2018-05-11T07:09:18-05:00 2017-06-30 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-07-01 520607945 Union Hospital of Cecil County Inc UNIO 4103984000 106 Bow Street Elkton MD 219215596 James G Raab Chief Financial Officer 4103984000 2018-05-09 1 Julius C Green CPA P00350393 2159720701 96.89.178.154 2018-05-09 15:57:49 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9D0D8DD59390B7764A3ECE0F40BBFE3618018605 2016 2021-01-29 14:40:06Z Richard C Szumel MD 106 Bow Street Elkton MD 219215596 173080811 0 X www.uhcc.com X 1903 MD PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD, AND THE SURROUNDING AREA. 15 11 1331 238 1739609 -261197 277147 760419 159157991 160117692 3230261 1586989 3429651 2691662 166095050 165156762 4468260 18197080 0 0 80161134 83471094 0 0 0 79570046 79119434 164199440 180787608 1895610 -15630846 188348000 173889013 89916005 88038568 98431995 85850445 X Union Hospital of Cecil County's mission is to provide healthcare services to the residents of Cecil County, Maryland, Western New Castle County, Delaware, and Southern Chester County, Pennsylvania. 0 0 177693005 18197080 160117692 Union Hospital of Cecil County's mission is to provide health care services to the residents of Cecil County, Maryland, Western New Castle County, Delaware, and Southern Chester County, Pennsylvania, that represent quality and value and are provided with modern technology, compassionate nurses and staff, and convenient to the citizens of our community. These Healthcare services are provided regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is vitally important to the operation, stability, and viability of Union Hospital of Cecil County, we recognize that not all members of our community are in the financial position to purchase essential medical services. Therefore, consistent with Union Hospital's commitment to serve all members of Cecil County, Maryland, free care and/or subsidized care and health activities and programs to support the community will be considered where the need and/or an individual's inability to pay coexists. These activities include community education, special programs for the elderly, special programs for the physically/mentally challenged, medically underserved and a variety of broad community support activities.Union Hospital of Cecil County serviced 5,445 discharges providing 19,950 patient days to inpatients in Fiscal Year 2017 of which:1) Patients covered under the Medicare Program were 2,656 discharges and 10,592 patient days2) Patients covered under the Medicaid Program were 152 discharges and 701 patient days3) Patients covered under the Medicaid HMO Program were 1,328 discharges and 4,409 patient days4) Patients covered under the Medicare HMO Program were 143 discharges and 619 patient daysCharity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services that Union Hospital of Cecil County believes will serve a bona fide community need. These include:a) Adult Day Care Services for the elderly and physically/mentally challengedb) Support groups for cancer patients and families, diabetes, alcoholics anonymous, ostomy, and smokelessc) Offering and conducting free blood pressure, cholesterol screenings, and prostate screeningsd) In conjunction with the State of Maryland and the local Department of Health, offering and conducting a cancer screening program for indigent femalese) Providing meeting facilities for a variety of nonprofits and volunteer fire companiesf) Hospital staff volunteers on nonprofit organization boards such as the American Cancer SocietyDuring the year, Union Hospital of Cecil County provided $6,684,849 in uncompensated care. 177693005 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 192 0 1 1331 1 1 1 0 0 0 0 0 0 0 0 0 X 15 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X Deron G Brown Director of Finance 4103984000 106 Bow Street Elkton MD 219215596 Raymond Hamm Chairman 0.50 0.60 X X 0 0 0 David Ferguson PhD Vice Chairman 0.50 0.60 X X 0 0 0 Ronald Graybeal Secretary 0.50 0.50 X X 0 0 0 Dwight Thomey Treasurer 0.50 0.50 X X 0 0 0 Richard C Szumel MD President & CEO 28.00 12.00 X X 0 625332 120516 Kelly Albanese Bedder Director 0.50 1.50 X 0 0 0 Mary Bolt PhD Director 0.50 0.50 X 0 0 0 Christy Dryer Director 0.50 0.50 X 0 0 0 Stephanie Garrity Director 0.50 0.50 X 0 0 0 Ryan Geracimos MD Director 0.50 0.50 X 0 0 0 Martin J Healy Director 0.50 0.50 X 0 0 0 Jose Ma MD Director/Physician 40.00 0.50 X 264789 0 0 Morgan Miller Director 0.50 0.50 X 0 0 0 Carl Roberts PhD Director 0.50 0.50 X 0 0 0 Sheelmohan Sachdev MD Director/palliative care dir 20.00 0.50 X 40820 0 0 Ronald Cullis Director (until 01/2017) 0.50 0.50 X 0 0 0 Laurie R Beyer CPA Senior VP/Chief Financial Officer 29.00 11.00 X 0 458874 99588 Cydney Teal MD VP MEDICAL AFFAIRS 39.00 1.00 X 0 483687 22202 Anne Lara Sr. VP/Chief Innovation Officer 33.00 7.00 X 103646 93163 14578 Khadijatu Boston Sr. VP/Chief Nursing Officer 39.00 1.00 X 0 297059 6312 Terrance Lovell VP HUMAN RESOURCES 40.00 X 317323 0 79075 Aaron Z Royston VP of Provider Enterprise 40.00 X 199587 0 3665 Edward Henry VP of Provider Services 40.00 X 302698 0 4490 Michael Bass PHYSICIAN 40.00 X 531072 0 33685 Justin Sausville PHYSICIAN 40.00 X 521826 0 34150 Fahd Rahman PHYSICIAN 40.00 X 475490 0 31292 Roger Wu PHYSICIAN 40.00 X 471303 0 21381 Tariq Mahmood PHYSICIAN 40.00 X 415400 0 25932 3643954 1958115 496866 108 0 1 0 Whiting-Turner Contracting Co PO Box 17596 Baltimore MD 21297 Contractor 5317685 Siemens Medical Solutions USA Inc 51 Valley Stream Parkway Malverna PA 19355 Equipment and Service 3520709 Union Radiologists LLC 106 Bow Street Elkton MD 21921 Radiologists 3327201 Medline Industries Inc PO Box 382075 Pittsburgh PA 15251 Supply distributor 3226222 Varian Medical Systems Inc 3100 Hansen Way Palo Alto CA 94304 Medical Equipment 3086955 112 732109 28310 760419 Net Patient Service Revenue 621990 157641192 157641192 Other Operating Revenue 621990 2024239 2024239 ADULT DAY CARE 623990 452261 452261 160117692 1291491 6771 1284720 46736 12742 33994 33994 33994 8201924 4881 7900897 10410 301027 -5529 295498 295498 LABORATORY REVENUE 621500 1732838 1732838 Cafeteria/Food Service 722210 808816 808816 Purchase Discounts 900099 77560 77560 38454 38454 2657668 165156762 160117692 1739609 2539042 X 18197080 18197080 810286 378840 431446 69008429 68454291 554138 754122 728652 25470 8163564 8091483 72081 4734693 4674774 59919 1603662 801831 801831 95804 95804 105300 105300 56972 56972 27579498 27035706 543792 482992 482792 200 825850 819030 6820 18620 18620 2910012 2910012 260625 235316 25309 148051 83470 64581 1863137 1863137 11378371 11378371 3087622 3087102 520 medical supplies 17876072 17874528 1544 Bad DebtS 5273173 5273173 Repairs & Maintenance 2641559 2641474 85 dietary 962846 957714 5132 1949268 1705609 243659 180787608 177693005 3094603 0 2982884 5412598 956144 440529 15088409 17732375 2065581 2027595 3520101 3231364 213380572 124326732 93559816 89053840 53675995 40780859 5814578 5637968 10684492 9571885 188348000 173889013 9482516 9657225 64045962 61640225 16387527 16741118 89916005 88038568 X 95806742 83405073 2625253 2445372 98431995 85850445 188348000 173889013 X -15630846 3412562 -363266 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1221305 1221305 83703974 37038530 46665444 2284399 306777 1977622 123039331 85391151 37648180 3131563 1590274 1541289 89053840 Other Assets 1101577 Loan Issuance Costs 518126 INSURANCE CLAIMS RECEIVABLE 7952182 9571885 Third Party Advances 3260426 Capital Lease obligations 2452488 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 8962968 DUE TO AFFILIATES 2065236 16741118 X 162875913 3412562 -5693411 -2280849 165156762 0 165156762 175457463 0 175457463 5330145 5330145 180787608 Part X, Line 2: The Hospital accounts for uncertainty in income taxes by prescribing a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2017 and 2016. Part XI, Line 2d - Other Adjustments: PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMEnTS -5,273,173. bank fees netted on financial statements -56,972. change in net assets of affiliates -363,266. Part XII, Line 4b - Other Adjustments: PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FInANCIAL STATEMEnTS 5,273,173. bank fees netted on financial statements 56,972. 1 1 X 1 X 1 X 1 1 1 0 1 1 1411673 1411673 0.00800 1411673 1411673 0.00800 5264 476630 1200 475430 0.00270 658 489226 489226 0.00280 103 10421244 5774650 4646594 0.02650 7568 7568 0.00000 36721 356745 166581 190164 0.00110 42746 11751413 5942431 5808982 0.03310 42746 13163086 5942431 7220655 0.04110 225 20647 20647 0.00010 135 21799 21799 0.00010 20 27 2255 2255 0.00000 201 56717 56717 0.00030 608 101418 101418 0.00050 1 4524382 44376 65901800 65901800 X 1 1 1 1 Union Hospital of Cecil County Inc 106 Bow Street Elkton MD 21921 www.uhcc.com 07-005 X X X Union Hospital of Cecil County Inc 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X www.uhcc.com/about-us/community-benefit/reports/ X http://cecilcountyhealth.org/about/community-health-advisory-committee/ X 1 15 1 www.uhcc.com/about-us/community-benefit/reports/ 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X https://www.uhcc.com/patient-financial-services/financial-assistance/ X https://www.uhcc.com/patient-financial-services/financial-assistance/ X https://www.uhcc.com/patient-financial-services/financial-assistance/ X X X X X X X 1 X 0 X X X X 1 X 0 0 Union Hospital of Cecil County, Inc. Part V, Section B, Line 5: Union Hospital collaborated with the Cecil County Health Department to conduct the newest Community Health Needs Assessment (CHNA) whose Community Health Implementation Plan (CHIP) covers Fiscal Years 2017 - 2019. The CHNA planning team included staff from Union Hospital: the Community Benefits Coordinator, the Director of Marketing, and a physician from Occupational Health (Master of Public Health (MPH) intern), as well as staff from the Cecil County Health Department: the Health Policy Analyst, the Health Officer, the Deputy Health Officer, and the Public Affairs Officer. The CHNA planning team was responsible to facilitate all component parts of the CHNA process, including writing and submitting the reports to the Internal Revenue Service (IRS). Ultimately, the CHNA/CHIP process reflected collaboration of community partners working together to achieve the same health improvement goals for Cecil County. Planning the CHNA occurred from February 2015 - June 2015. The CHNA/CHIP was approved by both the Union Hospital Board (February 2015) and the Community Health Advisory Committee (CHAC) (July 2015). Primary data collection occurred from July 2015 - September 2015 via three focus groups and administration of an online community survey. Secondary data was taken from a variety of reliable national and local data sources. Analysis of primary and secondary data collected occurred from November 2015 through mid-January 2016. The three focus groups were conducted with adult populations without access to the internet to take the online survey (homeless, seniors, and Spanish-speaking migrant workers). Each focus group session included a description of the CHNA, the purpose of the focus group, an introduction of the facilitators, and the rules of engagement. All materials were translated into Spanish for the focus group with migrant, Spanish-speaking workers, and a Spanish interpreter was provided by the Maryland Department of Health and Mental Hygiene. Participants were asked to respond to the following questions:1) What are the greatest strengths of our community?2) What do you think are the most important health issues in Cecil County?3) What would most improve the quality of life in Cecil County?4) What are the most significant barriers to accessing health care in Cecil County?5) Related to health and quality of life, what resources or services do you think are missing in Cecil County?The online community survey was developed by the Health Policy Analyst (Cecil County Health Department) with input from CHAC member organizations. The survey was created using Survey Monkey and consisted of twenty questions - multiple choice, Likert Scale selections, and free text entry. The survey was divided into four sections: 1) demographics, 2) community health, 3) quality of life, and 4) access to health care. The survey took approximately 15 to 20 minutes to complete and 506 people completed the survey. Input from community partners engaged in Cecil County's CHAC meetings, also known as the Local Health Improvement Coalition, was integral to the process of selecting the health priorities for the county and creating the CHIP. CHAC member organizations that participated in the prioritization and strategic planning processes included: Affiliated Sant Group (Mobile Crisis), American Cancer Society, Cecil County Dept of Emergency Services, Cecil County Dept of Juvenile Services, Cecil County Dept of Social Services, Cecil County Director of Administration, Cecil County Executive Office, Cecil County Health Dept., Cecil County Liquor Board, Cecil County Public Schools, Cecil County Sheriff's Office, County Council Members, DHMH - Office of Population Health Improvement, Cecil College, Cecil County Dept of Community Services, Cecil County Dept of Corrections, Cecil County Housing, Deep Roots, Elkton Community Kitchen, Elkton Police Department, Elkton Presbyterian Church, Elkton Housing Authority, Maryland State Delegates, Maryland State Senators, Meadow Wood Behavioral Health System, Private Citizens, Private Education Organizations, Private Health Care Professionals, Seventh Day Adventist Church, Union Hospital of Cecil County, Upper Bay Counseling & Support Services, West Cecil Health Center, Youth Empowerment Source, Immaculate Conception Meeting Ground, On Our Own of Cecil County, Paris Foundation, Serenity Health, Stone Run Family Medicine, WIN Family Services, & YMCA. Union Hospital of Cecil County, Inc. Part V, Section B, Line 6b: Union Hospital collaborated with the Cecil County Health Department to conduct the newest Community Health Needs Assessment. Union Hospital of Cecil County, Inc. Part V, Section B, Line 11: In 2016, Cecil County Health Department, Union Hospital of Cecil County, and partner organizations in CHAC began a community health improvement process to identify health priorities for Cecil County. THE FOLLOWING three health priorities WERE SELECTED for Cecil County:1. Behavioral Health2. Chronic Disease3. Determinants of HealthBEHAVIORAL HEALTHGOAL: REDUCE THE PREVALENCE OF SUBSTANCE USE DISORDERS IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, REDUCE THE DRUG-INDUCED DEATH RATE BY 5%STRATEGIES: 1) CONTINUE TO PROVIDE NARCAN TRAINING TO LAW ENFORCEMENT OFFICERS AND THE PUBLIC2) PROVIDE EDUCATION AT PHARMACIES AND PHYSICIANS' OFFICES ON PRESCRIPTION DRUG ABUSE AND NARCAN TRAINING3) ADVOCATE FOR THE DEVELOPMENT OF MORE TREATMENT OPTIONS FOR ADULTS AND ADOLESCENTS IN THE COUNTY4) PARTNER WITH PROVIDERS TO INCREASE THE UTILIZATION OF EXISTING SERVICES5) WORK WITH THE SCHOOL SYSTEM TO REACH AT-RISK ADOLESCENTS6) INCREASE PARTICIPATION IN PREVENTION AND EDUCATION PROGRAMS SUCH AS "MY FAMILY MATTERS AND "STRENGTHENING FAMILIES"7) PROVIDE INCENTIVES FOR ATTENDING PROGRAMS8) PROMOTE THE CREATION OF EDUCATIONAL MESSAGES FOCUSING ON PREVENTION9) IMPLEMENT RECOMMENDATIONS OF CECIL COUNTY'S LOCAL OVERDOSE FATALITY REVIEW TEAM (LOFRT)OBJECTIVE: BY JUNE 30, 2019 REDUCE THE PERCENTAGE OF YOUTH IN GRADES 9-12 REPORTING THE USE OF ALCOHOL ON ONE OR MORE OF THE PAST 30 DAYS TO NO MORE THAN 33.8%STRATEGIES:1) PARTNER WITH MARYLAND STRATEGIC PREVENTION FRAMEWORK 2 (MSPF2) TO IMPLEMENT STRATEGIES IDENTIFIED THROUGH A NEEDS ASSESSMENT2) CONTINUE TO SUPPORT AND EXPAND LIFE SKILLS TRAINING IN CECIL COUNTY PUBLIC SCHOOLSGOAL: IMPROVE THE MENTAL HEALTH AND WELL-BEING OF CECIL COUNTY RESIDENTSOBJECTIVE: BY JUNE 30, 2019, REDUCE THE PERCENTAGE OF YOUTH IN GRADES 9-12 WHO FELT SAD OR HOPELESS ALMOST EVERY DAY FOR TWO WEEKS OR MORE DURING THE PAST 12 MONTHS TO NO MORE THAN 24.8%STRATEGIES:1) PROMOTE DEPRESSION SCREENING DURING WELLNESS CHECKUPS2) RESEARCH PROGRAMMING TO PROMOTE THE HEALTH AND WELL-BEING OF YOUTH3) PROMOTE BEHAVIORAL HEALTH INTEGRATION IN PEDIATRIC PRIMARY CAREOBJECTIVE: BY JUNE 30, 2019, DECREASE THE SUICIDE RATE IN CECIL COUNTY BY 5%.STRATEGIES:1) PROMOTE THE AVAILABILITY OF CRISIS AND SUICIDE HOTLINES2) CONTINUE TO SUPPORT, PROMOTE THE UTILIZATION OF, AND EXPAND MOBILE CRISIS SERVICES IN CECIL COUNTY3) PROMOTE REGULAR SCREENING FOR DEPRESSION DURING PRIMARY CARE PROVIDER VISITS4) PROMOTE MENTAL HEALTH FIRST AID (MHFA) TRAININGGOAL: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, DECREASE THE RATE OF EMERGENCY DEPARTMENT VISITS RELATED TO MENTAL HEALTH CONDITIONS BY 10% AND EMERGENCY DEPARTMENT VISITS RELATED TO SUBSTANCE USE DISORDERS BY 5%STRATEGIES:1) PROVIDE EDUCATION TO REDUCE THE STIGMA SURROUNDING BEHAVIORAL HEALTH DISORDERS2) INCREASE AWARENESS OF BEHAVIORAL HEALTH RESOURCES AND SERVICES IN THE COMMUNITY3) CONTINUE TO SUPPORT OUTREACH EFFORTS TO ENROLL UNINSURED RESIDENTS IN HEALTH INSURANCE/MEDICAL ASSISTANCE4) REDUCE THE HEALTH IMPACT OF VIOLENCE AND TRAUMA BY INTEGRATING TRAUMA-INFORMED CARE THROUGHOUT THE HEALTH CARE AND BEHAVIORAL HEALTH SYSTEMS5) EXPAND OPTIONS FOR INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH TREATMENT FOR CECIL COUNTY RESIDENTS6) PARTNER IN THE DEVELOPMENT OF A REGIONAL CRISIS CENTER7) PROMOTE A SYSTEM OF CARE THAT INTEGRATES SOMATIC AND BEHAVIORAL HEALTH CARE8) CONTINUE TO HOLD MONTHLY ER DIVERSION MEETINGSCHRONIC DISEASEGOAL: REDUCE THE MORBIDITY OF DIABETES IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, INCREASE PHYSICIAN PRACTICE SITES MAKING REFERRALS TO CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS BY 2 SITESSTRATEGIES:1) ENGAGE 2 PHYSICIAN PRACTICE SITES TO PARTICIPATE2) TRACK THE NUMBER OF REFERRALS MADEOBJECTIVE: BY JUNE 30, 2019, INCREASE THE NUMBER OF SITES HOSTING CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS BY 5 SITESSTRATEGIES:1) ENGAGE 5 ADDITIONAL SITES TO HOST CHRONIC DISEASE SELF-MANAGEMENT PROGRAMSOBJECTIVE: BY JUNE 30, 2019, CREATE 1 COUNTY-WIDE WALKING PROGRAMSTRATEGIES:1) USING THE DELAWARE WALKING PROGRAM AS A MODEL, CREATE AND IMPLEMENT A WALKING PROGRAM THAT TRACKS THE NUMBER OF PARTICIPATING INDIVIDUALS, TESTIMONIALS RECEIVED, AND TOTAL MILES WALKED2) IF SUCCESSFUL, CREATE A PLAN FOR FUTURE WALKING PROGRAMS (IF NOT SUCCESSFUL, INDICATE IN ANNUAL REPORTING AND PROVIDE LESSONS LEARNED)GOAL: REDUCE MORTALITY FROM LUNG CANCER IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2017, INCREASE THE NUMBER OF INDIVIDUALS RECEIVING LOW-DOSE LUNG CT SCREENINGS BY 5% IN ORDER TO INCREASE AWARENESS FOR LUNG CANCER PREVENTIONSTRATEGIES:1) ADVERTISE AND PROMOTE THE LOW-DOSE LUNG CT SCREENING PROGRAM IN THE COMMUNITY2) SUPPORT RECOMMENDATIONS OF THE UNION HOSPITAL CANCER PROGRAM'S COMMUNITY OUTREACH PLAN FOR LOW-DOSE LUNCH CT SCREENINGOBJECTIVE: BY JUNE 30, 2019, REDUCE THE PREVALENCE OF TOBACCO USE AMOUNG ADOLESCENTS BY 5% AND CIGARETTE SMOKING AMONG ADULTS BY 5%STRATEGIES: 1) PROMOTE COMMUNITY SMOKING CESSATION2) EDUCATE ADULTS ABOUT COMMUNITY-BASED AND STATE-BASED SMOKING CESSATION AND PREVENTION RESOURCES3) SUPPORT RECOMMENDATIONS OF THE CECIL COUNTY TOBACCO TASK FORCEGOAL: REDUCE MORBIDITY AND MORTALITY OF HEART DISEASE AND STROKE IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, REDUCE HIGH BLOOD PRESSURE AMONG ADULTS BY 5%, IN ORDER TO REDUCE THE INCIDENCE OF STROKE IN CECIL COUNTYSTRATEGIES:1) EDUCATE AND SUPPORT HEALTH CARE PROVIDERS ON HOW TO WRITE PRESCRIPTIONS FOR PHYSICAL ACTIVITY2) PROVIDE A COMMUNITY-WIDE CAMPAIGN TO TARGET REDUCING SODIUM INTAKE (ALSO SUPPORTS HEALTHY EATING FOR YOUTH)3) SUPPORT RECOMMENDATIONS FROM THE UNION HOSPITAL STROKE PROGRAM FOR STROKE PREVENTION IN THE COMMUNITY.OBJECTIVE: BY JUNE 30, 2019, INCREASE THE PERCENTAGE OF STUDENTS WHO EAT VEGETABLES ONE OR MORE TIMES PER DAY BY 5%, IN ORDER TO REDUCE THE INCIDENCE OF HEART DISEASE IN CECIL COUNTYSTRATEGIES:1) PARTNER WITH SCHOOLS, DAY CARES, AND THE "HEAD START" PROGRAM TO PROVIDE EDUCATION TO STAFF AND COMMUNITY MEMBERS ON NUTRITION FOR YOUTH2) SUPPORT THE TRANSITION FROM THE SCHOOL YEAR TO THE SUMMER BY WORKING WITH SUMMER FOOD PROGRAM PROVIDERS TO INCREASE ACCESS TO AND AWARENESS OF SUMMER FOOD PROGRAMS IN THE COMMUNITY3) ADVOCATE FOR THE INCORPORATION OF HEALTHY FOODS INTO SCHOOL LESSONS4) UTILIZE A LOCAL NEWSPAPER TO PROVIDE HELPFUL TIPS, RECIPES, AND/OR NEWS STORIES ON HEALTHY LIFESTYLE CHOICES AS THEY PERTAIN TO THE "CHIP" OBJECTIVESOBJECTIVE: BY JUNE 30, 2019, IMPLEMENT A WELLNESS PROGRAM FOR ONE LOCAL SMALL BUSINESSSTRATEGIES:1) IMPLEMENT A WELLNESS PROGRAM THAT PROVIDES WELLNESS CHALLENGES FOR EMPLOYEES TO PARTICIPATE IN2) REQUIRE THE PARTNERING SMALL BUSINESS TO PROVIDE PRIZES/AWARDS FOR ITS STAFF THAT WINS THE CHALLENGESDETERMINANTS OF HEALTHGOAL: REDUCE THE BURDEN OF POVERTY IN CECIL COUNTY TO IMPROVE THE OVERALL HEALTH OF CECIL COUNTY RESIDENTSOBJECTIVE: BY OCTOBER 30, 2016, RESEARCH EXISTING AND NEW OR INNOVATIVE ANTI- POVERTY PROGRAMS/INITIATIVES FOR IMPLEMENTATION IN CECIL COUNTYSTRATEGIES:1) GET INFORMATION ON THE ANTI-POVERTY PROGRAM RECENTLY PRESENTED AT THE BHA CHILD/ADOLESCENT CONFERENCE2) IDENTIFY & RESEARCH EXISTING ANTI-POVERTY PROGRAMS IN THE COUNTY3) COLLECT INFORMATION FROM FAITH-BASED ANTI-POVERTY INITIATIVES4) INVESTIGATE CARROLL COUNTY'S PROGRAM MODEL5) REVIEW ALL OPTIONS AS A GROUPGOAL: REDUCE THE PREVALENCE OF HOMELESSNESS IN CECIL COUNTY TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY AND ITS RESIDENTSOBJECTIVE: BY JUNE 2018, EXPAND SERVICES AND INTERVENTIONS FOR HOMELESS INDIVIDUALS/FAMILIES TO DECREASE PREVALENCE OF HOMELESSNESS IN CECIL COUNTY BY 10%. SERVICES/INTERVENTIONS WILL BE BASED ON THREE TIERS, INCLUDING 1) EMERGENCY/IMMEDIATE ASSISTANCE, 2) INTERMEDIATE/SHORT-TERM ASSISTANCE, 3) LONGER-TERM ASSISTANCE GEARED TOWARD THOSE EXPERIENCING CHRONIC HOMELESSNESS.STRATEGIES:1) IMPLEMENT A COUNTY-WIDE COORDINATED ASSESSMENT SYSTEM FOR EFFICIENT LINKAGE TO SERVICES AND HOUSING OPTIONS FOR ALL.2) PARTICIPATE IN TECHNICAL ASSISTANCE FROM HUD TO DEVELOP A BY-NAME LIST TO END VETERAN'S HOMELESSNESS.3) SEEK FUNDING FOR OR DEVELOP CASE MANAGEMENT/HOUSING SEARCH SERVICES WHOSE SOLE ELIGIBILITY CRITERIA IS THAT OF BEING HOMELESS.4) EXPLORE THE POSSIBILITY OF A MULTIDISCIPLINARY MEETING TO REVIEW THOSE AT RISK OF HOMELESSNESS OR THOSE WITH COMPLEX HOUSING NEEDS.5) CREATE THE AVAILABILITY OF 24-HOUR RESOURCE ASSISTANCE TO PEOPLE EXPERIENCING HOMELESSNESS, INCLUING EMERGENCY SHELTER DURING EXTREME WEATHER EVENTS.6) ESTABLISH LIASIONS BETWEEN LAW ENFORCEMENT AND PROVIDER AGENCIES7) ESTABLISH A COMMUNITY FURNITURE BANK TO ASSIST THOSE TRANSITIONING FROM HOMELESSNESS BACK INTO STABLE HOUSING.SOME HEALTH NEEDS WERE IDENTIFIED BUT NOT PRIORITIZED BY UHCC AS THERE ARE OTHERS IN THE AREA THAT ARE MORE SUITED TO MEET THEM SUCH AS DENTAL HEALTH, PROBLEM GAMBLING, & INFECTIOUS DISEASE. Union Hospital of Cecil County, Inc. Part V, Section B, Line 16j: Union Hospital places an advertisement once a year in the local newspapers outlining the FAP and how to apply. FAP is publicized on all billing statements, invoices, and financial consent forms.FAP is communicated to patients upon discharge from inpatient, observation, or surgical services. Part I, Line 7: All information is based on actual cost plus overhead. Overhead is a hospital average percentage of overhead to direct costs. Direct costs exclude bad debt expense. Part I, Ln 7 Col(f): The amount of bad debt expense included on Form 990, Part IX, line 25 but subtracted for purposes of calculating the percentage in this column is $5,273,173. Part II, Community Building Activities: Economic Development (F2)In Fiscal Year 2017, Union Hospital supported the following economic development organizations in Cecil County through Board service by Executive Management staff:1) Economic Development Commission for Cecil County. This commission promotes economic development in Cecil County, focusing on business and industry development, by building relationships with local partners. Union Hospital collaborates with this commission to promote stability within the hospital's workforce and to bring much needed practitioners to the area, especially where there are too few providers or identified service gaps. 2) Elkton Alliance. Elkton Alliance works together with the local government and business communities to restore, promote, and maintain the diverse historic downtown Elkton area, while attracting new enterprises for the benefit of community residents, businesses, and visitors. In collaborating with Elkton Alliance, Union Hospital seeks to maintain a positive presence in the community by helping to address community development issues.3) Cecil County School Employees Federal Credit Union Board. The Credit Union's Board promotes financial literacy and education for its members and for local elementary school students, which contributes to reducing financial barriers that can be exacerbated by social determinants of health.Community Support (F3)In Fiscal Year 2017, Union Hospital supported the following community organizations through board service and campaign planning in Cecil County:1) United Way of Cecil County. The United Way of Cecil County brings together volunteers from government, businesses, faith groups, nonprofits, and citizens in order to improve people's lives. With an annual campaign each fall, United Way of Cecil County is able to fund programs that address critical needs in the community surrounding children and families, health and wellness, and independent living. Union Hospital supports the United Way by planning and facilitating a hospital-wide annual giving campaign.2) YMCA of Cecil County. The YMCA of Cecil County is a non-profit organization providing support for youth development, healthy living and social responsibility. A member of Union Hospital's Executive Management staff served as a financial liaison for the Board and Finance Committee.3) Local Management Board of Cecil County. The core function of Local Management Boards (LMBs) is to identify priorities and target resources for their communities, as well as serve as the coordinator of collaboration for child and family services. LMBs bring together local child-serving agencies, local child providers, clients of services, families, and other community representatives to empower local stakeholders to address the needs of and set priorities for their communities. There is a Local Management Board in each county in Maryland, including Baltimore City. Union Hospital's Executive Management staff serves on Cecil County's Local Management Board to provide insight on the connection between hospital services/population health initiatives and support for community directives/strategic priorities.4) Relay for Life Planning. Hospital staff participates with local chapters of Relay for Life to help plan events to support cancer survivors and access to cancer treatment, as well as create awareness around cancer and its prevention. Environmental Improvements (F4)In Fiscal Year 2017, Union Hospital supported the following environmental clean-up in Cecil County:1) Elk Forest Civic Association Neighborhood Clean-up. A staff member identified this opportunity to clean litter from this neighborhood.Leadership Development and Training for Community Members (F5)In Fiscal Year 2017, Union Hospital supported the following leadership development and training effort in Cecil County:1) Cecil Leadership Institute. The Cecil Leadership Institute (CLI) is hosted by Cecil College and provides a framework where existing and emerging leaders in business, government, and tourism engage, collaborate, and commit to Cecil County's ongoing development. Union Hospital partners with Cecil College to provide a learning environment at the hospital for CLI participants. Participants engage with health care professionals through question and answer sessions, presentations by hospital leadership staff, and tours of the different hospital service lines, programs, and modalities.Workforce Development (F8)In Fiscal Year 2017, Union Hospital supported the following workforce development programs/entities in Cecil County:1) Business and Education Partnership Advisory Council (BEPAC). BEPAC identifies strengths, needs, and trends in job readiness & student success upon high school graduation. BEPAC members develop and sustain partnerships with area public schools. Union Hospital's Affinity Health Institute (the clinical education department) staff is a member of BEPAC and the hospital's Partner in Education is Gilpin Manor Elementary School (GMES). Work done with GMES is reported in category A4.2) Susquehanna Workforce Board. Susquehanna Workforce is a non-profit organization that plans workforce development programs and services for individuals and businesses in Cecil and Harford counties. Union Hospital's Executive Management staff attends board meetings.3) High School Work Enrichment Program. Union Hospital Food Services staff mentored 141 developmentally disabled high school students from Elkton High School and Perryville High School as part of the High School Work Enrichment Program, a partnership program between Union Hospital Food Services department and Cecil County public high schools. This program provides food services work assignments and training for developmentally-disabled students, like developing skills for food preparation and food sanitation. The program provides direction and important life skills, allowing students to feel needed, useful, and capable within a busy work environment. Students learn the value of productivity and task completion and work individually and as part of a team. Part III, Line 2: THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. Part III, Line 3: THE METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF BAD DEBT EXPENSE (AT COST) FOR THE YEAR. UNION HOSPITAL OF CECIL COUNTY PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. Part III, Line 4: Patient accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. In evaluating the collectability of patient accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage (which includes patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, the Hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The Hospital's self-pay account writeoffs (net of recoveries) increased from approximately $3,666,000 in 2016 to approximately $5,423,000 in 2017. The increase was the result of the availability of higher deductible insurance plans through Maryland's healthcare exchange effective January 1, 2014 offset by a change in the charity care policy in June 2016 which resulted in an increase in patients qualifying for charity care. The Hospital has not changed their financial assistance policy in 2017. Part III, Line 8: Costing methodology used to determine amount of Medicare allowable costs: Medicare allowable costs equal Medicare revenue adjusted for the Hospital total ratio of patient care costs to charges due to the fact that Medicare pays full charges in Maryland.Extent to which Medicare shortfall should be treated as community benefit: In the State of Maryland, Medicare pays full charges. There is no shortfall that should be treated as a community benefit. Part III, Line 9b: The policy's section labeled, "Internal Collection Efforts," states that a "patient may also apply for financial assistance at any time during this process (collections) and then the Financial Assistance Policy (F-415) is referenced for more information. The section in F-415 that describes the collection process is called "Action in the Event of Non-Payment": "A.) Union Hospital may contract with outside collection services to pursue collection of delinquent accounts. All unpaid accounts without exception or payment arrangements are placed in outside collection after a minimum of 90 days from the initial billing statement and delivery of all scheduled patient account statements to the patient/guarantor. B.) Union Hospital does not conduct, or permit collection agencies to conduct on their behalf, extraordinary collections efforts against individuals." Part VI, Line 2: The CHNA reflects the current status of the medical and social determinants of health for Cecil County and provides qualitative feedback on key health issues. The CHNA is comprised of an analysis of both primary and secondary data. Primary data was taken from results from anonline community survey conducted with adult (aged 18 years or older) Cecil County residents and three focus groups conducted with community residents. Secondary data was taken from a variety of reliable national and local data sources (local data was compared, when possible,against state and national trends). In addition, two Community Health Advisory Committee (CHAC) meetings were held to help select the health priorities for Cecil County and begin formation of strategies to address them. The CHNA was conducted from Quarter 3 of Fiscal Year 2015 through Quarter 3 of Fiscal Year 2016. The CHNA process reflects collaboration ofcommunity partners working together to achieve the same health improvement goals for Cecil County.See additional detail regarding the needs assessment in our response to Part V, Section B, Line 3. Part VI, Line 3: Union Hospital of Cecil County utilizes a Financial Assistance Policy (FAP) to ensure that the Hospital's staff follows a consistent and equitable process in granting financial assistance to patients, while respecting the individual's dignity. The policy is in agreement with the established Maryland State Financial Assistance Guidelines. In fact, in Fiscal Year 2015, Union Hospital's Finance department divisions of Managed Care, Revenue Cycle, and Billing began working on changes to the FAP to reflect the ACA's Health Care Coverage Expansion Option effective January 1, 2014. The resulting revised FAP is more comprehensive in that it includes more descriptions, patient expectations, and content that is easy to follow and digest. New sections that give the FAP more depth include: Definitions, Scope, Presumptive Eligibility, Eligibility Period, Reconsideration of Denial of Free or Reduced-Cost Care, Medical Debt Determination (Limit on Charges), Action in the Event of Non-Payment, Ensuring Compliance , Plain Language Summary, and References.The FAP clearly defines patient expectations, offers a step-by-step process for patient application, document review, and request for more information. Any individual who presents to Union Hospital in person to discuss his/her bill is provided with a Financial Assistance Application. All inpatient, self-pay patients are visited by financial assistance navigators and are screened for the Financial Assistance Program, as well as for Medicaid and other state and county programs. Following discharge from the hospital, each patient receives a summary of charges which includes notice of the Financial Assistance Program and a designated contact telephone number and email. Patient billing also includes information on how to apply for financial assistance.The Financial Assistance Application is available to all underinsured and uninsured patients of Union Hospital. All Financial Assistance Applications received are processed for eligibility. Patients who are not eligible for financial assistance are referred to the Cecil County Health Department, other state programs, the Maryland Health Connection, and Medicaid to determine if other assistance is available. Financial Assistance Applications and FAP signage are located throughout the Hospital, emergency room, and outpatient areas. The Financial Assistance Application and brochure (English and Spanish) are available on the hospital's website: https://www.uhcc.com/patient-financial-services/financial-assistance/. In addition, Union Hospital places an advertisement once a year in the local newspapers outlining the FAP, how to access financial assistance materials, and how to apply for financial assistance. Part VI, Line 4: Union Hospital is the only hospital in Cecil County and serves the entire county. Therefore, the hospital's Community Benefit Service Area (CBSA) is inclusive of the hospital's primary and secondary service areas. The primary service areas include Elkton, North East, Childs, Elk Mills, Chesapeake City, Charlestown, Rising Sun, Warwick, Cecilton, & Earleville. The secondary service areas include Perrypoint, Perryville, Port Deposit, Colora, Conowingo, & Georgetown.A majority of Union Hospital's Community Benefit resources are focused within Elkton (21921) and North East (21901) hospital utilization shows that 60% of the hospital's patients come from Elkton and North East.Geography plays a significant role in vulnerability and poverty in Cecil County. There is poverty in the rural areas, like Conowingo, Earleville, and Cecilton, but also in Elkton which is urban-rural. In addition, people that reside in the areas below the C&D Canal (Warwick, Chesapeake City, Cecilton, Earleville, and Georgetown) and west of the town of North East (Perry Point, Perryville, Port Deposit, Charlestown, Colora, and Conowingo) often have the difficulty accessing services because of the distance to the nearest service provider, lack of reliable transportation, and the impact of other social determinants of health.The estimated total population of Cecil County in 2016 was 102,175 people. Of the total county population, 50.5% was female and 49.5% was male. The median age was 40.2 years, and the median household income was $70,676. The ethnic make-up of the county was 4% Hispanic/Latino and 96% non-Hispanic/Latino. The racial make-up of the county was:- White: 88.6%- African American: 6.7% - American Indian/Alaskan Native: 0.2%- Asian: 1.3%- Native Hawaiian/Other Pacific Islander: 0%- Some Other Race: 0.9%- Two or More Races: 2.1%Additional Cecil County demographic estimates for 2016 included: - 6.6% unemployment - 7.3% of families lived below the poverty level - Of the civilian, non-institutionalized population (101,030 people), 7% was uninsured and 93% had insurance coverage- Of those with health insurance coverage, 32.4% had public coverage (ex. Medicaid) and 72.5% were privately insured Part VI, Line 5: Each Fiscal Year, Union Hospital serves the Cecil County community by providing activities, programs, and initiatives that aim to improve community health, especially serving underserved areas and vulnerable populations. The following is a summary of the Community Benefit activities, programs, and initiatives that Union Hospital provided in Cecil County during Fiscal Year 2017:A1: Community Health EducationUnion Hospital provided:- A variety of health education presentations and activities in the community- Free Basic Life Support instruction in the community- Explorer Post at Union Hospital and Camp Scrubs for high school students seeking exposure to medical or health science experiences- Support groups for various health needs- Health fairs in the community- Health Literacy activities in partnership with Cecil County Public Libraries and the Cecil County Health DepartmentA2: Community-Based Clinical ServicesUnion Hospital provided:- Free screenings for prostate cancer, blood pressure, and diabetes- Free sports physicals clinic for county public and private high school studentsA3: Health Care Support ServicesUnion Hospital provided:- Medical examinations for abused children in conjunction with Department of Social Services and the Cecil County Child Advocacy Center- Rental relief and operational expense relief for the Perryville Dental Clinic (serves underserved dental needs in Cecil County)- A partnership effort with the Cecil County Health Department to provide interventional support to reduce falls inside and outside the hospital via patient connection to community health resources- Interpreting services beyond the standard of care (facilitated through the hospital's Qualified Bilingual Staff program)- Support for the Peer Recovery Advocate program, a partnership between the Alcohol and Drug Recovery Center at the Cecil County Health Department and Union Hospital's Emergency Department and Psych Unit and Crisis staff- Support for tobacco cessation efforts provided by the Cecil County Health DepartmentA4: Social and Environmental ImprovementsUnion Hospital:- Supported the hospital's Partner in Education, Gilpin Manor Elementary School, through donations and community health education opportunities for families- Provided transportation donations for eligible patients and their families- Supported Cecil Cares' county-wide "Day of Caring" via planning meetings- Supported a Christmas in April event to provide housing improvements for a vulnerable Cecil County resident- Supported Habitat-for-Humanity Susquehanna through build days and other volunteer support- Participated in Board service with organizations supporting social and environmental healthB: Health Professions EducationUnion Hospital staff precepted and mentored students through a variety of student experiences from nursing and other medical residency and clinical rotations to graduate student internships, allied health student experiences, and high school technology and applied sciences programs.C: Mission Driven Health ServicesUnion Hospital provided these services to meet identified needs in the community, even though they operate at a loss:- A free Ostomy Clinic (C3)- Employed physician practice subsidies (C3)- Adult Day Services for older adult clients with dementia and other neurological disorders (C7)- Free hospice support (C9)D1: Clinical ResearchUnion Hospital maintained a cancer registry through the Cancer Program that was available to health service providers and researchers.E1-3: Financial/In-Kind Contributions Union Hospital provided donations of time (staff hours) and money (equipment/supplies donations) for the Cecil County community by:- Providing free ambulance transports and free supplies for ambulance stock-ups- Giving blood at hospital blood drives and other local donor locations- Providing volunteer medical directorship for the Cecil County Pregnancy Center- Attending meetings for community health improvement (Local Health Improvement Coalition, community boards, etc.)- Serving and educating the homeless- Providing food for ministries in partnership with local community agencies, churches, and other low-income and poor serving ministries- Providing food for the Home Delivered Meals (Meals on Wheels) program in a partnership between Union Hospital's Food Service department and the Cecil County Department of Community Services' Aging and Disability Resource Center and Community Wellness division- Providing free notary services for the communityJ: Foundation funded Community BenefitThe Union Hospital Foundation provided funding for the Community Assisted Medications Program (CAMP) which provides reduced-cost medications to patients that qualify for hospital financial assistance. Part VI, Line 6: Union Hospital of Cecil County, Inc. is part of an affiliated health care system in which Affinity Health Alliance, Inc. (AHA) is the parent entity. AHA's purpose is to support the Union Hospital of Cecil County in providing health care and health care related services through the effective management of all affiliated corporations. Specifically, this involves coordinating system wide policies, fundraising and strategic planning programs to provide health care services in response to the medical, human and related service needs of the community.Other tax-exempt organizations in the group include the Union Hospital of Cecil County Foundation, Inc. and Union Hospital of Cecil County Health Services, Inc.The Foundation conducts and supervises fundraising activities on behalf of its tax-exempt affiliates. The Foundation engages in corporate fundraising, capital campaigns, special events, activities, and a multi-faceted communication program that appeals to private and corporate contributors.Union Hospital of Cecil County Health Services, Inc.'s mission is to own, manage and maintain properties for health related ventures to serve Cecil County and the surrounding areas. The activities of this corporation complement and augment the health care activities of the Hospital.Union Hospital of Cecil County Ventures, Inc. is a for-profit stock corporation. Its purpose is to engage in any business or transaction which will benefit the activities and goals of its affiliates. Operations consist primarily of providing management support services for physician practices and providing imaging services to physicians and health centers through its wholly owned subsidiaries, Triangle Aliance LLC and Open MRI and Imaging Center of Elkton LLC. Part VI, Line 7, Reports Filed With States MD 1 UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON MD 21921 521794553 501(C)(3) 2905466 CHARITABLE ACTIVITIES TRIANGLE HEALTH ALLIANCE INC (wholly owned sub of UHCC Ventures Inc) 106 BOW STREET ELKTON MD 21921 010789341 1402148 CAPITAL CONTRIBUTION OPEN MRI & IMAGING CENTER LLC (wholly owned sub of UHCC Ventures Inc) 106 BOW STREET ELKTON MD 21921 202119977 3222049 CAPITAL CONTRIBUTION union Hospital of Cecil County Oncology Inc 106 BOW STREET ELKTON MD 21921 812662359 501(C)(3) 10667417 CAPITAL CONTRIBUTION 2 2 Part I, Line 2: The organization only provides assistance to its affiliated entities. It does not provide grants to other organizations. Use of funds is monitored by management. X X X X 1 1 0 0 0 0 0 1 0 Richard C Szumel MD President & CEO 0 445039 0 0 0 180293 0 93205 0 27311 0 745848 0 0 Jose Ma MD Director/Physician 264789 0 0 0 0 0 0 0 0 0 264789 0 0 0 Laurie R Beyer CPA Senior VP/Chief Financial Officer 0 286967 0 154230 0 17677 0 69896 0 29692 0 558462 0 0 Cydney Teal MD VP MEDICAL AFFAIRS 0 314052 0 149633 0 20002 0 3975 0 18227 0 505889 0 0 Anne Lara Sr. VP/Chief Innovation Officer 103269 67683 0 14763 377 10717 0 0 9197 5381 112843 98544 0 0 Khadijatu Boston Sr. VP/Chief Nursing Officer 0 197479 0 86141 0 13439 0 3975 0 2337 0 303371 0 0 Terrance Lovell VP HUMAN RESOURCES 260620 0 36723 0 19980 0 49156 0 29919 0 396398 0 0 0 Aaron Z Royston VP of Provider Enterprise 141265 0 49976 0 8346 0 2868 0 797 0 203252 0 0 0 Edward Henry VP of Provider Services 46960 0 49878 0 205860 0 344 0 4146 0 307188 0 0 0 Michael Bass PHYSICIAN 399142 0 111664 0 20266 0 3975 0 29710 0 564757 0 0 0 Justin Sausville PHYSICIAN 356310 0 116161 0 49355 0 3975 0 30175 0 555976 0 0 0 Fahd Rahman PHYSICIAN 350400 0 104550 0 20540 0 3975 0 27317 0 506782 0 0 0 Roger Wu PHYSICIAN 401585 0 51787 0 17931 0 3975 0 17406 0 492684 0 0 0 Tariq Mahmood PHYSICIAN 224107 0 163313 0 27980 0 2708 0 23224 0 441332 0 0 0 Part I, Lines 4a-b Edward Henry, VP of Provider Services, received severance payments in the amount of $168,818 during calendar year 2016. The following people participate in a supplemental, non-qualified retirement plan under section 457(f) of the internal revenue code: Laurie Beyer, SENIOR VP/CFO Terrence Lovell, VP Human Resources The following payments have been contributed to the plan each calendar year since 2011: 12/31/2011 - $51,431 (Laurie Beyer) 12/31/2012 - $54,576 (Laurie Beyer) 12/31/2013 - $59,861 (Laurie Beyer) 12/31/2014 - $62,999 (Laurie Beyer) 12/31/2015 - $56,574 (Laurie Beyer) 12/31/2016 - $65,921 (Laurie Beyer) 12/31/2014 - $38,993 (Terrance Lovell) 12/31/2015 - $38,731 (Terrance Lovell) 12/31/2016 - $45,317 (Terrance Lovell) No one received a payment from the plan in calendar year 2016. The right to receive payments under the Plan shall be forfeited in the event that employment with the Hospital terminates prior to the vesting date for any reason other than involuntary termination without cause, death, or disability. Part I, Line 7 A portion of the bonuses and merit increase are tied to the organizational goals, such as patient satisfaction, quality, employee turnover, etc. A portion of the bonuses and merit increase are also tied to expenses per equivalent inpatient days of Union Hospital of Cecil County. A Maryland Health & Higher Education Facilities Authority 520936091 2014-12-01 30778000 See Part VI 0 0 0 B Town of Elkton 526000790 2012-05-18 10000000 see Part VI 0 0 0 C Town of Elkton 526000790 2012-05-18 8662336 see Part VI 0 0 0 D Town of Elkton 526000790 2012-05-18 9000000 see Part VI 0 0 0 A 300000 30778000 30778000 2014 1 0 1 1 B 1603537 10000000 10000000 2012 1 0 1 1 C 2649929 8662336 8662336 2012 1 0 1 1 D 9000000 9000000 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Part I, column (f) Issue A: To refinance the 2005 bonds. Issue B: To refund portion of Series 2009 Bonds. Issue C: To refund remaining portion of Series 2009 Bonds and all of Series 2000 Bonds. Issue D: To fund an escrow which repays a portion of the Series 2002 Bonds and interest thereon. Issue E: To refund remaining portion of Series 2002 Bonds. Issue F: To finance acquisition of equipment and closing costs. A mARYland Health & Higher Education Facilities Authority 520936091 2012-07-18 9924000 sEE Part VI 0 0 0 B Maryland Health & Higher Education Facilities Authority 520936091 2012-07-18 4007000 See Part VI 0 0 0 A 4585011 9924000 9924000 2012 1 0 1 1 B 1638148 4007000 4007000 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 RYAN GERACIMOS BOARD MEMBER 3327201 SEE PART V 0 SCHEDULE L, PART IV Dr. Ryan Geracimos is the principal of Union Radiologists, LLC and a Board Member of Union Hospital of Cecil County (UHCC). UHCC contracts with Union Radiologists, LLC for radiology services. Form 990, Part VI, Section A, line 4 The following changes were made to the bylaws: 1. The requirement of a Board member sitting out 1 year before becoming eligible to return to the Board has been temporarily suspended. 2. The Finance Committee and the Investment Committee have been consolidated into one committee. The surviving Finance Committee will now carry the responsibilities of the Investment committee. 3. The fiscal oversight of the physicians employed by the Hospital has been reassigned from the Med Staff Development Committee to the Finance Committee. 4. The Compliance Committee membership language changed from "representatives of the community" to "General Counsel". Form 990, Part VI, Section A, line 6 Affinity Health Alliance, Inc. ("AHA"), a tax-exempt organization, is the sole member of the Union Hospital of Cecil County, Inc. Form 990, Part VI, Section A, line 7a The bylaws of the Hospital provide that its directors are appointed by its sole member, AHA. Form 990, Part VI, Section A, line 7b The bylaws of the Hospital provide that its sole member (AHA) may amend its bylaws. Form 990, Part VI, Section B, line 11b MANAGEMENT OF THE HOSPITAL REVIEWS THE 990 IN DETAIL BEFORE IT IS PRESENTED TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Section B, line 12c Board members and officers are required to annually disclose any potential conflict of interest. The organization's CEO reviews the signed annual disclosures. The Corporate Compliance Officer is made aware of any disclosed conflict, investigates the conflict, and reports back to the Board of Directors. The Board considers the facts and makes an appropriate finding. Any board member with a conflict must abstain from Board deliberations and voting on the matter. All vice presidents annually receive a list of the individuals under their supervision who may have a potential conflict of interest. The list is comprised of all managers, certain professional staff who may have responsibility negotiating with vendors, and any other persons that hospital executives deem appropriate. Each Vice President reviews the conflict of interest policy with their designated employees, and each employee is required to sign a form stipulating whether or not they have a conflict. The forms are reviewed by the Vice President of Human Resources. If a conflict is noted, it is brought to the attention of the appropriate Vice President and the CEO to determine whether operational changes need to occur because of the potential conflict. Form 990, Part VI, Section B, line 15 The Compensation Committee of the organization's Board of Directors is responsible for setting the overall compensation philosophy of the organization, as well as setting, monitoring and reviewing the compensation package of the organization's CEO and other members of the executive management team. The Committee uses relevant market information, including the use of an independent compensation consultant and compensation studies or surveys, to set compensation. During 2015, an independent compensation consultant provided the following services: Executive Compensation and Performance Evaluation. Compensation review and approval is documented via board minutes. Form 990, Part VI, Section C, line 19 The organization will make its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Contracted Services: Program service expenses 8,129,948. Management and general expenses 418,924. Fundraising expenses 0. Total expenses 8,548,872. Physician Services and Fees: Program service expenses 13,708,455. Management and general expenses 121,304. Fundraising expenses 0. Total expenses 13,829,759. Purchased Services: Program service expenses 1,694,957. Management and general expenses 3,552. Fundraising expenses 0. Total expenses 1,698,509. agency employees: Program service expenses 2,712,292. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,712,292. transcription: Program service expenses 181,704. Management and general expenses 12. Fundraising expenses 0. Total expenses 181,716. record file storage: Program service expenses 126,775. Management and general expenses 0. Fundraising expenses 0. Total expenses 126,775. CLEANING SERVICES: Program service expenses 40,254. Management and general expenses 0. Fundraising expenses 0. Total expenses 40,254. BILLING & COLLECTIONS: Program service expenses 440,768. Management and general expenses 0. Fundraising expenses 0. Total expenses 440,768. ADMIN FEES: Program service expenses 553. Management and general expenses 0. Fundraising expenses 0. Total expenses 553. Form 990, Part XI, line 9: CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES -363,266. Union Hospital of Cecil County Foundation Inc 106 Bow Street Elkton MD 21921 521794552 FUNDRAISING & SUPPORT MD 501(c)(3) Line 7 Affinity Health Alliance Inc 0 Union Hospital of Cecil County Health Services Inc 106 Bow Street Elkton MD 21921 521794553 HEALTHCARE PROPERTY MANAGEMENT MD 501(c)(3) Line 10 Affinity Health Alliance Inc 0 Affinity Health Alliance Inc 106 Bow Street Elkton MD 21921 521794697 MANAGEMENT & SUPPORT MD 501(c)(3) Line 12b, II N/A 0 union Hospital of Cecil County Oncology Inc 106 Bow Street Elkton MD 21921 812662359 HEALTHCARE MD 501(c)(3) Line 3 AFfinity Health Alliance Inc 0 Union Hospital of Cecil County Ventures Inc 106 Bow Street Elkton MD 21921 521793691 MEDICAL SERVICES MD N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1