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 521680647 CALVERTHEALTH FOUNDATION INC CALV 4105354000 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 JEREMY BRADFORD PRESIDENT & CEO 4105354000 2024-04-23 1 JEREMY BRADFORD XXX-XX-XXXX 1 AMY BIBBY P00445891 7039700400 2024-04-23 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEREMY BRADFORD 100 HOSPITAL RD PRINCE FREDERICK MD 20678 1363197 0 X HTTPS://CALVERTHEALTHFOUNDATION.ORG/ X 1989 MD THE CALVERTHEALTH FOUNDATION IS FOCUSED ON THE DEVELOPMENT, OPTIMIZATION AND OPERATION OF MULTIPLE CHARITABLE DONATION PROGRAMS TO MAXIMIZE SUPPORT FOR CALVERTHEALTH MEDICAL CENTER AND ITS SUBSIDIARIES WHOSE VISION IS TO PROVIDE EXCEPTIONAL CARE AND MAKE A DIFFERENCE IN EVERY LIFE THEY TOUCH. 16 14 0 63 0 0 1206272 1162506 0 0 279648 0 -24694 -104559 1461226 1057947 1510254 924965 0 0 0 0 0 0 545 85116 112947 1595370 1037912 -134144 20035 7132327 6436398 1087206 93035 6045121 6343363 X THE CALVERTHEALTH FOUNDATION IS FOCUSED ON THE DEVELOPMENT, OPTIMIZATION AND OPERATION OF MULTIPLE CHARITABLE DONATION PROGRAMS TO MAXIMIZE SUPPORT FOR CALVERTHEALTH MEDICAL CENTER AND ITS SUBSIDIARIES WHOSE VISION IS TO PROVIDE EXCEPTIONAL CARE AND MAKE A DIFFERENCE IN EVERY LIFE THEY TOUCH. 0 0 849971 752734 THE PRINCIPLE MISSION OF THE FOUNDATION IS TO SUPPORT CALVERTHEALTH MEDICAL CENTER, INC. IN FY 2023, THE FOUNDATION PROVIDED SUPPORT IN THE AMOUNT OF $569,502 TO CALVERTHEALTH MEDICAL CENTER, INC. THIS YEAR, SUPPORT WAS ALSO PROVIDED TO CALVERTHEALTH MEDICAL GROUP IN THE AMOUNT OF $183,231. 172231 172231 THE SECOND PRINCIPLE MISSION OF THE FOUNDATION IS TO ADMINISTER THE SCHOLARSHIP ENDOWMENT FUNDS FOR THE BENEFIT OF NURSING, ALLIED HEALTH AND MEDICAL DOCTORATE STUDENTS IN SUPPORT OF CALVERTHEALTH MEDICAL CENTER, INC. IN FY 2023, THE FOUNDATION AWARDED $172,231 IN SCHOLARSHIPS. 1022202 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 14 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X CAROLYN HEITHAUS CFO 4105358241 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 BRADFORD JEREMY EX-OFFICIO - CEO START 3/1/23 1.00 45.00 X X 0 0 0 GARDNER BARBARA EX-OFFICIO - CHS TREASURER 1.00 45.00 X X 0 0 0 ANASTASI GRACE TRUSTEE 2.00 X 0 0 0 BOWMAN DENISE CHAIR/SECRETARY-TREASURER 3.00 X X 0 0 0 CORNELLIER JULIE TRUSTEE 2.00 X 0 0 0 FRIEDMAN BARRY TRUSTEE 2.00 X 0 0 0 GAINES WILLIAM TRUSTEE 4.00 X 0 0 0 GARNER LISA TRUSTEE 2.00 X 0 0 0 HARMS MARIANNE SECOND VICE-CHAIR 10.00 X X 0 0 0 HOOPER DWAYNE TRUSTEE 2.00 X 0 0 0 ICAZA MARIA TRUSTEE 2.00 X 0 0 0 LAZARCHICK BRIAN TRUSTEE 1.00 X 0 0 0 MARTIN BRIAN TRUSTEE 2.00 X 0 0 0 MILLER DIXIE TRUSTEE 2.00 X 0 0 0 SMITH FRANK VICE-CHAIR 1.00 X X 0 0 0 ZANCAN DANISHA TRUSTEE 2.00 X 0 0 0 TEAGUE DEAN EX-OFFICIO - CEO RETIRED 2/23 1.00 45.00 X X 0 981444 187831 HEITHAUS CAROLYN EX-OFFICIO - CFO 1.00 45.00 X 0 634766 94046 0 1616210 281877 0 0 1 0 0 381794 780712 1162506 200691 381794 305250 -104559 -104559 1057947 0 0 -104559 752734 752734 172231 172231 43310 37073 6020 217 33618 28777 4673 168 228 195 32 1 2880 2466 400 14 BAD DEBT EXPENSE 11475 9823 1595 57 MISCELLANEOUS 11151 10099 1015 37 NOURISHMENTS 10285 8804 1430 51 1037912 1022202 15165 545 1823868 559824 189081 375132 41111 21479 5078267 5479963 7132327 6436398 249500 54449 837706 38586 1087206 93035 X 3493995 3748268 2551126 2595095 6045121 6343363 7132327 6436398 20035 278207 0 X X 0 1 X 1 0 X X X 1 CALVERTHEALTH MEDICAL CENTER INC 520619000 3 1 752734 258027 1 752734 258027 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 975310 11000 986310 475310 500000 975310 475310 475310 475310 475310 1133612 -658302 475310 0.00000 1.00000 0.00000 0 0 0 DUE TO RELATED PARTIES 38586 38586 X PART V, LINE 4: EARNINGS FROM THE ENDOWMENT FUNDS ARE USED TO PROVIDE HEALTHCARE RELATED EDUCATIONAL SCHOLARSHIPS. PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC AS A PUBLIC CHARITY. THE FOUNDATION 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 FOUNDATION'S STATUS AS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAXATION REMAINS IN EFFECT. THE STATE IN WHICH THE FOUNDATION OPERATES ALSO PROVIDES GENERAL EXEMPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, THE FOUNDATION 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 FOUNDATION 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 FOUNDATION 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. X X X X X X X GALA 418865 251515 167350 251433 GOLF TOURNAMENT 106189 73298 32891 40377 1 57431 56981 450 13440 582485 381794 200691 305250 305250 -104559 1 CALVERTHEALTH MEDICAL CENTER INC 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 520619000 501(C)(3) 569502 0 FUND EQUIP PURCHASES & PROGRAM SERVICES CALVERT HEALTH SYSTEM INC 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 522347324 501(C)(3) 183231 0 FUND PROGRAM SERVICES. 2 0 SCHOLARSHIPS - ALLIED HEALTH 29 102231 SCHOLARSHIPS - MEDICAL DOCTOR 7 70000 PART I, LINE 2: (A) THE CALVERTHEALTH FOUNDATION, INC. ADMINISTERS A SCHOLARSHIP FUND FOR STUDENTS PARTICIPATING IN NURSING OR OTHER ALLIED HEALTH PROFESSIONS. THE SCHOLARSHIP AWARDS ARE FUNDED WITH THE ANNUAL EARNINGS ON A PERMANENTLY RESTRICTED ENDOWMENT. THE FOUNDATION BOARD OF DIRECTORS REVIEWS THE AVAILABLE FUNDING ON ANNUAL BASIS AND MAKES A MOTION TO ALLOW A SCHOLARSHIP COMMITTEE TO AWARD THE ACCEPTED FUNDING TO APPLICANTS. THE SCHOLARSHIP COMMITTEE, APPOINTED BY THE CHMC FOUNDATION BOARD OF DIRECTORS, IS RESPONSIBLE FOR REVIEWING APPLICATIONS AND MAKING RECOMMENDED AWARDS TO ELIGIBLE APPLICANTS. THE APPLICATION PROCESS IS OPEN TO ANY STUDENT THAT IS CURRENTLY ADMITTED TO A NURSING OR ALLIED HEALTH PROGRAM AT AN ACCREDITED COLLEGE OR UNIVERSITY. THE APPLICANTS ARE NOT REQUIRED TO BE EMPLOYEES OF ANY CALVERT HEALTH SYSTEM, INC. ENTITY. THE STUDENT MUST SUBMIT AN APPLICATION, TRANSCRIPTS, LETTER OF ACCEPTANCE AND REFERENCES BY A SPECIFIED DATE EACH YEAR. THE SCHOLARSHIP POLICY SETS FORTH THE FOLLOWING MINIMUM ELIGIBILITY REQUIREMENTS: 1. STUDENT MUST BE ADMITTED TO A NURSING OR ALLIED HEALTH PROGRAM. 2. STUDENT MUST HAVE A MINIMUM ACADEMIC GPA OF 2.5. 3. PREFERENCE IS GIVEN TO RESIDENTS OF CALVERT AND ANNE ARUNDEL COUNTIES, SECOND PREFERENCE GIVEN TO RESIDENTS OF CHARLES & ST. MARY'S COUNTIES. 4. QUALIFIED APPLICANTS ARE SELECTED WITHOUT REGARD TO RACE, CREED, COLOR, RELIGION OR GENDER. ONCE, THE APPLICANTS HAVE BEEN AWARDED A SCHOLARSHIP, THEIR ANNUAL SCHOLARSHIP AWARD IS ISSUED DIRECTLY TO THE ACCREDITED COLLEGE OR UNIVERSITY TO BE APPLIED TOWARD TUITION EXPENSE ONLY. THE ISSUANCE OF PAYMENT DIRECTLY TO THE EDUCATIONAL INSTITUTION ALLOWS THE FOUNDATION TO MONITOR THE USE OF FUNDS. (B) THE CALVERTHEALTH FOUNDATION, INC. ALSO ADMINISTERS A SCHOLARSHIP FUND FOR STUDENTS PURSUING A MEDICAL DOCTORATE. THE SCHOLARSHIPS ARE FUNDED WITH THE ANNUAL EARNINGS ON A PERMANENTLY RESTRICTED ENDOWMENT. THE QUANTITY OF SCHOLARSHIPS AWARDED EACH YEAR IS DEPENDENT ON THE NUMBER OF QUALIFIED APPLICANTS AND THE AVAILABLE EARNINGS. HOWEVER, THE INDIVIDUAL AWARD MAY NOT EXCEED $10,000. THE SELECTION OF QUALIFIED APPLICANTS IS MADE BY A COMMITTEE THAT INCLUDES MEMBERS OF THE CALVERT COUNTY MEDICAL SOCIETY, CALVERTHEALTH MEDICAL CENTER MEDICAL STAFF, CALVERTHEALTH FOUNDATION, INC. BOARD OF DIRECTORS AND THE CHIEF FINANCIAL OFFICER OF CALVERTHEALTH MEDICAL CENTER. THE APPLICATION PROCESS IS OPEN TO ANY STUDENT THAT GRADUATED FROM A CALVERT COUNTY HIGH SCHOOL AND HAS BEEN ACCEPTED INTO AN ACCREDITED MEDICAL SCHOOL PROGRAM. THE APPLICANTS ARE NOT REQUIRED TO BE EMPLOYEES OF ANY CALVERT HEALTH SYSTEM, INC. ENTITY. THE STUDENT MUST SUBMIT AN APPLICATION, TRANSCRIPTS, LETTER OF ACCEPTANCE AND REFERENCES BY A SPECIFIED DATE EACH YEAR. THE SCHOLARSHIP POLICY SETS FORTH THE FOLLOWING MINIMUM ELIGIBILITY REQUIREMENTS: 1. STUDENT MUST HAVE GRADUATED FROM A HIGH SCHOOL LOCATED IN CALVERT COUNTY, MD. 2. STUDENT MUST BE ADMITTED TO AN ACCREDITED MEDICAL SCHOOL AT TIME OF APPLICATION. 3. STUDENT SHALL HAVE A MINIMUM GPA OF 2.5. 4. QUALIFIED APPLICANTS ARE SELECTED WITHOUT REGARD TO RACE, CREED, COLOR, RELIGION OR GENDER. 5. STUDENT MUST HAVE SUBMITTED A COMPLETED APPLICATION. ONCE, THE APPLICANTS HAVE BEEN AWARDED A SCHOLARSHIP, THEIR ANNUAL SCHOLARSHIP AWARD IS ISSUED DIRECTLY TO THE ACCREDITED COLLEGE OR UNIVERSITY TO BE APPLIED TOWARD TUITION EXPENSE ONLY. THE ISSUANCE OF PAYMENT DIRECTLY TO THE EDUCATIONAL INSTITUTION ALLOWS THE FOUNDATION TO MONITOR THE USE OF FUNDS. 0 1 0 0 0 0 0 0 0 TEAGUE DEAN EX-OFFICIO - CEO RETIRED 2/23 0 649226 0 320750 0 11468 0 178851 0 8980 0 1169275 0 0 HEITHAUS CAROLYN EX-OFFICIO - CFO 0 428741 0 104866 0 101159 0 87986 0 6105 0 728857 0 0 PART I, LINE 3 CALVERTHEALTH MEDICAL CENTER COMPENSATES THE EXECUTIVE OF THE ORGANIZATION AND 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 EMPLOYEES CONTRIBUTED TO (EMPLOYEE AND EMPLOYER PORTION) A RELATED ORGANIZATION'S 457(F) DEFERRED COMPENSATION PLAN: DEAN TEAGUE: $145,226 CAROLYN HEITHAUS: $53,361 GARNER EXTERIORS LLC OWNER IS HUSBAND OF BOARD MEMBER (GARNER, LISA) 183872 GROUNDS MAINTENCE CONTRACTED VENDOR BY RELATED ORGANIZATION - CALVERTHEALTH MEDICAL CENTER, INC 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FOUNDATION SHALL BE CALVERTHEALTH MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE POWER TO ELECT AND REMOVE TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE AN EXERCISE ALL POWERS CONFERRED UPON MEMBERS OF NON-STOCK CORPORATIONS BY THE LAWS OF THE STATE OF MARYLAND, INCLUDING, WITHOUT LIMITATION, THE POWER TO APPROVE ANY AMENDMENT TO THE CHARTER OR BYLAWS OF THE FOUNDATION AND THE POWER TO ELECT AND REMOVE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE 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 THAT THEY CAN REVIEW THE INFORMATION AND RESPOND TO OR QUESTION ANY OR ALL OF THE DATA. THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER ARE PRESENT AT THE AUDIT COMMITTEE MEETING. FORM 990, PART VI, SECTION B, LINE 12C CALVERT HEALTH SYSTEM, INC. AND SUBSIDIARIES (THE HEALTH SYSTEM) HAVE A CONFLICT OF INTEREST PROCESS. AT IT'S 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 ORGANIZATION 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 REQUIRE THAT THESE POLICIES BY 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 OTHER REORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2B THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AUDITED BY AN INDEPENDENT ACOUNTING FIRM AS PART OF THE CONSOLIDATED AUDIT OF THE HEALTH SYSTEM. PART XII THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART V LINE 8 & 9 THE ORGANIZATION DID NOT COMPLETE PART V, LINES 8 & 9 BECAUSE IT DID NOT SPONSOR ANY DONOR ADVISED FUNDS. CALVERTHEALTH MEDICAL CENTER INC 100 HOSPITAL RD PRINCE FREDERICK MD 20678 520619000 HEALTHCARE MD 501(C)(3) LINE 3 CALVERT HEALTH SYSTEM 0 CALVERT HEALTH SYSTEM INC 100 HOSPITAL RD PRINCE FREDERICK MD 20678 522347324 HEALTHCARE MD 501(C)(3) LINE 3 N/A 0 CORELIFE CALVERT PARTNERSHIP LLC 1099 WINTERSON RD STE 300 LINTHICUM HEIGHTS MD 21090 843544145 HEALTHCARE MD N/A 0 0 CALVERT COMMUNITY HEALTH INC 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 521996371 HEALTHCARE MD N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0