2021-05-14T13:07:44-05:00 2020-06-30 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVE NW WASHINGTON DC 20005 990 2019-07-01 520591484 Harford Memorial Hospital Inc HARF 4436431000 501 South Union Ave Havre De Grace MD 21078 Marco Priolo CFO 2021-05-14 true JUSTIN LOWE P01866796 2023276000 2019 2022-09-23 18:48:47Z LYLE E SHELDON 501 South Union Ave Havre De Grace MD 21078 131856910 false X WWW.UMMS.ORG/UCH X 1911 MD SEE SCHEDULE O. 21 14 941 222 0 0 65649 6164295 97200139 89506081 2349586 1835815 438555 251400 100053929 97757591 126000 0 0 0 53797556 52557438 0 0 0 40265034 40240899 94188590 92798337 5865339 4959254 150320120 204952590 49389449 99514182 100930671 105438408 AN ACUTE CARE, NON-PROFIT HOSPITAL, HARFORD MEMORIAL HOSPITAL OFFERS A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC, AND EMERGENCY CARE SERVICES. THE HOSPITAL HAS A STATE-OF-THE-ART ICU/PCU AND A BUSY EMERGENCY DEPARTMENT THAT CARES FOR OVER 50,000 PATIENTS A YEAR. HARFORD MEMORIAL OFFERS SPECIALIZED, HOSPITAL-BASED SERVICES, INCLUDING A BARIATRIC SURGERY PROGRAM, ANTICOAGULATION MANAGEMENT, CENTER FOR WOUND CARE, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, JOINT CENTER FOR HIP AND KNEE REPLACEMENT, AND A SLEEP DISORDER CENTER. false false 64727110 0 89506081 PROVIDING HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTHCARE. ITS TWO HOSPITALS, HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER OFFER SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY, AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES, AND TO HOMES. UPPER CHESAPEAKE MEDICAL CENTER IS A MEMBER OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE MEDICAL CENTER (THE MEDICAL CENTER) IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE MEDICAL CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THIS PREMIER HEALTH CARE FACILITY INCORPORATES SEVERAL TRENDS THAT REFLECT HOW HEALTH CARE IS CHANGING, INCLUDING REORIENTATION TOWARDS OUTPATIENT CARE, MORE ACUTELY ILL PATIENTS IN THE HOSPITAL AND FLEXIBILITY FOR GROWTH AND CHANGE TO MEET OUR COMMUNITY'S FUTURE HEALTH CARE NEEDS. LOCATED ON THE MEDICAL CAMPUS IS THE UPPER CHESAPEAKE MEDICAL CENTER WITH 194 ACUTE CARE BEDS. ADJACENT TO THE MEDICAL CENTER IS THE AMBULATORY CARE CENTER OF HARFORD COUNTY, CONTAINING PHYSICIAN OFFICES, OUTPATIENT IMAGING AND LABORATORY PROCEDURES, OUTPATIENT PRE-ASSESSMENT TESTING AND ASSESSMENT, UPPER CHESAPEAKE CARDIOVASCULAR INSTITUTE, AND THE ADMINISTRATIVE OFFICES OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. ALSO LOCATED NEXT TO THE MEDICAL CENTER, IS A PRE-EXISTING MEDICAL OFFICE BUILDING WITH PHYSICIAN OFFICES AND OTHER HEALTHCARE RELATED SERVICES, A PARKING GARAGE AND A SECOND MEDICAL OFFICE BUILDING WHICH INCLUDES OUTPATIENT SERVICES AND PHYSICIAN OFFICES. HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER MAINTAIN CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCT MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS - SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS - HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES - FREE AND MOBILE CLINIC 64727110 true true false true false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false true false false false false true true false false false true 282 0 true 941 true false false false false false false false false false false false false X 21 14 false false false false true true true true true false false true true true true true true false false false MD X Marco Priolo 4436431000 520 UPPER CHESAPEAKE DRIVE STE 405 BEL AIR MD 21014 Bryan E Kelly CHAIRMAN 1.0 6.0 X X 0 0 0 Dennis Kurgansky MD SECRETARY 1.0 6.0 X X 0 0 0 Franklin J Hajek TREASURER 1.0 5.0 X X 0 0 0 James M Harkins VICE CHAIRMAN 1.0 8.5 X X 0 0 0 Lyle E Sheldon President/Ceo 1.0 48.0 X X 0 1151844 40384 Adele A Wilzack RN MS DIRECTOR 1.0 7.0 X 0 0 0 ALBERT J A YOUNG ESQ DIRECTOR 1.0 5.0 X 0 0 0 DONALD W MATHIS DIRECTOR (ENDED 11/19) 1.0 5.0 X 0 0 0 JASON BIRNBAUM MD DIRECTOR 1.0 4.0 X 0 0 0 John W Ashworth III DIRECTOR (ENDED 11/19) 1.0 60.0 X 0 1717490 37155 LAWRENCE SCANLAN DIRECTOR 1.0 4.0 X 0 0 0 Lisa Thomas MD EX-OFFICIO, PHYSICIAN 1.0 4.0 X 0 0 0 MELINDA L CRAIG DIRECTOR 1.0 6.0 X 0 0 0 MICHAEL F ALLEN DIRECTOR 1.0 3.0 X 0 0 0 Mohan Suntha MD President/CEO, UMMS 1.0 60.0 X 0 2102885 40902 MUHAMMAD K JOKHADAR MD EX-OFFICIO, PHYSICIAN 1.0 43.0 X 0 403997 41289 R Bryan Kilby DIRECTOR 1.0 5.0 X 0 0 0 RAJIV GOEL ESQ DIRECTOR (ENDED 06/20) 1.0 5.0 X 0 0 0 Richard P Streett JR VMD DIRECTOR 1.0 6.0 X 0 0 0 S Michelle Lee Director 1.0 46.0 X 0 889963 27792 SHARON M LIPFORD DIRECTOR 1.0 3.0 X 0 0 0 TOBIAS MUSSER DIRECTOR 1.0 3.0 X 0 0 0 WILLIAM B ALLEN PHD DIRECTOR 1.0 6.0 X 0 0 0 WILLIAM J WARD JR DIRECTOR 1.0 5.0 X 0 0 0 STEPHEN V WITMAN SR VP/CFO 1.0 47.0 X 0 426001 76756 BEVERLY A WEHMER ASST VP - PATIENT SERVICES 40.0 0 X 176980 0 34201 BRANDON PHILLIPS NP-ADV PRACTICE CLINICAL LEAD 40.0 0 X 181913 0 33402 HAFSAH BHATTI PHYSICIAN ADVISOR 40.0 0 X 162747 0 34017 NICOLE N MCLEOD REGISTERED NURSE 40.0 0 X 235398 0 25585 RODNEY L KORNRUMPF REGIONAL EXECUTIVE DIR - BEH HEALTH 40.0 1.0 X 183600 0 22416 Joseph E Hoffman III Former CFO 0.0 43.0 X 0 987444 30280 940638 7679624 444179 86 true true false TEAM HEALTH HOLDINGS INC 265 BROOKVIEW CENTRE WAY Ste 400 KNOXVILLE TN 37934 Physician Fees 4244753 CROSS COUNTRY TRAVCORPS INC PO BOX 404674 ATLANTA GA 30384 AGENCY NURSING 2550072 PCCAB 501 Fairmount Avenue Suite 10 Towson MD 21286 Physician Fees 939270 Ramon Dejesus PO Box 845 Bel Air MD 21014 Physician Fees 647841 St Agnes Healthcare 900 Caton Ave Baltimore MD 21229 Physician Fees 477375 36 129351 6034944 6164295 NET PATIENT SERVICE REVENUE 621110 89506081 89506081 0 0 0 0 0 0 89506081 1119144 0 0 1119144 742298 0 802497 0 -60199 0 -60199 0 0 -60199 34013493 0 33296822 0 716671 0 716671 0 0 716671 CAFETERIA SALES/VENDING 722514 311599 0 0 311599 0 0 0 0 311599 97757591 89506081 0 2087215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42893406 32852184 10041222 0 0 0 0 0 6578848 5038759 1540089 0 3085184 2362951 722233 0 0 0 0 0 0 0 0 0 0 0 0 0 2376 0 2376 0 0 0 266329 0 266329 0 709818 0 709818 0 1525 0 1525 0 457304 13983 443321 0 0 0 0 0 0 0 0 0 4227073 770368 3456705 0 18854 5176 13678 0 0 0 0 0 56558 14863 41695 0 1132485 811990 320495 0 0 0 0 0 2791740 2010053 781687 0 1128768 812713 316055 0 MEDICAL SUPPLIES 6360945 6360945 0 0 Physician Fees 5078061 5078061 0 0 Bad Debt 4754192 4754192 0 0 Maintenance and Repairs 4588404 3303651 1284753 0 8666467 537221 8129246 0 92798337 64727110 28071227 0 9522206 30872377 5935458 9859228 0 0 0 0 2921844 3464603 2558653 727365 96586546 33465682 33569130 63120864 95812829 96908153 0 0 0 0 150320120 204952590 22747648 55099879 0 0 26641801 44414303 49389449 99514182 X 100930671 105438408 100930671 105438408 150320120 204952590 X 4959254 -521529 70012 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2376 2376 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization pays membership dues to the Maryland Hospital Association (MHA). MHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA reported that 3.08% 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. 8723600 8723600 12543187 9493670 3049517 475346 324861 150485 33045239 23647151 9398088 41799174 41799174 63120864 NOTE PAYABLE TO UMMS 22908267 ADVANCES FROM THIRD PARTY PAYORS 20089029 ASBESTOS RETIREMENT OBLIGATION 1179320 OTHER CURRENT LIABILITIES 237687 44414303 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. true true X true X true X true true false true true 1474327 0 1474327 0.0167 0 0.0 0 0.0 0 0 1474327 0 1474327 0.0167 971213 130218 840995 0.0096 381501 381501 0.0043 3480477 1118844 2361633 0.0268 404642 404642 0.0046 39836 39836 0.0005 0 0 5277669 1249062 4028607 0.0458 0 0 6751996 1249062 5502934 0.0625 0 0.0 3225 3225 0.0000 2185857 91868 2093989 0.0238 0 0.0 0 0.0 35998 35998 0.0004 0 0.0 0 0.0 0 0.0 0 0 2225080 91868 2133212 0.0242 true 3854223 0 32476972 28623277 3853695 X true true 1 1 HARFORD MEMORIAL HOSPITAL INC 501 SOUTH UNION AVENUE HAVRE DE GRACE MD 21078 WWW.UMMS.ORG/UCH 12-004 X X X 1 1 1 false false true X X X X X X X X X 18 true true true true X https://www.umms.org/uch/community X www.harfordcountyhealth.com X true 18 true https://www.umms.org/uch/community false true X 200.0 300.0 X X X X X true true X X X true X https://www.umms.org/uch/community X https://www.umms.org/uch/community X https://www.umms.org/uch/community X X X X X X true X false X X X X true X false false 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 - HARFORD MEMORIAL HOSPITAL, INC.. In order to gain a better understanding of the Harford County community, qualitative data was collected via the Local Health Improvement Coalition (LHIC) Community Forum meeting, as well as through a series of targeted focus groups. At the October 2017 LHIC Community Forum meeting twenty-eight stakeholder organizations representing diverse community interests discussed health and social determinants. These stakeholders provided particular insight into the challenges facing the medically under-served, low income, marginalized, and minority populations. LHIC Stakeholder Organizations A.M.E. Church ARS Health Bel Air Volunteer Fire Company Cancer Coalition Harford Community Action Agency Harford County Council Harford County Department of Community Services Harford County Department of Social Services Harford County Health Department Harford County Housing & Community Development Harford County Office on Aging Harford County Office on Drug Control Policy Harford County Office on Mental Health/Core Service Agency Harford County Planning & Zoning Harford County Public Schools Harford County Sheriff's Office Healthy Harford/ Healthy Cecil Inner County Outreach Maryland Department of Health Office of Cancer Prevention St. James A.M.E. Church St. Margaret's Parish Health Ministry Town of Bel Air Towson University University of Maryland Upper Chesapeake Health University of Maryland School of Law Legal Resource Center The Ward Y in Abingdon Y in Central Maryland In addition, four focus groups were convened to gather the input of targeted groups. These focus groups included members of faith-based organization, Emergency Medical System (EMS) personnel, participants from the EpiCenter (a community center in an impoverished and low-income minority community), and residents living with chronic disease. An online Community Survey of Harford County residents was conducted between October 2017 and February 2018. The survey was designed to assess health status, health risk and behaviors, preventative health practices, and health care access primarily related to chronic disease and injury. A total of 1,741 resident surveys were completed, representing the geographical, gender, and ethnic diversity of the community. Following the completion of the CHNA research, the health issues were prioritized and implementation plans were drafted with the help of 21 partners including health care providers, public health experts, health and human service agencies, and other community representatives. Prioritization Session Participants Nate Albright, UMUCH Clinical Service Line Patsy Astarita, UMUCH Kaufman Cancer Center Vickie Bands, UMUCH Community Health Improvement Erin Brown, UMUCH Stroke Center Mallory Canami, Harford County Health Department Leslie Clark, UMUCH Comprehensive Care Center Karen Hensley, UMUCH Women & Children Gary Hicks, UMUCH Education Bari Klein, Healthy Harford/Healthy Cecil Rod Kornrumpf, UMUCH Behavioral Health Mark Lewis, UMUCH Heart & Vascular Institute Sharon Lipford, Healthy Harford/Healthy Cecil Russ Moy, Harford County Health Department Debbie Ostrowski, UMUCH Diabetes & Endoctrine Christina Pedini, UMUCH Rehab Services Jerry Reyerson, Harford County Government Amber Shrodes, Harford County Community Services Julie Siejack, UMUCH Community Outreach Kimberly Theis, UMUCH Community Benefit Dina Willard, UMUCH Healthy Harford/Healthy Cecil Byron Young, Harford County Faith Based Community Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - HARFORD MEMORIAL HOSPITAL, INC.. HARFORD MEMORIAL HOSPITAL'S CHNA WAS CONDUCTED IN CONJUNCTION WITH ITS RELATED AFFILIATE HOSPITAL, UPPER CHESAPEAKE MEDICAL CENTER. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - HARFORD MEMORIAL HOSPITAL, INC.. THE HOSPITAL'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES AS FOLLOWS: HEALTHY HARFORD (A 501(C)(3) ORGANIZATION) AND HARFORD COUNTY HEALTH DEPARTMENT. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - HARFORD MEMORIAL HOSPITAL, INC.. University of Maryland Upper Chesapeake Health (UMUCH) have prioritized the following health concerns in order of importance: Behavioral Health, Prevention and Wellness, and Family Stability and Wellness. Key Findings Regarding the Prioritization of Behavioral Health, Prevention and Wellness, and Family Stability and Wellness Behavioral Health (Mental Health/Addictions): The suicide rate of a community is considered to be a key indicator of its mental health status. Harford County's rate of 12.3 per 100,000 population far exceeds the 9.2 rate for the state of Maryland. According to the Maryland Behavioral Risk Factor Surveillance System (BRFSS) for 2013-2015, 21% of Harford County residents have been diagnosed with depressive disorder, compared to 16.1% for the state. In addition, 18.2% of high school students reported that they have seriously considered attempting suicide. While approximately 96% of Harford County residents are insured, there is a notable lack of mental health care providers to meet community needs. As such, the Health Resources and Service Administration has designated all of Harford County as a Health Professional Shortage Area (HPSA) for mental health services. Since 2007, the number of drug and alcohol related intoxication deaths has more than doubled in both Maryland and Harford County. The numbers of drug related law enforcement incidents and overdose calls have also increased dramatically since 2011, by 57% and 95% respectively. Another indicator of the severity of the addiction problem in Harford County is the number of substance exposed newborns (SEN) born in the community. Between 2000 and 2016, Harford County has experienced an eight-fold increase in the rate of hospital encounters for newborns with maternal drug/alcohol exposure. This not only indicates an increase in substance abuse, but also a lack of treatment access. In response to Behavioral Health, the following actions are being taken: * Open Outpatient Behavioral Health Clinic * Open Behavioral Health Urgent Care Center * Open Behavioral Health Crisis Residential Beds * Wellness Action Teams of Cecil and Harford County (WATCH Program) to screen patients and their families for behavioral health issues and make appropriate referrals. * Develop clinical pathways for patients entering crisis center * Provide behavioral health support groups and Chronic Pain Self-Management classes * Provide education to internal team and Ashley Addiction Treatment on lateral violence (abuse in workplace by one employee to another, it includes both overt and covert acts of verbal and non-verbal aggression). * Provide education on co-occurring behavioral health/substance abuse issues and trauma informed care. * Provide educational classes specific to behavioral health: Mental Health First Aid, Question, Persuade, Refer (QPR) * Work with the Harford County Sheriff's Office to provide crisis management assistance as part of their Crisis Intervention and Crisis Negotiation Teams. * Participate on the Substance Exposed Newborn (SEN) Taskforce to develop policies and implementation plans to link pregnant women with substance use disorder to treatment. * Provide depression screenings (PHQ-9) at certain health events. Prevention and Wellness: As a whole, Harford County residents have access to a better food environment and greater access to exercise opportunities when compared to the state and the nation. Despite greater opportunities to engage in healthy behaviors regarding nutrition and exercise, Harford County adults are just as likely or more likely to be obese or overweight (72.4%) and physically inactive (26.3%) as the rest of the State. In addition, tobacco use is high among both adults (20.7%) and youth (16.9%) which correlates with high rates of chronic obstructive pulmonary disease (COPD) and lung cancer. Even more concerning is the high rate of students reporting they currently use electronic vapor products (24.6%), and the total percentage of students (32.1%) using any type of tobacco product (burned, smokeless, or electronic). Obesity, insufficient physical exercise, and tobacco use are some of the biggest drivers of preventable chronic diseases and increased risk for many health conditions. Obesity, often a symptom of diet and exercise, can have a tremendous impact on health and wellbeing. Black adults were almost twice as likely to be obese than White adults, and adults without a high school diploma were almost twice as likely to be obese than their college graduate counterparts. As such, minority and low income families are disproportionately negatively affected. The top five causes of death in Harford County are heart disease, cancer, chronic obstructive pulmonary disease, stroke, and accidents, which are consistent with the state and the nation. The role of accidents as the fifth leading cause of death is a relatively new phenomenon that could likely be attributed to the growing opioid epidemic and accidental overdoses, as well as an aging population. In response to Prevention and Wellness, the following actions are being taken: General: * Comprehensive CARE Center (CCC): Transition Nurse Navigation and Social Worker - to ensure continuity of care through education, disease management, medication and symptom review, and coordinate care with appropriate community resources including arrangement of transportation. CARE Center patients are assessed for needed services such as palliative care, Advance Directive and Maryland Medical Orders for Life-sustaining Treatment (MOLST) forms. * Cardiac Heart Failure (CHF) Shoprite Store Tour-Provides enhanced education on dietary needs and challenges to patients with CHF in our community. * Provide Chronic Disease Self-Management Program (CDSMP) * Provide community health and wellness education, health screenings, and outreach throughout the County. * Project Healthy Connect - a mobile screening and care coordination clinic for at-risk populations who are screened for depression, stroke, blood pressure and diabetes. * Work with local partners to create a more walkable, bikeable community. * Create and sustain access to Community gardens. Tobacco Use: * Provide tobacco cessation information to Harford County residents through Maryland Health Matters, UM CH website and social media, HealthLink Call Center, and Kaufman Cancer Center (KCC). * KCC will offer 4 six-week educational class series led by a certified Tobacco Cessation expert. These free classes are open to the community at large. The Harford County Health Department will provide nicotine replacement products to participants. * Provide education on smoking, tobacco use, and vaping at health events, business, schools and the faith based community throughout the County * Provide continual educational to the HealthLink Community Outreach nurses on existing programs, best practices and evidence based tobacco programs. Cancer: * Offer nurse navigation and social work services to assist all Harford County residents, with a diagnoses of cancer, free of charge with obtaining access to care for clinical services, diagnostic procedures, treatment and distress management due to their cancer, regardless of where they plan to receive their treatment. Cancer LifeNet Social Worker & Program Assistant coordinates scheduling of patients receiving care at the KCC and UMUCMC. * Provide annual cancer screenings (skin, adolescent melanoma, lung, colorectal, and oral head and neck). * Provide access to HPV vaccines to low income and uninsured age appropriate children (11-17) through school vaccine clinics. * Provide limited funding for those who do not have access to public transportation, MA transportation services, or when timely arrangement with Harford Transit or MA Transportation services is a barrier to patients receiving timely treatment. Provide free taxi and Harford Transit vouchers for buses as needed for those in financial need to assure access to care. * Provide coordinated care for patients in our community admitted to other acute care facilities and sub-acute care facilities to assure continuation of cancer treatment and minimize patients need for hospitalization and emergency department care. * Provide monthly support group meetings for the patient populations listed below. These programs are open to community regardless of where the patient is receiving treatment. The purpose of these groups are to provide expert speakers, education and support. * Blood Cancer Support Group * Breast Cancer Support Group * CLIMB-Children's Support Group * Head & Neck Cancer Support Group * Prostate Cancer Support Group * Look Good, Feel Better support group * Healing Through Support * Sponsor yearly free celebratory cancer survivor event. * Provide Cancer Thriving & Surviving Program - a six-week evidence based chronic disease management program for cancer survivors and their caregivers. Schedule H, Part V, Section B, Line 11 Facility 1, 2 Facility 1, 2 - HARFORD MEMORIAL HOSPITAL, INC.. * Provide Stay Fit & Active Program - The purpose of this program is to provide a modified exercise program for patients undergoing and recovering from cancer treatment. Class held 2x/week or 100 classes per year. Free and open to anyone impacted by cancer. * Provide Fresh + Local = Health Cooking demonstrations with nutrition education classes - 4x per year we will have a healthy cooking demonstration provided by a MD and RD to teach the community new and healthy ways to prepare fresh fruits and vegetables to promote healthy eating. * Provide Health & Wellness Coaching and Delivery of Survivorship Care Plans - Patients will have any opportunity to receive assistance of health & wellness coaches. At the end of cancer treatment, patients will also receive a written summary of their treatment along with a plan for surveillance, follow up and wellness self-care plan. * Provide services to assist patients undergoing cancer treatment with reducing distress and managing their wellness with the goal of overall wellbeing. * Meditation Classes * Mindfulness-based stress reduction classes * Yoga Classes * Master Gardening Classes for relaxation and wellness * Massage Therapy * Provide a free acupuncture clinic in which doctorate student interns, under the supervision of faculty from MUIH will provide free evidence-based acupuncture care to support patients in their distress-emotionally, symptom and side effect management. This clinic will be operational 2 or 3 days per week and provide approximately 15-20 treatments per week. * Provide HPV education to parents and age appropriate children regarding the need for HPV vaccination and that the vaccine prevents six types of cancer. * Provide HPV education to age appropriate college students (18-26) and the importance of receiving the HPV vaccination series for cancer prevention. * Provide physician pediatric, OB/GYN, and primary care physician offices with HPV vaccination information. Stroke: * Provide countywide Stroke Risk Assessments and Blood Pressure Screenings * Implement evidence-based clinical guidelines from American Heart Association/American Stroke Association in concert with State MIMS requirements at both UCMC and HMH. * Provide Stroke Survivors Support Group "Stroke Club". * Provide stroke education to EMS providers at UCMC First Friday's education hosted by the Emergency Department. * Provide on-site stroke training sessions with EMS providers at local Harford County fire companies. * Provide community stroke education sessions at UCH. Diabetes: * Provide care and monitoring of glucose levels to diabetic patients identified as having unrecognized. Hypoglycemia, nocturnal hypoglycemia or frequent episodes of hypoglycemia at no charge. * Provide countywide Diabetes Risk Assessments and HbA1c screenings * Provide annual diabetes health fair * Provide care management to uninsured diabetic patients to assure access to diabetic medications and needed diabetic services. * Provide follow-up phone calls after discharge from in-patient stay, to diabetic patients who have been identified during their in-patient stay as a high-risk patient in need of further education and support. * Provide patients at risk for unrecognized hypoglycemia a referral to a continuous glucose monitoring company. * Provide education regarding safety when hypoglycemia is unrecognized and information regarding continuous glucose monitoring for home use. * Provide access to diabetes support groups at local Senior Centers. * Provide evidence based chronic disease and diabetes self-management program to Harford County residents with diabetes and/or patients referred to Community Outreach for this program. * Provide diabetes support at UM UCH Diabetes Endocrine Center * Provide CDC evidence based Diabetes Prevention Program for Harford County residents at risk for diabetes. * Provide diabetes education and Diabetes Risk Assessments to community residents, community organizations and community partners. * Provide diabetes education and survival skill programs to identified at-risk diabetic patients. Heart Disease: * CHF program - individuals recently diagnosed with or re-hospitalized for Congestive Heart Failure (CHF) are referred to the CCC for management of their disease including medication education and review, disease process education, appointment coordination, and identification of other needed community services. * Monthly STEMI Process Action Team meeting - discussion of topics related to improvement of the procedures and care for the STEMI patient. Includes discussion of pre-hospital issues and involves representatives from Cecil, Harford, and Baltimore Counties EMS, as well as representatives from Hart to Heart, and the University of Maryland Express Care ambulance services. * Purchase LIFENET EKG transmitters for all ambulances in Harford and Cecil counties, for sending EKGs from the scene to the ED for interpretation by a physician and early activation of the STEMI team to reduce door to balloon time. * Coordinate UMUCH's participation in the Greater Baltimore American Heart Association (AHA) Heart and Stroke Walk, raising funds for research and education regarding reducing heart disease risk and mortality. * Heart Club - Monthly educational and support meetings for cardiac patients. * Lung Rangers- Monthly educational and support meetings for pulmonary patients. * Check, Change, Control program- In partnership with American Heart and Stroke Association, assist community members to sign up online for this program that promotes following blood pressure measurements, to be sure members know what their blood pressure is so that they can determine the need to make lifestyle changes to improve their blood pressure and/or to see their physician. * Evidence based classes: CDSMP * Provide spring trauma symposium for Harford and Cecil County EMS personnel. Education is provided on specific diseases and/or clinical issues of interest and need so EMS is educated and remain competent and trained to manage emergencies. * Provide and manage website, which includes the HeartAware risk assessment tool, as well as information on signs of a heart attack, shopping guide for heart healthy foods and tips on preventing heart disease. * Provide community health and wellness education addressing risk factors for cardiovascular disease. * Provide community health screenings, including blood pressure, cholesterol, HbA1c, and vascular, throughout the County. Schedule H, Part V, Section B, Line 11 Facility 1, 3 Facility 1, 3 - HARFORD MEMORIAL HOSPITAL, INC.. Respiratory Diseases: * Chronic Obstructed Pulmonary Disease (COPD) Disease program- individuals recently diagnosed with or re-hospitalized for COPD are referred to the CCC for disease management including medication education and review, symptom management, MDI and nebulizer education, disease education, appointments coordination and identification of additional needed services in the community. * Create Asthma treatment algorithm using Meter Dose Inhaler (MDI) * Provide Pulmonary Rehabilitation Program for patients with a diagnoses of chronic lung disease. * Provide MDI vs. Nebulizer education for patients, families, community Pediatricians, and the school system. * Evidence based program: CDSMP Injury and Prevention/Falls: * Provide Community Falls Risk Screenings * Provide evidence based falls prevention program: Stepping On Program. * Provide fall risk education during Community fall risk screenings. * Physical Therapist in the Emergency Department at UCMC (NEW position April 2018) * Development of Osteoporosis Program to enhance follow up for bone density screenings for patients with osteopenia or osteoporosis. * Increase advertising for car seat check events. * Provide monthly car seat checks. * Identify opportunities and provide car seat safety education in the community. * Explore the possibility of adding a car seat check event each month * Offer Child Passenger Technician training to those interested. * Support current technicians in maintaining their certifications. * Host bike rodeos and bike/helmet giveaways events. * Provide annual flu vaccinations throughout the County at various locations with a focus on the senior population. Family Health and Resiliency: While the majority of babies in Harford County are born into married families (69.4%) to mothers over the age of 20 (96.5%), there are significant ethnic and racial disparities. Most concerning is the significantly higher number of low birth weight babies born to Black women (12.1%) as compared to White (7.6%), and the 2.5 times higher rate of infant mortality for Black babies (14.4 per 1,000 births) as compared to White (4.8 per 1,000 births). The percentage of mothers receiving prenatal care in the first trimester in Harford County is 71.%, however when broken down along racial and ethnic lines the percentage of non-White mothers receiving prenatal care in the first trimester is significantly lower. According to 2016 Maryland Vital Statistics, 74.8% of White women received prenatal care in the first trimester, while only 59.7% of Black women and 60.3% of Hispanic women did. The lack of prenatal care and the potentially negative health outcomes for newborns can have long lasting detrimental developmental effects, including school readiness and long-term health complications. While Harford County's violent crime and property crime rate are much lower than the state rate, crime and the resulting incarceration disproportionally affect low-income areas. In Harford County, the city of Aberdeen, one of the community's lowest income areas, has a significantly higher rate of overall and violent crime rate than the surrounding municipalities. In response to Family Health and Resiliency, the following actions are being taken: * Link pregnant patients to needed resources (i.e. Treatment Facilities, Care Coordination Programs, and DSS). * Provide education regarding substance exposed newborn postnatal treatment needs and experiences to treatment providers. Engage Harford County Health Department, Peer Recovery Specialists, OB Providers * Increased access to clinical and psycho/social services for uninsured, homeless, and marginal populations throughout the County as participant in Project Homeless Connect. * Improve health and wellbeing of high risk and rising risk Medicare population through intense care coordination and home visiting through WATCH team. * Provide ACEs training throughout Harford County. * Provide Advance Directive classes, linkages, education and assistance. * Participate in Cherish the Child, Trauma Conference * Provide community educational presentations related to nutrition and lifestyles and how they can improve family health and resiliency. * Improve linkages for appropriate housing and housing renovations through BHabitat for Humanity Housing Partnership * Improve trauma response for reduced ACE scores through Handle with Care policy for children who have experienced trauma return to school. For the full implementation strategy, please visit https://www.umms.org/uch/community/assessment-and-implementation-plan Drug exposed newborns (Behavioral Health) and mental health and additional are identified needs that are addressed collaboratively with numerous community partners. While UMUCH has taken the lead in addressing mental health and addition, numerous county organizations partnered with UMUCH to address these initiatives. Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - HARFORD MEMORIAL HOSPITAL, INC.. THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS. 0 Schedule H, Part I, Line 6b COMMUNITY BENEFIT REPORT THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE REPORT CAN BE FOUND AT: HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPX. Schedule H, Part VI, Line 4 Community Information The following is a summary description of the community that UMUCH serves as described in our Community Health Needs Assessment and Community Benefit Implementation Plan. A more detailed description, including maps and data tables, can be found in our Community Health Needs Assessment available at: https://www.umms.org/uch/community/assessment-and-implementation-plan In 2017, the total population of Harford County was estimated to be 250,132, which was an increase of 2.16% from 2010 (244,826). The county is located in the northeastern part of the state, with the towns and cities of varying sizes, wealth, and diversity. Bel Air is Harford's county seat, home to roughly 10,139 residents, or 4% of the county's population. The cities of Aberdeen and Havre de Grace each make up approximately 9% and 7%, respectively. The remaining 80% of the county's population is mostly distributed along the Route 40 corridor and in rural parts of the county. The median age in Harford County is 40.6 overall, with the age category containing the largest percentage of the population being adults ages 50-54. The distribution of the population is close to the distribution of age and sex in the United States, although the county has a slightly lower percentage of younger people and a higher percentage of middle-aged adults. There is substantial variation in the levels of racial and ethnic diversity across Harford County. While whites make up the majority of Harford County's population, the percentages of African Americans and Hispanic/Latino residents are increasing in both Edgewood and Aberdeen. Since 2010, the populations of these two zip codes have started to more closely reflect the demographics found across the state of Maryland, while the racial composition of Havre de Grace has remained relatively stable over time. Seven percent of Harford County residents reported speaking a language other than English at home. When compared to the United States, Maryland is a wealthy state, with a median household income ($78,916), well above the nation's ($61,372). Harford County is one of Maryland's wealthier jurisdictions, with a median household income of $83,445. However, the county's higher income is not distributed equally across the county: the three municipalities in Harford County have vastly different median incomes, with the city of Aberdeen having the lowest ($60,489), followed by Havre de Grace ($76,416) and Bel Air ($85,798) (U.S. Census Bureau, 2017 American Community Survey 5-year estimates). Percentages provided in the 2008-2010 American Community Survey, 3-year estimates (U.S. Census Bureau) indicate that the poverty rate in Harford County families has increased, climbing from 4% to 5.4%, in line with an increase in Maryland's poverty rate (5.7% to the recent estimate of 6.6%) (U.S. Census Bureau, 2017 American Community Survey 5-year estimates). Harford County poverty rates for White and Black families are starkly different: the percentage of families with a householder who is White has an estimated poverty level of 5.1% while families with a Black or African American householder has a poverty level of 14.3% (U.S. Census Bureau, 2011-2015 American Community Survey 5-Year Estimates). The disparity in household incomes in Harford County and the cities of Aberdeen and Havre de Grace is consistent with the percentage of families whose income is below the poverty level. Both in Maryland and in Harford County, poverty rates are highest in families headed by a female and for families with related children under 18 years of age. Harford County has a slightly higher poverty rate among families with a female head when compared to Maryland, and a slightly lower rate for people age 65 and over. Poverty rates for families are distributed unequally across the county, with almost a third of families with a female head and close to one quarter of related children below the poverty level in Aberdeen. The poverty rates in Harford County are reflected in the percentage of families receiving food stamps, with Aberdeen having the highest percentage of families and the town of Bel Air having the lowest. The percentage of households in Harford County receiving food stamps has increased by 3% since the 2008-2010 American Community Survey; 3-year estimates (U.S. Census Bureau) reported that 5% of Harford County households were food stamp recipients, consistent with the increase in the poverty level in the County. Harford County Public School District has 54 schools, including seven Title I elementary schools, with the mission to ensure academic achievement for at-risk students attending schools in high poverty areas. All seven are located in the southern portion of the County: three in Aberdeen, and one each in Edgewood, Havre de Grace, Joppa, and Abingdon (http://www.hcps.org/schools/). Harford County Public Schools had a total of 37,780 students in the 2017-2018 school year. The high school graduation rate was 88.94%, slightly higher than Maryland's rate of 87.12% (http://reportcard.msde.maryland.gov/). According to Schooldigger, an organization that calculates school rankings based on test scores released by the Maryland Department of Education, Harford County Public Schools ranked 11th best out of the 24 public school systems in Maryland in 2017. This was a drop from 5th best in 2015 (https://www.schooldigger.com/go/MD/districtrank.aspx). In 2017, 92.9% of people 25 years and over in Harford County had at least graduated from high school and 35.2% had a bachelor's degree or higher. An estimated 7.1% did not complete high school. In comparison, in the town with the highest level of poverty, Aberdeen, an estimated 11.9% did not complete high school, and only 14.2% had bachelor's degree. In Harford County, 64.4% of the population age 16 and over was employed; 31.2% were not currently in the labor force. An estimated 74.9% of the people employed were private wage and salary workers; 20.9% were federal, state, or local government workers; and 2.7% were self-employed in their own (not incorporated) business (U.S. Census Bureau, 2013-2017 American Community Survey). While the median value of homes in Harford County ($281,400) is only slightly less than Maryland's ($296,500), the difference when considering housing prices by zip code is dramatic. Prices range from below the state value in the Edgewood area, where the median home value is $163,300, to well above the state in the Monkton area, where the median home costs $517,400. Transportation is also a concern in many parts of the county, especially for seniors, youth, and low-income individuals in the rural areas of northern Harford County. Amenities such as shopping, entertainment, and health services are often far away, and there are few public transportation options. The bus service has limited hours and routes making it difficult for those without cars to access them. Data show that 1.6% of residents in the county have no access to a vehicle, with that number reaching 3.4% in Havre de Grace. In 2015, Harford County had an annual violent crime rate of 239 per 100,000 people, which is much lower than Maryland's rate of 471. Similarly, the rate of property crime in Harford County was lower than the state's at 1,257 per 100,000 when compared to Maryland's rate of 2,395. While the overall crimes rates in both Harford County and Maryland have decreased since 2011, it is important to note that the violent crime rate in Aberdeen (503.1) is significantly higher than the county's as a whole, illustrating the inequity in living conditions for families residing in this area. Despite the dramatic decreases in both violent crime and property crime in Harford County and throughout the state, the number of drug-related incidents reported by the Harford County Sheriff's Office has increased by 80% from 2011 to 2017. This growing trend has shifted the focus of law enforcement to combat the drug crisis in Harford County. In Harford County, most residents have access to grocery stores where healthy foods are available. According to the 2017 County Health Rankings, which provides a measure of "Limited Access to Healthy Foods," 97% of residents live close to a grocery store, with only 4% or an estimated 10,041 people having limited access to healthy food. This measure is based on the percentage of the population that is low income and does not live close to a grocery store. While access to grocery stores is not a problem for most Harford County residents, many families require assistance in purchasing foods: 8.3 % or 20,760 of households in Harford County received food stamps from the Supplemental Nutrition Assistance Program in 2017 (U.S. Census, Fact Finder). A more pressing issue for a small percentage of Harford County residents is having an inadequate amount of food or "food insecurity" at some time during each year. Schedule H, Part VI, Line 4 Community Information Food insecurity is the USDA's measure of lack of access, at times, to enough food for an active, healthy life for all household members and limited or uncertain availability of nutritionally adequate foods. Per the USDA Food Environment Atlas, households experiencing food insecurity experience this condition, on average, in seven months of the year. It is estimated that in 2017 the food insecurity rate for the Harford County population was 8% or 20,082 people. This is less than Maryland's rate of 11%. In Harford County, the weekly food budget shortfall for food insecure people was $17.38 per person, per week in 2015. In summary, most Harford County residents have access to grocery stores to purchase healthy foods. However, a number of these residents face food insecurity at some time during the year, with healthy foods out of reach. According to the 2014-2016 Behavioral Risk Factor Surveillance Survey (BRFSS), 17.3% of Harford County adults reported that they currently smoked cigarettes every day or some days. Adults with annual incomes less than $15,000 were 5.7 times more likely to smoke than those with income at or above $75,000 in 2014. Educational attainment also correlated to smoking rates: adults without a high school diploma were 9.7 times more likely to smoke than college graduates according to the 2014 BRFSS. School-aged students were considered smokers if they smoked at least 1 cigarette or cigar in the past 30 days. The 2016 Youth Risk Behavior Surveillance System Survey (YRBS) found that the percentage of current smokers in Harford County high schools was 9.3% when compared to 16.9% in 2014. While this rate has decreased over time, the percentage of students reporting that they currently use electronic vapor products exceeded the number of current smokers at 14.3% according to the 2016 YRBS. The percentage of students using any type of tobacco products (cigarette, smokeless tobacco, cigar, or electronic vapor products) was 21.9% (2016 YRBS). Since 2007, the number of drug and alcohol-related intoxication deaths has more than doubled in both Maryland and Harford County. Notably, heroin and fentanyl have caused the largest increase in intoxication deaths due to the increasingly volatile nature of the chemicals being mixed into the local drug supply. The numbers of drug-related law enforcement incidents increased by 79% since 2011. In BRFSS data for 2014-2016, 15.04% of Harford County adults reported binge drinking in the past month and 4.0% reported being chronic drinkers (1-2 or more drinks per day), both of which are close to the state percentages. The percentage of high school students reporting binge drinking was higher than the adult's: 15.6% of Harford County high school students reported being binge drinkers in 2016. According to the 2016 BRFSS, Harford County's obesity rate was 34.9%, which was higher than the state's (28.6%). Several factors were shown to increase a person's chance of obesity including income, race, and educational attainment. Black adults were almost twice as likely to be obese when compared to white adults, a disparity that is much more evident in Harford County than the state as a whole in the 2015 BRFSS, but this gap had been significantly reduced in the 2016 assessment. In the 2015 BRFF assessment, adults without a high school diploma were also almost twice as likely to be obese than their college graduate counterparts. Adults making over $75,000 annually were slightly less likely to be obese than adults making less than $15,000. Data from the Maryland Vital Statistics Administration indicate that the top three leading causes of death in Maryland include heart disease, cancer, and cerebrovascular disease (stroke). The role of accidents as the fourth leading cause of death is a relatively new phenomenon that could likely be attributed to the growing opioid epidemic and accidental overdoses. Harford County's leading causes of death do not mirror the state's. The county's three leading causes of death include heart disease, cancer, and chronic obstructive pulmonary disease (COPD). The state's three leading causes of death include heart disease, cancer, and cerebrovascular disease. In addition, between 2014 and 2016 the number of years of potential life lost in Harford County was 5,800 per 100,000 population when compared to 6,500 for the state of Maryland. For African Americans in Harford County, that number increased to 7,600 years of life lost. The rate for emergency department (ED) visits in Maryland was 353.2 per 1,000 residents in 2016. Harford County's rate was slightly lower at 316.1. When each zip code was examined individually, it was found that the zip codes with the highest ED visit rates were Aberdeen (580), Edgewood (502), and Havre de Grace (460), all of which were well above the state and county averages. Using the Centers for Medicare and Medicaid Service's definition of chronic conditions, 2016 data for Harford County indicated that the three most common conditions associated with ED visits were hypertension, tobacco use, and hyperlipidemia (high concentration of fats or lipids in a patient's blood). Havre de Grace's top three chronic disease indicators were the same as those recorded for the county. However, while Aberdeen and Edgewood had tobacco use and hypertension as their leading indicators, the third and fourth highest indicators were depressive disorders and asthma, respectively, which suggest that these conditions were not being successfully treated on an outpatient basis. Cancer mortality rates are also worse in Harford County than for the State of Maryland. While the state's mortality rates have steadily declined over time, Harford County's rate has only slightly decreased. Harford County rates are the same or worse for every cancer type when compared both locally and nationally. In addition to higher rates of cancer in the county, racial disparities among whites and blacks exist for three types of cancers; lung cancer, colorectal cancer, and prostate cancer that have positive outcomes when screening occurs regularly. Harford County adults have been shown to have a higher percentage of several vascular diseases when compared to Maryland adults. The percentage of Harford County adults diagnosed with stroke is slightly higher than the state's percentage. For other chronic conditions such as diabetes, asthma, Chronic Obstructive Pulmonary Disease (COPD), hypertension, and high cholesterol, the prevalence of each of these conditions is higher in Harford County than in the state, with the exception of diabetes. A notifiable disease is any condition that, when identified in a patient, is required to be reported to the government so that its incidence can be monitored for potential outbreaks and clustering. In Maryland, there are 86 notifiable diseases that are reported to the Centers for Disease Control (CDC). Of those diseases, the highest case rates in Harford County were observed for chlamydia, Lyme disease, gonorrhea, salmonellosis (salmonella), and aseptic meningitis. Harford County's Lyme disease rate is much higher than the state rate. In addition, 24 Harford County residents were diagnosed with HIV in 2017. In 2017 there were 2,623 live births in Harford County. Maternal characteristics and birth outcomes in Harford County vary by race, indicating health disparities exist for mothers and babies for racial and ethnic minorities. The infant mortality rate for blacks in the county is more than three times higher than the rate for all races combined. mother's well-being before, during, and after pregnancy can affect the health of a child from infancy to adulthood. The percentage of births to mothers receiving prenatal care in the first trimester of pregnancy was 74.9%, which was high when compared to Maryland's (66.2%). Births to mothers under the age of 20 made up only 2.6% of births in the county, while births to unmarried mothers made up 32.0% of births. According to County Health Rankings data for 2018, the overall death rate from injuries in Harford County per 100,000 population was 66, which was slightly higher than the rate for Maryland (64). The rate of motor vehicle crash deaths was 10 per 100,000 in Harford County and 9 in Maryland. In addition, the percentage of motor vehicle deaths in which alcohol-impairment was the primary factor was higher in Maryland at 30%, than the 21% for Harford County deaths. Intentional injuries from suicide and homicide accounted for 1.6% of deaths in Harford County in 2017 and unintentional injury deaths accounted for 7.4%. While injury deaths from motor vehicle accidents have decreased over the past ten years, deaths from intentional self-harm (suicide), poisoning, and falls have continued to increase throughout the state. Schedule H, Part VI, Line 4 Community Information The Maryland BRFSS data for 2014-2016 indicates that 21.4% of Harford County residents have been diagnosed with depressive disorder, compared to 15.6% for the state. In addition, hospital data made available by the Chesapeake Regional Information System for our Patients (CRISP) reporting system, which serves as a regional health information exchange for Maryland, Virginia, West Virginia, and the District of Columbia, indicates that the rates of hospitalizations and emergency department visits for mental health-related conditions are similar in Harford County and the state of Maryland, but geographic disparities appear in the three zip codes with the highest need index for the county. The need index is based on the Community Need Index developed by Dignity Health in 2004. According to the 2014 and 2016 Maryland Youth Risk Behavior Survey, the percentage of students who reported feeling sad or hopeless for more than two weeks in a row climbed 33.3% between the first year of middle school and the senior year of high school. The percentage of high school students who seriously considered committing suicide was 18.2 % while 14.4% made a plan for how they would commit suicide. Access to health insurance coverage has remained strong in Harford County with the expansion of Medicaid eligibility and implementation of the Maryland Health Exchange for Qualified Health Plans under the Affordable Care Act. In 2017, the percentage of uninsured adults was just 3.9% compared to Maryland's 9% according to the U.S. Census Bureau. However, the following disparities arise by zip code, age, sex, race, and educational attainment. Notice that the following characteristics make adults less likely to have health insurance coverage: 18 to 24 years of age, male, Hispanic, and less than a high school degree. Populations with the highest uninsured rates live in Aberdeen (21001) and Edgewood (21040). In the 2014-2016 BRFSS, 88.5% of Harford County residents reported having a person that they think of as their personal doctor or health care provider, higher than the state percentage of 85.05%. Responses to the 2016 BRFSS indicate that more Harford County residents have had routine health checkups in the last year (79.05%) than Maryland residents (75.79%). However, in the 2014-2016 BRFSS, 9.1% of Harford County residents reported needing to see a doctor but not being able to because of a cost barrier. In 2014 the two most reported reasons for delaying medical care included not being able to get an appointment soon enough (9.1%) and not having transportation to reach an appointment (8.3%), according to the Maryland BRFSS. Data below shows that Hispanics were almost 10 times more likely than whites to report transportation as a barrier to receiving care. According to the Maryland Department of Health's Health Resources and Services Administration, a portion in Edgewood, Harford County is considered a Health Professional Shortage Areas (HPSA) for primary care. While most mental health and substance use disorders can be treated successfully, many who suffer from these diseases do not receive the care they need. The Health Resources and Services Administration designated all of Harford County as a Health Professional Shortage Area (HPSA) for mental health services. This designation means that the need for mental health services far outweighs their availability. The Maryland Department of Health's Behavioral Health Administration compares each Maryland County's Opioid Treatment Program (OTP) capacity to the estimated need in that county. In 2015 Harford County's estimated need was 2,570 patients. In comparison, existing capacity could only serve 1,687 patients, leaving about 883 persons in need. In addition, data from County Health Rankings show that in 2016, Harford County's mental health provider ratio was 740:1. This is much higher than Maryland's ratio of 490:1. United States counties in the 90th percentile for this measure report ratios closer to 360:1 for mental health providers. Another indicator that suggests limited access to substance abuse treatment is the rate of substance-exposed newborns. Data shows a 677% increase in the rate of hospital encounters for newborns with maternal drug/alcohol exposure for Harford County and Maryland between 2000 and 2017. Access to affordable dental care is critical to ensuring good oral health. The ratio of dentists to population is lower in Harford County in 2017 than for the state as a whole: 1 dentist for every 1,590 people in the county as compared to 1 to 1,320 in the state. Harford County has a lack of dentists in the southern area, which has been designated as a Health Professional Shortage Area (HPSA) for dental health. Data for 2014-2016 from the Maryland BRFSS showed that 70.6% of adults in Harford County reported visiting the dentist in the past year, a figure that was in line with the state (70.3%). In addition, 6.7% reported that their last dental visit was over 5 years ago. Schedule H, Part VI, Line 5 Promotion of Community Health UMUCH aims to strengthen our community through promoting health and wellness with our outreach program, Community Outreach. Community Outreach is dedicated to promoting health and wellness outside of the hospital and to increasing the quality of life in Harford County. Focusing on prevention and improving health outcomes, we provide an expansive variety of health education, screenings, lifestyle management classes and information on referrals and local resources. We promote our programs through various social media outlets, including Facebook, Instagram and Twitter. In addition, we distribute a quarterly publication, "Maryland Health Matters", have an up-to-date calendar of events on our website, targeted direct mailing and emails and distribute flyers throughout Harford County focusing on areas of interest such as, senior centers, libraries, churches, grocery stores to name a few. In 2019, Community Outreach had over 19,000 community-wide contacts through their screening and educational programs, flu vaccination clinics, and support groups. Harford County is a diverse community with approximately 25% of the population being 55 years old or older. With senior citizens making up a quarter of the community and being the population that utilizes a large proportion of health care services, our community programs are centered around their specific needs, helping to ensure successful and healthy senior living. Senior Center/Senior Housing/Assisted Living Programs Community Outreach provided 1,663 screenings to Harford County seniors at five senior activity center locations to include Edgewood, Fallston, Havre de Grace, Highland and Bel Air. In addition, to all senior housing centers including Aberdeen Court, Abingdon Gardens, Fairbrooke, St. Johns commons, St. Johns Towers, Aberdeen and Perryman as well as Parkview at Box Hill, Parkview at Bel Air and Avondale Assisted Living Facilities. Throughout the year, many different health screenings were held during certain months at each senior location and provided: - 763 blood pressure screenings - 147 cholesterol screenings. - 22 diabetes risk assessments - 2 Hemoglobin A1c screenings - 30 osteoporosis screenings - 25 sleep disorder screenings - 68 fall risk education - 91 skin analyzer machine screenings - 95 nutrition education - 628 flu vaccinations - Stepping On classes - An evidence based program for people 65 and over was offered at 4 senior activity centers. The program offers older people a way of reducing falls and at the same time increasing self confidence in situations where they are at risk for falling. Each class had approximately 11 participants for a total of 30 participants. - Stepping Up Your Nutrition classes - a one-time 2.5-hour session for people who are interested in improving their nutrition and strength. This session is designed to help people understand the connection between nutrition and preventing falls. These classes took place before each of the 3 Stepping On classes with a total of 36 participants. - Diabetes Support Group - monthly support groups took place in two senior activity centers: Edgewood and Bel Air with a total of 61 participants. Children's Programs Some of the best habits are established when we are young, making childhood a great time to educate kids about the importance of caring for themselves. We know that good health and nutrition are important, but they are also essential to children's overall development and well-being. At UM Upper Chesapeake Health, our Community Outreach team provides many educational programs to promote healthy lifestyles and encourage our county's youngest population to develop good habits and live healthier lives. * A total of 289 children were involved with our Glo Germ Program. This is a program teaches children how to prevent the spread of germs by showing them how, when and why it is so important to wash their hands. Approximately 702 children were exposed to one of our programs that teaches children and young adults about the dangers of smoking and secondhand smoked. These programs provide educational materials, hands-on exhibits and realistic examples of how tobacco use harms their health. These programs include KATU (Kids Against Tobacco Use), Smoking Out the Truth, Toxic Soup, and Vaping Education There were approximately 186 children who attended our Teddy Bear Clinics at many of the Harford County elementary public schools. This is an interactive program that familiarizes children with the hospital experience and presents information on child safety. Another popular program, How Sweet It Is, was taken out into the community and over 240 children and adults were exposed to this program. The focus of this program is to educate children and adults on the sugar content in many of their favorite drinks including juice boxes, sports drinks, soda, flavored water, and popular coffee drinks A total of 163 children participated in the Activity Wheel and Health Wheel, which are education tools developed by community outreach that allows participants to test their knowledge on health, exercise and activity. Vision and Hearing screenings were provided to approximately 585 pre-school and school aged children. One of the most important jobs parents have is keeping their child safe while riding in a car. Tragically, thousands of young children are killed or injured every year in car accidents. Proper use of car safety seats can help keep children safe - but with so many different car seat options on the market, parents can quickly become overwhelmed. Not only does the community outreach team at UMUCH provide education on choosing the correct seat, they teach parents and caregivers how to properly install the seat as well. UMUCH has five team members who are nationally certified car safety technicians and one who has been specially trained to fit children with disabilities to the proper safety seat. At bi-monthly car safety seat checks, technicians review installation of infant, child and booster seats. Proper seat fitting and use is crucial, and safety checks are the best way to ensure seats are being used correctly. Our technicians also support Maryland's Kids in Safety Seats (KISS) program at their installation checks offered throughout Harford County. In FY20, UMUCH technicians have participated in over 165 car seat safety checks. The UMUCH program continues to grow and has become one of our busiest and most sought after community offerings. In addition to car seat safety, our community outreach team also manages Harford County's car seat assistance program that helps low-income families purchase car safety seats. Based on income, families with demonstrated need are able to receive a new car safety seat for little to no money. The program requires each family to have 60 minutes of car safety seat education which covers proper seat installation and Maryland car seat laws. Chronic Disease and Wellness Evidence Based Programs With the ever-growing number of people who suffer from chronic diseases, the search for more effective strategies to both prevent and manage these conditions is essential. The use of evidence-based chronic disease self-management programs (CDSMP) is helping people with chronic conditions and their caregivers gain better control over and improve their health. These programs focus on overall health, quality of life and well-being and are designed for both the ill and healthy, empowering them to manage the many factors that affect their health. Facilitators introduce tools needed for daily life when an individual is battling a chronic condition or illness. Participants practice using self-management skills, focus on goal setting and share experiences which can help promote mutual support. Highly interactive, these programs serve as an adjunct to the care provided by primary care doctors and specialists. At UMUCH, a variety of self-management programs are offered by the experts in our Community Outreach department: * Diabetes Prevention Program -A lifestyle change yearlong program facilitated by trained lifestyle coaches to help individuals lose weight, eat healthier, increase physical activity and manage stress. The program consists of weekly and monthly sessions. The goal of the program is to have participants lose 5 to 7% of their body weight and increase their activity to 150 minutes per week. Two classes took place with approximately 11 adults attending each class. * Living Well with Chronic Disease Self-Management - Arthritis, high blood pressure, asthma, diabetes, fatigue and heart disease are just some of the chronic conditions many of us live with every day. Our free six-week program is designed to motivate participants and caregivers to make changes that will improve quality of life and help better manage these conditions. Two classes took place in libraries throughout the county to include Bel Air, Abingdon and Fallston. Schedule H, Part VI, Line 5 Promotion of Community Health A total of 16 adults participated in these classes. * Living Well with Diabetes Self-Management - designed for people with Type 1, Type 2, or Prediabetes, It is a free six-week program that teaches individuals how to manage their diabetes, ways to maintain or increase their activity level and how the food they eat can affect their blood sugar. Three classes were provided and included locations at a library, church and senior activity center. Approximately 13 adults participated in each location for a total of 39 participants. * Living Well with Chronic Pain Self-Management - This free six-week program helps participants better manage their chronic pain and help them feel better, move better and improve their quality of life. Two classes took place with 10 participants in each class for a total of 20 participants. Project Healthy Connect For the second year, UM Upper Chesapeake Health and Healthy Harford/Healthy Cecil partnered to launch Project Healthy Connect, an innovative program dedicated to reaching people in our communities who are isolated or who are at an elevated risk for health issues and social challenges. The goal is to move health care beyond the four walls of a hospital or a doctor's office and out into the community-connecting with people 'where they are.' Designed as a one-stop-shop offering multiple services, Project Healthy Connect hosts wellness sessions with free health assessments including blood pressure checks, depression, diabetes and stroke screenings as well as assistance with Medicaid enrollment. Sessions were hosted in approximately 11 easy to access community locations where people already go if they are facing eviction, have temporary shelter needs or need assistance with energy programs and job searches, this increased our ability to reach underprivileged individuals who may really be struggling. In addition to the wellness sessions, Project Healthy Connect includes a team of nurses, social workers and resource experts who travel in the HealthLink medical mobile van to specifically identified locations to conduct targeted outreach and health engagement. Through the program, we have been able to provide supportive health and wellness assistance to over 246 people and connected approximately 11 individuals with concrete resources, such as eye-glasses, hearing aids, dentures, medications and more. Project Healthy Connect is making a positive and meaningful contact with those who need it most, helping to build self-care skills and inspire better health and wellness. Underserved Area Program UMUCH's Community Outreach is dedicated to reaching out and providing services to our most vulnerable populations. On a monthly basis, we visit 8 separate locations and provide screenings, free flu shots and health education. These locations include soup kitchens and food pantries. In FY20, we served over 480 individuals. HealthLink Community Wellness Center In FY20, the HealthLink Community Wellness Center, which operates from the HealthLink Medical Mobile van had 25 residents participate in one of the available health screenings offered once a month. Health screenings offered are blood pressure, BMI and body fat analysis, cholesterol and heart disease risk assessment, stroke risk assessment, cancer screenings, diabetes risk assessments and hemoglobin (A1c), osteoporosis, sleep disorders, vascular, depression and vision and hearing. Flu Clinic Program UMUCH's longstanding flu clinic program was offered throughout the county free of charge or for a nominal fee. In FY20, community outreach administered 793 vaccines at 32 different locations. HealthLink Call Center The HealthLink Call Center is responsible for successfully managing large amounts of inbound and outbound calls focusing on physician referrals and registration for community outreach events and programs. In FY20, our call center handled approximately 3,160 calls. Breast-iful Plus+ Community Outreach and the Breast Center at UMUCH, in partnership with the National Coalition of 100 Black Women, Inc. (Anne Arundel Chapter), hosted Breast-iful Plus+, a special event in October empowering women of color to take charge of their breast health and more. While white women and women of color are diagnosed with breast cancer at about the same rate, black women have as much as a 40% higher risk of dying from the disease. Studies have also shown that women of color are prone to being diagnosed with more aggressive forms of breast cancer or may not be receiving a diagnosis until the disease has reached a more advanced stage. There are many reasons why breast cancer risks can vary by race and ethnicity: genetics, type of breast cancer and accessibility to care to name a few. Breast cancer affects more women in the U.S. than any other type of cancer, but all women can take steps to keep their risk as low as possible. The goal of our Breast Center team is reinforcing the message that regardless of race-it's important to be screened for breast cancer as recommended by your doctor. Breast-iful Plus+ is one of the ways we support that goal and address the breast health needs of our community. Over 60 women of color attended this event. Healthy Harford Healthy Harford/Healthy Cecil is the healthy communities' initiative of Harford and Cecil Counties, dedicated to the health and wellness of the northern Chesapeake community - in mind body and spirit. It was formed by leaders from UMUCH, the Harford County Health Department, and Harford County Government - Healthy Harford/Healthy Cecil is a coalition of local government agencies, businesses, nonprofits, and citizens dedicated to improving the health of Harford and Cecil County residents through education, policy changes, improvements in the built environment, increased access to care, and improved care coordination for people with chronic illness. Healthy Harford/Healthy Cecil is financially supported by UMUCH. * The Klein Family Harford Crisis Center - provides 24/7 care for mental health and addiction issues. From our hotline (1-800-NEXT-STEP) and mobile crisis team to the urgent care walk-in clinic and residential services, we offer immediate access to services in a safe and comfortable environment. This model is the first of its kind in the State. Cancer LifeNet Program UMUCH also provides a free support system for anyone in Harford County with cancer, no matter where they seek treatment with the Cancer LifeNet program. Offering navigation and support, Cancer LifeNet helps people cope with the physical, financial, psychological and emotional aspects of having cancer. Nurse navigators, social workers and other specialists work alongside people diagnosed with cancer to create a safe and nurturing environment and help them cope with each stage of their cancer journey. Specially trained and with years of experience, this incredible group of professionals really is a lifeline to many, caring not only for patients, but for their families as well. Through support groups, educational programs or just being nearby to talk, listen and comfort, they have supported over 718 individuals. Cancer Classes and Therapies: * Yoga - the practice of physical, mental and spiritual discipline that combines physical postures, breathing techniques and relaxation. 113 individuals participated in weekly 60-minute classes that was offered and is open to patients and survivors of all fitness levels. * Meditation - meditation and mindfulness training can make you feel better and have host of well-documented health benefits. 86 individuals attended a 30-minute drop-in meditation class, which is held weekly and is open to everyone. * Reiki - a healing method during which specially trained practitioners place their hands lightly upon or just above an individual with the goal of facilitating his or her own healing response. 34 individuals attended six free sessions. * Fresh + Local = Health - a healthy cooking demonstration using locally grown, organic and in-season produce. Held quarterly and offered to patients and caregivers, the demonstration is designed to introduce new and healthful ways to improve nutrition during and after cancer treatment. Approximately 51 participants attended each quarterly session. * Stay Fit & Active - exercise is a wonderful way to keep mobility and energy levels at their best while decreasing the side effects often related to cancer treatments and recovery. To maintain your energy and combat the side effects, we offer Stay Fit & Active, a low-impact fitness program for those undergoing or recently completing cancer treatment. The program is taught by an exercise specialist certified in oncology and includes goal planning, relaxation techniques and stretching exercises. These classes are offered monthly with approximate 126 individuals participating in FY20. Schedule H, Part VI, Line 5 Promotion of Community Health * Gardening Classes - in participation with the University of Maryland Extension, Harford County Master Gardeners offer gardening classes that are fun, educational and hands-on. 51 individuals attended classes and learned about growing vegetables, flowers, herbs, and participated in many other fun and healthy gardening activities. * Expressive Arts and other programs - throughout the year, we offer a variety of classes and fun experiences that are geared towards helping those impacted by cancer relax, experience joy and share a spirit of wellness. Classes include: Zentangles, Laugh Club and our Drumming Circle. * Acupuncture - acupuncture helps enhance your immune system and works to restore your body's natural functioning. It can be very helpful with a variety of conditions and symptoms that are often experienced in the course of cancer treatment. Offered through our partnership with Maryland University of Integrated Health (MUIH), 91 free acupuncture treatments were provided to individuals undergoing or recovering from cancer therapies. Cancer Support Groups and Programs: * Breast Cancer Support Group- support, information and understanding for women or men coping with breast cancer. Approximately 6 participants attended each monthly session. * Prostate Cancer Support Group - men and their partners discuss medical information, experiences and coping strategies in this professionally facilitated support group. Approximately 11 participants attended each monthly session. * Blood Cancer (Leukemia, Lymphoma and Myeloma) Support Group - monthly support group provided in collaboration with the Leukemia & Lymphoma Society, this group is open to adults and their family members affected by leukemia, lymphoma, myeloma and myelodysplastic syndrome. Approximately 7 participants attended each monthly session. * Head and Neck Cancer Support Group - offering the opportunity to share experiences and hear from health professionals specially trained in head, neck and/or oral cancers. Approximately 8 participants attended each monthly session. * Healing through Support - a supportive group for individuals coping with cancer and their caregivers, family and friends. Light dinner provided and registration is required. Approximately 9 participants attended each monthly session. * CLIMB - Children's Lives Include Moments of Bravery - a free six-week support program for children to help them cope when a family member has cancer. One class was provided in Fy20 with 7 participants. * Look Good Feel Better - helping people with cancer cope with the appearance-related side effects of their treatment. This program was offered bi-monthly with a total of 18 participants. * Cancer: Thriving and Surviving - a six-week class for cancer survivors with information on how to eat healthy, stay active, manage stress and emotions and much more. One class took place in FY20 with 11 participants. * Tobacco Cessation - six-session classes were offered two times in FY20 and patches given at no charge. Approximately 13 individuals attended each class. UMUCH 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 UCH REPORTS ON A REGULAR BASIS HOW IT IS INVESTING IN EFFORTS TO IMPROVE POPULATION HEALTH. UM UCH PROVIDES ON-GOING SERVICES THAT ARE FUNDAMENTAL TO ADDRESSING THE IDENTIFIED COMMUNITY HEALTH NEEDS THAT DEMONSTRATE THE EXTENT TO WHICH OUR COMMITMENT TO SERVE OUR COMMUNITY IS INTEGRATED INTO OUR CARE DELIVERY MODEL. WE HAVE A STRONG FOCUS ON TREATING PATIENTS WITH CHRONIC CONDITIONS. UM UPPER CHESAPEAKE HEALTH WORKS TO COORDINATE CARE, ENSURE SMOOTH TRANSITIONS AND PROMOTE DISEASE SELFMANAGEMENT STRATEGIES AT EVERY STEP OF A PATIENT'S JOURNEY - WHETHER AT HOME, IN THE COMMUNITY, OR WITHIN OUR HOSPITAL. WE OPERATE SPECIALIZED CLINICS TO ENABLE ACCESS TO ROUTINE OUTPATIENT CARE. OUR TRANSITIONAL CARE SERVICES HELP PATIENTS NEWLY DIAGNOSED OR THOSE THAT 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. AN URGENT CARE CENTER TO ADDRESS OFF HOURS VISITS AND LOW ACUITY EMERGENCIES IS ALSO AVAILABLE. OUR COUDAMIN CLINIC PROVIDES ANTICOAGULATION MEDICATION MANAGEMENT, SPECIFICALLY MANAGING AND MONITORING WARFARIN (COUMADIN) THERAPY UPON PHYSICIAN REFERRAL. IT ALSO PROVIDES PATIENTS WITH ONGOING MONITORING OF THEIR ANTICOAGULATION THERAPY TO ENSURE DESIRED OUTCOMES AND DECREASE ADVERSE EVENTS. UM UCH'S CONGESTIVE HEART FAILURE CLINIC PROVIDES SIMILAR DISEASE-SPECIFIC SERVICES. OUR CRISIS CENTER FOR BEHAVIORAL HEALTH WAS ESTABLISHED WITH THE KNOWLEDGE THAT MANY OF THE SERVICES ARE NOT REIMBURSABLE, BUT THAT THIS IS A CRITICAL NEED IN OUR COMMUNITIES. THIS CENTER PROVIDES A COMMUNITY ACCESS POINT FOR THOSE IN NEED OF OUTPATIENT MENTAL HEALTH SERVICES, SUBSTANCE ABUSE CARE AND RESIDENTIAL CRISIS BEDS. IT ALSO ALLOWS FOR SAFE AND WARM HANDOFFS FROM LAW ENFORCEMENT PERSONNEL. RESOURCES ARE EMBEDDED THROUGHOUT THE HOSPITAL AND IN THE COMMUNITY SO THAT EVERY PATIENT RECEIVES THE SAME LEVEL OF CARE COORDINATION. CARE MANAGERS ARE EMBEDDED WITHIN OUR EMERGENCY DEPARTMENT, COMMUNITY AND HOSPITAL, AND PROVIDE IN-HOME VISITS AS NEEDED. COMMUNITY HEALTH WORKERS REACH OUT TO PATIENTS WHO ARE IDENTIFIED AS BEING HIGH RISK FOR READMISSION OR IN NEED OF CRITICAL RESOURCES. CLOSE RELATIONSHIPS ARE MAINTAINED WITH SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES SO THAT TRANSFERS FROM THE HOSPITAL TO THESE FACILITIES ARE SMOOTH, AND THE HIGHEST QUALITY OF CARE IS CONSTANTLY DELIVERED. ADDITIONALLY, WE RECOGNIZE TRANSPORTATION ASSISTANCE IS A COMMON BARRIER FOR PATIENTS. WE ARE PROUDLY PARTNERED WITH LYFT, PROVIDING RIDES TO PATIENT FOLLOW UP 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 I, Line 7 Bad Debt Expense excluded from financial assistance calculation 4754192 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule H, Part II Community Building Activities Through a variety of community building activities, UMUCH promotes health and wellness in the communities it serves. These activities include community support, coalition building and community health improvement advocacy. UMUCH provides leadership to many community coalitions and collaborative partnerships to improve community health, which include, but are not limited to: Healthy Harford - the healthy communities initiative of Harford County, dedicated to the health and wellness of the northern Chesapeake community. Founded in 1993 as a non-profit 501c3 by leaders from University of Maryland Upper Chesapeake Health, the Harford County Health Department, and Harford County Government, Healthy Harford is a coalition of local government agencies, businesses, non-profits, and citizens dedicated to improving the health of Harford County residents through education, policy changes, improvements in the built environment, increased access to care, and improved care coordination for people with chronic illness. Healthy Harford's mission is to inspire and empower healthy people, healthy families, and healthy communities in mind, body, and spirit, with a focus of improving health and wellness in the Harford County region by promoting healthy lifestyles, building community partnerships, and proving care coordination. The Harford County Local Health Improvement Coalition (LHIC) - jointly led by the Harford County Health Department and UMUCH. This Coalition brings together representatives from the community every October to exam the health of our community and determine a plan for moving forward. Primary health improvement priorities for this Coalition include behavioral health, chronic disease prevention & wellness and family health & resiliency. The charge for each priority is then lead by a community workgroup. Each workgroup has strategic initiatives, action plans, and measurable goals. They meet either monthly or quarterly and report out at the Annual LHIC meeting. Other community coalitions that UMUCH plays an active role in include: Harford County Cancer Coalition, Suicide Prevention Workgroup, Overdose Fatality Review Team, Citizen Review Board for Children, and Harford County Child Fatality Review Board. All of these committees and coalition are collaborative efforts to address health issues and advocate for policies and programs that improve health in the communities we serve. 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 BECAUSE OF THIS SYSTEM, 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 HISTOICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE PATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT. Schedule H, Part V, Section B, Line 16a FAP website 1 - HARFORD MEMORIAL HOSPITAL, INC.: Line 16a URL: https://www.umms.org/uch/community; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - HARFORD MEMORIAL HOSPITAL, INC.: Line 16b URL: https://www.umms.org/uch/community; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - HARFORD MEMORIAL HOSPITAL, INC.: Line 16c URL: https://www.umms.org/uch/community; Schedule H, Part VI, Line 2 Needs assessment UMUCH assessed the health status of Harford County residents, as individuals and as population groups, and provided population comparisons to residents of Maryland and to the nation as a whole. We examined trends in health indicators of County residents over time, highlighting racial and geographic disparities, and identified areas of poverty and at-risk populations which provided a basis for our public health planning. Data in our assessment came from a variety of National and State sources, including, but not limited to, the United States Census Bureau, Maryland State Health Improvement Plan, Maryland Vital Statistics, the Maryland Behavioral Risk Factor Surveillance survey, the Injuries in Maryland report, and national County Health Rankings. The CHNA includes each of Harford County's 21 zip codes. In keeping with the UMUCH mission of maintaining and improving the health of the people in its communities and providing high quality care to all, the community benefit service area (CBSA) was identified as all of Harford County. The zip codes where the most vulnerable populations reside (21009, 21040, 21001, & 21078) were included in the assessment and represent the most concentrated areas of poverty within the county. It is important to note that pockets of concentrated poverty also exist within rural northern zip codes in Harford County. Identifying all of Harford County as the CBSA provides the opportunity to better address the needs of the vulnerable residents of Harford County. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Information regarding the Financial Assistance program/policy and the number for our patients to contact someone with questions or concerns are as follows: -Posted in registration areas (inpatient, emergency department, Kaufman Cancer Center, Family Birth Place, outpatient testing), waiting areas and by Cashier's offices -Offered to all Self Pay patients at the time of registration -Printed on the back of all patient financial statements -Posted on the UMUCH website -Offered by Billing Department when patients call inquiring about their hospital bill A Financial Counselor is available onsite to assist patients with applying for Financial Assistance. A representative from Hospital Support Services contacts all Self-Pay ED patients and Self Pay inpatients to assist the patient with applying for Medical Assistance. Our Financial Assistance policy is available in English and Spanish. The financial assistance policy for UMUCH is regularly reviewed and to make sure it is available to our patients in a variety of formats and that it is available in culturally/linguistically sensitive manner and at a reading comprehensive level appropriate to the population of our Community Benefit Service Area. 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), UMUCH 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, UMUCH assesses the community's health needs, identifies key priorities, and responds with services, programs and initiatives which 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. UMUCH is committed to health education, advocacy, community partnerships, and engaging programs which focus on health and wellness with the goal of eliminating health care disparities in the Harford County. Schedule H, Part VI, Line 7 State filing of community benefit report MD false true false false false false false true false Lyle E Sheldon President/Ceo 0 669455 0 193883 0 288506 0 11200 0 29184 0 1192228 0 0 John W Ashworth III DIRECTOR (ENDED 11/19) 0 899601 0 664660 0 153229 0 11200 0 25955 0 1754645 0 0 S Michelle Lee Director 0 647308 0 119498 0 123157 0 11200 0 16592 0 917755 0 0 Mohan Suntha MD President/CEO, UMMS 0 1414919 0 421551 0 266415 0 11200 0 29702 0 2143787 0 0 MUHAMMAD K JOKHADAR MD EX-OFFICIO, PHYSICIAN 0 358056 0 45426 0 515 0 14000 0 27289 0 445286 0 0 Joseph E Hoffman III Former CFO 0 509025 0 139023 0 339396 0 11200 0 19080 0 1017724 0 0 STEPHEN V WITMAN SR VP/CFO 0 330389 0 79764 0 15848 0 50754 0 26002 0 502757 0 0 HAFSAH BHATTI PHYSICIAN ADVISOR 155040 0 7617 0 90 0 6920 0 27097 0 196764 0 0 0 RODNEY L KORNRUMPF REGIONAL EXECUTIVE DIR - BEH HEALTH 160438 0 22438 0 724 0 5156 0 17260 0 206016 0 0 0 NICOLE N MCLEOD REGISTERED NURSE 193698 0 39834 0 1866 0 2442 0 23143 0 260983 0 0 0 BRANDON PHILLIPS NP-ADV PRACTICE CLINICAL LEAD 181795 0 0 0 118 0 7489 0 25913 0 215315 0 0 0 BEVERLY A WEHMER ASST VP - PATIENT SERVICES 161439 0 14978 0 563 0 9115 0 25086 0 211181 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THIS ORGANIZATION DOES NOT HAVE A PAID CHIEF EXECUTIVE OFFICER. ALL COMPENSATION TO THE CHIEF EXECUTIVE OFFICER REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION, CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR- ENDED JUNE 30, 2020, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEPHEN V. WITMAN DURING THE FISCAL YEAR-ENDED JUNE 30, 2020, 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: LYLE E. SHELDON JOHN W ASHWORTH, III S. MICHELLE LEE MOHAN SUNTHA, MD JOSEPH E. HOFFMAN, III 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. ROCK GLENN COMMERCIAL LLC See Part V 717543 SEE PART V false Schedule L, Part IV SCHEDULE L, PART IV, COLUMNS (B) and (D) - 2 Richard Streett is a Director of the filing organization and an owner of Rock Glenn Commercial, LLC. Rock Glenn Commercial, LLC was paid fees, at or below fair market value, for property management services. Form 990, Part I, Line 1 Organization's Mission DEDICATION TO MAINTAINING AND IMPROVING THE HEALTH OF THE PEOPLE IN ITS COMMUNITIES THROUGH AN INTEGRATED HEALTH DELIVERY SYSTEM THAT PROVIDES HIGH QUALITY CARE TO ALL. Form 990, Part IV, Line 24a Tax Exempt Bonds PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, UMMS AND SEVERAL OF ITS SUBSIDIARIES HAVE ISSUED DEBT THROUGH THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE "AUTHORITY"). AS SECURITY FOR THE PERFORMANCE OF THE BOND OBLIGATION UNDER THE MASTER LOAN AGREEMENT, THE AUTHORITY MAINTAINS A SECURITY INTEREST IN THE REVENUE OF THE OBLIGORS. THE MASTER LOAN AGREEMENT CONTAINS CERTAIN RESTRICTIVE COVENANTS. THESE COVENANTS REQUIRE THAT RATES AND CHARGES BE SET AT CERTAIN LEVELS, LIMIT INCURRENCE OF ADDITIONAL DEBT, REQUIRE COMPLIANCE WITH CERTAIN OPERATING RATIOS AND RESTRICT THE DISPOSITION OF ASSETS. THE OBLIGATED GROUP UNDER THE MASTER LOAN AGREEMENT INCLUDES UMMS, ROI, MGH, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, UM CHARLES REGIONAL, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM PRICE GEORGE'S, BOWIE HEALTH CENTER (BOWIE), AND THE UMMS FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,637,683,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2020. ALL OF THE BONDS WERE ISSUED IN THE NAME OF UMMS AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION DID NOT COMPENSATE ITS EXECUTIVES, BUT RATHER, THE EXECUTIVES RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. ACCORDINGLY, THE ORGANIZATION'S PARENT COMPANY DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITIY 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 DELIVERATIONS 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. THE PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. Form 990, Part VI, Line 6 Classes of members or stockholders UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM (UMUCHS) IS THE SOLE MEMBER OF HARFORD MEMORIAL HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMUCHS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMUCHS. Form 990, Part VI, Line 11b Review of form 990 by governing body The University of Maryland Medical System ("UMMS") prepares the IRS Form 990 for UMMS and its affiliates. Information needed to complete the return is gathered by accounting personnel in the Finance Shared Services department under the supervision of the UMMS Tax Director. Draft returns are prepared using IRS-approved tax software. Once a draft return is prepared, it undergoes multiple levels of review both internally by UMMS tax & finance personnel, and externally by Ernst & Young LLP. Following any necessary changes to the return, a final draft is reviewed by each affiliate's vice president of finance and/or CFO. Prior to filing the IRS Form 990, the organization's board chairman, treasurer, governance committee, finance committee or other member(s) of the board with similar authority will review the IRS Form 990. All board members are provided with a copy of the final IRS Form 990 before filing. Form 990, Part VI, Line 12c Conflict of interest policy The filing organization follows the University of Maryland Medical System (UMMS) Conflicts of Interest Policy, which requires that all Covered Persons disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the organization, or any entity controlled by or owned in substantial part by the organization. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The organization (or its sole member) is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Governance Committee (or other Board committee having similar authority) reviews any and all conflicts, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization or its sole member's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the oversight committee. A questionnaire which discloses potential conflicts of interest is distributed annually to Covered Persons. The Chief Compliance Officer of the University of Maryland Medical System Corporation (UMMS) distributes and collects the responses for UMMS and other affiliates, and may be called for consult when potential conflicts are disclosed. If the oversight Committee determines that a Conflict of Interest exists, the Committee shall notify the Covered Person and the organization's Board Chair, and further will notify the full Board at its next meeting. Furthermore, in the event the Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Committee determines that a Conflict of Interest exists but that the organization may enter into the subject transaction or arrangement, the interested Covered Person shall be recused from all deliberations and decisions concerning said transaction or arrangement, any arrangements with that entity, and compensation or benefits for officers, directors, and trustees. Furthermore, the Chair of the Board and the Chairs of the oversight Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the oversight Committee determines that a Covered Person has used their position to accrue Excess Benefits or to knowingly assist others in accruing Excess Benefits in any way at the expense of the organization, the Committee shall recommend to the Executive Committee appropriate corrective action to be taken. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM. Form 990, Part XI, Line 9 Other changes in net assets or fund balances PERM RESTRICTED FOUNDATION ENDOWMENT INCOME - 70012; UPPER CHESAPEAKE LAND DEVELOPMENT LLC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 522178070 REAL ESTATE MD 0 3006913 HMH 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 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL 22 SOUTH GREENE STREET BALTIMORE MD 21201 521874111 HEALTHCARE MD 501(c)(3) 3 UMSRH false SHORE HEALTH SYSTEM INC 219 SOUTH WASHINGTON STREET EASTON MD 21601 520160538 HEALTHCARE MD 501(c)(3) 3 UMSRH false JAMES LAWRENCE KERNAN HOSPITAL INC 2200 KERNAN DRIVE BALTIMORE MD 21207 520591639 HEALTHCARE MD 501(c)(3) 3 UMMSC false UMMS FOUNDATION INC 22 SOUTH GREENE STREET BALTIMORE MD 21201 522238893 FUNDRAISING MD 501(c)(3) Type I UMMSC false UNIVERSITY OF MD MEDICAL SYSTEM CORP 22 SOUTH GREENE STREET BALTIMORE MD 21201 521362793 HEALTHCARE MD 501(c)(3) 3 NA false UNIVERSITY OF MARYLAND CHARLES REGIONAL PO BOX 1070 LA PLATA MD 20646 522155576 HEALTHCARE MD 501(c)(3) Type III-FI UMMSC false CIVISTA MEDICAL CENTER INC PO BOX 1070 LA PLATA MD 20646 520445374 HEALTHCARE MD 501(c)(3) 3 UMCRH false CHARLES REGIONAL MEDICAL CENTER FOUNDATION PO BOX 1070 LA PLATA MD 20646 521414564 FUNDRAISING MD 501(c)(3) Type I UMCRH false UNIV OF MD ST JOSEPH FOUNDATION INC 7601 OSLER DRIVE TOWSON MD 21204 521681044 FUNDRAISING MD 501(c)(3) Type I UMSJHS false UMSJ HEALTH SYSTEM LLC 7601 OSLER DRIVE TOWSON MD 21204 462097818 HEALTHCARE MD 501(c)(3) 3 UMMSC false UM UPPER CHESAPEAKE HEALTH SYSTEM INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521398513 HEALTHCARE MD 501(c)(3) Type III-O UMMSC false UPPER CHESAPEAKE HEALTH FOUNDATION INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521398507 FUNDRAISING MD 501(c)(3) Type I UMUCHS false UPPER CHESAPEAKE MEDICAL CENTER INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521253920 HEALTHCARE MD 501(c)(3) 3 UMUCHS false UPPER CHESAPEAKE MEDICAL SERVICES INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521501734 HEALTHCARE MD 501(c)(3) 10 UMUCHS false UPPER CHESAPEAKE PROPERTIES INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521907237 REAL ESTATE MD 501(c)(2) UMUCHS false UPPER CHES RESIDENTIAL HOSPICE HOUSE INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 260737028 HOSPICE MD 501(c)(3) 10 UMUCHS false Harford Crisis Center Inc 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521229742 HOME CARE MD 501(c)(3) Type II UMUCHS false DIMENSIONS HEALTH CORPORATION 3001 HOSPITAL DRIVE CHEVERLY MD 20785 521289729 HEALTHCARE MD 501(c)(3) 3 UMMSC false DIMENSIONS HEALTHCARE ASSOCIATES 3001 HOSPITAL DRIVE CHEVERLY MD 20785 521902711 HEALTHCARE MD 501(c)(3) Type I UMCAPRH false UM CAPITAL REGION HEALTH INC 250 W PRATT ST STE 2400 BALTIMORE MD 21201 823596114 HEALTHCARE MD 501(c)(3) Type III-FI UMMSC false UCH LEGACY FUNDING CORPORATION 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 520882914 FUNDRAISING MD 501(c)(3) Type II UMUCHS false ARUNDEL PHYSICIANS ASSOCIATES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 522000762 HEALTHCARE MD APA INC N/A false false BALTIMORE WASHINGTON IMAGING 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 200806027 HEALTHCARE MD UMBWMS N/A false false UNIVERSITYCARE LLC 22 SOUTH GREENE STREET BALTIMORE MD 21201 521914892 HEALTHCARE MD UMMSC N/A false false O'DEA MEDICAL ARTS LIMITED PAR 7601 OSLER DRIVE TOWSON MD 21204 521682964 RENTAL MD SJMC PROP N/A false false ADVANCED IMAGING AT ST JOSEPH 7601 OSLER DRIVE TOWSON MD 21204 521958002 HEALTHCARE MD UMSJMC N/A false false UNIVERSITY OF MARYLAND CHARLES PO BOX 1070 LAPLATA MD 20646 300956382 HEALTHCARE MD UMCRCP N/A false false BALTIMORE ASC VENTURES LLC 7620 YORK ROAD TOWSON MD 21204 824133899 HEALTHCARE DE UMSJMC N/A false false UCHSUMMS Real Estate Trust 520 Upper Chesapeake Drive Bel Air MD 21014 276803540 Holding Co MD UMMSC N/A false false ARUNDEL PHYSICIANS ASSOCIATES INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521992649 HEALTHCARE MD NA C Corporation false BALTIMORE WASHINGTON HEALTH ENTERPRISES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521936656 HEALTHCARE MD NA C Corporation false BW PROFESSIONAL SERVICES INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521655640 HEALTHCARE MD NA C Corporation false NA EXECUTIVE BUILDING CONDO ASSN INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 REAL ESTATE MD NA C Corporation false UM CHARLES REGIONAL CARE PARTNERS PO BOX 1070 LA PLATA MD 20646 522176314 HEALTHCARE MD NA C Corporation false UNIVERSITY MIDTOWN PROF CENTER 827 LINDEN AVENUE BALTIMORE MD 21201 521891126 REAL ESTATE MD NA C Corporation false UNIVERSITY OF MARYLAND HEALTH ADVANTAGE 22 SOUTH GREENE STREET BALTIMORE MD 21201 461411902 INSURANCE MD NA C Corporation false UNIVERSITY OF MARYLAND HEALTH PARTNERS 22 SOUTH GREENE STREET BALTIMORE MD 21201 452815803 INSURANCE MD NA C Corporation false UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE 22 SOUTH GREENE STREET BALTIMORE MD 21201 452815722 INSURANCE MD NA C Corporation false UPPER CHESAPEAKE HEALTH VENTURES INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 522031264 HEALTHCARE MD NA C Corporation false UPPER CHESAPEAKE MEDICAL CENTER LAND CON 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 770674478 REAL ESTATE MD NA C Corporation false UPPER CHESAPEAKE MEDICAL OFFICE BUILDING 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521946829 REAL ESTATE MD NA C Corporation false SHORE ORTHOPEDICS INC 219 S WASHINGTON STREET EASTON MD 21601 371817262 HEALTHCARE MD NA C Corporation false MADISON MANOR INC 5801 42ND AVE HYATTSVILLE MD 20781 521269059 HEALTHCARE MD NA C Corporation false AFFILIATED ENTERPRISES INC 3001 HOSPITAL DRIVE CHEVERLY MD 20785 521542144 HEALTHCARE MD NA C Corporation false DIMENSIONS ASSURANCE LTD PO BOX 1363 GENESIS BLDG GRAND CAYMAN CJ 980348082 INSURANCE CJ NA C Corporation false RIVERSIDE HEALTH OF DELAWARE INC 1966 GREENSPRING DRIVE STE 600 TIMONIUM MD 21093 463205820 HEALTHCARE DE NA C Corporation false RIVERSIDE HEALTH OF DC INC 1966 GREENSPRING DRIVE STE 600 TIMONIUM MD 21093 461411713 HEALTHCARE DC NA C Corporation false false false true false false false false false false false false false false false true false false false false