2024-04-23T13:03:15-05:00 2023-06-30 440160260 FORVIS LLP 1410 SPRING HILL ROAD SUITE 500 TYSONS VA 221023056 990 2022-07-01 522347324 CALVERT HEALTH SYSTEM INC CALV 4105354000 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 JEREMY BRADFORD PRESIDENT & CEO 4105354000 2024-04-23 1 JEREMY BRADFORD 999009999 1 AMY BIBBY P00445891 7039700400 2024-04-23 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEREMY BRADFORD 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 25294908 0 X WWW.CALVERTHEALTHMEDICINE.ORG X 2000 MD CALVERT HEALTH SYSTEM, INC. WAS ORGANIZED AND AT ALL TIMES OPERATES EXCLUSIVELY FOR THE BENEFIT OF CALVERTHEALTH MEDICAL CENTER. CALVERT HEALTH SYSTEM, INC. MANAGES ITS SUBSIDIARIES IN ORDER TO PROMOTE AND SUPPORT PUBLIC HEALTH PROGRAMS AND SERVICES FOR THE COMMUNITY. 15 10 172 0 0 0 327726 201413 19166304 18829283 6053821 5377880 654731 886332 26202582 25294908 0 0 0 0 14285601 14892366 0 0 0 11481608 11707439 25767209 26599805 435373 -1304897 120803718 124682066 4606221 3768268 116197497 120913798 CALVERT HEALTH SYSTEM, INC. WAS ORGANIZED AND AT ALL TIMES OPERATES EXCLUSIVELY FOR THE BENEFIT OF CALVERTHEALTH MEDICAL CENTER. CALVERT HEALTH SYSTEM,INC. MANAGES ITS SUBSIDIARIES IN ORDER TO PROMOTE AND SUPPORT PUBLIC HEALTH PROGRAMS AND SERVICES FOR THE COMMUNITY. 0 0 23702716 19712909 PROVISION OF AN ARRAY OF PRIMARY CARE AND SECONDARY CARE PHYSICIAN SERVICES TO MEMBERS OF THE CALVERT HEALTH SYSTEM COMMUNITY IN ORDER TO PROVIDE THE CALVERT HEALTH SYSTEM COMMUNITY, WHICH IS MORE RURAL IN NATURE AND HAS SOME CONCERNS REGARDING ACCESS TO CARE, WITH CONVENIENT ACCESS TO A COORDINATED NETWORK OF PHYSICIANS. OPERATE EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF COORDINATING THE MANAGEMENT OF THE CALVERT HEALTH SYSTEM AND PROMOTING PUBLIC HEALTHCARE PROGRAMS AND THE PROVISION OF MEDICAL SERVICES TO OUR COMMUNITY. 23702716 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 16 0 1 172 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CAROLYN HEITHAUS 4105358241 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 BUTTERS ANTHONY DIRECTOR 1.00 2.00 X 0 0 0 CHOI CHANG MD PHYSICIAN 1.00 40.00 X 0 0 0 DABULIS STEPHANIE MD PHYSICIAN/EX-OFFICIO 1.00 40.00 X 0 0 0 DICKINSON KATHY DIRECTOR 1.00 2.00 X 0 0 0 EHRMANTRAUT WILFRED MD PHYSICIAN/EX-OFFICIO 1.00 1.00 X 528382 0 60733 FOSTER SAMUEL MD PHYSICIAN 1.00 4.00 X 0 0 0 GARCIA CHRISTOPHER DIRECTOR 1.00 4.00 X 0 0 0 GARDNER BARBARA DIRECTOR/ TREASURER 1.00 47.00 X X 0 0 0 HARKINS GAIL DIRECTOR/EX-OFFICIO 2.50 4.00 X 0 0 0 NAZZARO SAM G DIRECTOR 1.00 6.00 X 0 0 0 OBRIEN KAREN J DIRECTOR / SECRETARY 1.00 4.00 X X 0 0 0 PARRAN WILSON H DIRECTOR 1.00 1.00 X 0 0 0 REEVES SCOTT DIRECTOR 3.00 1.00 X 0 0 0 SHOWALTER SALLY DIRECTOR 1.00 1.50 X 0 0 0 SHOWERS DAVID G DIRECTOR / CHAIRPERSON 6.00 6.00 X X 0 0 0 WOLFLEY TERRI DIRECTOR / VICE CHAIRPERSON 1.00 19.00 X X 0 0 0 FUNN MALCOM DIRECTOR-DECEASED 7/26/22 1.00 1.00 X 0 0 0 TEAGUE DEAN CEO-RETIRED 2/23 5.00 43.00 X 981444 0 187831 BRADFORD JEREMY CEO-START 3/1/23 5.00 43.00 X 0 0 0 BLADEN ANTHONY M COO 5.00 40.00 X 593008 0 97840 HEITHAUS CAROLYN M VP FINANCE & CFO 5.00 43.00 X 634766 0 94046 COUCHMAN DIANE M VP - CNO/CLINICAL SERVICES 5.00 40.00 X 289886 0 59983 HALL MELISSA K VP - CNO/CLINICAL SERVICES 5.00 40.00 X 284325 0 26241 HEDDERICH NICOLE M AVP QUALITY & RISK MANAGEMENT 5.00 40.00 X 230819 0 27011 JOHNSON THERESA L VP, BRAND STRATEGY AND PHILANTHROPY 5.00 40.00 X 261412 0 52261 SWEENEY KASIA A VP - STRATEGY & MARKETING 5.00 40.00 X 251220 0 50964 TSANGARIS THEODORE MD VP - MEDICAL AFFAIRS 40.00 40.00 X 497831 0 66952 HARRER KARA A AVP ANCILLARY OPERATIONS 5.00 40.00 X 207667 0 27651 GLOGGNER PETER VP - HUMAN RESOURCES - LEFT 12/13/22 5.00 40.00 X 278834 0 63306 GARCIA-VALLE JOSEPH P CHIEF COMPLIANCE COUNSEL 5.00 40.00 X 241827 0 27328 AMHED BILAL PHYSICIAN 40.00 0.00 X 906347 0 47697 BHOGTE ERVIND S PHYSICIAN 40.00 X 543318 0 47289 ALAMI RAMZI S PHYSICIAN 40.00 X 474238 0 40157 WUAMETT JOSEPH C PHYSICIAN 40.00 X 441583 0 20837 COOPER JOHN L PHYSICIAN 40.00 X 435263 0 33479 8082170 0 1031606 27 0 1 0 WELLTOWER INC WELLTOWER OM GROUP LLC 29126 NETWORK PLACE CHICAGO IL 606731291 SPACE LEASES 944404 2 183231 18182 201413 NET PATIENT SERVICE REVENUE 621110 18829283 18829283 18829283 3754748 3754748 2706 0 2706 2706 2706 1623132 0 1623132 1623132 1623132 ONCOLOGY REVENUE 621110 399996 399996 CMS CARE MANAGEMENT FEE 621110 354103 354103 OTHER REVENUE 621110 105123 105123 24404 24404 883626 25294908 19712909 0 5380586 5416207 5416207 7551632 5749102 1802530 435936 375341 60595 754614 649723 104891 733977 631954 102023 293535 293535 910051 783554 126497 85770 73848 11922 548884 472589 76295 1285203 1106560 178643 3489 3004 485 78406 67508 10898 139278 119918 19360 510082 439181 70901 MEDICAL SUPPLIES 7575659 7575659 EHR FEE 217982 187683 30299 REPAIRS AND MAINTENANCE 59100 50885 8215 26599805 23702716 2897089 0 4667487 3592936 4983902 6048143 980071 1406136 218753 165691 327527 348102 3570725 2858885 400761 711840 92046983 93581134 10087354 10883750 3927598 5205381 65000 65000 3098282 2673953 120803718 124682066 4606221 3768268 4606221 3768268 X 116197497 120913798 116197497 120913798 120803718 124682066 X -1304897 3731317 2289881 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2165548 1651442 514106 1396195 1207443 188752 8982 8982 711840 ALTERNATIVE INVESTMENTS 10883750 F 10883750 X PART X, LINE 2: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC AS A PUBLIC CHARITY. THE SYSTEM IS ENTITLED TO RELY ON THIS DETERMINATION AS LONG AS THERE ARE NO SUBSTANTIAL CHANGES IN ITS CHARACTER, PURPOSES, OR METHODS OF OPERATION. MANAGEMENT HAS CONCLUDED THAT THERE HAVE BEEN NO SUCH CHANGES AND, THEREFORE, THE SYSTEM'S STATUS AS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAXATION REMAINS IN EFFECT. THE STATE IN WHICH THE SYSTEM OPERATES ALSO PROVIDES GENERAL EXEMPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, THE SYSTEM IS SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT CORPORATE TAX RATES ON ITS UNRELATED BUSINESS INCOME. EXEMPTION FROM OTHER STATE TAXES, SUCH AS REAL AND PERSONAL PROPERTY TAXES, IS SEPARATELY DETERMINED. THE SYSTEM HAD NO UNRECOGNIZED TAX BENEFITS OR SUCH AMOUNTS WERE IMMATERIAL DURING THE PERIODS PRESENTED. FOR TAX PERIODS WITH RESPECT TO WHICH NO UNRELATED BUSINESS INCOME WAS RECOGNIZED, NO TAX RETURN WAS REQUIRED. MANAGEMENT HAS ALSO CONSIDERED THE IMPACT OF UNRELATED BUSINESS ACTIVITIES AND HAS CONCLUDED THAT THE SYSTEM IS NOT SUBJECT TO UNRELATED BUSINESS TAX OR ANY OTHER TAXES THAT COULD BE IMPOSED BY THE IRC OR STATE TAXING AUTHORITIES. AS SUCH, NO PROVISION IS MADE FOR INCOME TAXES AND NO ASSET OR LIABILITY HAS BEEN RECOGNIZED FOR DEFERRED TAXES. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 44708 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENTS.LIST 75 _ 3BENJAMIN.HARRISON@DHG.COM - 03/18/23 13:25 PM WORKSHEET SCHEDULE F - STATEMEN 10839042 0 0 0 0 0 0 10883750 0 10883750 0 0 1 0 0 0 PART III ACCOUNTING METHOD: X X X X X X 0 1 0 0 0 0 0 0 0 TEAGUE DEAN CEO-RETIRED 2/23 649226 0 320750 0 11468 0 178851 0 8980 0 1169275 0 0 0 AMHED BILAL PHYSICIAN 692890 0 215733 0 -2276 0 29753 0 17944 0 954044 0 0 0 HEITHAUS CAROLYN M VP FINANCE & CFO 428741 0 104866 0 101159 0 87986 0 6105 0 728857 0 0 0 BLADEN ANTHONY M COO 466626 0 121504 0 4878 0 92563 0 5277 0 690848 0 0 0 BHOGTE ERVIND S PHYSICIAN 388232 0 157564 0 -2478 0 34213 0 13076 0 590607 0 0 0 EHRMANTRAUT WILFRED MD PHYSICIAN/EX-OFFICIO 500011 0 43329 0 -14958 0 40725 0 20008 0 589115 0 0 0 TSANGARIS THEODORE MD VP - MEDICAL AFFAIRS 459136 0 0 0 38695 0 52990 0 13962 0 564783 0 0 0 ALAMI RAMZI S PHYSICIAN 440003 0 46272 0 -12037 0 22213 0 17944 0 514395 0 0 0 COOPER JOHN L PHYSICIAN 433338 0 0 0 1925 0 33479 0 0 0 468742 0 0 0 WUAMETT JOSEPH C PHYSICIAN 377969 0 36010 0 27604 0 20837 0 0 0 462420 0 0 0 COUCHMAN DIANE M VP - CNO/CLINICAL SERVICES 238722 0 47560 0 3604 0 45746 0 14237 0 349869 0 0 0 GLOGGNER PETER VP - HUMAN RESOURCES - LEFT 12/13/22 242765 0 29914 0 6155 0 47623 0 15683 0 342140 0 0 0 JOHNSON THERESA L VP, BRAND STRATEGY AND PHILANTHROPY 216486 0 41881 0 3045 0 40523 0 11738 0 313673 0 0 0 HALL MELISSA K VP - CNO/CLINICAL SERVICES 235926 0 44966 0 3433 0 23817 0 2424 0 310566 0 0 0 SWEENEY KASIA A VP - STRATEGY & MARKETING 217317 0 37268 0 -3365 0 36895 0 14069 0 302184 0 0 0 GARCIA-VALLE JOSEPH P CHIEF COMPLIANCE COUNSEL 220016 0 21800 0 11 0 26548 0 780 0 269155 0 0 0 HEDDERICH NICOLE M AVP QUALITY & RISK MANAGEMENT 193544 0 35333 0 1942 0 26264 0 747 0 257830 0 0 0 HARRER KARA A AVP ANCILLARY OPERATIONS 185891 0 17427 0 4349 0 26174 0 1477 0 235318 0 0 0 PART I, LINE 3 CALVERTHEALTH MEDICAL CENTER COMPENSATES THE EXECUTIVES OF THE ORGANIZATION. THE ORGANIZATION RELIES ON CALVERTHEALTH MEDICAL CENTER TO UTILIZE THE FOLLOWING METHODS IN ESTABLISHING COMPENSATION: -CONTEMPORANEOUS SUBSTANTIATION OF THE DECISION-MAKING PROCESS -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACT -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING EMPLOYEE(S) CONTRIBUTED TO (EMPLOYEE AND EMPLOYER PORTION) A RELATED ORGANIZATION'S 457(F) DEFERRED COMPENSATION PLAN: DEAN TEAGUE: $145,226 ANTHONY BLADEN: $37,650 MELISSA HALL: $2,510 CAROLYN HEITHAUS: $53,361 THERESA JOHNSON: $10,335 THEODORE TSANGARIS, M.D. $12,627 PETER GLOGGNER: $13,634 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF CALVERT HEALTH SYSTEM, INC. BOARD OF DIRECTORS AFTER COMPLETION AND PRIOR TO SUBMISSION TO THE IRS. THE DOCUMENT IS DELIVERED TO THE COMMITTEE MEMBERS PRIOR TO THE COMMITTEE MEETING SO THEY CAN REVIEW THE INFORMATION AND RESPOND TO OR QUESTION ANY OR ALL DATA. THE CEO AND CFO ARE PRESENT AT THE AUDIT COMMITTEE MEETING. PRIOR TO SUBMISSION TO THE IRS, A COPY OF THE FINAL FORM 990 IS POSTED ON THE BOARD OF DIRECTORS PORTAL WHICH IS PASSWORD PROTECTED. ALL BOARD MEMBERS ARE NOTIFIED BY EMAIL THAT THE FORM 990 HAS BEEN POSTED ON THE PORTAL AND IS AVAILABLE FOR REVIEW. ANY ADDITIONAL COMMENTS OR QUESTIONS FROM BOARD MEMBERS ARE RESPONDED TO PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CALVERT HEALTH SYSTEM, INC. AND SUBSIDIARIES (THE HEALTH SYSTEM) HAVE A CONFLICT OF INTEREST PROCESS. AT ITS CORE ARE THREE DISTINCT POLICIES; ONE EACH FOR THE BOARD OF DIRECTORS, MEDICAL STAFF, AND ALL EMPLOYEES AND ASSOCIATES OF THE HEALTH SYSTEM. THESE POLICIES REQUIRE ALL ORGANIZATIONAL LEADERSHIP, AS WELL AS RANK AND FILE ASSOCIATES IN KEY POSITIONS OR WITH RELATIONSHIPS WITH OUTSIDE PARTIES THAT DO BUSINESS WITH THE HEALTH SYSTEM, TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. ANNUAL DISCLOSURES ARE REQUIRED AND DOCUMENTED WITH A FURTHER REQUIREMENT TO PROMPTLY SUPPLEMENT WHEN AN ACTUAL OR POTENTIAL CONFLICT IS DISCOVERED OR CREATED. THE HEALTH SYSTEM REQUIRES THAT THESE POLICIES BE CONSTRUED BROADLY TO AVOID THE APPEARANCE OF IMPROPER ACTIVITY AND REQUIRES DISCLOSURE AND RESOLUTION OF POTENTIAL CONFLICTS AS WELL. THE PROCESS IS OVERSEEN BY THE CHIEF COMPLIANCE OFFICER OF THE HEALTH SYSTEM WHO HAS ACCESS TO EXTERNAL RESOURCES, INCLUDING OUTSIDE COUNSEL. REMEDIES RANGE FROM DISCLOSURE AND MONITORING FOR THE MOST ATTENUATED POTENTIAL CONFLICTS TO RESIGNATION/TERMINATION FOR UNRESOLVABLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 CALVERTHEALTH MEDICAL CENTER, INC. COMPENSATES THE EXECUTIVE OF THE ORGANIZATION AND THE ORGANIZATION RELIES ON CALVERTHEALTH MEDICAL CENTER, INC. TO UTILIZE THE FOLLOWING METHODS IN ESTABLISHING COMPENSATION: CONTEMPORANEOUS SUBSTANTIATION OF THE DECISION MAKING PROCESS, FORM 990 OF THE OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATIONS COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY, AUDITED FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: DISTRIBUTION FROM CMH II HOLDING DISTRIBUTION FROM CMH HOLDING INTERCOMPANY EQUITY CONTRIBUTIONS 2,289,881. PART XII LINE 2B THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AS PART OF THE CONSOLIDATED AUDIT OF THE HEALTH SYSTEM. PART XII THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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