TY 2024 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ROBERT GOETZ JR...................................................................... CHAIRMAN	5.00 ................. 0.00	X	X		0	0
(2) KENT REYNOLDS...................................................................... VICE CHAIR	3.00 ................. 0.00	X	X		0	0
(3) ERIN HERSHEY...................................................................... DIRECTOR	3.00 ................. 0.00	X			0	0
(4) SHAHEEN IQBAL MD...................................................................... DIRECTOR	20.00 ................. 0.00	X			20,786	0
(5) BARBARA JACOBS RN...................................................................... DIRECTOR	3.00 ................. 0.00	X			0	0
(6) MAULIK JOSHI DR PH...................................................................... PRESIDENT & CEO	50.00 ................. 3.00	X	X		1,413,371	248,681
(7) JAMES KERCHEVAL...................................................................... DIRECTOR	3.00 ................. 0.00	X			0	0
(8) AL MARTIN...................................................................... DIRECTOR (THRU 12/2024)	3.00 ................. 0.00	X			0	0
(9) JAMES STOJAK...................................................................... DIRECTOR (THRU 12/2024)	3.00 ................. 0.00	X			0	0
(10) WILLIAM SU MD...................................................................... DIRECTOR (THRU 12/2024)	3.00 ................. 0.00	X			0	0
(11) SCOTT WORRELL MD...................................................................... DIRECTOR	3.00 ................. 0.00	X			0	0
(12) KALIM AHMED MD...................................................................... DIRECTOR	20.00 ................. 0.00	X			33,333	0
(13) STEVE HULL...................................................................... DIRECTOR (AS OF 1/2025)	3.00 ................. 0.00	X			0	0
(14) JOSHUA REPAC...................................................................... CFO/TREASURER	50.00 ................. 3.00		X		495,589	70,721
(15) LYNN HAINES...................................................................... VP, LEGAL SERVICES/SECRETARY	50.00 ................. 3.00		X		347,451	61,048
(16) CARRIE ADAMS...................................................................... CHIEF OPERATING OFFICER	50.00 ................. 0.00			X	495,271	71,896
(17) DAVID LEHR...................................................................... CHIEF STRATEGY OFFICER	50.00 ................. 0.00			X	535,441	71,381

(A) Name and business address	(B) Description of services	(C) Compensation
QUALIVIS 5930 CORNERSTONE CT ST LOUIS,MO63150	MEDICAL	24,599,456
ROBINWOOD ORTHOPAEDIC SPECIALTY CTR 11110 MEDICAL CAMPUS ROAD STE 205 HAGERSTOWN,MD21742	MEDICAL	13,177,725
HAGERSTOWN HEART PA 1733 HOWELL RD HAGERSTOWN,MD21740	MEDICAL	6,677,236
COMPHEALTH MEDICAL STAFFING INC PO BOX 972651 DALLAS,TX75397	MEDICAL	5,866,332
TRIMEDX LLC PO BOX 636129 CINCINNATI,OH45263	MEDICAL	5,121,569
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 77

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

OMB No. 1545-0047

2024

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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.)..

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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) .

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

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 on 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 on 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) 2024

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization MERITUS MEDICAL CENTER INC

Part I	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2024

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2024

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 right arrow

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 right arrow

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(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

78,729

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

78,729

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, LOBBYING ACTIVITIES	DURING FY2025, MMC PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH PROVIDED MMC WITH THE SPECIFIC PERCENTAGE OF THE AMOUNT PAID THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. IN ADDITION, MMC PAID A FEE TO A GOVERNMENT RELATIONS CONSULTING FIRM TO ASSIST IN UNDERSTANDING GOVERNMENTAL AND LEGISLATIVE MATTERS RELATED TO LOBBYING.

Schedule C (Form 990) 2024

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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	1,028,618	1,028,618	1,028,618	1,028,618
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	1,028,618	1,028,618	1,028,618	1,028,618	1,028,618

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

100.000 %

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 .....	8,444,093		8,444,093
b	Buildings ....	355,858,670	149,780,562	206,078,108
c	Leasehold improvements	6,696,018	3,036,599	3,659,419
d	Equipment ....	233,618,154	172,248,085	61,370,069
e	Other .....	70,534,503		70,534,503
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				350,086,192

Schedule D (Form 990) (Rev. 1-2025)

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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)NET ASSETS HELD BY MHF				2,505,142
(2)OPERATING LEASES				25,031,847
(3)OTHER ASSETS				9,091,492
(4)RETRO PREMIUM CREDIT RECEIVABLE				12,876,255
(5)EQUITY INVESTMENTS IN AFFILIATES				47,341,985
(6)DUE FROM RELATED PARTIES				27,003,286
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				123,850,007

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
ACCRUED RETIREMENT BENEFITS	8,785,943
OPERATING LEASES	21,430,337







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	30,216,280
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) (Rev. 1-2025)

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 TEN CONSECUTIVE PAYMENTS, HAVE NOT BEEN TURNED OVER TO COLLECTIONS, AND HAVE NEVER APPLIED FOR FINANCIAL ASSISTANCE.

PART X, LINE 2:

MERITUS 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. MERITUS DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AS OF JUNE 30, 2025, THE MERITUS TAX YEARS ENDED JUNE 30, 2022 THROUGH JUNE 30, 2025, FOR FEDERAL TAX JURISDICTION REMAIN OPEN TO EXAMINATION.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

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 - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS		120,000
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	PROGRAM SERVICES	INSURANCE PREMIUMS	5,049,044















3a	Sub-total ....	0	0			5,169,044
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			5,169,044

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 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) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

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.

Schedule F (Form 990) (Rev. 1-2025)

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

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		(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) . . .	19,936,800		19,936,800	2.950 %
b	Medicaid (from Worksheet 3, column a) . . . . .	6,959,650	5,626,478	1,333,172	0.200 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	26,896,450	5,626,478	21,269,972	3.150 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,237,292		2,237,292	0.330 %
f	Health professions education (from Worksheet 5) . . .	3,065,790		3,065,790	0.450 %
g	Subsidized health services (from Worksheet 6) . . . .	222,350,749	132,062,815	90,287,934	13.360 %
h	Research (from Worksheet 7) .	104,543	65,263	39,280	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	367,855		367,855	0.050 %
j	Total. Other Benefits . .	228,126,229	132,128,078	95,998,151	14.200 %
k	Total. Add lines 7d and 7j .	255,022,679	137,754,556	117,268,123	17.350 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building			3,592		3,592	0 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			3,592		3,592	0 %

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. ......

10,468,701

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. ......

1,570,305

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).....

443,414,577

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

434,546,285

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

8,868,292

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 %
11 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) 2024

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) 2024

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 25

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..................................

Yes

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): HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/CHNA

Other website (list url): HTTPS://WWW.BROOKLANE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

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 25

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

Yes

If "Yes" (list url): HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/CHNA

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) 2024

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 400.000000000000%

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):

HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/

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

HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/

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) 2024

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) 2024

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) 2024

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: AS A PART OF THE PRIMARY DATA COLLECTION, A COMMUNITY SURVEY CONSISTING OF 30 QUESTIONS WAS DEVELOPED BY A SUB-COMMITTEE OF HEALTHY WASHINGTON COUNTY PARTNERS. THE SURVEY COVERED VARIOUS HEALTH AND WELLNESS RELATED TOPICS SUCH AS PERSONAL COMMUNITY HEALTH, PHYSICAL ACTIVITY LEVELS, HEALTHCARE ACCESS, BARRIERS TO CARE, AND UNMET NEEDS, AS WELL AS SEVERAL DEMOGRAPHIC QUESTIONS TO ASSESS FOR HEALTH DISPARITIES. THE SURVEY WAS MADE AVAILABLE TO THE PUBLIC FROM OCTOBER 21, 2024 TO DECEMBER 13, 2024. TO BE ELIGIBLE FOR THE SURVEY, PARTICIPANTS WERE REQUIRED TO BE 18 YEARS OF AGE OR OLDER AND EITHER A WASHINGTON COUNTY RESIDENT OR OUT OF COUNTY RESIDENT WHO REGULARLY WORKED OR USED SERVICES IN WASHINGTON COUNTY. A TOTAL OF 1,109 RESPONSES WERE RECEIVED.THE SECOND PART OF THE PRIMARY DATA COLLECTION CONSISTED OF 10 COMMUNITY FOCUS GROUPS FACILITATED BY THE HEALTH DEPARTMENT AND MERITUS STAFF. THE FOCUS GROUPS WERE CONDUCTED AMONGST UNDERSERVED AND MARGINALIZED POPULATIONS THAT ARE OFTEN NOT WELL-REPRESENTED IN SURVEY DATA, AND POPULATIONS THAT HAD LIVED EXPERIENCE WITH COMMON HEALTH CONCERNS IDENTIFIED IN PREVIOUS CHNAS. ELEVEN FOCUS GROUP QUESTIONS WERE DEVELOPED BY A SURVEY AND FOCUS GROUP SUB-COMMITTEE OF HEALTHY WASHINGTON COUNTY PARTNERS, AND COVERED TOPICS SUCH AS GENERAL SENTIMENTS TOWARD LIVING IN WASHINGTON COUNTY, COMMON HEALTH AND WELLNESS CONCERNS, HEALTH HABITS, HEALTHCARE QUALITY, HEALTHCARE ACCESS AND BARRIERS, AND AWARENESS OF COMMUNITY RESOURCES. FOCUS GROUPS WERE CONDUCTED AMONGST THE FOLLOWING POPULATIONS AT VARIOUS SITES IN THE COMMUNITY: AFRICAN-AMERICANS, BEHAVIORAL HEALTH, DIABETES/OBESITY, HISPANIC/LATINO, LGBTQ+, PARENTS WITH CHILDREN, WELLNESS, VETERANS, 18-24 YEAR OLDS, AND 55 YEARS AND OLDER. A TOTAL OF 67 INDIVIDUALS PARTICIPATED IN THE FOCUS GROUP DISCUSSIONS.
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH BROOK LANE.
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6B: THE OTHER GROUPS INVOLVED IN THE CHNA CREATION ARE 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 NEEDS FROM FY25 MMC CHNA INCLUDE:1. FOOD/NUTRITION AND WELLNESS: LACK OF ACCESS TO AFFORDABLE HEALTHY FOOD - ENGAGE AND EMPOWER PEOPLE TO CHOOSE HEALTHY BEHAVIORS AND MAKE CHANGES TO REDUCE CHRONIC DISEASES;2. OBESITY - LOSE 1 MILLION POUNDS BY 2030 AND REDUCE CHRONIC DISEASE;3. MENTAL HEALTH: LACK OF AWARENESS OF RESOURCES - IMPROVE ACCESS AND KNOWLEDGE OF BEHAVIORAL HEALTH, PREVENTION, TREATMENT AND RECOVERY RESOURCES; 4. COSTS AND AFFORDABILITY: AFFORDABLE HOUSING - INCREASE KNOWLEDGE OF HOUSING AVAILABILITY RESOURCES IN THE COMMUNITY;5. COMMUNITY CONNECTION INCREASE AWARENESS OF COMMUNITY RESOURCES.MMC ADDRESSED THE COMMUNITY NEEDS IDENTIFIED IN ITS FY22 CHNA DURING FY25 THROUGH VARIOUS PROGRAMS INCLUDING: - DIABETES RISK SCREENINGS WITH REFERRALS TO THE DIABETES PREVENTION PROGRAM OR DIABETES SELF-MANAGEMENT TRAINING FOR PERSONS DIAGNOSED WITH TYPE II DIABETES; - WARM HAND-OFF TO RESIDENTIAL TREATMENT OR IOP AIMED AT DISRUPTING THE CYCLE OF ADDICTION FOR PATIENTS OF THE CRISIS INTERVENTION CENTER; - MD MOM MATERNAL HEALTH EQUITY COLLABORATIVE THAT ADDRESSES EQUITY ISSUES THAT PLACE VULNERABLE OB POPULATIONS AT HIGHER RISK FOR MATERNAL MORALITY/MORBIDITY; - OB EDUCATIONAL OUTREACH PROGRAM THAT TARGETS UNDERSERVED AND VULNERABLE OB POPULATIONS.OTHER IDENTIFIED CHNA NEEDS NOT ADDRESSED:THE HOSPITAL HAS LIMITED, FINITE RESOURCES AND CANNOT SUCCESSFULLY MEET ALL OF THE IDENTIFIED HEALTH NEEDS OF THE COMMUNITY. SOME OF THE HEALTH NEEDS FOR THE COMMUNITY INCLUDE CANCER, ACCESS TO DENTAL CARE, CHRONIC PAIN, AND LACK OF SLEEP. FINDINGS FROM THE FY2025 CHNA MAY BE USED TO SUPPORT GRANT PROCUREMENT, DONATIONS, AND GIFTS TO FUND NEW PROGRAMS SERVICES. 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 IF INTERESTS ARE SHARED.
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 13B: MMC STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. MMC 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 MMC'S FINANCIAL ASSISTANCE PROGRAM.
MERITUS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 16J: MMC MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES ARE AVAILABLE THROUGHOUT THE COMMUNITY 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.

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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
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5
6
7
8
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Schedule H (Form 990) 2024

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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:	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 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:	THE COMMUNITY THAT MMC SERVES HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA. MMC SUBSIDIZES CERTAIN MEDICAL SERVICES SO THAT THE COMMUNITY HAS ACCESS TO THE MEDICAL CARE THAT IS NEEDED. SUBSIDIZED HEALTH SERVICES FOR MMC 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, LN 7 COL(F):	MMC COMPLIES WITH APPLICABLE FEDERAL CIVIL RIGHTS LAWS AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, DISABILITY, SEXUAL ORIENTATION, OR GENDER IDENTITY AND EXPRESSION. 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 $10,468,701.
PART I, LINES 7A & 7B, COLUMNS (C) THROUGH (F)	MARYLAND'S UNIQUE ALL-PAYER SYSTEM INCLUDES A METHOD FOR FACTORING IN UNCOMPENSATED CARE IN EACH PAYER'S RATES. THEREFORE, MARYLAND HOSPITALS CANNOT ATTRIBUTE ANY DIRECT REVENUE OFFSET TO UNCOMPENSATED CARE, EXCEPT FOR ITS EFFECT ON THE HOSPITAL'S SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS ADDRESSED FISCAL SHORTFALLS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.THE LEGAL ENTITIES REFLECTED ON THIS FORM 990 INCLUDE MMC AND ITS CONSOLIDATED SUBSIDIARIES, WHICH ARE DISREGARDED ENTITIES STRUCTURE IN THE FORM OF LIMITED LIABILITY COMPANIES. MMC ACHIEVES ITS MISSION TO PROVIDE CARE TO PATIENTS AND COMMUNITY BENEFITS THROUGH ITS CONTROLLED ENTITIES. THESE ENTITIES ARE RESPONSIBLE FOR MANAGING AND OPERATING A RANGE OF HEALTHCARE SERVICES. THROUGH THESE ENTITIES, MMC PROVIDES CRITICAL MEDICAL SERVICES TO INDIVIDUALS WHO MAY NOT OTHERWISE HAVE ACCESS TO AFFORDABLE HEALTHCARE. IN TOTAL, THE CONTROLLED ENTITIES PROVIDED CHARITY CARE IN THE AMOUNT OF $22,036,386 DURING FISCAL YEAR 2025.
PART II, COMMUNITY BUILDING ACTIVITIES:	IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, MMC WAS INVOLVED IN MANY COMMUNITY BUILDING ACTIVITIES THAT FOCUSED ON IMPROVING ACCESS TO ADDICTION TREATMENT, REDUCING THE SUICIDE RATE, AND INCREASING ACCESS TO CARE.
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 THE 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 USES AN ESTIMATION PROCESS TO CALCULATE MMC'S BAD DEBT EXPENSE. 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 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:	ESTIMATES FOR UNCOLLECTIBLE AMOUNTS ARE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS. 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, 2025 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 RELATING 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 FOR 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 REGULATIONS TO PERFORM CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER.6. MMC 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. MERITUS PROVIDES WRITTEN NOTICE TO THE PATIENT OR RESPONSIBLE PARTY AT LEAST THIRTY (30) DAYS PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECAS). THIS WRITTEN NOTICE INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND IDENTIFY THE ACTIONS THAT MERITUS INTENDS TO INITIATE TO OBTAIN PAYMENTS. THESE ACTIONS INCLUDE REPORTING ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR CREDIT BUREAU, AND INITIATING A CIVIL ACTION WHICH MAY RESULT IN WAGE GARNISHMENT OR ATTACHMENT OF BANK ACCOUNTS.THE ABOVE LISTED COLLECTION PRACTICES ARE FOR ALL PATIENTS.
PART VI, LINE 2:	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 FEBRUARY 24, 2025. FOLLOWING BOARD APPROVAL, THE FY2025 CHNA WAS PUBLICLY POSTED AT: HTTPS://WWW.MERITUSHEALTH.COM/FILES/FY26-28-CHNA.PDF.
PART VI, LINE 3:	FINANCIAL ASSISTANCE IS OFFERED BEFORE, DURING, OR AFTER SERVICES ARE RENDERED AT MMC. MMC OFFERS FINANCIAL ASSISTANCE APPLICATION AND A SELF-PAY BROCHURE AT THE POINT OF REGISTRATION. AFTER APPLYING, THE HOSPITAL WILL SEND AN ACKNOWLEDGEMENT 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. MMC MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES WILL BE AVAILABLE THROUGHOUT THE COMMUNITY AND WITHIN MMC 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 OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT BILLING STATEMENTS.D. A PLAIN LANGUAGE SUMMARY OF MMC'S FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS RECEIVING INPATIENT SERVICES WITH THEIR SUMMARY BILL AND IS MADE AVAILABLE TO ALL PATIENTS UPON REQUEST.E. MMC'S FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE TO PATIENTS UPON REQUEST AT MMC, THROUGH MAIL (POSTAL SERVICE), AND ON MMC'S WEBSITE AT WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.F. MMC'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE IN SPANISH.G. ON AN ANNUAL BASIS, MMC SHALL ASSESS THE NEEDS OF OUR LIMITED ENGLISH PROFICIENCY COMMUNITY AND DETERMINE WHETHER ADDITIONAL TRANSLATIONS ARE NEEDED.H. MMC CONTRACTS WITH 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 COUNTRY, STATE, AND FEDERAL GOVERNMENTS. MMC HAS POLICIES INCLUDING FINANCIAL ASSISTANCE, BILLING AND COLLECTIONS, AND EMERGENCY CARE THAT INSURE COMPLIANCE WITH THE LEGISLATION OF SECTION 501(R).
PART VI, LINE 4:	IN ADDITION TO THE 155,033 RESIDENTS OF WASHINGTON COUNTY, MARYLAND, MMC CARES FOR PEOPLE LIVING THROUGHOUT A 60-MILE RADIUS OF THE QUAD-STATE AREA, WHICH INCLUDES MARYLAND, PENNSYLVANIA, VIRGINIA, AND WEST VIRGINIA. ACCORDING TO THE 2025 CHNA, A PORTION OF THE POPULATION MMC SERVES INCLUDES THOSE CONSIDERED "MEDICALLY UNDERSERVED" AS WELL AS POPULATIONS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL, OR OTHER BARRIERS.THE RACIAL DEMOGRAPHICS OF WASHINGTON COUNTY INCLUDES WHITE 74.5%, BLACK OR AFRICAN AMERICAN 11.3%, HISPANIC OR LATINO 7.3%, ASIAN 1.6%, AMERICAN INDIAN 0.1%, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER 0.1%, SOME OTHER RACE 0.3%, AND TWO OR MORE RACES 4.8%. THE MEDIAN AGE IN WASHINGTON COUNTY IS 41. THE AGE DEMOGRAPHICS IN WASHINGTON COUNTY INCLUDE PERSONS UNDER 5 YEARS 5.5%, PERSONS UNDER 18 YEARS 21.9%, PERSONS 65 YEARS AND OLDER 17.8%. THE MEDIAN HOUSEHOLD INCOME IS $74,157. THE PERCENTAGE OF FAMILIES LIVING AT OR BELOW THE POVERTY LINE IS 12.5%, AND THE PERCENTAGE OF UNINSURED RESIDENTS IS 7.2%.
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 OUR LOCAL HEALTH IMPROVEMENT COALITION, CONSISTING OF OVER 100 OTHER COMMUNITY PARTNERS 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. DURING FY25 APPROXIMATELY 2,000 PRESCRIPTIONS WERE FILLED FOR RESIDENTS OF WASHINGTON COUNTY OR THOSE WHO WERE TREATED BY PHYSICIANS LOCATED IN WASHINGTON COUNTY OR AT MMC. SINCE 2000, THIS SERVICE HAS BEEN PROVIDED 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 AND THROUGHOUT THE COMMUNITY. OUR FINANCIAL ASSISTANCE PROGRAM SERVICES MMC PATIENTS WHO ARE UNABLE TO PAY FOR 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.THROUGHOUT THE ENTIRE YEAR, OUR FARMER'S MARKET PRESENTS THE PUBLIC WITH HEALTHY FOOD CHOICES AND GIVES LOCAL FARMERS AN OPPORTUNITY TO MARKET THEIR FRESH PRODUCE. 55 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 6 TIMES PER YEAR TO UNDERSTAND HEALTH TOPICS OF INTEREST.MERITUS MOBILE HEALTH PROVIDES PRIMARY AND ACUTE CARE, WELLNESS SCREENING, AND HEALTH EDUCATION THROUGHOUT WASHINGTON COUNTY, MARYLAND, TO IMPROVE THE HEALTH OF THE COMMUNITY. OUR TEAM PROVIDES HIGH-QUALITY, PATIENT-CENTERED, EQUITABLE CARE AT OUR WALK-UP CLINICS WITH NO APPOINTMENT NECESSARY. MOBILE HEALTH SERVES ALL PATIENTS REGARDLESS OF ABILITY TO PAY.AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, WE ARE COMMITTED TO ENSURING THAT NO PATIENTS IN OUR COMMUNITY WILL MISS A MEDICAL APPOINTMENT DUE TO TRANSPORTATION ISSUES. OUR MERITUS TRANSPORTATION INITIATIVE CONNECTS OUR PATIENTS WITH FREE RIDES, SCHEDULED THROUGH THEIR PHYSICIAN'S OFFICE, SO THAT THEY CAN FOCUS ON THE CARE, PREVENTATIVE SCREENINGS AND APPOINTMENTS THEY NEED. WHETHER A PATIENT DOESN'T HAVE ACCESS TO A VEHICLE OR THE ABILITY TO DRIVE, THEY ARE EXPERIENCING A SHORT-TERM INJURY OR DRIVING RESTRICTION, OR THEY USE A WHEELCHAIR OR NEED ADDITIONAL ASSISTANCE AMBULATING THAN WHAT MIGHT BE AVAILABLE THROUGH A PUBLIC TRANSPORTATION OFFERING, WE ARE HAPPY TO HELP MAKE SURE THEY HAVE SAFE AND RELIABLE TRANSPORTATION. APPROPRIATE NUTRITION IS IMPORTANT TO THE HEALTH OF OUR COMMUNITY, THE MERITUS CARE TO SHARE BOXES ARE LOCATED THROUGHOUT OUR CAMPUS AND PROVIDE BOTH PERISHABLE AND NON-PERISHABLE FOOD. THE PROGRAM IS BASED ON GIVE WHAT YOU CAN AND TAKE WHAT YOU NEED. AN INCREASE OF COMMUNITY MEMBERS REPORTED THAT THEY WERE LONELY. WITH THE IMPLEMENTATION OF A 15-20 MINUTE CALL PER WEEK TO THOSE SELF-IDENTIFIED 95% OF PEOPLE RECEIVING A CALL STATED THEY FELT LESS LONELY IN 4 MONTHS.THE JOHN R MARSH HAS 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 MMC'S JOHN R. MARSH CANCER CENTER, WASHINGTON COUNTY HEALTH DEPARTMENT'S BREAST AND CERVICAL CANCER PROGRAM (BCCP), AND BREAST CANCER AWARENESS CUMBERLAND VALLEY (BCA-CV) AND DIAGNOSTIC IMAGING SERVICES.THE SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) PROGRAM IS A COMPREHENSIVE AND COMPASSIONATE APPROACH TO THE TREATMENT OF VICTIMS OF SEXUAL ASSAULT AND ABUSE. THE 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 INSPIRE OUR HEALTHCARE PROFESSIONALS TO GIVE BACK TO CAUSES NEAR TO THEIR HEARTS AND PROFESSIONS. DURING THE HOLIDAY SEASON, OUR PHYSICIANS AND TEAM MEMBERS MAKE AND DELIVER HOT MEALS TO AREA FAMILIES THROUGH OUR LEND-A-HAND EVENT. CANCER SURVIVORS CELEBRATE THE GIFT OF LIFE EACH JUNE WHEN THE JOHN R. MARSH CANCER CENTER SPONSORS A FAMILY PICNIC FOR THOSE TOUCHED BY THIS LIFE-CHANGING DISEASE.CANCER CONTINUES TO BE THE SECOND LEADING CAUSE OF DEATH FOR WASHINGTON COUNTY RESIDENTS. MMC 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 DIETICIAN SERVICES, AND INITIATING THE HOPE SOARS SURVIVORSHIP PROGRAM AS A SUPPORT TO PATIENTS IN RECOVER.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.A MAJORITY OF MMC'S GOVERNING BODY ARE INDEPENDENT PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREAMMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY.SURPLUS FUNDS ARE DEDICATED TO IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION AND RESEARCH.
PART VI, LINE 6:	MERITUS HEALTH IS THE HOSPITAL ENTITY IN AN INTEGRATED HEALTH DELIVERY SYSTEM, AND THE SYSTEM INCLUDES OTHER LEGAL ENTITIES WHICH ARE ORGANIZED IN A WAY TO SERVE THE MERITUS HEALTH COMMUNITY. INCLUDED IN THE SYSTEM ARE MERITUS HEALTHCARE FOUNDATION, INC., WHICH RAISES MONEY FOR MMC'S MEDICAL PROGRAMS, HEALTHCARE OBJECTIVES, SCIENTIFIC RESEARCH, EDUCATIONAL PROGRAMS, AND RELATED COMMUNITY ACTIVITIES, AND MSOM, INC., WHICH WAS ESTABLISHED TO OPERATE A SCHOOL OF OSTEOPATHIC MEDICINE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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) Rev. 1-2025

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	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) HSCRC NURSING GRANT	22	77,000
(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 MMC. THE LENGTH OF PAYBACK WILL BE ONE YEAR OF SERVICE (EQUIVALENT TO 2,080 HOURS OF SERVICE) FOR EACH YEAR OF THE GRANT RECEIVED. THE PROGRAM IS FIVE SEMESTERS LONG AND MOST RECIPIENTS WILL OWE 4,160 HOURS.

Schedule I (Form 990) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

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 .....

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? ....

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? .............

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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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)	899,267 ------------- 0	355,869 ------------- 0	158,235 ------------- 0	229,775 ------------- 0	18,906 ------------- 0	1,662,052 ------------- 0	135,235 ------------- 0
2GENTIAN TOSHKEZI MD PHYSICIAN	(i) (ii)	1,109,021 ------------- 0	3,000 ------------- 0	0 ------------- 0	15,525 ------------- 0	540 ------------- 0	1,128,086 ------------- 0	0 ------------- 0
3CHIKEZIE ESEONU MD PHYSICIAN	(i) (ii)	779,380 ------------- 0	157,500 ------------- 0	23,000 ------------- 0	15,525 ------------- 0	14,485 ------------- 0	989,890 ------------- 0	0 ------------- 0
4ADRIAN PARK MD PHYSICIAN	(i) (ii)	683,455 ------------- 0	156,021 ------------- 0	23,000 ------------- 0	15,525 ------------- 0	21,948 ------------- 0	899,949 ------------- 0	0 ------------- 0
5MAHINUR KHAN MD PHYSICIAN	(i) (ii)	491,789 ------------- 0	332,094 ------------- 0	23,000 ------------- 0	15,525 ------------- 0	17,689 ------------- 0	880,097 ------------- 0	0 ------------- 0
6VICTORIA GIFFI MD PHYSICIAN	(i) (ii)	485,187 ------------- 0	283,419 ------------- 0	0 ------------- 0	10,422 ------------- 0	17,689 ------------- 0	796,717 ------------- 0	0 ------------- 0
7DAVID LEHR CHIEF STRATEGY OFFICER	(i) (ii)	415,382 ------------- 0	120,059 ------------- 0	0 ------------- 0	53,385 ------------- 0	17,996 ------------- 0	606,822 ------------- 0	0 ------------- 0
8CARRIE ADAMS CHIEF OPERATING OFFICER	(i) (ii)	365,593 ------------- 0	83,613 ------------- 0	46,065 ------------- 0	49,940 ------------- 0	21,956 ------------- 0	567,167 ------------- 0	46,065 ------------- 0
9JOSHUA REPAC CFO/TREASURER	(i) (ii)	403,385 ------------- 0	92,204 ------------- 0	0 ------------- 0	51,165 ------------- 0	19,556 ------------- 0	566,310 ------------- 0	0 ------------- 0
10LYNN HAINES VP, LEGAL SERVICES/SECRETARY	(i) (ii)	276,053 ------------- 0	68,997 ------------- 0	2,401 ------------- 0	39,678 ------------- 0	21,370 ------------- 0	408,499 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 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: MAULIK JOSHI $214,250 CARRIE ADAMS $35,149 LYNN HAINES $26,526 DAVID LEHR $37,860 JOSHUA REPAC $35,640 MAULIK JOSHI AND CARRIE ADAMS RECEIVED 457F DISTRIBUTIONS OF $135,235 AND $46,065, RESPECTIVELY.
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 MMC EXECUTIVES RECEIVE TAXABLE FRINGE BENEFITS, SUCH AS EXECUTIVE LIFE INSURANCE. THE VALUE OF THESE TAXABLE FRINGE BENEFITS IS 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; AND 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 PRESENT 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.

Schedule J (Form 990) (Rev. 1-2025)

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

OMB No. 1545-0047

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	58421CKB9	06-18-2025	369,007,351	REFUND O/S BONDS/CONS PROJECTS. THE 2015 ISSUE WAS REFUNDED.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	369,007,351
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	206,820,651
7 Issuance costs from proceeds ...............	2,593,090
8 Credit enhancement from proceeds .............	1,096,870
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	108,363,892
12 Other unspent proceeds .............	50,132,848
13 Year of substantial completion .............
	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 2020, 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 2020, 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) (Rev. 1-2025)

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) (Rev. 1-2025)

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

Schedule K (Form 990) (Rev. 1-2025)

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SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

MERITUS MEDICAL CENTER INC

Employer identification number

52-0607949

Return Reference	Explanation
FORM 990, PART III, LINE 1 DESCRIPTION OF ORGANIZATION MISSION	MISSION: TO IMPROVE THE HEALTH OF OUR COMMUNITY. VISION: TO BE THE BEST HEALTH SYSTEM. OUR VALUES: AT MMC, WE EACH SUPPORT OUR MISSION AND VISION BY LIVING OUR VALUES EACH AND EVERY DAY. BY FOLLOWING OUR PLEDGE, "I ACT", WE EACH SUPPORT MMC WITH: I=INTEGRITY - WE DO THE RIGHT THING, NO MATTER WHAT. A=ALL IN FOR QUALITY OUTCOMES - QUALITY IMPROVEMENT ISN'T JUST SOMETHING WE TALK ABOUT, IT'S A COMMITMENT WE EACH LIVE. C=COMMUNITY OBSESSED - WE ARE OUR COMMUNITY AND WE ARE HERE TO TAKE CARE OF OUR NEIGHBORS. THIS ISN'T JUST ABOUT MEDICAL CARE, IT'S ABOUT CARING FOR THE WHOLE PERSON. T=TEAMWORK - NOBODY CAN DO IT ALONE. AT MMC, WE ARE ONE TEAM THAT IS DIVERSE AND INCLUSIVE, AND WE SUPPORT ONE ANOTHER AND OUR GOALS.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS	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. DURING FY25, MMC'S PATIENT DAYS TOTALED 79,111, ADMISSIONS TOTALED 17,987, ER VISITS TOTALED 68,970, AND APPROXIMATELY 1.8 MILLION LABORATORY PROCEDURES WERE PERFORMED. IN ADDITION, THERE WERE 17,490 HOME HEALTH, 96,631 OUTPATIENT REHAB, 13,168 OUTPATIENT BEHAVIORAL HEALTH, AND 25,117 CANCER CENTER VISITS. MMC'S PHYSICIAN PRACTICES COMPLETED 164,906 PRIMARY CARE, 283,975 SPECIALTY CARE, AND 51,360 URGENT CARE VISITS. THE MMC STRATEGIC PLAN HAS BOLD GOALS TO BE ACHIEVED BY 2030. UTILIZING THE QUADRUPLE AIM FRAMEWORK, THE 2030 BOLD GOALS CONSIST OF THE FOLLOWING PILLARS OF SUCCESS: IMPROVE HEALTH IN OUR COMMUNITY, IMPROVE HEALTHCARE, HAVE JOY AT WORK, PROVIDE MEDICAL CARE THAT IS AFFORDABLE FOR OUR COMMUNITY. LISTED BELOW ARE THE ACCOMPLISHMENTS UNDER EACH PILLAR. HEALTH -OVER 177,000 POUNDS LOST AND OVER 8,200 REGISTERED USERS AND 96 BUSINESSES AND COMMUNITY PARTNERS. -$100K OF FOOD SUPPORT ANNUALLY. -MERITUS TRANSPORTATION OVER 17,000 FREE RIDES. -ADDED URGENT CARE AND AFTER HOURS PEDIATRIC CARE AT VALLEY MALL AND EXPANDED CASCADE FAMILY PRACTICE TO 5 DAYS A WEEK. -DISTRIBUTED $100K OF FOOD THROUGH CARE TO SHARE PROGRAM. HEALTHCARE -MIEMMS CERTIFICATION ACHIEVEMENT IN SURGICAL SERVICES. -OPENED AN ACCREDITED SPECIALTY PHARMACY. -ADDED TRAUMA BLOCK TIME IN OR FOR EMERGENCIES. JOY AT WORK -INCREASED NET PROMOTER SCORE TO 25%. -DECREASED VACANCY RATE. -MINIMUM WAGE INCREASE. AFFORDABILITY -$2.3M SAVINGS IN SUPPLIES. -MOST EFFICIENT HOSPITAL IN THE STATE OF MD. -MHAC REWARD FOR PERFORMANCE.
FORM 990, PART VI, SECTION A, LINE 1A	THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF UP TO SEVEN (7) DIRECTORS, AS DETERMINED BY THE BOARD IN ACCORDANCE WITH THE BYLAWS. 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 OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER IS MHI, THE PARENT. MHI 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	DIRECTORS OF MMC ARE ELECTED BY THE BOARD OF DIRECTORS OF MHI, THE PARENT, AT THE ANNUAL MEETING OF THE MHI BOARD OF DIRECTORS. AT LEAST THREE (3) OF THE MEMBERS OF THE MMC BOARD SHALL BE COMPRISED OF INDIVIDUALS ALSO SERVING ON THE MHI BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	MMC SHALL NOT, WITHOUT THE APPROVAL OF MHI, ITS PARENT: 1. ACQUIRE OR DISPOSE OF ANY REAL PROPERTY; 2. CHANGE MMC'S TAX-EXEMPT STATUS, CAUSE MMC TO BE CONVERTED INTO ANY FORM OF ENTITY OTHER THAN A NONPROFIT, NONSTOCK CORPORATION UNDER THE LAWS OF THE STATE OF MARYLAND, OR TAKE ANY ACTION THAT WOULD RESULT IN THE LOSS OF MMC'S TAX-EXEMPT STATUS; 3. APPROVE MMC'S ANNUAL BUDGET AND BUSINESS PLAN; 4. TAKE ANY ACTION THAT MATERIALLY DEVIATES FROM MMC'S ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI; 5. MODIFY THE TERMS OF ANY EXISTING INDEBTEDNESS OF MMC OR INCUR ANY NEW INDEBTEDNESS FROM A LENDER (EXCLUDING TRADE PAYABLES), OR GUARANTEE OR SECURE THE INDEBTEDNESS OF A THIRD PARTY, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS AND OTHER THAN INDEBTEDNESS SET FORTH IN THE ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI; 6. LIQUIDATE, DISSOLVE OR WIND-UP THE BUSINESS AND AFFAIRS OF MMC, OR MAKE ANY ASSIGNMENT FOR THE BENEFIT OF THE CREDITORS OF MMC OR A SUBSIDIARY, FILE A VOLUNTARY PETITION IN BANKRUPTCY, OR APPOINT A RECEIVER FOR MMC OR A SUBSIDIARY, OR CONSENT TO ANY OF THE FOREGOING; 7. AMEND MMC'S ARTICLES OF INCORPORATION; 8. ENTER INTO ANY CONSOLIDATION, MERGER OR TRANSFER OF ASSETS AS SUCH ACTIONS ARE DESCRIBED IN SECTION 5-207 OF THE MARYLAND GENERAL CORPORATION LAW; 9. ENTER INTO, MATERIALLY AMEND OR MODIFY ANY AGREEMENT, CONTRACT, OR OTHER ARRANGEMENT, OR INCUR AN EXPENDITURE, WITH A VALUE OF GREATER THAN TWO MILLION DOLLARS ($2,000,000), OTHER THAN ANY AGREEMENT, CONTRACT OR OTHER ARRANGEMENT SET FORTH IN THE ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD. ACTING UNDER THE AUTHORITY OF THE BOARD, THE COMMITTEE REVIEWED THE FORM 990 PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. IN ADDITION, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD BEFORE FILING.
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 REVIEWED AGAINST THE ACCOUNTS PAYABLE SYSTEM TO IDENTIFY TRANSACTIONS WITH THE ORGANIZATION. ALL DISCLOSURES AND TRANSACTIONS ARE REVIEWED BY THE AUDIT & BUSINESS INTEGRITY COMMITTEE AND THEN PROVIDED TO THE CHAIR OF THE BOARD AND THE APPLICABLE COMMITTEE CHAIR. 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.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS FOR MMC ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE. MMC'S FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION DIVISION. FINANCIAL STATEMENTS FOR MMC ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT. MMC MAKES ALL RELEVANT DOCUMENTS AVAILABLE TO THE EXTENT REQUIRED BY LAW.
FORM 990, PART VII, SECTION A	THE COMPENSATION THAT DR. IQBAL AND DR. AHMED RECEIVED WAS FOR THEIR SERVICES AS PHYSICIANS. COMPENSATION FOR THESE INDIVIDUALS WAS FOR SERVICES PROVIDED IN THEIR CAPACITY AS INDEPENDENT CONTRACTORS/EMPLOYEES OF MMC AND AFFILIATES, NOT IN THEIR CAPACITIES 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 IX, LINE 11G	PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 37,455,785. MANAGEMENT AND GENERAL EXPENSES 9,363,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,819,731. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 55,259,701. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,259,701. OTHER: PROGRAM SERVICE EXPENSES 17,539,785. MANAGEMENT AND GENERAL EXPENSES 4,384,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,924,731.
FORM 990, PART XI, LINE 9:	CHANGE IN NET ASSETS HELD BY MERITUS HEALTHCARE FOUNDATION -7,601,102.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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

OMB No. 1545-0047

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 SERVICE	MD	20,429	179,560	MMC
(2) MERITUS URGENT CARE LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 71-1050982	HEALTH SERVICE	MD	5,605,040	1,672,096	MERITUS HOLDINGS LLC
(3) MERITUS MEDICAL LAB LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 80-0728035	HEALTH SERVICE	MD	33,898,201	24,523,287	MERITUS HOLDINGS LLC
(4) HEALTH WORK LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 34-2014438	HEALTH SERVICE	MD	2,421,028	792,651	MERITUS HOLDINGS LLC
(5) MEDICAL PRACTICES OF ANTIETAM LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 52-2315129	HEALTH SERVICE	MD	87,339,907	23,806,274	MERITUS HOLDINGS LLC
(6) MERITUS HEALTH ACO LLC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 81-2639390	HEALTH SERVICE	MD	1,799,166	3,201	MMC
(7) TRI-STATE HEALTH PARTNERS INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 52-1953898	HEALTH SERVICE	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 HEALTH FOUNDATION INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 01-0639265	FUNDRAISING	MD	501(C)(3)	LINE 7	MERITUS HEALTH INC	Yes
(2)MERITUS HEALTH INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 37-2062702	HEALTH SERVICE	MD	501(C)(3)	LINE 12C, III-FI			No
(3)MSOM INC 11120 HEALTH DRIVE HAGERSTOWN,MD21742 92-0871561	MEDICAL SCHOOL	MD	501(C)(3)	LINE 2	MERITUS HEALTH INC		No
(4)BROOK LANE INC 13121 BROOK LANE DRIVE HAGERSTOWN,MD21742 83-0906074	BEHAVIORAL HEALTH SERVICE	MD	501(C)(3)	LINE 7	MERITUS HEALTH INC		No
(5)BROOK LANE HEALTH SERVICES INC 13121 BROOK LANE DRIVE HAGERSTOWN,MD21742 52-0698850	BEHAVIORAL HEALTH SERVICE	MD	501(C)(3)	LINE 3	BROOK LANE INC		No
(6)BROOK LANE BEHAVIORAL SERVICES INC 13121 BROOK LANE DRIVE HAGERSTOWN,MD21742 83-0891593	BEHAVIORAL HEALTH SERVICE	MD	501(C)(3)	LINE 10	BROOK LANE INC		No
(7)BROOK LANE FOUNDATION INC 13121 BROOK LANE DRIVE HAGERSTOWN,MD21742 45-5489464	FUNDRAISING	MD	501(C)(3)	LINE 12A, I	BROOK LANE INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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	MERITUS MEDICAL CENTER INC		1,098,471	26,578,237	100.000 %	Yes
(2) MERITUS ENTERPRISES INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN,MD21742 52-1393624	HEALTH SERVICES	MD	MERITUS MEDICAL CENTER INC	C	5,926,973	22,742,100	100.000 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

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 ............................

Yes

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 INSURANCE COMPANY LTD	Q	1,179,495	COST
(2) MERITUS HEALTHCARE FOUNDATION INC	C	2,563,749	COST
(3) MERITUS HEALTHCARE FOUNDATION INC	P	210,386	COST

Schedule R (Form 990) (Rev. 1-2025)

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

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF MERITUS MEDICAL CENTER, INC. (MMC) IS TO IMPROVE THE HEALTH OF OUR COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	4,278
6	Total number of volunteers (estimate if necessary) .............	6	200
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	8,416,723
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	286,167

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	10,516,540	8,474,844
9	Program service revenue (Part VIII, line 2g) .........	592,233,255	675,171,869
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,888,489	24,959,616
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	17,951,193	12,738,281
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	633,589,477	721,344,610
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,156	77,000
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)	299,156,629	328,971,244
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)....	292,040,758	357,427,284
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	591,207,543	686,475,528
19	Revenue less expenses. Subtract line 18 from line 12.......	42,381,934	34,869,082
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	911,559,587	1,068,369,869
21	Total liabilities (Part X, line 26).............	422,697,717	537,914,112
22	Net assets or fund balances. Subtract line 21 from line 20.....	488,861,870	530,455,757

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 583,172,118 including grants of $ 77,000 ) (Revenue $ 673,340,189 )
	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 expenses583,172,118

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) VICTORIA GIFFI MD........................................................................ PHYSICIAN	50.00 .......................0.00	X	768,606	0	28,111
(19) GENTIAN TOSHKEZI MD........................................................................ PHYSICIAN	50.00 .......................0.00	X	1,112,021	0	16,065
(20) CHIKEZIE ESEONU MD........................................................................ PHYSICIAN	50.00 .......................0.00	X	959,880	0	30,010
(21) ADRIAN PARK MD........................................................................ PHYSICIAN	50.00 .......................0.00	X	862,476	0	37,473
(22) MAHINUR KHAN MD........................................................................ PHYSICIAN	50.00 .......................0.00	X	846,883	0	33,214

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	7,891,108	0	668,600

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,563,749
e	Government grants (contributions)		1e	5,892,180

f	All other contributions, gifts, grants, and similar amounts not included above		1f	18,915

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

h Total. Add lines 1a-1f.......		8,474,844

		Business Code
2a	PATIENT REVENUE	621400	636,369,549	636,369,549
b	340B PROGRAM REVENUE	621400	17,146,959	17,146,959
c	SCHOOL NURSING PROGRAM	621400	4,908,377	4,908,377
d	MDPCP FEES	621400	3,463,169	3,463,169
e	CAFETERIA SALES	621400	1,831,680		1,831,680
f	All other program service revenue.		11,452,135	11,452,135
g	Total. Add lines 2a–2f .....		675,171,869

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,689,256			5,689,256
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	562,827
b	Less: rental expenses	6b	66,050
c	Rental income or (loss)	6c	496,777
d	Net rental income or (loss).......			496,777			496,777
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	154,172,108	8,455,231
b	Less: cost or other basis and sales expenses	7b	143,356,979	0
c	Gain or (loss)	7c	10,815,129	8,455,231
d	Net gain or (loss).........			19,270,360			19,270,360
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
11a	RETAIL PHARMACY		456110	5,949,925		5,949,925
b	EQUITY EARNINGS IN SUB		900099	3,824,781			3,824,781
c	LAB REVENUE		621500	1,486,915		1,486,915
d	All other revenue ....			979,883		979,883
e	Total. Add lines 11a–11d ......			12,241,504
12	Total revenue. See instructions.....			721,344,610	673,340,189	8,416,723	31,112,854

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 ...........	77,000	77,000
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 ...........	3,496,496		3,496,496
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	267,389,586	213,911,669	53,477,917
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,921,294	8,737,035	2,184,259
9	Other employee benefits .......	26,779,982	21,423,986	5,355,996
10	Payroll taxes ...........	20,383,886	16,307,109	4,076,777
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	439,771	351,817	87,954
c	Accounting ...........	509,209	407,367	101,842
d	Lobbying ...........	78,729	62,983	15,746
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	339,641	271,713	67,928
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	124,004,163	110,255,271	13,748,892
12	Advertising and promotion ....	3,470,008	3,470,008
13	Office expenses .......	788,365	630,692	157,673
14	Information technology ......	10,092,038	8,073,630	2,018,408
15	Royalties ..
16	Occupancy ...........	11,078,034	8,862,427	2,215,607
17	Travel ............	1,675,662	1,340,530	335,132
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	933,866	747,093	186,773
20	Interest ...........	11,319,596	9,055,677	2,263,919
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	33,723,630	26,978,904	6,744,726
23	Insurance ...	6,671,529	5,337,223	1,334,306
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	74,607,593	74,607,593
b	MEDICAL SUPPLIES	40,283,570	40,283,570
c	BAD DEBT EXPENSE	10,468,701	10,468,701
d	UBI TAXES	55,526		55,526
e	All other expenses	26,887,653	21,510,120	5,377,533
25	Total functional expenses. Add lines 1 through 24e	686,475,528	583,172,118	103,303,410	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 .........			161,980,059	2	242,002,191
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			61,394,873	4	76,569,165
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 ...........			107,493	7	64,145
8	Inventories for sale or use ............			11,493,721	8	13,428,908
9	Prepaid expenses and deferred charges ......			6,164,451	9	7,589,774
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	675,151,438
b	Less: accumulated depreciation	10b	325,065,246	296,531,753	10c	350,086,192
11	Investments—publicly traded securities .			248,952,978	11	234,239,632
12	Investments—other securities. See Part IV, line 11 .....			16,287,189	12	14,884,256
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			7,189,281	14	5,655,599
15	Other assets. See Part IV, line 11 ...........			101,457,789	15	123,850,007
16	Total assets. Add lines 1 through 15 (must equal line 33)...			911,559,587	16	1,068,369,869

17	Accounts payable and accrued expenses .....	92,572,255	17	83,446,755
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	225,721,812	20	369,224,320
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 ..	63,716,137	23	55,026,757
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	40,687,513	25	30,216,280
26	Total liabilities. Add lines 17 through 25..	422,697,717	26	537,914,112

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	477,381,639	27	525,758,616
28	Net assets with donor restrictions ...........	11,480,231	28	4,697,141
	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 ...........	488,861,870	32	530,455,757
33	Total liabilities and net assets/fund balances ........	911,559,587	33	1,068,369,869

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