2025-04-10T12:28:18+00:00 2024-06-30 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-07-01 522046586 Maryland Family Care Inc MARY 4103329313 301 St Paul Place Baltimore MD 21202 Justin Deibel EXECUTIVE VICE PRESIDENT & CFO 4103329313 2025-04-10 true true Amy Bibby P00445891 8282542254 2025-03-27 2023 2025-03-06 01:10:19Z DAVID N MAINE MD 301 St Paul Place Baltimore MD 21202 70937925 false X N/A X 1997 MD PROVIDE PRIMARY PHYSICIAN care TO PATIENTS OF MARYLAND FAMILY CARE, INC. AND RELATED ENTITIES. 12 0 508 16 0 0 0 0 79820229 64512475 0 0 4349544 6425450 84169773 70937925 0 0 0 0 47595596 48704581 0 0 0 34451772 19334446 82047368 68039027 2122405 2898898 37126170 58582199 13541632 12941119 23584538 45641080 PROVIDE PRIMARY PHYSICIAN CARE TO PATIENTS OF MARYLAND FAMILY CARE AND RELATED ENTITIES. false false 63600996 70937925 MARYLAND FAMILY CARE, INC. ("MFC") OPERATES A PRIMARY CARE PHYSICIAN ENTERPRISE. MFC PHYSICIANS ARE LOCATED THROUGHOUT BALTIMORE CITY, BALTIMORE COUNTY AND ANNE ARUNDEL COUNTY. MFC IS A WHOLLY OWNED SUBSIDIARY OF MERCY HEALTH SERVICES, INC. ("MHS"). MHS OWNS AND OPERATES A CATHOLIC HEALTHCARE SYSTEM IN MARYLAND, UNDER THE SPONSORSHIP OF THE SISTERS OF MERCY. MHS IS ALSO THE PARENT OF MERCY MEDICAL CENTER, INC., WHICH OWNS AND OPERATES AN ACUTE CARE HOSPITAL IN DOWNTOWN BALTIMORE AS WELL AS NUMEROUS OUTPATIENT HOSPITAL SPECIALTY CLINICS. MHS IS ALSO THE PARENT OF STELLA MARIS, INC., WHICH OWNS AND OPERATES A NURSING HOME, A RESIDENTIAL AND HOME HOSPICE SERVICES AND A HOME HEALTH AGENCY. MFC EMPLOYS 126 PRIMARY CARE PHYSICIANS AND NURSE PRACTITIONERS WHO PROVIDE PRIMARY CARE SERVICES IN OFFICES LOCATED ON THE CAMPUS OF MERCY MEDICAL CENTER AND THROUGHOUT BALTIMORE CITY, AND IN ANNE ARUNDEL AND BALTIMORE COUNTIES. MFC EMPLOYS A NUMBER OF PHYSICIANS TO SERVE AS HOSPITALISTS, WHO CARE FOR PATIENTS ADMITTED TO MERCY MEDICAL CENTER, THEREBY IMPROVING THE QUALITY OF CARE FOR MERCY'S ACUTE CARE PATIENTS. MFC'S NURSE PRACTITIONERS PROVIDE SERVICES TO UNINSURED PATIENTS IN MERCY'S NURSERY AND CHILDREN'S HEALTH OUTREACH PROGRAM. MFC INCURS SUBSTANTIAL COSTS PROVIDING THE COMMUNITY WITH THE HOSPITALIST AND NURSE PRACTITIONER PROGRAMS. DURING THE 2021 TAX YEAR, MFC INCURRED A COST OF $3,660,905 FROM PROVIDING THE HOSPITALIST PROGRAM AND THE NURSE PRACTITIONER PROGRAM. 2.0% OF THE PATIENTS SERVED BY THE HOSPITALIST AND NURSE PRACTITIONER PROGRAMS ARE UNINSURED. THROUGH ITS EMPLOYED PHYSICIANS, MFC PROVIDES MEDICAL DIRECTOR SERVICES TO THE STELLA MARIS NURSING HOME AND HOSPICE PROGRAMS, AND PROVIDES HEALTHCARE SERVICES DIRECTLY TO THE RESIDENTS OF STELLA MARIS. MANY MFC PHYSICIANS PARTICIPATE IN MEDICAL EDUCATION, INCLUDING PARTICIPATION IN MERCY'S INTERNAL MEDICINE RESIDENCY PROGRAM. MFC ALSO HAS AN AFFILIATION AGREEMENT WITH THE FAMILY HEALTH CENTERS OF BALTIMORE, INC., PURSUANT TO WHICH MFC ARRANGES FOR PHYSICIAN STAFFING FOR FHCB'S DOWNTOWN CLINIC. FHCB IS A FEDERALLY QUALIFIED HEALTH CENTER. IN FISCAL YEAR 2022, MFC PROVIDED CARE TO PATIENTS THROUGH 272,708 OFFICE VISITS, 3 hospital visits, and 2,328 NURSING HOME VISITS. THROUGH ITS HOSPITALIST AND NURSE PRACTITIONER PROGRAMS, MFC PROVIDED SERVICES TO APPROXIMATELY 25,537 PATIENTS. 63600996 true false false false false false false false false true false false 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 true true false false false true 0 0 508 true false false false false false false false false false false false false X 12 0 false false false false true true true true true false false true true true true true true false false false MD X Justin Deibel 4106592905 301 St Paul Place Baltimore MD 21202 Conor Sullivan Director 15.0 25.0 X X 0 152606 33209 David N Maine MD President/CEO (ex officio) 1.0 44.0 X X 0 1754338 41870 Fernando Ferro MD Chair 40.0 0 X X 443456 0 41816 Jennifer Schwarzmann Treasurer 3.0 37.0 X X 0 247539 25035 Justin C Deibel Vice Chair 3.0 39.0 X X 0 1010210 43787 Robert Lyles Secretary 5.0 35.0 X X 0 189546 36072 Christopher Thomaskutty Director 1.0 39.0 X 0 592292 42655 George Boyer MD Director 5.0 35.0 X 0 242969 51806 George E Lowe MD Director 10.0 30.0 X 0 238406 26294 Jonathan Rich MD Director 40.0 0 X 435258 0 36681 Wilma AS Rowe MD Director 1.0 44.0 X 0 880877 48651 Ashanti Woods MD Physician 39.5 0.5 X 435769 0 40814 Ayman Akkad Physician 40.0 0 X 484574 0 41778 Robert Boughan Physician 40.0 0 X 464199 0 9201 Thaw Poon Physician 40.0 0 X 633248 0 36968 Yeong H Oh Physician 40.0 0 X 466050 0 50578 Robert A Edwards Former Director 0.0 0.0 X 0 11990 4778 Thomas R Mullen Former President/CEO, Ex Officio 0.0 0.0 X 0 48358 29238 3362554 5369131 641231 7 true true false 0 0 PATIENT SERVICES 621110 64512475 64512475 0 0 0 0 64512475 0 0 0 0 MISCELLANEOUS INCOME 900099 6425450 6425450 0 0 0 0 6425450 70937925 70937925 0 0 878714 878714 40042965 40042965 661228 661228 4620076 4620076 2501598 2501598 4389858 4389858 3082787 3080027 2760 0 22960 22960 504783 494816 9967 3562 3562 782419 782419 23568 23568 70279 70279 2632216 2596770 35446 930487 930487 Medical Surgical and Pharmacy Supplies 4159533 4159533 Bad Debt Expense 1593682 1593682 REPAIRS AND MAINTENANCE 1159906 1159906 Other 400987 400987 -422581 -422581 0 0 68039027 63600996 4438031 0 18236205 35027048 0 0 20666 -3230 43626756 20579662 18124405 23047094 0 0 744894 511287 37126170 58582199 11265135 10292961 0 2276497 2648158 13541632 12941119 X 23584538 45641080 23584538 45641080 37126170 58582199 X 2898898 19157644 X X false true X true false X 29210147 11138458 18071689 1327006 387602 939404 12925867 9053602 3872265 163736 163736 23047094 due to related party 1939548 Lease Liabilities 708610 2648158 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MHS, MMC, SMI, MFC, SPPS, MHF, and MSS are not-for-profit organizations exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, and are therefore not subject to federal income tax under current income tax regulations. MHS subsidiaries otherwise exempt from federal and state taxation are nonetheless subject to taxation at corporate tax rates at both the federal and state level on their unrelated business income. Current accounting standards define the threshold for recognizing uncertain income tax return positions in the financial statements as "more likely than not" that the position is sustainable, based on its technical merits, and also provide guidance on the measurement, classification and disclosure of tax return positions in the financial statements. Management believes there is no impact on MHS' accompanying consolidated financial statements related to uncertain income tax positions. false false false false false false false true false Fernando Ferro MD Chair 343949 0 99507 0 0 0 9900 0 31916 0 485272 0 0 0 Conor Sullivan Director 0 136541 0 16065 0 0 0 4291 0 28918 0 185815 0 0 David N Maine MD President/CEO (ex officio) 0 1174119 0 422719 0 157500 0 9900 0 31970 0 1796208 0 0 Robert Lyles Secretary 0 166905 0 22641 0 0 0 5300 0 30772 0 225618 0 0 Jennifer Schwarzmann Treasurer 0 220270 0 27269 0 0 0 5875 0 19160 0 272574 0 0 Justin C Deibel Vice Chair 0 696793 0 214182 0 99235 0 9900 0 33887 0 1053997 0 0 Robert A Edwards Former Director 0 11990 0 0 0 0 0 0 0 4778 0 16768 0 0 Thomas R Mullen Former President/CEO, Ex Officio 0 48358 0 0 0 0 0 0 0 29238 0 77596 0 0 George Boyer MD Director 0 242969 0 0 0 0 0 14327 0 37479 0 294775 0 0 George E Lowe MD Director 0 204965 0 33441 0 0 0 0 0 26294 0 264700 0 0 Christopher Thomaskutty Director 0 432405 0 116417 0 43470 0 9900 0 32755 0 634947 0 0 Wilma AS Rowe MD Director 0 687852 0 140546 0 52479 0 14850 0 33801 0 929528 0 0 Jonathan Rich MD Director 141652 0 293606 0 0 0 4500 0 32181 0 471939 0 0 0 Thaw Poon Physician 131444 0 501804 0 0 0 4246 0 32722 0 670216 0 0 0 Ayman Akkad Physician 393949 0 90625 0 0 0 9900 0 31878 0 526352 0 0 0 Yeong H Oh Physician 390705 0 75345 0 0 0 9900 0 40678 0 516628 0 0 0 Robert Boughan Physician 264901 0 199298 0 0 0 6058 0 3143 0 473400 0 0 0 Ashanti Woods MD Physician 301017 0 134752 0 0 0 8465 0 32349 0 476583 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION RELIED ON A RELATED ORGANIZATION AND THAT RELATED ORGANIZATION USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: 1. COMPENSATION COMMITTEE; 2. INDEPENDENT COMPENSATION CONSULTANT; 3. COMPENSATION SURVEY OR STUDY; AND 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 7 Non-fixed payments TO ENSURE SALARIES ARE CONSISTENT WITH FAIR MARKET VALUE AS WELL AS TO MINIMIZE THE CORPORATION'S RISK WITH RESPECT TO OPERATING ITS PHYSICIANS ENTERPRISE, THE CORPORATION HAS DEVELOPED A COMPENSATION MODEL BASED ON INDIVIDUAL PHYSICIAN PRODUCTIVITY IN PROVIDING PATIENT CARE SERVICES. THE MODEL ESENTIALLY MIRRORS WHAT A PHYSICIAN WOULD EARN IN PRIVATE PRACTICE IN THAT IT TAKES INTO ACCOUNT THE PROFESSIONAL FEE REVENUE THE PHYSICIAN GENERATES THROUGH HIS OR HER OWN PROFESSIONAL. BECAUSE THE METHODOLOGY IS BASED ON REVENUE, WE ANSWERED QUESTION 7 AFFIRMATIVELY. Form 990, Part VI, Line 15 THE ORGANIZATION'S BOARD HAS ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION'S PARENT CORPORATION (MERCY HEALTH SERVICES, INC.) WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION. THE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. Mercy Health Services, Inc. has a written policy regarding the review of physician compensation titled "Amended and Restated Physician Compensation Review." The policy applies to all MHS subsidiaries, including the Corporation, and it sets out the process and procedures for ensuring that physician compensation is appropriately reviewed and determined to be consistent with fair market value. Under the policy the review and determination must be documented in writing. The policy addresses internal reviews through benchmarking of physician compensation against nationally recognized compensation survey data, the use of independent compensation consultants and review by the MHS Board Compensation Committee. The policy further requires that all compensation reviews be performed in accordance with the MHS Conflict of Interest Policy. Form 990, Part VI, Line 1b Mercy Health Services, Inc. ("MHS"), a 501(c)(3) corporation, is the sole member of Maryland Family Care, Inc. ("MFC"). MHS is governed by a 28-person Board of Trustees, of whom 21 are independent board members. The Board of Directors of MFC is currently made of 9 directors. The President and the Senior Vice President for Medical Affairs of MHS serve as ex officio members of MFC's Board and the balance of the MFC Board members are elected by, and subject to removal by, the Board of Trustees of MHS. None of the members of the MFC Board are independent, in that each of them is compensated as an employee either of MFC or a related organization listed in Schedule R, Part II. Form 990, Part VI, Line 6 Classes of members or stockholders Mercy Health Services, Inc. ("MHS"), a 501(c)(3) corporation, is the sole member of Maryland Family Care, Inc. ("MFC"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The President and Senior Vice President for Medical Affairs of MHS serve as ex officio voting members of the Board of Directors of MFC. As the member of MFC, the Board of Trustees of MHS elects all of the other members of the Board of MFC, which shall include at least two additional members of MHS's administrative staff and at least two practicing primary care physicians. With the exception of the ex officio Board members, all of the MFC Board members serve at the pleasure of the Board of Trustees of MHS and are subject to removal by the MHS Board. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Board of Trustees of MHS exercises authority over MFC through its right to appoint and remove MFC Board members. In addition, the Following actions require approval by MHS: (a) Liquidation and dissolution of MFC; and (b) Amendment of the Articles of Incorporation or Bylaws of MFC. Ultimately, the Corporation is controlled by MHS's 29 PERSON COMMUNITY BOARD, WHICH INCLUDES 21 INDEPENDENT DIRECTORS AS NOTED ABOVE. Form 990, Part VI, Line 11b Review of form 990 by governing body MERCY HEALTH SERVICES, INC. ("MHS"), THE SOLE PARENT OF THE CORPORATION, HAS A POLICY WHICH REQUIRES THE CORPORATION'S 990 TO BE MADE AVAILABLE FOR REVIEW BY THE MHS BOARD AND/OR THE MHS BOARD EXECUTIVE COMMITTEE PRIOR TO ITS FILING. AT ITS board MEETING, MHS BOARD EXECUTIVE COMMITTEE MEMBERS RECEIVED A COPY OF THE CORPORATION'S DRAFT FORM 990. THE MHS CFO PROVIDED A POWER POINT PRESENTATION REGARDING THE DRAFT AND THERE WAS AN OPPORTUNITY FOR QUESTIONS AND DISCUSSION. FOLLOWING FURTHER REVISION OF THE DRAFT 990 AND PRIOR TO ITS FILING, IT WAS MADE AVAILABLE IN FINAL FORM TO ALL MEMBERS OF THE MHS BOARD AND THE CORPORATION'S BOARD FOR THEIR REVIEW. ANY ADDITIONAL COMMENTS/QUESTIONS FROM BOARD MEMBERS ARE RESPONDED TO PRIOR TO FILING THE FORM 990. Form 990, Part VI, Line 12c Conflict of interest policy Mercy has a conflict of interest policy that covers Mercy Health Services, Inc. and all of its direct and indirect subsidiaries. The individuals covered under the policy include all trustees, directors, officers (including all senior and executive vice presidents) and members of any committee with board-delegated powers. Under the policy, each such person is required to complete an annual disclosure form regarding all business relationships that he or she, or any family member, has with any other organizations that do business with mercy and all relationships between and among officers, trustees and directors. The completed disclosure forms are reviewed by the board chair and by Mercy's CEO or a designee. In addition to the annual disclosure, any person who is covered by the conflict of interest policy has an ongoing obligation to disclose the existence of any actual or potential conflict to the board or the board committee in which the matter arises. Following the disclosure, the person may make a presentation, but must then leave the meeting and the other members of the board or committee shall determine whether a conflict exists. Under the policy, a conflict of interest exists when an individual's own personal interest would, or may, interfere with his or her impartiality regarding the matter. If a conflict exists, the person must abstain from voting and may not be present during deliberations on the matter. The board or committee, after conducting such additional due diligence as it determines is appropriate, shall make a decision on the matter based upon whether the particular proposal is fair, reasonable and in the best interest of the organization. Form 990, Part VI, Line 19 Required documents available to the public The governing documents of the organization, its conflicts of interest policy, and its financial statements are available from the organization upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances write off of intercompany accounts - 19157644; Form 990, Part XII, Line 2c Change of oversight process or selection process the process has not changed from the prior year. Integrative & Complementary Services LLC 301 St Paul Place Baltimore MD 21202 522046586 Medical service MD 0 0 Maryland Family Care Inc MERCY HEALTH SERVICES INC 301 ST PAUL PLACE BALTIMORE MD 21202 522173382 SUPPORT MD 501(c)(3) Type III-FI NA false MERCY MEDICAL CENTER INC 301 ST PAUL PLACE BALTIMORE MD 21202 520591658 HOSPITAL MD 501(c)(3) 3 NA false ST PAUL PLACE SPECIALISTS 301 ST PAUL PLACE BALTIMORE MD 21202 521495113 SPECIALTY medical services MD 501(c)(3) 3 NA false MERCY HEALTH FOUNDATION 301 ST PAUL PLACE BALTIMORE MD 21202 522173656 FOUNDATION MD 501(c)(3) 7 NA false STELLA MARIS 301 ST PAUL PLACE BALTIMORE MD 21206 521419602 NURSING FACILITY MD 501(c)(3) 10 NA false VASCULAR SPECIALTY SERVICES INC 301 St Paul Place BALTIMORE MD 21202 521995474 MEDICAL PRACTICE MD NA C Corporation false false false false false false false false false false true false false false false true true true false true