2011-11-15T11:10:40-06:00 2010-12-31 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2010-01-01 521398513 Upper Chesapeake Health System Inc UPPE 4108773700 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 JOSEPH E HOFFMAN III 4436433340 2011-11-14 true 2155614200 2010 2016-03-07 17:11:31Z LYLE E SHELDON 520 UPPER CHESAPEAKE DR 405 BEL AIR MD 21014 12100491 false X WWW.UCHS.ORG X 1984 MD ASSISTS IN THE MANAGEMENT OF RELATED HEALTHCARE FACILITIES. ALSO PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES. 15 11 91 0 0 0 0 913828 10323679 11062722 903 736 131700 123205 10456282 12100491 87215 135786 0 0 8171362 9224227 0 0 0 3401534 3335610 11660111 12695623 -1203829 -595132 2927134 6263134 3935965 7866097 -1008831 -1602963 X ASSISTS IN THE MANAGEMENT OF RELATED HEALTHCARE FACILITIES. ALSO PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES. false false 12695623 135786 11062722 SEE SCHEDULE O. 12695623 true true false false false false false false false true false false true true true false true false false true false false false false false false true false true false false false false false false false false false false false false false true true true false false true 0 0 91 true false true false false false false false false false false false X 15 11 true false false false false false false true true false false true true true true true true true true true false MD X JOSEPH E HOFFMAN III 4436433340 520 UPPER CHESAPEAKE DR STE 405 BEL AIR MD 21014 X H WILLIAM ACKER 5.0 X X 0 0 0 STEVEN M BENTMAN MD 1.0 X 0 20833 0 JOHN H CAIN 1.0 X 0 0 0 DIANE K FORD 1.0 X 0 0 0 ROBERT F HOOFNAGLE JR MD 1.0 X 0 58600 0 M SCOT KAUFMAN 5.0 X X 0 0 0 ANDREW KLEIN 1.0 X 0 0 0 JAMES LAMBDIN 1.0 X 0 0 0 ANTHONY J MEOLI 1.0 X 0 0 0 ROGER E SCHNEIDER MD 5.0 X X 0 0 0 LYLE E SHELDON 5.0 X X 755430 0 196177 RICHARD P STREETT JR VMD 1.0 X 0 0 0 ADELE A WILZACK RN MS 1.0 X 0 0 0 ALBERT J A YOUNG 1.0 X 0 0 0 FAHEEM YOUNUS MD 1.0 X 0 175882 0 JOSEPH E HOFFMAN III 5.0 X 363940 0 107678 KENNETH D KOZEL 5.0 X 378133 0 99448 DEAN C KASTER 5.0 X 260785 0 74808 MARGARET M VAUGHAN 5.0 X 368719 0 107480 E SCOTT CONOVER 5.0 X 330806 0 49761 TONI M SHIVERY 5.0 X 196127 0 56071 ROBIN LUXON 40.0 X 158549 0 40750 CRAIG WILLIG 40.0 X 153486 0 23877 STEPHANIE DINSMORE 40.0 X 125455 0 43705 LYNNE FRENCH 40.0 X 106017 0 45618 MARTHA D MALLONEE 40.0 X 114292 0 18752 3311739 255315 864125 20 false true false 0 913828 913828 MANAGEMENT FEES 561000 11062722 11062722 11062722 736 736 0 0 51972 51972 51972 51972 0 0 0 0 MISCELLANEOUS 900099 71233 71233 71233 12100491 11062722 0 123941 135786 135786 0 0 0 3345642 3345642 0 4198682 4198682 260350 260350 967265 967265 452288 452288 0 0 0 0 0 0 104113 104113 229012 229012 294626 294626 0 0 587027 587027 34214 34214 0 51827 51827 0 0 139870 139870 32531 32531 PAYMENT TO CAPTIVE 187918 187918 RECRUITMENT AND RETENTION 185177 185177 EQUIPMENT RENTALS 29323 29323 DUES AND SUBSCRIPTIONS 27204 27204 EMPLOYEE RELATIONS 18342 18342 1414426 1414426 12695623 12695623 0 0 121004 0 124398 90461 6052527 1851537 1197076 4200990 1484656 1971683 2927134 6263134 1060090 1381246 2875875 6484851 3935965 7866097 X -1008831 -1602963 -1008831 -1602963 2927134 6263134 X -595132 1000 X false true true X false X X X false false false HARFORD MEMORIAL HOSPITAL INC 520591484 03 true true true 3665672 UPPER CHESAPEAKE MEDICAL CENTER INC 521253920 03 true true true 6236065 UPPER CHESAPEAKE MEDICAL SERVICES INC 521501734 04 true true true 920297 UPPER CHESAPEAKEST JOE'S HOME CARE INC 521229742 04 true true true 0 4 10822034 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3547286 3547286 944937 555077 389860 86544 86544 0 880203 754915 125288 593557 455001 138556 4200990 LONG-TERM INSURANCE A/R 1925781 OTHER ASSETS 45902 1971683 0 DUE TO AFFILIATES 6347469 OTHER LONG TERM LIABILITIES 137382 6484851 12100491 12695623 -595132 -595132 12100491 12100491 12100491 12695623 12695623 12695623 INCOME TAXES (FIN 48) PART X, QUESTION 2 UCMC, 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 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 constituted unrelated business income to UCHS and UMMS, the tax exempt members of the Venture. UCHV, Upper Chesapeake Medical Office Building (UCMOB), and Upper Chesapeake Medical Center Land Condominium, Inc. 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. PART XI, RECONCILIATION OF NET ASSETS LINE 5 OTHER MISCELLANEOUS CHANGES IN NET ASSETS-ROUNDING $1,000 Central America and the Caribbean 0 0 Program Services CAPTIVE INSURANCE CO. 2569048 0 0 0 0 2569048 2569048 true false true false false false true MARYLAND HEALTHCARE EDUCATION INSTITUTE 6820 DEERPATH ROAD ELKRIDGE MD 21075 520901664 501(c)(3) 50000 GENERAL SUPPORT RIPKEN PROFESSIONAL BASEBALL - ABERDEEN IRONBIRDS 873 LONG DRIVE ABERDEEN MD 21001 521954344 501(C)(3) 32000 GENERAL SUPPORT 2 SCHEDULE I - GRANTS & OTHER ASSISTANCE PART I, QUESTION 2 - GENERAL INFORMATION ON GRANTS AND ASSISTANCE ALTHOUGH 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 APPROVAL X X X X X false true false false false false false false false LYLE E SHELDON 488792 0 216674 0 49964 0 160200 0 35977 0 951607 0 FAHEEM YOUNUS MD 0 0 0 0 0 175882 0 0 0 0 0 175882 JOSEPH E HOFFMAN III 243610 0 94643 0 25687 0 79364 0 28314 0 471618 0 KENNETH D KOZEL 253777 0 95946 0 28410 0 76876 0 22572 0 477581 0 DEAN C KASTER 195672 0 62577 0 2536 0 51605 0 23203 0 335593 0 MARGARET M VAUGHAN 265627 0 90383 0 12709 0 83392 0 24088 0 476199 0 E SCOTT CONOVER 232278 0 80998 0 17530 0 48616 0 1145 0 380567 0 TONI M SHIVERY 150057 0 36940 0 9130 0 34858 0 21213 0 252198 0 ROBIN LUXON 137304 0 21046 0 199 0 24139 0 16611 0 199299 0 CRAIG WILLIG 129350 0 18123 0 6013 0 16815 0 7062 0 177363 0 STEPHANIE DINSMORE 110279 0 15021 0 155 0 23688 0 20017 0 169160 0 LYNNE FRENCH 96452 0 9152 0 413 0 28491 0 17127 0 151635 0 SCHEDULE J, COMPENSATION INFORMATION PART I, QUESTION 4B THIS FILING ORGANIZATION MADE SPLIT DOLLAR LIFE INSURANCE PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THIS FILING ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A: LYLE E SHELDON $107,000 JOSEPH E HOFFMAN III $ 28,616 DEAN C KASTER $ 22,510 MARGARET M VAUGHAN $ 31,167 PART VI, SECTION A, GOVERNING BODY & MANAGEMENT, QUESTION 2 FAMILY OR BUSINESS RELATIONSHIP LYLE 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 11B ORGANIZATIONAL REVIEW OF FORM 990 THE 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 12C CONFLICT OF INTEREST POLICY The 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 15 PROCESS FOR DETERMINING COMPENSATION The 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 19 DOCUMENTS AVAILABLE TO THE PUBLIC THE 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 I AVERAGE HOURS PER WEEK The 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 4 SIGNIFICANT PROGRAM SERVICE ACCOMPLISHMENTS FOR 2010 Community Outreach In 2010, HealthLink had approximately 22,350 community-wide adult contacts through their screening and education programs, flu vaccination clinics, support groups and HealthLink Primary Care Clinic visits. Approximately 5,449 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). An additional 3,890 contacts were realized through the HealthLink Primary Care Clinic. Over 2,000 influenza vaccinations were administered countywide. In addition to influenza vaccinations, Community Outreach provided an additional 56 H1N1 vaccinations. Community Outreach also provided local businesses with employee health screenings and vaccinations totaling 469 encounters. And more than 6,000 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 five senior centers, Spring Health Carnivals were held at each center. The focus was on general health and well-being as well as staying active. Health screenings and physical activities were provided in a carnival atmosphere by Community Outreach. Approximately 200 seniors participated in one of the carnivals. Children's Programs - A total of 887 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 2,070 children were exposed to our "KATU" (Kids Against Tobacco Use) program and new Smoking Out the Truth. These programs teach children, adolescents, and teens about the dangers associated with tobacco use. "Toxic Soup" is a program that addresses the effects of secondhand smoke, which is a program included at times. - Approximately 219 children attended our Teddy Bear Clinics. This is a program that familiarizes children with the hospital experience. - "Be Smart about Body Art" was developed in 2007. It educates teens about the potential dangers associated with body piercing and tattooing. This program has been very successful with over 393 teens being educated in 2010. - "How Sweet It Is" was a new interactive program developed this year. The 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 275 underserved children were fitted and given a bike helmet through HealthLink events in 2010. More than 6,000 Harford County children participated in one of the above listed children's programs in 2010. VACCINES Community Outreach administered approximately 2,000 community flu vaccinations and an additional 56 H1N1 vaccinations. "Dining with Docs" Lectures In 2010, "Dining with Docs" community lectures were held at both Upper Chesapeake Medical Center and Harford Memorial. A total of 138 community residents attended the lectures. 1N2N3N Cancer Event Free cancer screenings were offered at a half day Countywide Cancer event. Over eight County Agencies partnered with Community Outreach to provide cancer education and screenings to more than 178 county residents. The event was held at Harford Community College. The keynote speaker was Jayne Miller from Channel 11 and three of Upper Chesapeake Physicians provided lectures on cancer screenings, environmental effects and cancer, as well as the importance of taking time for you. HealthLink Community Wellness Center In 2010, the HealthLink Community Wellness Center, which operates from the HL Medical Mobile Van, had 160 residents participate in one of the available health screenings offered throughout the year. A third location at Cardiff Shop Rite was added mid-year. 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 2010, the PCC had approximately 1,500 established patients and a total of 3,890 patient encounters, up from 3,498 patient visits in 2009. HealthLink Call Center -In 2010, our HealthLink Call Center handled approximately 7,500 calls. This included almost 1,300 physician referral and 2,600 service calls. A new Call Center program and software, ECHO, was installed in 2010. - 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 Two HealthLink RNs facilitate countywide support groups:chd stroke and diabetes. Both groups meet monthly; the stroke group meets at UCMC and the diabetes group meets at the Aberdeen Senior Center. The stroke group averages 12 participants per meeting (144 participants per year) and the diabetes group averages 17 participants per meeting (204 participants per year). HealthLink and Community Health Improvement Coalitions and Committees - Harford County School Health Board - Harford County Tobacco Coalition - Harford County Cancer Coalition - Harford County Highway Safety Committee - Office on Aging Advisory Board - Harford County Homeless Advisory Board UPPER CHESAPEAKE HEALTH FOUNDATION INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521398507 FIN SUPPORT MD 501(C)(3) 11A UCHS UPPER CHESAPEAKE MEDICAL SERVICES INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521501734 PHYSICIAN SVC MD 501(C)(3) 9 UCHSUMMS VN HARFORD MEMORIAL HOSPITAL INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 520591484 HOSPITAL CARE MD 501(C)(3) 3 UCHSUMMS VN UPPER CHESAPEAKEST JOE'S HOME CARE INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521229742 HOSPICE CARE MD 501(C)(3) 9 UCHSUMMS VN UPPER CHESAPEAKE MEDICAL CENTER INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521253920 HOSPITAL CARE MD 501(C)(3) 3 UCHSUMMS VN UPPER CHESAPEAKE PROPERTIES INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521907237 TITLE HOLDING MD 501(C)(2) N/A UCHSUMMS VN UPPER CHESAPKE RESIDENTIAL HOSPICE HOUSE 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 260737028 HOSPICE CARE MD 501(C)(3) 7 UCHSUMMS VN HEALTHY HARFORD INC 2027 PULASKI HWY SUITE 215 HAVRE DE GRACE MD 21078 521944325 HEALTH INIATV MD 501(C)(3) 7 NA UCHSUMMS VENTURE LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 522178070 MEDICAL SERVICES MD NA RELATED 0 475379 false true 0.51000 UCHSUMMS REAL ESTATE TRUST 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 276803540 HOLD LAND MD NA N/A 0 0 false true 0.20000 UPPER CHESAPEAKE HEALTH VENTURES INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 522031264 MISC. 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