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CHESTER RIVER HOSPITAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHESTER RIVER HOSPITAL CENTER (EIN 52-0679694)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201211359349302481
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)
Timestamp2012-05-14T11:09:38-04:00Timestamp
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)
EIN520679694EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Chester River Hospital CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHESNameControl
Phone4107783300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Brown StreetAddressLine1
CityChestertownCity
StateMDState
ZIP Code216201435ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSamuel P Marinelli JrName
TitleVP for FinanceTitle
Date Signed2012-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

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 E ROSSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 Brown StreetAddressLine1
CityChestertownCity
StateMDState
ZIP Code21620ZIPCode
FieldValueIRS element (for citing)
Gross Receipts56160103GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHESTERRIVERHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1935YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionChester River Hospital Ctr, a member of UMMS, is an integrated rural delivery system dedicated to providing excellent and caring health services and facilities to the people of the Upper Eastern Shore.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees534TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI212490TotalGrossUBI
Net Unrelated Business Txbl Income-56891NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year450803ContributionsGrantsPriorYear
Contributions Grants Current Year421096ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55059451ProgramServiceRevenuePriorYear
Program Service Revenue CY55064765ProgramServiceRevenueCY
Investment Income Prior Year162811InvestmentIncomePriorYear
Investment Income Current Year177228InvestmentIncomeCurrentYear
Other Revenue Prior Year312253OtherRevenuePriorYear
Other Revenue Current Year497014OtherRevenueCurrentYear
Total Revenue Prior Year55985318TotalRevenuePriorYear
Total Revenue Current Year56160103TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year16724GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY14245GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30247927SalariesEtcPriorYear
Salaries Etc Current Year29554328SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year168182TotalFundrsngExpCurrentYear
Other Expense Prior Year27007143OtherExpensePriorYear
Other Expenses Current Year25463272OtherExpensesCurrentYear
Total Expenses Prior Year57271794TotalExpensesPriorYear
Total Expenses Current Year55031845TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1286476RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1128258RevenuesLessExpensesCY
Total Assets BOY48971328TotalAssetsBOY
Total Assets EOY49507263TotalAssetsEOY
Total Liabilities BOY25323275TotalLiabilitiesBOY
Total Liabilities EOY21512687TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23648053NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27994576NetAssetsOrFundBalancesEOY
Mission DescriptionAN ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF KENT AND QUEEN ANNE'S COUNTIES AND PORTIONS OF CAROLINE AND CECIL COUNTIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense47259225Expense
Grants14245Grants
Revenue55064765Revenue
DescriptionCHESTER RIVER HOSPITAL CENTER IS A 53-BED HOSPITAL. IT IS SERVED BY APPROXIMATELY 100 ACTIVE AND CONSULTING STAFF PHYSICIANS REPRESENTING A WIDE ARRAY OF MEDICAL SPECIALTIES. THE COMMUNITY HOSPITAL, WHICH IS FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, PROVIDES INPATIENT MEDICAL SERVICES, 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, OUTPATIENT DIAGNOSTIC SERVICES, LABORATORY SERVICES, REHABILITATION, MATERNITY/BIRTHING SUITES AND ONCOLOGY TO SERVE THE LOCAL COMMUNITY'S NEEDS. THE HOSPITAL WAS ESTABLISHED IN 1935. IT IS STAFFED BY APPROXIMATELY 500 EMPLOYEES.Description
Total Program Service Expense47259225TotalProgramServiceExpense
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 SecuritiestrueReportInvestOthSecurities
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 OrganizationsfalseGrantsToOrganizations
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 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 With1096203NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees534NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 PersonSAMUEL MARINELLI JRNamePerson
Telephone Number4107783300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 BROWN STREETAddressLine1
CityCHESTERTOWNCity
StateMDState
ZIP Code216201435ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
WAYNE L GARDNER
CHAIR3.0X000
CHARLES D MACLEOD
DIRECTOR2.0X000
DAVID C BRAMBLE
SECRETARY2.0X000
JUDITH E COOPER
DIRECTOR2.0X000
HENRY C JOHNSON
DIRECTOR2.0X000
DAVID W KNUTSON MD
DIRECTOR2.0X000
KAREN P O CONNOR
VICE CHAIR2.0X000
ERNEST W STRONG
DIRECTOR2.0X000
ANTHONY J MOORMAN M D
DIRECTOR2.0X000
GLENN F ROBBINS MD
DIRECTOR2.0X068782828341
JOHN W ASHWORTH
DIRECTOR2.0X058744724958
MARY ELLEN VALLIANT
DIRECTOR2.0X000
ROBERT A CHRENCIK
DIRECTOR2.0X01654567198871
WILLIAM J WASHINGTON
DIRECTOR2.0X000
JANE E HUKILL
DIRECTOR2.0X000
GERARD S O CONNER MD
DIRECTOR2.0X000
EDWIN R FRY
DIRECTOR2.0X000
SAMUEL P MARINELLI JR
TREASURER40.0210603041454X
JAMES E ROSS
PRESIDENT & CEO40.03669462433624685X
SCOTT BURLESON
EXECUTIVE VICE PRESIDENT40.0187007038619X
Mary Jo Keefe
VP Patient Services40.0138172029007X
DEBORAH DAVIS
ER Doctor40.0353523030306X
Henry Arakaky
ER Doctor40.028028908380X
Steven Lucas
ER Doctor40.0287637031233X
CHERYL DICKASON
ER DOCTOR40.023671107059X
JOSEPH SMITH
ER DOCTOR40.026817808369X
JEFFREY L JOHNSON
PRESIDENT & CEO193600724X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2348426TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2954178TotalReportableCompFrmRltdOrgs
Total Other Compensation472006TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
EAGLE HOSPITAL PHYSICIANS LLC
5901-C PEACHTREE DUNWODDY ROAD SUITATLANTAGA30328STAFFING1185486
SODEXO INC AFFILIATES
PO BOX 536922ATLANTAGA30353SERVICES420042
CHESTERTOWN PHYSICAL THERAPY
818 HIGH STREET SUITE 1CHESTERTOWNMD21620THERAPISTS399937
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC27216LAB SERVICES345682
CARDINAL HEALTH PHARMACY
21377 NETWORK PLACECHICAGOIL60673MGMT SRVCS345210
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Related Organizations70096RelatedOrganizations
Government Grants351000GovernmentGrants
Total Contributions421096TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column55064765TotalRevenueColumn
Related Or Exempt Function Income54852275RelatedOrExemptFunctionIncome
Unrelated Business Revenue212490UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue55064765TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column177228TotalRevenueColumn
Exclusion$177,228ExclusionAmount

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)
Real159464Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real159464Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column159464TotalRevenueColumn
Exclusion$159,464ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column337550TotalRevenueColumn
Related Or Exempt Function Income337550RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue337550TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column56160103TotalRevenueColumn
Related Or Exempt Function Income55189825RelatedOrExemptFunctionIncome
Unrelated Business Revenue212490UnrelatedBusinessRevenue
Exclusion$336,692ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total14245Total
Program Services14245ProgramServices

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)
Total1054666Total
Program Services924186ProgramServices
Management And General124481ManagementAndGeneral
Fundraising5999Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22023761Total
Program Services19297291ProgramServices
Management And General2601121ManagementAndGeneral
Fundraising125349Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1785005Total
Program Services1564170ProgramServices
Management And General210682ManagementAndGeneral
Fundraising10153Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2953493Total
Program Services2588096ProgramServices
Management And General348598ManagementAndGeneral
Fundraising16799Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1737403Total
Program Services1522457ProgramServices
Management And General205064ManagementAndGeneral
Fundraising9882Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total5334Total
Management And General5334ManagementAndGeneral

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)
Total4181870Total
Program Services2434558ProgramServices
Management And General1747312ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56830Total
Program Services38477ProgramServices
Management And General18353ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1515543Total
Program Services1507560ProgramServices
Management And General7983ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1299295Total
Program Services1176993ProgramServices
Management And General122302ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total17467Total
Program Services2882ProgramServices
Management And General14585ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total145098Total
Program Services103631ProgramServices
Management And General41467ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total385351Total
Program Services341036ProgramServices
Management And General44315ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3594311Total
Program Services3180965ProgramServices
Management And General413346ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total522765Total
Program Services522765ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE20206492020649
PURCHASED SERVICES341635421310781285276
SUPPLIES81163887838572277816
PROFESSIONAL DUES & LICENSES18601749614136403

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total55031845Total
Program Services47259225ProgramServices
Management And General7604438ManagementAndGeneral
Fundraising168182Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2642198BOY
EOY2046592EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2146480BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8500034BOY
EOY8569869EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY686463BOY
EOY581594EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY761082BOY
EOY1989339EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis51236413LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29229501LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21084340BOY
EOY22006912EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5201000BOY
EOY5614000EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2046000BOY
EOY3108000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5903731BOY
EOY5590957EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48971328BOY
EOY49507263EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8615235BOY
EOY7718647EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4160155BOY
EOY3249402EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3770767BOY
EOY3346322EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8777118BOY
EOY7198316EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25323275BOY
EOY21512687EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22274167BOY
EOY26362650EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20146BOY
EOY268670EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1353740BOY
EOY1363256EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23648053BOY
EOY27994576EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48971328BOY
EOY49507263EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1128258ReconcilationRevenueExpenses
Reconcilation Other Changes3218265ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated

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$5,334OtherActivitiesAmount
Total Lobbying Expenditures IIB5334TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-BReturnReference
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)
Other Cost Or Other Basis478341OtherCostOrOtherBasis
Book Value478341BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24589825OtherCostOrOtherBasis
Depreciation10822137Depreciation
Book Value13767688BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24513890OtherCostOrOtherBasis
Depreciation17715779Depreciation
Book Value6798111BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1654357OtherCostOrOtherBasis
Depreciation691585Depreciation
Book Value962772BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22006912TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionALTERNATIVE INVESTMENTSDescription
Book Value3108000BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities3108000TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES195903
ASSETS LIMITED AS TO USE432535
OF FOUNDATION4962519
FieldValueIRS element (for citing)
Total Book Value Other Assets5590957TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM 3RD PARTY PAYORS$1,004,354
MINIMUM PENSION LIABILITY$6,193,962
FieldValueIRS element (for citing)
Total Of Amounts7198316TotalOfAmounts
Total Revenue56160103TotalRevenue
Total Expenses55031845TotalExpenses
Excess Or Deficit For Year1128258ExcessOrDeficitForYear
Net Unrealized GL On Investments1167050NetUnrealizedGLOnInvestments
Other$2,051,215OtherAmount
Total Adjustments3218265TotalAdjustments
Excess Or Deficit Per FS4346523ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt57544769TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1167050NetUnrealizedGainsInvestments
Other Revenues217616OtherRevenues
Revenue Not Rptd F9901384666RevenueNotRptdF990
Revenue Subtotal56160103RevenueSubtotal
Total Revenue Per Form99056160103TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt53198246TotExpensesEtcAuditedFinclStmt
Other Expenses Included-1833599OtherExpensesIncluded
Expenses Not Rptd F990-1833599ExpensesNotRptdF990
Expenses Subtotal55031845ExpensesSubtotal
Total Expenses Per Form99055031845TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 FOOTNOTE PER AUDIT REPORTSCHEDULE D, PART XThe 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 de-recognition 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.
RECONCILIATION OF CHANGE IN NET ASSETSPART XI,LINE 8CHANGE IN PENSION $1,833,599 ALLOCATION OF BENEFICIAL INTEREST FROM FOUNDATION $ 217,616 ---------- $2,051,215
Reconciliation of REVENUEPart XII, LINE 2DALLOCATION OF BENEFICIAL INTEREST FROM FOUNDATION $ 217,616 ---------- $ 217,616
RECONCILIATION OF EXPENSESPART XIII, LINE 2DCHANGE IN PENSION BENEFITS $1,833,599 ---------- $1,833,599

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 BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3579124TotalCommunityBenefitExpense
Net Community Benefit Expense3579124NetCommunityBenefitExpense
Percent Of Total Expense0.06500PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3579124TotalCommunityBenefitExpense
Net Community Benefit Expense3579124NetCommunityBenefitExpense
Percent Of Total Expense0.06500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense518059TotalCommunityBenefitExpense
Net Community Benefit Expense518059NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense71049TotalCommunityBenefitExpense
Net Community Benefit Expense71049NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4094016TotalCommunityBenefitExpense
Direct Offsetting Revenue616000DirectOffsettingRevenue
Net Community Benefit Expense3478016NetCommunityBenefitExpense
Percent Of Total Expense0.06320PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense23075TotalCommunityBenefitExpense
Net Community Benefit Expense23075NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4706199TotalCommunityBenefitExpense
Direct Offsetting Revenue616000DirectOffsettingRevenue
Net Community Benefit Expense4090199NetCommunityBenefitExpense
Percent Of Total Expense0.07430PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8285323TotalCommunityBenefitExpense
Direct Offsetting Revenue616000DirectOffsettingRevenue
Net Community Benefit Expense7669323NetCommunityBenefitExpense
Percent Of Total Expense0.13930PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense7636TotalCommunityBuildingExpense
Net Community Building Expense7636NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense4203TotalCommunityBuildingExpense
Net Community Building Expense4203NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2452TotalCommunityBuildingExpense
Net Community Building Expense2452NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense2145TotalCommunityBuildingExpense
Net Community Building Expense2145NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense149775TotalCommunityBuildingExpense
Net Community Building Expense149775NetCommunityBuildingExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense166211TotalCommunityBuildingExpense
Net Community Building Expense166211NetCommunityBuildingExpense
Percent Of Total Expense0.00280PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,603,644BadDebtExpenseAmount
Amount Reimbursed By Medicare26450850AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare23590753CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2860097MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
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 Line1Chester River Hospital CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 Brown StreetAddressLine1
CityChestertownCity
StateMDState
ZIP Code21620ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Chester River Hospital CenterBusinessNameLine1
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
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
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
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 3CN/A
PART I, LINE 6ACHESTER RIVER HOSPITAL PREPARES A COMMUNITY BENEFIT REPORT FOR EACH FISCAL YEAR ENDING JUNE 30, WHICH IT SUBMITS TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), A STATE REGULATORY AGENCY, BY DECEMBER 31 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AT THE ENTITY'S CORPORATE OFFICES.
Part I, Line 7a, Column (d)Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.
Part I, Line 7b, Columns (c) through (f)Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment.
Part I, 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.
Part I, 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.
Part III Line 4The 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 REIMBURSES MARYLAND HOSPITALS ACCORDING TO RATES ESTABLISHED BY THE HSCRC AS LONG AS THE STATE CONTINUES TO MEET A TWO-PART TEST. THIS TWO-PART WAIVER TEST ALLOWS MEDICARE TO PARTICIPATE IN THE MARYLAND SYSTEM AS LONG AS TWO CONDITIONS ARE MET. -ALL OTHER PAYERS PARTICIPATING IN THE SYSTEM PAY HSCRC SET RATES AND -THE RATE OF GROWTH IN MEDICARE PAYMENTS TO MARYLAND HOSPITALS FROM 1981 TO THE PRESENT IS NOT GREATER THAN THE RATE OF GROWTH IN MEDICARE PAYMENTS TO HOSPITALS NATIONALLY OVER THE SAME TIME FRAME.
Part V, Line 19d:All patients are charged state regulated rates, regardless of their ability to pay.Charges for Medical Care
Part V, Line 21Due to state regulations, charges are not reduced for any payer, including commercial insurance, government payers, or uninsured patients. All charges are gross charges.Charges for Medical Care
Part VI, Line 2Chester River Hospital Center, member of Chester River Health System, did not conduct a community health needs assessment, as described by the federal reform bill in FY 2011. Such an assessment is being conducted in FY2012 and will be fully implemented in FY2013. The last time that Chester River Hospital Center participated in a formal community needs assessment was in calendar year 2008, with the full report compiled and published in May 2009 (Kent County Health Needs Assessment by Mid-Atlantic Association of Community Health Centers). This report has been utilized for the last three fiscal years to identify the needs of the community served Chester River Hospital Center, along with information provided both of our local health departments Kent and Queen Anne's counties. The information provided below reflects the standard assessment process, typically conducted each year by Chester River Hospital Center. 1. Identification of Community Health Needs: Chester River Hospital Center (CRHC) identifies the health needs for its primary service area (Kent County and northern Queen Anne's County) by utilizing the data available in the Kent County Health Needs Assessment, May 2009. Additional resources used to identify community health needs for FY 2011 include: the Maryland Department of Health and Mental Hygiene's State Improvement Plan (SHIP, http://dhmh.maryland.gov./ship); the Healthy People 2020 guidelines (http://www.cdc.gov/nchs/healthy_people/hp2010.htm), Maryland DHHS; and county health rankings (http://www.countyhealthrankings.org). These data sources are used to guide and direct the community benefit plan activities for Chester River Hospital. CRHC also used data collected from its strategic plan. During FY2010, Chester River Hospital Center completed a strategic planning process from November 2009 through April 2010. The purpose of the strategic plan was to provide direction for Chester River Health System for the next three to five years. CRHS retained the services of a consultant and formed a planning committee to develop the strategic plan. The strategic planning process gathered input and information from a variety of community sources, including: o Interviews with Board members, medical staff, management and community members/leaders o Meetings/interviews with CRHS employees o Meetings/interviews with physicians o Consumer telephone survey (500 telephone interviews with area residents) o Consumer survey (438 community members completed a printed form survey) 2. In seeking information about community health needs, what organizations or individuals outside the hospital were consulted? Chester River Hospital Center has relationships with the local health departments, including Kent County Health Department and Queen Anne's County Health Department. CRHC staff attends committee meetings at both health departments, enabling the exchange of information regarding the health of the community. CRHC also has relationships with churches/church groups and spiritual leaders, including the Chester Valley Ministries Association and the Bethel African Methodist Episcopal Church and MOTA Program. Churches and church groups often host cultural diversity activities that are targeted to educate specific minority groups on cancer, diabetes and heart disease. This allows CRHC the opportunity to collaborate with other organizations throughout Kent County to address a variety of health concerns and needs. Many of CRHC senior leadership are members of boards, community work groups and committees that target the health care needs of the community. This affords the opportunity for CRHC staff to exchange ideas and develop programs with these community organizations.NEEDS ASSESSMENT
Part VI, Line 3A patient's inability to obtain financial assistance does not, in any way, preclude the patient's right to receive and have access to medical treatment at Chester River Hospital Center. Chester River Hospital Center is committed to providing excellent medical care to our patients regardless of their ability to pay for those services. This policy has been established to assist patients in obtaining financial aid when it is beyond their financial ability to pay for services received. Chester River Hospital Center's registrars provide the hospital's patient financial assistance program packet to all self-pay inpatients and outpatients at the time of registration. Emergency department patients who are self-pay also receive this packet if their condition permits. Emergency department patients who are admitted are visited by the hospital's credit and collection officer while in the hospital, and the packet is provided to them at that time. The packet is also available by request. The forms are available in English and Spanish. Signage is posted in the Emergency Department, registration and Business Office areas to notify patients of our patient financial assistance programs. Chester River Hospital Center has engaged ROI, a firm which works with patients to help them qualify for medical assistance.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
Part VI, Line 4Chester River Hospital Center (CRHC) serves the communities of Kent County and upper Queen Anne's County. CRHC also serves portions of southern Cecil County and northern Caroline County. These rural areas are populated by active farmers and small, close-knit communities. Transportation is often a barrier for access to health care services. Chester River Hospital Center's (CRHC) primary service area (PSA) and community benefit area (CBSA) are the same, which includes Kent County, along with portions of upper (northern) Queen Anne's County. CRHC also serves portions of southern Cecil County and northern Caroline County, although not part of the community benefit area or primary services area. For the purposes of this report, all information and data represent Kent County. Kent County, with a total population of 19,197, is bordered by Cecil County in the north, Queen Anne's county to the south, Delaware to the east, and the Chesapeake Bay on its west. According to the 2000 Census, the majority of the population is living in what is described as a rural area; no population is reported as living in an urban area. There were 117,372 acres of farm land reported in 2002, which makes agriculture one of the leading industries in Kent County. It has a higher percentage of the population aged 65 years and older. Kent County is unique in that nearly 21% of its residents are 65 years of age or older, which is 65% higher than Maryland's percentage and higher than other rural areas in the state by almost a quarter. This makes Kent County's population one of the oldest, aging populations in Maryland. Approximately 16% of the residents of Kent County are African-American/Black. The Hispanic population is growing, but accounts for only a small percentage of the population (approximately 546 of Hispanic origin). Nearly 30% of the population is classified as low income, with 21% without insurance. Kent County ranked number one in the state for percentage of deaths related to Alzheimer's, a disease mostly associated with the aging population. The report also noted that Kent County has a higher prevalence of hypertension, high cholesterol, obesity and diabetes than Maryland. Children living on the Eastern Shore are more likely to have dental caries, yet less likely to have dental sealant or restoration than other parts of the state. Alcohol abuse and mental health diagnoses occur at significantly higher rates than the state average, too. Key characters and statistics about Kent County's population (source Kent County Health Needs Assessment, 2009; U.S. Census Data 2000; U.S. Census Bureau, Small Area Income & Poverty Estimates, 2009): - Poverty among adults and children in Kent County has been increasing since 2000. - Kent County has one of the highest populations of residents aged 65 years and older, while the age group made of children age 18 years and younger is decreasing. -African-Americans/Blacks living in Kent County experience poverty at a disproportionately higher rate than other racial groups. -Seasonal residents and recreational visitors to Kent County aren't accounted for in official estimates, but still use county health resources, including the emergency room and EMS; county tourism board unofficial estimates about 100,000 tourists visit Kent County each year. - Nearly 40% of the population has public health insurance, such as Medicare and Medicaid; approximately 15% have no health insurance. - Kent County has a higher reported prevalence of hypertension, high cholesterol and diabetes than Maryland. - Kent County's total population of 19,197 reflects 546 people of Hispanic origin; 837 people with less than a 9th grade education; 1,942 completing 9th-12th grades, but with no diploma; and 10.7% of the population below poverty level.COMMUNITY INFORMATION
Part VI, Line 5N/APROMOTION OF COMMUNITY HEALTH
Part VI, Line 6Chester River Hospital is affiliated with the University of Maryland Medical System but the community benefit activities are determined locally at the hospital level.AFFILIATED HEALTH CARE SYSTEM
Part VI, Line 7Chester River Hospital Center files a community benefit report annually in the state of Maryland with the Health Services Cost Review Commission (HSCRC), a state regulatory agency.STATE FILING OF COMMUNITY BENEFIT REPORT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEMPLOYEE EDUCATIONTypeOfGrant
Number Of Recipients10NumberOfRecipients
Amount Of Cash Grant14245AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART IIdentifier
Return ReferencePROCEDURE FOR GRANT MONITORINGReturnReference
ExplanationChester River Hospital Center has written policies included in adminiStrative policies/Management of Human Resources. Assistance is provided to employees who are eligible by need/eligibility.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
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 (13 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 Related OrgsCompReportPrior990RelatedOrgs
SCOTT BURLESON
1624220199680461702288001573902256260
DEBORAH DAVIS
272559071140098240971002059603838290
GLENN F ROBBINS MD
04782820140773068773086070197340716169
Henry Arakaky
25895602133300083800002886690
JEFFREY L JOHNSON
169380002422060701170200840
JOHN W ASHWORTH
03452550120341012185108928016030061240558486
Mary Jo Keefe
1237010103870408401395701505001671790
ROBERT A CHRENCIK
0986285065925009032017910301976801853438
SAMUEL P MARINELLI JR
1861000228000170302612501532902520570
Steven Lucas
257383023000072540883202240103188700
JAMES E ROSS
25317821098629430508253238835375014421116138972026247
CHERYL DICKASON
2293780733300070590002437700
JOSEPH SMITH
2471780210000008023034602765470

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART I, LINE 4BDuring the fiscal year end June 30, 2011, the certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The individuals, listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J Part II Column (C), Retirement and Other Deferred Compensation. SCOTT BURLESON ROBERT A. CHRENCIK MARY JO KEEFE SAMUEL P. MARINELLI During the fiscal year end June 30, 2011, the 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. JEFFREY L. JOHNSON GLENN F. ROBBINS JAMES E. ROSS JOHN W. ASHWORTH
HEALTH OR SOCIAL CLUB DUES OR INITIATION FEESSCHEDULE J, PART I, LINE 1UMMS EXECUTIVES RECEIVE A BENEFIT PACKAGE WHICH MAY BE USED TOWARDS HEALTH CLUB DUES OR OTHER HEALTH MAINTENANCE PROGRAMS. SUCH BENEFITS ARE CAPPED AT $7,000, $5,000 OR $3,000 DEPENDING ON JOB TITLE AS DESCRIBED IN THE PROGRAM DOCUMENTS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Maryland Health and Higher Educational Facilities
520936091NONENONEN2006-05-013952807TAX EXEMPT BOND MHHEFA MASTERfalsefalsefalse
Maryland Health and Higher Educational Facilities
520936091NONENONEN2003-12-014000000TAX EXEMPT BOND MHHEFA SERIESfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount 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
28827830395280700048200003904607002006falsefalsetruetrue
19200000400000000081072003918928002004falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsefalsefalse
falsetruefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MEMBERSPart VI line 6, 7a, and 7bCHESTER RIVER HEALTH SYSTEM, INC. AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION MAY ELECT MEMBERS AND APPROVE DECISIONS OF CHESTER RIVER HOSPITAL CENTER.
FORM 990 PREPARATION AND REVIEW PROCESSPart VI, Section B, Line 11THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE GRANT THORNTON TAX ORGANIZER. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, GRANT THORNTON IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING.
CONFLICT OF INTEREST POLICYPart VI, Section B, Line 12cTHE 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.
EXECUTIVE COMPENSATIONPart VI, Section B, Line 15THE 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.
PUBLIC DISCLOSUREPart VI, Section C, 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.
Hours on Related Entity DisclosurePART VIIThe University of Maryland Medical System (UMMS) is a multi-entity health care system including 8 acute care 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 the comprise UMMS.
SECURED MORTGAGE NOTES PAYABLEPart X, Line 23FARMERS HOME ADMINISTRATION LOAN AND MHHEFA POOLED LOAN WERE USED TO ADD ADDITIONS TO THE HOSPITAL.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED GAIN/LOSS $1,167,050 CHANGE IN PENSION BENEFITS $1,833,599 ALLOCATION OF BENEFICAL ASSETS FROM THE FOUNDATION $ 217,616 ---------- $3,218,265
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GLENN F ROBBINS MD TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN W ASHWORTH TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT A CHRENCIK TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES E ROSS TITLE:PRESIDENT & CEO HOURS:5

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)3BWMS
Baltimore Washington Medical System Inc
301 Hospital DriveGlen BurnieMD21061521830242Health CareMD501(c)(3)11UMMSC
BW Medical Center Foundation Inc
301 Hospital DriveGlen BurnieMD21061521813656FundraisingMD501(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)11UMMSC
Chester River Manor Inc
200 Morgnec RoadChestertownMD21620526070333Health CareMD501(c)(3)11CRHS
Maryland General Clinical Practice Group
827 Linden AvenueBaltimoreMD21201521566211Health CareMD501(c)(3)11MGHS
Maryland General Comm Health Foundation
827 Linden AvenueBaltimoreMD21201522147532FundraisingMD501(c)(3)11MGHS
Maryland General Health Systems Inc
827 Linden AvenueBaltimoreMD21201521175337Health CareMD501(c)(3)11UMMSC
Maryland General Hospital Inc
827 Linden AvenueBaltimoreMD21201520591667Health CareMD501(c)(3)3MGHS
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)3UMMSC
James Lawrence Kernan Hosp Endow Fd
2200 Kernan DriveBaltimoreMD21207237360743FundraisingMD501(c)(3)11UMMSC
James Lawrence Kernan Hospital Inc
2200 Kernan DriveBaltimoreMD21207520591639Health CareMD501(c)(3)3UMMSC
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)3UMMSC
University Specialty Hospital
520882914Health Care501(c)(3)3UMMSC

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
Arundel Physicians Associates LLC
301 Hospital DriveGlen BurnieMD21061522000762Health CareMDNAn/a
Central Maryland Radiology Oncology
10710 Charter DriveColumbiaMD21044270879418Health CareMDNAn/a
Central MD Rehabilitation Center LLC
22 South Greene StreetBaltimoreMD21201521939987Health CareMDNAn/a
Helen P Denit Cancer Treatment Center
22 South Greene StreetBaltimoreMD21201522283591Health CareMDNAn/a
Innovative Health LLC
29165 Canvasback Drive Suite 100EastonMD21601521997287BillingMDNAn/a
North Arundel Pet Center LLC
301 Hospital DriveGlen BurnieMD21061200806027Health CareMDNAn/a
North Arundel Senior Living LLC
301 Hospital DriveGlen BurnieMD21061541810728Health CareMDNAn/a
NAHSunrise of Severna Park LLC
301 Hospital DriveGlen BurnieMD21061541810729Health CareMDNAn/a
Shipley's Imaging Center LLC
22 South Greene StreetBaltimoreMD21201522040338Health CareMDNAn/a
Universitycare LLC
521914892Health CareMDNAn/a

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 StreetBaltimoreMD21201526315433InsuranceMDNATrust
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg