2024-05-15T11:15:43-05:00 2023-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2022-07-01 010639265 MERITUS HEALTHCARE FOUNDATION INC MERI 3017908872 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 JOSHUA REPAC TREASURER 3017908872 2024-05-15 1 JOSHUA REPAC 999009999 0 MARY TORRETTA P00847851 7038477500 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z MAULIK JOSHI DRPH 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 14567913 0 X WWW.MERITUSHEALTH.COM X 2002 MD TO PROVIDE FUND DEVELOPMENT, FINANCIAL, AND OTHER ASSISTANCE TO MERITUS MEDICAL CENTER, INC. 11 8 0 50 0 0 705762 9781724 0 0 1253878 107661 42465 126227 2002105 10015612 2546465 474160 0 0 0 0 0 0 4154 65824 3369491 2612289 3843651 -610184 6171961 5171160 11654779 42749 6736 5128411 11648043 X TO PROVIDE FUND DEVELOPMENT, FINANCIAL, OR OTHER ASSISTANCE TO MERITUS MEDICAL CENTER, INC. (MMC). MERITUS HEALTHCARE FOUNDATION (MHF) IS OPERATED EXCLUSIVELY FOR THE CHARITABLE AND EDUCATIONAL PURPOSE OF SUPPORTING QUALITY HEALTH CARE AND RELATED SERVICES OF MMC. 0 0 3809769 474160 SEE SCHEDULE O 3809769 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X JOSHUA REPAC 3017908872 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 X MAULIK JOSHI DR PH PRESIDENT & CEO 3.00 50.00 X X 0 1095877 216346 MATTHEW WAGNER MD CHAIR 3.00 50.00 X X 0 145433 24803 WAYNE ALTER DIRECTOR (AS OF 1/2023) 3.00 0.00 X 0 0 0 JANE ANDERSON DIRECTOR 3.00 0.00 X 0 0 0 PAUL FREY DIRECTOR (AS OF 1/2023) 3.00 0.00 X 0 0 0 RYAN LAMPTON DIRECTOR 3.00 0.00 X 0 0 0 CORY MOSKOWITZ DIRECTOR (AS OF 1/2023) 3.00 0.00 X 0 0 0 GEORDIE NEWMAN DIRECTOR (THRU 3/2023) 3.00 0.00 X 0 0 0 NICOLE RAPPAPORT DIRECTOR 3.00 0.00 X 0 0 0 LAWRENCE SUMMERS DIRECTOR 3.00 0.00 X 0 6138 0 LORNA THOMAS DIRECTOR (AS OF 7/2022) 3.00 0.00 X 0 0 0 REGGIE TURNER DIRECTOR 3.00 0.00 X 0 0 0 MICHAEL J SAYLOR MD DIRECTOR (THRU 2/2023) 3.00 0.00 X 0 0 0 STEPHANIE BASALIK PHD DIRECTOR (THRU 11/2022) 3.00 0.00 X 0 0 0 ALAN MULLENDORE DIRECTOR (THRU 11/2022) 3.00 0.00 X 0 0 0 JOSHUA REPAC CFO/TREASURER (AS OF 7/2022) 3.00 50.00 X 0 351313 66909 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 3.00 50.00 X 0 272939 56935 THOMAS T CHAN FORMER CFO/TREASURER 3.00 50.00 X 0 803424 75304 0 2675124 440297 0 1 1 0 0 30200 1608702 8142822 9781724 62385 62385 4494552 4449276 45276 45276 45276 229252 30200 103025 126227 126227 10015612 0 0 233888 474160 474160 99 69 30 25000 17500 7500 19561 13693 5868 3165 2215 950 31104 21773 9331 19863 13904 5959 300 210 90 DISCOUNT ON PLEDGES REC 3262254 3262254 PRINTING AND PUBLICATIO 3671 1799 1872 EQUIPMENT 2736 1340 1396 POSTAGE 1365 669 696 373 183 190 3843651 3809769 29728 4154 24998 146106 4313685 13088 8716 23692 23692 0 0 5011966 5447738 0 1859642 5171160 11654779 42749 6736 42749 6736 X 1909962 2194991 3218449 9453052 5128411 11648043 5171160 11654779 6171961 347671 0 X X 0 1 X 1 0 X X 1 MERITUS MEDICAL CENTER INC 520607949 3 1 474160 0 1 474160 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3218449 6595406 360803 9453052 4872966 528055 2182572 3218449 4558362 503103 404039 592538 4872966 4583356 529140 554134 4558362 4789156 775226 981026 4583356 1.00000 0 0 23692 23692 0 0 DUE FROM RELATED ORGANIZATIONS 1859642 1859642 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE ASSISTANCE TO MMC IN ACHIEVING MMC'S MISSION OF SUPPORTING AND ENCOURAGING QUALITY HEALTH CARE AND RELATED SERVICES. PART X, LINE 2: MHF 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. MHF DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. CRYSTAL BALL 145932 14930 131002 28631 29360 GOLF TOURNAMENT 71980 7350 64630 12159 11293 1900 2 41540 7920 33620 10395 9287 259452 30200 229252 12159 50319 40547 103025 126227 1 MERITUS MEDICAL CENTER INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 520607949 501(C)(3) 474160 0 SUPPORT OF HOSPITAL PROGRAMS 1 0 PART I, LINE 2: THE FOUNDATION HAS A GRANTS COMMITTEE WHICH REVIEWS AND RECOMMENDS GRANT APPLICATIONS FOR FUNDING TO THE FOUNDATION BOARD FOR APPROVAL. THE FOUNDATION REQUIRES GRANT RECIPIENTS TO BE RECOGNIZED AS 501(C)(3) ORGANIZATIONS. THEY ALSO REQUIRE THE SUBMISSION OF AUDITED FINANCIAL STATEMENTS TO THE FOUNDATION BOARD ON AN ANNUAL BASIS. THE FINANCIAL STATEMENTS OF THE FOUNDATION ARE PART OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MMC WHICH ARE REVIEWED BY THE AUDIT & BUSINESS INTEGRITY COMMITTEE OF THE MMC BOARD. THE GRANT RECIPIENT IS A RELATED ORGANIZATION OF THE FILING ORGANIZATION. THE PROGRAM DISTRIBUTIONS ARE MADE TO INDIVIDUALS AND BUSINESSES THAT ARE WORKING TO SUPPORT THE CHARITABLE PURPOSES OF THE FOUNDATION. THE FOUNDATION MAKES GRANT DISTRIBUTIONS TO MMC ONCE MMC PROVIDES DOCUMENTATION THE DISTRIBUTION WILL BE EXPENDED PER THE DONOR'S INTENT. 0 1 0 0 0 0 0 0 0 MAULIK JOSHI DR PH PRESIDENT & CEO 0 728283 0 347094 0 20500 0 194494 0 21852 0 1312223 0 0 THOMAS T CHAN FORMER CFO/TREASURER 0 426140 0 87706 0 289578 0 56375 0 18929 0 878728 0 269078 JOSHUA REPAC CFO/TREASURER (AS OF 7/2022) 0 287404 0 63909 0 0 0 39622 0 27287 0 418222 0 0 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 0 226816 0 45554 0 569 0 32383 0 24552 0 329874 0 0 MATTHEW WAGNER MD CHAIR 0 145433 0 0 0 0 0 6815 0 17988 0 170236 0 0 PART I LINE 3 METHODS USED BY A RELATED ORGANIZATION TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES; ALL COMPENSATION TO OFFICERS AND DIRECTORS REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, MMC. MMC CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, QUESTION 3 ON ITS FORM 990: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION BY SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE COMPENSATION PAID TO THE OFFICERS LISTED ON MHF'S FORM 990 WAS ESTABLISHED PURSUANT TO THE REBUTTABLE PRESUMPTION OF REASONABLENESS. 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 $180,769 THOMAS CHAN $42,650 JOSHUA REPAC $26,340 LYNN HAINES $20,750 THOMAS CHAN RECEIVED A 457F DISTRIBUTION OF $269,078. PART III, LINE 4A MERITUS HEALTHCARE FOUNDATION (MHF), A RECOGNIZED 501(C)(3) NONPROFIT ORGANIZATION, EXISTS FOR THE PURPOSE OF SUPPORTING THE MISSION OF MMC, WHICH IS TO IMPROVE THE HEALTH STATUS OF OUR REGION BY PROVIDING COMPREHENSIVE HEALTH SERVICES TO PATIENTS AND FAMILIES. MHF WORKS TO SECURE DONATIONS FROM INDIVIDUALS, BUSINESSES, AND OTHER ORGANIZATIONS WHO WISH TO INVEST IN QUALITY PATIENT CARE SERVICES AND HEALTH, WELLNESS, AND OUTREACH PROGRAMS IN OUR COMMUNITY. DONATIONS RECEIVED BY MHF PROVIDE THE RESOURCES NEEDED TO ENSURE THAT ALL INDIVIDUALS, REGARDLESS OF FINANCIAL CIRCUMSTANCES, HAVE ACCESS TO MEDICAL CARE, EDUCATION, AND OTHER PATIENT CARE PROGRAMS. IN SUMMARY, REFLECTIVE OF ITS COMMUNITY HEALTHCARE MISSION, MHF PROVIDES AWARDS FOR THE FOLLOWING: CANCER CARE: DONOR SUPPORT PROVIDES PATIENT ASSISTANCE, SPIRITUAL CARE PROGRAMMING, EQUIPMENT AND TECHNOLOGY FOR THE CANCER PATIENTS WHO TURNED TO US FOR HELP AND HEALING. ENDOWMENTS: ENDOWED FUNDS SUPPORT THE HOSPITAL'S MEDICAL PROGRAMS, EDUCATIONAL OFFERINGS, STAFF TRAINING, AND COMMUNITY OUTREACH PROGRAMS. PATIENT ASSISTANCE: THIS FUND WAS ESTABLISHED BY THE MERITUS HEALTH FAMILY OF EMPLOYEES TO PROVIDE SUPPORT FOR UNINSURED OR UNDERINSURED PATIENTS WHO ARE UNABLE TO AFFORD THE NECESSITIES OF THEIR RECOVERY, INCLUDING PATIENT PERSONAL MEDICAL EQUIPMENT, TRANSPORTATION, AND MEDICATION BEYOND THE FINANCIAL ASSISTANCE OFFERED BY MMC AS CHARITY CARE. IMPACT FUNDING: THROUGH THE GENEROSITY OF DONORS, MHF IS ABLE TO ENRICH NEW IDEAS AND INITIATIVES WITHIN THE HEALTH SYSTEM. EQUIPMENT AND TECHNOLOGY: DONOR CONTRIBUTIONS HAVE PROVIDED FUNDING FOR THE PURCHASE OF TRANSPORT DEVICES FOR OUR EMERGENCY DEPARTMENT AND COMMUNICATION EQUIPMENT TO HELP BETTER TREAT OUR INCOMING PATIENTS, AS WELL AS EQUIPMENT AT THE READY TO TRANSPORT AND PROVIDE LIFE-SAVING PLASMA AND BLOOD. EDUCATION: EDUCATING OUR PHYSICIANS, NURSES, AND STAFF IS AN INVESTMENT IN THE VERY HEART OF OUR WORK. PEDIATRICS: THE FOUNDATION HELPS MMC PROVIDE CARE TO ITS YOUNGEST PATIENTS WHEN THEY ARE SICK OR INJURED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS MMC, THE PARENT. MMC 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 CANDIDATES FOR THE MHF BOARD ARE SELECTED BY THE GOVERNANCE COMMITTEE AND PRESENTED TO THE MMC BOARD BY THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. FINAL ELECTION OCCURS THROUGH THE MMC BOARD. FORM 990, PART VI, SECTION A, LINE 7B ALONG WITH THE ELECTION OF GOVERNING MEMBERS TO THE BOARD, THE MMC BOARD (PARENT) ALSO NEEDS TO REVIEW AND APPROVE THE FOLLOWING BEFORE BECOMING EFFECTIVE AND BEFORE THE ACTION IS IMPLEMENTED: 1. ANY MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. 2. ANNUAL BUSINESS PLAN. 3. ANNUAL BUDGET. 4. CONTRACTUAL OBLIGATIONS THAT MEET ANY ONE OF THE FOLLOWING CRITERIA: A. FALL OUTSIDE THE SCOPE OF THE CORPORATION'S ANNUAL BUSINESS PLAN. B. REQUIRE APPROVAL BY EXTERNAL HEALTH AND/OR FINANCIAL REGULATORY AGENCY. C. HAVING THE POTENTIAL OF ADVERSELY IMPACTING THE OPERATION OF ANY SUBSIDIARY OF THE MEMBER. 5. ANY JOINT VENTURE BETWEEN THE CORPORATION AND ANOTHER PERSON OR ENTITY THAT MEETS ANY ONE OF THE FOLLOWING CRITERIA: A. EXTENDS BEYOND THE SCOPE OF THE ANNUAL BUSINESS PLAN OF THE CORPORATION. B. REQUIRES EXTERNAL APPROVAL BY EXTERNAL HEALTH AND/OR FINANCIAL REGULATORY AGENCY. C. HAS THE POTENTIAL OF ADVERSELY IMPACTING THE OPERATION OF ANY SUBSIDIARY OF THE MEMBER. 6. SALES OR TRANSFERS OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR SALES OR TRANSFERS OF ASSETS THAT MEET WITH ANY ONE OF THE FOLLOWING CRITERIA: A. FALL OUTSIDE THE SCOPE OF THE CORPORATION'S ANNUAL BUSINESS PLAN. B. REQUIRE APPROVAL BY EXTERNAL HEALTH AND/OR FINANCIAL REGULATORY AGENCY. C. HAS THE POTENTIAL OF ADVERSELY IMPACTING THE OPERATIONS OF ANY SUBSIDIARY OF THE MEMBER. 7. FORMATION OF A SUBSIDIARY. 8. ADOPTION AND AMENDMENT OF THE MISSION AND VISION STATEMENTS. 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 AUDIT AND BUSINESS INTEGRITY COMMITTEE OF THE PARENT BOARD. ACTING UNDER THE AUTHORITY OF THE PARENT BOARD, THE COMMITTEE REVIEWED THE FORM 990 PRIOR TO THE SUBMISSION FOR THE FORM 990 TO THE INTERNAL REVENUE SERVICE. IN ADDITION, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING WITH THE IRS. 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 THEN REVIEWED AGAINST THE ACCOUNTS PAYABLE SYSTEM TO DETERMINE THE AMOUNT OF TRANSACTIONS WITH THE ORGANIZATION. ALL DISCLOSURES AND TRANSACTIONS ARE REVIEWED BY THE AUDIT & BUSINESS INTEGRITY COMMITTEE. AFTER THIS REVIEW, A COPY OF THE DISCLOSURES, BY BOARD OR COMMITTEE, LISTING THE TYPE OF INVOLVEMENT/TRANSACTIONS THE ENTITY HAS WITH THE NAMED DISCLOSURE, IF ANY, ARE PROVIDED TO THE CHAIR OF THE BOARD OR COMMITTEE. ANY DIRECTOR WITH A DETERMINED CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE BOARD'S DISCUSSIONS AND DECISIONS WITH REGARDS TO THAT TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES. ALL COMPENSATION TO OFFICERS AND DIRECTORS REPORTED ON PART VII OF THE FORM 990 WAS PAID PURSUANT TO THE POLICIES AND PROCEDURES OF A RELATED ORGANIZATION, MERITUS MEDICAL CENTER, INC. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION DIVISION. PART VII, SECTION A: THE HOURS OF THE PRESIDENT, SECRETARY, AND TREASURER WERE SPENT ATTENDING BOARD AND COMMITTEE MEETINGS. COMPENSATION PROVIDED TO THESE PERSONS WAS FOR SERVICES PROVIDED IN THEIR CAPACITY AS OFFICERS/EMPLOYEES OF MMC AND AFFILIATES, NOT IN THEIR CAPACITY AS DIRECTORS. MERITUS MEDICAL CENTER INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 520607949 HOSPITAL MD 501(C)(3) LINE 3 0 MERITUS HEALTH INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 372062702 HEALTH SERVICE MD 501(C)(3) LINE 12C, III-FI 0 MSOM INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 920871561 MEDICAL SCHOOL MD 501(C)(3) LINE 2 MERITUS HEALTH INC 0 MERITUS INSURANCE COMPANY LTD PO BOX 1109GT GRAND CAYMAN CJ 980462257 CAPTIVE INSURANCE CJ N/A 0 MERITUS ENTERPRISES INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 521393624 HEALTH SERVICES MD N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0