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UNION HOSPITAL OF CECIL COUNTY: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
UNION HOSPITAL OF CECIL COUNTY (EIN 52-0607945)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-14
IRS object ID
202141349349301804
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-14T08:02:15-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520607945EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNION HOSPITAL OF CECIL COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DERON G BROWNInCareOfNm
Business Name ControlUNIOBusinessNameControlTxt
Phone4103984000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BOW STREETAddressLine1Txt
CityELKTONCityNm
State AbbreviationMDStateAbbreviationCd
ZIP219215596ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT MCMURRAYPersonNm
Person TitleCFOPersonTitleTxt
Phone4103984000PhoneNum
Signature2021-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2021-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD C SZUMEL MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BOW STREETAddressLine1Txt
CityELKTONCityNm
State AbbreviationMDStateAbbreviationCd
ZIP219215596ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$158,667,623GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UHCC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD AND THE SURROUNDING AREA.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1354TotalEmployeeCnt
Total Volunteers199TotalVolunteersCnt
Total Gross UBI$1,746,410TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,510,084PYContributionsGrantsAmt
CY Contributions Grants$4,700,573CYContributionsGrantsAmt
PY Program Service Revenue$160,923,585PYProgramServiceRevenueAmt
CY Program Service Revenue$149,294,107CYProgramServiceRevenueAmt
PY Investment Income$1,953,831PYInvestmentIncomeAmt
CY Investment Income$1,610,173CYInvestmentIncomeAmt
PY Other Revenue$2,627,581PYOtherRevenueAmt
CY Other Revenue$2,819,298CYOtherRevenueAmt
PY Total Revenue$176,015,081PYTotalRevenueAmt
CY Total Revenue$158,424,151CYTotalRevenueAmt
PY Grants And Similar Paid$799,694PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$87,612,271PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$84,341,366CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$81,859,106PYOtherExpensesAmt
CY Other Expenses$78,654,327CYOtherExpensesAmt
PY Total Expenses$170,271,071PYTotalExpensesAmt
CY Total Expenses$162,995,693CYTotalExpensesAmt
PY Revenues Less Expenses$5,744,010PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,571,542CYRevenuesLessExpensesAmt
Total Assets BOY$163,925,550TotalAssetsBOYAmt
Total Assets EOY$160,653,669TotalAssetsEOYAmt
Total Liabilities BOY$81,586,351TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,476,881TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$82,339,199NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$52,176,788NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionUNION HOSPITAL OF CECIL COUNTY, INC.'S MISSION IS TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$158,808,328ExpenseAmt
Grant$0GrantAmt
Revenue$149,294,107RevenueAmt
DescUNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND AND NEIGHBORING COMMUNITIES. SERVICES ARE PROVIDED WITH MODERN TECHNOLOGY AND COMPASSIONATE CARE FROM HEALTH CARE PROFESSIONALS. SERVICES ARE PROVIDED REGARDLESS OF RACE, GENDER, ETHNICITY, AGE, DISABILITY, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, IT IS RECOGNIZED THAT NOT ALL MEMBERS OF THE COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE HEALTH CARE SERVICES. FOR ELIGIBLE INDIVIDUALS, UNION HOSPITAL OF CECIL COUNTY OFFERS FREE AND/OR SUBSIDIZED CARE, AS WELL AS ACCESS TO COMMUNITY FINANCIAL ASSISTANCE. DURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $9,807,394 IN UNCOMPENSATED CARE (CHARITY CARE). IN ADDITION, COMMUNITY BENEFIT ACTIVITIES ARE PROVIDED TO SERVE VULNERABLE POPULATIONS (I.E. MEDICALLY UNDERSERVED, WORKING POOR, HOMELESS). ACTIVITIES ARE CREATED BASED ON COMMUNITY NEED AND ARE PROVIDED IN AN EFFORT TO IMPROVE THE HEALTH OF THE COMMUNITY. COMMUNITY BENEFITS INCLUDE: A) COMMUNITY SUPPORT GROUPS FOR CANCER, DIABETES, STROKE, ALZHEIMER'S,AND BREASTFEEDING B) HEALTH EDUCATION FOR DIABETES AND NUTRITION, CANCER PREVENTION, STROKE RISK, AND HOW TO CARE FOR SUBSTANCE-EFFECTED NEWBORNS C) FREE SCREENINGS IN THE COMMUNITY FOR PROSTATE CANCER, HEAD AND NECK CANCER, SKIN CANCER, AND DIABETES (EYES AND FEET) D) PROVIDING MEETING FACILITIES FOR LOCAL NONPROFITS AND AGENCIES E) ENHANCING FOOD SECURITY WITH MEALS ON WHEELS AND FOOD DONATIONS TO HOMELESS SERVING PROVIDERS IN THE COMMUNITY F) HOSPITAL STAFF PARTICIPATION ON COMMUNITY BOARDS AND COALITIONS, LIKE THE DENTAL HEALTH ADVISORY BOARD, UNITED WAY, VOICES OF HOPE, CECIL COUNTY DRUG-FREE COMMUNITIES COALITION, CORE SERVICE AGENCY MENTAL HEALTH ADVISORY BOARD, DEPARTMENT OF SOCIAL SERVICES BOARD, AND CECIL COUNTY COMMUNITY HEALTH ADVISORY COALITION. UNION HOSPITAL OF CECIL COUNTY SERVICED 4,419 DISCHARGES PROVIDING 18,523 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2020 OF WHICH: 1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 1,960 DISCHARGES AND 9,206 PATIENT DAYS 2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 137 DISCHARGES AND 587 PATIENT DAYS 3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,203 DISCHARGES AND 4,242 PATIENT DAYS 4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 166 DISCHARGES AND 764 PATIENT DAYSDesc
Total Program Service Expenses$158,808,328TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document184IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1354EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDERON G BROWNPersonNm
Phone4103984000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BOW STREETAddressLine1Txt
CityELKTONCityNm
State AbbreviationMDStateAbbreviationCd
ZIP219215596ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FAHD RAHMAN
PHYSICIAN40.00.0Yes (X)$690,364$0$30,866
JUSTIN SAUSVILLE MD
DIRECTOR, PHYSICIAN40.00.0$548,284$0$30,922Yes (X)
RICHARD C SZUMEL MD
PRESIDENT & CEO28.012.0$0$482,681$85,791Yes (X)Yes (X)
ROGER D WU
PHYSICIAN40.00.0Yes (X)$510,574$0$26,736
NAVEED HASAN
PHYSICIAN40.00.0Yes (X)$486,224$0$26,467
HANHAN LI
PHYSICIAN40.00.0Yes (X)$472,539$0$12,630
EUGENIA M GRAY
PHYSICIAN40.00.0Yes (X)$409,824$0$19,353
CRAIG M BABBITT
IN-HOUSE LEGAL COUNSEL40.00.0$336,181$0$11,280Yes (X)
JAMES G RAAB
SENIOR VP/CFO THRU 10/202029.011.0$0$299,349$25,456Yes (X)
DR RYAN GERACIMOS
CHIEF MEDICAL OFFICER30.010.0$0$302,901$3,052Yes (X)
JOSE MA MD
DIRECTOR39.50.5$270,651$0$29,621Yes (X)
AARON Z ROYSTON THRU 1019
VP OF PROVIDER ENTERPRISE30.010.0$242,445$0$4,172Yes (X)
MARIE VASBINDER
SR. VP/CHIEF NURSE OFFICER39.01.0$0$217,446$2,394Yes (X)
JOAN PIRRUNG
VP OF NURSING40.00.0$0$159,909$40,282Yes (X)
AMY MARSTON
CAMPUS OPERATIONS OFFICER40.00.0$0$159,954$27,668Yes (X)
MICHELLE TWUM-DANSO
ASSOCIATE VP HUMAN RESOURCES40.00.0$180,320$0$3,611Yes (X)
DERON BROWN
EXEC DIRECTOR OF FINANCE40.00.0$151,471$0$4,150Yes (X)
CYDNEY TEAL
FORMER VP MEDICAL AFFAIRS0.00.0$0$102,263$7,159Yes (X)
RAYMOND HAMM
CHAIRMAN0.50.6$0$0$0Yes (X)Yes (X)
DWIGHT THOMEY
VICE CHAIRMAN/TREASURER0.50.5$0$0$0Yes (X)Yes (X)
DAVID FERGUSON PHD
SECRETARY0.50.6$0$0$0Yes (X)Yes (X)
KELLY ALBANESE BEDDER
DIRECTOR0.51.5$0$0$0Yes (X)
MARY BOLT PHD
DIRECTOR0.50.5$0$0$0Yes (X)
REVEREND KEVIN BROWN
DIRECTOR0.50.5$0$0$0Yes (X)
CHRISTY DRYER DNP
DIRECTOR0.50.5$0$0$0Yes (X)
MORGAN MILLER MLIS
DIRECTOR0.50.5$0$0$0Yes (X)
ROBERT PALSGROVE
DIRECTOR0.50.5$0$0$0Yes (X)
CARL ROBERTS PHD
DIRECTOR0.50.5$0$0$0Yes (X)
DAVID TROLIO
DIRECTOR0.50.5$0$0$0Yes (X)
JACQUES RENE
DIRECTOR0.50.5$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,298,877TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,724,503TotReportableCompRltdOrgAmt
Total Other Compensation$391,610TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNION RADIOLOGISTS LLC
106 BOW STREETELKTONMD21921RADIOLOGY SERVICES$3,472,625
USACS INTEGRATED ACUTE CARE SRVCS O
4535 DRESSLER RD NWCANTONOH44718ACUTE CARE SERVICES$2,437,932
CHG COMPANIES INC
PO BOX 972651DALLASTX75397PROF. STAFFING$2,227,364
CLEARPATH SOLUTIONS GROUP LLC
2465 CENTREVILLE RD SUITE J17-722HERNDONVA20171IT SERVICES$1,155,886
FLYNN MID ATLANTIC LP
5200 RAYNOR AVENUELITHICUMMD21090CONTRACTOR SERVICES$1,010,184
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K105CntrctRcvdGreaterThan100KCnt
Related Organizations$156,049RelatedOrganizationsAmt
Government Grants$4,182,127GovernmentGrantsAmt
All Other Contributions$362,397AllOtherContributionsAmt
Total Contributions$4,700,573TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$148,076,991$148,076,991
OTHER OPERATING REVENUE621990$1,035,242$1,035,242
ADULT DAY CARE623990$181,874$181,874
FieldValueIRS element (for citing)
Total Program Service Revenue$149,294,107TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,148,394TotalRevenueColumnAmt
Unrelated Business Revenue-$101,800UnrelatedBusinessRevenueAmt
Exclusion$1,250,194ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$79,768RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$7,988RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$71,780RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,780TotalRevenueColumnAmt
Exclusion$71,780ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$456,024SecuritiesAmt
Other$241,239OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$235,484OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$456,024SecuritiesAmt
Other$5,755OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$461,779TotalRevenueColumnAmt
Exclusion$461,779ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LABORATORY REVENUE621500$1,848,210$1,848,210
CAFETERIA/FOOD SERVICE REVENUE722210$737,871$737,871
PARKING REVENUE900009$34,645$34,645

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,792TotalRevenueColumnAmt
Exclusion$126,792ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,747,518OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,424,151TotalRevenueColumnAmt
Related Or Exempt Func Income$149,294,107RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,746,410UnrelatedBusinessRevenueAmt
Exclusion$2,683,061ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,660,804TotalAmt
Program Services$3,595,392ProgramServicesAmt
Management And General$65,412ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$67,717,527TotalAmt
Program Services$66,507,545ProgramServicesAmt
Management And General$1,209,982ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$820,306TotalAmt
Program Services$820,306ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,427,905TotalAmt
Program Services$7,323,234ProgramServicesAmt
Management And General$104,671ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,714,824TotalAmt
Program Services$4,650,980ProgramServicesAmt
Management And General$63,844ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$983,609TotalAmt
Program Services$491,805ProgramServicesAmt
Management And General$491,804ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$858,780TotalAmt
Management And General$858,780ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$256,500TotalAmt
Management And General$256,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$72,154TotalAmt
Management And General$72,154ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,142,493TotalAmt
Program Services$27,148,628ProgramServicesAmt
Management And General$993,865ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$324,812TotalAmt
Program Services$324,812ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,996,714TotalAmt
Program Services$1,992,612ProgramServicesAmt
Management And General$4,102ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$200,668TotalAmt
Program Services$200,668ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,962,675TotalAmt
Program Services$3,962,675ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$111,383TotalAmt
Program Services$103,190ProgramServicesAmt
Management And General$8,193ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$70,636TotalAmt
Program Services$44,340ProgramServicesAmt
Management And General$26,296ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,898,836TotalAmt
Program Services$1,898,836ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$3,888,934TotalAmt
Program Services$3,888,934ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,028,578TotalAmt
Program Services$9,028,578ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,557,266TotalAmt
Program Services$2,534,833ProgramServicesAmt
Management And General$22,433ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$19,708,713$19,706,222$2,491
REPAIRS & MAINTENANCE$3,446,139$3,445,586$553
DIETARY$808,062$801,777$6,285
OTHER EXPENSES$337,375$337,375

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$162,995,693TotalAmt
Program Services$158,808,328ProgramServicesAmt
Management And General$4,187,365ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,198,168BOYAmt
EOY$37,308,503EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,069,712BOYAmt
EOY$14,177,794EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,307,404BOYAmt
EOY$2,523,066EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,940,202BOYAmt
EOY$3,244,897EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$175,592,597LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$125,361,996LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$82,932,993BOYAmt
EOY$50,230,601EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$32,337,168BOYAmt
EOY$30,670,970EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,788,136BOYAmt
EOY$13,031,319EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,351,767BOYAmt
EOY$9,466,519EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$163,925,550BOYAmt
EOY$160,653,669EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,375,169BOYAmt
EOY$11,559,155EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,485,157BOYAmt
EOY$31,554,344EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,179,987BOYAmt
EOY$53,628,217EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,546,038BOYAmt
EOY$11,735,165EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,586,351BOYAmt
EOY$108,476,881EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,490,139BOYAmt
EOY$49,027,095EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,849,060BOYAmt
EOY$3,149,693EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$82,339,199BOYAmt
EOY$52,176,788EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$163,925,550BOYAmt
EOY$160,653,669EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,571,542ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$915,320NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$26,506,189OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,134,905OtherCostOrOtherBasisAmt
Book Value$1,134,905BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,935,356OtherCostOrOtherBasisAmt
Depreciation$27,146,330DepreciationAmt
Book Value$18,789,026BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$956,373OtherCostOrOtherBasisAmt
Depreciation$356,466DepreciationAmt
Book Value$599,907BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,309,567OtherCostOrOtherBasisAmt
Depreciation$96,441,751DepreciationAmt
Book Value$27,867,816BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,256,396OtherCostOrOtherBasisAmt
Depreciation$1,417,449DepreciationAmt
Book Value$1,838,947BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$50,230,601TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$5,243,103BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMANAGED HEDGE FUNDSDesc
Book Value$7,788,216BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$13,031,319TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$1,436,326
INSURANCE CLAIMS RECOVERABLE$7,699,683
DUE FROM AFFILIATES$330,510
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,466,519TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$1,384,942
DUE TO AFFILIATES$461,343
EST. MEDICAL MALPRACTICE LIABILITY$8,895,187
OTHER LIABILITIES$993,693
FieldValueIRS element (for citing)
Total Liability$11,735,165TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$158,926,606TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$915,320NetUnrealizedGainsInvstAmt
Other Revenue-$412,865OtherRevenueAmt
Revenue Not Reported$502,455RevenueNotReportedAmt
Revenue Subtotal$158,424,151RevenueSubtotalAmt
Total Revenue Per Form990$158,424,151TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$163,197,186TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$201,493OtherExpensesIncludedAmt
Expenses Not Reported$201,493ExpensesNotReportedAmt
Expenses Subtotal$162,995,693ExpensesSubtotalAmt
Total Expenses Per Form990$162,995,693TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART X, LINE 2TEXT OF FIN 48 (ASC 740) FOOTNOTE THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE IRC AND IS EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501 (A) OF THE IRC. THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD FOR THE PERIOD JANUARY 1, 2020 THROUGH JUNE 30, 2020 (SUCCESSOR) AND PERIOD JULY 1, 2019 THROUGH DECEMBER 31, 2019 AND THE YEAR ENDED JUNE 30, 2019 (PREDECESSOR). THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. ---------------
FORM 990, SCHEDULE D, PART XI, LINE 2DDETAIL OF OTHER ITEMS BANK FEES $ (72,154) OTHER ADJUSTMENTS (340,711) ---------- TOTAL TO SCHEDULE D, PART XI, LINE 2D $(412,865) ---------------
FORM 990, SCHEDULE D, PART XII, LINE 4BDETAIL OF OTHER ITEMS BANK FEES $ 72,154 OTHER ADJUSTMENTS 129,339 -------- TOTAL TO SCHEDULE D, PART XII, LINE 4D $201,493

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$20,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$20,000SubtotalSpentAmt
Total Spent$20,000TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,432,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,432,600NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,432,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,432,600NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served2389PersonsServedCnt
Total Community Benefit Expns$82,687TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$82,687NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served185PersonsServedCnt
Total Community Benefit Expns$115,183TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$115,183NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served37PersonsServedCnt
Total Community Benefit Expns$15,697,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,887,031DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,810,950NetCommunityBenefitExpnsAmt
Total Expense0.05410TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$14,205TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,205NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served24298PersonsServedCnt
Total Community Benefit Expns$279,842TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$172,024DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,818NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served26909PersonsServedCnt
Total Community Benefit Expns$16,189,898TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,059,055DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,130,843NetCommunityBenefitExpnsAmt
Total Expense0.05610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served26909PersonsServedCnt
Total Community Benefit Expns$17,622,498TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,059,055DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,563,443NetCommunityBenefitExpnsAmt
Total Expense0.06480TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,798TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,798NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,110TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,110NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,908TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,908NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$7,168,709BadDebtExpenseAmt
Bad Debt Expense Attributable$70,906BadDebtExpenseAttributableAmt
Reimbursed By Medicare$67,859,200ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$67,859,200CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNION HOSPITAL OF CECIL COUNTY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BOW STREETAddressLine1Txt
CityELKTONCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21921ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UHCC.COMWebsiteAddressTxt
State LicenseLICENSE# 07-005StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNION HOSPITAL OF CECIL COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA)UNION HOSPITAL AND THE CECIL COUNTY HEALTH DEPARTMENT (CHNA PLANNING TEAM) HAVE COLLABORATED SINCE 2013 TO DEVELOP THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. TO ENSURE THE 2019 CHNA WOULD REFLECT COMMUNITY NEEDS AND PRIORITIES, THE CHNA PLANNING TEAM DEVELOPED A COMMUNITY SURVEY, HELD FOCUS GROUPS, AND CONDUCTED INTERVIEWS WITH LOCAL LEADERS. THE SURVEY WAS DEVELOPED BY THE CHNA PLANNING TEAM AND CONSISTED OF 20 QUESTIONS DIVIDED INTO 4 SECTIONS PERTAINING TO DEMOGRAPHICS, COMMUNITY HEALTH, QUALITY OF LIFE, AND ACCESS TO HEALTH CARE. 1,403 INDIVIDUALS COMPLETED THE SURVEY WHICH WAS AVAILABLE FROM JULY 2018 TO SEPTEMBER 2018 ONLINE AND IN PAPER FORM AT COMMUNITY LOCATIONS SUCH AS THE COUNTY PUBLIC LIBRARIES AND UNION HOSPITAL'S MULTI-SPECIALTY PRACTICES. THE CHNA PLANNING TEAM ALSO HOSTED 4 FOCUS GROUPS FOR VULNERABLE POPULATIONS: HOMELESS, VETERANS, OLDER ADULTS, AND LOW-INCOME OR ASSET LIMITED INCOME CONSTRAINED EMPLOYED (ALICE) ADULTS. A 5TH FOCUS GROUP WITH AFRICAN AMERICANS WAS ALSO HELD TO DISCUSS HEALTH DISPARITIES IN CECIL COUNTY. EACH FOCUS GROUP SESSION LASTED 1 TO 1.5 HOURS AND ALWAYS BEGAN WITH A DESCRIPTION OF THE CHNA, THE PURPOSE OF THE FOCUS GROUP, THE RULES OF ENGAGEMENT, AND A REFERENCE WORKSHEET WITH SESSION QUESTIONS. PARTICIPATION WAS ANONYMOUS WITH A HEAD COUNT PROVIDING THE NUMBER OF PARTICIPANTS. THE AVERAGE FOR EACH SESSION WAS 10 PARTICIPANTS. AT EACH SESSION, THE FOLLOWING QUESTIONS WERE ASKED: 1) WHAT ARE THE GREATEST STRENGTHS OF OUR COMMUNITY? 2) WHAT DO YOU THINK ARE THE MOST IMPORTANT HEALTH ISSUES IN CECIL COUNTY? 3) WHAT WOULD MOST IMPROVE THE QUALITY OF LIFE IN CECIL COUNTY? 4) WHAT ARE THE MOST SIGNIFICANT BARRIERS TO ACCESSING HEALTH CARE IN CECIL COUNTY? 5) RELATED TO HEALTH AND QUALITY OF LIFE, WHAT RESOURCES OR SERVICES DO YOU THINK ARE MISSING IN CECIL COUNTY? FINALLY, INTERVIEWS WERE CONDUCTED TO UNDERSTAND THE COMMUNITY LEADERSHIP PERSPECTIVE OF THE HEALTH AND QUALITY OF LIFE IN CECIL COUNTY. TWELVE 1-2 HOUR INTERVIEWS WITH 2-5 COMMUNITY LEADERS WERE CONDUCTED BY UNION HOSPITAL. TO ENSURE PARTICIPANTS FELT FREE TO SHARE THEIR THOUGHTS, PARTICIPATION WAS KEPT CONFIDENTIAL. THE SURVEY TOOK APPROXIMATELY 15 TO 20 MINUTES TO COMPLETE AND 506 PEOPLE COMPLETED THE SURVEY. ---------------
SCHEDULE H, PART V, SECTION B, LINE 7A & B (CHNA AVAILABILITY)UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS ALSO AVAILABLE AT: HTTPS://CECILCOUNTYHEALTH.ORG/RESOURCES/HEALTH-ADVISORY-COMMITTEE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 10 (IMP. STRATEGY PUBLIC AVAILABILITY) UNION HOSPITAL OF CECIL COUNTY, INC.'S CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTP://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 11 (ADDRESSING NEEDS FROM THE CHNA)UNION HOSPITAL'S MOST RECENT CHNA, COMPLETED IN COLLABORATION WITH THE CECIL COUNTY PUBLIC HEALTH DEPARTMENT PRIORITIZED THE FOLLOWING HEALTH NEEDS: - CANCER - BEHAVIORAL HEALTH (COMPRISED OF MENTAL HEALTH AND SUBSTANCE USE) - CHILDHOOD TRAUMA WHILE CANCER INCIDENCE RATES HAVE STEADILY DECLINED IN CECIL COUNTY OVER THE LAST SEVERAL YEARS, THE INCIDENCE RATE REMAINS HIGH IN COMPARISON TO THE STATE AND NATION. UNFORTUNATELY, MANY MEMBERS OF OUR COMMUNITY HAVE BEEN IMPACTED BY CANCER. FOR THE LAST 10 YEARS, BEHAVIORAL HEALTH HAS BEEN PRIORITIZED AS AN AREA OF NEED. IN THE 2013 AND 2016 CHNAS, SUBSTANCE USE WAS IDENTIFIED AS THE NUMBER ONE HEALTH PRIORITY FOLLOWED BY MENTAL HEALTH. AS ILLICIT DRUG USE HAS BEEN INCREASING IN CECIL COUNTY IN RECENT YEARS, WITH OPIOID USE HAVING A SIGNIFICANT IMPACT IN OUR COMMUNITY, IT IS NOT SURPRISING THAT THIS REMAINS AN AREA OF NEED. FINALLY, CHILDHOOD TRAUMA WAS IDENTIFIED AS AN AREA OF NEED BECAUSE OF THE LIKELIHOOD THAT MEMBERS IN OUR COMMUNITY SUFFERED A TRAUMA IN CHILDHOOD AND THE DAMAGING IMPACT IT HAS THROUGHOUT LIFE. ADVERSE CHILDHOOD EXPERIENCES (ACE) IS THE TERM COMMONLY USED TO DESCRIBE ALL TYPES OF ABUSE, NEGLECT, AND OTHER POTENTIALLY TRAUMATIC EXPERIENCES THAT OCCUR TO PEOPLE UNDER THE AGE OF 18. ACES HAVE BEEN LINKED TO RISKY BEHAVIORS, CHRONIC HEALTH CONDITIONS, LOW LIFE POTENTIAL AND PREMATURE DEATH. NEARLY TWO-THIRDS OF ADULTS IN CECIL COUNTY REPORTED EXPERIENCING AT LEAST ONE ACE DURING THEIR CHILDHOOD (2019 CHNA, PAGE 26). CANCER UNION HOSPITAL'S COMPREHENSIVE CANCER SERVICES INCLUDE PREVENTION, DETECTION, INPATIENT AND OUTPATIENT TREATMENT, FOLLOW-UP CARE, AND ONGOING SUPPORT THROUGH A DEDICATED SOCIAL WORKER AND THE CANCER RESOURCE CENTER WHICH IS A VOLUNTEER RUN ORGANIZATION. THE UNION HOSPITAL CANCER PROGRAM IS CERTIFIED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS AND IS A RECIPIENT OF ITS PRESTIGIOUS OUTSTANDING ACHIEVEMENT AWARD. TREATMENT OPTIONS INCLUDE RADIATION THERAPY IN COLLABORATION WITH UNIVERSITY OF MARYLAND RADIATION ONCOLOGY, AN ADVANCED INFUSION CENTER, AND PARTICIPATION IN CLINICAL TRIALS. INPATIENT AND OUTPATIENT SERVICES ARE OFFERED AT UNION HOSPITAL, AT CHRISTIANACARE'S HELEN F. GRAHAM CANCER CENTER & RESEARCH INSTITUTE AND RADIATION ONCOLOGISTS, PA. IN FY 20, UNION HOSPITAL CONTINUED TO PROVIDE SCREENINGS FOR LUNG, BREAST, COLORECTAL, AND PROSTATE CANCERS WHICH ARE CANCERS THAT WERE THE FOCUS OF OUR 2019 CHNA, AND TO PROVIDE INFORMATION TO ELIGIBLE PATIENTS FOR SCREENINGS PROVIDED BY THE CECIL COUNTY HEALTH DEPARTMENT. IN SEPTEMBER 2019, UNION HOSPITAL PROVIDED ITS ANNUAL FREE PROSTATE SCREENING AND EDUCATION EVENTS AND SUCCESSFULLY SCREENED 27 INDIVIDUALS. FOR THE PAST SEVERAL YEARS, FREE SCREENINGS FOR HEAD AND NECK CANCERS HAVE BEEN OFFERED IN THE SPRING. UNFORTUNATELY, DUE TO THE CORONAVIRUS PANDEMIC, THESE SCREENINGS WERE NOT HELD IN THE SPRING OF 2020. UNION HOSPITAL CONTINUES TO PROVIDE LOW-DOSE LUNG CT (LDCT) SCREENINGS WHICH DETECT MALIGNANT TUMORS BEFORE SYMPTOMS APPEAR. THIS SCREENING IS SIGNIFICANT BECAUSE THE EARLIER LUNG CANCER CAN BE DETECTED, THE BETTER THE CHANCE OF SURVIVAL. LDCT SCANS ARE RECOMMENDED FOR THOSE: - BETWEEN THE AGES OF 55 AND 74 YEARS OLD - CURRENT SMOKER OR HAVE QUIT IN THE PAST 15 YEARS - HAVE NO SYMPTOMS OF LUNG CANCER - HAVE A 30 PACK YEAR SMOKING HISTORY (PACK YEAR = NUMBER OF PACKS OF CIGARETTES SMOKED PER DAY MULTIPLIED BY NUMBER OF YEARS AS A SMOKER) IN THE 2020-2022 IMPLEMENTATION PLAN, THE STATED OBJECTIVE WAS TO INCREASE THE NUMBER OF INDIVIDUALS RECEIVING LDCT SCANS BY 5% WAS SET. IN CALENDAR YEARS 2016, 2017, AND 2018, 556 PEOPLE WERE SCREENED. THE GOAL FOR CALENDAR YEARS 2019, 2020, AND 2021 IS TO SCAN 584 INDIVIDUALS. IN FISCAL YEAR 2020, UNION HOSPITAL 241 PATIENTS RECEIVED THE LDCT SCAN. WHILE WE EXPECT DECREASED NUMBERS IN FISCAL YEAR 2021 DUE TO THE CORONAVIRUS PANDEMIC, WE BELIEVE THE HIGH NUMBER SCREENED IN FISCAL YEAR 2020 WILL HELP US TO MEET THAT GOAL. BECAUSE SMOKING IN ADULTS IN CECIL COUNTY DOUBLED FROM 2014 TO 2017 (2019 CHNA, PAGE 14) THIS PARTICULAR SCREENING IS A CRITICALLY IMPORTANT OFFERING FOR THE COMMUNITY. DUE TO THE INCREASE IN SMOKING IN CECIL COUNTY, AND COMMUNITY CONCERN WITH RESPIRATORY DISEASES INCLUDING LUNG CANCER, UNION HOSPITAL ALSO IMPLEMENTED THE ABILITY TO REFER PATIENTS THROUGH THEIR ELECTRONIC HEALTH RECORD TO CECIL COUNTY HEALTH DEPARTMENT TOBACCO CESSATION PROGRAMS. IN FY 2020, 44 INDIVIDUALS WERE REFERRED TO COUNTY TOBACCO CESSATION PROGRAMS. ANOTHER IMPORTANT ASPECT OF THE 2020 - 2022 IMPLEMENTATION PLAN IS TO SUPPORT THE WORK OF CECIL COUNTY CANCER TASK FORCE WHICH IS COMPRISED OF LEADERS IN CANCER CARE, COMMUNITY HEALTH, SOCIAL SUPPORTS, PUBLIC HEALTH, AND THE FAITH-BASED COMMUNITY. REPRESENTATIVES FROM UNION HOSPITAL PARTICIPATE ON THIS COMMITTEE AND A UNION HOSPITAL CAREGIVER CHAIRED THE COMMITTEE IN FISCAL YEAR 2020. THROUGH PARTICIPATION IN THIS COMMITTEE, UNION HOSPITAL WORKS WITH ITS COMMUNITY PARTNERS TO PROMOTE EDUCATION AND AWARENESS OF CANCER PREVENTION AND SCREENINGS, AND COLLABORATES TO MEET OBJECTIVES SET BY COMMUNITY PARTNERS. FINALLY, UNION HOSPITAL CONTINUED TO RUN AN ACTIVE BREAST CANCER SURVIVORS SUPPORT GROUP IN FY 2020. DESPITE THE CORONAVIRUS PANDEMIC MAKING COMMUNITY EVENTS IN THE SPRING OF 2020 IMPOSSIBLE, OUR CAREGIVERS ADAPTED AND WERE ABLE TO PROVIDE VIRTUAL SESSIONS FOR THE FINAL FEW MONTHS OF FISCAL YEAR. IN TOTAL, 12 SESSIONS, INCLUDING A FULL DAY RETREAT AND 2 VIRTUAL SESSIONS, WERE HELD IN FY 2020. BEHAVIORAL HEALTH UNION HOSPITAL WORKS TO ADDRESS BEHAVIORAL HEALTH ISSUES WITHIN ITS COMMUNITY THROUGH DIRECT PROGRAMMING AND COLLABORATION WITH COMMUNITY PARTNERS. UNION HOSPITAL HAS A 12-BED INPATIENT UNIT, AN OUTPATIENT PRACTICE, AND AN INTENSIVE OUTPATIENT PROGRAM FOR ADULTS STRUGGLING TO MANAGE MENTAL HEALTH DISORDERS. ALL OF THESE OFFERINGS SEEK TO ADDRESS THE PATIENTS' NEEDS HOLISTICALLY WITH A PERSON-CENTERED APPROACH THAT RELIES ON MULTI-DISCIPLINARY TEAMS. IN FY 2020, UNION HOSPITAL CAREGIVERS PARTICIPATED IN THE FOLLOWING COMMUNITY GROUPS FOCUSED ON BEHAVIORAL HEALTH: LOCAL OVERDOSE FATALITY REVIEW TEAM: A COUNTY LEVEL MEETING THAT REVIEWS CONFIRMED OVERDOSE DEATHS IN CECIL COUNTY AND LOOKS FOR OPPORTUNITIES TO CLOSE GAPS IN TREATMENT. CIT ADVISORY COMMITTEE: THIS COMMITTEE MEETS QUARTERLY TO ADVISE AFFILIATED SANTE GROUP ON THEIR GRANT FUNDED INITIATIVE TO BRING CRISIS INTERVENTION TREATMENT TRAINING TO FIRST RESPONDERS IN THE COUNTY. CIT COMMITTEE: THIS COMMITTEE MEETS QUARTERLY TO REVIEW CRISIS INTERVENTION TRAINING PROGRESS AND OPPORTUNITIES FOR CECIL COUNTY. CECIL COUNTY DRUG AND ALCOHOL COUNCIL: THIS COUNCIL IDENTIFIES PRIORITIES AND STRATEGIES FOR MEETING THE EVALUATION, PREVENTION, AND TREATMENT NEEDS OF THE PUBLIC AND THE JUSTICE SYSTEM. COUNCIL MEETINGS ARE OPEN TO THE PUBLIC AND INCLUDE REPRESENTATIVES FROM LOCAL/REGIONAL PREVENTION AND TREATMENT PROVIDERS, HEALTH DEPARTMENT, SOCIAL SERVICES, CRIMINAL JUSTICE ORGANIZATIONS, FAITH COMMUNITY, MEMBERS OF THE RECOVERY COMMUNITY, AND CONCERNED CITIZENS. CECIL COUNTY CORE SERVICES AGENCY: ORGANIZED BY THE CECIL COUNTY HEALTH DEPARTMENT, THESE MEETINGS ARE DESIGNED TO KEEP COMMUNITY PARTNERS AWARE OF NEW AND ONGOING MENTAL HEALTH AND SUBSTANCE USE DISORDER PROGRAMS TO ENSURE THEY CAN DIRECT CECIL COUNTY RESIDENTS AND THEIR FAMILIES TO THESE RESOURCES. UNION HOSPITAL CONTINUED THE PEER RECOVERY ADVOCATES PROGRAM IN COLLABORATION WITH THE CECIL COUNTY HEALTH DEPARTMENT IN FY 2020. UNION HOSPITAL CAREGIVERS IDENTIFY INDIVIDUALS IN THE EMERGENCY DEPARTMENT AND THE PSYCHIATRIC UNIT WHO MAY SUFFER FROM A SUBSTANCE USE DISORDER AND THEN COORDINATE WITH THE PEER PROGRAM TO ENSURE THOSE INDIVIDUALS CONNECT WITH A PEER. THE PEER THEN WORKS TO IDENTIFY THE INDIVIDUAL'S NEEDS, GET THEM INTO TREATMENT, AND GET CONNECTED WITH THE APPROPRIATE COMMUNITY RESOURCES. IMPORTANTLY, THE PEERS REMAIN IN COMMUNICATION WITH THESE INDIVIDUALS TO ENSURE CONTINUED SUCCESS. 285 INDIVIDUALS WERE REFERRED TO THE PEER PROGRAM IN FISCAL YEAR 2020. THE PROGRAM HAS BEEN HALTED SINCE MARCH 2020 DUE TO THE PANDEMIC, BUT WE EXPECT TO RESUME THIS MUCH NEEDED PROGRAM IN THE NEAR FUTURE. UNION HOSPITAL CONTINUED ITS PARTNERSHIP WITH TWO COMMUNITY TREATMENT CENTERS, SERENITY HEALTH AND ELKTON TREATMENT CENTER, TO ALLOW CAREGIVERS TO VISIT THE SITES AND PROVIDE EXPECTANT AND NEW MOTHERS WITH EDUCATION PERTAINING TO CARING FOR INFANTS GENERALLY, BUT ALSO INFANTS WHO EXPERIENCE NEONATAL ABSTINENCE SYNDROME (NAS). IN FY 20, 43 MOTHERS WERE PROVIDED EDUCATION. PRIOR TO FY 20, UNION HOSPITAL CAREGIVERS WOULD PROVIDE THIS EDUCATION AS VOLUNTEERS ON THEIR OWN TIME. IN RECOGNITION OF THE IMPORTANCE OF THIS COMMUNITY NEED, UNION HOSPITAL MADE THE DECISION TO BEGIN PAYING CAREGIVERS FOR THEIR TIME PROVIDING EDUCATION AT THESE TWO TREATMENT LOCATIONS. THE EDUCATION WAS SUSPENDED DUE TO THE PANDEMIC, BUT WE HOPE TO RESUME IT ONCE IT IS SAFE TO DO SO. CHILDHOOD TRAUMA SOME EFFORTS TO ADDRESS CHILDHOOD TRAUMA HAV
SCHEDULE H, PART V, SECTION B, LINE 11 (ADDRESSING NEEDS FROM THE CHNA)HEALTH NEEDS IDENTIFIED BUT NOT PRIORITIZED: - ACCESS TO CARE: ONGOING EFFORTS THROUGH HEALTH SERVICES TO BRING MORE PROVIDERS INTO THE COMMUNITY COVERING A RANGE OF SPECIALTIES, INCLUDING PRIMARY CARE AND GERIATRIC SERVICES. - HOMELESSNESS: CHAC DOES NOT HAVE ENOUGH RESOURCES TO MANAGE THIS PROBLEM. HOMELESS PROVIDERS IN THE AREA MEET THROUGH THE CECIL COUNTY INTERAGENCY COUNCIL ON HOMELESSNESS TO WORK THROUGH ISSUES AND FIND ADDITIONAL SUPPORTS. - CHRONIC DISEASE: CHRONIC DISEASES IDENTIFIED: ARTHRITIS, ASTHMA, COPD, HEART DISEASE, HYPERTENSION, OBESITY, STROKE, AND DIABETES. WHILE RESOURCE CONSTRAINTS LIMIT THE ABILITY TO IMPLEMENT TARGETED PROGRAMS, THERE ARE ONGOING EFFORTS THROUGH HEALTH SERVICES TO BRING MORE PROVIDERS INTO THE COMMUNITY COVERING A RANGE OF SPECIALTIES, INCLUDING PRIMARY CARE AND GERIATRIC SERVICES. - DENTAL HEALTH: WITH THE DENTAL CLINIC CLOSURE, STARTING A NEW EFFORT TO MANAGE DENTAL HEALTH NEEDS IN VULNERABLE COMMUNITIES WAS NOT FEASIBLE. THE DENTAL ADVISORY COMMITTEE IS CURRENTLY WORKING ON STRATEGIES TO INCREASE AWARENESS AROUND DENTAL HEALTH IN VULNERABLE AND UNDERSERVED NEIGHBORHOODS, PRIMARILY WORKING THROUGH NEIGHBORHOOD COMMUNITY CENTERS AND LOCAL LIBRARIES. - TOBACCO USE: TOBACCO USE IS A RISK FACTOR THAT IS ADDRESSED THROUGH PROGRAMS AT THE CECIL COUNTY HEALTH DEPARTMENT AND THROUGH THE MARYLAND QUITLINE. - INFECTIOUS & COMMUNICABLE DISEASES: THERE ARE PROGRAMS IN PLACE THROUGH THE CECIL COUNTY HEALTH DEPARTMENT TO ADDRESS INFECTIOUS AND COMMUNICABLE DISEASE. - VACCINATION: ADDRESSED BY THE SCHOOLS, CECIL COUNTY HEALTH DEPARTMENT, UNION HOSPITAL, AND PHYSICIAN PRACTICES. - ENVIRONMENTAL HEALTH: ADDRESSED BY DEPT OF NATURAL RESOURCES AND CECIL COUNTY HEATH DEPT. LACK OF AVAILABLE RESOURCES; TOO BROAD. - INJURIES MOTOR VEHICLE/PEDESTRIAN: ADDRESSED BY LAW ENFORCEMENT AND THE DEPT OF TRANSPORTATION. - CHILD ABUSE AND NEGLECT: HANDLED THROUGH REPORTS TO CPS AND MEDICAL EXAMS FROM THE CECIL COUNTY CHILD ADVOCACY CENTER - DOMESTIC VIOLENCE: ADDRESSED BY THE DOMESTIC VIOLENCE SHELTER, A PART OF THE DEPARTMENT OF SOCIAL SERVICES, AND LOCAL LAW ENFORCEMENT - VIOLENT CRIME: ADDRESSED BY LOCAL AND STATE LAW ENFORCEMENT IN CECIL COUNTY. AGENCIES AND HEALTH CARE SERVICES ALSO PARTNER WITH LAW ENFORCEMENT TO SUPPORT THEIR EFFORTS. - SUICIDE: ADDRESSED THROUGH INPATIENT AND OUTPATIENT PROGRAMS IN THE COMMUNITY, MEDIATION SERVICES LIKE EASTERN SHORE MOBILE CRISIS, UPPER BAY COUNSELING SERVICES, AND HOT- AND WARM-LINES PROVIDING REAL-TIME INTERVENTIONS TO THOSE AT-RISK FOR SUICIDE. BARRIERS TO CARE IDENTIFIED BUT NOT PRIORITIZED: - INCOME & POVERTY: MAY BE ADDRESSED AS PART OF EACH OF THE HEALTH PRIORITY AREAS. REQUIRES STRONGER GOVERNMENT/PUBLIC PROGRAMS AND AND FUNDING TO SUPPORT OVERCOMING THESE BARRIERS. - EMPLOYMENT: MAY BE ADDRESSED AS PART OF THE BEHAVIORAL HEALTH PRIORITY. OTHERWISE ADDRESSED BY SUSQUEHANNA WORKFORCE NETWORK, CECIL COLLEGE, AND OTHER LOCAL NON-PROFITS, LIKE THOSE THAT ASSIST VETERANS. - HEALTH INSURANCE AVAILABILITY AND COST: ADDRESSED THROUGH THE MARYLAND HEALTH CONNECTION AND SEEDCO. - TRANSPORTATION: ADDRESSED THROUGH VOUCHER PROGRAMS AT DEPT OF COMMUNITY SERVICES AND THROUGH LOCAL PARTNERSHIPS. - HEALTH CARE COSTS: ADDRESSED THROUGH PROGRAMS LIKE: UNION HOSPITAL COMMUNITY ASSISTED MEDICATION PROGRAM (CAMP), THE UNION HOSPITAL CANCER PROGRAM COMMUNITY OUTREACH SUPPORT, MANY OUTREACH PROGRAMS AT THE CECIL COUNTY HEALTH DEPARTMENT, LOCAL PHARMACY ASSISTANCE PROGRAMS, AND THE DEPARTMENT OF COMMUNITY SERVICES ASSISTANCE PROGRAMS THROUGH MAPP, OPTIONS COUNSELING, AND COMMUNITY FIRST CHOICE. - HOME HEALTH ELIGIBILITY: ADDRESSED THROUGH PROGRAMS THAT ASSIST PERSONS WITH THE APPLICATION PROCESS (EX. THE COUNTY DEPARTMENT OF COMMUNITY SERVICES). - LACK OF KNOWLEDGE (INCL. LOW HEALTH LITERACY, LACK OF ACCESS TO HEALTH INFORMATION): OPPORTUNITIES TO ADDRESS HEALTH LITERACY ARE BEING EXPLORED FOR ALL PRIORITY AREAS. - PUBLIC ASSISTANCE QUALIFICATIONS: ADDRESSED THROUGH CECIL COUNTY HEALTH DEPARTMENT, THE DEPARTMENT OF COMMUNITY SERVICES, THE DEPARTMENT OF SOCIAL SERVICES, AND THE CERTIFIED HEALTH INSURANCE NAVIGATORS THROUGH SEEDCO AND THE MARYLAND HEALTH CONNECTION. - NEED FOR MORE MEDICAL AND SOCIAL SUPPORTS: ADDRESSED BY DEPT OF SOCIAL SERVICES, DEPT OF COMMUNITY SERVICES, CECIL COUNTY HEALTH DEPARTMENT, AND OTHER SOCIAL SERVICES. - EDUCATIONAL ATTAINMENT: ADDRESSED BY LOCAL NON-PROFITS WORK WITH SPECIAL AND VULNERABLE POPULATIONS WHO EXPERIENCE BARRIERS TO GETTING A GED; LOCAL FEDERAL CREDIT UNIONS PROVIDE EDUCATION ON HOW TO AFFORDABLY FINANCE EDUCATION; CECIL COLLEGE OFFERS SCHOLARSHIPS TO ELIGIBLE INDIVIDUALS; AND WORKPLACES PROVIDE TUITION REIMBURSEMENT FOR APPLICABLE EDUCATIONAL ATTAINMENT (E.G.. WORKPLACE CERTIFICATIONS OR DEGREES). - AFFORDABLE HOUSING: AFFORDABLE HOUSING IS A LARGE BARRIER IN CECIL COUNTY, ESPECIALLY AMONG THE POOR AND LOW-INCOME. WHILE WAIT LISTS ARE LONG FOR MOST HOUSING PROGRAMS, THERE ARE AGENCIES IN THE COMMUNITY THAT MANAGE THIS ISSUE. ALSO, WHILE NEW DEVELOPMENT IS COSTLY, THERE ARE SOME RESOURCES AVAILABLE TO PURCHASE AND/OR REHAB EXISTING OR NEW PROPERTIES FOR TRANSITIONAL HOUSING. SOME COMMUNITY WORK HAS BEEN DONE TO STRIKE COMPROMISES WITH LANDLORDS TO HOUSE HOMELESS AND OTHER TENANTS WHO CAN DEMONSTRATE THE ABILITY TO SUSTAIN HOUSING. - LANGUAGE BARRIERS: LANGUAGE BARRIERS CAN BE ADDRESSED THROUGH THE USE OF INTERPRETERS. MOST PROGRAMS IN THE COUNTY HAVE ACCESS TO MEDICAL AND SOCIAL INTERPRETERS OR CONTRACTED INTERPRETER SERVICES. IF ACCESS IS A PROBLEM THEN THERE IS OPPORTUNITY TO PARTNER WITH ORGANIZATIONS THAT HAVE THESE RESOURCES. FOR PATIENTS OR CLIENTS WITH LANGUAGE BARRIERS THERE IS OPPORTUNITY FOR ORGANIZATIONS TO PROVIDE MATERIALS IN OTHER LANGUAGES AND HIRE OR ACCESS PROFESSIONALS THAT CAN SPEAK OTHER LANGUAGES. - TIME LIMITATIONS: IN ALL THE FOCUS GROUPS IT WAS VOICED THAT THERE ARE NOT ENOUGH DOCTORS' OFFICES OPEN IN THE EVENING HOURS. UNION HOSPITAL AND MANY OTHER PROVIDERS IN THE COMMUNITY HAVE ADDED EVENING AND WEEKEND HOURS FOR FREQUENTLY USED SERVICES, LIKE PRIMARY CARE AND URGENT CARE. ---------------
SCHEDULE H, PART V, SECTION B, LINE 13B (DETAIL OF INCOME LEVEL)PATIENTS WITH A HOUSEHOLD INCOME UP TO 500% OF FPL AND WITH A FINANCIAL HARDSHIP (MEDICAL DEBT, INCURRED BY A FAMILY OVER A 12-MONTH PERIOD THAT EXCEEDS 25 PERCENT OF THE FAMILY INCOME) WILL RECEIVE A 25% ADJUSTMENT. ---------------
SCHEDULE H, PART V, SECTION B, LINE 16A (FAP AVAILABILITY)FAP WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16B (FAP APPLICATION AVAILABILITY)FAP APPLICATION WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16C (FAP PLS AVAILABILITY)FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16J (FAP OTHER AVAILABILITY)UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP AND HOW TO APPLY. FAP IS PUBLICIZED ON ALL BILLING STATEMENTS, INVOICES, AND FINANCIAL CONSENT FORMS. FAP IS COMMUNICATED TO PATIENTS UPON DISCHARGE FROM INPATIENT, OBSERVATION, AND SURGICAL SERVICES.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. AS A RESULT, THERE ARE NO BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX THAT NEED TO BE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES LISTED. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE. ---------------
PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES)IN FISCAL YEAR 2020, UNION HOSPITAL PARTICIPATED IN ECONOMIC DEVELOPMENT COMMUNITY BUILDING ACTIVITIES THROUGH THE PARTICIPATION OF ITS PRESIDENT, RICH SZUMEL, ON THE BOARDS OF THE ECONOMIC DEVELOPMENT COMMISSION FOR CECIL COUNTY AND THE ELKTON ALLIANCE. THE ECONOMIC DEVELOPMENT COMMISSION FOCUSES ON BUSINESS AND INDUSTRY DEVELOPMENT BY BUILDING RELATIONSHIPS WITH LOCAL PARTNERS IN CECIL COUNTY. UNION HOSPITAL COLLABORATES WITH THIS COMMISSION TO PROMOTE STABILITY WITHIN THE HOSPITAL'S WORKFORCE AND TO BRING MUCH NEEDED PRACTITIONERS TO THE AREA, ESPECIALLY WHERE THERE ARE TOO FEW PROVIDERS OR IDENTIFIED SERVICE GAPS. THE ELKTON ALLIANCE COLLABORATES WITH LOCAL GOVERNMENT AND BUSINESS COMMUNITIES TO RESTORE, PROMOTE, AND MAINTAIN THE DIVERSE HISTORIC DOWNTOWN ELKTON AREA, WHILE ATTRACTING NEW ENTERPRISES FOR THE BENEFIT OF COMMUNITY RESIDENTS, BUSINESSES, AND VISITORS. IN COLLABORATING WITH THE ELKTON ALLIANCE, UNION HOSPITAL SEEKS TO MAINTAIN A POSITIVE PRESENCE IN THE COMMUNITY BY HELPING TO ADDRESS COMMUNITY DEVELOPMENT ISSUES. IN FY 2020, DR. RICH SZUMEL ALSO PARTICIPATED IN COMMUNITY SUPPORT COMMUNITY BUILDING ACTIVITIES THROUGH HIS PARTICIPATION ON THE LOCAL MANAGEMENT BOARD OF CECIL COUNTY. THE CORE FUNCTION OF LOCAL MANAGEMENT BOARDS (LMBS) IS TO IDENTIFY COMMUNITY DRIVEN PRIORITIES AND TARGET RESOURCES FOR THEIR COMMUNITIES, AS WELL AS SERVE AS THE COORDINATOR OF COLLABORATION FOR CHILD AND FAMILY SERVICES. THERE IS A LOCAL MANAGEMENT BOARD IN EACH COUNTY IN MARYLAND, INCLUDING BALTIMORE CITY. ON THIS BOARD, DR. SZUMEL PROVIDED INSIGHT ON THE CONNECTION BETWEEN HOSPITAL SERVICES/POPULATION HEALTH INITIATIVES AND SUPPORT FOR COMMUNITY DIRECTIVES/STRATEGIC PRIORITIES. ---------------
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606)TIMES THE COST TO CHARGE RATIO. ---------------
PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSION METHODOLOGY)THE IMPLICIT PRICE CONCESSION METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF IMPLICIT PRICE CONCESSIONS FOR THE YEAR. OTHER IMPLICIT PRICE CONCESSION AMOUNTS ARE NOT INCLUDED IN COMMUNITY BENEFITS. ---------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE)THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND ON PAGE 13 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. ---------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND. EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT. ---------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES)UNION HOSPITAL'S F-416 CREDIT AND COLLECTION POLICY AND PROCEDURE HAS A SECTION CALLED, "INTERNAL COLLECTION EFFORTS" WHICH STATES: "UPON DISCHARGE, PATIENTS RECEIVE AN ITEMIZED BILL FOR INPATIENT ADMISSIONS IN ACCORDANCE WITH THE MARYLAND HOSPITAL COST REVIEW COMMISSION REQUIREMENTS. WHEN INSURANCE PAYMENTS ARE RECEIVED LEAVING A SELF-PAY BALANCE, OR THE ACCOUNT IS STRICTLY SELF-PAY, IT IS OUTSOURCED FOR FOLLOW-UP BUT REMAINS ON THE HOSPITAL'S ACTIVE ACCOUNTS RECEIVABLE. AGENTS WORK THE ACCOUNTS IN THE HOSPITAL'S NAME AND REPRESENTATIVES ARE DIRECTED TO ACCEPT MONTHLY PAYMENTS UNTIL THE ACCOUNT IS PAID IN FULL. COLLECTION EFFORTS CONSIST OF PHONE CALLS AND MONTHLY STATEMENTS. THE PATIENT MAY ALSO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THIS PROCESS (SEE POLICY F-415, FINANCIAL ASSISTANCE)." IN THE F-415 FINANCIAL ASSISTANCE POLICY AND PROCEDURE, UNDER SECTION, "ACTION IN THE EVENT OF NON-PAYMENT," IT IS EXPLAINED THAT: "A. UNION HOSPITAL MAY CONTRACT WITH OUTSIDE COLLECTION SERVICES TO PURSUE COLLECTION OF DELINQUENT ACCOUNTS. ALL UNPAID ACCOUNTS WITHOUT EXCEPTION OR PAYMENT ARRANGEMENTS ARE PLACED IN OUTSIDE COLLECTION AFTER A MINIMUM OF 90 DAYS FROM THE INITIAL BILLING STATEMENT AND DELIVERY OF ALL SCHEDULED PATIENT ACCOUNT STATEMENTS TO THE PATIENT/GUARANTOR. B. UNION HOSPITAL DOES NOT CONDUCT, OR PERMIT COLLECTION AGENCIES TO CONDUCT ON THEIR BEHALF, EXTRAORDINARY COLLECTIONS EFFORTS AGAINST INDIVIDUALS." IN ADDITION, IN THE F-416 POLICY, UNDER THE SECTION, "EXTERNAL COLLECTION (BAD DEBT WRITE-OFF)," IT EXPLAINS THAT PATIENTS WITH BALANCES BEING COLLECTED BY AN ASSIGNED COLLECTION AGENCY WILL HAVE THEIR BALANCES WIRTTEN OFF IF THEY ARE DETERMINED TO BE INDIGENT. ---------------
PART VI, LINE 2 (NEEDS ASSESSMENT)UNION HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH ITS ROBUST COMMUNITY PARTNERSHIPS. PERHAPS ITS MOST SIGNIFICANT PARTNERSHIPS ARE WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) AND THE COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC). UNION HOSPITAL HAS PARTNERED WITH THE CCHD TO CONDUCT AND COMPLETE ITS NEEDS ASSESSMENT (CHNA) SINCE 2013. THE CHAC ALSO PLAYS A SIGNIFICANT ROLE IN THIS PROCESS AS IT PROVIDES SUBSTANTIAL INPUT ON THE SELECTION OF THE PRIORITIZED NEEDS AND IT GOVERNS THE HEALTH TASK FORCES THAT WORK ON AND MONITOR PROGRESS MADE ON THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) STRATEGIES THAT ADDRESS THE HEALTH PRIORITIES IDENTIFIED IN THE CHNA. THE CCHD IS INVOLVED IN MANY HEALTH INITIATIVES THROUGHOUT CECIL COUNTY AND THE CHAC IS COMPRISED OF A NUMBER OF LOCAL GOVERNMENT AND COMMUNITY ORGANIZATIONS. THESE PARTNERSHIPS PROVIDE UNION HOSPITAL WITH RICH INSIGHT INTO THE HEALTH OF OUR COMMUNITY. UNION HOSPITAL CAREGIVERS ALSO PARTICIPATE IN A NUMBER OF DIFFERENT COMMUNITY BOARDS AND COMMITTEES THAT FOCUS ON DIFFERENT AREAS OF COMMUNITY NEED AND INTEREST. BESIDES THE MANY ALREADY MENTIONED IN PRIOR SECTIONS: - CECIL COUNTY DRUG AND ALCOHOL COUNCIL - CECIL COUNTY CORE SERVICES AGENCY - CHILD ADVOCACY CENTER - CIT ADVISORY COMMITTEE - CIT COMMITTEE - ECONOMIC DEVELOPMENT COMMISSION - ELKTON ALLIANCE - LOCAL MANAGEMENT BOARD OF CECIL COUNTY - LOCAL OVERDOSE FATALITY REVIEW TEAM IN FY 2020, UNION HOSPITAL ALSO PARTICIPATED IN THESE ADDITIONAL GROUPS: - CECIL COUNTY DEPARTMENT OF SOCIAL SERVICES BOARD - ELKTON ROTARY - MARYLAND STRATEGIC PREVENTION FRAMEWORK IN JANUARY 2020, UNION HOSPITAL BECAME A PART OF CHRISTIANACARE. CHRISTIANACARE IS ONE OF THE COUNTRY'S MOST DYNAMIC HEALTH CARE ORGANIZATIONS, CENTERED ON IMPROVING HEALTH OUTCOMES, MAKING HIGH-QUALITY CARE MORE ACCESSIBLE AND LOWERING HEALTH CARE COSTS. CHRISTIANACARE ALSO ABIDES BY THE CHRISTIANACARE WAY: WE SERVE OUR NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. CHRISTIANACARE IS GUIDED BY ITS COMMITMENT TO PARTNERING WITH OUR NEIGHBORS TO BETTER UNDERSTAND THEIR NEEDS AND GOALS FOR HEALTH. UNION HOSPITAL WAS ALREADY UNDERTAKING THE CHRISTIANACARE WAY IN SPIRIT, AND WE EXPECT OUR COMMUNITY PARTNERSHIPS TO CONTINUE TO STRENGTHEN. ---------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)UNION HOSPITAL OF CECIL COUNTY UTILIZES A FINANCIAL ASSISTANCE POLICY (FAP) TO ENSURE THAT THE HOSPITAL'S STAFF FOLLOWS A CONSISTENT AND EQUITABLE PROCESS IN GRANTING FINANCIAL ASSISTANCE TO PATIENTS, WHILE RESPECTING THE INDIVIDUAL'S DIGNITY. THE POLICY ADHERES TO THE ESTABLISHED MARYLAND STATE FINANCIAL ASSISTANCE GUIDELINES. THE FAP CLEARLY DEFINES PATIENT EXPECTATIONS, OFFERS A STEP-BY-STEP PROCESS FOR PATIENT APPLICATION, DOCUMENT REVIEW, AND REQUEST FOR MORE INFORMATION. INDIVIDUALS WHO PRESENT TO UNION HOSPITAL IN PERSON TO DISCUSS A BILL ARE PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION. ALL INPATIENT, SELF-PAY PATIENTS ARE VISITED BY FINANCIAL ASSISTANCE NAVIGATORS AND ARE SCREENED FOR THE FINANCIAL ASSISTANCE PROGRAM, AS WELL AS FOR MEDICAID AND OTHER STATE AND COUNTY PROGRAMS.FOLLOWING DISCHARGE FROM THE HOSPITAL, EACH PATIENT RECEIVES A SUMMARY OF CHARGES WHICH INCLUDES NOTICE OF THE FINANCIAL ASSISTANCE PROGRAM AND A DESIGNATED CONTACT TELEPHONE NUMBER AND EMAIL. PATIENT BILLING ALSO INCLUDES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE TO ALL UNDERINSURED AND UNINSURED PATIENTS OF UNION HOSPITAL. ALL FINANCIAL ASSISTANCE APPLICATIONS RECEIVED ARE PROCESSED FOR ELIGIBILITY. PATIENTS WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE ARE REFERRED TO THE CECIL COUNTY HEALTH DEPARTMENT, OTHER STATE PROGRAMS, THE MARYLAND HEALTH CONNECTION, AND MEDICAID TO DETERMINE IF OTHER ASSISTANCE IS AVAILABLE. FINANCIAL ASSISTANCE APPLICATIONS AND FAP SIGNAGE ARE LOCATED THROUGHOUT THE HOSPITAL, EMERGENCY ROOM, AND OUTPATIENT AREAS. THE FINANCIAL ASSISTANCE APPLICATION AND BROCHURE (ENGLISH AND SPANISH) ARE AVAILABLE ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/. IN ADDITION, UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP, HOW TO ACCESS FINANCIAL ASSISTANCE MATERIALS, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. ---------------
PART VI, LINE 4 (COMMUNITY INFORMATION)UNION HOSPITAL IS THE ONLY HOSPITAL IN CECIL COUNTY AND SERVES THE ENTIRE COUNTY. CECIL COUNTY IS LOCATED IN THE UPPER NORTHEASTERN CORNER OF THE CHESAPEAKE BAY IN MARYLAND AND BORDERS PENNSYLVANIA AND DELAWARE. THE COUNTY SEAT IS ELKTON, MARYLAND, AND THERE ARE EIGHT TOWNS AND SEVEN UNINCORPORATED COMMUNITIES IN THE COUNTY. PRIMARY SERVICE AREA 21921 - ELKTON 21922 - ELKTON 21901 - NORTH EAST 21916 - CHILDS 21920 - ELK MILLS 21915 - CHESAPEAKE CITY 21914 - CHARLESTOWN 21911 - RISING SUN 21912 - WARWICK 21913 - CECILTON 21919 - EARLEVILLE SECONDARY SERVICE AREA 21902 - PERRYPOINT 21903 - PERRYVILLE 21904 - PORT DEPOSIT 21917 - COLORA 21918 - CONOWINGO 21930 - GEORGETOWN THE LARGEST POPULATION CENTERS IN CECIL COUNTY ARE ELKTON (21921), NORTH EAST, AND RISING SUN. HOSPITAL UTILIZATION SHOWS THAT 60% OF THE HOSPITAL'S PATIENTS COME FROM ELKTON AND NORTH EAST. ACCORDING TO THE CENSUS BUREAU, IN 2019 THE CECIL COUNTY POPULATION WAS ESTIMATED TO BE 102,855 WITH 22.5% UNDER THE AGE OF 18 AND 16.2% AGED 65 AND OLDER. 50.5% OF THE POPULATION IS FEMALE. CECIL COUNTY IS LESS RACIALLY DIVERSE THAN MARYLAND WITH 84.6% WHITE (NOT IDENTIFYING AS HISPANIC OR LATINO), 7.3% BLACK OR AFRICAN AMERICAN, 4.7% HISPANIC OR LATINO, AND 1.4% ASIAN. THE MEDIAN INCOME IS $76,887 IN THE COUNTY ($84,805 IN MARYLAND) AND THERE IS A 10.3% POVERTY RATE. 89.5% OF CECIL COUNTY RESIDENTS ARE HIGH SCHOOL GRADUATES OR HIGHER AND 23.9% HAVE A BACHELOR'S DEGREE OR HIGHER (40.2% MARYLANDERS HAVE A BACHELOR'S DEGREE OR HIGHER). CECIL COUNTY IS A LARGELY RURAL AREA AND ACCESSING SERVICES CAN BE CHALLENGING, ESPECIALLY IF INDIVIDUALS ALSO FACE A LACK OF TRANSPORTATION AND OTHER BARRIERS. (CENSUS BUREAU, QUICKFACTS, HTTPS://WWW.CENSUS.GOV/QUICKFACTS/CECILCOUNTYMARYLAND) ---------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)FISCAL YEAR 2020 BROUGHT A LOT OF CHANGES TO UNION HOSPITAL. IT JOINED CHRISTIANACARE IN JANUARY 2020, UNION HOSPITAL'S COMMUNITY BENEFIT MANAGER WHO HAS LED MOST COMMUNITY BENEFIT ACTIVITIES FOR YEARS LEFT IN THE EARLY MONTHS OF THE FISCAL YEAR, AND THE PANDEMIC BROUGHT TO A HALT MANY COMMUNITY ACTIVITIES THAT WOULD TYPICALLY OCCUR IN THE SPRING. WHILE IT HAS BEEN CHALLENGING TO PROVIDE THE SAME COMMUNITY BENEFIT SERVICES AMIDST THE PANDEMIC, LIKE OUR ON-SITE YOUTH PROGRAMMING CAMP SCRUBS AND THE EXPLORERS POST, ALL OF THESE CHANGES PROVIDE EXCELLENT OPPORTUNITIES TO STRENGTHEN OUR COMMUNITY BENEFIT EFFORTS AND CONSIDER OUR COMMUNITY CHALLENGES WITH A NEW PERSPECTIVE. GUIDED BY THE CHRISTIANACARE WAY AND OUR VALUES OF LOVE AND EXCELLENCE, CHRISTIANACARE INCLUDES AN EXTENSIVE NETWORK OF OUTPATIENT SERVICES, HOME HEALTH CARE, URGENT CARE CENTERS, THREE HOSPITALS (1,299 BEDS), A LEVEL I TRAUMA CENTER AND A LEVEL III NEONATAL INTENSIVE CARE UNIT, A COMPREHENSIVE STROKE CENTER AND REGIONAL CENTERS OF EXCELLENCE IN HEART AND VASCULAR CARE, CANCER CARE AND WOMEN'S HEALTH. IT ALSO INCLUDES THE PIONEERING GENE EDITING INSTITUTE AND WAS RATED BY IDG COMPUTERWORLD AS ONE OF THE NATION'S BEST PLACES TO WORK IN IT. CHRISTIANACARE IS A NONPROFIT TEACHING HEALTH SYSTEM WITH MORE THAN 281 RESIDENTS AND FELLOWS. CHRISTIANACARE IS CONTINUALLY RANKED BY US NEWS & WORLD REPORT AS A BEST HOSPITAL. WITH OUR UNIQUE, DATA-POWERED CARE COORDINATION SERVICE CAREVIO AND A FOCUS ON POPULATION HEALTH AND VALUE-BASED CARE, CHRISTIANACARE IS SHAPING THE FUTURE OF HEALTH CARE. UNION HOSPITAL, NOW KNOWN AS CHRISTIANACARE, UNION HOSPITAL, WILL BENEFIT FROM ALL THE EXPERTISE AND INNOVATION OF CHRISTIANACARE AND WE FULLY EXPECT TO ALSO LEARN FROM UNION HOSPITAL, PARTICULARLY AS WE STRIVE TO SERVE A LESS DIVERSE AND MORE RURAL POPULATION IN CECIL COUNTY WITH ITS OWN SET OF UNIQUE CHALLENGES AND STRENGTHS. CHRISTIANACARE SYSTEM LEVEL COMMUNITY HEALTH AND POPULATION HEALTH TEAMS ARE WORKING ON INTEGRATION AND WE LOOK FORWARD TO CONTINUED LEARNING FROM OUR UNION HOSPITAL CAREGIVERS AND CECIL COUNTY NEIGHBORS AND STRENGTHENED POSITIVE IMPACT ON THE COMMUNITY. EACH FISCAL YEAR, UNION HOSPITAL SERVES THE CECIL COUNTY COMMUNITY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT SEEK TO IMPROVE COMMUNITY HEALTH, ESPECIALLY SERVING UNDERSERVED AREAS AND VULNERABLE POPULATIONS. WHILE MANY OF THESE ACTIVITIES WERE HALTED IN MARCH 2020 AND SOME WERE UNABLE TO BE COMPLETED AS THE RECENTLY DEPARTED COMMUNITY BENEFIT MANAGER WAS LEADING THEM, NEVERTHELESS, WE PROVIDED SERVICES TO THE COMMUNITY IN FY 2020. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FY 2020 THAT HAVE NOT BEEN MENTIONED PREVIOUSLY IN THIS NARRATIVE: A1: COMMUNITY HEALTH EDUCATION UNION HOSPITAL PROVIDED: - A VARIETY OF HEALTH EDUCATION PRESENTATIONS IN THE COMMUNITY ON TOPICS SUCH AS DIABETES, BREAST CANCER, AND NUTRITION - EXPLORER POST AT UNION HOSPITAL AND CAMP SCRUBS FOR STUDENTS SEEKING EXPOSURE TO MEDICAL OR HEALTH SCIENCE EXPERIENCES - SUPPORT GROUPS FOR NEW MOMS, BREAST CANCER SURVIVORS, AND DIABETES - TARGETED EDUCATION AT TREATMENT CLINICS FOR NEW MOMS WHOSE BABIES MAY BE DELIVERED WITH NEONATAL ABSTINENCE SYNDROME A2: COMMUNITY-BASED CLINICAL SERVICES UNION HOSPITAL PROVIDED: - FREE FOOT AND EYE SCREENINGS FOR DIABETICS - TYPICALLY, UNION HOSPITAL ALSO PROVIDES FREE HEAD AND NECK CANCER SCREENINGS, BUT THESE WERE CANCELLED DUE TO THE PANDEMIC. - UNION HOSPITAL ALSO PROVIDES A FREE SPORTS PHYSICALS CLINIC FOR COUNTY PUBLIC AND PRIVATE MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS - THIS EVENT WAS POSTPONED DUE TO THE PANDEMIC. WHILE IT DID NOT HAPPEN IN FY 20, IT HAPPENED IN EARLY FY 21. A4: SOCIAL AND ENVIRONMENTAL IMPROVEMENTS UNION HOSPITAL: - PARTICIPATED IN BOARD SERVICE WITH ORGANIZATIONS SUPPORTING SOCIAL AND ENVIRONMENTAL HEALTH - PROVIDED TRANSPORTATION DONATIONS FOR ELIGIBLE (NEEDS-BASED) PATIENTS AND THEIR FAMILIES B1-B3: HEALTH PROFESSIONS EDUCATION UNION HOSPITAL STAFF PRECEPTED POST-SECONDARY STUDENTS THROUGH STUDENT EXPERIENCES FOR NURSING AND MEDICAL RESIDENCY CLINICAL ROTATIONS, GRADUATE STUDENT INTERNSHIPS, AND ALLIED HEALTH OBSERVATIONS AND INTERNSHIPS. C: MISSION DRIVEN HEALTH SERVICES UNION HOSPITAL PROVIDED THESE SERVICES TO MEET IDENTIFIED NEEDS IN THE COMMUNITY, EVEN THOUGH THEY OPERATE AT A LOSS: - EMPLOYED PHYSICIAN PRACTICE SUBSIDIES (C3) - ADULT DAY SERVICES FOR OLDER ADULT CLIENTS WITH DEMENTIA AND OTHER NEUROLOGICAL DISORDERS (C7) - HOSPICE CARE (C9) D1: CLINICAL RESEARCH UNION HOSPITAL MAINTAINED A CANCER REGISTRY THROUGH THE CANCER PROGRAM THAT WAS AVAILABLE TO HEALTH SERVICE PROVIDERS AND RESEARCHERS. E3: IN-KIND CONTRIBUTIONS UNION HOSPITAL PROVIDED DONATIONS OF TIME AND MATERIALS FOR THE CECIL COUNTY COMMUNITY BY: - PROVIDING FREE AMBULANCE TRANSPORTS AND FREE SUPPLIES FOR AMBULANCE STOCK-UPS - GIVING BLOOD AT BLOOD DRIVES HELD AT THE HOSPITAL AND OTHER LOCAL DONOR LOCATIONS - ATTENDING MEETINGS FOR COMMUNITY HEALTH IMPROVEMENT (LOCAL HEALTH IMPROVEMENT COALITION, COMMUNITY BOARDS, COALITIONS, ETC.) - PROVIDING FOOD FOR THE HOME DELIVERED MEALS PROGRAM (MEALS ON WHEELS) IN A PARTNERSHIP BETWEEN UNION HOSPITAL'S FOOD SERVICE DEPARTMENT AND THE CECIL COUNTY DEPARTMENT OF COMMUNITY SERVICES' AGING AND DISABILITY RESOURCE CENTER AND COMMUNITY WELLNESS DIVISIONS - PROVIDING FREE NOTARY SERVICES FOR THE COMMUNITY ONLY 3 MONTHS OF FY 2020 WERE AFFECTED BY THE PANDEMIC, BUT UNFORTUNATELY, PROGRAMMING LIKE BLOOD DRIVES, SPORTS PHYSICALS, HEALTH FAIRS AND PRESENTATIONS, AND STUDENT INITIATIVES TYPICALLY OCCUR IN THE SPRING MONTHS. IN PERSON PROGRAMS SUCH AS THE PEER RECOVERY ADVOCATES PROGRAM AND THE NAS PARENTING EDUCATION WERE ALSO HALTED AND SO DESPITE ONLY AFFECTING A QUARTER OF THE YEAR, WE CERTAINLY FELT THE BURDEN OF THE PANDEMIC ON OUR COMMUNITY WORK IN FY 2020. UNION HOSPITAL ADAPTED WITH STRENGTH AND PERSEVERANCE AND LIKE THE REST OF THE NATION AND WORLD, WAS REMINDED THROUGH THE EXPERIENCE OF THE PANDEMIC HOW TRULY VITAL HEALTH IS TO OUR LIVES AND COMMUNITIES. WE ARE EAGER TO GET BACK INTO OUR COMMUNITIES AND NOT JUST VIRTUALLY! WITH THE SHARED LEARNING AND INTEGRATION BETWEEN UNION HOSPITAL AND CHRISTIANACARE, WE ARE EXCITED ABOUT THE NEW PROGRAMMING AND INITIATIVES TO BE INTRODUCED INTO CECIL COUNTY AS THE PANDEMIC SUBSIDES. OF COURSE, EVERY INITIATIVE WILL BE SUBJECT TO OUR PARTNER AND COMMUNITY'S APPROVAL AS WE STRIVE TO TRULY PARTNER WITH OUR COMMUNITIES. ---------------
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. (AHA) IS THE PARENT ENTITY. AHA'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES, FUNDRAISING AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY. OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE THE UNION HOSPITAL OF CECIL COUNTY FOUNDATION, INC., UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC., AND UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC. THE FOUNDATION CONDUCTS AND SUPERVISES FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES. THE FOUNDATION ENGAGES IN CORPORATE FUNDRAISING, CAPITAL CAMPAIGNS, SPECIAL EVENTS, ACTIVITIES, AND A MULTI-FACETED COMMUNICATION PROGRAM THAT APPEALS TO PRIVATE AND CORPORATE CONTRIBUTORS. UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH RELATED VENTURES TO SERVICE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL. UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC'S (THE "CORPORATION") DUTY AND MISSION IS TO PROVIDE HIGH QUALITY, ADVANCED RADIATION ONCOLOGY SERVICES TO THE CECIL COUNTY AREA IN ORDER TO FOSTER THE BEST CANCER TREATMENT PROCESS CLOSE TO HOME. CANCER-RELATED DEATHS ARE AMONG THE HIGHEST CAUSES OF MORTALITY IN CECIL COUNTY, SO IT IS THE CORPORATION'S MISSION TO BRING SOME OF THE MOST ADVANCED RADIATION THERAPIES TO CECIL COUNTY TO PROVIDE THE MOST COMPREHENSIVE CANCER CARE POSSIBLE TO THE PEOPLE LIVING WITH CANCER HERE AND IN NEIGHBORING COMMUNITIES. BY OFFERING THESE ADVANCED CANCER TREATMENT OPTIONS, THE CORPORATION FURTHERS ITS CHARITABLE PURPOSE OF PROVIDING MEDICAL SERVICES TO PROMOTE THE HEALTH AND WELFARE OF THE RESIDENTS OF CECIL COUNTY AND NEIGHBORING COMMUNITIES. UNION HOSPITAL OF CECIL COUNTY VENTURES, INC. IS A FOR-PROFIT STOCK CORPORATION. ITS PURPOSE IS TO ENGAGE IN ANY BUSINESS OR TRANSACTION WHICH WILL BENEFIT THE ACTIVITIES AND GOALS OF ITS AFFILIATES. OPERATIONS CONSIST PRIMARILY OF PROVIDING MANAGEMENT SUPPORT SERVICES FOR PHYSICIAN PRACTICES AND PROVIDING IMAGING SERVICES TO PHYSICIANS AND HEALTH CENTERS THROUGH ITS WHOLLY OWNED SUBSIDIARIES, TRIANGLE ALLIANCE LLC AND OPEN MRI AND IMAGING CENTER OF ELKTON LLC. ON JANUARY 1, 2020, AHA BECAME A MEMBER OF CHRISTIANA CARE HEALTH SYSTEM. CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH MORE THAN 1,600 MEDICAL-STAFF MEMBERS AND 260 MEDICAL-DENTAL RESIDENTS AND FELLOWS AND INCLUDES A NUMBER OF ENTITIES INCLUDING CHRISTIANA CARE HEALTH SERVICES, INC. ---------------
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT)LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MD

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD C SZUMEL MD
PRESIDENT & CEO$0$461,034$0$0$0$21,647$0$77,504$0$8,287$0$568,472$0$0
JOSE MA MD
DIRECTOR$113,761$0$132,654$0$24,236$0$3,458$0$26,163$0$300,272$0$0$0
JAMES G RAAB
SENIOR VP/CFO THRU 10/2020$0$265,004$0$0$0$34,345$0$3,784$0$21,672$0$324,805$0$0
AARON Z ROYSTON THRU 1019
VP OF PROVIDER ENTERPRISE$177,655$0$0$0$64,790$0$2,790$0$1,382$0$246,617$0$0$0
CRAIG M BABBITT
IN-HOUSE LEGAL COUNSEL$284,148$0$0$0$52,033$0$4,200$0$7,080$0$347,461$0$0$0
FAHD RAHMAN
PHYSICIAN$378,996$0$180,294$0$131,074$0$4,200$0$26,666$0$721,230$0$0$0
JUSTIN SAUSVILLE MD
DIRECTOR, PHYSICIAN$398,786$0$29,694$0$119,804$0$4,200$0$26,722$0$579,206$0$0$0
ROGER D WU
PHYSICIAN$445,628$0$26,510$0$38,436$0$4,200$0$22,536$0$537,310$0$0$0
NAVEED HASAN
PHYSICIAN$332,313$0$27,500$0$126,411$0$4,200$0$22,267$0$512,691$0$0$0
HANHAN LI
PHYSICIAN$391,867$0$17,500$0$63,172$0$4,200$0$8,430$0$485,169$0$0$0
MICHELLE TWUM-DANSO
ASSOCIATE VP HUMAN RESOURCES$168,143$0$0$0$12,177$0$1,993$0$1,618$0$183,931$0$0$0
DR RYAN GERACIMOS
CHIEF MEDICAL OFFICER$0$288,101$0$0$0$14,800$0$1,511$0$1,541$0$305,953$0$0
MARIE VASBINDER
SR. VP/CHIEF NURSE OFFICER$0$97,550$0$0$0$119,896$0$1,613$0$781$0$219,840$0$0
DERON BROWN
EXEC DIRECTOR OF FINANCE$144,989$0$0$0$6,482$0$2,180$0$1,970$0$155,621$0$0$0
EUGENIA M GRAY
PHYSICIAN$396,682$0$11,250$0$1,892$0$4,200$0$15,153$0$429,177$0$0$0
CYDNEY TEAL
FORMER VP MEDICAL AFFAIRS$0$54,628$0$0$0$47,635$0$3,759$0$3,400$0$109,422$0$0
JOAN PIRRUNG
VP OF NURSING$0$119,904$0$22,911$0$17,094$0$18,369$0$21,913$0$200,191$0
AMY MARSTON
CAMPUS OPERATIONS OFFICER$0$131,676$0$14,994$0$13,284$0$4,935$0$22,733$0$187,622$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 4ADEATAIL OF SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR 2019: - AARON Z. ROYSTON $33,408 - CRAIG M. BABBITT $29,376 - MARIE VASBINDER $103,846 ---------------
FORM 990, SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED PLAN PARTICIPATION DR. RICHARD C. SZUMEL (PRESIDENT & CEO) PARTICIPATES IN A SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLAN UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE WITH CONTRIBUTION AMOUNT OF $73,304 DURING THE CALENDAR YEAR 2019. ---------------
FORM 990, SCHEDULE J, PART I, LINE 7PROVISION OF NON-FIXED PAYMENTS A PORTION OF THE BONUSES AND MERIT INCREASE ARE TIED TO THE ORGANIZATIONAL GOALS, SUCH AS PATIENT SATISFACTION, QUALITY, EMPLOYEE TURNOVER, ETC. A PORTION OF THE BONUSES AND MERIT INCREASE ARE ALSO TIED TO EXPENSES PER EQUIVALENT INPATIENT DAYS OF UNION HOSPITAL OF CECIL COUNTY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TOWN OF ELKTON - SERIES 2012A
A5260007902012-05-18$10,000,000REFUND PORTION OF SERIES 2009 BONDfalsefalsefalse
TOWN OF ELKTON - SERIES 2012B1B2
B5260007902012-05-18$8,662,336REFUND SERIES 2009 & 2000 BONDSfalsefalsefalse
TOWN OF ELKTON - SERIES 2012C
C5260007902012-05-18$9,000,000REFUND ESCROW TO REPAY 2002 BoNDfalsefalsefalse
MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
D5209360912012-07-18$9,924,000REFUND PORTION OF SERIES 2002 BONDfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,667,702$0$10,000,000$0$0$0$0$0$0$0$10,000,000$02012Yes (true)falseYes (true)Yes (true)
B$4,378,636$0$8,662,336$0$0$0$0$0$0$0$8,662,336$02012Yes (true)falseYes (true)Yes (true)
C$0$0$9,000,000$0$0$0$0$0$0$0$9,000,000$02012Yes (true)falseYes (true)Yes (true)
D$7,698,735$0$9,924,000$0$0$0$0$0$0$0$9,924,000$02012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctChange In Use Bond Financed PropChangeInUseBondFinancedPropPct
AfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0.00000falsefalsefalseYes (true)0.000000.000000.00000
CfalsefalseYes (true)Yes (true)false0.00000falsefalsefalseYes (true)0.000000.00000
DfalsefalseYes (true)Yes (true)false0.00000falsefalsefalseYes (true)0.000000.000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
CfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
DfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
A5209360912012-07-18$4,007,000FINANCE ACQUISITION OF EQUIPMENTfalsefalsefalse
MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
B5209360912014-12-01$30,778,000REFINANCE THE 2005 BONDfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,019,674$0$4,007,000$0$0$0$0$0$0$0$4,007,000$02012Yes (true)falseYes (true)Yes (true)
B$540,000$0$30,778,000$0$0$0$0$0$0$0$30,778,000$02014Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPct
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3DETAIL OF CHANGES IN ACTIVITIES THE ORGANIZATION'S ADULT DAYCARE PROGRAM WAS CEASED IN NOVEMBER 2019. --------------- FORM 990, PART VI, SECTION A, LINE 6 DETAIL OF MEMBERS AND STOCKHOLDERS CHRISTIANA CARE HEALTH SERVICES, INC. IS THE SOLE MEMBER OF AFFINITY HEALTH ALLIANCE ("AFFINITY"), BOTH TAX-EXEMPT ORGANIZATIONS. AFFINITY IS THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC. ---------------
FORM 990, PART VI, SECTION A, LINE 7AGOVERNING BODY AND MANAGEMENT THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS DIRECTORS ARE APPOINTED BY ITS SOLE MEMBER, AFFINITY. ---------------
FORM 990, PART VI, SECTION A, LINE 7BGOVERNING BODY AND MANAGEMENT THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS SOLE MEMBER (AFFINITY) MAY AMEND ITS BYLAWS. ---------------
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS INFORMATION RELATED TO THE UNION HOSPITAL OF CECIL COUNTY, INC. FORM 990 IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2019 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2020 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2019 FORM 990 VIA ITS BOARD OF DIRECTORS PORTAL. ---------------
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE ORGANIZATION'S CEO REVIEWS THE SIGNED ANNUAL DISCLOSURES. THE CORPORATE COMPLIANCE OFFICER IS MADE AWARE OF ANY DISCLOSED CONFLICT, INVESTIGATES THE CONFLICT, AND REPORTS BACK TO THE BOARD OF DIRECTORS. THE BOARD CONSIDERS THE FACTS AND MAKES AN APPROPRIATE FINDING. ANY BOARD MEMBER WITH A CONFLICT MUST ABSTAIN FROM BOARD DELIBERATIONS AND VOTING ON THE MATTER. ALL VICE PRESIDENTS ANNUALLY RECEIVE A LIST OF THE INDIVIDUALS UNDER THEIR SUPERVISION WHO MAY HAVE A POTENTIAL CONFLICT OF INTEREST. THE LIST IS COMPRISED OF ALL MANAGERS, CERTAIN PROFESSIONAL STAFF WHO MAY HAVE RESPONSIBILITY NEGOTIATING WITH VENDORS, AND ANY OTHER PERSONS THAT HOSPITAL EXECUTIVES DEEM APPROPRIATE. EACH VICE PRESIDENT REVIEWS THE CONFLICT OF INTEREST POLICY WITH THEIR DESIGNATED EMPLOYEES, AND EACH EMPLOYEE IS REQUIRED TO SIGN A FORM STIPULATING WHETHER OR NOT THEY HAVE A CONFLICT. THE FORMS ARE REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES. IF A CONFLICT IS NOTED, IT IS BROUGHT TO THE ATTENTION OF THE APPROPRIATE VICE PRESIDENT AND THE CEO TO DETERMINE WHETHER OPERATIONAL CHANGES NEED TO OCCUR BECAUSE OF THE POTENTIAL CONFLICT. ---------------
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW AND APPROVAL PROCESS THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY OF THE ORGANIZATION, AS WELL AS SETTING, MONITORING AND REVIEWING THE COMPENSATION PACKAGE OF THE ORGANIZATION'S CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM. THE COMMITTEE USES RELEVANT MARKET INFORMATION, INCLUDING THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION OR SURVEYS, TO SET COMPENSATION. DURING FISCAL YEAR 2020, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED THE FOLLOWING SERVICES: EXECUTIVE COMPENSATION AND PERFORMANCE EVALUATION. COMPENSATION REVIEW AND APPROVAL IS DOCUMENTED VIA BOARD MINUTES. ---------------
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE, MANAGEMENT & DISCLOSURE THE ORGANIZATION MAKEs ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ---------------
FORM 990, PART XI, LINE 9DETAIL OF OTHER CHANGES IN NET ASSETS INVESTMENT IN CCHS & SUBSIDIARIES $ (26,601,805) CHANGE IN NET ASSETS OF FOUNDATION 95,616 ______________ TOTAL $ (26,506,189) --------------- ---------------
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:9437392
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:11380354
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES & FEES TOTAL FEES:1737637
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY EMPLOYEES TOTAL FEES:2683491
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:185785
FORM 990 PART IX LINE 11GDESCRIPTION:CLEANING SERVICES TOTAL FEES:170985
FORM 990 PART IX LINE 11GDESCRIPTION:BILLING & COLLECTIONS SERVICES TOTAL FEES:2367149
FORM 990 PART IX LINE 11GDESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:179700

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UNION HOSPITAL OF CECIL COUNTY FDN INC
106 BOW STREETELKTONMD21921521794552FUNDRAISINGMD501(C)(3)7AFFINITYfalse
UNION HOSPITAL OF CECIL COUNTY HLTH SVCS
106 BOW STREETELKTONMD21921521794553PROPERTY MGMTMD501(C)(3)10AFFINITYfalse
AFFINITY HEALTH ALLIANCE INC
106 BOW STREETELKTONMD21921521794697MANAGEMENTMD501(C)(3)12B,IICCH SERVICESfalse
UNION HOSPITAL OF CECIL COUNTY ONCOLOGY
106 BOW STREETELKTONMD21921812662359HEALTHCAREMD501(C)(3)3AFFINITYfalse
CHRISTIANA CARE HEALTH SYSTEM INC
501 WEST 14TH STREETWILMINGTONDE19801521479538FUNDRAISINGDE501(C)(3)7NAfalse
CHRISTIANA CARE HLTH INITIATIVES INC
200 HYGEIA DRIVE SUITE 2300NEWARKDE19713510295186OUTPATIENT SVDE501(C)(3)10CCH SYSTEMfalse
CHRISTIANA CARE HOME HEALTH & COM SRVCS
4000 NEXUS DRIVE STE W2WILMINGTONDE19803510064334HOME HLTHCAREDE501(C)(3)7CCH SYSTEMfalse
CHRISTIANA CARE HEALTH SERVICES INC
PO BOX 2653WILMINGTONDE19805510103684HOSPITALDE501(C)(3)3CCH SYSTEMfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIANACARE GOHEALTH URGENT CARE LLC
5555 GLENRIDGE CONNECTOR STE 700ATLANTAGA30342844061485URGENT CARE SRVCSDECCH SERVICES
CHRISTIANACARE VALUE HEALTH JV LLC
11221 ROE AVENUELEAWOODKS66211851100149AMBULATORY SRVCSDECCH SERVICES

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
UNION HOSPITAL OF CECIL COUNTY VENTURES
106 BOW STREETELKTONMD21921521793691MEDICAL SERVICESMDAFFINITYC CORPfalse
THE DE CTR FOR MAT FETAL MED OF CC INC
4000 NEXUS DR STE NW3-100WILMINGTONDE19803205891272HEALTHCAREDECC HEALTH SRVCSC CORPfalse
CHRISTIANA CARE HEALTH PLANS
4000 NEXUS DR STE NW3-100WILMINGTONDE19803510352728INSURANCEDECCH SYSTEMC CORPfalse
CHRISTIANA CARE DEFERRED COMP PLAN
4755 OGLETOWN STANTON RDNEWARKDE19718816359549DEF COMP PLANDECC HEALTH SRVCSTRUSTfalse
CHRISTIANA CARE EXEC DEFERRED COMP PLAN
4755 OGLETOWN STANTON RDNEWARKDE19718357048822DEF COMP PLANDECC HEALTH SRVCSTRUSTfalse
CARE ASSOCIATES DEFERRED COMP PLAN
4755 OGLETOWN STANTON RDNEWARKDE19718357048714DEF COMP PLANDECC HEALTH SRVCSTRUSTfalse
CHRISTIANA CARE INSURANCE CO LTD
981489490SELF-INSURANCECC HEALTH SRVCSC CORPfalsePO BOX 1159 878 W BAY RDGRAND CAYMANCJKY1-1102CJ
CHRISTIANA CARE STRATEGIC INVESTMENTS
4000 NEXUS DR STE NW3-100WILMINGTONDE19803853348300STRATEGYDECCH SYSTEMC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd