2024-05-13T17:22:28-05:00 2023-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-07-01 520591612 FREDERICK HEALTH HOSPITAL INC FRED 2405663300 400 WEST SEVENTH STREET FREDERICK MD 21701 HANNAH R JACOBS SR VP, CFO 2405663350 2024-05-13 1 HANNAH JACOBS 999009999 0 AMY BIBBY P00445891 8282542254 2024-05-13 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z THOMAS A KLEINHANZL 400 WEST SEVENTH STREET FREDERICK MD 21701 463296686 0 X WWW.FREDERICKHEALTH.ORG X 1897 MD TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. 21 17 3490 372 0 0 2164588 3994985 406201939 393938727 9572985 10215091 432921 62851 418372433 408211654 0 0 0 0 214900164 217762456 33000 36000 631496 191098059 194463709 406031223 412262165 12341210 -4050511 635327125 646339373 336326595 361335102 299000530 285004271 X TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. 0 0 54705442 96516013 IN FY 2023, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 17,573 INPATIENTS AND OBSERVATION PATIENTS. MAJOR MEDICAL AND SURGICAL SERVICES INCLUDE CARDIOLOGY, CONGESTIVE HEART FAILURE, POST-CARDIAC CATHETERIZATION, CENTER FOR CHEST PAIN, HEMODIALYSIS, PERITONEAL DIALYSIS,NEUROLOGY, NEUROSURGERY, PULMONOLOGY, ONCOLOGY, ORTHOPEDICS, GENERAL MEDICINE AND SURGICAL CARE. INPATIENT CARE IS SUPPORTED BY A TEAM OF BOARD-CERTIFIED PHYSICIAN HOSPITALISTS. IN ADDITION, FHH IS DESIGNATED AS A PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS (MIEMSS) AND IS RECOGNIZED WITH THE STROKE CENTER GOLD PERFORMANCE AWARD BY THE AMERICAN HEART ASSOCIATION. OUR BARIATRIC SURGICAL PROGRAM IS ACCREDITED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AS A BARIATRIC SURGERY CENTER OF EXCELLENCE. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED HERE, FHH INCURRED $58.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 35861733 70730646 FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 7,602 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2023. PROCEDURES WERE PERFORMED IN OUR STATE OF THE ART FACILITY WHICH INCLUDES A DEDICATED IMAGING ROOM FOR VASCULAR AND OTHER PROCEDURES. WE HAVE PARTICIPATED IN THE SCIP QUALITY IMPROVEMENT PROJECT FOR CONTINUAL IMPROVEMENTS IN CARE FOLLOWING EVIDENCE BASED MEDICINE. WE TRACKED OUR PATIENT SATISFACTION THROUGH PRESS GANEY TO BENCHMARK OUR RESULTS TO THE NATIONAL DATA BASE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $58.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 20014119 49397182 FREDERICK HEALTH HOSPITAL'S CLINICAL LABORATORY PLAYS A VITAL ROLE ACROSS THE ENTIRE CONTINUUM OF HEALTH CARE BOTH WITHIN THE HOSPITAL AND THE COMMUNITY. CLINICAL LABORATORY TESTING HEAVILY IMPACTS CLINICAL DECISION MAKING BY PROVIDING PHYSICIANS, NURSES AND OTHER HEALTH CARE PROVIDERS WITH IMPORTANT INFORMATION NEEDED FOR THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF DISEASE. UP TO 85 PERCENT OF DIAGNOSIS AND TREATMENT DECISIONS ARE BASED ON LABORATORY RESULTS. LABORATORY TEST RESULTS COMPRISE ABOUT 70 PERCENT OF THE AVERAGE PATIENT'S MEDICAL RECORD. VIRTUALLY EVERY PRACTICING PHYSICIAN DEPENDS UPON THE CLINICAL LABORATORY FOR THE CARE OF HIS OR HER PATIENT. FREDERICK HEALTH HOSPITAL LABORATORY PERFORMED OVER 1.6 MILLION BILLABLE LABORATORY TESTS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED HERE, FHH INCURRED $58.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 242310400 176117909 OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN AND CHILDREN AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $58.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 242310400 176117909 352891694 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 286 0 1 3490 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 21 17 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MD X HANNAH R JACOBS 2405663350 400 WEST SEVENTH STREET FREDERICK MD 21701 THOMAS A KLEINHANZL PRESIDENT AND CEO 45.00 6.00 X X 1134727 0 366456 MICHELLE K MAHAN SR. VP & CFO THROUGH 8/6/22 45.00 5.00 X 643631 0 44464 CHERYL L CIOFFI SVP COO 14.00 26.00 X 598776 0 70053 MIHIR JANI MD CHIEF OF STAFF 1.00 41.00 X 0 574270 30273 HANNAH R JACOBS SR. VP & CFO START 4/4/22 45.00 6.00 X 391111 0 46751 JAMES B SHERWOOD VP BUSINESS DEV AND STRATEGY 40.00 X 392804 0 23832 MARY A MCDONALD MEDICAL DIR HOSPICE 4.00 36.00 X 344647 0 29363 DONALD R SCHILLING VP AMBULATORY SERVICES 6.00 34.00 X 339533 0 28666 KATHY J WEISHAAR VP MEDICAL AFFAIRS & CMO 40.00 2.00 X 342289 0 18670 JACKIE L RICE VP CHIEF INFORMATION OFFICER 33.00 7.00 X 332725 0 14090 CHRISTOPHER M BUMBAUGH VP HUMAN RESOURCES 30.00 10.00 X 310612 0 28704 HEATHER R KIRBY VP INTEGRATED CARE & CPHO 36.00 4.00 X 311495 0 24277 DIANE M MCFARLAND CHIEF NURSING OFFICER - THROUGH 7/30/23 40.00 X 320606 0 10413 TAMARA L KILE DO MEDICAL DIRECTOR 40.00 X 291268 0 30545 DUSTIN M SIMONSON CHIEF PHYSICIST SUPV 40.00 X 270488 0 28971 JAMIE B WHITE VP QLTY ASSURANCE & CQO 40.00 X 277728 0 16198 JOYCE O BOATENG REGISTERED NURSE 40.00 X 277758 0 0 HUGUETTE MARIE H AMOND REGISTERED NURSE 40.00 X 267711 0 0 MICHAEL G MCLANE JR VP SUPPORT SVCS 40.00 X 232050 0 24352 SHELBY L BOGGS AVP CLINICAL INT & PAYOR CONTRACTING 40.00 X 244412 0 5357 JAMES C DEVLIN AVP FINANCE 40.00 X 211983 0 27006 KRISTEN B FLETCHER VP CHIEF COMPLIANCE OFFICER 40.00 X 220355 0 10976 ROBIN R ROSE VP DEVELOPMENT 40.00 X 196922 0 26264 BRENT L PURSCELLEY AVP AMBULATORY SERVICES 40.00 X 191485 0 23975 SHAWN MCCARDELL AVP REVENUE CYCLE 40.00 X 153312 0 23074 MICHELE GHIM MD CHIEF OF STAFF 15.00 1.00 X 30402 0 0 GORDON COOLEY CHAIRMAN 2.00 4.00 X X 0 0 0 NIKKI MOBERLY VICE CHAIRMAN 2.00 2.00 X X 0 0 0 RICHARD H OHNMACHT TREASURER STARTING 09/22 2.00 2.00 X X 0 0 0 ALAN D MAWDSLEY TREASURER THROUGH 09/22 2.00 2.00 X X 0 0 0 DARYL BOFFMAN SECRETARY 2.00 2.00 X X 0 0 0 PATRICIA HANBERRY DIRECTOR 1.00 3.00 X 0 0 0 STEPHEN JOHNSON DIRECTOR 2.00 2.00 X 0 0 0 KARLYS KLINE DIRECTOR 2.00 1.00 X 0 0 0 GEORGE LITTRELL III DIRECTOR 1.00 1.00 X 0 0 0 J FREDERICK MANNING DIRECTOR THROUGH 09/22 1.00 1.00 X 0 0 0 NANCY NEWMISTER DIRECTOR 1.00 2.00 X 0 0 0 ELIZABETH PAKENAS DIRECTOR 1.00 1.00 X 0 0 0 JAMES PLAMONDON DIRECTOR 1.00 1.00 X 0 0 0 PATRICIA L RAY DIRECTOR 1.00 4.00 X 0 0 0 GERRIT SCHIPPER MD DIRECTOR 1.00 1.00 X 0 0 0 SHUCHI SHARMA DIRECTOR 1.00 2.00 X 0 0 0 ANDREA VAUGHAN DIRECTOR 1.00 1.00 X 0 0 0 ARTHUR SAGOSKIN DIRECTOR 1.00 1.00 X 0 0 0 HARRIET BROWN DIRECTOR 1.00 1.00 X 0 0 0 JASON LEE DIRECTOR 1.00 2.00 X 0 0 0 DENISE ROLLINS PHD DIRECTOR 1.00 1.00 X 0 0 0 8328830 574270 952730 327 1 1 0 GILBANE BUILDING CO 1215 E FORT AVENUE SUITE 100 BALTIMORE MD 21230 CONSTRUCTION SERVICES 15219766 TXTEAM REHAB INC 8910 PURDUE ROAD SUITE 700 INDIANAPOLIS IN 46268 REHABILITATION SERVICES 9583305 QUALIVIS 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 STAFFING 6859679 USAP STIPENED PAYMENTS 12222 MERIT DRIVE SUITE 700 DALLAS TX 75251 ANESTHESIA SERVICES 1805697 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LABORATORY SERVICES 1668902 75 3994985 3994985 INPATIENT REVENUE 624110 214737958 214737958 OUTPATIENT REVENUE 621410 172924713 172924713 ALL OTHER PROGRAM SERVICE 525990 4436067 4436067 COVID RELIEF FUNDS 900099 1839989 1839989 393938727 3453023 3453023 1239828 0 1239828 1239828 1239828 61845275 1825 55085032 0 6760243 1825 6762068 6762068 CAFETERIA REVENUE 722511 1033387 1033387 OTHER REVENUE 900099 364651 364651 REALIZED LOSSES INTEREST RATE SWA 900099 -2575015 -2575015 -1176977 408211654 392761750 0 11454919 X 6558891 6558891 170588681 149162931 21207501 218249 7155435 6025065 1121554 8816 20534938 17262897 3246747 25294 12924511 11070708 1836271 17532 1784747 47246 1737501 907966 907966 790915 790915 20074 20074 36000 36000 386103 386103 68892560 64335222 4543890 13448 1331908 105025 978150 248733 6152327 5229317 902650 20360 13388340 13208395 178731 1214 5137415 5632213 -494798 86898 58559 28228 111 120001 80867 38981 153 6191480 5801417 377680 12383 29385870 20646501 8710971 28398 3872280 27922 3844358 SUPPLIES & COGS 56014825 54197409 1816611 805 412262165 352891694 58738975 631496 26229436 16061772 5925638 4569636 63346659 65867619 9037232 8414116 5366584 6178875 691602010 421788153 256303480 269813857 169817089 171510402 41205162 40326329 58095845 63596767 635327125 646339373 63399255 71328462 109400863 229365591 93057000 10000000 70469477 50641049 336326595 361335102 X 286696913 277262963 12303617 7741308 299000530 285004271 635327125 646339373 X -4050511 4647812 -14593560 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20074 20074 0 PART II-B, LINE 1: EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND THE HOSPICE AND PALLIATIVE CARE NETWORK OF MARYLAND. 976177 976177 976177 976177 976177 976177 976177 976177 976177 976177 1.00000 0 0 2793774 2793774 321003658 148360266 172643392 19720177 17473508 2246669 313401095 255954379 57446716 34683306 34683306 269813857 INVESTMENTS IN SUBSIDIARIES 31332398 F ASSETS LIMITED AS TO USE 8993931 F 40326329 RIGHT OF USE ASSETS 16332577 INTERCOMPANY RECEIVABLES 37870061 OTHER ASSETS 9394129 63596767 RIGHT OF USE LIABILITIES 19435316 ADVANCES FROM THIRD PARTIES 11332563 AR CREDIT LIABILITY 4326000 MALPRACTICE LIABILITY 4062000 OTHER LIABILITIES 269731 DEFERRED COMP TRUST 2778153 LEASES - FINANCING 8437286 50641049 PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. CENTRAL AMERICA AND THE CARIBBEAN 1 0 INVESTMENTS 23430780 CENTRAL AMERICA AND THE CARIBBEAN 1 0 PROGRAM SERVICES SELF INSURANCE 5691633 2 0 0 0 2 0 29122413 0 29122413 1 0 1 0 0 0 PART III ACCOUNTING METHOD: X X X X X X 0 PRIDE PHILANTHROPY 885 WOODSTOCK RD ROSWELL GA 30075 DEV CNSL SV SRVCS 0 33000 0 33000 33000 33000 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 5785176 5785176 0.01400 61710357 55095802 6614555 0.01600 67495533 55095802 12399731 0.03000 5872695 629623 5243072 0.01270 43063214 43063214 0.10450 445314 199406 245908 0.00060 48700 48700 0.00010 49429923 829029 48600894 0.11790 116925456 55924831 61000625 0.14790 8780429 658532 141205573 134525751 6679822 X 1 1 1 1 FREDERICK HEALTH HOSPITAL INC 400 WEST SEVENTH STREET FREDERICK MD 21701 WWW.FREDERICKHEALTH.ORG LICENSE NUMBER: 10001 X X X FREDERICK HEALTH HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/PAGE%20LINKS/COMMUNITY%20HEALTH/2 X 1 22 1 HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/CHNA-IMPLEMENTATION-STRATEGY-FINA 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X X 1 X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 FREDERICK HEALTH HOSPITAL, INC. PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND THE FREDERICK COUNTY HEALTH DEPARTMENT. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH ISSUES. FREDERICK HEALTH HOSPITAL IS A FOUNDING MEMBER OF THE COALITION AND SERVES ON THE BOARD. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS, AND TO CONVENE INTERESTED PARTIES AND THE PUBLIC TO ESTABLISH A LOCAL HEALTH IMPROVEMENT PLAN TO ADDRESS THE TOP HEALTH PRIORITIES.A HEALTH IMPROVEMENT PRIORITY PLANNING SUMMIT WAS HELD ON JANUARY 19, 2022 WITH MORE THAN 140 COMMUNITY PARTICIPANTS. THE SUMMIT INCLUDED REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, BUSINESS, GOVERNMENT, ADVOCATES AND CITIZENS WHO PROVIDED INPUT INTO THE CHNA PRIORITIES.PARTICIPANTS INCLUDED:- HEALTH CARE (INCLUDING PROVIDERS OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES) - FREDERICK HEALTH, MISSION OF MERCY, MENTAL HEALTH ASSOCIATION OF FREDERICK COUNTY, CORELIFE, DANY INSTITUTE/CENTRAL EAST MENTAL HEALTH TECHNOLOGY GROUP, ENCOMPASS INTEGRATIVE WELLNESS, LLC, HOME CENTRIS PERSONAL CARE, SHEPPARD PRATT FREDERICK INSURANCE INDUSTRY - AETNA BETTER HEALTH OF MARYLAND, NCI/NIH,- LOCAL GOVERNMENT/LAW ENFORCEMENT - OFFICE OF THE FREDERICK COUNTY EXECUTIVE, FREDERICK COUNTY GOVERNMENT (INCLUDING CITIZENS & SENIOR SERVICES, HEALTH DEPARTMENT DEVELOPMENT CENTER, TRANSIT, FIRE AND RESCUE SERVICES, FAMILY PARTNERSHIP, CHILDREN AND FAMILIES), FREDERICK COUNTY COUNCIL, MARYLAND DEPARTMENT OF HEALTH, OFFICE OF SENATOR VANHOLLEN - SOCIAL SERVICES ORGANIZATIONS - FREDERICK CITY DEPARTMENT OF HOUSING AND HUMAN NEEDS (ALSO A FEDERALLY QUALIFIED HEALTH CENTER), FREDERICK COUNTY DEPARTMENT OF SOCIAL SERVICES- NONPROFIT ORGANIZATIONS - ASIAN AMERICAN CENTER OF FREDERICK, CHILDREN OF INCARCERATED PARENTS PARTNERSHIP, COMMUNITY COLLABORATION CENTER, CORE SERVICE AGENCY, THE FREDERICK CENTER, THE RANCH, WELLS HOUSE, YMCA OF FREDERICK COUNTY, COMMUNITY ENGAGEMENT AND CONSULTATIVE GROUP, FREDERICK COUNTY HEALTH CARE COALITION, GOLDEN MILE ALLIANCE, HEALTHCARE IS A HUMAN RIGHT FREDERICK CHAPTER, MARYLAND HUNGER SOLUTIONS, NIGERIAN IN FREDERICK, ON OUR OWN- EDUCATIONAL INSTITUTIONS - FREDERICK COUNTY PUBLIC SCHOOLS (INCLUDING NUTRITION SERVICES AND SCHOOL HEALTH COUNCIL), HOOD COLLEGE, UNIVERSITY OF MARYLAND EXTENSION SERVICE, FREDERICK COMMUNITY COLLEGE, GEORGE WASHINGTON UNIVERSITY, UNIVERSITY OF MARYLAND SPH HOROWITZ CENTER FOR HEALTH LITERACY, ZERO TO THREE- PHILANTHROPY - THE UNITED WAY OF FREDERICK COUNTY, THE COMMUNITY FOUNDATION OF FREDERICK, AUSHERMAN FAMILY FOUNDATION, HELEN J. SERINI FOUNDATION, LISTEN LOVE PRAY FOUNDATION, LOVE FOR LOCHLIN FOUNDATION,- BUSINESS - FREDERICK COUNTY CHAMBER OF COMMERCE, LEIDOS BIOMEDICAL RESEARCH, THE FREDERICK NEWS POST, RESTORATION FAMILY CHIROPRACTIC, ANALYTIC-COMMUNICATIONS LLC, CURA STRATEGIES,- RELIGIOUS ORGANIZATIONS - SETON CENTER NATIONAL ACADEMIES/QUINN CHAPEL AMC CHURCH,- SENIOR CARE- ADVOCATES FOR THE AGING IN FREDERICK COUNTY, FREDERICK COUNTY SENIOR SERVICES DIVISION, SENIOR SERVICES ADVISORY BOARD- COMMUNITY REPRESENTATIVES - GENERAL PUBLIC, FREDERICK NEWS POST, ONE FREDERICK COLLABORATIVE, DR. RACHEL MANDEL, SENIOR SERVICES ADVISORY BOARD,- SERVICE/CARE PROVIDERS - COMMUNITY LIVING, INC FREDERICK HEALTH HOSPITAL, INC. PART V, SECTION B, LINE 11: THREE CHNA PRIORITIES WERE IDENTIFIED IN THE 2019 ASSESSMENT:- DIABETES- ADVERSE CHILDHOOD EXPERIENCES- MENTAL HEALTHFREDERICK HEALTH HOSPITAL HAS ADOPTED IMPLEMENTATION STRATEGIES AROUND THESE INITIATIVES, AS DESCRIBED BELOW.1.DIABETES: THE GOALS ARE (1) TO INCREASE AWARENESS OF WHAT PRE-DIABETES AND DIABETES IS, INCLUDING MODIFIABLE RISK FACTORS, PARTICULARLY IN POPULATIONS EXPERIENCING A HEALTH DISPARITY, (2) INCREASE SCREENING FOR PRE-DIABETES RISK, ESPECIALLY IN PRIORITY POPULATIONS, TO REDUCE THE INCIDENCE OF DIABETES, (3) IMPROVE THE MANAGEMENT OF INDIVIDUALS WITH DIABETES, ESPECIALLY IN PRIORITY POPULATIONS, OR POPULATIONS EXPERIENCING A HEALTH DISPARITY. FREDERICK HEALTH'S IMPLEMENTATION STRATEGY INCLUDES: (1) CONDUCTING LISTENING SESSIONS AND GATHER INPUT FROM PRIORITY POPULATIONS, (2) PROVIDE HEALTH LITERACY TRAINING, (3) LAUNCH A PRE-DIABETES/DIABETES AWARENESS CAMPAIGN, (4) EDUCATE PROVIDERS AND COMMUNITY ORGANIZATIONS, ENGAGE THEM IN RECRUITMENT AND REFERRAL OF PATIENTS/CLIENTS TO PROGRAMS INCLUDING DIABETES PREVENTION AND DIABETES SELF-MANAGEMENT WORKSHOPS, (5) CONDUCT COOKING/MEAL PREP CLASSES, (6) CONDUCT AT LEAST ONE GROCERY STORE TOUR PER MONTH, (7) CONDUCT AT LEAST ONE 5K FUN RUN WITH WALKING OPTIONS.2.ADVERSE CHILDHOOD EXPERIENCES: THE GOALS ARE (1) INCREASE AWARENESS REGARDING ACES - ALL SECTORS OF FREDERICK COUNTY WILL RECOGNIZE THE IMPACT OF TRAUMA ON HEALTH FROM PRECONCEPTION ONWARD AND PROVIDE OR SUPPORT SERVICES FOR RAISING HEALTHY CHILDREN IN SAFE, STABLE AND NURTURING ENVIRONMENTS (2) PREVENTION: ALL FREDERICK COUNTY RESIDENTS WILL HAVE ACCESS TO EVIDENCE BASED OR RESEARCH-INFORMED PROGRAMS, RESOURCES, INFORMATION, AND SKILLS TO RAISE HEALTHY CHILDREN IN SAFE, STABLE AND NURTURING ENVIRONMENTS (3) TREATMENT AND INTERVENTION: AN EQUITABLE COMMUNITY-WIDE SYSTEM FOR TRAUMA-INFORMED CARE PROVIDES ACCESSIBLE EVIDENCE-BASED TREATMENTS FROM TRAINED, KNOWLEDGEABLE, AND CULTURALLY LITERATE SPECIALIST IN ADEQUATE SUPPLY. FREDERICK HEALTH'S IMPLEMENTATION STRATEGY INCLUDES: (1) PROMOTE TRAININGS AND WORKSHOPS PROVIDING CMES AND CEUS AS ABLE, (2) PLAN AND IMPLEMENT THE FAMILY CONNECTS UNIVERSAL HOME VISITING PROGRAM, (3) COLLABORATE WITH THE ADVERSE CHILDHOOD EXPERIENCES WORKGROUP TO OUTREACH AND ENGAGE PEDIATRIC PRACTICES TO ENSUE KNOWLEDGE AND UNDERSTANDING OF ACES AND THE IMPORTANCE OF PREVENTION, TREATMENT AND INTERVENTION.3.MENTAL HEALTH: THE GOALS ARE: (1) REDUCE THE NUMBER OF PEOPLE THAT DIE BY SUICIDE IN FREDERICK COUNTY, (2) REDUCE THE STIGMA ABOUT MENTAL HEALTH ISSUES AND SERVICES, (3) FREDERICK COUNTY RESIDENTS WILL BE ABLE TO ACCESS THE FULL CONTINUUM OF CULTURALLY COMPETENT, TRAUMA-INFORMED, HIGH QUALITY MENTAL HEALTH TREATMENT SERVICES IN A TIMELY MANNER, THROUGH AN INCREASED CAPACITY FOR MENTAL HEALTH PROFESSIONALS AND OTHER TRAINED SUPPORT PERSONS. FREDERICK HEALTH IMPLEMENTATION STRATEGY INCLUDES: (1) ACTIVELY ENGAGE IN SUICIDE PREVENTIONS COALITION, (2) COLLABORATE WITH THE LHIP WORKGROUP IN A SUSTAINABLE CAMPAIGN THAT REDUCES MENTAL HEALTH STIGMA THROUGH EDUCATION ABOUT THEIMPORTANCE OF NORMALCY OF MENTAL HEALTH NEEDS AND SERVICES, (3) PROVIDE EDUCATION FROMTHE ANTI-STIGMA CAMPAIGN TO STAFF AND PATIENTS FROM A PERSONAL AND PROFESSIONAL PERSPECTIVE, (4) EXPLORE OPPORTUNITIES TO EXPAND BEHAVIORAL HEALTH AVAILABILITY AT THE COMPREHENSIVE CARE CENTER TO ASSIST WITH MEDICATION MANAGEMENT AND TO BRIDGE SERVICES TO COMMUNITY BASED MENTAL HEALTH PROVIDERS, (5) PROVIDE OPPORTUNITIES FOR COMMUNITY HEALTH WORKERS AND PEER RECOVERY SPECIALIST TO ASSIST PROVIDERS IN ALLEVIATING THE BARRIERS TO CARE AND ASSIST WITH ADDRESSING SOCIAL DETERMINANTS OF HEALTH, (6) EXPLORE PARTNERSHIPS WITH ORGANIZATIONS ENROLLED IN HRSA PROGRAMS THAT MAY PROVIDE OPPORTUNITIES FOR PAID INTERNSHIPS AND OR CREATE A PROFESSIONAL PIPELINE FOR INDIVIDUALSINTERESTED IN MENTAL HEALTH PROFESSIONS. FREDERICK HEALTH HOSPITAL, INC. PART V, SECTION B, LINE 13H: FACILITY NAME:FREDERICK HEALTH HOSPITAL, INC.DESCRIPTION:STATE REGULATIONS. FREDERICK HEALTH HOSPITAL, INC. PART V, SECTION B, LINE 16J: FACILITY NAME:FREDERICK HEALTH HOSPITAL, INC.DESCRIPTION:FHH REVIEWS THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE COMMUNICATION METHODOLOGY WE EMPLOY ON A REGULAR BASIS TO MAKE SURE OUR PATIENTS HAVE EASY ACCESS TO THIS INFORMATION IN A VARIETY OF FORMATS AND THAT IT IS CULTURALLY AND LINGUISTICALLY SENSITIVE. WE REVIEW THE FAP TO MAKE SURE THE READING COMPREHENSION LEVEL IS APPROPRIATE FOR OUR AUDIENCE AND WE PROVIDE ENGLISH AND SPANISH VERSIONS TO MEET THE NEEDS OF OUR CBSA. WE HAVE SERVICES AVAILABLE TO PROVIDE ANY OTHER LANGUAGES WHEN NEEDED. THE FAP IS SHOWN ON OUR WEBSITE (HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIALASSISTANCE/) AND IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS AT TIME OF REGISTRATION IN THE HOSPITAL AND IN THE EMERGENCY DEPARTMENT. OUR BILLING STATEMENTS REFERENCE OUR FINANCIAL ASSISTANCE POLICY AND INCLUDE THE URL FOR THE ONLINE VERSION. THE BILLING STATEMENTS INCLUDE DETAILED EXPLANATION OF THE FAP. FHH PROVIDES ASSISTANCE TO OUR PATIENTS WHO NEED TO APPLY FOR GOVERNMENT BENEFITS WHEN APPROPRIATE. MOST COMMON EXAMPLES ARE "SELF-PAY" INPATIENTS WHO ADMIT THROUGH THE EMERGENCY DEPARTMENT AND PATIENTS WHO COME TO OUR PRENATAL CLINIC. WE HAVE A DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE ONSITE AT OUR PRENATAL CLINIC TO WORK DIRECTLY WITH THE PATIENTS. ALL PATIENTS RECEIVE THE PATIENT INFORMATION SHEET, AVAILABLE IN ENGLISH AND SPANISH, WHICH INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE. SCHEDULE H, PART V SECTION B, LINE 7 HOSPITAL FACILITY'S WEBSITE YES, THE CHNA IS WIDELY AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEM WEBSITE HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/PAGE%20LINKS/COMMUNITY%20HEALTH/2022-FREDERICK-COUNTY-CHNA-FINAL_202204290701407122.PDF AND THE FREDERICK COUNTY HEALTH DEPARTMENT WEBSITES. FORUMS WERE CONDUCTED IN SEVERAL LOCATIONS WITHIN FREDERICK COUNTY TO REVIEW THE STUDY FINDINGS AND TO ADDRESS PUBLIC QUESTIONS. ADDITIONALLY, THE INTERIM CHNA REPORT WAS POSTED ON THE HEALTH SYSTEM AND FREDERICK COUNTY HEALTH DEPARTMENT WEBSITES FOR PUBLIC COMMENT PRIOR TO FINALIZATION. 9 1 - FREDERICK HEALTH TOLL HOUSE 501 WEST SEVENTH STREET FREDERICK MD 21701 OUTPATIENT HEALTH CARE 2 - FREDERICK HEALTH MOUNT AIRY 504 E RIDGEVILLE BLVD MOUNT AIRY MD 21771 OUTPATIENT HEALTH CARE 3 - FREDERICK HEALTH ROSEHILL 1562 OPPOSUMTOWN PIKE FREDERICK MD 21702 OUTPATIENT HEALTH CARE 4 - FREDERICK HEALTH CRESTWOOD 7211 BANK COURT FREDERICK MD 21703 OUTPATIENT HEALTH CARE 5 - FREDERICK HEALTH ASPEN RIDGE 163 THOMAS JOHNSON DRIVE SUITE A FREDERICK MD 21702 OUTPATIENT HEALTH CARE 6 - FREDERICK HEALTH URBANA 3430 WORTHINGTON BLVD URBANA MD 21704 OUTPATIENT HEALTH CARE 7 - FREDERICK HEALTH EMMITSBURG 16403 OLD EMMITSBURG RD EMMITSBURG MD 21727 OUTPATIENT HEALTH CARE 8 - FREDERICK HEALTH LIBERTY 194 THOMAS JOHNSON DR FREDERICK MD 21702 OUTPATIENT HEALTH CARE 9 - FREDERICK HEALTH BRUNSWICK 1194 DUTCHMANS CREEK DRIVE BRUNSWICK MD 21716 OUTPATIENT HEALTH CARE PART I, LINE 3C: IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $25,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT. UP TO $150,000 OF PRIMARY RESIDENCE EQUITY IS EXEMPT FROM CONSIDERATION. PART I, LINE 6A: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION (COALITION) TO IDENTIFY HEALTH ISSUES IN FREDERICK COUNTY AND TO PROVIDE CRITICAL INFORMATION TO THOSE IN A POSITION TO TAKE POSITIVE STEPS THAT WILL IMPACT THE HEALTH OF AREA RESIDENTS.THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION'S MISSION IS TO PROMOTE QUALITY HEALTH CARE IN FREDERICK COUNTY THROUGH COLLECTIVE IMPACT EFFORTS THAT ENGAGE LOCAL ORGANIZATIONS AND CITIZENRY. A CORE RESPONSIBILITY OF THE COALITION IS THE COMPLETION OF A PERIODIC ASSESSMENT THAT INFORMS AND ENGAGES THE COMMUNITY IN HEALTH IMPROVEMENT INITIATIVES. THE ASSESSMENT PROCESS IS REPEATED EVERY THREE YEARS TO REFLECT CHANGING LOCAL CONDITIONS. PART III, LINE 3: BAD DEBT VALUATION WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. WE ESTIMATE APPROXIMATELY 7.5% OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE CONTINUE OUR EFFORTS TO QUALIFY PATIENTS FOR FREE OR REDUCED CARE. PART III, LINE 8: MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS. PART III, LINE 9B: PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. PART VI, LINE 2: THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT. THE HEALTH CARE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS USING APPROPRIATE PLANNING METHODOLOGIES AND SUBJECT MATTER EXPERTS TO GUIDE THE PLANNING PROCESS.THE CHNA PROCESS INCLUDED THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA TO UNDERSTAND THE HEALTH HABITS, PRIORITIES AND ACCESS TO CARE BARRIERS OF THE COMMUNITY AT LARGE, AND AMONG VULNERABLE AND HEALTH DISPARITY POPULATIONS WITHIN FREDERICK COUNTY. THE DATA COLLECTION PROCESS WAS DESIGNED TO SOLICIT INPUT FROM REPRESENTATIVE SAMPLES OF DEMOGRAPHICS, GEOGRAPHIC DISTRIBUTION AND TARGETED POPULATIONS. PUBLIC INPUT WAS OBTAINED THROUGH TWO FORMAL MECHANISMS - COMMUNITY SURVEY AND POPULATION-SPECIFIC FOCUS GROUPS.THE COMMUNITY SURVEY WAS CONDUCTED VIA WEB, WITH AN OPTION TO COMPLETE A WRITTEN SURVEY FOR THOSE WITHOUT INTERNET ACCESS. THE SURVEY CONSISTED OF 50 QUESTIONS, WHICH INCLUDED DEMOGRAPHICS, PERCEPTIONS OF COMMUNITY HEALTH STATUS, BARRIERS TO ACCESSING HEALTH CARE, OPPORTUNITIES TO INCREASE ACCESS TO HEALTH CARE, ENGAGEMENT WITH HEALTH CARE, PERSONAL HEALTH, AND EXPERIENCES WITH SOCIAL DETERMINANTS OF HEALTH. THE WEB SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH; WRITTEN SURVEYS WERE AVAILABLE IN ENGLISH, SPANISH. THE SELECTION OF LANGUAGE OPTIONS WAS BASED ON COUNTY DEMOGRAPHICS AS REPORTED TO LOCAL GOVERNMENT. PARTNER ORGANIZATIONS WERE ENGAGED TO PROMOTE THE SURVEY AND TO PROVIDE ASSISTANCE TO THOSE WHO HAD LITERACY OR LANGUAGE BARRIERS. PRESS RELEASES, AS WELL AS WEB AND SOCIAL MEDIA OUTLETS WERE ALSO UTILIZED TO PROMOTE THE SURVEY TO THE COMMUNITY, YIELDING A STATISTICALLY RELEVANT SAMPLE OF 4,094 RESPONSES. OVERALL, SURVEY RESPONDENTS REFLECTED THE RACIAL AND ETHNICITY COMPOSITION OF THE POPULATION OF FREDERICK COUNTY.FOUR FOCUS GROUPS WERE CONDUCTED ON POPULATIONS FOR WHICH THERE WAS HEALTH DISPARITY OUTCOME DATA. TWO OF THE FOCUS GROUP POPULATIONS WERE IDENTIFIED IN THE PRIOR CHNA AS HAVING ACCESS CONCERNS. THE FOCUS GROUPS INCLUDED AFRICAN AMERICAN WOMEN (PREGNANT/CHILDBEARING), HISPANIC/LATINO WOMEN, VULNERABLE NEIGHBORHOOD (BASED ON SOCIAL VULNERABILITY INDEX SCORES VIA CENSUS TRACT DATA), LOW-INCOME/ALICE SENIORS. THE GOAL OF THE FOCUS GROUPS WS TO UNDERSTAND THE TARGET POPULATIONS' HEALTH PRIORITIES AND UNDERLYING REASONS, IDENTIFY PERCEIVED/ACTUAL BARRIERS TO CARE, ASSESS POPULATION KNOWLEDGE OF PREVENTATIVE SCREENINGS AND SELF-CARE, UNDERSTAND THE RELATIONSHIP OF HEALTH LITERACY TO PERSONAL HEALTH MANAGEMENT, AND IDENTIFY UNIQUE CULTURAL BELIEFS OR BEHAVIORS THAT AFFECT HEALTH OUTCOMES AND HEALTH EQUITY. IN GENERAL, FOCUS GROUP PARTICIPANTS WERE LOWER INCOME, OLDER, AND OF POORER HEALTH THAN THE COMMUNITY POPULATION.FINALLY, A HEALTH EQUITY SURVEY WAS CONDUCTED TO CAPTURE FURTHER INFORMATION ON POTENTIAL VULNERABLE OR OTHER SUB-POPULATIONS IN THE COMMUNITY FOR WHICH HEALTH OUTCOME DATA WAS LIMITED. EIGHT RESPONDENTS PARTICIPATED IN THE HEALTH EQUITY SURVEY WITH INSIGHTS ON ACCESS TO CARE AND SUGGESTIONS FOR IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. THE ADVOCATES REPRESENTED ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED), DISABLED, HISPANIC, HOMELESS, LBGTQ, SENIORS AND YOUTH POPULATIONS. PART VI, LINE 4: FREDERICK HEALTH HOSPITAL'S SERVICE AREA IS DEFINED IN A WRITTEN AGREEMENT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION, THE DESIGNATED STATE ENTITY CHARGED WITH OVERSIGHT OF COMMUNITY BENEFIT. THE SERVICE AREA IS DETERMINED BASED ON HISTORICAL FACILITY UTILIZATION BY ZIP CODE. THE SERVICE AREA DEFINITION FOR FREDERICK HEALTH HOSPITAL IS ALL ZIP CODES IN FREDERICK COUNTY. THEREFORE, FOR CHNA PLANNING PURPOSES, FREDERICK COUNTY IS THE POPULATION SERVED. PART VI, LINE 5: DURING FY 2023, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: (TAKEN FROM THE FY 2023 HSCRC COMMUNITY BENEFIT REPORT) - CARE TRANSITIONS PROGRAM - THIS PROGRAM PROVIDES INTENSIVE COMMUNITY-BASED CARE MANAGEMENT SERVICES TO INDIVIDUALS WITH CHRONIC CONDITIONS AND THOSE WITH LIMITED ACCESS TO CARE, LOW HEALTH LITERACY AND OTHER SOCIAL DETERMINANTS OF HEALTH TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE INDIVIDUAL HEALTH STATUS. BY PROVIDING INFRASTRUCTURE TO SUPPORT SOME OF THE MOST CHRONICALLY ILL, FRAGILE AND SOCIALLY COMPLEX PATIENT POPULATIONS, HOSPITAL READMISSION RATES CAN BE REDUCED. HISTORICALLY, THESE PATIENTS RECEIVED LITTLE OR NO GUIDANCE RELATIVE TO FOLLOW-UP WITH PHYSICIANS, FILLING AND TAKING THEIR PRESCRIBED MEDICATIONS, AND MAKING APPOINTMENT FOR OTHER SERVICES. PATIENTS IDENTIFIED AS HIGH EMERGENCY DEPARTMENT UTILIZERS, AND/OR PATIENTS RETURNING TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE MEET WITH AN RN OR SOCIAL WORK CASE MANAGER IN AN EFFORT TO UNDERSTAND WHY THEY HAVE RETURNED TO THE HOSPITAL FOR CARE. AN INDIVIDUALIZED COMPREHENSIVE POST DISCHARGE PLAN IS CREATED TO MEET THE SPECIFIC PATIENT NEEDS. THE SERVICES OFTEN INCLUDE FINANCIAL SUPPORT OF MEDICATIONS, TRANSPORTATION AND VARIOUS OTHER MEDICAL AND SOCIAL SUPPORT SERVICES IN THE COMMUNITY. THE HEALTH CARE TEAM PROVIDING SERVICES TOTHESE INDIVIDUALS CONSISTS OF REGISTERED NURSES, SOCIAL WORKERS, PHARMACISTS, DIETITIANS AND A NURSE PRACTITIONER.- COLORECTAL CANCER SCREENING - THIS PROGRAM FOCUSED ON IDENTIFIED DISPARITY COMMUNITIES WITHIN FREDERICK COUNTY, PRIMARILY THE AFRICAN-AMERICAN COMMUNITY. THE GOAL OF THE PROGRAM WAS TO INCREASE THE NUMBER OF PERSONS SCREENED AND TREATED FOR COLORECTAL CANCER THROUGH ENGAGEMENT OF COMMUNITY PROVIDERS AND HOSTING AWARENESS EVENTS IN THE COMMUNITY TO RESULT IN AN OVERALL INCREASE IN LONG TERM FOLLOW-UP RATES IN DISPARITY COMMUNITIES. ENGAGEMENT OF COMMUNITY PHYSICIANS IN THE PROCESS WAS A KEY COMPONENT OF THE PROGRAM AND INCLUDED EDUCATION ON CURRENT CANCER SCREENING RECOMMENDATIONS, LOCAL DISPARITY DATA, CULTURAL BARRIERS/BIAS AND LOCAL REFERRAL PROCESS AND TREATMENT OPTIONS. PERIODIC SCREENING OF "AT RISK" INDIVIDUALS IS VITAL; IN ORDER TO DO THIS, A BASELINE POPULATION WAS ESTABLISHED IN FY2020 THROUGH INITIAL SCREENING. FUTURE EFFORTS INCLUDE THE PROVISION OF PERIODIC EDUCATION AND SCREENING TO HIGH-RISK INDIVIDUALS AS A MEANS OF TRACKING THESE PEOPLE OVER TIME. AS A RESULT OF THE PANDEMIC A GOAL WAS NOT SET FOR CANCER SCREENINGS DUE TO THE UNCERTAINTY OF COMMUNITY ACCESS POINTS. WE DID HOWEVER CONTINUE TO PROVIDE EDUCATION AND AWARENESS MATERIALS IN AN EFFORT TO ENCOURAGE CONVERSATIONS WITH PROVIDERS. ADDITIONALLY, A NEW PROCESS WAS ESTABLISHED TO STREAMLINE RESPONSES TO ONLINE OUTREACH, SOCIAL MEDIA ANNOUNCEMENTS, AND LIVE EVENTS WITH INFORMATION, REFERRALS AND NO-COST FIT KITS WHEN APPROPRIATE. TO DATE, NO CANCER DIAGNOSIS HAVE BEEN MADE, BUT HIGH-RISK INDICATORS SUCH AS PRE-CANCEROUS LESIONS AND POLYPS HAVE BEEN IDENTIFIED. THESE PATIENTS ARE TARGETED FOR CONTINUED FOLLOW-UP IN THE COMING YEAR.- HEALTHY EATING - 5-2-1-0 IS A BEHAVIOR AWARENESS APPROACH TO MAKING KEY LIFESTYLE CHANGES THAT WILL LEAD TO HEALTHY EATING HABITS. THIS PROGRAM FOCUSES ON INCREASING FRUIT AND VEGETABLE CONSUMPTION, REDUCING INGESTION OF SUGAR ADDED BEVERAGES, REDUCING RECREATION SCREEN TIME AND INCREASING PHYSICAL ACTIVITY. A DESIGNATED 5-2-1-0 COORDINATION IS A GRANT FUNDED EMPLOYEE OF FREDERICK HEALTH HOSPITAL AND WORKS WITH THE FREDERICK COUNTY SCHOOL HEALTH COUNCIL TO IMPLEMENT THE PROGRAM THROUGH THE FREDERICK COUNTY PUBLIC SCHOOL SYSTEM. ACTIVITIES INCLUDE ESTABLISHING STUDENT WELLNESS GOALS AT EACH SCHOOL, ONGOING EDUCATION EVENTS AND ONLINE RESOURCES FOR STUDENTS, PARENTS AND EDUCATORS. 6 FREDERICK COUNTY PUBLIC SCHOOLS RECEIVED GRANTS TO IMPLEMENT PROGRAMMING TARGETING AT LEAST ONE HEALTHY BEHAVIOR (INCREASED ACTIVITY, INCREASED WATER CONSUMPTION, REDUCED SCREEN TIME, INCREASED CONSUMPTION OF FRUITS AND VEGETABLES)- DIABETES - FREDERICK HEALTH PROVIDED PREDIABETES AND DIABETES SCREENING AT A VARIETY OF LOCAL EVENTS. SUCCESSFULLY TRAINED A TOTAL OF 22 DPP (CDC DIABETES PREVENTION PROGRAM COACHES) AND LAUNCHED 8 SEPARATE DIABETES PREVENTION PROGRAM COHORTS (IN ENGLISH AND SPANISH). FREDERICK HEALTH SUCCESSFULLY LAUNCHED A PROVIDER REFERRAL PROCESS AND ESTABLISHED PATIENT REGISTRIES TO SUPPORT NAVIGATION EFFORTS. BEHAVIORAL HEALTH SCREENINGS WERE INTEGRATED INTO THE REFERRAL PROCESS AND WE EXPANDED OUR COMMUNITY HEALTH WORKER WORKFORCE TO SUPPORT TARGETED OUTREACH TO COMMUNITIES EXPERIENCING A HEALTH DISPARITY.- PHYSICIAN SUBSIDIES - FREDERICK HEALTH HOSPITAL CONTRACTS FOR HOSPITAL-BASED PHYSICIANS COVERAGE FOR SPECIALIZED CARE. CONTRACTED SERVICES INCLUDE INTENSIVE CARE, OBSTETRICAL/LABOR CARE, NEONATAL INTENSIVE CARE NEUROLOGY/STROKE CARE, INPATIENT PEDIATRICS, PEDIATRIC OPHTHALMOLOGY, ANESTHESIA, EMERGENCY MEDICINE AND INTERVENTIONAL CARDIOLOGY. THE DEMAND FOR THESE SERVICES CANNOT BE MET BY PROVIDERS IN THE FREDERICK COMMUNITY, AS THERE ARE NO COMMUNITY BASED PROVIDERS.- THERE IS AN INSUFFICIENT NUMBER OF PRIMARY CARE PROVIDERS IN FREDERICK COUNTY WHO CARE FOR PATIENTS THAT REQUIRE ACUTE CARE SERVICES. THE MAJORITY OF PRIMARY CARE PHYSICIANS IN THE COMMUNITY DO NOT MAINTAIN HOSPITAL PRIVILEGES; THEREFORE, THE HOSPITAL CONTRACTS FOR HOSPITALIST SERVICES FOR RESIDENTS WHO REQUIRE ACUTE CARE DIAGNOSIS AND MANAGEMENT.- FREDERICK HEALTH HOSPITAL ALSO CONTRACTS WITH SPECIALTY PROVIDERS TO PROVIDE EMERGENCY CARE COVERAGE ON A 24/7 BASIS. CONTRACTUAL SERVICES INCLUDES ANESTHESIOLOGY, BARIATRIC SURGERY, CARDIOLOGY, ENT, GASTROENTEROLOGY, GENERAL DENTISTRY, GENERAL SURGERY, HEMATOLOGY/ONCOLOGY, INTERVENTIONAL CARDIOLOGY, NEPHROLOGY, NEUROLOGY, OPHTHALMOLOGY, ORAL/MAXILLO FACIAL, ORTHOPEDICS, PEDIATRICS, PLASTIC SURGERY, PULMONARY MEDICINE, UROLOGY, VASCULAR SURGERY AND NEUROSURGERY. WITHOUT SUBSIDIES FROM THE ORGANIZATION TO COMPENSATE PROVIDERS FOR THIS COVERAGE, MEDICAL PRACTICES WOULD NOT BE ABLE TO RECRUIT A SUFFICIENT NUMBER OF PERSONNEL TO PROVIDE COVERAGE TO THE EMERGENCY DEPARTMENT. PART VI, LINE 6: FREDERICK HEALTH HOSPITAL, INC. ('FHH') IS A PRIVATE, NON-STOCK, NOT-FOR-PROFIT 501(C)(3) MARYLAND CORPORATION ORGANIZED IN 1897. AS OF JULY 1, 2011, FREDERICK HEALTH, INC. ( F.K.A. FREDERICK REGIONAL HEALTH SYSTEM) BECAME THE PARENT CORPORATION UNDER WHICH THE ENTITIES DESCRIBED BELOW EXIST AND OPERATE.FREDERICK HEALTH, INC. IS GOVERNED BY A 21 MEMBER BOARD OF DIRECTORS. THE BOARD MEETS MONTHLY, WITH ELECTION OF OFFICERS AND MEMBERS OCCURRING AT THE SEPTEMBER MEETING. MUCH OF THE BOARD'S WORK IS ACCOMPLISHED THROUGH STANDING COMMITTEES, INCLUDING THE EXECUTIVE, FINANCE, GOVERNANCE, EXECUTIVE COMPENSATION, JOINT CONFERENCE (WITH MEDICAL STAFF), PLANNING, AND HOSPITAL PERFORMANCE REVIEW COMMITTEES.FREDERICK HEALTH HOSPITAL IS A 314-BED ACUTE CARE HOSPITAL LOCATED IN FREDERICK, MARYLAND, APPROXIMATELY 50 MILES WEST OF BALTIMORE AND 45 MILES NORTHWEST OF WASHINGTON D. C. THE HOSPITAL OPENED IN 1902 AND IS CURRENTLY THE ONLY ACUTE CARE HOSPITAL IN FREDERICK COUNTY AND THE ONLY ACUTE CARE HOSPITAL WITHIN A 25-MILE RADIUS OF THE CITY OF FREDERICK.THE MAIN CAMPUS OF THE HOSPITAL IS LOCATED ON AN APPROXIMATELY 15.85-ACRE SITE IN FREDERICK, MARYLAND. THE TOTAL SQUARE FOOTAGE OF THE HOSPITAL IS APPROXIMATELY 596,000 SQUARE FEET. FHH'S HOSPIT.AL-BASED AND OFF-SITE OUTPATIENT SERVICES ACCOUNT FOR OVER 385,000 VISITS ANNUALLY INCLUDING HOME HEALTH SERVICES, WHICH MAKES APPROXIMATELY 39,000 VISITS PER YEAR. FREDERICK HEALTH HOSPITAL, INC. PROVIDES A FULL RANGE OF ACUTE CARE SERVICES INCLUDING: MEDICINE, SURGERY, OBSTETRICS, GYNECOLOGY, PEDIATRICS, INTENSIVE CARE, CORONARY CARE, INTERVENTIONAL CARDIOLOGY, PRIMARY STROKE PROGRAM, WOUND CARE, JOINT REPLACEMENT PROGRAM, CYBERKNIFE RADIOSURGERY CENTER, PSYCHIATRIC CARE, MEDICAL FITNESS, WELLNESS PROGRAM/CENTER AND EMERGENCY SERVICES. IN ADDITION, FREDERICK HEALTH HOSPITAL, INC. PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES, INCLUDING: EMERGENCY MEDICINE, OUTPATIENT SURGERY, HOME HEALTH, RADIATION THERAPY, MRI, PET AND CT SCANNING, MEDICAL ONCOLOGY, AND COMPREHENSIVE WOMEN'S SERVICES. THROUGH THE SATELLITE LOCATIONS AND OUTPATIENT CENTERS, THE HEALTH SYSTEM PROVIDES: URGENT CARE, LABORATORY, DIAGNOSTIC RADIOLOGY, AMBULATORY SURGERY, VASCULAR IMAGING, REHABILITATION SERVICES, PAIN AND PALLIATIVE CARE. X X X X X 0 1 0 0 0 0 0 0 0 THOMAS A KLEINHANZL PRESIDENT AND CEO 870555 0 260818 0 3354 0 351433 0 15023 0 1501183 0 0 0 MICHELLE K MAHAN SR. VP & CFO THROUGH 8/6/22 431445 0 206090 0 6096 0 36107 0 8357 0 688095 0 0 0 CHERYL L CIOFFI SVP COO 508887 0 88719 0 1170 0 55030 0 15023 0 668829 0 0 0 MIHIR JANI MD CHIEF OF STAFF 0 503092 0 70626 0 552 0 15250 0 15023 0 604543 0 0 HANNAH R JACOBS SR. VP & CFO START 4/4/22 344255 0 45062 0 1794 0 34126 0 12625 0 437862 0 0 0 JAMES B SHERWOOD VP BUSINESS DEV AND STRATEGY 330610 0 60400 0 1794 0 8809 0 15023 0 416636 0 0 0 MARY A MCDONALD MEDICAL DIR HOSPICE 336167 0 7981 0 499 0 15250 0 14113 0 374010 0 0 0 DONALD R SCHILLING VP AMBULATORY SERVICES 279128 0 50499 0 9906 0 15086 0 13580 0 368199 0 0 0 KATHY J WEISHAAR VP MEDICAL AFFAIRS & CMO 287306 0 53813 0 1170 0 10736 0 7934 0 360959 0 0 0 JACKIE L RICE VP CHIEF INFORMATION OFFICER 277965 0 49612 0 5148 0 13721 0 369 0 346815 0 0 0 CHRISTOPHER M BUMBAUGH VP HUMAN RESOURCES 263844 0 43414 0 3354 0 13681 0 15023 0 339316 0 0 0 HEATHER R KIRBY VP INTEGRATED CARE & CPHO 261278 0 48423 0 1794 0 9254 0 15023 0 335772 0 0 0 DIANE M MCFARLAND CHIEF NURSING OFFICER - THROUGH 7/30 282755 0 34497 0 3354 0 9862 0 551 0 331019 0 0 0 TAMARA L KILE DO MEDICAL DIRECTOR 268034 0 22202 0 1032 0 13834 0 16711 0 321813 0 0 0 DUSTIN M SIMONSON CHIEF PHYSICIST SUPV 269248 0 688 0 552 0 13948 0 15023 0 299459 0 0 0 JAMIE B WHITE VP QLTY ASSURANCE & CQO 234962 0 41596 0 1170 0 9637 0 6561 0 293926 0 0 0 JOYCE O BOATENG REGISTERED NURSE 277758 0 0 0 0 0 0 0 0 0 277758 0 0 0 HUGUETTE MARIE H AMOND REGISTERED NURSE 267474 0 236 0 1 0 0 0 0 0 267711 0 0 0 MICHAEL G MCLANE JR VP SUPPORT SVCS 196224 0 34656 0 1170 0 9431 0 14921 0 256402 0 0 0 SHELBY L BOGGS AVP CLINICAL INT & PAYOR CONTRACTING 217668 0 25246 0 1498 0 4806 0 551 0 249769 0 0 0 JAMES C DEVLIN AVP FINANCE 195884 0 14601 0 1498 0 10837 0 16169 0 238989 0 0 0 KRISTEN B FLETCHER VP CHIEF COMPLIANCE OFFICER 184729 0 34456 0 1170 0 10425 0 551 0 231331 0 0 0 ROBIN R ROSE VP DEVELOPMENT 163513 0 30055 0 3354 0 10095 0 16169 0 223186 0 0 0 BRENT L PURSCELLEY AVP AMBULATORY SERVICES 177007 0 12980 0 1498 0 9054 0 14921 0 215460 0 0 0 SHAWN MCCARDELL AVP REVENUE CYCLE 143895 0 8910 0 507 0 6905 0 16169 0 176386 0 0 0 PART I, LINE 3 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. PART I, LINE 4B FREDERICK HEALTH HOSPITAL HAS ONE 457(F) NON QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE AS FOLLOWS: MICHELLE K. MAHAN $2,052 THOMAS A. KLEINHANZL $315,683 CHERYL L. CIOFFI $27,626 HANNAH JACOBS - $21,000 A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A 520936091 57421CAD6 2020-06-25 62645000 SEE PART VI 0 0 0 B MHHEFA 2022 BONDS 520936091 2022-07-01 93550100 SEE PART VI 0 0 0 C MHHEFA SERIES 2023 BONDS 520936091 57421CEV1 2023-06-29 73740742 SEE PART VI 0 0 0 D MHHEFA SERIES 2017B BONDS 520936091 2017-06-15 60645000 SEE PART VI 0 0 0 A 65768798 1159217 40000000 24890857 2022 1 0 0 1 B 1165000 93550100 93550100 0 1 1 1 C 73740742 15585740 58152002 2026 1 1 0 1 D 56630000 60645000 400000 60245000 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 1 1 1 1 0 0.01060 0.00000 0.01060 0 0 0 C 0 1 1 1 1 1 0.00160 0.00000 0.00160 0 0 1 D 0 1 1 1 1 1 0.00270 0.00000 0.00270 0 0 0 A 0 1 0 0 0 0 0 1 1 B 0 0 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 0 D 0 0 1 0 1 0 0 0 0 A 1 B 1 C 0 D 0 PART I (A) ISSUER NAME: MD HEALTH AND HIGHER EDUCATION FACILITIES AUTHORIT A: REVENUE BONDS, FREDERICK HEALTH SYSTEM ISSUE, SERIES 2020 B: REVENUE BOND, FREDERICK HEALTH SYSTEM ISSUE, 2022 C: REVENUE BONDS, FREDERICK HEALTH SYSTEM ISSUE, SERIES 2023 D: REVENUE BOND, FREDERICK MEMORIAL HEALTH ISSUE (2017B) PART I (F) DESCRIPTION OF PURPOSE A: SERIES 2020 BONDS - FUND NEW CAPITAL PROJECTS AND REFINANCE THE ISSUER'S 2017A BONDS. B: 2022 BONDS - REFUND THE CONDUIT BORROWER'S TAXABLE NOTE, THE PROCEEDS OF WHICH WERE USED TO REFINANCE THE ISSUER'S 2012A BONDS. C: SERIES 2023 BONDS - FUND NEW CAPITAL PROJECTS, REFINANCE A PORTION OF THE ISSUER'S 2017B BONDS, AND REFINANCE A PORITON OF THE CONDUIT BORROWER'S TAXABLE LINE OF CREDIT AGREEMENT. D: 2017B: FUND NEW CAPITAL PROJECTS AND REFINANCE THE ISSUER'S 2012B BONDS. LEE BUILDING MAINTENCE INC OWNED BY BOARD MEMBER - JASON LEE 1758851 PAYMENTS FOR SERVICES PROVIDED TO FHH 0 X 3 188126 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, FREDERICK HEALTH, INC., HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK HEALTH HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER, FREDERICK HEALTH, INC., MUST APPROVE THE INCURRENCE OF DEBT IF SUCH DEBT EXCEEDS A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, CAPITAL EXPENDITURES EXCEEDING A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, THE DECISION TO DISSOLVE OR LIQUIDATE, THE CREATION OF A SUBSIDIARY, AND AMENDMENTS TO THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FREDERICK HEALTH HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK HEALTH HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/FY22_FREDERICK-HEALTH-INC.-ANDSUBS IDIARIES-FY2022-AUDITED-FINANCIAL-STATEMENTS.PDF FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 27,316,651. MANAGEMENT AND GENERAL EXPENSES 3,643,331. FUNDRAISING EXPENSES 12,745. TOTAL EXPENSES 30,972,727. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 18,924,267. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,924,267. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 12,179,339. MANAGEMENT AND GENERAL EXPENSES 69,041. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,248,380. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 5,914,965. MANAGEMENT AND GENERAL EXPENSES 831,518. FUNDRAISING EXPENSES 703. TOTAL EXPENSES 6,747,186. FORM 990, PART XI, LINE 9: UNREALIZED GAINS - INTEREST RATE SWAP 3,514,604. INTERCOMPANY LOAN FORGIVENESS -26,567,328. ASSETS RELEASED FROM RESTRICTIONS 3,655,150. JOINT VENTURE INCOME 3,751,655. RESTRICTED GIFTS, BEQUESTS & CONTRIBUTIONS 1,242,427. LOSS ON EXTINGUISHMENT OF DEBT -267,747. PENSION ADJUSTMENT 77,679. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FREDERICK HEALTH HOSPICE INC 400 WEST SEVENTH STREET FREDERICK MD 21701 521164513 HOSPICE CARE MD 501(C)(3) LINE 10 FREDERICK HEALTH HOSPITAL INC 1 FREDERICK HEALTH INC 400 WEST SEVENTH STREET FREDERICK MD 21701 454133096 HEALTH SYSTEM MD 501(C)(3) LINE 12B, II N/A 0 FREDERICK HEALTH MEDICAL GROUP LLC 400 WEST SEVENTH STREET FREDERICK MD 21701 453001639 PHYSICIAN ORG MD 501(C)(3) LINE 10 FREDERICK HEALTH INC 1 FREDERICK HEALTH SERVICES CORPORATION 400 WEST SEVENTH STREET FREDERICK MD 21701 521851661 HEALTH CARE MD N/A C 1 MONOCACY INSURANCE LTD PO BOX 1159 GRAND CAYMAN CJ 981011570 SELF INSURANCE CJ N/A C 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 1 FREDERICK HEALTH HOSPICE INC S 330000 CASH FREDERICK HEALTH HOSPICE INC O 327339 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC Q 81161475 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC S 42600000 CASH FREDERICK HEALTH MEDICAL GROUP LLC J 2781140 FMV FREDERICK HEALTH MEDICAL GROUP LLC O 1029114 DIRECT COSTING FREDERICK HEALTH SERVICES CORP K 325067 FMV FREDERICK HEALTH SERVICES CORP S 207547 FMV FREDERICK HEALTH VILLAGE LLC Q 174187 DIRECT COSTING FREDERICK HEALTH INC S 1355000 CASH FREDERICK HEALTH INC O 1526388 DIRECT COSTING FREDERICK HEALTH INC Q 22567 DIRECT COSTING FREDERICK HEALTH INC R 5712559 CASH MONOCACY INSURANCE LTD C 50066 CASH