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U OF M REHAB & ORTHOPAEDIC INSTITUTE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
U OF M REHAB & ORTHOPAEDIC INSTITUTE (EIN 52-0591639)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201241359349302604
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)
Timestamp2012-05-14T11:09:40-04:00Timestamp
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)
EIN520591639EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JAMES L KERNAN HOSPITAL AND INDUSTRIALBusinessNameLine1
Business Name Line2SCHOOL OF MDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlJAMENameControl
Phone4104482500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 Kernan DriveAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21207ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameW W Augustin IIIName
TitleVice President and CFOTitle
Phone4104482500Phone
Date Signed2012-05-10DateSigned

Preparer Preparer

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

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1KERNAN ORTHOPAEDICS & REHAB HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael JablonoverNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12200 Kernan DriveAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21207ZIPCode
FieldValueIRS element (for citing)
Gross Receipts109018885GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1895YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionKERNAN ORTHOPEDICS AND REHABILITATION DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees746TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year750000ContributionsGrantsPriorYear
Contributions Grants Current Year750000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year97531978ProgramServiceRevenuePriorYear
Program Service Revenue CY95418597ProgramServiceRevenueCY
Investment Income Prior Year1309800InvestmentIncomePriorYear
Investment Income Current Year1917349InvestmentIncomeCurrentYear
Other Revenue Prior Year2487686OtherRevenuePriorYear
Other Revenue Current Year2627592OtherRevenueCurrentYear
Total Revenue Prior Year102079464TotalRevenuePriorYear
Total Revenue Current Year100713538TotalRevenueCurrentYear
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 Year46161456SalariesEtcPriorYear
Salaries Etc Current Year45543254SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year53992991OtherExpensePriorYear
Other Expenses Current Year51157775OtherExpensesCurrentYear
Total Expenses Prior Year100154447TotalExpensesPriorYear
Total Expenses Current Year96701029TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1925017RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4012509RevenuesLessExpensesCY
Total Assets BOY102319050TotalAssetsBOY
Total Assets EOY115213246TotalAssetsEOY
Total Liabilities BOY26135252TotalLiabilitiesBOY
Total Liabilities EOY28230601TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY76183798NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY86982645NetAssetsOrFundBalancesEOY
Mission DescriptionKERNAN ORTHOPAEDICS AND REHABILITATION DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense78081182Expense
Grants0Grants
Revenue95418597Revenue
DescriptionTHE ORGANIZATION OWNS AND OPERATES A MEDICAL SURGICAL AND REHABILIATION HOSPITAL WITH 133 LICENSED BEDS. THE HOSPITAL PROVIDES CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. SUCH PATIENTS ARE IDENTIFIED BASED ON INFORMATION OBTAINED FROM THE PATIENTS AND SUBSEQUENT ANALYSIS. BECAUSE THE HOSPITAL DOES NOT EXPECT COLLECTION OF AMOUNTS DETERMINED AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE BASED ON ESTABLISHED RATES. THE HOSPITAL ESTIMATES THAT $1,358,600 OF CHARITY CARE AT COST WAS PROVIDED IN 2011. OVERALL, THE HOSPITAL DELIVERS INNOVATIVE HIGH QUALITY, COST EFFECTIVE SURGICAL AND REHABILITATION SERVICES TO ITS COMMUNITY.Description
Total Program Service Expense78081182TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109697NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees746NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 PersonS MICHELLE LEENamePerson
Telephone Number4103281376TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1250 W PRATT STREET 14TH FLOORAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21201ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ROBERT A CHRENCIK
TREASURER2.0XX01654567198872
MICHAEL R JABLONOVER
CEO & EX OFFICIO40.0XX478667028581
ALAN LEVITT
DIRECTOR2.0X000
ANTHONY T HAWKINS
DIRECTOR2.0X000
DAVIS VR SHERMAN
CHAIRMAN2.0X000
FRANK M CALIA
DIRECTOR2.0X000
JOHN HARRISON
EX OFFICIO2.0X000
JOHN T CHAY
DIRECTOR2.0X000
OLIVER S TRAVERS
DIRECTOR2.0X000
THOMAS SCALEA
DIRECTOR2.0X000
VINCENT PELLEGRINI
DIRECTOR2.0X000
WILLIAM F PECK
DIRECTOR2.0X000
W W AUGUSTIN III
CFO40.0X204375022108
JUANITA ROBBINS
COO40.0149928022176X
VALERIE SUMMERLIN
VP CNO40.018672807858X
CHRISTINE MARTIN
VP OF HR40.0139094019992X
ROY SMOOT JR
SVP-CMO40.01531401960433743X
NORBERT ROBINSON
DIR - PHARMACY40.0140205025451X
JAMES COLLINS
PHARMACIST40.0116355023390X
LORI PATRIA
MANAGER - AMBULATORY40.0118023024314X
HEMA PATEL
HOSPITALIST40.0215692023054X
JENNIFER MERENDA
MANAGER-PATIENT CARE40.0165001022069X
JAMES ROSS
FORMER CEO40.02433636694624685X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2091544TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2041117TotalReportableCompFrmRltdOrgs
Total Other Compensation476293TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
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
ARAMARK SERVICES INC
PO BOX 651009CHARLOTTENC28265FOOD SERVICES1926183
PHYSICIAN MANAGEMENT LTD
3 BETHESDA METRO SUITE 630BETHESDAMD20814PHYSICIAN SERVICES1018901
MEDHELP
1530 CATON CENTER DRIVEBALTIMOREMD21227BILLING SERVICES320165
CHESAPEAKE UROLOGY ASSOCIATES PA
25 CROSSROADS DRIVE SUITE 306OWINGS MILLSMD21128PHYSICIAN SERVICES271917
TRANSCARE
1125 DESOTO DRIVEBALTIMOREMD21223Transportation271579
FieldValueIRS element (for citing)
Number Of Contractors GT100 K23NumberOfContractorsGT100K
Government Grants750000GovernmentGrants
Total Contributions750000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column95418597TotalRevenueColumn
Related Or Exempt Function Income95418597RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue95418597TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1047392TotalRevenueColumn
Exclusion$1,047,392ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9175304Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8305347Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities869957Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column869957TotalRevenueColumn
Exclusion$869,957ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFE/VENDING722210320704320704
MISC900099369218369218
OUTPATIENT PHARMACY44611015973121597312

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column340358TotalRevenueColumn
Related Or Exempt Function Income340358RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2627592TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column100713538TotalRevenueColumn
Related Or Exempt Function Income98046189RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,917,349ExclusionAmount

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)
Total1336267Total
Program Services339866ProgramServices
Management And General996401ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35847886Total
Program Services29707101ProgramServices
Management And General6140785ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1196070Total
Program Services907565ProgramServices
Management And General288505ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4595618Total
Program Services3487105ProgramServices
Management And General1108513ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2567413Total
Program Services1948125ProgramServices
Management And General619288ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24430Total
Management And General24430ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total111208Total
Management And General111208ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total6036Total
Management And General6036ManagementAndGeneral
Fundraising0Fundraising

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)
Total1760209Total
Management And General1760209ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total273359Total
Program Services93334ProgramServices
Management And General180025ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2033550Total
Management And General2033550ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1537582Total
Program Services1174635ProgramServices
Management And General362947ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total475576Total
Program Services321303ProgramServices
Management And General154273ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3238296Total
Program Services2457184ProgramServices
Management And General781112ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1946734Total
Program Services1858164ProgramServices
Management And General88570ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES1106699977172793349720
PHYSICIAN FEE76439657643965
BAD DEBTS61071096107109
SUPPLIES1493272214318447614275

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total96701029Total
Program Services78081182ProgramServices
Management And General18619847ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9161039BOY
EOY14415558EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14025076BOY
EOY12026084EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY987438BOY
EOY990335EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14900BOY
EOY105000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis80567045LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec43975606LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY36015526BOY
EOY36591439EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7512471BOY
EOY8467470EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3740000BOY
EOY4687000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY30862600BOY
EOY37930360EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY102319050BOY
EOY115213246EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9547429BOY
EOY10004504EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16587823BOY
EOY18226097EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26135252BOY
EOY28230601EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46819889BOY
EOY51867399EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY29363909BOY
EOY35115246EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76183798BOY
EOY86982645EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY102319050BOY
EOY115213246EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4012509ReconcilationRevenueExpenses
Reconcilation Other Changes6786338ReconcilationOtherChanges
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$6,037OtherActivitiesAmount
Total Lobbying Expenditures IIB6037TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis697964OtherCostOrOtherBasis
Book Value697964BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis47010197OtherCostOrOtherBasis
Depreciation21374446Depreciation
Book Value25635751BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis28023524OtherCostOrOtherBasis
Depreciation22193637Depreciation
Book Value5829887BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4835360OtherCostOrOtherBasis
Depreciation407523Depreciation
Book Value4427837BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings36591439TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
KERNAN ENDOWMENT33354092
DUE FROM UMMS FOUNDATION1628363
OTHER A/R950905
ASSETS WHOSE USE IS LIMITED1997000
FieldValueIRS element (for citing)
Total Book Value Other Assets37930360TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY$3,595,940
PATIENT A/R CEDIT BALANCES$483,456
FIN 47 ACCRUAL$440,561
DUE TO AFFILIATES$13,698,487
OTHER LIABILITIES$7,653
FieldValueIRS element (for citing)
Total Of Amounts18226097TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1358625TotalCommunityBenefitExpense
Net Community Benefit Expense1358625NetCommunityBenefitExpense
Percent Of Total Expense0.01400PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1358625TotalCommunityBenefitExpense
Net Community Benefit Expense1358625NetCommunityBenefitExpense
Percent Of Total Expense0.01400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense82722TotalCommunityBenefitExpense
Net Community Benefit Expense82722NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense6671773TotalCommunityBenefitExpense
Net Community Benefit Expense6671773NetCommunityBenefitExpense
Percent Of Total Expense0.06900PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense228703TotalCommunityBenefitExpense
Net Community Benefit Expense228703NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense118975TotalCommunityBenefitExpense
Net Community Benefit Expense118975NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7102173TotalCommunityBenefitExpense
Net Community Benefit Expense7102173NetCommunityBenefitExpense
Percent Of Total Expense0.07350PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8460798TotalCommunityBenefitExpense
Net Community Benefit Expense8460798NetCommunityBenefitExpense
Percent Of Total Expense0.08750PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense5085TotalCommunityBuildingExpense
Net Community Building Expense5085NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense795TotalCommunityBuildingExpense
Net Community Building Expense795NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense5880TotalCommunityBuildingExpense
Net Community Building Expense5880NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,773,151BadDebtExpenseAmount
Amount Reimbursed By Medicare29409857AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare26899246CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2510611MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1James Lawrence Kernan HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12200 Kernan DriveAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21207ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
OtherRehabiliationOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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Business Name Line1James Lawrence Kernan 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
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Related Organization ReportSchedule H, Part I, Line 6aAN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR EACH FISCAL YEAR ENDING JUNE 30. THIS REPORT IS SUBMITTED 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.
Costing MethodologySchedule H, Part I, Line 7SCHEDULE H, LINE 7A, COLUMN (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. SCHEDULE H, LINE 7B, COLUMNS (C) THROUGH (F) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. ADDITIONALLY, NET REVENUES FOR MEDICAID SHOULD REFLECT THE FULL IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. SCHEDULE H, LINE 7F COLUMN (C) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. SCHEDULE H, LINE 7F COLUMN (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
Bad Debt ExpenseSchedule H, Part III, Line 4PART III, LINE 3: The organization does not code charity care and bad debt expense into the same general ledger account. Charity Care is booked to a separate account and is classified as a "Deduction from Revenue." As such it is netted against Total Patient Revenue in arriving at Net Patient Revenue on the entity's income statements. Bad Debt Expense is booked to a separate account on the general ledger and does not include any other uncompensated care amounts. Part III, Line 4: The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write off experience by payor category. The results of this review are then used to make modifications to the provision for bad debts and to establish an allowance for uncollectible receivables. After collection of amounts due from insurers, the Corporation follows internal guidelines for placing certain past due balances with collection agencies.
Medicare Cost ReportSchedule H, Part III, Line 8In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. Medicare reimburses Maryland hospitals according to rates established by the HSCRC as long as the State continues to meet a two-part test. This two-part waiver test allows Medicare to participate in the Maryland system as long as two conditions are met. - all other payers participating in the system pay HSCRC set rates and - the rate of growth in Medicare payments to Maryland hospitals from 1981 to the present is not greater than the rate of growth in Medicare payments to hospitals nationally over the same time frame.
Collection PracticesSchedule H, Part III, Line 9bThe organization expects payment at the time the service is provided. Our policy is to comply with all state and federal law and third party regulations and to perform all credit and collection functions in a dignified and respectful manner. Emergency services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the Financial Assistance Policy. The organization does not discriminate on the basis of age, race, creed, sex or ability to pay. Patients who are unable to pay may request a Financial Assistance application at any time prior to service or during the billing and collection process. The organization may request the patient to apply for Medical Assistance prior to applying for financial assistance. The account will not be forwarded for collection during the Medical Assistance application process or the Financial Assistance application process.
James Lawrence Kernan Hospital 1Schedule H, Part V, Section BLine 19d - All patients are charged state regulated rates, regardless of their ability to pay. Line 21 - Due to state regulations, charges are not reduced for any payer, including commerical insurance, government payers, or uninsured patients. All charges are gross charges.
Community Health Care Needs AssessmentSchedule H, Part VI, Line 2Kernan, in conjunction with other hospitals within the University of Maryland Medical System, is in the midst of performing its Community Health Needs Assessment, as required by 2013 under the Patient Protection and Affordable Care Act ("ACA"). The Needs Assessment's data will be obtained from various community sources and has not been completed in time to be included in the Fiscal Year 2011 report. Prior to developing the current in-process assessment, Kernan has been assisted in survey efforts by the University of Maryland Medical Center (UMMC), which commissioned the Jackson Organization to conduct a telephone market research survey of consumers living in its service area. Interviews were conducted with the household's main healthcare decision maker from June 10 through July 1, 2005. These interviews were conducted with residents in a number of zip codes. The survey was conducted to develop a profile of the health status, concerns, and needs of the community served by UMMC, and in turn, by Kernan for rehabilitation services to these same community members. In the above survey, commissioned with the Jackson Organization, the issues identified that correlated most highly to consumers' health status were stroke, diabetes, high blood pressure and incontinence. Kernan, a partner with UMMC and a member of the UMMS Community Outreach and Advocacy team, uses this data to coordinate events to make community members aware of related services such as stroke, traumatic brain injury, arthritis and physical therapy services. Major identified health needs in Baltimore (as identified in the 2008 Baltimore City Health Status Report) include the following leading causes of death (in ranked order) heart disease, cancer, cerebrovascular disease, HIV/AIDS, homicide, chronic lower respiratory disease, and diabetes. Therefore, much of the current Kernan community outreach programming is targeted to obesity, as studies have shown that obesity leads to heart disease and cerebrovascular disease frequently seen within the stroke rehabilitation unit at Kernan. Major needs identified that are pertinent to Kernan's patient population are: - Chronic Disease: Obesity - Increase the proportion of adults who are at a healthy weight and reduce deaths from heart disease, diabetes, high blood pressure, and other cardiac issues. - Healthcare Access - Reduce the proportion of individuals who are unable to afford to see a doctor - Healthcare Access - Increase the proportion of children and adolescents who receive dental care - Chronic Disease: Obesity - Reduce the proportion of children and adolescents who are considered obese The most recent formal assessment was last conducted in July 2005, however, Kernan engages in ongoing community health needs analyses annually, and develops opportunities to benefit the community as appropriate.
Eligibility EducationSchedule H, Part VI, Line 3Kernan Orthopaedics and Rehabilitation Hospital, as a part of the University of Maryland Medical System, provides healthcare services to those in need regardless of an individual's ability to pay. Care may be provided without charge, or at a reduced charge, to those who do not have insurance, Medicare/Medical Assistance coverage, and are without the means to pay. An individual's eligibility to receive care without charge, at a reduced charge, or to pay for their care over time is determined on a case by case basis. Within two days following a patient's request for charity care services, application for medical assistance, or both, the hospital makes a determination of probable eligibility. A large percentage of Kernan's patients are transferred from the Shock Trauma Center or the University of Maryland Hospital. Those who do not have the ability to pay are never turned away and are helped to find resources to cover the costs of their hospital stay and medications with the assistance of Kernan's case managers. For patients who require financial assistance, Kernan Hospital has endowment funds available to assist people without resources who may need medical supplies or medications. This assistance is available upon request and is reviewed on a case-by-case basis. Information regarding the charity care policy at Kernan is posted within the hospital in clinic areas and business areas where eligible patients are likely to be present. Patients also receive individualized help in obtaining services and care should they not have the ability to pay. Information regarding Kernan's charity care policy is provided at the time of preadmission or admission to each person who seeks services at the hospital. Kernan Hospital makes every effort to ensure that information is provided in languages that is understood by the target population of patients utilizing hospital services. Kernan makes every effort to make financial assistance information available to our patients including, but not limited to: - Signage in main admitting areas of the hospital are posted in English and Spanish - Information sheets explaining financial assistance are made available in all patient care areas in English and Spanish. - Information sheets are provided to all patients at the time of admission, explaining the process for payment. If payment cannot be made, options are explained to the patient.
Description of Community ServedSchedule H, Part VI, Line 4The James Lawrence Kernan Hospital is the largest inpatient rehabilitation specialty hospital located within the state of Maryland. Known also as Kernan Orthopaedics and Rehabilitation, the hospital is Baltimore's original orthopaedic and rehabilitation hospital and is a committed provider of a full array of rehabilitation programs and specialty surgery--primarily orthopaedics. A member of the University of Maryland Medical System (UMMS) and affiliated with the University of Maryland School of Medicine, the hospital has been serving patients who are residents of the State of Maryland and the surrounding Baltimore metropolitan area for approximately 115 years. As Maryland's original orthopaedic hospital, Kernan offers total joint surgery, non-operative management of back pain, the latest minimally invasive techniques for shoulder surgery, integrative medicine, and leadership in sports medicine and pediatric orthopaedics. The hospital's expert staff treats a full range of rehabilitative issues resulting from stroke, spinal cord injuries, traumatic brain injuries, neurological disorders and general surgeries deconditioning. Located on 85 acres on the border of the Forest Park/Gwynns Falls community in southwest Baltimore City and the Gwynn Oak/Woodlawn area in western Baltimore County, Kernan is a specialty hospital providing unique services to its patients. Convenient to Baltimore Beltway Exit 17 and Interstate 70, the hospital is very accessible to patients residing in Baltimore City, Anne Arundel, Baltimore, and Howard counties, and western Maryland. Approximately 15 percent of Kernan's patients are admitted to the hospital for elective procedures. Patients requiring rehabilitative care comprise the other 85 percent of admissions and are patients who are transferred to Kernan from acute care hospitals that are located throughout the state of Maryland. During FY 2011, nearly 34 percent of Baltimore City patients requiring rehabilitative care were treated at Kernan Hospital. Statewide, approximately 24 percent, nearly one-quarter --of those needing post-acute rehabilitation were cared for at Kernan. The following information details the areas Kernan primarily serves --Baltimore City, Anne Arundel, Baltimore and Howard counties. Baltimore, Maryland The City of Baltimore consists of nine geographical regions: Northern, Northwestern, Northeastern, Western, Central, Eastern, Southern, Southwestern, and Southeastern. The Central district includes Downtown Baltimore, the city's main commercial area. The downtown core has mainly served as a commercial district with limited residential neighborhoods. The Central district proceeds north of the downtown core to the edge of Druid Hill Park. This area is home to many of the city's cultural opportunities. The Northern district lies directly north of the Central district and is home to some of the area's colleges and universities such as Loyola University Maryland, The Johns Hopkins University and College of Notre Dame of Maryland. The Southern district, a mixed industrial and residential area, consists of the area of the city below the Inner Harbor, east of the B&O railroad tracks. It is a mixed socio-economic region consisting of culturally and ethnically diverse neighborhoods such as Locust Point, historic Federal Hill, and low-income residential areas such as Cherry Hill. The Port of Baltimore also operates two terminals in this district. East Baltimore consists of the Northeastern, Eastern, and Southeastern districts. The Northeastern district is primarily a residential neighborhood, and is home to Morgan State University. The Eastern district is the heart of what is considered East Baltimore. Ethnically diverse, it is made up of primarily residential neighborhoods. The Southeastern district borders the Inner Harbor on its western boundary, the city line on its eastern boundaries and the Baltimore Harbor to the south, is a mixed industrial and residential area. The demography of individual neighborhoods varies widely, offering a significant mix of races and cultures. The West Baltimore community is nearest to Kernan Hospital, and consists of the Northwestern, Western, and Southwestern districts. The Northwestern district, bounded by the Baltimore County line on its northern and western boundaries, Gwynns Falls Parkway on the south and Pimlico Road on the East, is home to Pimlico Race Course, where the Preakness Stakes takes place each May, and is primarily residential. The Western district, located west of the main commercial district downtown, is the heart of West Baltimore, bounded by Gwynns Falls Parkway, Fremont Avenue, and Baltimore Street. Coppin State University, Mondawmin Mall, and Edmondson Village, located in this district, have been historic cultural and economic centers of the city's African American community. The Southwestern district is bounded by Baltimore County to the west, Baltimore Street to the north, and the downtown area to the east. Economic and demographic characteristics of Southwestern district vary. Demographics According to the 2010 U.S. Census, there were 620,961 people residing in Baltimore, a decrease of ?4.6% since 2000. According to the 2010 U.S. Census, 28.0 percent of the population was non-Hispanic White, 63.3 percent non-Hispanic Black or African American, 0.3 percent non-Hispanic American Indian and Alaska Native, 2.3 percent non-Hispanic Asian, 0.2 percent from some other race (non-Hispanic) and 1.7 percent of two or more races (non-Hispanic). 4.2 percent of Baltimore's population was of Hispanic, Latino, or Spanish origin. In the 1990s, the US Census reported that Baltimore ranked as one of the largest population losers alongside Detroit and Washington D.C., losing over 84,000 residents between 1990 and 2000. The same report also estimated these people lived in a total of 294,579 housing units. Age ranges were 22.4 percent under 18 years old, 11.8 percent at age 65 or older, and 65.8 percent from 18 to 64 years old. The city's estimated 2009 population of 637,418 was 53.4 percent female. A statistical abstract prepared by the U.S. Census Bureau estimated the median income for a household in the city during 2009 at $38,458, with 20.9 percent of the population living below the poverty line. Baltimore County, Maryland A part of the Baltimore-Washington Metropolitan area, Baltimore County is located in the northern part of the state of Maryland. In 2010, the county's population was 805,029. Comprised of approximately 598 square miles, Baltimore County does not have any incorporated cities or towns and is divided into councilmanic districts. Kernan is located on the southwestern border of district 4 (Randallstown/Woodlawn/Security) of the county and Baltimore City. Demographics According to the U.S. Census Bureau, White persons comprised 64.6 percent of the population, with Black persons accounting for 26.1 percent of the county's population. American Indian and Alaska Native persons made up 0.33 percent of the population, Asian population comprised 4.99 percent, with Native Hawaiian and other Pacific Islander at zero percent. Persons reporting two or more races made up 2.4 percent of Baltimore County's population, persons of Hispanic or Latino origin, totaled 4.2 percent. The percent of White persons, not Hispanic was 62.7 percent. There were 299,877 households out of which 30.20% had children under the age of 18 living with them, 49.40% were married couples living together, 12.80% had a female householder with no husband present, and 33.80% were non-families. 27.30% of all households were made up of individuals and 10.10% had someone living alone who was 65 years of age or older. The average household size was 2.46 and the average family size was 3.00. In the county the population was spread out with 23.60% under the age of 18, 8.50% from 18 to 24, 29.80% from 25 to 44, 23.40% from 45 to 64, and 14.60% who were 65 years of age or older. The median age was 38 years. For every 100 females there were 90.00 males. For every 100 females age 18 and over, there were 86.00 males. The median income for a household in the county was $50,667, and the median income for a family was $59,998. Males had a median income of $41,048 versus $31,426 for females. The per capita income for the county was $26,167. About 4.50% of families and 6.50% of the population were below the poverty line, including 7.20% of those under age 18 and 6.50% of those aged 65 or over. Howard County, Maryland Howard County is located in the central part of the Maryland, between Baltimore and Washington, D.C. It is considered part of the Baltimore-Washington Metropolitan Area. In 2010, its population was 287,085. Its county seat is Ellicott City. The center of population of Maryland is located on the county line between Howard County and Anne Arundel County, in the unincorporated town of Jessup. Due to the proximity of Howard County's population centers to Baltimore, the county has traditionally
Promoting the Health of the CommunitySchedule H, Part VI, Line 5In addition to Kernan's participation in UMMS events, additional community outreach initiatives, involving partnerships with both local education and community groups, as well as organizations with specific ties to the disabled community, and to Kernan's medical mission were held. These groups include: Community Groups Franklintown Community Association Greater Catonsville Chamber of Commerce Security-Woodlawn Business Association Baltimore County Chamber of Commerce Rotary Club of Woodlawn-Westview Gwynns Falls Trail Council Dickeyville Community Association Baltimore Metro RedLine Baltimore County Department of Aging Schools Baltimore City Schools Dickey Hill Elementary and Middle schools Frederick Douglass High School Mergenthaler Vocational Technical High School Carver Vocational Technical High School Mercy High School Baltimore County Schools Cristo Rey Jesuit High School Milford Mill Academy Institute of Notre Dame Howard County Schools Howard High School Mt. Hebron High School Glenelg High School Centennial High School Corporate/Non-Profit Groups Baltimore Municipal Golf Corporation Baltimore City Department of Parks & Recreation Therapeutic Division Howard County Youth Programs The Brain Injury Association of Maryland Arthritis Foundation of Maryland Towson YMCA Baltimore Adaptive Recreation and Sports Multiple Sclerosis Society of Maryland Boy Scouts of America-Maryland Maryland Amputee Association TKF Foundation Baltimore County Department of Aging American Red Cross United Way of Central Maryland Kernan's leadership consults with community leaders on an ongoing basis to determine how best to meet the needs of their constituents through attendance at monthly meetings and actively participating on board and commissions within these organizations, plus sponsoring of community events. Community Benefits Implementation The community outreach initiatives have designated staff members assigned to assist and monitor the community benefits activities. A staff member is assigned to work within the Community Health Outreach and Advocacy team, a part of the University of Maryland Medical System. The community groups and hospital leadership are kept abreast of the initiatives and their progress towards goal achievement. Kernan provides education, serves as an advocate and supports the disability populations within its continuum of care. During FY 2011, Kernan provided and facilitated monthly support groups for brain injury, stroke, spinal cord injury, amputee, caregivers, total joint, and trauma survivors' programs. In addition to support groups, physical space was provided within the hospital for: - the Brain Injury Association of Maryland - the MS Day Program funded by US Against MS - Women Embracing Abilities Now, a mentoring program for women with disabilities - Monthly meeting space for the Franklintown Community Association - Blood drives for the American Red Cross Responding to the need to healthcare education and career awareness, opportunities were brought to students within the Kernan community as well. Dental education was provided to Dickey Hill Elementary School students as well as students attending the St. Michael's School health fair. High school students in Howard County at Hammond High School, Mt. Hebron High School, and Folly Quarter Middle School and Baltimore County students from Randallstown, Milford Mill and Hereford high schools, as well as Baltimore City partner school Dickey Hill Elementary/Middle School learned about health care careers through activities of Kernan staff at those schools. Clinical education and mentoring of future health care professionals was provided to numerous high school, college and university students in the fields of occupational therapy, physical therapy, speech language pathology, dental, nursing and medicine. Athletic trainers and medical residents were also provided to area high schools, and provided pre-season sports physicals. Community integration and adaptive leisure opportunities were provided through collaborative initiatives with Baltimore Municipal Golf Corporation and Baltimore City Parks and Recreation-Therapeutic Recreation Division. Kernan hosted its own Adapted Sports Festival to showcase adapted sports opportunities for both patients and the community. Community Health Initiatives Major needs identified that are pertinent to Kernan's patient population, and were identified in the 2008 Baltimore City Health Status Report and in the Jackson Organization/UMMC market research survey are: o Chronic Disease: Obesity - Increase the proportion of adults who are at a healthy weight and reduce death from heart disease o Initiative 1 - Adapted Sports Festival was created to help disabled adults fight obesity and heart disease, diabetes o Chronic Disease: Obesity - Reduce the proportion of children and adolescents who are considered obese o Initiative 2 - Promoting Physical Activity in High Schools through Sports o Healthcare Access - Reduce the proportion of individuals who are unable to afford to see a doctor o Initiative 3 - Support Groups/Patient Education o Chronic Disease - Reduce deaths from heart disease. o Initiative 4 - Take a Loved One to the Doctor Day - Targets obesity, diabetes, high blood pressure and cardiac issues. o Healthcare Access - Increase the proportion of children and adolescents who receive dental care o Initiative 5 - Dental Care for those in Need Initiative 1 Chronic Disease: Obesity - Increase the proportion of adults who are at a healthy weight and reduce death from heart disease Adapted Sports Festival Obesity rates among adults with disabilities are approximately 57% higher than for adults without disabilities. From the 2008 Behavioral Risk Factor Surveillance System, CDC Physical Activity for People with Disabilities, According to the Centers for Disease Control, obesity affects people in different ways, and evidence shows that regular physical activity provides important health benefits for people with disabilities. Benefits of physical activity include improved cardiovascular and muscle fitness, improved mental health, and a better ability to do tasks of daily life. Sufficient evidence now exists to recommend that adults with disabilities should also get regular physical activity. The Adapted Sports Festival helps to meet SHIP Objective number 1 - Increase Life Expectancy, Vision Area- Chronic Disease #30 - Increase proportion of adults who are at a healthy weight. Patient care staff at Kernan had noticed that disabled patients did not have opportunities or knowledge of how they could participate in sports, or how to get regular exercise, like their able-bodied counterparts. With a desire to help improve the quality of life of its patient population, Kernan Orthopaedics and Rehabilitation Hospital organized and hosted its second Adapted Sports Festival on Saturday, September 18, 2010. The purpose of the Adapted Sports Festival is to enable individuals of all abilities to lead active, healthy lifestyles. Kernan's staff felt that participation in sports and recreational pursuits could help to make this possible. Designed as a fun-filled day for individuals with physical disabilities and their families, the day included chances to participate in hand cycling, bocce ball, wheelchair basketball, a wheelchair slalom course, volley ball and adapted golf. There was also a quad rugby demonstration. The hospital's recreational therapy staff, along with other rehabilitation professionals at Kernan, encouraged patients to explore a wide range of outdoor activities. This process was incorporated into the rehabilitation program at Kernan, and continued once patients are discharged back to their homes and communities. Current and former patients, as well as individuals with disabilities living in the community, attended the event and were encouraged to participate in a range of recreational activities. All activities were supervised by trained staff, taking into account individual needs and abilities. Equipment was adapted as necessary and patients were encouraged to utilize newly developed skills and techniques acquired through rehabilitation. A part of the event was bringing in a disabled athlete, so that participants could ask questions and gain valuable in site into how others in similar physical conditions could participate in sports and lifestyle. Jesse Billauer was the keynote speaker for the 2010 event. On the verge of becoming a professional surfer, Jesse Billauer sustained a devastating injury when a wave pushed him headfirst into a shallow sandbar, leaving him paralyzed with a complete C-6 injury. Jesse did not let this injury keep him down. His desire to get back into the water led him to develop a system in which he could surf again, and with the help of others, developed a way to get individuals with spinal cord injuries surfing. Initiative 2 Chronic Disease: Obesity - Reduce the proportion of children and adolescents who are considered obe
Affiliated Health Care System RolesSchedule H, Part VI, Line 6The James Lawrence Kernan Hospital is a part of the University of Maryland Medical System (UMMS) and participates on the UMMS Community Health Outreach and Advocacy team. UMMS created the University of Maryland Community Health Outreach and Advocacy team to address the health care needs of the West Baltimore community. The group is comprised of community outreach management and staff, social workers, directors, vice presidents, and physicians from UMMS system hospitals. The group determines what needs are addressed as well as community involvement and activities each year. UMMC participates in this Advocacy Team and representatives In addition to the identified UMMS priorities, Kernan senior leaders and community outreach staff meet to determine annual goals and activities. Kernan, in partnership with UMMS, was a major participant and sponsor in major annual outreach efforts.
Community Benefit Report State FilingsSchedule H, Part VI, Line 7Maryland

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT A CHRENCIK
098628506592500903201791030197690185343900
MICHAEL R JABLONOVER
264387057750015653008752019829050724801231130
JUANITA ROBBINS
149123000805020697014790172104000
W W AUGUSTIN III
172817015311016247067170153910226483000
JAMES ROSS
2109825317806294332385082575083531161144212624738972000
VALERIE SUMMERLIN
15503701338701830405980018780194586000
NORBERT ROBINSON
137593025000112071050183460165656000
CHRISTINE MARTIN
11692809941012225045690154230159086000
ROY SMOOT JR
148807258200433317022206494011127814151850672142000
HEMA PATEL
2126160003076046540184000238746000
JENNIFER MERENDA
16431705000184038650182040187070000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Health or social club dues or initiation feesSchedule J, Part I, Line 1aUMMS executives receive a benefit package wihich may be used towards health club dues or other health maintenance programs. Such benefits are capped at $7,000, $5,000 or $3,000 depending on job title as described in the program documents.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bDuring the fiscal year end June 30, 2011, certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The individuals, listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J Part II Column (C), Retirement and Other Deferred Compensation. ROBERT A CHRENCIK 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. Walter Augustin, Valerie Summerlin, Christine Martin, James Ross 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 the reporting tax year, therefore the full value of the plan, including any contribution to the plan for the current fiscal year, is reported as taxable compensation and reported on Schedule J, Part II, Column (Biii), Other Reportable Compensation. Prior year contributions to the plan were previously reported on Form 990 and are indicated on Schedule J, Part II, Column (F). Michael Jablonover- Vested value of supplemental retirement plan that is included as compensation $150,822. Amount reported on prior Form 990s when contributed to the plan $123,113.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Members or StockholdersForm 990, Part VI, Lines 6, 7a, and 7bUNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) IS THE SOLE MEMBER OF JAMES LAWRENCE KERNAN HOSPITAL (JLK). UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS.
Form 990 Review ProcessForm 990, Part VI, Line 11:The IRS Form 990 is prepared and reviewed by the accounting firm of GRANT THORNTON. Accounting personnel in Finance Shared Services at the University of Maryland Medical System gather the information needed to complete the return and input the data into the GRANT THORNTON Tax Organizer, which is a web-based system. When all data has been entered, the information is submitted to GRANT THORNTON for importation into their tax software. At this point, GRANT THORNTON staff members review the data, ask for additional information if needed and prepare the tax return. Each return is reviewed at several levels at GRANT THORNTON including the tax partner. After their review process, a draft return is sent to the accounting staff at UMMS for an in-house review. Upon completion of the in-house review, GRANT THORNTON is instructed to make any necessary changes and to prepare the final tax return. The final return undergoes another review by the accounting staff at Finance Shared Services and is also reviewed by the Accounting Manager, the Director of Financial Reporting, the Vice President of Finance and the CFO, who signs the return. Prior to filing the IRS Form 990, the organization's Board Chairman, Treasurer, Audit Committee Chairman, Executive Committee Chairman or other member of the Board with similar authority will review the IRS Form 990. At the discretion of the reviewing Board member, such member will bring any issues or questions related to the completed IRS Form 990 to the attention of the Board. Notwithstanding the above, a Board resolution is not required for the filing of the Organization's IRS Form 990. Each Board member is provided with a copy of the final IRS Form 990 before filing.
Conflict of Interest Policy Monitoring & EnforcementForm 990, Part VI, Line 12c:The Organization's officers, directors, employees and medical staff members, as applicable, shall disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the Organization, or any entity controlled by or owned in substantial part by the Organization. A questionnaire which discloses potential conflicts of interest is distributed annually to all officers, directors and key employees. The General Counsel of the University of Maryland Medical System Corporation (UMMSC) reviews the responses for UMMSC, University Specialty Hospital and James Lawrence Kernan Hospital. The CEO or CFO of each of the other entities in the University of Maryland Medical System reviews the responses for those entities. The General Counsel, in consultation with the Audit Committee, if necessary, would determine if a conflict of interest existed for UMMSC, University Specialty Hospital and James Lawrence Kernan Hospital. With respect to the other entities in the University of Maryland Medical System, the General Counsel may be called for consult. If so, the General Counsel may consult the Audit Committee, if necessary. Whenever a conflict or potential conflict of interest exists, the nature of the conflict or potential conflict of interest must be disclosed in writing to the Organization's Board, Board committee, an officer of the Organization or other appropriate executive. Such individual having a potential conflict of interest shall play no role on behalf of the Organization, or any Organization controlled or substantially owned, in any transaction in which a conflict exists. All invitations for bids, proposals or solicitations for offers include the following provision: Any vendor, supplier or contractor must disclose any actual or potential transaction with any Organization officer, director, employee or member of the medical staff, including family members within five days of the transaction. Failure to comply with this provision is a material breach of agreement. In addition, a Board Disclosure Report is filed with the Maryland Health Services Cost Review Commission on an annual basis showing any business transactions between the Board members and the Organization.
Executive CompensationForm 990, Part VI, Line 15:The 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 DisclosureForm 990, Part VI, Line 19:In general, financial and tax information relating to the Organization is deemed proprietary and not subject to disclosure upon request. However, specific provisions of federal and state law require the Organization to disclose certain limited financial and tax data upon a specific request for that information. Requests for Form 990 and Form 1023: A requestor seeking to review and/or obtain a copy of the Organization's IRS Form 990 or Form 1023 as filed with the Internal Revenue Service, including all schedules and attachments, may appear in person or submit a written request. The most recent three years of IRS Form 990 may be requested. If the requester appears in person, the individual is directed to the office of the Chief Financial Officer for the Organization and the Form 990 and/or Form 1023 are made available for inspection. The individual is permitted to review the return, take notes and request a copy. If requested, a copy is provided on the same day. A nominal fee is charged for making the copies. The Organization may have an employee present during the public inspection of the document. Written requests for an entity's Form 990 or Form 1023 are directed immediately to the office of the Chief Financial Officer for the Organization. The requested copies are mailed within 30 days of the request. Reproduction fees and mailing costs are charged to the requestor. Conflict of Interest Policy and Governing Documents: If the governing documents and conflict of interest policy of our organization are subject to the Federal public disclosure rules (or state public disclosure rules), these documents will be made publicly available as applicable law may require. Otherwise, the governing documents and conflict of interest policy will be provided to the public at the discretion of management.
Reconciliation of Net AssetsForm 990, Part XI, Line 5Change in economic interest of UMMS foundation $ (79,816) Change in economic interest of Kernan Endowment 5,831,154 Hartke Fund Donation (2 vehicles) 35,000 Foundation support - Nurse Call System 1,000,000 ---------- TOTAL OTHER CHANGES IN NET ASSETS-JLK $ 6,786,338
Tax Exempt Bond IssuePart IV, Line 24aPursuant to a Master Loan Agreement dated June 20, 1991 (The "Master Loan Agreement"), as Amended, The University Of Maryland Medical System Corporation (The "Corporation") and several of its subsidiaries have issued debt through the Maryland Health and Higher Education Facility Authority (the "Authority"). As Security for the performance of the bond obligation under the Master Loan Agreement, The Authority maintains a security interest in the revenue of the obligors. The Master Loan Agreement contains certain restrictive covenants. These covenants require that rates and charges be set at certain levels, limit incurrence of additional debt, require compliance with certain operating ratios and restrict the disposition of assets. The obligated group under the Master Loan Agreement includes the Corporation, University Specialty Hospital, Inc., The James Lawrence Kernan Hospital, Inc., Maryland General Hospital, Inc., Baltimore Washington Medical Center, Inc., Shore Health System, Inc., Chester River Health System, Inc. and the University of Maryland Medical System Foundation, Inc. Each member of the obligated Group is jointly and severally liable for the repayment of the obligations under the Master Loan Agreement of the Corporations $974,450,000 of outstanding Authority Bonds on June 30, 2011. All of the bonds were issued in the name of the University of Maryland Medical System Corporation and are reported on Schedule K of its Form 990.
Hours on Related EntitiesThe University of Maryland Medical System (UMMS) is a multi-entity health care system including 8 acute care hospitals 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.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT A CHRENCIK TITLE:TREASURER HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Kernan Physical TherapyBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12200 Kernan DriveAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21207ZIPCode
FieldValueIRS element (for citing)
EIN522061788EIN
Primary ActivitiesTherapyPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Total Income1156570TotalIncome
EOY Assets160652EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1JLK HOSPITALBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Baltimore Washington Emergency Phys Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061521756326HEALTH CAREMD501(C )(3)11BWMS
Baltimore Washington Healthcare Services
301 HOSPITAL DRIVEGLEN BURNIEMD21061521830243HEALTH CAREMD501(C )(3)11BWMS
Baltimore Washington Medical Center Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061520689917HEALTH CAREMD501(C )(3)11BWMS
Baltimore Washington Medical System Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061521830242HEALTH CAREMD501(C )(3)11UMMS
BW Medical Center Foundation Inc
301 HOSPITAL DRIVEGLEN BURNIEMD21061521813656HEALTH CAREMD501(C )(3)11BWMS
North Arundel Development Corporation
301 HOSPITAL DRIVEGLEN BURNIEMD21061521318404REAL ESTATEMD501(C )(2)BWMS
North County Corporation
301 HOSPITAL DRIVEGLEN BURNIEMD21061521591355REAL ESTATEMD501(C )(2)BWMS
Chester River Health Foundation Inc
100 BROWN STREETCHESTERTOWNMD21620521338861FUNDRAISINGMD501(C )(3)11CRHS
Chester River Health System Inc
100 BROWN STREETCHESTERTOWNMD21620522046500HEALTH CAREMD501(C )(3)11UMMS
Chester River Hospital Center Inc
100 BROWN STREETCHESTERTOWNMD21620520679694HEALTH CAREMD501(C )(3)03CRHS
Chester River Manor Inc
200 MORGNEC ROADCHESTERTOWNMD21620526070333HEALTH CAREMD501(C )(3)11CRHS
Maryland General Clinical Practice Group
827 LINDEN AVEBALTIMOREMD21201521566211HEALTH CAREMD501(C )(3)11MGHS
Maryland General Comm Health Foundation
827 LINDEN AVEBALTIMOREMD21201522147532FUNDRAISINGMD501(C )(3)11MGHS
Maryland General Health Systems Inc
827 LINDEN AVEBALTIMOREMD21201521175337HEALTH CAREMD501(C )(3)11UMMS
Maryland General Hospital Inc
827 LINDEN AVEBALTIMOREMD21201520591667HEALTH CAREMD501(C )(3)03MGHS
Care Health Services Inc
219 SOUTH WASHINGTON STREETEASTONMD21601521510269HEALTH CAREMD501(C )(3)11SHS
Dorchester General Hospital Foundation
219 SOUTH WASHINGTON STREETEASTONMD21601521703242FUNDRAISINGMD501(C )(3)11SHS
Memorial Hospital Foundation Inc
219 SOUTH WASHINGTON STREETEASTONMD21601521282080FUNDRAISINGMD501(C )(3)11SHS
Shore Clinical Foundation Inc
219 SOUTH WASHINGTON STREETEASTONMD21601521874111HEALTH CAREMD501(C )(3)11SHS
Shore Health System Inc
219 SOUTH WASHINGTON STREETEASTONMD21601520610538HEALTH CAREMD501(C )(3)03UMMSC
University Specialty Hospital
611 South Charles StreetBALTIMOREMD21230520882914HEALTH CAREMD501( C)(3)03UMMSC
James Lawrence Kernan Hosp Endow Fnd
2200 KERNAN DRIVEBALTIMOREMD21207237360743FUNDRAISINGMD501(C )(3)11UMMSC
Shipley's Choice Medical Park Inc
22 SOUTH GREENE STREETBALTIMOREMD21201043643849REAL ESTATEMD501(C )(2)UMMSC
UMMS Foundation Inc
22 SOUTH GREENE STREETBALTIMOREMD21201522238893FUNDRAISINGMD501(C )(3)11UMMSC
University of MD Medical System Corp
22 SOUTH GREENE STREETBALTIMOREMD21201521362793HEALTH CAREMD501(C )(3)03UMMSC

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Arundel Physicians Associates LLC
301 Hospital DriveGLEN BURNIEMD21601522000762HEALTH CAREMDN/A
Central Maryland Radiology Oncology
10710 Charter DriveCOLUMBIAMD21044270879418HEALTH CAREMDN/A
Helen P Denit Cancer Treatment Center
22 South Greene StreetBALTIMOREMD21201522283591HEALTH CAREMDN/A
Innovative Health LLC
29165 Canvasback Drive Suite 100EASTONMD21601521997287BILLINGMDN/A
North Arundel Pet Center LLC
301 Hospital DriveGLEN BURNIEMD21061200806027HEALTH CAREMDN/A
North Arundel Senior Living LLC
301 Hospital DriveGLEN BURNIEMD21061541810728HEALTH CAREMDN/A
NAHSunrise of Severna Park LLC
301 Hospital DriveGLEN BURNIEMD21061541810729HEALTH CAREMDN/A
Shipley's Imaging Center LLC
22 South Greene StreetBALTIMOREMD21201522040338HEALTH CAREMDN/A
UniversityCare LLC
22 South Greene StreetBaltimoreMD21201521914892Health CareMDN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Arundel Physicians Associates Inc
301 Hospital DriveGLEN BURNIEMD21061521992649HEALTH CAREMDN/AC Corp
Baltimore Washington Health Enterprises
301 Hospital DriveGLEN BURNIEMD21061521936656HEALTH CAREMDN/AC Corp
BW Professional Services Inc
301 Hospital DriveGLEN BURNIEMD21061521655640HEALTH CAREMDN/AC Corp
Council of Unit Owners of MD Gen PC
827 Linden AvenueBALTIMOREMD21201521891126REAL ESTATEMDN/AC Corp
Shore Health Enterprises Inc
219 South Washington StreetEASTONMD21601521363201REAL ESTATEMDN/AC Corp
University Lithotripter Inc
22 South Greene StreetBALTIMOREMD21201521451021HEALTH CAREMDN/AC Corp
UMMS Self Insurance Trust
22 South Greene StreetBALTIMOREMD21201526315433INSURANCEMDN/ATrust
Terrapin Insurance Company
980129232INSURANCEN/AC CorpPO Box 1109Grand CaymanCayman IslandsCJKY1-1102CJ
NA Executive Building Condo Assn Inc
301 Hospital DriveGLEN BURNIEMD21061REAL ESTATEMDN/AC 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 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 OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg