2013-11-15T11:45:57-06:00 2012-12-31 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2012-01-01 521398507 UPPER CHESAPEAKE HEALTH FOUNDATION INC % JOSEPH E HOFFMAN III UPPE 4436433340 520 UPPER CHESAPEAKE DRIVE Suite 405 BEL AIR MD 21014 Joseph E Hoffman III 4436433340 2013-11-14 true Russlee Armstrong 2155614200 2012 2016-02-25 16:41:14Z LYLE E SHELDON 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 12859324 false X WWW.UCHS.ORG X 1984 MD SUPPORTING ORGANIZATION OF UPPER CHESAPEAKE MEDICAL CENTER; HARFORD MEMORIAL HOSPITAL, INC.; UPPER CHESAPEAKE MEDICAL SERVICES, INC.; AND UPPER CHESAPEAKE/ST. JOE'S HOME CARE, INC. 48 45 0 44 0 0 9028168 5798406 0 0 839570 920582 -163527 -113968 9704211 6605020 1764321 1628947 0 0 667831 575537 0 0 1655091 637850 1079554 3070002 3284038 6634209 3320982 19818172 25206715 1370380 2712941 18447792 22493774 SUPPORTING ORGANIZATION OF UPPER CHESAPEAKE MEDICAL CENTER; HARFORD MEMORIAL HOSPITAL, INC.; UPPER CHESAPEAKE MEDICAL SERVICES, INC.; AND UPPER CHESAPEAKE/ST. JOE'S HOME CARE, INC. false false 1628947 1628947 0 AMOUNTS DISTRIBUTED TO RELATED EXEMPT ORGANIZATIONS FOR CAPITAL AND OPERATING PROGRAMS INCLUDING TRANSFERS TO UPPER CHESAPEAKE HEALTH SYSTEM, HARFORD MEMORIAL HOSPITAL, UPPER CHESAPEAKE MEDICAL CENTER, AND UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE. 1628947 true true false false false false false false false true true false false false true true true false false false false false false true true false false true false true false false false false false false false false true false false false false true false false false true 0 0 true 0 false true false false false false false false false false false X 48 45 true false false false true false false true true false false true true true true true true true true false MD X JOSEPH E HOFFMAN III 4436433340 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 RICHARD P STREETT JR VMD 1.0 X X 0 0 0 JOHN H CAIN 1.0 X X 0 0 0 ALBERT J A YOUNG 1.0 X X 0 0 0 BERNARD W MUTH JR 1.0 X X 0 0 0 LYLE E SHELDON 1.0 54.5 X X 0 2674235 79823 WILLIAM H ACKER 1.0 X 0 0 0 STEVEN BENTMAN MD 1.0 X 0 22917 0 JOSEPH BITTNER 1.0 X 0 0 0 SUSIE COMER 1.0 X 0 0 0 DREW A COOK 1.0 X 0 0 0 WILLIAM H COX JR 1.0 X 0 0 0 ALLEN J FAIR 1.0 X 0 0 0 THOMAS L FIDLER 1.0 X 0 0 0 DIANE K FORD 1.0 X 0 0 0 JEFFREY W FOULK 1.0 X 0 0 0 GEORGEANNA GARCEAU 1.0 X 0 0 0 DIANA HARLOE 1.0 X 0 0 0 ROBERT F HOOFNAGLE JR MD 1.0 X 0 23100 0 CINDY HUSHON 1.0 X 0 0 0 ROBERT J JIRSA 1.0 X 0 0 0 THOMAS E JORDAN MD 1.0 X 0 0 0 PATRICIA KAUFMAN 1.0 X 0 0 0 M SCOT KAUFMAN 1.0 X 0 0 0 ANNE W KINSLEY 1.0 X 0 0 0 ANDREW KLEIN 1.0 X 0 0 0 SHIRLEY S KLEIN 1.0 X 0 0 0 JAMES LAMBDIN 1.0 X 0 0 0 MICHAEL E LEAF 1.0 X 0 0 0 STEVEN D LINKOUS 1.0 X 0 0 0 SHARI L LOPRESTI 1.0 X 0 0 0 ANTHONY J MEOLI 1.0 X 0 0 0 WILLIAM R MINTON 1.0 X 0 0 0 VIJAY S NAIR MD 1.0 X 0 0 0 JOSEPH RIES 1.0 X 0 0 0 THOMAS J SADOWSKI 1.0 X 0 0 0 ROGER E SCHNEIDER MD 1.0 X 0 0 0 JOSEPH F SNEE JR 1.0 X 0 0 0 CRAIG WARD 1.0 X 0 0 0 KATHY WELCH 1.0 X 0 0 0 DEBORAH S WILLIAMS 1.0 X 0 0 0 IRKA ZAZULAK 1.0 X 0 0 0 JASON M BIRNBAUM MD 1.0 X 0 0 0 WILLIAM B ALLEN PH D 1.0 X 0 0 0 MELINDA CRAIG 1.0 X 0 0 0 JANET DUNNE 1.0 X 0 0 0 R BRIAN KILBY 1.0 X 0 0 0 JOAN PACIFICI 1.0 X 0 0 0 JASON SKIDMORE 1.0 X 0 0 0 JOSEPH E HOFFMAN III 1.0 54.0 X 0 724598 77334 KENNETH M FERRARA 1.0 40.0 X 0 155400 16492 0 3600250 173649 0 false true false 0 688340 5110066 25437 5798406 0 290000 290000 0 0 0 0 0 6595809 5965227 630582 630582 630582 175109 688340 289077 -113968 -113968 0 0 0 6605020 806614 1628947 1628947 0 0 0 0 0 471752 471752 0 103785 103785 0 0 0 0 0 0 0 647483 647483 118469 118469 133355 133355 0 0 0 3129 3129 0 0 4166 4166 0 1276 1276 0 EQUIPMENT RENTALS 39839 39839 EMPLOYEE RELATIONS 31509 31509 MAINTENANCE CONTRACT 10927 10927 MISCELLANEOUS 89401 89401 3284038 1628947 0 1655091 347665 1633087 0 0 8310888 10554895 0 0 0 0 0 0 0 0 0 0 0 0 31634 25400 7510 6234 11150993 13006687 0 0 0 0 0 0 1116 5812 19818172 25206715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1370380 2712941 1370380 2712941 X 8488131 8906824 8683457 12310746 1276204 1276204 18447792 22493774 19818172 25206715 3320982 725000 X false true X true false X X UPPER CHESAPEAKE MEDICAL CENTER INC 521253920 03 true true true 387252 HARFORD MEMORIAL HOSPITAL INC 520591484 03 true true true 311914 UPPER CHESAPEAKE HEALTH SYSTEM INC 521398513 04 true true true 836460 UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE 260737028 03 true true true 93321 4 1628947 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5516110 5516110 5516110 5516110 5498148 17962 5516110 5990923 1541035 198187 2231997 5498148 7654759 922450 -483869 2063000 39417 5990923 false false 5596 5596 26038 25400 638 6234 0 DUE TO AFFILIATES 2712941 2712941 7330020 725000 725000 6605020 6605020 3284038 3284038 3284038 Schedule D, Part V, Line 4 Intended Uses of Endowment Funds The intended uses of the temporarily restricted net assets are as follows: nursing education at Harford Memorial Hospital (a supported organization of this filing organization) and other healthcare programs at Upper Chesapeake Medical Center and Harford Memorial Hospital (both supported organizations of this filing organization). The intended uses of the permanently restricted net assets are as follows: the income from such investments in perpetuity is expendable for equipment purchases by Harford Memorial Hospital and to support charity care provided by Harford Memorial Hospital. Schedule D, Part X, Line 2 Income Taxes The Foundation accounts for tax provisions in accordance with Financial Accounting Standards Board (FASB) Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes, included in Accounting Standards Codification (ASC) Subtopic 740-10, Income Taxes - Overall, which clarifies the accounting for uncertainty in tax provisions. FIN 48 requires that the Foundation recognize the impact of an uncertain tax position in their financial statements if that position is more likely than not to be sustained on audit. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. STAR NIGHTS 495593 447700 47893 188132 GOLF 180077 120180 59897 57606 2 187779 120460 67319 43339 863449 688340 175109 289077 289077 -113968 true HARFORD MEMORIAL HOSPITAL INC 501 SOUTH UNION HAVRE DE GRACE MD 21078 520591484 501(C)(3) 311914 GENERAL SUPPORT UPPER CHESAPEAKE MEDICAL CENTER 500 UPPER CHESAPEAKE DR BEL AIR MD 21014 521253920 501(C)(3) 387252 GENERAL SUPPORT UPPER CHESAPEAKE HEALTH SYSTEM INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521398513 501(C)(3) 836460 GENERAL SUPPORT UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 260737028 501(C)(3) 93321 GENERAL SUPPORT 4 0 SCHEDULE I, GRANTS TO ORGANIZATIONS PART I, QUESTION 2 This filing organization is a supporting organization whose only grantees are those supported organizations; therefore, reasonable internal procedures for monitoring the use of the granted funds exists among such related organizations. false true false false false false false false false LYLE E SHELDON 0 506583 0 249752 0 1917900 0 54500 0 25323 0 2754058 1194080 JOSEPH E HOFFMAN III 0 296238 0 119391 0 308969 0 51500 0 25834 0 801932 224402 KENNETH M FERRARA 0 135028 0 20252 0 120 0 15848 0 644 0 171892 SCHEDULE J, PART I, QUESTION 3 THIS ORGANIZATION DOES NOT HAVE A PAID CEO/EXECUTIVE DIRECTOR. ALL COMPENSATION TO THE CEO/EXECUTIVE DIRECTOR REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE HEALTH SYSTEM UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. UPPER CHESAPEAKE HEALTH SYSTEM CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE SCHEDULE J, PART I, QUESTION 4B AN ORGANIZATION RELATED TO THIS FILING ORGANIZATION MADE INTERNAL REVENUE CODE SECTION 457F PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THIS FILING ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A: LYLE E. SHELDON $ 81,116 JOSEPH E. HOFFMAN III $ 24,501 AN ORGANIZATION RELATED TO THIS FILING ORGANIZATION MADE SPLIT DOLLAR LIFE INSURANCE PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THIS FILING ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A: LYLE E. SHELDON $ 29,885 JOSEPH E. HOFFMAN III $ 8,481 SCHEDULE J, SUPPLEMENTAL INFORMATION Effective in calendar year 2012, Upper Chesapeake Health System, Inc., terminated their Secured Executive Benefit Plan (SERP). As a result of the SERP's termination, the plan participants: Lyle Sheldon, Joseph Hoffman, Dean Caster and Margaret Vaughan recognized additional taxable compensation (subject to employment tax withholding) in tax year 2012. This additional compensation is reflected in Schedule J - Part II - Column B(iii). X 2 269 FMV X GIFTS-IN-KIND 17 25168 FMV false false false PART VI, SECTION A, GOVERNING BODY & MANAGEMENT, QUESTION 6 EXISTENCE OF MEMBERS UPPER CHESAPEAKE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS FILING ORGANIZATION. UPPER CHESAPEAKE HEALTH SYSTEM ASSISTS IN THE MANAGEMENT AND PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO RELATED HEALTHCARE FACILITIES. PART VI, SECTION B, GOVERNING BODY & MANAGEMENT, QUESTION 11B ORGANIZATIONAL REVIEW OF FORM 990 THE BOARD OF UPPER CHESAPEAKE HEALTH SYSTEM, INC. ("HEALTH SYSTEM") HAS ASSIGNED THE EXECUTIVE COMMITTEE OF THE HEALTH SYSTEM'S BOARD TO REVIEW AND APPROVE ALL CONTENTS OF FORM 990 ON BEHALF OF THE BOARDS OF ALL HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. IN TURN, ONCE THE FORM 990 HAS BEEN APPROVED BY HEALTH SYSTEM'S EXECUTIVE COMMITTEE, A FINAL VERSION OF THE FORM 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS OF THE RESPECTIVE HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. FORMAL NOTIFICATION OF THE FINAL AND APPROVED FORM 990 FOR EACH OF THE HEALTH SYSTEM'S AFFILIATES AS WELL AS ITS AVAILABILITY WILL BE COMMUNICATED TO THE APPLICABLE BOARD MEMBERS ON OR BEFORE THE FILING OF THE FORM 990. PART VI, SECTION B, POLICIES, QUESTION 12C CONFLICT OF INTEREST POLICY The organization's written conflict of interest policy covers the following individuals: Directors, Principal Officers, and Senior Management. Furthermore, the policy extends to the family members (per Internal Revenue Service definition) of such Directors, Principal Officers, and Senior Management. The Board of Directors and any committee considering a contract, transaction or arrangement to which a known or potential conflict of interest relates, determines whether a conflict exists. Actual conflicts are reviewed by the Chairman of the Board. An individual with a known or potential conflict of interest must refrain from participating in, or acting on, the decision on any matter in which a conflict of interest, or even the appearance of such a conflict of interest, is present with respect to such individual and will remove himself or herself from any meeting or deliberations on the matter. PART VI, SECTION B, POLICIES, QUESTION 15 PROCESS FOR DETERMINING COMPENSATION The executive compensation committee of the board of directors approves compensation for the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and all key employees. The executive compensation committee utilizes but is not limited to the following resources in evaluating and establishing reasonable compensation: independent compensation consultants, compensation surveys and compensation studies. This organization and its tax-exempt affiliates strive to maintain an arm's length relationship between itself and its employees. It is the goal of the executive compensation committee to ensure that total compensation (compensation and benefits) paid to its employees is fair and reasonable. Finally, the process of setting and approving such compensation is performed annually by the board's executive compensation committee. PART VI, SECTION C, DISCLOSURE, QUESTION 19 DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST: ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS. 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