2017-05-11T08:07:34-05:00 2016-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2015-07-01 521362793 UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP % S MICHELLE LEE UNIV 4103281375 22 South Greene Street Baltimore MD 21201 HENRY J FRANEY evp/cfo 4103281376 2017-05-02 true Frank Giardini P00532355 2155614200 2015 2021-01-29 14:40:06Z Robert Chrencik 250 W Pratt Street Baltimore MD 21201 1746037038 false X www.umms.org X 1984 MD UMMS PROVIDES A VARIETY OF INPATIENT/ OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SVCS. 28 28 11550 955 -114100 -2178739 11089122 16838015 1814589337 1504055073 11049490 10541654 32615883 -41003453 1869343832 1490431289 1013801 370500 0 0 863869902 710260231 0 0 0 963512849 786157553 1828396552 1496788284 40947280 -6356995 3147272937 3793629356 1958832650 2545231657 1188440287 1248397699 X UMMS PROVIDES A VARIETY OF INPATIENT/OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SERVICES PROVIDED. false false 1278802827 363250 1514242735 UMMS, A PRIVATE, NON-PROFIT HEALTH SYSTEM, CONSISTS OF 13 HOSPITALS - THE UNIVERSITY OF MARYLAND MEDICAL CENTER (UMMC), THE ACADEMIC "HUB" - AND THE 12 COMMUNITY AND SPECIALTY HOSPITALS THROUGHOUT THE STATE OF MARYLAND. UMMC IS A NATIONAL AND REGIONAL REFERRAL CENTER FOR TRAUMA, CANCER CARE, NEUROCARE, CARDIAC CARE AND HEART SURGERY, WOMEN'S AND CHILDREN'S HEALTH AND ORGAN TRANSPLANTS. IT HAS ONE OF THE MOST TECHNOLOGICALLY ADVANCED OPERATING ROOM FACILITIES AND IS INTERNATIONALLY RECOGNIZED FOR ITS LEADERSHIP IN DEVELOPING AND PERFORMING MINIMALLY INVASIVE SURGICAL PROCEDURES. UMMS PROVIDES CHARITY CARE TO PATIENTS UNABLE TO PAY. CHARITY CARE FOR THE YEAR ENDED 6/30/2016 IS APPROXIMATELY $21,470,367 AT COST. 1278802827 true true false true false false false false false true false false true true true false true false false true false false false false false true true true false true true false false false false false false false true false true false false false false true true true true false false true 921 0 11550 true true true true CJ false false false false false false false false X 28 28 false false false false false false false true true false false true true true true true true true true true true MD X X S MICHELLE LEE 4103281376 250 WEST PRATT ST SUITE 1400 Baltimore MD 21201 X GEORGES C BENJAMIN MD DIRECTOR 1.0 0.0 X 0 0 0 STEPHEN A BURCH ESQ DIRECTOR 1.0 0.0 X 0 0 0 Delegate MICHAEL E BUSCH DIRECTOR 1.0 0.0 X 0 0 0 R ALLEN BUTLER DIRECTOR 1.0 0.0 X 0 0 0 JOHN P COALE ESQ DIRECTOR 1.0 0.0 X 0 0 0 AUGUST J CHIASERA DIRECTOR 1.0 0.0 X 0 0 0 JOHN W DILLON DIRECTOR 1.0 0.0 X 156000 0 0 ALAN H FLEISCHMANN DIRECTOR 1.0 0.0 X 0 0 0 WAYNE L GARDNER SR DIRECTOR 1.0 0.0 X 0 0 0 LOUISE MICHAUX GONZALES ESQ DIRECTOR 1.0 0.0 X 0 0 0 BARRY P GOSSETT DIRECTOR 1.0 0.0 X 0 0 0 GILBERTO DE JESUS ESQ DIRECTOR 1.0 0.0 X 0 0 0 ORLAN M JOHNSON ESQ DIRECTOR 1.0 0.0 X 0 0 0 SEN EDWARD J KASEMEYER DIRECTOR 1.0 0.0 X 0 0 0 SENATOR FRANCIS X KELLY DIRECTOR 1.0 0.0 X 0 0 0 BELKIS LEONG-HONG DIRECTOR 1.0 0.0 X 0 0 0 SARA A MIDDLETON DIRECTOR 1.0 0.0 X 0 0 0 KENNETH V MORELAND DIRECTOR 1.0 0.0 X 0 0 0 KEVIN B O'CONNOR DIRECTOR 1.0 0.0 X 0 0 0 ROBERT L PEVENSTEIN DIRECTOR 1.0 0.0 X 0 0 0 D BRUCE POOLE ESQ DIRECTOR 1.0 0.0 X 0 0 0 SENATOR CATHERINE E PUGH DIRECTOR 1.0 0.0 X 0 0 0 ROGER E SCHNEIDER MD DIRECTOR 1.0 0.0 X 0 0 0 R KENT SCHWAB DIRECTOR 1.0 0.0 X 0 0 0 JAMES T SMITH JR DIRECTOR 1.0 0.0 X 0 0 0 LEONARD STOLER DIRECTOR 1.0 0.0 X 0 0 0 SENATOR JOSepH D TYDINGS DIRECTOR 1.0 0.0 X 0 0 0 JUDGE ALEXANDER WILLIAMS JR DIRECTOR 1.0 0.0 X 0 0 0 ROBERT A CHRENCIK PRESIDENT AND CEO 40.0 10.0 X 2562797 0 23637 HENRY J FRANEY CFO- UMMS/TREASURER 40.0 10.0 X 1335462 0 23637 MEGAN M ARTHUR SVP & GEN COUNSEL/ SEC'TY 40.0 10.0 X 723420 0 26981 JEFFERY A RIVEST PRESIDENT & CEO - UMMC 40.0 10.0 X 1873656 0 20150 LISA C ROWEN SVP & CNO - UMMC 40.0 10.0 X 588229 0 23637 WALTER ETTINGER SVP & CMO - UMMS 40.0 10.0 X 875805 0 23637 JON P BURNS SVP & CIO 40.0 10.0 X 654203 0 23637 MICHAEL R JABLONOVER SVP & CMO 40.0 10.0 X 655279 0 23671 KEITH D PERSINGER SVP & CFO UMMC 40.0 10.0 X 886674 0 16061 DAVID P SWIFT SVP - Chief HR Officer 40.0 10.0 X 612263 0 10600 JOHN W ASHWORTH III SVP NETWORK DEVELOPMENT 40.0 10.0 X 780732 0 23637 CHRISTINE BACHRACH VP - CORP COMPLIANCE OFFICER 40.0 10.0 X 610389 0 26928 KENNETH LEWIS EXECUTIVE - UNION OF CECIL 40.0 10.0 X 1037019 0 26109 GERALD L WOLLMAN SVP CORP OPERATIONS 40.0 10.0 X 603045 0 26883 ALISON G BROWN SVP PLANNING & MARKETING 40.0 10.0 X 676815 0 27035 14631788 0 346240 1173 false true false Living Legacy Foundation TRC 1730 Twin Springs Road BALTIMORE MD 21227 Organ Support 14722644 Huntzinger Staffing Solutions LLC 670 North River Street PLAINS PA 18705 Staffing 12574422 MoreDirect Inc DBA Connection PO Box 536464 PITTSBURGH PA 152535906 Software 11959200 EPIC Systems Corporation 1979 Milky Way VERONA WI 53593 Software 10125188 Siemens Medical Solutions USA INC PO Box 120001 DALLAS TX 753120733 Medical Technology 9051736 463 9274563 7563452 0 16838015 PATIENT SERVICE REVENUE 900099 1407490943 1406820428 670515 PHARMACY 900099 96564130 96292595 271535 1504055073 4944916 4944916 0 0 3249712 2030588 1219124 0 1219124 2275274 -1056150 259171899 253373373 201788 5798526 -201788 5596738 5596738 0 0 0 CHI ESCROW SETTLEMENT 900099 34275000 34275000 MEDICARE/CAID MEANINGFUL USE PROGRAM 900099 8842700 8842700 CAFETERIA 900099 3257490 3257490 -88597767 -3245752 -85352015 -42222577 1490431289 1514242735 -114100 -40535361 370500 370500 0 0 0 14475788 2119313 12356475 0 564952318 457611378 107340940 18673582 15125601 3547981 69875604 56599239 13276365 42282939 34249181 8033758 0 0 0 99555 99555 0 0 151673616 122855629 28817987 8213817 6653192 1560625 9166928 7425212 1741716 23370696 18930264 4440432 0 15155400 12275874 2879526 1092100 884601 207499 0 791229 640895 150334 30792728 24942110 5850618 0 91149504 73831098 17318406 20122777 19822107 300670 MEDICAL SUPPLIES 330964124 330964124 BAD DEBT EXPENSES 44544648 44544648 UTILITIES 23922018 19376835 4545183 TRANSPLANT COSTS 21088424 17081623 4006801 14009989 12499403 1510586 1496788284 1278802827 217985457 0 252299871 362611380 648236 100000 0 0 183589273 168652361 0 0 0 0 1933322 0 32251958 28187093 8327116 12830617 1992327593 1076258280 1129188406 916069313 141618000 75553000 143025000 119598913 0 0 0 0 1254391755 2110026679 3147272937 3793629356 299797345 246229357 0 0 125419 493156 920693000 1411430389 0 0 0 0 0 0 243823209 151496790 494393677 735581965 1958832650 2545231657 X 966240836 1028816232 220510712 217892728 1688739 1688739 1188440287 1248397699 3147272937 3793629356 X -6356995 -22019053 88333460 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 99555 99555 false Other Activities Schedule C, Part II-B, Line 1i The organization does not engage in any direct lobbying activities. The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 6.15% and 22.12% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C Part IV as lobbying activities. 72139924 72139924 1056279189 503503661 552775528 5695908 3438418 2257490 787143144 568803311 218339833 71069428 512890 70556538 916069313 AFFILIATE RECOVERY 801982530 INVESTMENT IN SUBSIDIARIES 558596655 ECO.INT. ASSETS LIMITED TO USE 197438344 ASSETS WHOSE USE IS LIMITED 173319149 OTHER RECEIVABLES 149702454 DUE TO AFFILIATES 125143498 SELF INSURANCE TRUST FUNDS 53064381 DEBT SERVICE FUNDS 22269193 ESCROW 19127624 DEFERRED FINANCING COSTS 9382851 2110026679 0 INT. RATE SWAPS MARK TO MARKET 273037309 LINE OF CREDIT 180000000 OTHER MALPRACTICE 125662133 ADVANCES FROM 3RD PARTY PAYORS 72546389 CAPITAL LEASE 38395408 OTHER LIABILITIES 34673307 CREDIT BALANCES 11267419 735581965 X Schedule D, Part X FIN 48 FOOTNOTE PER AUDIT REPORT The University of Maryland Medical System 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. false Central America and the Caribbean Investments 104542268 104542268 104542268 true false true false false false true true true X true true true false true true 21470367 21470367 0.01480 21470367 21470367 0.01480 4061071 364409 3696662 0.00250 158970831 158970831 0.10950 19237652 9472657 9764995 0.00670 318836 318836 0.00020 182588390 9837066 172751324 0.11890 204058757 9837066 194221691 0.13370 41644 41644 118394 118394 0.00010 23673 23673 129157 129157 0.00010 357267 80000 277267 0.00020 670135 80000 590135 0.00040 true 48001792 420121202 373697014 46424188 X true true 1 1 Univ of MD Medical Center 22 S Greene Street Baltimore MD 21201 HTTP://UMM.EDU 30-068 X X X X X 1 univ of MD medical center 1 false false true X X X X X X X X X 15 true true true true X HTTP://UMM.EDU/ X true 15 true HTTP://UMM.EDU/ false false true X 200. 500. X X X X X X true true X X X X true X HTTP://UMM.EDU/ X HTTP://UMM.EDU/ X X X X X true false X X X X true X false false University of Maryland Hospital - 1 Schedule H, Part V, Section B Line 13h - 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 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). 1 UniversityCare Edmondson Village 4538 Edmondson Ave Baltimore MD 21229 Healthcare Clinic Related Organization Benefit 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 Methodology Schedule H, Part I, Line 7 Schedule H, Line 7a, 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 payor's rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule H, Line 7f Column (c) & (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. Community Building Activities Schedule H, Part II Community Building activities include the numerous workforce/career development programs that are in place at the University of Maryland Medical Center (University and Midtown Campuses). These programs promote literacy, health literacy, and job skills to prepare young adults and current employees for a variety of positions within either the Medical Center or in the healthcare industry. The health of the community is impacted by having individuals prepared for jobs that enable them to obtain health insurance while also assisting them to be more aware of their own healthcare needs. Workforce/Career Development programs include: Youthworks BACH Fellows Project SEARCH Healthcare Career Alliance Patient Care Technician Training/Surgical Tech Training Baltimore City School Partnerships (5 local schools) In FY16, 219 youth and 161 adults were engaged in the above workforce/career development programs. Bad Debt Expense Schedule H, Part III, Line 2 & 4 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, Marylands 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 Report Schedule H, Part III, Line 8 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, Marylands 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 Collection Practices Schedule H, Part III, Line 9b The organization expects payment at the time the service is provided. Our policy is to comply with all state and federal law and third party regulations and to perform all credit and collection functions in a dignified and respectful manner. Currently, UMMS has updated its billing and collections process to ensure it is in compliance with the new IRC Section 501(r) regulations. Emergency services and medically necessary services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the Financial Assistance Policy. The organization does not discriminate on the basis of age, race, creed, sex or ability to pay. Patients who are unable to pay may request a Financial Assistance application at any time prior to service or during the billing and collection process. The organization may request the patient to apply for Medical Assistance prior to applying for financial assistance. The account will not be forwarded for collection during the Medical Assistance application process or the Financial Assistance application process. UMMC 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 -UMMC 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 UMMC patients) -appearing in print media through local newspapers Community Health Care Needs Assessment - UMMSC Schedule H, Part VI, Line 2 The University of Maryland Medical Center (UMMC) completed a comprehensive community health needs assessment (CHNA) in Fiscal Year 2015. This was the second CHNA completed with the first one done and reported in Fiscal Year 2012. The Association for Community Health Improvements (ACHI) 6-step Community Health Assessment Process was utilized as an organizing methodology. The UMMC/Midtown Community Health Improvement Team (CHI Team) served as the lead team to conduct the CHNA with input from other University of Maryland Medical System Baltimore City-based hospitals, community leaders, the academic community, the public, health experts, and the Baltimore City Health Department. In addition to using the ACHI 6-step process to lead the assessment process, the UMMC/Midtown CHI Team used an additional 5-component assessment and engagement strategy to lead the data collection methodology. The University of Maryland Medical Center (UMMC) is an 800-bed academic medical center which is part of the University of Maryland Medical System. Despite the larger regional patient mix of UMMC from the metropolitan area, state, and region, for purposes of community benefits programming and this report, the Community Benefit Service Area (CBSA) of UMMC is within Baltimore City. The top nine zip codes within Baltimore City represent the top 66% of all Baltimore City admissions in FY14. These nine targeted zip codes are: 21201 21215 21216 21217 21218 21206 21223 21229 21230 The populations in these zip codes are some of the most vulnerable, underserved residents in Baltimore City. There are significant health disparities in these zip codes when compared to other zip codes in Baltimore City and Maryland. Using the above frameworks, data was collected from multiple sources, groups, and individuals and integrated into a comprehensive document which was utilized at a retreat on March 11, 2014 of the UMMC/Midtown Community Health Improvement (CHI) Team. During that strategic planning retreat, priorities were identified using the collected data and an adapted version of the Catholic Health Associations (CHA) priority setting criteria. The identified priorities were also validated by a panel of UM Clinical Advisors and UMB Campus experts. UMMC used primary and secondary sources of data as well as quantitative and qualitative data and consulted with numerous individuals and organizations during the CHNA, including other University of Maryland Medical System (UMMS) Baltimore City-based hospitals (University of Maryland Medical Center Midtown Campus, University of Maryland Rehabilitation and Orthopedic Institute, and Mt Washington Pediatric Hospitals), community leaders, community partners, the University of Maryland Baltimore (UMB) academic community, the general public, local health experts, and the Baltimore City Health Department. A) Community Perspective The communitys perspective was obtained through one survey offered to the public using several methods throughout Baltimore City. A 6-item survey queried Baltimore City residents to identify their top health concerns and their top barriers in accessing health care. (See Appendix for the actual survey) Methods: 6-item survey distributed in FY2015 using the following methods: - Survey insert in Maryland Health Matters (health newsletter) distributed to over 40,000 residents within the CBSA - Online survey posted to www.umm.edu website for community to complete - Waiting rooms (Ambulatory clinics and EDs) at both campuses - Health fairs and events in neighborhoods within UMMCs CBSA Results: Top 5 Health Concerns: - Diabetes/Sugar - Smoking/Drug/Alcohol Use - High Blood Pressure/Stroke - Cancer - Heart Disease Analysis by CBSA targeted zip codes revealed the same top health concerns and top health barriers with little deviation from the overall Baltimore City data. The sample size was 1,212 Baltimore City residents from the identified CBSA. B) Health Experts Methods: - Reviewed & included National Prevention Strategy Priorities, Maryland State Health Improvement Plan (SHIP) indicators, and Healthy Baltimore 2015 plan from the Baltimore City Health Department - Reviewed Marylands State Health Improvement Plan (SHIP) and attended state-wide health summit in October 2014. - Progress to date on SHIP measures were presented as well as state-wide health priorities for upcoming multi-year cycle. - Conducted campus-wide stakeholder retreat in March 2015, including University of Maryland Schools of Medicine, Nursing, Social Work and UMB Community Affairs office - Interviewed Director of Chronic Disease Prevention at Baltimore City Health Department Results: - National Prevention Strategy 7 Priority Areas - SHIP: 39 Objectives in 5 Vision Areas for the State, includes targets for Baltimore City - While progress has been made since 2012 - with 16 out of 41 measures meeting the identified targets at the state level, Measures within Baltimore City have not met identified targets; Even wider minority disparities within the City. - Healthy Baltimore 2015: Ten Priority Areas (See Figure 4) - Baltimore City Health Department and Mayors Top Health Priorities: #1 Cardiovascular Disease (CVD) Decrease premature mortality (as defined as death prior to 75 years) #2 Asthma - Particularly pediatric asthma #3 Heroin Use While a priority, no major initiatives to date #4 Diabetes As related to CVD as a comorbidity - Health Expert UMB Campus Panel Focus Group Top Action Items included: - Improve communication and synergy across Campus schools and UMMC - Include University of Maryland Medical Center on UMB Community Action Council - Look for ways to partner and support each other C) Community Leaders Methods: - Hosted a focus group in collaboration with the other Baltimore-based UMMS hospitals for community-based organization partners to share their perspectives on health needs (October 30, 2014) Results: - Consensus reached that social determinants of health (and upstream factors) are key elements that determine health outcomes - Top needs and barriers were identified as well potential suggestions for improvement and collaboration (See Appendix 4 for details) - Top Needs: - Health Literacy - Employment/Poverty - Mental/Behavioral Health - Cardiovascular Health (obesity, hypertension, stroke, & diabetes) - Maternal/Child Health focusing on promoting a healthy start for all children Top Barriers: - Focusing on the outcome and not the root of the problems (i.e. SDoH) - Lack of inter-agency collaboration/working in silos Suggestions for Improvement: - Leverage existing resources - Increase collaboration - Focus on Social Determinants of Health - Enhance behavioral health resources D) Social Determinants of Health (SDoH) Defined by the World Health Organization as: 'the conditions in which people are born, grow, live, work and age.' Methods: - Reviewed data from Baltimore Neighborhood Indicator Alliance (Demographic data and SDoH data) - Reviewed data from identified 2011 Baltimore City Health Departments Baltimore City Neighborhood Profiles, - Reviewed Baltimore City Food Desert Map Results: - Baltimore City Summary of CBSA targeted zip codes - Top SDoHs: - Low Education Attainment (52.6% w/ less than HS degree) - High Poverty Rate (15.7%)/High Unemployment Rate (11%) - Violence - Poor Food Environment - Housing Instability E) Health Statistics/Indicators Methods: Review annually and for this triennial survey the following: Local data sources: - Baltimore City Health Status Report - Baltimore Health Disparities Report Card - Baltimore Neighborhood Health Profiles - DHMH SHIP Biennial Progress Report 2012-2014 National trends and data: - Healthy People 2020 - County Health Rankings - Centers for Disease Control reports/updates - F as in Fat: Executive Summary (RWJF) Results: - Baltimore City Health Outcomes Summary for CBSA-targeted zip codes - Top 3 Causes of Death in Baltimore City in rank order: 1. Heart Disease 2. Cancer 3. Stroke - Cause of Pediatric Deaths - High rate of Infant Mortality Selecting Priorities: Analysis of all quantitative and qualitative data described in the above section identified these top five areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and the organizations key strengths and mission. These priorities were identified and approved by the UMMC/Midtown CHI Team and validated with the health experts from the UMB Campus Panel: 1. Cardiovascular Disease 2. Workforce Development (as a shared component of literacy and SDoH) 3. Maternal & Child Health 4. Violence Prevention (related to behavioral/mental health) 5. Health Literacy (shared UMMS priority) In addition to the identified strategic priorities from the CHNA, UMMC employs the following prioritization framework which is stated in the UMMC Community Outreach Plan. Because the Medical Center, serves the region and state, priorities may need to be adjusted rapidl Eligibility Education & FINANCIAL ASSISTANCE - UMMSC Schedule H, Part VI, Line 3 University of Maryland Medical UMMS is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation. In compliance with the new IRC Section 501(r) regulations UMMS is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. 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. UMMC 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 - Patient Handbook distributed to all patients - Brochures explaining financial assistance are made available in all patient care areas - Patient Information Sheets (available in English & Spanish) - Appearing in print media through local newspapers Description of Community Served Schedule H, Part VI, Line 4 For purposes of community benefits programming to the State, the community benefit service area for the University of Maryland Medical Center is defined as within Baltimore City. There are seven zip codes which specifically defines the target population: 21201, 21215, 21216, 21217, 21218, 21223, and 21229. Zip codes in this community are part of the federally designated West Baltimore Medicaid Health Professional Shortage Area (HPSA). This designation indicates that there is less than one primary care provider practicing in the area for every 3,000 Medicaid eligible community members. The populations in these zip codes are some of the most vulnerable, underserved residents in Baltimore City with significant health disparities when compared to other zip codes in Baltimore City and Maryland. Residents within the targeted zip codes face significant health disparities. Life expectancy in the target population is 62.9 years vs 71.8 years for Baltimore City overall and 82 years for Roland Park, an upscale Baltimore City neighborhood. Life expectancy is affected by chronic disease prevalence and uncontrolled risk factors, like hypertension. According to Marylands Statewide Health Improvement Plan (SHIP), ER visits due to hypertension are 658.9/100,000 population in Baltimore City as compared with 252.2/100,000 for Maryland, placing Baltimore City with the highest prevalence in the State. This 20-year disparity in life expectancy and quality of life is also profoundly affected by multiple social determinants of health (SDoH). While there are numerous social determinants which affect this population, the main SDOHs include the prevalence of food deserts, unemployment and poverty, transportation issues, and violence. Physical environment determinants include the prevalence of inadequate/unsafe housing, vacant homes, and high tobacco and alcohol store density. The following table illustrates demographics and some of the significant social determinants of health affecting the target population. For a more detailed analysis of these and other determinants of health in this population, please review UMMCs FY2015 Community Health Needs Assessment at: www.umm.edu/community Target Population Total 260,969 (Male=120,058, Female=140,911) Median Age 34.6 years Race White/Caucasian 45,918 Black/African American 199,656 Amer Indian/Alaska Native 996 Asian 6,063 Native Hawaiian/Other Pacific 101 Other 1,797 Two or More Races 6,438 Ethnicity Hispanic 5,490 Non-Hispanic 255,479 Median Household Income $42,266 Percentage of households w/ incomes below the federal poverty guidelines 22.7% Percentage of uninsured people 14% Percentage of Medicaid recipients 30.9% Percentage of HS graduates 66% Unemployment Rate 21.9% - 28.6% No Vehicle Available 15.3% Severe Housing Problems 24% Healthy Food Availability Index 7.8-12.4 (Scale = 0-25) Tobacco Store Density 27.8- 51.4 stores/10,000 people Promoting the Health of the Community - UMMSC Schedule H, Part VI, Line 5 Analysis of all quantitative and qualitative data from the FY15 CHNA identified four top areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and the organizations key strengths and mission. These priorities were identified and approved by the UMMC/Midtown CHI Team and validated with the health experts from the UMB Campus Panel. All community health improvement programming is focused on these strategic priorities: 1. Cardiovascular Disease Prevention 2. Workforce Development 3. Maternal & Child Health 4. Violence Prevention 5. Health Literacy (shared UMMS priority) Identified Need/Priority: Health Literacy During the CHNA conducted in FY12 and FY15, UMMC identified key community priorities, one of which was Health Literacy. This need was identified both years and was based on the low rates of high school completion rates as well as public in the CBSA targeted zip codes as outlined below. Baltimore City Data: Overall high school completion rate in Baltimore City is 80.3%. However, within the targeted CBSA zip codes, the high school completion rate ranges from 73.1% to 86.8%. These rates are far lower than the State of Maryland average of 87%.. As a result of a lack of health literacy is the overall misuse of emergency services when urgent care or preventive/primary care is, at times, more appropriate. In a survey of Baltimore City residents during the FY15 CHNA, 69% of residents reported they did not have health insurance. When further questioned, many participants actually had the new ACA health care coverage but didnt know that it covered preventive care and didnt understand the process of selecting a physician for primary care. Therefore, many individuals do not pursue primary/preventive care and eventually seek emergency care after a problem becomes significantly worse. Health literacy is a significant social determinant of health in Baltimore City which affects patients health outcomes and speaks to the identified need, and subsequently, the UMMC and UMMS priority of Health Literacy. Hospital Initiatives To work on the issue of health literacy, UMMC had one major initiative to address the above identified need with healthcare professionals in FY16. Health Literacy (for professionals) Primary Objectives: 1) Develop video for healthcare professionals on importance of health literacy 2) Post video on staff intranet 3) Engage staff in at least 5 key organizational staff meetings Description: Provide health literacy information to health care professionals to inform their practice - Metrics: - Video developed - Video posted on the intranet - # of key organizational staff meetings - # of meetings where video shown - # of healthcare professionals watching video - # of page views Single or Multi-Year Initiative Time Period: Multi-Year UMMC is working on this identified need over the three year cycle that is consistent with the CHNA cycle. Updates per Implementation Plan metric for each Fiscal Year are provided in the HSCRC Report and to the IRS. Key Partners in Development and/or Implementation: UMMS System hospitals, UMMC Dept of Communications, Healthcare professionals across the UMMS system How were the outcomes evaluated? The outcomes were evaluated based on the metrics discussed in the 'Primary Objectives' section above. Outcomes: - Video developed and finalized 4/2016 - 2 major organizational meetings with video shown - Over 100 professionals watched video in meetings - 1,714 page views on the intranet where video is posted www.umm.edu/community (only for April - June 2016) Continuation of Initiative: UMMC will continue to monitor performance and outcome measures annually. This priority and the accompanying initiatives will continue until the FY18 CHNA. A. Total Cost of Initiative - Approx. $10,000 to develop video (utilized across UMMS) B. Direct offsetting revenue from Restricted Grants - $0 Identified Need: Cardiovascular Disease/Obesity Prevention During the CHNA conducted in FY12 and FY15, UMMC identified key community priorities, one of which was Cardiovascular Disease Prevention. This need was identified both years and was based on the high prevalence of cardiovascular disease, hypertension, obesity, and stroke in the CBSA targeted zip codes as outlined below. Baltimore City Data: County Health Rankings reports that Baltimore City is ranked the lowest of all counties within Maryland on 6 of 8 major categories. 68% of Baltimore City adults are either overweight or obese. 34% of Baltimore adults report a BMI of > 30. Heart Disease is the number one leading cause of death, and stroke is the third leading cause of death in Baltimore City. Baltimore Citys Hypertension ED visit rate is 658/100,000 as compared to 252/100,000 for Maryland. Significant health disparities exist among African Americans in Baltimore City. Food deserts exist in half of the targeted CBSA zips. Thirty five percent of Baltimore high school students are obese or overweight compared with 26% statewide. All of these significant health disparities in Baltimore City speaks to the identified need, and subsequently, the UMMC priority of Cardiovascular Disease Prevention. Hospital Initiatives: To combat the high prevalence of cardiovascular disease, hypertension, obesity, and stroke in the targeted CBSA area, UMMC has several initiatives to address the above identified need: Primary Objectives: Know Your Numbers Initiative 1) Increase the % of adults who are at a healthy weight(Maryland SHIP) 2) Reduce the % of youth who are obese (Maryland SHIP) Description: Provide education and information on heart healthy lifestyle through engaging, evidence-based programs in the community Metrics: - # of people attending health events receiving info on heart healthy lifestyle through health fairs and events - # of Living Well with High Blood Pressure Classes - # of Living Well classes Single or Multi-Year Initiative Time Period: Multi-Year UMMC is working on this identified need over the three year cycle that is consistent with the CHNA cycle. Updates per Implementation Plan metric for each Fiscal Year are provided in the HSCRC Report and to the IRS. Key Partners in Development and/or Implementation: UMMC Dept of Family Medicine, Dept of Cardiology, Dept of Clinical Nutrition, UMMC Midtown Campus, University of Maryland Baltimore Campus, Baltimore City Health Department, Maryland DHMH, Maintaining Active Citizens, (MAC, Inc.) How were the outcomes evaluated? The outcomes were evaluated based on the metrics discussed in the 'Primary Objectives' section above. Outcomes: - 1,926 people attending various heart healthy events - 1st Pilot class of Living Well with High Blood Pressure - 14 people participated in the 1st Living Well with High Blood Pressure class in May - 24 seniors participated in the second class offered in June - While this first pilot was small, results on post class evaluations were positive - 100% of participants reported that they were more motivated to take care of their health after the workshop - 100% of participants reported that they knew more about lifestyle changes that are recommended for their health after the workshop - Future classes in FY17 will be evaluated with same survey as provided by MAC, Inc. Continuation of Initiative: UMMC will continue to monitor performance and outcome measures annually. This priority and the accompanying initiatives will continue until the FY18 CHNA. A. Total Cost of Initiative - $33,829 B. Direct offsetting revenue from Restricted Grants - N/A Identified Need: Cardiovascular Disease/Obesity Prevention During the CHNA conducted in FY12 and FY15, UMMC identified key community priorities, one of which was Cardiovascular Disease Prevention. This need was identified both years and was based on the high prevalence of cardiovascular disease, hypertension, obesity, and stroke in the CBSA targeted zip codes as outlined below. Baltimore City Data: 68% of Baltimore City adults are either overweight or obese. Heart Disease is the number one leading cause of death, and stroke is the third leading cause of death in Baltimore City. Baltimore Citys Hypertension ED visit rate is 658/100,000 as compared to 252/100,000 for Maryland. Significant health disparities exist among African Americans in Baltimore City. Food deserts exist in half of the targeted CBSA zips. All of these significant health disparities in Baltimore City speaks to the identified need, and subsequently, the UMMC priority of Cardiovascular Disease Prevention. Hospital Initiatives: To combat the high prevalence of cardiovascular disease, hypertension, obesity, and stroke in the targeted CBSA area, UMMC has several initiatives to address the above identified need: Primary Objectives: Maryland Healthy Men 1) Decrease the ED visit rate due to hypertension (Maryland SHIP) 2) Engage at least 440 African American men with hypertension education after identifying them wit Affiliated Health Care System Roles - UMMSC Schedule H, Part VI, Line 6 As part of the University of Maryland Medical System (UMMS), the University of Maryland Medical Center understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, the UMMC assesses the community's health needs, develops budgets, 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 Needs Assessment and Reporting Coalition 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. The University of Maryland Medical Center is committed to health education, advocacy, community partnerships, and programs to eliminate health care disparities in our community. State Filing of Community Benefit Report - UMMSC Schedule H, Part Vi, Line 7 MD true UMBF Inc 100 N Greene St Baltimore MD 21201 311678679 501(C)(3) 38000 General Assistance Youthworks Baltimore City Foundation Inc 101 West 24th Street Baltimore MD 21218 521212473 501(C)(3) 25000 General Assistance Baltimore Area Council BSA 701 Wyman Park Drive Baltimore MD 21211 520591572 501(C)(3) 10000 General Assistance Cal Ripken Sr Foundation 1427 Clarkview Road Baltimore MD 21209 522310500 501(C)(3) 10000 General Assistance UMMS Foundation 22 S Greene Street Baltimore MD 21201 522238893 501(C)(3) 22500 General Assistance Baltimore Festival of the Arts Inc 10 E Baltimore Street Baltimore MD 21202 521559145 501(C)(3) 7500 General Assistance Greater Baltimore Committee 111 S Calvert Street Baltimore MD 21202 520645650 501(C)(4) 27500 General Assistance American Association of Endocrine Surgeons 11300 West Olympic blvd Ste 600 Los angeles CA 90064 135613797 501(C)(3) 7500 General Assistance Ronald McDonald House - Baltimore 635 W Lexington Street Baltimore MD 21201 521184957 501(C)(3) 120000 General Assistance Downtown Partnership of Baltimore Inc 20 S Charles Street Baltimore MD 21201 521914273 501(C)(3) 15000 General Assistance The Health Care for the Homeless 421 Fallsway Baltimore MD 21202 521576404 501(C)(3) 7500 General Assistance March of Dimes - Central Maryland 175 W Ostend Street Baltimore MD 21230 131846366 501(C)(3) 10000 General Assistance Upper Chesapeake Health Foundation 520 Upper Chesapeake Dr Bel Air MD 21014 521398507 501(C)(3) 7500 General Assistance Mount Washington Pediatric Hospital 1708 W Rogers Avenue Baltimore DC 21209 520591483 501(C)(3) 17500 General Assistance 13 1 Part I, Line 2 University of Maryland Medical System makes contributions to organizations in support of its overall mission of health promotion in the community it serves. X true true X X X X true true false false false false false true false JOHN W DILLON DIRECTOR 0 0 0 0 156000 0 0 0 0 0 156000 0 0 0 ROBERT A CHRENCIK PRESIDENT AND CEO 1254208 0 1054693 0 253896 0 10600 0 13037 0 2586434 0 0 0 HENRY J FRANEY CFO- UMMS/TREASURER 779989 0 405004 0 150469 0 10600 0 13037 0 1359099 0 0 0 MEGAN M ARTHUR SVP & GEN COUNSEL/ SEC'TY 459717 0 188226 0 75477 0 10600 0 16381 0 750401 0 0 0 JEFFERY A RIVEST PRESIDENT & CEO - UMMC 823831 0 349458 0 700367 0 10600 0 9550 0 1893806 0 183861 0 LISA C ROWEN SVP & CNO - UMMC 391582 0 140053 0 56594 0 10600 0 13037 0 611866 0 0 0 WALTER ETTINGER SVP & CMO - UMMS 623866 0 242400 0 9539 0 10600 0 13037 0 899442 0 0 0 JON P BURNS SVP & CIO 414431 0 179244 0 60528 0 10600 0 13037 0 677840 0 0 0 MICHAEL R JABLONOVER SVP & CMO 411801 0 183150 0 60328 0 8985 0 14686 0 678950 0 0 0 KEITH D PERSINGER SVP & CFO UMMC 572023 0 231000 0 83651 0 10600 0 5461 0 902735 0 0 0 DAVID P SWIFT SVP - Chief HR Officer 395192 0 160650 0 56421 0 10600 0 0 0 622863 0 0 0 JOHN W ASHWORTH III SVP NETWORK DEVELOPMENT 511790 0 169396 0 99546 0 10600 0 13037 0 804369 0 0 0 CHRISTINE BACHRACH VP - CORP COMPLIANCE OFFICER 295718 0 95828 0 218843 0 10600 0 16328 0 637317 0 139659 0 KENNETH LEWIS EXECUTIVE - UNION OF CECIL 745833 0 282678 0 8508 0 13072 0 13037 0 1063128 0 0 0 GERALD L WOLLMAN SVP CORP OPERATIONS 391640 0 156366 0 55039 0 10600 0 16283 0 629928 0 0 0 ALISON G BROWN SVP PLANNING & MARKETING 432980 0 179760 0 64075 0 10600 0 16435 0 703850 0 0 0 Health or social club dues or initiation fees Schedule 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 PAYMENT Schedule J, Part I, Line 4A During the Fiscal Year-ended June 30, 2016, certain officers and key employees have received severance payments. These amounts are reported as taxable compensation and reported on Schedule J, Part II, Line B(III), Other Reportable Compensation. The individuals and amounts are listed below: Jeffrey A. Rivest $188,886 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b During the Fiscal Year- ended June 30, 2016, 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: Kenneth Lewis Walter Ettinger. During the Fiscal Year-ended June 30, 2016, 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: Robert Chrencik Jeffrey A. Rivest Henry J. Franey Keith D. Persinger Lisa C. Rowan Megan M. Arthur Jon P. Burns Michael R. Jablonover David P. Swift John W. Ashworth Allison G. Brown Gerald Wollman During the Fiscal Year-ended June 30, 2016, 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 the reporting tax year, therefore the full value of the plan, including any contributions to the plan for the current fiscal year is 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). Christine Bachrach Non-fixed Payments Schedule 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. A MHHEFA (SERIES 2005) 520936091 574217v51 2008-06-25 144317619 current refunding false false false B MHHEFA (SERIES 2007A) 520936091 574217g74 2007-09-12 96445000 advance refunding false false false C MHHEFA (series 2008D) 520936091 574217V28 2008-05-21 50000000 current refunding false false false D MHHEFA (series 2015) 520936091 574218WD1 2015-05-21 86603677 advance refunding false false false A 7025000 0 144317619 0 0 0 1167619 0 0 0 143150000 0 true false true true B 400000 0 96445000 0 0 0 784512 13877 0 0 95646611 0 false true true true C 0 0 50000000 0 0 0 283967 33758 0 0 49682275 0 true false true true D 0 0 86603677 0 0 46118826 9475 0 0 0 40475376 0 false true false true A 0.00000 0.00000 0.00000 false false 0.00000 false false B 0.00000 0.00000 0.00000 false false false false C false false false false 0 D false false false false 0 A false false false false 0 false 0 false false B false false true true jp morgan bankamer 27. false 0 false false C false true true JP MORGAN BANKAMER 34.6 false 0 false D false false false 0 false 0 false A false B false C D Schedule K, Part III, Line 9, Part IV, Line 7, Part V The organization has established written procedures, effective July 1, 2015, to ensure the following: 1) All nonqualified bonds of the issue are remediated in accordance with the requirements under regulations sections 1.141-12 and 1.145-2; 2) Violations of Federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulation; and 3) Ensure compliance by monitoring the requirement of section 148. A MHHEFA (SERIES 2008E) 520936091 574217v36 2008-05-21 55000000 current refunding false false false B MHHEFA (SERIES 2008F) 520936091 574217y66 2008-07-10 89764001 current refunding false false false C MHHEFA (SERIES 2010) 520936091 5742175ei 2010-01-07 241441656 new money/ current refunding false false false D MHHEFA (SERIES 2012A) 520936091 2012-08-16 40785000 current refunding false false false A 0 0 55000000 0 0 0 309350 36775 0 0 54653875 0 true false true true B 17365000 0 89764001 0 0 0 792457 0 0 0 88971544 0 true false true true C 10460000 0 241441656 12822511 0 0 2656305 0 0 130000000 95962841 0 2012 true false false true D 0 0 40785000 0 0 0 580000 0 0 0 40205000 0 true false false true A false false false false 0.00000 0.00000 0.00000 false 0.00000 B false false false false 0.00000 0.00000 0.00000 false C false false false false 0.00000 0.00000 0.00000 false D false false false false 0.00000 0.00000 0.00000 false false false false A false false true true jp morgan bankamer 34.6 false 0 false false B false false false false 0 false 0 false false C false false false 0 false 0 false false D false false false false 0 false 0 false false A false B false C false D false A MHHEFA (SERIES 2012B) 520936091 2012-08-16 50170000 current refunding false false false B MHHEFA (SERIES 2012C) 520936091 2012-08-16 50175000 current refunding false false false C MHHEFA (SERIES 2012D) 520936091 2012-08-16 75205000 current refunding false false false D MHHEFA (SERIES 2013A) 520936091 574218MH3 2013-03-08 265377428 new money/current & advance refund false false false A 0 0 50170000 0 0 0 0 0 0 0 50170000 0 true false false true B 0 0 50175000 0 0 0 0 0 0 0 50175000 0 true false false true C 0 0 75205000 0 0 0 0 0 0 0 75205000 0 true false false true D 0 0 265377428 0 0 0 2662975 0 0 129930000 89614452 43170000 true true false true A false false false false 0 false false 0.00000 false false B false false false false 0 false false false false C false false false false 0 false false false false D false false false false 0 false false false false A false false false false 0 false 0 false false B false false false false 0 false 0 false false C false false false false 0 false 0 false false D false false false false 0 false 0 false false A false B false C false D false Francis X Kelly Board Member 1395574 See Below false August Chiasera Board Member 3600000 See below false Francis X. Kelly Francis X. Kelly is the Chairman and Chief Executive Officer of Kelly & Associates Insurance Group, Inc. The Medical System uses Kelly & Associates to purchase health, vision, dental, and life insurance policies for the employees of the system. Services of Kelly & Associates are charged at or below fair market value. August Chiasera The organization used M&T Bank for many of its banking services, including treasury management, deposit services, lines of credit, and corporate trust and custody services. August Chiasera is executive vice president of M&T Bank as well as a board member of the University of Maryland Medical system. Services provided by M&T Bank are charged at or below fair market value. TRANSFER OF NET ASSETS FORM 990, PART XI, LINE 9 UMSJ HEALTH SYSTEM, LLC (UMSJHS) RECEIVED ITS 501(C)(3) EXEMPTION LETTERIN NOVEMBER OF 2014. ON JULY 1, 2015, UMSJHS BECAME THE PARENT COMPANY FOR ALL ENTITIES IN THE UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL SYSTEM AND NOW REPORTS THE CONSOLIDATED FINANCIAL INFORMATION AND ACTIVITIES OF THE FOLLOWING RELATED ENTITIES, WHICH WERE PREVIOUSLY REPORTED UNDER THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION: UM MEDICAL REGIONAL SUPPLIER, LLC UM REGIONAL PROFESSIONAL SERVICES, LLC UMSJ PROPERTIES, LLC UMSJ MEDICAL GROUP, LLC UMSJ ORTHOPAEDICS, LLC UMSJ MEDICAL CENTER AS SUCH, UMSJHS NOW REPORTS THESE ENTITIES' COMBINED ENDING NET ASSETS OR FUND BALANCES AT 6/30/15, -$105,385,436, PREVIOUSLY INCLUDED ON THE UMMS CORPORATION BALANCE SHEET, AS A TRANSFER OF NET ASSETS ON THIS FORM 990 FOR UMSJHS. Form 990 Review Process Form 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 & Enforcement Form 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 JAMES LAWRENCE KERNAN HOSPITAL. 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 FOR UMMSC, AND JAMES LAWRENCE KERNAN HOSPITAL. 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 Compensation Form 990, Part VI, Lines 15a and 15b 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 Public Form 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 COPY IS PROVIDED ON THE SAME DAY. 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. Reconciliation of Net Assets Form 990, Part XI, Line 9 USH forgiveness (315,338) Donated capital (1,995,702) Strategic Priorities funding from affiliates 14,900,000 Change in econ int Foundation (2,581,344) Change in swap valuation 1,764,794 Investment in MWPH 29,474 UMMS/UCHS equity transfer - swaps (28,852,791) Other miscellaneous adjustments (1,069) Transfer of St.Joseph Entities Fund Balance to UMSJ Health System LLC 105,385,436 --------------- TOTAL 88,333,460 =============== HOURS ON RELATED ENTITY PART VII, SECTION A, COL (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. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICE CONTRACTS TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:46959542 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:41599870 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:65910031 FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE SHARED SERVICES TOTAL FEES:-XXX-XX-XXXX 36 S Paca Street LLC 36 S Paca Street Baltimore MD 21211 562544990 Rental MD 964000 13558000 UMMSC University of Maryland Ecare LLC 250 W Pratt Street Baltimore MD 21201 461441270 Healthcare MD 2975000 2420000 UMMSC University of Maryland Medical Center L 250 W Pratt Street Baltimore MD 21201 320443777 Healthcare MD 0 UMMSC University of Maryland Health Ventures 250 W Pratt Street Baltimore MD 21201 474794292 Healthcare MD 0 UMMSC UMRMC I Inc 250 W Pratt Street Baltimore MD 21201 Healthcare MD 0 UMMSC UMRMC LLC 250 W Pratt Street Baltimore MD 21201 Healthcare MD 0 UMMSC UMMC I LLC 250 W Pratt Street Baltimore MD 21201 383945516 Healthcare MD 0 UMMSC University of Maryland Quality Care Netw 371824357 0 UMMSC Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 521756326 Healthcare MD 501(c)(3) 11A UMBWMS false Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie MD 21061 521830243 Healthcare MD 501(c)(3) 11A UMBWMS false Baltimore Washington Medical Center Inc 301 Hospital Drive Glen Burnie MD 21061 520689917 Healthcare MD 501(c)(3) 03 UMBWMS false UM Baltimore Washington Medical System 301 Hospital Drive Glen Burnie MD 21061 521830242 Healthcare MD 501(c)(3) 11A UMMSC true BW Medical Center Foundation Inc 301 Hospital Drive Glen Burnie MD 21061 521813656 Fundraising MD 501(c)(3) 11C UMBWMS false North Arundel Development Corporation 301 Hospital Drive Glen Burnie MD 21061 521318404 Real Estate MD 501(c)(2) NCC false North County Corporation 301 Hospital Drive Glen Burnie MD 21061 521591355 Real Estate MD 501(c)(2) UMBWMS false Chester River Health Foundation Inc 100 Brown Street Chestertown MD 21620 521338861 Fundraising MD 501(c)(3) 08 UMSRH false Univ of MD Shore Regional HealthInc 100 Brown Street Chestertown MD 21620 522046500 Healthcare MD 501(c)(3) 11A UMMSC true Chester River Hospital Center 100 Brown Street Chestertown MD 21620 520679694 Healthcare MD 501(c)(3) 03 UMSRH false Chester River Manor Inc 200 Morgnec Road Chestertown MD 21620 526070333 Healthcare MD 501(c)(3) 09 UMSRH false Maryland General Clinical Practice Group 827 Linden Avenue Baltimore MD 21201 521566211 Healthcare MD 501(c)(3) 11B UMMTH false Maryland General Comm Health Foundation 827 Linden Avenue Baltimore MD 21201 522147532 Fundraising MD 501(c)(3) 11C UMMTH false University of Maryland Midtown Health I 827 Linden Avenue Baltimore MD 21201 521175337 Healthcare MD 501(c)(3) 11B UMMSC true Maryland General Hospital Inc 827 Linden Avenue Baltimore MD 21201 520591667 Healthcare MD 501(c)(3) 03 UMMTH false Care Health Services Inc 219 South Washington Street Easton MD 21601 521510269 Healthcare MD 501(c)(3) 09 UMSRH false Dorchester General Hospital Foundation 219 South Washington Street Easton MD 21601 521703242 Fundraising MD 501(c)(3) 11D UMSRH false Memorial Hospital Foundation Inc 219 South Washington Street Easton MD 21601 521282080 Fundraising MD 501(c)(3) 11A UMSRH false UM COMMUNITY MEDICAL GROUP INC 219 South Washington Street Easton MD 21601 521874111 Healthcare MD 501(c)(3) 03 UMMSC true Shore Health System Inc 219 South Washington Street Easton MD 21601 520610538 Healthcare MD 501(c)(3) 03 UMMSC true James Lawrence Kernan Hosp Endow Fd 2200 Kernan Drive Baltimore MD 21207 237360743 Fundraising MD 501(c)(3) 11B UMMSC true James Lawrence Kernan Hospital Inc 2200 Kernan Drive Baltimore MD 21207 520591639 Healthcare MD 501(c)(3) 03 UMMSC true UMMS Foundation Inc 22 South Greene Street Baltimore MD 21201 522238893 Fundraising MD 501(c)(3) 11A UMMSC true University of Maryland Charles Regional PO Box 1070 La Plata MD 20646 522155576 Healthcare MD 501(c)(3) 11C UMMSC true Civista Medical Center Inc PO Box 1070 La Plata MD 20646 520445374 Healthcare MD 501(c)(3) 03 UMCRH false Charles Regional Medical Center Foundati PO Box 1070 La Plata MD 20646 521414564 Fundraising MD 501(c)(3) 11A UMCRH false Charles Regional Medical Center Auxiliar PO Box 1070 La Plata MD 20646 521131193 Fundraising MD 501(c)(3) 11A UMCRH false Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 11A UMMSC true Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air MD 21014 520591484 Healthcare MD 501(c)(3) 03 UMUCHS false UCH Legacy Funding Corporation 520 Upper Chesapeake Dr Bel Air MD 21014 520882914 Fundraising MD 501(c)(3) 11A UMUCHS false UM Upper Chesapeake Health System Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398513 Healthcare MD 501(c)(3) 11C; III-FI UMUCHS false Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398507 Fundraising MD 501(c)(3) 11A UMUCHS false Upper Chesapeake Medical Center Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521253920 Healthcare MD 501(c)(3) 03 UMUCHS false Upper Chesapeake Medical Services Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521501734 Healthcare MD 501(c)(3) 09 UMUCHS false Upper Chesapeake Properties Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521907237 Real Estate MD 501(c)(2) UMUCHS false Upper Ches Residential Hospice House In 520 Upper Chesapeake Dr Bel Air MD 21014 260737028 Hospice MD 501(c)(3) 07 UMUCHS false Upper ChesapeakeSt Joseph Home Care I 520 Upper Chesapeake Dr Bel Air MD 21014 521229742 HOSPICE MD 501(c)(3) 09 UMUCHS false UMSJ Health System LLC 7601 Osler Drive Towson MD 21204 460797956 Healthcare MD 501(c)(3) UMMSC true Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie MD 20161 522000762 Healthcare MD NA Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie MD 20161 200806027 Healthcare MD NA Innovative Health LLC 29165 Canvasback Drive Suite 100 Easton MD 21601 521997287 Billing MD NA Central Maryland Radiology Oncology LLC 10710 Charter Drive Columbia MD 21044 270879418 Healthcare MD UMMSC RELATED 1790000 2185000 false false 0.50000 Universitycare LLC 22 South Greene Street Baltimore MD 21201 521914892 Healthcare MD UMMSC RELATED 2664000 3264300 false false 0.90000 O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson MD 21204 521682964 Rental MD UMMSC RELATED 0 0 false false 0.74000 Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson MD 21204 521958002 Healthcare MD NA UCHSUMMS Real Estate Trust 520 Upper Chesapeake Dr Bel Air MD 21014 276803540 Real Estate MD NA University of Maryland Charles Regional PO Box 1070 LaPlata MD 20646 300956382 Healthcare MD NA Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie MD 21061 521992649 Healthcare MD NA C Corp Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie MD 21061 521936656 Healthcare MD NA C Corp BW Professional Services Inc 301 Hospital Drive Glen Burnie MD 21061 521655640 Healthcare MD NA C Corp Univ of Maryland Charles Regional Care P PO Box 1070 La Plata MD 20646 522176314 Healthcare MD NA C Corp University Midtown Prof Center A Condom 827 Linden Avenue Baltimore MD 21201 521891126 Real Estate MD UMMSC C Corp NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD NA C Corp Terrapin Insurance Company PO Box 1109 GRAND CAYMAN CJ KY1-1102 980129232 Insurance CJ UMMS C Corp 12810000 100082500 0.50000 false UMMS Self Insurance Trust 22 South Greene Street Baltimore MD 21201 526315433 Insurance MD UMMS Trust 574000 0.50000 true Upper Chesapeake Insurance Company PO Box 1109 GRAND CAYMAN CJ KY1-1102 980468438 CAPTIVE Insurance CJ UMMS LTD. 1.00000 Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air MD 21014 522031264 Healthcare MD UMMS C Corp 1.00000 true Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air MD 21014 770674478 Real Estate MD UC Med Crt C Corp 1.00000 Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air MD 21014 521946829 Real Estate MD UC Hlth Vent C Corp 1.00000 University of Maryland Health Advantage 22 South Greene Street Baltimore MD 21201 461411902 Insurance MD UMMS C Corp 1.00000 true University of Maryland Health Partners 22 South Greene Street Baltimore MD 21201 452815803 Insurance MD UMMS C Corp 1.00000 true University of Maryland Medical System He 22 South Greene Street Baltimore MD 21201 452815722 Insurance MD UMMS C Corp 141099000 125187000 1.00000 true Shore Orthopedics Inc 219 S Washington Street Easton MD 21601 371817260 Healthcare MD SHS C Corp false true false true false false false false false false true true false false false false true true false Umms Foundation Inc C 9024563 FMV University Care LLC K 47916 FMV James L Kernan Hospital Inc L 253596 FMV St Joseph Medical Center P 30345572 FMV James L Kernan Hospital Inc Q 11101557 FMV MARYLAND GENERAL HOSPITAL INC Q 18834298 FMV Charles Regional Medical Center Inc Q 10907337 FMV Baltimore Washington Medical Center Inc Q 30297724 FMV Chester River Hospital Center Inc Q 3839355 FMV Shore Health System Inc Q 20007201 FMV Maryland General Hospital Inc R 1633171 FMV Charles Regional Medical Center Inc R 2500000 FMV umms foundation B 22500 fmv