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CHESTER RIVER HOSPITAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHESTER RIVER HOSPITAL CENTER (EIN 52-0679694)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201801319349301645
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T09:47:45-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 700AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520679694EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Chester River Hospital Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOANNE HAHEY CFOInCareOfNm
Business Name ControlCHESBusinessNameControlTxt
Phone4108221000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Brown StreetAddressLine1Txt
CityChestertownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21620ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOANNE HAHEYPersonNm
Person TitleCFOPersonTitleTxt
Phone4108221000PhoneNum
Signature2018-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFrank GiardiniPreparerPersonNm
PTINP00532355PTIN
Phone2155614200PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1UMD Shore Medical Ctr at ChestertownBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKenneth KozelPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Brown StreetAddressLine1Txt
CityChestertownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21620ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$66,901,929GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.umshoreregional.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1935FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionCRH CTR, A MEMBER OF UMMS, IS AN INTEGRAL RURAL DELIVERY SYSTEM DEDICATED TO PROVIDING EXCELLENT AND CARING HEALTH SERVICES AND FACILITIES TO THE PEOPLE OF UPPER EASTERN SHORE.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee319TotalEmployeeCnt
Total Volunteers112TotalVolunteersCnt
Total Gross UBI$1,100,337TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$128,037NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$333,425PYContributionsGrantsAmt
CY Contributions Grants$423,288CYContributionsGrantsAmt
PY Program Service Revenue$56,079,811PYProgramServiceRevenueAmt
CY Program Service Revenue$54,586,618CYProgramServiceRevenueAmt
PY Investment Income$305,395PYInvestmentIncomeAmt
CY Investment Income$512,432CYInvestmentIncomeAmt
PY Other Revenue$256,956PYOtherRevenueAmt
CY Other Revenue$380,460CYOtherRevenueAmt
PY Total Revenue$56,975,587PYTotalRevenueAmt
CY Total Revenue$55,902,798CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,865,318PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,642,706CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,601,114PYOtherExpensesAmt
CY Other Expenses$31,650,990CYOtherExpensesAmt
PY Total Expenses$51,466,432PYTotalExpensesAmt
CY Total Expenses$49,293,696CYTotalExpensesAmt
PY Revenues Less Expenses$5,509,155PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,609,102CYRevenuesLessExpensesAmt
Total Assets BOY$74,264,736TotalAssetsBOYAmt
Total Assets EOY$79,383,661TotalAssetsEOYAmt
Total Liabilities BOY$25,407,086TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,507,121TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$48,857,650NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$59,876,540NetAssetsOrFundBalancesEOYAmt
MissionChester River Hospital Center is AN ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF KENT AND QUEEN ANNE'S COUNTIES AND PORTIONS OF CAROLINE AND CECILCOUNTIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$45,566,785ExpenseAmt
Grant$0GrantAmt
Revenue$53,514,368RevenueAmt
DescCHESTER RIVER HOSPITAL CENTER (doing business as University of Maryland Shore MEdical Center at Chestertown) IS A 26-BED HOSPITAL. IT IS SERVED BY APPROXIMATELY 200 ACTIVE AND CONSULTING STAFF PHYSICIANS REPRESENTING A WIDE ARRAY OF MEDICAL SPECIALTIES. THE COMMUNITY HOSPITAL, WHICH IS FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, PROVIDES INPATIENT MEDICAL SERVICES, 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, OUTPATIENT DIAGNOSTIC SERVICES, LABORATORY SERVICES, REHABILITATION, AND ONCOLOGY TO SERVE THE LOCAL COMMUNITY'S NEEDS. THE HOSPITAL WAS ESTABLISHED IN 1935. IT IS STAFFED BY APPROXIMATELY 319 EMPLOYEES.Desc
Total Program Service Expenses$45,566,785TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee319EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOANNE HAHEY CFOPersonNm
Phone4108221000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1219 SOUTH WASHINGTON STAddressLine1Txt
CityEASTONCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21601ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John Dillon
Chairman1.04.0Yes (X)Yes (X)$0$156,456$0
Richard Loeffler
Vice Chairman1.03.0Yes (X)Yes (X)$0$0$0
Marlene Feldman
Secretary1.03.0Yes (X)Yes (X)$0$0$0
John W Ashworth III
Director1.046.5Yes (X)$0$1,114,477$27,816
Stuart Bounds PhD
Director1.03.0Yes (X)$0$0$0
Myra S Butler
Director1.04.0Yes (X)$0$0$0
Charles Capute
Director1.05.0Yes (X)$0$0$0
Art Cecil
Director1.03.0Yes (X)$0$0$0
Robert A Chrencik
Director1.057.5Yes (X)$0$4,241,043$24,034
Joseph J Ciotola MD
Director1.03.0Yes (X)$0$0$0
Deborah Davis MD
Director1.03.0Yes (X)$0$0$0
Kathy Deoudes
Director1.03.0Yes (X)$0$0$0
Wayne L Gardner Sr
Treasurer1.05.0Yes (X)Yes (X)$0$0$0
J Wayne Howard
Director1.03.0Yes (X)$0$0$0
Michael D Joyce MD
Director1.03.0Yes (X)$0$0$0
Keith McMahan
Director1.04.0Yes (X)$0$0$0
David Milligan
Director1.03.0Yes (X)$0$0$0
William B Noll
Director1.04.0Yes (X)$0$0$0
Martha Russell
Director1.04.0Yes (X)$0$0$0
Thomas Stauch MD
Director1.03.0Yes (X)$0$0$0
Kenneth Kozel
President/CEO20.027.0Yes (X)Yes (X)$0$1,000,127$21,514
Geoff Oxnam
Director1.04.0Yes (X)$0$0$0
JoAnne Hahey
CFO/SVP Finance20.027.0Yes (X)$0$402,488$62,746
Stewart Seitz
Dir. Shore Nursing & Rehab.40.00.0$126,068$0$15,776Yes (X)
Deborah Pippin
Site Coordinator40.00.0$134,092$0$18,980Yes (X)
Kenneth Peregoy
Clinical Pharmacist40.00.0$126,658$0$18,041Yes (X)
Radine Haynes
RN40.00.0$124,790$0$18,852Yes (X)
Hannah Parsons
Clinical Pharmacist40.00.0$111,383$0$8,955Yes (X)
Mary Jo Keefe
Former VP/CNO0.00.0$0$153,588$5,384Yes (X)
Samuel P Marinelli
Former CFO0.00.0$0$299,218$13,260Yes (X)
Scott Burleson
Former SVP/COO0.00.0$0$123,127$11,606Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$622,991TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,490,524TotReportableCompRltdOrgAmt
Total Other Compensation$246,964TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MD Emergency Medicine Network
110 S Paca St 6th Fl Ste 200BALTIMOREMD21201Physician Service$1,665,791
Carefusion Solutions LLC
25082 Network PlaceCHICAGOIL60673Pharmacy Service$510,740
MDICS Shore Health
7250 Parkway Drive Suite 500HANOVERMD21076Physician Service$362,500
GE Medical Systems
75 Remittance DrCHICAGOIL60675Medical Equip. Maint$246,999
Healthcare Services Group Inc
PO Box 829677PHILADELPHIAPA19182Environmental Svc$235,627
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$423,288RelatedOrganizationsAmt
Total Contributions$423,288TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$54,586,618TotalRevenueColumnAmt
Related Or Exempt Func Income$53,486,281RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,100,337UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$54,586,618TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,105TotalRevenueColumnAmt
Exclusion$92,105ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$275,945RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$275,945RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,945TotalRevenueColumnAmt
Exclusion$275,945ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,414,189SecuritiesAmt
Other$5,269OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,990,269SecuritiesAmt
Other$8,862OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$423,920SecuritiesAmt
Other-$3,593OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$420,327TotalRevenueColumnAmt
Exclusion$420,327ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES900099$76,428$76,428
MEDICAL RECORDS SALES900099$19,373$19,373
MISC REVENUE OTHER900099$8,714$8,714
FieldValueIRS element (for citing)
Other Revenue Total$104,515OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,902,798TotalRevenueColumnAmt
Related Or Exempt Func Income$53,514,368RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,100,337UnrelatedBusinessRevenueAmt
Exclusion$864,805ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,385,560TotalAmt
Program Services$12,020,233ProgramServicesAmt
Management And General$1,365,327ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,114,669TotalAmt
Program Services$1,000,973ProgramServicesAmt
Management And General$113,696ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,162,936TotalAmt
Program Services$1,942,317ProgramServicesAmt
Management And General$220,619ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$979,541TotalAmt
Program Services$879,628ProgramServicesAmt
Management And General$99,913ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,406TotalAmt
Management And General$3,406ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,212,603TotalAmt
Program Services$16,142,199ProgramServicesAmt
Management And General$1,070,404ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$309TotalAmt
Program Services$277ProgramServicesAmt
Management And General$32ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$171,795TotalAmt
Program Services$154,272ProgramServicesAmt
Management And General$17,523ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,463,958TotalAmt
Program Services$1,314,635ProgramServicesAmt
Management And General$149,323ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,854TotalAmt
Program Services$13,339ProgramServicesAmt
Management And General$1,515ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$612TotalAmt
Program Services$550ProgramServicesAmt
Management And General$62ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$201,053TotalAmt
Program Services$180,546ProgramServicesAmt
Management And General$20,507ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,334,807TotalAmt
Program Services$3,892,656ProgramServicesAmt
Management And General$442,151ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$2,214,750TotalAmt
Program Services-$2,275,262ProgramServicesAmt
Management And General$60,512ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$5,674,246$5,674,246
BAD DEBT EXPENSE$2,777,360$2,777,360
REPAIRS & MAINTENANCE$540,565$485,427$55,138
COLLECTION AGENCY EXPENSE$513,579$461,194$52,385

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$956,593TotalAmt
Program Services$902,195ProgramServicesAmt
Management And General$54,398ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,293,696TotalAmt
Program Services$45,566,785ProgramServicesAmt
Management And General$3,726,911ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,214,072BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$227,171BOYAmt
EOY$226,419EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,928,030BOYAmt
EOY$2,207,402EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$699,137BOYAmt
EOY$695,988EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$63,212BOYAmt
EOY$20,020EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$57,474,076LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,217,196LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,736,008BOYAmt
EOY$25,256,880EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,098,000BOYAmt
EOY$6,361,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,136,000BOYAmt
EOY$10,643,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,163,106BOYAmt
EOY$33,972,952EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,264,736BOYAmt
EOY$79,383,661EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,239,288BOYAmt
EOY$7,800,718EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$13,533EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,167,798BOYAmt
EOY$11,692,870EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,407,086BOYAmt
EOY$19,507,121EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,117,495BOYAmt
EOY$55,912,852EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,452,144BOYAmt
EOY$2,667,677EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,288,011BOYAmt
EOY$1,296,011EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,857,650BOYAmt
EOY$59,876,540EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,264,736BOYAmt
EOY$79,383,661EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,609,102ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,239,767NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,170,021OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$3,406OtherActivitiesAmt
Total Lobbying Expenditures$3,406TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceOTHER ACTIVITIESFormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION PAYS MEMBERSHIP DUES TO 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 6.46% AND 21.78% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C PART II-B AS LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$475,591OtherCostOrOtherBasisAmt
Book Value$475,591BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,543,092OtherCostOrOtherBasisAmt
Depreciation$20,487,817DepreciationAmt
Book Value$16,055,275BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,469,953OtherCostOrOtherBasisAmt
Depreciation$10,826,621DepreciationAmt
Book Value$8,643,332BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$985,440OtherCostOrOtherBasisAmt
Depreciation$902,758DepreciationAmt
Book Value$82,682BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,256,880TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Book Value$10,643,000BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$10,643,000TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$13,308,588
SELF INSURANCE$9,752,304
ECONOMIC INTEREST IN FND.$6,269,552
ASSETS LIMITED TO USE$4,642,508
FieldValueIRS element (for citing)
Total Book Value Other Assets$33,972,952TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO UMMS$4,412,241
MALPRACTICE$4,164,168
ENVIRONMENTAL REMEDIATION$1,298,022
ADVANCES FROM THIRD PARTY PAYORS$737,412
MINIMUM PENSION LIABILITY$592,047
OTHER - CREDIT PAT AR$488,980
FieldValueIRS element (for citing)
Total Liability$11,692,870TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLIABILITY FOR UNCERTAIN TAX POSITION (ASC 740)FormAndLineReferenceDesc
ExplanationSCHEDULE D, PART X, LINE 2 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 BENEFITS THAT SHOULD BE RECOGNIZED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$283,407TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$283,407NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$283,407TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$283,407NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,540TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$98,540NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,891,296TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,803,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,087,659NetCommunityBenefitExpnsAmt
Total Expense0.14950TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,625TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$70,625NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,060,461TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,803,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,256,824NetCommunityBenefitExpnsAmt
Total Expense0.15310TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,343,868TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,803,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,540,231NetCommunityBenefitExpnsAmt
Total Expense0.15920TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,630TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,630NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,072TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,072NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,018NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,558TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,558NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,278TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,278NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,109,978BadDebtExpenseAmt
Reimbursed By Medicare$25,209,000ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,881,455CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,327,545MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHESTER RIVER HOSPITAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 BROWN STREETAddressLine1Txt
CityCHESTERTOWNCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21620ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.umshoreregional.orgWebsiteAddressTxt
State License14-002StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHESTER RIVER HOSPITAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.UMSHOREREGIONAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.UMSHOREREGIONAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.umshoreregional.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.umshoreregional.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.umshoreregional.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Chester River Hospital CenterSchedule H, Part V, Section B LINE 5 - SHORE REGIONAL HEALTH (SRH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE FIVE COUNTIES OF MARYLAND'S MID-SHORE: TALBOT, CAROLINE, QUEEN ANNE'S, DORCHESTER, AND KENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED ON MAY 12, 2015, ON WHICH DATE IT WAS APPROVED BY THE BOARD OF DIRECTORS AND IMPLEMENTED. THE HEALTH NEEDS OF OUR COMMUNITY WERE IDENTIFIED THROUGH A PROCESS WHICH INCLUDED COLLECTING AND ANALYZING PRIMARY AND SECONDARY DATA. IN PARTICULAR, THE CHNA INCLUDES PRIMARY DATA FROM TALBOT, CAROLINE, DORCHESTER, KENT, QUEEN ANNE'S HEALTH DEPARTMENTS AND THE COMMUNITY AT LARGE. ADDITIONALLY, SHORE REGIONAL HEALTH IS A PARTICIPATING MEMBER OF THE MID-SHORE SHIP COALITION, WHERE WE ARE PARTNERING WITH OTHER COMMUNITY STAKEHOLDERS INVESTED IN IMPROVING THE COMMUNITY'S OVERALL HEALTH. MEMBERS OF THE MID-SHORE SHIP COALITION INCLUDE COMMUNITY LEADERS, COUNTY GOVERNMENT REPRESENTATIVES, LOCAL NON-PROFIT ORGANIZATIONS, LOCAL HEALTH PROVIDERS, AND MEMBERS OF THE BUSINESS COMMUNITY. FEEDBACK INCLUDES DATA COLLECTED FROM SURVEYS, ADVISORY GROUPS AND FROM OUR COMMUNITY OUTREACH AND EDUCATION SESSIONS. SHORE REGIONAL HEALTH PARTICIPATES ON THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SYSTEM COMMUNITY HEALTH IMPROVEMENT COMMITTEE TO STUDY DEMOGRAPHICS, ASSESS COMMUNITY HEALTH DISPARITIES, INVENTORY RESOURCES AND ESTABLISH COMMUNITY BENEFIT GOALS FOR BOTH SHORE REGIONAL HEALTH SYSTEM AND UMMS. SHORE REGIONAL HEALTH CONSULTED WITH COMMUNITY partners and organizations to discuss COMMUNITY NEEDS RELATED TO HEALTH IMPROVEMENT AND ACCESS TO CARE. THE FOLLOWING LIST OF PARTNER AGENCIES MEETS ON A QUARTERLY BASIS AS MEMBERS OF THE MID-SHORE SHIP COALITION (BELOW IS MEMBERSHIP ROSTER, REPRESENTATIVE VARIES DEPENDING UPON TOPIC/AGENDA AND AVAILABILITY): - CHOPTANK COMMUNITY HEALTH SYSTEMS, DR. JONATHAN MOSS, CMO - CAROLINE COUNTY MINORITY OUTREACH TECHNICAL ASSISTANCE,Janet Fountain, Program Manager - TALBOT COUNTY LOCAL MANAGEMENT BOARD DONNA HACKER, EXECUTIVE DIRECTOR - PARTNERSHIP FOR DRUG FREE DORCHESTER, DONALD HALL, PROGRAM DIRECTOR - CAROLINE COUNTY COMMUNITY REPRESENTATIVE, MARGARET JOPP, FAMILY NURSE PRACTITIONER - EASTERN SHORE AREA HEALTH EDUCATION CENTER, JAKE FREGO, EXECUTIVE DIRECTOR - KENT COUNTY MINORITY OUTREACH TECHNICAL ASSISTANCE, DORA BEST, PROGRAM COORDINATOR - YMCA OF THE CHESAPEAKE, DEANNA HARRELL, EXECUTIVE DIRECTOR - UNIVERSITY OF MD EXTENSION, ALY VALENTINE, EXECUTIVE DIRECTOR - KENT COUNTY LOCAL MANAGEMENT BOARD, HOPE CLARK, EXECUTIVE DIRECTOR - KENT COUNTY DEPARTMENT OF JUVENILE SERVICES, WILLIAM CLARK, DIRECTOR - COALITION AGAINST TOBACCO USE, CAROLYN BROOKS, MEMBER - MT. OLIVE AME CHURCH, REV. MARY WALKER - MID- SHORE MENTAL HEALTH SYSTEMS, HOLLY IRELAND LCSW-C, EXECUTIVE DIRECTOR - ASSOCIATED BLACK CHARITIES, ASHYRIA DOTSON, PROGRAM DIRECTOR - QUEEN ANNE COUNTY HOUSING AND FAMILY SERVICES, MIKE CLARK, EXECUTIVE DIRECTOR - QUEEN ANNE COUNTY HEALTH DEPARTMENT, JOSEPH CIOTOLA MD - DORCHESTER COUNTY HEALTH DEPARTMENT, ROGER L. HARRELL, HEALTH OFFICER - TALBOT COUNTY HEALTH DEPARTMENT, FREDIA WADLEY MD, HEALTH OFFICER - CAROLINE COUNTY HEALTH DEPARTMENT, DR. LELAND SPENCER, HOUSE OFFICER - SRH, KATHLEEN MCGRATH, REGIONAL DIRECTOR OF OUTREACH - SRH, WILLIAM ROTH, REGIONAL DIRECTOR - CARE TRANSITIONS SHORE REGIONAL HEALTH HOSTED A SERIES OF COMMUNITY LISTENING FORUMS IN CAROLINE, DORCHESTER, KENT, QUEEN ANNE'S AND TALBOT COUNTIES TO GATHER COMMUNITY INPUT. IN ADDITION, SHORE REGIONAL HEALTH MEETS QUARTERLY WITH MEMBERS OF THE LOCAL HEALTH DEPARTMENTS AND COMMUNITY LEADERS, INCLUDING: - CHOPTANK COMMUNITY HEALTH SYSTEM: JOSEPH SHEEHAN, CEO, JONATHAN MOSS, CMO HEALTH DEPARTMENTS HEALTH OFFICERS: - LELAND SPENCER, M.D. KENT COUNTY AND CAROLINE COUNTY - ROGER L. HARRELL, MHA, DORCHESTER COUNTY HEALTH DEPARTMENT - JOSEPH CIOTOLA MD -DHMH QUEEN ANNE'S COUNTY - FREDIA WADLEY MD, TALBOT COUNTY HEALTH DEPARTMENT - MID SHORE MENTAL HEALTH SYSTEMS, HOLLY IRELAND, EXECUTIVE DIRECTOR - EASTERN SHORE HOSPITAL CENTER: RANDY BRADFORD, CEO IN ADDITION, THE FOLLOWING AGENCIES/ORGANIZATIONS ARE REFERENCED IN GATHERING INFORMATION AND DATA. - MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE - MARYLAND DEPARTMENT OF PLANNING - MARYLAND VITAL STATISTICS ADMINISTRATION - HEALTHSTREAM, INC. - COUNTY HEALTH RANKINGS - MID SHORE COMPREHENSIVE ECONOMIC DEVELOPMENT STRATEGY CEDS
CHNA Conducted with Other Hospital FacilitiesLine 6a - Shore Regional Health (SRH) conducted a Community Health Needs Assessment (CHNA) for the UM SRH network which serves the Mid-Shore region, University of Maryland Shore Medical Center at Chestertown (SMC at Chestertown), the University of Maryland Shore Medical Center at Dorchester (SMC at Dorchester), and the University of Maryland Shore Medical Center at Easton (SMC at Easton). Line 6b - Shore Regional Health (SRH) community health needs assessment was not conducted with one or more organizations.
Significant Needs Addressed in CHNALine 11 - All primary health needs are being addressed to the extent that available resources and clinical expertise allow. The community benefits plan is able to adequately address heart disease, cancer, diabetes, hypertension, high cholesterol, issues associated with aging population. Nutrition, weight management/obesity is addressed through educational classes and/or seminars. Tobacco use/smoking and alcohol/binge drinking/underage drinking are being addressed by other county agencies and organizations and through partnerships, including the County Health Departments. Shore Regional Health hospitals do not possess the resources and expertise required for environmental health concerns and issues. Mental Health is being addressed through the Mid-shore Mental Health Systems, Inc., which is a private, not-for-profit organization serving the five mid-shore counties: Caroline, Dorchester, Kent, Queen Annes and Talbot. Several additional topic areas were identified by the Community Health Planning Council including: safe housing, transportation, and substance abuse. The unmet needs not addressed by UMC at Eaton, UMC at Dorchester, UMC at Chestertown will continue to be addressed by key governmental agencies and existing community- based organizations. While Shore Regional Health hospitals will focus the majority of our efforts on the identified priorities outlined in the CHNA Action Plan, we will review the complete set of needs identified in the CHNA for future collaboration and work. These areas, while still important to the health of the community, will be met through other health care organizations with our assistance as available. LINE 13 - THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN COMPLIANCE WITH THE NEW IRC SECTION 501(R) REGULATIONS UMMS HAS UPDATED THEIR FINANCIAL ASSISTANCE POLICY TO ENSURE ITS COMPLIANCE WITH IRS REGULATIONS. Line 20e - In the case of an incomplete FAP application, patients are not automatically denied. A letter is mailed to the patient requesting the missing documentation, and FAP applications are approved once the missing documentation is provided. LINE 22D - ALL PATIENTS ARE CHARGED STATE REGULATED RATES, REGARDLESS OF THEIR ABILITY TO PAY. LINE 24 - THE STATE OF MARYLAND IS A UNIQUE STATE IN REGARD TO THE PROVISION OF HEALTH CARE SERVICES AND THEIR RELATED CHARGES BY HOSPITALS. ALL HOSPITAL CHARGES PROCESSED TO ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, ARE SET THROUGH MARYLAND'S HEALTH SERVICES COST COMMISSION. ACCORDINGLY, ALL HOSPITAL CHARGES ARE NOT GROSS CHARGES AS DEFINED BY THE IRS UNDER INTERNAL REVENUE CODE SECTION 501(R)(5)(B).

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Criteria for Free or Discounted CareSchedule H, Part I, Line 3c Chester River Hospital Center (d.b.a. Shore Medical Center at Chestertown (SMC at Chestertown)) 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. IT IS THE POLICY OF THE UMMS ENTITIES TO PROVIDE FINANCIAL ASSISTANCE BASED ON INDIGENCE OR HIGH MEDICAL EXPENSES FOR PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE. THE FINANCIAL CLEARANCE PROGRAM POLICY IS A CLEAR, COMPREHENSIVE POLICY ESTABLISHED TO ASSESS THE NEEDS OF PARTICULAR PATIENTS THAT HAVE INDICATED A POSSIBLE FINANCIAL HARDSHIP IN OBTAINING AID WHEN IT IS BEYOND THEIR FINANCIAL ABILITY TO PAY FOR SERVICES RENDERED. SMC at Chestertown MAKES EVERY EFFORT TO MAKE FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO OUR PATIENTS INCLUDING, BUT NOT LIMITED TO: -SIGNAGE IN MAIN ADMITTING AREAS AND EMERGENCY ROOMS OF THE HOSPITAL -SMC at CHestertown WEBSITE -PATIENT HANDBOOK DISTRIBUTED TO ALL PATIENTS -BROCHURES EXPLAINING FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN ALL PATIENT CARE AREAS -PATIENT PLAIN LANGUAGE SHEETS - NEWLY REVISED IN JUNE 2016, THIS HANDOUT WAS REVISED AND IS AT THE 5TH GRADE READING LEVEL (AVAILABLE IN ENGLISH, SPANISH, FRENCH, & CHINESE BASED ON TOP LANGUAGES SPOKEN BY SMC at chestertown PATIENTS) -APPEARING IN PRINT MEDIA THROUGH LOCAL NEWSPAPERS Related Organization Report Schedule H, Part I, Line 6a AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR EACH FISCAL YEAR ENDING JUNE 30. THIS REPORT IS SUBMITTED TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), A STATE REGULATORY AGENCY, BY DECEMBER 15 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AT THE ENTITY'S CORPORATE OFFICES.
Costing MethodologySCHEDULE H, LINE 7A, COLUMN (D), and line 7f, column (C) and COLUMN (D) 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. SCHEDULE H, LINE 7B, COLUMNS (C) THROUGH (F) 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.
Community BuildingPart II Through a variety of community building activities, UM Shore Regional Health promotes health and wellness in the community it serves. These activities include: active engagement and collaboration with local Health Departments, Chambers of Commerce, and organizations that work to improve the quality of life for the residents of the Mid-Shore (Talbot, Caroline, Dorchester, Queen Annes, and Kent Counties). Because local action is essential to public health progress, UM Shore Regional Health is a key stakeholder in the Mid-Shore Health Improvement Coalition, a partnership of public sector agencies, health care providers and community-based partners. The coalition was formed in December 2011 in response to a Statewide Health Improvement Process (SHIP). In addition to providing the coalition with leadership, a variety of clinical and non-clinical UM SRH associates serve on various coalition workgroups. The work of the coalition began by reviewing and prioritizing objectives identified by the Maryland Department of Health and Mental Hygienes (DHMH) State Health Improvement Process (SHIP). SHIP, launched in September 2011, focuses on improving the health of Maryland residents in six vision areas: Healthy Babies, Healthy Social Environments, Safe Physical Environments, Infectious Disease, Chronic Disease and Health Care Access. Under SHIPs umbrella, the coalition develops and implements strategies that will improve local public health. The coalition decided to focus on three health priorities: (1) adolescent obesity, (2) adolescent tobacco use, and (3) diabetes related emergency department visits. The coalition formulated an action plan that articulates specific goals and strategies for the three health priorities. Through coalition workgroups and committees, representatives from the Mid-Shore collaborate to assess local health needs and services; share data and other resources; explore evidence-based health practices; and acquire support to enhance and initiate health programs that impact targeted populations and communities. The coalition plans to effectively leverage and utilize new and existing resources to measurably improve the health status of the residents of the Mid-Shore. In addition to being an integral part of the Mid-Shore Health Improvement Coalition, UM SRH continues to maintain open communication with the Health Departments of Talbot, Caroline, Dorchester, Queen Annes, and Kent Counties, Mid-Shore Mental Health System, Choptank Community Health System, local government and schools. UM SRHs community outreach programs can be found in County schools, senior centers, community centers and churches throughout the Mid-Shore. UM SRHs director of community outreach participates in committees and advisory councils, promoting continuous dialogue between the medical center and community stakeholders. This provides opportunities for new ideas and programs to be exchanged, allowing UM SRH to maximize community outreach efforts. UM SRH seeks insight from community members attending educational programs through its outreach events. Program participants are asked to complete a brief survey evaluation, providing feedback and comments about the program they attended, as well as providing suggestions for future program topics.
Bed Debt ExpenseSchedule H, Part III, Line 4 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 third-party payor has not yet paid or for payors who are known to be having financial difficulties that make the realization of the amounts due unlikely. For receivables associated with self-pay patients or balances remaining after third-party coverage has 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 off against the allowance for Bad Debts. Part III, Lines 2 and 3 IN MARYLAND, 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
Medicare Cost ReportSchedule H, Part III, Line 8 Allowable costs are estimated ratio of cost to charge ratio applied to gross charges.
Collection PracticesSchedule H, Part III, Line 9b IT IS THE POLICY OF SHORE REgional Health TO WORK WITH OUR PATIENTS TO IDENTIFY AVAILABLE RESOURCES TO PAY FOR THEIR CARE. ALL PATIENTS PRESENTING AS SELF PAY AND REQUESTING CHARITY RELIEF FROM THEIR BILL WILL BE SCREENED AT ALL POINTS OF ENTRY, FOR POSSIBLE COVERAGE THROUGH STATE PROGRAMS AND A PROBABLE DETERMINATION FOR COVERAGE FOR EITHER MEDICAL ASSISTANCE OR FINANCIAL ASSISTANCE (CHARITY CARE) FROM THE HOSPITAL IS IMMEDIATELY GIVEN TO THE PATIENT. THE PROCESS IS RESOURCE INTENSIVE AND TIME CONSUMING FOR PATIENTS AND THE HOSPITAL; HOWEVER, IF PATIENTS QUALIFY FOR ONE OF THESE PROGRAMS, THEN THEY WILL HAVE HEALTH BENEFITS THAT THEY WILL CARRY WITH THEM BEYOND THEIR CURRENT HOSPITAL BILLS, AND ALLOW THEM TO ACCESS PREVENTIVE CARE SERVICES AS WELL. SHORE HEALTH SYSTEM WORKS WITH A BUSINESS PARTNER WHO WILL WORK WITH OUR PATIENTS TO ASSIST THEM WITH THE STATE ASSISTANCE PROGRAMS, WHICH IS FREE TO OUR PATIENTS. IF A PATIENT DOES NOT QUALIFY FOR MEDICAID OR ANOTHER PROGRAM, SHORE HEALTH SYSTEM OFFERS OUR FINANCIAL ASSISTANCE PROGRAM. SHORE HEALTH SYSTEM POSTS NOTICES OF OUR POLICY IN CONSPICUOUS PLACES THROUGHOUT THE HOSPITALS, HAS INFORMATION WITHIN OUR HOSPITAL BILLING BROCHURE, EDUCATES ALL NEW EMPLOYEES THOROUGHLY ON THE PROCESS DURING ORIENTATION, AND DOES A YEARLY RE-EDUCATION TO ALL EXISTING STAFF. ALL STAFF HAVE COPIES OF THE FINANCIAL ASSISTANCE APPLICATION, BOTH IN ENGLISH AND SPANISH, TO SUPPLY TO PATIENTS WHO WE DEEM, AFTER SCREENING, TO HAVE A NEED FOR ASSISTANCE. SHORE HEALTH SYSTEM HAS A DEDICATED FINANCIAL ASSISTANCE LIAISON TO WORK WITH OUR PATIENTS TO ASSIST THEM WITH THIS PROCESS AND EXPEDITE THE DECISION PROCESS. SMC at Chestertown MAKES EVERY EFFORT TO MAKE FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO OUR PATIENTS INCLUDING, BUT NOT LIMITED TO: -SIGNAGE IN MAIN ADMITTING AREAS AND EMERGENCY ROOMS OF THE HOSPITAL -SMC at Chestertown WEBSITE -PATIENT HANDBOOK DISTRIBUTED TO ALL PATIENTS -BROCHURES EXPLAINING FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN ALL PATIENT CARE AREAS -PATIENT PLAIN LANGUAGE SHEETS - NEWLY REVISED IN JUNE 2016, THIS HANDOUT WAS REVISED AND IS AT THE 5TH GRADE READING LEVEL (AVAILABLE IN ENGLISH, SPANISH, FRENCH & CHINESE BASED ON TOP LANGUAGES SPOKEN BY SMC at Chestertown PATIENTS) -APPEARING IN PRINT MEDIA THROUGH LOCAL NEWSPAPERS
Community Health Needs AssessmentSchedule H, Part VI, line 2 Shore Regional Health (SRH) conducted a Community Health Needs Assessment (CHNA) for the five counties of Marylands Mid-Shore: Talbot, Caroline, Queen Annes, Dorchester, and Kent. The health needs of our community were identified through a process which included collecting and analyzing primary and secondary data. In particular, the CHNA includes primary data from Talbot, Caroline, Dorchester, Kent, Queen Annes Health Departments and the community at large. Additionally, Shore Regional Health is a participating member of the Mid-Shore SHIP coalition, where we are partnering with other community stakeholders invested in improving the communitys overall health. Members of the Mid-Shore SHIP coalition include community leaders, county government representatives, local non-profit organizations, local health providers, and members of the business community. Feedback from customers includes data collected from surveys, advisory groups and from our community outreach and education sessions. Secondary data resources referenced to identify community health needs include County Health Rankings (http://www.countyhealthrankings.org), Maryland Department of Health and Mental Hygienes State Health Improvement Process (SHIP) (http://dhmh.maryland.gov/ship/), the Maryland ChartBook of Minority Health and Minority Health Disparities (http://dhmh.maryland.gov/mhhd/Documents/2ndResource_2009.pdf Shore Regional Health participates on the University of Maryland Medical System (UMMS) Community Health Improvement Committee (to study demographics, assess community health disparities, inventory resources and establish community benefit goals for both UM Shore Regional Health and UMMS. UM Shore Regional Health consulted with community partners and organizations to discuss community needs related to health improvement and access to care. The following list of partner agencies meets on a quarterly basis as members of the Mid-Shore SHIP coalition: -Choptank Community Health Systems, Dr. Jonathan Moss, CMO -Caroline County Minority Outreach Technical Assistance, Janet Fountain. Program Manager -Talbot County Local Management Board Donna Hacker, Executive Director -Partnership for Drug Free Dorchester, Sandy Wilson, Program Director -Caroline County Community Representative, Margaret Jopp, Family Nurse Practitioner -Eastern Shore Area Health Education Center, Jake Frego, Executive Director -Kent County Minority Outreach Technical Assistance, Dora Best, Program Coordinator -YMCA of the Chesapeake, Deanna Harrell, Executive Director -University of MD Extension, Sara Rich, Executive Director -Kent County Local Management Board, Hope Clark, Executive Director -Kent County Department of Juvenile Services, William Clark, Director -Coalition Against Tobacco Use, Carolyn Brooks, Member -Mt. Olive AME Church, Rev. Mary Walker -Mid- Shore Mental Health Systems, Holly Ireland LCSW-C, Executive Director -Associated Black Charities, Ashyria Dotson, Program Director -Queen Anne County Housing and Family Services, Mike Clark, Executive Director -Queen Anne County Health Department, Joseph Ciotola MD -Dorchester County Health Department, Roger L. Harrell, Health Officer -Talbot County Health Department, Thomas McCarty, Health Officer -Caroline County Health Department, Dr. Leland Spencer, House Officer -UMC at Easton, Kathleen McGrath, Regional Director of Outreach -UMC at Chestertown, Cindy Bach, Director Transitions in Care Shore Regional Health hosted a series of community listening forums to gather community input for a regionalization study that explores the benefits of a regional approach to providing health care for Caroline, Dorchester, Kent, Queen Anne's and Talbot counties. In addition, Shore Health meets quarterly with members of the local health departments and community leaders, including: -Choptank Community Health System, Joseph Sheehan -Health Departments -Health Officers -Mid Shore Mental Health Systems, Holly Ireland -Eastern Shore Hospital Center, Randy Bradford In addition, the following agencies/organizations are referenced in gathering information and data: -Maryland Department of Health and Mental Hygiene -Maryland Department of Planning -Maryland Vital Statistics Administration -HealthStream, Inc. -County Health Rankings -Mid Shore Comprehensive Economic Development Strategy CEDS Our CHNA identified the following list of priorities for our community: 1. Cancer 2. Obesity 3. Access to Care 4. Behavioral Health 5. Diabetes Maryland Health Care Commission (MHCC) Rural Health Study During the 2016 Legislative Session, Senate Bill 707 Freestanding Medical Facilities- Certificate of Need, Rates and Definition (SB 707), passed into law and was signed by the Governor on May 10, 2016. The legislation established a workgroup on rural health care delivery to oversee a study of healthcare delivery in the Middle Shore region and to develop a plan for meeting the health care needs of the five counties -- Caroline, Dorchester, Kent, Queen Annes and Talbot. The purpose of the study was to assess the health care of the residents of the five-county study area and the capacities of the health system in the region, and propose options for enhancing health and health care delivery on the Mid-Shore. The research team was asked to consider: (1) the limited availability of health care providers and services; (2) the special needs of vulnerable populations, including the frail and elderly, racial and ethnic minorities, immigrants and patients with persistent behavioral illnesses; (3) barriers to access caused by transportation limitations; and (4) the economic impact of closures, partial closures or conversions of health care facilities. The Summary Report provides highlights of findings from all components of the study and integrates them into key recommendations. Methods and findings are detailed for review at: http://mhcc.maryland.gov/mhcc/pages/home/workgroups/documents/rural_health /September%2025th%202017%20Meeting/lgsrpt_%20ExecutiveSummary_rpt_20170928 .pdf The University of Maryland Medical System in partnership with UM Shore Regional Health as members of the Rural Health Care Delivery Workgroup produced a white paper, Commitment to Meeting the Health Care Needs of Our Vulnerable Rural Communities. This paper explores concerns about the unique needs of rural hospitals and communities and can be accessed at: http://mhcc.maryland.gov/mhcc/pages/home/workgroups/documents/rural_health /July%2025th%202017%20Meeting/LGSRPT_Shore_White_Paper_rpt20170523.pdf
Eligibility EducationSchedule H, Part VI, line 3 It is the policy of UM Shore Regional Health to work with our patients to identify available resources to pay for their care. All patients presenting as self pay and requesting charity relief from their bill will be screened at all points of entry, for possible coverage through state programs and a probable determination for coverage for either Medical Assistance or Financial Assistance (charity care) from the hospital is immediately given to the patient. The process is resource intensive and time consuming for patients and the hospital; however, if patients qualify for one of these programs, then they will have health benefits that they will carry with them beyond their current hospital bills, and allow them to access preventive care services as well. UM Shore Regional Health works with a business partner who will work with our patients to assist them with the state assistance programs, which is free to our patients. If a patient does not qualify for Medicaid or another program, UM Shore Regional Health offers our financial assistance program. UM Shore Regional Health posts notices of our policy in conspicuous places throughout the hospitals- including the emergency department, has information within our hospital billing brochure, educates all new employees thoroughly on the process during orientation, and does a yearly re- education to all existing staff. All staff have copies of the financial assistance application, both in English and Spanish, to supply to patients who we deem, after screening, to have a need for assistance. UM Shore Regional Health has a dedicated Financial Assistance Liaison to work with our patients to assist them with this process and expedite the decision process. Shore Regional Health notifies patients of availability of financial assistance funds prior to service during our calls to patients, through signage at all of our registration locations, through our patient billing brochure and through our discussions with patients during registration. In addition, the information sheet is mailed to patients with all statements and/or handed to them if needed. -Shore Regional Health prepares its FAP in a culturally sensitive manner, at a reading comprehension level appropriate to the CBSAs population, and in Spanish. -Shore Regional Health posts its FAP and financial assistance contact information in admissions areas, emergency rooms, and other areas of facilities in which eligible patients are likely to present; -Shore Regional Health provides a copy of the FAP and financial assistance contact information to patients or their families as part of the intake process; -Shore Regional Health provides a copy of the FAP and financial assistance contact information to patients with discharge materials. -A copy of Shore Regional Healths FAP along with financial assistance contact information, is provided in patient bills; and/or -Shore Regional Health discusses with patients or their families the availability of various government benefits, such as Medicaid or state programs, and assists patients with qualification for such programs, where applicable. -An abbreviated statement referencing Shore Regional Healths financial assistance policy, including a phone number to call for more information, is run annually in the local newspaper (Star Democrat)
Description of Community ServedSchedule H, Part VI, line 4 Situated on Maryland's Eastern Shore, Shore Regional Healths three hospitals, University of Maryland Medical Center at Easton (SMC at Easton), University of Maryland Medical Center at Dorchester (SMC at Dorchester), University of Maryland Medical Center at Chestertown (SMC at Chestertown) are not for profit hospitals offering a complete range of inpatient and outpatient services to over 170,000 people throughout the Mid-Shore of Maryland. Shore Regional Healths service area is defined as the Maryland counties of Caroline, Dorchester, Talbot, Queen Annes and Kent. UMC at Easton is situated at the center of the mid-shore area and thus serves a large rural geographical area (all 5 counties of the mid-shore). UMC at Dorchester is located approximately 18 miles from Easton and primarily serves Dorchester County and portions of Caroline County. UMC at Chestertown located in Chestertown, in Kent County merged with Shore Regional Health in July 2013. UMC at Chestertown serves the residents of Kent County, portions of Queen Annes and Caroline Counties and the surrounding areas. The five counties of the Mid-Shore comprise 20% of the landmass of the State of Maryland and 2% of the population. The entire region has over 4,400 employers with nearly 45,000 workers. Only 50 of those employers employ 100 or more workers. Almost 85% of employers in this rural region are manufacturing firms, which require workers with high-level technology skills as well as low-skilled workers. (-9.62% adults have less than a 9th grade education and another 9.62% have an education at the 9th -12th grade level but do not have a high school diploma). The service industry is growing rapidly as the local population shifts to include more senior adults who retire to this beautiful area of the State. Although the seafood industry continues to be important to the region it is fast becoming an endangered species. The economic condition varies significantly throughout the region, especially for Caroline, Dorchester, and Kent Counties. It should be noted that Talbot County appears to have a significantly higher median income than Caroline and Dorchester, however, a large percentage of the population has incomes in line with those of Caroline and Dorchester. The figures for Talbot are somewhat skewed due to large incomes of a few individual families and high net worth individuals. Shore Regional Healths service area has a higher percentage of population aged 65 and older as compared to Maryland overall. Talbot County has a 27.2% rate for this age group and Kent County has 25.3% of its residents age 65 years or older. These rates are 65% higher than Marylands percentage, and higher than other rural areas in the state by almost a quarter. Today, more than two-thirds of all health care costs are for treating chronic illnesses. Among health care costs for older Americans, 95% are for chronic diseases. The cost of providing health care for one person aged 65 or older is three to five times higher than the cost for someone younger than 65. Source:http://www.cdc.gov/features/agingandhealth/state_of_aging_and_healt h_in_america_2013.pdf Hoffman C, Rice D, Sung HY. Persons with chronic conditions: their prevalence and costs. JAMA. 1996;276(18):1473-1479 While progress is being made, the Mid-Shore economy still faces a myriad of challenges that include limited access to affordable high speed broadband services, a shortage of affordable housing, an inadequate supply of skilled workers, low per capita income, and more layoffs in the manufacturing sector.(Source: Mid Shore Comprehensive Economic Development Strategy CEDS) County Health Rankings for the Mid-Shore counties also reveal the large disparities between counties for health outcomes in the service area. The Mid-Shore Region has 26,203 minority persons, representing 25.3% of the total population. In terms of healthcare, large disparities exist between Black or African Americans and Whites as reported by the Office of Minority Health and Health Disparities, DHMH. For emergency department (ED) visit rates for diabetes, asthma and hypertension, the Black or African American rates are typically 3- to 5 fold higher than White rates. Adults at a healthy weight is lower (worse) for Black or African Americans in all three counties where Black or African American data could be reported. Heart disease mortality Black or African American rates are variously higher or lower compared to White rates in individual counties. In Caroline, the Black or African American rate is lower than the White rates not because the Black or African American rate is particularly low, but because the White rate is unusually high. For cancer mortality, Black or African American rates exceed White rates in Dorchester, Kent, Queen Annes and Talbot. In Caroline, Black or African American rates are lower, again because of a rather high White rate. The Black or African American rates and White rates are below the State Health Improvement Process (SHIP) goals. Source: http://www.dhmh.maryland.gov/ship. http://dhmh.maryland.gov/mhhd/Documents/Maryland-Black-or-African-American -Data-Report-December-2013.pdf Overall, Queen Annes County ranks 5th; Talbot County ranks 7th; Dorchester ranks 23th; Caroline ranks 21rd, Kent ranks 18th (out of 24 counties including Baltimore City) in health outcomes that indicate the overall health of the county (Source:http://www.countyhealthrankings.org/maryland/ 2017). UMC at Eatons Primary Service Area: 21601, 21613, 21629, 21632, 21655, 21639, 21643 UMC at Dorchesters Primary Service Area: 21613, 21643, 21631 UMC at Chestertowns Primary Service Area: 21620,21661,21651,21678 Community Benefit Service Area (CBSA) Target Population: 170,000+ Talbot County Total Population: 37,278 Male: 47.4%, Female: 52.6% White, Not Hispanic (NH): 83.3% Black, NH: 13.0% Hispanic: 6.6% Asian, NH: 1.4% American Indian, NH: 0.4% Median Age: 43.3 Median Household Income: $58,228 Dorchester County Total Population: 32,258 Male: 47.5%, Female: 52.5% White, Not Hispanic (NH): 67.4% Black, NH: 28.7% Hispanic: 5.3% Asian, NH: 1.2% American Indian, NH: 0.5% Median Age: 40.7 Median Household Income: $47,093 Caroline County Total Population: 32,850 Male: 48.8%, Female: 51.2% White, Not Hispanic (NH): 81.3% Black, NH: 14.0% Hispanic: 7.2% Asian, NH: 1.1% American Indian, NH: 0.3% Median Age: 37 Median Household Income: $52,465 Queen Annes County Total Population: 48,929 Male: 49.7%, Female: 50.3% White, Not Hispanic (NH): 89.7% Black, NH: 6.6% Hispanic: 3.6% Asian, NH: 0.5% American Indian, NH: 0.3% Median Age: 38.8 Median Household Income: $85,963 Kent County Total Population: 19,730 Male: 47.9%, Female: 52.1% White, Not Hispanic (NH): 81.3% Black, NH: 15.3% Hispanic: 4.5% Asian, NH: 1.2% American Indian, NH: 0.3% Median Age: 45.6 Median Household Income: $58,145 (Source: http://quickfacts.census.gov/) Percentage of households with incomes below the federal poverty guidelines within the CBSA: Talbot 10.4%, Dorchester 18.1%, Caroline 14.4%, Queen Annes 7.2%, Kent 14.8% Source: https://www.census.gov/quickfacts/fact/table/US Percentage of uninsured people by County within the CBSA: Talbot 11%, Dorchester 10%, Caroline 13%, Queen Annes 6%, Kent 9% Source: http://www.towncharts.com/Maryland/Maryland-state-Healthcare-data.html Percentage of Medicaid recipients by County within the CBSA: Talbot 11%, Dorchester 19%, Caroline 18%, Queen Annes 9%, Kent 14% Source: http://www.towncharts.com/Maryland/Maryland-state-Healthcare-data.html Life Expectancy by County within the CBSA: Talbot County: All Races 80.8 White 81.6, Black 76.5 Dorchester County: All Races 77.6, White 78.2, Black 75.7 Caroline County: All Races 76.1, White 76.3, Black 75.4 Queen Annes County: All Races 79.6, White 79.7, Black 77.2 Kent County: All Races 79.5, White 80.6, Black 74.5 (Source: http://dhmh.maryland.gov) Mortality Rates by County within the CBSA (Age adjusted rates per 100,000 population): Talbot County: All Races 1228.9, White 1340.7, Black 1129.3 Dorchester County: All Races 1222.8, White 1418.0, Black 1005.8 Caroline County: All Races 1009.9, White. 1095.4, Black 971.1 Queen Annes County: All Races 799.5, White 824.7, Black 883.9 Kent County: All Races 1248.3, White 1303.9, Black 1373.4 (Source: http://dhmh.maryland.gov/vsa/Documents/13annual.pdf) Access to healthy food, Population that is Food Insecure: Talbot County: 10.5% Dorchester County: 15.8% Caroline County: 12.1% Queen Annes County: 7.5% Kent County: 11.5% (Source: URL: http://www.mdfoodsystemmap.org) Quality of Housing Home Ownership Rate: Talbot County: 68.6% Dorchester County: 65.6% Caroline County: 70.5% Queen Annes County: 83.8% Kent County: 71.9% Caroline County There is a lack of Section 8 Rental Assistance housing in Caroline County. At the present time, only about one- third of the demand has been filled. Total Housing units 13,482 Homeownership rate, 70.5% Median value of owner-occupied housing units
Promoting the Health of the CommunitySchedule H, Part VI, line 5 The analysis of local data indicated that diabetes, heart disease, cancer, behavioral health and access to care were all health improvement priorities for the Mid-Shore. After careful review of County health data, the Mid-Shore SHIP Coalition prioritized the potential health improvement areas and decided to focus the Coalitions efforts on three areas: (1) adolescent obesity, (2) adolescent tobacco use, and (3) diabetes related emergency department visits. The Coalition is committed to examining what evidence-based initiatives can improve the countys health in these three areas related to racial, ethnic and other demographic and geographic-related health disparities. Marylands State Health Improvement Process (SHIP) provides a framework for continual progress toward a healthier Maryland. Marylands State Heath Improvement Process (SHIP) began with national, state and local data being reviewed and analyzed by the Maryland Department of Health and Mental Hygiene (DHMH) Office of Population Health as well as by the 5 Departments of Health (Talbot, Caroline, Dorchester, Queen Annes, Kent). It has three main components: accountability, local action and public engagement. SHIP includes 39 measures that provide a framework to improve the health of Maryland residents. Twenty-eight of the measures have been identified as critical racial/ethnic health disparities. Each measure has a data source and a target, and where possible, can be assessed at the county level. UM SRHs priorities are aligned with the Maryland State Health Improvement Process vision areas and those objectives outlined by the local health improvement coalition. UM SRHs Priorities: 1. Chronic Diseases (obesity, hypertension, diabetes, smoking) 2. Behavioral Health 3. Access to Care 4. Cancer 5. Outreach & Education (preventive care, screenings, health literacy) Several additional topic areas were identified by the CHNA Steering Committee including: safe housing, transportation, and substance abuse. The unmet needs not addressed by UM SRH will continue to be addressed by key governmental agencies and existing community- based organizations. While UM SRH will focus the majority of our efforts on the identified priorities outlined in the CHNA Action Plan, we will review the complete set of needs identified in the CHNA for future collaboration and work. These areas, while still important to the health of the community, will be met through other health care organizations with our assistance as available. Initiative 1 Identified Need: Chronic Disease Management How was the need identified: Identified through the CHNA process Hospital Initiative: UMSRH Population Health Management: Enhanced transitions in care: A: Shore Wellness Partner- Community Case Management & B: Follow-up Clinic Both programs address high utilizing patients who are not connected to ongoing primary care Chronically ill patients with typical, long standing combinations of diabetes, CHF, COPD, and/or kidney disease who are prescribed between 5 and 15 medications Rural patients with long travel times to care providers and who often do not have access to information technology resources http://dhmh.maryland.gov/ship/SitePages/Home Primary Objective of Initiative: -Identify follow-up needs from community resources -Reduce readmissions during the transitional period related to Chronic Disease Management -Diabetes-related readmission/revisits -Congestive Heart Failure-related readmissions/revisits -Hypertension-related readmissions/revisits -COPD-related readmissions/revisits -Chronic Kidney Disease-related readmissions/revisits -Provide assessment of dietary status and educational needs -Provide assessment of safe medication use/educational needs/financial assistance needs -Provide transitional case management services Total number of people within target population: Patients with sub-acute mental illness, social isolation, and/or limited family support who need assistance in making healthcare decisions that provide the best care in the best venue. Residents of Talbot, Caroline, Dorchester, Kent have a higher rate than the HP 2020 goal rate of related emergency department visits for these chronic diseases. Target population 7,000 people. Total Number of People Reached by the Initiative within the Target Population: A.Shore Wellness Partners: 1,384 home visits B. Follow up Clinic: 3,919 patients (775 patients had more than one encounter). Key Collaborators in Delivery of the Initiative: -Physician practices (owned by hospital/health system) -Physician practices (not wholly or partially owned by the hospital) -Queen Anne County Mobile Integrated Community Health Program -Upper Shore Aging, Inc Maryland Access Point -Maintaining Active Citizens, Inc -Coastal Hospice & Palliative Care -Compass Regional Hospice -Talbot Hospice -Talbot County Health Department/Adult Evaluation and Review Services -Queen Anne County Health Department/Adult Evaluation and Review Services -Caroline County Health Department/ Adult Evaluation and Review Services -Dorchester County Health Department/ Adult Evaluation and Review Services -Talbot County Senior Center -Caroline County Senior Center -Choptank Community Health-Federalsburg/Denton -Choptank Community Health- Fassett Magee Branch -Shore Home Care, Inc -Shore Wellness Partners -Amedysis Home Health, Inc -Home Call Home Health -Bright Star Home Health -Hills Drug Store, Inc -Key Collaborator Organization -Integrace Bayleigh Chase -The Pines, Genesis -Briton Woods of Denton -Caroline Nursing Home -Mallard Bay -Chesapeake Woods -Autumn Lake -Shore Nursing & Rehab Impact of hospital initiative: Community resources engaged as appropriate based on patient-specific needs. Multiple health care referrals generated in order to provide the safest patient care. Reduction in high utilizer or population at high risk for readmission. Evaluation of outcome: Shore Wellness Partners metrics: 1,032 Nurse home visits 352 Social workers home visits Follow up Clinic Metrics: # of patients: 3,919: (775 patients had more than one encounter) # of referrals (direct referrals) 54 referrals to Upper Shore Aging (serving Talbot, Kent, Caroline), 24 referrals to Maintaining Active Citizens, Inc (serving Dorchester), 9 referrals to Queen Anne County Department of Aging. 53 people to the Queen Anne County Mobile Integrated Community Health Program Continuation of Initiative: Yes, However, SRH is developing a more robust and holistic transitions of care program that will provide systematic referrals and complex case management of high risk patients based on best practices. Shore Wellness Partners social work program will continue to offer financial and social services to support the newly developed Transitions of Care Program. Total Cost of Initiative: $ 377,942 (includes staff salary and supplies Does not include indirect overhead) Initiative 2 Identified Need: Health Priority #2. Behavioral Health; Priority #3. Access to Care The rate of emergency department visits related to mental health disorders* (per 100,000 population). Mental health problems can place a heavy burden on the healthcare system, particularly when persons in crisis utilize emergency departments instead of other sources of care when available How was the need identified: Identified through the CHNA process Name of hospital initiative: Behavioral Health Bridge Clinic. The Bridge Clinic serves patients discharged from the behavioral health inpatient unit who are unable to access psychiatric care from community due to shortage of psychiatric providers Total number of people within target population: 600-700 patients discharged from SRH inpatient psychiatric care require specialized follow-up including case management, therapy, and support/education Total number of people reached by the initiative: Persons Served: 205 Primary objective of initiative:Enhance service continuity between inpatient and community behavioral health care through better access to services and more innovations in the service delivery model. Reduce recidivism of patients with mental health issues in both the ED and Psychiatric Inpatient Unit. Single or multi-year plan: Multi Year, Oct.2015-present Key collaborators in delivery: Mid-Shore Behavioral Health System Eastern Shore Crisis Response Physician practices Local Health Depts. Impact of hospital initiative: The first full year of operation for the Bridge Clinic was successful in reducing readmission rates to the hospitals inpatient psychiatric unit. 24-48 hour access was made available for urgent appointments. Active case management including telephonic follow-up and weekly support groups were provided. Evaluation of outcomes: -962 follow-up interventions were provided to 205 patients. Inpatient readmissions trended down for the 12 month period from July 2016 to June 2017. -First quarter of operation: average readmission rate 12% compared to final quarter of FY17: average readmission rate 1%. Cont
Affiliated Health Care System RolesSchedule H, Part VI, line 6 AS PART OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS), SMC at Chestertown 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, SMC at Chestertown 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. SMC at Chestertown 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 OUR COMMUNITY.
Community Benefit Report State FilingsSchedule H, Part VI, line 7 Maryland

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Dillon
Chairman$0$0$0$0$0$156,456$0$0$0$0$0$156,456$0$0
John W Ashworth III
Director$0$602,349$0$390,000$0$122,128$0$10,600$0$17,216$0$1,142,293$0$0
Robert A Chrencik
Director$0$1,265,687$0$1,105,294$0$1,870,062$0$10,600$0$13,434$0$4,265,077$0$0
Kenneth Kozel
President/CEO$0$408,593$0$184,748$0$406,786$0$10,600$0$10,914$0$1,021,641$0$313,772
JoAnne Hahey
CFO/SVP Finance$0$276,549$0$105,703$0$20,236$0$45,694$0$17,052$0$465,234$0$0
Deborah Pippin
Site Coordinator$133,882$0$0$0$210$0$4,876$0$14,104$0$153,072$0$0$0
Mary Jo Keefe
Former VP/CNO$0$137,793$0$15,050$0$745$0$0$0$5,384$0$158,972$0$0
Samuel P Marinelli
Former CFO$0$150,368$0$26,734$0$122,116$0$5,879$0$7,381$0$312,478$0$0
Scott Burleson
Former SVP/COO$0$107,285$0$15,375$0$467$0$0$0$11,606$0$134,733$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HEALTH OR SOCIAL CLUB DUES OR INITIATION FEESSCHEDULE J, PART I, LINE 1A UMMS EXECUTIVES RECEIVE A BENEFIT PACKAGE WHICH MAY BE USED TOWARDS HEALTH CLUB DUES OR OTHER HEALTH MAINTENANCE PROGRAMS. SUCH BENEFITS ARE CAPPED AT $7,000, $5,000 OR $3,000 DEPENDING ON JOB TITLE AS DESCRIBED IN THE PROGRAM DOCUMENTS.
SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENTSCHEDULE J, PART I, LINE 4A DURING THE FISCAL YEAR ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTABLE AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUAL AND AMOUNT ARE LISTED BELOW: - SAMUEL MARINELLI $102,824
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4B DURING THE FISCAL YEAR ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (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: - JOANNE HAHEY DURING THE FISCAL YEAR ENDED JUNE 30, 2017, 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 - ROBERT CHRENCIK - SAMUEL MARINELLI DURING THE FISCAL YEAR ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (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). - KENNETH KOZEL
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Tax Exempt Bond IssuesFORM 990, PART IV, QUESTION 24 PURSUANT TO A MASTER LOAN AGREEMENT DATED JUNE 20, 1991 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ("UMMSTHE "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, THE JAMES LAWRENCE KERNAN HOSPITAL, INC., MARYLAND GENERAL HOSPITAL, INC., BALTIMORE WASHINGTON MEDICAL CENTER, INC., SHORE HEALTH SYSTEM, INC., CHESTER RIVER HOSPITAL CENTER, INC., CIVISTA MEDICAL CENTER, INC., UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, LLC, UPPER CHESAPEAKE MEDICAL CENTER, INC., HARFORD MEMORIAL HOSPITAL, INC. AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM FOUNDATION, INC. 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 $1,585,136,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2017. 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. Members or stockholders FORM 990, PART VI, LINE 6, 7A, AND 7B UM Shore Regional Health AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION MAY ELECT MEMBERS AND APPROVE DECISIONS OF CHESTER RIVER HOSPITAL CENTER.
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11B THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE GRANT THORNTON TAX ORGANIZER, WHICH IS AN EXCEL-BASED SYSTEM. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, GRANT THORNTON IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, LINE 12C THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL 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. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMSC) REVIEWS THE RESPONSES FOR UMMSC and certain other affiliates. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED. WITH RESPECT TO THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, LINE 15A & 15B The organization did not compensate its executives directly, but rather, the executives received compensation from a related organization. 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.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19 IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT.
HOURS ON RELATED ENTITIESPART VII, SECTION A, COLUMN (B) THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9 CHANGE IN ECONOMIC INTEREST $1,073,824 CHANGE IN PENSION BENEFITS $1,738,326 FUNDING PPE $422,556 CAPITAL EQUITY TRANSFER ($59,722) OTHER CHANGES IN NA'S ($4,963) ------------ TOTAL OTHER CHANGE IN NET ASSETS $3,170,021 ============
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT PHYSICIAN SVCS. TOTAL FEES:5781639
FORM 990 PART IX LINE 11GDESCRIPTION:SHARED SERVICES TOTAL FEES:9404016
FORM 990 PART IX LINE 11GDESCRIPTION:PURCH. SVC. MEDICAL TOTAL FEES:936813
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:859917
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER SERVICE FEES TOTAL FEES:230218

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Baltimore Washington Emergency Phys Inc
301 Hospital DriveGlen BurnieMD21061521756326HealthcareMD501(c)(3)12AUWBWMSfalse
Baltimore Washington Healthcare Services
301 Hospital DriveGlen BurnieMD21061521830243HealthcareMD501(c)(3)12AUWBWMSfalse
Baltimore Washington Medical Center Inc
301 Hospital DriveGlen BurnieMD21061520689917HealthcareMD501(c)(3)03UWBWMSfalse
UM Baltimore Washington Medical System
301 Hospital DriveGlen BurnieMD21061521830242HealthcareMD501(c)(3)12Aummscfalse
BW Medical Center Foundation Inc
301 Hospital DriveGlen BurnieMD21061521813656FundraisingMD501(c)(3)12Cbwmcfalse
North Arundel Development Corporation
301 Hospital DriveGlen BurnieMD21061521318404Real EstateMD501(c)(2)NCCfalse
North County Corporation
301 Hospital DriveGlen BurnieMD21061521591355Real EstateMD501(c)(2)UMBWMSfalse
Chester River Health Foundation Inc
100 Brown StreetChestertownMD21620521338861FundraisingMD501(c)(3)08UMSRHfalse
Univ of MD Shore Regional HealthInc
100 Brown StreetChestertownMD21620522046500HealthcareMD501(c)(3)12AUMMSCfalse
Chester River Manor Inc
200 Morgnec RoadChestertownMD21620526070333HealthcareMD501(c)(3)10UMSRHfalse
Maryland General Clinical Practice Group
827 Linden AvenueBaltimoreMD21201521566211HealthcareMD501(c)(3)12Bummthfalse
University of Maryland Midtown Health I
827 Linden AvenueBaltimoreMD21201521175337HealthcareMD501(c)(3)12BUMMSCfalse
Maryland General Hospital Inc
827 Linden AvenueBaltimoreMD21201520591667HealthcareMD501(c)(3)03UMMTHfalse
Care Health Services Inc
219 South Washington StreetEastonMD21601521510269HealthcareMD501(c)(3)10shsfalse
Dorchester General Hospital Foundation
219 South Washington StreetEastonMD21601521703242FundraisingMD501(c)(3)12DUMSRHfalse
Memorial Hospital Foundation Inc
219 South Washington StreetEastonMD21601521282080FundraisingMD501(c)(3)12Ashsfalse
Shore Health System Inc
219 South Washington StreetEastonMD21601520610538HealthcareMD501(c)(3)03umsrhfalse
um community medical group inc
22 South Greene StreetBaltimoreMD21201521874111HealthcareMD501(c)(3)03UMMSCfalse
James Lawrence Kernan Hosp Endow Fd
2200 Kernan DriveBaltimoreMD21207237360743FundraisingMD501(c)(3)12Bjlkhfalse
James Lawrence Kernan Hospital Inc
2200 Kernan DriveBaltimoreMD21207520591639HealthcareMD501(c)(3)03UMMSCfalse
UMMS Foundation Inc
22 South Greene StreetBaltimoreMD21201522238893FundraisingMD501(c)(3)12AUMMSCfalse
University of MD Medical System Corp
22 South Greene StreetBaltimoreMD21201521362793HealthcareMD501(c)(3)03NAfalse
University of Maryland Charles Regional
PO Box 1070La PlataMD20646522155576HealthcareMD501(c)(3)12CUMMSCfalse
Civista Medical Center Inc
PO Box 1070La PlataMD20646520445374HealthcareMD501(c)(3)03umcrhfalse
Charles Regional Medical Center Foundati
PO Box 1070La PlataMD20646521414564FundraisingMD501(c)(3)12AUMCRHfalse
Charles Regional Medical Center Auxiliar
PO Box 1070La PlataMD20646521131193FundraisingMD501(c)(3)12AUMCRHfalse
Univ of MD St Joseph Foundation Inc
7601 Osler DriveTowsonMD21204521681044FundraisingMD501(c)(3)12Aumsjhsfalse
UMSJ Health System LLC
7601 Osler DriveTowsonMD21204462097818HealthcareMD501(c)(3)03UMMSCfalse
Harford Memorial Hospital Inc
520 Upper Chesapeake DrBel AirMD21014520591484HealthcareMD501(c)(3)03UMUCHSfalse
UCH Legacy Funding Corporation
520 Upper Chesapeake DrBel AirMD21014520882914FundraisingMD501(c)(3)12AUMUCHSfalse
UM Upper Chesapeake Health System Inc
520 Upper Chesapeake DrBel AirMD21014521398513HealthcareMD501(c)(3)12C; III-FIummscfalse
Upper Chesapeake Health Foundation Inc
520 Upper Chesapeake DrBel AirMD21014521398507FundraisingMD501(c)(3)12AUMUCHSfalse
Upper Chesapeake Medical Center Inc
520 Upper Chesapeake DrBel AirMD21014521253920HealthcareMD501(c)(3)03UMUCHSfalse
Upper Chesapeake Medical Services Inc
520 Upper Chesapeake DrBel AirMD21014521501734HealthcareMD501(c)(3)10UMUCHSfalse
Upper Chesapeake Properties Inc
520 Upper Chesapeake DrBel AirMD21014521907237Real EstateMD501(c)(2)UMUCHSfalse
Upper Ches Residential Hospice House In
520 Upper Chesapeake DrBel AirMD21014260737028HospiceMD501(c)(3)07UMUCHSfalse
Upper ChesapeakeSt Joseph Home Care I
520 Upper Chesapeake DrBel AirMD21014521229742Home CareMD501(c)(3)10UMUCHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Arundel Physicians Associates LLC
301 Hospital DriveGlen BurnieMD20161522000762HealthcareMDapa inc
Baltimore Washington Imaging LLC
301 Hospital DriveGlen BurnieMD20161200806027HealthcareMDumbwms
Universitycare LLC
22 South Greene StreetBaltimoreMD21201521914892HealthcareMDummsc
O'Dea Medical Arts Limited Partnership
7601 Osler DriveTowsonMD21204521682964RentalMDsjmc prop
Advanced Imaging at St Joseph Medical C
7601 Osler DriveTowsonMD21204521958002HealthcareMDumsjmc
UM Charles Regional Imaging
PO Box 1070LaPlataMD20646300956382HealthcareMDumcrcp

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Arundel Physicians Associates Inc
301 Hospital DriveGlen BurnieMD21061521992649HealthcareMDBWHEC Corpfalse
Baltimore Washington Health Enterprises
301 Hospital DriveGlen BurnieMD21061521936656HealthcareMDumBWMSC Corpfalse
BW Professional Services Inc
301 Hospital DriveGlen BurnieMD21061521655640HealthcareMDumbwmsC Corpfalse
UM Charles Regional Care Partners
PO Box 1070La PlataMD20646522176314HealthcareMDumcrhC Corpfalse
University Midtown Prof Center A Condo
827 Linden AvenueBaltimoreMD21201521891126Real EstateMDummhC Corpfalse
NA Executive Building Condo Assn Inc
301 Hospital DriveGlen BurnieMD21061Real EstateMDNADCOC Corpfalse
Terrapin Insurance Company
980129232InsuranceUMMSC CorpfalsePO Box 1109GRAND CAYMANCJKY1-1102CJ
MD MEdicine Comp Insurance Program
22 South Greene StreetBaltimoreMD21201526315433InsuranceMDnaTrustfalse
Upper Chesapeake Insurance Company
520 Upper Chesapeake DrBel AirMD21014980468438InsuranceUMUCHSltdfalseCJ
Upper Chesapeake Health Ventures Inc
520 Upper Chesapeake DrBel AirMD21014522031264HealthcareMDUMUCHSC Corpfalse
Upper Chesapeake Medical Center Land Con
520 Upper Chesapeake DrBel AirMD21014770674478Real EstateMDUC Med CrtC Corpfalse
Upper Chesapeake Medical Office Building
520 Upper Chesapeake DrBel AirMD21014521946829Real EstateMDUC Hlth VentC Corpfalse
University of Maryland Health Advantage
22 South Greene StreetBaltimoreMD21201461411902InsuranceMDUMMShpC Corpfalse
University of Maryland Health Partners
22 South Greene StreetBaltimoreMD21201452815803InsuranceMDUMMShpC Corpfalse
University of Maryland Medical System He
22 South Greene StreetBaltimoreMD21201452815722InsuranceMDum hlth ventC Corpfalse
Shore Orthopedics Inc
219 S Washington StreetEastonMD21601371817262HealthcareMDSHSC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd