2026-05-13T07:49:12+00:00 2025-06-30 135381590 BDO USA 8401 GREENSBORO DR STE 800 MCLEAN VA 221023599 990 2024-07-01 521452024 CARROLL HOSPITAL CENTER INC CARR 4108716859 200 MEMORIAL AVENUE WESTMINSTER MD 21157 LESLIE SIMMONS FORMER DIRECTOR 4108716859 2026-05-13 true TODD TERESCO P00247720 7038930600 2026-05-13 2024 2025-03-06 01:10:19Z LESLIE SIMMONS 200 MEMORIAL AVENUE WESTMINSTER MD 21157 352098909 false X WWW.LIFEBRIDGEHEALTH.ORG/CARROLL/CARROLL.AS X 1957 MD OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTH CARE IN OUR COMMUNITIES. 16 14 2190 218 0 6489918 5393868 288571650 280895496 8634465 9431886 5231653 5928524 308927686 301649774 1282338 1277968 0 0 139038371 147373725 0 0 0 129589154 131712648 269909863 280364341 39017823 21285433 446509501 449184353 170719291 154792642 275790210 294391711 OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTH CARE IN OUR COMMUNITIES. false false 223166674 1277968 250158183 CARROLL HOSPITAL CENTER (CHC), A 164 LICENSED BED ACUTE CARE FACILITY LOCATED IN WESTMINSTER, MARYLAND, OFFERS THE LATEST IN MEDICAL TECHNOLOGY AND SERVICES, COMBINED WITH A STATE-OF-THE-ART FACILITY AND TOP-NOTCH SKILLED MEDICAL PROFESSIONALS, CARING FOR PATIENTS WITH COMPASSION. CURRENTLY, THERE ARE APPROXIMATELY 2,000 INDIVIDUALS EMPLOYED BY THE HOSPITAL - MAKING CHC THE SECOND LARGEST EMPLOYER IN CARROLL COUNTY. THE ORGANIZATION OPERATES AN ACUTE CARE HOSPITAL SERVING THE COMMUNITIES LOCATED IN CARROLL AND SURROUNDING COUNTIES AS WELL AS PARTS OF PENNSYLVANIA. IN ACCORDANCE WITH OUR TAX-EXEMPT FUNCTION, THE ORGANIZATION OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY AND HAD 47,893 PATIENT VISITS DURING THE FISCAL YEAR. AS THE ONLY HOSPITAL IN CARROLL COUNTY, WE OFFER OUR COMMUNITY A FULL ARRAY OF SERVICES, INCLUDING EMERGENCY SERVICES, COMPREHENSIVE CANCER CARE, PEDIATRICS, MATERNITY, GERIATRICS, THE LATEST MINIMALLY INVASIVE SURGICAL PROCEDURES AND ADVANCED TOTAL AND PARTIAL JOINT REPLACEMENT PROCEDURES. IN THE YEAR ENDING JUNE 2025, CARROLL HOSPITAL CENTER RECORDED 13,455 INPATIENT ADMISSIONS AND OBSERVATION STAY CASES, 989 BIRTHS AND 5,421 SURGICAL PROCEDURES, ALL CONTRIBUTING TO AN ESTIMATED 108,000 PATIENT ENCOUNTERS FOR THE PERIOD. ALL OF THIS IS IN LINE WITH OUR MISSION: "OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTHCARE IN OUR COMMUNITIES." THE HOSPITAL ALSO PROVIDES PLANNED COMMUNITY BENEFIT ACTIVITIES TO IMPROVE ACCESS TO HEALTH CARE AND IMPROVE THE OVERALL HEALTH OF OUR COMMUNITY. OUR MISSION IS PURSUED IN COLLABORATION WITH OUR RELATED ORGANIZATIONS: CARROLL COUNTY HEALTH SERVICES, BRIDGINGLIFE, THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY (OUR COMMUNITY ADVOCACY ARM), AND THE CARROLL HOSPITAL CENTER FOUNDATION, FOR MORE INFORMATION ON THESE SUBSIDIARIES, PLEASE SEE THEIR INDIVIDUAL FORMS 990, AS WELL AS THOSE OF LIFEBRIDGE HEALTH AND ITS OTHER COMPONENTS. 19422338 0 32139509 CARROLL COUNTY RADIOLOGY - PROVIDING A FULL ARRAY OF RADIOLOGY SERVICES TO PATIENTS IN THE CARROLL COUNTY AREA. 242589012 true true false true false false false false false true true true true true true true false true false false false false false false false false true true true false true false false false false false false false false true false false false false false true true true true false false true 70 0 true 2190 true false false false false false false false false false false false false X 16 14 false false false false true true true true true false false false true true true true true true false false true true CA MD X AMY ENGLE 4108717114 200 MEMORIAL AVE WESTMINSTER MD 21157 DEBORAH SEIDEL VICE CHAIR 1.0 1.0 X X 0 0 0 GARRETT W HOOVER DIRECTOR/PRESIDENT/COO OF CHC 40.0 4.0 X X 897030 0 68458 SUE CHAMBERS SECRETARY 1.0 1.0 X X 0 0 0 TOM ZIRPOLI CHAIR 1.0 3.0 X X 0 0 0 ALEC YEO IMMEDIATE PAST CHAIR 1.0 2.0 X 0 0 0 ALEX MYERS DIRECTOR/FOUNDATION BOARD CHAIR 1.0 2.0 X 0 0 0 CYNTHIA ROLDAN MD DIRECTOR/PRESIDENT, MEDICAL STAFF 1.0 1.0 X 0 0 0 DAMIAN HALSTAD DIRECTOR 1.0 1.0 X 0 0 0 DAVID S BOLLINGER DIRECTOR 1.0 1.0 X 0 0 0 DREWRY WHITE MD DIRECTOR (THRU 09/28/2024) 1.0 1.0 X 0 0 0 JACK TEVIS DIRECTOR 1.0 1.0 X 0 0 0 KIRAN KUNA MD DIRECTOR 1.0 2.0 X 0 0 0 LEE COPLAN LBH BOARD CHAIR 1.0 4.0 X 0 0 0 MARCUS L PRIMM DIRECTOR 1.0 1.0 X 0 0 0 NEIL M MELTZER DIRECTOR/LBH PRESIDENT/CEO 1.0 50.0 X 0 4061168 50333 RICHARD SIEN DIRECTOR 1.0 1.0 X 0 0 0 TODD HERRING DIRECTOR 1.0 3.0 X 0 0 0 DAVID H KRAJEWSKI ASSISTANT TREASURER 1.0 54.0 X 0 1939064 47616 JASON H WEINER ASSISTANT SECRETARY 1.0 54.0 X 0 1144544 217432 EDGAR CASNER VP SUPPLY CHAIN, LBH 1.0 44.0 X 0 403862 49986 JAMES ROBERGE VP CAPITAL IMPROVEMENT & SUPPORT, LBH 1.0 45.0 X 0 605333 80102 LEIGH CHAPMAN CNO, VP PATIENT CARE SERVICES 40.0 0 X 292270 0 37026 LESLIE R SIMMONS PRESIDENT CHC/COO LBH 1.0 50.0 X 0 1953912 125076 MARK D OLSZYK CHIEF MEDICAL OFFICER/VP 40.0 0 X 699982 0 63814 MICHAEL MYERS CFO CHC 40.0 3.0 X 494155 0 64109 NANCY KANE VP FINANCIAL REPORTING,LBH 1.0 44.0 X 0 424851 90386 DAVID PERRY CHIEF RADIATION ONCOLOGY 40.0 0 X 831032 0 1248 QIWEI GAI MD PHYSICIAN 40.0 0 X 881299 0 11262 SAJJAD HAIDER PHYSICIAN 40.0 0 X 735573 0 16290 SHARON L MCCLERNAN VP OF CLINICAL INTEGRATION 40.0 1.0 X 321666 0 51500 YAN XU SR MEDICAL PHYSICIST 40.0 0 X 261556 0 8242 CRIS COLEMAN VP FINANCE CARROLL, CFO LEVINDALE 40.0 1.0 X 379602 0 48120 5794165 10532734 1031000 290 true true false EMERGENCY MEDICINE ASSOCIATES 20010 CENTURY BOULEVARD SUITE 200 GERMAN TOWN MD 20874 PHYSICIAN SERVICES 3465510 CARROLL CO ANESTHESIA ASSOC PA PO BOX 75193 BALTIMORE MD 21275 ANESTHESIA SERVICES 2620000 LIFEBRIDGE SPORTS MEDICINE & REHAB LLC PO BOX 645585 PITTSBURGH PA 152645253 PHYSICIAL THERAPY 2050000 QUALIVIS LLC 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 AGENCY NURSES 1987701 OBHG MARYLAND PC 777 LOWNDES HILL ROAD BUILDING 1 GREENVILLE SC 29607 PHYSICIAN SERVICES 1971718 34 0 0 0 5102015 0 291853 0 5393868 NET PATIENT SERVICE REVENUE 621300 274816356 274816356 0 0 CANCER CENTER LEASE TO SINAI HOSP 621300 6079140 6079140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280895496 7468126 0 0 7468126 0 0 0 0 0 0 0 0 553406 0 0 0 553406 0 553406 0 0 553406 52412895 0 50449135 0 1963760 0 1963760 0 0 1963760 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NON UNION PENSION 900099 2781814 0 0 2781814 CAFETERIA/VENDING 722210 1191108 0 0 1191108 LAB CONTRACT REVENUE- CANCER CENTER 900099 785807 785807 0 0 616389 616389 0 0 5375118 301649774 282297692 0 13958214 X 1277968 1277968 0 0 0 0 0 0 1235260 247052 988208 0 0 0 0 0 124326789 107666121 16660668 0 2149729 2149729 0 0 11570675 7750321 3820354 0 8091272 8091272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44065 0 44065 0 0 0 392393 0 392393 0 68733204 58218751 10514453 0 14712 9821 4891 0 4183565 1872404 2311161 0 46070 44021 2049 0 0 0 0 0 3628143 3623433 4710 0 105529 103346 2183 0 0 0 0 0 0 0 0 0 3114962 3114962 0 0 0 0 0 0 14419261 13982110 437151 0 616687 616687 0 0 MEDICAL SUPPLIES 20569308 20569289 19 0 OTHER EXPENSE 7950678 6860619 1090059 0 DIETARY SUPPLIES 3580463 2761808 818655 0 OTHER GENERAL SUPPLIES 2353265 1764949 588316 0 1960343 1864349 95994 0 280364341 242589012 37775329 0 2475 2475 54114647 40571081 0 0 34031287 30142556 0 0 0 0 0 0 4939930 4740479 663192 1568009 405096857 278814023 128309999 126282834 4473342 2609772 111380179 124491540 33404680 37391666 6817478 6147041 68372292 75236900 446509501 449184353 21887029 23315348 0 0 6387 3992 0 0 0 0 0 0 0 0 0 0 148825875 131473302 170719291 154792642 X 213862603 227593724 61927607 66797987 0 0 0 0 0 0 275790210 294391711 446509501 449184353 X 21285433 5176675 -7860607 X false true false true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 2853 false true 41212 44065 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, HEALTH CARE FACILITIES AND BUDGETS. 102050277 131006 11364049 8500 1648921 111887911 97114354 92044 8445921 8500 3593542 102050277 92713253 356755 4053846 9500 97114354 106873143 523132 -14675522 7500 92713253 84992485 5000 24025800 13500 2136642 106873143 0.275 0.01 0.715 false true true 1983973 1983973 197535402 102947251 94588151 0 0 0 127120154 104235297 22884857 78457328 71631475 6825853 126282834 Closely-held equity interests Financial derivatives INVESTMENT IN FOUNDATION 122451305 F MT AIRY HEALTH SERVICE 1649090 F EXEC DEFERRED COMP PLAN 386595 F INVESTMENT IN CMOA 4550 F 124491540 INVESTMENT IN BRIDGING LIFE 27366540 F INVESTMENT IN CARROLL COUNTY RADIOLOGY 10025126 F 37391666 DUE FROM AFFILIATES 36713682 PREPAID PENSION ASSET 34068204 RIGHT OF USE ASSET 2188422 TRUSTEE BOND CONST. FUND 2015 1453651 OTHER RECEIVABLES 812941 75236900 Federal Income Taxes DUE TO AFFILIATES BONDS 107274906 ADVANCES FROM THIRD PARTIES 7290216 FINANCE LEASE 8699879 DUE TO AFFILIATES 5183054 OTHER LIABILITIES 1903053 ACCRUED PENSION 813914 DEFERRED COMPENSATION 308280 131473302 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds THE CARROLL HOSPITAL ENDOWMENT FUNDS, WHICH ARE HELD BY CARROLL HOSPITAL FOUNDATION, A SUPPORTING ORGANIZATION OF CARROLL HOSPITAL AND BRIDGINGLIFE, USES INCOME FROM THE ENDOWMENT FUNDS TO SUPPORT THE TAX EXEMPT PURPOSES AND MISSIONS OF CARROLL HOSPITAL AND BRIDGINGLIFE. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote LIFEBRIDGE ("THE CORPORATION") 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. true true X true X 300 true X 500 8787310 0 8787310 0.03134 400882 0 400882 0.00143 0 0 0 0.0 0 0 9188192 0 9188192 0.03277 5645006 594958 5050048 0.01801 0 0 0 0.0 15520540 2782358 12738182 0.04543 219147 34485 184662 0.00066 98673 0 98673 0.00035 0 0 21483366 3411801 18071565 0.06446 0 0 30671558 3411801 27259757 0.09723 0 0.0 0 0.0 605040 258400 346640 0.00124 0 0.0 0 0.0 0 0.0 501058 501058 0.00179 0 0.0 0 0.0 0 0 1106098 258400 847698 0.00302 false 4546436 318250 103347620 82492114 20855506 X true true CARROLL CT RADIOLOGY IMAGING CENTER 0.006 0.0 0.0 1 1 CARROLL HOSPITAL CENTER INC 200 MEMORIAL AVE WESTMINSTER MD 21157 LIFEBRIDGEHEALTH.ORG/MAIN/CARROLL-HOSPIT 06-002 Maryland X X X CARROLL HOSPITAL CENTER INC 1 false false true X X X X X X X X X 23 true false true true X https://www.lifebridgehealth.org/sites/default/files/2024-06/202420Carroll20Hospital20CHNA.pdf https://www.lifebridgehealth.org/community/community-health X true 23 true https://www.lifebridgehealth.org/community/community-health false true X 300.0 500.0 X X X X true true X X X X X true X https://www. lifebridgehealth. org/ main/ financial-assistance X https://www. lifebridgehealth. org/ main/ financial-assistance X https://www. lifebridgehealth. org/ main/ financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, AS WELL AS LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE CHNA WRITTEN REPORT INCORPORATED EXPERTISE AND PARTICIPATION FROM SUCH COMMUNITY LEADERS AND REPRESENTATIVES, AS WELL AS LEADERS IN PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE CARROLL COUNTY HEALTH DEPARTMENT. AS PART OF THE CHNA, A KEY INFORMANT SURVEY OF 50 COMMUNITY LEADERS FROM A BROAD RANGE OF SECTORS, INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY, WAS CONDUCTED. IN ADDITION, THE CHNA INCLUDES FINDINGS FROM THE MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) AND LOCAL HEALTH DEPARTMENT IMPROVEMENT PLAN. FURTHERMORE, LEADERS FROM THE CARROLL COUNTY HEALTH DEPARTMENT AND THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY ARE MEMBERS OF A COMMITTEE THAT HELPS OVERSEE THE DEVELOPMENT AND EXECUTION OF THE CHNA PLAN. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - The Partnership for a Healthier Carroll County. The Partnership for a Healthier Carroll County, Inc.,the members of which are Carroll Hospital Center and the Carroll County Health Department, is a nonprofit organization working to improve health by connecting people inspiring action, and strengthening community. The Partnership is a related section 501(c)(3) tax exempt organization, and received a majority of its operating funds from contribution made directly by the hospital. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA UNDERTAKEN BY CARROLL HOSPITAL IDENTIFIED 15 COMMUNITY HEALTH NEEDS. THEN, WORKING COLLABORATIVELY, HOSPITAL AND COMMUNITY PUBLIC HEALTH LEADERS, AS WELL AS THE HOSPITAL'S COMMUNITY BENEFIT PLANNING COMMITTEE, BEGAN PRIORITIZING THE FOCUS FOR ACTION IN THE NEXT THREE YEARS. IN PARTICULAR, A JOINT STRATEGY MEETING WAS CONVENED TO HELP DETERMINE THE PRIORITIZATION OF THE IDENTIFIED COMMUNITY HEALTH NEEDS. DURING THE JOINT STRATEGY MEETING, EACH OF THE 15 IDENTIFIED COMMUNITY HEALTH NEEDS WAS ADDRESSED. THE 15 IDENTIFIED NEEDS WERE PRIORITIZED BY HOSPITAL AND COMMUNITY PUBLIC HEALTH LEADERS ON THE FOLLOWING CRITERIA: SERIOUSNESS/ SIGNIFICANCE/ PERVASIVENESS AND THE ABILITY TO IMPACT. FINAL CRITERIA SELECTION WAS DETERMINED IN COLLABORATION WITH THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY BOARD, CARROLL HOSPITAL'S BOARD AND EXECUTIVE LEADERS, CARROLL COUNTY HEALTH DEPARTMENT BUREAU CHIEFS, LOCAL OFFICIALS, REPRESENTATIVES FROM THE NEEDS ASSESSMENT COMMITTEE AND THE HOSPITAL'S COMMUNITY BENEFIT PLANNING EVALUATION COMMITTEE. PURSUANT TO THIS PRIORITIZATION PROCESS, IT WAS DETERMINED THAT THE NEEDS CARROLL HOSPITAL WOULD ATTEMPT TO ADDRESS WOULD BE NARROWED DOWN TO FOUR KEY COMMUNITY BENEFIT ISSUES, SO AS TO MAXIMIZE THE HOSPITAL'S RESOURCES TO ADDRESS NEEDS THE HOSPITAL FELT IT WAS IN THE BEST POSITION TO ATTEMPT TO MEET. THE NEEDS IN PRIORITY ORDER ARE: MENTAL HEALTH, DIABETES, HEART HEALTH, AND CANCER. OBESITY EFFORTS THAT ARE INTERRELATED WITH THE KEY ISSUES OF DIABETES, CANCER AND HEART HEALTH WILL BE A MAIN CONCENTRATION. THESE SAME FOUR KEY ISSUES WILL SIMULTANEOUSLY BE ADDRESSED COLLABORATIVELY WITH OTHER COMMUNITY PARTNERS UNDER THE LEADERSHIP OF THE PARTNERSHIP. IDENTIFIED NEEDS NOT SPECIFICALLY ADDRESSED: AREAS NOT SPECIFICALLY ADDRESSED IN THE HOSPITAL'S PLAN WERE ADDRESSED THROUGH CARROLL COUNTY HEALTH DEPARTMENT'S LOCAL HEALTH IMPROVEMENT PLAN, SUCH AS ILLEGAL SUBSTANCE ABUSE AND OTHER ADDICTIONS. AREAS SUCH AS PHYSICAL INACTIVITY AND AGE-RELATED DISEASES WILL BE ADDRESSED THROUGH THE PARTNERSHIPS, ADVANCING HEALTH AND HEALTHY AGING LEADERSHIP TEAMS. 5 CARROLL COUNTY RADIOLOGY 844 WASHINGTON ROAD SUITE 102 WESTMINSTER MD 21157 IMAGING CENTER CARROLL COUNTY RADIOLOGY 7253 AMBASSADOR ROAD BALTIMORE MD 21244 IMAGING CENTER CARROLL COUNTY RADIOLOGY 1430 PROGRESS WAY SUITE 108 ELDERSBURG MD 21784 IMAGING CENTER CARROLL COUNTY RADIOLOGY 193 STONER AVENUE SUITE 200 WESTMINSTER MD 21157 IMAGING CENTER CARROLL COUNTY RADIOLOGY 1011 BLATIMORE BOULEVARD WESTMINSTER MD 21157 IMAGING CENTER Schedule H, Part I, Line 3c CARROLL HOSPITAL CENTER, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IT DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THOSE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CRITERIA CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY, THE PATIENT MUST HAVE INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. A SLIDING SCALE IS USED TO DETERMINE ELIGIBILITY FOR THOSE WHOSE INCOME EXCEEDS 300%. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD. THE PROGRAM COVERS UNINSURED, UNDER-INSURED AND PATIENT LIABILITY AFTER INSURANCE(S) PAY. APPROVALS ARE GRANTED FOR A TWELVE-MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. FPL SCORING IS ALSO USED TO DETERMINE PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY. A SCORE OF LESS THAN 300 QUALIFIES A PATIENT FOR PRESUMPTIVE ELIGIBILITY AT 100% ADJUSTMENT OF PATIENT BALANCE. Schedule H, Part V, Section B, Line 22 C CHARGES FOR ALL HOSPITAL PATIENTS ARE STATE REGULATED. SERVICES ARE CHARGED TO ALL HOSPITAL PATIENTS AT THE SAME RATE. CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON 300% OR LESS OF THE FEDERAL POVERTY LEVEL (FPL) ARE WRITTEN-OFF IN FULL TO FAP (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS WHOSE PRESUMPTIVE FPL SCORE IS < 300% ARE WRITTEN OFF TO FAP IN FULL (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON THE HSCRC'S FINANCIAL HARDSHIP CRITERIA OF 301%-500% OF FPL ARE CAPPED AT 25% OF THE ANNUAL HOUSEHOLD INCOME PER THE HSCRC'S FINANCIAL HARDSHIP CRITERIA. THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND THE CALCULATED 25% OF THE ANNUAL HOUSEHOLD INCOME IS WRITTEN OFF AS CHARITY CARE. Schedule H, Part I, Line 7 Line 7A-I THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT. OFFSETTING REVENUE - REVENUE FROM THE ACTIVITY DURING THE YEAR THAT OFFSETS THE TOTAL COMMUNITY BENEFIT EXPENSE OF THAT ACTIVITY, IT INCLUDES ANY REVENUE GENERATED BY THE ACTIVITY OR PROGRAM SUCH AS A PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED TO PROGRAM PATIENTS. OFFSETTING REVENUE INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS USED TO PROVIDE A COMMUNITY BENEFIT BUT DOES NOT INCLUDE UNRESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE COMMUNITY BENEFIT. - DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, INTEREST ON FINANCING, TRAVEL AND OTHER COSTS THAT ARE DIRECTLY ATTRIBUTABLE TO THE SPECIFIC SERVICE AND THAT WOULD NOT EXIST IF THE SERVICE OR EFFORT DID NOT EXIST. - INDIRECT COSTS ARE COSTS NOT ATTRIBUTED TO PRODUCTS AND/ OR SERVICES THAT ARE INCLUDED IN THE CALCULATION OF COSTS FOR COMMUNITY BENEFIT. THESE COULD INCLUDE, BUT ARE NOT LIMITED TO, SALARIES FOR HUMAN RESOURCES AND FINANCE DEPARTMENTS, INSURANCE, AND OVERHEAD EXPENSES. Schedule H, Part I, Line 7e CARROLL HOSPITAL PROVIDES MEDICAL SERVICES TO ACCESS CARROLL PATIENTS. FOUNDED IN 2006, ACCESS CARROLL IS A NONPROFIT ORGANIZATION, WITH NO MEMBERS, WHICH IS A COLLABORATION BETWEEN CARROLL HOSPITAL, THE CARROLL COUNTY HEALTH DEPARTMENT AND THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY THAT PROVIDES FREE HEALTH CARE TO UNINSURED, LOW-INCOME CARROLL COUNTY RESIDENTS WHO MEET CERTAIN ELIGIBILITY REQUIREMENTS. ACCESS CARROLL CONSISTS OF A HEALTH CARE TEAM INVOLVING VOLUNTEER PHYSICIANS, NURSES AND OTHER MEDICAL PROFESSIONALS WHO WORK TOGETHER TO PROVIDE PATIENTS WITH PRIMARY MEDICAL CARE. MEDICATION ASSISTANCE, SPECIALTY CARE, DIAGNOSTIC AND LABORATORY TESTING, AND PATIENT EDUCATION ARE ALSO AVAILABLE ONSITE. Carroll Hospital donates clinical care, personnel, etc. to Access Carroll, and the Carroll County Health Department donates supplies and facilities to Access Carroll. CARROLL HOSPITAL INCURRED $ 1,100,000 IN COST TREATING ACCESS CARROLL PATIENTS IN FISCAL YEAR 2025. Schedule H, Part I, Line 7g INCLUDED IN THESE EXPENSES ARE DIRECT AND INDIRECT COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS TOTALING $12,738,182 Schedule H, Part II COMMUNITY BUILDING COMMUNITY BUILDING THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, INC. , THE MEMBERS OF WHICH ARE CARROLL HOSPITAL AND THE CARROLL COUNTY HEALTH DEPARTMENT, IS A NONPROFIT ORGANIZATION WORKING TO IMPROVE HEALTH BY CONNECTING PEOPLE, INSPIRING ACTION, AND STRENGTHENING COMMUNITY. THE PARTNERHSIP IS A RELATED SECTION 501(C) (3) TAX-EXEMPT ORGANZIATION, AND RECEIVES A MAJORITY OF ITS OPERATING FUNDS FROM CONTRIBUTIONS MADE DIRECTLY BY THE HOSPITAL. They sponsor programs such as Nobody is Perfect to promote good nutrition, physical activity and positive self-image. THE PARTNERSHIP HOSTS MONTHLY MENTAL HEALTH SPEAKERS WHICH ARE OPEN TO THERAPIST, SOCIAL WORKERS AND THE COMMUNITY. CARROLL HOSPITAL ALSO WORKS WITH THE GREATER BALTIMORE REGIONAL INTEGRATED CRISIS SYSTEM TO PROVIDE ALTERNATIVES TO THE EMERGENCY ROOM FOR INDIVIDUALS IN CRISIS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT TRHOUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY APPROXIMATELY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS ESTIMATED BY USING HISTORICAL RATES FOR EACH PAYOR AND THE LENGTH OF TIME THE RECEIVABLE HAS BEEN OUTSTANDING. THESE RATES ARE REVISITED FROM TIME TO TIME AND ADJUSTED WHEN DEEMED APPROPRIATE. ANY ADDITIONAL RESERVES ARE DETERMINED BY THE HOSPITAL'S EXECUTIVES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology CARROLL HOSPITAL CENTER, INC. DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH OTHER VARIOUS MEANS (CREDIT REPORTS, DEBT AND ASSET REVIEWS, AND REFERRALS FROM THE HOSPITAL'S BILLING AGENTS) WHEN THE PATIENT HAS NOT COMPLETED THE FINANCIAL ASSISTANCE APPLICATION. IF A DETERMINATION IS MADE REGARDING THE PATIENT'S INABILITY TO PAY, THE ACCOUNT CAN BE APPROVED FOR FINANCIAL ASSISTANCE ON A PRESUMPTIVE BASIS RATHER THAN BE REFLECTED AS BAD DEBT EXPENSE. OF THE REMAINING BAD DEBT EXPENSE, IT IS ESTIMATED THAT $318,250 IN COST MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE/ CHARITY CARE. AS DESCRIBED ELSEWHERE, THE HOSPITAL ENGAGES IN MULTIPLE EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE AMOUNT WAS BILLED TO PATIENTS ONLY BECAUSE THEY, DESPITE THE HOSPITAL'S EFFORTS, DID NOT REQUEST, OR DID NOT COOPERATE WITH, THE HOSPITAL'S EFFORTS TO PROVIDE THEM WITH THE AVAILABLE FINANCIAL ASSISTANCE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote ALL PATIENT ACCOUNTS ARE HANDLED CONSISTENTLY AND APPROPRIATELY TO MAXIMIZE CASH FLOW AND TO IDENTIFY BAD DEBT ACCOUNTS TIMELY. ACTIVE ACCOUNTS ARE CONSIDERED BAD DEBT ACCOUNTS WHEN THEY MEET SPECIFIC COLLECTION ACTIVITY GUIDELINES AND/ OR ARE REVIEWED BY THE APPROPRIATE MANAGEMENT AND DEEMED TO BE UNCOLLECTIBLE. EVERY EFFORT IS MADE TO IDENTIFY AND PURSUE ALL ACCOUNT BALANCE LIQUIDATION OPTIONS INCLUDING BUT NOT LIMITED TO THIRD PARTY PAYOR REIMBURSEMENT, PATIENT PAYMENT ARRANGEMENTS, MEDICAID ELIGIBILITY AND FINANCIAL ASSISTANCE. THIRD PARTY RECEIVABLE MANAGEMENT AGENCIES PROVIDE EXTENDED BUSINESS OFFICE SERVICES AND INSURANCE OUTSOURCE SERVICES TO ENSURE MAXIMUM EFFORT IS TAKEN TO RECOVER INSURANCE AND SELF-PAY DOLLARS BEFORE TRANSFER TO BAD DEBT. CONTRACTUAL ARRANGEMENTS WITH THIRD PARTY COLLECTION AGENCIES ARE USED TO ASSIST IN THE RECOVERY OF BAD DEBT DOLLARS AFTER ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. IN SO DOING, THE COLLECTION AGENCIES MUST OPERATE CONSISTENTLY WITH CARROLL HOSPITAL CENTER'S GOAL OF MAXIMUM BAD DEBT RECOVERY AND STRICT ADHERENCE WITH FAIR DEBT COLLECTIONS PRACTICES ACT (FDCPA) RULES AND REGULATIONS, WHILE MAINTAINING POSITIVE PATIENT RELATIONS. SEE AUDITED FINANCIAL STATEMENTS PAGE 16. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COSTING METHODOLOGY: TOTAL REVENUE RECEIVED FROM MEDICARE (DSH & IME) AND MEDICARE ALLOWABLE COSTS ARE DERIVED FROM THE ANNUAL MEDICARE COST REPORT. THE INPATIENT ROUTINE COSTS ARE DERIVED FROM THE STEP-DOWN METHODOLOGY BASED ON ACCEPTED STATISTICAL ALLOCATION WITH A UNIFORM PER DIEM COST FOR EACH PAYOR TYPE. THE ANCILLARY MEDICARE ALLOWABLE COSTS ARE INITIALLY DERIVED FROM THE STEP-DOWN METHODOLOGY BUT ARE ALLOCATED TO THE PAYOR TYPES BASED ON THE RATIO OF COST TO CHARGE FOR EACH PAYOR. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS CAN BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE (F.A.) PROSPECTIVELY OR RETROSPECTIVELY. THE F.A. ELIGIBILITY PERIOD EXPIRES ONE YEAR FROM THE MONTH ELIGIBILITY IS APPROVED FOR MEDICALLY NECESSARY SERVICES. THE PATIENT IS ASKED TO PROVIDE THE F.A. APPROVAL LETTER FOR SERVICES PROVIDED WITHIN THE ELIGIBILITY PERIOD. THE HOSPITAL WILL MAKE EVERY EFFORT TO IDENTIFY PATIENTS ELIGIBLE FOR F.A. BY UPDATING A USER-DEFINED FIELD IN CERNER TO IDENTIFY PATIENTS RETURNING FOR SERVICE WHO ARE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE. BALANCES APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN-OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD-PARTY AGENCIES. BALANCES ALREADY PLACED WITH THIRD PARTY AGENCIES ARE WRITTEN-OFF TO A ZERO BALANCE AND THE ACCOUNTS ARE CLOSED AND RETURNED BY THE THIRD-PARTY AGENCY. Schedule H, Part V, Section B, Line 16a FAP website - CARROLL HOSPITAL CENTER, INC.: Line 16a URL: https://www. lifebridgehealth. org/ main/ financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - CARROLL HOSPITAL CENTER, INC.: Line 16b URL: https://www. lifebridgehealth. org/ main/ financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CARROLL HOSPITAL CENTER, INC.: Line 16c URL: https://www. lifebridgehealth. org/ main/ financial-assistance; Schedule H, Part VI, Line 2 Needs assessment MONITORING THE HEALTH STATUS OF THE COMMUNITY IS AN ONGOING AND INTERACTIVE PROCESS ENGAGED IN BY THE HOSPITAL, WITH SUBSTANTIAL INVOLVEMENT FROM OUR COMMUNITY VIA THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, INC. ("THE PARTNERSHIP") , AN ENTITY ESTABLISHED BY THE HOSPITAL AND THE CARROLL COUNTY HEALTH DEPARTMENT SPECIFICALLY TO ASSESS UNMET HEALTH NEEDS IN THE COMMUNITY, EXPAND THE CAPACITY FOR HEALTH AND QUALITY OF LIFE IMPROVEMENT IN THE COMMUNITY AND SERVE AS A COLLABORATIVE VEHICLE FOR INTERACTION WITH THE COMMUNITY. TO DRIVE THE EFFORT TO CREATE A HEALTHIER CARROLL COUNTY. THE PARTNERSHIP IS A RELATED SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND RECEIVES A MAJORITY OF ITS OPERATING FUNDS FROM CONTRIBUTIONS MADE DIRECTLY BY THE HOSPITAL. IMPROVEMENT IN THE COMMUNITY HEALTH IMPROVEMENT AREAS (CHIA) IS ONE OF THE HOSPITAL'S GOALS. THE CHIA ARE THE AREAS REQUIRING INDIVIDUAL AND ORGANIZATIONAL ACTION TO ACHIEVE TARGETED IMPROVED STATUS USING THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTHY PEOPLE 2030 TARGETS AS THE PRIMARY BENCHMARK. THE HOSPITAL PARTICIPATES ACTIVELY IN MANY OF THE CHIA LEADERSHIP TEAMS COMPRISED OF DIVERSE INDIVIDUALS AND ORGANIZATIONS FROM THROUGHOUT THE HOSPITAL'S SERVICE AREA, WHO SHARE EXPERTISE AND INTEREST IN THE CHIA. WITH SUPPORT AND GUIDANCE FROM THE PARTNERSHIP, THOSE LEADERSHIP TEAMS DEVELOP AND IMPLEMENT ACTION PLANS SPECIFICALLY INTENDED TO ACCOMPLISH TARGETED RESULTS. "HEALTHY CARROLL VITAL SIGNS" (DESCRIBED BELOW) ARE THEN AFFIRMED, ARE SPECIFIC TO EACH CHIA LEADERSHIP TEAM AND SERVE AS ONE OF THE PRIMARY TOOLS FOR MEASURING AND REPORTING RESULTS TO THE HOSPITAL LEADERSHIP AND TO THE COMMUNITY. RECENTLY THE HOSPITAL HAS COLLABORATED WITH THE PARTNERSHIP WITH RESPECT TO AN ASSESSMENT OF HEALTH NEEDS VIA MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS (S.H.I.P.), WHICH WAS ORGANIZED TO PRODUCE A LOCAL HEALTH IMPROVEMENT PLAN (L.H.I.P.). THE PARTNERSHIP ORGANIZATION ENTHUSIASTICALLY AGREED TO SERVE AS THE LOCAL COALITION REQUIRED IN THE OPPORTUNITY FOR LINKAGE TO IMPORTANT, VALIDATED INFORMATION ABOUT HEALTH NEEDS IN OUR COMMUNITY AND ONGOING OPPORTUNITIES TO COLLABORATE WITH OUR LOCAL AND STATE HEALTH DEPARTMENT REGARDING IMPLEMENTATION STRATEGIES FOR TARGETED RESULTS. PURSUANT TO THE S.H.I.P. ASSESSMENT, THIRTY-NINE "HIGH IMPACT OBJECTIVES" WERE IDENTIFIED BY THE STAFF AT MARYLAND'S DEPARTMENT OF HEALTH. A CARROLL COUNTY SPECIFIC DATA PROFILE SERVED AS THE BASELINE DOCUMENT. AFTER THOROUGH ANALYSIS, A LEADERSHIP TEAM, WHICH INCLUDED THE HOSPITAL, PRODUCED A LOCAL HEALTH IMPROVEMENT PLAN (L.H.I.P.) ADDRESSING FIVE PRIORITY NEED AREAS. THE S.H.I.P. AND L.H.I.P. PROVIDE ANOTHER IMPORTANT SET OF VERY USEFUL INFORMATION THAT IS BEING FULLY INTEGRATED WITHIN THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY BENEFIT PLANNING PROCESSES. THE HOSPITAL AND THE PARTNERSHIP HAVE CONDUCTED MULTIPLE PREVIOUS NEEDS ASSESSMENTS, HAVE MADE REAL PROGRESS TOWARD COMMUNITY ENGAGEMENT IN THESE PROCESSES AND HAVE INTEGRATED ANNUAL MEASUREMENT SYSTEMS INTO THE HEALTH IMPROVEMENT WORK KNOWN AS "HEALTHY CARROLL VITAL SIGNS (HCVS)." DURING THE 2024 FISCAL YEAR, THE HOSPITAL CONDUCTED ITS FIFTH COMMUNITY HEALTH NEEDS ASSESSMENT IN COMPLIANCE WITH IRS REQUIREMENTS ("CHNA"). SHORTLY THEREAFTER, THE HOSPITAL BEGAN TO UNDERTAKE CERTAIN INITIATIVES IDENTIFIED IN THE CHNA IMPLEMENTATION STRATEGY TO BEGIN TO ATTEMPT TO MEET IDENTIFIED COMMUNITY HEALTH NEEDS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE FOLLOWING DESCRIBES MEANS USED AT CARROLL HOSPITAL TO INFORM AND ASSIST PATIENTS REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER GOVERNMENTAL PROGRAMS AND THE HOSPITAL'S CHARITY CARE PROGRAM. FINANCIAL ASSISTANCE NOTICES, INCLUDING CONTACT INFORMATION, ARE POSTED IN THE BUSINESS OFFICE AND ADMITTING, AS WELL AS POINTS OF ENTRY AND REGISTRATION THROUGHOUT THE HOSPITAL. PATIENT FINANCIAL SERVICES BROCHURE 'FREEDOM TO CARE' IS AVAILABLE TO ALL INPATIENTS. BROCHURES ARE ALSO AVAILABLE IN ALL OUTPATIENT REGISTRATION AND SERVICE AREAS. CARROLL HOSPITAL EMPLOYS A FINANCIAL ASSISTANCE LIAISON WHO IS AVAILABLE TO ANSWER QUESTIONS AND TO ASSIST PATIENTS AND FAMILY MEMBERS WITH THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. A PATIENT INFORMATION SHEET IS MADE AVAILABLE TO ALL INPATIENTS PRIOR TO DISCHARGE. CARROLL HOSPITAL'S UNINSURED (SELF-PAY) AND UNDER-INSURED (MEDICARE BENEFICIARY WITH NO SECONDARY) MEDICAL ASSISTANCE ELIGIBILITY PROGRAM SCREENS, ASSISTS WITH THE APPLICATION PROCESS AND ULTIMATELY CONVERTS PATIENTS TO VARIOUS MEDICAL ASSISTANCE COVERAGE AND INCLUDES ELIGIBILITY SCREENING AND ASSISTANCE WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AS PART OF THAT PROCESS. ALL HOSPITAL STATEMENTS AND ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS INCLUDE A MESSAGE REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS CARROLL HOSPITAL CENTER'S FINANCIAL ASSISTANCE PROGRAM. COLLECTION AGENCIES' INITIAL STATEMENT REFERENCES THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS CARROLL'S FINANCIAL ASSISTANCE PROGRAM. ALL HOSPITAL PATIENT FINANCIAL SERVICES STAFF, ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS, COLLECTION AGENCIES AND MEDICAID ELIGIBILITY VENDORS ARE TRAINED TO IDENTIFY POTENTIAL FINANCIAL ASSISTANCE ELIGIBILITY AND ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS COVER SHEET IS AVAILABLE IN RUSSIAN, SPANISH, AND FRENCH. CARROLL HOSPITAL HOSTS AND PARTICIPATES IN VARIOUS MARYLAND DEPARTMENT OF HEALTH AND MARYLAND HOSPITAL ASSOCIATION SPONSORED CAMPAIGNS LIKE COVER THE UNINSURED WEEK. Schedule H, Part VI, Line 4 Community information AS THE ONLY HOSPITAL IN THE COUNTY, CHC'S PRIMARY SERVICE AREA IS THE ENTIRE COUNTY. THE HOSPITAL DOES, HOWEVER, ALSO SERVE PORTIONS OF BALTIMORE, FREDERICK AND MONTGOMERY COUNTIES, AS WELL AS AREAS IN SOUTHERN PENNSYLVANIA. THE GENERAL DEMOGRAPHICS FOR OUR PRIMARY COMMUNITY (CARROLL COUNTY) ARE LISTED BELOW: POPULATION TOTAL POPULATION 2024: 177,102 POPULATION PERCENTAGE CHANGE FROM 2020 TO 2024: 2.4% PERSONS UNDER 5 YEARS OLD, PERCENTAGE IN 2024: 5.3% PERSONS UNDER 18 YEARS OLD, PERCENTAGE IN 2024: 22.0% PERSONS 65 YEARS OLD AND OVER, PERCENTAGE IN 2024: 18.8% FEMALE PERSONS, PERCENTAGE IN 2024: 50.4% PERSONS OF WHITE RACE, PERCENTAGE IN 2024: 89.2% PERSONS OF BLACK RACE, PERCENTAGE IN 2024: 4.8% PERSONS OF HISPANIC OR LATINO ORIGIN, PERCENTAGE IN 2024: 5.7% SOURCE: US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. FAMILY TOTAL NUMBER OF HOUSEHOLDS (2024): 67,464 AVERAGE HOUSEHOLD SIZE (2024): 2.66 PERSONS SOURCE: US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. ECONOMICS MEDIAN HOUSEHOLD INCOME: $118,211 PERCENTAGE OF PERSONS BELOW POVERTY LEVEL:5.8% SOURCES: CARROLL COUNTY DEPARTMENT OF ECONOMIC DEVELOPMENT AND US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. OTHER SIGNIFICANT DEMOGRAPHIC CHARACTERISTICS ACCORDING TO THE AMERICAN COMMUNITY SURVEY THE PERCENTAGE OF UNINSURED PATIENTS IN CARROLL COUNTY IS 4.4%. Schedule H, Part VI, Line 5 Promotion of community health CARROLL HOSPITAL CENTER, FOUNDED IN 1961, IS THE SOLE HOSPITAL SERVING THE JURISDICTION OF CARROLL COUNTY, MARYLAND WITH A 2024 POPULATION OF MORE THAN 177,000 PERSONS. CARROLL HOSPITAL CENTER IS THE SECOND LARGEST EMPLOYER IN CARROLL COUNTY WITH OVER 2,000 ASSOCIATES IN FY 2025. CARROLL HOSPITAL CENTER IS ACCREDITED BY THE JOINT COMMISSION. OUR GOVERNING BODY IS COMPRISED PREDOMINANTLY OF INDEPENDENT LEADERS REPRESENTATIVE OF OUR COMMUNITY WHO ASSURE THAT ALL FINANCIAL SURPLUSES THE HOSPITAL GENERATES ARE USED EXCLUSIVELY TO FURTHER THE CHARITABLE PURPOSES OF THE ORGANIZATION. CARROLL HOSPITAL OFFERS DIVERSE SERVICE LINES INCLUDING COMPREHENSIVE ACUTE CARE SUCH AS MEDICAL, SURGICAL, PERI-NATAL, PEDIATRICS, PSYCHIATRY, MEDICAL AND RADIATION ONCOLOGY, ADULT INTENSIVE CARE AND CARDIOVASCULAR SERVICES, INCLUDING EMERGENCY PERCUTANEOUS INTERVENTIONAL CARDIOLOGY. BOTH AND INPATIENT HOSPICE CARE ARE PROVIDED THROUGH OUR AFFILIATE, BRIDGINGLIFE, INC. (FORMERLY CARROLL HOSPICE, INC.). DIVERSE DIAGNOSTIC SERVICES ARE PROVIDED AT MULTIPLE LOCATIONS AND INCLUDE BOTH LABORATORY AND RADIOLOGIC CAPABILITIES. THE HOSPITAL PARTICIPATES IN MEDICARE AND MEDICAID PROGRAMS. THERE ARE APPROXIMATELY 450 PHYSICIANS REPRESENTING 38 SPECIALTIES ON CARROLL'S MEDICAL STAFF. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT (ED) SERVING ALL PERSONS REGARDLESS OF ABILITY TO PAY. AN EXTENSIVE NETWORK OF HOSPITAL AFFILIATED PHYSICIAN PRACTICES ASSURES ADEQUATE AVAILABILITY OF BOTH PRIMARY AND SPECIALTY CARE PHYSICIANS THROUGHOUT THE SERVICE AREA MEETING THE CARROLL HOSPITAL CENTER STANDARDS OF EXCELLENCE AND INCORPORATING THE SAME VALUES AND PRINCIPLES. BUILDING ON ITS LONG TRADITION OF COLLABORATION WITH OUR LOCAL RESIDENTS, THE HOSPITAL, IN JOINT EFFORT WITH THE CARROLL COUNTY HEALTH DEPARTMENT, ESTABLISHED THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, INC. (THE PARTNERSHIP) IN 1999 TO LINK HOSPITAL STRENGTHS, ALONGSIDE THOSE OF OTHER WELL-ESTABLISHED COMMUNITY PARTNERS, TO ACHIEVE AN IMPROVED HEALTH STATUS. THE PARTNERSHIP IS A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION THAT RECEIVES A MAJORITY OF ITS OPERATING FUNDS FROM CONTRIBUTIONS MADE DIRECTLY BY THE HOSPITAL. THE PARTNERSHIP WAS ESTABLISHED TO IMPROVE THE HEALTH OF THE CITIZENS OF CARROLL COUNTY, MARYLAND, SUPPORTING CARROLL HOSPITAL CENTER WITH THE HEALTH NEEDS ASSESSMENT, IDENTIFYING AND PRIORITIZING NEEDS AND BUILDING THE CAPACITY OF INDIVIDUALS AND ORGANIZATIONS TO ADDRESS HEALTH NEED AREAS. THIS STRATEGY HAS ALLOWED CARROLL HOSPITAL CENTER TO REMAIN CONTINUALLY WELL-CONNECTED TO THE COMMUNITY, TO LEVERAGE RESOURCES IN ACTION ALONGSIDE THOSE OF OTHER KEY ORGANIZATIONS AND AGENCIES (PARTICULARLY, THE CARROLL COUNTY HEALTH DEPARTMENT) AND TO ASSURE MEASURABLE RESULTS. MONITORING THE HEALTH STATUS OF THE COMMUNITY IS AN ONGOING AND INTERACTIVE PROCESS ENGAGED IN BY CARROLL HOSPITAL CENTER AND THE PARTNERSHIP. CARROLL HOSPITAL CENTER AND THE PARTNERSHIP PURSUE IMPROVEMENT IN THE COMMUNITY HEALTH IMPROVEMENT AREAS (CHIAS) VIA LEADERSHIP TEAMS COMPRISED OF DIVERSE INDIVIDUALS AND ORGANIZATIONS WHO SHARE EXPERTISE AND INTEREST IN THE CHIA. THOSE LEADERS DEVELOP AND IMPLEMENT ACTION PLANS SPECIFICALLY INTENDED TO ACCOMPLISH TARGETED RESULTS. "HEALTHY CARROLL VITAL SIGNS" ARE THEN AFFIRMED, ARE SPECIFIC TO EACH CHIA LEADERSHIP TEAM AND SERVE AS ONE OF THE PRIMARY TOOLS FOR RESULTS REPORTING. WWW.HEATLHYCARROLL.ORG IS THE PARTNERSHIP'S WEBSITE WHERE CURRENT SECONDARY DATA, NATIONAL BENCHMARKS, IMPROVEMENT TARGETS AND BEST PRACTICE REFERENCES ARE EASILY AVAILABLE, TO ANYONE AT NO COST. CARROLL HOSPITAL CENTER HAS LONG RECOGNIZED THAT PROMOTING THE HEALTH OF ITS COMMUNITY IS ONE OF ITS ESSENTIAL RESPONSIBILITIES. EXTENSIVE COMMUNITY OUTREACH AND LEARNING PROGRAMS ARE OFFERED BY THE HOSPITAL WITH AN EMPHASIS ON DISEASE PREVENTION, EARLY INTERVENTION AND WELLNESS. OUR INTEGRATED APPROACH RECOGNIZES AND STRIVES TO ELIMINATE BARRIERS SUCH AS TRANSPORTATION CHALLENGES OR LIMITED ABILITIES TO PURCHASE ESSENTIAL PRESCRIPTION PRODUCTS; IT ALSO INCLUDES MORE IN-COMMUNITY CARE COORDINATION AND ASSISTANCE WITH NAVIGATING THE OFTEN COMPLEX WORLD OF HEALTH CARE ASSOCIATED SERVICES. ACCESS CARROLL, INC IS A COLLABORATION BETWEEN CARROLL HOSPITAL CENTER, THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, AND THE CARROLL COUNTY HEALTH DEPARTMENT, AND IT IS A NONPROFIT ORGANIZATION WITH NO MEMBERS. ACCESS CARROLL OFFERS A UNIQUE AND HIGHLY SUCCESSFUL INTEGRATED PRIMARY CARE CENTER. AT ACCESS CARROLL, INC. THE BARRIERS OF LOW INCOME AND INELIGIBILITY FOR STATE, FEDERAL OR OTHER INSURANCE ASSISTANCE ARE BEING ELIMINATED FOR SIGNIFICANT NUMBERS OF CARROLL COUNTY RESIDENTS WHO ARE RECEIVING THE SAME INTEGRATED PRIMARY AND SPECIALTY CARE SERVICES NEEDED TO MANAGE THEIR ACUTE AND/ OR CHRONIC DISEASE ISSUES AS THEIR HIGHER INCOME AND INSURED NEIGHBORS. IN ADDITION TO THE PRIMARY AND SPECIALTY MEDICAL CARE AND CARE MANAGEMENT NAVIGATION ASSISTANCE, THE ACCESS CARROLL PATIENTS RECEIVE DIAGNOSTIC LABORATORY AND RADIOLOGY SERVICES, DENTAL SERVICES, PRESCRIPTION ASSISTANCE AND MORE. CARROLL HOSPITAL CENTER CONTRIBUTED $1,100,000 TO ACCESS CARROLL IN FY25 TO COVER SALARY AND BENEFIT EXPENSES FOR THE EXECUTIVE DIRECTOR, BUSINESS OPERATIONS MANAGER AND RN HEALTH NAVIGATOR, AS WELL AS OPERATIONAL EXPENSES. THE HOSPITAL ALSO PROVIDES LABORATORY AND DIAGNOSTIC IMAGING SERVICES TO ACCESS CARROLL, CAPTURED UNDER CHARITY CARE. THESE HEALTH PROMOTION EFFORTS ARE IN ADDITION TO PROGRAMS AND SERVICES THAT SEEK TO HELP PEOPLE CHANGE THEIR LIFESTYLES TO MOVE TOWARD A STATE OF OPTIMAL HEALTH IN MIND, BODY AND SPIRIT. CARROLL HOSPITAL CENTER DEMONSTRATES ITS COMMITMENT TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES BY PROVIDING SERVICES AND PROGRAMS THAT ADDRESS CRITICAL NEEDS, INCLUDING HEALTH CARE TO VULNERABLE OR UNDERSERVED PEOPLE, PUBLIC HEALTH PROGRAMS, AND HEALTH EDUCATION, SCREENING AND PREVENTION SERVICES. THESE PROGRAMS AND ACTIVITIES INCLUDED HOSPICE SERVICES, PHYSICIAN SUPPORT, CHARITY/ UNCOMPENSATED CARE, EDUCATION PROGRAMS, HEALTH SCREENINGS, SUPPORT GROUPS, HEALTH PROFESSIONS EDUCATION AND COMMUNITY CONTRIBUTIONS. CARROLL HOSPITAL CENTER OFFERS THESE PROGRAMS AND SERVICES NOT ONLY TO ADDRESS THE NEEDS OF PEOPLE WITH CHRONIC OR ACUTE MEDICAL ISSUES, BUT ALSO TO ADDRESS PREVENTION AND EDUCATION TO KEEP OUR POPULATION WELL. Schedule H, Part VI, Line 6 Affiliated health care system CARROLL HOSPITAL, A LIFEBRIDGE HEALTH CENTER, IS PART OF AN AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES AN ARRAY OF HEALTH CARE SERVICES TO ITS COMMUNITY. THE HOSPITAL, AS A SOLE COMMUNITY PROVIDER, PROVIDES BOTH INPATIENT AND OUTPATIENT CARE, INCLUDING ESSENTIAL HEALTH CARE SERVICES SUCH AS OBSTETRICS, EMERGENCY SERVICES, PEDIATRIC, AND CRITICAL CARE, WHICH WOULD LIKELY OTHERWISE NOT BE PROVIDED WITHIN CARROLL COUNTY DUE TO THEIR UNPROFITABLE NATURE (HIGH COST SERVICES WITH RELATIVELY LOW REIMBURSEMENT). ADDITIONALLY, THE HOSPITAL IS RELATED TO A GROUP PHYSICIAN PRACTICE (CARROLL HEALTH GROUP), WHICH PROVIDES PRIMARY AND SPECIALTY CARE SERVICES TO THE COMMUNITY AND PROVIDES SERVICES TO THE HOSPITAL. THE PROVISION OF PHYSICIAN SERVICES HELPS MEET AN IDENTIFIED COMMUNITY HEALTH NEED FOR ADDITIONAL PRIMARY AND SPECIALTY CARE PHYSICIANS AND PROVIDERS IN THE COMMUNITY. BRIDGINGLIFE, INC. (FORMERLY KNOWN AS CARROLL HOSPICE, INC.), AN AFFILIATE OF CARROLL HOSPITAL, PROVIDES INPATIENT HOSPICE CARE, AS WELL AS RESIDENTIAL HOSPICE AND PALLIATIVE CARE, TO PATIENTS NEARING THE END OF LIFE. BRIDGINGLIFE PROVIDES PAIN MANAGEMENT AND SYMPTOM CONTROL AND HELPS COORDINATE HOME AND INPATIENT SERVICES. IN ORDER TO PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE, BRIDGINGLIFE UTILIZES AN INTERDISCIPLINARY TEAM, INCLUDING PHYSICIANS, NURSES, SOCIAL WORKERS, CLERGY, PHARMACISTS, AND HOME HEALTH AIDES. FURTHER, BRIDGINGLIFE PROVIDES BEREAVEMENT CARE FOR FAMILY MEMBERS FOR UP TO THIRTEEN MONTHS, AS WELL AS FOR THE BROADER COMMUNITY AS NEEDED. Schedule H, Part VI, Line 7 State filing of community benefit report MD true ACCESS CARROLL 10 DISTILLERY DRIVE WESTMINSTER MD 21157 202146701 501(C)(3) 1100000 TO SUPPORT THE OPERATIONS OF ACCESS CARROLL. PARTNERSHIP FOR A HEALTHIER CARROLL CTY 295 STONER AVE 306 WESTMINSTER MD 21157 522156892 501(C)(3) 177968 TO SUPPORT THE OPERATIONS OF PARTNERSHIP. 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CARROLL HOSPITAL HAS A CLOSE WORKING RELATIONSHIP WITH ORGANIZATIONS THAT RECEIVE GRANT FUNDS WHICH ENSURES THAT THE FUNDS ARE USED FOR THEIR INTENDED PURPOSES. THE FIRST GRANT PROVIDED IS TO ACCESS CARROLL, WHICH IS A COLLABORATION BETWEEN CARROLL HOSPITAL, THE CARROLL COUNTY HEALTH DEPARTMENT AND THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY. ACCESS CARROLL IS A 501(C)(3) TAX EXEMPT ORGANIZATION THAT PROVIDES FREE HEALTH CARE TO UNINSURED, LOW-INCOME CARROLL COUNTY RESIDENTS WHO MEET CERTAIN ELIGIBILITY REQUIREMENTS. THE SECOND GRANT PROVIDED IS TO THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, A RELATED ORGANIZATION THE MEMBERS OF WHICH ARE CARROLL HOSPITAL CENTER, INC. AND THE CARROLL COUNTY HEALTH DEPARTMENT. THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY IS A 501(C)(3) TAX EXEMPT ORGANIZATION THAT IS DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF INDIVIDUALS LIVING IN CARROLL COUNTY, MARYLAND. X true false true false false false false false false false GARRETT W HOOVER DIRECTOR/PRESIDENT/COO OF CHC 456909 0 310827 0 129294 0 56562 0 11896 0 965488 0 0 0 NEIL M MELTZER DIRECTOR/LBH PRESIDENT/CEO 0 1229823 0 1883697 0 947648 0 38184 0 12149 0 4111501 0 526545 DAVID H KRAJEWSKI ASSISTANT TREASURER 0 879781 0 680890 0 378393 0 38834 0 8782 0 1986680 0 324014 JASON H WEINER ASSISTANT SECRETARY 0 536994 0 423128 0 184422 0 207070 0 10362 0 1361976 0 144066 EDGAR CASNER VP SUPPLY CHAIN, LBH 0 312385 0 87214 0 4263 0 40191 0 9795 0 453848 0 0 LEIGH CHAPMAN CNO, VP PATIENT CARE SERVICES 223772 0 67165 0 1333 0 26045 0 10981 0 329296 0 0 0 NANCY KANE VP FINANCIAL REPORTING,LBH 0 290498 0 80804 0 53549 0 75486 0 14900 0 515237 0 42066 MICHAEL MYERS CFO CHC 350321 0 96528 0 47306 0 60458 0 3651 0 558264 0 40104 0 MARK D OLSZYK CHIEF MEDICAL OFFICER/VP 496678 0 141179 0 62125 0 60803 0 3011 0 763796 0 50906 0 JAMES ROBERGE VP CAPITAL IMPROVEMENT & SUPPORT, LBH 0 387766 0 135375 0 82192 0 71314 0 8788 0 685435 0 49242 LESLIE R SIMMONS PRESIDENT CHC/COO LBH 0 792427 0 616503 0 544982 0 113580 0 11496 0 2078988 0 286794 CRIS COLEMAN VP FINANCE CARROLL, CFO LEVINDALE 269016 0 74243 0 36343 0 42610 0 5510 0 427722 0 0 0 QIWEI GAI MD PHYSICIAN 568524 0 311587 0 1188 0 3573 0 7689 0 892561 0 0 0 SAJJAD HAIDER PHYSICIAN 489498 0 222805 0 23270 0 2380 0 13910 0 751863 0 0 0 SHARON L MCCLERNAN VP OF CLINICAL INTEGRATION 226413 0 65395 0 29858 0 37078 0 14422 0 373166 0 24086 0 DAVID PERRY CHIEF RADIATION ONCOLOGY 677001 0 130761 0 23270 0 404 0 844 0 832280 0 0 0 YAN XU SR MEDICAL PHYSICIST 246142 0 15000 0 414 0 1210 0 7032 0 269798 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE ORGANIZATION PAYS MEMBERSHIP DUES FOR THE HOSPITAL PRESIDENT AT A CLUB USED FOR BUSINESS MEETINGS AND EVENTS. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION OF CARROLL HOSPITAL CENTER, INC.'S PRESIDENT IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS 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: LESLIE R. SIMMONS $ 76,027 JASON H. WEINER $176,284 MARK D. OLSZYK $ 55,628 JAMES ROBERGE $ 55,800 MICHAEL MYERS $ 44,120 NANCY KANE $ 38,152 EDGAR CASNER $ 35,415 CRIS COLEMAN $ 30,285 SHARON L. MCCLERNAN $ 26,510 LEIGH CHAPMAN $ 25,218 DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL M. MELTZER $882,930 LESLIE R. SIMMONS $515,756 DAVID H. KRAJEWSKI $330,949 JASON H. WEINER $147,040 GARRETT W. HOOVER $ 81,850 MARK D. OLSZYK $ 52,063 JAMES ROBERGE $ 49,130 MICHAEL MYERS $ 38,503 NANCY KANE $ 41,945 CRIS COLEMAN $ 29,568 SHARON L. MCCLERNAN $ 23,957 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. MELTZER RECEIVED COMPENSATION AS PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MS. SIMMONS RECEIVED COMPENSATION AS EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. KRAJEWSKI RECEIVED COMPENSATION AS EXECUTIVE VICE PRESIDENT AND CFO OF LIFEBRIDGE HEALTH, INC. AND PRESIDENT OF LIFEBRIDGE HEALTH PARTNERS, INC., NOT AS AN OFFICER. MR. WEINER RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF LIFEBRIDGE HEALTH, INC., NOT AS ASSISTANT SECRETARY. MR. MYERS RECEIVED COMPENSATION AS CFO/ VICE PRESIDENT OF CARROLL HOSPITAL CENTER, INC., NOT AS A DIRECTOR. HEATHER GREEN FAMILY RELATIONSHIP TO A KEY EMPLOYEE, LESLIE SIMMONS 200738 EMPLOYEE OF HOSPITAL - EXECUTIVE DIRECTOR OF CRITICAL CARE AND CARDIO SERVICES false ROBERT J BEAUVAIS FAMILY RELATIONSHIP TO A FORMER DIRECTOR, LESLIE SIMMONS 103375 EMPLOYEE OF HOSPITAL - IT SYSTEM ENGINEER false RANDY C GREEN JR FAMILY RELATIONSHIP TO A KEY EMPLOYEE, LESLIE SIMMONS 27113 EMPLOYEE OF HOSPITAL - REGISTERED NURSE false Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATION SHALL HAVE ONE MEMBER: CARROLL COUNTY HEALTH SERVICES CORPORATION (THE "MEMBER"), A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE IDENTICAL TO THE BOARD OF DIRECTORS OF THE MEMBER. NONVOTING MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMBERS, AS PROVIDED FOR UNDER THE BYLAWS OF THE MEMBER, SHALL BE NONVOTING DIRECTORS OF THE CORPORATION. (2) THE MEMBER MAY REMOVE ANY DIRECTOR AT ANY TIME, WITH OR WITHOUT CAUSE. REMOVAL FROM THE BOARD OF DIRECTORS OF THE MEMBER CONSTITUTES REMOVAL FROM THE BOARD OF DIRECTORS OF THE CORPORATION. (3) THE INDIVIDUAL SERVING AS PRESIDENT OF THE MEMBER WILL SERVE AS THE PRESIDENT OF THE CORPORATION. REMOVAL OR RESIGNATION OF THE PRESIDENT OF THE MEMBER WILL CONSTITUTE REMOVAL OR RESIGNATION AS THE PRESIDENT OF THE CORPORATION, AND APPOINTMENT AS THE PRESIDENT OF THE MEMBER WILL CONSTITUTE APPOINTMENT AS PRESIDENT OF THE CORPORATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 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 HOSPITAL CENTER, INC. BOARD AND TO EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public 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, Section A 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 VIII, Line 11d Other Miscellaneous Revenue OTHER OPERATING REVENUE - Total Revenue: 616389, Related or Exempt Function Revenue: 616389, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 24902067, Program Service Expense: 17929488, Management and General Expenses: 6972579, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 17223164, Program Service Expense: 17223164, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 15275290, Program Service Expense: 11818534, Management and General Expenses: 3456756, Fundraising Expenses: 0; AGENCY EXPENSE - Total Expense: 5803058, Program Service Expense: 5756793, Management and General Expenses: 46265, Fundraising Expenses: 0; CONTRACTED SERVICES - Total Expense: 5126359, Program Service Expense: 5087506, Management and General Expenses: 38853, Fundraising Expenses: 0; CANCER CENTER PROF FEES - Total Expense: 300000, Program Service Expense: 300000, Management and General Expenses: 0, Fundraising Expenses: 0; FOOD SERVICES - Total Expense: 103266, Program Service Expense: 103266, Management and General Expenses: 0, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN MINIMUM PENSION LIABILITY - 2077873; CHANGE IN INVESTMENT IN FOUNDATION UNRESTRICTED - 4625406; CHANGE IN INVESTMENT IN BRIDGINGLIFE UNRESTRICTED - 2037295; CHANGE IN TEMPORARY RESTRICTED ASSETS (FOUNDATION) - 7959322; ACCESS CARROLL - 1100000; TRANSFERS FROM AFFILIATES - 385000; OTHER ADJUSTMENTS - 52450; CHANGE IN TEMPORARY RESTRICTED ASSETS (BRIDGINGLIFE) - 245174; CARROLL COUNTY RADIOLOGY, LLC MINORITY INTEREST ELIMINATION - -1936345; TRANSFERS TO AFFILIATES - -24406782; Total - -7860607; Form 990, Part XII, Line 2c THE ORGANIZATION DOES NOT HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION RELIES ON THE OVERSIGHT OF THE AUDIT COMMITTEE HELD AT THE RELATED ORGANIZATION, LIFEBRIDGE HEALTH, INC. 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