CHESTER RIVER HOSPITAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CHESTER RIVER HOSPITAL CENTER (EIN 52-0679694)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201331349349303278
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T12:01:49-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET SUITE 3100	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520679694	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Chester River Hospital Center	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% SAMUEL MARINELLI JR	InCareOfName
Name Control	CHES	NameControl
Phone	4107783300	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Brown Street	AddressLine1
City	Chestertown	City
State	MD	State
ZIP Code	21620	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Samuel P Marinelli Jr	Name
Title	VP For Finance	Title
Date Signed	2013-05-08	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Frank Giardini	Name
Phone	2155614200	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	James R Ross	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	100 Brown Street	AddressLine1
City	Chestertown	City
State	MD	State
ZIP Code	21620	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	54176136	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.chesterriverhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1935	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	Chester River Hospital Ctr, a member of UMMS, is an integral rural delivery system dedicated to providing excellent and caring health services and facilities to the people of Upper Eastern Shore.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	536	TotalNbrEmployees
Total Nbr Volunteers	76	TotalNbrVolunteers
Total Gross UBI	225068	TotalGrossUBI
Net Unrelated Business Txbl Income	-31567	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	421096	ContributionsGrantsPriorYear
Contributions Grants Current Year	823500	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	55064765	ProgramServiceRevenuePriorYear
Program Service Revenue CY	52643153	ProgramServiceRevenueCY
Investment Income Prior Year	177228	InvestmentIncomePriorYear
Investment Income Current Year	277694	InvestmentIncomeCurrentYear
Other Revenue Prior Year	497014	OtherRevenuePriorYear
Other Revenue Current Year	431789	OtherRevenueCurrentYear
Total Revenue Prior Year	56160103	TotalRevenuePriorYear
Total Revenue Current Year	54176136	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	14245	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	21283	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	29554328	SalariesEtcPriorYear
Salaries Etc Current Year	29449384	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	122165	TotalFundrsngExpCurrentYear
Other Expense Prior Year	25463272	OtherExpensePriorYear
Other Expenses Current Year	25780637	OtherExpensesCurrentYear
Total Expenses Prior Year	55031845	TotalExpensesPriorYear
Total Expenses Current Year	55251304	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1128258	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1075168	RevenuesLessExpensesCY
Total Assets BOY	49507263	TotalAssetsBOY
Total Assets EOY	53806092	TotalAssetsEOY
Total Liabilities BOY	21512687	TotalLiabilitiesBOY
Total Liabilities EOY	28263570	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	27994576	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	25542522	NetAssetsOrFundBalancesEOY
Mission Description	AN ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF KENT AND QUEEN ANNE'S COUNTIES AND PORTIONS OF CAROLINE AND CECIL COUNTIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	46446449	Expense
Grants	21283	Grants
Revenue	52568792	Revenue
Description	CHESTER RIVER HOSPITAL CENTER IS A 53-BED HOSPITAL. IT IS SERVED BY APPROXIMATELY 100 ACTIVE AND CONSULTING STAFF PHYSICIANS REPRESENTING A WIDE ARRAY OF MEDICAL SPECIALTIES. THE COMMUNITY HOSPITAL, WHICH IS FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, PROVIDES INPATIENT MEDICAL SERVICES, 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, OUTPATIENT DIAGNOSTIC SERVICES, LABORATORY SERVICES, REHABILITATION, MATERNITY/BIRTHING SUITES AND ONCOLOGY TO SERVE THE LOCAL COMMUNITY'S NEEDS. THE HOSPITAL WAS ESTABLISHED IN 1935. IT IS STAFFED BY APPROXIMATELY 500 EMPLOYEES.	Description
Total Program Service Expense	46446449	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	116	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	536	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SAMUEL MARINELLI JR	NamePerson
Telephone Number	4107783300	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	100 BROWN STREET	AddressLine1
City	CHESTERTOWN	City
State	MD	State
ZIP Code	21620	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Wayne L Gardner
Chair	1.0	X	X	0	0	0
Frank Lewis MD
Director	1.0	X		0	0	0
David C Bramble
Secretary	1.0	X	X	0	0	0
Judith E Cooper
Director	1.0	X		0	0	0
Henry C Johnson
Director	1.0	X		0	0	0
David W Knutson MD
Director	1.0	X		0	0	0
C Daniel Saunders
Director	1.0	X		0	0	0
Ernest W Strong
Director	1.0	X		0	0	0
Glenn F Robbins MD
Director	1.0	X		0	773083	19414
John W Ashworth
Director	1.0	X		0	569353	17755
Robert A Chrencik
Director	1.0	X		0	2073638	213732
Edwin R Fry
Director	1.0	X		0	0	0
William J Washington
Director	1.0	X		0	0	0
Jane E Hukill
Director	1.0	X		0	0	0
Samuel P Marinelli Jr
Treasurer	40.0		X	303941	0	15245
James E Ross
President and CEO	40.0		X	460946	0	17599
Scott Burleson
Executive Vice President	40.0			275722	0	19710	X
Mary Jo Keefe
VP Patient Services	40.0			164493	0	28063	X
Deborah Davis
ER Doctor	40.0			351937	0	15821		X
Henry Arakaky
ER Doctor	40.0			312578	0	7350		X
Steven Lucas
ER Doctor	40.0			307594	0	15572		X
Keri Jacobs
Hospitalist	40.0			367712	0	8312		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2544923	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3416074	TotalReportableCompFrmRltdOrgs
Total Other Compensation	378573	TotalOtherCompensation
Number Individuals GT100 K	28	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
EAGLE HOSPITAL PHYSICIANS LLC
0600 NORTH DALLAS PKWY	DALLAS	TX	75248	STAFFING	745394
CHESTERTOWN PHYSICAL THERAPY
818 HIGH ST STE1	CHESTERTOWN	MD	21620	THERAPISTS	284678
CHESAPEAKE ANESTHESIOLOGY PAIN MG
100 BROWN ST	CHESTERTOWN	MD	21620	MEDICAL	391000
PROCO
PO BOX 2462	ASTON	PA	19014	COLLECTIONS	237574
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	227072

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	13	NumberOfContractorsGT100K
Related Organizations	793000	RelatedOrganizations
Government Grants	30500	GovernmentGrants
Total Contributions	823500	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE REVENUE	Description
Business Code	623000	BusinessCode
Total Revenue Column	52643153	TotalRevenueColumn
Related Or Exempt Function Income	52418085	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	225068	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	52643153	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	277694	TotalRevenueColumn
Exclusion	$277,694	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	281082	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	281082	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	281082	TotalRevenueColumn
Exclusion	$281,082	ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Business Code	900099	BusinessCode
Total Revenue Column	150707	TotalRevenueColumn
Related Or Exempt Function Income	150707	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	150707	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	54176136	TotalRevenueColumn
Related Or Exempt Function Income	52568792	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	225068	UnrelatedBusinessRevenue
Exclusion	$558,776	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	21283	Total
Program Services	21283	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1302632	Total
Program Services	1106764	ProgramServices
Management And General	190565	ManagementAndGeneral
Fundraising	5303	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	21871967	Total
Program Services	18583230	ProgramServices
Management And General	3199697	ManagementAndGeneral
Fundraising	89040	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1978139	Total
Program Services	1680700	ProgramServices
Management And General	289386	ManagementAndGeneral
Fundraising	8053	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2750106	Total
Program Services	2334568	ProgramServices
Management And General	404288	ManagementAndGeneral
Fundraising	11250	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1546540	Total
Program Services	1313997	ProgramServices
Management And General	226247	ManagementAndGeneral
Fundraising	6296	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	5818	Total
Management And General	5818	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4606522	Total
Program Services	2962577	ProgramServices
Management And General	1643945	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	194932	Total
Management And General	194112	ManagementAndGeneral
Fundraising	820	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	506348	Total
Program Services	253527	ProgramServices
Management And General	251978	ManagementAndGeneral
Fundraising	843	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1747083	Total
Program Services	1747083	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1155101	Total
Program Services	1047784	ProgramServices
Management And General	107317	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	15164	Total
Program Services	8746	ProgramServices
Management And General	6418	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	102090	Total
Program Services	53746	ProgramServices
Management And General	48344	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	250160	Total
Program Services	221392	ProgramServices
Management And General	28768	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3891438	Total
Program Services	3443923	ProgramServices
Management And General	447515	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1270274	Total
Program Services	1270274	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT EXPENSE	957345	957345
PURCHASED SERVICES	4240182	2734742	1504920	520
SUPPLIES	442567	415687	26880
PROFESSIONAL DUES AND LICENSES	112992	24104	88888

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6282621	Total
Program Services	6264977	ProgramServices
Management And General	17604	ManagementAndGeneral
Fundraising	40	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	55251304	Total
Program Services	46446449	ProgramServices
Management And General	8682690	ManagementAndGeneral
Fundraising	122165	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2046592	BOY
EOY	4045932	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8569869	BOY
EOY	8901458	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	581594	BOY
EOY	455519	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1989339	BOY
EOY	4380168	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	53838589	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	32161061	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	22006912	BOY
EOY	21677528	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	5614000	BOY
EOY	5172000	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3108000	BOY
EOY	3603000	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5590957	BOY
EOY	5570487	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	49507263	BOY
EOY	53806092	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	7718647	BOY
EOY	14470490	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	3249402	BOY
EOY	2563187	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3346322	BOY
EOY	2900441	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7198316	BOY
EOY	8329452	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	21512687	BOY
EOY	28263570	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26362650	BOY
EOY	23958197	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	268670	BOY
EOY	213815	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1363256	BOY
EOY	1370510	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	27994576	BOY
EOY	25542522	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	49507263	BOY
EOY	53806092	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-1075168	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1376886	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$5,818	OtherActivitiesAmount
Total Lobbying Expenditures IIB	5818	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B	ReturnReference
Explanation	The organization does not engage in any direct lobbying activities. The organization pays membership dues to Maryland Hospital Association (MHA) an 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 7.35% and 24.60% of member dues were used for lobbying purposes and such, the organization has reported this amount on Schedule C Part IV as lobbying activities.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	475591	OtherCostOrOtherBasis
Book Value	475591	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27741860	OtherCostOrOtherBasis
Depreciation	12132172	Depreciation
Book Value	15609688	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24635698	OtherCostOrOtherBasis
Depreciation	19296817	Depreciation
Book Value	5338881	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	985440	OtherCostOrOtherBasis
Depreciation	732072	Depreciation
Book Value	253368	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	21677528	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	ALTERNATIVE INVESTMENTS	Description
Book Value	3603000	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	3603000	TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
ASSETS LIMITED TO USE	326828
INTEREST IN NET ASSETS OF FDN	5243659

Field	Value	IRS element (for citing)
Total Book Value Other Assets	5570487	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ADVANCES FROM THIRD PARTY PAYORS	$1,304,142
MINIMUM PENSION LIABILITY	$7,025,310

Field	Value	IRS element (for citing)
Total Of Amounts	8329452	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 FOOTNOTE PER AUDIT REPORT	Identifier
Return Reference	SCHEDULE D, PART X	ReturnReference
Explanation	THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS THAT SHOULD BE RECOGNIZED.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4231308	TotalCommunityBenefitExpense
Net Community Benefit Expense	4231308	NetCommunityBenefitExpense
Percent Of Total Expense	0.07660	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4231308	TotalCommunityBenefitExpense
Net Community Benefit Expense	4231308	NetCommunityBenefitExpense
Percent Of Total Expense	0.07660	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	476611	TotalCommunityBenefitExpense
Net Community Benefit Expense	476611	NetCommunityBenefitExpense
Percent Of Total Expense	0.00860	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77176	TotalCommunityBenefitExpense
Net Community Benefit Expense	77176	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4356129	TotalCommunityBenefitExpense
Direct Offsetting Revenue	523000	DirectOffsettingRevenue
Net Community Benefit Expense	3833129	NetCommunityBenefitExpense
Percent Of Total Expense	0.06940	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9162	TotalCommunityBenefitExpense
Net Community Benefit Expense	9162	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19400	TotalCommunityBenefitExpense
Net Community Benefit Expense	19400	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4938478	TotalCommunityBenefitExpense
Direct Offsetting Revenue	523000	DirectOffsettingRevenue
Net Community Benefit Expense	4415478	NetCommunityBenefitExpense
Percent Of Total Expense	0.08000	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9169786	TotalCommunityBenefitExpense
Direct Offsetting Revenue	523000	DirectOffsettingRevenue
Net Community Benefit Expense	8646786	NetCommunityBenefitExpense
Percent Of Total Expense	0.15660	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	8246	TotalCommunityBuildingExpense
Net Community Building Expense	8246	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	5497	TotalCommunityBuildingExpense
Net Community Building Expense	5497	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	8246	TotalCommunityBuildingExpense
Net Community Building Expense	8246	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	10994	TotalCommunityBuildingExpense
Net Community Building Expense	10994	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	14567	TotalCommunityBuildingExpense
Net Community Building Expense	14567	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	47550	TotalCommunityBuildingExpense
Net Community Building Expense	47550	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$741,913	BadDebtExpenseAmount
Amount Reimbursed By Medicare	26954863	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	21554113	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	5400750	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHESTER RIVER HOSPITAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	100 BROWN STREET	AddressLine1
City	CHESTERTOWN	City
State	MD	State
ZIP Code	21620	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHESTER RIVER HOSPITAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	500.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 3c	N/A
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 31 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AT THE ENTITY'S CORPORATE OFFICES.
Part I, 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.
Part I, Line 7b Columns (c) through (f)	Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment.
Part III Line 4	The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write off experience by payor category. The results of this review are then used to make modifications to the provision for bad debts and to establish an allowance for uncollectible receivables. After collection of amounts due from insurers, the Corporation follows internal guidelines for placing certain past due balances with collection agencies. 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. MEDICARE REIMBURSES MARYLAND HOSPITALS ACCORDING TO RATES ESTABLISHED BY THE HSCRC AS LONG AS THE STATE CONTINUES TO MEET A TWO-PART TEST. THIS TWO-PART WAIVER TEST ALLOWS MEDICARE TO PARTICIPATE IN THE MARYLAND SYSTEM AS LONG AS TWO CONDITIONS ARE MET. -ALL OTHER PAYERS PARTICIPATING IN THE SYSTEM PAY HSCRC SET RATES AND -THE RATE OF GROWTH IN MEDICARE PAYMENTS TO MARYLAND HOSPITALS FROM 1981 TO THE PRESENT IS NOT GREATER THAN THE RATE OF GROWTH IN MEDICARE PAYMENTS TO HOSPITALS NATIONALLY OVER THE SAME TIME FRAME. 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. EMERGENCY 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.	BAD DEBT EXPENSE
Part V, Line 19d	All patients are charged state regulated rates, regardless of their ability to pay.	Charges for Medical Care
Part V, Line 21	Due to state regulations, charges are not reduced for any payer, including commercial insurance, government payers, or uninsured patients. All charges are gross charges.	Charges for Medical Care
Part VI, Line 2	Chester River Hospital Center, member of Chester River Health System, is in the process of completing its Community Health Needs Assessment, as required under Internal Revenue Code Section 501(R) in FY 2012 and will be approved in FY 2013. The Plan will be implemented starting in FY 2014. Chester River Hospital Center (CRHC) identifies the health needs for its primary service area (Kent County and northern Queen Annes County) by collecting and analyzing data. Specifically, Chester River Hospital seeks input and feedback from the Kent County Health Department. Additional resources used to identify community health needs include: the Maryland Department of Health and Mental Hygienes State Improvement Plan (SHIP, http://dhmh.maryland.gov./ship); the Healthy People 2020 guidelines (http://www.cdc.gov/nchs/healthy_people/hp2010.htm), Maryland DHHS; and county health rankings (http://www.countyhealthrankings.org). These data sources are used to guide and direct the community benefit plan activities for Chester River Hospital. Chester River Health is also a member of the Mid-shore SHIP coalition, in partnership with other community stakeholders to improve the communitys health. CRHC also used data collected from its strategic plan. During FY2010, Chester River Hospital Center completed a strategic planning process from November 2009 through April 2010. The purpose of the strategic plan was to provide direction for Chester River Health System for the next three to five years. CRHS retained the services of a consultant and formed a planning committee to develop the strategic plan. The strategic planning process gathered input and information from a variety of community sources, including: - Interviews with Board members, medical staff, management and community members/leaders - Meetings/interviews with CRHS employees - Meetings/interviews with physicians - Consumer telephone survey (500 telephone interviews with area residents) - Consumer survey (438 community members completed a printed form survey) Secondary data sources include: County Health Rankings (http://www.countyhealthrankings.org); Maryland Depatment of Health and Mental Hygienes State Health Improvement Process (SHIP: http://dhmh.maryland.gov/ship) and the Maryland Chatbook of Minority Health and Maryland Health Disparities (http://dhmh.maryland.gov.mhhd/Documents/2ndResourse_2009.pdf)	NEEDS ASSESSMENT
Part VI, Line 3	A patient's inability to obtain financial assistance does not, in any way, preclude the patient's right to receive and have access to medical treatment at Chester River Hospital Center. Chester River Hospital Center is committed to providing excellent medical care to our patients regardless of their ability to pay for those services. This policy has been established to assist patients in obtaining financial aid when it is beyond their financial ability to pay for services received. Chester River Hospital Center's registrars provide the hospital's patient financial assistance program packet to all self-pay inpatients and outpatients at the time of registration. Emergency department patients who are self-pay also receive this packet if their condition permits. Emergency department patients who are admitted are visited by the hospital's credit and collection officer while in the hospital, and the packet is provided to them at that time. The packet is also available by request. The forms are available in English and Spanish. Signage is posted in the Emergency Department, registration and Business Office areas to notify patients of our patient financial assistance programs. CHESTER RIVER'S FAP IS PREPARED IN A CULTURALLY SENSITIVE MANNER AND IN AN APPROPRIATE READING LEVEL FOR THE CBSA. CHRC'S FAP IS POSTED, ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION, IN AREAS THAT INCLUDE: ADMISSION; EMERGENCY DEPARTMENT; AND OTHER AREAS THROUGHOUT FACILITY. CRHC PROVIDE A COPY OF THE FAP TO PATIENTS AND/OR FAMILIES DURING INTAKE PROCESS. CRHC PROVIDE A COPY OF THE FAP TO PATIENTS UPON DISCHARGE. CRHC'S FINANCIAL ASSISTANCE STAFF DISCUSS THE AVAILABILITY OF GOVERNMENT BENEFITS, SUCH AS MEDICAID AND STATE PROGRAMS. THE FINANCIAL ASSISTANCE STAFF ASSIST PATIENTS WITH QUALIFICATION FOR SUCH PROGRAMS, AS APPLICABLE.	Patient Education of Eligibility for Assistance
Part VI, Line 4	Chester River Hospital Center, a not-for-profit hospital is located in Chestertown, Maryland, on the Eastern Shore. It was established in 1935 and in the last 77 years has evolved and grown to serve the changing healthcare needs of the residents of Kent County. Chester River Hospital Centers (abbreviated as CRHC) primary service area (PSA) and community benefit area (CBSA) are the same, which includes Kent County, along with portions of upper (northern) Queen Annes County. CRHC also serves portions of southern Cecil County and northern Caroline County, although not part of the community benefit area or primary services area. For the purposes of this report, all information and data represent Kent County. Kent County, with a total population of 20,197, is bordered by Cecil County in the north, Queen Annes county to the south, Delaware to the east, and the Chesapeake Bay on its west. According to the 2000 Census, the majority of the population is living in what is described as a rural area; no population is reported as living in an urban area. There were 117,372 acres of farm land reported in 2002, which makes agriculture one of the leading industries in Kent County. It has a higher percentage of the population aged 65 years and older. Kent County is unique in that 22% of its residents are 65 years of age or older, which is 65% higher than Marylands percentage and higher than other rural areas in the state by almost a quarter. This makes Kent Countys population one of the oldest, aging populations in Maryland. 15.1% of the residents of Kent County are African-American/Black. The Hispanic population is growing, but accounts for only a small percentage of the population (approximately 4.5%). Nearly 30% of the population is classified as low income, with 12% without insurance. Kent County ranked number one in the state for percentage of deaths related to Alzheimers, a disease mostly associated with the aging population. The report also noted that Kent County has a higher prevalence of hypertension, high cholesterol, obesity and diabetes than Maryland. Children living on the Eastern Shore are more likely to have dental caries, yet less likely to have dental sealant or restoration than other parts of the state. Alcohol abuse and mental health diagnoses occur at significantly higher rates than the state average, too. This is a rural area populated by active farmers and small, close-knit communities. Transportation is often a barrier for access to health care services. However, in terms of the 39 SHIP measures, Kent County performs best relative to the State baseline on new HIV infections, and emergency department visits related to asthma and hypertension. (Source: from the Maryland State Health Improvement Plan, http://dhmh.maryland.gov/ship and its County Health Profiles, http://dhmh.maryland.gov/ship/SitePages/LHIContacts.aspx). Key characters and statistics about Kent Countys population (source Kent County Health Needs Assessment, 2009; U.S. Census Data 2000; U.S. Census Bureau, Small Area Income & Poverty Estimates, 2009; and U.S. Census 2010, American Community Survey, 2005-2009) - Poverty among adults and children in Kent County has been increasing since 2000; households in poverty account for up to 12% of the population. - Kent County has one of the highest populations of residents aged 65 years and older, while the age group made of children age 18 years and younger is decreasing. - African-Americans/Blacks living in Kent County experience poverty at a disproportionately higher rate than other racial groups. - Seasonal residents and recreational visitors, as well as seasonal migrant workers, to Kent County arent accounted for in official estimates, but still use county health resources, including the emergency room and EMS; county tourism board unofficial estimates about 100,000 tourists visit Kent County each year. - Nearly 40% of the population has public health insurance, such as Medicare and Medicaid; approximately 12% have no health insurance. - Kent County has a higher reported prevalence of high cholesterol and diabetes than Maryland. - Kent Countys total population of 20,197 reflects 15.1% of people African-American/Black; 4.5% of people of Hispanic origin; 14.2% aged 25yrs.+ without a high school diploma; and 10-12% of the population below poverty level (different dependent on data source).	Community Information
Part VI, Line 5	N/A	PROMOTION OF COMMUNITY HEALTH
Part VI, Line 6	Chester River Hospital is affiliated with the University of Maryland Medical System but the community benefit activities are determined locally at the hospital level.	AFFILIATED HEALTH CARE SYSTEM
Part VI, Line 7	Chester River Hospital Center files a community benefit report annually in the state of Maryland with the Health Services Cost Review Commission (HSCRC), a state regulatory agency.	STATE FILING OF COMMUNITY BENEFIT REPORT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EMPLOYEE EDUCATION	TypeOfGrant
Number Of Recipients	10	NumberOfRecipients
Amount Of Cash Grant	21283	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, PART I	Identifier
Return Reference	PROCEDURE FOR GRANT MONITORING	ReturnReference
Explanation	CHESTER RIVER HOSPITAL CENTER HAS WRITTEN POLICIES INCLUDED IN ADMINISTRATIVE POLICIES/MANAGEMENT OF HUMAN RESOURCES. ASSISTANCE IS PROVIDED TO EMPLOYEES WHO ARE ELIGIBLE BY NEED/ELIGIBILITY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Glenn F Robbins MD
0	490104	0	212770	0	70209	0	9800	0	9614	0	792497	0	0
John W Ashworth
0	357011	0	155527	0	56815	0	9800	0	7955	0	587108	0	0
Robert A Chrencik
0	1124953	0	937125	0	11560	0	204107	0	9625	0	2287370	0	0
Samuel P Marinelli Jr
192076	0	49661	0	62204	0	7837	0	7408	0	319186	0	35035	0
James E Ross
283565	0	129954	0	47427	0	9800	0	7799	0	478545	0	0	0
Scott Burleson
168396	0	46051	0	61275	0	6863	0	12847	0	295432	0	35744	0
Mary Jo Keefe
127762	0	32605	0	4126	0	14727	0	13336	0	192556	0	0	0
Deborah Davis
272402	0	71140	0	8395	0	7350	0	8471	0	367758	0	0	0
Henry Arakaky
292863	0	19715	0	0	0	7350	0	0	0	319928	0	0	0
Steven Lucas
277812	0	23556	0	6226	0	7350	0	8222	0	323166	0	0	0
Keri Jacobs
366750	0	0	0	962	0	7350	0	962	0	376024	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	During the fiscal year ending June 30, 2012, the certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The individuals listed below have not vested in the plan. Therefore, the accured contribution to the plan for the fiscal year is reported on Schedule J part III column (C), retirement and other deferred compensation. - Scott Burleson - Robert A. Chrencik - Mary Jo Keefe - Samuel P. Marinelli During the fiscal year ending June 30, 2012, certain officers and key employees participated in the University of Maryland Medical System (UMMMS) supplemental nonqualified plan. The officers and key employees listed below have vested in the plan in a prior year. Therefore, the contribution to the plan for the fiscal year is reported as taxable reportable compensation. - Glenn F. Robbins - James E. Ross - John W. Ashworth
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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Maryland Health and Higher Education Facilities
520936091	2006-05-01	3952807	tax exempt bond MHHEFA Master	false	false	false
Maryland Health and Higher Education Facilities
520936091	2003-12-01	4000000	tax exempt bond MHHEFA Series	false	false	true

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
2882783	0	3952807	0	0	0	48200	0	0	3904607	0	0	2006	false	false	true	true
1920000	0	4000000	0	0	0	81072	0	0	3918928	0	0	2004	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	0	true
false	false	false	false	0	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	true	false	false	0	false	false
0
false	true	false	false	0	false	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Members or Stockholders	Form 990, Part VI, Lines 6, 7A and 7B	CHESTER RIVER HEALTH SYSTEM, INC. AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION MAY ELECT MEMBERS AND APPROVE DECISIONS OF CHESTER RIVER HOSPITAL CENTER.
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. 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, UNIVERSITY SPECIALTY HOSPITAL AND JAMES LAWRENCE KERNAN HOSPITAL. THE CEO OR CFO OF EACH OF THE OTHER ENTITES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED FOR UMMSC, UNIVERSITY SPECIALTY HOSPITAL 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.
SECURED MORTGAGE NOTES PAYABLE	PART X, LINE 23	FARMERS HOME ADMINISTRATION LOAN AND MHHEFA POOLED LOAN WERE USED TO ADD ADDITIONS TO THE HOSPITAL.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 5	UNREALIZED LOSS ON INVESTMENTS: $ (356,000) CHANGE IN PENSION BENEFITS: (1,303,209) ALLOCATION OF BENEFICIAL INTEREST FROM FOUNDATION 282,323 ----------- TOTAL OTHER CHANGE IN NET ASSETS $ (1,376,886) ===========
TAX-EXEMPT BONDS	Part IV, Line 24a	Pursuant to a Master Loan Agreement dated June 20, 1991 (The "Master Loan Agreement"), as Amended, The University Of Maryland Medical System Corporation (The "Corporation") and several of its subsidiaries have issued debt through the Maryland Health and Higher Education Facility Authority (the "Authority"). As Security for the performance of the bond obligation under the Master Loan Agreement, The Authority maintains a security interest in the revenue of the obligors. The Master Loan Agreement contains certain restrictive covenants. These covenants require that rates and charges be set at certain levels, limit incurrence of additional debt, require compliance with certain operating ratios and restrict the disposition of assets. The obligated group under the Master Loan Agreement includes the Corporation, University Specialty Hospital, Inc., The James Lawrence Kernan Hospital, Inc., Maryland General Hospital, Inc., Baltimore Washington Medical Center, Inc., Shore Health System, Inc., Chester River Health System, Inc. and the University of Maryland Medical System Foundation, Inc. Each member of the obligated Group is jointly and severally liable for the repayment of the obligations under the Master Loan Agreement of the Corporation's $974,450,000 of outstanding Authority Bonds on June 30, 2012. All of the bonds were issued in the name of the University of Maryland Medical System Corporation and are reported on Schedule K of its Form 990.
HOURS FOR RELATED ORGANIZATIONS	PART VII, SECTION A, COLUMN (B)	THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 9 ACUTE CARE HOSPITALS, 3 ACUTE CARE HOSPITALS OWNED IN JOINT VENTURE ARRANGEMENTS 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.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Glenn F Robbins MD TITLE:Director HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:John W Ashworth TITLE:Director HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Robert A Chrencik TITLE:Director HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Samuel P Marinelli Jr TITLE:Treasurer HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:James E Ross TITLE:President and CEO HOURS:10
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:MEDICAL SUPPLIES TOTAL EXPENSES:6282621 PROGRAM SERVICES:6264977 MANAGEMENT AND GENERAL:17604 FUNDRAISING:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Baltimore Washington Emergency Phys Inc
301 Hospital Drive	Glen Burnie	MD	21061	521756326	Healthcare	MD	501(c)(3)	11a	BWMS	false
Baltimore Washington Healthcare Services
301 Hospital Drive	Glen Burnie	MD	21061	521830243	Healthcare	MD	501(c)(3)	11a	BWMS	false
Baltimore Washington Medical Center Inc
301 Hospital Drive	Glen Burnie	MD	21061	520689917	Healthcare	MD	501(c)(3)	03	BWMS	false
Baltimore Washington Medical System Inc
301 Hospital Drive	Glen Burnie	MD	21061	521830242	Healthcare	MD	501(c)(3)	11a	UMMS	false
BW Medical Center Foundation Inc
301 Hospital Drive	Glen Burnie	MD	21061	521813656	Fundraising	MD	501(c)(3)	11c	BWMS	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)		BWMS	false
Chester River Health Foundation Inc
100 Brown Street	Chestertown	MD	21620	521338861	Fundraising	MD	501(c)(3)	07	CRHS	false
Chester River Health System Inc
100 Brown Street	Chestertown	MD	21620	522046500	Healthcare	MD	501(c)(3)	11a	UMMS	false
Chester River Manor Inc
200 Morgnec Road	Chestertown	MD	21620	526070333	Healthcare	MD	501(c)(3)	09	CRHS	false
Maryland General Clinical Practice Group
827 Linden Avenue	Baltimore	MD	21201	521566211	Healthcare	MD	501(c)(3)	11b	MGHS	false
Maryland General Comm Health Foundation
827 Linden Avenue	Baltimore	MD	21201	522147532	Fundraising	MD	501(c)(3)	11c	MGHS	false
Maryland General Health Systems Inc
827 Linden Avenue	Baltimore	MD	21201	521175337	Healthcare	MD	501(c)(3)	11b	UMMS	false
Maryland General Hospital Inc
827 Linden Avenue	Baltimore	MD	21201	520591667	Healthcare	MD	501(c)(3)	03	MGHS	false
Care Health Services Inc
219 South Washington Street	Easton	MD	21601	521510269	Healthcare	MD	501(c)(3)	09	SHS	false
Dorchester General Hospital Foundation
219 South Washington Street	Easton	MD	21601	521703242	Fundraising	MD	501(c)(3)	11d	SHS	false
Memorial Hospital Foundation Inc
219 South Washington Street	Easton	MD	21601	521282080	Fundraising	MD	501(c)(3)	11a	SHS	false
Shore Clinical Foundation Inc
219 South Washington Street	Easton	MD	21601	521874111	Healthcare	MD	501(c)(3)	03	SHS	false
Shore Health System Inc
219 South Washington Street	Easton	MD	21601	520610538	Healthcare	MD	501(c)(3)	03	UMMSC	false
James Lawrence Kernan Hosp Endow Fd
2200 Kernan Drive	Baltimore	MD	21207	237360743	Fundraising	MD	501(c)(3)	11b	UMMSC	false
James Lawrence Kernan Hospital Inc
2200 Kernan Drive	Baltimore	MD	21207	520591639	Healthcare	MD	501(c)(3)	03	UMMSC	false
Shipleys Choice Medical Park Inc
22 South Greene Street	Baltimore	MD	21201	043643849	Real Estate	MD	501(c)(2)		UMMSC	false
UMMS Foundation Inc
22 South Greene Street	Baltimore	MD	21201	522238893	Fundraising	MD	501(c)(3)	11a	UMMSC	false
University of MD Medical System Corp
22 South Greene Street	Baltimore	MD	21201	521362793	Healthcare	MD	501(c)(3)	03	UMMSC	false
University Specialty Hospital
611 South Charles Street	Baltimore	MD	21230	520882914	Healthcare	MD	501(c)(3)	03	UMMSC	false
Civista Health Inc
PO Box 1070	La Plata	MD	20646	522155576	Healthcare	MD	501(c)(3)	11c	UMMSC	false
Civista Medical Center Inc
PO Box 1070	La Plata	MD	20646	520445374	Healthcare	MD	501(c)(3)	03	CIVHS	false
Civista Health Foundation Inc
PO Box 1070	La Plata	MD	20646	521414564	Fundraising	MD	501(c)(3)	11A	CIVHS	false
Civista Health Auxiliary Inc
PO Box 1070	La Plata	MD	20646	521131193	Fundraising	MD	501(c)(3)	11A	CIVHS	false

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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
Central Maryland Radiology Oncology LLC
10710 Charter Drive	Columbia	MD	21044	270879418	Healthcare	MD	NA
Innovative Health LLC
29165 Canvasback Drive Suite 100	Easton	MD	21601	521997287	Billing	MD	NA
NAHSunrise of Severna Park LLC
301 Hospital Drive	Glen Burnie	MD	20161	541810729	Healthcare	MD	NA
North Arundel Senior Living LLC
301 Hospital Drive	Glen Burnie	MD	20161	541810728	Healthcare	MD	NA
Shipley's Imaging Center LLC
22 South Greene Street	Baltimore	MD	21201	522040338	Healthcare	MD	NA
Universitycare LLC
22 South Greene Street	Baltimore	MD	21201	521914892	Healthcare	MD	NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
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
Civista Care Partners Inc
701 E CHARLES STREET	La Plata	MD	20646	522176314	Healthcare	MD	NA	C Corp
Council of Unit Owners of MD Gen PC
827 Linden Avenue	Baltimore	MD	21201	521891126	Real Estate	MD	NA	C Corp
Shore Health Enterprises Inc
219 South Washington Street	Easton	MD	21601	521363201	Real Estate	MD	NA	C Corp
NA Executive Building Condo Assn Inc
301 Hospital Drive	Glen Burnie	MD	21061		Real Estate	MD	NA	C Corp
Terrapin Insurance Company
				980129232	Insurance		NA	C Corp	PO Box 1109	Grand Cayman	CJ	KY1-1102	CJ
University Lithotripter Inc
22 South Greene Street	Baltimore	MD	21201	521451021	Healthcare	MD	NA	C Corp
UMMS Self Insurance Trust
22 South Greene Street	Baltimore	MD	21201	526315433	Insurance	MD	NA	Trust

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg