SUBSTANTIALLY VESTED AND SUBJECT TO CREDITOR CLAIMS AND FORFEITURES: MAULIK JOSHI $214,250 CARRIE ADAMS $35,149 LYNN HAINES $26,526 DAVID LEHR $37,860 JOSHUA REPAC $35,640 MAULIK JOSHI AND CARRIE ADAMS RECEIVED 457F DISTRIBUTIONS OF $135,235 AND $46,065, RESPECTIVELY. PART I, LINE 7 INCENTIVE BASED COMPENSATION IS DETERMINED BY AGREED UPON INDIVIDUAL AND CORPORATE GOALS BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD EXECUTIVE COMPENSATION IS PREDETERMINED AT THE BEGINNING OF THE FISCAL YEAR BY THE EXECUTIVE COMMITTEE WITH THE HELP OF INDEPENDENT CONSULTANTS USING BENCHMARKED INFORMATION TO ENSURE MARKET COMPETITIVENESS ON AN ANNUAL BASIS. TOTAL COMPENSATION RECEIVED BY EACH INDIVIDUAL IS REVIEWED FOR REASONABLENESS BY THOSE TASKED WITH GOVERNANCE PRIOR TO ALL DISTRIBUTIONS. SCHEDULE J, PART III CERTAIN MMC EXECUTIVES RECEIVE TAXABLE FRINGE BENEFITS, SUCH AS EXECUTIVE LIFE INSURANCE. THE VALUE OF THESE TAXABLE FRINGE BENEFITS IS INCLUDED IN FORM W-2 WAGES. TOTAL COMPENSATION OF ALL EXECUTIVES IS ADJUSTED TO MARKET COMPETITIVENESS, REVIEWED TO ENSURE REASONABLENESS, AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD. THE EXECUTIVE COMMITTEE OF THE MMC BOARD, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS ON AN ANNUAL BASIS THE FOLLOWING AS IT RELATES TO THE COMPENSATION OF THE CEO AND OTHER KEY EXECUTIVES: 1) ANNUAL PERFORMANCE EVALUATIONS OF THE CEO AND EXECUTIVES; 2) ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN ACHIEVEMENT OF STRATEGIC AND INDIVIDUAL INCENTIVE GOALS; AND 3) MARKET DATA PRESENTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT; AND 4) BASE SALARY AND INCENTIVE RECOMMENDATIONS. THE INDEPENDENT THIRD-PARTY CONSULTANT CONDUCTS AND PRESENT A REASONABLENESS REVIEW OF BOTH BASE SALARY AND TOTAL COMPENSATION FOR THE CEO AND KEY EXECUTIVES. THE COMMITTEE DISCUSSES, DELIBERATES, AND APPROVES BASE SALARY AND INCENTIVE COMPENSATION RECOMMENDATIONS. RESULTS ARE REPORTED TO THE MMC BOARD. A MD HITH & HID ED FAC AUT 520936091 58421CKB9 2025-06-18 369007351 REFUND O/S BONDS/CONS PROJECTS. THE 2015 ISSUE WAS REFUNDED. 0 0 0 A 369007351 206820651 2593090 1096870 108363892 50132848 1 0 0 0 A 0 0 1 1 1 1 0.00010 0.00010 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART III, LINE 1 DESCRIPTION OF ORGANIZATION MISSION MISSION: TO IMPROVE THE HEALTH OF OUR COMMUNITY. VISION: TO BE THE BEST HEALTH SYSTEM. OUR VALUES: AT MMC, WE EACH SUPPORT OUR MISSION AND VISION BY LIVING OUR VALUES EACH AND EVERY DAY. BY FOLLOWING OUR PLEDGE, "I ACT", WE EACH SUPPORT MMC WITH: I=INTEGRITY - WE DO THE RIGHT THING, NO MATTER WHAT. A=ALL IN FOR QUALITY OUTCOMES - QUALITY IMPROVEMENT ISN'T JUST SOMETHING WE TALK ABOUT, IT'S A COMMITMENT WE EACH LIVE. C=COMMUNITY OBSESSED - WE ARE OUR COMMUNITY AND WE ARE HERE TO TAKE CARE OF OUR NEIGHBORS. THIS ISN'T JUST ABOUT MEDICAL CARE, IT'S ABOUT CARING FOR THE WHOLE PERSON. T=TEAMWORK - NOBODY CAN DO IT ALONE. AT MMC, WE ARE ONE TEAM THAT IS DIVERSE AND INCLUSIVE, AND WE SUPPORT ONE ANOTHER AND OUR GOALS. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS MMC IS AN ACUTE CARE HOSPITAL LOCATED IN HAGERSTOWN, MARYLAND AND SERVES THE RESIDENTS OF WESTERN MARYLAND, SOUTHERN PENNSYLVANIA, AND THE EASTERN PANHANDLE OF WEST VIRGINIA. DURING FY25, MMC'S PATIENT DAYS TOTALED 79,111, ADMISSIONS TOTALED 17,987, ER VISITS TOTALED 68,970, AND APPROXIMATELY 1.8 MILLION LABORATORY PROCEDURES WERE PERFORMED. IN ADDITION, THERE WERE 17,490 HOME HEALTH, 96,631 OUTPATIENT REHAB, 13,168 OUTPATIENT BEHAVIORAL HEALTH, AND 25,117 CANCER CENTER VISITS. MMC'S PHYSICIAN PRACTICES COMPLETED 164,906 PRIMARY CARE, 283,975 SPECIALTY CARE, AND 51,360 URGENT CARE VISITS. THE MMC STRATEGIC PLAN HAS BOLD GOALS TO BE ACHIEVED BY 2030. UTILIZING THE QUADRUPLE AIM FRAMEWORK, THE 2030 BOLD GOALS CONSIST OF THE FOLLOWING PILLARS OF SUCCESS: IMPROVE HEALTH IN OUR COMMUNITY, IMPROVE HEALTHCARE, HAVE JOY AT WORK, PROVIDE MEDICAL CARE THAT IS AFFORDABLE FOR OUR COMMUNITY. LISTED BELOW ARE THE ACCOMPLISHMENTS UNDER EACH PILLAR. HEALTH -OVER 177,000 POUNDS LOST AND OVER 8,200 REGISTERED USERS AND 96 BUSINESSES AND COMMUNITY PARTNERS. -$100K OF FOOD SUPPORT ANNUALLY. -MERITUS TRANSPORTATION OVER 17,000 FREE RIDES. -ADDED URGENT CARE AND AFTER HOURS PEDIATRIC CARE AT VALLEY MALL AND EXPANDED CASCADE FAMILY PRACTICE TO 5 DAYS A WEEK. -DISTRIBUTED $100K OF FOOD THROUGH CARE TO SHARE PROGRAM. HEALTHCARE -MIEMMS CERTIFICATION ACHIEVEMENT IN SURGICAL SERVICES. -OPENED AN ACCREDITED SPECIALTY PHARMACY. -ADDED TRAUMA BLOCK TIME IN OR FOR EMERGENCIES. JOY AT WORK -INCREASED NET PROMOTER SCORE TO 25%. -DECREASED VACANCY RATE. -MINIMUM WAGE INCREASE. AFFORDABILITY -$2.3M SAVINGS IN SUPPLIES. -MOST EFFICIENT HOSPITAL IN THE STATE OF MD. -MHAC REWARD FOR PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF UP TO SEVEN (7) DIRECTORS, AS DETERMINED BY THE BOARD IN ACCORDANCE WITH THE BYLAWS. THE COMMITTEE, WHICH MEETS BI-MONTHLY BETWEEN REGULARLY SCHEDULED BOARD MEETINGS, MAY IN ITS DISCRETION EXERCISE THE FULL POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT WHERE PROHIBITED BY LAW AND SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BYLAWS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS MHI, THE PARENT. MHI HAS THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS OF MMC ARE ELECTED BY THE BOARD OF DIRECTORS OF MHI, THE PARENT, AT THE ANNUAL MEETING OF THE MHI BOARD OF DIRECTORS. AT LEAST THREE (3) OF THE MEMBERS OF THE MMC BOARD SHALL BE COMPRISED OF INDIVIDUALS ALSO SERVING ON THE MHI BOARD. FORM 990, PART VI, SECTION A, LINE 7B MMC SHALL NOT, WITHOUT THE APPROVAL OF MHI, ITS PARENT: 1. ACQUIRE OR DISPOSE OF ANY REAL PROPERTY; 2. CHANGE MMC'S TAX-EXEMPT STATUS, CAUSE MMC TO BE CONVERTED INTO ANY FORM OF ENTITY OTHER THAN A NONPROFIT, NONSTOCK CORPORATION UNDER THE LAWS OF THE STATE OF MARYLAND, OR TAKE ANY ACTION THAT WOULD RESULT IN THE LOSS OF MMC'S TAX-EXEMPT STATUS; 3. APPROVE MMC'S ANNUAL BUDGET AND BUSINESS PLAN; 4. TAKE ANY ACTION THAT MATERIALLY DEVIATES FROM MMC'S ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI; 5. MODIFY THE TERMS OF ANY EXISTING INDEBTEDNESS OF MMC OR INCUR ANY NEW INDEBTEDNESS FROM A LENDER (EXCLUDING TRADE PAYABLES), OR GUARANTEE OR SECURE THE INDEBTEDNESS OF A THIRD PARTY, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS AND OTHER THAN INDEBTEDNESS SET FORTH IN THE ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI; 6. LIQUIDATE, DISSOLVE OR WIND-UP THE BUSINESS AND AFFAIRS OF MMC, OR MAKE ANY ASSIGNMENT FOR THE BENEFIT OF THE CREDITORS OF MMC OR A SUBSIDIARY, FILE A VOLUNTARY PETITION IN BANKRUPTCY, OR APPOINT A RECEIVER FOR MMC OR A SUBSIDIARY, OR CONSENT TO ANY OF THE FOREGOING; 7. AMEND MMC'S ARTICLES OF INCORPORATION; 8. ENTER INTO ANY CONSOLIDATION, MERGER OR TRANSFER OF ASSETS AS SUCH ACTIONS ARE DESCRIBED IN SECTION 5-207 OF THE MARYLAND GENERAL CORPORATION LAW; 9. ENTER INTO, MATERIALLY AMEND OR MODIFY ANY AGREEMENT, CONTRACT, OR OTHER ARRANGEMENT, OR INCUR AN EXPENDITURE, WITH A VALUE OF GREATER THAN TWO MILLION DOLLARS ($2,000,000), OTHER THAN ANY AGREEMENT, CONTRACT OR OTHER ARRANGEMENT SET FORTH IN THE ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD. ACTING UNDER THE AUTHORITY OF THE BOARD, THE COMMITTEE REVIEWED THE FORM 990 PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. IN ADDITION, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL DISCLOSURE OF INTEREST IS REQUIRED FOR ALL OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES. THESE DISCLOSURES ARE REVIEWED AGAINST THE ACCOUNTS PAYABLE SYSTEM TO IDENTIFY TRANSACTIONS WITH THE ORGANIZATION. ALL DISCLOSURES AND TRANSACTIONS ARE REVIEWED BY THE AUDIT & BUSINESS INTEGRITY COMMITTEE AND THEN PROVIDED TO THE CHAIR OF THE BOARD AND THE APPLICABLE COMMITTEE CHAIR. ANY DIRECTOR WITH A DETERMINED CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE BOARD'S OR COMMITTEE'S DISCUSSIONS AND DECISIONS WITH REGARDS TO THAT TRANSACTION AND MUST NOT ONLY RECUSE THEMSELVES BUT LEAVE THE ROOM DURING THE DISCUSSIONS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE MMC BOARD, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS ON AN ANNUAL BASIS THE FOLLOWING AS IT RELATES TO THE COMPENSATION OF THE CEO AND OTHER KEY EXECUTIVES: 1) ANNUAL PERFORMANCE EVALUATIONS OF THE CEO AND EXECUTIVES; 2) ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN ACHIEVEMENT OF STRATEGIC AND INDIVIDUAL INCENTIVE GOALS; 3) MARKET DATA PRESENTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT; AND 4) BASE SALARY AND INCENTIVE RECOMMENDATIONS. THE INDEPENDENT THIRD-PARTY CONSULTANT CONDUCTS AND PRESENTS A REASONABLENESS REVIEW OF BOTH BASE SALARY AND TOTAL COMPENSATION FOR THE CEO AND KEY EXECUTIVES. THE COMMITTEE DISCUSSES, DELIBERATES, AND APPROVES BASE SALARY AND INCENTIVE COMPENSATION RECOMMENDATIONS. RESULTS ARE REPORTED TO THE MMC BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS FOR MMC ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE. MMC'S FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION DIVISION. FINANCIAL STATEMENTS FOR MMC ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT. MMC MAKES ALL RELEVANT DOCUMENTS AVAILABLE TO THE EXTENT REQUIRED BY LAW. FORM 990, PART VII, SECTION A THE COMPENSATION THAT DR. IQBAL AND DR. AHMED RECEIVED WAS FOR THEIR SERVICES AS PHYSICIANS. COMPENSATION FOR THESE INDIVIDUALS WAS FOR SERVICES PROVIDED IN THEIR CAPACITY AS INDEPENDENT CONTRACTORS/EMPLOYEES OF MMC AND AFFILIATES, NOT IN THEIR CAPACITIES AS DIRECTORS. THE AVERAGE HOURS PER WEEK LISTED FOR ALL OF THE OFFICERS AND DIRECTORS INCLUDES, BUT IS NOT LIMITED TO, THEIR TIME SPENT PREPARING FOR AND ATTENDING BOARD COMMITTEE MEETINGS, FUNDRAISING AND ATTENDANCE AT COMMUNITY FUNCTIONS ON BEHALF OF MMC. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 37,455,785. MANAGEMENT AND GENERAL EXPENSES 9,363,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,819,731. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 55,259,701. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,259,701. OTHER: PROGRAM SERVICE EXPENSES 17,539,785. MANAGEMENT AND GENERAL EXPENSES 4,384,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,924,731. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS HELD BY MERITUS HEALTHCARE FOUNDATION -7,601,102. 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