Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
MERITUS MEDICAL CENTER INC |
520607949 | 3 | Yes | 2,546,465 | 0 | |
|
Total 1
|
2,546,465 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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.).. | ||||||
| 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 | ||||
| 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 2021 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-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | MERITUS HEALTHCARE FOUNDATION (MHF), A RECOGNIZED 501(C)(3) NONPROFIT ORGANIZATION, EXISTS FOR THE PURPOSE OF SUPPORTING THE MISSION OF MERITUS MEDICAL CENTER (MMC), WHICH IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. MHF WORKS TO SECURE DONATIONS FROM INDIVIDUALS, BUSINESSES, AND OTHER ORGANIZATIONS WHO WISH TO INVEST IN QUALITY PATIENT CARE SERVICES AND HEALTH, WELLNESS, AND OUTREACH PROGRAMS IN OUR COMMUNITY. DONATIONS RECEIVED BY MHF PROVIDE THE RESOURCES NEEDED TO ENSURE THAT ALL INDIVIDUALS, REGARDLESS OF FINANCIAL CIRCUMSTANCES, HAVE ACCESS TO MEDICAL CARE, EDUCATION, AND OTHER PATIENT CARE PROGRAMS. IN SUMMARY, REFLECTIVE OF ITS COMMUNITY HEALTHCARE MISSION, MHF PROVIDES AWARDS FOR THE FOLLOWING: CANCER CARE: DONOR SUPPORT PROVIDES PATIENT ASSISTANCE, SPIRITUAL CARE PROGRAMMING, EQUIPMENT AND TECHNOLOGY FOR THE CANCER PATIENTS WHO TURNED TO US FOR HELP AND HEALING. ENDOWMENTS: ENDOWED FUNDS SUPPORT THE HOSPITAL'S MEDICAL PROGRAMS, EDUCATIONAL OFFERINGS, STAFF TRAINING, AND COMMUNITY OUTREACH PROGRAMS. PATIENT ASSISTANCE: THIS FUND WAS ESTABLISHED BY THE MERITUS HEALTH FAMILY OF EMPLOYEES TO PROVIDE SUPPORT FOR UNINSURED OR UNDERINSURED PATIENTS WHO ARE UNABLE TO AFFORD THE NECESSITIES OF THEIR RECOVERY, INCLUDING PATIENT PERSONAL MEDICAL EQUIPMENT, TRANSPORTATION, AND MEDICATION BEYOND THE FINANCIAL ASSISTANCE OFFERED BY MMC AS CHARITY CARE. IMPACT FUNDING: THROUGH THE GENEROSITY OF DONORS, MHF IS ABLE TO ENRICH NEW IDEAS AND INITIATIVES WITHIN THE HEALTH SYSTEM. EQUIPMENT AND TECHNOLOGY: DONOR CONTRIBUTIONS HAVE PROVIDED FUNDING FOR THE PURCHASE OF TRANSPORT DEVICES FOR OUR EMERGENCY DEPARTMENT AND COMMUNICATION EQUIPMENT TO HELP BETTER TREAT OUR INCOMING PATIENTS, AS WELL AS EQUIPMENT AT THE READY TO TRANSPORT AND PROVIDE LIFE-SAVING PLASMA AND BLOOD. EDUCATION: EDUCATING OUR PHYSICIANS, NURSES, AND STAFF IS AN INVESTMENT IN THE VERY HEART OF OUR WORK. PEDIATRICS: THE FOUNDATION HELPS MMC PROVIDE CARE TO ITS YOUNGEST PATIENTS WHEN THEY ARE SICK OR INJURED. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER IS MMC, THE PARENT. MMC HAS THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7A | CANDIDATES FOR THE MHF BOARD ARE SELECTED BY THE GOVERNANCE COMMITTEE AND PRESENTED TO THE MMC BOARD BY THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. FINAL ELECTION OCCURS THROUGH THE MMC BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALONG WITH THE ELECTION OF GOVERNING MEMBERS TO THE BOARD, THE MMC BOARD (PARENT) ALSO NEEDS TO REVIEW AND APPROVE THE FOLLOWING BEFORE BECOMING EFFECTIVE AND BEFORE THE ACTION IS IMPLEMENTED: 1. ANY MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. 2. ANNUAL BUSINESS PLAN. 3. ANNUAL BUDGET. 4. CONTRACTUAL OBLIGATIONS THAT MEET ANY ONE OF THE FOLLOWING CRITERIA: A. FALL OUTSIDE THE SCOPE OF THE CORPORATION'S ANNUAL BUSINESS PLAN. B. REQUIRE APPROVAL BY EXTERNAL HEALTH AND/OR FINANCIAL REGULATORY AGENCY. C. HAVING THE POTENTIAL OF ADVERSELY IMPACTING THE OPERATION OF ANY SUBSIDIARY OF THE MEMBER. 5. ANY JOINT VENTURE BETWEEN THE CORPORATION AND ANOTHER PERSON OR ENTITY THAT MEETS ANY ONE OF THE FOLLOWING CRITERIA: A. EXTENDS BEYOND THE SCOPE OF THE ANNUAL BUSINESS PLAN OF THE CORPORATION. B. REQUIRES EXTERNAL APPROVAL BY EXTERNAL HEALTH AND/OR FINANCIAL REGULATORY AGENCY. C. HAS THE POTENTIAL OF ADVERSELY IMPACTING THE OPERATION OF ANY SUBSIDIARY OF THE MEMBER. 6. SALES OR TRANSFERS OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR SALES OR TRANSFERS OF ASSETS THAT MEET WITH ANY ONE OF THE FOLLOWING CRITERIA: A. FALL OUTSIDE THE SCOPE OF THE CORPORATION'S ANNUAL BUSINESS PLAN. B. REQUIRE APPROVAL BY EXTERNAL HEALTH AND/OR FINANCIAL REGULATORY AGENCY. C. HAS THE POTENTIAL OF ADVERSELY IMPACTING THE OPERATIONS OF ANY SUBSIDIARY OF THE MEMBER. 7. FORMATION OF A SUBSIDIARY. 8. ADOPTION AND AMENDMENT OF THE MISSION AND VISION STATEMENTS. |
| 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 PARENT BOARD. ACTING UNDER THE AUTHORITY OF THE PARENT BOARD, THE COMMITTEE REVIEWED THE FORM 990 PRIOR TO THE SUBMISSION FOR THE FORM 990 TO THE INTERNAL REVENUE SERVICE. IN ADDITION, THE FORM 990 WILL BE PROVIDED TO ALL MEMBERS OF THE BOARD BY MAY 15, 2023. |
| 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 DISCUSSIONS AND DECISIONS WITH REGARDS TO THAT TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES; ALL COMPENSATION TO OFFICERS AND DIRECTORS REPORTED ON PART VII OF THE FORM 990 WAS PAID PURSUANT TO THE POLICIES AND PROCEDURES OF A RELATED ORGANIZATION, MERITUS MEDICAL CENTER, INC. FORM 990, PART VI, LINE 16B: ORGANIZATION FOLLOWS BYLAWS WHICH STATE PROCESS FOR JOINT VENTURE ACTIVITY. HOWEVER, THE ORGANIZATION DID NOT PARTICIPATE IN ANY JOINT VENTURE DURING THE YEAR. |
| 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 MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION DIVISION. FINANCIAL STATEMENTS FOR MHF ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT. |
| PART VII, SECTION A: | THE HOURS OF THE PRESIDENT, SECRETARY AND TREASURER WERE SPENT ATTENDING BOARD AND COMMITTEE MEETINGS. COMPENSATION PROVIDED TO THESE PERSONS WAS FOR SERVICES PROVIDED IN THEIR CAPACITY AS OFFICERS/EMPLOYEES OF MMC AND AFFILIATES, NOT IN THEIR CAPACITY AS DIRECTORS. |
| PART IV, LINE 12 & PART XII, LINE 2B | MHF IS AUDITED AS PART OF THE CONSOLIDATED AUDIT OF MMC ENTITIES. MMC RECEIVED CONSOLIDATED AUDITED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GAAP FROM AN INDEPENDENT ACCOUNTING FIRM. |
| Software ID: | |
| Software Version: |