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UCH LEGACY FUNDING CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UCH LEGACY FUNDING CORPORATION (EIN 52-0882914)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349302335
Schema version
2010v3.7
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)
Timestamp2012-05-14T11:09:42-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520882914EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY SPECIALTY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone4105478500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 South Charles StreetAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21230ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKeith PersingerName
TitleSVP and CFOTitle
Phone4103281376Phone
Date Signed2012-05-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames WarnerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1611 South Charles StreetAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21230ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65168283GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.specialtyhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionThe hospital provides specialized care services to patients who are critically ill, have multiple complications and/or failures that require continued hospitalization beyond the acute care setting.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees581TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54088180ProgramServiceRevenuePriorYear
Program Service Revenue CY52511728ProgramServiceRevenueCY
Investment Income Prior Year1759628InvestmentIncomePriorYear
Investment Income Current Year2135277InvestmentIncomeCurrentYear
Other Revenue Prior Year197388OtherRevenuePriorYear
Other Revenue Current Year326431OtherRevenueCurrentYear
Total Revenue Prior Year56045196TotalRevenuePriorYear
Total Revenue Current Year54973436TotalRevenueCurrentYear
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 Year28482181SalariesEtcPriorYear
Salaries Etc Current Year27605915SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28980156OtherExpensePriorYear
Other Expenses Current Year30588392OtherExpensesCurrentYear
Total Expenses Prior Year57462337TotalExpensesPriorYear
Total Expenses Current Year58194307TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1417141RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3220871RevenuesLessExpensesCY
Total Assets BOY40410879TotalAssetsBOY
Total Assets EOY35251353TotalAssetsEOY
Total Liabilities BOY32005836TotalLiabilitiesBOY
Total Liabilities EOY30049506TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8405043NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5201847NetAssetsOrFundBalancesEOY
Mission DescriptionTHE HOSPITAL PROVIDES SPECIALIZED CARE SERVICES TO PATIENTS WHO ARE CRITICALLY ILL, HAVE MULTIPLE COMPLICATIONS AND/OR FAILURES THAT REQUIRE CONTINUED HOSPITALIZATION BEYOND THE ACUTE CARE SETTING.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense49706292Expense
Grants0Grants
Revenue52511728Revenue
DescriptionTHE HOSPITAL PROVIDES REHABILITATIVE AND CHRONIC MEDICAL AND NURSING SERVICES ON AN INPATIENT AND OUTPATIENT BASIS, TOGETHER WITH THE APPROPRIATE ANCILLIARY SERVICES. THESE SERVICES INCLUDE CARE WHICH MANY FACILITIES PREFER NOT TO PROVIDE. THE MISSION OF THE HOSPITAL IS TO PROVIDE THE BEST QUALITY OF CARE FOR THOSE MEDICALLY COMPLEX LONGER STAY PATIENTS. THE MISSION HAS PROVIDED THE FACILITY A DISPROPORTIONATE SHARE OF MEDICAID PATIENTS WHO ARE THE INDIGENT CITIZENS OF THE STATE OF MARYLAND. ALSO, FOR ANY NON-MEDICAID/MEDICARE PATIENT THE HOSPITAL IS COMMITTED TO PROVIDE CARE WHERE POSSIBLE.Description
Total Program Service Expense49706292TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign 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 BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees581NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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 PersonMICHELLE LEENamePerson
Telephone Number4103281376TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1250 W PRATT STREET 14TH FLAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21201ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JEFFREY A RIVEST
DIRECTOR2.0X095692233922
ALISON G BROWN
DIRECTOR2.0X052081728404
LISA ROWEN
DIRECTOR2.0X046426664163
REVEREND JOHN SABATELLI
LIAISON2.0X533550995
INGRID CONNERNEY
DIRECTOR2.0X185545018719
KEITH PERSINGER
CFO & DIRECTOR2.0X057003517062X
JONATHAN GOTTLIEB
DIRECTOR2.0X070299882624
SEBLU ZERA YOHANNES
DOCTOR & DIRECTOR40.0X18381608156
JAMES WARNER
VP & CEO40.0244599014333X
JOYCE A SMITH
VP & CNO40.0172799012310X
TRUDY HALL
VP-CMO40.0279825027345X
CARLA JONES
STAFF COORDINATOR40.012527205145X
ERDA YOUNG
DIRECTOR OF QUALITY OUTCOMES40.0118814015955X
YELENA GERASHCHENKO
PA40.09757304725X
EARL JOHNSON
MGER-COMM, SAFETY & SECUR40.092865021883X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1554463TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3215038TotalReportableCompFrmRltdOrgs
Total Other Compensation355741TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
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
Aramark Services Inc
1101 Market StPHILADELPHIAPA19107Food Services593311
Hospitalist Medicine Physicians of
5410 Maryland WayBRENTWOODTN37027Physician Svc840000
Sleep Services Of America
PO Box 198320ATLANTAGA303848320Medical Svc1105968
Independent Dialysis Corp
840 Hollins StreetBALTIMOREMD21201Medical Svc635100
Transcare
1125 DeSoto RoadBALTIMOREMD21223Ambulance Svc806979
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column52511728TotalRevenueColumn
Related Or Exempt Function Income52511728RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue52511728TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1067401TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,067,401ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities11262723Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities10194847Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1067876Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1067876TotalRevenueColumn
Exclusion$1,067,876ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFE & VENDING722210237276$237,276
OTHER MISCELLANEOUS REVENUE90009989155$89,155
FieldValueIRS element (for citing)
Total Other Revenue326431TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54973436TotalRevenueColumn
Related Or Exempt Function Income52511728RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,461,708ExclusionAmount

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)
Total750578Total
Program Services452624ProgramServices
Management And General297954ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21878884Total
Program Services19340273ProgramServices
Management And General2538611ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total633558Total
Program Services560306ProgramServices
Management And General73252ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2895172Total
Program Services2560432ProgramServices
Management And General334740ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1447723Total
Program Services1280337ProgramServices
Management And General167386ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7200Total
Management And General7200ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33920Total
Management And General33920ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total5420Total
Management And General5420ManagementAndGeneral

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)
Total986977Total
Management And General986977ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total147552Total
Program Services127620ProgramServices
Management And General19932ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1243959Total
Management And General1243959ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total1456Total
Program Services1226ProgramServices
Management And General230ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total181989Total
Program Services27677ProgramServices
Management And General154312ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total861255Total
Program Services715901ProgramServices
Management And General145354ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2347629Total
Program Services1951422ProgramServices
Management And General396207ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total544900Total
Program Services503726ProgramServices
Management And General41174ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES941845875560091862449
SUPPLIES60130886013088
BAD DEBT44668994466899
MEDICAL FEES28760902876090
UTILITIES145160012726621789380

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total58194307Total
Program Services49706292ProgramServices
Management And General8488015ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2218893BOY
EOY2947429EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2732670BOY
EOY5605967EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY555990BOY
EOY616346EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17100BOY
EOY24129EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39552856LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19528086LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18974042BOY
EOY20024770EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10235756BOY
EOY3412767EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5094000BOY
EOY1889871EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY582428BOY
EOY730074EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY40410879BOY
EOY35251353EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5856706BOY
EOY6255953EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26149130BOY
EOY23793553EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32005836BOY
EOY30049506EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8015385BOY
EOY4794514EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY389658BOY
EOY407333EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8405043BOY
EOY5201847EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40410879BOY
EOY35251353EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3220871ReconcilationRevenueExpenses
Reconcilation Other Changes17675ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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$5,420OtherActivitiesAmount
Total Lobbying Expenditures IIB5420TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOther ActivitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationThe organization does not engage in any direct lobbying activities. The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 8.65% and 24.42% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C Part IV as lobbying activities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis915184OtherCostOrOtherBasis
Book Value915184BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis26678376OtherCostOrOtherBasis
Depreciation12486329Depreciation
Book Value14192047BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis221051OtherCostOrOtherBasis
Depreciation221051Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis11683311OtherCostOrOtherBasis
Depreciation6771409Depreciation
Book Value4911902BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis54934OtherCostOrOtherBasis
Depreciation49297Depreciation
Book Value5637BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20024770TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionALTERNATIVE INVESTMENTSDescription
Book Value1889871BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1889871TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
3RD PARTY ADVANCES$4,696,787
OTHER CURRENT LIABILITIES$2,439,344
DUE TO AFFILIATES$16,270,477
CAPITAL LEASE LIABILITY$386,945
FieldValueIRS element (for citing)
Total Of Amounts23793553TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART X, Line 2Identifier
Return ReferenceFIN 48 FOOTNOTE PER AUDIT REPORTReturnReference
ExplanationThe organization is a subsidiary of the University of Maryland Medical System Corporation (The Corporation). The Corporation adopted the provisions of ASC 740, Accounting for Uncertainty in the Income Taxes (FIN 48) on July 1, 2007. The footnote related to ASC 740 in the Corporation's audited financial statements is as follows: The Corporation follows a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Management does not believe that there are any unrecognized tax benefits that should be recognized.Explanation

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1973010TotalCommunityBenefitExpense
Net Community Benefit Expense1973010NetCommunityBenefitExpense
Percent Of Total Expense0.03390PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1973010TotalCommunityBenefitExpense
Net Community Benefit Expense1973010NetCommunityBenefitExpense
Percent Of Total Expense0.03390PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4849TotalCommunityBenefitExpense
Net Community Benefit Expense4849NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense55351TotalCommunityBenefitExpense
Net Community Benefit Expense55351NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense9441TotalCommunityBenefitExpense
Net Community Benefit Expense9441NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense69641TotalCommunityBenefitExpense
Net Community Benefit Expense69641NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2042651TotalCommunityBenefitExpense
Net Community Benefit Expense2042651NetCommunityBenefitExpense
Percent Of Total Expense0.03520PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense289TotalCommunityBuildingExpense
Net Community Building Expense289NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense289TotalCommunityBuildingExpense
Net Community Building Expense289NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,130,188BadDebtExpenseAmount
Amount Reimbursed By Medicare8723799AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9129073CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-405274MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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 Line1University Specialty HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1601 South Charles StreetAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21230ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1University Specialty 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
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Related Organization ReportSchedule H, Part I, Line 6aUSH is not required to file a community benefit report with the State of Maryland's Health Services Cost Review Commission. That requirement only applies to acute care hospitals. USH does, however, prepare such a report for internal use and review.
Costing MethodologySchedule H, Part I, Line 7Schedule H, Line 7a, Column (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Schedule H, Line 7b, Columns (c) through (f) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule H, Line 7f Column (c) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Schedule H, Line 7f Column (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.
Bad Debt ExpenseSchedule H, Part III, Line 4PART III, LINE 3: The organization does not code charity care and bad debt expense into the same general ledger account. Charity Care is booked to a separate account and is classified as a "Deduction from Revenue." As such it is netted against Total Patient Revenue in arriving at Net Patient Revenue on the entity's income statements. Bad Debt Expense is booked to a separate account on the general ledger and does not include any other uncompensated care amounts. Part III, Line 4: The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write off experience by payor category. The results of this review are then used to make modifications to the provision for bad debts and to establish an allowance for uncollectible receivables. After collection of amounts due from insurers, the Corporation follows internal guidelines for placing certain past due balances with collection agencies.
Medicare Cost ReportSchedule H, Part III, Line 8In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. Medicare reimburses Maryland hospitals according to rates established by the HSCRC as long as the State continues to meet a two-part test. This two-part waiver test allows Medicare to participate in the Maryland system as long as two conditions are met. - all other payers participating in the system pay HSCRC set rates and - the rate of growth in Medicare payments to Maryland hospitals from 1981 to the present is not greater than the rate of growth in Medicare payments to hospitals nationally over the same time frame.
Collection PracticesSchedule H, Part III, Line 9bThe organization expects payment at the time the service is provided. Our policy is to comply with all state and federal law and third party regulations and to perform all credit and collection functions in a dignified and respectful manner. Emergency services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the Financial Assistance Policy. The organization does not discriminate on the basis of age, race, creed, sex or ability to pay. Patients who are unable to pay may request a Financial Assistance application at any time prior to service or during the billing and collection process. The organization may request the patient to apply for Medical Assistance prior to applying for financial assistance. The account will not be forwarded for collection during the Medical Assistance application process or the Financial Assistance application process.
University Specialty Hospital 1Schedule H, Part V, Section BLine 19d - All patients are charged the state regulated rates, regardless of their ability to pay. Line 21 - Due to state regulations, charges are not reduced for any payer, inclduing commercial insurance, government payers, or uninsured patients. All charges are gross charges.
Community Health Care Needs AssessmentSchedule H, Part VI, Line 2University Specialty Hospital in partnership with the University of Maryland Medical System uses a variety of resources to identify community health needs. For the purposes of the FY 11 report, the 2010 Baltimore City Health Disparities Report Card was reviewed to design the strategic community benefit plan for the hospital. In addition, one prevalent source of information for Baltimore City was the 2008 Baltimore City Health Status Report, which is produced by the Baltimore City Health Department. Additional reports, data, alerts, public health trends review in which the Centers for Disease Control, US Dept of Health and Human Services, and local agencies also stands as primary sources of information in order to identify needs. University Specialty Hospital in partnership with the University of Maryland Medical System, consulted with Baltimore City Health Department, representatives from Baltimore Area faith-based groups and community based organizations in seeking information about community health needs.
Eligibility EducationSchedule H, Part VI, Line 3USH Financial Clearance Program Policy is a clear, comprehensive policy established to assess the needs of particular patients that have indicated a possible financial hardship in obtaining aid when it is beyond their financial ability to pay for services rendered. USH makes every effort to make financial assistance information available to our patients including, but not limited to signage in main admitting areas of the hospital and brochures explaining financial assistance are made available in all patient care areas.
Description of Community ServedSchedule H, Part VI, Line 4In FY 11, 40% of USH patients resided in Baltimore City. The demographics for USH patients in FY11 included 50% African American, 41% Caucasian, 1.8% Hispanic; other ethnicities included Asian and American Indian. Fifty- nine percent of patients at USH in FY 11 were male and forty-one percent were female. Forty-six percent of patients in FY 11 were Medicaid recipients. Patient age ranges of 36-55 years represented 38.5% of the patient population in FY 11.
Promoting the Health of the CommunitySchedule H, Part VI, Line 5UMMS created the University of Maryland Community Outreach and Advocacy team that meets bi-monthly to address the health care needs of the West Baltimore community. Three annual UMMS outreach activities includes, Fall Back into Good Health, Take a Loved One to the Doctor Day and the Healthy, Wealthy, Wise and Beautiful Women's Conference in partnership with Heart and Soul Magazine. USH participation is active on the University of Maryland Community Outreach and Advocacy team.
Affiliated Health Care System RolesSchedule H, Part VI, Line 6USH is a part of the University of Maryland Medical System (UMMS) and participates on the UMMS Community Health Outreach and Advocacy team. UMMS created the University of Maryland Community Health Outreach and Advocacy team to address the health care needs of the West Baltimore community. The group is comprised of community outreach management and staff, social workers, directors, vice presidents, and physicians from UMMS system hospitals. The group determines what needs are addressed as well as community involvement and activities each year. UMMC participates in this Advocacy Team and representatives In addition to the identified UMMS priorities, USH senior leaders and community outreach staff meet to determine annual goals and activities. USH in partnership with UMMS, was a major participant and sponsor in major annual outreach efforts.
Community Benefit Report State FilingsSchedule H, Part VI, Line 7USH is not required to file a community benefit report with the State of Maryland's Health Services Cost Review Commission. That requirement only applies to acute care hospitals. USH does, however, prepare such a report for internal use and review.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base 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
JEFFREY A RIVEST
05847750260533011161407939025983099084400
ALISON G BROWN
0323281014335005418608985019419054922100
LISA ROWEN
03190540134160011052044745019418052842900
INGRID CONNERNEY
1551790295870779062410124780204264000
KEITH PERSINGER
036288901610000461460892508137058709700
JONATHAN GOTTLIEB
0477942021988005176066510016114078562200
SEBLU ZERA YOHANNES
1831960250037006905012510191972000
JAMES WARNER
17983005040001436906835074980258932000
JOYCE A SMITH
13488502561601229805119071910185109000
TRUDY HALL
2349420441260757025263020820307170000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Health or social club dues or initiation feesSchedule J, Part I, Line 1aUMMS executives receive a benefit package wihich may be used towards health club dues or other health maintenance programs. Such benefits are capped at $7,000, $5,000 or $3,000 depending on job title as described in the program documents.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bDuring the fiscal year end June 30, 2011, certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The individuals, listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J Part II Column (C), Retirement and Other Deferred Compensation. Lisa Rowen, Jonathan Gottlieb During the fiscal year end June 30, 2011, certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The officers and key employees listed below have vested in the plan in a prior year, therefore the contribution to the plan for the fiscal year is reported as taxable compensation and reported on Schedule J, Part II, Column (Biii), Other Reportable Compensation. Joyce Smith, James Warner, Alison Brown, Keith Persinger, Jeffrey Rivest

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Members or Stockholders/Decisions Subject to ApprovalForm 990, Part VI, Lines, 6, 7a, and 7bUNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) IS THE SOLE MEMBER OF UNIVERSITY SPECIALITY HOSPITAL (USH). UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS.
Form 990 Review ProcessForm 990, Part VI, Line 11bThe IRS Form 990 is prepared and reviewed by the accounting firm of GRANT THORNTON. Accounting personnel in Finance Shared Services at the University of Maryland Medical System gather the information needed to complete the return and input the data into the GRANT THORNTON Tax Organizer, which is a web-based system. When all data has been entered, the information is submitted to GRANT THORNTON for importation into their tax software. At this point, GRANT THORNTON staff members review the data, ask for additional information if needed and prepare the tax return. Each return is reviewed at several levels at GRANT THORNTON including the tax partner. After their review process, a draft return is sent to the accounting staff at UMMS for an in-house review. Upon completion of the in-house review, GRANT THORNTON is instructed to make any necessary changes and to prepare the final tax return. The final return undergoes another review by the accounting staff at Finance Shared Services and is also reviewed by the Accounting Manager, the Director of Financial Reporting, the Vice President of Finance and the CFO, who signs the return. Prior to filing the IRS Form 990, the organization's Board Chairman, Treasurer, Audit Committee Chairman, Executive Committee Chairman or other member of the Board with similar authority will review the IRS Form 990. At the discretion of the reviewing Board member, such member will bring any issues or questions related to the completed IRS Form 990 to the attention of the Board. Notwithstanding the above, a Board resolution is not required for the filing of the Organization's IRS Form 990. Each Board member is provided with a copy of the final IRS Form 990 before filing.
Conflict of Interest Policy Monitoring & EnforcementForm 990, Part VI, Line 12cThe Organization's officers, directors, employees and medical staff members, as applicable, shall disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the Organization, or any entity controlled by or owned in substantial part by the Organization. A questionnaire which discloses potential conflicts of interest is distributed annually to all officers, directors and key employees. The General Counsel of the University of Maryland Medical System Corporation (UMMSC) reviews the responses for UMMSC, University Specialty Hospital and James Lawrence Kernan Hospital. The CEO or CFO of each of the other entities in the University of Maryland Medical System reviews the responses for those entities. The General Counsel, in consultation with the Audit Committee, if necessary, would determine if a conflict of interest existed for UMMSC, University Specialty Hospital and James Lawrence Kernan Hospital. With respect to the other entities in the University of Maryland Medical System, the General Counsel may be called for consult. If so, the General Counsel may consult the Audit Committee, if necessary. Whenever a conflict or potential conflict of interest exists, the nature of the conflict or potential conflict of interest must be disclosed in writing to the Organization's Board, Board committee, an officer of the Organization or other appropriate executive. Such individual having a potential conflict of interest shall play no role on behalf of the Organization, or any Organization controlled or substantially owned, in any transaction in which a conflict exists. All invitations for bids, proposals or solicitations for offers include the following provision: Any vendor, supplier or contractor must disclose any actual or potential transaction with any Organization officer, director, employee or member of the medical staff, including family members within five days of the transaction. Failure to comply with this provision is a material breach of agreement. In addition, a Board Disclosure Report is filed with the Maryland Health Services Cost Review Commission on an annual basis showing any business transactions between the Board members and the Organization.
Process for Determining CompensationForm 990, Part VI, Line 15aThe Organization determines the executive compensation paid to its executives in the following manner prescribed in the IRS Regulations: Executive compensation packages are determined by a committee of the Board that is composed entirely of Board members who have no conflict of interest. The committee acquires credible comparability market data concerning the compensation packages of similarly situated executives. The committee carefully reviews that data, the executive's performance and the proposed compensation packages during the decision making process. The committee memorializes its deliberations in detailed minutes reviewed and adopted at the next-following meeting. The committee seeks an opinion of counsel that it has met the requirements of the IRS intermediate sanctions Regulations. This process is used to determine the compensation packages for all management employees from the Vice President level and up.
How Documents are Made Available to the PublicForm 990, Part VI, Line 19In general, financial and tax information relating to the Organization is deemed proprietary and not subject to disclosure upon request. However, specific provisions of federal and state law require the Organization to disclose certain limited financial and tax data upon a specific request for that information. Requests for Form 990 and Form 1023: A requestor seeking to review and/or obtain a copy of the Organization's IRS Form 990 or Form 1023 as filed with the Internal Revenue Service, including all schedules and attachments, may appear in person or submit a written request. The most recent three years of IRS Form 990 may be requested. If the requester appears in person, the individual is directed to the office of the Chief Financial Officer for the Organization and the Form 990 and/or Form 1023 are made available for inspection. The individual is permitted to review the return, take notes and request a copy. If requested, a copy is provided on the same day. A nominal fee is charged for making the copies. The Organization may have an employee present during the public inspection of the document. Written requests for an entity's Form 990 or Form 1023 are directed immediately to the office of the Chief Financial Officer for the Organization. The requested copies are mailed within 30 days of the request. Reproduction fees and mailing costs are charged to the requestor. Conflict of Interest Policy and Governing Documents: If the governing documents and conflict of interest policy of our organization are subject to the Federal public disclosure rules (or state public disclosure rules), these documents will be made publicly available as applicable law may require. Otherwise, the governing documents and conflict of interest policy will be provided to the public at the discretion of management.
Reconciliation of Net AssetsForm 990, Part XI, Line 5Change in Economic Interest of UMMS Foundation
Tax Exempt Bond IssuePart IV, Line 24aPursuant to a Master Loan Agreement dated June 20, 1991 (The "Master Loan Agreement"), as Amended, The University Of Maryland Medical System Corporation (The "Corporation") and several of its subsidiaries have issued debt through the Maryland Health and Higher Education Facility Authority (the "Authority"). As Security for the performance of the bond obligation under the Master Loan Agreement, The Authority maintains a security interest in the revenue of the obligors. The Master Loan Agreement contains certain restrictive covenants. These covenants require that rates and charges be set at certain levels, limit incurrence of additional debt, require compliance with certain operating ratios and restrict the disposition of assets. The obligated group under the Master Loan Agreement includes the Corporation, University Specialty Hospital, Inc., The James Lawrence Kernan Hospital, Inc., Maryland General Hospital, Inc., Baltimore Washington Medical Center, Inc., Shore Health System, Inc., Chester River Health System, Inc. and the University of Maryland Medical System Foundation, Inc. Each member of the obligated Group is jointly and severally liable for the repayment of the obligations under the Master Loan Agreement of the Corporations $974,450,000 of outstanding Authority Bonds on June 30, 2011. All of the bonds were issued in the name of the University of Maryland Medical System Corporation and are reported on Schedule K of its Form 990
Hours on Related EntitiesThe University of Maryland Medical System (UMMS) is a multi-entity health care system including 8 acute care hospitals, 3 specialty hospitals and various supporting entities. A number of individuals provide services to various entities within the system. In general, the officers and key employees of UMMS average in excess of 40 hours per week serving the different entities that comprise UMMS.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFFREY A RIVEST TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALISON G BROWN TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LISA ROWEN TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REVEREND JOHN SABATELLI TITLE:LIAISON HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:INGRID CONNERNEY TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEITH PERSINGER TITLE:CFO & DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JONATHAN GOTTLIEB TITLE:DIRECTOR HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Baltimore Washington Emergency Phys Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061521756326HEALTH CAREMD501(C )(3)11BWMS
Baltimore Washington Healthcare Services
301 HOSPITAL DRIVEGLEN BURNIEMD21061521830243HEALTH CAREMD501(C )(3)11BWMS
Baltimore Washington Medical Center Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061520689917HEALTH CAREMD501(C )(3)11BWMS
Baltimore Washington Medical System Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061521830242HEALTH CAREMD501(C )(3)11UMMS
BW Medical Center Foundation Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061521813656HEALTH CAREMD501(C )(3)11BWMS
North Arundel Development Corporation
301 HOSPITAL DRIVEGLEN BURNIEMD21061521318404REAL ESTATEMD501(C )(2)BWMS
North County Corporation
301 HOSPITAL DRIVEGLEN BURNIEMD21061521591355REAL ESTATEMD501(C )(2)BWMS
Chester River Health Foundation Inc
100 BROWN STREETCHESTERTOWNMD21620521338861FUNDRAISINGMD501(C )(3)11CRHS
Chester River Health System Inc
100 BROWN STREETCHESTERTOWNMD21620522046500HEALTH CAREMD501(C )(3)11UMMS
Chester River Hospital Center Inc
100 BROWN STREETCHESTERTOWNMD21620520679694HEALTH CAREMD501(C )(3)03CRHS
Chester River Manor Inc
200 MORGNEC ROADCHESTERTOWNMD21620526070333HEALTH CAREMD501(C )(3)11CRHS
Maryland General Clinical Practice Group
827 LINDEN AVEBALTIMOREMD21201521566211HEALTH CAREMD501(C )(3)11MGHS
Maryland General Comm Health Foundation
827 LINDEN AVEBALTIMOREMD21201522147532FUNDRAISINGMD501(C )(3)11MGHS
Maryland General Health Systems Inc
827 LINDEN AVEBALTIMOREMD21201521175337HEALTH CAREMD501(C )(3)11UMMS
Maryland General Hospital Inc
827 LINDEN AVEBALTIMOREMD21201520591667HEALTH CAREMD501(C )(3)03MGHS
Care Health Services Inc
219 SOUTH WASHINGTON STREETEASTONMD21601521510269HEALTH CAREMD501(C )(3)11SHS
Dorchester General Hospital Foundation
219 SOUTH WASHINGTON STREETEASTONMD21601521703242FUNDRAISINGMD501(C )(3)11SHS
Memorial Hospital Foundation Inc
219 SOUTH WASHINGTON STREETEASTONMD21601521282080FUNDRAISINGMD501(C )(3)11SHS
Shore Clinical Foundation Inc
219 SOUTH WASHINGTON STREETEASTONMD21601521874111HEALTH CAREMD501(C )(3)11SHS
Shore Health System Inc
219 SOUTH WASHINGTON STREETEASTONMD21601520610538HEALTH CAREMD501(C )(3)03UMMSC
James Lawrence Kernan Hosp Endow Fd
2200 KERNAN DRIVEBALTIMOREMD21207237360743FUNDRAISINGMD501(C )(3)11UMMSC
James Lawrence Kernan Hospital Inc
2200 KERNAN DRIVEBALTIMOREMD21207520591639HEALTH CAREMD501(C )(3)03UMMSC
Shipley's Choice Medical Park Inc
22 SOUTH GREENE STREETBALTIMOREMD21201043643849REAL ESTATEMD501(C )(2)UMMSC
UMMS Foundation Inc
22 SOUTH GREENE STREETBALTIMOREMD21201522238893FUNDRAISINGMD501(C )(3)11UMMSC
University of MD Medical System Corp
22 SOUTH GREENE STREETBALTIMOREMD21201521362793HEALTH CAREMD501(C )(3)03UMMSC

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
Arundel Physicians Associates LLC
301 Hospital DriveGLEN BURNIEMD21601522000762HEALTH CAREMDNa00
Central Maryland Radiology Oncology
10710 Charter DriveColumbiaMD21044270879418Health CareMDNA
Helen P Denit Cancer Treatment Center
22 South Greene StreetBALTIMOREMD21201522283591HEALTH CAREMDNa00
Innovative Health LLC
29165 Canvasback Drive Suite 100EASTONMD21601521997287BILLINGMDNa00
North Arundel Pet Center LLC
301 Hospital DriveGLEN BURNIEMD21061200806027HEALTH CAREMDNa00
North Arundel Senior Living LLC
301 Hospital DriveGLEN BURNIEMD21061541810728HEALTH CAREMDNa00
NAHSunrise of Severna Park LLC
301 Hospital DriveGLEN BURNIEMD21061541810729HEALTH CAREMDNa00
Shipley's Imaging Center LLC
22 South Greene StreetBALTIMOREMD21201522040338HEALTH CAREMDNa00
Universitycare LLC
22 South Greene StreetBaltimoreMD21201521914892Health CareMDna00

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 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
Arundel Physicians Associates Inc
301 Hospital DriveGLEN BURNIEMD21061521992649HEALTH CAREMDNAC Corp
Baltimore Washington Health Enterprises
301 Hospital DriveGLEN BURNIEMD21061521936656HEALTH CAREMDNAC Corp
BW Professional Services Inc
301 Hospital DriveGLEN BURNIEMD21061521655640HEALTH CAREMDNAC Corp
Council of Unit Owners of MD Gen PC
827 Linden AvenueBALTIMOREMD21201521891126REAL ESTATEMDNAC Corp
Shore Health Enterprises Inc
219 South Washington StreetEASTONMD21601521363201REAL ESTATEMDNAC Corp
University Lithotripter Inc
22 South Greene StreetBALTIMOREMD21201521451021HEALTH CAREMDNAC Corp
UMMS Self Insurance Trust
22 South Greene StreetBALTIMOREMD21201526315433INSURANCEMDNAC Corp
Terrapin Insurance Company
980129232INSURANCENAC CorpPO Box 1109Grand CaymanCayman IslandsCJKY1-1102CJ
NA Executive Building Condo Assn Inc
301 Hospital DriveGLEN BURNIEMD21061REAL ESTATEMDNAC Corp
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 OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg