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        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald Williams</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Uchenna Nwaneri MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Brozic</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>75342</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nathaniel Richardson Jr</PersonNm>
        <TitleTxt>President and CEO, UM CRH</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>134711</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sandra Benzer</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>41476</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joel Sandler</PersonNm>
        <TitleTxt>SVP and CNO</TitleTxt>
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        <ReportableCompFromOrgAmt>316835</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63207</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Min Godwin</PersonNm>
        <TitleTxt>SVP and COO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>316454</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>27607</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tom-Meka Archinard</PersonNm>
        <TitleTxt>SVP and CMO</TitleTxt>
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        <ReportableCompFromOrgAmt>605111</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ingrid Connerney</PersonNm>
        <TitleTxt>VP and Chief Quality Officer</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>322565</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>11533</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jay Mittal</PersonNm>
        <TitleTxt>VP Business Strategy and Development</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nicholas Hubler</PersonNm>
        <TitleTxt>VP Ambulatory Service</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Samrong So</PersonNm>
        <TitleTxt>VP of Operations</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>47073</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Theophilus Botwe</PersonNm>
        <TitleTxt>Physician Advisor</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36118</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph L Wright MD</PersonNm>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>862007</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25923</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3966221</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>7784600</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>914199</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>419</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROSS COUNTRY STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 404674</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303844674</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP LABOR STAFFING</ServicesDesc>
        <CompensationAmt>35296716</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARYLAND EMERGENCY MEDICINE NETWORK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>250 W PRATT STREET</AddressLine1Txt>
            <CityNm>BALTIMOREe</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAXIM HEALTHCARE STAFF SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12558 COLLECTIONS CENTER DRE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP LABOR STAFFING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Totally Linking Care in Maryland</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25500 Point Lookout Rd</AddressLine1Txt>
            <CityNm>Leonardtown</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20650</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Mental health service</ServicesDesc>
        <CompensationAmt>3544199</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ELITE SECURITY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>16000 TRADE ZONE AVE</AddressLine1Txt>
            <AddressLine2Txt>SUTIE 103</AddressLine2Txt>
            <CityNm>UPPER MARLBOROUGH</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20774</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>3501324</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>92</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>50000</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>2816489</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1878965</AllOtherContributionsAmt>
      <TotalContributionsAmt>4745454</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>456354852</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>456354852</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>1125743</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1125743</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>457480595</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>61799</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>61799</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>436700</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>436700</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>436700</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>436700</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1135425</SecuritiesAmt>
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        <SecuritiesAmt>1070851</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>64574</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>64574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>64574</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Badge Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>122060</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>122060</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Insurance Recovery</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>201238</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>201238</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Income from UM Rehab</Desc>
        <BusinessCd>621990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>259224</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>293611</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>293611</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>876133</OtherRevenueTotalAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>2385694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>451606</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>139306640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26370401</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>13047178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2469799</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9012572</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1706057</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9380352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1775677</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>14648</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>5382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1019</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>97934089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12397603</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>16873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3194</ManagementAndGeneralAmt>
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      </AdvertisingGrp>
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        <ProgramServicesAmt>1586907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>300397</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6080146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1150956</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>130800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24760</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>439641</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83223</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6883201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1302973</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>35046990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6634308</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>7543968</TotalAmt>
        <ProgramServicesAmt>7394670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149298</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
        <TotalAmt>30853568</TotalAmt>
        <ProgramServicesAmt>30853568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>49232159</TotalAmt>
        <ProgramServicesAmt>49232159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR/MAINTENANCE</Desc>
        <TotalAmt>6039396</TotalAmt>
        <ProgramServicesAmt>5078120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>961276</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTUALS</Desc>
        <TotalAmt>2585059</TotalAmt>
        <ProgramServicesAmt>2585059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>28682487</TotalAmt>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
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        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - UM Capital Region Medical Center. Similar to the 2019 Community Health Needs Assessment (CHNA), the 2022 CHNA was a County-wide joint CHNA process, led by the Prince George's County Health Department in collaboration with the county's hospitals. As part of the 2022 Joint Community Health Assessment, the Prince George's County Health Department (PGCHD) conducted key informant interviews with 16 County leaders drawn from diverse backgrounds with varying perspectives on health in the county. Twenty-nine individuals were identified by the area hospitals and Prince George's County Health Department as key informants to represent special populations in the county, including veterans, seniors, those experiencing homelessness or housing insecurity, immigrants, refugees, and the Hispanic and Filipino communities, as well as organization such as education institutions that may serve more than one population. The individuals identified as key informants were either members of or directly serving these special populations. Of the 29 potential respondents, 16 individuals completed the interviews. A comprehensive interview guide developed for the 2016 and 2019 Community Health Needs Assessment was utilized for consistency, which consisted of 17 open-ended questions with related probes. The guide addressed the following focus areas: assets and barriers relative to health promotion in the county; opinions on the leading health threats currently facing the County; specific priorities in the areas of physical, behavioral, and environmental health; and emerging threats to residents' health. Interviews were conducted by the Prince George's County Health Departments Office of Assessment and Planning. The interviewers conducted all the interviews via zoom, ranging from 30 to 75 minutes. The open-ended questions provided informants with the opportunity to respond without limitations. All interviews were conducted between March 15 - April 11, 2022. As done in 2019, the 2022 CHNA process also included a Community Expert Survey, developed as a strategy that complements the overall community health assessment goal of identifying the health needs and issues among the county's different populations through providers, community-based organizations, local governments, and population representatives that can speak for the communities they serve. The core CHNA team (which included the Health Department and area hospitals) provided lists of community-based partners and providers to be included in the survey; this included the membership of the Prince George's County Health Action Coalition, community leaders, and representatives of specific populations. The survey was developed based on existing community surveys, with some modifications specific to the county. Efforts were made to ensure the survey questions corresponded with the Community Resident Survey, which was also part of the CHNA data collection efforts. An email request was sent to approximately 100 participants by the Prince George's County Health Department with an electronic link for the survey on April 2022, and hospital partners were also provided with the link to share with their community experts.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - UM Capital Region Medical Center. Identical to the 2019 process, the core CHNA Team included all the hospitals in Prince George's County- Luminis Health Doctors Community Medical Center, Fort Washington Medical Center, MedStar Southern Maryland Hospital Center, and University of Maryland Capital Region Health. In addition, all four hospitals and the Health Department appointed staff to facilitate the 2022 CHNA process.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - UM Capital Region Medical Center. Many organizations and key informants participated in the CHNA process: Key Informant Interviews * Michelle LaRue- Representative from CASA (Immigrant and Refugee) * Alison Flores- Prince George's County Executive Latino Affairs Liaison (Hispanic) * Patricia Chiancone- Prince George's County Public Schools International student admissions and enrollment(Immigrant and Refugee) * Lisa Walker- Hyattsville Aging in Place ( Seniors) * Tisa Holley- Prince George's County Public Schools. McKinney Vento Program (Homeless/Housing Insecurity) * Patricia Fletcher- AERS Program ( Seniors) * James Dula- Office of Veteran Affairs Department of Family Services ( Veteran) * Anthony Smith- Office of Veterans Affairs, Department of Family Services ( Veteran) * Stacey Little- University of Maryland Capital Region Health (Affiliated/Supporting groups. Business) * Dushanka Kleinman- University of Maryland College Park, School of Public Health (Affiliated/Support Groups. Higher Education) * Norberto Martinez- Langley Park Civic Association ( Hispanic) * Guy Merritt- Departments of Corrections ( Homelessness/Housing Insecurity) * Anna Cazes- Fort Washington Medical Center ( Filipino) * Col. Jimmy Slade- Community Ministries ( Homelessness/Housing Insecurity) * Jean Drummond- HCDI, Inc. (Affiliated/Supporting Groups. Business) * Andre Pittman- First Baptist Church of Glenarden Military Care Ministry ( Veteran)</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - UM Capital Region Medical Center. Due to the pandemic, the Core Team determined to maintain the same priorities from 2019 based on the community and expert input in the process that focused on these areas, the challenges remaining in the county from the population and health indicators, and acknowledgment that it is realistic for such substantial priorities to require more than three years to achieve sustainable outcomes as the priorities outline correlate significantly with social/cultural norms and behavioral change. Additionally, much of the planned work from 2019 had to be suspended due to the coronavirus pandemic. The 2022 priorities identified for Prince George's County will continue to be: * Social determinants of health, * Behavioral health, * Obesity and metabolic syndrome, and * Cancer. UM Capital Region is addressing the significant needs identified in its most recently conducted CHNA through initiatives specifically developed to align with the identified priorities and UM Capital's strategic priorities. Like the countywide CHNA, the hospital opted to maintain the priority areas of focus for the needs identified in the CHNA. Therefore, priority areas for UM Capital Region Health will remain: Priority Area 1 - Social Determinants of Health; Priority Area 2 - Physical Health and Chronic Disease Management; Priority Area 3 - Behavioral Health; Priority Area 4 - Physical Safety and Priority Area 5-Maternal &amp; Infant Health. Goals were established under each priority area, and initiatives were aligned with the goals to address the identified health needs. Priority Area 1: UM Capital Region Health is addressing Social Determinants of Health through the following program goals, objectives, and activities: Goal 1: Promote Wellness, Behavior Change, and Engagement In Appropriate Care Objectives: * Raise awareness about health risk factors, health promotion, and wellness * Increase the number screened who are referred for further follow-up. * Promote engagement in primary care and behavioral health services. * Raise awareness about mental, emotional, and behavioral risk factors. Activities: Health Education and Primary Prevention Activities (overall wellness): * Participate in health fairs for enhanced screening, health literacy, and community education. * Promote and organize community workshops and educational lectures. * Work with community partners and schools to organize education and awareness events. Priority 2: UM Capital Region is addressing Physical Health and Chronic Disease Management through the following program goals, objectives, and activities: Goal 1: Increase Physical Activity and Healthy Eating. Objectives: * Increase the number of children, youth, and physically active adults. Activities: Healthy Eating/Active Living Activities * Work with community partners to support the Dine, Learn &amp; Move program. * Organize Senior Dining &amp; lecture series. Goal 2: Improve Chronic Disease Management Objectives: * Increase Behavioral change of adults with or at-risk for developing chronic diseases and other complex health conditions. * Increase the number of eligible people completing the CDC-recognized type 2 diabetes prevention program. Activities: Diabetes Prevention&amp; Management, Cardiovascular Disease &amp; other chronic conditions. * Implement and partner with community organizations to conduct National Diabetes Prevention Program. * Support, organize &amp; host the Stanford University Living Well with Chronic Disease Self- Management Education Workshops. Goal 3: Reduce Cancer Disparities Objectives: * Direct targeted outreach, education, and screening for the target community. Activities: Cancer Screening and Peer Support Programs * Support the development of UM Capital Region Cancer program. * Support access to cancer screening * Work with community partners to provide emotional support programs. Goal 4 Improve HIV/AIDS Prevention and Disease Management Objectives * Improve disease management &amp; healthy lifestyle education for people living with HIV. * Increase early detection of the undiagnosed population through increased screenings. * Education to reduce rate of new HIV infections with a focus on high risk populations. Activities: HIV/AIDS Prevention and Disease Management * Provide screening, education/counseling, and treatment services. * Provide support for men and women living with HIV/AIDS. * Partner with community organizations. Priority 3: UM Capital Region is addressing behavioral health through the following program goals, objectives, and activities: Goal 1: Increase Health Outreach and Education Programs in Community-based Settings Objectives: * Promote engagement in appropriate primary and specialty care * Educate and increase awareness in the community of mental health issues and well-being. Activities: Health Education and Primary Prevention Activities * Conduct Mental Health First Aid Workshops. * Support the Let's Talk UMMS Community Health seminar series. Furthermore, UM Capital Region Health added two additional priority health areas based on the data indicators in the CHNA and an internal review and selection of strategic priorities specific to UM Capital Region Health. Priority 4: UM Capital Region is addressing Physical Safety through the following program goals, objectives, and activities: Goal 1: Reduce Accidental Deaths Objectives: * Increase safety awareness for motorcycle accidents, bicycle safety, helmet safety, and other pedestrian and motor vehicle-related incidents. Activities: Injury Prevention &amp; Awareness * Participate in health fairs to increase education. * Increase education in schools, community centers, senior centers * Provide Stop the Bleed education and training sessions Goal 2: Promote Violence Prevention &amp; Education Objectives: * Provide trauma-informed medical/forensic examinations, crisis response, and therapeutic care to survivors of sexual and domestic violence and exploitation. Activities: Domestic Violence &amp; Sexual Assault Center * Provide case management support * Support victim advocacy * Provide onsite and 24/7 hotline * Deploy crisis response * Priority 5: UM Capital Region is addressing Maternal &amp; Infant Health through the following program goals, objectives, and activities: Goal 1: Improve Education &amp; Access to Prenatal Care Objectives: * Increase access to high-quality prenatal care * Provide education and information on healthy pregnancies, breastfeeding, and early Infant care. Activities: Mama &amp; Baby Bus Program * Continue the Mama &amp; Baby Bus Program (Mobile health services in the community) * Supportive Pregnancy Program * Post-partum support group Goal 2: Improve Birth Outcomes Objectives: * Improve birth outcomes for high-risk women in Prince George's County * Increase exclusive breastfeeding among Prince George's County new mothers Up to 6 months post-partum for optimal development and health of infants. Activities: * New monthly UM Capital breastfeeding education * Expand course offerings for community health workers * Develop and partner to create county- wide recommendations on the importance of breastfeeding practices. Our full Community Health Implementation Strategy can be found at; https://www.umms.org/capital/-/media/files/um-capital/community/community-reports/2022-community-health-assessment.pdf?upd=20221109201957 Needs not addressed: Environmental health, Oral health, Tobacco use, Housing, Homelessness, and Dementia. Environmental Health- in FY22, this institution primarily focused its efforts and resources on its facilities' environmental and safety needs. Oral Health- the Dental provider of the institution left the organization in FY18. Therefore, Dental Health was not selected as a priority for the UM Capital Region Health institution at this time. Tobacco Use- the smoking cessation program coordinator left the institution in FY21, and due to budgetary constraints, the program was discontinued. Dementias- currently a lack of resources to support this effort Housing and homelessness- were not selected as a priority, nor were resources allocated to address this need at this time.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - UM PRINCE GEORGE'S HOSPITAL CENTER AND UM LAUREL REGIONAL MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UM LAUREL REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7300 VAN DUSEN RD</AddressLine1Txt>
            <CityNm>LAUREL</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20707</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BOWIE HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1017 15001 HEALTH CENTER DRIVE</AddressLine1Txt>
            <CityNm>BOWIE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20716</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY MEDICAL CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DIMENSIONS SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14999 HEALTH CENTER DR STE 103</AddressLine1Txt>
            <CityNm>BOWIE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20716</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GLADYS SPELLMAN SPECIALTY CARE UNIT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7300 VAN DUSEN ROAD</AddressLine1Txt>
            <CityNm>LAUREL</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20707</ZIPCd>
          </USAddress>
          <FacilityTxt>ACUTE CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LARKIN CHASE CARE &amp; REHABILITATIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15005 HEALTH CENTER DRIVE</AddressLine1Txt>
            <CityNm>BOWIE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20716</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7582 ANNAPOLIS ROAD</AddressLine1Txt>
            <CityNm>LANHAM</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20784</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RACHEL H PEMBERTON SENIOR CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3601 TAYLOR STREET STE 108</AddressLine1Txt>
            <CityNm>BRENTWOOD</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20722</ZIPCd>
          </USAddress>
          <FacilityTxt>SENIOR HEALTH CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>UM CAPITAL REGION IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 5a BUDGET FOR CHARITY CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOESN'T BUDGET A PRESET PERCENTAGE FOR CHARITY CARE. IT IS THE ORGANIZATION'S POLICY TO PROVIDE FINANCIAL ASSISTANCE TO ANY INDIVIDUAL THAT QUALIFIES UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, REGARDLESS OF THE AMOUNT OF CHARITY CARE PROVIDED BY THE ORGANIZATION DURING THE YEAR. IT IS PART OF OUR MISSION TO SERVE AS THE SAFETY NET FOR THE UNINSURED AND UNDERINSURED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6b RELATED ORGANIZATION BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HSCRC. THE REPORT CAN BE FOUND AT HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Behavioral Health UM Capital Region is a part of the Regional Partnership Catalyst Grant with a coalition of several other hospitals through Totally Linking Care in Maryland (TLC-MD), providing investment to support the Statewide Integrated Health Improvement (SIHIS) goals &amp; strategy in the expansion of behavioral health crisis programs. July of 2024 marked the opening of the Dyer Care Center. The facility is located in Clinton, Maryland. It operates 24/7, providing a secure environment for individuals experiencing mental, behavioral, or substance use crises, with the capability for 23-hour observation to ensure comprehensive care and assessment. The Dyer Care Center (DCC) is a "no wrong door facility." The center is accessible to those 18 years and older, voluntary or involuntary, and no patient will require a medical clearance from an emergency room before being admitted. All patients will be assessed and admitted, regardless of a patient's ability to pay. The DCC will not require guests to have insurance. Patients will be greeted by a peer support specialist. A mental and physical assessment will be performed, followed by rapid engagement and intervention services. Patients immediately begin appropriate behavioral health intervention services, which include stabilization, medication administration, individual counseling, group therapy, and around-the-clock support from an interdisciplinary team. Most patients are/will be discharged after 23 hours or less. For all patients requiring a higher level of care or a longer stay in a safe environment, efforts will be made to work with a community provider to arrange direct transport. For patients who do not require a higher level of care, outpatient resources for long-term behavioral healthcare will be provided. These patients will be provided transportation back to their place of residence. Performance measurements and evaluations are in the process of being finalized and are not yet available for reporting. UM Capital continues to offer Adult and Youth Mental Health First Aid (MHFA) certification classes. MHFA is a public education program designed to teach members of the public how to respond to a mental health emergency and how to offer practical support to adults and youth who appear to be in emotional distress. We offer our Mental Health First Aid Trainings in person and virtually. Staff turnover significantly affected the number of classes we could host in 2024. In 2025, we again look forward to providing the community with regular courses. Health Equity in Maternal Morbidity In 2024, UMMS launched Health Equity initiatives at each member organization in compliance with the new Joint Commission regulations to reduce healthcare disparities. The initiative was launched to bring a sharper focus to health equity in patient care through the lens of safety and quality. UM Capital Region Health has chosen to focus on Eliminating racial disparities in Severe Maternal Morbidity. Several factors have been identified as root causes 1) Limited education opportunities to support staff in effectively responding to patients, 2)Lack of compassionate care from providers/genuine understanding of diverse cultures, 3) Limited opportunities to build capacity in navigating service delivery systems and disease disorders, 4) Lack of understanding of community health needs and available resources, and 5) Lack of staff for community engagement, clinicians, and social work. UM Capital has assembled a Health Equity Council that meets monthly and consists of clinical leadership, patient experience, community health, quality, project management, data analysis, and executive leaders. The committee meets regularly to discuss and collaborate on initiatives and activities as the system works collectively to improve equity in patient care. Additionally, UM Capital Region Health is now the only Level III NICU in Prince George's County, and we are the only provider with the ability to admit and manage in-house mothers who are high-risk and managing various chronic conditions while pregnant. This thereby elongates pregnancies, increases the likelihood of bringing the pregnancy to full term, and improves maternal and birth outcomes. Mama &amp; Baby Bus Continuing with the Maternal Morbidity Health Equity initiative- UM Capital continues to partner with and receive annual grant funding from the March of Dimes to operate the Mama &amp; Baby Bus program. The mobile unit travels to under-resourced areas throughout Prince George's County and Washington DC wards 7 and 8 to provide prenatal and women's health care to women who would otherwise not have access to services. Locations are identified using data from various reports indicating where the most vulnerable populations reside. DC wards 7 &amp; 8 border Prince George's County and have some of the district's highest rates of low birth weight, infant mortality, and chronic disease. The mobile unit continues to offer supportive pregnancy programming at two community-based locations. Patient volumes, referrals to care, social supports, and preventive screenings are tracked weekly and reported semi-annually to ensure access and quality remain consistent with the mission of the mobile unit. The mobile unit remains a critical access point for delivering care to the most vulnerable populations. In most cases, the mobile unit is the first high-quality healthcare encounter for immigrant women in the US. With Medicaid expansion, many women can now gain insurance, leading to increased access to women's wellness services, prenatal care, and other needed specialty services. All initiatives are aligned with our hospital's Community Health Improvement Plan (CHIP, "Priority Area 5-- Maternal and Infant Health"). Maternal and Infant Health was not identified as a key priority area within the Countywide CHNA. However, we as a system have agreed to add this priority area based on the CHNA data indicators and our internal review and selection of priorities specific to UM Capital Region. Diabetes Education UM Capital has continued to partner with key organizations to create meaningful, health-driven, community-based programs and initiatives such as Dine Learn &amp; Move (DLM) and the National Diabetes Prevention Program (DPP We continue to work with our partners to offer Dine, Learn, and Move (DLM) -- a free virtual program offered to the community in partnership with Prince George's County Health Department, the Maryland National Capital Park and Planning Commission - Department of Parks and Recreation, and Suburban Hospital. DLM aims to promote healthy eating and active living and reinforce healthy behaviors to reduce the prevalence of various chronic diseases among residents. Virtual DLM is 90 minutes long and includes 20 minutes of physical activity, 20 minutes of nutrition education, and 40 minutes of a healthy food demonstration Our numbers continue to increase. In FY 24, 805 participants attended. Our monthly session average is 67 participants per session, and a reported 43% of participants increased healthy behaviors after attending a Dine, Learn &amp; Move session. The National Diabetes Prevention Program (National DPP) is a partnership of public and private organizations working to prevent or delay type 2 Diabetes. The National DPP features a CDC-recognized lifestyle change program, a research-based program focusing on healthy eating and physical activity-the Diabetes Regional Partnership catalyst grant ended June 30th, 2024. However, despite the grant ending, UM Capital continues to invest and offer the Diabetes Prevention Program to our community and our patients. Despite staff turnover affecting our ability to offer multiple cohorts in FY24, we have been able to maintain our full plus recognition status received in March of 2023 and continue to achieve great outcomes; 78% of our participants lost at least 5% of their body weight and 48% of participants reached 150 minutes of physical activity each week. Furthermore, we can now receive referrals within our EMR system (EPIC) from providers who want to refer their pre-diabetic patients to our DPP program. Thus far, providers are beginning to send referrals, and we have successfully enrolled many participants in the program. Our chronic disease initiatives align with our hospital Community Health Implementation Plan, "Priority Area 1-- Physical Health &amp; Chronic Disease, the Prince George's County CHNA priority area identified as "Obesity and Metabolic Syndrome."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of Community Health continued</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Health Outreach &amp; Partnerships UM Capital continues to partner with Avanath Capital Management LLC, the management entity of two senior housing locations in Prince George's County: Vistas at Lake Largo in Largo, MD, and Manor at Victoria Park in Temple Hills, MD. The partnership is a collaboration between Community Benefit and Population Health and includes a series of quarterly health and wellness education lectures and health screenings. Staff turnover impacted our ability to offer the classes consistently. However, we reached a total of 54 individuals in FY24. Additionally, we re-launched the clinic visit portion of the partnership in collaboration with our Family and Internal Medicine Residency Programs. Our residents now conduct regular visits, 2-4 times per month - at both locations, providing Point of Care testing and education to ultimately encourage engagement in appropriate care and reduce unnecessary emergent visits to the ER. UM Capital Region Health provided two different CHNA sponsorships in FY24. Due to staff turnover and a slight surplus of funds due to a decrease in large-scale health events since the 2020 pandemic, the Office of Community Health was able to provide some financial assistance to support community-based organizations whose mission is closely aligned with our CHNA programmatic priorities. UM Capital Region committed to being an education sponsor of The Prince George's County Executive Office Breast Cancer Awareness Initiative. Our oncology experts from the UM Capital Breast Center conducted three educational sessions on breast health in the community to raise awareness of the importance of screening and treatment. The Office of Community Health provided a $10,000 monetary donation to the Mission of Love Charities Inc. to help procure food for the most vulnerable residents in our community. The mission of Love Charities is a non-profit organization located in Prince George's County, MD, providing a food pantry, housing assistance, workforce development, and behavioral and mental healthcare to low-income individuals and families in Prince George County, Maryland, and surrounding areas. This past year, with the immigration crisis coupled with the ever-rising costs of food, the Mission of Love requested monetary support to help fill critical gaps within their food pantry. The $10,000 donation resulted in the distribution of approximately 5,000 meals. Lastly, we collaborated with two local churches to provide 450 free backpacks and school supplies. UM Capital Region continues to educate the community, bringing community health programs to citizens, their families, and friends as we work toward educating the community about the value of a healthy lifestyle. As we enter into the next 3-year cycle of our CHNA and Implementation strategy, we look forward to expanding our health education programming and health screening capacity as we continue to work collaboratively with our community partners to reduce health disparities in the communities we serve. All initiatives are aligned with varying priorities outlined within our hospital CHIP and the County's CHNA; Priority Area 1 - Social Determinants of Health; Priority Area 2 - Physical Health and Chronic Disease Management; Priority Area 3 - Behavioral Health; Priority Area 4 - Physical Safety; Priority Area 5-Maternal &amp; Infant Health. Priorities 4 and 5 are specific to UM Capital Region. Sickle Cell Clinic In 2022, in partnership with John Hopkins University School of Medicine, UM Capital Region was awarded the Pathways to Health Equity Grant from the Maryland Community Health Resources Commission to open Prince George's County's (PGC) first Adult Sickle Cell Clinic. UM Capital established an infusion clinic in 2023, offering an ambulatory infusion clinic setting. The clinic has grown from 0 to 200 patients in less than a year and a half. Additionally, the clinic's establishment has reduced the need for emergent and more painful episodes, with a 60% reduction in ED visits due to the establishment of the sickle cell clinic. Food is Medicine In October 2024, UM Capital launched the Food Is Medicine Program in partnership with the Capital Area Food Bank. This initiative was borne out of a need to address inadequate nutrition among pregnant mothers within UM Capital's OB Clinic. The program participants will receive 80 pounds (monthly) of free produce, fruits, and vegetables tailored to their chronic illness. The program will target food-insecure OB patients and patients identified within our Internal Medicine clinic who are food insecure and suffer from a variety of chronic diseases. Patients will be identified in one of three ways: 1) using the UMMS AFFIRM algorithm on past clinic appointments, 2) using AFFIRM on upcoming clinic appointments 3) identified by the clinic provider during the clinic visit. After identifying the patient, the patient is referred to our community health worker for further interviewing, screening, and enrollment. High-risk OB patients also receive counseling and medical nutrition therapy from our Maternal and Fetal Medicine diabetic educator. Currently, 35 families have been enrolled, and 104 food distributions have taken place. The Capital Area Food Bank provided nutrition information and recipes as part of the distribution. Families are enrolled for a total of 12 months. Data collection will include pre-and post-participation surveys and Clinical metrics such as A1c, BP, etc. Care Coordination &amp; Care Transitions Support The UM Capital Region Care Transitions Team is vital in helping patients transition smoothly from the hospital to post-acute care settings and using tools that effectively identify patients at a high risk of readmission or complications after discharge. The team's approach focuses on five main areas to address the social determinants of health, which is critical for ensuring that patients receive the necessary support in their recovery journey. These key areas include: 1. Scheduling follow-up appointments within 14 days: Ensuring patients are seen promptly after discharge helps to monitor their recovery and address any emerging issues. 2. Assisting with obtaining prescriptions eliminates barriers to post-discharge care by ensuring patients have the needed medications. 3. Arranging skilled care at home: For those who need it, providing in-home care services ensures a smooth recovery, reducing the likelihood of complications and readmission. 4. Connecting with community partners: Partnering with local organizations helps address social factors affecting recovery, like transportation, food security, or access to care. 5. Using the Connect system: The automated call system serves as a check-in within 72 hours to address patients' concerns and prevent potential issues from escalating. Addressing these factors, the Care Transitions Team aims to reduce readmission rates and improve overall patient outcomes. This multifaceted approach is essential for providing comprehensive care beyond the hospital setting. In FY 24, 16,216 patients discharged from Inpatient and ED received a post-discharge phone call via our Connect system, 879 patients were assessed at the bedside before discharge, and 687 follow-up appointments were scheduled before patients left the hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>As required by Maryland statute for all hospitals, University of Maryland Medical Center submits a detailed, annual community benefit report, which provides information related to programs, services, contributions, etc. that the hospital makes with no or little expectation of financial return, to the Maryland Health Services Cost Review Commission (HSCRC), a state regulatory agency, by January 31 each year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION INCLUDED A NET COST OF $7,868,400 ATTRIBUTABLE TO PHYSICIAN CLINICS ON LINE 7G.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>30853568</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. ADDITIONALLY, NET REVENUES FOR MEDICAID SHOULD REFLECT THE FULL IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>UM CAPITAL REGION IS AN ACTIVE PARTICIPANT IN VARIOUS COMMUNITY HEALTH ADVOCACY BOARDS. THE ORGANIZATION'S SENIOR LEADERS ARE ACTIVE COMMITTEE MEMBERS WITH THE PRINCE GEORGE'S COUNTY HEALTHCARE ACTION COALITION (PGHAC), A COMMUNITY HEALTH NETWORK AND FORUM FOR COLLABORATION TO ADVANCE THE HEALTH OF PRINCE GEORGE'S COUNTY. THE PGHAC IS A COMMUNITY-POWERED COALITION REPRESENTING OVER 70 COMMUNITY ORGANIZATIONS, HEALTHCARE PROVIDERS, AND STAKEHOLDERS IN COMMUNITY HEALTH. THE COALITION ALSO INCLUDES A SERIES OF THREE DIFFERENT WORKGROUPS; BEHAVIORAL HEALTH, HEALTH EQUITY, AND HEALTHY EATING, ACTIVE LIVING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) STARTED SETTING HOSPITAL RATES IN 1974. AT THAT TIME, THE HSCRC APPROVED RATES APPLIED ONLY TO COMMERCIAL INSURERS. IN 1977, THE HSCRC NEGOTIATED A WAIVER FROM MEDICARE HOSPITAL PAYMENT RULES FOR MARYLAND HOSPITALS TO BRING THE FEDERAL MEDICARE PAYMENTS UNDER HSCRC CONTROL. IN 2014, MARYLAND'S WAIVER WITH MEDICARE WAS RENEGOTIATED AND UPDATED TO REFLECT THE CURRENT HEALTHCARE ENVIRONMENT. UNDER THIS NEW WAIVER, SEVERAL CRITERIA WERE ESTABLISHED TO MONITOR THE SUCCESS OF THE SYSTEM IN CONTROLLING HEALTHCARE COSTS AND THE CONTINUANCE OF THE WAIVER ITSELF: 1. REVENUE GROWTH PER CAPITA 2. MEDICARE HOSPITAL REVENUE PER BENEFICIARY 3. MEDICARE ALL PROVIDER REVENUE GROWTH PER BENEFICIARY 4. MEDICARE READMISSION RATES 5. HOSPITAL ACQUIRED CONDITION RATE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE OF THE UNIQUE PAYMENT SYSTEM DESCRIBED ON LINE 2 (ABOVE), THE HOSPITAL IS UNABLE TO ESTIMATE HOW MUCH OF THE AMOUNT REPORTED IN LINE 2 IS ATTRIBUTED TO PATIENTS WHO WOULD APPLY UNDER THE FAP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION RECORDS REVENUES AND ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT THEIR ESTIMATED NET REALIZABLE VALUE. REVENUE IS REDUCED FOR ANTICIPATED DISCOUNTS UNDER CONTRACTUAL ARRANGEMENTS AND FOR CHARITY CARE. AN ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED BASED UPON ANTICIPATED UNCOMPENSATED CARE, AND IS ADJUSTED AS ADDITIONAL INFORMATION BECOMES AVAILABLE. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE PATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - UM Capital Region Medical Center: Line 16a URL: https://www.umms.org/capital/patients-visitors/for-patients/financial-assistance-and-billing;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - UM Capital Region Medical Center: Line 16b URL: https://www.umms.org/capital/patients-visitors/for-patients/financial-assistance-and-billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - UM Capital Region Medical Center: Line 16c URL: https://www.umms.org/capital/patients-visitors/for-patients/financial-assistance-and-billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>As was done in 2019, the joint CHNA process in 2022 was developed to: 1) maximize community input 2) learn from the community experts 3) utilize existing data 4) ensure a comprehensive prioritization process As available, the assessment utilized a robust and in-depth extraction of quantitative and qualitative data. The joint Countywide CHNA provides the required data and information for the hospitals to use. Each hospital used the data collected in the CHNA process to: 1) identify their geographical priority issues 2) develop and implement strategies and action plans for each priority issue 3) establish accountability to ensure measurable health improvement In addition to the CHNA process, UM Capital assembled a Community Benefit Steering Committee to review the results of the community health needs assessment and collaboratively and strategically further assess the community health needs specific to our community benefit service areas. The steering committee was a cross-section of staff that included senior administrators and clinical leaders, community benefit staff, service line administrators, and social workers. Furthermore, UM Capital also extracted utilization patterns and patient data analytics for our primary and secondary service areas to further assess the healthcare needs of the communities we serve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Our financial assistance policy and the communication about our financial assistance policy is regularly reviewed to make sure it is available to our patients in a variety of formats and that it is available in a culturally/linguistically sensitive manner and at a reading comprehension level appropriate to the population of our Community Benefit Service Area. The availability of financial assistance from the hospital for patients is communicated to patients in multiple ways: Large signs are posted at all our points of registration in the hospital (general registration, Emergency Department) and our specialized service areas (Perinatal Center, Cancer Institute, etc.). The phone number for our financial counselors is included. When patients are registering in the hospital for inpatient treatment or outpatient treatment, they are given the Patient Financial Information Sheet that is printed on two sides in English and Spanish. This Patient Financial Information Sheet is available at every point of entry to the hospital and every point of service delivery. It is also included in the patient information packet given to each patient as well as online. Inpatients who do not have any health insurance are visited by one of our financial counselors. The counselors discuss the availability of various government benefits such as Medicaid or state programs that offer health care assistance. The counselors assist patients with the application. The financial counselor sends information about potential eligibility for various government benefits such as Medicaid or state programs offering health care assistance to outpatients who do not have any health insurance. These patients are invited to call to discuss applying for these programs. Spanish and English-speaking financial counselors are available. When a patient applies for financial assistance, our bilingual financial assistance counselor works with the patient to gather appropriate documents and submit their application for financial assistance. Given the levels of certain populations in our county, our Financial Assistance Policy is available in the following languages: Arabic, Chinese, English, French, German, Gujarati, Haitian Creole, Haiti, Hindi, Igbo, Indic, Korean, Oromo, Spanish, Swahili, Tagalog, Urdu, Vietnamese, Yoruba.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>UM Capital Region's Community Benefit service includes Prince George's County, portions of Montgomery County, and Washington DC. Zip codes are as follows: 20904, 20705,20706,20707,20708,20710,20712,20715,20716,20720,20721,20722,20735,20737,20740,20742,20743,20744,20745,20746,20747,20748,20770,20772,20774,20781,20782,20783,20784,20785,20904 Prince George's County is in the state of Maryland and is part of the Washington, DC, metropolitan area. Home to more than 900,000 diverse residents, the county includes urban, suburban, and rural regions. The county, while overall considered affluent, has many communities with higher needs and poor health outcomes. According to the 2020 census, Prince George's County is the second-largest jurisdiction in Maryland at 967,201. The county's population grew by 12% over the last decade, compared to only 7% for the state of Maryland. Additionally, the racial and ethnic composition of Prince George's County differs from Maryland and the United States. The Black non-Hispanic population represents the majority of residents (59.1%) followed by Hispanic residents (21.2%). Since 2010, the Hispanic population has grown by 60% in the county to over 205,000 residents and represents more than one out of every five residents in the county. Portions of Prince George's County, Maryland, border the District of Columbia- Wards 7 and 8. In addition, data provided based on Patient Care Analyst indicate portions of the district that border PGC are also included in both our primary and secondary service areas. These zip codes include 20019, 20020, 20032, and 20002. Foreign-born In Prince George's County, over 210,000 or more than one out of every five residents (23.6%) are born outside the United States. The countries that contribute the most to the foreign-born population include El Salvador, Nigeria, Guatemala, Mexico, and Jamaica: these five countries account for nearly half of the total foreign-born population. As a world region, Central American accounts for approximately 40% of the county's foreign-born residents. As a recent trend, residents from Cameroon have grown by an estimated 68% over the past five years, with nearly 10,000 now calling Prince George's County home. Approximately 18% of foreign-born residents speak only English as their primary language, and an additional 32% are estimated to speak English "very well." Conversely, about half of foreign- born residents are estimated to speak English less than "very well and most speak Spanish as their primary language. Education In 2019, about 87% of Prince George's County residents 25 years and older had at least a high school education, lower than Maryland (90.4%) and the US (88.6%). One-third of county residents have at least a bachelor's degree or higher, similar to the country; however, this lags behind the state, where over 40% have a bachelor's degree. Education level attainment varies across races and ethnicities in Prince George's County. Half of the county's Hispanic residents 25 years and older do not have a high school degree, and less than 10% have at least a bachelor's degree. Conversely, over half of Asian, non-Hispanic ad and over 40% of white, non- Hispanic residents 25 years and older have at least a bachelor's degree. Although most black, non-Hispanic residents have at least a high school degree, less have a bachelor's degree compared to Asian, NH, and white NH residents. In 2018, the overall graduation rate in Prince George' County Public Schools was 78.5%. Hispanic students are less likely than other race/ethnicities to complete high school in the county. Overall, the graduation rate in Prince George's County was lower compared to Maryland (86.9%) in 2018. Due to COVID-19, the 2019 and 2020 graduation rate data is unavailable. Employment Unemployment in Prince George's County has decreased considerably. In 2014, 9.1% of county residents were unemployed, compared to 5.5% in 2019. However, the unemployment rate for the county remains slightly higher than in Maryland (4.5%) and the US (4.5%). The county's unemployment rate varies by education, disability status, race, and ethnicity. For example, over 14% of those living in poverty are unemployed and 12% of residents with a disability are unemployed. By race and ethnicity, unemployment was highest among black residents in 2019. Income The estimated median household income in Prince George's County has risen substantially over the past few years, up to $86,290, similar to Maryland ($86,738) and over 20,000 more than the US ($65,712). In 2019, over 40% of county households were estimated to have an income of more than 100,000 per year, similar to the state. While Maryland has more households with an income below 35,000 compared to the County, Maryland also has a higher percentage with an income above 200,000 (13.6%) compared to Prince George's County (9.9%). Estimated income varies by race and ethnicity, with half of Asian households earning over 100,000 compared to only 35% of Hispanic households. Over half (51.1%) of Hispanic households earn less than $75,000 per year, while most other races and ethnicities earn more than $75,000.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>The University of Maryland Medical System Corporation (UMMS) is a private, not-for-profit corporation providing comprehensive healthcare services through an integrated regional network of hospitals and related clinical enterprises. UMMS was created in 1984 when its founding hospital was privatized by the State of Maryland. Over its nearly 40-year history, UMMS evolved into a multi-hospital system with academic, community, and specialty service missions reaching primarily across Maryland. As part of the University of Maryland Medical System (UMMS), UM Capital Region Health understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, UM Capital Region Health assesses the community's health needs, identifies key priorities, and responds with services, programs, and initiatives that make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical System's Community Health Improvement Council coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. UM Capital Region Health is committed to health education, advocacy, community partnerships, and engaging programs that focus on health and wellness intending to eliminate health care disparities in Prince George's County.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>MD</ExplanationTxt>
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        <NontaxableBenefitsRltdOrgsAmt>31734</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>3713974</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Brozic</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>307531</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>45780</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29562</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>485841</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nathaniel Richardson Jr</PersonNm>
        <TitleTxt>President and CEO, UM CRH</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>922428</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Benzer</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>225570</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>960</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9426</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>32050</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>307931</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph L Wright MD</PersonNm>
        <TitleTxt>Former SVP and CMO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>379391</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>11220</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14703</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>887930</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>323821</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joel Sandler</PersonNm>
        <TitleTxt>SVP and CNO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Min Godwin</PersonNm>
        <TitleTxt>SVP and COO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19651</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>344061</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tom-Meka Archinard</PersonNm>
        <TitleTxt>SVP and CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>480511</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>117413</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>7187</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>68377</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31440</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>704928</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ingrid Connerney</PersonNm>
        <TitleTxt>VP and Chief Quality Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>244728</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>52216</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25621</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9832</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1701</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>334098</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jay Mittal</PersonNm>
        <TitleTxt>VP Business Strategy and Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>231789</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7187</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10012</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28269</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>394670</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicholas Hubler</PersonNm>
        <TitleTxt>VP Ambulatory Service</TitleTxt>
        <BaseCompensationFilingOrgAmt>206776</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>46360</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19939</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29788</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12375</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>315238</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Samrong So</PersonNm>
        <TitleTxt>VP of Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>237971</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>53464</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>27820</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36432</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10641</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>366328</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Theophilus Botwe</PersonNm>
        <TitleTxt>Physician Advisor</TitleTxt>
        <BaseCompensationFilingOrgAmt>257755</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>566</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4765</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31353</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>294439</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR- ENDED JUNE 30, 2024, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: JOSEPH HOFFMAN ANDREW POLLAK TOM-MEKA ARCHINARD MICHAEL BROZIC SANDRA BENZER NATHANIEL RICHARDSON, JR SAMRONG SO NICHOLAS HUBLER THEOPHILUS BOTWE JOEL SANDLER DURING THE FISCAL YEAR-ENDED JUNE 30, 2024, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: JON BURNS, $100,274 JOSEPH L WRIGHT, $349,441 MOHAN SUNTHA, $357,713 INGRID CONNERNEY, $22,122 MIN GODWIN, $23,867 JAY MITTAL, $27,411</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES PAID ARE BASED ON A NUMBER OF VARIABLE INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGAINZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 24a TAX EXEMPT BOND ISSUE</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE "CORPORATION") AND SEVERAL OF ITS SUBSIDIARIES HAVE ISSUED DEBT THROUGH THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE "AUTHORITY"). AS SECURITY FOR THE PERFORMANCE OF THE BOND OBLIGATION UNDER THE MASTER LOAN AGREEMENT, THE AUTHORITY MAINTAINS A SECURITY INTEREST IN THE REVENUE OF THE OBLIGORS. THE MASTER LOAN AGREEMENT CONTAINS CERTAIN RESTRICTIVE COVENANTS. THESE COVENANTS REQUIRE THAT RATES AND CHARGES BE SET AT CERTAIN LEVELS, LIMIT INCURRENCE OF ADDITIONAL DEBT, REQUIRE COMPLIANCE WITH CERTAIN OPERATING RATIOS AND RESTRICT THE DISPOSITION OF ASSETS. THE OBLIGATED GROUP UNDER THE MASTER LOAN AGREEMENT INCLUDES THE CORPORATION, UMROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, UM CHARLES REGIONAL, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM CAPITAL REGION, BOWIE HEALTH CENTER (BOWIE), AND THE UM MEDICINE FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,736,659,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2024. ALL OF THE BONDS WERE ISSUED IN THE NAME OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS THE SOLE MEMBER OF DIMENSIONS HEALTH CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The following decisions of the governing body are among those subject to the approval of the member: amendment of charter documents; dissolution of the organization; strategic plans; participation in joint ventures; leases or intercompany transfers of assets, subject to certain dollar thresholds; annual operating and capital budgets; acquisition or disposition of an entity or substantially all assets; merger or consolidation of entity; mortgage, pledge or disposition of property; and incurrence of debt or real property, subject to certain dollar thresholds.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The University of Maryland Medical System ("UMMS") prepares the IRS Form 990 for UMMS and its affiliates. Information needed to complete the return is gathered by accounting personnel in the Finance Shared Services department under the supervision of the UMMS Tax Director. Draft returns are prepared using IRS-approved tax software. Once a draft return is prepared, it undergoes multiple levels of review both internally by UMMS tax &amp; finance personnel, and externally by Ernst &amp; Young LLP. Following any necessary changes to the return, a final draft is reviewed by each affiliate's vice president of finance and/or CFO. Prior to filing the IRS Form 990, the organization's board chairman, treasurer, governance committee, finance committee or other member(s) of the board with similar authority will review the IRS Form 990. All board members are provided with a copy of the final IRS Form 990 before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization follows the University of Maryland Medical System (UMMS) Conflicts of Interest Policy, which requires that all Covered Persons disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the organization, or any entity controlled by or owned in substantial part by the organization. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The organization (or its sole member) is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Governance Committee (or other Board committee having similar authority) reviews any and all conflicts, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization or its sole member's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the oversight committee. A questionnaire which discloses potential conflicts of interest is distributed annually to Covered Persons. The Chief Compliance Officer of the University of Maryland Medical System Corporation (UMMS) distributes and collects the responses for UMMS and other affiliates, and may be called for consult when potential conflicts are disclosed. If the oversight Committee determines that a Conflict of Interest exists, the Committee shall notify the Covered Person and the organization's Board Chair, and further will notify the full Board at its next meeting. Furthermore, in the event the Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Committee determines that a Conflict of Interest exists but that the organization may enter into the subject transaction or arrangement, the interested Covered Person shall be recused from all deliberations and decisions concerning said transaction or arrangement, any arrangements with that entity, and compensation or benefits for officers, directors, and trustees. Furthermore, the Chair of the Board and the Chairs of the oversight Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the oversight Committee determines that a Covered Person has used their position to accrue Excess Benefits or to knowingly assist others in accruing Excess Benefits in any way at the expense of the organization, the Committee shall recommend to the Executive Committee appropriate corrective action to be taken.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED A PROCESS FOR DETERMINING EXECUTIVE COMPENSATION THAT COVERS THE ORGANIZATION AND ITS SUBSIDIARIES. THE ORGANIZATION UTILIZES A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AN APPROVAL BY BOARD/COMPENSATION COMMITTEE AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS. IN ADDITION, DHC HAS A PROCESS IN PLACE TO ENSURE THE COMPENSATION PAID TO EMPLOYED PHYSICIANS IS NOT GREATER THAN FAIR MARKET VALUE, WHICH COVERS DHC AND ITS AFFILIATES. IN PARTICULAR, COMPENSATION SURVEYS ARE REGULARLY CONSULTED AND EACH PHYSICIAN CONTRACT IS APPROVED BY DHC COUNSEL, DHC CEO, AND DHC CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A HOURS ON RELATED ENTITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Revenue - Total Revenue: 291496, Related or Exempt Function Revenue: 291496, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Support Fr Hospital - Total Revenue: 2115, Related or Exempt Function Revenue: 2115, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SUPPORT SERVICES - Total Expense: 7999250, Program Service Expense: 6726029, Management and General Expenses: 1273221, Fundraising Expenses: 0; CORPORATE ALLOCATION - Total Expense: 52403620, Program Service Expense: 44062667, Management and General Expenses: 8340953, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 17487421, Program Service Expense: 14703992, Management and General Expenses: 2783429, Fundraising Expenses: 0; PHYSICIAN CONTRACT - Total Expense: 32441401, Program Service Expense: 32441401, Management and General Expenses: 0, Fundraising Expenses: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFER (FIXED ASSETS) - -2651428; DB PLAN - 5449111; EQUITY TRANSFERS - 1671994; STATE SUPPORT FOR CAPITAL - 13162130; Rounding - -2;</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>UNIVERSITY OF MARYLAND CHARLES REGIONAL</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>PO BOX 1070</AddressLine1Txt>
          <CityNm>LA PLATA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20646</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UNIV OF MD ST JOSEPH FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>7601 OSLER DRIVE</AddressLine1Txt>
          <CityNm>TOWSON</CityNm>
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          <BusinessNameLine1Txt>UMSJHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HARFORD MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UM UPPER CHESAPEAKE HEALTH SYSTEM INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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        <EIN>521398513</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE HEALTH FOUNDATION INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>521398507</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>521253920</EIN>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE MEDICAL SERVICES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>521501734</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE PROPERTIES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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        <EIN>521907237</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPPER CHES RESIDENTIAL HOSPICE HOUSE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>264737028</EIN>
        <PrimaryActivitiesTxt>HOSPICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Harford Crisis Center Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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        <PrimaryActivitiesTxt>HOME CARE</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UM CAPITAL REGION HEALTH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 W PRATT ST STE 2400</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>DIMENSIONS HEALTHCARE ASSOCIATES</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>UMCAPRH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UM Capital Region Health Foundation Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BALTIMORE WASHINGTON IMAGING</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>GLEN BURNIE</CityNm>
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          <ZIPCd>21061</ZIPCd>
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          <BusinessNameLine1Txt>UNIVERSITYCARE LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>419 W Redwood St Ste 220</AddressLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <AddressLine1Txt>7601 OSLER DRIVE</AddressLine1Txt>
          <CityNm>TOWSON</CityNm>
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          <BusinessNameLine1Txt>ADVANCED IMAGING AT ST JOSEPH</BusinessNameLine1Txt>
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          <AddressLine1Txt>7601 OSLER DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>UMSJMC</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <AddressLine1Txt>PO BOX 1070</AddressLine1Txt>
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          <BusinessNameLine1Txt>UMCRCP</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <BusinessNameLine1Txt>BALTIMORE ASC VENTURES LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>7620 YORK ROAD</AddressLine1Txt>
          <CityNm>TOWSON</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21204</ZIPCd>
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        <EIN>824133899</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UMSJMC</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <BusinessNameLine1Txt>UCHSUMMS Real Estate Trust</BusinessNameLine1Txt>
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          <AddressLine1Txt>520 Upper Chesapeake Drive</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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        <EIN>276803540</EIN>
        <PrimaryActivitiesTxt>Holding Co</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UM Chesapeake Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>515 South Tollgate Road</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>873038857</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UCHV</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NA EXECUTIVE BUILDING CONDO ASSN INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>301 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>GLEN BURNIE</CityNm>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UM CHARLES REGIONAL CARE PARTNERS</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 1070</AddressLine1Txt>
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          <ZIPCd>20646</ZIPCd>
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        <EIN>522176314</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNIVERSITY MIDTOWN PROF CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>827 LINDEN AVENUE</AddressLine1Txt>
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        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE</BusinessNameLine1Txt>
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          <AddressLine1Txt>900 Elkridge Landing Rd</AddressLine1Txt>
          <CityNm>Linthicum</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21090</ZIPCd>
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        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UPPER CHESAPEAKE HEALTH VENTURES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE MEDICAL CENTER LAND CON</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>770674478</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE MEDICAL OFFICE BUILDING</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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        <EIN>521946829</EIN>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SHORE ORTHOPEDICS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>219 S WASHINGTON STREET</AddressLine1Txt>
          <CityNm>EASTON</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21601</ZIPCd>
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        <EIN>371817262</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MADISON MANOR INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5801 42ND AVE</AddressLine1Txt>
          <CityNm>HYATTSVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20781</ZIPCd>
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        <EIN>521269059</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AFFILIATED ENTERPRISES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>901 Harry S Truman Dr N</AddressLine1Txt>
          <CityNm>Upper Marlboro</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20785</ZIPCd>
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        <EIN>521542144</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RIVERSIDE HEALTH OF DELAWARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>900 Elkridge Landing Rd</AddressLine1Txt>
          <CityNm>Linthicum</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21090</ZIPCd>
        </USAddress>
        <EIN>463205820</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RIVERSIDE HEALTH OF DC INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>900 Elkridge Landing Rd</AddressLine1Txt>
          <CityNm>Linthicum</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21090</ZIPCd>
        </USAddress>
        <EIN>461411713</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>