UNION HOSPITAL OF CECIL COUNTY: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: UNION HOSPITAL OF CECIL COUNTY (EIN 52-0607945)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202501359349311000
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T13:23:39-04:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PwC US Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520607945	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL OF CECIL COUNTY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SR VP'S OFFICE	InCareOfNm
Business Name Control	UNIO	BusinessNameControlTxt
Phone	4103984000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE NW3-100	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT MCMURRAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4103984000	PhoneNum
Signature	2025-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum
Preparation	2025-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AMY MARSTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 BOW STREET	AddressLine1Txt
City	ELKTON	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	219215596	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$210,202,168	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UHCC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD AND THE SURROUNDING AREA.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1394	TotalEmployeeCnt
Total Volunteers	183	TotalVolunteersCnt
Total Gross UBI	$1,640,335	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$902,376	PYContributionsGrantsAmt
CY Contributions Grants	$173,336	CYContributionsGrantsAmt
PY Program Service Revenue	$172,643,201	PYProgramServiceRevenueAmt
CY Program Service Revenue	$186,412,171	CYProgramServiceRevenueAmt
PY Investment Income	$1,580,560	PYInvestmentIncomeAmt
CY Investment Income	$5,543,871	CYInvestmentIncomeAmt
PY Other Revenue	$2,719,965	PYOtherRevenueAmt
CY Other Revenue	$2,392,637	CYOtherRevenueAmt
PY Total Revenue	$177,846,102	PYTotalRevenueAmt
CY Total Revenue	$194,522,015	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$122,030,806	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$124,692,604	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$70,389,001	PYOtherExpensesAmt
CY Other Expenses	$68,606,520	CYOtherExpensesAmt
PY Total Expenses	$192,419,807	PYTotalExpensesAmt
CY Total Expenses	$193,299,124	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,573,705	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,222,891	CYRevenuesLessExpensesAmt
Total Assets BOY	$186,066,867	TotalAssetsBOYAmt
Total Assets EOY	$209,167,049	TotalAssetsEOYAmt
Total Liabilities BOY	$156,038,586	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$167,642,633	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$30,028,281	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$41,524,416	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	UNION HOSPITAL OF CECIL COUNTY, INC.'S MISSION IS TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND; WESTERN NEW CASTLE COUNTY, DELAWARE; AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$167,294,867	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$186,924,195	RevenueAmt
Desc	UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND AND NEIGHBORING COMMUNITIES. SERVICES ARE PROVIDED WITH MODERN TECHNOLOGY AND COMPASSIONATE CARE FROM HEALTH CARE PROFESSIONALS. SERVICES ARE PROVIDED REGARDLESS OF RACE, GENDER, ETHNICITY, AGE, DISABILITY, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, IT IS RECOGNIZED THAT NOT ALL MEMBERS OF THE COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE HEALTH CARE SERVICES. FOR ELIGIBLE INDIVIDUALS, UNION HOSPITAL OF CECIL COUNTY OFFERS FREE AND/OR SUBSIDIZED CARE, AS WELL AS ACCESS TO COMMUNITY FINANCIAL ASSISTANCE. DURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $3,815,100 IN UNCOMPENSATED CARE (CHARITY CARE). IN ADDITION, COMMUNITY BENEFIT ACTIVITIES ARE PROVIDED TO SERVE VULNERABLE POPULATIONS (I.E. PEOPLE WITH LOW INCOMES, PREGNANT PEOPLE, PEOPLE WITH SUBSTANCE USE DISORDER) AND/OR TO ADDRESS A DEMONSTRATED COMMUNITY HEALTH-RELATED NEED. COMMUNITY NEEDS ARE IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENTS, COMPLETED EVERY THREE YEARS IN PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT. COMMUNITY BENEFITS INCLUDE: A) ACCESS TO HEALTH INITIATIVES INCLUDING THE PROVISION OF FREE TRANSPORTATION TO MEDICAL APPOINTMENTS FOR ELIGIBLE PATIENTS, ANNUAL SPORTS PHYSICALS FOR CECIL COUNTY PUBLIC SCHOOL YOUTH NOT CONNECTED TO PRIMARY CARE, AND MOBILE HEALTH MONTHLY OUTREACH WHICH OFFERS CONNECTION TO COMMUNITY AND CLINICAL RESOURCES, AS WELL AS BLOOD PRESSURE AND VISION SCREENINGS. B) COMMUNITY SUPPORT GROUPS AND EDUCATION FOR PREGNANT PEOPLE ON THE TOPICS OF DELIVERY, INFANT CARE, AND BREASTFEEDING - INCLUDING SPECIALIZED EDUCATION FOR HOW TO CARE FOR BABIES WITH NEONATAL ABSTINENCE SYNDROME - OFFERED AT COMMUNITY TREATMENT CENTERS. C) HEALTH EDUCATION ON PREVENTION AND SCREENING FOR CANCER, ESPECIALLY LUNG CANCER WHICH IS PREVALENT IN CECIL COUNTY. D) ADDRESSING SUBSTANCE USE DISORDER THROUGH OUR PARTNERSHIP WITH CECIL COUNTY HEALTH DEPARTMENT AND VOICES OF HOPE, INC. TO OFFER NEARLY 24/7 ON-SITE CONNECTION FOR OUR PATIENTS TO PEERS IN RECOVERY WHO SERVE INDIVIDUALS WITH CONNECTIONS TO BEHAVIORAL HEALTH SUPPORTS AND TREATMENT. E) SCREENING ADMITTED PATIENTS FOR SOCIAL NEEDS AND HELPING TO ADDRESS THOSE NEEDS THROUGH COMMUNITY PARTNERSHIPS AND UTILIZATION OF UNITE MARYLAND, A SOCIAL CARE REFERRAL NETWORK. F) HOSPITAL STAFF PARTICIPATION ON COMMUNITY BOARDS AND COALITIONS, SUCH AS THE ECONOMIC DEVELOPMENT COMMISSION, CECIL COUNTY LOCAL MANAGEMENT BOARD, SUSQUEHANNA WORKFORCE NETWORK, AND WEST CECIL HEALTH CENTER. UNION HOSPITAL OF CECIL COUNTY SERVICED 6,200 DISCHARGES PROVIDING 26,962 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2024 OF WHICH: 1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,292 DISCHARGES AND 10,765 PATIENT DAYS 2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 159 DISCHARGES AND 686 PATIENT DAYS 3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,519 DISCHARGES AND 5,155 PATIENT DAYS 4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 918 DISCHARGES AND 4,558 PATIENT DAYS	Desc
Total Program Service Expenses	$167,294,867	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	76	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1394	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SR VP'S OFFICE	PersonNm
Phone	3024282441	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE NW3-100	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
SHARON T KURFUERST
FORMER PRESIDENT	0.0	0.0	Yes (X)	$0	$1,311,367	$0
ROBERT MCMURRAY
TREASURER (EX-OFFICIO)	1.0	44.0		$0	$1,040,419	$88,327	Yes (X)
JENNIFER L SCHWARTZ ESQ
SECRETARY (EX-OFFICIO)	1.0	44.0		$0	$926,687	$80,121	Yes (X)
JUSTIN SAUSVILLE MD
DIRECTOR	44.0	1.0		$766,042	$0	$20,878		Yes (X)
FAHD RAHMAN MD
PHYSICIAN	45.0	0.0		$751,159	$0	$20,878			Yes (X)
ROGER D WU MD
PHYSICIAN	45.0	0.0		$623,067	$0	$21,255			Yes (X)
RYAN GERACIMOS MD
CHIEF MEDICAL OFF. - THRU 3/24	44.0	1.0		$620,269	$0	$15,122				Yes (X)
CLAIRE YI ZHANG
PHYSICIAN	45.0	0.0		$516,129	$0	$0			Yes (X)
GEORGE GIANNOUKOS
PHYSICIAN	45.0	0.0		$511,568	$0	$0			Yes (X)
JAMES MICHEAL JARVIS
PHYSICIAN	45.0	0.0		$495,424	$0	$0			Yes (X)
AMY MARSTON
DIRECTOR/CAMPUS OPS OFCR	44.0	1.0		$0	$331,745	$20,878		Yes (X)
DONNA MALONEY
DIRECTOR OF FINANCE	1.0	44.0		$0	$246,261	$20,878				Yes (X)
JOSE MA MD
DIRECTOR - THRU 8/23	44.0	1.0		$252,761	$0	$12,506		Yes (X)
JOAN PIRRUNG MSN APRN ACNS-BC
CHIEF NURSING OFFICER	44.0	1.0		$238,411	$0	$20,878				Yes (X)
MICHELLE TWUM-DANSO
DIRECTOR HR - CECIL THRU 1/24	44.0	1.0		$0	$238,170	$13,910				Yes (X)
ROBERT ASANTE
DIRECTOR	1.0	44.0		$0	$226,928	$20,878		Yes (X)
DERON G BROWN
FORMER FINANCE DIRECTOR	0.0	44.0	Yes (X)	$0	$199,146	$0
CHRISTY DRYER DNP
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
DAVID TROLIO
VICE CHAIR - AS OF 01/24	1.0	1.0		$0	$0	$0	Yes (X)	Yes (X)
DWIGHT D THOMEY ESQ
DIRECTOR, CHAIR - THRU 12/23	1.0	3.0		$0	$0	$0	Yes (X)	Yes (X)
JACQUES RENE
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
LEO NAJERA MD
DIRECTOR	1.0	2.0		$0	$0	$0		Yes (X)
MORGAN MILLER MLIS
CHAIR - AS OF 01/24	1.0	1.0		$0	$0	$0	Yes (X)	Yes (X)
ROBERT PALSGROVE
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
JOHN NESS
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
SUANNE BLUMBERG
DIRECTOR - AS OF 01/24	1.0	1.0		$0	$0	$0		Yes (X)
WANDA CRICKET BROWNE ESQ
DIRECTOR - AS OF 01/24	1.0	1.0		$0	$0	$0		Yes (X)
ARSALAN SHEIKH MD
CHIEF MEDICAL OFF.- AS OF 1/24	44.0	1.0		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,774,830	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,520,723	TotReportableCompRltdOrgAmt
Total Other Compensation	$356,509	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	215	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNION RADIOLOGISTS LLC
106 BOW ST RADIOLOGY OFFICE	ELKTON	MD	21921	RADIOLOGY SERVICES	$3,461,708
FRANCIS APALERMO MD PA
620 STANTON-CHRISTIANA RD STE 301	NEWARK	DE	19713	PROVIDER SERVICES	$554,047
KOREE PARTNERS
8 WYETH LN	HOCKESSIN	DE	19707	STAFFING SERVICES	$241,467
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809176	LAB SERVICES	$222,311
LOCUMTENENSCOM
PO BOX 405547	ATLANTA	GA	303845547	CONSULTING SERVICES	$210,553

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	133	CntrctRcvdGreaterThan100KCnt
Related Organizations	$173,336	RelatedOrganizationsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$173,336	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$186,092,763	$186,092,763
OTHER OPERATING REVENUE	621990	$224,008	$188,008	$36,000
MANAGEMENT FEE REVENUE	623990	$95,400	$95,400

Field	Value	IRS element (for citing)
Total Program Service Revenue	$186,412,171	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,163,316	TotalRevenueColumnAmt
Unrelated Business Revenue	-$2,093	UnrelatedBusinessRevenueAmt
Exclusion	$2,165,409	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$66,382	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,509	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$59,873	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,873	TotalRevenueColumnAmt
Exclusion	$59,873	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$19,054,199	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,640,589	SecuritiesAmt
Other	$33,055	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,413,610	SecuritiesAmt
Other	-$33,055	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,380,555	TotalRevenueColumnAmt
Unrelated Business Revenue	$118,262	UnrelatedBusinessRevenueAmt
Exclusion	$3,262,293	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
LABORATORY REVENUE	621500	$2,000,190	$512,024	$1,488,166
CAFETERIA/FOOD SERVICE REVENUE	722210	$332,021			$332,021
OTHER REVENUE	900009	$553			$553

Field	Value	IRS element (for citing)
Other Revenue Total	$2,332,764	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,522,015	TotalRevenueColumnAmt
Related Or Exempt Func Income	$186,888,195	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,640,335	UnrelatedBusinessRevenueAmt
Exclusion	$5,820,149	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,078,331	TotalAmt
Program Services	$1,830,953	ProgramServicesAmt
Management And General	$247,378	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,002,791	TotalAmt
Program Services	$82,813,912	ProgramServicesAmt
Management And General	$11,188,879	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,611,034	TotalAmt
Program Services	$3,919,379	ProgramServicesAmt
Management And General	$691,655	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,823,979	TotalAmt
Program Services	$15,001,833	ProgramServicesAmt
Management And General	$1,822,146	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,176,469	TotalAmt
Program Services	$5,565,374	ProgramServicesAmt
Management And General	$1,611,095	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$101,413	TotalAmt
Program Services	$18,022	ProgramServicesAmt
Management And General	$83,391	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$137,488	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$137,488	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$128,740	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$128,740	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,732,173	TotalAmt
Program Services	$17,331,442	ProgramServicesAmt
Management And General	$1,400,731	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$197,685	TotalAmt
Program Services	$45,073	ProgramServicesAmt
Management And General	$152,612	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,829,099	TotalAmt
Program Services	$998,668	ProgramServicesAmt
Management And General	$830,431	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,555,767	TotalAmt
Program Services	$320,770	ProgramServicesAmt
Management And General	$2,234,997	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,411,034	TotalAmt
Program Services	$3,750,429	ProgramServicesAmt
Management And General	$660,605	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$174,567	TotalAmt
Program Services	$168,461	ProgramServicesAmt
Management And General	$6,106	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$150,845	TotalAmt
Program Services	$134,462	ProgramServicesAmt
Management And General	$16,383	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,414,935	TotalAmt
Program Services	$1,995,702	ProgramServicesAmt
Management And General	$419,233	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,570,030	TotalAmt
Program Services	$5,049,026	ProgramServicesAmt
Management And General	$3,521,004	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,974,983	TotalAmt
Program Services	$1,955,745	ProgramServicesAmt
Management And General	$19,238	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$21,516,755	$21,372,268	$144,487	$0
REPAIRS & MAINTENANCE	$3,387,409	$3,341,988	$45,421	$0
DUES & PERIODICALS	$757,667	$178,446	$579,221	$0
DIETARY	$730,422	$721,027	$9,395	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$835,508	TotalAmt
Program Services	$781,887	ProgramServicesAmt
Management And General	$53,621	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$193,299,124	TotalAmt
Program Services	$167,294,867	ProgramServicesAmt
Management And General	$26,004,257	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,608,186	BOYAmt
EOY	$26,711,352	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,368,053	BOYAmt
EOY	$28,131,548	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,952,561	BOYAmt
EOY	$4,736,732	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,219,190	BOYAmt
EOY	$4,874,360	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$195,722,648	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$136,316,710	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$59,286,726	BOYAmt
EOY	$59,405,938	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$51,737,013	BOYAmt
EOY	$57,652,757	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,895,138	BOYAmt
EOY	$27,654,362	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$186,066,867	BOYAmt
EOY	$209,167,049	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,768,329	BOYAmt
EOY	$27,255,155	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,444,392	BOYAmt
EOY	$52,303	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,814,552	BOYAmt
EOY	$44,456,291	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,011,313	BOYAmt
EOY	$95,878,884	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,038,586	BOYAmt
EOY	$167,642,633	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,126,386	BOYAmt
EOY	$38,436,965	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,901,895	BOYAmt
EOY	$3,087,451	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,028,281	BOYAmt
EOY	$41,524,416	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$186,066,867	BOYAmt
EOY	$209,167,049	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,222,891	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,844,947	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,428,297	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,134,904	OtherCostOrOtherBasisAmt
Book Value	$1,134,904	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,226,297	OtherCostOrOtherBasisAmt
Depreciation	$36,907,278	DepreciationAmt
Book Value	$23,319,019	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,094,894	OtherCostOrOtherBasisAmt
Depreciation	$650,873	DepreciationAmt
Book Value	$444,021	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,900,635	OtherCostOrOtherBasisAmt
Depreciation	$77,305,107	DepreciationAmt
Book Value	$21,595,528	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,365,918	OtherCostOrOtherBasisAmt
Depreciation	$21,453,452	DepreciationAmt
Book Value	$12,912,466	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$59,405,938	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$6,952,609	BookValueAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MANAGED HEDGE FUNDS	$2,662,094	F
INVESTMENTS	$48,038,054	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$57,652,757	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$19,010,164
IN HOUSE LEASES	$3,367,654
ROU LEASES	$2,688,366
INSURANCE CLAIMS RECOVERABLE	$2,542,560
SECURITY DEPOSITS	$25,618
OTHER ASSETS	$20,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$27,654,362	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$87,695,204
EST. MEDICAL MALPRACTICE LIABI	$4,175,807
ROU LEASES	$3,978,096
CAPITAL LEASE OBLIGATIONS	$29,777

Field	Value	IRS element (for citing)
Total Liability	$95,878,884	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,815,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,815,310	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,815,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,815,310	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$473,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$473,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$262,018	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,242,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,812,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,430,866	NetCommunityBenefitExpnsAmt
Total Expense	0.06430	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,899	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$178,899	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,157,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,812,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,345,246	NetCommunityBenefitExpnsAmt
Total Expense	0.06900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,972,634	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,812,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,160,556	NetCommunityBenefitExpnsAmt
Total Expense	0.07840	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,255	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,464	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,464	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,395	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,395	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,114	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,114	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,938,821	BadDebtExpenseAmt
Bad Debt Expense Attributable	$66,097	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,705,521	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,872,310	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$833,211	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL OF CECIL COUNTY INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 BOW STREET	AddressLine1Txt
City	ELKTON	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21921	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.UHCC.COM	WebsiteAddressTxt
State License	LICENSE# 07-005	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL OF CECIL COUNTY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA)	THE 2022 CHNA WAS THE FOURTH CHNA UNION HOSPITAL HAS UNDERTAKEN IN COLLABORATION WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD). WE ARE GRATEFUL FOR THEIR EXPERTISE AND CONTINUED PARTNERSHIP AS WE WORK TOGETHER TO SERVE CECIL COUNTY. TO RECEIVE COMMUNITY INPUT FOR THE 2022 CHNA, WE HOSTED FOUR VIRTUAL MEETINGS WITH THE PARTICIPATION OF 43 COMMUNITY STAKEHOLDERS WHO REPRESENTED THE CCHD AND OTHER GOVERNMENT AGENCIES, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESSES, HEALTH CARE PROVIDERS, AND THE SCHOOL SYSTEM. UNFORTUNATELY, THOSE MEETINGS HAD TO BE HELD VIRTUALLY DUE TO THE RISING NUMBERS OF COVID CASES IN THE COMMUNITY. WE ALSO MET WITH FOUR TEENAGERS PARTICIPATING IN THE CECIL COUNTY PUBLIC LIBRARY'S YOUTH ADVISORY COUNCIL. WE WANTED TO LEARN FROM YOUNG COMMUNITY MEMBERS AS THEY ARE ALSO PART OF THE COMMUNITY WE SERVE AND MAY HAVE DIFFERENT PERSPECTIVES THAN THOSE OF THE ADULTS. FINALLY, WE ALSO HELD A MEETING FOR UNION CAREGIVERS REPRESENTING ADMINISTRATION, NURSING, CASE MANAGEMENT, SOCIAL SERVICES, AND PROJECT MANAGEMENT. THE INTENT OF THE MEETING WAS TO GAIN THE CAREGIVERS' PERSPECTIVE ON THE COMMUNITY'S MOST SIGNIFICANT CHALLENGES AS WELL AS PROVIDE THEM WITH MORE INSIGHT INTO THE COMMUNITY. 16 CAREGIVERS ATTENDED THIS MEETING. EACH MEETING FOLLOWED THE SAME FORMAT. THE CHNA PROCESS AND THE PURPOSE OF THE MEETING WERE EXPLAINED, AND SECONDARY DATA WERE PRESENTED INCLUDING A SUMMARY OF UNFAVORABLE COMMUNITY HEALTH INDICATORS. WE ASKED MEETING PARTICIPANTS FOR THEIR REACTIONS TO THE SECONDARY DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH ISSUES THAT MAY NOT HAVE BEEN INCLUDED IN THE DATA. AT THE CONCLUSION OF EACH MEETING, PARTICIPANTS WERE ASKED TO IDENTIFY THREE TO FIVE COMMUNITY HEALTH ISSUES THEY CONSIDER TO BE MOST SIGNIFICANT. AN ONLINE COMMUNITY HEALTH SURVEY WAS ALSO CONDUCTED IN FEBRUARY AND MARCH 2022. THE SURVEY HAD TWENTY QUESTIONS ON THE FOLLOWING TOPICS: DEMOGRAPHICS, COMMUNITY HEALTH, QUALITY OF LIFE, AND ACCESS TO HEALTH CARE SERVICES. 544 PARTICIPANTS COMPLETED THE SURVEY. MOST SURVEY RESPONDENTS WERE FEMALE (87%) AND 64% OF THE SURVEY RESPONDENTS WERE FROM NORTH EAST AND ELKTON. SEVEN KEY STAKEHOLDERS, HEALTH OFFICERS FROM THE CCHD AND ADMINISTRATIVE AND CLINICAL STAFF FROM WEST CECIL HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, WERE ALSO INTERVIEWED TO GATHER THEIR INPUT ON COMMUNITY HEALTH ISSUES. THE STAKEHOLDERS WERE ASKED TO IDENTIFY AND DISCUSS COMMUNITY HEALTH ISSUES PRIOR TO THE COVID-19 PANDEMIC AND THEN DESCRIBE THE PANDEMIC'S IMPACTS ON THE COMMUNITY AND WHAT HAS BEEN LEARNED ABOUT THE COMMUNITY'S HEALTH GIVEN THOSE IMPACTS. THE STAKEHOLDERS WERE ALSO ASKED TO DESCRIBE THE TYPES OF INITIATIVES, PROGRAMS, AND INVESTMENTS THAT SHOULD BE IMPLEMENTED TO ADDRESS THE COMMUNITY'S HEALTH ISSUES AND TO BE BETTER PREPARED FOR FUTURE RISKS. CHRISTIANACARE CONTRACTED WITH VERIT HEALTHCARE CONSULTING, LLC (VERIT) TO COMPLETE ITS 2022 CHNA. IN COOPERATION WITH CHRISTIANACARE'S OFFICE OF HEALTH EQUITY AND THE CCHD, VERIT CONDUCTED THE RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW, AND ANALYSIS, TO DEVELOP THE CHNA. ---------------------
SCHEDULE H, PART V, SECTION B, LINE 7A & B (CHNA AVAILABILITY)	UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS ALSO AVAILABLE AT: HTTPS://CECILCOUNTYHEALTH.ORG/RESOURCES/HEALTH-ADVISORY-COMMITTEE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 10 (IMP. STRATEGY PUBLIC AVAILABILITY) UNION HOSPITAL OF CECIL COUNTY, INC.'S CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTP://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 11 (ADDRESSING NEEDS FROM THE CHNA)	UNION'S 2022 CHNA IDENTIFIED THE FOLLOWING AS SIGNIFICANT AREAS OF NEED IN CECIL COUNTY: . ACCESS TO HEALTH SERVICES . CANCER . CHILDHOOD TRAUMA/ADVERSE CHILDHOOD EXPERIENCES (ACE) . LGBTQIA+ HEALTH DISPARITIES . MENTAL HEALTH . NUTRITION, OBESITY, AND PHYSICAL INACTIVITY . SMOKING, TOBACCO, AND VAPE PRODUCT USE . SUBSTANCE USE DISORDERS OF THESE SIGNIFICANT NEEDS, UNION PRIORITIZED: . ACCESS TO HEALTH SERVICES . CANCER . LGBTQIA+ HEALTH DISPARITIES . SUBSTANCE USE DISORDERS SELECTION FOR PRIORITIZATION WAS BASED ON RESOURCE AVAILABILITY AND PROGRAMMING UNDERWAY OR PLANNED. UNION ADDRESSES ALL THE IDENTIFIED SIGNIFICANT AREAS OF NEED, BUT DID NOT PRIORITIZE THE FOLLOWING AREAS OF NEED: . CHILDHOOD TRAUMA/ADVERSE CHILDHOOD EXPERIENCES (ACE) . MENTAL HEALTH . NUTRITION, OBESITY, AND PHYSICAL INACTIVITY . SMOKING, TOBACCO, AND VAPE PRODUCT USE THESE AREAS WERE NOT PRIORITIZED BECAUSE WE WERE UNABLE TO CREATE NEW OR EXPANDED COMMUNITY BENEFIT PROGRAMMING IN THESE AREAS. HOWEVER, WE ARE PLEASED TO REPORT THAT CAREGIVERS IN OUR CANCER PROGRAM WORKED TO DEVELOP AND IMPLEMENT A SMOKING CESSATION PROGRAM THAT WILL BEGIN ACCEPTING PATIENTS IN 2025. ACCESS TO HEALTH SERVICES CECIL COUNTY HAS A LOW PER-CAPITA SUPPLY OF PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH PROFESSIONALS COMPARED TO NATIONAL AVERAGES, WHICH CREATES SIGNIFICANT BARRIERS TO CARE. UNION, LIKE RURAL HOSPITALS ACROSS THE COUNTRY, HAS ALSO EXPERIENCED CHALLENGES RECRUITING AND RETAINING PROVIDERS. CHRISTIANACARE CONTINUES TO RESPOND TO THIS CHALLENGE WITH A DIVERSITY OF ONGOING RECRUITMENT EFFORTS. UNFORTUNATELY, ACCESS BARRIERS ARE COMPLEX AND WILL NOT BE RESOLVED ENTIRELY WITH MORE PROVIDERS ALTHOUGH MORE PROVIDERS ARE CERTAINLY NEEDED. LACK OF TRANSPORTATION PRESENTS AN ISSUE FOR MANY IN CECIL COUNTY. IN FY2022 UNION BEGAN TO UTILIZE ROUNDTRIP, A COMPANY THAT PROVIDES A DIGITAL TRANSPORTATION MARKETPLACE TO CONNECT PATIENTS FACING TRANSPORTATION BARRIERS WITH NON-EMERGENCY MEDICAL TRANSPORTATION. WE LAUNCHED ROUNDTRIP FOR OUR PATIENTS PARTICIPATING IN OUR CARE TRANSFORMATION INITIATIVE (CTI), CHRONIC DISEASE NAVIGATION PROGRAM. SINCE THEN, WE HAVE EXPANDED THE USE OF ROUNDTRIP TO OUR PRIMARY CARE PRACTICES. IN FY2024, 117 ROUNDTRIP RIDES WERE PROVIDED TO 22 PATIENTS. THIS IS A SIGNIFICANT INCREASE FROM THE 12 RIDES PROVIDED THROUGH ROUNDTRIP IN FY2023. FOR MANY YEARS, UNION HAS ALSO PROVIDED TAXI VOUCHERS TO INPATIENTS AT DISCHARGE WHO HAVE NO TRANSPORTATION HOME. IN FY2024, UNION PAID $3,807 TO TRANSPORT PATIENTS HOME IN TAXIS. TO ADDRESS ADDITIONAL SOCIAL BARRIERS TO ACCESSING CARE, UNION CONTINUES TO USE UNITE MARYLAND, A COORDINATED NETWORK THAT CONNECTS HEALTH AND SOCIAL SERVICE ORGANIZATIONS THROUGH A SHARED TECHNOLOGY PLATFORM, UNITE US, TO SEND AND RECEIVE TRACKABLE REFERRALS ON BEHALF OF PATIENTS. UNITE MARYLAND ALLOWS PROVIDERS TO SERVE THE WHOLE PERSON BY REFERRING PATIENTS TO SOCIAL SERVICES. CHRISTIANACARE'S PARTNERSHIP WITH UNITE US NOT ONLY ALLOWS OUR CAREGIVERS AT UNION TO USE THE NETWORK, BUT ALSO ANY COMMUNITY ORGANIZATION IN CECIL COUNTY. OUR EXPECTATION IS THAT BY ADDRESSING PATIENTS' SOCIAL NEEDS, PATIENTS WILL BE MORE ABLE TO IMPROVE THEIR HEALTH AND REDUCE HOSPITAL UTILIZATION. IN FY2024, APPROXIMATELY 500 REFERRALS WERE SENT ON BEHALF OF UNION PATIENTS. IN FY2024, UNION ALSO HIRED TWO ACUTE CARE CONNECTORS (ACC) TO IDENTIFY AND ADDRESS PATIENT SOCIAL NEEDS. ADMITTED PATIENTS ARE PRE-SCREENED FOR SOCIAL DRIVERS OF HEALTH (SDOH) THROUGH VARIOUS ADMISSION AND ASSESSMENT DOCUMENTATION. IF THERE ARE POSITIVE FINDINGS ON THE PRESCREEN, THE ACCS WILL COMPLETE A FULL IN-DEPTH SDOH SCREENING AND PLACE REFERRALS, OFTEN USING UNITE MARYLAND, AS NEEDED. THE ACCS ARE HEALTHCARE PROFESSIONALS TRAINED IN SCREENING AND CONNECTING PATIENTS WITH RESOURCES TO ADDRESS SOCIAL CARE NEEDS. IN FY2024, THE ACCS SCREENED 769 PATIENTS. IN FY2023, UNION BEGAN PARTICIPATING IN THE MARYLAND PRIMARY CARE PROGRAM (MDPCP). THROUGH THIS PROGRAM, UNION RECEIVES FUNDING TO ADDRESS THE SOCIAL NEED OF MEDICARE PATIENTS. HEALTH EQUITY ADVANCEMENT RESOURCE AND TRANSFORMATION (HEART) PAYMENTS ARE ALSO USED TO PROVIDE PARTICIPATING PATIENTS WITH HYPERTENSION, DIABETES, AND CONGESTIVE HEART FAILURE WITH MEDICALLY TAILORED FOODS, SELF-MONITORING EQUIPMENT, AND TRANSPORTATION THROUGH ROUNDTRIP TO THEIR MEDICAL APPOINTMENTS AND SERVICES. IN FY2024, UNION ENROLLED OVER 100 PATIENTS IN THIS PROGRAM AND PROVIDED 950 FOOD BOXES AND 21,000 MEALS TO THESE PATIENTS. UNION'S CHILDBIRTH AND EARLY EDUCATION TEAM AND PEDIATRIC NURSES CONTINUE TO RESPOND TO OUR COMMUNITY NEEDS BY PROVIDING CHILDBIRTH AND INFANT CARE EDUCATION ON-SITE AND IN THE COMMUNITY. IN FY2024, UNION PROVIDED WEEKLY BREASTFEEDING CLASSES, BREASTFEEDING CONSULTATIONS UPON REQUEST, AND BI-MONTHLY CHILDBIRTH EDUCATION CLASSES. EACH CLASS HAD 2 TO 16 PARTICIPANTS. UNION CAREGIVERS ALSO PROVIDED FOUR CHILDBIRTH EDUCATION CLASSES AT THE ELKTON HERITAGE PREGNANCY AND FAMILY HEALTH CENTER AT THE REQUEST OF THE CECIL COUNTY HEALTH DEPARTMENT. EACH CLASS HAD 11 PARTICIPANTS. THE ELKTON SITE OF THE HERITAGE PREGNANCY AND FAMILY HEALTH CENTER LATER CLOSED DURING FY2024, AND SO UNION'S CONTINUED OFFERING OF THIS EDUCATION AT UNION, WITHIN A MILE OF THE PREVIOUS HERITAGE PREGNANCY AND FAMILY HEALTH CENTER LOCATION, IS ENSURING A NEED IN THE COMMUNITY CONTINUES TO BE ADDRESSED. IN DECEMBER 2023, UNION ALSO HELD OUR INAUGURAL COMMUNITY BABY SHOWER WHICH PROVIDED EXPECTANT PARENTS WITH NEEDED SUPPLIES SUCH AS DIAPERS AND WIPES AND ITEMS LIKE CAR SEATS. CONNECTIONS TO COMMUNITY AND CLINICAL RESOURCES AND INFANT EDUCATION WERE ALSO AVAILABLE. 50 INDIVIDUALS WERE SERVED AND ALL EXPRESSED THEIR GRATITUDE FOR RECEIVING ITEMS THAT WOULD HAVE BEEN IMPOSSIBLE OR DIFFICULT FOR THEM TO GET OTHERWISE. IN FY2024, UNION ALSO CONTINUED TO PROVIDE EDUCATION ON-SITE AT THE COMMUNITY TREATMENT PROVIDER, SERENITY HEALTH, AND BEGAN TO OFFER EDUCATION AT ANOTHER TREATMENT PROVIDER, BRANTWOOD FAMILY SERVICES, BOTH IN ELKTON. THOSE WHO ARE PREGNANT AND RECEIVING TREATMENT ATTEND THESE CLASSES TO LEARN ABOUT CHILDBIRTH AND INFANT CARE, AND ARE ALSO PROVIDED INFORMATION ABOUT THE PROGRAM EAT, SLEEP, CONSOLE WHICH IS AN APPROACH TO CARING FOR BABIES BORN WITH NEONATAL ABSTINENCE SYNDROME (NAS) THAT CAN REDUCE THE NEED FOR MEDICAL INTERVENTION. EACH SESSION HAD 1 TO 5 PARTICIPANTS. FOR NEARLY 20 YEARS, UNION HAS PARTNERED WITH CECIL COUNTY PUBLIC SCHOOLS TO OFFER A FREE SPORTS PHYSICAL EVENT FOR CECIL COUNTY PUBLIC SCHOOL STUDENTS. GIVEN THE PROVIDER SHORTAGE IN CECIL COUNTY, THIS EVENT IS SIGNIFICANT IN ENSURING STUDENTS CAN RECEIVE A PHYSICAL AND PROVIDING RELIEF TO CECIL COUNTY PRACTICES. ON JUNE 5, 2024, 540 STUDENTS WERE ABLE TO COMPLETE THEIR PHYSICALS. AT THE EVENT, ATTENDEES WERE ALSO PROVIDED INFORMATION ABOUT COMMUNITY RESOURCES AND HELPED WITH ENROLLMENT WITH A PRIMARY CARE PROVIDER IF THEY HAD NONE. FINALLY, IN FY2024, UNION PARTNERED WITH THE PARIS FOUNDATION TO OFFER MONTHLY MOBILE HEALTH OUTREACH IN HOLLINGSWORTH MANOR IN ELKTON. DURING THIS MONTHLY OUTREACH, INDIVIDUALS RECEIVE BLOOD PRESSURE AND VISION SCREENINGS AS WELL AS CONNECTIONS TO CLINICAL AND COMMUNITY RESOURCES. AT LEAST 10 INDIVIDUALS HAVE BEEN SERVED BY THIS OUTREACH EACH MONTH. CANCER CANCER RATES IN CECIL COUNTY REMAIN ABOVE THE MARYLAND AND UNITED STATES AVERAGES. THE CANCER INCIDENCE RATE PER 100,000 IN CECIL COUNTY IS 499, WHILE THE RATE FOR MARYLAND IS 446.8 AND THE NATIONAL RATE IS 444.4. THE MORTALITY RATE FOR LUNG AND BRONCHUS CANCER IN CECIL COUNTY HAS BEEN CONSIDERABLY ABOVE THE UNITED STATES AVERAGE AT 87.1 PER 100,000 IN COMPARISON TO 57.3 PER 100,000. UNION HAS PARTNERED CLOSELY WITH THE CECIL COUNTY CANCER TASK FORCE TO CRAFT AND IMPLEMENT PUBLIC OUTREACH TO PROMOTE CANCER SCREENINGS, WITH A FOCUS ON LOW DOSE COMPUTED TOMOGRAPHY (LDCT) SCREENING, AND OTHER PREVENTION ACTIVITIES. UNION CAREGIVERS PROVIDED INFORMATION AND EDUCATION AT COMMUNITY AND CAMPUS EVENTS THROUGHOUT THE YEAR TO PROMOTE CANCER SCREENING AND PREVENTION. UNION ALSO PARTNERED WITH CECIL COUNTY PUBLIC SCHOOLS (CCPS) TO HOLD TWO TARGETED SCREENING DATES FOR MAMMOGRAPHY FOR CCPS STAFF. IN FY2024, 513 COMMUNITY MEMBERS RECEIVED INFORMATION AND EDUCATION FROM UNION CAREGIVERS AT COMMUNITY AND CAMPUS EVENTS. FY2024 WAS ALSO THE FIRST FULL YEAR OF EMPLOYMENT FOR OUR CANCER PROGRAM'S LUNG HEALTH NAVIGATOR. UNION CREATED THIS PART TIME POSITION IN RESPONSE TO THE NEED IN CECIL COUNTY FOR MORE LUNG CANCER SCREENING. THE NAVIGATOR HELPS CONNECT PATIENTS DIRECTLY TO SCREENING AND HELPS THEM ADDRESS BARRIERS TO SCREENING. IN FY2024, UNION PERFORMED 537 LDCT SCREENINGS, A SIGNIFICANT INCREASE FROM THE PRIOR YEAR AND A DEMONSTRATION OF THE EFFECTIVENESS OF THE NAVIGATOR. IN FY2024, UNION ALSO WORKED TO DEVELOP A SMOKING CESSATION PROGRAM THAT WILL BE OFFERED IN 2025. AS WITH THE CREATION OF THE NAVIGATOR POSITION, THIS PROGRAM WAS ALSO DEVELOPED TO ADDRESS A NEED IN THE COMMUNITY AND IMPROVE HEALTH. LGBTQIA+ HEALTH DISPARITIES
SCHEDULE H, PART V, SECTION B, LINE 13B (DETAIL OF INCOME LEVEL)	PATIENTS WITH A HOUSEHOLD INCOME UP TO 500% OF FPL AND WITH A FINANCIAL HARDSHIP (MEDICAL DEBT, INCURRED BY A FAMILY OVER A 12-MONTH PERIOD THAT EXCEEDS 25 PERCENT OF THE FAMILY INCOME) WILL RECEIVE A 25% ADJUSTMENT. ---------------
SCHEDULE H, PART V, SECTION B, LINE 16A (FAP AVAILABILITY)	FAP WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16B (FAP APPLICATION AVAILABILITY)	FAP APPLICATION WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16C (FAP PLS AVAILABILITY)	FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16J (FAP OTHER AVAILABILITY)	UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP AND HOW TO APPLY. FAP IS PUBLICIZED ON ALL BILLING STATEMENTS, INVOICES, AND FINANCIAL CONSENT FORMS. FAP IS COMMUNICATED TO PATIENTS UPON DISCHARGE FROM INPATIENT, OBSERVATION, AND SURGICAL SERVICES. ---------------

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)	IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. AS A RESULT, THERE ARE NO BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX THAT NEED TO BE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES LISTED. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE. ---------------
PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES)	IN FY2024, UNION HOSPITAL REPORTED EXPENDITURE IN THE COMMUNITY BUILDING CATEGORIES OF ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, AND WORKFORCE DEVELOPMENT. THE ECONOMIC DEVELOPMENT AND COMMUNITY SUPPORT EXPENDITURE REPRESENTS TIME SPENT BY THE CAMPUS EXECUTIVE DIRECTOR PARTICIPATING ON THE BOARD OF THE ECONOMIC DEVELOPMENT COMMISSION AND CECIL COUNTY'S LOCAL MANAGEMENT BOARD. THE ECONOMIC DEVELOPMENT COMMISSION OF THE CECIL COUNTY OFFICE OF ECONOMIC FOCUSES ON BUSINESS AND INDUSTRY DEVELOPMENT BY BUILDING RELATIONSHIPS WITH LOCAL PARTNERS IN CECIL COUNTY. LOCAL MANAGEMENT BOARDS (LMBS) IDENTIFY COMMUNITY DRIVEN PRIORITIES AND TARGET RESOURCES FOR THEIR COMMUNITIES, AS WELL AS SERVE AS THE COORDINATOR OF COLLABORATION FOR CHILD AND FAMILY SERVICES. LOCAL MANAGEMENT BOARDS ARE IN EACH COUNTY IN MARYLAND. THE WORKFORCE DEVELOPMENT EXPENDITURE REPRESENTS TIME SPENT BY THE DIRECTOR OF HUMAN RESOURCES PARTICIPATING ON THE BOARD OF THE SUSQUEHANNA WORKFORCE NETWORK. THE SUSQUEHANNA WORKFORCE NETWORK OVERSEES, COORDINATORS, AND PLANS WORKFORCE DEVELOPMENT PROGRAMS AND SERVICES FOR BUSINESSES AND INDIVIDUALS IN CECIL AND HARFORD COUNTIES. IT IDENTIFIES NEEDS AND DEVELOPS SOLUTIONS THAT MAXIMIZE REGIONAL ECONOMIC SUCCESS AND WORKER POTENTIAL. ANOTHER WORKFORCE DEVELOPMENT EXPENSE WE REPORTED IN FY2024 WAS FOR OUR CAMP SCRUBS PROGRAM IN PARTNERSHIP WITH CECIL COLLEGE. CAMP SCRUBS PROVIDES INTERESTED STUDENTS, AGED 11 TO 16, WITH THE OPPORTUNITY FOR FIRSTHAND HOSPITAL EXPERIENCE AS A HEALTH CARE PROFESSIONAL IN ACTIVITIES SUCH AS PRACTICING LAPAROSCOPIC SURGICAL SKILLS ON ORANGES, DELIVERING FOOD, AND SWADDLING A NEWBORN. IN JUNE 2023 THERE WERE 8 PARTICIPANTS AND DUE TO THE INCREASING POPULARITY OF THIS PROGRAM, UNION AND CECIL COLLEGE OFFERED TWO CAMPS IN JUNE 2024 AND AUGUST 2024 SERVING A TOTAL OF 40 STUDENTS. OUR EXPECTATION IS THAT EARLY EXPOSURE TO CAREERS IN HEALTH CARE WILL ENCOURAGE SOME OF THESE STUDENTS TO PURSUE A CAREER IN THE HEALTH CARE FIELD. ---------------
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606) TIMES THE COST TO CHARGE RATIO. ---------------
PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSION METHODOLOGY)	THE IMPLICIT PRICE CONCESSION METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF IMPLICIT PRICE CONCESSIONS FOR THE YEAR. OTHER IMPLICIT PRICE CONCESSION AMOUNTS ARE NOT INCLUDED IN COMMUNITY BENEFITS. ---------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE)	THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND STARTING ON PAGE 13 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. ---------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)	COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND. EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT. ---------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES)	UNION HOSPITAL'S F-416 CREDIT AND COLLECTION POLICY AND PROCEDURE HAS A SECTION CALLED, "INTERNAL COLLECTION EFFORTS" WHICH STATES: "UPON DISCHARGE, PATIENTS RECEIVE AN ITEMIZED BILL FOR INPATIENT ADMISSIONS IN ACCORDANCE WITH THE MARYLAND HOSPITAL COST REVIEW COMMISSION REQUIREMENTS. WHEN INSURANCE PAYMENTS ARE RECEIVED LEAVING A SELF-PAY BALANCE, OR THE ACCOUNT IS STRICTLY SELF-PAY, IT IS OUTSOURCED FOR FOLLOW-UP BUT REMAINS ON THE HOSPITAL'S ACTIVE ACCOUNTS RECEIVABLE. AGENTS WORK THE ACCOUNTS IN THE HOSPITAL'S NAME AND REPRESENTATIVES ARE DIRECTED TO ACCEPT MONTHLY PAYMENTS UNTIL THE ACCOUNT IS PAID IN FULL. COLLECTION EFFORTS CONSIST OF PHONE CALLS AND MONTHLY STATEMENTS. THE PATIENT MAY ALSO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THIS PROCESS (SEE POLICY F-415, FINANCIAL ASSISTANCE)." IN THE F-415 FINANCIAL ASSISTANCE POLICY AND PROCEDURE, UNDER SECTION, "ACTION IN THE EVENT OF NON-PAYMENT," IT IS EXPLAINED THAT: "A. UNION HOSPITAL MAY CONTRACT WITH OUTSIDE COLLECTION SERVICES TO PURSUE COLLECTION OF DELINQUENT ACCOUNTS. ALL UNPAID ACCOUNTS WITHOUT EXCEPTION OR PAYMENT ARRANGEMENTS ARE PLACED IN OUTSIDE COLLECTION AFTER A MINIMUM OF 90 DAYS FROM THE INITIAL BILLING STATEMENT AND DELIVERY OF ALL SCHEDULED PATIENT ACCOUNT STATEMENTS TO THE PATIENT/GUARANTOR. B. UNION HOSPITAL DOES NOT CONDUCT, OR PERMIT COLLECTION AGENCIES TO CONDUCT ON THEIR BEHALF, EXTRAORDINARY COLLECTIONS EFFORTS AGAINST INDIVIDUALS." IN ADDITION, IN THE F-416 POLICY, UNDER THE SECTION, "EXTERNAL COLLECTION (BAD DEBT WRITE-OFF)," IT EXPLAINS THAT PATIENTS WITH BALANCES BEING COLLECTED BY AN ASSIGNED COLLECTION AGENCY WILL HAVE THEIR BALANCES WRITTEN OFF IF THEY ARE DETERMINED TO BE INDIGENT. ---------------
PART VI, LINE 2 (NEEDS ASSESSMENT)	ACUTE CARE CONNECTORS AT UNION UTILIZE A SDOH SCREENING INSTRUMENT WHICH ALLOWS US INSIGHT INTO THE CHALLENGES OF OUR PATIENTS AND COMMUNITY AS WELL AS PROVIDES US WITH THE OPPORTUNITY TO HELP THEM ADDRESS THOSE NEEDS. TO BETTER MEET THE NEEDS OF OUR COMMUNITY, WE ALSO HAVE A STRONG PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT WHICH ALLOWS US TO BOTH COORDINATE EFFORTS AND FURTHER OUR UNDERSTANDING ABOUT THE NEEDS OF CECIL COUNTY. UNION'S COMMUNITY ENGAGEMENT MANAGER IS ALSO FOCUSED ON DEVELOPING PARTNERSHIPS WITH ORGANIZATIONS TO ALSO LEARN MORE ABOUT AND RESPOND TO THE NEEDS OF OUR COMMUNITY. SINCE 2022, CHRISTIANACARE HAS INVITED CECIL COUNTY COMMUNITY ORGANIZATIONS TO APPLY TO OUR COMMUNITY INVESTMENT FUND PROGRAM WHICH OFFERS FUNDING TO SUPPORT THEIR INITIATIVES DESIGNED TO MEET COMMUNITY NEEDS RELATED TO FOOD ACCESS, HOUSING INSECURITY, AND ENVIRONMENTAL HEALTH. IN FY2024, CHRISTIANACARE AWARDED A TOTAL OF $130,900 TO THE COMMUNITY ORGANIZATIONS, DEEP ROOTS, A HOMELESS SHELTER FOR FAMILIES, AND BAYSIDE COMMUNITY NETWORK WHICH SERVES ADULTS PRIMARILY WITH DEVELOPMENTAL DISABILITIES. WHILE WE WERE NOT ABLE TO FUND EVERY CECIL COUNTY ORGANIZATION THAT APPLIED FOR FUNDING, THEIR APPLICATIONS PROVIDED US FURTHER INFORMATION ABOUT THE CHALLENGES OUR COMMUNITIES FACE AND HOW COMMUNITY ORGANIZATIONS ARE HELPING INDIVIDUALS TO MEET THOSE CHALLENGES. UNION CAREGIVERS PARTICIPATE IN CECIL COUNTY'S COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND ITS TASK FORCES CREATED TO ADDRESS PROMINENT ISSUES IN THE COUNTY SUCH AS THE HEALTHY LIFESTYLES AND TOBACCO TASK FORCES. FOR SEVERAL YEARS, A UNION CAREGIVER HAS CHAIRED THE CECIL COUNTY CANCER TASK FORCE. FINALLY, UNION CAREGIVERS ALSO PARTICIPATE IN DIFFERENT COMMUNITY BOARDS AND COMMITTEES THAT FOCUS ON DIFFERENT AREAS OF COMMUNITY NEED AND ALSO ALLOW US TO BETTER UNDERSTAND OUR COMMUNITY. UNION CAREGIVERS ALSO PARTICIPATED IN THESE ADDITIONAL COMMUNITY GROUPS: . CECIL COUNTY BEHAVIORAL HEALTH PROVIDER MEETINGS . CECIL COUNTY CHILD ADVOCACY CENTER . CECIL COUNTY ECONOMIC DEVELOPMENT COMMISSION . CHILD FATALITY REVIEW BOARD . JUDY CENTER STEERING COMMITTEE . LOCAL MANAGEMENT BOARD . LOCAL OVERDOSE FATALITY REVIEW TEAM . WEST CECIL HEALTH CENTER BOARD -----------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)	UNION'S FINANCIAL ASSISTANCE POLICY (FAP) ENSURES A UNIFORM AND EQUITABLE PROCESS IN GRANTING FINANCIAL ASSISTANCE TO APPROPRIATE PATIENTS WHILE RESPECTING THE INDIVIDUAL'S DIGNITY. THE FAP ALIGNS WITH FEDERAL AND STATE REGULATIONS. INDIVIDUALS WHO NEED EMERGENCY OR MEDICALLY NECESSARY TREATMENT AND HAVE A HOUSEHOLD INCOME BELOW 400% OF THE FEDERAL POVERTY LEVEL (FPL) ARE ELIGIBLE FOR FREE OR DISCOUNTED CARE. UNION DOES NOT PURSUE EXTRAORDINARY COLLECTION ACTIONS AGAINST ANY INDIVIDUAL. A PLAIN LANGUAGE SUMMARY OF THE FAP, THE FULL POLICY, THE FINANCIAL ASSISTANCE APPLICATION IN ENGLISH AND SPANISH, AND THE MOST RECENT FINANCIAL ASSISTANCE SCALE ARE ALL AVAILABLE ON UNION'S WEBSITE AT: https://www.uhcc.com/about-us/patient-financial-services/financial-assista nce/ UNION'S WEBSITE ALSO PROVIDES PATIENTS WITH DETAILED DESCRIPTIONS OF HOW THEY CAN OBTAIN THE FAP AND APPLICATION IN PERSON AND GET HELP IN THE APPLICATION PROCESS. UNION FINANCIAL COUNSELORS ARE AVAILABLE MONDAY THROUGH FRIDAY, FROM 8 A.M. TO 4:30 P.M. TO DISCUSS THE APPLICATION PROCESS BY PHONE OR AT THE HOSPITAL. THE WEBSITE ALSO PROVIDES A MAILING ADDRESS, TELEPHONE NUMBER, EMAIL ADDRESS, AND IN-PERSON LOCATIONS WHERE INDIVIDUALS CAN RECEIVE OR REQUEST THE FAP AND APPLICATION. INFORMATION ABOUT THE FAP IS INCLUDED ON THE FINANCIAL CONSENT FORM, ON BILLING STATEMENTS/INVOICES, UPON DISCHARGE FROM INPATIENT, OBSERVATION, OR SURGICAL SERVICES, AND ON ELECTRONIC AND PAPER SIGNS AT REGISTRATION LOCATIONS IN THE HOSPITAL. PATIENTS RECEIVE FINANCIAL COUNSELING, REFERRALS, AND ASSISTANCE TO IDENTIFY PUBLIC OR PRIVATE HEALTHCARE PROGRAMS TO ASSIST WITH LONG TERM NEEDS. IF THE PATIENT IS UNINSURED, THEY WILL BE ASSISTED IN DETERMINING MARYLAND MEDICAID OR QUALIFIED HEALTH PLAN ELIGIBILITY THROUGH THE APPROPRIATE MARYLAND HEALTH CONNECTION CONNECTOR ENTITY OR OTHER QUALIFIED HEALTH INSURANCE MARKETPLACE. --------------------------------------------------------------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)	UNION PRIMARILY SERVES CECIL COUNTY, MARYLAND. IN FY23, OVER 80% OF THE HOSPITAL'S TOTAL INPATIENT VOLUMES AND EMERGENCY DEPARTMENT VISITS WERE CECIL COUNTY RESIDENTS. BESIDES THE PERRY POINT VA MEDICAL CENTER, UNION HOSPITAL IS THE ONLY HOSPITAL IN THE COUNTY. UNION IS LOCATED IN ELKTON, THE MOST POPULOUS TOWN IN CECIL COUNTY. CECIL COUNTY IS RURAL AND BORDERS DELAWARE AND PENNSYLVANIA. IN 2020, THE TOTAL POPULATION OF CECIL COUNTY WAS 103,098 PEOPLE. BETWEEN 2020 AND 2030, THE CECIL COUNTY POPULATION IS EXPECTED TO GROW BY 8% WITH THE POPULATION OF THOSE 65 YEARS AND OLDER PROJECTED TO GROW BY 30.3%. THE CECIL COUNTY POPULATION IS 84.5% WHITE, 6.8% BLACK, AND 4.9% HISPANIC. FROM 2016 TO 2020, THE POVERTY RATE IN CECIL COUNTY (9.5%) WAS SLIGHTLY ABOVE THE MARYLAND POVERTY RATE (9%), BUT BELOW THE UNITED STATES AVERAGE (12.8%). SIGNIFICANT DISPARITIES EXIST IN CECIL COUNTY WITH THE POVERTY RATES FOR BLACK (15.8%) AND HISPANIC (18.1%) PEOPLE SIGNIFICANTLY HIGHER THAN THOSE FOR WHITE (8.5%) RESIDENTS. LOW-INCOME CENSUS TRACTS ARE MOST PREVALENT IN ELKTON, NORTH EAST, AND PORT DEPOSIT. ------------------------------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	CHRISTIANACARE IS CENTERED ON IMPROVING HEALTH OUTCOMES, MAKING HIGH-QUALITY CARE MORE ACCESSIBLE, AND LOWERING HEALTH CARE COSTS. GUIDED BY OUR VALUES, LOVE AND EXCELLENCE, UNION CONTINUES TO SERVE OUR CECIL COUNTY NEIGHBORS AS THEIR COMMUNITY HOSPITAL. EACH FISCAL YEAR, UNION SERVES CECIL COUNTY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT SEEK TO IMPROVE COMMUNITY HEALTH. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FY2024: A1: COMMUNITY HEALTH EDUCATION - UNION HOSPITAL PROVIDED HEALTH EDUCATION INFORMATION AND PRESENTATIONS IN THE COMMUNITY ON TOPICS SUCH AS DIABETES AND NUTRITION, CANCER PREVENTION AND SCREENING, CHILDBIRTH AND INFANT EDUCATION INCLUDING NEONATAL ABSTINENCE SYNDROME AND LACTATION SUPPORT, AND INFORMATION ON MARYLAND HEALTH CONNECTION. A2: COMMUNITY-BASED CLINICAL SERVICES - MONTHLY MOBILE HEALTH BLOOD PRESSURE AND EYE SCREENINGS - A FREE ANNUAL SPORTS PHYSICALS CLINIC FOR CECIL COUNTY 6TH THROUGH 12TH GRADE STUDENTS. A2: HEALTH CARE SUPPORT SERVICES - PARTNERSHIP WITH CCHD TO SUPPORT THE PEER RECOVERY ADVOCATES PROGRAM WHICH PROVIDES CONNECTIONS TO PEERS IN THE HOSPITAL AND COMMUNITY - ACUTE CARE CONNECTORS IDENTIFICATION AND ASSISTANCE IN RESOLVING SOCIAL NEEDS - LUNG HEALTH NAVIGATOR FACILITATING CONNECTION TO CARE AND RESOURCES - TRANSPORTATION DONATIONS FOR ELIGIBLE PATIENTS B1-B3: HEALTH PROFESSIONS EDUCATION - UNION CAREGIVERS OFFERED TRADITIONAL CLINICAL ROTATIONS AND PRECEPTORSHIPS TO 194 UNDERGRADUATE NURSING STUDENTS. - UNION RNS ALSO PROVIDED EDUCATION ON SUBSTANCE EXPOSED NEWBORNS TO STUDENT NURSES AT CECIL COMMUNITY COLLEGE C: MISSION DRIVEN HEALTH SERVICES - UNION PROVIDED SUBSIDIZED OUTPATIENT SERVICES TO MEET IDENTIFIED NEEDS IN THE COMMUNITY, EVEN THOUGH THEY OPERATE AT A LOSS. THESE INCLUDE PRIMARY CARE, PSYCH-OUTPATIENT AND ENDOCRINOLOGY, AMONG OTHERS. E3: IN-KIND CONTRIBUTIONS - PROVIDED FREE AMBULANCE TRANSPORTS AND FREE SUPPLIES FOR AMBULANCE STOCK-UPS - PARTICIPATION IN COMMUNITY BOARDS/COMMITTEES/TASK FORCES AND OTHER GROUPS - COMMUNITY SERVICE BENEFIT - CHRISTIANACARE ALLOWS EMPLOYEES TO VOLUNTEER FOR COMMUNITY ORGANIZATIONS DURING THEIR WORKDAY. IN FY2024, 25 EMPLOYEES DONATED A TOTAL OF 153 HOURS TO COMMUNITY ORGANIZATIONS.
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. (AHA) IS THE PARENT ENTITY. AHA'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES, FUNDRAISING AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY. OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE THE UNION HOSPITAL OF CECIL COUNTY FOUNDATION, INC., UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC., AND UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC. THE FOUNDATION CONDUCTS AND SUPERVISES FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES. THE FOUNDATION ENGAGES IN CORPORATE FUNDRAISING, CAPITAL CAMPAIGNS, SPECIAL EVENTS, ACTIVITIES, AND A MULTI-FACETED COMMUNICATION PROGRAM THAT APPEALS TO PRIVATE AND CORPORATE CONTRIBUTORS. UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH RELATED VENTURES TO SERVICE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL. UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC'S (ONCOLOGY") DUTY AND MISSION IS TO PROVIDE HIGH QUALITY, ADVANCED RADIATION ONCOLOGY SERVICES TO THE CECIL COUNTY AREA IN ORDER TO FOSTER THE BEST CANCER TREATMENT PROCESS CLOSE TO HOME. CANCER-RELATED DEATHS ARE AMONG THE HIGHEST CAUSES OF MORTALITY IN CECIL COUNTY, SO IT IS UNION ONCOLOGY'S MISSION TO BRING SOME OF THE MOST ADVANCED RADIATION THERAPIES TO CECIL COUNTY TO PROVIDE THE MOST COMPREHENSIVE CANCER CARE POSSIBLE TO THE PEOPLE LIVING WITH CANCER HERE AND IN NEIGHBORING COMMUNITIES. BY OFFERING THESE ADVANCED CANCER TREATMENT OPTIONS, UNION ONCOLOGY FURTHERS ITS CHARITABLE PURPOSE OF PROVIDING MEDICAL SERVICES TO PROMOTE THE HEALTH AND WELFARE OF THE RESIDENTS OF CECIL COUNTY AND NEIGHBORING COMMUNITIES. UNION HOSPITAL OF CECIL COUNTY VENTURES, INC. IS A FOR-PROFIT STOCK CORPORATION. ITS PURPOSE IS TO ENGAGE IN ANY BUSINESS OR TRANSACTION WHICH WILL BENEFIT THE ACTIVITIES AND GOALS OF ITS AFFILIATES. OPERATIONS CONSIST PRIMARILY OF PROVIDING MANAGEMENT SUPPORT SERVICES FOR PHYSICIAN PRACTICES AND PROVIDING IMAGING SERVICES TO PHYSICIANS AND HEALTH CENTERS THROUGH ITS WHOLLY OWNED SUBSIDIARIES, TRIANGLE ALLIANCE LLC AND OPEN MRI AND IMAGING CENTER OF ELKTON LLC. ON JANUARY 1, 2020, AHA BECAME A MEMBER OF CHRISTIANA CARE HEALTH SYSTEM. CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH MORE THAN 1,600 MEDICAL-STAFF MEMBERS AND 265 MEDICAL-DENTAL RESIDENTS AND FELLOWS AND INCLUDES A NUMBER OF ENTITIES INCLUDING CHRISTIANA CARE HEALTH SERVICES, INC. ---------------
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT)	LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MD

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENNIFER L SCHWARTZ ESQ
SECRETARY (EX-OFFICIO)	$0	$695,351	$0	$207,032	$0	$24,304	$0	$59,243	$0	$20,878	$0	$1,006,808	$0	$0
JOSE MA MD
DIRECTOR - THRU 8/23	$212,318	$0	$38,225	$0	$2,218	$0	$0	$0	$12,506	$0	$265,267	$0	$0	$0
JUSTIN SAUSVILLE MD
DIRECTOR	$582,984	$0	$180,857	$0	$2,201	$0	$0	$0	$20,878	$0	$786,920	$0	$0	$0
ROBERT ASANTE
DIRECTOR	$0	$194,529	$0	$26,779	$0	$5,620	$0	$0	$0	$20,878	$0	$247,806	$0	$0
ROBERT MCMURRAY
TREASURER (EX-OFFICIO)	$0	$753,010	$0	$228,558	$0	$58,851	$0	$68,103	$0	$20,224	$0	$1,128,746	$0	$23,384
RYAN GERACIMOS MD
CHIEF MEDICAL OFF. - THRU 3/24	$341,010	$0	$68,868	$0	$210,391	$0	$0	$0	$15,122	$0	$635,391	$0	$0	$0
JOAN PIRRUNG MSN APRN ACNS-BC
CHIEF NURSING OFFICER	$193,466	$0	$33,539	$0	$11,406	$0	$0	$0	$20,878	$0	$259,289	$0	$0	$0
AMY MARSTON
DIRECTOR/CAMPUS OPS OFCR	$0	$269,164	$0	$53,825	$0	$8,756	$0	$0	$0	$20,878	$0	$352,623	$0	$0
MICHELLE TWUM-DANSO
DIRECTOR HR - CECIL THRU 1/24	$0	$198,568	$0	$27,641	$0	$11,961	$0	$0	$0	$13,910	$0	$252,080	$0	$0
DERON G BROWN
FORMER FINANCE DIRECTOR	$0	$165,061	$0	$22,892	$0	$11,193	$0	$0	$0	$0	$0	$199,146	$0	$0
ROGER D WU MD
PHYSICIAN	$558,218	$0	$62,251	$0	$2,598	$0	$0	$0	$21,255	$0	$644,322	$0	$0	$0
FAHD RAHMAN MD
PHYSICIAN	$510,644	$0	$238,140	$0	$2,375	$0	$0	$0	$20,878	$0	$772,037	$0	$0	$0
DONNA MALONEY
DIRECTOR OF FINANCE	$0	$195,472	$0	$27,118	$0	$23,671	$0	$0	$0	$20,878	$0	$267,139	$0	$0
CLAIRE YI ZHANG
PHYSICIAN	$460,803	$0	$53,162	$0	$2,164	$0	$0	$0	$0	$0	$516,129	$0	$0	$0
ARSALAN SHEIKH MD
CHIEF MEDICAL OFF.- AS OF 1/24	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
GEORGE GIANNOUKOS
PHYSICIAN	$453,003	$0	$56,250	$0	$2,315	$0	$0	$0	$0	$0	$511,568	$0	$0	$0
JAMES MICHEAL JARVIS
PHYSICIAN	$451,313	$0	$42,450	$0	$1,661	$0	$0	$0	$0	$0	$495,424	$0	$0	$0
SHARON T KURFUERST
FORMER PRESIDENT	$0	$196,269	$0	$129,822	$0	$985,276	$0	$0	$0	$3,168	$0	$1,314,535	$0	$178,205

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 3	TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHOD DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4A	DETAIL OF SEVERANCE PAYMENTS RYAN GERACIMOS (FORMER KEY EMPLOYEE) RECEIVED A SEVERANCE PAYMENT OF $123,609 DURING THE YEAR. SHARON KURFUERST (FORMER PRESIDENT) RECEIVED A SEVERANCE PAYMENT OF $532,729 DURING THE YEAR. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4B	SUPP. NONQUALIFIED PLAN PARTICIPATION THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SERVICES, INC ("CCHS"). CCHS MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: SHARON T. KURFUERST- $263,888 ROBERT MCMURRAY- $30,765 JENNIFER L. SCHWARTZ, ESQ.- NO DISTRIBUTION ---------------
FORM 990, SCHEDULE J, PART I, LINE 7	NONFIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SYSTEM, INC ("SYSTEM") AND CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). ALL OFFICER/TRUSTEE COMPENSATION ARRANGEMENTS, INCLUDING THE PAYMENT OF DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES, ARE DETERMINED BY THE SYSTEM BOARD AND PAID EITHER THROUGH CCHS OR THIS ORGANIZATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON ARE APPROVED BY THE COMPENSATION COMMITTEE OF SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ---------------

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TOWN OF ELKTON - SERIES 2012A
A	526000790	2012-05-18	$10,000,000	REFUND PORTION OF SERIES 2009 BOND	false	false	false
TOWN OF ELKTON - SERIES 2012B1B2
B	526000790	2012-05-18	$8,662,336	REFUND SERIES 2009 & 2000 BONDS	false	false	false
TOWN OF ELKTON - SERIES 2012C
C	526000790	2012-05-18	$9,000,000	REFUND ESCROW TO REPAY 2002 BOND	false	false	false
MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
D	520936091	2014-12-01	$30,778,000	TO REFINANCE THE 2005 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,200,898	$0	$10,000,000	$0	$0	$0	$0	$0	$0	$0	$10,000,000	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$5,273,333	$0	$8,662,336	$0	$0	$0	$0	$0	$0	$0	$8,662,336	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$1,843,280	$0	$9,000,000	$0	$0	$0	$0	$0	$0	$0	$9,000,000	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
D	$2,502,000	$0	$30,778,000	$0	$0	$0	$0	$0	$0	$0	$30,778,000	$0	2014	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
C	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
D	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINES 6 & 7A,7B	GOVERNING BODY AND MANAGEMENT CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") IS THE SOLE MEMBER OF AFFINITY HEALTH ALLIANCE, INC. ("AHA"), THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC"). CCHS AND AHA ARE BOTH TAX-EXEMPT ORGANIZATIONS. THE BOARD OF DIRECTORS OF CCHS ELECTS THE DIRECTORS OF UHCC AT ITS ANNUAL MEETING. THE ANNUAL OPERATING BUDGET OF UHCC IS APPROVED BY THE UHCC BOARD, THE FINANCE COMMITTEE OF THE CCHS BOARD, THE CCHS BOARD, THE FINANCE COMMITTEE OF THE BOARD OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CCHS, AND THE SYSTEM BOARD. ---------------
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS INFORMATION RELATED TO THE UHCC FORM 990 IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW. THE FINAL 2023 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2024 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2023 FORM 990 VIA ITS BOARD OF DIRECTORS PORTAL. ---------------
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE CAREGIVER RESOURCE CENTER ON THE EMPLOYEE PORTAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR REQUIRED INDIVIDUALS, WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXIST. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. ---------------
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"), THE SOLE MEMBER OF UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC"), ESTABLISHES UHCC'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE SYSTEM BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. ---------------
FORM 990, PART VI, SECTION C, LINE 19	GOVERNANCE, MANAGEMENT & DISCLOSURE THE GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ---------------
FORM 990, PART X	BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO CURRENT YEAR REPORTING PRESENTATION. ---------------
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN NET ASSETS OF FOUNDATION $1,457,118 NET ASSETS RELEASED FROM RESTRICTION $943,936 TRANSFER TO AFFILIATE $6,027,243 ---------- TOTAL $8,428,297 ---------------
FORM 990, SCHEDULE C	DETAIL OF LOBBYING ACTIVITIES UHCC IS A MEMBER OF THE MARYLAND HOSPITAL ASSOCIATION ("MHA"). A PORTION OF THE MEMBERSHIP DUES PAID BY UHCC MAY BE USED BY MHA FOR LOBBYING PURPOSES. ---------------

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNION HOSPITAL OF CECIL COUNTY FDN INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794552	FUNDRAISING	MD	501(C)(3)	7	AFFINITY	false
UNION HOSPITAL OF CECIL COUNTY HLTH SVCS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794553	PROPERTY MGMT	MD	501(C)(3)	10	AFFINITY	false
AFFINITY HEALTH ALLIANCE INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794697	MANAGEMENT	MD	501(C)(3)	12B,II	CCH SERVICES	false
UNION HOSPITAL OF CECIL COUNTY ONCOLOGY
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	812662359	HEALTHCARE	MD	501(C)(3)	3	AFFINITY	false
CHRISTIANA CARE HEALTH SYSTEM INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521479538	FUNDRAISING	DE	501(C)(3)	7	NA	false
CHRISTIANA CARE HLTH INITIATIVES INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510295186	OUTPATIENT SV	DE	501(C)(3)	10	CCH SYSTEM	false
CHRISTIANA CARE HOME HEALTH & COM SRVCS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510064334	HOME HLTHCARE	DE	501(C)(3)	7	CCH SYSTEM	false
CHRISTIANA CARE HEALTH SERVICES INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	HOSPITAL	DE	501(C)(3)	3	CCH SYSTEM	false
CHRISTIANA CARE WEST GROVE INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	883155785	HEALTHCARE	PA	501(C)(3)	PENDING	CCH SERVICES	false
CHRISTIANA CARE GENE EDITING INSTITUTE
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	883110655	HEALTHCARE	DE	501(C)(3)	PENDING	CCH SYSTEM	false
CHRISTIANA CARE PENNSYLVANIA INC
400O NEXUS DRIVE NW3-100	WILMINGTON	DE	19803	992607716	HEALTHCARE	PA	501(C)(3)	PENDING	CCH SYSTEM	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	General Or Managing PartnerGeneralOrManagingPartnerInd
CHRISTIANACARE GOHEALTH URGENT CARE LLC
5555 GLENRIDGE CONNECTOR STE 700	ATLANTA	GA	30342	844061485	URGENT CARE SRVCS	DE	CCH SERVICES	false
CLINERGY LLC
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	852698063	GROUP PURCHASING	DE	CCH SERVICES	false
LEEWARD HEALTH LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803		MED ADV RISK	DE	CCH SYSTEM	false
CHRISTIANA CARE EMERGENCY PHYSICIANS LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803	933393372	MEDICAL SRVCS	DE	CCH SERVICES	false
SOUTHERN CHESTER COUNTY MOB I
1015 W BALTIMORE PIKE	WEST GROVE	PA	19390	232200841	MOB	PA	CC WEST GROVE	false
SOUTHERN CHESTER COUNTY MED II
1015 W BALTIMORE PIKE	WEST GROVE	PA	19390	232468569	MOB	PA	CC WEST GROVE	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
UNION HOSPITAL OF CECIL COUNTY VENTURES
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521793691	MEDICAL SERVICES	MD	AFFINITY	C CORP	false
THE DE CTR FOR MAT FETAL MED OF CC INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	205891272	HEALTHCARE	DE	CCH SERVICES	C CORP	false
CHRISTIANA CARE HEALTH PLANS
4000 NEXUS DR STE NW3-100	WILMINGTON	DE	19803	510352728	INSURANCE	DE	CCH SYSTEM	C CORP	false
CHRISTIANA CARE DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	816359549	DEF COMP PLAN	DE	CCH SERVICES	TRUST	false
CHRISTIANA CARE EXEC DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	357048822	DEF COMP PLAN	DE	CCH SERVICES	TRUST	false
CARE ASSOCIATES DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	357048714	DEF COMP PLAN	DE	CCH SERVICES	TRUST	false
CHRISTIANA CARE INSURANCE CO LTD
				981489490	SELF-INSURANCE		CCH SERVICES	C CORP	false	PO BOX 1159 878 W BAY RD	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd