2013-05-14T12:01:49-05:00 2012-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2011-07-01 520679694 Chester River Hospital Center % SAMUEL MARINELLI JR CHES 4107783300 100 Brown Street Chestertown MD 21620 Samuel P Marinelli Jr 2013-05-08 true Frank Giardini 2155614200 2011 2016-02-24 21:20:13Z James R Ross 100 Brown Street Chestertown MD 21620 54176136 false X www.chesterriverhealth.org X 1935 MD 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. 14 11 536 76 225068 -31567 421096 823500 55064765 52643153 177228 277694 497014 431789 56160103 54176136 14245 21283 0 0 29554328 29449384 0 0 122165 25463272 25780637 55031845 55251304 1128258 -1075168 49507263 53806092 21512687 28263570 27994576 25542522 AN ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF KENT AND QUEEN ANNE'S COUNTIES AND PORTIONS OF CAROLINE AND CECIL COUNTIES. false false 46446449 21283 52568792 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. 46446449 true true false true false false false false false false true true false true true true false true false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true false false false false true 116 0 true 536 true true true false false false false false false false false false X 14 11 false false false false true true true true true false false true true true true true true true true false MD X SAMUEL MARINELLI JR 4107783300 100 BROWN STREET CHESTERTOWN MD 21620 X X Wayne L Gardner 1.0 X X 0 0 0 Frank Lewis MD 1.0 X 0 0 0 David C Bramble 1.0 X X 0 0 0 Judith E Cooper 1.0 X 0 0 0 Henry C Johnson 1.0 X 0 0 0 David W Knutson MD 1.0 X 0 0 0 C Daniel Saunders 1.0 X 0 0 0 Ernest W Strong 1.0 X 0 0 0 Glenn F Robbins MD 1.0 X 0 773083 19414 John W Ashworth 1.0 X 0 569353 17755 Robert A Chrencik 1.0 X 0 2073638 213732 Edwin R Fry 1.0 X 0 0 0 William J Washington 1.0 X 0 0 0 Jane E Hukill 1.0 X 0 0 0 Samuel P Marinelli Jr 40.0 X 303941 0 15245 James E Ross 40.0 X 460946 0 17599 Scott Burleson 40.0 X 275722 0 19710 Mary Jo Keefe 40.0 X 164493 0 28063 Deborah Davis 40.0 X 351937 0 15821 Henry Arakaky 40.0 X 312578 0 7350 Steven Lucas 40.0 X 307594 0 15572 Keri Jacobs 40.0 X 367712 0 8312 2544923 3416074 378573 28 false true false 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 13 793000 30500 823500 PATIENT SERVICE REVENUE 623000 52643153 52418085 225068 52643153 277694 277694 0 0 281082 281082 281082 281082 0 0 0 0 MISCELLANEOUS 900099 150707 150707 150707 54176136 52568792 225068 558776 0 21283 21283 0 0 1302632 1106764 190565 5303 0 21871967 18583230 3199697 89040 1978139 1680700 289386 8053 2750106 2334568 404288 11250 1546540 1313997 226247 6296 0 0 0 5818 5818 0 0 4606522 2962577 1643945 194932 194112 820 506348 253527 251978 843 1747083 1747083 0 1155101 1047784 107317 15164 8746 6418 0 102090 53746 48344 250160 221392 28768 0 3891438 3443923 447515 1270274 1270274 BAD DEBT EXPENSE 957345 957345 PURCHASED SERVICES 4240182 2734742 1504920 520 SUPPLIES 442567 415687 26880 PROFESSIONAL DUES AND LICENSES 112992 24104 88888 6282621 6264977 17604 40 55251304 46446449 8682690 122165 2046592 4045932 0 0 0 0 8569869 8901458 0 0 0 0 0 0 581594 455519 1989339 4380168 53838589 32161061 22006912 21677528 5614000 5172000 3108000 3603000 0 0 0 0 5590957 5570487 49507263 53806092 7718647 14470490 0 0 0 0 3249402 2563187 0 0 0 0 3346322 2900441 0 0 7198316 8329452 21512687 28263570 X 26362650 23958197 268670 213815 1363256 1370510 27994576 25542522 49507263 53806092 X -1075168 -1376886 X false true true X X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5818 5818 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B 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. 475591 475591 27741860 12132172 15609688 24635698 19296817 5338881 985440 732072 253368 21677528 ALTERNATIVE INVESTMENTS 3603000 F 3603000 ASSETS LIMITED TO USE 326828 INTEREST IN NET ASSETS OF FDN 5243659 5570487 0 ADVANCES FROM THIRD PARTY PAYORS 1304142 MINIMUM PENSION LIABILITY 7025310 8329452 FIN 48 FOOTNOTE PER AUDIT REPORT SCHEDULE D, PART X 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. true true true X true X 500. true true true false true true 4231308 4231308 0.07660 4231308 4231308 0.07660 476611 476611 0.00860 77176 77176 0.00140 4356129 523000 3833129 0.06940 9162 9162 0.00020 19400 19400 0.00040 4938478 523000 4415478 0.08000 9169786 523000 8646786 0.15660 8246 8246 0.00010 5497 5497 0.00010 8246 8246 0.00010 10994 10994 0.00020 14567 14567 0.00030 47550 47550 0.00080 true 741913 26954863 21554113 5400750 X true true NA 1 1 CHESTER RIVER HOSPITAL CENTER

100 BROWN STREET CHESTERTOWN MD 21620

X X X CHESTER RIVER HOSPITAL CENTER 1 true true 200. true 500. true X X X X true true X X X X X true X X true X X X X X X true X false true 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 BAD DEBT EXPENSE 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. Part V, Line 19d Charges for Medical Care All patients are charged state regulated rates, regardless of their ability to pay. Part V, Line 21 Charges for Medical Care Due to state regulations, charges are not reduced for any payer, including commercial insurance, government payers, or uninsured patients. All charges are gross charges. Part VI, Line 2 NEEDS ASSESSMENT 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) Part VI, Line 3 Patient Education of Eligibility for Assistance 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. Part VI, Line 4 Community Information 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). Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH N/A Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM Chester River Hospital is affiliated with the University of Maryland Medical System but the community benefit activities are determined locally at the hospital level. Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT 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. true EMPLOYEE EDUCATION 10 21283 SCHEDULE I, PART I PROCEDURE FOR GRANT MONITORING 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. X true true X X X false true false false false false false true false 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 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. 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 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 false false false false 0 true false false false false 0 true false true false 0 false 0 false false false true false 0 false 0 false false 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 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 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 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 PO Box 1109 Grand Cayman CJ KY1-1102 980129232 Insurance CJ NA C Corp 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 false false true true false true false false false false true true true true true true false false