CIVISTA MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CIVISTA MEDICAL CENTER INC (EIN 52-0445374)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-14
IRS object ID: 202541349349302389
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-14T08:53:11+00:00	ReturnTs
Tax Period End	2024-06-30	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 Avenue 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	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520445374	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CIVI	BusinessNameControlTxt
Phone	3016094130	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1070	AddressLine1Txt
City	La Plata	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20646	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LUCAS SATER	PersonNm
Person Title	VP, FINANCE	PersonTitleTxt
Signature	2025-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amber Doane	PreparerPersonNm
PTIN	P01391011	PTIN
Phone	2023276000	PhoneNum
Preparation	2025-05-14	PreparationDt

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UM Charles Regional Medical Center	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5 GARRETT AVE	AddressLine1Txt
City	LA PLATA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20646	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$189,875,293	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UMMS.ORG/CHARLES	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	CIVISTA MEDICAL CENTER, INC., D/B/A UM CHARLES REGIONAL MEDICAL CENTER (UM CRMC) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTH SYSTEM SERVING THE HEALTH NEEDS OF CHARLES COUNTY AND THE CITIZENS OF SOUTHERN MARYLAND.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	988	TotalEmployeeCnt
Total Volunteers	79	TotalVolunteersCnt
Total Gross UBI	$119,640	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$827,117	PYContributionsGrantsAmt
CY Contributions Grants	$163,582	CYContributionsGrantsAmt
PY Program Service Revenue	$163,343,907	PYProgramServiceRevenueAmt
CY Program Service Revenue	$177,188,206	CYProgramServiceRevenueAmt
PY Investment Income	$550,119	PYInvestmentIncomeAmt
CY Investment Income	$1,865,130	CYInvestmentIncomeAmt
PY Other Revenue	$1,188,290	PYOtherRevenueAmt
CY Other Revenue	$768,110	CYOtherRevenueAmt
PY Total Revenue	$165,909,433	PYTotalRevenueAmt
CY Total Revenue	$179,985,028	CYTotalRevenueAmt
PY Grants And Similar Paid	$91,200	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$60,556	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$54,277,815	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$63,995,975	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$103,898,990	PYOtherExpensesAmt
CY Other Expenses	$104,961,300	CYOtherExpensesAmt
PY Total Expenses	$158,268,005	PYTotalExpensesAmt
CY Total Expenses	$169,017,831	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,641,428	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,967,197	CYRevenuesLessExpensesAmt
Total Assets BOY	$169,021,067	TotalAssetsBOYAmt
Total Assets EOY	$177,845,534	TotalAssetsEOYAmt
Total Liabilities BOY	$69,559,569	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$71,504,073	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$99,461,498	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$106,341,461	NetAssetsOrFundBalancesEOYAmt
Mission	CIVISTA MEDICAL CENTER, INC. (DOING BUSINESS AS UM CHARLES REGIONAL MEDICAL CENTER, (UM CRMC)) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTHCARE SYSTEM CREATED TO PROVIDE EXCELLENCE IN ACUTE HEALTHCARE AND PREVENTIVE SERVICES IN CHARLES COUNTY AND THE SURROUNDING COMMUNITIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$123,507,218	ExpenseAmt
Grant	$60,556	GrantAmt
Revenue	$177,259,227	RevenueAmt
Desc	AS A MEMBER OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, CIVISTA MEDICAL CENTER, INC. (D/B/A UM CHARLES REGIONAL MEDICAL CENTER, "UM CRMC") OPERATES A 104-BED HOSPITAL IN LA PLATA, MARYLAND. UM CRMC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. ITS ACTIVITIES INCLUDE PROVIDING HEALTHCARE TREATMENT AND CARE TO PERSONS WHO ARE ACUTELY ILL, OPERATING A 24-HOUR EMERGENCY DEPARTMENT WHICH SERVICES ALL COMMUNITY PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. DURING ITS FISCAL YEAR ENDED JUNE 30, 2024 THE HOSPITAL ENGAGED IN THE FOLLOWING ACTIVITIES THAT WERE IN FURTHERANCE OF ITS EXEMPT PURPOSE: PROVIDED INPATIENT SERVICES WHICH INCLUDED 5,032 INPATIENT ADMISSIONS; PROVIDED OUTPATIENT SERVICES WHICH INCLUDED 48,045 EMERGENCY DEPARTMENT VISITS AND 3,081 OUTPATIENT SURGERIES; AND 501 BIRTHS. IN FY24, UM CRMC PROVIDED MORE THAN $10.9 MILLION IN COMMUNITY BENEFITS INCLUDING CHARITY CARE, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND DONATIONS. THIS YEAR, WE PROVIDED AND SUPPORTED PROGRAMS, ACTIVITIES AND SCREENINGS SUCH AS BLOOD PRESSURE, GLUCOSE, BREAST AND CERVICAL CANCER, COLORECTAL CANCER AND STROKE RISK REDUCTION EDUCATION. MOBILE INTEGRATED HEALTH COMPLETED THE SECOND YEAR TO IMPROVE ACCESS TO CARE AND WRAP AROUND HEALTH CARE TO COMMUNITY MEMBERS WITH BARRIERS. IN ADDITION TO PARTICIPATING IN THE PROGRAM UM CRMC WILL CONTRIBUTE FINANCIALLY TO THE PROGRAM FOR 3 YEARS. UM CRMC PROVIDED HEALTH EDUCATION PROGRAMS ON HEART HEALTHY EATING, DIABETES EDUCATION, CANCER EDUCATION, BREAST AND CERVICAL CANCER, TOBACCO CESSATION PROGRAM.	Desc
Total Program Service Expenses	$123,507,218	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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	988	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	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	JENINE WARNKE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4434625811	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 (23 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
Charles Rosenfield
Chairman	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Noel A Cervino
President and CEO	40.0	2.0	Yes (X)	Yes (X)	$669,468	$0	$37,685
Patrick Pierce
Vice Chair	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Tom Dennison
Secretary and Treasurer	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
BRIANNA D BOWLING
Director	1.0	2.5	Yes (X)		$0	$0	$0
Christopher Simpson
Director	1.0	1.0	Yes (X)		$0	$0	$0
Crystal Hunt
Director	1.0	1.0	Yes (X)		$0	$0	$0
Diane Hicks
Director	1.0	1.0	Yes (X)		$0	$0	$0
Ivelisse Michel MD
Director	1.0	1.0	Yes (X)		$0	$0	$0
John Hungerford
Director	1.0	1.0	Yes (X)		$0	$0	$0
Jon P Burns
Director	1.0	44.0	Yes (X)		$0	$1,015,883	$36,227
Mary Lilly
Director	1.0	1.0	Yes (X)		$0	$0	$0
Maxwell Ginsburg MD
Director	1.0	1.0	Yes (X)		$0	$0	$0
Mohan Suntha MD
UMMS President and CEO	1.0	59.0	Yes (X)		$0	$3,669,040	$44,934
ALBERT J ZANGER
SVP, Finance	40.0	2.0		Yes (X)	$312,970	$0	$37,975
Dana Cecil
Chief Nursing Officer	40.0	0			$280,545	$0	$18,899	Yes (X)
Joseph D Moser MD
SVP and Chief Medical Officer	40.0	0			$212,242	$0	$0	Yes (X)
Stephen Smith
SVP and Chief Medical Officer	40.0	0			$229,752	$0	$16,157	Yes (X)
Anne Weekley
VP Quality and Patient Experience	40.0	0			$203,735	$0	$32,258		Yes (X)
Josie Salvador
Clinical Nurse	40.0	0			$190,297	$0	$27,007		Yes (X)
Joy Adiansingh
Nurse	40.0	0			$210,006	$0	$18,928		Yes (X)
Katherine Middleton
Registered Nurse	40.0	0			$259,227	$0	$16,871		Yes (X)
William Grimes
VP Ancilliary Services	40.0	0			$245,985	$0	$9,877		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,814,227	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,684,923	TotReportableCompRltdOrgAmt
Total Other Compensation	$296,818	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	111	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
CROSS COUNTRY STAFFING INC
PO BOX 404674	ATLANTA	GA	303844674	AGENCY STAFFING	$6,762,417
WMDAVIS INC
PO BOX 10	HOLLYWOOD	MD	20636	CONSTRUCTION SERVICES	$4,620,401
AYA HEALTHCARE INC
5930 CORNERSTONE CT W STE 300	SAN DIEGO	CA	92121	AGENCY STAFFING	$3,230,390
MDICS AT CIVISTA LLC
7250 PARKWAY DR STE 500	HANOVER	MD	21076	PHYSICIAN SERVICES	$2,896,936
OBHG MARYLAND PC
777 LOWNDES HILL ROAD	GREENVILLE	SC	29607	PHYSICIAN SERVICES	$2,418,660

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$20,405	RelatedOrganizationsAmt
Government Grants	$15,000	GovernmentGrantsAmt
All Other Contributions	$128,177	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$163,582	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	621110	$177,188,206	$177,188,206	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

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	$177,188,206	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,251,669	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,251,669	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$794,849	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$217,400	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$577,449	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$577,449	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$577,449	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,286,326	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$9,672,865	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$613,461	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$613,461	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$613,461	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHYSICIAN ANSWERING SERVICE	561000	$119,640	$0	$119,640	$0
APPLICATION FEES	999999	$20,500	$20,500	$0	$0
JOINT VENTURE	621990	-$55,346	-$55,346	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,867	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,867	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$190,661	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$179,985,028	TotalRevenueColumnAmt
Related Or Exempt Func Income	$177,259,227	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$119,640	UnrelatedBusinessRevenueAmt
Exclusion	$2,442,579	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$60,556	TotalAmt
Program Services	$60,556	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,815,693	TotalAmt
Program Services	$1,284,374	ProgramServicesAmt
Management And General	$531,319	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$52,325,063	TotalAmt
Program Services	$37,013,388	ProgramServicesAmt
Management And General	$15,311,675	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,465,307	TotalAmt
Program Services	$1,743,894	ProgramServicesAmt
Management And General	$721,413	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,729,056	TotalAmt
Program Services	$2,637,837	ProgramServicesAmt
Management And General	$1,091,219	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,660,856	TotalAmt
Program Services	$2,589,594	ProgramServicesAmt
Management And General	$1,071,262	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$45,480	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$45,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$57,986	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$57,986	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$53,504,473	TotalAmt
Program Services	$32,106,360	ProgramServicesAmt
Management And General	$21,398,113	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$33,125	TotalAmt
Program Services	$23,432	ProgramServicesAmt
Management And General	$9,693	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$279,197	TotalAmt
Program Services	$197,497	ProgramServicesAmt
Management And General	$81,700	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,792,036	TotalAmt
Program Services	$1,975,014	ProgramServicesAmt
Management And General	$817,022	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$93,311	TotalAmt
Program Services	$66,006	ProgramServicesAmt
Management And General	$27,305	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$268,809	TotalAmt
Program Services	$190,148	ProgramServicesAmt
Management And General	$78,661	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,742,000	TotalAmt
Program Services	$1,232,245	ProgramServicesAmt
Management And General	$509,755	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,779,200	TotalAmt
Program Services	$6,210,178	ProgramServicesAmt
Management And General	$2,569,022	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,546,791	TotalAmt
Program Services	$4,438,880	ProgramServicesAmt
Management And General	$107,911	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$19,208,093	$19,208,093	$0	$0
BAD DEBT	$9,916,402	$9,916,402	$0	$0
REPAIRS & MAINTENANCE	$1,588,943	$1,123,977	$464,966	$0
DUES/SUBSCRIPTIONS	$495,496	$350,501	$144,995	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,609,958	TotalAmt
Program Services	$1,138,842	ProgramServicesAmt
Management And General	$471,116	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$169,017,831	TotalAmt
Program Services	$123,507,218	ProgramServicesAmt
Management And General	$45,510,613	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,707,649	BOYAmt
EOY	$9,450,475	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,148,903	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,774,431	BOYAmt
EOY	$25,292,862	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,676,058	BOYAmt
EOY	$1,743,323	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$140,156	BOYAmt
EOY	$244,683	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$189,756,600	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$104,727,761	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$82,705,802	BOYAmt
EOY	$85,028,839	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$16,203,000	BOYAmt
EOY	$16,850,000	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,659,452	BOYAmt
EOY	$14,467,827	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,005,616	BOYAmt
EOY	$24,767,525	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$169,021,067	BOYAmt
EOY	$177,845,534	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,317,685	BOYAmt
EOY	$8,162,569	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$175,136	BOYAmt
EOY	$3,401	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,066,748	BOYAmt
EOY	$63,338,103	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,559,569	BOYAmt
EOY	$71,504,073	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$99,461,498	BOYAmt
EOY	$105,635,936	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$705,525	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$99,461,498	BOYAmt
EOY	$106,341,461	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$169,021,067	BOYAmt
EOY	$177,845,534	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,967,197	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,376,592	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$6,463,826	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	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$39,600	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$5,880	OtherActivitiesAmt
Total Lobbying Expenditures	$45,480	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	DIRECT LOBBYING EFFORTS RELATE TO FEDERAL, STATE AND LOCAL LEGISLATION AFFECTING HEALTH CARE ISSUES. 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 1.64% AND 32.00% 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)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$0	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$118,685,987	OtherCostOrOtherBasisAmt
Depreciation	$56,532,494	DepreciationAmt
Book Value	$62,153,493	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,363,893	OtherCostOrOtherBasisAmt
Depreciation	$881,025	DepreciationAmt
Book Value	$482,868	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$62,678,485	OtherCostOrOtherBasisAmt
Depreciation	$46,095,385	DepreciationAmt
Book Value	$16,583,100	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$7,028,235	OtherCostOrOtherBasisAmt
Depreciation	$1,218,857	DepreciationAmt
Book Value	$5,809,378	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$85,028,839	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$14,467,827	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$14,467,827	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
CONSTRUCTION FUNDS	$7,191,000
ECONOMIC INTEREST ASSETS LTD TO USE	$6,239,938
INVESTMENT IN CHESAPEAKE POTOMAC HLTHCR ALLIANCE	$4,860,116
FINANCING LEASE	$4,658,018
OTHER ACCOUNTS RECEIVABLE	$1,818,453
DUE TO/FROM AFFILIATES
PENSION

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$24,767,525	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$51,862,632
CREDIT BALANCE	$1,106,527
FINANCING LEASE	$4,960,656
ADVANCES FROM THIRD PARTIES	$5,263,367
PENSION	$86,495
OTHER LIABILITIES	$58,426

Field	Value	IRS element (for citing)
Total Liability	$63,338,103	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
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,226,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,226,708	NetCommunityBenefitExpnsAmt
Total Expense	0.0140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

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

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
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	$2,226,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,226,708	NetCommunityBenefitExpnsAmt
Total Expense	0.0140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,594,657	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$575,916	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,018,741	NetCommunityBenefitExpnsAmt
Total Expense	0.0064	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$448,357	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$448,357	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,709,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,406,509	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,302,833	NetCommunityBenefitExpnsAmt
Total Expense	0.0459	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
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	$29,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,708	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,782,064	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,982,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,799,639	NetCommunityBenefitExpnsAmt
Total Expense	0.0553	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,008,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,982,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,026,347	NetCommunityBenefitExpnsAmt
Total Expense	0.0693	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	$9,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,421	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,045	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	$38,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,170	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	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	$54,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,636	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,346,587	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$60,964,923	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,522,653	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$10,442,270	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	CIVISTA MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5 GARRETT AVE	AddressLine1Txt
City	LA PLATA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20646	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.UMMS.ORG/CHARLES	WebsiteAddressTxt
State License	08-001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	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	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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	https://www.umms.org/charles/community/assessment-implementation-plan	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.umms.org/charles/community/assessment-implementation-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	www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing	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 (5 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 1, 1	Facility 1, 1 - CIVISTA MEDICAL CENTER INC.. From July 2023 to February 2024, the University of Maryland Charles Regional Medical Center undertook a comprehensive assessment of the health needs of Charles County. To provide a comprehensive assessment of the health needs of the county, a plan was developed which included five different sources of data: a long online survey of Charles County resident perceptions of health and health behaviors, a short paper survey on health perceptions throughout the county, focus groups with community stakeholders, key informant interviews of community leaders and stakeholders, and a quantitative data analysis of secondary, published data. Data collection occurred between July 2023 and February 2024. The use of the multiple data collection methods strengthened the validity of the assessment's findings and ensured that Charles County residents had an opportunity to participate in the assessment process and feel invested in its outcome. To provide a comprehensive assessment of the health needs of the county, a four-method plan was developed which included five different sources of data: a long online survey of Charles County residents' perceptions of health and health behaviors, a short paper survey on health perceptions throughout the county, focus groups with community members and leaders, a quantitative data analysis of secondary, published data. Data collection occurred between July 2023 and December 2023. Six focus groups were conducted with the participation of community members from various backgrounds. The goal of each focus group was to gain feedback, gather insights, and obtain opinions and perceptions of the current health status in Charles County. The six focus groups included: the Charles County school nurses, members of the Partnerships for a Healthier Charles County Local Health Improvement Coalition, Charles County Access to Care Coalition members, Healthcare Consumers and Community Leaders, Chronic Disease Prevention and Management Coalition members, and Charles County Overdose Fatality Review Team members. 755 people completed the 51-question online survey between July 1, 2024, and December 31, 2024. It was designed using Survey Monkey, and a link was provided to the University of Maryland Charles Regional Medical Center website and the Charles County Department of Health website. The first set of questions gathered demographic information for all participants. A second set of questions asked people about their health status and their access to needed health care. A third set of questions asked participants about their risk factors for health conditions (for example, fruit and vegetable intake, physical activity level, alcohol/tobacco use) to determine if they are at risk for certain health conditions and chronic diseases. The fourth set of questions asked participants about their perceptions of the state of health and health conditions within Charles County. A fifth set of questions asked participant's perceptions of improvements within the county to improve health. Lastly, survey respondents were given the opportunity to comment on the state of health in the county and provide suggestions on how to improve the health status of Charles County. Most of the respondents were from Charles County (85.4%). The second largest percentage is from St. Mary's County (5.6%). Only 5.68% of respondents reported living outside of the Southern Maryland (Charles, Calvert, St Mary's, or Prince George's counties). Approximately 67.15% of the respondents were between the ages of 45-74 years. The highest percentage was in the 45-54-year age group (25.66%). The overwhelming majority of the respondents were assigned female at birth (79.52%). This report represents a more diverse group of respondents. Minorities made up 47.16% of the total survey population. This is a large increase from the 26% reported in the last needs assessment report. African Americans comprised 41.49% of the respondents. This is an increase from 22% in the FY21 needs assessment report. Approximately 4.47% of the survey respondents self-identified as Hispanic. The survey participants were a highly educated group with 91.16% reporting having had any amount of college education. Just over half of the group had completed an undergraduate degree or higher (59.12%). Most of the participants were employed and working full-time. Individuals from all income levels were represented in the survey population. Individuals who reported a household income of $180,000 or more per year represented 19.49% of the respondents. Individuals with a household income less than $60,000 made up one-sixth of the 2023 survey (15.4%). This represents all individuals responding that their household income was either $0-$29,999 or $30,000-$59,999. Nearly all the survey participants (96.32%) reported having health insurance. Most of the participants also reported having dental insurance (84.72%) though this percentage is smaller than those reporting health insurance. Many of the respondents also had vision insurance (74.62%). Only 1.5% of the survey population reported having no type of insurance. The online survey participants were also asked about access to health care. 84.9% have had a routine doctor's visit in the past 12 months. 93.37% receive their routine health care in a primary care physician or provider's office. 64.94% were always able to see a doctor when needed. If they were unable to see the doctor when needed, the most common reasons were that there were no available appointments (41.3%) or that it was too expensive, and they could not afford it (3.75%). 78.26% travel outside of Charles County for medical care at some point. Only 13.18% reported that they always travel outside the county for care. The most common medical services that people receive outside of Charles County are specialist doctor appointments (60.62%), dental appointments (21.68%), primary care doctor appointments (30.24%), and surgeries (20.94%). The most common responses among participants were that the quality is better elsewhere (41.12%) and services are not available in Charles County (24.67%). A short five-question survey was developed to distribute throughout the county for additional qualitative data from July 1, 2024, through December 31, 2024. A total of 1,189 surveys were completed throughout the community. Short survey data collection was performed at various community events throughout the county. The most cited barriers to needed health care: care is too expensive/cannot afford it (56.6%) and lack of health insurance (41.0%). Over 20% of respondents also identified transportation and not being able to get an appointment with their doctor as barriers to needed health care as well. Under "Other," several respondents explained that there is an issue trying to get in to see a provider. Respondents expressed that there are not enough health care providers, no available appointments for months, hard to find new doctors when needed, not enough doctor's offices, hard to get appointments, not enough specialist providers, and hard to find a primary care doctor they like, providers not accepting new patients, and lack of providers that take Medicaid in the psychiatric department. Other barriers were distrust of health care providers, no time off from work, poverty, lack of education, unreliable services, overcrowded ER facilities, insurance is not accepted, limited eye doctors, and no prevention. Short survey participants were asked if sufficient services were available to address the health conditions in Charles County. Many of the respondents answered that they did not know, or they left it blank. This leads us to believe that additional outreach and awareness campaigns are needed to educate people on available services in Charles County. There were very few survey respondents who believed there were no services available for the listed health conditions. Of those who did answer, there were no services available in the county, Mental Health, Traffic Safety/Injuries, and Access to health care in rural Charles County had the most responses. Quantitative data was analyzed for various health topics, including mortality, population and demographic data, natality, infant mortality, social determinants of health, heart disease, stroke, hypertension, access to health care/health un-insurance, cancer, asthma, injuries, diabetes, food, physical activity, obesity, arthritis, dementia/Alzheimer's disease, infectious disease, environmental health, sexually transmitted diseases, HIV/AIDS, mental health, dental health, substance use, disabilities, violence, social determinants of health, and tobacco use.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. UM Charles Regional led the effort and covered 100% of the cost of the CHNA. However, the hospital worked collaboratively with the Charles County Department of Health and the Local Health Improvement Coalition (LHIC) - Partnerships for a Healthier Charles County (PHCC) - to complete the CHNA. Executive Leadership of PHCC consists of the chief administrative officer of UM Charles Regional, the county health officer, the superintendent of Charles County Public Schools, and the president of the College of Southern Maryland. Executive Committee of LHIC Charles County Dept. of Health, Dianna Abney, MD Charles County Health Officer Charles County Public Schools, Dr. Maria V. Navarro Superintendent College of Southern Maryland, Dr. Yolanda Wilson President UM Charles Regional Medical Center, Albert Zanger Chief Administrative Officer Steering Committee of LHIC Charles County Dept. of Health, Amber Starn Director of Community Health and Evaluation Charles County Public Schools, Jennifer Conte Coordinator of Student Intervention Programs College of Southern Maryland, Kelly Winters Executive Director of Workforce Development UM Charles Regional Medical Center, Mary Levy Community Outreach Manager Subcommittees: Disease Prevention and Management Team: Mary Beth Klick, Charles County Health Department, Tobacco Prevention Coordinator; Angela Deal, Charles County Health Department, Manager of Chronic Disease, Tobacco Prevention and Control Programs; Mary Levy, UM CRMC Community Outreach Manager Access to Care: Chrissie Mulcahey, Health Partners; Mary Hannah, UM CRMC VP Population Health; Annabelle Cubero-Montinola, UM CRMC Population Health Manager Behavioral Health: Jennifer Conte, Charles County Public Schools, Coordinator of Student Intervention Programs
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. Cumulative analysis of all quantitative and qualitative data was used to prioritize the top health care needs in Charles County. The priorities were chosen by the Partnerships for a Healthier Charles County's Steering Committee and Subcommittee leaders using the Hanlon Method, a National Association of City and County Health Officials' recommended means for health prioritization. The Hanlon Method scores health conditions based on the size of the problem, the seriousness of the problem, and the effectiveness of available interventions. The health priorities chosen include: 1. Disease Prevention and Management * Major Cardiovascular Disease (Heart Disease, Hypertension, and Stroke) * Obesity and Overweight * Diabetes Prevalence * Infectious Diseases 2. Behavioral Health * Substance Use Disorders * Mental Health 3. Access to Care * Provider Recruitment and Retention, Emphasis on Mental Health and Primary Care * Unnecessary Hospital and Emergency Department Utilization * Social Determinants of Health (Transportation, Health Literacy) All three priorities outlined in the CHNA are being addressed by UM Charles Regional either directly (physician recruitment), or through partnerships with other organizations (i.e., Chronic Disease Self-Management Program), or through the LHIC, Partnerships for a Healthier Charles County (PHCC) which is co-led and financially supported by UM Charles Regional. Where a need is appropriately addressed by another community entity, UM Charles Regional provides leadership and/or funding through the Charles County Health Improvement Plan and the local health coalition (PHCC) to communicate initiatives, provide financial support and/or assistance or data when needed, and review results (i.e., substance abuse, mental health). Each LHIC team has developed and implemented strategies specific to their identified priorities and reports back quarterly to the LHIC Steering Committee. The hospital provides support and oversight to the teams as a critical member of the LHIC Steering Committee. The manager of community health at our hospital serves as the co-chair of the county's Local Health Improvement Coalition (LHIC). In 2024, our hospital launched monthly outreach programs at senior citizen facilities throughout our primary service area. We also participated in several community outreach events in western Charles County, a region facing challenges with health access and outcomes. Additionally, we conducted 10 Red Cross blood drives and continued to develop our Equity in Patient Care Initiatives, which aim to address the higher rates of poorly controlled diabetes and severe maternal morbidity among African Americans in our primary service area.
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - CIVISTA 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 THAT THE FPG INCOME LEVELS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE	CRMC 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 COMMUNITY BENEFIT 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 7 State Filing of Community Benefit Report	As required by Maryland statute for all hospitals, University of Maryland Medical Center submits a detailed, annual community benefit report, which provides information related to programs, services, contributions, etc. that the hospital makes with no or little expectation of financial return, to the Maryland Health Services Cost Review Commission (HSCRC), a state regulatory agency, by January 31 each year.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	9916402
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	As the only hospital serving Charles County, Maryland, University of Maryland Charles Regional Medical Center (UM Charles Regional) supports programs and activities where the hospital's expertise and resources can influence the fundamental issues that affect the health of our community. Because communication is critical to addressing areas of community health, UM Charles Regional is an active member of the Partnership for a Healthier Charles County (PHCC), whose membership consists of over 30 nonprofit and county agencies. This organization meets regularly to discuss needs and opportunities for addressing community health in Charles County. UM Charles Regional supports the economic development of the community through leadership participation in organizations such as the Charles County Chamber of Commerce, Charles County Economic Development Commission, Leadership Southern Maryland, and others. UM Charles Regional participates in many state, county, and region-wide emergency preparedness planning activities and drills with our community partners such as Emergency Services, Fire and Rescue, Department of Health, County Government, FEMA, and MEMA. This serves to ensure that in the event of a disaster, the hospital is ready to support and care for our community. Hospital Administration participates in health care workforce development, for example by supporting the College of Southern Maryland Nursing and Allied Health programs. According to a 2018 Medical Staff Development Plan authored by Lifton Associates LLC, Charles County, the hospital's primary service area, has a physician shortage for adult primary care physicians. Under medical specialties, the specialties that were deemed of highest need were psychiatry, obstetrics/gynecology, neurology, urology, and otolaryngology (ENT). As a result of the prevailing physician shortage, and to mitigate the effects of the lack of access of the community to medical care, UM Charles Regional has developed a robust and ongoing physician recruitment and retention program. Of particular note, in 2024 UM Charles Regional Medical Group expanded its primary care and urology practices.
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 DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
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 A 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	1 - CIVISTA MEDICAL CENTER INC.: Line 16a URL: www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - CIVISTA MEDICAL CENTER INC.: Line 16b URL: www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - CIVISTA MEDICAL CENTER INC.: Line 16c URL: www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing;
Schedule H, Part VI, Line 2 Needs assessment	In addition to conducting the CHNA every three years, UM Charles Regional assesses the health care needs of the communities it serves by taking a leadership role in the county and sitting on the Partnerships for a Healthier Charles County (PHCC) steering committee. PHCC, the Local Health Improvement Coalition in Charles County, consists of over thirty key stakeholders. Together, we collaborate to define priority areas using the Hanlon method and develop the Charles County Health Improvement Plan. Community health improvement strategies to address the identified needs are included in the organization's strategic plan.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	UM Charles Regional posts its charity care policy, or a summary thereof, as well as financial assistance contact information in admissions areas, emergency rooms, business offices, and other areas of the facility where eligible patients are likely to present. Additionally, the policy and plain language version are available on the hospital's public website. https://www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing The financial assistance policy (FAP) is written in a culturally sensitive and at an appropriate reading level. It is available in English and Spanish. All Patient Access Customer Service Staff have been trained in the financial assistance process. At the time of registration, every patient is provided an information sheet regarding financial assistance. Additionally, patients are also verbally advised of the existence of our Financial Assistance Policy when practical. If a patient discloses financial difficulty or concern with payment of the bill, the patient is provided with FAP information. A packet with the application, criteria, and a documentation checklist is provided. Assistance completing the application is available. Additionally, assistance is provided for patients or their families who qualify and apply for government benefits, i.e., Medicaid and other state programs. Once an application is processed and if it is deemed incomplete, a letter is sent to the patient requesting the missing or incomplete items. Patients may telephone the Call Center or come into the Patient Access Office and or contact the centralized billing office for assistance.
Schedule H, Part VI, Line 4 Community information	The University of Maryland Charles Regional Medical Center is Charles County's only hospital and, as such, serves the residents of the entire county. Geography Charles County is located twenty-three miles south of Washington, D.C. It is one of five Maryland counties, which are part of the Washington, DC-MD-VA metropolitan area. At 458 square miles, Charles County is the eighth largest of Maryland's 24 counties and accounts for about 5% of Maryland's total landmass. The northern part of the county is the "development district" where commercial, residential, and business growth is focused. The major communities of Charles County are La Plata (the county seat), Port Tobacco, Indian Head, and St. Charles, and the main commercial cluster of Hughesville-Waldorf-White Plains. Approximately 60% of the county's residents live in the greater Waldorf-La Plata area. By contrast, the southern (Cobb Neck area) and western (Nanjemoy, Indian Head, Marbury) areas of the region still remain very rural with smaller populations. Population Charles County has experienced rapid growth since 1970, expanding its population from 47,678 in 1970 to an estimated census of 170,102 in 2022. Between 2010 and 2022 the county grew by an average of 1.2% a year. Source: US Census Bureau Transportation The percent change in the population growth for Charles County has been slightly greater than the change seen in the Maryland population growth. This growth has created transportation issues for the County, in particularly for the "development district" in the northern part of the county where many residents commute to Washington, D.C., to work. The average work commute time for a Charles County resident is 45.0 minutes. Public transportation consists of commuter buses for out-of-county travel and the county-run Van Go bus service for in-county transportation. Source: US Census Bureau Diversity As the population of the county changes, the diversity of the county also increases. The African American population has experienced the greatest increase. In 2000, African Americans made up 26% of the total Charles County population; in 2022, they comprised 52% of the total county population. As of 2019, minorities comprise roughly 66% of the Charles County population. The Hispanic community has also seen increases over the past few years. They now comprise 7% of the total county population. This is one of the highest percentages among the 24 Maryland jurisdictions. Charles County also has one of the largest American Indian/Native American populations in the state of Maryland at 0.8% of the total county population. The 2019 Charles County gender breakdown is approximately 50/50. Males make up 48.2% of the population, and females make up 51.8% of the county population. Source: US Census Bureau Economy Employment and economic indicators for the county are fairly strong. The U.S. Census estimates that 68.3% of the Charles County population is currently in the labor workforce. The census found that approximately 8.5% of Charles County individuals are living below the poverty level; however, this is lower than the Maryland rate of 9.6%. The Charles County median household income was $115,880, well above the Maryland median household income of $94,991. Source: 2022 US Census Bureau American Community Survey Education 32.5% of Charles County Residents held a bachelor's degree or higher. School enrolled population enrolled in kindergarten to 12th grade was 69.7%. Maryland school population enrolled in kindergarten to 12th grade was 66.0%. Source: 2022 US Census Bureau's American Community Survey. Housing There is a high level of home ownership in Charles County (81%). The median housing value is between $300,000 and $499,999. Total housing units, 62,123. Source: 2022 US Census Bureau's American Community Survey 1-year estimates. Life Expectancy The life expectancy for a Charles County resident, as calculated for 2020-2022, was 76.8 years. This is slightly below the state average life expectancy of 77.9 years. Source: 2022 Maryland Vital Statistics Report Births There were 1,840 births in Charles County in 2022. Race: Non-Hispanic White, 539; Non-Hispanic Black, 883; non-Hispanic American Indian, 2; Hispanic, 250; Asian or Pacific Islander, 2; non-Hispanic multi-race, 86; unknown or other 13. Minorities made up over half of the babies born in Charles County in 2022 (72%). Source: 2022 Maryland Vital Statistics Report
Schedule H, Part VI, Line 5 Promotion of community health	As the only hospital serving Charles County, Maryland, the University of Maryland Charles Regional Medical Center (UM Charles Regional) supports programs and activities where the hospital's expertise and resources can influence the fundamental issues that affect the health of the community. Governance is provided through a community volunteer board of directors. UM Charles Regional's Community Benefits Program utilizes a planned, managed, organized, and measured approach to meeting the identified community needs of the area we serve. The mission is to improve overall community health by improving access to health care, enhancing the health of the community, advancing health care knowledge, and collaborating with health-providing agency partners. Community health improvement strategies are included in the organization's strategic plan. UM Charles Regional provided a robust set of community benefits including $14,389,018 in charity care, health professions education, community benefit operations, community health improvement services, mission-driven health care services, cash and in-kind donations, and community-building activities in FY 2024. This year, we provided and supported programs, activities, and screenings such as blood pressure, glucose, breast and cervical cancer, colorectal cancer, and stroke risk reduction education. Mobile Integrated Health continued to improve access to care and wrap around health care for community members with barriers. In addition to participating in the program, UM Charles Regional has contributed financially to the program for five years. UM Charles Regional provides health education programs on heart-healthy eating, diabetes education, cancer education, and tobacco cessation. In addition, we sponsored support groups such as stroke support, cardiac support, and Diabetes Support Groups. Fiscal year 2024 was a successful year for the Living Well Chronic Disease Self-Management Program, a free, six-week, evidence-based program to improve the well-being of people living with a variety of chronic conditions. The hospital offers clinics and clinic services such as renal dialysis services and American Red Cross blood drives. We participated in community coalitions and boards such as the Partnerships for a Healthier Charles County, Charles County Tobacco Coalition, Leadership Southern Maryland, Hospice of the Chesapeake, Charles County Children's Aid Society, Southern Maryland Food Bank, Fetal Maturity Mobility, and others. We participated in and supported community events such as Lifestyles Safe Nights, Southern Maryland Food Bank, American Heart Association Heart Walk, and more. UM Charles Regional operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Maryland's global budget revenue model, UM Charles Regional reports regularly how it is investing in efforts to improve population health. UM Charles Regional provides ongoing services that are fundamental to addressing the identified community health needs that demonstrate the extent to which our commitment to serving our community is integrated into our care delivery model. We have a strong focus on treating patients with chronic conditions. UM Charles Regional works to coordinate care, ensure smooth transitions, and promote disease self-management strategies at every step of a patient's journey - whether at home, in the community, or within our hospital. Our transitional care services help patients newly diagnosed or those who have had a recent hospitalization transition safely back to the community. Transitional nurse navigators provide patients with disease education and self-management strategies, connect them to primary care providers and specialists, and help them overcome any barriers to making follow-up appointments. Resources are embedded throughout the hospital and in the community so that every patient receives the same level of care coordination. Case managers and peer recovery coaches are embedded within our emergency department and hospital. We maintain a strong relationship with Chesapeake Potomac Health Home Agency through our Resources Education and Access to Community Health (REACH) program, which helps bring our patients back to achieving wellness in their communities after discharge by offering nurse home visits, medication management, social services, environmental home safety scans, disease-specific education and referral to other community resources as appropriate. Strong relationships also exist with local emergency medical service (EMS) providers through our mobile integrated health program, which delivers effective and efficient care to patients outside of the hospital. Nurses and community health workers function outside traditional emergency response roles, with a focus on maintaining individuals' health at their homes while also providing convenient access to care in the community. Additional care partners include primary care providers, specialists, the local Department of Health, the Office on Aging, and other community-based partners. In 2023, UM Charles Regional Medical Center was designated a Primary Stroke Center within the State of Maryland. It means, that at our hospital, we are able to treat some of our acute stroke patients with a specialized thrombolytic medication (clot-busting medication). This medication dissolves the clot and helps to restore blood flow to the brain improving the patient's recovery from a stroke. Additionally, as a rural health provider, we recognize the lack of public transportation options is a barrier for patients who need transportation assistance. To address this barrier and improve access to health care for low-income, disadvantaged Tri-County residents, we launched the Transportation to Wellness project. For eligible patients, this program provides free, on-demand, curb-to-curb nonemergency medical transportation services to a patient's home after discharge and to post-hospitalization medical appointments. We are proud to serve our community and appreciate our partners who allow us to fulfill our mission. We will always do what is right for the patient, no matter where they are in their health journey, and will always strive to have our patients receive care in the community they reside. As a part of the University of Maryland Medical System (UMMS), we are shaping a new paradigm in care delivery that we believe should be the future standard of care.
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 missions reaching primarily across Maryland. As part of the University of Maryland Medical System (UMMS), Charles Regional Medical Center understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, UM Charles Regional Medical Center assesses the community's health needs, identifies key priorities, and responds with services, programs, and initiatives that make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical System's Community Health Improvement Council coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. UM Charles Regional Medical Center is committed to health education, advocacy, community partnerships, and engaging programs that focus on health and wellness with the goal of eliminating health care disparities in Charles County
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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Charles County Volunteer Fire & EMS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Baltimore St	AddressLine1Txt
City	La Plata	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20646	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	521037003	RecipientEIN
IRC Section	501c3	IRCSectionDesc
Cash Grant	$58,777	CashGrantAmt
Purpose Of Grant	MIH Program	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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	The filing organization grant to Charles County EMS was part of the Mobile Integrated Health program between the hospital and local EMS. The hospital's community health department participates in the program, ensuring funds are used as intended.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
Noel A Cervino
President and CEO	$416,518	$0	$178,245	$0	$74,705	$0	$13,200	$0	$24,485	$0	$707,153	$0	$0	$0
Jon P Burns
Director	$0	$679,345	$0	$192,919	$0	$143,619	$0	$13,200	$0	$23,027	$0	$1,052,110	$0	$0
Mohan Suntha MD
UMMS President and CEO	$0	$1,943,849	$0	$1,359,996	$0	$365,195	$0	$13,200	$0	$31,734	$0	$3,713,974	$0	$0
ALBERT J ZANGER
SVP, Finance	$222,601	$0	$68,798	$0	$21,571	$0	$9,182	$0	$28,793	$0	$350,945	$0	$0	$0
Dana Cecil
Chief Nursing Officer	$186,007	$0	$50,605	$0	$43,933	$0	$8,400	$0	$10,499	$0	$299,444	$0	$0	$0
Joseph D Moser MD
SVP and Chief Medical Officer	$0	$0	$0	$0	$212,242	$0	$0	$0	$0	$0	$212,242	$0	$0	$0
Stephen Smith
SVP and Chief Medical Officer	$217,144	$0	$12,500	$0	$108	$0	$0	$0	$16,157	$0	$245,909	$0	$0	$0
Anne Weekley
VP Quality and Patient Experience	$146,036	$0	$39,575	$0	$18,124	$0	$6,293	$0	$25,965	$0	$235,993	$0	$0	$0
Joy Adiansingh
Nurse	$209,643	$0	$0	$0	$363	$0	$0	$0	$18,928	$0	$228,934	$0	$0	$0
Katherine Middleton
Registered Nurse	$258,913	$0	$0	$0	$314	$0	$0	$0	$16,871	$0	$276,098	$0	$0	$0
William Grimes
VP Ancilliary Services	$168,274	$0	$38,364	$0	$39,347	$0	$7,622	$0	$2,255	$0	$255,862	$0	$0	$0
Josie Salvador
Clinical Nurse	$190,182	$0	$0	$0	$115	$0	$0	$0	$27,007	$0	$217,304	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control payment	DURING THE FISCAL YEAR-ENDED JUNE 30, 2024, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUALS AND AMOUNTS ARE LISTED BELOW: JOSEPH D. MOSER, $ 212,242
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DURING THE FISCAL YEAR-ENDED JUNE 30, 2024, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: MOHAN SUNTHA, $357,713 DANA CECIL, $18,900 JON P. BURNS, $100,274 NOEL A. CERVINO, $62,248 WILLIAM GRIMES, $17,149 ANNE WEEKLEY, $14,159 ALBERT ZANGER, $21,078
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	See Part V	RelationshipDescriptionTxt
Transaction	$73,754	TransactionAmt
Transaction	See Part V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV Line 1, Column B and Column D	FormAndLineReferenceDesc
Explanation	James Cecil is a family member of Dana Cecil, a Key Employee of the filing organization. James Cecil was paid reasonable compensation as an employee of the filing organization.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 24a TAX EXEMPT BOND ISSUES	PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE "CORPORATION") AND SEVERAL OF ITS SUBSIDIARIES HAVE ISSUED DEBT THROUGH THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE "AUTHORITY"). AS SECURITY FOR THE PERFORMANCE OF THE BOND OBLIGATION UNDER THE MASTER LOAN AGREEMENT, THE AUTHORITY MAINTAINS A SECURITY INTEREST IN THE REVENUE OF THE OBLIGORS. THE MASTER LOAN AGREEMENT CONTAINS CERTAIN RESTRICTIVE COVENANTS. THESE COVENANTS REQUIRE THAT RATES AND CHARGES BE SET AT CERTAIN LEVELS, LIMIT INCURRENCE OF ADDITIONAL DEBT, REQUIRE COMPLIANCE WITH CERTAIN OPERATING RATIOS AND RESTRICT THE DISPOSITION OF ASSETS. THE OBLIGATED GROUP UNDER THE MASTER LOAN AGREEMENT INCLUDES THE CORPORATION, UMROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, CRMC, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM CAPITAL REGION, BOWIE HEALTH CENTER (BOWIE), AND THE UM MEDICINE FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,736,659,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2024. ALL OF THE BONDS WERE ISSUED IN THE NAME OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990.
Form 990, Part V, Line 1a Tax Compliance	INDEPENDENT CONTRACTORS OF THE FILING ORGANIZATION ARE 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 VI, Line 6 Classes of members or stockholders	University of Maryland Medical System Corporation ("UMMS") is the sole member of University of Maryland Charles Regional Health, Inc. ("UMCRH"). UMCRH is the sole member of Civista Medical Center, Inc. (d/b/a UM Charles Regional Medical Center, "CRMC").
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	UMCRH AND UMMS MAY ELECT MEMBERS OF THE CRMC BOARD.
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 chairman, finance committee chairman or other member 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 15a Process to establish compensation of top management official	THE ORGANIZATION 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 15b Process to establish compensation of other employees	THE ORGANIZATION 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 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 11 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER - Total Revenue: 105867, Related or Exempt Function Revenue: 105867, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 11g Other Fees	CONTRACT - Total Expense: 10260057, Program Service Expense: 10260057, Management and General Expenses: 0, Fundraising Expenses: 0; CORPORATE - Total Expense: 21398113, Program Service Expense: 0, Management and General Expenses: 21398113, Fundraising Expenses: 0; LABOR - Total Expense: 7333196, Program Service Expense: 7333196, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN - Total Expense: 14513107, Program Service Expense: 14513107, Management and General Expenses: 0, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INVESTMENT IN FOUNDATION - 705525; IT ENTERPRISE - -1696480; CORPORATE DEPRECIATION ALLOCATION - 1595842; DB PENSION ADJUSTMENT - -1879596; EQUITY TRANSFERS TO RELATED ORGS - -5189117;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 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
BALTIMORE WASHINGTON MEDICAL CENTER INC
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	520689917	HEALTHCARE	MD	501(c)(3)	3	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
SHORE HEALTH SYSTEM INC
219 SOUTH WASHINGTON STREET	EASTON	MD	21601	520610538	HEALTHCARE	MD	501(c)(3)	3	UMSRH	false
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL
22 SOUTH GREENE STREET	BALTIMORE	MD	21201	521874111	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
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	264737028	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 I	UMMSC	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 (8 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
BALTIMORE WASHINGTON IMAGING
301 HOSPITAL DRIVE	GLEN BURNIE	MD	21061	200806027	HEALTHCARE	MD	UMBWMS	N/A	false	false
UNIVERSITYCARE LLC
419 W Redwood St Ste 220	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 (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	EINEIN
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	HEALTHCARE	MD	NA	C Corporation	false	522176314
UNIVERSITY MIDTOWN PROF CENTER
827 LINDEN AVENUE	BALTIMORE	MD	21201	REAL ESTATE	MD	NA	C Corporation	false	521891126
UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE
900 Elkridge Landing Rd	Linthicum	MD	21090	INSURANCE	MD	NA	C Corporation	false	452815722
UPPER CHESAPEAKE HEALTH VENTURES INC
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	HEALTHCARE	MD	NA	C Corporation	false	522031264
UPPER CHESAPEAKE MEDICAL CENTER LAND CON
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	REAL ESTATE	MD	NA	C Corporation	false	770674478
UPPER CHESAPEAKE MEDICAL OFFICE BUILDING
520 UPPER CHESAPEAKE DR	BEL AIR	MD	21014	REAL ESTATE	MD	NA	C Corporation	false	521946829
SHORE ORTHOPEDICS INC
219 S WASHINGTON STREET	EASTON	MD	21601	HEALTHCARE	MD	NA	C Corporation	false	371817262
MADISON MANOR INC
5801 42ND AVE	HYATTSVILLE	MD	20781	HEALTHCARE	MD	NA	C Corporation	false	521269059
AFFILIATED ENTERPRISES INC
901 Harry S Truman Dr N	Upper Marlboro	MD	20785	HEALTHCARE	MD	NA	C Corporation	false	521542144
RIVERSIDE HEALTH OF DELAWARE INC
900 Elkridge Landing Rd	Linthicum	MD	21090	HEALTHCARE	DE	NA	C Corporation	false	463205820
RIVERSIDE HEALTH OF DC INC
900 Elkridge Landing Rd	Linthicum	MD	21090	HEALTHCARE	DC	NA	C Corporation	false	461411713

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	Yes (true)	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	Yes (true)	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	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd