2020-05-11T07:47:53-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 520607945 UNION HOSPITAL OF CECIL COUNTY INC UNIO 4103984000 106 BOW STREET ELKTON MD 219215596 JAMES G RAAB CHIEF FINANCIAL OFFICER 4103984000 2020-04-21 1 KERRI N BOGDA CPA P00760402 7177404863 208.101.164.211 2020-04-21 08:01:12 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D55C9BF7EA9CC92FF5CD8A3B56631CEAE08BA54E 2018 2021-01-29 14:40:06Z RICHARD C SZUMEL MD 106 BOW STREET ELKTON MD 219215596 190092178 0 X WWW.UHCC.COM X 1903 MD PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD AND THE SURROUNDING AREA. 15 12 1382 326 1597296 0 4635791 10510084 157587785 160923585 2311445 1953831 2701917 2627581 167236938 176015081 3116525 799694 0 0 84855967 87612271 0 0 0 88065377 81859106 176037869 170271071 -8800931 5744010 166082740 163925550 88978017 81586351 77104723 82339199 X UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA. 0 0 166435269 799694 160923585 UNION 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. CONTINUED ON "SCHEDULE O"DURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $8,796,096 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) ADULT DAY SERVICES FOR ADULTS WITH DEMENTIAB) COMMUNITY SUPPORT GROUPS FOR CANCER, DIABETES, STROKE, ALZHEIMER'S, AND BREASTFEEDING C) HEALTH EDUCATION FOR DIABETES AND NUTRITION, CANCER PREVENTION, STROKE RISK, AND HOW TO CARE FOR SUBSTANCE-EFFECTED NEWBORNSD) FREE SCREENINGS IN THE COMMUNITY FOR PROSTATE CANCER, HEAD AND NECK CANCER, SKIN CANCER, AND DIABETES (EYES AND FEET)E) PROVIDING MEETING FACILITIES FOR LOCAL NONPROFITS AND AGENCIESF) ENHANCING FOOD SECURITY WITH MEALS ON WHEELS AND FOOD DONATIONS TO HOMELESS SERVING PROVIDERS IN THE COMMUNITY G) 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, AND CECIL COUNTY COMMUNITY HEALTH ADVISORY COALITIONUNION HOSPITAL OF CECIL COUNTY SERVICED 4,923 DISCHARGES PROVIDING 19,313 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2019 OF WHICH:1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,248 DISCHARGES AND 10,192 PATIENT DAYS2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 152 DISCHARGES AND 594 PATIENT DAYS3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,236 DISCHARGES AND 4,114 PATIENT DAYS4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 225 DISCHARGES AND 927 PATIENT DAYS 166435269 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 199 0 1382 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DERON G BROWN DIRECTOR OF FINANCE 4103984000 106 BOW STREET ELKTON MD 219215596 RAYMOND HAMM CHAIRMAN 0.50 0.60 X X 0 0 0 DWIGHT THOMEY VICE CHAIRMAN/TREASURER 0.50 0.50 X X 0 0 0 DAVID FERGUSON PHD SECRETARY 0.50 0.60 X X 0 0 0 RICHARD C SZUMEL MD PRESIDENT & CEO 28.00 12.00 X X 0 464393 48033 KELLY ALBANESE BEDDER DIRECTOR 0.50 1.50 X 0 0 0 MARY BOLT PHD DIRECTOR 0.50 0.50 X 0 0 0 REVEREND KEVIN BROWN DIRECTOR 0.50 0.50 X 0 0 0 CHRISTY DRYER DNP DIRECTOR 0.50 0.50 X 0 0 0 JOSE MA MD DIRECTOR 39.50 0.50 X 270674 0 0 MORGAN MILLER MLIS DIRECTOR 0.50 0.50 X 0 0 0 ROBERT PALSGROVE DIRECTOR 0.50 0.50 X 0 0 0 JUSTIN SAUSVILLE MD DIRECTOR 39.50 0.50 X 558694 0 0 CARL ROBERTS PHD DIRECTOR 0.50 0.50 X 0 0 0 DAVID TROLIO DIRECTOR 0.50 0.50 X 0 0 0 JACQUES RENE DIRECTOR 0.50 0.50 X 0 0 0 STEPHANIE GARRITY DIRECTOR (UNTIL 06/19) 0.50 0.50 X 0 0 0 SHEELMOHAN SACHDEV MD DIRECTOR (UNTIL 06/19) 0.50 0.50 X 0 0 0 RONALD GRAYBEAL DIRECTOR (UNTIL 02/19) 0.50 0.50 X 0 0 0 DR RYAN GERACIMOS DIRECTOR (UNTIL 03/19) 0.50 0.50 X 0 0 0 MARTIN J HEALY DIRECTOR (UNTIL 02/19) 0.50 0.50 X 0 0 0 JAMES G RAAB SENIOR VP/CHIEF FINANCIAL OFFICER 29.00 11.00 X 0 317406 31760 AARON Z ROYSTON VP OF PROVIDER ENTERPRISE 30.00 10.00 X 237190 0 4819 CRAIG M BABBITT IN-HOUSE LEGAL COUNSEL 40.00 X 177854 0 3554 CYDNEY TEAL MD UNTIL 22319 VP MEDICAL AFFAIRS 39.00 1.00 X 0 348424 27051 ANNE LARA RETIRED 063018 SR. VP/CHIEF INNOVATION OFFICER 33.00 7.00 X 0 164019 11995 KHADIJATU BOSTON UNTIL 0118 SR. VP/CHIEF NURSING OFFICER 39.00 1.00 X 0 170111 1912 TERRANCE LOVELL UNTIL 0118 VP HUMAN RESOURCES 40.00 X 307466 0 1546 FAHD RAHMAN PHYSICIAN 40.00 X 684898 0 36561 JUSTIN SAUSVILLE PHYSICIAN 40.00 X 558694 0 39166 ROGER D WU PHYSICIAN 40.00 X 515615 0 28629 NITIN AGGARWAL PHYSICIAN 40.00 X 513066 0 23312 DANIELLE M PRESS PHYSICIAN 40.00 X 443236 0 11335 4267387 1464353 269673 101 0 1 0 UNION RADIOLOGISTS LLC 106 BOW STREET EKLTON MD 21921 RADIOLOGY SERVICES 3351073 WHITING-TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 CONTRACTOR 3181460 MDICS AT UNION CECIL COUNTY LLC 7250 PARKWAY DR STE 500 HANOVER MD 21076 PROFESSIONAL STAFFING 1290346 CLEARPATH SOLUTIONS 2465 CENTREVILLE RD SUITE J17-722 HERNDON VA 20171 IT HARDWARE AND SOFTWARE 957439 USACS INTEGRATED ACUTE CARE SERVICES OF 4535 DRESSLER RD NW CANTON OH 44718 ACUTE CARE SERVICES 920041 114 10367449 142635 10510084 NET PATIENT SERVICE REVENUE 621990 159015886 159015886 OTHER OPERATING REVENUE 621990 1472383 1472383 ADULT DAY CARE 623990 435316 435316 160923585 1667296 -108770 1776066 37036 8307 28729 28729 28729 14355325 14067475 1315 287850 -1315 286535 286535 LABORATORY REVENUE 621500 1706066 1706066 CAFETERIA/FOOD SERVICE 722210 789958 789958 PARKING REVENUE 900099 35760 35760 67068 67068 2598852 176015081 160923585 1597296 2984116 X 799694 799694 1490294 1045009 445285 71196463 70424238 772225 380610 380610 9672454 9550473 121981 4872450 4796115 76335 910899 455450 455449 169686 169686 108660 108660 63551 63551 25660515 24281878 1378637 330541 330541 2162906 2148104 14802 98193 98193 4193912 4193912 111661 101637 10024 106377 60774 45603 1942655 1942655 11026334 11026334 2730287 2728715 1572 MEDICAL SUPPLIES 19329569 19327046 2523 BAD DEBTS 6959649 6959649 REPAIRS & MAINTENANCE 3274111 3274104 7 DIETARY 889820 883670 6150 1789780 1626468 163312 170271071 166435269 3835802 0 3007119 6198168 162892 0 16617200 14069712 2268203 2307404 2136306 2940202 225395847 142462854 88138296 82932993 31440920 32337168 13873382 14486077 8438422 8653826 166082740 163925550 14591487 10375169 59181386 56179987 15205144 15031195 88978017 81586351 X 74557561 79490139 2547162 2849060 77104723 82339199 166082740 163925550 X 5744010 -658922 149388 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1134905 1134905 88087128 41716458 46370670 2698719 612976 2085743 131692797 98732131 32960666 1782298 1401289 381009 82932993 5845430 C MANAGED HEDGE FUNDS 4800000 C MANAGED HEDGE FUNDS 3840647 F 14486077 OTHER ASSETS 662806 INSURANCE CLAIMS RECEIVABLE 7666493 DUE FROM AFFILIATES 324527 8653826 THIRD PARTY ADVANCES 3485157 CAPITAL LEASE OBLIGATIONS 2273241 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 8853757 DUE TO AFFILIATES 419040 15031195 X 167682653 -658922 -7673506 -8332428 176015081 0 176015081 162448177 0 162448177 7822894 7822894 170271071 PART X, LINE 2: 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 IN 2019 AND 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS -6,959,649. BANK FEES NETTED AGAINST REVENUE ON FINANCIALS -63,551. CHANGE IN NET ASSETS OF AFFILIATES 149,388. TRANSFER TO AFFILIATES NETTED AGAINST REVENUE ON FINANCIALS -799,694. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 6,959,649. BANK FEES NETTED AGAINST REVENUE ON FINANCIALS 63,551. TRANSFER TO AFFILIATES NETTED AGAINST REVENUE ON FINANCIALS 799,694. 1 1 X 1 X 1 X 1 1 1 0 1 1 1836442 1836442 0.01120 1836442 1836442 0.01120 4290 145582 145582 0.00090 166 175930 175930 0.00110 88 17813719 8528297 9285422 0.05690 7568 7568 0.00000 29973 328914 211571 117343 0.00070 34517 18471713 8739868 9731845 0.05960 34517 20308155 8739868 11568287 0.07080 21792 21792 0.00010 60 5343 5343 0.00000 30 2672 2672 0.00000 90 29807 29807 0.00010 1 5971379 74610 65089400 65089400 X 1 1 1 1 UNION HOSPITAL OF CECIL COUNTY INC 106 BOW STREET ELKTON MD 21921 WWW.UHCC.COM 07-005 X X X UNION HOSPITAL OF CECIL COUNTY INC 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ X CECILCOUNTYHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-ADVISORY-COMMITTEE/ X 1 18 1 UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ X UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ X UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X 1 X 0 0 UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 5: UNION HOSPITAL COLLABORATED WITH THE CECIL COUNTY HEALTH DEPARTMENT TO CONDUCT THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHOSE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) COVERS FY 2019. THE CHNA PLANNING TEAM INCLUDED STAFF FROM UNION HOSPITAL: THE COMMUNITY BENEFIT COORDINATOR, THE DIRECTOR OF MARKETING, AND A PHYSICIAN FROM OCCUPATIONAL HEALTH (MASTER OF PUBLIC HEALTH INTERN). THE PLANNING TEAM ALSO HAD STAFF FROM THE CECIL COUNTY HEALTH DEPARTMENT: THE HEALTH POLICY ANALYST, THE HEALTH OFFICER, THE DEPUTY HEALTH OFFICER, AND THE PUBLIC AFFAIRS OFFICER. THE CHNA PLANNING TEAM WAS RESPONSIBLE TO FACILITATE ALL COMPONENT PARTS OF THE CHNA PROCESS, INCLUDING WRITING AND SUBMITTING THE REPORTS TO THE INTERNAL REVENUE SERVICE (IRS). ULTIMATELY, THE CHNA/CHIP PROCESS REFLECTED COLLABORATION OF COMMUNITY PARTNERS WORKING TOGETHER TO ACHIEVE THE SAME HEALTH IMPROVEMENT GOALS FOR CECIL COUNTY.A) FOCUS GROUPS:THE THREE FOCUS GROUPS WERE CONDUCTED WITH ADULT POPULATIONS WITHOUT ACCESS TO THE INTERNET (HOMELESS, SENIORS, AND SPANISH-SPEAKING MIGRANT WORKERS). EACH FOCUS GROUP SESSION INCLUDED A DESCRIPTION OF THE CHNA, THE PURPOSE OF THE FOCUS GROUP, AN INTRODUCTION OF THE FACILITATORS, AND THE RULES OF ENGAGEMENT. ALL MATERIALS WERE TRANSLATED INTO SPANISH FOR THE FOCUS GROUP WITH MIGRANT, SPANISH-SPEAKING WORKERS, AND A SPANISH INTERPRETER WAS PROVIDED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE.PARTICIPANTS WERE ASKED TO RESPOND TO THE FOLLOWING QUESTIONS: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?B) ONLINE COMMUNITY SURVEY:THE ONLINE COMMUNITY SURVEY WAS DEVELOPED BY THE HEALTH POLICY ANALYST (CECIL COUNTY HEALTH DEPARTMENT) WITH INPUT FROM CHAC MEMBER ORGANIZATIONS. THE SURVEY WAS CREATED USING SURVEY MONKEY AND CONSISTED OF TWENTY QUESTIONS MULTIPLE CHOICE, LIKERT SCALE SELECTIONS, AND FREE TEXT ENTRY. THE SURVEY WAS DIVIDED INTO FOUR SECTIONS: 1) DEMOGRAPHICS, 2) COMMUNITY HEALTH, 3) QUALITY OF LIFE, AND 4) ACCESS TO HEALTH CARE. THE SURVEY TOOK APPROXIMATELY 15 TO 20 MINUTES TO COMPLETE AND 506 PEOPLE COMPLETED THE SURVEY.C) CHAC MEETINGS:INPUT FROM COMMUNITY PARTNERS ENGAGED IN CECIL COUNTY'S CHAC MEETINGS, ALSO KNOWN AS THE LOCAL HEALTH IMPROVEMENT COALITION, WAS INTEGRAL TO THE PROCESS OF SELECTING THE HEALTH PRIORITIES FOR THE COUNTY AND CREATING THE CHIP. CHAC MEMBER ORGANIZATIONS THAT PARTICIPATED IN THE PRIORITIZATION AND STRATEGIC PLANNING PROCESSES INCLUDED:AFFILIATED SANT GROUP (MOBILE CRISIS), ELKTON HOUSING AUTHORITY, AMERICAN CANCER SOCIETY, MARYLAND STATE DELEGATES, CECIL COUNTY DEPT OF EMERGENCY SERVICES, MARYLAND STATE SENATORS, CECIL COUNTY DEPT OF JUVENILE SERVICES, MEADOW WOOD BEHAVIORAL HEALTH SYSTEM, CECIL COUNTY DEPT OF SOCIAL SERVICES, PRIVATE CITIZENS, CECIL COUNTY DIRECTOR OF ADMINISTRATION, PRIVATE EDUCATION ORGANIZATIONS, CECIL COUNTY EXECUTIVE OFFICE, PRIVATE HEALTH CARE PROFESSIONALS, CECIL COUNTY HEALTH DEPT, SEVENTH DAY ADVENTIST CHURCH, CECIL COUNTY LIQUOR BOARD, UNION HOSPITAL OF CECIL COUNTY, CECIL COUNTY PUBLIC SCHOOLS, UPPER BAY COUNSELING & SUPPORT SERVICES, CECIL COUNTY SHERIFF'S OFFICE, WEST CECIL HEALTH CENTER, COUNTY COUNCIL MEMBERS, YOUTH EMPOWERMENT SOURCE, DHMH - OFFICE OF POPULATION HEALTH IMPROVEMENT, IMMACULATE CONCEPTION, CECIL COLLEGE, MEETING GROUND, CECIL COUNTY DEPT OF COMMUNITY SERVICES, ON OUR OWN OF CECIL COUNTY, CECIL COUNTY DEPT OF CORRECTIONS, PARIS FOUNDATION, CECIL COUNTY HOUSING, SERENITY HEALTH, DEEP ROOTS, STONE RUN FAMILY MEDICINE, ELKTON COMMUNITY KITCHEN, WIN FAMILY SERVICES, ELKTON POLICE DEPARTMENT, ELKTON PRESBYTERIAN CHURCH, & YMCA. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 6B: UNION HOSPITAL COLLABORATED WITH THE CECIL COUNTY HEALTH DEPARTMENT TO CONDUCT THE NEWEST COMMUNITY HEALTH NEEDS ASSESSMENT. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 11: THE CHNA, CONDUCTED DURING FISCAL YEAR (FY) 2019, REFLECTS THE CURRENT STATUS OF THE MEDICAL AND SOCIAL DETERMINANTS OF HEALTH FOR CECIL COUNTY AND PROVIDES A QUANTITATIVE AND QUALITATIVE DATA ANALYSIS FOR KEY HEALTH ISSUES. THE HEALTH ISSUES THAT WERE PRIORITIZED AS A RESULT OF THESE DATA ANALYSES WERE:1. CANCER2. BEHAVIORAL HEALTH (COMPRISED OF SUBSTANCE USE AND MENTAL HEALTH)3. CHILDHOOD TRAUMACANCERSUPPORT THE WORK CURRENTLY BEING DONE BY THE CECIL COUNTY CANCER TASK FORCE IN THE COMMUNITY FOR LUNG CANCER SCREENING, TO INCLUDE EDUCATION, AWARENESS, AND INCREASING HEALTH PROMOTIONS RELATED TO GETTING SCREENED. UNION HOSPITAL'S CANCER PROGRAM AND ITS COMMISSION ON CANCER COMMITTEE WILL OFFER SUPPORT, AS WELL AS CECIL COUNTY HEALTH DEPARTMENT'S DIVISION OF HEALTH PROMOTION.GOALS1: REDUCE CANCER MORTALITY IN CECIL COUNTY:A. RAISE AWARENESS FOR LUNG CANCER PREVENTION IN ORDER TO REDUCE STIGMA RELATED TO RISK FACTORS CONTRIBUTING TO LUNG CANCER B. SUPPORT AND ENGAGE MEDICAL PROVIDERS IN PROMOTING PATIENT AWARENESS OF LUNG CANCER PREVENTION EFFORTS (PRIMARY PREVENTION: EDUCATION; SECONDARY PREVENTION: SCREENING; AND TERTIARY PREVENTION: TREATMENT) C. EDUCATE AND SUPPORT MEDICAL PROVIDERS ON HOW TO TALK TO PATIENTS ABOUT QUITTING SMOKING D. SUPPORT MEDICAL PROVIDERS IN MAKING COMMUNITY PRESENTATIONSE. PROMOTE REFERRALS FOR SMOKING CESSATION AMONG MEDICAL PROVIDERS F. PROMOTE THE USE OF SELF-SCREENING TOOLS IN THE COMMUNITY FOR LOW-DOSE CT LUNG CANCER SCREENING G. SUPPORT AND ENGAGE THE COMMUNITY (INCL. COMMUNITY GROUPS, FAITH-BASED ORGANIZATIONS, AND BUSINESSES) IN PROMOTING LUNG CANCER PREVENTION EFFORTS (PRIMARY PREVENTION: EDUCATION; SECONDARY PREVENTION: SCREENING; AND TERTIARY PREVENTION: TREATMENT) H. PROVIDE ADVERTISING AND MEDIA SUPPORT FOR HEALTH PROMOTIONS RELATED TO THE AVAILABILITY OF PREVENTION SERVICES IN THE COMMUNITY I. ENGAGE THE COMMUNITY ON LUNG CANCER PREVENTION EFFORTS VIA SOCIAL MEDIA AND OTHER EDUCATIONAL AND/OR ADVOCACY OUTLETS BEHAVIORAL HEALTH WORKING TO ENHANCE AND SUPPORT THE EFFORTS TO ADDRESS BOTH SUBSTANCE ABUSE (SA) AND MENTAL HEALTH (MH) IN CECIL COUNTY. MET WITH LEADERSHIP FROM CECIL COUNTY HEALTH DEPARTMENT'S CORE SERVICE AGENCY (MH), AS WELL AS THE DRUG-FREE COMMUNITIES COALITION (SA), CECIL COUNTY DRUG AND ALCOHOL ABUSE COUNCIL (SA), AND THE OPIOID MISUSE PREVENTION PROGRAM (SA). ALSO SUPPORT THE MOVEMENT TOWARDS INTEGRATING BEHAVIORAL HEALTH SERVICES AT THE LOCAL HEALTH DEPARTMENT AND COMMUNITY LEVEL.GOALS 1: PREVENT THE INITIATION OF SUBSTANCE USE AMONG YOUTH AND SUPPORT YOUTH IN TREATMENT AND RECOVERY A. EXPAND YOUTH PREVENTION ACTIVITIES FOR GRADES 3-12 B. PROVIDE ONGOING SUPPORT FOR YOUTH LEADERSHIP SUMMIT ACTIVITIES C. EXPAND DRUG FREE CECIL YOUTH COALITION EFFORTS D. HIRE A YOUTH ADVISOR TO COORDINATE DRUG FREE CECIL YOUTH EFFORTS E. INCREASE PROTECTIVE FACTORS AND COMMUNITY RESILIENCE F. EXPAND SUPPORT MECHANISMS FOR YOUTH IN RECOVERY G. EXPLORE THE DEVELOPMENT OF A DROP-IN COMMUNITY RECOVERY CENTER H. EXPLORE THE DEVELOPMENT OF AN ADOLESCENT CLUBHOUSE I. IDENTIFY AND ENGAGE WITH YOUTH WHO HAVE SUDS 2: INCREASE RECOVERY SUPPORT CAPACITY IN CECIL COUNTY A. EXPAND PEER RECOVERY SUPPORT CAPACITYB. INCREASE COMMUNITY ACCESS TO NARCANC. INCREASE RECOVERY SUPPORT FOR INDIVIDUALS TRANSITIONING FROM PRISON OR JAIL BACK INTO THE COMMUNITYD. RESEARCH ANTI-STIGMA INITIATIVESE. IMPLEMENT AN ANTI-STIGMA AWARENESS CAMPAIGN3: PROVIDE SUPPORT FOR INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS RE-ENTERING THE COMMUNITYA. FORM A WORKGROUP TO PURSUE RE-ENTRY PLANNING B. RESEARCH EVIDENCE-BASED RE-ENTRY PROGRAMS C. SEEK FUNDING TO SUPPORT RE-ENTRY INITIATIVES D. EXPAND TREATMENT AND RE-ENTRY AFTERCARE PROGRAMS E. PARTNER WITH THE CCHD DIVISION OF ADDICTIONS SERVICES FOR INDIVIDUALS WITH CO-OCCURRING DISORDERS 4: INTEGRATE BEHAVIORAL HEALTH SERVICES IN CECIL COUNTY TO IMPROVE OUTCOMES FOR INDIVIDUALS WITH CO-OCCURRING DISORDERS A. FORM A BEHAVIORAL HEALTH COMMITTEE MADE UP OF STAKEHOLDERS FROM THE MENTAL HEALTH AND SUBSTANCE USE DISORDER FIELDSB. HOLD JOINT COUNCIL MEETINGS TO ALIGN EFFORTSC. DEVELOP AND SUBMIT A JOINT BEHAVIORAL HEALTH PLAN FOR CECIL COUNTYD. ENGAGE AND EDUCATE STAKEHOLDERS AND THE COMMUNITY ON CO-OCCURRING DISORDERS AND BEHAVIORAL HEALTH INTEGRATIONCHILDHOOD TRAUMA SERVE AS SUPPORT FOR THE LOCAL MANAGEMENT BOARD'S CHILDHOOD TRAUMA SUBCOMMITTEE AS THEY WORK THROUGH ADDRESSING PLANNED RECOMMENDATIONS. CHIP PLANNING MEETINGS SOLIDIFIED RESPONSIBILITIES TO SUPPORT THE INCREASE OF COMMUNITY AND PROVIDER EDUCATION AND AWARENESS OF CHILDHOOD TRAUMA. IN ADDITION, THE CECIL COUNTY HEALTH DEPARTMENT WILL EXPLORE EVIDENCE-BASED HOME VISITING PROGRAMS TO IMPLEMENT IN CECIL COUNTY.GOALS1: INCREASE EDUCATION OPPORTUNITIES FOR THE COMMUNITY ON CHILDHOOD TRAUMA A. HOLD SCREENINGS OF THE DOCUMENTARY "RESILIENCE: THE BIOLOGY OF STRESS & SCIENCE OF HOPE" B. HOLD COMMUNITY FORUMS RELATED TO CHILDHOOD TRAUMA C. HOLD TRAININGS RELATED TO CHILDHOOD TRAUMA D. CHANGE SOCIAL NORMS TO SUPPORT PARENTS AND POSITIVE PARENTING E. PARTNER WITH YOUTH SERVING ORGANIZATIONS ON CHILD ABUSE PREVENTION AWARENESS AND EDUCATION F. PARTICIPATE IN THE NATIONAL CHILD ABUSE AWARENESS "PINWHEELS FOR PREVENTION" CAMPAIGN G. TRAIN COMMUNITY LEADERS TO ACT AS ADVOCATES AND SPREAD INFORMATION ON CHILDHOOD TRAUMA IN THEIR COMMUNITIES 2: EDUCATE AND EMPOWER HEALTH CARE PROVIDERS TO RECOGNIZE AND TREAT THE EFFECTS OF CHILDHOOD TRAUMA A. RESEARCH AND DEVELOP SURVEY TOOL TO ACCESS CURRENT KNOWLEDGE OF CHILDHOOD TRAUMA AND TRAINING NEEDS B. OBTAIN LIST OF PHYSICIANS AND DISTRIBUTE SURVEY C. ANALYZE RESULTS TO DETERMINE NEEDS D. IDENTIFY TRAINING RESOURCES FOR PHYSICIANS AND OTHER HEALTH CARE PROVIDERS E. UTILIZE EVIDENCE-BASED MATERIALS TO EDUCATE PHYSICIANS ON TRAUMA-INFORMED CARE 3: ENHANCE PARENTING SKILLS TO PROMOTE HEALTHY CHILD DEVELOPMENT A. RESEARCH EVIDENCE-BASED HOME VISITING PROGRAMS AND DETERMINE THE FEASIBILITY OF IMPLEMENTING A PROGRAM IN CECIL COUNTY B. SUPPORT THE CREATION OF EVIDENCE-BASED HOME VISITING PROGRAMS, SUCH AS HEALTHY FAMILIES AMERICA PROGRAM IN CECIL COUNTY THERE WERE HEALTH NEEDS AND BARRIERS TO CARE THAT WERE NOT FEASIBLE TO ADDRESS DUE TO FACTORS, LIKE RESOURCE AVAILABILITY AND COMMUNITY RESOURCES ALREADY IN PLAY. THESE NEEDS INCLUDE ACCESS TO CARE, HOMELESSNESS, CHRONIC DISEASE, DENTAL HEALTH, TOBACCO USE, INFECTIOUS & COMMUNICABLE DISEASES, VACCINATION, ENVIRONMENTAL HEALTH, INJURIES (MOTOR VEHICLE & PEDESTRIAN), CHILD ABUSE & NEGLECT, DOMESTIC VIOLENCE, VIOLENT CRIME, AND SUICIDE. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 13B: 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. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 16J: 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, OR SURGICAL SERVICES. PART I, LINE 7: ALL INFORMATION IS BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,959,649. PART II, COMMUNITY BUILDING ACTIVITIES: - ECONOMIC DEVELOPMENT (F2):IN FISCAL YEAR (FY) 2019, UNION HOSPITAL SUPPORTED THE FOLLOWING ECONOMIC DEVELOPMENT ORGANIZATIONS IN CECIL COUNTY THROUGH BOARD SERVICE BY EXECUTIVE MANAGEMENT STAFF: 1) ECONOMIC DEVELOPMENT COMMISSION FOR CECIL COUNTY - THIS COMMISSION PROMOTES ECONOMIC DEVELOPMENT IN CECIL COUNTY, FOCUSING ON BUSINESS AND INDUSTRY DEVELOPMENT, BY BUILDING RELATIONSHIPS WITH LOCAL PARTNERS. 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. 2) ELKTON ALLIANCE - ELKTON ALLIANCE WORKS TOGETHER WITH THE 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 ELKTON ALLIANCE, UNION HOSPITAL SEEKS TO MAINTAIN A POSITIVE PRESENCE IN THE COMMUNITY BY HELPING TO ADDRESS COMMUNITY DEVELOPMENT ISSUES. 3) CECIL COUNTY SCHOOL EMPLOYEES FEDERAL CREDIT UNION BOARD - THE CREDIT UNION'S BOARD PROMOTES FINANCIAL LITERACY AND EDUCATION FOR ITS MEMBERS AND FOR LOCAL ELEMENTARY SCHOOL STUDENTS WHICH CONTRIBUTES TO REDUCING FINANCIAL BARRIERS THAT CAN BE EXACERBATED BY SOCIAL DETERMINANTS OF HEALTH. REDUCING THE BARRIERS EXACERBATED BY THE SOCIAL DETERMINANTS OF HEALTH IS ALSO A PART OF HEALTH LITERACY WHICH UNION HOSPITAL SUPPORTS AND PROMOTES INSIDE AND OUTSIDE ITS FOUR WALLS. - COMMUNITY SUPPORT (F3):IN FY 2019, UNION HOSPITAL SUPPORTED THE FOLLOWING COMMUNITY ORGANIZATIONS THROUGH BOARD SERVICE AND CAMPAIGN PLANNING IN CECIL COUNTY:1) UNITED WAY OF CECIL COUNTY - THE UNITED WAY OF CECIL COUNTY BRINGS TOGETHER VOLUNTEERS FROM GOVERNMENT, BUSINESSES, FAITH GROUPS, NONPROFITS, AND CITIZENS IN ORDER TO IMPROVE PEOPLE'S LIVES. UNITED WAY OF CECIL COUNTY FUNDS PROGRAMS THAT ADDRESS CRITICAL NEEDS IN THE COMMUNITY SURROUNDING CHILDREN AND FAMILIES, HEALTH AND WELLNESS, AND INDEPENDENT LIVING. UNION HOSPITAL SUPPORTS THE UNITED WAY TWO WAYS: A) BY PLANNING AND FACILITATING A HOSPITAL-WIDE ANNUAL GIVING CAMPAIGN; AND B) BY PROVIDING A STAFF MEMBER TO SERVE ON THE UNITED WAY BOARD. 2) LOCAL MANAGEMENT BOARD OF CECIL COUNTY - THE CORE FUNCTION OF LOCAL MANAGEMENT BOARDS (LMBS) IS TO IDENTIFY PRIORITIES AND TARGET RESOURCES FOR THEIR COMMUNITIES, AS WELL AS SERVE AS THE COORDINATOR OF COLLABORATION FOR CHILD AND FAMILY SERVICES. LMBS BRING TOGETHER LOCAL CHILD-SERVING AGENCIES, LOCAL CHILD PROVIDERS, CLIENTS OF SERVICES, FAMILIES, AND OTHER COMMUNITY REPRESENTATIVES TO EMPOWER LOCAL STAKEHOLDERS TO ADDRESS THE NEEDS OF AND SET PRIORITIES FOR THEIR COMMUNITIES. THERE IS A LOCAL MANAGEMENT BOARD IN EACH COUNTY IN MARYLAND, INCLUDING BALTIMORE CITY. UNION HOSPITAL'S EXECUTIVE MANAGEMENT STAFF SERVES ON CECIL COUNTY'S LOCAL MANAGEMENT BOARD TO PROVIDE INSIGHT ON THE CONNECTION BETWEEN HOSPITAL SERVICES/POPULATION HEALTH INITIATIVES AND SUPPORT FOR COMMUNITY DIRECTIVES/STRATEGIC PRIORITIES. 3) BEREAVEMENT SUPPORT - UNION HOSPITAL ESTABLISHED BEREAVEMENT SUPPORTS FOR PEOPLE, ACROSS THE AGE CONTINUUM, IN THE COMMUNITY, AFFECTED BY GRIEF AND LOSS. AN EXAMPLE INCLUDES THE BEREAVEMENT MEMORIAL SERVICE WHICH OCCURS ANNUALLY AND IS OPEN TO PATIENTS, THEIR FAMILIES, AND THE COMMUNITY AFFECTED BY GRIEF AND LOSS OF INFANTS. MATERNAL & INFANT CENTER NURSING STAFF ARE AVAILABLE AT THE MEMORIAL TO ANSWER QUESTIONS AND TALK THROUGH ISSUES/CONCERNS. THE SERVICE INCLUDES A TREE LIGHTING AND A BALLOON AIR LIFT AS A MEMORIAL TO LOST LOVED ONES. - LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS (F5):IN FY 2019, UNION HOSPITAL SUPPORTED THE FOLLOWING LEADERSHIP DEVELOPMENT AND TRAINING EFFORT IN CECIL COUNTY:1) CECIL LEADERSHIP INSTITUTE - THE CECIL LEADERSHIP INSTITUTE (CLI) IS HOSTED BY CECIL COLLEGE AND PROVIDES A FRAMEWORK WHERE EXISTING AND EMERGING LEADERS IN NONPROFIT, BUSINESS, GOVERNMENT, AND TOURISM ENGAGE, COLLABORATE, AND COMMIT TO CECIL COUNTY'S ONGOING DEVELOPMENT. UNION HOSPITAL PARTNERS WITH CECIL COLLEGE TO PROVIDE A LEADERSHIP SESSION AT THE HOSPITAL FOR CLI PARTICIPANTS. PARTICIPANTS ENGAGE WITH HOSPITAL LEADERSHIP THROUGH PRESENTATIONS AND TEAM BUILDING EXERCISES. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. PART III, LINE 3: THE METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF BAD DEBT EXPENSE (AT COST) FOR THE YEAR. UNION HOSPITAL OF CECIL COUNTY PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. PART III, LINE 4: THE HOSPITAL ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUES. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THEIR NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF THROUGH BAD DEBT EXPENSE WHEN THE HOSPITAL HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. PATIENT ACCOUNTS RECEIVABLE ALSO INCLUDES MANAGEMENT'S ESTIMATE OF THE IMPACT OF CERTAIN UNDERCHARGES TO BE RECOUPED OR OVERCHARGES TO BE PAID BACK FOR INPATIENT AND OUTPATIENT SERVICES IN SUBSEQUENT YEARS RATES. PART III, LINE 8: 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, LINE 9B: THE POLICY'S SECTION LABELED, "INTERNAL COLLECTION EFFORTS," STATES THAT A "PATIENT MAY ALSO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THIS PROCESS (COLLECTIONS) AND THEN THE FINANCIAL ASSISTANCE POLICY (F-415) IS REFERENCED FOR MORE INFORMATION. THE SECTION IN F-415 THAT DESCRIBES THE COLLECTION PROCESS IS CALLED "ACTION IN THE EVENT OF NON-PAYMENT": "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, THE POLICY F-416 UNDER THE SECTION, "EXTERNAL COLLECTION (BAD DEBT WRITE-OFF)," EXPLAINS THAT "PATIENTS WITH BALANCES BEING COLLECTED BY AN ASSIGNED COLLECTION AGENCY WILL HAVE THEIR BALANCES WRITTEN OFF IF THEY ARE DETERMINED TO BE INDIGENT". PART VI, LINE 2: THE CHNA REFLECTS THE CURRENT STATUS OF THE MEDICAL AND SOCIAL DETERMINANTS OF HEALTH FOR CECIL COUNTY AND PROVIDES QUALITATIVE FEEDBACK ON KEY HEALTH ISSUES. THE CHNA IS COMPRISED OF AN ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS TAKEN FROM RESULTS FROM AN ONLINE COMMUNITY SURVEY CONDUCTED WITH ADULT (AGED 18 YEARS OR OLDER) CECIL COUNTY RESIDENTS AND THREE FOCUS GROUPS CONDUCTED WITH COMMUNITY RESIDENTS. SECONDARY DATA WAS TAKEN FROM A VARIETY OF RELIABLE NATIONAL AND LOCAL DATA SOURCES (LOCAL DATA WAS COMPARED, WHEN POSSIBLE, AGAINST STATE AND NATIONAL TRENDS). IN ADDITION, TWO COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) MEETINGS WERE HELD TO HELP SELECT THE HEALTH PRIORITIES FOR CECIL COUNTY AND BEGIN FORMATION OF STRATEGIES TO ADDRESS THEM. THE CHNA WAS CONDUCTED FROM QUARTER 3 OF FISCAL YEAR 2018 THROUGH QUARTER 3 OF FISCAL YEAR 2019. THE CHNA PROCESS REFLECTS COLLABORATION OF COMMUNITY PARTNERS WORKING TOGETHER TO ACHIEVE THE SAME HEALTH IMPROVEMENT GOALS FOR CECIL COUNTY.SEE ADDITIONAL DETAIL REGARDING THE NEEDS ASSESSMENT IN OUR RESPONSE TO PART V, SECTION B, LINE 3. PART VI, LINE 3: 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 IS IN AGREEMENT WITH THE ESTABLISHED MARYLAND STATE FINANCIAL ASSISTANCE GUIDELINES. IN FY 2015, UNION HOSPITAL'S FINANCE DEPARTMENT DIVISIONS OF MANAGED CARE, REVENUE CYCLE, AND BILLING BEGAN WORKING ON CHANGES TO THE FAP TO REFLECT THE ACA'S HEALTH CARE COVERAGE EXPANSION OPTION EFFECTIVE JANUARY 1, 2014. THE RESULTING REVISED FAP IS MORE COMPREHENSIVE IN THAT IT INCLUDES MORE DESCRIPTIONS, PATIENT EXPECTATIONS, AND CONTENT THAT IS EASY TO FOLLOW AND DIGEST. NEW SECTIONS THAT GIVE THE FAP MORE DEPTH INCLUDE: DEFINITIONS, SCOPE, PRESUMPTIVE ELIGIBILITY, ELIGIBILITY PERIOD, RECONSIDERATION OF DENIAL OF FREE OR REDUCED-COST CARE, MEDICAL DEBT DETERMINATION (LIMIT ON CHARGES), ACTION IN THE EVENT OF NON-PAYMENT, ENSURING COMPLIANCE , PLAIN LANGUAGE SUMMARY, AND REFERENCES. THE FAP CLEARLY DEFINES PATIENT EXPECTATIONS, OFFERS A STEP-BY-STEP PROCESS FOR PATIENT APPLICATION, DOCUMENT REVIEW, AND REQUEST FOR MORE INFORMATION. ANY INDIVIDUAL WHO PRESENTS TO UNION HOSPITAL IN PERSON TO DISCUSS HIS/HER BILL IS 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: UNION HOSPITAL IS THE ONLY HOSPITAL IN CECIL COUNTY AND SERVES THE ENTIRE COUNTY. THEREFORE, THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS INCLUSIVE OF THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS INCLUDE ELKTON, NORTH EAST, CHILDS, ELK MILLS, CHESAPEAKE CITY, CHARLESTOWN, RISING SUN, WARWICK, CECILTON, & EARLEVILLE. THE SECONDARY SERVICE AREAS INCLUDE PERRYPOINT, PERRYVILLE, PORT DEPOSIT, COLORA, CONOWINGO, & GEORGETOWN.A MAJORITY OF UNION HOSPITAL'S COMMUNITY BENEFIT RESOURCES ARE FOCUSED WITHIN ELKTON (21921) AND NORTH EAST (21901) HOSPITAL UTILIZATION SHOWS THAT 60% OF THE HOSPITAL'S PATIENTS COME FROM ELKTON AND NORTH EAST.GEOGRAPHY PLAYS A SIGNIFICANT ROLE IN VULNERABILITY AND POVERTY IN CECIL COUNTY. THERE IS POVERTY IN THE RURAL AREAS, LIKE CONOWINGO, EARLEVILLE, AND CECILTON, BUT ALSO IN ELKTON WHICH IS URBAN-RURAL. IN ADDITION, PEOPLE THAT RESIDE IN THE AREAS BELOW THE C&D CANAL (WARWICK, CHESAPEAKE CITY, CECILTON, EARLEVILLE, AND GEORGETOWN) AND WEST OF THE TOWN OF NORTH EAST (PERRY POINT, PERRYVILLE, PORT DEPOSIT, CHARLESTOWN, COLORA, AND CONOWINGO) OFTEN HAVE THE DIFFICULTY ACCESSING SERVICES BECAUSE OF THE DISTANCE TO THE NEAREST SERVICE PROVIDER, LACK OF RELIABLE TRANSPORTATION, AND THE IMPACT OF OTHER SOCIAL DETERMINANTS OF HEALTH. THE ESTIMATED TOTAL POPULATION OF CECIL COUNTY WAS 102,175 PEOPLE IN 2016. OF THE TOTAL COUNTY POPULATION, 50.5% IS FEMALE AND 49.5% IS MALE. THE MEDIAN AGE IS 40.2 YEARS, AND THE MEDIAN HOUSEHOLD INCOME IS $67,938. THE ETHNIC MAKE-UP OF THE COUNTY IS 4% HISPANIC/LATINO AND 96% NON-HISPANIC/LATINO. THE RACIAL MAKE-UP OF THE COUNTY IS:- WHITE: 88.6%- AFRICAN AMERICAN: 6.7% - AMERICAN INDIAN/ALASKAN NATIVE: 0.2%- ASIAN: 1.3%- NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER: 0%- SOME OTHER RACE: 0.9%- TWO OR MORE RACES: 2.1%ADDITIONAL CECIL COUNTY DEMOGRAPHICS INCLUDE: - 6.6% UNEMPLOYMENT- 7.3% OF FAMILIES LIVING BELOW THE POVERTY LEVEL - 7% UNINSURED - 32.4% MEDICAID COVERAGE PART VI, LINE 5: EACH FISCAL YEAR, UNION HOSPITAL SERVES THE CECIL COUNTY COMMUNITY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT AIM TO IMPROVE COMMUNITY HEALTH, ESPECIALLY SERVING UNDERSERVED AREAS AND VULNERABLE POPULATIONS. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FY 2019:A1: COMMUNITY HEALTH EDUCATION - UNION HOSPITAL PROVIDED:- A VARIETY OF HEALTH EDUCATION PRESENTATIONS AND ACTIVITIES IN THE COMMUNITY - EXPLORER POST AT UNION HOSPITAL, CAMP SCRUBS, AND CAMP SCRUBS JUNIOR FOR STUDENTS SEEKING EXPOSURE TO MEDICAL OR HEALTH SCIENCE EXPERIENCES- HEALTH FAIRS IN THE COMMUNITY - SUPPORT GROUPS FOR VARIOUS HEALTH NEEDS A2: COMMUNITY-BASED CLINICAL SERVICES - UNION HOSPITAL PROVIDED:- FREE SCREENINGS IN THE COMMUNITY FOR PROSTATE CANCER, HEAD AND NECK CANCERS, AND DIABETES- FREE SPORTS PHYSICALS CLINIC FOR COUNTY PUBLIC AND PRIVATE MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS A3: HEALTH CARE SUPPORT SERVICES - UNION HOSPITAL PROVIDED:- MEDICAL EXAMINATIONS FOR ABUSED CHILDREN IN CONJUNCTION WITH DEPARTMENT OF SOCIAL SERVICES AND THE CECIL COUNTY CHILD ADVOCACY CENTER- SUPPORT FOR THE PEER RECOVERY ADVOCATES PROGRAM, A PARTNERSHIP BETWEEN THE ALCOHOL AND DRUG RECOVERY CENTER AT CECIL COUNTY HEALTH DEPARTMENT AND UNION HOSPITAL'S EMERGENCY DEPARTMENT, PSYCHIATRIC UNIT, AND CRISIS INTERVENTION SERVICES NURSING STAFF - REFERRALS FOR SMOKERS IDENTIFIED IN INPATIENT AND OUTPATIENT/AMBULATORY CARE SETTINGS TO CECIL COUNTY HEALTH DEPARTMENT'S DIVISION OF HEALTH PROMOTIONS' TOBACCO CESSATION PROGRAMS AND SUPPORTS A4: SOCIAL AND ENVIRONMENTAL IMPROVEMENTS - UNION HOSPITAL:- SUPPORTED THE HOSPITAL'S PARTNER IN EDUCATION, GILPIN MANOR ELEMENTARY SCHOOL, THROUGH STAFF COLLECTED DONATIONS, HEALTH EDUCATION OPPORTUNITIES FOR FAMILIES, AND PROFESSIONAL DEVELOPMENT SUPPORTS FOR SCHOOL STAFF - SUPPORTED CECIL CARES' COUNTY-WIDE "DAY OF CARING" VIA PLANNING MEETINGS AND EVENT SUPPORT/PARTICIPATION - SUPPORTED THE CHRISTMAS IN APRIL EVENT TO PROVIDE HOUSING IMPROVEMENTS FOR A VULNERABLE CECIL COUNTY RESIDENT - 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)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- PROVIDING A VOLUNTEER MEDICAL DIRECTORSHIP FOR THE CECIL COUNTY PREGNANCY CENTER - COORDINATING EDUCATIONAL LECTURES AT THE HOSPITAL OPEN TO EMERGENCY SERVICES PERSONNEL AND HOSPITAL EMERGENCY DEPARTMENT STAFF FOCUSED ON IMPROVING EMERGENCY RESPONSE IN THE COMMUNITY - ATTENDING MEETINGS FOR COMMUNITY HEALTH IMPROVEMENT (LOCAL HEALTH IMPROVEMENT COALITION, COMMUNITY BOARDS, COALITIONS, ETC.)- SERVING THE HOMELESS AND PROVIDING FOOD DONATIONS FOR MINISTRIES IN PARTNERSHIP WITH LOCAL COMMUNITY AGENCIES, CHURCHES, AND OTHER LOW-INCOME AND POOR SERVING MINISTRIES - 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 COMMUNITYJ: FOUNDATION FUNDED COMMUNITY BENEFIT - THE UNION HOSPITAL FOUNDATION PROVIDED FUNDING FOR THE COMMUNITY ASSISTED MEDICATIONS PROGRAM (CAMP) WHICH PROVIDES REDUCED-COST MEDICATIONS TO PATIENTS THAT QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE. PART VI, LINE 6: 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 SERVE 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. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON MD 21921 521794553 501(C)(3) 348833 0 N/A N/A CHARITABLE ACTIVITIES UNION HOSPITAL OF CECIL COUNTY VENTURES INC 106 BOW STREET ELKTON MD 21921 521793691 450861 0 N/A N/A CHARITABLE ACTIVITIES 1 1 PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES ASSISTANCE TO ITS AFFILIATED ENTITIES. IT DOES NOT PROVIDE GRANTS TO OTHER ORGANIZATIONS. USE OF FUNDS IS MONITORED BY MANAGEMENT. X X X X 1 1 0 0 0 0 0 1 0 RICHARD C SZUMEL MD PRESIDENT & CEO 0 443928 0 0 0 20465 0 37679 0 10354 0 512426 0 0 JOSE MA MD DIRECTOR 270674 0 0 0 0 0 0 0 0 0 270674 0 0 0 JUSTIN SAUSVILLE MD DIRECTOR 558694 0 0 0 0 0 0 0 0 0 558694 0 0 0 JAMES G RAAB SENIOR VP/CHIEF FINANCIAL OFFICER 0 270184 0 20000 0 27222 0 4125 0 27635 0 349166 0 0 AARON Z ROYSTON VP OF PROVIDER ENTERPRISE 201790 0 20000 0 15400 0 3327 0 1492 0 242009 0 0 0 CRAIG M BABBITT IN-HOUSE LEGAL COUNSEL 168940 0 0 0 8914 0 2462 0 1092 0 181408 0 0 0 CYDNEY TEAL MD UNTIL 22319 VP MEDICAL AFFAIRS 0 321630 0 0 0 26794 0 4125 0 22926 0 375475 0 0 ANNE LARA RETIRED 063018 SR. VP/CHIEF INNOVATION OFFICER 0 106388 0 30000 0 27631 0 2046 0 9949 0 176014 0 0 KHADIJATU BOSTON UNTIL 0118 SR. VP/CHIEF NURSING OFFICER 0 11938 0 17931 0 140242 0 239 0 1673 0 172023 0 0 TERRANCE LOVELL UNTIL 0118 VP HUMAN RESOURCES 8432 0 19214 0 279820 0 126 0 1420 0 309012 0 54460 0 FAHD RAHMAN PHYSICIAN 455308 0 229050 0 540 0 4125 0 32436 0 721459 0 0 0 JUSTIN SAUSVILLE PHYSICIAN 430900 0 107308 0 20486 0 4125 0 35041 0 597860 0 0 0 ROGER D WU PHYSICIAN 480093 0 35036 0 486 0 4125 0 24504 0 544244 0 0 0 NITIN AGGARWAL PHYSICIAN 470046 0 42588 0 432 0 4125 0 19187 0 536378 0 0 0 DANIELLE M PRESS PHYSICIAN 418750 0 14000 0 10486 0 3441 0 7894 0 454571 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR 2018: - TERRENCE LOVELL, VP HUMAN RESOURCES - KHADIJATU BOSTON, SENIOR VP / CHIEF NURSING OFFICER 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 $26,878 DURING THE CALENDAR YEAR 2018. TERRENCE LOVELL, VP HUMAN RESOURCES, RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN IN THE AMOUNT OF $54,460 DURING THE CALENDAR YEAR 2018. FOLLOWING INDIVIDUALS' PAYMENTS WERE FORFEITED DURING THE CALENDAR YEAR 2018: - TERRENCE LOVELL, VP HUMAN RESOURCES, $156,323 - LAURIE BEYER, SENIOR VP/CFO, $211,872 THE RIGHT TO RECEIVE PAYMENTS UNDER THE PLAN SHALL BE FORFEITED IN THE EVENT THAT EMPLOYMENT WITH THE HOSPITAL TERMINATES PRIOR TO THE VESTING DATE FOR ANY REASON OTHER THAN INVOLUNTARY TERMINATION WITHOUT CAUSE, DEATH, OR DISABILITY. PART I, LINE 7 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. A TOWN OF ELKTON - SERIES 2012A 526000790 2012-05-18 10000000 SEE PART VI 0 0 0 B TOWN OF ELKTON - SERIES 2012B1B2 526000790 2012-05-18 8662336 SEE PART VI 0 0 0 C TOWN OF ELKTON - SERIES 2012C 526000790 2012-05-18 9000000 SEE PART VI 0 0 0 D MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY - SERIES 2012A 520936091 2012-07-18 9924000 SEE PART VI 0 0 0 A 2752828 10000000 10000000 2012 1 0 1 1 B 3792563 8662336 8662336 2012 1 0 1 1 C 9000000 9000000 2012 1 0 1 1 D 6631922 9924000 9924000 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, COLUMN (F): PURPOSE OF THE BONDS: ISSUE A: TO REFUND PORTION OF SERIES 2009 BONDS. ISSUE B: TO REFUND REMAINING PORTION OF SERIES 2009 BONDS AND ALL OF SERIES 2000 BONDS. ISSUE C: TO FUND AN ESCROW WHICH REPAYS A PORTION OF THE SERIES 2002 BONDS AND INTEREST THEREON. ISSUE D: TO REFUND REMAINING PORTION OF SERIES 2002 BONDS. ISSUE E: TO FINANCE ACQUISITION OF EQUIPMENT AND CLOSING COSTS. ISSUE F: TO REFINANCE THE 2005 BONDS. A MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY - SERIES 2012B 520936091 2012-07-18 4007000 SEE PART VI 0 0 0 B MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY - SERIES 2014 520936091 2014-12-01 30778000 SEE PART VI 0 0 0 A 2546699 4007000 4007000 2012 1 0 1 1 B 540000 30778000 30778000 2014 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 DR RYAN GERACIMOS SEE PART V 3351073 SEE PART V 0 SCHEDULE L, PART IV: NAME OF INTERESTED PERSON: DR. RYAN GERACIMOSRELATIONSHIP WITH ORGANIZATION: FORMER BOARD MEMBER & CMODESCRIPTION OF TRANSACTION: UNION HOSPITAL OF CECIL COUNTY (UHCC) CONTRACTS WITH UNION RADIOLOGISTS, LLC FOR RADIOLOGY SERVICES. DR. GERACIMOS WAS A PRINCIPAL IN UNION RADIOLOGISTS, LLC. HE BECAME THE CHIEF MEDICAL OFFICER (CMO) OF UHCC IN MARCH 2019. PRIOR TO THAT, HE WAS A BOARD MEMBER. DR. GERACIMOS IS NO LONGER AFFILIATED WITH UNION RADIOLOGISTS (UPON BEING HIRED AS CMO). FORM 990, PART VI, SECTION A, LINE 6 AFFINITY HEALTH ALLIANCE, INC. ("AHA"), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS DIRECTORS ARE APPOINTED BY ITS SOLE MEMBER, AHA. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS SOLE MEMBER (AHA) MAY AMEND ITS BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT OF THE HOSPITAL REVIEWS THE 990 IN DETAIL BEFORE IT IS PRESENTED TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 STUDIES OR SURVEYS, TO SET COMPENSATION. DURING FISCAL YEAR 2019, 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 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 9,051,820. MANAGEMENT AND GENERAL EXPENSES 716,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,768,053. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 8,554,930. MANAGEMENT AND GENERAL EXPENSES 85,793. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,640,723. PURCHASED SERVICES & FEES: PROGRAM SERVICE EXPENSES 1,519,398. MANAGEMENT AND GENERAL EXPENSES 6,947. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,526,345. AGENCY EMPLOYEES: PROGRAM SERVICE EXPENSES 2,663,855. MANAGEMENT AND GENERAL EXPENSES 569,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,233,519. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 217,197. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,197. RECORD FILE STORAGE: PROGRAM SERVICE EXPENSES 122,074. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,074. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 190,294. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 190,294. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 1,782,610. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,782,610. ADMIN FEES: PROGRAM SERVICE EXPENSES 179,700. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 179,700. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES 149,388. OTHER CHANGES UNION HOSPITAL OF CECIL COUNTY FOUNDATION INC 106 BOW STREET ELKTON MD 21921 521794552 FUNDRAISING & SUPPORT MD 501(C)(3) LINE 7 AFFINITY HEALTH ALLIANCE INC 0 UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON MD 21921 521794553 HEALTHCARE PROPERTY MANAGEMENT MD 501(C)(3) LINE 10 AFFINITY HEALTH ALLIANCE INC 0 AFFINITY HEALTH ALLIANCE INC 106 BOW STREET ELKTON MD 21921 521794697 MANAGEMENT & SUPPORT MD 501(C)(3) LINE 12B, II N/A 0 UNION HOSPITAL OF CECIL COUNTY ONCOLOGY INC 106 BOW STREET ELKTON MD 21921 812662359 HEALTHCARE MD 501(C)(3) LINE 3 AFFINITY HEALTH ALLIANCE INC 0 UNION HOSPITAL OF CECIL COUNTY VENTURES INC 106 BOW STREET ELKTON MD 21921 521793691 MEDICAL SERVICES MD N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1