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HARFORD MEMORIAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HARFORD MEMORIAL HOSPITAL INC (EIN 52-0591484)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349305124
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

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

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN520591484EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARFORD MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOSEPH E HOFFMANInCareOfName
Name ControlHARFNameControl
Phone4108773700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 SOUTH UNION AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityHAVRE DE GRACECity
StateMDState
ZIP Code21078ZIPCode

Officer Officer

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

Preparer Preparer

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

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DRAddressLine1
CitySTE BEL AIRCity
StateMDState
ZIP Code21014ZIPCode
FieldValueIRS element (for citing)
Gross Receipts128998832GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UCHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionACUTE HOSPITAL CAREActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees981TotalNbrEmployees
Total Nbr Volunteers198TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2654016ContributionsGrantsPriorYear
Contributions Grants Current Year1230777ContributionsGrantsCurrentYear
Program Service Revenue Prior Year89832620ProgramServiceRevenuePriorYear
Program Service Revenue CY92270172ProgramServiceRevenueCY
Investment Income Prior Year3914077InvestmentIncomePriorYear
Investment Income Current Year2687565InvestmentIncomeCurrentYear
Other Revenue Prior Year756424OtherRevenuePriorYear
Other Revenue Current Year2614599OtherRevenueCurrentYear
Total Revenue Prior Year97157137TotalRevenuePriorYear
Total Revenue Current Year98803113TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44484696SalariesEtcPriorYear
Salaries Etc Current Year47052185SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44695764OtherExpensePriorYear
Other Expenses Current Year45160194OtherExpensesCurrentYear
Total Expenses Prior Year89180460TotalExpensesPriorYear
Total Expenses Current Year92212379TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7976677RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6590734RevenuesLessExpensesCY
Total Assets BOY118861732TotalAssetsBOY
Total Assets EOY127058074TotalAssetsEOY
Total Liabilities BOY93889059TotalLiabilitiesBOY
Total Liabilities EOY92881646TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24972673NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34176428NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAN ACUTE CARE, NON-PROFIT HOSPITAL, HARFORD MEMORIAL HOSPITAL OFFERS A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC, AND EMERGENCY CARE SERVICES. THE HOSPITAL HAS A STATE-OF-THE-ART ICU/PCU AND A BUSY EMERGENCY DEPARTMENT THAT CARES FOR OVER 50,000 PATIENTS A YEAR. HARFORD MEMORIAL OFFERS SPECIALIZED, HOSPITAL-BASED SERVICES, INCLUDING A BARIATRIC SURGERY PROGRAM, ANTICOAGULATION MANAGEMENT, CENTER FOR WOUND CARE, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, JOINT CENTER FOR HIP AND KNEE REPLACEMENT, AND A SLEEP DISORDER CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense63454347Expense
Revenue94153949Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense63454347TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096268NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees981NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOSEPH E HOFFMANNamePerson
Telephone Number4436433340TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DRIVE STE 405AddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
H WILLIAM ACKER
VICE CHAIR/DIRECTOR5.0XX000
JASON M BIRNBAUM MD
DIRECTOR1.0X000
STEVEN M BENTMAN
DIRECTOR1.0X22917
JOHN H CAIN
DIRECTOR1.0X
MELINDA L CRAIG
DIRECTOR1.0X
DIANE K FORD
DIRECTOR1.0X
M SCOT KAUFMAN
SECRETARY/DIRECTOR5.0XX
ANDREW KLEIN
DIRECTOR1.0X
JAMES LAMBDIN
DIRECTOR1.0X
ANTHONY J MEOLI
TREASURER/DIRECTOR5.0XX
ROGER E SCHNEIDER MD
CHAIRMAN/DIRECTOR5.0XX
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR5.0XX267423579823
RICHARD P STREETT JR VMD
DIRECTOR1.0X
ADELE A WILZACK RN MS
DIRECTOR1.0X
ALBERT J A YOUNG
DIRECTOR1.0X
FAHEEM YOUNUS MD
DIRECTOR1.0X165000
JOYCE FOX
VP - PATIENT SVCS/CNO20.024531847696X
JOSEPH E HOFFMAN III
SR VP/CFO5.072459877334X
JAMES J HURSEY
SR VP/COO5.027614156414X
DEAN C KASTER
SR VP - CORP STRATEGY/PLANNING5.049935463620X
MARGARET M VAUGHAN
SR VP - MEDICAL AFFAIRS5.082847728762X
E SCOTT CONOVER
SR VP/GENERAL COUNSEL5.045610743977X
TONI M SHIVERY
VP - HUMAN RESOURCES5.021436064712X
EUGENE CURROTTO
VP - OPERATIONS40.017973657597X
RICHARD CASTEEL
VP - MIS40.018722631837X
STEPHEN LOW
DIR - PHARMACEUTICAL SERVICES40.013765630947X
STEVEN D BOWMAN
DIR - FINANCIAL ACCT/BUDGET40.012162741961X
SHERRY S ROBERTS
DIR - IMAGING SERVICES40.011047340102X
FieldValueIRS element (for citing)
Total Reportable Comp From Org982036TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5861189TotalReportableCompFrmRltdOrgs
Total Other Compensation664782TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORTHERN CHESAPEAKE ANESTHESIA ASSO
PO BOX 89BEL AIRMD21014PHYSICIAN FEES1400000
VISION CONSULTING LLC
3325 ASPEN GROVE DRIVE SUITE 204FRANKLINTN37067SOFTWARE CONSULTING308119
CHESAPEAKE MEDICAL STAFFING
2401 YORK ROADTIMONIUMMD21093MEDICAL STAFF FEES183948
KPMG LLC
111 SOUTH CALVERT STBALTIMOREMD21202AUDIT FEES169484
BRAIN AND SPINE SPECIALISTS PA
520 UPPER CHESAPEAKE DR STE 211BEL AIRMD21014PHYSICIAN FEES246401
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations303864RelatedOrganizations
Government Grants919263GovernmentGrants
All Other Contributions7650AllOtherContributions
Total Contributions1230777TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6214009219728592197285
BARIATRIC PROGRAM6214007288772887
FieldValueIRS element (for citing)
Total Program Service Revenue92270172TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column924868TotalRevenueColumn
Exclusion$924,868ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real655203Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real716450Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-61247Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-61247TotalRevenueColumn
Exclusion-$61,247ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities31182620Securities
Other13355Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities29479269Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1703351Securities
Other13355Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1762697TotalRevenueColumn
Exclusion$1,762,697ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
INCENTIVE PMTS-ELECTRONIC HLTH RECORDS90009918837771883777
CAFETERIA SALES/VENDING900099477784$477,784
INTEREST INCOME - ACCTS RECEIVABLE90009914084$14,084

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column300201TotalRevenueColumn
Exclusion$300,201ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2675846TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column98803113TotalRevenueColumn
Related Or Exempt Function Income94153949RelatedOrExemptFunctionIncome
Exclusion$3,418,387ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37742679Total
Program Services27499644ProgramServices
Management And General10243035ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6440229Total
Program Services4692407ProgramServices
Management And General1747822ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2869277Total
Program Services2090580ProgramServices
Management And General778697ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total336Total
Program Services0ProgramServices
Management And General336ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total362244Total
Program Services0ProgramServices
Management And General362244ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total290410Total
Program Services0ProgramServices
Management And General290410ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3495069Total
Program Services2528254ProgramServices
Management And General966815ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total134Total
Program Services114ProgramServices
Management And General20ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total767469Total
Program Services1087ProgramServices
Management And General766382ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1451080Total
Program Services31828ProgramServices
Management And General1419252ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43387Total
Program Services9076ProgramServices
Management And General34311ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total76095Total
Program Services6837ProgramServices
Management And General69258ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1407952Total
Program Services1025846ProgramServices
Management And General382106ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4019253Total
Program Services2928463ProgramServices
Management And General1090790ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1568916Total
Program Services1143126ProgramServices
Management And General425790ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES101331369437473695663
PROVISION FOR BAD DEBT910925291092520
MAINTENANCE CONTRACT3812673867413725932
CORPORATE FEES409631004096310

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4526478Total
Program Services2863619ProgramServices
Management And General1662859ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total92212379Total
Program Services63454347ProgramServices
Management And General28758032ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17883662BOY
EOY18485374EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12170923BOY
EOY12721993EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4198677BOY
EOY3896879EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis110465263LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec73357922LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY36040357BOY
EOY37107341EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY43904062BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4664051BOY
EOY54846487EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118861732BOY
EOY127058074EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22801306BOY
EOY18459175EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27396955BOY
EOY26959326EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY43690798BOY
EOY47463145EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY93889059BOY
EOY92881646EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24972673BOY
EOY34176428EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24972673BOY
EOY34176428EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118861732BOY
EOY127058074EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6590734ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2899913ReconciliationUnrealizedInvest
Reconcilation Other Changes-286892ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,521OtherActivitiesAmount
Total Lobbying Expenditures IIB4521TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE, C, PART II-B, LINE 1iReturnReference
ExplanationLOBBYING EXPENSES IN THE AMOUNT OF $4,521 FOR 12/31/12 REPRESENT A PORTION OF THE DUES PAID TO MARYLAND HOSPITAL ASSOCIATION. THIS ASSOCIATION ALLOCATES A PORTION OF MEMBER DUES TO LOBBYING ACTIVITY.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10819220OtherCostOrOtherBasis
Book Value10819220BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31031900OtherCostOrOtherBasis
Depreciation17964007Depreciation
Book Value14067893BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1542099OtherCostOrOtherBasis
Depreciation1003008Depreciation
Book Value539091BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis47435219OtherCostOrOtherBasis
Depreciation40969130Depreciation
Book Value6466089BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18636825OtherCostOrOtherBasis
Depreciation13421777Depreciation
Book Value5215048BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37107341TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS LIMITED TO USE49678197
DEFERRED FINANCING COSTS116301
DUE FROM AFFILIATES4405000
TRUSTEE HELD FUNDS646989
FieldValueIRS element (for citing)
Total Book Value Other Assets54846487TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM THIRD PARTIES$1,728,394
DUE TO AFFILIATES$37,550,291
LIABILITY FOR ASBESTOS REMOVAL$5,273,550
ACCRUED PENSION OBLIGATION$2,910,910
FieldValueIRS element (for citing)
Total Of Amounts47463145TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt92733387TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2899913NetUnrealizedGainsInvestments
Other Revenues-9686089OtherRevenues
Revenue Not Rptd F990-6786176RevenueNotRptdF990
Revenue Subtotal99519563RevenueSubtotal
Other Revenues Not Included-716450OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-716450RevenueNotRptdOnFinStmt
Total Revenue Per Form99098803113TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt83529167TotExpensesEtcAuditedFinclStmt
Other Expenses Included716450OtherExpensesIncluded
Expenses Not Rptd F990716450ExpensesNotRptdF990
Expenses Subtotal82812717ExpensesSubtotal
Investment Expenses Not Included2290410InvestmentExpensesNotIncluded2
Other Expenses Not Included9109252OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt9399662ExpensesNotRptdOnFinStmt
Total Expenses Per Form99092212379TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INCOME TAXES (FIN 48)PART X, QUESTION 2Harford Memorial Hospital accounts for tax provisions in accordance with FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes, included in ASC Subtopic 740-10, Income Taxes - Overall, which clarifies the accounting for uncertainty in tax provisions. FIN 48 requires that Harford Memorial Hospital recognize the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.
RECONCILIATION OF REVENUESCHEDULE D, PART XILINE 2D - OTHER REVENUE ON BOOKS NOT ON RETURN MINIMUM PENSION LIABILITY $ (286,427) RECLASS- INVESTMENT EXPENSE $ (290,410) RECLASS - PROVISIONS FOR BAD DEBTS $(9,109,252) ---------- $(9,686,089) LINE 4B - OTHER REVENUE ON RETURN NOT ON BOOKS RECLASS - RENTAL EXPENSE $ (716,450)
RECONCILIATION OF EXPENSESCHEDULE D, PART XIILINE 2D - OTHER EXPENSES INCLUDED ON BOOKS NOT ON RETURN RECLASS - RENTAL EXPENSE $716,450 LINE 4B - OTHER EXPENSES INCLUDED ON RETURN NOT ON BOOKS RECLASS - PROVISION FOR BAD DEBTS $9,109,252

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6985632TotalCommunityBenefitExpense
Net Community Benefit Expense6985632NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6985632TotalCommunityBenefitExpense
Net Community Benefit Expense6985632NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense917054TotalCommunityBenefitExpense
Direct Offsetting Revenue41767DirectOffsettingRevenue
Net Community Benefit Expense875287NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense224864TotalCommunityBenefitExpense
Net Community Benefit Expense224864NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2223973TotalCommunityBenefitExpense
Net Community Benefit Expense2223973NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense9443TotalCommunityBenefitExpense
Net Community Benefit Expense9443NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense87603TotalCommunityBenefitExpense
Net Community Benefit Expense87603NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3462937TotalCommunityBenefitExpense
Direct Offsetting Revenue41767DirectOffsettingRevenue
Net Community Benefit Expense3421170NetCommunityBenefitExpense
Percent Of Total Expense0.04350PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10448569TotalCommunityBenefitExpense
Direct Offsetting Revenue41767DirectOffsettingRevenue
Net Community Benefit Expense10406802NetCommunityBenefitExpense
Percent Of Total Expense0.12350PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense104209TotalCommunityBuildingExpense
Net Community Building Expense104209NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served14PersonsServed
Total Community Building Expense1542TotalCommunityBuildingExpense
Net Community Building Expense1542NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs76NumberOfActivitiesOrPrograms
Total Community Building Expense6827TotalCommunityBuildingExpense
Net Community Building Expense6827NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs36NumberOfActivitiesOrPrograms
Total Community Building Expense2687TotalCommunityBuildingExpense
Net Community Building Expense2687NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs124NumberOfActivitiesOrPrograms
Persons Served14PersonsServed
Total Community Building Expense115265TotalCommunityBuildingExpense
Net Community Building Expense115265NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,109,252BadDebtExpenseAmount
Amount Attributable To915003AmountAttributableTo
Amount Reimbursed By Medicare36867593AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare37063332CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-195739MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARFORD MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1501 SOUTH UNION AVENUEAddressLine1
CityHAVRE DE GRACECity
StateMDState
ZIP Code21078ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.uchs.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HARFORD MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1UC HEALTHLINK CLINICBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12027 PULASKI HWY SUITE 206AddressLine1
CityHAVRE DE GRACECity
StateMDState
ZIP Code21078ZIPCode
FieldValueIRS element (for citing)
Facility TypePRIMARY CARE CLINIC FOR MEDICALLY INDIGENTFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART III, SECTION A, LINE 4BAD DEBT EXPENSEThe Hospital grants credit to patients, substantially all of whom are local residents. The Hospital generally does not require collateral or other security in extending credit; however, the Hospital routinely obtains assignment of (or are otherwise entitled to receive) patients' benefits receivable under their health insurance programs, plans or policies.
PART III, SECTION C, LINE 9BCOLLECTION PRACTICESIT IS THE POLICY OF HARFORD MEMORIAL HOSPITAL ("HMH") TO ATTEMPT TO COLLECT PAYMENT FOR ALL SERVICES RENDERED TO PATIENTS IN THE MOST EFFICIENT AND PATIENT FRIENDLY MANNER. HMH WILL FIRST ATTEMPT TO COLLECT PAYMENT FROM THE PATIENT'S INSURANCE COMPANY. IN THE EVENT THE PATIENT HAS NO INSURANCE OR LIMITED INSURANCE COVERAGE, HMH WILL ATTEMPT TO QUALIFY THE PATIENT FOR THE MARYLAND MEDICAL ASSISTANCE PROGRAM AND/OR HMH'S FINANCIAL ASSISTANCE POLICY.
PART V, LINES 15E/16E/19D/21Billing and Collections: Line 15E PATIENTS WHO ARE LEFT WITH A BALANCE AFTER ALL INSURANCES HAVE BEEN PURSUED AND FINANCIAL ASSISTANCE HAS BEEN OFFERED WILL BE FORWARDED TO A COLLECTION AGENCY AS A LAST RESORT TO OBTAIN PAYMENT FROM THE PATIENT. Line 16E TWO AGENCIES ARE EMPLOYED BY HMH; EACH RECEIVING APPROXIMATELY FIFTY PERCENT OF THE ACCOUNT (BASED ON THE FIRST LETTER OF THE LAST NAME OF EACH PATIENT). ACCOUNTS PLACED WITH ONE OF THE COLLECTION AGENCIES ARE CLASSIFIED AS BAD DEBTS AND REMOVED FROM ACCOUNTS RECEIVABLE. Charges for Medical Care: Lines 19D & 21 THE STATE OF MARYLAND HEALTH SERVICES COST REVIEW COMMISSION SETS RATES FOR ALL HOSPITALS IN THE STATE. THOSE RATES ARE APPLIED UNIFORMLY TO ALL PATIENTS. GROSS CHARGES MAY NOT BE DISCOUNTED OUTSIDE OF STATE-ACCEPTED DISCOUNTS FOR PROMPT PAYMENT AND ADVANCE FUNDING. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PERCENTAGE OF THE GROSS CHARGES ARE THEN WRITTEN-OFF TO CHARITY CARE.
PART VI, SUPPLEMENTAL INFORMATIONNEEDS ASSESSMENTEVERY THREE YEARS A COMMUNITY HEALTH ASSESSMENT SURVEY/PLAN IS PERFORMED.
PART VI, SUPPLEMENTAL INFORMATIONPATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEThe Hospital displays signs at every registration point informing the patients about the availability of the various financial and medical assistance programs. The Hospital offers every self-pay patient or any patient who inquires, the financial assistance informational packet and application. The cover sheet for the financial assistance packet also includes information on obtaining Medical Assistance. In addition, the Hospital has a financial counselor that visits the self-pay patient in the emergency department or in the patient's room to discuss what is available to them. The Hospital also employs a medical assistance advocacy company to assist the hospital's patients get medical assistance. The Hospital also provides information about the programs in each billing statement.
PART VI, SUPPLEMENTAL INFORMATIONCOMMUNITY INFORMATIONThe service area of the Upper Chesapeake Health System, which includes Harford Memorial Hospital, consists of the northeast part of Maryland, including Harford County, western Cecil County and portion of Baltimore County. This service area is located at the apex of the Chesapeake Bay and is spread across 536 square miles. It contains, among others, the cities and towns of Havre de Grace, Aberdeen, Bel Air, Fallston, and Edgewood. The service area enjoys a diverse economic base, ranging from concentrations in service, manufacturing, distribution, and retail, to Federal government employment. Harford Community College provides a local venue for advanced education and Harford County's proximity to Baltimore gives it access to nationally recognized universities which help provide a skilled workforce. The Service Area is served by Interstate 95, Amtrak and freight rail lines along the busy east-coast transportation corridor between New York and Washington, DC. In 2007, the Service Area had a total population of 276,500 people with historical annual growth rates of approximately 1.8% per year. This growth has been characterized by an influx of young families seeking suburban environment in which to live and is complemented by a growth in businesses and other services that follow young, middle class families. In 2007, the Service Area had an estimated 101,930 households with a median family income of $67,300 and an average household income of $81,000. 87% of the service area's adults over the age of 25 are high school graduates or higher; 27% achieved bachelor's degrees or higher. The service area's growth and geographic location explain its ability to attract major east-coast distribution center and industry, which have provided additional employment opportunities in the service area. In December 2007, the service area had a work force of approximately 142,829. Please see Schedule O for more information.
PART VI, SUPPLEMENTAL INFORMATIONPROMOTION OF COMMUNITY HEALTHMONIES SPENT FOR HOSPITAL AND COMMUNITY PREPAREDNESS FOR HAZARDOUS ACCIDENTS, NATURAL DISASTERS, AND COALITION BUILDING IN THE COMMUNITY.
PART VI, SUPPLEMENTAL INFORMATIONAFFILIATED HEALTH CARE SYSTEMHarford Memorial Hospital, Inc. (HMH) is one hospital in an "Affiliated Health Care System" that includes a second hospital, Upper Chesapeake Medical Center, Inc. (UCMC), a physician services organization (Upper Chesapeake Medical Services, Inc.), a property holding company (Upper Chesapeake Properties, Inc.), a hospice residence (Upper Chesapeake Residential Hospice House, Inc. & Hospice of Harford County LLC) and a for-profit venture with investments in private imaging services (Upper Chesapeake Health Ventures, Inc.). The "System" provides a broad range of community health care services, including preventive, ambulatory, acute and hospice services, through an integrated health care delivery system in Harford County and parts of Baltimore and Cecil Counties, in northeast Maryland. HMH and UCMC are the only hospitals in Harford County, Maryland. HMH offers acute care services, including intensive care, emergency and other outpatient services, and has the only acute care behavioral health unit in Harford County.
PART VI, SUPPLEMENTAL INFORMATIONSTATE FILING OF COMMUNITY BENEFIT REPORTThe Health Services Cost Review Commission, the State agency that regulates hospital rates in Maryland, requires a Community Benefit Report to be filed annually.
SUPPLEMENTAL INFORMATIONHARFORD MEMORIAL HOSPITAL EXPECTS ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO BE COMPLETED BY THE END OF TAX YEAR 2013 IN ACCORDANCE WITH THE AFFORDABLE CARE ACT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR5065832497521917900545002532327540581194080
FAHEEM YOUNUS MD
DIRECTOR165000165000
JOYCE FOX
VP - PATIENT SVCS/CNO189669485617088441193577293014
JOSEPH E HOFFMAN III
SR VP/CFO2962381193913089695150025834801932224402
JAMES J HURSEY
SR VP/COO269587065544603710377332555
DEAN C KASTER
SR VP - CORP STRATEGY/PLANNING223452891741867283243831182562974148505
MARGARET M VAUGHAN
SR VP - MEDICAL AFFAIRS308514125000394963028762857239270754
E SCOTT CONOVER
SR VP/GENERAL COUNSEL30838910203045688415002477500084
TONI M SHIVERY
VP - HUMAN RESOURCES169792442982703774726965279072
EUGENE CURROTTO
VP - OPERATIONS1425313311340923062826969237333
RICHARD CASTEEL
VP - MIS1616082319024281694114896219063
STEPHEN LOW
DIR - PHARMACEUTICAL SERVICES12433613217103689924048168603
STEVEN D BOWMAN
DIR - FINANCIAL ACCT/BUDGET1071941184325901763924322163588
SHERRY S ROBERTS
DIR - IMAGING SERVICES8375710991157252053319569150575

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE J, PART I, QUESTION 3THIS ORGANIZATION DOES NOT HAVE A PAID CEO/EXECUTIVE DIRECTOR. ALL COMPENSATION TO THE CEO/EXECUTIVE DIRECTOR REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE HEALTH SYSTEM UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. UPPER CHESAPEAKE HEALTH SYSTEM CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE
SCHEDULE J, PART I, QUESTION 4BAn organization related to this filing organization made split dollar life insurance plan contributions to the following members of senior leadership who are listed on this filing organization's Form 990, Part VII, Section A, Line 1A: Lyle E. Sheldon $29,885 Margaret M. Vaughan $ 8,562 Joseph E. Hoffman III $ 8,481 Dean C. Kaster $ 6,489 Lyle E. Sheldon $29,885 Margaret M. Vaughan $ 8,562 Joseph E. Hoffman III $ 8,481 Dean C. Kaster $ 6,489
SCHEDULE J, SUPPLEMENTAL INFORMATIONEffective in calendar year 2012, Upper Chesapeake Health System, Inc., terminated their Secured Executive Benefit Plan (SERP). As a result of the SERP's termination, the plan participants: Lyle Sheldon, Joseph Hoffman, Dean Caster and Margaret Vaughan recognized additional taxable compensation (subject to employment tax withholding) in tax year 2012. This additional compensation is reflected in Schedule J - Part II - Column B(iii).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY
A5209360915742172p92008-08-0819856000REFI EXISTING DEBT-SERIES 2008Cfalsefalsefalse
MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY
B5209360915742172P92008-08-088852000REFI EXISTING DEBT-SERIES 2008Cfalsefalsefalse
MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY
C5209360912011-10-018000000CAPITAL PROJECTS-SERIES 2011Afalsefalsefalse
MARYLAND HEALTH & HIHGER ED FACILITIES AUTHORITY
D5209360912011-12-019476000REFI EXISTING DEBT-SERIES 2011Bfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A200480000207968000016549989117276363560595200002008truefalsetruetrue
B8660000093753606363200673987878994000002008truefalsetruetrue
C0080000000552810181000002013falsefalsetruetrue
D0094760000000000002000truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsetruefalsetrue0falsefalsefalsetrue
Bfalsefalsefalsetruefalsetrue0falsefalsefalsetrue
Cfalsefalsefalsetruefalsetrue0falsefalsefalsefalse
Dfalsefalsefalsetruefalsetrue0falsefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledException To RebateExceptionToRebateVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
BANK OF AMERICA
Afalsefalsetruetrue35.falsefalsefalse0falsefalse
0
Bfalsefalsefalsefalse0falsefalse
0
Cfalsefalsefalse0falsefalse
0
Dfalsefalsefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse
Dfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReference
THE OBLIGATED GROUP ON THE BOND ISSUES IDENTIFIED IN SCHEDULE K INCLUDE0
BOTH UPPER CHESAPEAKE MEDICAL CENTER, INC. (52-1253920) AND HARFORD0
MEMORIAL HOSPITAL, INC. (52-0591484). THE ALLOCATION IS AS FOLLOWS:0
UPPER CHESAPEAKE MEDICAL CENTER 84%; HARFORD MEMORIAL HOSPITAL 16%.0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MARYLAND HEALTH & HIHGER ED FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
Date Issued2011-12-01DateIssued
Issue Price9476000IssuePrice
Description Of PurposeREFINANCE EXISTING DEBT-SERIES 201DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds9476000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchtrueEngageBondCounselResearch
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ROGER E SCHNEIDER MD
VASC SURG ASSOC PARTNER435044PHYSICIAN FEES PAID TO VSA LLCfalse
JOHN H CAIN
BB&T OFFICER1734120INTEREST ON O/S DEBTfalse
RICHARD P STREETT JR
ROCK GLENN COMM PARTNER569547LEASE PAYMENTSfalse
JASON M BIRNBAUM MD
PULMONARY CCA PARTNER919589PHYSICIAN FEES PAID TO PCCAfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART VI, SECTION A, GOVERNING BODY & MANAGEMENT QUESTION 2FAMILY OR BUSINESS RELATIONSHIPLYLE E SHELDON AND JOSEPH E HOFFMAN III ARE OFFICERS IN THE SAME BUSINESS ENTITIES. THE SAME BUSINESS ENTITIES ARE THE FOR-PROFT CORPORATIONS OR PARTNERSHIPS THAT ARE RELATED TO THIS FILING ENTITY. PLEASE SEE FORM 990, SCHEDULE R.
PART VI, SECTION A, GOVERNING BODY & MANAGEMENT QUESTION 6EXISTENCE OF MEMBERSUPPER CHESAPEAKE HEALTH SYSTEM AND UNIVERSITY OF MARYLAND MEDICAL SYSTEM ARE PARTNERS IN A MARYLAND LIMITED LIABILITY COMPANY NAMED UCHS/UMMS VENTURE LLC ("VENTURE"). THE VENTURE WAS ORGANIZED FOR CHARITABLE PURPOSES TO COORDINATE ACTIVITIES OF HEALTHCARE FACILITIES AND OTHER CORPORATE BODIES WHOSE PURPOSES INCLUDE THE PROVISION OF HEALTHCARE SERVICES OR FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES IN HARFORD COUNTY, MARYLAND. VENTURE IS THE SOLE MEMBER OF THIS FILING ORGANIZATION.
PART VI, SECTION B, POLICIES QUESTION 11BORGANIZATIONAL REVIEW OF FORM 990THE BOARD OF UPPER CHESAPEAKE HEALTH SYSTEM, INC. ("HEALTH SYSTEM") HAS ASSIGNED THE EXECUTIVE COMMITTEE OF THE HEALTH SYSTEM'S BOARD TO REVIEW AND APPROVE ALL CONTENTS OF FORM 990 ON BEHALF OF THE BOARDS OF ALL HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. IN TURN, ONCE THE FORM 990 HAS BEEN APPROVED BY HEALTH SYSTEM'S EXECUTIVE COMMITTEE, A FINAL VERSION OF THE FORM 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS OF THE RESPECTIVE HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. FORMAL NOTIFICATION OF THE FINAL AND APPROVED FORM 990 FOR EACH OF THE HEALTH SYSTEM'S AFFILIATES AS WELL AS ITS AVAILABILITY WILL BE COMMUNICATED TO THE APPLICABLE BOARD MEMBERS ON OR BEFORE THE FILING OF THE FORM 990.
PART VI, SECTION B, POLICIES QUESTION 12CCONFLICT OF INTEREST POLICYThe organization's written conflict of interest policy covers the following individuals: Directors, Principal Officers, and Senior Management. Furthermore, the policy extends to the family members (per Internal Revenue Service definition) of such Directors, Principal Officers, and Senior Management. The Board of Directors and any committee considering a contract, transaction or arrangement to which a known or potential conflict of interest relates, determines whether a conflict exists. Actual conflicts are reviewed by the Chairman of the Board. An individual with a known or potential conflict of interest must refrain from participating in, or acting on, the decision on any matter in which a conflict of interest, or even the appearance of such a conflict of interest, is present with respect to such individual and will remove himself or herself from any meeting or deliberations on the matter.
PART VI, SECTION B, POLICIES QUESTION 15PROCESS FOR DETERMINING COMPENSATIONThe executive compensation committee of the board of directors approves compensation for the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and all key employees. The executive compensation committee utilizes but is not limited to the following resources in evaluating and establishing reasonable compensation: independent compensation consultants, compensation surveys and compensation studies. This organization and its tax-exempt affiliates strive to maintain an arm's length relationship between itself and its employees. It is the goal of the executive compensation committee to ensure that total compensation (compensation and benefits) paid to its employees is fair and reasonable. Finally, the process of setting and approving such compensation is performed annually by the board's executive compensation committee.
PART VI, SECTION C, DISCLOSURE QUESTION 19DOCUMENTS AVAILABLE TO THE PUBLICTHE ORGANIZATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST: ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS (HARFORD MEMORIAL HOSPITAL, INC. AND UPPER CHESAPEAKE MEDICAL CENTER, INC.).
PART VIII STATEMENT OF REVENUELINE 2A - PROGRAM SERVICE REVENUEGROSS PATIENT REVENUE................. $ 104,936,444 LESS: ALLOWANCES & CHARITY POLICIES... (12,739,159) -------------- NET PATIENT REVENUE................ $ 92,197,285
RECONCILIATION OF NET ASSETSPART XI, LINE 5MINIMUM PENSION PLAN LIABILITY.... $(286,427) ROUNDING.......................... (465) ------------ TOTAL............................ $(286,892)
PART III, PROGRAM SERVICE ACCOMPLISHMENTSTO PROVIDE HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTH CARE. ITS TWO HOSPITALS, HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER OFFER SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH SYSTEM IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH SYSTEM HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES AND HOMES. HARFORD MEMORIAL HOSPITAL IS A MEMBER OF THE UPPER CHESAPEAKE HEALTH SYSTEM. HARFORD MEMORIAL HOSPITAL IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). IN ADDITION TO MEDICAL/SURGICAL ACUTE CARE BEDS, THE HOSPITAL HAS A STATE-OF-THE-ART ICU/PCU AND A BUSY EMERGENCY DEPARTMENT THAT CARES FOR OVER 35,000 PATIENTS EACH YEAR. HARFORD MEMORIAL OFFERS VERY SPECIALIZED, ONE OF A KIND, HOSPITAL BASED SERVICES, INCLUDING A JOINT CENTER FOR PATIENTS UNDERGOING HIP OR KNEE JOINT REPLACEMENT SURGERY, A SLEEP DISORDER CENTER FOR THE DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES. HARFORD MEMORIAL AND UPPER CHESAPEAKE MEDICAL CENTER MAINTAIN CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCT MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES, INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS - SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS - HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES - FREE AND MOBILE CLINICS A NUMERICAL SUMMARY OF COMMUNITY ACTIVITIES FOR UPPER CHESAPEAKE MEDICAL CENTER IS AS FOLLOWS: # OF STAFF HOURS # OF ENCOUNTERS COMMUNITY HEALTH SERVICES 644 7,554 HEALTH PROFESSIONS EDUCATION 6,352 175 MISSION DRIVEN HEALTHCARE SVCS 0 0 RESEARCH 92 5 FINANCIAL CONTRIBUTIONS 138 8 COMMUNITY BENEFIT OPERATIONS 124 14 ------------------ ---------------- TOTAL HOSPITAL COMMUNITY 7,350 7,756 DIRECT COST ($) INDIRECT COST ($) COMMUNITY HEALTH SERVICES $ 547,789 $ 369,265 HEALTH PROFESSIONS EDUCATION 224,864 0 MISSION DRIVEN HEALTHCARE SVCS 2,223,973 0 RESEARCH 9,443 0 FINANCIAL CONTRIBUTIONS 87,603 0 COMMUNITY BUILDING ACTIVITIES 68,852 46,413 FOUNDATION FUNDED COMM. BENEFIT 47,681 0 MEDICAID ASSESSMENTS 2,550,165 0 ----------------- ------------------ TOTAL HOSPITAL COMMUNITY BENEFIT $ 5,760,370 $ 415,678 OFFSETTING NET COMMUNITY REVENUE ($) BENEFIT ($) COMMUNITY HEALTH SERVICES $ 41,767 $ 875,287 HEALTH PROFESSIONS EDUCATION 0 224,864 MISSION DRIVEN HEALTHCARE SVCS 0 2,223,973 RESEARCH 0 9,443 FINANCIAL CONTRIBUTIONS 0 87,603 COMMUNITY BUILDING ACTIVITIES 0 115,265 CHARITY CARE 0 3,051,400 FOUNDATION FUNDED COMM. BENEFIT 0 47,681 MEDICAID ASSESSMENTS 2,180,710 369,455 ----------------- ------------------ TOTAL HOSPITAL COMMUNITY BENEFIT $ 2,222,477 $ 7,004,971
COMMUNITY OUTREACHSCHEDULE H, PART VICommunity Outreach - In 2012, HealthLink had over 19,000 community-wide contacts through their screening and educational programs, flu vaccination clinics, support groups and HealthLink Primary Care Clinic visits. Approximately, 4740 of these contacts were for health screenings (blood pressure, body fat, cholesterol, osteoporosis, stroke, diabetes risk assessments, foot and eye screenings, and cancer screenings). This also includes 4,689 contacts that were realized through the HealthLink Primary Care Clinic. Over 2,277 influenza vaccinations were administered countywide. Community Outreach also provided local businesses with employee health screenings and vaccinations. And more than 3000 Harford County children received health education from Upper Chesapeake Community Outreach. Senior Center/Senior Housing/Assisted Living Programs - Community Outreach continued to provide monthly blood pressure screenings at all six senior centers and senior housing centers including Windsor Valley Apartments, Abingdon Senior Housing, Fairbrooke, St. Johns commons, St. Johns Towers, Aberdeen and Perryman Station as well as Brightview and Avondale assisted Living Facilities. Throughout the year, many different health screenings were held during certain months at each senior location. During the month of February, cholesterol screenings were provided to 253 participants at all six senior centers. In March, a screening for body composition was provided to 106 participants at the senior centers. During the month of May, a screening for stroke risk assessment was provided for 249 participants at all of the senior centers and senior housing centers. In September, a hearing and vision screening was provided for the first time at all six senior centers for 137 participants. Then in October, influenza vaccinations were provided at all of the senior centers, senior housing, and assisted living programs. There was also a diabetes risk screening provided in November at a few senior centers that 17 participants engaged in. Children's Programs - A total of 291 children were involved with our Glo Germ Program. This is a program that emphasizes how infection is spread and the importance of good hand washing habits. - Approximately 588 children were exposed to our KATU (Kids Against Tob Approximately 588 children were exposed to our KATU (Kids Against Tobacco Use) program and Smoking Out the Truth programs. These programs teach children, adolescents, and teens about the dangers associated with tobacco use. Toxic Soup is a program that addresses the effects of secondhand smoke which is a program included at times. - There were approximately 1043 children who attended our Teddy Bear Clinics at many of the Harford County elementary public schools. This is an interactive program that familiarizes children with the hospital experience and presents information on child safety. - Another popular program titled How Sweet It Is was taken out into the community and over 2363 children and adults were exposed to this program. The focus of this program is to educate children and adults on the sugar content in many of their favorite drinks including juice boxes, sports drinks, soda, flavored water, and popular coffee drinks. - Over 300 children and adults were involved in our Sun Sense program during the year. This program educates children, teens and adults on the harmful effects of the sun including the dangers of tanning beds. A skin analyzer machine is also utilized with this program to allow individuals to examine their own skin and realize the impact that the sun has had on their skin. - In addition to the above programs, a nutrition program titled My Plate was developed geared to children, teens, adults and seniors. This program focuses on making healthier food choices and building a healthy plate. New Screenings and New Businesses - In 2012, new equipment was obtained to be able to provide HbA1c screenings for Team Members determined at risk for diabetes at the Wellness Works program here at UCH. This screening uses blood from a fingerstick to determine a HbA1c level which is the average blood glucose level in the body over a 2-3month period. The ability to use this screening tool in the community is being evaluated. - A new partnership was formed with the Harford County Sheriff's Office to provide health fairs for their employees. The first health fair was held at the Heat Center in Aberdeen with over 25 participants at this event. Some of the health screenings and programs offered were blood pressures, body composition, Health Wheel, sleep assessment, and How Sweet It Is. In the Fall, two health fairs were coordinated at the northern and southern precincts to capture and improve accessability to more employees. There were approximately 55 participants at these events. Some of the screenings offered in the fall were cholesterol, blood pressure, body composition, CO assessment to screen for smoking, My Plate, Health Wheel, flu shots, and How Sweet It Is. - Community Outreach got involved with a new initiative by the Harford County Public Schools to provide health screenings to their employees at three designated schools during the month of September. Many different health screenings were offered including cholesterol, blood pressures, body composition, osteoporosis, cardiac risk assessment, and stroke risk assessment.
VACCINESSCHEDULE H, PART VI- Community Outreach administered approximately 2277 community flu vaccinations throughout the county in 2012. "Dining with Docs" Lectures and Community Lectures - In 2012, there were several "Dining with Docs" lectures about cancer and the environment and sleep disorders that were held at the Upper Chesapeake Medical Center. Approximately 68 community residents attended these lectures. - There were many other community lectures provided on topics regarding Healthy Aging, Heart Health, and Nutrition held at several churches in the county. Approximately 546 community residents attended one of these lectures. - A seminar on Heart Disease and Erectile Dysfunction presented by a cardiologist and urologist was coordinated with Chesapeake Urology Associates at the Richlin Ballroom in Edgewood. Over 45 members of the community attended this event. A blood pressure screening was also provided. Havre de Grace Health-Tacular - The Second Annual Health Fair was held at the Havre de Grace Activity Center. HealthLink was involved in the planning of this event with Marketing and other departments on the committee. There were many different screenings and programs offered at this event including cholesterol, blood pressure, body composition, hearing screening, breast health, skin cancer screening, prostate screening, Health Wheel, How Sweet It Is program, and free flu vaccinations. Over 300 people took advantage of these services offered. HealthLink Community Wellness Center - In 2012, the HealthLink Community Wellness Center which operates from the HealthLink Medical Mobile Van had 84 residents participate in one of the available health screenings offered throughout the year. The Wellness Centers are offered monthly at two different locations in the County. Primary Care Clinic - The HealthLink Primary Care Clinic (PCC) provided primary care on a sliding fee scale to low income adults age 19 and above who are uninsured or underinsured and meet specific income criteria. In 2012, the PCC had approximately 4,689 patient encounters. HealthLink Call Center - In 2012, our HealthLink Call Center handled approximately 6,334 calls. This included almost 387 physician referrals, 2,784 physician related calls and 1,884 service calls. Support Groups - HealthLink RNs facilitate countywide support groups for diabetes. The support groups meet at the Aberdeen Senior Center, Edgewood Senior Center, Primary Care Clinic, and the McFaul Activity Center. These groups meet monthly and served approximately 180 participants. HealthLink and Community Health Improvement Coalitions and Committees - Harford County School Health Board - Harford County Tobacco Coalition - Harford County Cancer Coalition - Office on Aging Advisory Board - Harford County Homeless Advisory Board - GAIN Committee - Healthy Harford

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398507FIN SUPPORTMD501(c)(3)11ANAfalse
UPPER CHESAPEAKE MEDICAL SERVICES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521501734PHYSICIAN SVCMD501(c)(3)9UCHSUMMS VNfalse
UPPER CHESAPEAKEST JOE'S HOME CARE IN
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521229742HOSPICE CAREMD501(c)(3)9UCHSUMMS VNfalse
UPPER CHESAPEAKE MEDICAL CENTER INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521253920HOSPITAL CAREMD501(c)(3)3UCHSUMMS VNfalse
UPPER CHESAPEAKE PROPERTIES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521907237TITLE HOLDINGMD501(c)(3)N/AUCHSUMMS VNfalse
UPPER CHESAPEAKE HEALTH SYSTEMS INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398513HLTHCARE SVCSMD501(c)(3)11C;III-FIUCHSUMMS VNfalse
UPPER CHESAPKE RESIDENTIAL HOSPICE HOUSE
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014260737028HOSPICE CAREMD501(c)(3)7UCHSUMMS VNfalse
HEALTHY HARFORD INC
2027 PULASKI HWY SUITE 215HAVRE DE GRACEMD21078521944325HEALTH INIATVMD501(c)(3)7NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UCHSUMMS VENTURE LLC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014522178070MEDICAL SERVICESMDNA
UCHS UMMS REAL ESTATE TRUST
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014276803540HOLD LANDMDNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
UPPER CHESAPEAKE HEALTH VENTURES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014522031264MISC. SERVICESMDNAC CORP
UPPER CHESAPEAKE MED OFFICE BLDG INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521946829REAL ESTATEMDNAC CORP
UPPER CHESAPEAKE MGMT SVCS ORG INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521946025MANAGEMENT SRVCSMDNAC CORP
UC MEDICAL CENTER LAND CONDOMINIUM INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014770674478REAL ESTATEMDNAC CORP
Upper Chesapeake Insurance Company Ltd
980468438CAPTIVE INSURANCENALtd.PO Box 1109Grand CaymanCAYMAN ISLANDSCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg