2012-05-14T11:09:40-04:00 2011-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2010-07-01 520591639 JAMES L KERNAN HOSPITAL AND INDUSTRIAL SCHOOL OF MD JAME 4104482500 2200 Kernan Drive Baltimore MD 21207 W W Augustin III 4104482500 2012-05-10 2155614200 2010 2016-02-24 21:20:13Z KERNAN ORTHOPAEDICS & REHAB HOSPITAL Michael Jablonover 2200 Kernan Drive Baltimore MD 21207 109018885 false X N/A X 1895 MD KERNAN ORTHOPEDICS AND REHABILITATION DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION. 11 10 746 10 0 0 750000 750000 97531978 95418597 1309800 1917349 2487686 2627592 102079464 100713538 0 0 0 0 46161456 45543254 0 0 0 53992991 51157775 100154447 96701029 1925017 4012509 102319050 115213246 26135252 28230601 76183798 86982645 KERNAN ORTHOPAEDICS AND REHABILITATION DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION. false false 78081182 0 95418597 THE 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. 78081182 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true true false false false true 97 0 true 746 true false false false false false false false false false false X 11 10 false false false false true true true true true false false true true true true true true true true false MD X S MICHELLE LEE 4103281376 250 W PRATT STREET 14TH FLOOR Baltimore MD 21201 X ROBERT A CHRENCIK 2.0 X X 0 1654567 198872 MICHAEL R JABLONOVER 40.0 X X 478667 0 28581 ALAN LEVITT 2.0 X 0 0 0 ANTHONY T HAWKINS 2.0 X 0 0 0 DAVIS VR SHERMAN 2.0 X 0 0 0 FRANK M CALIA 2.0 X 0 0 0 JOHN HARRISON 2.0 X 0 0 0 JOHN T CHAY 2.0 X 0 0 0 OLIVER S TRAVERS 2.0 X 0 0 0 THOMAS SCALEA 2.0 X 0 0 0 VINCENT PELLEGRINI 2.0 X 0 0 0 WILLIAM F PECK 2.0 X 0 0 0 W W AUGUSTIN III 40.0 X 204375 0 22108 JUANITA ROBBINS 40.0 X 149928 0 22176 VALERIE SUMMERLIN 40.0 X 186728 0 7858 CHRISTINE MARTIN 40.0 X 139094 0 19992 ROY SMOOT JR 40.0 X 153140 19604 33743 NORBERT ROBINSON 40.0 X 140205 0 25451 JAMES COLLINS 40.0 X 116355 0 23390 LORI PATRIA 40.0 X 118023 0 24314 HEMA PATEL 40.0 X 215692 0 23054 JENNIFER MERENDA 40.0 X 165001 0 22069 JAMES ROSS 40.0 X 24336 366946 24685 2091544 2041117 476293 21 true true false ARAMARK SERVICES INC PO BOX 651009 CHARLOTTE NC 28265 FOOD SERVICES 1926183 PHYSICIAN MANAGEMENT LTD 3 BETHESDA METRO SUITE 630 BETHESDA MD 20814 PHYSICIAN SERVICES 1018901 MEDHELP 1530 CATON CENTER DRIVE BALTIMORE MD 21227 BILLING SERVICES 320165 CHESAPEAKE UROLOGY ASSOCIATES PA 25 CROSSROADS DRIVE SUITE 306 OWINGS MILLS MD 21128 PHYSICIAN SERVICES 271917 TRANSCARE 1125 DESOTO DRIVE BALTIMORE MD 21223 Transportation 271579 23 750000 750000 PATIENT SERVICE REVENUE 900099 95418597 95418597 95418597 1047392 1047392 0 0 9175304 8305347 869957 869957 869957 0 0 0 CAFE/VENDING 722210 320704 320704 MISC 900099 369218 369218 OUTPATIENT PHARMACY 446110 1597312 1597312 340358 340358 2627592 100713538 98046189 0 1917349 0 0 0 0 1336267 339866 996401 0 0 35847886 29707101 6140785 0 1196070 907565 288505 0 4595618 3487105 1108513 0 2567413 1948125 619288 0 0 24430 24430 0 111208 111208 0 6036 6036 0 0 0 1760209 1760209 0 0 273359 93334 180025 0 2033550 2033550 0 0 1537582 1174635 362947 0 0 0 0 475576 321303 154273 0 0 3238296 2457184 781112 0 1946734 1858164 88570 0 PURCHASED SERVICES 11066999 7717279 3349720 PHYSICIAN FEE 7643965 7643965 BAD DEBTS 6107109 6107109 SUPPLIES 14932722 14318447 614275 96701029 78081182 18619847 0 9161039 14415558 14025076 12026084 987438 990335 14900 105000 80567045 43975606 36015526 36591439 7512471 8467470 3740000 4687000 30862600 37930360 102319050 115213246 9547429 10004504 16587823 18226097 26135252 28230601 X 46819889 51867399 29363909 35115246 76183798 86982645 102319050 115213246 X 4012509 6786338 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6037 6037 false Other Activities Schedule C, Part II-B, Line 1i The 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. 0 697964 697964 0 47010197 21374446 25635751 0 28023524 22193637 5829887 0 4835360 407523 4427837 36591439 KERNAN ENDOWMENT 33354092 DUE FROM UMMS FOUNDATION 1628363 OTHER A/R 950905 ASSETS WHOSE USE IS LIMITED 1997000 37930360 0 DUE TO THIRD PARTY 3595940 PATIENT A/R CEDIT BALANCES 483456 FIN 47 ACCRUAL 440561 DUE TO AFFILIATES 13698487 OTHER LIABILITIES 7653 18226097 SCHEDULE D, Part X, Line 2 FIN 48 Footnote per Audit Report The 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. true true true X true X true true false true true 1358625 1358625 0.01400 1358625 1358625 0.01400 82722 82722 0.00090 6671773 6671773 0.06900 228703 228703 0.00240 118975 118975 0.00120 7102173 7102173 0.07350 8460798 8460798 0.08750 5085 5085 795 795 5880 5880 true 4773151 29409857 26899246 2510611 X true true 1 1 James Lawrence Kernan Hospital

2200 Kernan Drive Baltimore MD 21207

X X Rehabiliation James Lawrence Kernan Hospital 1 true true 200. true 300. X X X X X X X true true X X X X true X X X X X X false X X false true Related Organization Report Schedule H, Part I, Line 6a AN 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 Methodology Schedule H, Part I, Line 7 SCHEDULE 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 Expense Schedule H, Part III, Line 4 PART 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 Report Schedule H, Part III, Line 8 In 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 Practices Schedule H, Part III, Line 9b The 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 1 Schedule H, Part V, Section B Line 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 Assessment Schedule H, Part VI, Line 2 Kernan, 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 Education Schedule H, Part VI, Line 3 Kernan 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 Served Schedule H, Part VI, Line 4 The 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 Community Schedule H, Part VI, Line 5 In 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 Roles Schedule H, Part VI, Line 6 The 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 Filings Schedule H, Part VI, Line 7 Maryland X true true X X X X false true false false false false false false false ROBERT A CHRENCIK 0 986285 0 659250 0 9032 0 179103 0 19769 0 1853439 0 0 MICHAEL R JABLONOVER 264387 0 57750 0 156530 0 8752 0 19829 0 507248 0 123113 0 JUANITA ROBBINS 149123 0 0 0 805 0 20697 0 1479 0 172104 0 0 0 W W AUGUSTIN III 172817 0 15311 0 16247 0 6717 0 15391 0 226483 0 0 0 JAMES ROSS 21098 253178 0 62943 3238 50825 750 8353 1161 14421 26247 389720 0 0 VALERIE SUMMERLIN 155037 0 13387 0 18304 0 5980 0 1878 0 194586 0 0 0 NORBERT ROBINSON 137593 0 2500 0 112 0 7105 0 18346 0 165656 0 0 0 CHRISTINE MARTIN 116928 0 9941 0 12225 0 4569 0 15423 0 159086 0 0 0 ROY SMOOT JR 148807 2582 0 0 4333 17022 20649 401 11278 1415 185067 21420 0 0 HEMA PATEL 212616 0 0 0 3076 0 4654 0 18400 0 238746 0 0 0 JENNIFER MERENDA 164317 0 500 0 184 0 3865 0 18204 0 187070 0 0 0 Health or social club dues or initiation fees Schedule J, Part I, Line 1a UMMS 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 plan Schedule J, Part I, Line 4b During the fiscal year end June 30, 2011, certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The 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. Members or Stockholders Form 990, Part VI, Lines 6, 7a, and 7b UNIVERSITY 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 Process Form 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 & Enforcement Form 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 Compensation Form 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 Disclosure Form 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 Assets Form 990, Part XI, Line 5 Change 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 Issue Part IV, Line 24a Pursuant 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 Entities The 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 ORGANIZATION FORM 990 PART VII NAME:ROBERT A CHRENCIK TITLE:TREASURER HOURS:40 Kernan Physical Therapy 2200 Kernan Drive Baltimore MD 21207 522061788 Therapy MD 1156570 160652 JLK HOSPITAL Baltimore Washington Emergency Phys Inc 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521756326 HEALTH CARE MD 501(C )(3) 11 BWMS Baltimore Washington Healthcare Services 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830243 HEALTH CARE MD 501(C )(3) 11 BWMS Baltimore Washington Medical Center Inc 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 520689917 HEALTH CARE MD 501(C )(3) 11 BWMS Baltimore Washington Medical System Inc 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830242 HEALTH CARE MD 501(C )(3) 11 UMMS BW Medical Center Foundation Inc 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521813656 HEALTH CARE MD 501(C )(3) 11 BWMS North Arundel Development Corporation 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521318404 REAL ESTATE MD 501(C )(2) BWMS North County Corporation 301 HOSPITAL DRIVE GLEN 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MD 501(C )(3) 11 UMMSC University of MD Medical System Corp 22 SOUTH GREENE STREET BALTIMORE MD 21201 521362793 HEALTH CARE MD 501(C )(3) 03 UMMSC Arundel Physicians Associates LLC 301 Hospital Drive GLEN BURNIE MD 21601 522000762 HEALTH CARE MD N/A Central Maryland Radiology Oncology 10710 Charter Drive COLUMBIA MD 21044 270879418 HEALTH CARE MD N/A Helen P Denit Cancer Treatment Center 22 South Greene Street BALTIMORE MD 21201 522283591 HEALTH CARE MD N/A Innovative Health LLC 29165 Canvasback Drive Suite 100 EASTON MD 21601 521997287 BILLING MD N/A North Arundel Pet Center LLC 301 Hospital Drive GLEN BURNIE MD 21061 200806027 HEALTH CARE MD N/A North Arundel Senior Living LLC 301 Hospital Drive GLEN BURNIE MD 21061 541810728 HEALTH CARE MD N/A NAHSunrise of Severna Park LLC 301 Hospital Drive GLEN BURNIE MD 21061 541810729 HEALTH CARE MD N/A Shipley's Imaging Center LLC 22 South Greene Street BALTIMORE MD 21201 522040338 HEALTH CARE MD N/A UniversityCare LLC 22 South Greene Street 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