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UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM INC (EIN 52-1398513)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349304070
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T11:45:57-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 3100AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521398513EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Upper Chesapeake Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOSEPH E HOFFMAN IIIInCareOfName
Name ControlUPPENameControl
Phone4108773700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DRIVEAddressLine1
Address Line2Suite 405AddressLine2
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoseph E Hoffman IIIName
TitleCFOTitle
Phone4108773700Phone
Date Signed2013-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLYLE E SHELDONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DR 405AddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17873915GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UCHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionASSISTS IN THE MANAGEMENT OF RELATED HEALTHCARE FACILITIES. ALSO PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees114TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year775898ContributionsGrantsPriorYear
Contributions Grants Current Year836460ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12223929ProgramServiceRevenuePriorYear
Program Service Revenue CY16550021ProgramServiceRevenueCY
Investment Income Prior Year2104InvestmentIncomePriorYear
Investment Income Current Year347471InvestmentIncomeCurrentYear
Other Revenue Prior Year109234OtherRevenuePriorYear
Other Revenue Current Year139963OtherRevenueCurrentYear
Total Revenue Prior Year13111165TotalRevenuePriorYear
Total Revenue Current Year17873915TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year41730GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY98966GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10619066SalariesEtcPriorYear
Salaries Etc Current Year14360223SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2591734OtherExpensePriorYear
Other Expenses Current Year3648555OtherExpensesCurrentYear
Total Expenses Prior Year13252530TotalExpensesPriorYear
Total Expenses Current Year18107744TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-141365RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-233829RevenuesLessExpensesCY
Total Assets BOY4927290TotalAssetsBOY
Total Assets EOY2658115TotalAssetsEOY
Total Liabilities BOY6671618TotalLiabilitiesBOY
Total Liabilities EOY4637272TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1744328NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1979157NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionASSISTS IN THE MANAGEMENT OF RELATED HEALTHCARE FACILITIES. ALSO PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18107744Expense
Grants98966Grants
Revenue16645307Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense18107744TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees114NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOSEPH E HOFFMAN IIINamePerson
Telephone Number4436433340TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DR STE 405AddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
H WILLIAM ACKER
VICE CHAIRMAN/DIRECTOR5.010.0XX000
STEVEN M BENTMAN MD
DIRECTOR1.02.0X0229170
JOHN H CAIN
DIRECTOR1.0X000
MELINDA L CRAIG
DIRECTOR1.0X000
DIANE K FORD
DIRECTOR1.0X000
JASON M BIRNBAUM MD
DIRECTOR1.0X000
M SCOT KAUFMAN
SECRETARY/DIRECTOR5.0XX000
ANDREW KLEIN
DIRECTOR1.0X000
JAMES LAMBDIN
DIRECTOR1.0X000
ANTHONY J MEOLI
TREASURER/DIRECTOR5.0XX000
ROGER E SCHNEIDER MD
CHAIRMAN/DIRECTOR5.0XX000
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR40.015.0XX2674235079823
RICHARD P STREETT JR VMD
DIRECTOR1.0X000
ADELE A WILZACK RN MS
DIRECTOR1.0X000
ALBERT J A YOUNG
DIRECTOR1.0X000
FAHEEM YOUNUS MD
DIRECTOR1.0X01650000
KENNETH M FERRARA
VP/EXEC DIRECTOR-FOUNDATION40.0155400016492X
JOSEPH E HOFFMAN III
SR VP/CFO40.015.0724598077334X
JAMES J HURSEY
SR VP/COO40.014.0276141056414X
DEAN C KASTER
SR VP-CORP STRATEGY/BUS DVLPMT40.010.0499354063620X
MARGARET M VAUGHAN
SR VP - MEDICAL AFFAIRS40.06.0828477028762X
E SCOTT CONOVER
VP-GENERAL COUNSEL/EX DIR-UCMS40.06.0456107043977X
TONI M SHIVERY
VP - HUMAN RESOURCES40.010.0214360064712X
JOHN KEVIN LYNCH
SR VP - MEDICAL AFFAIRS40.0330831069993X
DAVID G RORISON
SR MEDICAL DIRECTOR-CRM40.0253908015147X
ROBIN LUXON
VP - CLINICAL SERVICES40.0193376043139X
CRAIG WILLIG
VP - FINANCE40.0181384029707X
JEANETTE G BAREFOOT
EXEC DIR-ONCOLOGY SERVICE LINE40.0137789033059X
STEPHANIE DINSMORE
VP - PHYSICIAN SRVS/BUS DVLPMT40.0139908046557X
KENNETH D KOZEL END 102011
FORMER SR VP/COO0.00.013605700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7201925TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs187917TotalReportableCompFrmRltdOrgs
Total Other Compensation668736TotalOtherCompensation
Number Individuals GT100 K26NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations836460RelatedOrganizations
Total Contributions836460TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code561000BusinessCode
Total Revenue Column16550021TotalRevenueColumn
Related Or Exempt Function Income16550021RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16550021TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column347471TotalRevenueColumn
Exclusion$347,471ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real44677Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real44677Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column44677TotalRevenueColumn
Exclusion$44,677ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionHEALTHLINK PRIMARY CARE CLINICDescription
Business Code900099BusinessCode
Total Revenue Column95286TotalRevenueColumn
Related Or Exempt Function Income95286RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue95286TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17873915TotalRevenueColumn
Related Or Exempt Function Income16645307RelatedOrExemptFunctionIncome
Exclusion$392,148ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total98966Total
Program Services98966ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6660630Total
Program Services6660630ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2939293Total
Program Services2939293ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2549272Total
Program Services2549272ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1586935Total
Program Services1586935ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total624093Total
Program Services624093ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total103677Total
Program Services103677ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total71607Total
Program Services71607ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1423102Total
Program Services1423102ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total88847Total
Program Services88847ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total787940Total
Program Services787940ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total664529Total
Program Services664529ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total43411Total
Program Services43411ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total44729Total
Program Services44729ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total352Total
Program Services352ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total199984Total
Program Services199984ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total65309Total
Program Services65309ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RECRUITMENT AND RETENTION8573485734
EQUIPMENT RENTALS3175931759
DUES AND SUBSCRIPTIONS1651016510
MAINTENANCE & REPAIRS1037010370

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10695Total
Program Services10695ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18107744Total
Program Services18107744ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1274510BOY
EOY20535EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY233667EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY1784326BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72510BOY
EOY66898EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4193977LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1861424LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1730789BOY
EOY2332553EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY65155BOY
EOY4462EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4927290BOY
EOY2658115EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1448301BOY
EOY1657527EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5223317BOY
EOY2979745EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6671618BOY
EOY4637272EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1744328BOY
EOY-1979157EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1744328BOY
EOY-1979157EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4927290BOY
EOY2658115EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-233829ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-1000ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
HARFORD MEMORIAL HOSPITAL
52139850703truetruetrue$3,435,428
UPPER CHESAPEAKE HEALTH VENTURES INC
52203126403truetruetrue$105,000
UPPER CHESAPEAKE MEDICAL SERVICES INC
52150173404truetruetrue$2,113,569
UPPER CHESAPEAKE MEDICAL CENTER INC
52125392003truetruetrue$8,188,083
UPPER CHESAPEAKE HEALTH FOUNDATION
52129850703truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts13842080SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis433296OtherCostOrOtherBasis
Book Value433296BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis944937OtherCostOrOtherBasis
Depreciation602466Depreciation
Book Value342472BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis88891OtherCostOrOtherBasis
Depreciation86622Depreciation
Book Value2268BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2460038OtherCostOrOtherBasis
Depreciation969663Depreciation
Book Value1490374BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis266815OtherCostOrOtherBasis
Depreciation202673Depreciation
Book Value64143BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2332553TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$2,978,868
OTHER LONG TERM LIABILITIES$877
FieldValueIRS element (for citing)
Total Of Amounts2979745TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt17873915TotRevenueEtcAuditedFinclStmt
Revenue Subtotal17873915RevenueSubtotal
Total Revenue Per Form99017873915TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18107744TotExpensesEtcAuditedFinclStmt
Expenses Subtotal18107744ExpensesSubtotal
Total Expenses Per Form99018107744TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierINCOME TAXES (FIN 48)Identifier
Return ReferencePART X, QUESTION 2ReturnReference
ExplanationUCMC, HMH, UCSJHC, UCRHH and UCMS have received determination letters from the Internal Revenue Service (IRS) granting them federal income tax exempt status under Section 501(C)(3) of the Internal Revenue Code. UCP is a title holding company and has received a determination letter from the IRS granting it federal income tax exempt status under Section 501(C)(2) of the Internal Revenue Code. UCHS/UMMS Venture, LLC (Venture) is a limited liability company not subject to entity level tax. The income earned by the Venture is taxable to the owners of the joint venture to the extent that it constitutes unrelated business income to UCHS and UMMS, the tax exempt members of the Venture. UCHV and Upper Chesapeake Medical Center Land Condominium, Inc. are organized as for-profit entities, are subject to federal income taxes, which are recorded under ASC Topic 740, Income Taxes. Accordingly, for those entities, income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. The Venture recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. 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.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedCAPTIVE INSURANCE CO.SpecificServicesProvided
Total Expenditures4244140TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent4244140SubtotalAmountSpent
Total Amount Spent4244140TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MARYLAND HEALTHCARE EDUCATION
6820 DEERPATH ROADELKRIDGEMD21075520901664501(c)(3)75000GENERAL SUPPORT
MARYLAND PATIENT SAFETY CENTER
6820 DEERPATH ROADELKRIDGEMD21075262188491501(C)(3)9000GENERAL SUPPORT
UMMS FOUNDATION
110 S PACA STREET 9TH FLBALTIMOREMD212011534522238893501(C)(3)6000SHOCK TRAUMA GALA
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I - GRANTS & OTHER ASSISTANCEIdentifier
Return ReferencePART I, QUESTION 2 - GENERAL INFORMATION ON GRANTS AND ASSISTANCEReturnReference
ExplanationALTHOUGH THE FILING ORGANIZATION DOES NOT HAVE FORMALIZED INTERNAL PROCEDYRES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE FILING ORGANIZATION DOES HAVE A WRITTEN AND APPROVED CHARITABLE GIVING POLICY AND PROCEDURE. THERE IS WRITTEN CRITERIA REGARDING THE RECOMMENDATIONS FOR CONSIDERATION WHEN EVALUATING CONTRIBUTION REQUESTS SUCH AS FOLLOWS: (1) THAT CONTRIBUTIONS WILL BE MADE ONLY TO ORGANIZATIONS FOR PURPOSES CONSISTENT WITH UPPER CHESAPEAKE HEALTH SYSTEM'S VISION AND MISSION. (2) CONTRIBUTIONS WILL BE MADE ONLY TO NOT-FOR-PROFIT ORGANIZATIONS. (3) CONTRIBUTIONS WILL PREFERABLY BE MADE TO ORGANIZATIONS WHICH DIRECTLY SERVE THE CITIZEN OF HARFORD AND CECIL COUNTIES. (4) CONTRIBUTIONS WILL NOT BE GIVEN TO INDIVIDUALS. (5) CONTRIBUTIONS WILL NOT BE MADE FOR RELIGIOUS PURPOSES; HOWEVER, THERE MAY BE CONTRIBUTIONS GIVEN FOR A SPECIFIC EFFORT OR PROGRAM WITHIN A CHURCH OR RELIGIOUS FACILITY WHICH PROVIDES HEALTH-RELATED SERVICES TO THE BROADER COMMUNITY. (6) CONTRIBUTIONS WILL NOT BE MADE IN SUPPORT OF POLITICAL ADVOCACY. (7) UPPER CHESAPEAKE HEALTH SYSTEM WILL STRIVE TO DONATE TO ORGANIZATIONS WHERE THE MAJORITY OF THE FUNDS RECEIVED ARE APPLIED DIRECTLY TO THE NEED THE ORGANIZATION IS DESIGNED TO MEET. *** REQUESTS FOR $5,000 AND UNDER ARE REFERRED TO THE PRESIDENT/CEO FOR REVIEW AND APPROVAL *** REQUESTS FOR GREATER THAN $5,000 ARE REFERRED TO THE COMMUNITY DEVELOPMENT COMMITTEE FOR DISCUSSION AND APPROVALExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR50658302497520191790005450002532302754058011940800
FAHEEM YOUNUS MD
DIRECTOR000001650000000016500000
KENNETH M FERRARA
VP/EXEC DIRECTOR-FOUNDATION135028020252012001584806440171892000
JOSEPH E HOFFMAN III
SR VP/CFO29623801193910308969051500025834080193202244020
JAMES J HURSEY
SR VP/COO26958700065540460370103770332555000
DEAN C KASTER
SR VP-CORP STRATEGY/BUS DVLPMT2234520891740186728032438031182056297401485050
MARGARET M VAUGHAN
SR VP - MEDICAL AFFAIRS3085140125000039496300028762085723902707540
E SCOTT CONOVER
VP-GENERAL COUNSEL/EX DIR-UCMS3083890102030045688041500024770500084000
TONI M SHIVERY
VP - HUMAN RESOURCES16979204429802700377470269650279072000
JOHN KEVIN LYNCH
SR VP - MEDICAL AFFAIRS245343076628088600445000254930400824000
DAVID G RORISON
SR MEDICAL DIRECTOR-CRM23507001762501213012293028540269055000
ROBIN LUXON
VP - CLINICAL SERVICES160586025434073560256610174780236515000
CRAIG WILLIG
VP - FINANCE14996702292208495022724069830211091000
JEANETTE G BAREFOOT
EXEC DIR-ONCOLOGY SERVICE LINE9607800041711024051090080170848000
STEPHANIE DINSMORE
VP - PHYSICIAN SRVS/BUS DVLPMT12007401966501690250390215180186465000
KENNETH D KOZEL END 102011
FORMER SR VP/COO008990004615700000136057000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE J, PART I, QUESTION 4BTHE ORGANIZATION MADE INTERNAL REVENUE CODE SECTION 457F PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THE ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A: LYLE E. SHELDON $ 81,116 JOSEPH E. HOFFMAN III $ 24,501 JAMES J. HURSEY $ 5,369 DEAN C. KASTER $ 18,438 E. SCOTT CONOVER $ 44,658 * JOHN K. LYNCH $ 7,605 * AMOUNT FOR E. SCOTT CONOVER REPPRESENTS "PAYOUT OF PRIOR YEAR 457F CONTRIBUTIONS" The organization made split dollar life insurance plan contributions to the following members of senior leadership who are listed on the organization's Form 990, Part VII, Section A, Line 1A: Lyle E. Sheldon $ 29,885 Margaret M. Vaughan $ 8,562 Joseph E. Hoffman III $ 8,481 Dean C. Kaster $ 6,489
SCHEDULE J, SUPPLEMENTAL INFORMATIONEffective 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).

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART VI, SECTION A, GOVERNING BODY & MANAGEMENT, QUESTION 2FAMILY OR BUSINESS RELATIONSHIPLYLE E. SHELDON AND JOSEPH E. HOFFMAN III ARE OFFICERS IN THE SAME BUSINESS ENTITIES. THE SAME BUSINESS ENTITIES ARE THE FOR-PROFT CORPORATIONS OR PARTNERSHIPS THAT ARE RELATED TO THIS FILING ENTITY. PLEASE SEE FORM 990, SCHEDULE R.
PART VI, SECTION B, POLICIES, QUESTION 11BORGANIZATIONAL REVIEW OF FORM 990THE 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 HEALTH SYSTEM AND ALL OF 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 HEALTH SYSTEM AND HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. FORMAL NOTIFICATION OF THE FINAL AND APPROVED FORM 990 FOR HEALTH SYSTEM AND EACH OF 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 12CCONFLICT OF INTEREST POLICYThe 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 15PROCESS FOR DETERMINING COMPENSATIONThe 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 19DOCUMENTS AVAILABLE TO THE PUBLICTHE ORGANIZATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST: ARTICLES OF INCORPORATION, BYLAWS, AND CONFLICT OF INTEREST POLICY.
PART III, PROGRAM SERVICE ACCOMPLISHMENTSTO PROVIDE HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTHCARE. ITS TWO HOSPITALS, HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER OFFER SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH SYSTEM IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH SYSTEM HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY, AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES, AND TO HOMES. UPPER CHESAPEAKE MEDICAL CENTER IS A MEMBER OF THE UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE MEDICAL CENTER IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THIS PREMIER HEALTH CARE FACILITY INCORPORATES SEVERAL TRENDS THAT REFLECT HOW HEALTH CARE IS CHANGING, INCLUDING REORIENTATION TOWARDS OUTPATIENT CARE, MORE ACUTELY ILL PATIENTS IN THE HOSPITAL AND FLEXIBILITY FOR GROWTH AND CHANGE TO MEET OUR COMMUNITY'S FUTURE HEALTH CARE NEEDS. LOCATED ON THE MEDICAL CAMPUS IS THE UPPER CHESAPEAKE MEDICAL CENTER WITH 194 ACUTE CARE BEDS. ADJACENT TO THE MEDICAL CENTER IS THE AMBULATORY CARE CENTER OF HARFORD COUNTY, CONTAINING PHYSICIAN OFFICES, OUTPATIENT IMAGING AND LABORATORY PROCEDURES, OUTPATIENT PRE-ASSESSMENT TESTING AND ASSESSMENT, UPPER CHESAPEAKE CARDIOVASCULAR INSTITUTE, AND THE ADMINISTRATIVE OFFICES OF UPPER CHESAPEAKE HEALTH. ALSO LOCATED NEXT TO THE MEDICAL CENTER, IS A PRE-EXISTING MEDICAL OFFICE BUILDING WITH PHYSICIAN OFFICES AND OTHER HEALTHCARE RELATED SERVICES, A PARKING GARAGE AND A SECOND MEDICAL OFFICE BUILDING WHICH INCLUDES OUTPATIENT SERVICES AND PHYSICIAN OFFICES. HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER MAINTAIN CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCT MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS - SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS - HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES - FREE AND MOBILE CLINIC # OF STAFF HOURS # OF ENCOUNTERS COMMUNITY HEALTH SERVICES 1,500 18,792 HEALTH PROFESSIONS EDUCATION 14,822 408 MISSION DRIVEN HEALTHCARE SVCS - - RESEARCH 214 12 FINANCIAL CONTRIBUTIONS 323 18 COMMUNITY BUILDING ACTIVITIES 289 32 FOUNDATION FUNDED COMMUNITY BENEFIT - - MEDICAID ASSESSMENTS - - --------- --------- TOTAL HOSPITAL COMMUNITY BENEFIT 17,148 19,262 DIRECT COST ($) INDIRECT COST ($) COMMUNITY HEALTH SERVICES $ 1,278,175 $ 673,470 HEALTH PROFESSIONS EDUCATION 524,683 - MISSION DRIVEN HEALTHCARE SVCS 3,928,502 - RESEARCH 22,033 - FINANCIAL CONTRIBUTIONS 204,408 - COMMUNITY BUILDING ACTIVITIES 289 32 FOUNDATION FUNDED COMM. BENEFIT 111,256 - MEDICAID ASSESSMENTS 7,382,380 - --------- --------- TOTAL HOSPITAL COMM. BENEFIT $ 13,612,091 $ 758,119 OFFSETTING NET COMMUNITY REVENUE ($) BENEFIT ($) COMMUNITY HEALTH SERVICES $ 97,456 $ 1,854,189 HEALTH PROFESSIONS EDUCATION - 524,683 MISSION DRIVEN HEALTH CARE SVCS - 3,928,502 RESEARCH - 22,033 FINANCIAL CONTRIBUTIONS - 204,408 COMMUNITY BENEFIT OPERATIONS - 245,303 CHARITY CARE - 4,777,100 FOUNDATION FUNDED COMM. BENEFIT - 111,256 MEDICAID ASSESSMENTS 6,312,858 1,069,522 ------- --------- TOTAL HOSPITAL COMM. BENEFIT $ 6,410,314 $ 12,736,996
COMMUNITY OUTREACHCommunity Outreach - In 2012, HealthLink had over 19,000 community-wide contacts through their screening and educational programs, flu vaccination clinics, support groups and HealthLink Primary Care Clinic visits. Approximately, 4740 of these contacts were for health screenings (blood pressure, body fat, cholesterol, osteoporosis, stroke, diabetes risk assessments, foot and eye screenings, and cancer screenings). This also includes 4,689 contacts that were realized through the HealthLink Primary Care Clinic. Over 2,277 influenza vaccinations were administered countywide. Community Outreach also provided local businesses with employee health screenings and vaccinations. And more than 3000 Harford County children received health education from Upper Chesapeake Community Outreach. Senior Center/Senior Housing/Assisted Living Programs - Community Outreach continued to provide monthly blood pressure screenings at all six senior centers and senior housing centers including Windsor Valley Apartments, Abingdon Senior Housing, Fairbrooke, St. Johns commons, St. Johns Towers, Aberdeen and Perryman Station as well as Brightview and Avondale assisted Living Facilities. Throughout the year, many different health screenings were held during certain months at each senior location. During the month of February, cholesterol screenings were provided to 253 participants at all six senior centers. In March, a screening for body composition was provided to 106 participants at the senior centers. During the month of May, a screening for stroke risk assessment was provided for 249 participants at all of the senior centers and senior housing centers. In September, a hearing and vision screening was provided for the first time at all six senior centers for 137 participants. Then in October, influenza vaccinations were provided at all of the senior centers, senior housing, and assisted living programs. There was also a diabetes risk screening provided in November at a few senior centers that 17 participants engaged in. Children's Programs - A total of 291 children were involved with our Glo Germ Program. This is a program that emphasizes how infection is spread and the importance of good hand washing habits. - Approximately 588 children were exposed to our KATU (Kids Against Tob Approximately 588 children were exposed to our KATU (Kids Against Tobacco Use) program and Smoking Out the Truth programs. These programs teach children, adolescents, and teens about the dangers associated with tobacco use. Toxic Soup is a program that addresses the effects of secondhand smoke which is a program included at times. - There were approximately 1043 children who attended our Teddy Bear Clinics at many of the Harford County elementary public schools. This is an interactive program that familiarizes children with the hospital experience and presents information on child safety. - Another popular program titled How Sweet It Is was taken out into the community and over 2363 children and adults were exposed to this program. The focus of this program is to educate children and adults on the sugar content in many of their favorite drinks including juice boxes, sports drinks, soda, flavored water, and popular coffee drinks. - Over 300 children and adults were involved in our Sun Sense program during the year. This program educates children, teens and adults on the harmful effects of the sun including the dangers of tanning beds. A skin analyzer machine is also utilized with this program to allow individuals to examine their own skin and realize the impact that the sun has had on their skin. - In addition to the above programs, a nutrition program titled My Plate was developed geared to children, teens, adults and seniors. This program focuses on making healthier food choices and building a healthy plate. New Screenings and New Businesses - In 2012, new equipment was obtained to be able to provide HbA1c screenings for Team Members determined at risk for diabetes at the Wellness Works program here at UCH. This screening uses blood from a fingerstick to determine a HbA1c level which is the average blood glucose level in the body over a 2-3month period. The ability to use this screening tool in the community is being evaluated. - A new partnership was formed with the Harford County Sheriff's Office to provide health fairs for their employees. The first health fair was held at the Heat Center in Aberdeen with over 25 participants at this event. Some of the health screenings and programs offered were blood pressures, body composition, Health Wheel, sleep assessment, and How Sweet It Is. In the Fall, two health fairs were coordinated at the northern and southern precincts to capture and improve accessability to more employees. There were approximately 55 participants at these events. Some of the screenings offered in the fall were cholesterol, blood pressure, body composition, CO assessment to screen for smoking, My Plate, Health Wheel, flu shots, and How Sweet It Is. - Community Outreach got involved with a new initiative by the Harford County Public Schools to provide health screenings to their employees at three designated schools during the month of September. Many different health screenings were offered including cholesterol, blood pressures, body composition, osteoporosis, cardiac risk assessment, and stroke risk assessment.
VACCINES- Community Outreach administered approximately 2277 community flu vaccinations throughout the county in 2012. "Dining with Docs" Lectures and Community Lectures - In 2012, there were several "Dining with Docs" lectures about cancer and the environment and sleep disorders that were held at the Upper Chesapeake Medical Center. Approximately 68 community residents attended these lectures. - There were many other community lectures provided on topics regarding Healthy Aging, Heart Health, and Nutrition held at several churches in the county. Approximately 546 community residents attended one of these lectures. - A seminar on Heart Disease and Erectile Dysfunction presented by a cardiologist and urologist was coordinated with Chesapeake Urology Associates at the Richlin Ballroom in Edgewood. Over 45 members of the community attended this event. A blood pressure screening was also provided. Havre de Grace Health-Tacular - The Second Annual Health Fair was held at the Havre de Grace Activity Center. HealthLink was involved in the planning of this event with Marketing and other departments on the committee. There were many different screenings and programs offered at this event including cholesterol, blood pressure, body composition, hearing screening, breast health, skin cancer screening, prostate screening, Health Wheel, How Sweet It Is program, and free flu vaccinations. Over 300 people took advantage of these services offered. HealthLink Community Wellness Center - In 2012, the HealthLink Community Wellness Center which operates from the HealthLink Medical Mobile Van had 84 residents participate in one of the available health screenings offered throughout the year. The Wellness Centers are offered monthly at two different locations in the County. Primary Care Clinic - The HealthLink Primary Care Clinic (PCC) provided primary care on a sliding fee scale to low income adults age 19 and above who are uninsured or underinsured and meet specific income criteria. In 2012, the PCC had approximately 4,689 patient encounters. HealthLink Call Center - In 2012, our HealthLink Call Center handled approximately 6,334 calls. This included almost 387 physician referrals, 2,784 physician related calls and 1,884 service calls. Support Groups - HealthLink RNs facilitate countywide support groups for diabetes. The support groups meet at the Aberdeen Senior Center, Edgewood Senior Center, Primary Care Clinic, and the McFaul Activity Center. These groups meet monthly and served approximately 180 participants. HealthLink and Community Health Improvement Coalitions and Committees - Harford County School Health Board - Harford County Tobacco Coalition - Harford County Cancer Coalition - Office on Aging Advisory Board - Harford County Homeless Advisory Board - GAIN Committee - Healthy Harford

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398507FIN SUPPORTMD501(c)(3)11AUCHStrue
UPPER CHESAPEAKE MEDICAL SERVICES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521501734PHYSICIAN SVCMD501(c)(3)9UCHSUMMS VNtrue
HARFORD MEMORIAL HOSPITAL INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014520591484HOSPITAL CAREMD501(c)(3)3UCHSUMMS VNtrue
UPPER CHESAPEAKEST JOE'S HOME CARE INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521229742HOSPICE CAREMD501(c)(3)9UCHSUMMS VNtrue
UPPER CHESAPEAKE MEDICAL CENTER INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521253920HOSPITAL CAREMD501(c)(3)3UCHSUMMS VNtrue
UPPER CHESAPEAKE PROPERTIES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521907237TITLE HOLDINGMD501(c)(2)N/AUCHSUMMS VNtrue
UPPER CHESAPKE RESIDENTIAL HOSPICE HOUSE
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014260737028HOSPICE CAREMD501(c)(3)7UCHSUMMS VNtrue
HEALTHY HARFORD INC
2027 PULASKI HWY SUITE 215HAVRE DE GRACEMD21078521944325HEALTH INIATVMD501(c)(3)7NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
UCHSUMMS VENTURE LLC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014522178070MEDICAL SERVICESMDNArelated24326293649false$0true0.51000
UCHSUMMS REAL ESTATE TRUST
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014276803540HOLD LANDMDNAn/a-4643665098false$0true0.20000

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
UPPER CHESAPEAKE HEALTH VENTURES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014522031264MISC. SERVICESMDUCHSUMMS VNC CORP3513438881260.51000false
UPPER CHESAPEAKE MED OFFICE BLDG INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521946829REAL ESTATEMDUC HLTH VNTRSC CORP000.51000false
UPPER CHESAPEAKE MGMT SVCS ORG INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521946025MANAGEMENT SRVCSMDUC HLTH VNTRSC CORP000.51000false
UC MEDICAL CENTER LAND CONDOMINIUM INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014770674478REAL ESTATEMDUC MED CENTERC CORP12700977700.51000false
UPPER CHESAPEAKE INSURANCE COMPANY LTD
980468438CAPTIVE INSURANCENALTD.4246969194165701.00000truePO BOX 1109GRAND CAYMANCAYMAN ISLANDSCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HARFORD MEMORIAL HOSPITAL
L3435428CASH OR FMV
UPPER CHESAPEAKE HEALTH VENTURES INC
L105000CASH OR FMV
UPPER CHESAPEAKE MEDICAL SERVICES INC
L2113569CASH OR FMV
UPPER CHESAPEAKE MEDICAL CENTER INC
A190735CASH OR FMV
UPPER CHESAPEAKE MEDICAL CENTER INC
L8188083CASH OR FMV
UPPER CHESAPEAKE MEDICAL CENTER INC
P15053472CASH OR FMV
UPPER CHESAPEAKE FOUNDATION
O471752CASH OR FMV
UPPER CHESAPEAKE FOUNDATION
c836460CASH OR FMV