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HARFORD MEMORIAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HARFORD MEMORIAL HOSPITAL INC (EIN 52-0591484)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349307413
Schema version
2011v1.3
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)
Timestamp2012-11-15T15:03:05-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 3100AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520591484EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH E HOFFMAN IIIName
TitleCFOTitle
Phone4436433340Phone
Date Signed2012-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DRAddressLine1
CitySTE BEL AIRCity
StateMDState
ZIP Code21014ZIPCode
FieldValueIRS element (for citing)
Gross Receipts119742607GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UCHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionACUTE HOSPITAL CAREActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees944TotalNbrEmployees
Total Nbr Volunteers148TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year194560ContributionsGrantsPriorYear
Contributions Grants Current Year2654016ContributionsGrantsCurrentYear
Program Service Revenue Prior Year90938045ProgramServiceRevenuePriorYear
Program Service Revenue CY89832620ProgramServiceRevenueCY
Investment Income Prior Year774371InvestmentIncomePriorYear
Investment Income Current Year3914077InvestmentIncomeCurrentYear
Other Revenue Prior Year600735OtherRevenuePriorYear
Other Revenue Current Year756424OtherRevenueCurrentYear
Total Revenue Prior Year92507711TotalRevenuePriorYear
Total Revenue Current Year97157137TotalRevenueCurrentYear
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 Year44018775SalariesEtcPriorYear
Salaries Etc Current Year44484696SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44461035OtherExpensePriorYear
Other Expenses Current Year44695764OtherExpensesCurrentYear
Total Expenses Prior Year88479810TotalExpensesPriorYear
Total Expenses Current Year89180460TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4027901RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7976677RevenuesLessExpensesCY
Total Assets BOY104456711TotalAssetsBOY
Total Assets EOY118861732TotalAssetsEOY
Total Liabilities BOY80311711TotalLiabilitiesBOY
Total Liabilities EOY93889059TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24145000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24972673NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAN ACUTE CARE, NON-PROFIT HOSPITAL, HARFORD MEMORIAL HOSPITAL OFFERS A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC, AND EMERGENCY CARE SERVICES. THE HOSPITAL HAS A STATE-OF-THE-ART ICU/PCU AND A BUSY EMERGENCY DEPARTMENT THAT CARES FOR OVER 50,000 PATIENTS A YEAR. HARFORD MEMORIAL OFFERS SPECIALIZED, HOSPITAL-BASED SERVICES, INCLUDING A BARIATRIC SURGERY PROGRAM, ANTICOAGULATION MANAGEMENT, CENTER FOR WOUND CARE, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, JOINT CENTER FOR HIP AND KNEE REPLACEMENT, AND A SLEEP DISORDER CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense62238561Expense
Grants0Grants
Revenue89832620Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense62238561TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other 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 BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
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 With1096396NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees944NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From Related OrgsReportableCompFromRelatedOrgsReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
H WILLIAM ACKER
VICE CHAIRMAN/DIRECTOR5.0XX
STEVEN M BENTMAN MD
DIRECTOR1.0X27083
JOHN H CAIN
DIRECTOR1.0X000
MELINDA L CRAIG
DIRECTOR1.0X
DIANE K FORD
DIRECTOR1.0X
ROBERT F HOOFNAGLE JR MD
DIRECTOR1.0X65792
M SCOT KAUFMAN
SECRETARY/DIRECTOR5.0XX
ANDREW KLEIN
DIRECTOR1.0X
JAMES LAMBDIN
DIRECTOR1.0X
ANTHONY J MEOLI
TREASURER/DIRECTOR5.0X
ROGER E SCHNEIDER MD
CHAIRMAN/DIRECTOR5.0XX000
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR5.0XX802498090419
RICHARD P STREETT JR VMD
DIRECTOR1.0X000
ADELE A WILZACK RN MS
DIRECTOR1.0X
ALBERT J A YOUNG
DIRECTOR1.0X
FAHEEM YOUNUS MD
DIRECTOR1.0X15125000
JOYCE FOX
VP - PATIENT SVCS/CNO20.0022314644446X
JOSEPH E HOFFMAN III
SR VP/CFO5.0396292081484X
KENNETH D KOZEL
SR VP/COO5.0394262063239X
DEAN C KASTER
SR VP - CORP STRATEGY/PLANNING5.0276903058880X
MARGARET M VAUGHAN
SR VP - CHIEF MEDICAL OFFICER5.0376634077548X
E SCOTT CONOVER
SR VP/GENERAL COUNSEL5.0354257052953X
TONI M SHIVERY
VP - HUMAN RESOURCES5.0200181064160X
EUGENE CURROTTO
VP - OPERATIONS40.0016979956983X
RICHARD CASTEEL
VP - MIS40.0017561732241X
STEPHEN LOW
DIR - PHARMACEUTICAL SERVICES40.0013504730151X
BEVERLY WEHMER
ASSISTANT VP-PATIENT SERVICES40.011785223770X
LONI WINTER
PHARMACIST40.01303831715X
FieldValueIRS element (for citing)
Total Reportable Comp From Org951844TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3045152TotalReportableCompFrmRltdOrgs
Total Other Compensation677989TotalOtherCompensation
Number Individuals GT100 K41NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORTHERN CHESAPEAKE ANESTHESIA ASSO
PO BOX 89BEL AIRMD21014PHYSICIAN FEES1349989
VISION CONSULTING LLC
3325 ASPEN GROVE DRIVE SUITE 204FRANKLINTN37067SOFTWARE CONSULTING881883
MEDQUIST TRANSCRIPTIONS LTD
PO BOX 102467ATLANTAGA30368TRANSCRIPTION375854
NCO FINANCIAL SYSTEMS INC
PO BOX 931053CLEVELANDOH44193COLLECTIONS258261
BRAIN AND SPINE SPECIALISTS PA
520 UPPER CHESAPEAKE DR STE 211BEL AIRMD21014PHYSICIAN FEES238926
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations2650498RelatedOrganizations
All Other Contributions3518AllOtherContributions
Noncash Contributions2292000NoncashContributions
Total Contributions2654016TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6214008975350289753502
OTHER MISCELLANEOUS6214007911879118
FieldValueIRS element (for citing)
Total Program Service Revenue89832620TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1061821TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,061,821ExclusionAmount

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)
Real613896Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real719225Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-105329Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-105329TotalRevenueColumn
Exclusion-$105,329ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities24718501Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities21866245Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2852256Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2852256TotalRevenueColumn
Exclusion$2,852,256ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA SALES/VENDING900099489613$489,613
INTEREST INCOME - ACCTS RECEIVABLE90009941752$41,752
LOSS ON EARLY RETIREMENT OF DEBT900099-21314-$21,314

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column351702TotalRevenueColumn
Exclusion$351,702ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue861753TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column97157137TotalRevenueColumn
Related Or Exempt Function Income89832620RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,670,501ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35954722Total
Program Services26031042ProgramServices
Management And General9923680ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5780958Total
Program Services4185385ProgramServices
Management And General1595573ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2749016Total
Program Services1990274ProgramServices
Management And General758742ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total288Total
Management And General288ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total355869Total
Management And General355869ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total293287Total
Management And General293287ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3718555Total
Program Services2679801ProgramServices
Management And General1038754ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total87Total
Program Services58ProgramServices
Management And General29ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total682314Total
Program Services1183ProgramServices
Management And General681131ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1323719Total
Program Services34095ProgramServices
Management And General1289624ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total38928Total
Program Services5487ProgramServices
Management And General33441ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total58143Total
Program Services7933ProgramServices
Management And General50210ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1459518Total
Program Services1056684ProgramServices
Management And General402834ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3526072Total
Program Services2552859ProgramServices
Management And General973213ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1284063Total
Program Services929655ProgramServices
Management And General354408ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1114520010412391732809
PROVISION FOR BAD DEBT92337139233713
MAINTENANCE CONTRACT37045834657223238861
CORPORATE FEES347717003477170

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4394255Total
Program Services2652279ProgramServices
Management And General1741976ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total89180460Total
Program Services62238561ProgramServices
Management And General26941899ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11891535BOY
EOY17883662EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9755419BOY
EOY12170923EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4001121BOY
EOY4198677EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis105428574LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec69388217LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35357945BOY
EOY36040357EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY41946186BOY
EOY43904062EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1504505BOY
EOY4664051EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY104456711BOY
EOY118861732EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15753358BOY
EOY22801306EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY28044895BOY
EOY27396955EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY36513458BOY
EOY43690798EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80311711BOY
EOY93889059EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24145000BOY
EOY24972673EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24145000BOY
EOY24972673EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY104456711BOY
EOY118861732EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7976677ReconcilationRevenueExpenses
Reconcilation Other Changes-7149004ReconcilationOtherChanges
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 B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$10,440OtherActivitiesAmount
Total Lobbying Expenditures IIB10440TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE, C, PART II-B, LINE 1iReturnReference
ExplanationLOBBYING EXPENSES IN THE AMOUNT OF $10,440 FOR 12/31/11 REPRESENT A PORTION OF THE DUES PAID TO AMERICAN HOSPITAL ASSOCIATION AND MARYLAND HOSPITAL ASSOCIATION. THESE ASSOCIATIONS ALLOCATE A PORTION OF MEMBER DUES TO LOBBYING ACTIVITY.Explanation

Schedule D IRS990ScheduleD

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31484372OtherCostOrOtherBasis
Depreciation16670387Depreciation
Book Value14813985BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1470505OtherCostOrOtherBasis
Depreciation948656Depreciation
Book Value521849BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis44800480OtherCostOrOtherBasis
Depreciation39463996Depreciation
Book Value5336484BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16853997OtherCostOrOtherBasis
Depreciation12305178Depreciation
Book Value4548819BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings36040357TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM THIRD PARTIES$1,768,428
DUE TO AFFILIATES$34,559,117
LIABILITY FOR ASBESTOS REMOVAL$1,303,227
OTHER LONG-TERM LIABILITIES$3,000,000
ACCRUED PENSION OBLIGATION$3,060,026
FieldValueIRS element (for citing)
Total Of Amounts43690798TotalOfAmounts
Total Revenue97157137TotalRevenue
Total Expenses89180460TotalExpenses
Excess Or Deficit For Year7976677ExcessOrDeficitForYear
Net Unrealized GL On Investments-4220921NetUnrealizedGLOnInvestments
Other-$2,926,819OtherAmount
Total Adjustments-7147740TotalAdjustments
Excess Or Deficit Per FS828937ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt90435335TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-4220921NetUnrealizedGainsInvestments
Other Revenues-3220106OtherRevenues
Revenue Not Rptd F990-7441027RevenueNotRptdF990
Revenue Subtotal97876362RevenueSubtotal
Other Revenues Not Included-719225OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-719225RevenueNotRptdOnFinStmt
Total Revenue Per Form99097157137TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt89606398TotExpensesEtcAuditedFinclStmt
Other Expenses Included719225OtherExpensesIncluded
Expenses Not Rptd F990719225ExpensesNotRptdF990
Expenses Subtotal88887173ExpensesSubtotal
Other Expenses Not Included293287OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt293287ExpensesNotRptdOnFinStmt
Total Expenses Per Form99089180460TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INCOME TAXES (FIN 48)PART X, QUESTION 2Harford Memorial Hospital accounts for tax provisions in accordance with FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes, included in ASC Subtopic 740-10, Income Taxes - Overall, which clarifies the accounting for uncertainty in tax provisions. FIN 48 requires that Harford Memorial Hospital recognize the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.
RECONCILIATION OF CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8MINIMUM PENSION LIABILITY $ (2,926,819)
RECONCILIATION OF REVENUESCHEDULE D, PART XIILINE 2D - OTHER REVENUE ON BOOKS NOT ON RETURN MINIMUM PENSION LIABILITY $ (2,926,819) RECLASS - INVESTMENT EXPENSE $ (293,287) --------- TOTAL $ (3,220,106) LINE 4B - OTHER REVENUE ON RETURN NOT ON BOOKS RECLASS - RENTAL EXPENSE $ (719,225)
RECONCILIATION OF EXPENSESCHEDULE D, PART XIIILINE 2D - OTHER EXPENSES INCLUDED ON BOOKS NOT ON RETURN RECLASS - RENTAL EXPENSE $719,225 LINE 4B - OTHER EXPENSES INCLUDED ON RETURN NOT ON BOOKS RECLASS - INVESTMENT EXPENSE $293,287

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6357069TotalCommunityBenefitExpense
Net Community Benefit Expense6357069NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6357069TotalCommunityBenefitExpense
Net Community Benefit Expense6357069NetCommunityBenefitExpense
Percent Of Total Expense0.08000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1058693TotalCommunityBenefitExpense
Direct Offsetting Revenue39494DirectOffsettingRevenue
Net Community Benefit Expense1019199NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense18926TotalCommunityBenefitExpense
Net Community Benefit Expense18926NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2102645TotalCommunityBenefitExpense
Net Community Benefit Expense2102645NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense11851TotalCommunityBenefitExpense
Net Community Benefit Expense11851NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3192115TotalCommunityBenefitExpense
Direct Offsetting Revenue39494DirectOffsettingRevenue
Net Community Benefit Expense3152621NetCommunityBenefitExpense
Percent Of Total Expense0.04030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9549184TotalCommunityBenefitExpense
Direct Offsetting Revenue39494DirectOffsettingRevenue
Net Community Benefit Expense9509690NetCommunityBenefitExpense
Percent Of Total Expense0.12030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,233,713BadDebtExpenseAmount
Amount Attributable To2418386AmountAttributableTo
Amount Reimbursed By Medicare37213253AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare37152260CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall60993MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARFORD MEMORIAL HOSPITALBusinessNameLine1

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1UC HEALTHLINK CLINICBusinessNameLine1

Address Address

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART III, SECTION A, LINE 4BAD DEBT EXPENSEThe Hospital grants credit to patients, substantially all of whom are local residents. The Hospital generally does not require collateral or other security in extending credit; however, the Hospital routinely obtains assignment of (or are otherwise entitled to receive) patients' benefits receivable under their health insurance programs, plans or policies.
PART III, SECTION B, LINE 8COMMUNITY BENEFIT AND SHORTFALLThe Hospital did not have a Medicare shortfall.
PART III, SECTION C, LINE 9BCOLLECTION PRACTICESIT IS THE POLICY OF HARFORD MEMORIAL HOSPITAL ("HMH") TO ATTEMPT TO COLLECT PAYMENT FOR ALL SERVICES RENDERED TO PATIENTS IN THE MOST EFFICIENT AND PATIENT FRIENDLY MANNER. HMH WILL FIRST ATTEMPT TO COLLECT PAYMENT FROM THE PATIENT'S INSURANCE COMPANY. IN THE EVENT THE PATIENT HAS NO INSURANCE OR LIMITED INSURANCE COVERAGE, HMH WILL ATTEMPT TO QUALIFY THE PATIENT FOR THE MARYLAND MEDICAL ASSISTANCE PROGRAM AND/OR HMH'S FINANCIAL ASSISTANCE POLICY.
PART V, LINES 15E/16E/19D/21Billing and Collections: Line 15E PATIENTS WHO ARE LEFT WITH A BALANCE AFTER ALL INSURANCES HAVE BEEN PURSUED AND FINANCIAL ASSISTANCE HAS BEEN OFFERED WILL BE FORWARDED TO A COLLECTION AGENCY AS A LAST RESORT TO OBTAIN PAYMENT FROM THE PATIENT. Line 16E TWO AGENCIES ARE EMPLOYED BY HMH; EACH RECEIVING APPROXIMATELY FIFTY PERCENT OF THE ACCOUNT (BASED ON TEH FIRST LETTER OF THE LAST NAME OF EACH PATIENT). ACCOUNTS PLACED WITH ONE OF THE COLLECTION AGENCIES ARE CLASSIFIED AS BAD DEBTS AND REMOVED FROM ACCOUNTS RECEIVABLE. Charges for Medical Care: Lines 19D & 21 THE STATE OF MARYLAND HEALTH SERVICES COST REVIEW COMMISSION SETS RATES FOR ALL HOSPITALS IN THE STATE. THOSE RATES ARE APPLIED UNIFORMLY TO ALL PATIENTS. GROSS CHARGES MAY NOT BE DISCOUNTED OUTSIDE OF STATE-ACCEPTED DISCOUNTS FOR PROMPT PAYMENT AND ADVANCE FUNDING. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PERCENTAGE OF THE GROSS CHARGES ARE THEN WRITTEN-OFF TO CHARITY CARE.
PART VI, SUPPLEMENTAL INFORMATIONNEEDS ASSESSMENTEVERY THREE YEARS A COMMUNITY HEALTH ASSESSMENT SURVEY/PLAN IS PERFORMED.
PART VI, SUPPLEMENTAL INFORMATIONPATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEThe Hospital displays signs at every registration point informing the patients about the availability of the various financial and medical assistance programs. The Hospital offers every self-pay patient or any patient who inquires, the financial assistance informational packet and application. The cover sheet for the financial assistance packet also includes information on obtaining Medical Assistance. In addition, the Hospital has a financial counselor that visits the self-pay patient in the emergency department or in the patient's room to discuss what is available to them. The Hospital also employs a medical assistance advocacy company to assist the hospital's patients get medical assistance. The Hospital also provides information about the programs in each billing statement.
PART VI, SUPPLEMENTAL INFORMATIONCOMMUNITY INFORMATIONThe service area of the Upper Chesapeake Health System, which includes Harford Memorial Hospital, consists of the northeast part of Maryland, including Harford County, western Cecil County and portion of Baltimore County. This service area is located at the apex of the Chesapeake Bay and is spread across 536 square miles. It contains, among others, the cities and towns of Havre de Grace, Aberdeen, Bel Air, Fallston, and Edgewood. The service area enjoys a diverse economic base, ranging from concentrations in service, manufacturing, distribution, and retail, to Federal government employment. Harford Community College provides a local venue for advanced education and Harford County's proximity to Baltimore gives it access to nationally recognized universities which help provide a skilled workforce. The Service Area is served by Interstate 95, Amtrak and freight rail lines along the busy east-coast transportation corridor between New York and Washington, DC. In 2007, the Service Area had a total population of 276,500 people with historical annual growth rates of approximately 1.8% per year. This growth has been characterized by an influx of young families seeking suburban environment in which to live and is complemented by a growth in businesses and other services that follow young, middle class families. In 2007, the Service Area had an estimated 101,930 households with a median family income of $67,300 and an average household income of $81,000. 87% of the service area's adults over the age of 25 are high school graduates or higher; 27% achieved bachelor's degrees or higher. The service area's growth and geographic location explain its ability to attract major east-coast distribution center and industry, which have provided additional employment opportunities in the service area. In December 2007, the service area had a work force of approximately 142,829. Please see Schedule O for more information.
PART VI, SUPPLEMENTAL INFORMATIONPROMOTION OF COMMUNITY HEALTHThe Hospital did not have community building activites during the calendar year ended December 31, 2011.
PART VI, SUPPLEMENTAL INFORMATIONAFFILIATED HEALTH CARE SYSTEMHarford Memorial Hospital, Inc. (HMH) is one hospital in an "Affiliated Health Care System" that includes a second hospital, Upper Chesapeake Medical Center, Inc. (UCMC), a physician services organization (Upper Chesapeake Medical Services, Inc.), a property holding company (Upper Chesapeake Properties, Inc.), a hospice residence (Upper Chesapeake Residential Hospice House, Inc. & Hospice of Harford County LLC) and a for-profit venture with investments in private imaging services (Upper Chesapeake Health Ventures, Inc.). The "System" provides a broad range of community health care services, including preventive, ambulatory, acute and hospice services, through an integrated health care delivery system in Harford County and parts of Baltimore and Cecil Counties, in northeast Maryland. HMH and UCMC are the only hospitals in Harford County, Maryland. HMH offers acute care services, including intensive care, emergency and other outpatient services, and has the only acute care behavioral health unit in Harford County.
PART VI, SUPPLEMENTAL INFORMATIONSTATE FILING OF COMMUNITY BENEFIT REPORTThe Health Services Cost Review Commission, the State agency that regulates hospital rates in Maryland, requires a Community Benefit Report to be filed annually.
SUPPLEMENTAL INFORMATIONHARFORD MEMORIAL HOSPITAL EXPECTS ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO BE COMPLETED BY THE END OF TAX YEAR 2013 IN ACCORDANCE WITH THE AFFORDABLE CARE ACT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
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 (12 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 OrgsTotalCompensationRelatedOrgs
LYLE E SHELDON
050834102434240507330532000372190892917
FAHEEM YOUNUS MD
0151250000000000151250
JOYCE FOX
1680210443810107440428140163202675920
JOSEPH E HOFFMAN III
025986001091990272330507500307340477776
KENNETH D KOZEL
02596550970900375170491160141230457501
DEAN C KASTER
0202337072031025350316740272060335783
MARGARET M VAUGHAN
02695000847730223610526010249470454182
E SCOTT CONOVER
0246940089544017773051503014500407210
TONI M SHIVERY
0150490040019096720365830275770264341
EUGENE CURROTTO
139573029249097702972002726302267820
RICHARD CASTEEL
154306020983032801671701552402078580
STEPHEN LOW
12018601476101000678602336501651980

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, COMPENSATION INFORMATION, PART I, QUESTION 4BIdentifier
ExplanationAN ORGANIZATION RELATED TO THIS FILING ORGANIZATION MADE INTERNAL REVENUE CODE SECTION 457F PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THIS FILING ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A: KENNETH D. KOZEL $13,531 E. SCOTT CONOVER $11,169 An organization related to this filing organization made split dollar life insurance plan contributions to the following members of senior leadership who are listed on this filing organization's Form 990, Part VII, Section A, Line 1A: Lyle E. Sheldon $109,924 Margaret M. Vaughan $ 31,362 Joseph E. Hoffman III $ 30,462 Dean C. Kaster $ 22,999Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
CUSIP Number5742172P9CUSIPNumber
Date Issued2008-08-08DateIssued
Issue Price19856000IssuePrice
Description Of PurposeREFINANCE EXISTING DEBTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired20048000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds20796800TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow16549989RefundingEscrow
Issuance Costs From Proceeds117276IssuanceCostsFromProceeds
Credit Enhancement36356CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures595200CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1BANK OF AMERICABusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge35.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReference
THE OBLIGATED GROUP ON THE BOND ISSUES IDENTIFIED IN SCHEDULE K INCLUDE0
UPPER CHESAPEAKE MEDICAL CENTER 84%; HARFORD MEMORIAL HOSPITAL 16%.0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MARYLAND HEALTH & HIHGER ED FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
CUSIP Number5742172P9CUSIPNumber
Date Issued2008-08-08DateIssued
Issue Price8852000IssuePrice
Description Of PurposeREFINANCE EXISTING DEBTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired8660000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds9375360TotalProceeds
Amount In Reserve Fund636320AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow6739878RefundingEscrow
Issuance Costs From Proceeds78994IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonROGER E SCHNEIDERNamePerson
FieldValueIRS element (for citing)
RelationshipVASC SURG ASSOC PARTNERRelationship
Amount Of Transaction202993AmountOfTransaction
Description Of TransactionPHYSICIAN FEES PAID TO VSA LLCDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
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Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART VI, SECTION A, GOVERNING BODY & MANAGEMENT QUESTION 2FAMILY OR BUSINESS RELATIONSHIPLYLE E SHELDON AND JOSEPH E HOFFMAN III ARE OFFICERS IN THE SAME BUSINESS ENTITIES. THE SAME BUSINESS ENTITIES ARE THE FOR-PROFT CORPORATIONS OR PARTNERSHIPS THAT ARE RELATED TO THIS FILING ENTITY. PLEASE SEE FORM 990, SCHEDULE R.
PART VI, SECTION A, GOVERNING BODY & MANAGEMENT QUESTION 6EXISTENCE OF MEMBERSUPPER CHESAPEAKE HEALTH SYSTEM AND UNIVERSITY OF MARYLAND MEDICAL SYSTEM ARE PARTNERS IN A MARYLAND LIMITED LIABILITY COMPANY NAMED UCHS/UMMS VENTURE LLC ("VENTURE"). THE VENTURE WAS ORGANIZED FOR CHARITABLE PURPOSES TO COORDINATE ACTIVITIES OF HEALTHCARE FACILITIES AND OTHER CORPORATE BODIES WHOSE PURPOSES INCLUDE THE PROVISION OF HEALTHCARE SERVICES OR FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES IN HARFORD COUNTY, MARYLAND. VENTURE IS THE SOLE MEMBER OF THIS FILING ORGANIZATION.
PART VI, SECTION B, POLICIES QUESTION 11BORGANIZATIONAL REVIEW OF FORM 990THE BOARD OF UPPER CHESAPEAKE HEALTH SYSTEM, INC. ("HEALTH SYSTEM") HAS ASSIGNED THE EXECUTIVE COMMITTEE OF THE HEALTH SYSTEM'S BOARD TO REVIEW AND APPROVE ALL CONTENTS OF FORM 990 ON BEHALF OF THE BOARDS OF ALL HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. IN TURN, ONCE THE FORM 990 HAS BEEN APPROVED BY HEALTH SYSTEM'S EXECUTIVE COMMITTEE, A FINAL VERSION OF THE FORM 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS OF THE RESPECTIVE HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. FORMAL NOTIFICATION OF THE FINAL AND APPROVED FORM 990 FOR EACH OF THE HEALTH SYSTEM'S AFFILIATES AS WELL AS ITS AVAILABILITY WILL BE COMMUNICATED TO THE APPLICABLE BOARD MEMBERS ON OR BEFORE THE FILING OF THE FORM 990.
PART VI, SECTION B, POLICIES QUESTION 12CCONFLICT OF INTEREST POLICYThe organization's written conflict of interest policy covers the following individuals: Directors, Principal Officers, and Senior Management. Furthermore, the policy extends to the family members (per Internal Revenue Service definition) of such Directors, Principal Officers, and Senior Management. The Board of Directors and any committee considering a contract, transaction or arrangement to which a known or potential conflict of interest relates, determines whether a conflict exists. Actual conflicts are reviewed by the Chairman of the Board. An individual with a known or potential conflict of interest must refrain from participating in, or acting on, the decision on any matter in which a conflict of interest, or even the appearance of such a conflict of interest, is present with respect to such individual and will remove himself or herself from any meeting or deliberations on the matter.
PART VI, SECTION B, POLICIES QUESTION 15PROCESS FOR DETERMINING COMPENSATIONThe executive compensation committee of the board of directors approves compensation for the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and all key employees. The executive compensation committee utilizes but is not limited to the following resources in evaluating and establishing reasonable compensation: independent compensation consultants, compensation surveys and compensation studies. This organization and its tax-exempt affiliates strive to maintain an arm's length relationship between itself and its employees. It is the goal of the executive compensation committee to ensure that total compensation (compensation and benefits) paid to its employees is fair and reasonable. Finally, the process of setting and approving such compensation is performed annually by the board's executive compensation committee.
PART VI, SECTION C, DISCLOSURE QUESTION 19DOCUMENTS AVAILABLE TO THE PUBLICTHE ORGANIZATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST: ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS (HARFORD MEMORIAL HOSPITAL, INC. AND UPPER CHESAPEAKE MEDICAL CENTER, INC.).
PART VII, SECTION A, PART IAVERAGE HOURS PER WEEKThe following chart details the filing organization's board of directors members and officers who are also board of directors members and officers of related exempt organizations and the hours spent per week on duties for those related exempt organizations. The chart does not reflect hours spent per week on duties for any related for-profit entities. The hours reflected in Part VII, Section A, Column B are only the average hours per week for this filing organization. UCF UCMC UCMS UCP UCHC UCHS HH UCRHH LYLE E. SHELDON 1 5 1 1 .50 40 1 .50 PRES/CEO JOSEPH E. HOFFMAN 1 1 1 1 1 40 - 1 SR VP/CFO JOYCE FOX - 20 - - - - - - VP PATIENT SERVICES/CNO MARGARET M. VAUGHAN - 5 1 - - 40 - - SR VP/CMO KENNETH D. KOZEL 1 5 1 1 1 40 - - SR VP/COO DEAN C. KASTER - 5 - - - 40 - - SR VP/CORP STRTGY/PLNING TONI M. SHIVERY - 5 - - - 40 - - VP/HUMAN RESOURCES E. SCOTT CONVOER - 5 1 - - 40 - - SR VP/GENERAL COUNSEL UCF - UPPER CHESAPEAKE HEALTH FOUNDATION UCMC - UPPER CHESAPEAKE MEDICAL CENTER UCMS - UPPER CHESAPEAKE MEDICAL SERVICES UCP - UPPER CHESAPEAKE PROPERTIES UCHC - UPPER CHESAPEAKE/ST. JOE'S HOME CARE UCHS - UPPER CHESAPEAKE HEALTH SYSTEM HH - HEALTHY HARFORD UCRHH - UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE
PART VIII STATEMENT OF REVENUELINE 2A - PROGRAM SERVICE REVENUEGROSS PATIENT REVENUE................. $ 100,687,008 LESS: ALLOWANCES & CHARITY POLICIES... (10,933,506) -------------- NET PATIENT REVENUE................ $ 89,753,502
PART XI, LINE 5NET UNREALIZED LOSSES ON INVESTMENT.... $(4,220,921) MINIMUM PENSION PLAN LIABILITY......... (2,926,819) ROUNDING............................... (1,264) ------------ TOTAL.............................. $(7,149,004)
PART III, PROGRAM SERVICE ACCOMPLISHMENTSTO PROVIDE HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTH CARE. ITS TWO HOSPITALS, HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER OFFER SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH SYSTEM IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH SYSTEM HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES AND HOMES. HARFORD MEMORIAL HOSPITAL IS A MEMBER OF THE UPPER CHESAPEAKE HEALTH SYSTEM. HARFORD MEMORIAL HOSPITAL IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). IN ADDITION TO MEDICAL/SURGICAL ACUTE CARE BEDS, THE HOSPITAL HAS A STATE-OF-THE-ART ICU/PCU AND A BUSY EMERGENCY DEPARTMENT THAT CARES FOR OVER 35,000 PATIENTS EACH YEAR. HARFORD MEMORIAL OFFERS VERY SPECIALIZED, ONE OF A KIND, HOSPITAL BASED SERVICES, INCLUDING A JOINT CENTER FOR PATIENTS UNDERGOING HIP OR KNEE JOINT REPLACEMENT SURGERY, A SLEEP DISORDER CENTER FOR THE DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES. HARFORD MEMORIAL AND UPPER CHESAPEAKE MEDICAL CENTER MAINTAIN CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCT MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES, INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES FREE AND MOBILE CLINICS A NUMERICAL SUMMARY OF COMMUNITY ACTIVITIES FOR UPPER CHESAPEAKE MEDICAL CENTER IS AS FOLLOWS: # OF STAFF HOURS # OF ENCOUNTERS COMMUNITY HEALTH SERVICES 1,772 9,480 HEALTH PROFESSIONS EDUCATION 3,551 - RESEARCH - 11 FINANCIAL CONTRIBUTIONS 18 119 COMMUNITY BENEFIT OPERATIONS 3 - --------- --------- TOTAL HOSPITAL COMMUNITY BENEFIT 5,344 9,609 DIRECT COST ($) INDIRECT COST ($) COMMUNITY HEALTH SERVICES 624,545 433,934 HEALTH PROFESSIONS EDUCATION 111,420 77,414 MISSION DRIVEN HEALTHCARE SVCS 2,515,836 1,748,003 RESEARCH 777 540 FINANCIAL CONTRIBUTIONS 38,188 26,533 COMMUNITY BENEFIT OPERATIONS 126 88 FOUNDATION FUNDED COMM. BENEFIT 58,998 40,992 MEDICAID ASSESSMENTS 2,502,941 - --------- --------- TOTAL HOSPITAL COMMUNITY BENEFIT 5,852,831 2,327,503 OFFSETTING NET COMMUNITY REVENUE ($) BENEFIT ($) COMMUNITY HEALTH SERVICES 39,493 1,018,985 HEALTH PROFESSIONS EDUCATION 1,400 187,434 MISSION DRIVEN HEALTH CARE SVCS - 4,263,839 RESEARCH - 1,317 FINANCIAL CONTRIBUTIONS 1,330 63,391 COMMUNITY BENEFIT OPERATIONS - 214 CHARITY CARE - 2,546,397 FOUNDATION FUNDED COMM. BENEFIT - 99,989 MEDICAID ASSESSMENTS 2,078,894 424,047 ------- --------- TOTAL HOSPITAL COMMUNITY BENEFIT 2,121,117 8,605,614
COMMUNITY OUTREACHIn 2011, HealthLink had approximately 23,060 community-wide contacts through their screening and educational programs, flu vaccination clinics, support groups and HealthLink Primary Care Clinic visits. Approximately 7400 of these contacts were for health screenings (blood pressure, body fat, cholesterol, osteoporosis, stroke, sleep, diabetes risk assessments, foot and eye screenings, and cancer screenings). This also includes 3575 contacts that were realized through the HealthLink Primary Care Clinic. Over 2570 influenza vaccinations were administered countywide. Community Outreach also provided local businesses with employee health screenings and vaccinations totaling 456 encounters. And more than 3150 Harford County children received health education from Upper Chesapeake Community Outreach. Senior Center Programs - In addition to Community Health holding monthly blood pressure screenings at all six senior centers, a Jeopardy Health Fair was held at each center. A Jeopardy game was played on a large screen for groups of seniors. The focus was on general health and wellbeing. Health screenings including osteoporosis, blood pressures and stroke risk assessments were provided. There were also educational tables as well as tetanus vaccinations available that were provided by Community Outreach. Approximately 250 seniors participated in these events. Children's Programs - A total of 710 children were involved with our Glo Germ Program. This is a program that emphasizes how infection is spread and the importance of good hand washing habits. - Approximately 1,130 children were exposed to our "KATU" (Kids Against Tobacco Use) program and new Smoking Out the Truth. These programs teach children, adolescents, and teens about the dangers associated with tobacco use. "Toxic Soup" is a program that addresses the effects of secondhand smoke, which is a program included at times. - Approximately 1,040 children attended our Teddy Bear Clinics. This is a program that familiarizes children with the hospital experience. - "Be Smart about Body Art" was also taken out into the community. It educates teens about the potential dangers associated with body piercing and tattooing. This program has been very successful with over 275 teens being educated in 2011. - "How Sweet It Is", a fairly new program, was also taken out into the community. This program educates children and adults on the sugar content in many of their favorite drinks including juice boxes, sports drinks, soda, flavored water, and popular coffee drinks. Over 2,500 children and adults were exposed to this program. - A new program was developed this year titled, Sun Sense. This program educates children, teens and adults on the harmful effects of the sun including the dangers of tanning beds. A skin analyzer was purchased by Community Outreach. This machine allows individuals to examine their own skin and realize the impact that the sun has had on their skin. Over 1,235 adults and children participated in this program. - In addition to the above programs, a nutrition program titled, Mission Nutrition was developed geared for children, teens and young adults, and seniors. The program includes new information regarding the "MyPlate" approach, portion control, reading labels, etc. Over 215 adults and children participated in a nutrition program. New Screenings - In 2011, equipment was purchased for vision and hearing screenings. This allows Community Health to offer these screenings to Harford County private schools and home schoolers that may not have the opportunity to be screened. Hearing screenings are also being made available to seniors. Approximately 260 people participated in these screenings.
VACCINESCommunity Outreach administered approximately 2570 community flu vaccinations throughout the county in 2011. "Dining with Docs" Lectures In 2011 "Dining with Docs" community lectures were held at both Upper Chesapeake Medical Center and Harford Memorial. A total of 239 community residents attended the lectures. Havre de Grace Health-Tacular A large health fair was held at the Havre de Grace Activity Center. Free flu vaccinations were offered as well as twenty different health screenings. These included balance, blood pressure, body fat composition, cholesterol, glucose, DEXA scans, carotid ultrasounds, stroke risk assessments, diabetic eye and foot screenings, and hearing screenings. Cancer screenings were also offered including prostate, skin, oral and colorectal cancer screenings. Children were fitted for bike helmets and provided a free helmet. UCH service lines as well as outside vendors were represented. This event would not have been possible without the strong partnership with the HC Office on Aging, Parks and Rec and the Boys and Girls Club. Over 380 people attended this event. HealthLink Community Wellness Center In 2011, the HealthLink Community Wellness Center which operates out of the HL Medical Mobile Van had 130 residents participate in one of the available health screenings offered throughout the year. The Wellness Centers are offered monthly at two different locations in the County. Primary Care Clinic The HealthLink Primary Care Clinic (PCC) provided primary care on a sliding fee scale to low income adults age 19 and above who are uninsured or underinsured and meet specific income criteria. In 2011, the PCC had approximately 1315 established patients and a total of 3575 patient encounters. HealthLink Call Center - In 2011, our HealthLink Call Center handled approximately 8060 calls. This included almost 590 physician referral, 4,635 physicians' related calls, and 2,335 service calls. - The "flu HOTLINE" was reinstated to keep the community better informed about the locations and times that flu clinics were being held throughout the county. As new information became available or changed, the recording on the HOTLINE was updated so that residents could get accurate information. Support Groups HealthLink RNs facilitate countywide support groups; stroke and diabetes. Both groups meet monthly; the stroke group meets at UCMC and the diabetes group meets at the Aberdeen Senior Center. Two additional diabetes support groups were established in 2011, one at the Edgewood Senior Center and the second at the McFaul Activity Center. The stroke group averages 12 participants per meeting (146 per year) and the diabetes support groups served 66 participants. HealthLink and Community Health Improvement Coalitions and Committees - Harford County School Health Board - Harford County Tobacco Coalition - Harford County Cancer Coalition - Office on Aging Advisory Board - Harford County Homeless Advisory Board - GAIN Committee - Healthy Harford

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398507FIN SUPPORTMD501(c)(3)11ANAfalse
UPPER CHESAPEAKE MEDICAL SERVICES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521501734PHYSICIAN SVCMD501(c)(3)9UCHSUMMS VNfalse
UPPER CHESAPEAKEST JOE'S HOME CARE IN
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521229742HOSPICE CAREMD501(c)(3)9UCHSUMMS VNfalse
UPPER CHESAPEAKE MEDICAL CENTER INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521253920HOSPITAL CAREMD501(c)(3)3UCHSUMMS VNfalse
UPPER CHESAPEAKE PROPERTIES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521907237TITLE HOLDINGMD501(c)(2)N/AUCHSUMMS VNfalse
UPPER CHESAPEAKE HEALTH SYSTEMS INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398513HLTHCARE SVCSMD501(c)(3)11C;III-FIUCHSUMMS VNfalse
UPPER CHESAPKE RESIDENTIAL HOSPICE HOUSE
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014260737028HOSPICE CAREMD501(c)(3)7UCHSUMMS VNfalse
HEALTHY HARFORD INC
2027 PULASKI HWY SUITE 215HAVRE DE GRACEMD21078521944325HEALTH INIATVMD501(c)(3)7NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

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