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UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM INC (EIN 52-1398513)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349307504
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T15:03:07-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN521398513EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Upper Chesapeake Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOSEPH E HOFFMAN IIIInCareOfName
Name ControlUPPENameControl
Phone4108773700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DRIVEAddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode

Officer Officer

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

Preparer Preparer

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

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DR 405AddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13111165GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UCHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionASSISTS IN THE MANAGEMENT OF RELATED HEALTHCARE FACILITIES. ALSO PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees99TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year913828ContributionsGrantsPriorYear
Contributions Grants Current Year775898ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11062722ProgramServiceRevenuePriorYear
Program Service Revenue CY12223929ProgramServiceRevenueCY
Investment Income Prior Year736InvestmentIncomePriorYear
Investment Income Current Year2104InvestmentIncomeCurrentYear
Other Revenue Prior Year123205OtherRevenuePriorYear
Other Revenue Current Year109234OtherRevenueCurrentYear
Total Revenue Prior Year12100491TotalRevenuePriorYear
Total Revenue Current Year13111165TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year135786GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41730GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9224227SalariesEtcPriorYear
Salaries Etc Current Year10619066SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3335610OtherExpensePriorYear
Other Expenses Current Year2591734OtherExpensesCurrentYear
Total Expenses Prior Year12695623TotalExpensesPriorYear
Total Expenses Current Year13252530TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-595132RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-141365RevenuesLessExpensesCY
Total Assets BOY6263134TotalAssetsBOY
Total Assets EOY4927290TotalAssetsEOY
Total Liabilities BOY7866097TotalLiabilitiesBOY
Total Liabilities EOY6671618TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1602963NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1744328NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionASSISTS IN THE MANAGEMENT OF RELATED HEALTHCARE FACILITIES. ALSO PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13252530Expense
Grants41730Grants
Revenue12223929Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense13252530TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees99NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOSEPH E HOFFMAN IIINamePerson
Telephone Number4436433340TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1520 UPPER CHESAPEAKE DR STE 405AddressLine1
CityBEL AIRCity
StateMDState
ZIP Code21014ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
H WILLIAM ACKER
VICE CHAIRMAN/DIRECTOR5.0XX000
STEVEN M BENTMAN MD
DIRECTOR1.0X0270830
JOHN H CAIN
DIRECTOR1.0X000
MELINDA L CRAIG
DIRECTOR1.0X000
DIANE K FORD
DIRECTOR1.0X000
ROBERT F HOOFNAGLE JR MD
DIRECTOR1.0X0657920
M SCOT KAUFMAN
SECRETARY/DIRECTOR5.0XX000
ANDREW KLEIN
DIRECTOR1.0X000
JAMES LAMBDIN
DIRECTOR1.0X000
ANTHONY J MEOLI
TREASURER/DIRECTOR5.0XX000
ROGER E SCHNEIDER MD
CHAIRMAN/DIRECTOR5.0XX000
LYLE E SHELDON
PRESIDENT & CEO/DIRECTOR40.0XX802498090419
RICHARD P STREETT JR VMD
DIRECTOR1.0X000
ADELE A WILZACK RN MS
DIRECTOR1.0X000
ALBERT J A YOUNG
DIRECTOR1.0X000
FAHEEM YOUNUS MD
DIRECTOR1.0X01512500
KENNETH M FERRARA
VP/EXEC DIRECTOR40.0144677012229X
JOSEPH E HOFFMAN III
SR VP/CFO40.0396292081484X
KENNETH D KOZEL
SR VP/COO40.0394262063239X
DEAN C KASTER
SR VP - CORP STRATEGY/PLANNING40.0276903058880X
MARGARET M VAUGHAN
SR VP - CHIEF MEDICAL OFFICER40.0376634077548X
E SCOTT CONOVER
SR VP/GENERAL COUNSEL40.0354257052953X
TONI M SHIVERY
VP - HUMAN RESOURCES40.0200181064160X
JOHN KEVIN LYNCH
SR VP - MEDICAL AFFAIRS40.0144195043286X
ROBIN LUXON
VP - CLINICAL SERVICES40.0163578041270X
CRAIG WILLIG
VP - FINANCE40.0155451027121X
STEPHANIE DINSMORE
VP - PHYSICIAN SRVS/BUS DVLPMT40.0134657045236X
LYNNE FRENCH
ASST VP - AMBULATORY SERVICES40.0120502046477X
MARK S LEWIS
DIR - CARDIOVASCULAR INSTITUTE40.0123242031068X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3787329TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs244125TotalReportableCompFrmRltdOrgs
Total Other Compensation735370TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations775898RelatedOrganizations
Total Contributions775898TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code561000BusinessCode
Total Revenue Column12223929TotalRevenueColumn
Related Or Exempt Function Income12223929RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12223929TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2104TotalRevenueColumn
Exclusion$2,104ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real43736Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real43736Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column43736TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$43,736ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column65498TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$65,498ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue65498TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13111165TotalRevenueColumn
Related Or Exempt Function Income12223929RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$111,338ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total41730Total
Program Services41730ProgramServices

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)
Total3828844Total
Program Services3828844ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4902341Total
Program Services4902341ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1374128Total
Program Services1374128ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total513753Total
Program Services513753ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total66376Total
Program Services66376ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total97925Total
Program Services97925ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total92429Total
Program Services92429ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total61612Total
Program Services61612ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total365794Total
Program Services365794ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total566975Total
Program Services566975ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total35429Total
Program Services35429ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total34832Total
Program Services34832ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total141403Total
Program Services141403ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total30450Total
Program Services30450ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PAYMENT TO CAPTIVE142219142219
RECRUITMENT AND RETENTION131447131447
EQUIPMENT RENTALS3261732617
DUES AND SUBSCRIPTIONS3918239182

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total753044Total
Program Services753044ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13252530Total
Program Services13252530ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY1274510EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY1589579BOY
EOY1784326EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY90461BOY
EOY72510EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3723729LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1992940LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4200990BOY
EOY1730789EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY382104BOY
EOY65155EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6263134BOY
EOY4927290EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1381246BOY
EOY1448301EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6484851BOY
EOY5223317EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7866097BOY
EOY6671618EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1602963BOY
EOY-1744328EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1602963BOY
EOY-1744328EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6263134BOY
EOY4927290EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-141365ReconcilationRevenueExpenses
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
HARFORD MEMORIAL HOSPITAL
52139850703truetruetrue$3,477,170
UPPER CHESAPEAKE HEALTH VENTURES INC
52203126403truetruetrue$105,000
UPPER CHESAPEAKE MEDICAL SERVICES INC
52150173404truetruetrue$1,295,978
UPPER CHESAPEAKE MEDICAL CENTER INC
52125392003truetruetrue$7,345,781
UPPER CHESAPEAKE HEALTH FOUNDATION
52129850703truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts12223929SumOfAmounts

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 D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis433296OtherCostOrOtherBasis
Book Value433296BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis944937OtherCostOrOtherBasis
Depreciation578771Depreciation
Book Value366166BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis476549OtherCostOrOtherBasis
Depreciation418044Depreciation
Book Value58505BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis873604OtherCostOrOtherBasis
Depreciation794037Depreciation
Book Value79567BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis995343OtherCostOrOtherBasis
Depreciation202086Depreciation
Book Value793255BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1730789TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$5,163,935
OTHER LONG TERM LIABILITIES$59,382
FieldValueIRS element (for citing)
Total Of Amounts5223317TotalOfAmounts
Total Revenue13111165TotalRevenue
Total Expenses13252530TotalExpenses
Excess Or Deficit For Year-141365ExcessOrDeficitForYear
Excess Or Deficit Per FS-141365ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13111165TotRevenueEtcAuditedFinclStmt
Revenue Subtotal13111165RevenueSubtotal
Total Revenue Per Form99013111165TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13252530TotExpensesEtcAuditedFinclStmt
Expenses Subtotal13252530ExpensesSubtotal
Total Expenses Per Form99013252530TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINCOME TAXES (FIN 48)Identifier
Return ReferencePART X, QUESTION 2ReturnReference
ExplanationUCMC, HMH, UCSJHC, UCRHH and UCMS have received determinations letters from the Internal Revenue Service (IRS) granting them federal income tax exempt status under Section 501(C)(3) of the Internal Revenue Code. UCP is a title holding company and has received a determination letter from the IRS granting it federal income tax exempt status under Section 501(C)(2) of the Internal Revenue Code. UCHS/UMMS Venture, LLC (Venture) is a limited liability company not subject to entity level tax. The income earned by the Venture is taxable to the owners of the joint venture to the extent that it constitutes unrelated business income to UCHS and UMMS, the tax exempt members of the Venture. UCHV and Upper Chesapeake Medical Center Land Condominium, Inc. are organized as for-profit entities, are subject to federal income taxes, which are recorded under ASC Subtopic 740, Income Tax. Accordingly, for those entities, income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amount of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. The Venture recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedCAPTIVE INSURANCE CO.SpecificServicesProvided
Total Expenditures1838988TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent1838988SubtotalAmountSpent
Total Amount Spent1838988TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MARYLAND HOSPITAL EDUCATION & RESEARCH FDN
6820 DEERPATH ROADELKRIDGEMD21075520901664501(c)(3)25000GENERAL SUPPORT
MARYLAND PATIENT SAFETY CENTER
6820 DEERPATH ROADELKRIDGEMD21075262188491501(C)(3)7700GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I - GRANTS & OTHER ASSISTANCEIdentifier
Return ReferencePART I, QUESTION 2 - GENERAL INFORMATION ON GRANTS AND ASSISTANCEReturnReference
ExplanationALTHOUGH THE FILING ORGANIZATION DOES NOT HAVE FORMALIZED INTERNAL PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE FILING ORGANIZATION DOES HAVE A WRITTEN AND APPROVED CHARITABLE GIVING POLICY AND PROCEDURE. THERE IS WRITTEN CRITERIA REGARDING THE RECOMMENDATIONS FOR CONSIDERATION WHEN EVALUATING CONTRIBUTION REQUESTS SUCH AS FOLLOWS: (1) THAT CONTRIBUTIONS WILL BE MADE ONLY TO ORGANIZATIONS FOR PURPOSES CONSISTENT WITH UPPER CHESAPEAKE HEALTH SYSTEM'S VISION AND MISSION. (2) CONTRIBUTIONS WILL BE MADE ONLY TO NOT-FOR-PROFIT ORGANIZATIONS. (3) CONTRIBUTIONS WILL PREFERABLY BE MADE TO ORGANIZATIONS WHICH DIRECTLY SERVE THE CITIZEN OF HARFORD AND CECIL COUNTIES. (4) CONTRIBUTIONS WILL NOT BE GIVEN TO INDIVIDUALS. (5) CONTRIBUTIONS WILL NOT BE MADE FOR RELIGIOUS PURPOSES; HOWEVER, THERE MAY BE CONTRIBUTIONS GIVEN FOR A SPECIFIC EFFORT OR PROGRAM WITHIN A CHURCH OR RELIGIOUS FACILITY WHICH PROVIDES HEALTH-RELATED SERVICES TO THE BROADER COMMUNITY. (6) CONTRIBUTIONS WILL NOT BE MADE IN SUPPORT OF POLITICAL ADVOCACY. (7) UPPER CHESAPEAKE HEALTH SYSTEM WILL STRIVE TO DONATE TO ORGANIZATIONS WHERE THE MAJORITY OF THE FUNDS RECEIVED ARE APPLIED DIRECTLY TO THE NEED THE ORGANIZATION IS DESIGNED TO MEET. *** REQUESTS FOR $5,000 AND UNDER ARE REFERRED TO THE PRESIDENT/CEO FOR REVIEW AND APPROVAL *** REQUESTS FOR GREATER THAN $5,000 ARE REFERRED TO THE COMMUNITY DEVELOPMENT COMMITTEE FOR DISCUSSION AND APPROVALExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
LYLE E SHELDON
508341024342405073305320003721908929170
FAHEEM YOUNUS MD
0000015125000000151250
KENNETH M FERRARA
1258250187500102011642058701569060
JOSEPH E HOFFMAN III
259860010919902723305075003073404777760
KENNETH D KOZEL
25965509709003751704911601412304575010
DEAN C KASTER
2023370720310253503167402720603357830
MARGARET M VAUGHAN
26950008477302236105260102494704541820
E SCOTT CONOVER
2469400895440177730515030145004072100
TONI M SHIVERY
1504900400190967203658302757702643410
JOHN KEVIN LYNCH
131845090001145002938801389801874810
ROBIN LUXON
144303019041023402443501683502048480
CRAIG WILLIG
13658701856003040203700675101825720
STEPHANIE DINSMORE
116850017645016202429102094501798930
LYNNE FRENCH
103372016700043002942801704901669790
MARK S LEWIS
11253901031603870850602256201543100

Form990 Schedule J Part III Form990ScheduleJPartIII

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

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Purpose Of LoanPurposeOfLoanLoan To OrganizationLoanToOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
LYLE E SHELDON
SPLIT DOLLAR LIFEX$1,164,1951164195falsetruetrue
JOSEPH E HOFFMAN
SPLIT DOLLAR LIFEX$215,921215921falsetruetrue
MARGARET M VAUGHAN
SPLIT DOLLAR LIFEX$262,194262194falsetruetrue
DEAN C KASTER
SPLIT DOLLAR LIFEX$142,016142016falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due1784326TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ROBERT F HOOFNAGLE MD
CHAIRMAN OF SURG DEPT65792PHYSICIAN FEESfalse
FAHEEM YOUNUS MD
INF DISEASE & EPI PHYS151250PHYSICIAN FEESfalse
JOHN H CAIN
BB&T OFFICER864280BOND REMARKETING FEESfalse
RICHARD P STREETT JR
ROCK GLENN COMM PARTNER566581LEASE PAYMENTSfalse
ROGER E SCHNEIDER MD
VASC SURG ASSOC PARTNER202993PHYSICIAN FEES PAID TO VSA LLCfalse
STEVEN M BENTMAN MD
PRES MED STAFF, EMER PHY27083PHYSICIAN FEESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART VI, SECTION A, GOVERNING BODY & MANAGEMENT, QUESTION 2FAMILY OR BUSINESS RELATIONSHIPLYLE E. SHELDON AND JOSEPH E. HOFFMAN III ARE OFFICERS IN THE SAME BUSINESS ENTITIES. THE SAME BUSINESS ENTITIES ARE THE FOR-PROFT CORPORATIONS OR PARTNERSHIPS THAT ARE RELATED TO THIS FILING ENTITY. PLEASE SEE FORM 990, SCHEDULE R.
PART VI, SECTION B, POLICIES, QUESTION 11BORGANIZATIONAL REVIEW OF FORM 990THE BOARD OF UPPER CHESAPEAKE HEALTH SYSTEM, INC. ("HEALTH SYSTEM") HAS ASSIGNED THE EXECUTIVE COMMITTEE OF THE HEALTH SYSTEM'S BOARD TO REVIEW AND APPROVE ALL CONTENTS OF FORM 990 ON BEHALF OF THE BOARDS OF HEALTH SYSTEM AND ALL OF HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. IN TURN, ONCE THE FORM 990 HAS BEEN APPROVED BY HEALTH SYSTEM'S EXECUTIVE COMMITTEE, A FINAL VERSION OF THE FORM 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS OF HEALTH SYSTEM AND HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. FORMAL NOTIFICATION OF THE FINAL AND APPROVED FORM 990 FOR HEALTH SYSTEM AND EACH OF HEALTH SYSTEM'S AFFILIATES AS WELL AS ITS AVAILABILITY WILL BE COMMUNICATED TO THE APPLICABLE BOARD MEMBERS ON OR BEFORE THE FILING OF THE FORM 990.
PART VI, SECTION B, POLICIES, QUESTION 12CCONFLICT OF INTEREST POLICYThe organization's written conflict of interest policy covers the following individuals: Directors, Principal Officers, and Senior Management. Furthermore, the policy extends to the family members (per Internal Revenue Service definition) of such Directors, Principal Officers, and Senior Management. The Board of Directors and any committee considering a contract, transaction or arrangement to which a known or potential conflict of interest relates, determines whether a conflict exists. Actual conflicts are reviewed by the Chairman of the Board. An individual with a known or potential conflict of interest must refrain from participating in, or acting on, the decision on any matter in which a conflict of interest, or even the appearance of such a conflict of interest, is present with respect to such individual and will remove himself or herself from any meeting or deliberations on the matter.
PART VI, SECTION B, POLICIES, QUESTION 15PROCESS FOR DETERMINING COMPENSATIONThe executive compensation committee of the board of directors approves compensation for the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and all key employees. The executive compensation committee utilizes but is not limited to the following resources in evaluating and establishing reasonable compensation: independent compensation consultants, compensation surveys and compensation studies. This organization and its tax-exempt affiliates strive to maintain an arm's length relationship between itself and its employees. It is the goal of the executive compensation committee to ensure that total compensation (compensation and benefits) paid to its employees is fair and reasonable. Finally, the process of setting and approving such compensation is performed annually by the board's executive compensation committee.
PART VI, SECTION C, DISCLOSURE, QUESTION 19DOCUMENTS AVAILABLE TO THE PUBLICTHE ORGANIZATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST: ARTICLES OF INCORPORATION, BYLAWS, AND CONFLICT OF INTEREST POLICY.
PART VII, SECTION A, PART IAVERAGE HOURS PER WEEKThe following chart details the filing organization's board of directors members and officers who are also board of directors members and officers of related exempt organizations and the hours spent per week on duties for those related exempt organizations. The chart does not reflect hours spent per week on duties for any related for-profit entities. The hours reflected in Part VII, Section A, Column B are only the average hours per week for this filing organization. UCF UCMC UCMS UCP UCHC HMH HH UCRHH LYLE E. SHELDON 1 5 1 1 .50 5 1 .50 PRESIDENT/CEO JOSEPH E. HOFFMAN 1 5 1 1 1 5 - 1 SENIOR VP/CFO UCF UCMC UCMS UCP UCHC HMH HH UCRHH E. SCOTT CONOVER - 5 1 - - - - - SENIOR VP/GENERAL COUNSEL MARGARET M. VAUGHAN - 5 1 - - - - - SENIOR VP/CHIEF MEDICAL OFFICER KENNETH D. KOZEL 1 5 1 1 1 5 - - SENIOR VP/COO DEAN C. KASTER - 5 - - - 5 - - SENIOR VP/CORPORATE STRATEGY/PLANNING TONI M. SHIVERY - 5 - - - 5 - - VP/HUMAN RESOURCES UCF - UPPER CHESAPEAKE HEALTH FOUNDATION UCMC - UPPER CHESAPEAKE MEDICAL CENTER UCMS - UPPER CHESAPEAKE MEDICAL SERVICES UCP - UPPER CHESAPEAKE PROPERTIES UCHC - UPPER CHESAPEAKE/ST. JOES HOME CARE HMH - HARFORD MEMORIAL HOSPITAL HH - HEALTHY HARFORD UCRHH - UPPER CHESAPEAKE RESIDENTAL HOSPICE HOUSE
PART III, LINE 4SIGNIFICANT PROGRAM SERVICE ACCOMPLISHMENTS FOR 2011Community Outreach In 2011, HealthLink had approximately 23,060 community-wide contacts through their screening and educational programs, flu vaccination clinics, support groups and HealthLink Primary Care Clinic visits. Approximately 7400 of these contacts were for health screenings (blood pressure, body fat, cholesterol, osteoporosis, stroke, sleep, diabetes risk assessments, foot and eye screenings, and cancer screenings). This also includes 3575 contacts that were realized through the HealthLink Primary Care Clinic. Over 2570 influenza vaccinations were administered countywide. Community Outreach also provided local businesses with employee health screenings and vaccinations totaling 456 encounters. And more than 3150 Harford County children received health education from Upper Chesapeake Community Outreach. Senior Center Programs - In addition to Community Health holding monthly blood pressure screenings at all six senior centers, a Jeopardy Health Fair was held at each center. A Jeopardy game was played on a large screen for groups of seniors. The focus was on general health and wellbeing. Health screenings including osteoporosis, blood pressures and stroke risk assessments were provided. There were also educational tables as well as tetanus vaccinations available that were provided by Community Outreach. Approximately 250 seniors participated in these events. Children's Programs - A total of 710 children were involved with our Glo Germ Program. This is a program that emphasizes how infection is spread and the importance of good hand washing habits. - Approximately 1,130 children were exposed to our KATU (Kids Against Tobacco Use) program and "Smoking Out the Truth" programs. These programs teach children, adolescents, and teens about the dangers associated with tobacco use. "Toxic Soup" is a program that addresses the effects of secondhand smoke which is a program included at times. - Approximately 1,040 children attended our Teddy Bear Clinics. This is a program that familiarizes children with the hospital experience. - "Be Smart about Body Art" was also taken out into the community. It educates teens about the potential dangers associated with body piercing and tattooing. This program has been very successful with over 275 teens being educated in 2011. - "How Sweet It Is" a fairly new program was also taken out into the community. This program educates children and adults on the sugar content in many of their favorite drinks including juice boxes, sports drinks, soda, flavored water, and popular coffee drinks. Over 2,500 children and adults were exposed to this program. - A new program was developed this year titled "Sun Sense". This program educates children, teens and adults on the harmful effects of the sun including the dangers of tanning beds. A skin analyzer was purchased by Community Outreach. This machine allows individuals to examine their own skin and realize the impact that the sun has had on their skin. Over 1,235 adults and children participated in this program. - In addition to the above programs, a nutrition program titled "Mission Nutrition" was developed geared for children, teens and young adults, and seniors. The program includes new information regarding the MyPlate approach, portion control, reading labels, etc. Over 215 adults and children participated in a nutrition program. New Screenings - In 2011, equipment was purchased for vision and hearing screenings. This allows Community Health to offer these screenings to Harford County private schools and home schoolers that may not have the opportunity to be screened. Hearing screenings are also being made available to seniors. Approximately 260 people participated in these screenings.
VACCINES- Community Outreach administered approximately 2570 community flu vaccinations throughout the county in 2011. "Dining with Docs" Lectures - In 2011 "Dining with Docs" community lectures were held at both Upper Chesapeake Medical Center and Harford Memorial. A total of 239 community residents attended the lectures. Havre de Grace Health-Tacular - A large health fair was held at the Havre de Grace Activity Center. Free flu vaccinations were offered as well as twenty different health Screenings. These included balance, blood pressure, body fat composition, cholesterol, glucose, DEXA scans, carotid ultrasounds, stroke risk assessments, diabetic eye and foot screenings, and hearing screenings. Cancer screenings were also offered including prostate, skin, oral and colorectal cancer screenings. Children were fitted for bike helmets and provided a free helmet. UCH service lines as well as outside vendors were represented. This event would not have been possible without the strong partnership with the HC Office on Aging, Parks and Rec and the Boys and Girls Club. Over 380 people attended this event. HealthLink Community Wellness Center - In 2011, the HealthLink Community Wellness Center which operates out of the HL Medical Mobile Van had 130 residents participate in one of the available health screenings offered throughout the year. The Wellness Centers are offered monthly at two different locations in the County. Primary Care Clinic - The HealthLink Primary Care Clinic (PCC) provided primary care on a sliding fee scale to low income adults age 19 and above who are uninsured or underinsured and meet specific income criteria. In 2011, the PCC had approximately 1,315 established patients and a total of 3,575 patient encounters. HealthLink Call Center - In 2011, our HealthLink Call Center handled approximately 8060 calls. This included almost 590 physician referral, 4,635 physicians' related calls, and 2,335 service calls. - The "flu HOTLINE" was reinstated to keep the community better informed about the locations and times that flu clinics were being held throughout the county. As new information became available or changed, the recording on the HOTLINE was updated so that residents could get accurate information. Support Groups - HealthLink RNs facilitate countywide support groups; stroke and diabetes. Both groups meet monthly; the stroke group meets at UCMC and the diabetes group meets at the Aberdeen Senior Center. Two additional diabetes support groups were established in 2011, one at the Edgewood Senior Center and the second at the McFaul Activity Center. The stroke group averages 12 participants per meeting (146 per year) and the diabetes support groups served 66 participants. HealthLink and Community Health Improvement Coalitions and Committees - Harford County School Health Board - Harford County Tobacco Coalition - Harford County Cancer Coalition - Office on Aging Advisory Board - Harford County Homeless Advisory Board - GAIN Committee - Healthy Harford

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521398507FIN SUPPORTMD501(C)(3)11AUCHStrue
UPPER CHESAPEAKE MEDICAL SERVICES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521501734PHYSICIAN SVCMD501(C)(3)9UCHSUMMS VNtrue
HARFORD MEMORIAL HOSPITAL INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014520591484HOSPITAL CAREMD501(C)(3)3UCHSUMMS VNtrue
UPPER CHESAPEAKEST JOE'S HOME CARE INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521229742HOSPICE CAREMD501(C)(3)9UCHSUMMS VNtrue
UPPER CHESAPEAKE MEDICAL CENTER INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521253920HOSPITAL CAREMD501(C)(3)3UCHSUMMS VNtrue
UPPER CHESAPEAKE PROPERTIES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521907237TITLE HOLDINGMD501(C)(2)N/AUCHSUMMS VNtrue
UPPER CHESAPKE RESIDENTIAL HOSPICE HOUSE
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014260737028HOSPICE CAREMD501(C)(3)7UCHSUMMS VNtrue
HEALTHY HARFORD INC
2027 PULASKI HWY SUITE 215HAVRE DE GRACEMD21078521944325HEALTH INIATVMD501(C)(3)7NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
UCHSUMMS VENTURE LLC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014522178070MEDICAL SERVIMDNARELATED0148falsetrue0.51000
UCHSUMMS REAL ESTATE TRUST
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014276803540HOLD LANDMDNAN/A00falsetrue0.20000

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNA
UPPER CHESAPEAKE HEALTH VENTURES INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014522031264MISC. SERVICEMDUCHSUMMS VNC CORP07633300.51000
UPPER CHESAPEAKE MED OFFICE BLDG INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521946829REAL ESTATEMDUC HLTH VNTRSC CORP000.51000
UPPER CHESAPEAKE MGMT SVCS ORG INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014521946025MANAGEMENT SVMDUC HLTH VNTRSC CORP000.51000
UC MEDICAL CENTER LAND CONDOMINIUM INC
520 UPPER CHESAPEAKE DRIVEBEL AIRMD21014770674478REAL ESTATEMDUC MED CENTERC CORP136468155500.51000
UPPER CHESAPEAKE INSURANCE COMPANY LTD
980468438CAPTIVE INSURLTD.1841813155184111.00000PO BOX 1109GRAND CAYMANCAYMAN ISLANDSCJKY1-1102CJN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HARFORD MEMORIAL HOSPITAL
k3477170CASH OR FMV
UPPER CHESAPEAKE HEALTH VENTURES INC
k105000CASH OR FMV
UPPER CHESAPEAKE MEDICAL SERVICES INC
k1295978CASH OR FMV
UPPER CHESAPEAKE MEDICAL CENTER INC
A185000CASH OR FMV
UPPER CHESAPEAKE MEDICAL CENTER INC
k7345781CASH OR FMV
UPPER CHESAPEAKE MEDICAL CENTER INC
o13160638CASH OR FMV
UPPER CHESAPEAKE FOUNDATION
n544724CASH OR FMV
UPPER CHESAPEAKE FOUNDATION
c918117CASH OR FMV