2021-05-14T13:32:01-05:00 2020-06-30 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVE NW WASHINGTON DC 20005 990 2019-07-01 264737028 Upper Chesapeake Residential Hospice House Inc UPPE 4436431000 520 Upper Chesapeake Drive Ste 405 Bel Air MD 21014 Marco Priolo CFO 2021-05-14 true Justin Lowe P01866796 2023276000 2019 2022-09-23 18:48:47Z LYLE E SHELDON 520 Upper Chesapeake Drive Ste 405 Bel Air MD 21014 737599 false X WWW.UCHOSPICE.ORG X 2009 MD TO PROVIDE COMPASSION AND CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 15 12 0 12 0 0 729239 450000 259189 216271 18548 20394 0 0 1006976 686665 0 0 0 0 798357 889562 0 0 0 479620 445241 1277977 1334803 -271001 -648138 1886593 1642548 623722 1033376 1262871 609172 UCRHH, ALSO KNOWN AS SENATOR BOB HOOPER HOUSE, IS AN ASSISTED LIVING FACILITY SPECIALIZING IN HOSPICE CARE, OFFERING A HOMELIKE SETTING FOR THOSE WHO ARE UNABLE TO HAVE THEIR NEEDS MET AT HOME. OUR MISSION IS FOR ALL FAMILIES IN OUR COMMUNITY, REGARDLESS OF INCOME, TO HAVE ACCESS TO COMPASSIONATE, FULL SERVICE END OF LIFE CARE, CLOSE TO HOME. false false 1230498 0 216271 THE PURPOSE OF UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE, INC. (UCRHH) IS TO PROVIDE A HOMELIKE SETTING FOR THE PLACEMENT OF INDIVIDUALS FACING END-OF-LIFE CARE IN HARFORD COUNTY, MARYLAND AND NEIGHBORING BALTIMORE AND CECIL COUNTIES. THIS NON-PROFIT HOSPICE FACILITY IS A PLACE OF PEACE, SERENITY AND COMPASSIONATE CARE FOR INDIVIDUALS IN THE FINAL STAGE OF LIFE WHO CANNOT BE CARED FOR IN THEIR HOME OR OTHER LONG-TERM CARE FACILITY. UCRHH WAS CREATED TO MEET WHAT HAS BEEN IDENTIFIED AS A CRITICAL NEED FOR A FACILITY WHERE INDIVIDUALS IN FINAL STAGES OF LIFE CAN BE PLACED AND RECEIVE QUALITY AND COMPASSIONATE CARE AND DIE WITH DIGNITY. ALTHOUGH THIS CARE CAN BE PROVIDED IN A PERSON'S HOME, THERE ARE OFTEN FINANCIAL OR FAMILY CIRCUMSTANCES WHICH REQUIRE PLACEMENT OF AN INDIVIDUAL IN A RESIDENTIAL HOSPICE HOUSE FOR THE SAKE OF THE INDIVIDUAL AND THEIR FAMILY. 1230498 true true false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 15 12 false false false false true true true true true false false true true true true true true false false false X Marco Priolo 4436431000 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 Cindy H Hushon CHAIRMAN 1.0 1.0 X X 0 0 0 Shawn P Mcnamara SECRETARY 1.0 0 X X 0 0 0 Adele A Wilzack RN MS DIRECTOR 1.0 7.0 X 0 0 0 Bryan E Kelly DIRECTOR 1.0 6.0 X 0 0 0 Dennis Kurgansky MD DIRECTOR 1.0 6.0 X 0 0 0 DIANE C FITZGERALD DIRECTOR 1.0 40.0 X 0 175577 14841 Franklin J Hajek DIRECTOR 1.0 5.0 X 0 0 0 James M Harkins DIRECTOR 1.0 8.5 X 0 0 0 KENNETH M FERRARA DIRECTOR 1.0 40.0 X 0 317089 33239 MELINDA L CRAIG DIRECTOR 1.0 6.0 X 0 0 0 Nathaniel Albright DIRECTOR 1.0 0 X 0 0 0 Patricia Lindley DIRECTOR 1.0 0 X 0 0 0 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 WILLIAM B ALLEN PHD DIRECTOR 1.0 6.0 X 0 0 0 Joseph E Hoffman III TREASURER 1.0 42.0 X 0 987444 30280 Lyle E Sheldon PRESIDENT 1.0 48.0 X 0 1151844 40384 STEPHEN V WITMAN SR VP/CFO - UMUCHS 1.0 47.0 X 0 426001 76756 0 3057955 195500 0 false true false 0 450000 450000 NET PATIENT SERVICE REVENUE 621500 216271 216271 0 0 0 0 0 0 216271 14612 0 0 14612 0 0 56716 50934 5782 0 5782 0 0 5782 0 0 0 0 0 686665 216271 0 20394 0 0 0 0 0 0 720549 639761 80788 169013 150063 18950 0 66185 66185 0 0 453 453 0 0 46459 41892 4567 0 44221 44221 0 0 275795 275795 0 0 REPAIR/MAINTENANCE 11120 11120 0 0 Other 1008 1008 0 0 0 0 0 0 1334803 1230498 104305 0 4829 11286 5281 7103 0 0 0 0 4596 4596 2782223 1791104 1258275 991119 613612 628444 0 0 0 0 1886593 1642548 0 0 623722 1033376 623722 1033376 X 649259 -19272 613612 628444 1262871 609172 1886593 1642548 -648138 -5561 0 X false true X true false X 400000 400000 400000 729239 450000 2379239 305730 347215 346330 259189 216271 1474735 0 0 0 705730 747215 746330 988428 666271 3853974 250000 250000 250000 250000 250000 1250000 0 0 0 0 0 0 250000 250000 250000 250000 250000 1250000 2603974 7136 53125 13970 12274 14612 101117 0 7136 53125 13970 12274 14612 101117 0 0 0 0 0 0 0 712866 800340 760300 1000702 680883 3955091 0.6584 0.6513 0.0256 0.0198 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2259715 1469961 789754 265626 174874 90752 248243 146269 101974 8639 0 8639 991119 DUE TO AFFILIATES 1033376 1033376 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. false true false false false false false false false KENNETH M FERRARA DIRECTOR 0 227199 0 58349 0 31541 0 9408 0 23831 0 350328 0 0 DIANE C FITZGERALD DIRECTOR 0 156470 0 15509 0 3598 0 3769 0 11072 0 190418 0 0 Joseph E Hoffman III TREASURER 0 509025 0 139023 0 339396 0 11200 0 19080 0 1017724 0 0 Lyle E Sheldon PRESIDENT 0 669455 0 193883 0 288506 0 11200 0 29184 0 1192228 0 0 STEPHEN V WITMAN SR VP/CFO - UMUCHS 0 330389 0 79764 0 15848 0 50754 0 26002 0 502757 0 0 Schedule J, Part I, Line 7 NON-FIXED PAYMENTS BONUSES PAID, BY A RELATED PARTY, ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ALL COMPENSATION TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UMMS, OR ANOTHER RELATED ENTITY IN THE UMMS SYSTEM. THE RELATED ENTITY CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, QUESTION 3 ON ITS FORM 990: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION STUDY OR SURVEY -APPROVAL BY THE BOARD OR 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 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 Kenneth M. Ferrara Joseph E. Hoffman III Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. Form 990, Part VI, Line 6 Classes of members or stockholders UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM (UMUCHS) IS THE SOLE MEMBER OF UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE, INC. 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 ALL 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 chairman, finance committee chairman or other member of the board with similar authority will review the IRS Form 990. All board members are provided with a copy of the final IRS Form 990 before filing. Form 990, Part VI, Line 12c Conflict of interest policy The filing organization follows the University of Maryland Medical System (UMMS) Conflicts of Interest Policy, which requires that all Covered Persons disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the organization, or any entity controlled by or owned in substantial part by the organization. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The organization or its sole member is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Governance Committee (or other Board committee having similar authority) reviews any and all conflicts, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization or its sole member's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the Governance 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. The Chief Compliance Officer reviews all disclosure statements for compliance with the Conflict of Interest Policy and any/all related UMMS policies to identify all actual or potential conflicts of interest. The Chief Compliance Officer prepares and submits to the Governance Committee annual and updated (where applicable) reports summarizing all relevant information contained in the disclosure statements. With respect to the other entities in the University of Maryland Medical System, the Chief Compliance Officer may be called for consult. If the Governance Committee determines that a Conflict of Interest exists, the Governance Committee shall notify the Covered Person, the UMMS Chief Executive Officer, and the UMMS Board Chair and further will notify the full Board at its next meeting. Furthermore, in the event the Governance Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Governance Committee determines that a Conflict of Interest exists but that UMMS 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 Governance Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the Governance 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 UMMS, the Governance Committee shall recommend to the Executive Committee appropriate corrective action to be taken. All invitations for bids, proposals or solicitations for offers include the following provision: Any vendor, supplier or contractor must disclose any actual or potential transaction with any organization officer, director, employee or member of the medical staff, including family members within five days of the transaction. Failure to comply with this provision is a material breach of agreement. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM. Form 990, Part VII, Section B, Line 1 Independent Contractors Independent Contractors of the filing organization are paid and reported by a related organization Harford Memorial Hospital. 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