2024-05-13T19:39:33-05:00 2023-06-30 BDO USA 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2022-07-01 520691413 CARROLL COUNTY HEALTH SERVICES CORPORATION % AMY ENGLE CARR 4108716859 200 MEMORIAL AVENUE WESTMINSTER MD 21157 MICHAEL MYERS CFO 4108716859 2024-05-08 true MICHAEL MYERS 999009999 Marc Berger P01871563 7038930600 2024-05-06 2 2022 2023-04-26 12:10:37Z GARRETT HOOVER 200 MEMORIAL AVENUE WESTMINSTER MD 21157 144278 false X WWW.CARROLLHOSPITALCENTER.ORG X 1957 MD TO SUPPORT CARROLL HOSPITAL CENTER, INC., INCLUDING BY ASSISTING IN OVERSEEING THE OPERATIONS OF ITS SUBSIDIARIES. 17 15 4 16 15000 11927 0 0 0 0 13 14898 98640 65090 98653 79988 4000 4000 0 0 0 0 0 0 0 249 194 4249 4194 94404 75794 371667418 392109182 23441 18440 371643977 392090742 TO SUPPORT CARROLL HOSPITAL CENTER, INC., INCLUDING BY ASSISTING IN OVERSEEING THE OPERATIONS OF ITS SUBSIDIARIES. false false 4000 4000 0 CARROLL COUNTY HEALTH SERVICES CORPORATION IS A NON-PROFIT, NON-STOCK MEMBERSHIP CORPORATION INCORPORATED IN MARYLAND ENGAGED IN SUPPORTING CARROLL HOSPITAL CENTER, INC., INCLUDING BY ASSISTING IN OVERSEEING THE OPERATIONS OF ITS SUBSIDIARIES. CARROLL HOSPITAL CENTER, INC. IS A WHOLLY CONTROLLED SUBSIDIARY OF THE CORPORATION. THE HOSPITAL OPERATES A 166 BED ACUTE CARE HOSPITAL WITH BOTH INPATIENT AND OUTPATIENT CARE. 4000 true false false false false false false false false true false true false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 4 true true false false false false false false false false false false false X 17 15 false false false false true true true true true false false true true true true true true true false false MD X AMY ENGLE 4108717114 200 MEMORIAL AVENUE WESTMINSTER MD 21157 X NEIL M MELTZER DIRECTOR/LBH PRESIDENT/CEO 1.0 40.0 X 0 3617972 409939 LESLIE R SIMMONS FORMER DIR./PRES. CHC/ COO LBH 1.0 40.0 X 0 1643643 264896 GARRETT W HOOVER DIRECTOR/PRESIDENT/COO OF CHC 1.0 40.0 X X 0 629156 27102 MICHAEL MYERS VP RATES & REIMB. & CFO CCHS 1.0 40.0 X 0 429059 87876 ALEC YEO CHAIR 1.0 0.0 X X 0 0 0 THOMAS ZIRPOLI VICE CHAIR 1.0 0.0 X X 0 0 0 MARTIN KP HILL SECRETARY 1.0 0.0 X X 0 0 0 DAVID S BOLLINGER DIRECTOR 1.0 0.0 X 0 0 0 SUE CHAMBERS DIRECTOR 1.0 0.0 X 0 0 0 CHRISTOPHER GROVE MD DIRECTOR/PRES. MEDICAL STAFF 1.0 0.0 X 0 0 0 DAMIAN HALSTAD DIRECTOR 1.0 0.0 X 0 0 0 TODD HERRING DIRECTOR 1.0 0.0 X 0 0 0 KIRAN KUNA MD DIRECTOR 1.0 1.0 X 0 0 0 BRIAN MOFFET DIRECTOR/CHAIRMAN OF LBH 1.0 1.0 X 0 0 0 ALEX MYERS DIRECTOR/FDN CHAIR 1.0 0.0 X 0 0 0 MARCUS L PRIMM DIRECTOR 1.0 0.0 X 0 0 0 DEBORAH SEIDEL DIRECTOR 1.0 0.0 X 0 0 0 JACK TEVIS DIRECTOR 1.0 0.0 X 0 0 0 DREWRY WHITE MD DIRECTOR 1.0 1.0 X 0 0 0 0 6319830 789813 0 true true false 0 0 0 14898 14898 0 0 129380 64290 65090 0 65090 15000 50090 0 0 0 0 0 0 0 0 0 0 0 79988 15000 64988 0 4000 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BANK FEE 194 0 194 0 4194 4000 194 0 1367508 1423301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2600682 16894 2583788 2583788 0 0 40371 29605 367659063 388040800 0 0 16688 31688 371667418 392109182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23441 18440 23441 18440 X 310716040 330728254 60927937 61362488 371643977 392090742 371667418 392109182 X 75794 -10766 20381737 X X false true X true false X X 1 CARROLL HOSPITAL CENTER INC 511452024 3 true 0 0 1 0 0 true false false false false true false false false false false false false false false true SCHEDULE A, PART IV, SECTION A, LINE 6: CARROLL COUNTY HEALTH SERVICES CORPORATION ("CCHSC"), IS ORGANIZED AND OPERATED FOR THE BENEFIT OF CARROLL HOSPITAL CENTER, INC. ("THE HOSPITAL"). CCHSC ALSO HAS MANY WHOLLY OWNED CORPORATIONS AND SINGLE MEMBER LLC'S THAT ARE USED TO SUPPORT THE HOSPITAL. SCHOLARSHIPS ARE GIVEN FOR HEALTHCARE EDUCATION TO SUPPORT THE HOSPITAL. 2597119 13331 2583788 3563 3563 0 2583788 INVEST. IN CARROLL HOSP. CTR 311482368 C INVESTMENT IN FOUNDATION 102715548 C INVESTMENT IN MEDICAL SVCS INC -26157116 C 388040800 0 DUE TO AFFILIATES 16890 RENTAL DEPOSITS 1550 18440 X SCHEDULE D, PART X, LINE 2: LIFEBRIDGE AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. LIFEBRIDGE'S INCORPORATED FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC TOPIC 740, INCOME TAXES. INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF THE CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. false true false false false false false false false LESLIE R SIMMONS FORMER DIR./PRES. CHC/ COO LBH 0 711284 0 454822 0 477537 0 242547 0 22349 0 1908539 0 136533 NEIL M MELTZER DIRECTOR/LBH PRESIDENT/CEO 0 1100384 0 1347370 0 1170218 0 388009 0 21930 0 4027911 0 412620 GARRETT W HOOVER DIRECTOR/PRESIDENT/COO OF CHC 0 393442 0 192570 0 43144 0 1936 0 25166 0 656258 0 0 MICHAEL MYERS VP RATES & REIMB. & CFO CCHS 0 302809 0 83750 0 42500 0 60431 0 27445 0 516935 0 0 SCHEDULE J, PART I, LINE 3: CARROLL COUNTY HEALTH SERVICES CORPORATION'S COMPENSATION OF TOP-LEVEL MANAGEMENT OFFICIALS IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B: THE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. THE AMOUNTS REPORTED BELOW REPRESENT EMPLOYER CONTRIBUTIONS TO THE SECTION 457(F) PLAN MADE DURING THE YEAR: NEIL MELTZER $ 354,129 LESLIE SIMMONS $ 209,197 MICHAEL MYERS $ 45,920 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS A RESULT OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL MELTZER $ 1,111,000 LESLIE SIMMONS $ 451,092 MICHAEL MYERS $ 34,696 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. HOOVER RECEIVED COMPENSATION AS PRESIDENT OF CARROLL COUNTY HEALTH SERVICES CORPORATION AND CARROLL HOSPITAL CENTER, INC., AND AS SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. MELTZER RECEIVED COMPENSATION AS PRESIDENT/CEO OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. MYERS RECEIVED COMPENSATION AS VICE PRESIDENT OF REGULATORY REPORTING & REIMBURSEMENT AND CFO/VICE PRESIDENT OF CARROLL HOSPITAL CENTER, INC., NOT AS A DIRECTOR. MS. SIMMONS RECEIVED COMPENSATION AS COO OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR." FORM 990, PART VI, SECTION A, LINE 6: THE CORPORATION SHALL HAVE ONE MEMBER: LIFEBRIDGE HEALTH, INC. (THE "MEMBER"), A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. FORM 990, PART VI, SECTION A, LINE 7A: THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) EXCEPT FOR EX OFFICIO DIRECTORS AS PROVIDED FOR IN THE BYLAWS, TO NOMINATE, ELECT, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (2) TO APPOINT THE PRESIDENT OF THE CORPORATION WITH THE ADVICE AND CONSENT OF THE BOARD OF DIRECTORS; (3) TO NOMINATE AND ELECT THE CORPORATION'S CHAIR, VICE CHAIR, SECRETARY, AND TREASURER; AND (4) TO REMOVE EACH OF THE ABOVE-NAMED OFFICERS (WITH OR WITHOUT CAUSE), PROVIDED THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL ALSO HAVE THE POWER TO REMOVE ANY OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B: THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: THE LIFEBRIDGE EXEMPT ENTITIES' 990S ARE INITIALLY REVIEWED BY THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE, GENERAL COUNSEL, AND THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN PROVIDES A COPY OF THE 990'S TO THE CARROLL COUNTY HEALTH SERVICES CORPORATION BOARD AND TO EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C: ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, AND MEMBERS OF THE BOARD TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL, OR THEIR FAMILY MEMBER, (I) IS A PARTY TO THE TRANSACTION, (II) WILL BENEFIT PERSONALLY FROM THE TRANSACTION, OR (III) HAS, DIRECTLY OR INDIRECTLY, A CURRENT OR ANTICIPATED OWNERSHIP OR INVESTMENT IN, OR COMPENSATION ARRANGEMENT WITH, A PARTY TO THE TRANSACTION. AN OWNERSHIP INTEREST OF LESS THAN 5% IN AN ENTITY WILL NOT, IN AND OF ITSELF, GENERALLY BE CONSIDERED A FINANCIAL INTEREST; HOWEVER, TO THE EXTENT THE INDIVIDUAL'S COMPENSATION FROM THE ENTITY IS DIRECTLY LINKED TO THE ENTITY'S BUSINESS WITH LIFEBRIDGE HEALTH, SUCH COMPENSATION WILL CONSTITUTE A FINANCIAL INTEREST. FOR THE PURPOSES OF THIS POLICY, A "FAMILY MEMBER" INCLUDES SPOUSE OR DOMESTIC PARTNER, PARENTS, BROTHERS AND SISTERS, CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDPARENTS, GRANDCHILDREN, GREAT-GRANDCHILDREN, AND IN-LAWS, SPOUSES OF BROTHERS, SISTERS, CHILDREN, GRANDCHILDREN, AND GREAT-GRANDCHILDREN, AND ANY OTHER MEMBER OF A HOUSEHOLD OF THE INDIVIDUAL. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO THE CHIEF COMPLIANCE OFFICER. QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, INDIVIDUALS CAN CONTACT THE CHIEF COMPLIANCE OFFICER OR CONFIDENTIAL COMPLIANCE HOTLINE. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. FORM 990, PART VI, SECTION B, LINE 15: THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF LIFEBRIDGE HEALTH, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HEALTH SYSTEMS AND HOSPITALS ACROSS THE REGION AND NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, REVENUES, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS ESTABLISHED COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19: IT IS THE POLICY OF LIFEBRIDGE HEALTH, INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH, INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. FORM 990, PART VII: UNDER THE BYLAWS OF CARROLL HOSPITAL CENTER, INC., THE BOARD OF CARROLL HOSPITAL CENTER, INC. MUST AT ALL TIMES BE IDENTICAL TO THE BOARD OF CARROLL COUNTY HEALTH SERVICES CORPORATION. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: INVESTMENT IN FOUNDATION: 5,185,171 INVESTMENT IN CCMS: (7,986,338) INVESTMENT IN HOSPITAL, HOSPICE, DIXON RADIOLOGY : 23,182,904 TOTAL TO FORM 990, PART XI, LINE 9: 20,381,737 FORM 990, PART XII LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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