2011-11-15T15:11:06-05:00 2010-12-31 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2010-01-01 521398507 UPPER CHESAPEAKE HEALTH FOUNDATION INC UPPE 4436433340 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 JOSEPH E HOFFMAN III 4436433340 2011-11-14 true 2155614200 2010 2016-02-24 21:20:13Z LYLE E SHELDON 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 7348893 false X WWW.UCHS.ORG X 1984 MD SUPPORTING ORGANIZATION OF UPPER CHESAPEAKE MEDICAL CENTER; HARFORD MEMORIAL HOSPITAL, INC.; UPPER CHESAPEAKE MEDICAL SERVICES, INC.; AND UPPER CHESAPEAKE/ST. JOE'S HOME CARE, INC. 42 38 0 0 0 0 2433837 1380623 0 0 -697477 132200 98585 450430 1834945 1963253 1576278 3925448 0 0 430720 451272 0 0 0 116320 108550 2123318 4485270 -288373 -2522017 14410749 13585168 343852 638127 14066897 12947041 SUPPORTING ORGANIZATION OF UPPER CHESAPEAKE MEDICAL CENTER; HARFORD MEMORIAL HOSPITAL, INC.; UPPER CHESAPEAKE MEDICAL SERVICES, INC.; AND UPPER CHESAPEAKE/ST. JOE'S HOME CARE, INC. false false 4485270 3925448 0 AMOUNTS DISTRIBUTED TO RELATED EXEMPT ORGANIZATIONS FOR CAPITAL AND OPERATING PROGRAMS INCLUDING TRANSFERS TO UPPER CHESAPEAKE HEALTH SYSTEM, HARFORD MEMORIAL HOSPITAL, UPPER CHESAPEAKE MEDICAL CENTER, AND UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE. 4485270 true true false false false false false false true true false false false true true true false false false false false false false true false false true false true false false false false false false false false true false false false false true false false false false true 0 0 true 0 false true false false false false false false true true false X 42 38 true false false false true false false true true false false true true true true true true true true false MD X JOSEPH E HOFFMAN III 4436433340 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 RICHARD P STREETT JR VMD 1.0 X X 0 0 0 JOHN H CAIN 1.0 X X 0 0 0 ALBERT J A YOUNG 1.0 X X 0 0 0 BERNARD W MUTH JR 1.0 X X 0 0 0 LYLE E SHELDON 1.0 X X 0 755430 196177 WILLIAM H ACKER 1.0 X 0 0 0 STEVEN BENTMAN MD 1.0 X 0 20833 0 JOSEPH BITTNER 1.0 X 0 0 0 SUSIE COMER 1.0 X 0 0 0 DREW A COOK 1.0 X 0 0 0 WILLIAM H COX JR 1.0 X 0 0 0 ALLEN J FAIR 1.0 X 0 0 0 THOMAS L FIDLER 1.0 X 0 0 0 DIANE K FORD 1.0 X 0 0 0 JEFFREY W FOULK 1.0 X 0 0 0 GEORGEANNA GARCEAU 1.0 X 0 0 0 DIANA HARLOE 1.0 X 0 0 0 ROBERT F HOOFNAGLE JR MD 1.0 X 0 58600 0 THOMAS E JORDAN MD 1.0 X 0 0 0 PATRICIA KAUFMAN 1.0 X 0 0 0 M SCOT KAUFMAN 1.0 X 0 0 0 ANDREW KLEIN 1.0 X 0 0 0 SHIRLEY S KLEIN 1.0 X 0 0 0 VINCENT LAGROTTERIA 1.0 X 0 0 0 JAMES LAMBDIN 1.0 X 0 0 0 MICHAEL E LEAF 1.0 X 0 0 0 STEVEN D LINKOUS 1.0 X 0 0 0 SHARI L LOPRESTI 1.0 X 0 0 0 ANTHONY J MEOLI 1.0 X 0 0 0 WILLIAM R MINTON 1.0 X 0 0 0 VIJAY S NAIR MD 1.0 X 0 53990 0 LEONARD PARRISH 1.0 X 0 0 0 JOSEPH RIES 1.0 X 0 0 0 SHIRLEY J ROSE 1.0 X 0 0 0 THOMAS J SADOWSKI 1.0 X 0 0 0 ROGER E SCHNEIDER MD 1.0 X 0 0 0 JOSEPH F SNEE JR 1.0 X 0 0 0 BENNY C WALKER 1.0 X 0 0 0 CRAIG WARD 1.0 X 0 0 0 KATHY WELCH 1.0 X 0 0 0 DEBORAH S WILLIAMS 1.0 X 0 0 0 IRKA ZAZULAK 1.0 X 0 0 0 JOSEPH E HOFFMAN III 1.0 X 0 363940 107678 KENNETH KOZEL 1.0 X 0 378133 99448 0 1630926 403303 0 false true false 0 1380623 430331 1380623 0 142425 142425 0 0 5142260 5152485 -10225 -10225 -10225 683140 233155 449985 449985 0 0 OTHER REVENUE 445 445 445 1963253 0 582630 3925448 3925448 0 0 0 0 0 368966 368966 0 82306 82306 0 0 0 0 0 0 0 4106 4106 22657 22657 22202 22202 0 0 0 0 0 795 795 0 0 1276 1276 0 EMPLOYEE RELATIONS 16003 16003 MAINTENANCE CONTRACT 2462 2462 POSTAGE 14411 14411 TRAVEL 2147 2147 MISCELLANEOUS 22491 22491 4485270 4485270 0 0 2417670 153365 2503631 1896003 31634 22848 10062 8786 9477440 11525718 1946 1296 14410749 13585168 343852 638127 343852 638127 X 8568749 9179266 4221944 2491571 1276204 1276204 14066897 12947041 14410749 13585168 X -2522017 1402161 X false true true X false X X UPPER CHESAPEAKE MEDICAL CENTER INC 521253920 03 true true true 335835 HARFORD MEMORIAL HOSPITAL INC 520591484 03 true true true 186431 UPPER CHESAPEAKE HEALTH SYSTEM INC 521398513 09 true true true 873760 UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE 260737028 07 true true true 2529423 4 3925449 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5498148 17962 5516110 5990923 1541035 198187 2231997 5498148 7654759 922450 -483869 2063000 39417 5990923 0.23140 0.76860 false false 5596 5596 26038 22848 3190 8786 0 DUE TO AFFILIATES 637627 OTHER 500 638127 1963253 4485270 -2522017 1402161 1402161 -1119856 3652715 1402161 54146 1456307 2196408 -233155 -233155 1963253 4772571 54146 233155 287301 4485270 4485270 Schedule D, Part V, Line 4 Intended Uses of Endowment Funds The intended uses of the temporarily restricted net assets are as follows: nursing education at Harford Memorial Hospital (a supported organization of this filing organization) and other healthcare programs at Upper Chesapeake Medical Center and Harford Memorial Hospital (both supported organizations of this filing organization). The intended uses of the permanently restricted net assets are as follows: the income from such investments in perpetuity is expendable for equipment purchases by Harford Memorial Hospital and to support charity care provided by Harford Memorial Hospital. Schedule D, Part X, Line 2 Income Taxes The Foundation accounts for tax provisions in accordance with FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes, included in ASC Subtopic 740-10, Income Taxes - Overall, which clarifies the accounting for uncertainty in tax provisions. FIN 48 requires that the Hospitals recognize the impact of an uncertain tax position in their financial statements if that position is more likely than not to be sustained on audit, based on the technical merits of the position. Schedule D, Part XII, Line 4b Reconciliation of Revenue Reclass - Special Event Expenses $233,155 Schedule D, Part XIII, Line 2d Reconciliation of Expenses Reclass - Special Event Expenses $233,155 STAR NIGHT 416140 416140 161074 GOLF 160290 160290 43559 1 106710 106710 28522 683140 683140 233155 233155 449985 true HARFORD MEMORIAL HOSPITAL INC 501 SOUTH UNION HAVRE DE GRACE MD 21078 520591484 501(C)(3) 186431 GENERAL SUPPORT UPPER CHESAPEAKE MEDICAL CENTER 500 UPPER CHESAPEAKE DR BEL AIR MD 21014 521253920 501(C)(3) 335835 GENERAL SUPPORT UPPER CHESAPEAKE HEALTH SYSTEM INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521398513 501(C)(3) 873760 GENERAL SUPPORT UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 260737028 501(C)(3) 2529423 GENERAL SUPPORT 4 0 SCHEDULE I, GRANTS TO ORGANIZATIONS PART I, QUESTION 2 This filing organization is a supporting organization whose only grantees are those supported organizations; therefore, reasonable internal procedures for monitoring the use of the granted funds exists among such related organizations. X X X X X false true true false false false false false false LYLE E SHELDON 0 488792 0 216674 0 49964 0 160200 0 35977 0 951607 JOSEPH E HOFFMAN III 0 243610 0 94643 0 25687 0 79364 0 28314 0 471618 KENNETH KOZEL 0 253777 0 95946 0 28410 0 76876 0 22572 0 477581 SCHEDULE J, COMPENSATION INFORMATION PART I, QUESTION 4B AN ORGANIZATION RELATED TO THIS FILING ORGANIZATION MADE SPLIT DOLLAR LIFE INSURANCE PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THIS FILING ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A: LYLE E SHELDON $107,000 JOSEPH E HOFFMAN III $ 28,616 X CONSTRUCTION MATERIALS 6 430331 FAIR MARKET VALUE false true false PART VI, SECTION A, GOVERNING BODY & MANAGEMENT, QUESTION 6 EXISTENCE OF MEMBERS UPPER CHESAPEAKE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS FILING ORGANIZATION. UPPER CHESAPEAKE HEALTH SYSTEM ASSISTS IN THE MANAGEMENT AND PROVIDES SERVICES AND FINANCIAL ASSISTANCE TO RELATED HEALTHCARE FACILITIES. PART VI, SECTION B, GOVERNING BODY & MANAGEMENT, 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 ALL HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. IN TURN, ONCE THE FORM 990 HAS BEEN APPROVED BY HEALTH SYSTEM'S EXECUTIVE COMMITTEE, A FINAL VERSION OF THE FORM 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS OF THE RESPECTIVE HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. FORMAL NOTIFICATION OF THE FINAL AND APPROVED FORM 990 FOR EACH OF THE HEALTH SYSTEM'S AFFILIATES AS WELL AS ITS AVAILABILITY WILL BE COMMUNICATED TO THE APPLICABLE BOARD MEMBERS ON OR BEFORE THE FILING OF THE FORM 990. PART VI, SECTION B, POLICIES, QUESTION 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, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS. PART VII, SECTION A, PART I HOURS SPENT ON RELATED ORGANIZATIONS 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. UCHS UCMS UCMC UCP UCHC HMH HH UCRHH LYLE E. SHELDON 40 1 5 1 1 5 1 .50 PRESIDENT/CEO JOSEPH E. HOFFMAN 40 1 5 1 1 5 - 1 SENIOR VP/CFO KENNETH D. KOZEL 40 1 5 1 1 5 - - SENIOR VP/COO UCHS - UPPER CHESAPEAKE HEALTH SYSTEM UCMS - UPPER CHESAPEAKE MEDICAL SERVICES UCMC - UPPER CHESAPEAKE MEDICAL CENTER UCP - UPPER CHESAPEAKE PROPERTIES UCHC - UPPER CHESAPEAKE/ST. JOE'S HOME CARE HMH - HARFORD MEMORIAL HOSPITAL HH - HEALTHY HARFORD UCRHH - UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE PART XI, LINE 5 RECONCILIATION OF NET ASSETS UNREALIZED GAINS ON INVESTMENTS 1,402,161 UPPER CHESAPEAKE MEDICAL SERVICES INC 520 UPPER CHESAPEAKE DRIVE BEL AIRE MD 21014 521501734 PHYSICIAN SVC MD 501(C)(3) 9 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 CHESAPEAKE MEDICAL CENTER INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521253920 HOSPITAL CARE MD 501(C)(3) 3 UCHSUMMS VN UPPER CHESAPEAKE ST JOE'S HOME CARE 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521229742 HOSPICE CARE MD 501(C)(3) 9 UCHSUMMS VN UPPER CHESAPEAK HEALTH SYSTEM INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521398513 HLTHCARE SVCS MD 501(C)(3) 11c;III-FI NA HARFORD MEMORIAL HOSPITAL INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 520591484 HOSPITAL CARE MD 501(C)(3) 3 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 N/A UCHS UMMS REAL ESTATE TRUST 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 276803540 INACTIVE MD NA N/A UPPER CHESAPEAKE HEALTH VENTURES INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 522031264 MISC. 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