BALTIMORE WASHINGTON MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: BALTIMORE WASHINGTON MEDICAL CENTER INC (EIN 52-0689917)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202331329349300743
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T13:05:02+00:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1101 NEW YORK AVE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520689917	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Baltimore Washington Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BALT	BusinessNameControlTxt
Phone	4107874160	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 Hospital Drive	AddressLine1Txt
City	Glen Burnie	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21061	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALFRED A PIETSCH	PersonNm
Person Title	SVP/CFO	PersonTitleTxt
Signature	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALFRED A	PersonFirstNm
Person Last	PIETSCH	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amber Gazica	PreparerPersonNm
PTIN	P01391011	PTIN
Phone	2023276000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UM BALTIMORE WASHINGTON MEDICAL CENTER	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KATHLEEN C MCCOLLUM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 Hospital Drive	AddressLine1Txt
City	Glen Burnie	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21061	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$624,086,338	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.umms.org/bwmc	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1964	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	3672	TotalEmployeeCnt
Total Volunteers	104	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,066,836	PYContributionsGrantsAmt
CY Contributions Grants	$5,780,290	CYContributionsGrantsAmt
PY Program Service Revenue	$436,516,662	PYProgramServiceRevenueAmt
CY Program Service Revenue	$465,919,748	CYProgramServiceRevenueAmt
PY Investment Income	$5,570,309	PYInvestmentIncomeAmt
CY Investment Income	$27,706,067	CYInvestmentIncomeAmt
PY Other Revenue	$1,161,175	PYOtherRevenueAmt
CY Other Revenue	$1,101,521	CYOtherRevenueAmt
PY Total Revenue	$470,314,982	PYTotalRevenueAmt
CY Total Revenue	$500,507,626	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$261,404	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$194,357,833	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$193,498,441	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$242,641,479	PYOtherExpensesAmt
CY Other Expenses	$253,930,494	CYOtherExpensesAmt
PY Total Expenses	$436,999,312	PYTotalExpensesAmt
CY Total Expenses	$447,690,339	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,315,670	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$52,817,287	CYRevenuesLessExpensesAmt
Total Assets BOY	$709,776,001	TotalAssetsBOYAmt
Total Assets EOY	$632,938,478	TotalAssetsEOYAmt
Total Liabilities BOY	$343,806,586	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$285,760,314	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$365,969,415	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$347,178,164	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF BALTIMORE WASHINGTON MEDICAL CENTER (BWMC) IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE. OUR VISION IS TO BE THE PREFERRED REGIONAL MEDICAL CENTER THROUGH NATIONALLY RECOGNIZED QUALITY, PERSONALIZED SERVICE AND OUTSTANDING PEOPLE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$380,750,609	ExpenseAmt
Grant	$261,404	GrantAmt
Revenue	$465,919,748	RevenueAmt
Desc	See Schedule O.	Desc
Total Program Service Expenses	$380,750,609	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3672	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Amy M Myers	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4434623573	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 ELKRIDGE LANDING ROAD - 3 EAST	AddressLine1Txt
City	LINTHICUM	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21090	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER J GALLANT II
SECRETARY	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JEFFREY S ARMIGER
CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JULIE MUSSOG
VICE CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
KATHLEEN C MCCOLLUM
CEO AND PRESIDENT, UMBWMC	1.0	45.0	Yes (X)	Yes (X)	$0	$762,961	$41,089
THOMAS R GARDNER
TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Bernard E Condon
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
CHIRAG CHAUDHARI MD
Director	1.0	42.0	Yes (X)		$0	$477,752	$31,628
Drew J Hawkins Jr
Director	1.0	1.0	Yes (X)		$0	$0	$0
Frances B Phillips
Director	1.0	1.0	Yes (X)		$0	$0	$0
Karen Cook
Director	1.0	1.0	Yes (X)		$0	$0	$0
KORKUT ONAL
Director	1.0	1.0	Yes (X)		$0	$0	$0
LOUIS L ZAGARINO CHA
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
Mohan Suntha MD
PRESIDENT AND CEO, UMMS	1.0	59.0	Yes (X)		$0	$3,436,975	$40,732
NEIL A GREENBERG
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
NICHOLAS W CLARK
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
PAMELA G BEIDLE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
Robert Norton
Director	1.0	1.0	Yes (X)		$0	$0	$0
SPENCER D NEAL
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
STANLEY J KLOS JR
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
ALFRED A PIETSCH
SVP AND CFO	1.0	44.0		Yes (X)	$0	$504,317	$32,450
David G Hunt
SVP AND CNO	1.0	40.0			$0	$391,553	$40,395	Yes (X)
JASON CARTER
SVP AND COO, UMBWMC	1.0	44.0			$0	$154,781	$18,722	Yes (X)
NEEL VIBHAKAR MD
SVP AND CMO	1.0	41.0			$0	$651,885	$36,955	Yes (X)
BEVERLY YOUNG
DIRECTOR PERIOPERATIVE SERVICES	40.0	0			$209,873	$0	$18,802		Yes (X)
BRIAN COTTER
DIRECTOR PHARMACY	40.0	0			$237,505	$0	$3,923		Yes (X)
Gladys A Moses
REGISTERED NURSE	40.0	0			$206,682	$0	$15,188		Yes (X)
Jana S Gelman
REGISTERED NURSE	40.0	0			$199,178	$0	$12,139		Yes (X)
Kimberly Steiner
Registered Nurse	40.0	0			$224,259	$0	$597		Yes (X)
CATHERINE WHITAKER-KLICK
Former SVP and CNO	0.0	40.0			$0	$346,302	$19,978			Yes (X)
KAREN E OLSCAMP
FORMER CEO AND PRESIDENT, UMBWMC	0.0	0.0			$0	$402,761	$11,119			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,077,497	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,129,287	TotReportableCompRltdOrgAmt
Total Other Compensation	$323,717	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	335	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THE WHITING TURNER CONTRACTING
PO BOX 17596	Baltimore	MD	21297	Construction	$19,413,055
CROSS COUNTRY STAFFING
PO BOX 404674	Atlanta	GA	303844674	Employment Services	$8,206,786
AYA HEALTHCARE INC
PO BOX 123519	Dallas	TX	753123519	Employment Services	$4,099,958
CONSOLIDATED MEDICAL SERVICES
11027 MCCORMICK RD	Hunt Valley	MD	21031	Healthcare Services	$2,311,443
PHILIPS HEALTHCARE
PO BOX 100355	ATLANTA	GA	303840355	Healthcare Services	$2,189,821

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,003,575	RelatedOrganizationsAmt
Government Grants	$4,776,715	GovernmentGrantsAmt
Total Contributions	$5,780,290	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$465,919,748	TotalRevenueColumnAmt
Related Or Exempt Func Income	$465,919,748	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$465,919,748	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,362,055	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,362,055	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$875,354	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$875,354	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$875,354	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$875,354	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$148,922,724	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$123,578,712	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,344,012	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,344,012	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$25,344,012	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Telephone services	621999	$91,234	$0	$0	$91,234
Discounts	621999	$4,023	$0	$0	$4,023
Medical Records	621999	$5,582	$0	$0	$5,582

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$125,328	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$125,328	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$226,167	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$500,507,626	TotalRevenueColumnAmt
Related Or Exempt Func Income	$465,919,748	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$28,807,588	ExclusionAmt

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$261,404	TotalAmt
Program Services	$261,404	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$159,034,356	TotalAmt
Program Services	$115,895,083	ProgramServicesAmt
Management And General	$43,139,273	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,074,265	TotalAmt
Program Services	$2,969,090	ProgramServicesAmt
Management And General	$1,105,175	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,466,899	TotalAmt
Program Services	$13,457,613	ProgramServicesAmt
Management And General	$5,009,286	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,922,921	TotalAmt
Program Services	$8,688,738	ProgramServicesAmt
Management And General	$3,234,183	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$16,859	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$16,859	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$527,076	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$527,076	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$117,403,004	TotalAmt
Program Services	$117,388,197	ProgramServicesAmt
Management And General	$14,807	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$50,487	TotalAmt
Program Services	$36,792	ProgramServicesAmt
Management And General	$13,695	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,638,824	TotalAmt
Program Services	$1,194,281	ProgramServicesAmt
Management And General	$444,543	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,441,493	TotalAmt
Program Services	$3,965,447	ProgramServicesAmt
Management And General	$1,476,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$12,884	TotalAmt
Program Services	$9,389	ProgramServicesAmt
Management And General	$3,495	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$210,875	TotalAmt
Program Services	$153,674	ProgramServicesAmt
Management And General	$57,201	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,029,203	TotalAmt
Program Services	$3,664,994	ProgramServicesAmt
Management And General	$1,364,209	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,104,086	TotalAmt
Program Services	$21,209,382	ProgramServicesAmt
Management And General	$7,894,704	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,720,594	TotalAmt
Program Services	$10,448,773	ProgramServicesAmt
Management And General	$271,821	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$55,662,609	$55,662,609	$0	$0
BAD DEBT EXPENSE	$19,384,996	$19,384,996	$0	$0
REPAIR/MAINT	$5,456,156	$3,976,132	$1,480,024	$0
EQUIPMENT RENTAL	$816,936	$595,336	$221,600	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,454,412	TotalAmt
Program Services	$1,788,679	ProgramServicesAmt
Management And General	$665,733	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$447,690,339	TotalAmt
Program Services	$380,750,609	ProgramServicesAmt
Management And General	$66,939,730	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$65,866,140	BOYAmt
EOY	$18,990,182	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$41,645,866	BOYAmt
EOY	$47,515,583	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,838,341	BOYAmt
EOY	$7,861,324	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$440,858	BOYAmt
EOY	$1,751,789	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$607,697,355	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$346,001,442	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$252,441,729	BOYAmt
EOY	$261,695,913	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$97,094,000	BOYAmt
EOY	$118,963,000	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$114,511,837	BOYAmt
EOY	$81,791,225	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$129,937,230	BOYAmt
EOY	$94,369,462	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$709,776,001	BOYAmt
EOY	$632,938,478	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$44,788,092	BOYAmt
EOY	$49,958,371	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$121,677	BOYAmt
EOY	$121,677	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$298,896,817	BOYAmt
EOY	$235,680,266	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$343,806,586	BOYAmt
EOY	$285,760,314	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$353,672,288	BOYAmt
EOY	$335,934,945	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,297,127	BOYAmt
EOY	$11,243,219	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$365,969,415	BOYAmt
EOY	$347,178,164	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$709,776,001	BOYAmt
EOY	$632,938,478	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$52,817,287	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$46,818,105	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$24,790,433	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$16,859	OtherActivitiesAmt
Total Lobbying Expenditures	$16,859	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 2.52% and 26.47% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C, Part II-B as lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$602,544	OtherCostOrOtherBasisAmt
Book Value	$602,544	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$379,856,285	OtherCostOrOtherBasisAmt
Depreciation	$175,339,878	DepreciationAmt
Book Value	$204,516,407	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$196,958,213	OtherCostOrOtherBasisAmt
Depreciation	$165,410,994	DepreciationAmt
Book Value	$31,547,219	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,280,313	OtherCostOrOtherBasisAmt
Depreciation	$5,250,570	DepreciationAmt
Book Value	$25,029,743	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$261,695,913	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER INVESTMENTS	Desc
Book Value	$81,791,225	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$81,791,225	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DEBT SERVICE AND CONSTRUCTION	$43,334,817
OTHER RECEIVABLES	$2,311,787
LT Assets	$2,737,546
Due From Affiliates	$34,742,093
Economic Interest In BWMC Foundation	$11,243,219

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$94,369,462	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$196,662,813
ADVANCES - THIRD PARTY PAYORS	$29,399,834
OTHER LIABILITIES	$2,927,802
CAPITAL LEASE	$3,860,617
FINANCING LEASE	$2,829,200

Field	Value	IRS element (for citing)
Total Liability	$235,680,266	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX LIABILITIES OR BENEFITS THAT SHOULD BE RECOGNIZED.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,153,801	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,153,801	NetCommunityBenefitExpnsAmt
Total Expense	0.0120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,153,801	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,153,801	NetCommunityBenefitExpnsAmt
Total Expense	0.0120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,070,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,070,700	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$916,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$916,770	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,773,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,010,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,763,701	NetCommunityBenefitExpnsAmt
Total Expense	0.0205	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$399,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$399,389	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$32,160,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,010,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,150,560	NetCommunityBenefitExpnsAmt
Total Expense	0.0260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$37,314,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,010,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,304,361	NetCommunityBenefitExpnsAmt
Total Expense	0.0381	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,940	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,940	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$921	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,607	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,468	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,192,287	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$157,325,595	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$140,915,077	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$16,410,518	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BALTIMORE WASHINGTON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 HOSPITAL DRIVE	AddressLine1Txt
City	GLEN BURNIE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21061	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.umms.org/bwmc	WebsiteAddressTxt
State License	02-015	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.umbwmc.org/community/assessment-plan	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.umbwmc.org/community/assessment-plan	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. The CHNA used quantitative and qualitative methods and was designed to be as comprehensive as possible. No written comments on the previous CHNA were received to be incorporated into this CHNA. A community meeting sponsored by the Healthy Anne Arundel Coalition to discuss and prioritize the CHNA findings was attended by approximately 60 community members. Including county residents, business leaders, and community organizations. UM BWMC remains committed to assessing ongoing community trends and uses additional data compiled and available from public sources including but not limited to, United States Census Bureau, Maryland State Health Improvement Plan, Maryland Vital Statistics data, CDC Wonder database, Anne Arundel County Department of Health Report Card, and Anne Arundel County Public School System data. UM BWMC uses our Community Health Needs Assessment (CHNA) and internal data to continually assess ongoing trends and occurring locally, and address those needs on an ongoing basis. The Anne Arundel County Department of Health assisted with secondary data analysis, with the quantitative portion of the CHNA consisting of a data from local, state and federal data sources. This data also includes information from hard to reach portions of the population, such as domestic violence victims and homeless individuals. While much of the data on these subpopulations primarily came from police reports, Emergency Department (ED) data, and the public school system, focus groups and key informant interviews were used to solicit the thoughts and opinions of diverse Anne Arundel County residents including homeless youth, victims of violence, health care providers, social service providers and community leaders. Focus groups and key informant interviews were used to solicit the thoughts and opinions of diverse Anne Arundel County residents, health care providers, social service providers and community leaders. A total of eleven focus groups were conducted. The groups included representation from: UM BWMC and Luminis Health Anne Arundel Medical Center Emergency Department, Anne Arundel County Emergency Response personnel, low-income youth from public housing, behavioral health providers, domestic violence and sexual assault victims, senior citizens, Hispanic community members, human services providers and advocates, early childhood advocates, community health providers, aging and disabilities providers, Anne Arundel County Public Schools Pupil Personnel workers, Anne Arundel County Health Department senior staff, and criminal justice system representatives. The twenty-six informants that provided qualitative data for the report include: CEO, Luminis Health Anne Arundel Medical Center; CEO, University of Maryland Baltimore Washington Medical Center; Executive Director, Anne Arundel County Mental Health Agency; Director, Anne Arundel County Crisis Response; Clinical Director, Anne Arundel County Mental Health Agency; Domestic Violence Coordinator, Luminis Health Anne Arundel Medical Center; Director, Department of Social Services; Director, Anne Arundel County Department of Aging and Disabilities; Anne Arundel County Chief of Police; Executive Director, Community Health Agency; Executive Director, YWCA of Annapolis and Anne Arundel County; Executive Director, Alternate Education - Anne Arundel County Public Schools; Director, Anne Arundel County Transportation; Anne Arundel County Executive; Superintendent, Anne Arundel County Public Schools; Anne Arundel County Administrative Officer; County legislative leader; middle school ambassador; three domestic violence victims; Hispanic community leader; faith leader; public housing residents; formally homeless youth The joint Anne Arundel County CHNA that was conducted with other county organizations, provided a detailed profile of Anne Arundel County and illustrated the social determinants of health that impact residents. This report contains detailed narratives, tables, graphs and maps. Where possible, comparisons were made to state and national data, and data was extracted by age, gender, race, ethnicity, and zip code. UM BWMC then used the joint Anne Arundel County CHNA to develop a detailed hospital CHNA with additional commentary and analysis specific to UM BWMC and the community we serve. When using the CHNA data to determine the hospital's community benefit priorities, UM BWMC consulted with the medical center's administrative and clinical leadership, state and local health and social service officials, other health care providers and community members. UM BWMC's community health improvement priorities align with the Maryland State Health Improvement Process and the priorities of our local health improvement coalition, the Healthy Anne Arundel Coalition.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. THE OTHER HOSPITAL FACILITY WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA IS: - Luminis Health Anne Arundel Medical Center
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. Anne Arundel County Department of Health Anne Arundel County Mental Health Agency, Inc. Anne Arundel County Partnership for Children, Youth and Families Community Foundation of Anne Arundel County Healthy Anne Arundel Coalition YWCA of Annapolis and Anne Arundel County
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. UM BWMC's CHNA report is made widely available to the public. The CHNA is posted on the hospital's web site at www.umbwmc.org/community/assessment-plan. This link allows the viewer to download the UM BWMC Community Health Needs Assessment report that summarizes the Anne Arundel County Community Health Needs Assessment and prioritizes the identified community health needs. The Anne Arundel County Community Health Needs Assessment is also available for download. Paper copies of CHNA documents are available upon request. The Healthy Anne Arundel Coalition helped to make the Anne Arundel County CHNA report widely available to the public. The Healthy Anne Arundel Coalition hosted a meeting in February 2019 to present and discuss the countywide CHNA findings. Approximately sixty area professionals and community members attended. A website was developed to share the county-wide CHNA results (www.aahealth.org/chna) and it was promoted on the Coalition Facebook page. Other Coalition members also used their websites and social media to promote the release of the CHNA and key findings. Additionally, a press release was issued and generated several news stories.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. UM BWMC remains committed to assessing ongoing community trends and uses data compiled and available from public sources including but limited to, United States Census Bureau, Maryland State Health Improvement Plan, Maryland Vital Statistics data, CDC Wonder database, Anne Arundel County Department of Health Report Card, and Anne Arundel County Public School System data. In addition to current UM BWMC hospital data. While conducting this CHNA, UM BWMC took a multi-pronged approach to reviewing data with hospital faculty allowing for prioritization of our local community health needs, and development of a comprehensive Community Benefit Implementation Plan with strategies to address the significant needs identified in the CHNA. This approach helped to assure that our Community Benefit Implementation Plan addresses the most significant needs identified in the CHNA, while also being aligned with UMMS community health improvement initiatives, and national, state and local public health priorities. The plan was also developed to be responsive to Maryland's health system transformation, included the increase focus on population health and community partnerships. This approach also helped to assure that we had the necessary infrastructure and resources to successfully implement our Implementation Plan. Our planning process resulted in the following community benefit strategic priorities being identified for UM BWMC's FY2020-2022 Community Benefit Implementation Plan. These priorities include: Chronic Health Conditions (Cancer, Cardiovascular Disease, Diabetes, Obesity/Overweight, and Chronic Lower Respiratory Diseases); Behavioral Health; Maternal and Child Health; Health Care Access and Utilization; and Healthy and Safe Social Environments. An overarching theme in this CHNA is the reduction of health disparities among vulnerable populations. UM BWMC's FY2020-2022 Community Benefit Implementation Plan can be downloaded from www.umbwmc.org/community/assessment-plan. It provides an overview of community benefit at UM BWMC, a summary of the CHNA, the process used to prioritize community health needs, and a description of the goals, strategies, key partners, and intended outcomes for each of our identified community benefit priorities. UM BWMC focuses the majority of our community benefit resources on our identified implementation strategies, as these areas are important to the health of the community, and UM BWMC has the expertise and resources to support these priorities directly through existing infrastructure. Below are some of the highlights of UM BWMC's FY22 initiatives that support these priorities: Stork's Nest: Stork's Nest is a prenatal education program that offers several sessions a year in English and Spanish. Any pregnant Anne Arundel County resident is eligible to participate; however, the program targets pregnant women at the greatest risk for having poor pregnancy outcomes, specifically African American women, teenagers, women of low socioeconomic status, and women with previous poor pregnancy outcomes. Participants earn points by attending classes, going to prenatal care appointments and adopting health behaviors. Participants continue to earn points until their baby turns one year old by attending well-baby checkups. Points can be used to "purchase" pregnancy and infant care items at the Stork's Nest Store until their baby turns 18-months old. In FY22, 53 Anne Arundel County women participated in the Stork's Nest program, with each receiving a pack and play and safe sleep kit (crib sheets, sleep sack, and education materials) to give babies a safe sleep environment in the attempt to reduce sleep related infant deaths in Anne Arundel County. Due to the ongoing COVID-19 pandemic, all classes from July 2021-March 2022 were held virtually, with curbside shopping available for participants to receive needed baby items. Flu Education and Prevention: UM BWMC provide free community flu vaccinations to 400 county residents in FY22. Education and outreach regarding the importance of receiving a influenza vaccine, prevention of disease transmission/self-care, and hand hygiene education was also provided. Mobile COVID-19 Vaccination Program: In FY22, UM BWMC continued to respond to the pandemic by helping to increase access to COVID-19 vaccinations throughout the county. Partnering with different local churches, organizations, community centers, schools, and businesses, UM BWMC provided 1,213 doses of the vaccine through its mobile vaccination program, meeting community members where they are. Community Wellness Day: In April 2022, UM BWMC hosted its first community wellness days. The event welcomed 265 community members to receive free health education, screenings, COVID-19 vaccinations, free fresh produce boxes and free healthy lunches. Free Screening Programs: In FY22, UM BWMC provided a number of free screening opportunities to our most vulnerable residents to provide broader access to health care services. Vascular screenings, which included screenings for carotid artery, peripheral artery disease, and abdominal aortic aneurysm, were provided to 185 community members over the age of 55. A breast cancer screening, that included both a clinical exam and mammograms were provided to 20 women. Physician Subsidies: Subsidies for behavioral health - including addiction medicine and inpatient psychiatric care, primary and senior care, diabetes care, women's health services, cardiology, pulmonary, Transitional Care Center, and emergency services of emergency department care in urology, general surgery, orthopedic surgery, neuro surgery, as well as services for victims of crimes in our emergency department, are all subsidized services to ensure access to care in our community. The need for these services is documented in our CHNA report. UM BWMC is committed to support the advancement of community health initiatives identified through the CHNA, and while many priorities are beyond the scope of what UM BWMC can provide, we will provide resources in the following areas as feasible. Affordable dental services: While UM BWMC does not have a dental clinic or routine dental care at this time, we do refer patients to low-cost clinics for care. We subsidized oral surgery on-call services and have oral surgeons on our medical staff. UM BWMC partners with the Anne Arundel County Health Department to divert dental patients presenting in the ED to providers in the community. Care coordination will be provided to prevent repeat ED visits. Environmental health concerns: Environmental health concerns are being addressed by the Anne Arundel County Health Department's Bureau of Environmental Health Services and other local environmental advocacy organizations. Public Transportation: While public transportation and bus line access is not in the scope of services that UM BWMC can provide, it is being addressed by County and State officials. UM BWMC does provide some transportation assistance to patients and participants of classes. Lyft, Uber, bus tokens, and taxi fees are covered for some patients in need through our Care Management Program. This program also helps to cover the cost of transportation assistance to rehabilitation and care facilities. We also provide transportation to participants in our Stork's Nest pre-natal education program. Other needs identified in the CHNA include affordable housing, homelessness, and gun violence. UM BWMC will support these priorities through participation in economic development initiatives and community building activities, and health profession training designed to help improve the socioeconomic climate and overall wellbeing of individuals and the local community. Through the initiatives mentioned above as well as those outlined in the CHNA Implementation Plan, UM BWMC is addressing each of the prioritized needs identified in its most recent CHNA.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. 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.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE	BWMC 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 THAT 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.
Schedule H, Part I, Line 6b RELATED ORGANIZATION REPORT	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.
Schedule H, Part VI, Line 4 Community Information	The following is a summary description of the community that UM BWMC serves as described in our Community Health Needs Assessment and Community Benefit Implementation Plan. A more detailed description, including maps and data tables, can be found in our full CHNA report available at www.umbwmc.org/community/assessment-plan. UM BWMC considers our Community Benefit Service Area (CBSA) to be the Anne Arundel County portions of our primary and secondary service area as defined by our Global Budget Revenue Agreement with the Maryland Health Services Cost Review Commission. These zip codes include: 21060- Glen Burnie, 21061- Glen Burnie, 21122- Pasadena, 21144- Severn, 21225- Brooklyn Park, 21054- Gambrills, 21076- Hanover, 21090- Linthicum Heights, 21108- Millersville, 21113- Odenton, 21146- Severna Park. The primary service area surrounding UM BWMC where most of our discharges originate has some of the most vulnerable, high-risk residents in Anne Arundel County based on socioeconomic and health data. We make concerted efforts to reach vulnerable, at-risk populations, including uninsured, racial/ethnic minorities, persons with risky health behaviors (e.g. smoking), and people with chronic health conditions (e.g. diabetes, cancer). Zip codes in our secondary service area have more localized pockets of community health needs. According to 2016 census estimates, the Anne Arundel County population is 537,656. The Hispanic population in Anne Arundel County is growing more significantly than all races/ethnicities, increase 205% from 2000-2016. Currently, 13.4% of Anne Arundel's population is age 65 and older. This portion of the population is expected to increase until 2030. As such, seniors will have an increasing impact on county services, supports, resource allocation, and health care use. The number of Medicare beneficiaries is rising in the county as a result of the growing senior population. The county has severed about 3,000 new beneficiaries in the last three years. The number who are eligible for Medicaid, dur to low income, rose from 10.9 percent to 11.3 percent in three years. The income gap between rich and poor in the county has widened since 2010. Anne Arundel County's median household income is $99,652, which is 19% higher than Maryland and 65% more than the nation. Poverty is concentrated in the northern (near UM BWMC) and southern portions of the county. The highest percentage of poverty is in the zip code that contains Brooklyn Park, 21225, at a staggering 27.3 percent, followed by Curtis Bay. Both are areas that border Baltimore City. Social determinants of health can impact individuals and community health. Social determinants of health include race and ethnicity, employment status and income level, education, housing quality, neighborhood safety, family and social supports, and sense of community and belonging. Many demographic and health indicators associated with poorer health status and outcomes are found in the northern (near UM BWMC) and southern portions of the county, and parts of Annapolis. When patterns of hospitalizations and emergency department visits are examined by zip code, they generally reflect the social determinants illustrated above. Zip code 21225, which contains Brooklyn Park, has the highest hospitalization and emergency department visits in the county. There are a variety of needs concerning social determinants of health. There is a lack of public transportation throughout Anne Arundel County, and the operating bus routes have limited hours. This is especially an issue for the county's low-income and elderly residents. Limited transportation affects residents' ability to access health care services and their educational and employment options. Thirteen percent of county residents live in areas considered food deserts and don't have access to healthy eating options which contributes to higher levels of obesity and associated chronic health conditions such as diabetes. Affordable, quality child care is in scarce supply. There is limited affordable housing in the county, and homelessness has been increasing. The amount of money spent on housing limits the funds available for meeting other personal needs, including health care, health food, and opportunities for physical activity and recreational activities that could reduce weight and stress. Anne Arundel County is served by two major hospitals: University of Maryland Baltimore Washington Medical Center (UM BWMC) and Luminis Health Anne Arundel Medical Center (AAMC) in Annapolis. MedStar Harbor Hospital, which is located just north of the county line in Baltimore City, also serves county residents. However, the medical-surgical services available at Harbor Hospital have been declining over recent years, although an inpatient Behavioral Health service was added. Additionally, there are four Federally Qualified Health Centers (FQHCs) that service county residents: Chase Brexton Health Care (Glen Burnie), Total Health Care (Odenton), Family Health Centers of Baltimore (Brooklyn), and Bay Community Health (West River area in South County). Chase Brexton Health Care is located across the street from UM BWMC and we have a formal partnership agreement with them. We also collaborate with Total Health Care. The Anne Arundel County Department of Health offers a range of physical and behavioral health services at multiple clinic sites throughout the county. The Anne Arundel County Mental Health Agency, Inc. provides a wide range of mental health services to Medicaid recipients and other low-income and uninsured county residents who meet certain criteria. Other health care services available in the county include primary care practices, outpatient specialty care, community clinics, urgent care facilities and retail store-based health clinics. Many providers of health care offer financial assistance. All hospitals in Maryland have financial assistance policies that provide medically necessary services to all people regardless of their ability to pay. Depending on their circumstances, patients can receive coverage for up to 100% of their medically necessary care. Payment plans are also available. FQHCs, community clinics and governmental providers offer services on a sliding scale or free basis. Assistance with enrolling in publicly funded entitlement programs and health insurance plans through the state health benefit exchange are available from the hospitals, county health departments, social service agencies and the Maryland Health Connection. However, it is important to note that note all health care providers, particularly behavioral health providers, accept all insurance plans or self-pay patients. In Maryland, under the Affordable Care Act (ACA), persons whose income is up to 138% of the poverty level are eligible for Medicaid. The number of Medicaid enrollments increased from 84,616 in 2014 to 93,425 in May 2018, a 10 percent increase. However, there are still many primary care providers who do not accept Medicare/Medicaid. In addition, a small percentage of county residents such as undocumented people and those not enrolled in Medicaid despite being eligible, will remain uninsured. Access to primary care physicians, dentists, and mental health services are demonstrated needs within the county. Having a primary care provided reduces nonfinancial barriers to obtaining care, facilitates access to services, and increases the frequency of contacts with health care providers. Without a primary care provider, people have more difficulty obtaining prescriptions and attending necessary appointments. In 2016, 9.6 percent of emergency department visits were by uninsured residents. Although not all visits to the emergency department are avoidable, care in lower level settings for some conditions, such as diabetes and hypertension, can potentially reduce the number of visits, thereby reducing costs and increasing the quality of care. In 2017, there were 59,277 hospital stays in Anne Arundel County; a rate of 104.3 stays per thousand population. The hospitalization rate increased with age from 68.7 hospitalizations per 1,000 population among 0-18 year old's, to 262.5 hospitalizations per 1,000 population among those aged 65 years and over. It should be noted that this data only includes Anne Arundel County residents admitted to hospitals in Maryland. The rate changes depending on zip code. The zip code containing Brooklyn Park, 21225, has the highest rate of hospitalization at 163.9 per 1,000 residents. The Glen Burnie rates are also notable when population density is considered. These three zip codes are in UM BWMC's primary service area. Lack of access to primary care, multiple health issues presenting at the same time, poverty, unhealthy food and lack of medication management were reasons given for the high rates.
Schedule H, Part VI, Line 4 Community Information Cont	In 2016, there were 4,380 deaths in Anne Arundel County, and life expectancy was 79.6 years. Accidental (unintentional injury) deaths rose to the fourth leading cause of death, driven by increases in opioid overdose deaths. Cancer was the leading cause of death, although this number has seen a 1 percent decrease since 2013. Overweight and obesity continue to drive poor health outcomes from the county, including secondary issues such as diabetes. Diabetes was the sixth leading cause of death. Heart disease accounts for 22 percent or 974 of all county deaths as of 2016. That number has risen almost 10 percent since 2013. Age-adjusted rates for coronary heart disease decreased for African American/Black and White residents between 2013 and 2016. While the Black population still has the highest death rates in the county per 100,000 residents, that number decreased by 18 percent in just three years. The decrease for White residents was only 8 percent. Several chronic somatic health conditions were identified in the CHNA as community health needs including cardiovascular disease, cancer, diabetes, and respiratory disease. Overweight and obesity are risk factors for many chronic health conditions, and was also identified as a community health problem. Overweight and obesity are determined using weight and height to determine BWI or "body mass index" measure. Between 2012 and 2016, the percent of overweight adults aged 18 and over with a body mass index of 25 to 29.9, rose slightly from 36.7 to 37.2 percent, while the state average fell. The percent of county residents who are classified as obese and have a body mass index of 30 and over, also rose from 27 to 31 percent, as did the state average. Many factors play a role in weight including being of a lower income, lifestyle, surrounding environment, access to health foods, genetics, and certain diseases. Obesity is prevalent in low income families in the county for a variety of reasons: their neighborhoods often lack full-service grocery stores and farmer's markets, healthy food can be more expensive, there is a lack of transportation to get to a grocery store, there is a greater availability of fast food restaurants that are selling cheap and filling food, and there are fewer recreational facilities for exercise. Many of the streets in these neighborhoods also tend to be unsafe and have little for children to do. Smoking is associated with an increased risk of heart disease, stroke, lung and other types of cancers, and chronic lung disease (Centers for Disease Control, 2018). The rate of adult tobacco use has continued to drop in the country and now is equal to the state and less than the nation. According to the 2016 Middle School Risk Behavior Survey, cigarette smoking by Anne Arundel Middle School students is trending significantly downwards. However, many participants commented on the increased use of e-cigarettes and vaping, in and outside of the school gates. UM BWMC clinical staff have identified cardiovascular disease, cancer, diabetes, and respiratory disease as a particular concern to the UM BWMC service area. This diagnosis has a significant contribution to emergency department utilization, hospital admissions, and hospital readmissions. Co-morbid chronic conditions are common in the hospital's patient population. The rise in behavioral health issues for every age group, and the lack of appropriate services and service providers (e.g. psychiatrists, crisis beds, residential services), were the major concern for all participants in the CHNA. These issues are exacerbated by providers who don't accept Medicaid and Medicare, and patients with inadequate health insurance, or no insurance at all. Participants in the CHNA focus groups shared many opinions as to why mental health issues are increasing including, poverty, isolation, social media, increasing societal violence, the fast pace of technology and the reduction of stigma around mental health services. The county's hospital emergency departments are often the receiving facilities for behavioral health issues. In 2017, there were 12,446 behavioral health encounters; mood disorders accounted for 26.3 percent of encounters, and over 38 percent were alcohol or substance abuse related. Increased behavioral issues in the birth to five early childhood population are causing widespread concern in every system. Behavioral problems in children as young as two years old are disrupting child care facilities including Early Head Start and Head Start. Professionals are divided as to the cause of this increase but they all agree that this is a new phenomenon unrelated to income. Many suggested the use of social media by parents and young children is leading to huge deficits in social and emotional skills. Some serious mental health issues are surfacing earlier; often co-occurring with developmental issues such as autism. The number of crisis interventions in the public school system for social and emotional issues has doubled since 2013, reaching close to 5,000 during the 2016-2017 school year. As of 2016, the Anne Arundel County youth suicide rate was 7.8 per 100,000, an increase compared to the rate of 5.3 per 100,000 in 2012. The Centers for Disease Control and Prevention (CDC) estimates that for each youth suicide, there are 25 suicide attempts. Between 2012 and 2016, there were 1,306 emergency department encounters in Maryland hospitals for suicide attempts by Anne Arundel County youth aged 0-24 years, and average of 261 per year. It was noted in the CHNA focus groups that the constant access to electronic information, devices, and social apps like Instagram and Snap Chat, is impacting every age group and demographic with increases in bullying, suicide, and suicide ideation for youth. Prescription opioid addiction is now a major public health crisis. Although Anne Arundel County is the fifth largest county in the state in terms of population, it has the third highest rate of prescription opioid related deaths as of 2017. In 2017, Anne Arundel County police reported almost 1,100 opioid-related overdoses occurring, a 171 percent increase since 2014. The rate of fatal overdoses continues to increase, driven by the introduction of fentanyl into the community. Fentanyl-related deaths in the county have increase significantly since 2013 and surpassed heroin related deaths through 2017. As with many other county issues, geography plays a part with the majority of overdoses occurring in the northern portion of the county and Annapolis. The infant mortality rate in Anne Arundel County between 2010 and 2014 was 5.5 deaths per 1,000 live births, which is lower than both the United States and Maryland rates during the same period. Although the overall infant mortality rate is lower for the county than the state average, disparities exist when stratifying the data by race and ethnicity. Black infants have the highest infant mortality rate in the county (11.2 deaths per 1,000 live births) compared to 5.3 deaths and 4.0 deaths per 1,000 births for Hispanic and White infants respectively. Low birth weight (LBW), defined as less than 2,500 grams) is the single most important factor affection neonatal mortality (newborn infants up to 28 days old) and a significant determinants of post neonatal mortality (infant between 28 and 364 days old). Infants who are born at a LBW run the risk of developing health issues ranging from respiratory disorders to neurodevelopmental disabilities. In Anne Arundel County, the percentage of LBW babies is dropping slowly and is less than the sate average at 8.7%. However, there are several zip codes concentrated in the northern part of the county where the percentages of LWB infants is much higher than the overall county average of 7.9%, especially in Brooklyn, Severn, Laurel, Glen Burnie (West), Hanover, Millersville, and Jessup. Five of these zip codes are within the UM BWMC primary service area. Anne Arundel County Police Department tracks domestic violence statistics. The data shows an upward trend although there was a dip in numbers for the 2015-2016 year. In the first six months of 2018, there were just over 1,000 assaults, which confirms the police, schools, and hospital personnel who identified a notable increase in domestic violence over the same period. The CHNA also identified a rise in youth gang activity, particularly in the Annapolis area and the western part of the county.
Schedule H, Part VI, Line 4 Community Information Cont	In 2018, the county's Child Advocacy Center investigated 326 sexual abuse cases, of which seven were for sexual assault. The 50-mile radius surrounding BWI airport is becoming known as the third-most-lucrative area in the nation for trafficking in people (Maryland Human Trafficking Taskforce, 2018). Anne Arundel County Police Department tracks the number of sex trafficking incidents in the county. While the numbers were stable between 2015 and 2017, data for the first 6 months of 2018 are showing an almost 100 percent increase in cases with 18 cases during that timeframe. UM BWMC has identified and treated sex trafficking victims in its emergency department. In the 2016 State of the Bay Report from the Chesapeake Bay Foundation, it showed that each of the three indicator categories - pollution, habitat, and fisheries have improved since 2014. However, despite many efforts by federal, state, and local governments and other interested parties, pollution in the Bay does not meet existing water quality standards. All of the county's waterways are considered "impaired" because of excessive levels of major contaminants, which are largely a result of untreated storm water runoff. Air quality is another issue for the county. Anne Arundel was given an F by the American Lung Association in 2018 for an average of 13 high ozone days, a reduction from the 2013 rate of 23 days. High ozone causes respiratory harm (e.g. worsened asthma, worsened COPD, inflammation) and can cause cardiovascular harm (e.g. heart attacks, strokes, heart disease, congestive heart failure) and may cause hard to the central nervous system.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	19384996
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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.
Schedule H, Part II Community Building Activities	Through a variety of community building activities, UM BWMC promotes health and wellness in the community that it serves. These activities include community support, coalition building, and community health improvement advocacy. UM BWMC provides leadership to many community collations and collaborative partnerships to improve community health and health care access. UM BWMC is an active participant in the Healthy Anne Arundel Coalition. This coalition is a partnership of public sector agencies, health care providers and payers, community-based partners, the business community and academic institutions, as well as community members that are advocating for better health. Other community coalitions that UM BWMC plays and active role in include: Conquer Cancer Coalition, Fetal and Infant Mortality Review Team, Fort Meade Alliance, Community of Hope Brooklyn Park, YWCA, Anne Arundel County Multi-D for Substance Exposed Newborns, Anne Arundel County Guardianship Review Board, Judy Center Steering Committee, and Glen Burnie Revitalization Task Force. All of these committees and coalitions are collaborative efforts to address health issues and advocate for policies and programs that improve the health in the communities that we serve. In FY22, UM BWMC continued its response to the COVID-19 pandemic with helping to increase access to vaccinations in the county. Partnering with different community organizations, community centers, local churches, schools, and businesses, UM BWMC provided 1,213 doses of vaccine through its mobile vaccination program. Meeting community members where they were and reducing the barrier of transportation. UM BWMC also able to disburse 400 doses of flu vaccine into the community at free vaccination clinics held throughout Anne Arundel County. Through work with community partners such as Advanced Radiology, UM BWMC was able to provide 20 free clinical breast exams and mammograms to women in Anne Arundel County that were under or uninsured, and provide appropriate follow up care at low or no cost for women that needed additional testing. Throughout FY22, UM BWMC supported the ongoing needs of the community by working with the University of Maryland Medical System and the Let's Talk About Health Series, to offer monthly education sessions that ranged in topic fall's prevention and healthy aging, to long-COVID and pharmacy and medication management. All presentations are an effort to increase access to reliable and accurate health information, and to increase health literacy and communication with individuals health care providers using the Ask Me 3 program - what is my main problem, what do I need to do, what is it important for me to do this.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	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 EBTS 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 HISTOICAL 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	A - BALTIMORE WASHINGTON MEDICAL CENTER: Line 16a URL: https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - BALTIMORE WASHINGTON MEDICAL CENTER: Line 16b URL: https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - BALTIMORE WASHINGTON MEDICAL CENTER: Line 16c URL: https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	UM BWMC continuously assesses the health needs of the communities it serves. In addition, the CHNA that is conducted every three years, UM BWMC regularly analyzes inpatient, observation and Emergency Department utilization data, and data from affiliated outpatient physician practices. UM BWMC also reviews Anne Arundel County, Maryland and national health data and trends, and receives feedback from the Patient and Family Advisory Council on input to community needs. Additionally, UM BWMC receives feedback into community needs through participation in community coalitions and committees. Some of these coalitions and committees are described in the narrative for Part II. UM BWMC's process for conduction its most recent CHNA is described in detail in Part IV, Section C.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	UM BWMC provides emergency, inpatient, and other care regardless of someone's ability to pay. UM BWMC's financial assistance policy (FAP) was established to assist patients in obtaining financial aid when the services rendered are beyond a patient's ability to pay. A patient's inability to obtain financial assistance does not in any way preclude the patient's right to receive and have access to medical treatment at UM BWMC. UM BWMC's FAP complies with Maryland regulations. UM BWMC's financial assistance policy provides assistance ranging up to 100% of the total cost of hospital services. Physician charges for non-hospital employees, which are billed separately, are excluded from UM BWMC's FAP. Patients are encouraged to contact their physician's directly for financial assistance related to physician charges. UM BWMC's financial assistance application packet is available in English, Spanish, and Korean, consistent with federal regulations for translating documents for Limited-English Proficient (LEP) populations. This packet includes the information and forms needed to apply for financial assistance. For emergency services, applications to the financial assistance program are completed and evaluated after treatment is commenced and the process will not delay patients from receiving necessary emergency and inpatient care. Application materials and additional information about financial assistance program are available at www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance. UM BWMC informs patients and persons who would otherwise be billed for services about their eligibility for assistance under federal, state or local government programs or under the hospital's financial assistance policy in the following manner: 1. UM BWMC prepares its financial assistance information in a culturally sensitive manner, at a reading level appropriate for the service area's population and in English, Spanish, and Korean, the languages prevalent in the UM BWMC's community benefit service area. 2. UM BWMC publishes annual notices informing the public that the financial assistance is available at UM BWMC. The notices are published in the Baltimore Sun, Maryland Gazette and The Capital, the three main newspapers distributed in the UM BWMC's community benefit service area. 3. UM BWMC provides information about its FAP, including downloadable application forms and financial assistance contact information on its website in English, Spanish, and Korean. The website address is www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance. 4. UM BWMC posts information about its FAP and financial assistance contact information in the business office, all admission areas, the emergency department, and other outpatient areas throughout the facility. 5. UM BWMC provides individualized notices regarding the hospital's FAP at the time of preadmission or admission to each person who seeks services at the hospital. 6. UM BWMC provides each patients a patient handbook upon admission that contains information about its FAP and answers to common billing questions. 7. UM BWMC provides information about its FAP and financial assistance contact information in patient bills. 8. UM BWMC contracts with the medical assistance eligibility firm DECO to assist patients with applying for its financial assistance program and other financial assistance programs that may be available to patients for health care services. UM BWMC discusses with patients or their families the availability of various government benefits such as Medicaid and other federal, state, and local programs.
Schedule H, Part VI, Line 5 Promotion of community health	UM BWMC's mission is to provide the highest quality health care services to the communities that we serve. We extend our services beyond the hospital walls and outside of our campus through partnerships with organizations throughout our community. We are always engaging in new and collaborative ways, enhancing existing partnerships and establishing new ones to meet the needs of the community. We place particular emphasis on reaching vulnerable populations and addressing the health improvement priorities identified through our CHNA. Our community benefit program includes community outreach and health education services to provide people with the education and tools to lead healthier lives, screenings so that people can be diagnosed with diseases early, when they are most treatable, support groups for patients and their families, financial assistance to those who could not otherwise afford health care services, subsidies to increase access to care, health care workforce development, partnership development and other community building activities. As part of our commitment to provide the highest quality of health care services to the communities we serve, UM BWMC is working to ensure patients can receive the right care, at the right place and at the right time. UM BWMC is helping connect community members with medical and social resources to help them be healthier. Our annual operating plan, which is derived from our strategic plan, included a focus on population health and reducing potentially avoidable utilization, specifically related to readmissions. UM BWMC collaborates with numerous external partners for the promotion of community health. UM BWMC works with many county government agencies including the Anne Arundel County Department of Health, Aging and Disabilities, Recreation and Parks, and Social Services, the Office of Community and Constituent Services, and Anne Arundel County Public Schools. We Collaborate with Luminis Health Anne Arundel Medical Center, MedStar Harbor Hospital, Chase Brexton and Total Health Care - Federally Qualified Health Centers, and primary care, behavioral health, specialty and post-acute care providers. Most importantly, we partner with local community and faith-based organizations such as March of Dimes, Maryland Chapter, Safe Sitter, Inc, American Red Cross, American Cancer Society, Judy Center and Belle Grove Elementary, Glen Burnie Improvement Association, Severna Park Community Center, several local businesses and Chambers of Commerce, and numerous churches. In FY22, key health promotion initiatives included: free community flu vaccinations; mobile COVID-19 vaccinations; Stork's Nest prenatal education program for at-risk women; Community Wellness Day; preventing diabetes classes; Red Cross blood drives; support group for cancer patients; therapeutic yoga and exercise classes; Safe Sitter and Safe at Home classes; childbirth education classes; food distributions; and vascular and breast cancer screenings. In addition to the community outreach activities described above, UM BWMC provides support to our community in numerous other ways. We allow community groups to utilize our conference facilities free of charge, as space availability allows. We also make donations to community organizations that have similar missions and goals to UM BWMC, such as the American Foundation for Suicide Prevention, Burgers and Bands, and the Caring Cupboard. We also participate in emergency preparedness planning to assure appropriate health services are available during emergency situations. UM BWMC extends medical staff privileges to qualifying physicians in the community. UM BWMC operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Maryland's global revenue model, UM BWMC reports on a regular basis how it is investing in efforts to improve population health.
Schedule H, Part VI, Line 6 Affiliated health care system	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 30-year history, UMMS evolved into a multi-hospital system with academic, community and specialty service mission reaching primarily across Maryland. UM BWMC is part of the University of Maryland Medical System (UMMS). We collaborate with other UMMS hospitals to develop and implement activities, programs and initiatives to help Marylanders live healthier lives and to identify the most impactful ways we can give back to communities throughout Maryland. UMMS convenes a bi-monthly Community Health Improvement Committee meeting that includes leaders for community health improvement across the system. There is a roundtable at each meeting to discuss best practices and strategies, program evaluation methodologies, community benefit reporting and other concerns or topics of interest. The Community Health Improvement Committee selects community health concerns that impact all system hospitals and devotes collaborative resources and expertise to addressing those concerns.
Schedule H, Part VI, Line 7 State filing of community benefit report	MD

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Nursing facilities	14	$232,519	cost
Medical equipment	9	$16,850	cost
Medical treatment	1	$11,000	cost
Medication support	15	$1,035	cost

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	BWMC's Care Management team coordinated directly with community partners to fund specific patient needs.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KAREN E OLSCAMP
FORMER CEO AND PRESIDENT, UMBWMC	$0	$252,511	$0	$92,800	$0	$57,450	$0	$10,752	$0	$367	$0	$413,880	$0	$0
KATHLEEN C MCCOLLUM
CEO AND PRESIDENT, UMBWMC	$0	$448,621	$0	$212,640	$0	$101,700	$0	$11,600	$0	$29,489	$0	$804,050	$0	$0
Mohan Suntha MD
PRESIDENT AND CEO, UMMS	$0	$1,855,961	$0	$1,215,728	$0	$365,286	$0	$11,600	$0	$29,132	$0	$3,477,707	$0	$0
CHIRAG CHAUDHARI MD
Director	$0	$291,012	$0	$167,240	$0	$19,500	$0	$11,600	$0	$20,028	$0	$509,380	$0	$0
ALFRED A PIETSCH
SVP AND CFO	$0	$331,857	$0	$104,091	$0	$68,369	$0	$11,600	$0	$20,850	$0	$536,767	$0	$0
CATHERINE WHITAKER-KLICK
Former SVP and CNO	$0	$264,812	$0	$78,122	$0	$3,368	$0	$5,406	$0	$14,572	$0	$366,280	$0	$0
NEEL VIBHAKAR MD
SVP AND CMO	$0	$427,800	$0	$134,612	$0	$89,473	$0	$11,600	$0	$25,355	$0	$688,840	$0	$0
David G Hunt
SVP AND CNO	$0	$254,930	$0	$81,875	$0	$54,748	$0	$11,302	$0	$29,093	$0	$431,948	$0	$0
JASON CARTER
SVP AND COO, UMBWMC	$0	$63,994	$0	$50,000	$0	$40,787	$0	$16,327	$0	$2,395	$0	$173,503	$0	$0
BRIAN COTTER
DIRECTOR PHARMACY	$208,647	$0	$26,379	$0	$2,479	$0	$0	$0	$3,923	$0	$241,428	$0	$0	$0
Kimberly Steiner
Registered Nurse	$199,405	$0	$24,540	$0	$314	$0	$0	$0	$597	$0	$224,856	$0	$0	$0
BEVERLY YOUNG
DIRECTOR PERIOPERATIVE SERVICES	$181,560	$0	$25,565	$0	$2,748	$0	$7,373	$0	$11,429	$0	$228,675	$0	$0	$0
Jana S Gelman
REGISTERED NURSE	$165,568	$0	$33,570	$0	$40	$0	$0	$0	$12,139	$0	$211,317	$0	$0	$0
Gladys A Moses
REGISTERED NURSE	$170,068	$0	$36,540	$0	$74	$0	$6,929	$0	$8,259	$0	$221,870	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ALL COMPENSATION TO OFFICERS REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) OR ANOTHER RELATED ENTITY IN THE UMMS SYSTEM. THE FOLLOWING ARE USED BY THE RELATED ENTITY TO ESTABLISH THE COMPENSATION OF ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DURING THE FISCAL YEAR-ENDED JUNE 30, 2022, 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: NEEL VIBHAKAR, $59,174 KAREN E. OLSCAMP, $40,320 ALFRED A. PIETSCH, $45,675 KATHLEEN C. MCCOLLUM, $75,410 MOHAN SUNTHA, $342,614 DAVID G. HUNT, $33,905 DURING THE FISCAL YEAR- ENDED JUNE 30, 2022, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS 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: JASON CARTER
Schedule J, Part I, Line 7 Non-fixed payments	BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishments	BWMC is a community hospital with 285 licensed beds. 16,923 patients were admitted in fiscal year ended June 30, 2022, accounting for 80,422 patient days of care. 61,254 patients were treated in the center's emergency department. 9,265 patients required surgical procedures in the center's operating and endoscopy rooms. The medical center employed 3,672 employees in calendar year 2022. The center's mission is to provide quality health care to all, regardless of race, creed, sex, national origin, age, handicap or ability to pay. BWMC also provides numerous free programs and services such as health care seminars, blood pressure and cholesterol screenings, exercise programs, public speaking engagements, etc. The center's facilities are also utilized by many public service groups and organizations throughout the year at no charge. During fiscal year ended June 30, 2022, BWMC provided nearly $6.2 million in community benefits at cost.
Form 990, Part IV, Line 24a TAX EXEMPT BONDS	PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, UMMS 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 UMMS, ROI, MGH, 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 PRINCE GEORGE'S, BOWIE HEALTH CENTER (BOWIE), AND THE UMMS 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 $1,909,376,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2022. ALL OF THE BONDS WERE ISSUED IN THE NAME OF UMMS AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990.
Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION	THE ORGANIZATION DID NOT COMPENSATE ITS EXECUTIVES DIRECTLY, BUT RATHER, THE EXECUTIVES RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. ACCORDINGLY, THE ORGANIZATION'S PARENT COMPANY DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP.
Form 990, Part VI, Line 6 Classes of members or stockholders	UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL SYSTEM, INC. (UMBWMS) IS THE SOLE MEMBER OF BWMC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	UMBWMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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; and leases or intercompany transfers of assets, subject to certain dollar thresholds. In addition, the following decisions of the governing body are subject to the approval of the member and UMMS: 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; incurrence of debt or real property, subject to certain dollar thresholds.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 & finance personnel, and externally by Ernst & 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.
Form 990, Part VI, Line 12c Conflict of interest policy	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.
Form 990, Part VI, Line 19 Required documents available to the public	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.
Form 990, Part VII, Section A HOURS ON RELATED ENTITIES	UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 13 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.
Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS	INDEPENDENT CONTRACTORS OF THE FILING ORGANIZATION ARE PAID AND REPORTED BY THE PARENT CORPORATION, UMMS. UMMS ISSUES THE FORMS 1099 FOR THESE VENDOR PAYMENTS, WHILE THE FILING ORGANIZATION REPORTS THE EXPENSES FOR ITS INDEPENDENT CONTRACTORS ON PART VII, SECTION B, LINE 1 ON ITS FORM 990.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Misc - Total Revenue: 125328, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 125328;
Form 990, Part IX, Line 11g Other Fees	SHARED SERVICES - Total Expense: 52524357, Program Service Expense: 52524357, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN CONTRACT - Total Expense: 23249102, Program Service Expense: 23249102, Management and General Expenses: 0, Fundraising Expenses: 0; TEMP LABOR - Total Expense: 24230148, Program Service Expense: 24230148, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER CONTRACTED SERVICES - Total Expense: 17399397, Program Service Expense: 17384590, Management and General Expenses: 14807, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	EQUITY TRANSFER - -14166107; CHANGE IN BWMC FD NET ASSETS - -1053908; CAPITAL TRANSFER TO AFFILIATES - -617509; Non Operating Swap Expense - -2719000; PENSION ADJUSTMENT - -6233909;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BALTIMORE WASHINGTON EMERGENCY PHYS INC
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521756326	HEALTHCARE	MD	501(c)(3)	Type I	BWHS	false
BALTIMORE WASHINGTON HEALTHCARE SERVICES
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521830243	HEALTHCARE	MD	501(c)(3)	Type I	UMBWMS	false
UM BALTIMORE WASHINGTON MEDICAL SYSTEM
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521830242	HEALTHCARE	MD	501(c)(3)	Type I	UMMSC	false
NORTH ARUNDEL DEVELOPMENT CORPORATION
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521318404	REAL ESTATE	MD	501(c)(2)		NCC	false
NORTH COUNTY CORPORATION
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521591355	REAL ESTATE	MD	501(c)(2)		UMBWMS	false
CHESTER RIVER HEALTH FOUNDATION INC
100 BROWN STREET	CHESTERTOWN	MD	21620	521338861	FUNDRAISING	MD	501(c)(3)	8	UMSRH	false
UNIV OF MD SHORE REGIONAL HEALTH INC
100 BROWN STREET	CHESTERTOWN	MD	21620	522046500	HEALTHCARE	MD	501(c)(3)	Type I	UMMSC	false
CHESTER RIVER HOSPITAL CENTER
100 BROWN STREET	CHESTERTOWN	MD	21620	520679694	HEALTHCARE	MD	501(c)(3)	3	UMSRH	false
CHESTER RIVER MANOR INC
200 MORGNEC ROAD	CHESTERTOWN	MD	21620	526070333	HEALTHCARE	MD	501(c)(3)	10	UMSRH	false
MARYLAND GENERAL CLINICAL PRACTICE GROUP
827 LINDEN AVENUE	BALTIMORE	MD	21201	521566211	HEALTHCARE	MD	501(c)(3)	Type II	UMMTH	false
UNIVERSITY OF MARYLAND MIDTOWN HEALTH INC
827 LINDEN AVENUE	BALTIMORE	MD	21201	521175337	HEALTHCARE	MD	501(c)(3)	Type II	UMMSC	false
MARYLAND GENERAL HOSPITAL INC
827 LINDEN AVENUE	BALTIMORE	MD	21201	520591667	HEALTHCARE	MD	501(c)(3)	3	UMMTH	false
CARE HEALTH SERVICES INC
219 SOUTH WASHINGTON STREET	EASTON	MD	21601	521510269	HEALTHCARE	MD	501(c)(3)	10	SHS	false
MEMORIAL HOSPITAL FOUNDATION INC
219 SOUTH WASHINGTON STREET	EASTON	MD	21601	521282080	FUNDRAISING	MD	501(c)(3)	Type I	SHS	false
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	521874111	HEALTHCARE	MD	501(c)(3)	3	UMSRH	false
SHORE HEALTH SYSTEM INC
219 SOUTH WASHINGTON STREET	EASTON	MD	21601	520160538	HEALTHCARE	MD	501(c)(3)	3	UMSRH	false
JAMES LAWRENCE KERNAN HOSPITAL INC
2200 KERNAN DRIVE	BALTIMORE	MD	21207	520591639	HEALTHCARE	MD	501(c)(3)	3	UMMSC	false
UMMS FOUNDATION INC
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	522238893	FUNDRAISING	MD	501(c)(3)	Type I	UMMSC	false
UNIVERSITY OF MD MEDICAL SYSTEM CORP
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	521362793	HEALTHCARE	MD	501(c)(3)	3	NA	false
UNIVERSITY OF MARYLAND CHARLES REGIONAL
PO BOX 1070	LA PLATA	MD	20646	522155576	HEALTHCARE	MD	501(c)(3)	Type III-FI	UMMSC	false
CIVISTA MEDICAL CENTER INC
PO BOX 1070	LA PLATA	MD	20646	520445374	HEALTHCARE	MD	501(c)(3)	3	UMCRH	false
CHARLES REGIONAL MEDICAL CENTER FOUNDATION
PO BOX 1070	LA PLATA	MD	20646	521414564	FUNDRAISING	MD	501(c)(3)	Type I	UMCRH	false
UNIV OF MD ST JOSEPH FOUNDATION INC
7601 OSLER DRIVE	TOWSON	MD	21204	521681044	FUNDRAISING	MD	501(c)(3)	Type I	UMSJHS	false
UMSJ HEALTH SYSTEM LLC
7601 OSLER DRIVE	TOWSON	MD	21204	462097818	HEALTHCARE	MD	501(c)(3)	3	UMMSC	false
HARFORD MEMORIAL HOSPITAL INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	520591484	HEALTHCARE	MD	501(c)(3)	3	UMUCHS	false
UM UPPER CHESAPEAKE HEALTH SYSTEM INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	521398513	HEALTHCARE	MD	501(c)(3)	Type III-O	UMMSC	false
UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	521398507	FUNDRAISING	MD	501(c)(3)	Type I	UMUCHS	false
UPPER CHESAPEAKE MEDICAL CENTER INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	521253920	HEALTHCARE	MD	501(c)(3)	3	UMUCHS	false
UPPER CHESAPEAKE MEDICAL SERVICES INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	521501734	HEALTHCARE	MD	501(c)(3)	10	UMUCHS	false
UPPER CHESAPEAKE PROPERTIES INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	521907237	REAL ESTATE	MD	501(c)(2)		UMUCHS	false
UPPER CHES RESIDENTIAL HOSPICE HOUSE INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	260737028	HOSPICE	MD	501(c)(3)	10	UMUCHS	false
Harford Crisis Center Inc
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	521229742	HOME CARE	MD	501(c)(3)	Type II	UMUCHS	false
UM CAPITAL REGION HEALTH INC
250 W PRATT ST STE 2400	BALTIMORE	MD	21201	823596114	HEALTHCARE	MD	501(c)(3)	Type III-FI	UMMSC	false
Baltimore Washington Medical Center Foundation Inc
301 Hospital Drive	Glen Burnie	MD	21061	521813656	Fundraising	MD	501(c)(3)	Type III-FI	NA	false
DIMENSIONS HEALTH CORPORATION
901 HARRY S TRUMAN DRIVE N	UPPER MARLBORO	MD	20774	521289729	HEALTHCARE	MD	501(c)(3)	3	UMMSC	false
DIMENSIONS HEALTHCARE ASSOCIATES
901 Harry S Truman Drive N	Upper Marlboro	MD	20774	521902711	HEALTHCARE	MD	501(c)(3)	Type I	UMCAPRH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
ARUNDEL PHYSICIANS ASSOCIATES
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	522000762	HEALTHCARE	MD	APA INC	N/A	false	false
BALTIMORE WASHINGTON IMAGING
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	200806027	HEALTHCARE	MD	UMBWMS	N/A	false	false
UNIVERSITYCARE LLC
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	521914892	HEALTHCARE	MD	UMMSC	N/A	false	false
O'DEA MEDICAL ARTS LIMITED PAR
7601 OSLER DRIVE	TOWSON	MD	21204	521682964	RENTAL	MD	SJMC PROP	N/A	false	false
ADVANCED IMAGING AT ST JOSEPH
7601 OSLER DRIVE	TOWSON	MD	21204	521958002	HEALTHCARE	MD	UMSJMC	N/A	false	false
UNIVERSITY OF MARYLAND CHARLES
PO BOX 1070	LAPLATA	MD	20646	300956382	HEALTHCARE	MD	UMCRCP	N/A	false	false
BALTIMORE ASC VENTURES LLC
7620 YORK ROAD	TOWSON	MD	21204	824133899	HEALTHCARE	DE	UMSJMC	N/A	false	false
UCHSUMMS Real Estate Trust
520 Upper Chesapeake Drive	Bel Air	MD	21014	276803540	Holding Co	MD	UMMSC	N/A	false	false
UM Chesapeake Surgery Center LLC
515 South Tollgate Road	Bel Air	MD	21014	873038857	Healthcare	MD	UCHV	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ARUNDEL PHYSICIANS ASSOCIATES INC
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521992649	HEALTHCARE	MD	NA	C Corporation	false
BALTIMORE WASHINGTON HEALTH ENTERPRISES
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521936656	HEALTHCARE	MD	NA	C Corporation	false
BW PROFESSIONAL SERVICES INC
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	521655640	HEALTHCARE	MD	NA	C Corporation	false
NA EXECUTIVE BUILDING CONDO ASSN INC
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061		REAL ESTATE	MD	NA	C Corporation	false
UM CHARLES REGIONAL CARE PARTNERS
PO BOX 1070	LA PLATA	MD	20646	522176314	HEALTHCARE	MD	NA	C Corporation	false
UNIVERSITY MIDTOWN PROF CENTER
827 LINDEN AVENUE	BALTIMORE	MD	21201	521891126	REAL ESTATE	MD	NA	C Corporation	false
UNIVERSITY OF MARYLAND HEALTH ADVANTAGE
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	461411902	INSURANCE	MD	NA	C Corporation	false
UNIVERSITY OF MARYLAND HEALTH PARTNERS
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	452815803	INSURANCE	MD	NA	C Corporation	false
UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	452815722	INSURANCE	MD	NA	C Corporation	false
UPPER CHESAPEAKE HEALTH VENTURES INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	522031264	HEALTHCARE	MD	NA	C Corporation	false
UPPER CHESAPEAKE MEDICAL CENTER LAND CON
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	770674478	REAL ESTATE	MD	NA	C Corporation	false
UPPER CHESAPEAKE MEDICAL OFFICE BUILDING
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	521946829	REAL ESTATE	MD	NA	C Corporation	false
SHORE ORTHOPEDICS INC
219 S WASHINGTON STREET	EASTON	MD	21601	371817262	HEALTHCARE	MD	NA	C Corporation	false
MADISON MANOR INC
5801 42ND AVE	HYATTSVILLE	MD	20781	521269059	HEALTHCARE	MD	NA	C Corporation	false
AFFILIATED ENTERPRISES INC
3001 HOSPITAL DRIVE	CHEVERLY	MD	20785	521542144	HEALTHCARE	MD	NA	C Corporation	false
DIMENSIONS ASSURANCE LTD
				980348082	INSURANCE		NA	C Corporation	false	PO BOX 1363 GENESIS BLDG	GRAND CAYMAN	CJ	CJ
RIVERSIDE HEALTH OF DELAWARE INC
1966 GREENSPRING DRIVE STE 600	TIMONIUM	MD	21093	463205820	HEALTHCARE	DE	NA	C Corporation	false
RIVERSIDE HEALTH OF DC INC
1966 GREENSPRING DRIVE STE 600	TIMONIUM	MD	21093	461411713	HEALTHCARE	DC	NA	C Corporation	false

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