TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MAULIK JOSHI DR PH...................................................................... PRESIDENT & CEO	50.00 ................. 3.00	X	X				1,055,636	186,765
(2) HEMANT CHATRATH MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,094,197	60,203
(3) ALI AKMAL...................................................................... PHYSICIAN	40.00 ................. 0.00				X		731,838	78,912
(4) THOMAS T CHAN...................................................................... CFO/TREASURER	50.00 ................. 3.00		X				660,446	117,046
(5) FRANK COLLINS MD...................................................................... PHYSICIAN	40.00 ................. 0.00				X		670,477	59,702
(6) VICTORIA GIFFI MD...................................................................... PHYSICIAN	40.00 ................. 0.00				X		641,219	31,053
(7) MICHAEL MCCORMACK MD...................................................................... PHYSICIAN	40.00 ................. 0.00				X		595,644	54,878
(8) BROOKE BUCKLEY...................................................................... FORMER CMO	50.00 ................. 0.00					X	633,337	14,253
(9) CAROLYN M SIMONSEN...................................................................... EXECUTIVE VP (THRU 12/2020)	50.00 ................. 3.00		X				571,663	66,162
(10) DOUGLAS SPOTTS MD...................................................................... CHIEF HEALTH OFFICER	50.00 ................. 0.00			X			517,505	119,321
(11) MELANIE HEUSTON...................................................................... CNO & CHIEF PT SVC OFFICER	50.00 ................. 0.00			X			477,852	111,136
(12) CARRIE ADAMS...................................................................... CHIEF QUALITY/TRANSFORM OFFICER	50.00 ................. 0.00			X			422,640	79,061
(13) JASON COLE...................................................................... VICE PRESIDENT/CIO	50.00 ................. 0.00			X			387,365	102,899
(14) DAVID HOPE...................................................................... VP PHYSICIAN SERVICES	50.00 ................. 0.00			X			350,679	85,457
(15) LAURIE BENDER...................................................................... CHIEF COMPLIANCE OFFICER	50.00 ................. 0.00			X			296,411	98,690
(16) LAURA MINTEER...................................................................... VP HUMAN RESOURCES	50.00 ................. 0.00			X			340,114	43,004
(17) JOSHUA REPAC...................................................................... VP REV CYCLE & CLIN SUPP SVCS	50.00 ................. 0.00			X			290,029	78,459

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) AARON GEORGE MD........................................................................ CMO	50.00 .......................0.00			X		284,691	62,638
(19) ANTHONY SHAVER........................................................................ VP SUPPORT SERVICES	50.00 .......................0.00			X		293,258	27,305
(20) LYNN HAINES........................................................................ VP, LEGAL SERVICES/SECRETARY	50.00 .......................3.00		X			184,233	55,377
(21) JOSEPH ROSS........................................................................ FORMER CEO	0.00 .......................0.00				X	223,603	0
(22) SHAHEEN IQBAL MD........................................................................ DIRECTOR	40.00 .......................0.00	X				144,015	0
(23) STEPHEN NELSON........................................................................ FORMER SECRETARY (THRU 03/2020)	50.00 .......................3.00				X	102,512	12,543
(24) RASHID HANIF MD........................................................................ DIRECTOR	20.00 .......................0.00	X				78,354	0
(25) SCOTT WORRELL MD........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(26) GREGORY SNOOK........................................................................ CHAIRMAN	5.00 .......................0.00	X	X			0	0
(27) ROBERT GOETZ JR........................................................................ VICE CHAIRMAN	3.00 .......................0.00	X	X			0	0
(28) RALPH SALVAGNO MD........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(29) WAYNE ALTER JR........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(30) REV DR D STUART DUNNAN........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(31) BRENDAN D FITZSIMMONS PHD........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(32) MARY JC HENDRIX PHD........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(33) ERIN E HERSHEY MHA........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(34) STEVEN HULL........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(35) NEIL JESUELE........................................................................ DIRECTOR (AS OF 01/2021)	3.00 .......................0.00	X				0	0
(36) JAMES KERCHEVAL........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(37) SHARON MAILEY PHD RN........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(38) ALFRED E MARTIN........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(39) BARBARA MILLER........................................................................ DIRECTOR (THRU 02/2021)	3.00 .......................0.00	X				0	0
(40) KATHLEEN POOLE........................................................................ DIRECTOR (AS OF 01/2021)	3.00 .......................0.00	X				0	0
(41) KENT R REYNOLDS........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(42) JEANNE SINGER........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(43) JAMES R STOJAK........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(44) WILLIAM SU MD........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(45) FREDERICK C WRIGHT III........................................................................ DIRECTOR (THRU 12/2020)	3.00 .......................0.00	X				0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MERCY SPECIALIZED BILLING SVCS PO BOX 505125 ST LOUIS,MO63150	INFORMATION SERVICES	4,445,193
TRIMEDX LLC PO BOX 636129 CINCINNATI,OH45263	MEDICAL	4,161,302
MDICS AT MERITUS MEDICAL CENTER 7250 PARKWAY DRIVE SUITE 500 HANOVER,MD21076	MEDICAL	4,109,676
ROCHE DIAGNOSTICS CORP 9115 HAGUE ROAD INDIANAPOLIS,IN46250	MEDICAL	2,809,900
ANACOSTIA MEDICAL ASSOCIATES 8408 ADLER COURT MILLERSVILLE,MD21108	MEDICAL	2,444,794
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 74

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization MERITUS MEDICAL CENTER INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization MERITUS MEDICAL CENTER INC		Employer identification number 52-0607949

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization MERITUS MEDICAL CENTER INC			Employer identification number 52-0607949
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

60,300

Total. Add lines 1c through 1i ....................................................................................................

60,300

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	FOR FISCAL YEAR 2021, MMC PAID DUES TO THE MARYLAND HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION AND A FEE TO A GOVERNMENT RELATIONSHIP CONSULTING FIRM IN UNDERSTANDING GOVERNMENTAL POLITICS AND LEGISLATIVE MATTERS. SPECIFICALLY, THE RESPECTIVE TRADE ASSOCIATIONS SHARE ON AN ANNUAL BASIS WITH MMC THE SPECIFIC PERCENTAGE OF THE PAID DUES THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	1,028,618	1,071,947	1,045,925	1,031,912	1,035,650
b	Contributions ...
c	Net investment earnings, gains, and losses	263	14,167	26,022	14,013	8,501
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...		57,496			12,239
f	Administrative expenses ....
g	End of year balance ......	1,028,881	1,028,618	1,071,947	1,045,925	1,031,912

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	6,417,151		6,417,151
b	Buildings ....	250,187,118	105,388,433	144,798,685
c	Leasehold improvements	2,981,012	1,572,852	1,408,160
d	Equipment ....	203,257,490	127,880,730	75,376,760
e	Other .....	1,783,353		1,783,353
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				229,784,109

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM RELATED PARTIES				6,482,103
(2)NET ASSETS HELD BY MHF				2,642,654
(3)OPERATING LEASES				18,744,921
(4)OTHER ASSETS				4,341,909
(5)RETRO PREMIUM CREDIT RECEIVABLE				14,275,154
(6)EQUITY INVESTMENTS IN AFFILIATES				48,673,144
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				95,159,885

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	35,886,263
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PAY THE OUTSTANDING BALANCES FOR THOSE PATIENTS WHO MEET CERTAIN CRITERIA. IN ORDER TO QUALIFY, INDIVIDUALS MUST HAVE MADE 10 CONSECUTIVE PAYMENTS, HAVE NOT BEEN TURNED OVER TO COLLECTIONS, AND HAVE NEVER APPLIED FOR FINANCIAL ASSISTANCE.

PART X, LINE 2:

MMC FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MMC DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AS OF JUNE 30, 2021, THE MERITUS TAX YEARS ENDED JUNE 30, 2018 THROUGH JUNE 30, 2021 FOR FEDERAL TAX JURISDICTION REMAIN OPEN TO EXAMINATION.

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization
MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN			PROGRAM SERVICE	INSURANCE	727,690
















3a	Sub-total ....	0	0			727,690
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			727,690

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020

Schedule F (Form 990) 2020

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2020

Schedule F (Form 990) 2020Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2020

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2020

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART I, LINE 3:	INVESTMENTS IN MMC'S BOOKS AND THE FORM 990 ARE REPORTED ON AN ACCRUAL BASIS.
PART III ACCOUNTING METHOD:

Schedule F (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,153	6,062,105		6,062,105	1.470 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,153	6,062,105		6,062,105	1.470 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	64,978	1,747,605	80,908	1,666,697	0.410 %
f	Health professions education (from Worksheet 5) . . .	4,672	5,366,319	254,598	5,111,721	1.240 %
g	Subsidized health services (from Worksheet 6) . . . .	259,330	85,331,375	40,549,051	44,782,324	10.890 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		235,963	95,770	140,193	0.030 %
j	Total. Other Benefits . .	328,980	92,681,262	40,980,327	51,700,935	12.570 %
k	Total. Add lines 7d and 7j .	330,133	98,743,367	40,980,327	57,763,040	14.040 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	273	11,313	11,313	0 %
2	Economic development
3	Community support		3,865	3,865	0 %
4	Environmental improvements
5	Leadership development and training for community members		15,290	15,290	0 %
6	Coalition building	189	130,064	130,064	0.030 %
7	Community health improvement advocacy
8	Workforce development
9	Other	21	15,537	15,537	0 %
10	Total	483	176,069	176,069	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

16,918,801

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,537,820

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

264,440,983

Enter Medicare allowable costs of care relating to payments on line 5.....

259,152,163

Subtract line 6 from line 5. This is the surplus (or shortfall)........

5,288,820

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
12 GENERAL SURGERY RE LLC	REAL ESTATE	50.000 %	50.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	MERITUS MEDICAL CENTER INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 WWW.MERITUSHEALTH.COM 21-0001	X	X	X	X

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MERITUS MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.MERITUSHEALTH.COM

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART VI, LINE 2

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MERITUS MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	MERITUS MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	MERITUS MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: THE PRIMARY DATA COLLECTION PROCESS INCLUDED THE DEVELOPMENT OF A HEALTH NEEDS SURVEY THAT WAS DESIGNED, APPROVED, AND DISTRIBUTED BY THE STEERING COMMITTEE THROUGHOUT THE COMMUNITY. THE SURVEY QUESTIONS WERE DEVELOPED BASED ON THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS) QUESTIONS THAT ALLOWED COMPARISON OF OUR RESULTS WITH DATA FROM THE MOST RECENT BRFSS INFORMATION COLLECTED BY THE MARYLAND DEPARTMENT OF HEALTH AND CENTERS FOR DISEASE CONTROL. IN ADDITION, FEEDBACK FROM THE MEMBERSHIP OF THE LOCAL HEALTH IMPROVEMENT COALITION WAS OBTAINED TO HELP EXPLAIN THE PERCEIVED BARRIERS THAT PREVENT PEOPLE FROM ACCESSING HEALTH CARE SERVICES: FINANCES, TRANSPORTATION, HOURS OF OPERATION, SOCIAL NEEDS, LIMITATIONS, ETC. THE COMMUNITY SURVEY WAS WRITTEN IN ENGLISH AND TRANSLATED TO SPANISH, AND WAS DISTRIBUTED BOTH ELECTRONICALLY VIA EMAIL AND WEBSITES AS WELL AS VIA WRITTEN COPIES. THE SURVEY PERIOD WAS OPEN FROM JUNE 25, 2018 - SEPTEMBER 14, 2018. A REPRESENTATIVE SAMPLE OF 1,514 WASHINGTON COUNTY ADULTS RESPONDED AND COMPLETED THE SURVEY QUESTIONNAIRE. THE SURVEY PROCESS WAS DESIGNED TO OBTAIN A SAMPLE THAT MIRRORED THE CENSUS POPULATION, RACIAL/ETHNIC AND SOCIO-DEMOGRAPHIC MAKE-UP OF THE COMMUNITY. THIS WAS ACCOMPLISHED BY COORDINATING THE PROMOTION OF THE SURVEY COUNTY-WIDE BY THE HEALTH SYSTEMS AND PROVIDERS INCLUDING THE FREE CLINIC, GOVERNMENT, SCHOOL SYSTEM, SOCIAL SERVICE ORGANIZATIONS AND THE LOCAL CHAMBER OF COMMERCE.WHILE THE COMMUNITY SURVEY PROCESS OBTAINED AN EXCELLENT REPRESENTATIVE SAMPLE OF THE WASHINGTON COUNTY, WE WANTED TO ENSURE THAT INPUT WAS OBTAINED DIRECTLY FROM MEMBERS OF THE COMMUNITY WHO WERE NOT WELL REPRESENTED IN THE SURVEY SAMPLE. WE FOCUSED ON THE UNDER-REPRESENTED PERCENTAGES IN THE SURVEY THAT INCLUDED MEN, AFRICAN AMERICANS AND HISPANIC COMMUNITIES. IN AN EFFORT TO OBTAIN IN-DEPTH FEEDBACK RELATED TO THE BIGGEST HEALTH CHALLENGES AND ASSETS IN THE COMMUNITY, WE INTERVIEWED PHYSICIANS AND HOSPITAL CARE MANAGERS. FINALLY, WE FOCUSED ON POPULATIONS WITH SPECIFIC HEALTH CHALLENGES TO INCLUDE SENIORS AND BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE). THE SERIES OF FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED FROM AUGUST 28, 2018, TO NOVEMBER 2, 2018. FINALLY, A PUBLIC MEETING WAS HELD NOVEMBER 20, 2018 TO REVIEW THE DATA AND PRIORITIZE THE HEALTH NEEDS FOR OUR COMMUNITY.
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6B: THE OTHER GROUPS INVOLVED IN THE CHNA CREATION ARE BROOKLANE, HEALTHY WASHINGTON COUNTY AND WASHINGTON COUNTY HEALTH DEPARTMENT.
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: AS A COMMUNITY HOSPITAL, MMC PURPOSEFULLY INCORPORATES OUR COMMITMENT TO COMMUNITY SERVICE INTO OUR INTERNAL MANAGEMENT AND GOVERNANCE STRUCTURES AS WELL AS STRATEGIC AND OPERATIONAL PLANS. MMC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND SERVICE GAPS. AN ACTION PLAN OF INITIATIVES AND GOALS IS DEVELOPED TO ADDRESS THE PRIORITIZED HEALTH NEEDS. THE ACTION PLAN IS REVIEWED BY THE MMC STRATEGIC PLANNING COMMITTEE AND APPROVED BY THE MMC BOARD. THE MOST RECENT PRIORITIZED COMMUNITY HEALTH NEEDS FROM FY 2019 MMC CHNA INCLUDE:1. REDUCE SUBSTANCE ABUSE TO PROTECT THE HEALTH, SAFETY AND QUALITY OF LIFE2. IMPROVE MENTAL HEALTH THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH TREATMENT3. PROMOTE HEALTH AND REDUCE RISK OF CHRONIC DISEASE THROUGH THE PROMOTION OF CONSUMING A HEALTHY DIET AND PHYSICAL ACTIVITY4. IMPROVE HEALTH RELATED QUALITY OF LIFE AND WELL-BEING FOR PERSONS LIVING IN THE COMMUNITY, SMOKING CESSATION AND MEDICATION ADHERENCE5. IMPROVE THE MANAGEMENT OF DIABETES AND REDUCE MORTALITY6. REDUCE HEART DISEASE MORTALITY AND MANAGE HYPERTENSIONAT THE CONCLUSION OF THE CHNA DATA ASSESSMENT, IT WAS RECOGNIZED THAT MANY MORE NEEDS WERE IDENTIFIED AND EXIST THAN CAN BE SUCCESSFULLY MET BY THE HOSPITALS ALONE DUE TO LIMITED, FINITE RESOURCES. THE PRIORITIZATION CRITERION AND ASSIGNED WEIGHTS ASSISTED THE COALITION TO NARROW THE FOCUS AND DIRECTLY ADDRESS THE ISSUES THAT WOULD HAVE THE GREATEST IMPACT FOR IMPROVING THE HEALTH OF PEOPLE IN OUR COMMUNITY. WHEN OTHER COMMUNITY ORGANIZATIONS HAVE A MISSION ALIGNED TO MEET THE CHNA NEEDS THAT WERE IDENTIFIED, THE NEED WAS SCORED AS A LOWER PRIORITY FOR MMC, AVOIDING THE DUPLICATION OF EXISTING COMMUNITY SERVICES AND PROVIDING AN OPPORTUNITY TO COORDINATE THE LINKAGE OF PATIENTS TO ALTERNATIVE SERVICES WHENEVER APPROPRIATE. OUR COMMUNITY PROVIDERS ARE USING THE RESULTS OF THE CHNA TO HELP TARGET THESE UNMET NEEDS BASED ON STRENGTHS, EXPERTISE AND RESOURCES OF INDIVIDUAL ORGANIZATIONS, AND WHERE INTERESTS ARE SHARED, NEW COLLABORATIVE RELATIONSHIPS BETWEEN ORGANIZATIONS WILL BE FORMED. OTHER IDENTIFIED CHNA NEEDS NOT ADDRESSEDAT THE CONCLUSION OF THE CHNA HEALTH NEEDS RANKING, IT WAS RECOGNIZED THAT MANY MORE NEEDS WERE IDENTIFIED AND EXIST THAN THE TOP SIX IDENTIFIED HEALTH NEEDS ALONE. SOME OF THE HEALTH NEEDS THAT WERE NOT IDENTIFIED AS THE HIGHEST RANKED PRIORITIES FOR THE COMMUNITY INCLUDE CANCER, ACCESS TO DENTAL CARE, TEEN PREGNANCY, SENIOR NEEDS, HOMELESSNESS, AND POVERTY AMONG OTHERS. OUR COMMUNITY PROVIDERS ARE USING THE RESULTS OF THE CHNA TO HELP TARGET THESE UNMET NEEDS BASED ON THE STRENGTHS, EXPERTISE AND RESOURCES OF INDIVIDUAL ORGANIZATIONS, AND WHEN INTERESTS ARE SHARED, NEW COLLABORATIVE RELATIONSHIPS BETWEEN ORGANIZATIONS CAN BE FORMED. FINDINGS FROM THE FY2019 CHNA MAY BE USED TO SUPPORT GRANT PROCUREMENT, DONATIONS AND GIFTS TO FUND NEW PROGRAM SERVICES.THE LOCAL WASHINGTON COUNTY HEALTH IMPROVEMENT COALITION IS USING THE CHNA TO ADDRESS ACCESS TO AFFORDABLE HEALTHCARE ISSUES AND A LACK OF HEALTH INSURANCE BY PROVIDING LOCATIONS FOR THE MD HEALTH EXCHANGE NAVIGATORS TO REACH UNINSURED PERSONS. MMC HAS A FINANCIAL ASSISTANCE POLICY FOR PERSONS DEEMED UNABLE TO AFFORD THE COST OF CARE. THE COUNTY IS FORTUNATE TO HAVE TWO FEDERALLY QUALIFIED HEALTH CENTERS LOCATED IN HANCOCK AND HAGERSTOWN, MD, BOTH OF WHICH ARE COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES ON A SLIDING-SCALE BASIS. THE COMMUNITY FREE CLINIC LOCATED IN HAGERSTOWN PROVIDES QUALITY, COMPREHENSIVE OUTPATIENT HEALTH CARE SERVICES, FREE OF COST, TO ALL WASHINGTON COUNTY RESIDENTS WHO ARE UNINSURED.
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 13B: MERITUS STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. MERITUS RESERVES THE RIGHT TO GRANT FINANCIAL ASSISTANCE WITHOUT FORMAL APPLICATION BEING MADE BY PATIENTS. THESE PATIENTS MAY INCLUDE THE HOMELESS OR INDIVIDUALS WITH RETURNED MAIL AND NO FORWARDING ADDRESS. PATIENTS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE MAY BE ELIGIBLE FOR MERITUS' FINANCIAL ASSISTANCE PROGRAM.PART V, QUESTION 16 A, B & CHTTPS://WWW.MERITUSHEALTH.COM/PATIENTS-VISITORS/
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 16J: MERITUS MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES ARE AVAILABLE THROUGHOUT THE COMMUNITY AND WITHIN MMC LOCATIONS. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT APPROPRIATE ADMISSION AREAS, THE PATIENT FINANCIAL SERVICES DEPARTMENT AND OTHER KEY PATIENT ACCESS AREAS. A STATEMENT ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT BILLING STATEMENTS. IF THERE ARE ANY QUESTIONS REGARDING THE FINANCIAL ASSISTANCE POLICY, THE PATIENT ACCESS/REGISTRATION PERSONNEL REFER THE UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. THE FINANCIAL ASSISTANCE POLICY FOR MMC IS AVAILABLE ON THE WEBSITE AND IS TRANSLATED INTO SPANISH.

Schedule H (Form 990) 2020

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2020

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	MERITUS MEDICAL CENTER (MMC) PREPARES A COMMUNITY BENEFITS REPORT THROUGH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), AND IT IS AVAILABLE VIA THEIR WEBSITE. THIS IS IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT PREPARED BY MMC IN ACCORDANCE WITH IRC SECTION 501(R).
PART I, LINE 7:	THE DIRECT COST WAS CALCULATED BY USING THE EXPENSE CATEGORIES FOR SALARIES AND WAGES, BENEFITS, EXPENDABLE SUPPLIES, PURCHASED SERVICES, REPAIRS AND MAINTENANCE AND DEPRECIATION. THE INDIRECT COST WAS CALCULATED USING THE APPROVED METHODOLOGY ON THE COMMUNITY BENEFIT REPORT.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES FOR MERITUS MEDICAL CENTER INCLUDE THE FOLLOWING:(1) HOSPITAL OWNED PRACTICES(2) THE MEDICATION ASSISTANCE CENTER(3) MMG PHYSICIAN PRACTICES(4) LEVEL III TRAUMA PROGRAM(5) ON-CALL FEES FOR EMERGENCY SPECIALISTS(6) VOLUNTARY WRITE-OFFS ON INPATIENT HOSPICE ACCOUNTS (HOSPICE OF WASHINGTON COUNTY)(7) MEDICAL URGENT CARE(8) HOSPITALIST SUBSIDY(9) COMMUNITY HEALTH (COMMUNITY HEALTH, EMPLOYEE WELLNESS, PARISH NURSING)(10) FAMILY PRACTICE RESIDENCY PROGRAM(11) HEALTH @ WORK
PART I, LINE 7, COLUMN F:	MERITUS MEDICAL CENTER (MMC) IS COMMITTED TO PROVIDING QUALITY HEALTH CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO MEET THE ASSOCIATED FINANCIAL OBLIGATION AND WITHOUT DISCRIMINATION ON THE GROUNDS OF RACE, COLOR, NATIONAL ORIGIN OR CREED. IT IS THE POLICY OF MMC TO ENSURE THAT ALL APPROPRIATE AND REASONABLE EFFORTS HAVE BEEN MADE PRIOR TO REFERRING AN ACCOUNT TO BAD DEBT, A COLLECTION AGENCY OR OUTSIDE ATTORNEY. IN ADDITION, A SATISFACTORY LEVEL OF CONTROL IS MAINTAINED OVER BAD DEBTS AND LEVELS OF MANAGEMENT ARE INVOLVED IN THE DECISION MAKING PROCESS PRIOR TO WRITE-OFF AND/OR ASSIGNMENT OF BAD DEBT. THE PERCENTAGES IN COLUMN F ARE BASED ON COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSE LESS BAD DEBT EXPENSE OF $16,918,801.
PART I, LINES 7A & 7B, COLUMNS (C) THROUGH (F):	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 THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY 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 PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECT OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. THE LEGAL ENTITIES REFLECTED ON THIS FORM 990 INCLUDE MERITUS MEDICAL CENTER AND ITS CONSOLIDATED AFFILIATES THAT ARE DISREGARDED ENTITIES STRUCTURED IN THE FORM OF LIMITED LIABILITY COMPANIES. MERITUS ACCOMPLISHES ITS MISSIONS TO PROVIDE CARE TO PATIENTS AND COMMUNITY BENEFITS THROUGHOUT ITS CONTROLLED ENTITIES. THE CONTROLLED ENTITIES IN TOTAL PROVIDED CHARITY CARE IN THE AMOUNT OF 7,173,437 DURING FISCAL YEAR 2021. THESE AMOUNTS ARE IN ADDITION TO THE COMMUNITY BENEFITS PROVIDED BY THE MERITUS MEDICAL CENTER AS REPORTED ON SCHEDULE H.
PART II, COMMUNITY BUILDING ACTIVITIES:	IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, MMC WAS INVOLVED IN MANY COMMUNITY BUILDING ACTIVITIES. MMC SPENT $15,290 ON LEADERSHIP DEVELOPMENT AND TRAINING BY LEADERSHIP WASHINGTON COUNTY FOR SEVERAL MMC EMPLOYEES. MMC PROVIDED $11,313 TOWARDS PHYSICAL IMPROVEMENTS AND HOUSING WITH VOLUNTEERED SERVICES DURING THE ANNUAL DAY OF CARING EVENT. MMC PROVIDED $130,064 ON COALITION BUILDING WHICH INCLUDED COLLABORATIVES FOR HUMAN TRAFFICKING, OPIOID USE, SEXUAL ASSAULT RESPONSE TEAMS, WEIGHT TRACKING, NEW MOTHER OUTREACH, CRITICAL INCIDENT TRAINING, AND CHILD FATALITY. MMC ALSO PROVIDED TEACHING TO UNIVERSITY AND COLLEGE NURSING PROGRAMS. LASTLY, MMC GAVE $3,865 TOWARD COMMUNITY SUPPORT.
PART III, LINE 2:	MMC USES HISTORICAL REIMBURSEMENT TRENDS IN DETERMINING BAD DEBT EXPENSE AND ADJUSTS THE ACCOUNTING BASED ON KNOWN VARIANCES OR ADJUSTMENTS. MMC UTILIZES HFMA STATEMENT #15 TO REPORT BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED AT THE UNDISCOUNTED RATE WHICH MATCHES THE REPORTING OF BAD DEBT ON THE FINANCIAL STATEMENTS.
PART III, LINE 3:	THE COSTS FOR PATIENTS ACCEPTED UNDER MMC'S FINANCIAL ASSISTANCE POLICY ARE INCLUDED IN CHARITY CARE AND ARE NOT A PART OF MMC'S BAD DEBT EXPENSE. MMC IS USING AN ESTIMATION PROCESS TO CALCULATE MMC'S BAD DEBT EXPENSES. MMC TAKES INTO ACCOUNT THE NUMBER OF FINANCIAL ASSISTANCE APPLICATIONS THAT ARE DENIED. MMC HAS DETERMINED THERE IS HISTORICALLY A DENIAL RATE THAT EQUATES TO APPROXIMATELY 15% OF TOTAL BAD DEBT EXPENSE. THESE DENIED FINANCIAL ASSISTANCE APPLICANTS NORMALLY PRESENT AS FUTURE BAD DEBT CASES THAT ARE WRITTEN OFF. THERE IS NO BAD DEBT EXPENSE INCLUDED IN THE NET COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:	SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED JUNE 30, 2021 AND 2020 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	MMC USES THE COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATED TO TOTAL REVENUE RECEIVED FROM MEDICARE. MMC DID NOT REPORT A SHORTFALL IN MEDICARE REVENUE RECEIVED THAT WOULD BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	1. MERITUS EXPECTS PATIENT PAYMENT AT THE TIME SERVICE IS PROVIDED OR WITHIN THIRTY (30) DAYS OF THE FIRST BILLING TO PATIENT FOR SERVICES NOT COVERED BY INSURANCE OR FINANCIAL ASSISTANCE.2. MERITUS MUST TAKE EFFECTIVE ACTION TO MAINTAIN TIMELY ACCOUNTS RECEIVABLE TURNOVER AND ENSURE THAT THE VALUE OF ACCOUNTS RECEIVABLE IS ACCURATELY STATED. TO DO THIS, PATIENT ACCOUNTS WILL BE AGED AND WRITTEN OFF AS BAD DEBTS OR CHARITY AND MAY BE OUTSOURCED TO COLLECTION AGENCIES FOR FURTHER FOLLOW-UP.3. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. SCHEDULED SERVICES WILL BE PROVIDED AFTER APPROPRIATE FINANCIAL ARRANGEMENTS ARE CONFIRMED BY MERITUS. DEPOSITS MAY BE REQUIRED PRIOR TO SCHEDULING SERVICES. FAILURE TO PAY REQUIRED DEPOSITS MAY RESULT IN THE RESCHEDULING OF THE SERVICE.4. FINANCIAL ASSISTANCE IS POTENTIALLY AVAILABLE TO PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN MERITUS' FINANCIAL ASSISTANCE POLICY. IT IS THE PATIENT'S RESPONSIBILITY TO PROVIDE ACCURATE INFORMATION REGARDING ADDRESS, EMPLOYMENT AND HEALTH INSURANCE IN ORDER TO DETERMINE ELIGIBILITY FOR SERVICES, AMOUNTS DUE FROM THE PATIENT AND/OR ELIGIBILITY FOR FINANCIAL ASSISTANCE.5. MERITUS COMPLIES WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATION TO PERFORM CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER.6. MERITUS DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY.7. MERITUS WILL NOT SELL THE BAD DEBT RECEIVABLES OR CHARGE A PREJUDGMENT INTEREST RATE FOR SELF-PAY OR BALANCES AFTER INSURANCE.8. MERITUS MAY USE EXTERNAL COLLECTION AGENCIES FOR EXTENDED BUSINESS OFFICE, LEGAL AND/OR COLLECTION ACTIVITY TO ASSIST WITH COLLECTING ON PATIENT ACCOUNTS. THESE AGENCIES DO NOT SELL THE RECEIVABLE AND ACT AS AN EXTENDED BUSINESS OFFICE ON BEHALF OF MERITUS. 9. PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECAS), MERITUS SHALL PROVIDE WRITTEN NOTICE TO THE PATIENT OR RESPONSIBLE PARTY AT LEAST THIRTY (30) DAYS PRIOR TO THE REFERRAL. SUCH WRITTEN NOTICE SHALL INFORM THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND IDENTIFY THE ACTIONS THAT MERITUS INTENDS TO INITIATE TO OBTAIN PAYMENTS AS FOLLOWS:A) REPORTING ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR CREDIT BUREAU;B) GARNISHMENT OF WAGES; ORC) INITIATING A CIVIL ACTION.THE ABOVE LISTED COLLECTION PRACTICES ARE FOLLOWED FOR ALL PATIENTS.
PART VI, LINE 2:	COMMUNITY HEALTH NEEDS ASSESSMENT PLAN AND IMPLEMENTATION AS REQUIRED BY IRC SECTION 501(R).MERITUS MEDICAL CENTER ("MMC") CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT CONFORMS TO THE IRS DEFINITION. THIS REPORT INCLUDES A COMPREHENSIVE REVIEW AND ANALYSIS OF THE DATA REGARDING HEALTH ISSUES AND NEEDS OF WASHINGTON COUNTY, MD.UPON FULL REVIEW OF THE CHNA FINDINGS THE MMC BOARD OF DIRECTORS APPROVED AND ADOPTED THE PLAN OF ACTION ON MARCH 28, 2019. FOLLOWING BOARD APPROVAL, THE FY2019 CHNA WAS PUBLICLY POSTED AT:WWW.MERITUSHEALTH.COM/DOCUMENTS/CHNA/FY2019-CHNA-REPORT-FINAL-REV.PDFTHE MOST RECENT PRIORITIZED COMMUNITY HEALTH NEEDS FROM FY2019 MMC CHNA INCLUDE:#1 TO IMPROVE ACCESS TO CARE AND REDUCE OVERDOSE DEATHS RELATED TO SUBSTANCE ABUSE BY INCORPORATING THE FOLLOWING: SCREENING FOR SUBSTANCE USE DISORDER TO IDENTIFY, INTERVENE, AND LINK PATIENTS WITH TREATMENT AND SUPPORTIVE RESOURCES; PROVIDE AN INPATIENT CONSULTATIVE TEAM AND PEER RECOVERY SUPPORT PROGRAM WHICH CAN SUCCESSFULLY HELP PATIENTS ESTABLISH A PLAN OF RECOVERY; CONTINUE CRISIS STABILIZATION, MANAGEMENT OF WITHDRAWAL, AND FOLLOW-UP TREATMENT FOR HOSPITALIZED PATIENTS BY TRANSFERRING THE PATIENTS DIRECTLY TO DRUG REHAB WHEN INDICATED; CONTINUE PARTICIPATION IN A NEONATAL ABSTINENCE SYNDROME COLLABORATIVE TO INTERVENE WITH MOTHERS OF DRUG-AFFECTED NEWBORNS, IMPROVE INPATIENT TREATMENT, AND PARTNER TO SUPPORT OUR COMMUNITY TREATMENT PROVIDERS; PROVIDE FREE SUPPORT GROUP AND EDUCATION SERVICES TO FAMILY MEMBERS OF PERSONS WITH ADDICTION.#2 TO IMPROVE ACCESS TO CARE, EARLIER IDENTIFICATION AND TO REDUCE STIGMA OF MENTAL HEALTH BY INCORPORATING THE FOLLOWING: PROVIDE TARGETED MENTAL HEALTH EDUCATION AND SUPPORT GROUPS TO DECREASE STIGMA AND INCREASE AWARENESS OF BEHAVIORAL HEALTH ISSUES; PROVIDE PRACTICAL MENTAL HEALTH EDUCATION AND SUPPORT AT NO COST; PROVIDE CONTINUED INTEGRATION OF BEHAVIORAL HEALTH PROFESSIONALS IN PRIMARY CARE PRACTICES TO HELP SUPPORT DEPRESSION SCREENING, MENTAL HEALTH EVALUATION, CRISIS STABILIZATION, AND LINKAGE; PARTNER TO PROVIDE CASE MANAGEMENT SERVICES TO HELP LINK PATIENTS AT HIGH-RISK FOR A RETURN TO THE ED WITH NEEDED COMMUNITY RESOURCES; PROVIDE EXPEDITED ACCESS TO TIMELY PSYCHIATRY EVALUATION TO AVOID ED VISIT OR HIGHER LEVEL OF CARE WHEN INDICATED.#3 WEIGHT STATUS; REDUCE OBESITY BY INCREASING PHYSICAL ACTIVITY AND EATING A HEALTHY DIET BY INCORPORATING THE FOLLOWING: EXPAND THE CATCH PROGRAM (COORDINATED APPROACH TO CHILD HEALTH) WHICH IS A STANDARDIZED, EVIDENCED-BASED PROGRAM PROVEN TO REDUCE THE RATE OF OBESITY AMONG CHILDREN IN AFTER SCHOOL CLUBS; SPONSOR AND PROMOTE FOUR LARGE COMMUNITY EVENTS CENTERED ON PROMOTION OF PHYSICAL ACTIVITY AND HEALTH; PROVIDE A BI-WEEKLY COMMUNITY WEIGHT LOSS SUPPORT GROUP LED BY A REGISTERED DIETITIAN THAT IS OPEN TO THE PUBLIC AND FREE OF CHARGE; OFFER BMI SCREENING, HEALTH AND NUTRITION INFORMATION AT TWO PUBLIC HEALTH EVENTS WITH A FOCUS ON DIET, NUTRITION AND EXERCISE.#4 WELLNESS; PROMOTE HEALTHY LIFESTYLES WITH HEALTHFUL NUTRITION, EXERCISE, SMOKING CESSATION AND STRESS REDUCTION BY INCORPORATING THE FOLLOWING: OFFER NON-TRADITIONAL, ALTERNATIVE HEALTH INTERVENTIONS THAT HAVE DEMONSTRATED POSITIVE HEALTH BENEFITS; PROVIDE WELLNESS CHECKS AND GENERAL HEALTH SCREENINGS TO PROVIDE PATIENTS WITH UNDERSTANDING OF THEIR HEALTH STATUS; PARTNER WITH LOCAL HEALTH IMPROVEMENT COALITION AND PARTNERS TO PROVIDE THE COMMUNITY-BASED ONE FOR GOOD INITIATIVE WITH FOCUS ON MAKING HEALTHIER FOOD CHOICES, INCREASING PHYSICAL ACTIVITY, STOP SMOKING, AND TAKING MEDICATION AS PRESCRIBED; INCREASE PARTICIPANT AWARENESS TO CONTEMPLATE NEED TO MAKE LIFESTYLE CHANGES; PROVIDE WELLNESS EDUCATION FOR PRACTICAL, APPLICABLE INFORMATION TO CURRENT HEALTH TOPICS, EXERCISE, AND TRENDS; PROVIDE SUPPORT GROUPS THAT COVER A WIDE RANGE OF HEALTH RELATED ISSUES INCLUDING CANCER, STROKE, STRESS AND GRIEF.#5 DIABETES; REDUCE DIABETES DISEASE BURDEN THROUGH PREVENTION, IMPROVED MANAGEMENT, ACCESS TO CARE AND EDUCATION BY INCORPORATING THE FOLLOWING: PROVIDE TARGETED DIABETES EDUCATION TO PATIENTS THROUGH CARE MANAGEMENT SUPPORT DIRECTLY IN PCP OFFICES; PROVIDE THE EVIDENCED-BASED LIVING WELL DIABETES EDUCATION SERIES FOR DISEASE MANAGEMENT IN THE COMMUNITY AT NO COST; COMPLETE INITIAL REQUIREMENTS FOR ESTABLISHMENT OF A NATIONAL DIABETES PREVENTION PROGRAM TO TEACH LIFESTYLE CHANGES AND REDUCE RISK OF DEVELOPING TYPE II DIABETES; CONTINUE TO PROVIDE DIABETES SELF-MANAGEMENT EDUCATION SERVICES; CONTINUE PARTNERSHIP WITH A LOCAL CHURCH AS A "HEALTH HUB" IN AT-RISK NEIGHBORHOODS BY PROVIDING DIET, NUTRITION COUNSELING, HEALTH EDUCATION AND SUPPORT GROUPS THAT ENSURE DIRECT COMMUNICATION WITH A PHYSICIAN.#6 HEART DISEASE AND HYPERTENSION; IMPROVE CARDIOVASCULAR HEALTH THROUGH PREVENTION, MANAGEMENT OF BLOOD PRESSURE AND EARLY IDENTIFICATION OF RISK BY INCORPORATING THE FOLLOWING: CONDUCT BLOOD PRESSURE SCREENINGS AT HEALTH OUTREACH EVENTS, IN CHURCHES AND COMMUNITY NEIGHBORHOODS TO IDENTIFY PERSONS WITH HYPERTENSION, PROVIDE EDUCATION AND REFER TO MEDICAL MANAGEMENT; CONTINUE THE COMMUNITY WIDE BLOOD PRESSURE AWARENESS TO CHANGE THE COMMUNITY CULTURE TO FOCUS ON PERSONAL HEALTH STATUS; SPONSOR HEART HEALTHY ACTIVITIES AND EVENTS THAT PROMOTE HEART HEALTH EDUCATION; PROVIDE TELEHEALTH SUPPORT AND MONITORING TO PERSONS WITH CONGESTIVE HEART FAILURE TO IMPROVE OVERALL MANAGEMENT.AT THE CONCLUSION OF THE CHNA DATA ASSESSMENT IT WAS RECOGNIZED THAT MANY MORE NEEDS WERE IDENTIFIED AND EXIST THAN CAN BE SUCCESSFULLY MET BY THE HOSPITALS ALONE DUE TO LIMITED, FINITE RESOURCES. THE PRIORITIZATION CRITERION AND ASSIGNED WEIGHTS ASSISTED THE COALITION TO NARROW THE FOCUS AND DIRECTLY ADDRESS THE ISSUES THAT WOULD HAVE THE GREATEST IMPACT FOR IMPROVING THE HEALTH OF PEOPLE IN OUR COMMUNITY. WHEN OTHER COMMUNITY ORGANIZATIONS HAVE A MISSION ALIGNED TO MEET THE CHNA NEEDS THAT WERE IDENTIFIED, THE NEED WAS SCORED AS A LOWER PRIORITY FOR MERITUS MEDICAL CENTER, AVOIDING THE DUPLICATION OF EXISTING COMMUNITY SERVICES AND PROVIDING AN OPPORTUNITY TO COORDINATE THE LINKAGE OF PATIENTS TO ALTERNATIVE SERVICES WHENEVER APPROPRIATE. OUR COMMUNITY PROVIDERS ARE USING THE RESULTS OF THE CHNA TO HELP TARGET THESE UNMET NEEDS BASED ON STRENGTHS, EXPERTISE AND RESOURCES OF INDIVIDUAL ORGANIZATIONS, AND WHERE INTERESTS ARE SHARED, NEW COLLABORATIVE RELATIONSHIPS BETWEEN ORGANIZATIONS WILL BE FORMED. A NEW CHNA WILL BE COMPLETED IN FY2022.
PART VI, LINE 3:	FINANCIAL ASSISTANCE IS OFFERED BEFORE, DURING, OR AFTER SERVICES ARE RENDERED AT MMC. MERITUS OFFERS A FINANCIAL ASSISTANCE APPLICATION AND A SELF PAY BROCHURE AT THE POINT OF REGISTRATION. AFTER APPLYING, THE HOSPITAL WILL SEND AN ACKNOWLEDGMENT LETTER TO THE PATIENT WITHIN TWO (2) BUSINESS DAYS AND AN ELIGIBILITY DETERMINATION WILL BE MADE WITHIN THIRTY (30) DAYS.NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE:A. MERITUS MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES WILL BE AVAILABLE THROUGHOUT THE COMMUNITY AND WITHIN MERITUS LOCATIONS.B. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT APPROPRIATE ADMISSION AREAS, THE PATIENT FINANCIAL SERVICES DEPARTMENT, THE ER AND OTHER KEY PATIENT ACCESS AREAS.C. A STATEMENT ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT BILLING STATEMENTS.D. A PLAIN LANGUAGE SUMMARY OF MERITUS' FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS RECEIVING INPATIENT SERVICES WITH THEIR SUMMARY BILL AND IS MADE AVAILABLE TO ALL PATIENTS UPON REQUEST.E. MERITUS' FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE TO PATIENTS UPON REQUEST AT MERITUS, THROUGH MAIL (POSTAL SERVICE), AND ON MERITUS' WEBSITE AT HTTPS://WWW.MERITUSHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-ASISTENCIA-FINANCIERAF. MERITUS' FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE IN SPANISH.G. ON AN ANNUAL BASIS, MERITUS SHALL ASSESS THE NEEDS OF OUR LIMITED ENGLISH PROFICIENCY COMMUNITY AND DETERMINE WHETHER ADDITIONAL TRANSLATIONS ARE NEEDED.H. MMC EMPLOYS AN ON-SITE WASHINGTON COUNTY SOCIAL WORKER THAT SCREENS AND NOTIFIES PATIENTS AND POTENTIAL PATIENTS OF THEIR ELIGIBILITY FOR ALL PUBLIC ASSISTANCE PROGRAMS OFFERED BY THE COUNTY, STATE AND FEDERAL GOVERNMENTS. MMC HAS POLICIES INCLUDING FINANCIAL ASSISTANCE, BILLING AND COLLECTIONS AND EMERGENCY CARE THAT ENSURE COMPLIANCE WITH THE LEGISLATION OF SECTION 501(R).
PART VI, LINE 4:	MMC IS LOCATED AT THE CROSSROADS OF WESTERN MARYLAND, SOUTHERN PENNSYLVANIA, AND THE EASTERN PANHANDLE OF WEST VIRGINIA. THE HOSPITAL HAS COMMITTED TO CARING FOR THE COMMUNITY FOR MORE THAN A CENTURY. MMC, A JOINT COMMISSION ACCREDITED, NOT-FOR-PROFIT, STATE-OF-THE-ART HOSPITAL, IS THE FLAGSHIP FACILITY OF THE ORGANIZATION. IT RECEIVED ITS FIRST MAGNET RECOGNITION IN APRIL 2019 TO RECEIVE PROFESSIONAL NURSING S HIGHEST HONOR. THE HOSPITAL OFFICIALLY ADDED TEACHING TO ITS LIST OF SERVICES WITH THE INTRODUCTION OF THE MERITUS FAMILY MEDICINE RESIDENCY PROGRAM IN JULY 2019. THE PROGRAM IS AN ACGME ACCREDITED GRADUATE MEDICAL EDUCATION INITIATIVE AND THE ONLY ONE OF ITS KIND OF WESTERN MARYLAND. MMC DIRECTLY LINKS TO ROBINWOOD PROFESSIONAL CENTER, CREATING A ONE-MILLION SQUARE-FOOT COMBINED CAMPUS, WHICH IS ONE OF THE LARGEST HEALTH SERVICES FOOTPRINTS IN THE REGION. THE HOSPITAL'S EMERGENCY DEPARTMENT IS A LEVEL III TRAUMA CENTER AND EMS BASE STATION AS DESIGNATED BY THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS OR MIEMSS AND ITS CARDIAC CATH LAB, STROKE AND REHABILITATION PROGRAMS HAVE ALL RECEIVED RECOGNITION FOR COMPREHENSIVE, QUALITY CARE AND SERVICE.
PART VI, LINE 5:	MMC BELIEVES THAT HEALTHCARE IS NOT JUST FOR PEOPLE WHEN THEY ARE SICK OR INJURED. THROUGH MANY AVENUES, WE REACH OUT TO THE COMMUNITY AND OFFER WAYS TO HELP YOU STAY HEALTHY. ONE EXAMPLE IS THE COLLABORATION WITH THE HERALD-MAIL, MMC AND WASHINGTON COUNTY PUBLIC SCHOOLS KNOWN AS "HEALTHY WASHINGTON COUNTY". THE GOAL OF HEALTHY WASHINGTON COUNTY IS TO EDUCATE AS MANY ADULTS IN THE REGION AS POSSIBLE ABOUT THE IMPORTANCE OF UNDERSTANDING YOUR OWN PERSONAL HEALTH NUMBERS AND WHAT THEY MEAN FOR YOUR OVERALL HEALTH STATUS.THE MEDICATION ASSISTANCE CENTER (MAC) PROVIDES ACCESS TO FREE OR REDUCED-COST PRESCRIPTION DRUGS TO LOW-INCOME OR CHRONICALLY ILL PATIENTS WITH NO PRESCRIPTION INSURANCE. THE CENTER SERVES SOME 3,400 RESIDENTS OF WASHINGTON COUNTY AND THOSE WHO ARE TREATED BY PHYSICIANS LOCATED IN WASHINGTON COUNTY OR AT MMC. SINCE 2000, MMC HAS PROVIDED THIS SERVICE FREE OF CHARGE.MEDICAL SCREENINGS KEEP OUR COMMUNITY HEALTHY AND ARE HELD THROUGHOUT THE YEAR. FREE VASCULAR, BLOOD PRESSURE, AND OTHER SCREENINGS ARE HELD AT MMC, THE WALNUT STREET HEALTH FAIR, AND OTHER COMMUNITY EVENTS.THE MAKE A DIFFERENCE BREAST CANCER PROGRAM IS A BREAST CANCER OUTREACH, EDUCATION AND SCREENING PROJECT THAT PROVIDE SERVICES TO UNINSURED AND UNDERINSURED WOMEN OF WASHINGTON COUNTY AND THE TRI-STATE AREA. THE PROGRAM IS FUNDED BY A GRANT FROM THE MARYLAND AFFILIATE OF SUSAN G. KOMEN FOR THE CURE, MMC'S JOHN R. MARSH CANCER CENTER, WASHINGTON COUNTY HEALTH DEPARTMENT'S BREAST AND CERVICAL CANCER PROGRAM (BCCP), BREAST CANCER AWARENESS - CUMBERLAND VALLEY (BCA-CV) AND DIAGNOSTIC IMAGING SERVICES.OUR FINANCIAL ASSISTANCE PROGRAM SERVES MMC PATIENTS WHO ARE UNABLE TO PAY ALL OR PART OF THEIR MEDICAL BILLS. IMPROVING HEALTHCARE ACCESS TO THOSE WITH LIMITED INCOMES AND RESOURCES IS AN IMPORTANT PART OF MMC'S MISSION.THE YOUR HEALTH MATTERS PROGRAM USES MAGAZINE, RADIO AND NEWSLETTERS TO KEEP THE PUBLIC INFORMED OF MMC-SPONSORED COMMUNITY WORKSHOPS, SUPPORT GROUPS, CLASSES - AND OFFERS TIPS ON LIVING A HEALTHIER LIFE.SPRING THROUGH FALL OUR FARMERS'S MARKET PRESENTS THE PUBLIC WITH HEALTHY FOOD CHOICES AND GIVES LOCAL FARMERS AN OPPORTUNITY TO MARKET THEIR FRESH PRODUCE.55 AND UP IS FOR PEOPLE AGE 55 AND OLDER WHO ENJOY LEARNING ABOUT HEALTH-RELATED TOPICS OVER LUNCH. THE GROUP MEETS WITH PHYSICIANS AND HEALTHCARE PROFESSIONALS ONCE A MONTH TO UNDERSTAND HEALTH TOPICS OF INTEREST.PARISH NURSING, OR FAITH COMMUNITY NURSING, ENCOURAGES PARISHIONERS OF ALL AGES AND FAITHS TO BECOME ACTIVE PARTNERS IN THE MANAGEMENT OF THEIR HEALTH. PARISH NURSES ACT AS A VITAL LINK BETWEEN THE FAITH AND MEDICAL COMMUNITIES.THE SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) PROGRAM IS A COMPREHENSIVE AND COMPASSIONATE APPROACH TO THE TREATMENT OF VICTIMS OF SEXUAL ASSAULT AND ABUSE. MMC'S SAFE PROGRAM USES TRAINED AND CERTIFIED SAFE EXAMINERS TO PROVIDE SPECIALIZED MEDICAL CARE, EVIDENCE COLLECTION, AND EMOTIONAL SUPPORT TO VICTIMS OF SEXUAL ASSAULT.EACH YEAR MMC EMPLOYEES CONTRIBUTE TIME AND MONEY TO IMPROVE THE WELL-BEING OF OUR FRIENDS AND NEIGHBORS. FUNDRAISING CAMPAIGNS LIKE THE UNITED WAY, MARCH OF DIMES, AND THE WALK TO END ALZHEIMERS INSPIRE OUR HEALTHCARE PROFESSIONALS TO GIVE BACK TO CAUSES NEAR TO THEIR HEARTS AND PROFESSIONS. DURING THE HOLIDAY SEASON, OUR PHYSICIANS AND EMPLOYEES MAKE AND DELIVER HOT MEALS FOR AREA FAMILIES AND SENIORS THROUGH OUR LEND-A-HAND EVENT. CANCER CONTINUES TO BE THE SECOND LEADING CAUSE OF DEATH FOR WASHINGTON COUNTY RESIDENTS. MERITUS MEDICAL CENTER WILL CONTINUE INVESTMENT IN THE CANCER SERVICE PROGRAMS TO INCLUDE THE DEVELOPMENT OF THE MERITUS HEMATOLOGY ONCOLOGY SPECIALISTS PRACTICE, PROVIDING FOUR REGISTERED NURSE CLINICAL NAVIGATORS, ADDING REGISTERED DIETITIAN SERVICES, AND INITIATING THE HOPE SOARS SURVIVORSHIP PROGRAM AS A SUPPORT TO PATIENTS IN RECOVERY.THE JOHN R. MARSH CANCER CENTER, ACCREDITED WITH COMMENDATION BY THE COMMISSION ON CANCER, IS PART OF COMPREHENSIVE CANCER SERVICES THAT INCLUDE SCREENINGS, DIAGNOSIS, TREATMENT AND RECOVERY. A PART OF THE MMC COMMITMENT TO OFFER PATIENTS EXPERT CARE, CLOSE TO HOME, IS MERITUS MEDICAL GROUP, A MEDICAL NEIGHBORHOOD OF PRIMARY AND SPECIALTY CARE PRACTICES, PROVIDING A FULL SPECTRUM OF OUTPATIENT SERVICES FROM A TEAM OF MORE THAN 100 HEALTH CARE PROFESSIONALS LOCATED THROUGHOUT THE COMMUNITY.
PART VI, LINE 7:	STATES FILING COMMUNITY BENEFIT REPORTMD

Schedule H (Form 990) 2020

Additional Data

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- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
MERITUS MEDICAL CENTER INC

Employer identification number
52-0607949

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant
(1) HSCRC NURSING GRANT	15	369,067
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

THE HSCRC GRANT PROVIDES MONEY TO EMPLOYEES OF THE HOSPITAL WHO ARE ENROLLED IN THE HAGERSTOWN COMMUNITY COLLEGE NURSING PROGRAM. THE GRANT PROGRAM PAYS FOR ALL OF THE STUDENT'S TUITION, BOOKS, AND FEES WITH AN AGREEMENT THAT UPON GRADUATION THE STUDENT WILL WORK FOR THE HOSPITAL AS A REGISTERED NURSE. THE GRANT ALSO PROVIDES MONIES FOR REGISTERED NURSES WHO ARE WORKING ON THEIR MSN IN EDUCATION. EACH AWARD RECIPIENT WILL BE REQUIRED TO SIGN A SERVICE CARD AGREEMENT WITH THE MERITUS MEDICAL CENTER. THE LENGTH OF PAYBACK WILL BE ONE YEAR OF SERVICE (EQUIVALENT TO 2,080 HOURS OF SERVICE) FOR EACH YEAR OF THE GRANT YOU RECEIVE. THE PROGRAM IS FIVE SEMESTERS LONG AND MOST RECIPIENTS WILL OWE 4,160 HOURS.

Schedule I (Form 990) 2020

Additional Data

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- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MAULIK JOSHI DR PH PRESIDENT & CEO	(i) (ii)	687,686 ------------- 0	200,000 ------------- 0	167,950 ------------- 0	158,926 ------------- 0	27,839 ------------- 0	1,242,401 ------------- 0	0 ------------- 0
2HEMANT CHATRATH MD PHYSICIAN	(i) (ii)	703,824 ------------- 0	367,339 ------------- 0	23,034 ------------- 0	51,825 ------------- 0	8,378 ------------- 0	1,154,400 ------------- 0	0 ------------- 0
3ALI AKMAL PHYSICIAN	(i) (ii)	731,838 ------------- 0	0 ------------- 0	0 ------------- 0	51,825 ------------- 0	27,087 ------------- 0	810,750 ------------- 0	0 ------------- 0
4THOMAS T CHAN CFO/TREASURER	(i) (ii)	425,158 ------------- 0	186,872 ------------- 0	48,416 ------------- 0	98,140 ------------- 0	18,906 ------------- 0	777,492 ------------- 0	32,416 ------------- 0
5FRANK COLLINS MD PHYSICIAN	(i) (ii)	652,251 ------------- 0	515 ------------- 0	17,711 ------------- 0	38,825 ------------- 0	20,877 ------------- 0	730,179 ------------- 0	0 ------------- 0
6VICTORIA GIFFI MD PHYSICIAN	(i) (ii)	421,747 ------------- 0	219,472 ------------- 0	0 ------------- 0	30,492 ------------- 0	561 ------------- 0	672,272 ------------- 0	0 ------------- 0
7MICHAEL MCCORMACK MD PHYSICIAN	(i) (ii)	595,644 ------------- 0	0 ------------- 0	0 ------------- 0	37,847 ------------- 0	17,031 ------------- 0	650,522 ------------- 0	0 ------------- 0
8BROOKE BUCKLEY FORMER CMO	(i) (ii)	92,217 ------------- 0	103,000 ------------- 0	438,120 ------------- 0	9,852 ------------- 0	4,401 ------------- 0	647,590 ------------- 0	9,587 ------------- 0
9CAROLYN M SIMONSEN EXECUTIVE VP (THRU 12/2020)	(i) (ii)	416,377 ------------- 0	155,286 ------------- 0	0 ------------- 0	54,423 ------------- 0	11,739 ------------- 0	637,825 ------------- 0	0 ------------- 0
10DOUGLAS SPOTTS MD CHIEF HEALTH OFFICER	(i) (ii)	364,979 ------------- 0	152,526 ------------- 0	0 ------------- 0	91,117 ------------- 0	28,204 ------------- 0	636,826 ------------- 0	0 ------------- 0
11MELANIE HEUSTON CNO & CHIEF PT SVC OFFICER	(i) (ii)	329,778 ------------- 0	148,074 ------------- 0	0 ------------- 0	86,714 ------------- 0	24,422 ------------- 0	588,988 ------------- 0	0 ------------- 0
12CARRIE ADAMS CHIEF QUALITY/TRANSFORM OFFICER	(i) (ii)	293,078 ------------- 0	129,562 ------------- 0	0 ------------- 0	56,222 ------------- 0	22,839 ------------- 0	501,701 ------------- 0	0 ------------- 0
13JASON COLE VICE PRESIDENT/CIO	(i) (ii)	266,235 ------------- 0	121,130 ------------- 0	0 ------------- 0	74,699 ------------- 0	28,200 ------------- 0	490,264 ------------- 0	0 ------------- 0
14DAVID HOPE VP PHYSICIAN SERVICES	(i) (ii)	243,833 ------------- 0	106,846 ------------- 0	0 ------------- 0	58,330 ------------- 0	27,127 ------------- 0	436,136 ------------- 0	0 ------------- 0
15LAURIE BENDER CHIEF COMPLIANCE OFFICER	(i) (ii)	205,024 ------------- 0	88,439 ------------- 0	2,948 ------------- 0	73,664 ------------- 0	25,026 ------------- 0	395,101 ------------- 0	0 ------------- 0
16LAURA MINTEER VP HUMAN RESOURCES	(i) (ii)	237,440 ------------- 0	102,674 ------------- 0	0 ------------- 0	29,332 ------------- 0	13,672 ------------- 0	383,118 ------------- 0	0 ------------- 0
17JOSHUA REPAC VP REV CYCLE & CLIN SUPP SVCS	(i) (ii)	260,885 ------------- 0	29,144 ------------- 0	0 ------------- 0	52,246 ------------- 0	26,213 ------------- 0	368,488 ------------- 0	0 ------------- 0
18AARON GEORGE MD CMO	(i) (ii)	284,691 ------------- 0	0 ------------- 0	0 ------------- 0	54,338 ------------- 0	8,300 ------------- 0	347,329 ------------- 0	0 ------------- 0
19ANTHONY SHAVER VP SUPPORT SERVICES	(i) (ii)	189,228 ------------- 0	87,458 ------------- 0	16,572 ------------- 0	25,491 ------------- 0	1,814 ------------- 0	320,563 ------------- 0	16,572 ------------- 0
20LYNN HAINES VP, LEGAL SERVICES/SECRETARY	(i) (ii)	167,683 ------------- 0	16,550 ------------- 0	0 ------------- 0	32,006 ------------- 0	23,371 ------------- 0	239,610 ------------- 0	0 ------------- 0
21JOSEPH ROSS FORMER CEO	(i) (ii)	165 ------------- 0	0 ------------- 0	223,438 ------------- 0	0 ------------- 0	0 ------------- 0	223,603 ------------- 0	0 ------------- 0
22STEPHEN NELSON FORMER SECRETARY (THRU 03/2020)	(i) (ii)	75,532 ------------- 0	0 ------------- 0	26,980 ------------- 0	7,728 ------------- 0	4,815 ------------- 0	115,055 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	MMC PROVIDED RELOCATION EXPENSES WHICH ARE APPROVED IN ADVANCE BY THE EXECUTIVE COMMITTEE AS PART OF THE COMPENSATION ANALYSIS. THE FOLLOWING INDIVIDUALS RECEIVED REIMBURSEMENT FOR RELOCATION EXPENSES WHICH WERE CONSIDERED PART OF THEIR TAXABLE WAGES: MAULIK JOSHI $167,950.
PART I, LINES 4A-B	SCHEDULE J, PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEPARATION PAY DURING THE REPORTING PERIOD: JOSEPH ROSS $223,438 BROOKE BUCKLEY $412,000 SCHEDULE J, PART I, LINE 4B: SEVERAL OFFICERS ARE PARTICIPANTS IN A 457F PLAN THAT WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD OF DIRECTORS. FOR THE CURRENT YEAR, THE FOLLOWING AMOUNTS WERE DEFERRED BY MMC AND ARE NOT SUBSTANTIALLY VESTED AND SUBJECT TO CREDITOR CLAIMS AND FORFEITURES: THOMAS CHAN $42,560, AARON GEORGE $28,538, LAURIE BENDER $20,912, CARRIE ADAMS $29,690, JASON COLE $27,112, JOSHUA REPAC $26,756, LYNN HAINES $17,181, MELANIE HEUSTON $33,322, DAVID HOPE $25,290, MAULIK JOSHI $100,601 AND DOUGLAS SPOTTS $36,882. THE FOLLOWING RECEIVED 457F DISTRIBUTIONS: BROOKE BUCKLEY $9,587, THOMAS T. CHAN $32,416, ANTHONY SHAVER $16,572.
PART I, LINE 7	INCENTIVE BASED COMPENSATION IS DETERMINED BY AGREED UPON INDIVIDUAL AND CORPORATE GOALS BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD. EXECUTIVE COMPENSATION IS PREDETERMINED AT THE BEGINNING OF THE FISCAL YEAR BY THE EXECUTIVE COMMITTEE WITH THE HELP OF INDEPENDENT CONSULTANTS USING BENCHMARKED INFORMATION TO ENSURE MARKET COMPETITIVENESS ON AN ANNUAL BASIS. TOTAL COMPENSATION RECEIVED BY EACH INDIVIDUAL IS REVIEWED FOR REASONABLENESS BY THOSE TASKED WITH GOVERNANCE PRIOR TO ALL DISTRIBUTIONS.
SCHEDULE J, PART III:	CERTAIN MERITUS EXECUTIVES RECEIVE TAXABLE FRINGE BENEFITS, SUCH AS EXECUTIVE LIFE INSURANCE AND CAR ALLOWANCES. THE VALUE OF THESE TAXABLE FRINGE BENEFITS ARE INCLUDED IN FORM W-2 WAGES. TOTAL COMPENSATION OF ALL EXECUTIVES IS ADJUSTED TO MARKET COMPETITIVENESS, REVIEWED TO ENSURE REASONABLENESS, AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD. THE EXECUTIVE COMMITTEE OF THE MMC BOARD, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS ON AN ANNUAL BASIS THE FOLLOWING AS IT RELATES TO THE COMPENSATION OF THE CEO AND OTHER KEY EXECUTIVES: 1) ANNUAL PERFORMANCE EVALUATIONS OF THE CEO AND EXECUTIVES; 2) ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN ACHIEVEMENT OF STRATEGIC AND INDIVIDUAL INCENTIVE GOALS; 3) MARKET DATA PRESENTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT; AND 4) BASE SALARY AND INCENTIVE RECOMMENDATIONS. THE INDEPENDENT THIRD PARTY CONSULTANT CONDUCTS AND PRESENTS A REASONABLENESS REVIEW OF BOTH BASE SALARY AND TOTAL COMPENSATION FOR THE CEO AND KEY EXECUTIVES. THE COMMITTEE DISCUSSES, DELIBERATES AND APPROVES BASE SALARY AND INCENTIVE COMPENSATION RECOMMENDATIONS. RESULTS ARE REPORTED TO THE MMC BOARD. POSITIONS REVIEWED IN AUGUST OF 2020 FOR FY21 WERE: PRESIDENT AND CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF HEALTH OFFICER, CHIEF NURSING & PATIENT CARE SERVICES OFFICER, CHIEF MEDICAL OFFICER, CHIEF STRATEGY OFFICER, CHIEF QUALITY & TRANSFORMATION OFFICER, VP & CHIEF INFORMATION OFFICER, VP REVENUE CYCLE & CLINICAL SUPPORT SERVICES, VP PHYSICIAN SERVICES, CHIEF COMPLIANCE OFFICER, VP LEGAL SERVICES, AND VP HUMAN RESOURCES (VACANT).

Schedule J (Form 990) 2020

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
MERITUS MEDICAL CENTER INC

Employer identification number
52-0607949

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MD HITH & HID ED FAC AUT	52-0936091	574218YA5	07-09-2015	272,718,190	REFUND O/S BONDS/CONS PROJECTS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	22,105,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	272,760,434
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	252,565,608
7 Issuance costs from proceeds ...............	180,518
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	20,014,308
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........	X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.010 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.010 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MD HITH & HID ED FAC AUT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2021
PART II, LINE 3, COLUMN A	THE DIFFERENCE BETWEEN THE ISSUE PRICE OF THE BONDS AND THE TOTAL PROCEEDS OF THE ISSUE IS INVESTMENT EARNINGS IN THE AMOUNT OF $42,244.

Schedule K (Form 990) 2020

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Return Reference	Explanation
PART I, LINE 6	MERITUS MEDICAL CENTER RECEIVES VOLUNTEERS THAT ARE RECRUITED BY THE MERITUS MEDICAL CENTER AUXILIARY, INC. ("AUXILIARY"). THE MISSION OF THE AUXILIARY IS TO COOPERATE AND ASSIST IN THE WORK OF MMC BY PROMOTING MMC'S WORK IN THE COMMUNITY AND SUPPLEMENTING THE WORK OF THE STAFF OF MMC.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	MISSION MMC EXISTS TO IMPROVE THE HEALTH STATUS OF OUR REGION BY PROVIDING COMPREHENSIVE HEALTH SERVICES TO PATIENTS AND FAMILIES. VISION MMC WILL RELENTLESSLY PURSUE EXCELLENCE IN QUALITY, SERVICE AND PERFORMANCE. VALUES OUR CULTURE IS DRIVEN BY A SET OF VALUES THAT FOCUS ON THE PATIENT AND FAMILY FIRST: RESPECT, INTEGRITY, SERVICE, EXCELLENCE AND TEAMWORK. CULTURAL ATTRIBUTES MMC FOSTERS A COMPASSIONATE HEALING ENVIRONMENT THROUGH A CULTURE OF TEAM TRUST, PATIENT-CENTERED CARE, FOCUSING ON QUALITY AND SAFETY, WHILE PROMOTING JOY AT WORK. 2030 BOLD GOALS THE MMC STRATEGIC PLAN HAS BOLD GOALS TO BE ACHIEVED BY 2030. UTILIZING THE QUADRUPLE AIM FRAMEWORK, THE 2030 BOLD GOALS WERE CREATED TO IMPROVE THE HEALTH IN OUR COMMUNITY, IMPROVE HEALTH CARE, HAVE JOY AT WORK, AND MEDICAL CARE THAT IS AFFORDABLE FOR OUR COMMUNITY. WHILE MERITUS HEALTH CONTINUES TO CARE FOR PATIENTS STRICKEN WITH COVID-19, WE ARE ALSO EQUALLY DEDICATED TO OUR 2030 BOLD GOALS - THE RELENTLESS PURSUIT OF EXCELLENCE, TO IMPROVE THE HEALTH STATUS OF OUR REGION AND TO FOCUS ON A COMMITMENT AND CONTRIBUTION TO OUR COMMUNITY.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	MMC PARTICIPATES IN A VARIETY OF ACTIVITIES THAT FOCUS ON THE WELL-BEING OF THE PATIENTS, INCLUDING COMMITTEES AND TEAMS THAT EVALUATE PROGRESS IN THE AREAS OF QUALITY PATIENT CARE, PATIENT SAFETY, AND PROFESSIONAL DEVELOPMENT. MANY STAFF MEMBERS PROVIDE OUTREACH TO THE COMMUNITY THROUGH EDUCATIONAL OFFERINGS WHICH HAVE BEEN IDENTIFIED BY A SURVEY OF COMMUNITY HEALTH EDUCATION NEEDS. AS A TAX-EXEMPT HOSPITAL, MMC CONTRIBUTES FUNDS TO HELP MANY PEOPLE WHO MIGHT NOT BE ABLE TO AFFORD THEIR HEALTHCARE. THESE DOLLARS ARE USED TO PROVIDE FREE, REDUCED-COST, OR SUBSIDIZED SERVICES TO MANY INDIVIDUALS IN THE COMMUNITY. IT'S A COLLABORATIVE EFFORT INVOLVING NUMEROUS AREAS OF THE HEALTH SYSTEM IN ACTIVITIES SUCH AS HEALTH EDUCATION AND OUTREACH, SCREENINGS, PROGRAMS, AND EVENTS, AS WELL AS HELPING INDIVIDUALS OBTAIN PRESCRIPTION MEDICATIONS, ACCESS TO NEEDED SERVICES, AND EVEN TRANSPORTATION TO HEALTHCARE APPOINTMENTS. MMC IS GOVERNED BY A LOCAL BOARD OF DIRECTORS MADE UP ENTIRELY OF VOLUNTEERS. IN ADDITION TO ATTENDING BIMONTHLY MEETINGS TO DETERMINE THE DIRECTION THAT MMC WILL TAKE, THE BOARD MEMBERS, WHO ARE COMMUNITY AND BUSINESS LEADERS AS WELL AS PHYSICIANS, SERVE ON VARIOUS COMMITTEES, INCLUDING QUALITY & SAFETY, FINANCE, AUDIT AND BUSINESS INTEGRITY, EXECUTIVE, GOVERNANCE, AND STRATEGIC PLANNING. THE BOARD AND ITS COMMITTEES ENSURE THAT MMC COMPLIES WITH STATE AND FEDERAL REQUIREMENTS, WHILE KEEPING THE ORGANIZATION'S MISSION OF PROVIDING QUALITY CARE FRONT AND CENTER. BY WORKING TOGETHER TOWARD THIS GOAL, THE BOARD MEMBERS CREATE POLICIES AND PROCEDURES THAT HELP DELIVER RESULTS. MMC, AN ACUTE CARE HOSPITAL, HAS 277 SINGLE-PATIENT ROOMS, ALONG WITH THE MOST ADVANCED TECHNOLOGIES AVAILABLE. MMC OFFERS A VARIETY OF SPECIALIZED SERVICES TO MEET THE HEALTHCARE NEEDS OF THE REGION. MERITUS CANCER SERVICES INCLUDES STATE-OF-THE-ART CANCER CARE FACILITIES AND A DEDICATED CANCER CARE TEAM, THAT ARE EQUIPPED TO PROVIDE PATIENTS AND FAMILIES WITH THE COMPASSIONATE SUPPORT THAT IS NEEDED. THE BOARD CERTIFIED PHYSICIANS BRING YEARS OF EXPERIENCE, ACADEMIC ACHIEVEMENTS, AND NATIONAL RESEARCH TO THE COMMUNITY. THE FOUR SERVICE CENTERS INCLUDE THE JOHN R. MARSH CANCER CENTER, MERITUS HEMATOLOGY AND ONCOLOGY SPECIALISTS, MERITUS CENTER FOR BREAST HEALTH, AND MERITUS GYNECOLOGIC ONCOLOGY CENTER. THE CANCER SERVICES PROVIDED INCLUDE IMAGING AND DIAGNOSTIC SERVICES, GENETIC COUNSELING, RADIATION THERAPY, COUNSELING AND SUPPORT GROUPS, REHABILITATION, LABORATORY SERVICES, SURGICAL SERVICES, CHEMOTHERAPY SERVICES, PHARMACY SERVICES, AND SURVIVORSHIP PROGRAMS. AS A LEVEL III TRAUMA SERVICE, MMC OFFERS TWENTY-FOUR HOUR A DAY, SEVEN DAYS A WEEK ACCESS TO TRAUMA SURGEONS, NEUROSURGEONS, AND ORTHOPEDIC SURGEONS, AS WELL AS A SPECIALIZED TRAUMA TEAM AND CONSULTING PHYSICIANS. EACH YEAR MORE THAN 72,000 PATIENTS ARRIVE AT MERITUS MEDICAL CENTER'S EMERGENCY DEPARTMENT WITH LIFE-THREATENING CONDITIONS LIKE HEART ATTACKS, STROKES, BURNS, PENETRATING INJURIES AND ACUTE ALLERGIC REACTIONS. THE VISION OF THE NURSING DEPARTMENT AT MMC IS TO BE A DYNAMIC FORCE IN THE ADVANCEMENT OF NURSING PRACTICE AND AN ADVOCATE FOR THE PROMOTION OF QUALITY HEALTHCARE FOR ALL. THEIR MISSION IS TO FOSTER THE DEVELOPMENT AND ADVANCEMENT OF NURSING PRACTICE AND TO WORK TO ACHIEVE QUALITY HEALTHCARE FOR ALL. THEY BELIEVE THAT THE EXCELLENCE OF CARE FOR PATIENTS AND FAMILIES MATTER THE MOST AND THAT SUPERIOR CUSTOMER SERVICE AND CONSTANT INNOVATION SUSTAINS EXCELLENCE. SOME OF THE ENHANCEMENTS AND ACHIEVEMENTS IN NURSING FOR THIS CURRENT FISCAL YEAR ARE AS FOLLOWS: - DEVELOPMENT AND IMPLEMENTATION OF AN EVIDENCE-BASED PNEUMONIA PREVENTION BUNDLE TO REDUCE HOSPITAL ACQUIRED PNEUMONIA. - COMPLETION OF QUANTITATIVE RESEARCH STUDY FOCUSED ON IMPROVING NURSES' PERCEPTIONS OF WRITING ABILITY AND INCREASING PUBLICATIONS. - NURSE INVOLVEMENT IN THE DESIGN AND IMPLEMENTATION OF THE REGIONAL INFECTION CONTAINMENT UNIT TO CARE FOR COVID-19 PATIENTS. - IMPROVED PROCESSES TO REDUCE SURGICAL SITE INFECTION, INCLUDING OPENING OF A PRE-OPERATIVE READINESS CLINIC, IMPLEMENTATION OF ENHANCED RECOVERY AFTER SURGERY (ERAS) ELEMENTS (SMOKING CESSATION, NUTRITION, ACTIVITY), REVISED PATIENT EDUCATION BOOKLET, AND PROCESS FOR PRE-OPERATIVE SKIN PREPARATION. - CROSS TRAINING OF STAFF TO CHANGING PATIENT CARE NEEDS DURING THE COVID-19 PANDEMIC. ADDITIONAL EDUCATION AND TRAINING WERE PROVIDED TO MULTIPLE UNITS TO ALLOW MORE NURSES TO PROVIDE CARE TO INTERMEDIATE AND INTENSIVE CARE PATIENTS. - SEPSIS ESCAPE ROOM PROVIDED A FUN, UNIQUE LEARNING OPPORTUNITY FOR NURSES TO IMPROVE SEPSIS SCREENING, TREATMENT, AND PREVENTION. - NEW PROFESSIONAL ADVANCEMENT PROGRAM DESIGNED BASED ON THE QUALITY AND SAFETY FOR NURSING EDUCATION (QSEN) FRAMEWORK BY THE PROFESSIONAL DEVELOPMENT COUNCIL. - DIVERSITY NURSING COMMITTEE INITIATED WITH MEMBERS ASSISTING IN VACCINATION EDUCATION CAMPAIGN IN THE COMMUNITY AND INITIATING A MENTOR PROGRAM TO HELP NEWLY HIRED NURSES OF DIVERSE BACKGROUNDS TRANSITION SUCCESSFULLY DURING THEIR FIRST YEAR. - SUCCESSFUL IMPLEMENTATION OF THE IHI 4M (MENTATION, MOBILITY, WHAT MATTERS MOST, AND MEDICATIONS). - LDRP IMPLEMENTED QUALITY IMPROVEMENT INITIATIVES TO INCREASE BREAST FEEDING EXCLUSIVITY. - OPENING OF REGIONAL INFUSION CENTER FOR COVID-19 PATIENTS. - SCHOOL HEALTH NURSES SUPPORT OF THE COVID-19 VACCINATION CLINIC - INITIATIVES TO HELP NURSES AND ALL EMPLOYEES PREVENT OR REDUCE COMPASSION FATIGUE 5 OASIS ROOMS, "FILL YOUR CUP" EDUCATION, AND DEBRIEFING SESSIONS FOR STAFF. THE CARDIAC CATHETERIZATION LAB HAS FOCUSED ON BRINGING THE VERY BEST IN CARDIAC SERVICES TO THE COMMUNITY. SERVICES IN CARDIAC SCREENING, DIAGNOSIS, INTERVENTION, AND REHABILITATION ARE OFFERED. MMC HAS INVESTED IN THE MOST UP-TO-DATE TECHNOLOGIES TO ASSIST PHYSICIANS IN DIAGNOSING AND TREATING HEART DISEASE. THE BOARD-CERTIFIED CARDIOLOGISTS AND INTERVENTIONAL CARDIOLOGISTS OFFER PATIENTS A HIGHLY SPECIALIZED EXPERIENCE IN STRUCTURAL HEART DISEASE AND ELECTRICAL HEART MALFUNCTIONS. THEY ARE SUPPORTED BY A TEAM OF HIGHLY-TRAINED NURSES AND TECHNICIANS. THE CENTER FOR JOINT REPLACEMENT OFFERS A COMPREHENSIVE PROGRAM THAT INCLUDES PRE- AND POSTOPERATIVE THERAPY AS WELL AS THE ACTUAL SURGERY. THE PROGRAM HAS CLEARLY DEMONSTRATED A DECREASED LENGTH OF HOSPITAL STAY AND IMPROVED RECOVERY RATES. MORE THAN 6,600 PEOPLE HAVE COME TO MMC FOR HIP, KNEE, SHOULDER, AND FINGER JOINT REPLACEMENTS, AS WELL AS HIP RESURFACING AND CARTILAGE REPLACEMENT. THE FAMILY BIRTHING CENTER IS A SPECIAL PLACE WHERE SINGLE-ROOM MATERNITY CARE PROVIDES PRIVACY AND FAMILY BONDING. THE ROOM IS EQUIPPED FOR LABOR, DELIVERY, POSTPARTUM, AND NEWBORN CARE. THE SPECIAL CARE NURSERY ALLOWS BABIES BORN AS EARLY AS 32 WEEKS GESTATION TO BE TREATED AT MMC. THE HOME HEALTH CARE SERVICES COVER THE FULL SPECTRUM OF CARE, RANGING FROM SKILLED NURSING TO ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING. THEY CAN ALSO HELP WITH MEDICATION MANAGEMENT ISSUES. TOTAL REHAB CARE IS A COMPREHENSIVE SERVICE PROVIDING A FULL RANGE OF REHABILITATION PROGRAMS, INCLUDING PEDIATRIC SERVICES, TRAUMATIC BRAIN INJURY REHAB, OUTPATIENT THERAPIES, INPATIENT JOINT REPLACEMENT, OCCUPATIONAL REHABILITATION, AND SUPPORT GROUPS. SKILLED PHYSICIANS, NURSES, AND THERAPISTS DEVELOP INDIVIDUALIZED TREATMENT PLANS FOR EVERY PATIENT. THE WEIGHT LOSS CLINIC OFFERS BARIATRIC SURGERY WHICH INCLUDES THE MOST COMMON PROCEDURES OF GASTRIC BYPASS AND ADJUSTABLE GASTRIC BANDING. THIS CAN BE A TREATMENT FOR THE LIFELONG CONDITION OF MORBID OBESITY. THE WOUND CENTER CARE IS CUSTOMIZED TO EACH PATIENT'S UNIQUE SITUATION TO PROMOTE THE HEALING PROCESS. THE WOUND CENTER TEAM SPECIALIZES IN DIABETIC FOOT AND LEG ULCERS, BONE INFECTIONS, AND PREPARATION AND PRESERVATION OF SKIN GRAFTS, CRASH INJURIES, AND THERMAL BURNS. MERITUS BEHAVIORAL HEALTH IS A COMPREHENSIVE NETWORK OF INTEGRATED PROGRAMS AND SERVICES FOR ALL PEOPLE EXPERIENCING BEHAVIORAL HEALTH PROBLEMS TO HELP MINIMIZE HOSPITALIZATIONS, STABILIZE AND MANAGE BEHAVIORAL HEALTH SYMPTOMS AND HELP PEOPLE ACHIEVE THE HIGHEST POSSIBLE LEVEL OF SUCCESSFUL FUNCTIONING IN THEIR COMMUNITY. IN THE REGION, MERITUS BEHAVIORAL HEALTH IS RECOGNIZED FOR INCREASING THE AWARENESS OF ISSUES RELATED TO BEHAVIORAL HEALTH, PROVIDING WELLNESS AND PREVENTION PROGRAMS, PROVIDING CRISIS INTERVENTION AND RECOVERY SERVICES FOLLOWING TRAUMATIC EVENTS, AND INTEGRATING AND COLLABORATING WITH COMMUNITY MEDICAL, ADDICTION AND MENTAL HEALTH PRACTICES TO ENHANCE CONTINUITY OF CARE AND THE SUCCESSFUL COMPLETION OF TREATMENT.
FORM 990, PART III, LINE 4A	MERITUS MEDICAL GROUP, A MEDICAL NEIGHBORHOOD OF PRIMARY AND SPECIALTY CARE PRACTICES, OFFERS A FULL SPECTRUM OF PATIENT AND FAMILY-CENTERED CARE FOR RESIDENTS OF THE TRISTATE REGION. MORE THAN 100 PROVIDERS WORK WITH A HEALTHCARE TEAM DEDICATED TO PARTNERING WITH PATIENTS TO IMPROVE THEIR OVERALL WELL-BEING. THE TEAM IS PROUD TO OFFER PATIENTS AND FAMILIES AN IMPROVED EXPERIENCE THROUGH EXCELLENT COMMUNICATION AND COMPREHENSIVE, COORDINATED HEALTH CARE SERVICES. CONTINUING IN FISCAL YEAR 2021, MMC REMAINED ACTIVELY INVOLVED IN THE RESPONSE EFFORTS TO THE COVID-19 PANDEMIC FOR THE PATIENTS AND ALSO FOR THE COMMUNITY AT LARGE. MMC CONTINUED TO FOSTER A STRONG PARTNERSHIP WITH THE STATE OF MARYLAND AND WASHINGTON COUNTY LEADERSHIP IN RESPONSE TO THE COVID-19 PANDEMIC. MMC TREATED OVER 1,200 COVID-19 PATIENTS IN THEIR 20 BED REGIONAL INFECTION CONTAINMENT WING. MMC TREATED OVER 92,000 PATIENTS AT THEIR COVID-19 DRIVE THRU TESTING LOCATION. 60,000 PATIENTS WERE VACCINATED AT THE ROBINWOOD PROFESSIONAL CENTER. IN TOTAL, MMC VACCINATED OVER 80,000 PEOPLE IN PARTNERSHIP WITH THE STATE OF MARYLAND. THE STEPS MMC TOOK WITHIN THE WASHINGTON COUNTY COMMUNITY TO RESPOND IN SUCH AN UNPRECEDENTED TIME DEMONSTRATES THE COMMITMENT TO THE MISSION AND VISION OF MMC. AS THE COVID EVENTS CONTINUE TO ENFOLD, MMC IS COMMITTED TO PROVIDING EXCEPTIONAL CARE AND RESPONSE TO ALL NEEDS AS THEY ARISE. MMC WILL CONTINUE TO BE AN INDUSTRY LEADER IN THE CARE AND PREVENTION OF COVID. IN KEEPING WITH MMC'S GOALS TO PERFORM ITS MISSION OF IMPROVING THE HEALTH STATUS OF THE REGION, MMC HAS DEVELOPED LONG TERM STRATEGIC PLANS AND ANNUAL OPERATING PLANS. MMC HAS COMMITTED TO IMPROVING HEALTH BY LOSING ONE MILLION POUNDS BY THE YEAR 2030 AND INCREASING ANNUAL WELLNESS VISITS. MMC PROMOTES HAVING JOY AT WORK BY WORKING TO BE THE EMPLOYER OF CHOICE AND BEST PLACE TO WORK IN WASHINGTON COUNTY. MMC STRIVES TOWARDS ZERO HARM BY IMPROVING ACCESS TO CARE AND BEING THE LOWEST TOTAL COST OF CARE PROVIDER IN THE STATE. MMC HAS HAD MANY ACCOMPLISHMENTS IN FISCAL YEAR 2021 IN REACHING SOME OF THE BOLD GOALS. IN THE DRIVE TO BE EFFICIENT AND AFFORDABLE, MMC HAS REDUCED INSURANCE DENIALS, IMPROVED COLLECTIONS, AND PROVIDED MORE CHARITY CARE. TO IMPROVE HEALTH, MMC HAS MOBILIZED THE BROADER WASHINGTON COUNTY COMMUNITY IN IMPROVING POPULATION HEALTH AND RECORDED OVER 11,000 POUNDS LOST FROM OVER 1,400 PARTICIPANTS. MMC HAS CONDUCTED OVER 400 AFTER HOURS VIRTUAL VISITS, PERFORMED OVER 120,000 COVID-19 TESTS, AND GIVEN OVER 135,000 COVID-19 VACCINATIONS. IN IMPROVING HEALTH CARE, MMC HAS ESTABLISHED THE COVID-19 INFUSION CENTER FOR MONOCLONAL ANTIBODY THERAPY AND HAS PROVIDED OVER 1,070 THERAPY TREATMENTS. THE INFUSION CENTER WAS ONE OF THE FIRST FOUR IN THE STATE OF MARYLAND. MMC HAS ALSO COMPLETED AND UTILIZED THE REGIONAL INFECTION CONTAINMENT UNIT AND COMMITTED SIGNIFICANT CAPITAL DOLLARS TO REFRESH MEDICAL EQUIPMENT AND BRING IN NEW TECHNOLOGY FOR PATIENT SERVICES. A LARGE GOAL DURING THE FISCAL YEAR 2021 AND BEYOND IS TO KEEP MEDICAL CARE LOCAL BY INCREASING HOSPITAL BASED AND AMBULATORY PHYSICIAN PRACTICE AFFILIATIONS FOR CARE IN THE RIGHT SETTING. MMC HAS IDENTIFIED SEVERAL DIFFERENT AVENUES TO INVEST IN PHYSICIANS THROUGH RECRUITMENT SUBSIDIES, EMPLOYMENT GUARANTEES, EMPLOYMENT OF PHYSICIANS, AND PROVIDING ADVANCED TECHNOLOGIES. MMC IS CONTRACTING WITH PEDIATRIC, PULMONOLOGY, AND CARDIOLOGY PROVIDERS. MMC HAS RECRUITED NEW PHYSICIANS IN TARGETED AREAS OF NEED INCLUDING HEMATOLOGY/ONCOLOGY, PSYCHIATRY, PRIMARY CARE, ENDOCRINOLOGY, AND NEUROLOGY. MMC ALSO IS A TEACHING AND LEARNING ORGANIZATION WITH THE CREATION OF THE FAMILY MEDICINE RESIDENCY PROGRAM. MMC HAS ALSO PURCHASED MULTIPLE SURGICAL ROBOTS TO INCLUDE THE ORTHO TOTAL KNEE ROBOT, THE NEURO ROBOT, AND THE PORTABLE O-ARM AND C-ARM VASCULAR. IN FISCAL YEAR 2021 AND CONTINUING IN THE FUTURE, MMC IS MAKING MAJOR STRIDES IN WORKING ON HEALTH INEQUITIES. MMC VALUES DIVERSITY AND HEALTH EQUITY OF THE COMMUNITY WE SERVE BY EMPOWERING A DIVERSE WORKFORCE TO ELIMINATE DISPARITIES IN THE CARE WE PROVIDE TO OUR PATIENTS. HEALTH EQUITY ALLOWS FOR MMC PATIENTS TO REALIZE THEIR FULL HEALTH POTENTIAL NO MATTER WHO THEY ARE, WHERE THEY LIVE, OR HOW MUCH MONEY THEY MAKE. TO DELIVER ON MMC'S MISSION, EXECUTE THE VISION, AND EMBODY THE VALUES, MMC STRIVES TO ACHIEVE HEALTH EQUITY FOR THE PATIENTS THAT ARE SERVED. MMC IS COMMITTED TO FOSTERING A CULTURE OF DIVERSITY, INCLUSION AND HEALTH EQUITY WITHIN OUR HEALTH SYSTEM AND COMMUNITY. MMC IS HOPING TO RECEIVE THE DISTINGUISHED "TOP PERFORMER" DESIGNATION ON THE HEALTHCARE EQUALITY INDEX (HEI). THE HEI IS THE NATIONAL LGBTQ+ BENCHMARKING TOOL THAT EVALUATES HEALTHCARE FACILITIES' POLICIES AND PRACTICES RELATED TO THE EQUITY AND INCLUSION OF THEIR LGBTQ+ PATIENTS, VISITORS AND EMPLOYEES. THE MMC LEADERSHIP IN EQUITY AND DIVERSITY COUNCIL (LEAD) HAS POSTED THE ORGANIZATION'S STATEMENT ON RACISM AND DIVERSITY, ESTABLISHED A QUALITY IMPROVEMENT PROJECT TO IDENTIFY AND ELIMINATE HEALTH DISPARITIES AND ESTABLISHED AN EDUCATIONAL TRAINING PLAN FOR UNCONSCIOUS BIAS AND CULTURAL DIVERSITY FOR ALL EMPLOYEES. IN ADDITION, GOALS HAVE BEEN DEVELOPED TO INCREASE DIVERSITY AMONG LEADERSHIP POSITIONS. EMPLOYEE RESOURCE GROUPS HAVE BEEN ESTABLISHED FOR BLACK OR AFRICAN AMERICAN, HISPANIC OR LATINX, AND LGBTQ+ EMPLOYEES. MMC IS COMMITTED TO: - CONTINUOUSLY EDUCATING OURSELVES ON IMPORTANT ISSUES, SUCH AS UNCONSCIOUS BIAS, SO THAT WE INCREASE SELF-AWARENESS AND RESPECTFULNESS OF DIVERSE PERSPECTIVES - DEVELOPING A COMMON LANGUAGE AND APPROACH TO DIVERSITY, HEALTH EQUITY AND INCLUSION - ELIMINATING DISPARITIES IN CARE BY LOOKING AT QUALITY MEASURES AND IDENTIFYING, REDUCING OR ELIMINATING ROOT CAUSES - MAINTAINING ACCURATE AND UP-TO-DATE DATA OR PATIENT INFORMATION ON RACE, ETHNICITY, LANGUAGE PREFERENCE, OTHER SOCIO-DEMOGRAPHIC DATA AND SOCIAL DETERMINANTS OF HEALTH TO MEET PATIENT-CENTERED HEALTH NEEDS - BUILDING AN ENGAGED WORKFORCE AND LEADERSHIP THAT REFLECTS THE DIVERSITY OF THE COMMUNITY WE SERVE - DEVELOPING STRONG AND TRUSTING COMMUNITY RELATIONSHIPS WITH THE GOAL OF ADDRESSING CONDITIONS THAT NEGATIVELY IMPACT VULNERABLE COMMUNITIES MMC HAS STARTED THE JOURNEY TO INCREASE DIVERSITY AND INCLUSION, AND ELIMINATE HEALTHCARE DISPARITIES ACROSS OUR HEALTH SYSTEM. - RESPECT ABOVE ALL - DELIVER CULTURALLY SENSITIVE PATIENT-CENTERED CARE - RECOGNIZING THE UNIQUENESS OF EVERY INDIVIDUAL - TREATING ALL WITH DIGNITY AND RESPECT
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE OF THE MMC BOARD IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIRPERSON, IMMEDIATE PAST CHAIRPERSON, AND CHAIRPERSONS OF THE FOLLOWING COMMITTEES: FINANCE & CAPITAL, GOVERNANCE, QUALITY & SAFETY, AUDIT & BUSINESS INTEGRITY, AND STRATEGIC PLANNING COMMITTEES, ALL OF WHOM ARE BOARD MEMBERS. THE COMMITTEE, WHICH MEETS BI-MONTHLY BETWEEN REGULARLY SCHEDULED BOARD MEETINGS MAY IN ITS DISCRETION EXERCISE THE FULL POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT WHERE PROHIBITED BY LAW AND SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BYLAWS OR THE BOARD.
FORM 990, PART VI, SECTION A, LINE 2	MMC BOARD DIRECTOR MARY J.C. HENDRIX IS THE PRESIDENT OF SHEPHERD UNIVERSITY AND MMC BOARD DIRECTOR SHARON MAILEY, PHD, RN IS THE DEAN OF THE COLLEGE OF NURSING, EDUCATION AND HEALTH SCIENCES AND DIRECTOR OF THE SCHOOL OF NURSING AT SHEPHERD UNIVERSITY.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE FINANCE DEPARTMENT. A COPY OF THE FORM 990 WAS PROVIDED TO THE AUDIT AND BUSINESS INTEGRITY COMMITTEE OF THE BOARD. ACTING UNDER THE AUTHORITY OF THE BOARD, THE COMMITTEE REVIEWED THE FORM 990 PRIOR TO THE SUBMISSION OF THE FORM 990 TO THE INTERNAL REVENUE SERVICE. IN ADDITION, THE FORM 990 WLLL BE PROVIDED TO ALL MEMBERS OF THE BOARD BY MAY 15, 2022.
FORM 990, PART VI, SECTION B, LINE 12C	AN ANNUAL DISCLOSURE OF INTEREST IS REQUIRED FOR ALL OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES. THESE DISCLOSURES ARE THEN REVIEWED AGAINST THE ACCOUNTS PAYABLE SYSTEM TO DETERMINE THE AMOUNT OF TRANSACTIONS WITH THE ORGANIZATION. ALL DISCLOSURES AND TRANSACTIONS ARE REVIEWED BY THE AUDIT & BUSINESS INTEGRITY COMMITTEE. AFTER THIS REVIEW, A COPY OF THE DISCLOSURES, BY BOARD OR COMMITTEE, LISTING THE TYPE OF INVOLVEMENT/TRANSACTIONS THE ENTITY HAS WITH THE NAMED DISCLOSURE, IF ANY, ARE PROVIDED TO THE CHAIR OF THE BOARD OR COMMITTEE. ANY DIRECTOR WITH A DETERMINED CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE BOARD'S OR COMMITTEE'S DISCUSSIONS AND DECISIONS WITH REGARDS TO THAT TRANSACTION AND MUST NOT ONLY RECUSE THEMSELVES BUT LEAVE THE ROOM DURING THE DISCUSSIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE MMC BOARD, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS ON AN ANNUAL BASIS THE FOLLOWING AS IT RELATES TO THE COMPENSATION OF THE CEO AND OTHER KEY EXECUTIVES: 1) ANNUAL PERFORMANCE EVALUATIONS OF THE CEO AND EXECUTIVES; 2) ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN ACHIEVEMENT OF STRATEGIC AND INDIVIDUAL INCENTIVE GOALS; 3) MARKET DATA PRESENTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT; AND 4) BASE SALARY AND INCENTIVE RECOMMENDATIONS. THE INDEPENDENT THIRD PARTY CONSULTANT CONDUCTS AND PRESENTS A REASONABLENESS REVIEW OF BOTH BASE SALARY AND TOTAL COMPENSATION FOR THE CEO AND KEY EXECUTIVES. THE COMMITTEE DISCUSSES, DELIBERATES AND APPROVES BASE SALARY AND INCENTIVE COMPENSATION RECOMMENDATIONS. RESULTS ARE REPORTED TO THE MMC BOARD. POSITIONS REVIEWED IN AUGUST OF 2020 FOR FY21 WERE: PRESIDENT AND CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF HEALTH OFFICER, CHIEF NURSING & PATIENT CARE SERVICES OFFICER, CHIEF MEDICAL OFFICER, CHIEF STRATEGY OFFICER, CHIEF QUALITY & TRANSFORMATION OFFICER, VP & CHIEF INFORMATION OFFICER, VP REVENUE CYCLE & CLINICAL SUPPORT SERVICES, VP PHYSICIAN SERVICES, CHIEF COMPLIANCE OFFICER, VP LEGAL SERVICES, AND VP HUMAN RESOURCES (VACANT).
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE.
PART VII, SECTION A	THE COMPENSATION THAT DR. IQBAL AND DR. HANIF RECEIVED WAS FOR THEIR SERVICES AS PHYSICIANS. COMPENSATION PROVIDED TO THESE INDIVIDUALS WAS FOR SERVICES PROVIDED IN THEIR CAPACITY AS INDEPENDENT CONTRACTORS/EMPLOYEES OF MMC AND AFFILIATES, NOT IN THEIR CAPACITY AS DIRECTORS. THE AVERAGE HOURS PER WEEK LISTED FOR ALL OF THE OFFICERS AND DIRECTORS INCLUDES, BUT IS NOT LIMITED TO, THEIR TIME SPENT PREPARING FOR AND ATTENDING BOARD COMMITTEE MEETINGS, FUNDRAISING AND ATTENDANCE AT COMMUNITY FUNCTIONS ON BEHALF OF MMC.
FORM 990, PART XI, LINE 9:	CHANGE IN NET ASSETS HELD BY MERITUS HEALTHCARE FOUNDATION 754,727.
MMC RECEIVED FUNDS FROM MHF, A RELATED ENTITY WHOSE PURPOSE IS TO RAISE	PHILANTHROPIC SUPPORT FOR CAPITAL AND OPERATING FUNDS. THE AMOUNT OF $754,727 REPRESENTED TRANSFERS OF FUNDS FROM MHF UPON RELEASE OF THE DONATION RESTRICTIONS IMPOSED BY DONORS.
PART XII, LINE 2B	MERITUS MEDICAL CENTER RECEIVED CONSOLIDATED AUDITED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GAAP FROM AN INDEPENDENT ACCOUNTING FIRM.
PART XII, LINE 3B	MMC, AND ITS CONTROLLED AFFILIATES, RECEIVED FEDERAL'S PROVIDER RELIEF FUNDS (PRF) AND GRANTS FROM WASHINGTON COUNTY, MARYLAND WITH SOURCES FROM FEDERAL MONEY IN EXCESS OF $750,000 STARTING FROM APRIL 10, 2020, AND THEREFORE THE CONSOLIDATED ENTITIES ARE SUBJECT TO A SINGLE AUDIT. THERE ARE FOUR (4) PAYMENT PERIODS WITH DIFFERENT DEADLINES TO USE THE FEDERAL FUNDS. MMC ENTITIES HAVE MET THE PRF PORTAL REPORTING REQUIREMENTS. THOUGH THE SINGLE AUDIT DEADLINE IS ORDINARILY 9 MONTHS FROM THE RECIPIENT'S YEAR END, THE OFFICE OF MANAGEMENT AND BUDGET HAS MADE A 6-MONTH EXTENSION AVAILABLE TO ENTITIES UP TO AND INCLUDING JUNE 30, 2021 YEAR-ENDS, FOR ENTITIES THAT HAVE NOT FILED THEIR SINGLE AUDIT AS OF MARCH 19, 2021. MMC IS COORDINATING WITH ITS INDEPENDENT AUDITORS TO FILE THE SINGLE AUDIT TO MEET THE FILING REQUIREMENTS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MERITUS HOLDINGS LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 45-2382196	HEALTH SERVICES	MD	14,636	112,678	MMC
(2) MERITUS URGENT CARE LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 71-1050982	HEALTH SERVICES	MD	-2,307,967	9,515,766	MERITUS HOLDINGS LLC
(3) MERITUS MEDICAL LAB LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 80-0728035	HEALTH SERVICES	MD	8,384,002	4,104,069	MERITUS HOLDINGS LLC
(4) HEALTH WORK LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 34-2014438	HEALTH SERVICES	MD	-312,142	898,555	MERITUS HOLDINGS LLC
(5) MEDICAL PRACTICES OF ANTIETAM LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 52-2315129	HEALTH SERVICES	MD	-14,069,479	-9,326,745	MERITUS HOLDINGS LLC
(6) MERITUS HEALTH ACO LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 81-2639390	HEALTH SERVICES	MD	380,873	-11,834	MMC
(7) TRI-STATE HEALTH PARTNERS INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 52-1953898	HEALTH SERVICES	MD	0	0	MMC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MERITUS HEALTHCARE FOUNDATION INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 01-0639265	FUNDRAISING	MD	501(C)(3)	LINE 12A, I	MERITUS MEDICAL CENTER INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) MERITUS INSURANCE COMPANY LTD PO BOX 1109GT GRAND CAYMAN CJ 98-0462257	CAPTIVE INSURANCE	CJ	MMC			21,449,533	100.000 %	Yes
(2) MERITUS ENTERPRISES INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 52-1393624	HEALTH SERVICES	MD	MMC	C	4,982,442	29,385,906	100.000 %	Yes

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MERITUS HEALTHCARE FOUNDATION	C	1,017,879	COST
(2) MERITUS HEALTHCARE FOUNDATION	P	621,852	COST

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) TRIVERGENT HEALTH ALLIANCE LLC 1800 DUAL HIGHWAYHAGERSTOWN,MD21740 46-5555337	MANAGEMENT SERVICES	MD	Yes		-56,689	2,240,797		No			No	50.000 %

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: MERITUS MEDICAL CENTER, INC. (MMC) IS AN ACUTE CARE HOSPITAL LOCATED IN HAGERSTOWN, MARYLAND AND SERVES THE RESIDENTS OF WESTERN MARYLAND, SOUTHERN PENNSYLVANIA AND THE EASTERN PANHANDLE OF WEST VIRGINIA.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	3,500
6	Total number of volunteers (estimate if necessary) .............	6	245
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,429,751
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	394,431

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	14,655,527	5,308,036
9	Program service revenue (Part VIII, line 2g) .........	385,975,662	470,565,905
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,627,407	20,758,752
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	868,007	1,476,033
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	410,126,603	498,108,726
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	334,320	369,067
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	202,092,303	236,365,140
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	206,683,001	191,582,800
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	409,109,624	428,317,007
19	Revenue less expenses. Subtract line 18 from line 12.......	1,016,979	69,791,719
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	696,768,766	801,968,935
21	Total liabilities (Part X, line 26).............	415,761,796	414,427,385
22	Net assets or fund balances. Subtract line 21 from line 20.....	281,006,970	387,541,550

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 354,901,598 including grants of $ 369,067 ) (Revenue $ 482,341,415 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses354,901,598

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,047,718	0	1,544,864

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,017,879
e	Government grants (contributions)		1e	4,191,612

f	All other contributions, gifts, grants, and similar amounts not included above		1f	98,545

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		5,308,036

		Business Code
2a	PATIENT REVENUE	621400	459,121,140	459,121,140
b	ALL OTHER	621400	5,275,523	5,275,523
c	SCHOOL NURSING PROGRAM	621400	2,211,153	2,211,153
d	MDPCP FEES	621400	1,700,000	1,700,000
e	CAFETERIA SALES	621400	1,238,950	1,238,950
f	All other program service revenue.		1,019,139	1,019,139
g	Total. Add lines 2a–2f .....		470,565,905

3 Investment income (including dividends, interest, and othersimilar amounts) ......			15,586,408	11,775,510		3,810,898
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		552,928	6a
b	Less: rental expenses		1,506,646	6b
c	Rental income or (loss)		-953,718	6c
d	Net rental income or (loss).......			-953,718			-953,718
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		168,879,166	7a
b	Less: cost or other basis and sales expenses		163,706,822	7b
c	Gain or (loss)		5,172,344	7c
d	Net gain or (loss).........			5,172,344			5,172,344
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	LAB REVENUE		621500	2,011,383		2,011,383
b	CLINICAL TRIALS		541700	418,368		418,368
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,429,751
12	Total revenue. See instructions.....			498,108,726	482,341,415	2,429,751	8,029,524

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	369,067	369,067
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	5,305,249		5,305,249
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	274,667		274,667
7	Other salaries and wages........	190,055,934	152,096,247	37,959,687
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,456,186	2,764,949	691,237
9	Other employee benefits .......	24,517,314	19,613,851	4,903,463
10	Payroll taxes ...........	12,755,790	10,204,632	2,551,158
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	721,327	577,062	144,265
c	Accounting ...........	314,502	251,602	62,900
d	Lobbying ...........	60,300	48,240	12,060
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	607,718	486,174	121,544
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	38,825,557	31,060,446	7,765,111
12	Advertising and promotion ....	1,551,439	1,551,439
13	Office expenses .......	510,166	408,133	102,033
14	Information technology ......	4,412,187	3,529,750	882,437
15	Royalties ..
16	Occupancy ...........	6,901,979	5,521,583	1,380,396
17	Travel ............	576,757	461,406	115,351
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	501,555	401,244	100,311
20	Interest ...........	10,919,668	8,735,734	2,183,934
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	25,283,541	20,226,833	5,056,708
23	Insurance ...	1,500,150	1,200,120	300,030
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUGS & PHARMACEUTICALS	34,474,670	34,474,670
b	MEDICAL SUPPLIES	29,988,142	29,988,142
c	BAD DEBT	16,918,801	16,918,801
d	EQUIPMENT & MAINTENANCE	6,388,959	5,111,167	1,277,792
e	All other expenses	11,125,382	8,900,306	2,225,076
25	Total functional expenses. Add lines 1 through 24e	428,317,007	354,901,598	73,415,409	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			150,721,057	2	189,802,810
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			31,349,729	4	40,803,430
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			265,893	7	229,995
8	Inventories for sale or use ............			5,992,574	8	7,118,027
9	Prepaid expenses and deferred charges ......			3,012,370	9	4,401,727
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	464,626,124
b	Less: accumulated depreciation	10b	234,842,015	233,801,471	10c	229,784,109
11	Investments—publicly traded securities .			167,912,403	11	217,259,562
12	Investments—other securities. See Part IV, line 11 .....			17,204,000	12	13,577,232
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			3,807,692	14	3,832,158
15	Other assets. See Part IV, line 11 ...........			82,701,577	15	95,159,885
16	Total assets. Add lines 1 through 15 (must equal line 33)...			696,768,766	16	801,968,935

17	Accounts payable and accrued expenses .....	136,905,883	17	132,854,288
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	251,020,878	20	245,626,354
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	100,800	23	60,480
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	27,734,235	25	35,886,263
26	Total liabilities. Add lines 17 through 25..	415,761,796	26	414,427,385

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	277,092,861	27	383,735,980
28	Net assets with donor restrictions ...........	3,914,109	28	3,805,570
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	281,006,970	32	387,541,550
33	Total liabilities and net assets/fund balances ........	696,768,766	33	801,968,935

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No