2020-07-01T15:31:04-05:00 2019-06-30 346565596 Ernst & Young US LLP 1101 New York Avenue NW Washington DC 20005 990 2018-07-01 520445374 Civista Medical Center Inc CIVI 3016094130 PO Box 1070 La Plata MD 20646 ALBERT ZANGER VP FINANCE/CFO 2020-07-01 true Justin J Lowe P01866796 2023276000 2018 2021-01-29 14:40:06Z UM Charles Regional Medical Center NOEL CERVINO 5 GARRETT AVE LA PLATA MD 20646 160469840 false X WWW.UMMS.ORG/CHARLES X 1980 MD CIVISTA MEDICAL CENTER, INC., D/B/A UM CHARLES REGIONAL MEDICAL CENTER (UM CRMC) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTH SYSTEM SERVING THE HEALTH NEEDS OF CHARLES COUNTY AND THE CITIZENS OF SOUTHERN MARYLAND. 16 13 1080 13 107714 0 105000 671604 142325452 140343468 786906 900479 550382 540546 143767740 142456097 0 75441 0 0 56241051 56462879 0 0 0 74261222 72849262 130502273 129387582 13265467 13068515 170040930 183242155 82330029 82187271 87710901 101054884 CIVISTA MEDICAL CENTER, INC. (DOING BUSINESS AS UM CHARLES REGIONAL MEDICAL CENTER, (UM CRMC)) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTHCARE SYSTEM CREATED TO PROVIDE EXCELLENCE IN ACUTE HEALTHCARE AND PREVENTIVE SERVICES IN CHARLES COUNTY AND THE SURROUNDING COMMUNITIES. false false 110997163 75441 140388337 AS A MEMBER OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, CIVISTA MEDICAL CENTER, INC. (D/B/A UM CHARLES REGIONAL MEDICAL CENTER, "UM CRMC") OPERATES A 109-BED HOSPITAL IN LA PLATA, MARYLAND. UM CRMC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. ITS ACTIVITIES INCLUDE PROVIDING HEALTHCARE TREATMENT AND CARE TO PERSONS WHO ARE ACUTELY ILL, OPERATING A 24-HOUR EMERGENCY DEPARTMENT WHICH SERVICES ALL COMMUNITY PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. DURING ITS FISCAL YEAR ENDED JUNE 30, 2019, THE HOSPITAL ENGAGED IN THE FOLLOWING ACTIVITIES THAT WERE IN FURTHERANCE OF ITS EXEMPT PURPOSE: PROVIDED INPATIENT SERVICES WHICH INCLUDED 6,049 INPATIENT ADMISSIONS; PROVIDED OUTPATIENT SERVICES WHICH INCLUDED 51,592 EMERGENCY DEPARTMENT VISITS AND 3,227 OUTPATIENT SURGERIES; AND 712 BIRTHS. IN FY19, UM CRMC PROVIDED MORE THAN $8.1 MILLION IN COMMUNITY BENEFITS INCLUDING CHARITY CARE, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND DONATIONS. THIS YEAR, WE PROVIDED AND SUPPORTED PROGRAMS, ACTIVITIES AND SCREENINGS SUCH AS BLOOD PRESSURE, GLUCOSE, BREAST AND CERVICAL CANCER, COLORECTAL CANCER AND STROKE RISK REDUCTION EDUCATION. MOBILE INTEGRATED HEALTH COMPLETED THE SECOND YEAR TO IMPROVE ACCESS TO CARE AND WRAP AROUND HEALTH CARE TO COMMUNITY MEMBERS WITH BARRIERS. IN ADDITION TO PARTICIPATING IN THE PROGRAM UM CRMC WILL CONTRIBUTE FINANCIALLY TO THE PROGRAM FOR 3 YEARS. UM CRMC PROVIDED HEALTH EDUCATION PROGRAMS ON HEARTY HEALTHY EATING, DIABETES EDUCATION, CANCER EDUCATION, BREAST AND CERVICAL CANCER, TOBACCO CESSATION PROGRAM. 110997163 true true false true false false false false false true true false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 132 0 true 1080 true true true false false false false false true false false false false false X 16 13 false false false false true true true true true false false true true true true true true true true true true MD X ALBERT ZANGER 3016094130 5 GARRETT AVE LA PLATA MD 20646 R Wayne Barnes Board Chair 1.0 1.0 X X 0 0 0 Noel A Cervino President and CEO 40.0 10.0 X X 632843 0 34706 Charles Rosenfield Secretary/Treasurer 1.0 1.0 X X 0 0 0 Austin J Slater Jr Vice Chair 1.0 1.0 X X 0 0 0 Dianna Abney Director 1.0 1.0 X 0 0 0 John W Ashworth III UMMS Interim President/CEO 1.0 60.0 X 0 653119 36969 Brianna Bowling Director 1.0 1.0 X 0 0 0 Jon P Burns Director 1.0 41.0 X 0 731665 32353 Robert A Chrencik President and CEO - UMMS (Ended 04/19) 1.0 60.0 X 0 2634806 36554 Anthony B Covington Director 1.0 1.0 X 0 0 0 Shelly Culhane Director 1.0 1.0 X 0 0 0 Richard Ferraro Director 1.0 1.0 X 0 0 0 B Larry Jenkins Jr Director 1.0 1.0 X 0 0 0 Louis P Jenkins Jr Director 1.0 2.0 X 0 0 0 Mary Lilly Director 1.0 2.0 X 0 0 0 Matthew M Martin Director (Ended 10/18) 1.0 2.0 X 0 0 0 Ashvin J Patel Director 1.0 1.0 X 0 0 0 Patrick Pierce Director 1.0 1.0 X 0 0 0 Erik Boas SVP Finance and CFO (Ended 03/19) 40.0 10.0 X 332313 0 12667 Albert Zanger VP Finance and CFO 40.0 10.0 X 0 201123 30620 Dana Levy Chief Nursing Officer 40.0 0 X 347668 0 33791 Joseph D Moser SVP and Chief Medical Officer 40.0 0 X 434710 0 52323 Gabriel Abiola Clinical Pharmacist 40.0 0 X 171489 0 24137 Marilyn Gregory RN 40.0 0 X 179261 0 2549 William Grimes VP Ancilliary Services 40.0 0 X 230511 0 9319 Katherine Middleton RN 40.0 0 X 175333 0 17463 Clive W Savory VP Planning 40.0 0 X 223265 0 55315 2727393 4220713 378766 47 false true false MARYLAND INPATIENT CARE SPECIALISTS 7250 PARKWAY DRIVE SUITE 500 HANOVER MD 21076 PHYSICIAN SERVICES 2680929 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 ENVIRONMENTAL SERV 1630432 Cross Country Staffing PO Box 404674 Atlanta GA 303844674 Staffing 1164596 CMI General Contractor 30069 Business Center Dr Charlotte Hall MD 20622 Contractors 993654 ANACOSTIA MEDICAL ASSOCIATES 8408 Adler Court Millersville MD 21108 Medical services 860419 44 X 621607 49997 671604 NET PATIENT REVENUE 900099 140343468 140343468 0 0 0 0 0 0 140343468 436658 0 0 436658 0 0 18477564 18013743 463821 0 463821 0 0 463821 CAFETERIA & COFFEE BAR SALES 900099 351141 0 0 351141 ANSWERING SERVICE 561000 107714 0 107714 0 MEDICAL RECORDS 900099 36822 0 0 36822 44869 44869 0 0 540546 142456097 140388337 107714 1288442 X 75441 75441 0 0 1747534 782378 965156 0 43437151 36921578 6515573 0 2080685 1768582 312103 0 5983967 5086372 897595 0 3213542 2731511 482031 0 109967 0 109967 0 25963 0 25963 0 27096462 23888558 3207904 0 68804 0 68804 0 2915212 0 2915212 0 3734718 3174510 560208 0 95287 80994 14293 0 75847 64470 11377 0 2146197 1824267 321930 0 6163047 5238590 924457 0 2533204 2361672 171532 0 SUPPLIES AND DRUGS 14707689 14707689 0 0 BAD DEBT 7268108 7268108 0 0 PURCHASED SERVICES 3844791 3268072 576719 0 EQUIPMENT SERVICE CONTRACTS 761172 646996 114176 0 1302794 1107375 195419 0 129387582 110997163 18390419 0 3954691 9066416 10784422 18405086 0 0 0 1680379 1674776 619052 638795 134544054 60596212 74150594 73947842 13472000 10293000 19745505 11482247 0 45634287 57733993 170040930 183242155 9786350 10091010 0 3280301 2122721 69263378 69973540 82330029 82187271 X 87710901 101054884 0 0 87710901 101054884 170040930 183242155 X 13068515 246142 29326 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 19800 false true 6163 25963 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DIRECT LOBBYING EFFORTS RELATE TO FEDERAL, STATE AND LOCAL LEGISLATION AFFECTING HEALTH CARE ISSUES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 4.8% AND 22.73% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C PART II-B AS LOBBYING ACTIVITIES. 78819516 24682556 54136960 1128371 509168 619203 52729185 35404488 17324697 1866982 1866982 73947842 OTHER SECURITIES 11482247 F 11482247 CAPITAL CARRYOVER 16082389 DUE FROM AFFILIATES 14994094 MALPRACTICE TRUST FUNDS 9474201 TERRAPIN REINSURANCE 6740340 ECONOMIC INTEREST-NET ASSETS 5346497 INV. CHES POTOMAC HEALTHCARE 4061732 OTHER CURRENT RECEIVABLES 468988 MALPRACTICE CURRENT PORTION 529065 PHYSICIAN LOANS 34012 SECURITY DEPOSITS 2675 57733993 DUE TO AFFILIATES 46946491 ACCRUED PENSION COSTS 5258957 TERRAPIN REINSURANCE 6740340 MALPRACTICE IBNR 5290649 ADVANCES FROM THIRD PARTIES 3729451 LEASE LIABLIITIES 396167 HCCF ASSESSMENT LIABILITY 275227 PATIENT AR CREDIT BALANCES 1336258 69973540 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX LIABILITIES OR BENEFITS THAT SHOULD BE RECOGNIZED. true true X true X true X true true false true true 733214 0 733214 0.0060 0 0.0 0 0.0 0 0 733214 0 733214 0.0060 295926 0 295926 0.0024 165381 0 165381 0.0014 6831161 0 6831161 0.0559 0 0.0 86694 0 86694 0.0007 0 0 7379162 0 7379162 0.0604 0 0 8112376 0 8112376 0.0664 0 0.0 17641 17641 0.0001 90048 90048 0.0007 0 0.0 0 0.0 12999 12999 0.0001 0 0.0 190566 190566 0.0016 0 0.0 0 0 311254 0 311254 0.0025 true 5511341 0 55327552 47211414 8116138 X true true 1 1 CIVISTA MEDICAL CENTER INC 5 GARRETT AVE LA PLATA MD 20646 WWW.UMMS.ORG/CHARLES 08-001 X X X 1 1 1 false false true X X X X X X X X X 17 true false true true X https://www.umms.org/charles/community X true 17 true https://www.umms.org/charles/community false true X 200.0 300.0 X X X X X true true X X X true X https://www.umms.org/charles/community X https://www.umms.org/charles/community X https://www.umms.org/charles/community X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER INC.. From July 2017 to March 2018, the University of Maryland Charles Regional Medical Center undertook a comprehensive assessment of the health needs of Charles County, Maryland. To provide a comprehensive assessment of the health needs of the county, a five method plan was developed which included 5 different sources of data: a long online survey of Charles County residents perceptions of health and health behaviors, a short paper survey on health perceptions throughout the county, 5 focus groups with community leaders, citizens, and stakeholders, 9 key informant interviews on behavioral health, and a quantitative data analysis of secondary, published data. Data collection occurred between July 2017 and February 2018. The use of the multiple data collection methods strengthened the validity of the assessment's findings as well as ensuring that Charles County residents had an opportunity to participate in the assessment process and to feel invested in its outcome. Five focus groups were performed throughout the county between July 2017 and February 2018. The focus group topics included: chronic disease specific health, county leadership, youth through the school nurses, reproductive and infant health, and access to care. Approximately 128 people participated in the county focus groups. Participants represented all service organizations within the community. They provide services to all facets of the community including women, infants, school aged children, those who are incarcerated, those with mental health problems, those with financial/housing/employment/health issues, the un- and underinsured, the hungry, those with chronic health conditions, the homeless, the elderly, college students, medically underserved, all faiths and religions, and minorities. 846 Charles County residents completed the 27 question online survey that was created using Survey Monkey. The link to the survey was available on the University of Maryland Charles Regional Medical Center website and the Charles County Department of Health website. The first section of the survey asked participants about their perception of health and health services within the county. The second section asked them about their health behaviors, in order to determine their risk for the development of certain health conditions. Most of the respondents were from Charles County (77%). The second largest percentage is from St Mary's County (12%). Only 7% reported living outside of Southern Maryland (Charles, Calvert, St Mary's, or PG). Approximately 71% of the respondents were between the ages of 35-64 years. The highest percentage was in the 55-64 year age group (25%). The overwhelming majority of the respondents were female (80%). Minorities made up 23% of the total 2014 survey population. African Americans comprised 17% of the respondents. Approximately 4% of the survey respondents self-identified as Hispanic. This is similar to the county overall Hispanic population of 5%. The survey participants were a highly educated group with 89.97% reporting having had any amount of college education. Just over half of the group had completed an undergraduate degree or higher (50.42%). Most of the participants were employed and working full-time. The most common response was a household income of $60,000-$120,000 per year (39.39%). Individuals with a household income less than $60,000 made up one-quarter of the 2018 survey. Nearly all of the survey participants (97.59%) reported having health insurance. The majority of the participants also reported having dental insurance (85.92%) though this percentage is smaller than those reporting health insurance. Many of the respondents also had vision insurance (72.68%). Only 1.56% of the survey population reported having no type of insurance. A short four question survey was distributed throughout the county regarding perceptions of health within the county. A total of 1,317 short surveys were completed. Ongoing survey collection was conducted at the Charles County Department of Health's Nursing, Substance Abuse, and Mental Health clinics; the University of Maryland Charles Regional Medical Center's Urgent Care, Primary Care, and OBGYN clinics and Cardiac Rehabilitation Program; the Center for Children; Health Partners Inc; the Western County Community Health Center; Lifelong Learning Center; University of Maryland Extension Office; White Plains Primary Care; Charles County Government; Lifestyles of Maryland Inc.; Charles County Department of Aging; and Cambridge Pediatrics. The community was also surveyed at large events such as Mission of Mercy, Charles County Community Resource Day, the Charles County Fair, the Cancer Walk in Indian Head, and the Living Well with Chronic Conditions self-management classes. A critical part of the needs assessment process is to invite the community to express their perceptions of health status. Qualitative data cumulated from this process was used in conjunction with the quantitative health data to determine the most important health issues within the county. Quantitative data was analyzed for various health topics including: mortality, population and demographic data, natality, infant mortality, heart disease, stroke, hypertension, access to health care/health insurance, cancer, asthma, injuries, diabetes, obesity, osteoporosis, arthritis, dementia/Alzheimer's disease, communicable disease, environmental health, sexually transmitted diseases, HIV/AIDS, mental health, dental health, substance abuse, disabilities, and tobacco use. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. UM CRMC led the effort and covered 100% of the cost of the CHNA however the hospital worked collaboratively with the Charles County Department of Health and the Local Health Improvement Coalition (LHIC) - Partnerships for a Healthier Charles County (PHCC) to complete the CHNA. Executive Leadership of PHCC consists of the CEO of UM CRMC, the County Health Officer, the Superintendent of Charles County Public Schools and the President of the College of Southern of Southern Maryland. Membership of the PHCC consists of over 30 nonprofit and county agencies. Executive Committee of LHIC Charles County Dept. of Health, Dianna Abney, MD, Charles County Health Officer Charles County Public Schools, Dr. Kim Hill, Superintendent College of Southern Maryland, Dr. Brad Gottfried, President UM CRMC, Noel Cervino, President and CEO Steering Committee of LHIC Charles County Dept. of Health, Amber Starn, Epidemiologist Charles County Public Schools, Jennifer Conte, Coordinator of Student Intervention Programs College of Southern Maryland, Kelly Winters, Director, Workforce Development UM CRMC, Crystal Hunt, Director, Community Development and Planning Subcommittees: Health Partners Clinic, Chrissie Mulcahey, Director Co Chair, Access to Care UM CRMC, Mary Hannah, Chair, Access to Care Charles County Dept. of Health, Mary Beth Klick, Tobacco Prevention Coordinator, Co-Chair, Chronic Disease Prevention and Management Subcommittee UM CRMC , Amy Zimmerman, Co Chair, Chronic Disease Sub Comm. Charles County Core Services, Karyn Black, Director, Co-Chair, Behavioral Health Subcommittee Charles County Dept. of Health, Angela Deal, Community Health Educator, Co-chair, Chronic Disease Prevention and Management Subcommittee Charles County Department of Health, Laura Borawski, Community Outreach Worker, Co-Chair, Chronic Disease Prevention and Management Subcommittee Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. Cumulative analysis of all quantitative and qualitative data was used to prioritize the top health care needs in Charles County. The priorities were chosen by the Partnerships for a Healthier Charles County's Steering Committee and Subcommittee leaders using the Hanlon Method, a National Association of City and County Health Officials' recommended means for health prioritization. The Hanlon Method scores health conditions based on the size of the problem, seriousness of the problem, and the effectiveness of available interventions. The health priorities chosen include: 1. Chronic Disease Prevention and Management * Major Cardiovascular Disease (Heart Disease, Hypertension, and Stroke) * Obesity and Overweight * Diabetes Mellitus 2. Behavioral Health * Substance Use Disorders * Mental Health 3. Access to Care All 3 priorities outlined in the CHNA are being addressed by UM CRMC either directly (Physician Recruitment), or through partnerships with other organizations (i.e. Chronic Disease Self-Management Program), or through the Local Health Improvement Coalition (LHIC), Partnerships for a Healthier Charles County (PHCC), which is co-led and financially supported by UM CRMC. Where a need is appropriately addressed by another community entity, UM CRMC provides leadership and/or funding through the Charles County Health Improvement Plan and PHCC to communicate initiatives, provide financial support and/or assistance or data when needed, and review results (i.e., Substance Abuse, Mental Health). Each LHIC team has developed and implemented strategies specific to their identified priorities and reports back quarterly to the LHIC Steering Committee. The hospital provides support and oversight to the teams as a critical member of the LHIC Steering Committee. The Hospital's Director of Community Development and Planning serves as the co-chair of the county LHIC. Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAT THE FPG INCOME LEVELS. 0 Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE CRMC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAT THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. Schedule H, Part I, Line 6b COMMUNITY BENEFIT REPORT THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HSCRC. THE REPORT CAN BE FOUND AT HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPX. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 7268108 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule H, Part II Community Building Activities As the only hospital serving Charles County, Maryland, University of Maryland Charles Regional Medical Center (UM CRMC) supports programs and activities where the hospital's expertise and resources can influence the fundamental issues that affect the health of the community. UM CRMC supports economic development of the community through leadership participation in organizations such as the Chamber of Commerce, Economic Development Commission, Leadership Southern Maryland, and the Tri-County Council of Southern Maryland. UM CRMC participates in many County, State and Region-wide Emergency Preparedness planning activities and drills with our community partners such as Emergency Services, Fire and Rescue, Department of Health, County Government, FEMA and MEMA. This serves to ensure that in the event of a disaster, the hospital is ready to support and care for our community. Hospital Administration participates in healthcare workforce development by serving on committees such as the Charles County Commissioner's healthcare taskforce and support of College of Southern Maryland Nursing and Allied Health programs. In addition, UM CRMC participates and supports the STEAM Onward's Young Researchers Community Project, which offers disadvantage youth in high school an opportunity to shadow medical professionals. According to Maryland Health Workforce Study Phase 2 Report (January 2014), the Southern Maryland region has a physician shortage for primary care physicians. In Charles County, the primary care physician FTE demand is greater than the primary care FTE supply (7.4 vs. 6.1). There is an 18% shortfall in the primary care services supply to fulfill the current demand. Under medical specialties, the Southern Maryland region had a shortage for cardiology, dermatology, endocrinology, gastroenterology, hematology, oncology, infectious disease, nephrology, psychiatry, pulmonary medicine, and rheumatology. The FTE per 10,000 supply rates for professional counselors, social workers, and psychologists in Charles County is much lower than the rates for Maryland. The demand for psychiatrists in Charles County is much higher than the county supply for psychiatry. Charles County has a shortage between 50-75% of full time equivalent psychiatrists. As a result of the prevailing physician shortage, and to mitigate the effects of the lack of access of the community to medical care, UM CRMC has developed a robust and ongoing physician recruitment and retention program. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) STARTED SETTING HOSPITAL RATES IN 1974. AT THAT TIME, THE HSCRC APPROVED RATES APPLIED ONLY TO COMMERCIAL INSURERS. IN 1977, THE HSCRC NEGOTIATED A WAIVER FROM MEDICARE HOSPITAL PAYMENT RULES FOR MARYLAND HOSPITALS TO BRING THE FEDERAL MEDICARE PAYMENTS UNDER HSCRC CONTROL. IN 2014, MARYLAND'S WAIVER WITH MEDICARE WAS RENEGOTIATED AND UPDATED TO REFLECT THE CURRENT HEALTHCARE ENVIRONMENT. UNDER THIS NEW WAIVER, SEVERAL CRITERIA WERE ESTABLISHED TO MONITOR THE SUCCESS OF THE SYSTEM IN CONTROLLING HEALTHCARE COSTS AND THE CONTINUANCE OF THE WAIVER ITSELF: 1. REVENUE GROWTH PER CAPITA 2. MEDICARE HOSPITAL REVENUE PER BENEFICIARY 3. MEDICARE ALL PROVIDER REVENUE GROWTH PER BENEFICIARY 4. MEDICARE READMISSION RATES 5. HOSPITAL ACQUIRED CONDITION RATE BECAUSE OF THIS SYSTEM, THE HOSPITAL IS UNABLE TO ESTIMATE HOW MUCH OF THE AMOUNT REPORTED IN LINE 2 IS ATTRIBUTED TO PATIENTS WHO WOULD APPLY UNDER THE FAP. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE CORPORATION RECORDS REVENUES AND ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT THEIR ESTIMATED NET REALIZABLE VALUE. REVENUE IS REDUCED FOR ANTICIPATED DISCOUNTS UNDER CONTRACTUAL ARRANGEMENTS AND FOR CHARITY CARE. AN ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED BASED UPON ANTICIPATED UNCOMPENSATED CARE, AND IS ADJUSTED AS ADDITIONAL INFORMATION BECOMES AVAILABLE. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE PATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT. Schedule H, Part V, Section B, Line 16a FAP website 1 - CIVISTA MEDICAL CENTER INC.: Line 16a URL: https://www.umms.org/charles/community; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - CIVISTA MEDICAL CENTER INC.: Line 16b URL: https://www.umms.org/charles/community; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - CIVISTA MEDICAL CENTER INC.: Line 16c URL: https://www.umms.org/charles/community; Schedule H, Part VI, Line 2 Needs assessment From July 2017 to March 2018, the University of Maryland Charles Regional Medical Center undertook a comprehensive assessment of the health needs of Charles County, Maryland. To provide a comprehensive assessment of the health needs of the county, a five method plan was developed which included 5 different sources of data: a long online survey of Charles County residents perceptions of health and health behaviors, a short paper survey on health perceptions throughout the county, 5 focus groups with community leaders, citizens, and stakeholders, 9 key informant interviews on behavioral health, and a quantitative data analysis of secondary, published data. Data collection occurred between July 2017 and February 2018. The use of the multiple data collection methods strengthened the validity of the assessment's findings as well as ensuring that Charles County residents had an opportunity to participate in the assessment process and to feel invested in its outcome. Five focus groups were performed throughout the county between July 2017 and February 2018. The focus group topics included: chronic disease specific health, county leadership, youth through the school nurses, reproductive and infant health, and access to care. Approximately 128 people participated in the county focus groups. Participants represented all service organizations within the community. They provide services to all facets of the community including women, infants, school aged children, those who are incarcerated, those with mental health problems, those with financial/housing/employment/health issues, the un- and underinsured, the hungry, those with chronic health conditions, the homeless, the elderly, college students, medically underserved, all faiths and religions, and minorities. 846 Charles County residents completed the 27 question online survey that was created using Survey Monkey. The link to the survey was available on the University of Maryland Charles Regional Medical Center website and the Charles County Department of Health website. The first section of the survey asked participants about their perception of health and health services within the county. The second section asked them about their health behaviors, in order to determine their risk for the development of certain health conditions. Most of the respondents were from Charles County (77%). The second largest percentage is from St Mary's County (12%). Only 7% reported living outside of Southern Maryland (Charles, Calvert, St Mary's, or PG). Approximately 71% of the respondents were between the ages of 35-64 years. The highest percentage was in the 55-64 year age group (25%). The overwhelming majority of the respondents were female (80%). Minorities made up 23% of the total 2017 survey population. African Americans comprised 17% of the respondents. Approximately 4% of the survey respondents self-identified as Hispanic. This is similar to the county overall Hispanic population of 5%. The survey participants were a highly educated group with 89.97% reporting having had any amount of college education. Just over half of the group had completed an undergraduate degree or higher (50.42%). Most of the participants were employed and working full-time. The most common response was a household income of $60,000-$120,000 per year (39.39%). Individuals with a household income less than $60,000 made up one-quarter of the 2018 survey. Nearly all of the survey participants (97.59%) reported having health insurance. The majority of the participants also reported having dental insurance (85.92%) though this percentage is smaller than those reporting health insurance. Many of the respondents also had vision insurance (72.68%). Only 1.56% of the survey population reported having no type of insurance. A short four question survey was distributed throughout the county regarding perceptions of health within the county. A total of 1,317 short surveys were completed. Ongoing survey collection was conducted at the Charles County Department of Health's Nursing, Substance Abuse, and Mental Health clinics; the University of Maryland Charles Regional Medical Center's Urgent Care, Primary Care, and OBGYN clinics and Cardiac Rehabilitation Program; the Center for Children; Health Partners Inc; the Western County Community Health Center; Lifelong Learning Center; University of Maryland Extension Office; White Plains Primary Care; Charles County Government; Lifestyles of Maryland Inc.; Charles County Department of Aging; and Cambridge Pediatrics. The community was also surveyed at large events such as Mission of Mercy, Charles County Community Resource Day, the Charles County Fair, the Cancer Walk in Indian Head, and the Living Well with Chronic Conditions self-management classes. A critical part of the needs assessment process is to invite the community to express their perceptions of health status. Qualitative data cumulated from this process was used in conjunction with the quantitative health data to determine the most important health issues within the county. Quantitative data was analyzed for various health topics including: mortality, population and demographic data, natality, infant mortality, heart disease, stroke, hypertension, access to health care/health insurance, cancer, asthma, injuries, diabetes, obesity, osteoporosis, arthritis, dementia/Alzheimer's disease, communicable disease, environmental health, sexually transmitted diseases, HIV/AIDS, mental health, dental health, substance abuse, disabilities, and tobacco use. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance UM CRMC posts its charity care policy, or a summary thereof, as well as financial assistance contact information in admissions areas, emergency rooms, business offices and other areas of the facility where eligible patients are likely to present. Additionally, the policy and plain language version are available on the hospital's public website. The financial assistance policy (FAP) is written in a culturally sensitive and at an appropriate reading level. It is available in English and Spanish. All Patient Access Customer Service Staff have training in the financial assistance process. During the intake or discharge process or when there is contact regarding a billing matter, if a patient discloses financial difficulty or concern with payment of the bill, the patient is provided with FAP information. A packet with the application, criteria and a documentation checklist is provided. Assistance completing the application is available. Additionally, assistance is provided for patients or their families who qualify and apply for government benefits, i.e. Medicaid and other state programs. Once an application is processed and if it is deemed incomplete, a letter is sent to the patient requesting the missing or incomplete items. Patients may call the Call Center or come into the Patient Access Office for assistance. Schedule H, Part VI, Line 4 Community information The University of Maryland Charles Regional Medical Center is Charles County's only hospital and, as such, serves the residents of the entire county. Geography Charles County is a largely rural jurisdiction located approximately 23 miles south of Washington, D.C. It is one of five Maryland counties, which are part of the Washington, DC-MD-VA metropolitan area. At 458 square miles, Charles County is the eighth largest of Maryland's twenty-four counties and accounts for about 5 percent of Maryland's total landmass. The northern part of the county is the "development district" where commercial, residential, and business growth is focused. The major communities of Charles County are La Plata, the county seat; Port Tobacco; Indian Head; St Charles; and the main commercial cluster of Hughesville-Waldorf-White Plains. Approximately 60 percent of county's residents live in the greater Waldorf-La Plata area. Charles County has experienced rapid growth since 1970, expanding its population from 47,678 to 146,551 in the 2010 census. Population The 2016 Charles County population estimate was 157,705. The magnitude of growth can be seen in the changes in population density. The 2000 census showed that there were 219.4 individuals per square mile; by the 2010 census, this estimate rose to 320.2 individuals per square mile. The percent change in the population growth for Charles County from 2010 to 2016 was greater than the change seen in the Maryland state population growth (7.6% vs. 4.2%). Source: 2012-2016 US Census Bureau's American Community Survey 5 year estimates Transportation The percent change in the population growth for Charles County has been slightly greater than the change seen in the Maryland population growth. This growth has created transportation issues for the County, in particular for the "development district" in the northern part of the county from which many residents commute to Washington D.C. to work. The average work commute time for a Charles County resident is 42.9 minutes which is higher than the Maryland average of 32.4 minutes (Source US Census Bureau's 2012-2016 American Community Survey 5 year estimates). Public transportation consists of commuter buses for out-of-county travel and the county-run Van Go bus service for in-county transportation. Source: 2012-2016 US Census Bureau's American Community Survey 5 year estimates Diversity As the population of the county changes, the diversity of the county also increases. The African American population has experienced the greatest increase. In 2000, African Americans made up 26% of the total Charles County population; by 2016, African Americans comprised 46.4% of the total county population. As of 2016, minorities comprise roughly 58.3% of the Charles County population. The Hispanic community has also seen increases over the past few years. They now comprise 5.5% of the total county population. This is the one of the highest percentages among the 24 Maryland jurisdictions. Charles County also has one of the largest American Indian/Native American populations in the state of Maryland at 0.8% of the total county population. Source: 2016 US Census Bureau's American Community Survey 1 year estimate The 2016 Charles County gender breakdown is approximately 50/50. Males make up 48.2% of the population, and females make up 51.8% of the county population. Source: 2016 US Census Bureau's American Community Survey 1 year estimate Economy Employment and economic indicators for the county are fairly strong. The 2012-2016 US Census American Community Survey estimates that 67.7% of the Charles County population is currently in the labor work force. The 2012-2016 5-year estimate for Charles County found that approximately 7.4% of Charles County individuals are living below the poverty level; however, this is lower than the Maryland rate of 9.7%. The Charles County median household income was $91,373, well above the Maryland median household income of $76,067.The diversity of the county is also represented in the business community with 46% of all Charles County businesses being minority-owned firms. This is higher than the State of Maryland at 38%. Source: 2012-2016 US Census Bureau's American Community Survey 5 year estimates Education Charles County has a larger percentage of high school graduates than Maryland (92.8% vs. 89.6%); however, Charles County has a smaller percentage than Maryland of individuals with a bachelor's degree or higher (27.4% vs. 38.4%). Source: 2012-2016 US Census Bureau's American Community Survey 5 year estimates Housing There is a high level of home ownership in Charles County (77.4%); however, this is slightly down from the 2010 level (81.8%). The median value of a housing unit in Charles County is similar to the Maryland average ($287,600 vs. $290,400). Home values across Maryland have decreased and Charles County showed a similar downward trend. The average household size in Charles County is 2.81 persons. Source: 2012-2016 US Census Bureau's American Community Survey 5 year estimates Life Expectancy The life expectancy from birth for a Charles County resident as calculated for 2016 was 79.2 years. This is slightly lower than the state average life expectancy of 79.5 years. The 2016 life expectancy for Charles County Whites was 78.9 years. The 2016 life expectancy for Charles County African Americans was 79.3 years. Source: 2016 Maryland Vital Statistics Report Births There were 1,817 births in Charles County in 2016. Charles County represents 44% of the births in Southern Maryland and 2.5% of the total births in Maryland for 2016. Minorities made up just over half of the babies born in Charles County in 2016 (62%) which is in line with the composition of the county. Source: 2016 Maryland Vital Statistics Report Schedule H, Part VI, Line 5 Promotion of community health As the only hospital serving Charles County, Maryland, University of Maryland Charles Regional Medical Center (UM CRMC) supports programs and activities where the hospital's expertise and resources can influence the fundamental issues that affect the health of the community. Governance is provided through a community volunteer Board of Directors. UM CRMC's Community Benefits Program utilizes a planned, managed, organized, and measured approach to meeting the identified community needs of the area we serve. The mission is to improve overall community health by improving access to health care, enhancing the health of the community, advancing healthcare knowledge and collaborating with health - providing agency partners. Community health improvement strategies are included in the organization's strategic plan. UM CRMC supports economic development of the community through leadership participation in organizations such as the Chamber of Commerce, Economic Development Commission, Leadership Southern Maryland, and the Tri-County Council of Southern Maryland. UM CRMC participates in many County, State and Region-wide Emergency Preparedness planning activities and drills with our community partners such as Emergency Services, Fire and Rescue, Department of Health, County Government, FEMA and MEMA. This serves to ensure that in the event of a disaster, the hospital is ready to support and care for our community. Hospital Administration participates in healthcare workforce development by serving on committees such as the Charles County Commissioner's healthcare taskforce and support of College of Southern Maryland Nursing and Allied Health programs. In addition, UM CRMC participates and supports the STEAM Onward's Young Researchers Community Project which offers disadvantage youth in high school an opportunity to shadow medical professionals. According to Maryland Health Workforce Study Phase 2 Report (January 2014), the Southern Maryland region has a physician shortage for primary care physicians. In Charles County, the primary care physician FTE demand is greater than the primary care FTE supply (7.4 vs. 6.1). There is an 18% shortfall in the primary care services supply to fulfill the current demand. Under medical specialties, the Southern Maryland region had a shortage for cardiology, dermatology, endocrinology, gastroenterology, hematology, oncology, infectious disease, nephrology, psychiatry, pulmonary medicine, and rheumatology. The FTE per 10,000 supply rates for professional counselors, social workers, and psychologists in Charles County is much lower than the rates for Maryland. The demand for psychiatrists in Charles County is much higher than the county supply for psychiatry. Charles County has a shortage between 50-75% of full time equivalent psychiatrists. As a result of the prevailing physician shortage, and to mitigate the effects of the lack of access of the community to medical care, UM CRMC has developed a robust and ongoing physician recruitment and retention program. UM CRMC provided a robust set of community benefits including $11 million in charity care, health professions education, community benefit operations, community health improvement services, subsidized health services, cash and in-kind donations and community building activities in FY 2019. This year, we provided and supported programs, activities and screenings such as blood pressure, glucose, breast and cervical cancer, colorectal cancer and stroke risk reduction education. Mobile Integrated Health completed the third year to improve access to care and wrap around health care to community members with barriers. In addition to participating in the program UM CRMC has contributed financially to the program for 3 years. UM CRMC provided health education programs on heart healthy eating, diabetes education, cancer education, breast and cervical cancer, tobacco cessation program. In addition, we sponsored car safety seat inspections, community disaster drills, school career days, the Young Researches Community Project, and support groups such as stroke support, cardiac support, and the Better Breathers Club. Fiscal year 2019 was a successful fourth year for the Living Well Chronic disease Self-Management Program, a free, 6 week, evidence based program to improve the well-being of people living with a variety of chronic conditions. The hospital offers clinics and clinic services such as renal dialysis services and American Red Cross blood drives. We participated in community coalitions and boards such as the United Way, Partnerships for a Healthier Charles County, Charles County Tobacco Coalition, Leadership Southern Maryland, Hospice of Charles County, Healthy Families, Fetal Infant Mortality Board, Center for Abused Persons, Juvenile Drug Court, Mission of Mercy; Chamber of Commerce and Charles County Child Advocacy Partnership. We participated in and supported community events such as Christmas Connection, American Cancer Society's Relay for Life, Alzheimer's Walk, and March of Dimes. UM CRMC operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Maryland's global budget revenue model, UM CRMC reports on a regular basis how it is investing in efforts to improve population health. UM CRMC provides on-going services that are fundamental to addressing the identified community health needs that demonstrate the extent to which our commitment to serve our community is integrated into our care delivery model. We have a strong focus on treating patients with chronic conditions. UM CRMC works to coordinate care, ensure smooth transitions and promote disease self-management strategies at every step of a patient's journey - whether at home, in the community, or within our hospital. Our transitional care services help patients newly diagnosed or those that have had a recent hospitalization transition safely back to the community. Transitional nurse navigators provide patients with disease education and self-management strategies, connect them to primary care providers and specialists, and help them overcome any barriers to making follow up appointments. An urgent care center to address off hours visits and low acuity emergencies is also available. Resources are embedded throughout the hospital and in the community so that every patient receives the same level of care coordination. Care managers are embedded within our emergency department, hospital, post-acute facilities and provide in-home visits as needed. We maintain a strong relationship with Chesapeake Potomac Health Agency through our Resources Education and Access to Community Health (REACH) program, which helps bring our patients back to achieving wellness in their communities after discharge by offering nurse home visits, medication management, social services, environmental home safety scans, disease-specific education and referral to other community resources as appropriate. Strong relationships also exist with local emergency medical service (EMS) providers through our mobile integrated health program, which delivers effective and efficient care to patients outside of the hospital. Nurses and community health workers function outside traditional emergency response roles, with a focus on maintaining individuals' health at their homes while also providing convenient access to care in the community. Additional care partners include primary care providers, specialists, local department of health, office on aging and other community based partners. Our mobile integrated health team is proud to be recognized as one of the community stars as of 2018. Additionally, as a rural health provider, we recognize the lack of public transportation options is a barrier for patients who need transportation assistance. We are proudly partnered with Lyft, providing rides to patient follow up appointments. We are proud to serve our community and appreciate our partners who allow us to fulfill our mission. We will always do what is right for the patient, no matter where they are in their health journey, and will always strive to have our patients receive care in the community they reside. As a part of the University of Maryland Medical System (UMMS) we are shaping a new paradigm in care delivery that we believe should be the future standard of care. Schedule H, Part VI, Line 6 Affiliated health care system The University of Maryland Medical System Corporation (UMMS) is a private, not-for-profit corporation providing comprehensive healthcare services through an integrated regional network of hospitals and related clinical enterprises. UMMS was created in 1984 when its founding hospital was privatized by the State of Maryland. Over its 30-year history, UMMS evolved into a multi-hospital system with academic, community and specialty service missions reaching primarily across Maryland. As part of the University of Maryland Medical System (UMMS), Charles Regional Medical Center understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, UM Charles Regional Medical Center assesses the community's health needs, identifies key priorities, and responds with services, programs and initiatives which make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical System's Community Health Improvement Council coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. UM Charles Regional Medical Center is committed to health education, advocacy, community partnerships, and engaging programs which focus on health and wellness with the goal of eliminating health care disparities in Charles County. Schedule H, Part VI, Line 7 State filing of community benefit report MD true SagePoint Senior Living 10200 La Plata Road La Plata MD 20646 201666771 501(c)(3) 50000 general support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The filing organization provides grants to local nonprofits whose purposes align with the mission of the hospital. X X X X false true false false false false false true false Noel A Cervino President and CEO 392595 0 163496 0 76752 0 11000 0 23706 0 667549 0 0 0 John W Ashworth III UMMS Interim President/CEO 0 422013 0 160212 0 70894 0 11000 0 25969 0 690088 0 0 Jon P Burns Director 0 486243 0 170347 0 75075 0 11000 0 21353 0 764018 0 0 Robert A Chrencik President and CEO - UMMS (Ended 04/19) 0 1355350 0 995365 0 284091 0 11000 0 25554 0 2671360 0 0 Erik Boas SVP Finance and CFO (Ended 03/19) 224789 0 77067 0 30457 0 9084 0 3583 0 344980 0 0 0 Albert Zanger VP Finance and CFO 0 159456 0 41539 0 128 0 6697 0 23923 0 231743 0 0 Dana Levy Chief Nursing Officer 190873 0 52339 0 104456 0 7711 0 26080 0 381459 0 74971 0 Joseph D Moser SVP and Chief Medical Officer 316923 0 106175 0 11612 0 50708 0 1615 0 487033 0 0 0 Gabriel Abiola Clinical Pharmacist 165426 0 4368 0 1695 0 2643 0 21494 0 195626 0 0 0 Marilyn Gregory RN 178900 0 0 0 361 0 1472 0 1077 0 181810 0 0 0 William Grimes VP Ancilliary Services 166953 0 45151 0 18407 0 6734 0 2585 0 239830 0 0 0 Katherine Middleton RN 175207 0 0 0 126 0 1738 0 15725 0 192796 0 0 0 Clive W Savory VP Planning 176926 0 38018 0 8321 0 24272 0 31043 0 278580 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR- ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: JOSEPH D. MOSER CLIVE W. SAVORY DURING THE FISCAL YEAR ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS VESTED IN THE PLAN IN THE REPORTING TAX YEAR, THEREFORE THE FULL VALUE OF THE PLAN, INCLUDING ANY CONTRIBUTIONS TO THE PLAN FOR THE CURRENT FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. PRIOR YEAR CONTRIBUTIONS TO THE PLAN WERE PREVIOUSLY REPORTED ON FORM 990 AND ARE INDICATED ON SCHEDULE J, PART II, COLUMN (F). DANA LEVY, $102,722 DURING THE FISCAL YEAR-ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: JOHN W ASHWORTH III ROBERT A. CHRENCIK JON P. BURNS NOEL A. CERVINO ERIK BOAS WILLIAM GRIMES Schedule J, Part I, Line 7 Non-fixed payments BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES. Form 990, Part IV, Line 24a TAX EXEMPT BOND ISSUES PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE "CORPORATION") AND SEVERAL OF ITS SUBSIDIARIES HAVE ISSUED DEBT THROUGH THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE "AUTHORITY"). AS SECURITY FOR THE PERFORMANCE OF THE BOND OBLIGATION UNDER THE MASTER LOAN AGREEMENT, THE AUTHORITY MAINTAINS A SECURITY INTEREST IN THE REVENUE OF THE OBLIGORS. THE MASTER LOAN AGREEMENT CONTAINS CERTAIN RESTRICTIVE COVENANTS. THESE COVENANTS REQUIRE THAT RATES AND CHARGES BE SET AT CERTAIN LEVELS, LIMIT INCURRENCE OF ADDITIONAL DEBT, REQUIRE COMPLIANCE WITH CERTAIN OPERATING RATIOS AND RESTRICT THE DISPOSITION OF ASSETS. THE OBLIGATED GROUP UNDER THE MASTER LOAN AGREEMENT INCLUDES THE CORPORATION, ROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, CRMC, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM PRICE GEORGE'S, BOWIE HEALTH CENTER (BOWIE), AND THE UMMS FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,680,179,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2019. ALL OF THE BONDS WERE ISSUED IN THE NAME OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. Form 990, Part VI, Line 6 Classes of members or stockholders University of Maryland Medical System Corporation ("UMMS") is the sole member of University of Maryland Charles Regional Health, Inc. ("UMCRH"). UMCRH is the sole member of Civista Medical Center, Inc. (d/b/a UM Charles Regional Medical Center, "CRMC"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMCRH AND UMMS MAY ELECT MEMBERS OF THE CRMC BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders UMCRH AND UMMS MAY APPROVE DECISIONS OF THE CRMC BOARD. Form 990, Part VI, Line 11b Review of form 990 by governing body The University of Maryland Medical System ("UMMS") prepares the IRS Form 990 for UMMS and its affiliates. Information needed to complete the return is gathered by accounting personnel in the Finance Shared Services department under the supervision of the UMMS Tax Director. Draft returns are prepared using IRS-approved tax software. Once a draft return is prepared, it undergoes multiple levels of review both internally by UMMS tax & finance personnel, and externally by Ernst & Young LLP. Following any necessary changes to the return, a final draft is reviewed by each affiliate's vice president of finance and/or CFO. Prior to filing the IRS Form 990, the organization's board chairman, treasurer, governance committee chairman, finance committee chairman or other member of the board with similar authority will review the IRS Form 990. All board members are provided with a copy of the final IRS Form 990 before filing. Form 990, Part VI, Line 12c Conflict of interest policy The filing organization follows the University of Maryland Medical System (UMMS) Conflicts of Interest Policy, which requires that all Covered Persons disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the organization, or any entity controlled by or owned in substantial part by the organization. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The organization (or its sole member) is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Governance Committee (or other Board committee having similar authority) reviews any and all conflicts, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization or its sole member's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the oversight committee. A questionnaire which discloses potential conflicts of interest is distributed annually to Covered Persons. The Chief Compliance Officer of the University of Maryland Medical System Corporation (UMMS) distributes and collects the responses for UMMS and other affiliates, and may be called for consult when potential conflicts are disclosed. If the oversight Committee determines that a Conflict of Interest exists, the Committee shall notify the Covered Person and the organization's Board Chair, and further will notify the full Board at its next meeting. Furthermore, in the event the Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Committee determines that a Conflict of Interest exists but that the organization may enter into the subject transaction or arrangement, the interested Covered Person shall be recused from all deliberations and decisions concerning said transaction or arrangement, any arrangements with that entity, and compensation or benefits for officers, directors, and trustees. Furthermore, the Chair of the Board and the Chairs of the oversight Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the oversight Committee determines that a Covered Person has used their position to accrue Excess Benefits or to knowingly assist others in accruing Excess Benefits in any way at the expense of the organization, the Committee shall recommend to the Executive Committee appropriate corrective action to be taken. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM. Form 990, Part VII, Section A HOURS ON RELATED ENTITIES UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 13 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Medical staff fees - Total Revenue: 20750, Related or Exempt Function Revenue: 20750, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Purchase discounts - Total Revenue: 16923, Related or Exempt Function Revenue: 16923, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Other revenue - Total Revenue: 7196, Related or Exempt Function Revenue: 7196, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees SHARED SERVICES - Total Expense: 15033015, Program Service Expense: 12778063, Management and General Expenses: 2254952, Fundraising Expenses: 0; PHYSICIAN SERVICES - Total Expense: 5710441, Program Service Expense: 5710441, Management and General Expenses: 0, Fundraising Expenses: 0; AGENCY EXP/CONTRACTUAL STAFF - Total Expense: 4094357, Program Service Expense: 3480203, Management and General Expenses: 614154, Fundraising Expenses: 0; CONSULTING SERVICES - Total Expense: 194784, Program Service Expense: 165566, Management and General Expenses: 29218, Fundraising Expenses: 0; OTHER FEES - Total Expense: 2063865, Program Service Expense: 1754285, Management and General Expenses: 309580, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION LIABILITY - -295360; CHANGE IN FMV - ALTERNATIVE INVESTMENTS - -3530; MALPRACTICE ADJUSTMENT - 1352790; CHANGE IN EQUITY OF AFFILIATES, CPHA - 304683; CHANGE IN EQUITY OF AFFILIATES, FOUNDATION - 81387; Transfer to UMMS - -1716136; Transfer from UMMS - 305892; Other changes in net assets - -400; BALTIMORE WASHINGTON EMERGENCY PHYS INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521756326 HEALTHCARE MD 501(c)(3) Type I BWHS false BALTIMORE WASHINGTON HEALTHCARE SERVICES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830243 HEALTHCARE MD 501(c)(3) Type I UMBWMS false BALTIMORE WASHINGTON MEDICAL CENTER INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 520689917 HEALTHCARE MD 501(c)(3) 3 UMBWMS false UM BALTIMORE WASHINGTON MEDICAL SYSTEM 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830242 HEALTHCARE MD 501(c)(3) Type I UMMSC false NORTH ARUNDEL DEVELOPMENT CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521318404 REAL ESTATE MD 501(c)(2) NCC false NORTH COUNTY CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521591355 REAL ESTATE MD 501(c)(2) UMBWMS false CHESTER RIVER HEALTH FOUNDATION INC 100 BROWN STREET CHESTERTOWN MD 21620 521338861 FUNDRAISING MD 501(c)(3) 8 UMSRH false UNIV OF MD SHORE REGIONAL HEALTH INC 100 BROWN STREET CHESTERTOWN MD 21620 522046500 HEALTHCARE MD 501(c)(3) Type I UMMSC false CHESTER RIVER HOSPITAL CENTER 100 BROWN STREET CHESTERTOWN MD 21620 520679694 HEALTHCARE MD 501(c)(3) 3 UMSRH false CHESTER RIVER MANOR INC 200 MORGNEC ROAD CHESTERTOWN MD 21620 526070333 HEALTHCARE MD 501(c)(3) 10 UMSRH false MARYLAND GENERAL CLINICAL 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STE 2400 BALTIMORE MD 21201 823596114 HEALTHCARE MD 501(c)(3) Type III-FI UMMSC false ARUNDEL PHYSICIANS ASSOCIATES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 522000762 HEALTHCARE MD APA INC false false BALTIMORE WASHINGTON IMAGING 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 200806027 HEALTHCARE MD UMBWMS false false UNIVERSITYCARE LLC 22 SOUTH GREENE STREET BALTIMORE MD 21201 521914892 HEALTHCARE MD UMMSC false false O'DEA MEDICAL ARTS LIMITED PAR 7601 OSLER DRIVE TOWSON MD 21204 521682964 RENTAL MD SJMC PROP false false ADVANCED IMAGING AT ST JOSEPH 7601 OSLER DRIVE TOWSON MD 21204 521958002 HEALTHCARE MD UMSJMC false false UNIVERSITY OF MARYLAND CHARLES PO BOX 1070 LAPLATA MD 20646 300956382 HEALTHCARE MD UMCRCP false false BALTIMORE ASC VENTURES LLC 7620 YORK ROAD TOWSON MD 21204 824133899 HEALTHCARE DE UMSJMC false false UCHSUMMS Real Estate Trust 520 Upper Chesapeake Drive Bel Air MD 21014 276803540 Holding Co MD UMMSC false false ARUNDEL PHYSICIANS ASSOCIATES INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521992649 HEALTHCARE MD NA C Corporation false BALTIMORE WASHINGTON HEALTH ENTERPRISES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521936656 HEALTHCARE MD NA C Corporation false BW PROFESSIONAL SERVICES INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521655640 HEALTHCARE MD NA C Corporation false NA EXECUTIVE BUILDING CONDO ASSN INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 REAL ESTATE MD NA C Corporation false UM CHARLES REGIONAL CARE PARTNERS PO BOX 1070 LA PLATA MD 20646 522176314 HEALTHCARE MD NA C Corporation false UNIVERSITY MIDTOWN PROF CENTER 827 LINDEN AVENUE BALTIMORE MD 21201 521891126 REAL ESTATE MD NA C Corporation false UNIVERSITY OF MARYLAND HEALTH ADVANTAGE 22 SOUTH GREENE STREET BALTIMORE MD 21201 461411902 INSURANCE MD NA C Corporation false UNIVERSITY OF MARYLAND HEALTH PARTNERS 22 SOUTH GREENE STREET BALTIMORE MD 21201 452815803 INSURANCE MD NA C Corporation false UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE 22 SOUTH GREENE STREET BALTIMORE MD 21201 452815722 INSURANCE MD NA C Corporation false UPPER CHESAPEAKE INSURANCE COMPANY 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 980468438 INSURANCE CJ NA C Corporation false UPPER CHESAPEAKE HEALTH VENTURES INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 522031264 HEALTHCARE MD NA C Corporation false UPPER CHESAPEAKE MEDICAL CENTER LAND CON 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 770674478 REAL ESTATE MD NA C Corporation false UPPER CHESAPEAKE MEDICAL OFFICE BUILDING 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521946829 REAL ESTATE MD NA C Corporation false SHORE ORTHOPEDICS INC 219 S WASHINGTON STREET EASTON MD 21601 371817262 HEALTHCARE MD NA C Corporation false MADISON MANOR INC 5801 42ND AVE HYATTSVILLE MD 20781 521269059 HEALTHCARE MD NA C Corporation false AFFILIATED ENTERPRISES INC 3001 HOSPITAL DRIVE CHEVERLY MD 20785 521542144 HEALTHCARE MD NA C Corporation false DIMENSIONS ASSURANCE LTD PO BOX 1363 GENESIS BLDG GRAND CAYMAN CJ 980348082 INSURANCE CJ NA C Corporation false RIVERSIDE HEALTH OF DELAWARE INC 1966 GREENSPRING DRIVE STE 600 TIMONIUM MD 21093 463205820 HEALTHCARE DE NA C Corporation false RIVERSIDE HEALTH OF DC INC 1966 GREENSPRING DRIVE STE 600 TIMONIUM MD 21093 461411713 HEALTHCARE DC NA C Corporation false false false false true true false false false true false false false false true true false true true true