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UPPER CHESAPEAKE MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UPPER CHESAPEAKE MEDICAL CENTER INC (EIN 52-1253920)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349305259
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)
EIN521253920EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UPPER CHESAPEAKE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOSEPH E HOFFMAN IIIInCareOfName
Name ControlUPPENameControl
Phone4108773700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 UPPER CHESAPEAKE DRIVEAddressLine1
Address Line2SuiteAddressLine2
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode

Officer Officer

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

Preparer Preparer

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

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DR STEAddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode
FieldValueIRS element (for citing)
Gross Receipts262312239GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UCHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionACUTE HOSPITAL CAREActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2173TotalNbrEmployees
Total Nbr Volunteers794TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7361725ContributionsGrantsPriorYear
Contributions Grants Current Year4770282ContributionsGrantsCurrentYear
Program Service Revenue Prior Year229956458ProgramServiceRevenuePriorYear
Program Service Revenue CY249739514ProgramServiceRevenueCY
Investment Income Prior Year579927InvestmentIncomePriorYear
Investment Income Current Year488058InvestmentIncomeCurrentYear
Other Revenue Prior Year275563OtherRevenuePriorYear
Other Revenue Current Year4287758OtherRevenueCurrentYear
Total Revenue Prior Year238173673TotalRevenuePriorYear
Total Revenue Current Year259285612TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8141614GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY13953770GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year95049836SalariesEtcPriorYear
Salaries Etc Current Year104662896SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year116218745OtherExpensePriorYear
Other Expenses Current Year130208523OtherExpensesCurrentYear
Total Expenses Prior Year219410195TotalExpensesPriorYear
Total Expenses Current Year248825189TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18763478RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10460423RevenuesLessExpensesCY
Total Assets BOY321262781TotalAssetsBOY
Total Assets EOY353410774TotalAssetsEOY
Total Liabilities BOY234530464TotalLiabilitiesBOY
Total Liabilities EOY260959745TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY86732317NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY92451029NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionACUTE HOSPITAL CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense187606056Expense
Revenue253306496Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense187606056TotalProgramServiceExpense
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 FootnotetrueReportFin48Footnote
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 OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
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 With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2173NumberOfEmployees
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DRIVEAddressLine1
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 CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
H WILLIAM ACKER
VICE CHAIRMAN/DIRECTOR5.0XX000
STEVEN M BENTMAN MD
DIRECTOR1.0X2291700
JOHN H CAIN
DIRECTOR1.0X000
MELINDA L CRAIG
DIRECTOR1.0X000
DIANE K FORD
DIRECTOR1.0X000
JASON M BIRNBAUM MD
DIRECTOR40.0X000
M SCOT KAUFMAN
SECRETARY/DIRECTOR5.0XX000
ANDREW KLEIN
DIRECTOR1.0X000
JAMES LAMBDIN
DIRECTOR1.0X000
ANTHONY J MEOLI
TREASURER/DIRECTOR5.0XX000
ROGER E SCHNEIDER MD
CHAIRMAN/DIRECTOR5.0XX000
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR5.0XX026742357982350.0
RICHARD P STREETT JR VMD
DIRECTOR1.0X000
ADELE A WILZACK RN MS
DIRECTOR1.0X000
ALBERT J A YOUNG
DIRECTOR1.0X000
FAHEEM YOUNUS MD
DIRECTOR1.0X16500000
JOYCE FOX
VP - PATIENT SVCS/CNO20.002453184769620.0X
JOSEPH E HOFFMAN III
SR VP/CFO5.007245987733446.0X
JAMES J HURSEY
SR VP/COO5.002761415641449.0X
DEAN C KASTER
SR VP - CORP STRATEGY/PLANNING5.004993546362045.0X
MARGARET M VAUGHAN
SR VP - CHIEF MEDICAL OFFICER5.008284772876246.0X
E SCOTT CONOVER
SR VP/GENERAL COUNSEL5.004561074397746.0X
TONI M SHIVERY
VP - HUMAN RESOURCES5.002143606471245.0X
ROY PHILLIPS
PHYSICIAN/HOSPITALIST40.0271922047081X
OLUFUNMILAYO ONOBRAKPEYA
PHYSICIAN40.0240703036602X
ANGELA M KAITIS
DIR - PHARMACEUTICAL SERVICES40.0136274046004X
DENISE C DEEL
ADMINISTRATIVE COORDINATOR40.0138088033523X
SAYHIENG SEANG
PHARMACIST40.0139972023575X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1114876TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5918590TotalReportableCompFrmRltdOrgs
Total Other Compensation649123TotalOtherCompensation
Number Individuals GT100 K88NumberIndividualsGT100K
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 FEES3266667
VISION CONSULTING LLC
3325 ASPEN GROVE DRIVE SUITE 204FRANKLINTN37067SOFTWARE CONSULTING718945
BRAIN AND SPINE SPECIALISTS PA
520 UPPER CHESAPEAKE DR SUITE 211BEL AIRMD21014PHYSICIAN FEES574936
CHESAPEAKE MEDICAL STAFFING
2401 YORK ROADTIMONIUMMD21093MED STAFFING FEES429213
KPMG LLP
111 SOUTH CALVERT STBALTIMOREMD21202AUDIT FEES395462
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Related Organizations4770282RelatedOrganizations
Total Contributions4770282TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621110249532571249532571
SPINE CENTER/ENDOCRINOLOGY621110199697199697
POST REHAB FITNESS62111072467246
FieldValueIRS element (for citing)
Total Program Service Revenue249739514TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column35914TotalRevenueColumn
Exclusion$35,914ExclusionAmount

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)
Real1510170Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3026627Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1516457Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1516457TotalRevenueColumn
Exclusion-$1,516,457ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities448794Securities
Other3350Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities448794Securities
Other3350Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column452144TotalRevenueColumn
Exclusion$452,144ExclusionAmount

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 RECORDS90009935669823566982
CAFETERIA/VENDING9000991189802$1,189,802
PARKING GARAGE900099207346$207,346

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column840085TotalRevenueColumn
Exclusion$840,085ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5804215TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column259285612TotalRevenueColumn
Related Or Exempt Function Income253306496RelatedOrExemptFunctionIncome
Exclusion$1,208,834ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total13916322Total
Program Services13916322ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total37448Total
Program Services37448ProgramServices

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)
Total84042528Total
Program Services62999697ProgramServices
Management And General21042831ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7217302Total
Program Services5410211ProgramServices
Management And General1807091ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6083742Total
Program Services4551099ProgramServices
Management And General1532643ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7319324Total
Program Services5486689ProgramServices
Management And General1832635ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1322835Total
Management And General1322835ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24183Total
Management And General24183ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15444959Total
Program Services9697195ProgramServices
Management And General5747764ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total962831Total
Program Services2350ProgramServices
Management And General960481ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total61006739Total
Program Services57137996ProgramServices
Management And General3868743ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4445052Total
Program Services730760ProgramServices
Management And General3714292ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24095Total
Program Services15033ProgramServices
Management And General9062ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total90354Total
Program Services28651ProgramServices
Management And General61703ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2819200Total
Program Services1827569ProgramServices
Management And General991631ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total5464893Total
Program Services585311ProgramServices
Management And General4879582ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9971997Total
Program Services7326281ProgramServices
Management And General2645716ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3431648Total
Program Services2572421ProgramServices
Management And General859227ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
MANAGEMENT FEES - UCHS97301429730142
REPAIRS & MAINTENANCE36465612877501769060
BAD DEBT1208173512081735
DUES43829640439333903

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-696997Total
Program Services2396325ProgramServices
Management And General-3093322ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total248825189Total
Program Services187606056ProgramServices
Management And General61219133ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18019127BOY
EOY18587894EOY

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)
BOY26206766BOY
EOY27904096EOY

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)
BOY5693980BOY
EOY5804000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1214175BOY
EOY1191840EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis263266168LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec86782917LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY155785998BOY
EOY176483251EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY41080170BOY
EOY41528964EOY

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)
BOY383343BOY
EOY223518EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY72879222BOY
EOY81687211EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY321262781BOY
EOY353410774EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24574005BOY
EOY30580356EOY

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)
BOY146396066BOY
EOY162519495EOY

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)
BOY63560393BOY
EOY67859894EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY234530464BOY
EOY260959745EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY79725317BOY
EOY81060106EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7007000BOY
EOY11390923EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY86732317BOY
EOY92451029EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY321262781BOY
EOY353410774EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10460423ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-17433ReconciliationUnrealizedInvest
Reconcilation Other Changes-4724278ReconcilationOtherChanges
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$10,106OtherActivitiesAmount
Total Lobbying Expenditures IIB10106TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

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 $10,106 FOR 12/31/12 REPRESENT A PORTION OF THE DUES PAID TO MARYLAND HOSPITAL ASSOCIATION. THESE ASSOCIATIONS ALLOCATE 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 Basis6947954OtherCostOrOtherBasis
Book Value6947954BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis138763159OtherCostOrOtherBasis
Depreciation34314260Depreciation
Book Value104448899BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8707362OtherCostOrOtherBasis
Depreciation1215319Depreciation
Book Value7492043BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50370450OtherCostOrOtherBasis
Depreciation37056519Depreciation
Book Value13313931BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58477243OtherCostOrOtherBasis
Depreciation14196819Depreciation
Book Value44280424BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings176483251TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ACCTS RECEIVABLE1604000
DEFERRED FINANCING COSTS1038729
DUE FROM AFFILIATES62105310
FUNDS HELD BY TRUSTEE3397830
ECON INT FOUNDATION NET ASSETS11390000
CURRENT PORTION OF ASSETS LTD2151342
FieldValueIRS element (for citing)
Total Book Value Other Assets81687211TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM THIRD PARTIES$5,794,049
ACCRUED PENSION LIABILITY$6,792,123
BOND INTEREST RATE SWAP$53,817,599
DUE TO AFFILIATES$1,456,123
FieldValueIRS element (for citing)
Total Of Amounts67859894TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt231572471TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-17433NetUnrealizedGainsInvestments
Other Revenues-30722335OtherRevenues
Revenue Not Rptd F990-30739768RevenueNotRptdF990
Revenue Subtotal262312239RevenueSubtotal
Other Revenues Not Included-3026627OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-3026627RevenueNotRptdOnFinStmt
Total Revenue Per Form990259285612TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt225853759TotExpensesEtcAuditedFinclStmt
Other Expenses Included3026627OtherExpensesIncluded
Expenses Not Rptd F9903026627ExpensesNotRptdF990
Expenses Subtotal222827132ExpensesSubtotal
Other Expenses Not Included25998057OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt25998057ExpensesNotRptdOnFinStmt
Total Expenses Per Form990248825189TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INCOME TAXES (FIN 48)PART X, QUESTION 2Upper Chesapeake Medical Center 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 Upper Chesapeake Medical Center 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 BAD DEBT $ (12,081,735) UNREALIZED GAIN/(LOSS) ON SWAP (4,055,948) MINIMUM PENSION LIABILITY (668,330) GRANT TO AFFILIATE - UC MEDICAL SERVICES (13,510,844) GRANT TO AFFILIATE - UC PROPERTIES (405,478) ------------- TOTAL $ (18,640,600) ============= LINE 4B - OTHER REVENUE ON RETURN NOT ON BOOKS RECLASS - RENTAL EXPENSES $ (3,026,627)
RECONCILIATION OF EXPENSESSCHEDULE D, PART XIILINE 2D - OTHER EXPENSES INCLUDED ON BOOKS NOT ON RETURN RECLASS - RENTAL EXPENSES $ 3,026,627 LINE 4B - OTHER EXPENSES INCLUDED ON RETURN NOT ON BOOKS BAD DEBT $ 12,081,735 GRANT TO AFFILIATE - UC MEDICAL SERVICES 13,510,844 GRANT TO AFFILIATE - UC PROPERTIES 405,478 ------------ TOTAL $ 25,998,057 ============

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 Expense17330668TotalCommunityBenefitExpense
Net Community Benefit Expense17330668NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense17330668TotalCommunityBenefitExpense
Net Community Benefit Expense17330668NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1951645TotalCommunityBenefitExpense
Direct Offsetting Revenue97456DirectOffsettingRevenue
Net Community Benefit Expense1854189NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense524683TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense524683NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3928502TotalCommunityBenefitExpense
Net Community Benefit Expense3928502NetCommunityBenefitExpense
Percent Of Total Expense0.02000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense22033TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense22033NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense204408TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense204408NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6631271TotalCommunityBenefitExpense
Direct Offsetting Revenue97456DirectOffsettingRevenue
Net Community Benefit Expense6533815NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23961939TotalCommunityBenefitExpense
Direct Offsetting Revenue97456DirectOffsettingRevenue
Net Community Benefit Expense23864483NetCommunityBenefitExpense
Percent Of Total Expense0.11000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense221773TotalCommunityBuildingExpense
Net Community Building Expense221773NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs28NumberOfActivitiesOrPrograms
Persons Served32PersonsServed
Total Community Building Expense3281TotalCommunityBuildingExpense
Net Community Building Expense3281NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs176NumberOfActivitiesOrPrograms
Total Community Building Expense14528TotalCommunityBuildingExpense
Net Community Building Expense14528NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs85NumberOfActivitiesOrPrograms
Total Community Building Expense5720TotalCommunityBuildingExpense
Net Community Building Expense5720NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs289NumberOfActivitiesOrPrograms
Persons Served32PersonsServed
Total Community Building Expense245302TotalCommunityBuildingExpense
Net Community Building Expense245302NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,081,735BadDebtExpenseAmount
Amount Attributable To1873154AmountAttributableTo
Amount Reimbursed By Medicare98050993AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare93262192CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4788801MedicareSurplusOrShortfall

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 Line1UPPER CHESAPEAKE MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1500 UPPER CHESAPEAKE DRIVEAddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.UCHS.ORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Facility Reporting Group1FacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UPPER CHESAPEAKE MEDICAL CENTER INCBusinessNameLine1
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 HEALTH LINK 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 (11 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 otherwsie entitled to receive) patients' benefits receivable under their health insurance programs, plans or policies.
PART III, SECTION B, LINE 8COMMUNITY BENEFIT AND SHORTFALLThe Hospital did not have a Medicare shortfall.
PART III, SECTION C, LINE 9BCOLLECTION PRACTICESIT IS THE POLICY OF UPPER CHESAPEAKE MEDICAL CENTER ("UCMC") TO ATTEMPT TO COLLECT PAYMENT FOR ALL SERVICES RENDERED TO PATIENTS IN THE MOST EFFICIENT AND PATIENT FRIENDLY MANNER. UCMC WILL FIRST ATTEMPT TO COLLECT PAYMENT FROM THE PATIENT'S INSURANCE COMPANY. IN THE EVENT THE PATIENT HAS NO INSURANCE OR LIMITED INSURANCE COVERAGE, UCMC WILL ATTEMPT TO QUALIFY THE PATIENT FOR THE MARYLAND MEDICAL ASSISTANCE PROGRAM AND/OR UCMC'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 UCMC; 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 Upper Chesapeake Medical Center, 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 SYSTEMUpper Chesapeake Medical Center, Inc. (UCMC) is one hospital in an "Affiliated Health Care System" that includes a second hospital, Harford Memorial Hospital, Inc. (HMH), 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. UCMC and HMH are the only hospitals in Harford County, Maryland. UCMC offers acute care services, including intensive care, emergency and other outpatient services, and has the only acute care maternity services 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 INFORMATIONUPPER CHESAPEAKE MEDICAL CENTER 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. IMPLEMENTATION PLAN TO BE COMPLETED BY THE END OF TAX YEAR 2013 IN ACCORDANCE WITH THE AFFORDABLE CARE ACT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UPPER CHESAPEAKE PROPERTIES
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521907237501(C)(2)405478GENERAL SUPPORT
UPPER CHESAPEAKE MEDICAL SERVICES
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521501734501(C)(3)13510844PHYSICIAN PRACTICE SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS TO STUDY IN THE MEDICAL FIELD
SCHOLARSHIPS2037448

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR05065830249752019179000545000253230275405801194080
FAHEEM YOUNUS MD
DIRECTOR165000000000000165000000
JOYCE FOX
VP - PATIENT SVCS/CNO01896690485610708804411903577029301400
JOSEPH E HOFFMAN III
SR VP/CFO02962380119391030896905150002583408019320224402
JAMES J HURSEY
SR VP/COO02695870006554046037010377033255500
DEAN C KASTER
SR VP - CORP STRATEGY/PLANNING0223452089174018672803243803118205629740148505
MARGARET M VAUGHAN
SR VP - CHIEF MEDICAL OFFICER0308514012500003949630002876208572390270754
E SCOTT CONOVER
SR VP/GENERAL COUNSEL0308389010203004568804150002477050008400
TONI M SHIVERY
VP - HUMAN RESOURCES01697920442980270037747026965027907200
ROY PHILLIPS
PHYSICIAN/HOSPITALIST214397056000015250294120176690319003000
OLUFUNMILAYO ONOBRAKPEYA
PHYSICIAN198906036000057970240720125300277305000
ANGELA M KAITIS
DIR - PHARMACEUTICAL SERVICES12245601301208060299890160150182278000
DENISE C DEEL
ADMINISTRATIVE COORDINATOR12383601377304790121910213320171611000
SAYHIENG SEANG
PHARMACIST100087039830055014590221160163547000

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 INTERNAL REVENUE CODE SECTION 457F PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THIS FILING ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A: JOSEPH E. HOFFMAN III $24,501 JAMES J. HURSEY $ 5,369 DEAN C. KASTER $18,438 JOHN K. LYNCH $ 7,605 LYLE E. SHELDON $81,116 E. SCOTT CONOVER $44,658 * *AMOUNT FOR E. SCOTT CONOVER REPRESENTS "PAYOUT OF PRIOR YEAR 457F CONTRIBUTIONS" An organization related to this filing organization made split dollar life insurance plan contributions to the following members of senior leadership who are listed on this filing organization's Form 990, Part VII, Section A, Line 1A: Lyle E. Sheldon $ 29,885 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
A5209360915742172P92008-08-0846473000REFI EXISTING DEBT-SERIES 2008Cfalsefalsefalse
MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY
B5209360912011-10-0142000000CAPITAL PROJECTS-SERIES 2011Afalsefalsefalse
MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY
C5209360912011-12-0149749000REFI EXISTING DEBT-SERIES 2011Bfalsefalsefalse
MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY
D5209360912011-12-0149749000REFI EXISTING DEBT-SERIES 2011Cfalsefalsefalse

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
A454650000492206403340680035384358414720000002008truefalsetruetrue
B004200000002902270953000002013falsefalsetruetrue
C00497490000000000002000truefalsetruetrue
D00497490000000000002000truefalsetruetrue

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
Cfalsefalsefalsetruefalsetrue0falsefalsefalsetrue
Dfalsefalsefalsetruefalsetrue0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsefalse0falsefalse
0
Bfalsefalsefalsefalse0falsefalse
0
Cfalsefalsefalsefalse0falsefalse
0
Dfalsefalsefalsefalse0falsefalse

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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOHN H CAIN
BB&T OFFICER1734120INTEREST ON O/S DEBTfalse
ROGER E SCHNEIDER MD
VASC SURG ASSOC PARTNER435044PHYSICIAN FEES PAID TO VSA LLCfalse
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................. $ 284,980,428 LESS: ALLOWANCES & CHARITY POLICIES... (35,447,857) -------------- NET PATIENT REVENUE................ $ 249,532,571
RECONCILIATION OF NET ASSETSPART XI, LINE 8, OTHER CHANGES IN NET ASSETSUNREALIZED GAIN/(LOSS) ON SWAP $ (4,055,948) MINIMUM PENSION LIABILITY (668,330) ------------- TOTAL $ (4,724,278) =============
PART III, PROGRAM SERVICE ACCOMPLISHMENTSTO PROVIDE HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTHCARE. ITS TWO HOSPITALS, HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER OFFER SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH SYSTEM IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH SYSTEM HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY, AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES, AND TO HOMES. UPPER CHESAPEAKE MEDICAL CENTER IS A MEMBER OF THE UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE MEDICAL CENTER IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THIS PREMIER HEALTH CARE FACILITY INCORPORATES SEVERAL TRENDS THAT REFLECT HOW HEALTH CARE IS CHANGING, INCLUDING REORIENTATION TOWARDS OUTPATIENT CARE, MORE ACUTELY ILL PATIENTS IN THE HOSPITAL AND FLEXIBILITY FOR GROWTH AND CHANGE TO MEET OUR COMMUNITY'S FUTURE HEALTH CARE NEEDS. LOCATED ON THE MEDICAL CAMPUS IS THE UPPER CHESAPEAKE MEDICAL CENTER WITH 194 ACUTE CARE BEDS. ADJACENT TO THE MEDICAL CENTER IS THE AMBULATORY CARE CENTER OF HARFORD COUNTY, CONTAINING PHYSICIAN OFFICES, OUTPATIENT IMAGING AND LABORATORY PROCEDURES, OUTPATIENT PRE-ASSESSMENT TESTING AND ASSESSMENT, UPPER CHESAPEAKE CARDIOVASCULAR INSTITUTE, AND THE ADMINISTRATIVE OFFICES OF UPPER CHESAPEAKE HEALTH. ALSO LOCATED NEXT TO THE MEDICAL CENTER, IS A PRE-EXISTING MEDICAL OFFICE BUILDING WITH PHYSICIAN OFFICES AND OTHER HEALTHCARE RELATED SERVICES, A PARKING GARAGE AND A SECOND MEDICAL OFFICE BUILDING WHICH INCLUDES OUTPATIENT SERVICES AND PHYSICIAN OFFICES. HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER MAINTAIN CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCT MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS - SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS - HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES - FREE AND MOBILE CLINIC # OF STAFF HOURS # OF ENCOUNTERS COMMUNITY HEALTH SERVICES 1,500 18,792 HEALTH PROFESSIONS EDUCATION 14,822 408 MISSION DRIVEN HEALTHCARE SVCS - - RESEARCH 214 12 FINANCIAL CONTRIBUTIONS 323 18 COMMUNITY BUILDING ACTIVITIES 289 32 FOUNDATION FUNDED COMMUNITY BENEFIT - - MEDICAID ASSESSMENTS - - --------- --------- TOTAL HOSPITAL COMMUNITY BENEFIT 17,148 19,262 DIRECT COST ($) INDIRECT COST ($) COMMUNITY HEALTH SERVICES $ 1,278,175 $ 673,470 HEALTH PROFESSIONS EDUCATION 524,683 - MISSION DRIVEN HEALTHCARE SVCS 3,928,502 - RESEARCH 22,033 - FINANCIAL CONTRIBUTIONS 204,408 - COMMUNITY BUILDING ACTIVITIES 289 32 FOUNDATION FUNDED COMM. BENEFIT 111,256 - MEDICAID ASSESSMENTS 7,382,380 - --------- --------- TOTAL HOSPITAL COMM. BENEFIT $ 13,612,091 $ 758,119 OFFSETTING NET COMMUNITY REVENUE ($) BENEFIT ($) COMMUNITY HEALTH SERVICES $ 97,456 $ 1,854,189 HEALTH PROFESSIONS EDUCATION - 524,683 MISSION DRIVEN HEALTH CARE SVCS - 3,928,502 RESEARCH - 22,033 FINANCIAL CONTRIBUTIONS - 204,408 COMMUNITY BENEFIT OPERATIONS - 245,303 CHARITY CARE - 4,777,100 FOUNDATION FUNDED COMM. BENEFIT - 111,256 MEDICAID ASSESSMENTS 6,312,858 1,069,522 ------- --------- TOTAL HOSPITAL COMM. BENEFIT $ 6,410,314 $ 12,736,996
COMMUNITY OUTREACHCommunity Outreach - In 2012, HealthLink had over 19,000 community-wide contacts through their screening and educational programs, flu vaccination clinics, support groups and HealthLink Primary Care Clinic visits. Approximately, 4740 of these contacts were for health screenings (blood pressure, body fat, cholesterol, osteoporosis, stroke, diabetes risk assessments, foot and eye screenings, and cancer screenings). This also includes 4,689 contacts that were realized through the HealthLink Primary Care Clinic. Over 2,277 influenza vaccinations were administered countywide. Community Outreach also provided local businesses with employee health screenings and vaccinations. And more than 3000 Harford County children received health education from Upper Chesapeake Community Outreach. Senior Center/Senior Housing/Assisted Living Programs - Community Outreach continued to provide monthly blood pressure screenings at all six senior centers and senior housing centers including Windsor Valley Apartments, Abingdon Senior Housing, Fairbrooke, St. Johns commons, St. Johns Towers, Aberdeen and Perryman Station as well as Brightview and Avondale assisted Living Facilities. Throughout the year, many different health screenings were held during certain months at each senior location. During the month of February, cholesterol screenings were provided to 253 participants at all six senior centers. In March, a screening for body composition was provided to 106 participants at the senior centers. During the month of May, a screening for stroke risk assessment was provided for 249 participants at all of the senior centers and senior housing centers. In September, a hearing and vision screening was provided for the first time at all six senior centers for 137 participants. Then in October, influenza vaccinations were provided at all of the senior centers, senior housing, and assisted living programs. There was also a diabetes risk screening provided in November at a few senior centers that 17 participants engaged in. Children's Programs - A total of 291 children were involved with our Glo Germ Program. This is a program that emphasizes how infection is spread and the importance of good hand washing habits. - Approximately 588 children were exposed to our KATU (Kids Against Tob Approximately 588 children were exposed to our KATU (Kids Against Tobacco Use) program and Smoking Out the Truth programs. These programs teach children, adolescents, and teens about the dangers associated with tobacco use. Toxic Soup is a program that addresses the effects of secondhand smoke which is a program included at times. - There were approximately 1043 children who attended our Teddy Bear Clinics at many of the Harford County elementary public schools. This is an interactive program that familiarizes children with the hospital experience and presents information on child safety. - Another popular program titled How Sweet It Is was taken out into the community and over 2363 children and adults were exposed to this program. The focus of this program is to educate children and adults on the sugar content in many of their favorite drinks including juice boxes, sports drinks, soda, flavored water, and popular coffee drinks. - Over 300 children and adults were involved in our Sun Sense program during the year. This program educates children, teens and adults on the harmful effects of the sun including the dangers of tanning beds. A skin analyzer machine is also utilized with this program to allow individuals to examine their own skin and realize the impact that the sun has had on their skin. - In addition to the above programs, a nutrition program titled My Plate was developed geared to children, teens, adults and seniors. This program focuses on making healthier food choices and building a healthy plate. New Screenings and New Businesses - In 2012, new equipment was obtained to be able to provide HbA1c screenings for Team Members determined at risk for diabetes at the Wellness Works program here at UCH. This screening uses blood from a fingerstick to determine a HbA1c level which is the average blood glucose level in the body over a 2-3month period. The ability to use this screening tool in the community is being evaluated. - A new partnership was formed with the Harford County Sheriff's Office to provide health fairs for their employees. The first health fair was held at the Heat Center in Aberdeen with over 25 participants at this event. Some of the health screenings and programs offered were blood pressures, body composition, Health Wheel, sleep assessment, and How Sweet It Is. In the Fall, two health fairs were coordinated at the northern and southern precincts to capture and improve accessability to more employees. There were approximately 55 participants at these events. Some of the screenings offered in the fall were cholesterol, blood pressure, body composition, CO assessment to screen for smoking, My Plate, Health Wheel, flu shots, and How Sweet It Is. - Community Outreach got involved with a new initiative by the Harford County Public Schools to provide health screenings to their employees at three designated schools during the month of September. Many different health screenings were offered including cholesterol, blood pressures, body composition, osteoporosis, cardiac risk assessment, and stroke risk assessment.
VACCINES- Community Outreach administered approximately 2277 community flu vaccinations throughout the county in 2012. "Dining with Docs" Lectures and Community Lectures - In 2012, there were several "Dining with Docs" lectures about cancer and the environment and sleep disorders that were held at the Upper Chesapeake Medical Center. Approximately 68 community residents attended these lectures. - There were many other community lectures provided on topics regarding Healthy Aging, Heart Health, and Nutrition held at several churches in the county. Approximately 546 community residents attended one of these lectures. - A seminar on Heart Disease and Erectile Dysfunction presented by a cardiologist and urologist was coordinated with Chesapeake Urology Associates at the Richlin Ballroom in Edgewood. Over 45 members of the community attended this event. A blood pressure screening was also provided. Havre de Grace Health-Tacular - The Second Annual Health Fair was held at the Havre de Grace Activity Center. HealthLink was involved in the planning of this event with Marketing and other departments on the committee. There were many different screenings and programs offered at this event including cholesterol, blood pressure, body composition, hearing screening, breast health, skin cancer screening, prostate screening, Health Wheel, How Sweet It Is program, and free flu vaccinations. Over 300 people took advantage of these services offered. HealthLink Community Wellness Center - In 2012, the HealthLink Community Wellness Center which operates from the HealthLink Medical Mobile Van had 84 residents participate in one of the available health screenings offered throughout the year. The Wellness Centers are offered monthly at two different locations in the County. Primary Care Clinic - The HealthLink Primary Care Clinic (PCC) provided primary care on a sliding fee scale to low income adults age 19 and above who are uninsured or underinsured and meet specific income criteria. In 2012, the PCC had approximately 4,689 patient encounters. HealthLink Call Center - In 2012, our HealthLink Call Center handled approximately 6,334 calls. This included almost 387 physician referrals, 2,784 physician related calls and 1,884 service calls. Support Groups - HealthLink RNs facilitate countywide support groups for diabetes. The support groups meet at the Aberdeen Senior Center, Edgewood Senior Center, Primary Care Clinic, and the McFaul Activity Center. These groups meet monthly and served approximately 180 participants. HealthLink and Community Health Improvement Coalitions and Committees - Harford County School Health Board - Harford County Tobacco Coalition - Harford County Cancer Coalition - Office on Aging Advisory Board - Harford County Homeless Advisory Board - GAIN Committee - Healthy Harford

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UPPER CHESAPEAKE HEALTH SYSTEMS INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398513HLTHCARE SVCSMD501(c)(3)11C;III-FINAfalse
UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398507FIN SUPPORTMD501(c)(3)11AUCHSfalse
UPPER CHESAPEAKE MEDICAL SERVICES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521501734PHYSICIAN SVCMD501(c)(3)9UCHSUMMS VNfalse
HARFORD MEMORIAL HOSPITAL INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014520591484HOSPITAL CAREMD501(c)(3)3UCHSUMMS VNfalse
UPPER CHESAPEAKE PROPERTIES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521907237TITLE HOLDINGMD501(c)(2)N/AUCHSUMMS VNfalse
UPPER CHESAPEAKEST JOE'S HOME CARE INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521229742HOSPICE CAREMD501(c)(3)9UCHSUMMS 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/BusinessNameLine1Predominant Income TypePredominantIncomeType
UCHSUMMS VENTURE LLC
520 UPPER CHESAPEAKEBEL AIRMD21014522178070MEDICAL SERVICESMDNAN/A
UCHSUMMS REAL ESTATE TRUST
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014276803540HOLD LANDMDNAN/A

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 RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg