2026-05-13T12:56:54+00:00 2025-06-30 346565596 Ernst & Young US LLP 2005 Market Street Ste 700 Philadelphia PA 19103 990 2024-07-01 520445374 Civista Medical Center Inc CIVI 3016094130 PO Box 1070 La Plata MD 20646 LUCAS SATER VP, FINANCE 2026-05-13 true Lauren E Bennett P01787029 2154485000 2026-05-13 2024 2025-03-06 01:10:19Z UM Charles Regional Medical Center ALBERT J ZANGER 5 GARRETT AVE LA PLATA MD 20646 208179673 false X WWW.UMMS.ORG/CHARLES X 1980 MD CIVISTA MEDICAL CENTER, INC., D/B/A UM CHARLES REGIONAL MEDICAL CENTER (UM CRMC) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTH SYSTEM SERVING THE HEALTH NEEDS OF CHARLES COUNTY AND THE CITIZENS OF SOUTHERN MARYLAND. 14 11 1000 82 127500 0 163582 144243 177188206 192885807 1865130 2888213 768110 725433 179985028 196643696 60556 56000 0 0 63995975 66593805 0 0 0 104961300 115613467 169017831 182263272 10967197 14380424 177845534 180469595 71504073 64928418 106341461 115541177 CIVISTA MEDICAL CENTER, INC. (DOING BUSINESS AS UM CHARLES REGIONAL MEDICAL CENTER, (UM CRMC)) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTHCARE SYSTEM CREATED TO PROVIDE EXCELLENCE IN ACUTE HEALTHCARE AND PREVENTIVE SERVICES IN CHARLES COUNTY AND THE SURROUNDING COMMUNITIES. false false 135353059 56000 192905778 AS A MEMBER OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, CIVISTA MEDICAL CENTER, INC. (D/B/A UM CHARLES REGIONAL MEDICAL CENTER, "UM CRMC") OPERATES A 114-BED HOSPITAL IN LA PLATA, MARYLAND. UM CRMC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. ITS ACTIVITIES INCLUDE PROVIDING HEALTHCARE TREATMENT AND CARE TO PERSONS WHO ARE ACUTELY ILL, OPERATING A 24-HOUR EMERGENCY DEPARTMENT WHICH SERVICES ALL COMMUNITY PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. DURING ITS FISCAL YEAR ENDED JUNE 30, 2025 THE HOSPITAL ENGAGED IN THE FOLLOWING ACTIVITIES THAT WERE IN FURTHERANCE OF ITS EXEMPT PURPOSE: PROVIDED INPATIENT SERVICES WHICH INCLUDED 5,173 INPATIENT ADMISSIONS; PROVIDED OUTPATIENT SERVICES WHICH INCLUDED 48,617 EMERGENCY DEPARTMENT VISITS AND 2,596 OUTPATIENT SURGERIES; AND 437 BIRTHS. IN FY25, UM CRMC PROVIDED MORE THAN $13.9 MILLION IN COMMUNITY BENEFITS INCLUDING CHARITY CARE, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND DONATIONS. THIS YEAR, WE PROVIDED AND SUPPORTED PROGRAMS, ACTIVITIES AND SCREENINGS SUCH AS BLOOD PRESSURE, GLUCOSE, BREAST AND CERVICAL CANCER, COLORECTAL CANCER AND STROKE RISK REDUCTION EDUCATION. MOBILE INTEGRATED HEALTH COMPLETED THE SECOND YEAR TO IMPROVE ACCESS TO CARE AND WRAP AROUND HEALTH CARE TO COMMUNITY MEMBERS WITH BARRIERS. IN ADDITION TO PARTICIPATING IN THE PROGRAM UM CRMC WILL CONTRIBUTE FINANCIALLY TO THE PROGRAM FOR 3 YEARS. UM CRMC PROVIDED HEALTH EDUCATION PROGRAMS ON HEART HEALTHY EATING, DIABETES EDUCATION, CANCER EDUCATION, BREAST AND CERVICAL CANCER, TOBACCO CESSATION PROGRAM. 135353059 true true false true false false false false false false true true false true true true false true false false false false false false false false true true true false true false false false false false false false false true false false false false false false true false false false false true X 0 0 1000 true true true false false false false false false false false false false false X 14 11 false false false false true true true true true false false false true true true true true true true true true true MD X JENINE WARNKE 4434625811 900 ELKRIDGE LANDING ROAD - 3 EAST LINTHICUM MD 21090 ALBERT J ZANGER SVP and Chief Administrative Officer 40.0 2.0 X X 381083 0 40713 CRYSTAL HUNT Secretary/Treasurer 1.0 1.0 X X 0 0 0 NOEL A CERVINO President and CEO (Ended 12/2024) 40.0 1.0 X X 676225 0 36769 PATRICK PIERCE Chairman 1.0 1.0 X X 0 0 0 TOM DENNISON Vice Chair 1.0 1.0 X X 0 0 0 BARRY WOOD Director 1.0 1.0 X 0 0 0 BRIANNA D BOWLING Director 1.0 2.5 X 0 0 0 CHARLES ROSENFIELD Director 1.0 1.0 X 0 0 0 CHRISTOPHER SIMPSON Director 1.0 1.0 X 0 0 0 DIANE HICKS Director 1.0 2.0 X 0 0 0 IVELISSE MICHEL MD Director 1.0 1.0 X 0 0 0 JOHN HUNGERFORD Director (Ended 5/2025) 1.0 1.0 X 0 0 0 MARY LILLY Director 1.0 1.0 X 0 0 0 MAXWELL GINSBURG MD Director 1.0 2.0 X 0 0 0 MOHAN SUNTHA MD President and CEO, UMMS 1.0 59.0 X 0 3870578 70039 TAMARA SAUNAITIS Director 1.0 41.0 X 0 839624 118730 LUCAS SATER VP Finance 40.0 1.0 X 265870 0 18409 DANA CECIL Chief Nursing Officer 40.0 0 X 290910 0 18054 STEPHEN SMITH SVP and Chief Medical Officer 40.0 0 X 541817 0 105545 ANNE WEEKLEY VP Quality and Patient Experience 40.0 0 X 217254 0 26747 JOSIE SALVADOR Clinical Nurse 40.0 0 X 210987 0 27014 JOY ADIANSINGH Nurse 40.0 0 X 219995 0 16397 KATHERINE MIDDLETON Registered Nurse 40.0 0 X 304481 0 20098 MARY HANNAH VP Population Health 40.0 0 X 214421 0 22919 JON P BURNS Former Director 0.0 40.0 X 0 798920 28717 3323043 5509122 550151 143 true true false NORTHSTAR ANESTHESIA OF PA LL 6225 N STATE HIGHWAY SUITE 200 IRVING TX 75308 PHYSICIAN SERVICES 6743699 MDICS AT CIVISTA LLC 7250 PARKWAY DR STE 500 HANOVER MD 21076 PHYSICIAN SERVICES 3484749 AYA HEALTHCARE INC 5930 Cornerstone Ct W Ste 300 San Diego CA 92121 AGENCY STAFFING 3301629 Cross Country Staffing Inc PO Box 404674 Atlanta GA 303844674 Agency Staffing 3132223 CROTHALL HEALTHCARE INC 13028 Collection Center Dr SUITE 210 Chicago IL 60693 CLEANING SERVICES 2558608 56 0 0 0 757 0 143486 0 144243 NET PATIENT REVENUE 621110 192885807 192885807 0 0 0 0 0 0 192885807 1176475 0 0 1176475 798890 0 220928 0 577962 0 577962 0 0 577962 13026787 0 11315049 0 1711738 0 1711738 0 0 1711738 0 0 0 0 0 0 0 PHYSICIAN ANSWERING SERVICE 561000 127500 0 127500 0 JOINT VENTURE 621990 -5964 -5964 0 0 OTHER 900099 25935 25935 0 0 0 0 147471 196643696 192905778 127500 3466175 X 56000 56000 0 0 2375395 1695236 680159 0 53693624 38319250 15374374 0 2801703 1999478 802225 0 3645249 2601486 1043763 0 4077834 2910207 1167627 0 59298 0 59298 0 54601 0 54601 0 60396453 38546226 21850227 0 25685 18330 7355 0 338487 241566 96921 0 2771077 1977620 793457 0 140132 100007 40125 0 204947 146263 58684 0 1658000 1183256 474744 0 10693707 7631722 3061985 0 4509014 4409734 99280 0 MEDICAL SUPPLIES 17971037 17971037 0 0 BAD DEBT 12441625 12441625 0 0 REPAIRS & MAINTENANCE 1656444 1182146 474298 0 REGULATORY AGENCY FEES 286887 204741 82146 0 2406073 1717129 688944 0 182263272 135353059 46910213 0 9450475 17710406 0 0 0 0 25292862 24457416 0 0 0 0 0 0 1743323 1568859 244683 1261969 198349965 113439883 85028839 84910082 16850000 16801000 14467827 18081968 0 0 0 24767525 15677895 177845534 180469595 8162569 8187642 0 0 3401 3376 0 0 0 0 0 0 0 0 0 0 63338103 56737400 71504073 64928418 X 105635936 114629414 705525 911763 0 0 0 0 0 0 106341461 115541177 177845534 180469595 X 14380424 1310873 0 0 0 -6491581 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 52035 false true 7263 59298 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DIRECT LOBBYING EFFORTS RELATE TO FEDERAL, STATE AND LOCAL LEGISLATION AFFECTING HEALTH CARE ISSUES. 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 1.62% AND 39.00% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C PART II-B AS LOBBYING ACTIVITIES. 0 0 0 0 122519508 60650548 61868960 0 1363893 961502 402391 0 68035809 50543451 17492358 0 6430755 1284382 5146373 84910082 Closely-held equity interests Financial derivatives ALTERNATIVE INVESTMENTS 18081968 F 18081968 CONSTRUCTION FUNDS ECONOMIC INTEREST ASSETS LTD TO USE 6446176 INVESTMENT IN CHESAPEAKE POTOMAC HLTHCR ALLIANCE 4854152 FINANCING LEASE 3606428 OTHER ACCOUNTS RECEIVABLE 771139 15677895 0 Federal Income Taxes 0 DUE TO AFFILIATES 47267357 CREDIT BALANCE 553331 FINANCING LEASE 3846634 ADVANCES FROM THIRD PARTIES 4963030 PENSION 107048 OTHER LIABILITIES 56737400 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 LIABILITIES OR BENEFITS THAT SHOULD BE RECOGNIZED. true true X true X true X 2349147 0 2349147 0.01383 0 0.0 0 0.0 0 0 2349147 0 2349147 0.01383 1246951 70676 1176275 0.00693 1485514 0 1485514 0.00875 15284146 6320730 8963416 0.05278 0 0.0 22351 0 22351 0.00013 0 0 18038962 6391406 11647556 0.06859 0 0 20388109 6391406 13996703 0.08242 0 0.0 9710 9710 0.00006 32601 32601 0.00019 0 0.0 0 0.0 139080 139080 0.00082 0 0.0 23640 23640 0.00014 0 0.0 0 0 205031 0 205031 0.00121 true 10243190 0 82692863 51922865 30769998 X true true 1 1 CIVISTA MEDICAL CENTER INC 5 GARRETT AVE LA PLATA MD 20646 WWW.UMMS.ORG/CHARLES 08-001 X X X 1 1 1 false false true X X X X X X X X 24 true false true true X https://www.umms.org/charles/community/assessment-implementation-plan X true 24 true https://www.umms.org/charles/community/assessment-implementation-plan false true X 200.0 300.0 X X X X X true true X X X true X www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing X www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing X www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER INC.. Beginning in July 2024, UM Charles Regional undertook a comprehensive assessment of the health needs of Charles County. The plan was developed using five different sources of data: a long online survey of Charles County resident perceptions of health and health behaviors, a short paper survey on health perceptions throughout the county, focus groups with community stakeholders, key informant interviews of community leaders and stakeholders, and a quantitative data analysis of secondary, published data. The use of multiple data collection methods strengthened the assessment's validity and ensured that Charles County residents had an opportunity to participate in the assessment and feel invested in its outcome. Quantitative data were analyzed for various health topics, including mortality, population, and demographic data, natality, infant mortality, social determinants of health, chronic diseases including diabetes, cardiovascular disease, COPD/asthma, Alzheimer's, behavioral health, and obesity. Access to health care/health insurance, food insecurity, physical activity, dental health, environmental health, and sexually transmitted diseases. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. UM Charles Regional led the effort and covered 100% of the CHNA costs. However, the hospital worked collaboratively with the Charles County Department of Health and the Local Health Improvement Coalition (LHIC) - Partnerships for a Healthier Charles County (PHCC) - to complete the CHNA. Executive Leadership of PHCC consists of the chief administrative officer of UM Charles Regional, the county health officer, the superintendent of Charles County Public Schools, and the president of the College of Southern Maryland. Executive Committee of LHIC Charles County Dept. of Health, Dianna Abney, MD, Charles County Health Officer Charles County Public Schools, Dr. Maria V. Navarro Superintendent, College of Southern Maryland, Dr. Yolanda Wilson President UM Charles Regional Medical Center, Albert Zanger Chief Administrative Officer Steering Committee of LHIC Charles County Dept. of Health, Amber Starn Director of Community Health and Evaluation Charles County Public Schools, Jennifer Conte Coordinator of Student Intervention Programs College of Southern Maryland, Kelly Winters Executive Director of Workforce Development UM Charles Regional, Mary Hannah and Mary Levy Vice President, Population Health; Community Outreach Manager Subcommittees: Disease Prevention and Management Team: Mary Beth Klick, Charles County Health Department, Tobacco Prevention Coordinator; Angela Deal, Charles County Health Department, Manager of Chronic Disease, Tobacco Prevention and Control Programs; Mary Levy, UM CRMC Community Outreach Manager Access to Care: Chrissie Mulcahey, Health Partners; Mary Hannah, UM CRMC VP Population Health; Annabelle Cubero-Montinola, UM CRMC Population Health Manager Behavioral Health: Jennifer Conte, Charles County Public Schools, Coordinator of Student Intervention Programs Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. A cumulative analysis of all quantitative and qualitative data was used to prioritize the top health care needs in Charles County. The priorities were chosen by the Partnerships for a Healthier Charles County's Steering Committee and Subcommittee leaders using the Hanlon Method, a National Association of City and County Health Officials-recommended approach to health prioritization. The Hanlon Method scores health conditions based on the size and seriousness of the problem, and the effectiveness of available interventions. The health priorities chosen include: 1. Chronic Disease Prevention and Management * Major Cardiovascular Disease (Heart Disease, Hypertension, and Stroke) * Obesity and Overweight * Diabetes * Food Insecurity 2. Access to Care * Social Determinants of Health * Recruit and Retain a Healthcare and Public Health Workforce 3. Behavioral Health * Mental Health * Substance Use Disorders All three priorities outlined in the CHNA are being addressed by UM Charles Regional either directly (physician recruitment), or through partnerships with other organizations (i.e., Chronic Disease Self- Management Program), or through the LHIC, Partnerships for a Healthier Charles County (PHCC), which is co-led and financially supported by UM Charles Regional. Where a need is appropriately addressed by another community entity, UM Charles Regional provides leadership and/or funding through the Charles County Health Improvement Plan and the local health coalition (PHCC) to communicate initiatives, provide financial support and/or assistance or data when needed, and review results (i.e., substance abuse, mental health). Each LHIC team has developed and implemented strategies specific to their identified priorities and reports back to the LHIC Steering Committee quarterly. The hospital provides support and oversight to the teams as a critical member of the LHIC Steering Committee. The manager of community health at our hospital serves as the co-chair of the county's Local Health Improvement Coalition (LHIC). In 2025, our hospital continued holding monthly outreach programs at senior citizen facilities throughout our primary service area. We also participated in several community outreach events in western Charles County, a region facing challenges with access to and outcomes of health care. Additionally, we conducted 10 Red Cross blood drives and continued to develop our Equity in Patient Care Initiatives, which aim to address the higher rates of poorly controlled diabetes and severe maternal morbidity among African Americans in our primary service area. Highlights of accomplishments of our Community Health Improvement plan in 2025 include: * Providing educational programs on stroke awareness, hypertension, diabetes, and other chronic disease topics to 442 participants in conjunction with the Charles County Office on Aging. * Screened 41, 250 patients in our Emergency Department for substance abuse and mental health intervention * Screened 5,610 inpatients for Social Determinants of Health to identify chronic health needs and limit need for post-discharge emergency care Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - CIVISTA MEDICAL CENTER, INC.. THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAT THE FPG INCOME LEVELS. 0 Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE CRMC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAT THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. Schedule H, Part I, Line 6b COMMUNITY BENEFIT REPORT THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HSCRC. THE REPORT CAN BE FOUND AT https://hscrc.maryland.gov/Pages/init_cb.aspx Schedule H, Part VI, Line 7 State Filing of Community Benefit Report As required by Maryland statute for all hospitals, University of Maryland Medical Center submits a detailed, annual community benefit report, which provides information related to programs, services, contributions, etc. that the hospital makes with no or little expectation of financial return, to the Maryland Health Services Cost Review Commission (HSCRC), a state regulatory agency, by January 31 each year. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 12441625 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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, Part II Community Building Activities University of Maryland Charles Regional Medical Center (UM Charles Regional) supports programs and activities in which the hospital's expertise and resources address the fundamental issues affecting our community's health. UM Charles Regional is an active member of the Partnership for a Healthier Charles County (PHCC), whose membership consists of over 30 nonprofit and county agencies. This organization meets regularly to discuss needs and opportunities for addressing community health in Charles County. Hospital Administration participates in health care workforce development, for example, by supporting the College of Southern Maryland Nursing and Allied Health programs. Access to care remains an ongoing concern. According to a 2018 Medical Staff Development Plan authored by Lifton Associates LLC, the hospital's primary service area, Charles County, has a shortage of adult primary care physicians. Among medical specialties, the highest-need specialties were psychiatry, obstetrics/gynecology, neurology, urology, and otolaryngology (ENT). As a result of the prevailing physician shortage and to mitigate the community's lack of access to medical care, UM Charles Regional has developed a robust, ongoing physician recruitment and retention program. Of particular note, in 2025 UM Charles Regional Medical Group expanded its primary care, women's health, endocrinology, and gastroenterology practices and opened a neurology practice. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. IN 2014, MARYLAND'S WAIVER WITH MEDICARE WAS RENEGOTIATED AND UPDATED TO REFLECT THE CURRENT HEALTHCARE ENVIRONMENT. UNDER THIS NEW WAIVER, SEVERAL CRITERIA WERE ESTABLISHED TO MONITOR THE SUCCESS OF THE SYSTEM IN CONTROLLING HEALTHCARE COSTS AND THE CONTINUANCE OF THE WAIVER ITSELF: 1. REVENUE GROWTH PER CAPITA 2. MEDICARE HOSPITAL REVENUE PER BENEFICIARY 3. MEDICARE ALL PROVIDER REVENUE GROWTH PER BENEFICIARY 4. MEDICARE READMISSION RATES 5. HOSPITAL ACQUIRED CONDITION RATE Schedule H, Part III, Line 3 Bad Debt Expense Methodology BECAUSE OF THE UNIQUE PAYMENT SYSTEM DESCRIBED ON LINE 2 (ABOVE), THE HOSPITAL IS UNABLE TO ESTIMATE HOW MUCH OF THE AMOUNT REPORTED IN LINE 2 IS ATTRIBUTED TO PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE CORPORATION RECORDS REVENUES AND ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT THEIR ESTIMATED NET REALIZABLE VALUE. REVENUE IS REDUCED FOR ANTICIPATED DISCOUNTS UNDER CONTRACTUAL ARRANGEMENTS AND FOR CHARITY CARE. AN ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED BASED UPON ANTICIPATED UNCOMPENSATED CARE, AND IS ADJUSTED AS ADDITIONAL INFORMATION BECOMES AVAILABLE. 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 HEALTHCARE 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. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. 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. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE PATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT. Schedule H, Part V, Section B, Line 16a FAP website 1 - CIVISTA MEDICAL CENTER INC.: Line 16a URL: www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - CIVISTA MEDICAL CENTER INC.: Line 16b URL: www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - CIVISTA MEDICAL CENTER INC.: Line 16c URL: www.umms.org/charles/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part VI, Line 2 Needs assessment In addition to conducting the CHNA every three years, UM Charles Regional assesses the health care needs of the communities it serves by taking a leadership role in the county and sitting on the Partnerships for a Healthier Charles County (PHCC) steering committee. PHCC, the Local Health Improvement Coalition in Charles County, consists of over thirty key stakeholders. Together, we collaborate to define priority areas using the Hanlon method and develop the Charles County Health Improvement Plan. Community health improvement strategies to address the identified needs are included in the organization's strategic plan. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance UM Charles Regional posts its charity care policy, or a summary thereof, as well as financial assistance contact information in admissions areas, emergency rooms, business offices, and other areas of the facility where eligible patients are likely to present. Additionally, the policy and plain language version are available on the hospital's public website. https://www.umms.org/patients-visitors/umms-financial-assistance The financial assistance policy (FAP) is written in a culturally sensitive manner and at an appropriate reading level. It is available in English and Spanish. All Patient Access Customer Service Staff have been trained in the financial assistance process. At the time of registration, every patient is provided with an information sheet regarding financial assistance. Additionally, patients are also verbally advised of the existence of our Financial Assistance Policy when practical. If a patient discloses financial difficulty or concerns about paying the bill, the patient is provided with FAP information. A packet with the application, criteria, and documentation checklist is provided. Assistance in completing the application is available. Additionally, assistance is provided for patients or their families who qualify and apply for government benefits, i.e., Medicaid and other state programs. Once an application is processed and deemed incomplete, a letter is sent to the patient requesting the missing or incomplete items. Patients may telephone the Call Center or come into the Patient Access Office and or contact the centralized billing office for assistance. Schedule H, Part VI, Line 4 Community information The University of Maryland Charles Regional Medical Center is Charles County's only hospital and, as such, serves the residents of the entire county. Geography Charles County is located twenty-three miles south of Washington, D.C. It is one of five Maryland counties, that are part of the Washington, DC-MD-VA metropolitan area. At 458 square miles, Charles County is the eighth largest of Maryland's 24 counties. The northern part of the county is the "development district," where commercial, residential, and business growth is focused. The major communities of Charles County are La Plata (the county seat), Port Tobacco, Indian Head, and St. Charles, and the main commercial cluster of Hughesville-Waldorf-White Plains. Approximately 60% of the county's residents live in the greater Waldorf-La Plata area. By contrast, the southern (Cobb Neck area) and western (Nanjemoy, Indian Head, Marbury) areas of the region still remain very rural with smaller populations. Population Charles County has experienced rapid growth since 1970, increasing its population from 47,678 in 1970 to an estimated 174,798 in 2024. Between 2010 and 2022, the county grew by an average of 1.2% a year. Source: US Census Bureau Transportation Charles County's population growth has been slightly greater than Maryland's. This growth has created transportation issues for the County, particularly in the "development district" in the northern part of the County, where many residents commute to Washington, D.C., to work. Public transportation consists of commuter buses for out-of-county travel and the county-run Van Go bus service for in-county transportation. Mean travel time to work (minutes) for workers age 16+, 2019-2023 was 43.1. Source: US Census Bureau Diversity As the county's population changes, its diversity increases. The African American population has experienced the greatest increase. In 2000, African Americans made up 26% of the total Charles County population; in 2025, they comprised 54.9% of the total county population. As of 2019, minorities comprise roughly 65% of the Charles County population. The Hispanic community has also seen increases in recent years. and now comprise 8.7% of the total county population. This is the tenthhighest percentage among the 24 Maryland jurisdictions. Persons aged 65 and over - 14.6% as of 2024 data. Source: US Census Bureau Economy Employment and economic indicators for the county are fairly strong. The U.S. Census estimates the labor force participation rate in Charles County at approximately 68.1%. The census found that approximately 6.8% of Charles County residents live below the poverty level; however, this is lower than the Maryland rate of 9.1%. The Charles County median household income was $120,592, well above the Maryland median household income of $102,900. Source: 2024 US Census Bureau American Community Survey Education 31.6% of Charles County Residents held a bachelor's degree or higher. 94.3% have a high school diploma or higher. Source: 2024 US Census Bureau's American Community Survey 1-year estimates. Housing Home ownership is high in Charles County (81%). The median housing value is between $300,000 and $499,999. Total housing units, 65,653. Source: 2024 US Census Bureau's American Community Survey 1- year estimates. Life Expectancy The life expectancy for a Charles County resident, as calculated for 2020-2022, was 76.8 years. This is slightly below the state average life expectancy of 77.9 years. Source: 2022 Maryland Vital Statistics Report Births There were 1,731 births in Charles County in 2023. Race: Non-Hispanic White, 473; Non-Hispanic Black, 839; non-Hispanic American Indian, 9; Hispanic, 265; Asian or Pacific Islander, 76; non-Hispanic multirace, 68; total multi-race - 77. Minorities accounted for more than half of the babies born in Charles County in 2023. Source: 2023 Maryland Vital Statistics Report Schedule H, Part VI, Line 5 Promotion of community health UM Charles Regional) supports programs and activities in which the hospital's expertise and resources can address fundamental issues affecting the community's health. Governance is provided through a community volunteer board of directors. UM Charles Regional's Community Benefits Program utilizes a planned, managed, organized, and measured approach to meeting the identified community needs of the area we serve. The mission is to improve overall community health by improving access to health care, enhancing the health of the community, advancing health care knowledge, and collaborating with health-providing agency partners. Community health improvement strategies are included in the organization's strategic plan. UM Charles Regional provided FY25 community benefits totaling $18,553,901, which include charity care, health professions education, community benefit operations, community health improvement services, mission-driven health care services, cash and in-kind donations, and community-building activities. This year, we provided and supported programs, activities, and screenings, including blood pressure, glucose, breast and cervical cancer, colorectal cancer, and stroke risk reduction education. Mobile Integrated Health continued to improve access to care and wrap-around health care for community members with barriers. In addition to participating in the program, UM Charles Regional has contributed financially to it for 5 years. UM Charles Regional provides health education programs on heart-healthy eating, diabetes, cancer, and tobacco cessation. In addition, we sponsored support groups for stroke, cardiac, and Diabetes. Fiscal year 2025 was a successful year for the Living Well Chronic Disease Self-Management Program, a free, six-week, evidence-based program to improve the well-being of people living with a variety of chronic conditions. The hospital offers clinics and services, including renal dialysis and American Red Cross blood drives. We participated in community coalitions and boards, including Partnerships for a Healthier Charles County, the Charles County Tobacco Coalition, Leadership Southern Maryland, Hospice of the Chesapeake, Charles County Children's Aid Society, Southern Maryland Food Bank, Fetal Maturity Mobility, and others. We participated in and supported community events such as Lifestyles Safe Nights, Southern Maryland Food Bank, American Heart Association Heart Walk, and more. UM Charles Regional operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Maryland's global budget revenue model, UM Charles Regional regularly reports on how it invests in efforts to improve population health. UM Charles Regional provides ongoing services that are fundamental to addressing the identified community health needs, demonstrating the extent to which our commitment to serving our community is integrated into our care delivery model. We have a strong focus on treating patients with chronic conditions. UM Charles Regional works to coordinate care, ensure smooth transitions, and promote disease self-management strategies at every step of a patient's journey - whether at home, in the community, or within our hospital. Our transitional care services help patients newly diagnosed or those who have had a recent hospitalization transition safely back to the community. Transitional nurse navigators provide patients with disease education and self-management strategies, connect them to primary care providers and specialists, and help them overcome any barriers to making follow-up appointments. Resources are embedded throughout the hospital and in the community so that every patient receives the same level of care coordination. Case managers and peer recovery coaches are embedded within our emergency department and hospital. We maintain a strong relationship with Chesapeake Potomac Health Home Agency through our Resources Education and Access to Community Health (REACH) program, which helps bring our patients back to achieving wellness in their communities after discharge by offering nurse home visits, medication management, social services, environmental home safety scans, disease-specific education, and referral to other community resources as appropriate. Strong relationships also exist with local emergency medical service (EMS) providers through our mobile integrated health program, which delivers effective, efficient care to patients outside the hospital. Nurses and community health workers function outside traditional emergency response roles, focusing on maintaining individuals' health at home while also providing convenient access to care in the community. Additional care partners include primary care providers, specialists, the local Department of Health, the Office on Aging, and other community-based partners. In 2023, UM Charles Regional Medical Center was designated a Primary Stroke Center within the State of Maryland. It means that at our hospital, we can treat some of our acute stroke patients with a specialized thrombolytic medication (clot-busting medication). This medication dissolves the clot and helps to restore blood flow to the brain, improving the patient's recovery from a stroke. Additionally, as a rural health provider, we recognize that the lack of public transportation is a barrier for patients who need assistance with transportation. To address this barrier and improve access to health care for low-income, disadvantaged Tri-County residents, we launched the Transportation to Wellness project. For eligible patients, this program provides free, on-demand, curb-to-curb nonemergency medical transportation services to a patient's home after discharge and to post-hospitalization medical appointments. We are proud to serve our community and appreciate our partners who allow us to fulfill our mission. We will always do what is right for the patient, no matter where they are in their health journey, and strive to ensure our patients receive care in the community where they reside. As a part of the University of Maryland Medical System (UMMS), we are shaping a new paradigm in care delivery that we believe should be the future standard of care. Schedule H, Part VI, Line 6 Affiliated health care system The University of Maryland Medical System Corporation (UMMS) is a private, not-for-profit corporation providing comprehensive healthcare services through an integrated regional network of hospitals and related clinical enterprises. UMMS was created in 1984 when its founding hospital was privatized by the State of Maryland. Over its 30-year history, UMMS evolved into a multi-hospital system with academic, community, and specialty service missions reaching primarily across Maryland. As part of the University of Maryland Medical System (UMMS), Charles Regional Medical Center understands that health care extends beyond the hospital walls into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, UM Charles Regional Medical Center assesses the community's health needs, identifies key priorities, and responds with services, programs, and initiatives that have a positive, sustained impact on the community's health. With representation from all UMMS hospitals, the Medical System's Community Health Improvement Council coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. UM Charles Regional Medical Center is committed to health education, advocacy, community partnerships, and engaging programs that focus on health and wellness, with the goal of eliminating health care disparities in Charles County Schedule H, Part VI, Line 7 State filing of community benefit report MD true CHARLES COUNTY DEPARTMENT OF HEALTH PO Box 1050 White Plains MD 20695 526000925 GOVT 40000 Blue Zones Initial Funding Request HOSPICE OF THE CHESAPEAKE FOUNDATION INC 90 Ritchie Highway John and Cathy Belcher Campus Pasadena MD 21122 521457419 501c3 15000 45th Anniversary Partnership 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds The hospital's community health department participates in the programs, ensuring funds are used as intended. X X X X false true false false false false false true false NOEL A CERVINO President and CEO (Ended 12/2024) 427370 0 169222 0 79633 0 13800 0 22969 0 712994 0 0 0 ALBERT J ZANGER SVP and Chief Administrative Officer 265681 0 81964 0 33438 0 0 0 40713 0 421796 0 0 0 JON P BURNS Former Director 0 474686 0 233884 0 90350 0 13800 0 14917 0 827637 0 0 TAMARA SAUNAITIS Director 0 613659 0 193100 0 32865 0 81729 0 37001 0 958354 0 0 MOHAN SUNTHA MD President and CEO, UMMS 0 2035925 0 1438800 0 395853 0 13800 0 56239 0 3940617 0 0 LUCAS SATER VP Finance 220396 0 45289 0 185 0 8900 0 9509 0 284279 0 0 0 DANA CECIL Chief Nursing Officer 191117 0 55310 0 44483 0 8607 0 9447 0 308964 0 0 0 STEPHEN SMITH SVP and Chief Medical Officer 382655 0 129696 0 29466 0 59721 0 45824 0 647362 0 0 0 JOY ADIANSINGH Nurse 203779 0 12500 0 3716 0 0 0 16397 0 236392 0 0 0 MARY HANNAH VP Population Health 156172 0 44550 0 13699 0 21058 0 1861 0 237340 0 0 0 KATHERINE MIDDLETON Registered Nurse 291661 0 12500 0 320 0 5217 0 14881 0 324579 0 0 0 JOSIE SALVADOR Clinical Nurse 197805 0 12500 0 682 0 4092 0 22922 0 238001 0 0 0 ANNE WEEKLEY VP Quality and Patient Experience 152384 0 44623 0 20247 0 6056 0 20691 0 244001 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR-ENDED JUNE 30, 2025, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS VESTED IN THE PLAN IN THE REPORTING TAX YEAR, THEREFORE THE FULL VALUE OF THE PLAN, INCLUDING ANY CONTRIBUTIONS TO THE PLAN FOR THE CURRENT FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), 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). MARY HANNAH, $17,149 DURING THE FISCAL YEAR-ENDED JUNE 30, 2025, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: MOHAN SUNTHA MD, $374,969 DANA CECIL, $19,366 JON P. BURNS, $59,548 NOEL A. CERVINO, $61,757 ANNE WEEKLEY, $14,748 ALBERT ZANGER, $32,917 DURING THE FISCAL YEAR- ENDED JUNE 30, 2025, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT 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: TAMARA SAUNAITIS STEPHEN SMITH LUCAS SATER Schedule J, Part I, Line 7 Non-fixed payments BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES. James Cecil See Part V 77403 See Part V false Schedule L, Part IV Line 1, Column B and Column D James Cecil is a family member of Dana Cecil, a Key Employee of the filing organization. James Cecil was paid reasonable compensation as an employee of the filing organization. Form 990, Part IV, Line 24a TAX EXEMPT BOND ISSUES PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (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 EDUCATIONAL FACILITIES 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, UMROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AT EASTON), UM CHESTER RIVER, CRMC, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM LAUREL, UM CAPITAL REGION, BOWIE HEALTH CENTER (BOWIE), AND THE UM MEDICINE FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $2,092,015,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2025. 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. Form 990, Part V, Line 1a Tax Compliance INDEPENDENT CONTRACTORS OF THE FILING ORGANIZATION ARE REPORTED BY THE PARENT CORPORATION, UMMS. UMMS ISSUES THE FORMS 1099 FOR THESE VENDOR PAYMENTS, WHILE THE FILING ORGANIZATION REPORTS THE EXPENSES FOR ITS INDEPENDENT CONTRACTORS ON PART VII, SECTION B, LINE 1 ON ITS FORM 990. Form 990, Part VI, Line 6 Classes of members or stockholders University of Maryland Medical System Corporation ("UMMS") is the sole member of University of Maryland Charles Regional Health, Inc. ("UMCRH"). UMCRH is the sole member of Civista Medical Center, Inc. (d/b/a UM Charles Regional Medical Center, "CRMC"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMCRH AND UMMS MAY ELECT MEMBERS OF THE CRMC BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following decisions of the governing body are among those subject to the approval of the member: amendment of charter documents; dissolution of the organization; strategic plans; participation in joint ventures; and leases or intercompany transfers of assets, subject to certain dollar thresholds. In addition, the following decisions of the governing body are subject to the approval of the member and UMMS: annual operating and capital budgets; acquisition or disposition of an entity or substantially all assets; merger or consolidation of entity; mortgage, pledge or disposition of property; incurrence of debt or real property, subject to certain dollar thresholds. Form 990, Part VI, Line 11b Review of form 990 by governing body The University of Maryland Medical System ("UMMS") prepares the IRS Form 990 for UMMS and its affiliates. Information needed to complete the return is gathered by accounting personnel in the Finance Shared Services department under the supervision of the UMMS Tax Director. Draft returns are prepared using IRS-approved tax software. Once a draft return is prepared, it undergoes multiple levels of review both internally by UMMS tax & finance personnel, and externally by Ernst & Young LLP. Following any necessary changes to the return, a final draft is reviewed by each affiliate's vice president of finance and/or CFO. Prior to filing the IRS Form 990, the organization's board chairman, treasurer, governance committee chairman, finance committee chairman or other member of the board with similar authority will review the IRS Form 990. All board members are provided with a copy of the final IRS Form 990 before filing. Form 990, Part VI, Line 12c Conflict of interest policy The filing organization follows the University of Maryland Medical System (UMMS) Conflicts of Interest Policy, which requires that all Covered Persons 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. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The organization (or its sole member) is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Governance Committee (or other Board committee having similar authority) reviews any and all conflicts, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization or its sole member's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the oversight committee. A questionnaire which discloses potential conflicts of interest is distributed annually to Covered Persons. The Chief Compliance Officer of the University of Maryland Medical System Corporation (UMMS) distributes and collects the responses for UMMS and other affiliates, and may be called for consult when potential conflicts are disclosed. If the oversight Committee determines that a Conflict of Interest exists, the Committee shall notify the Covered Person and the organization's Board Chair, and further will notify the full Board at its next meeting. Furthermore, in the event the Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Committee determines that a Conflict of Interest exists but that the organization may enter into the subject transaction or arrangement, the interested Covered Person shall be recused from all deliberations and decisions concerning said transaction or arrangement, any arrangements with that entity, and compensation or benefits for officers, directors, and trustees. Furthermore, the Chair of the Board and the Chairs of the oversight Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the oversight Committee determines that a Covered Person has used their position to accrue Excess Benefits or to knowingly assist others in accruing Excess Benefits in any way at the expense of the organization, the Committee shall recommend to the Executive Committee appropriate corrective action to be taken. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM. Form 990, Part VII, Section A HOURS ON RELATED ENTITIES UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT 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 THAT COMPRISE UMMS. Form 990, Part IX, Line 11g Other Fees CONTRACT - Total Expense: 10445851, Program Service Expense: 10445851, Management and General Expenses: 0, Fundraising Expenses: 0; CORPORATE - Total Expense: 21850227, Program Service Expense: 0, Management and General Expenses: 21850227, Fundraising Expenses: 0; LABOR - Total Expense: 9237777, Program Service Expense: 9237777, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN - Total Expense: 18862598, Program Service Expense: 18862598, Management and General Expenses: 0, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INVESTMENT IN FOUNDATION - 206238; CAPITAL TRANSFERS - -3024173; DB PENSION ADJUSTMENT - 1279163; EQUITY TRANSFERS - -5117808; DONATED CAPITAL - 165000; ROUNDING - -1; Total - -6491581; BALTIMORE WASHINGTON EMERGENCY PHYS INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521756326 HEALTHCARE MD 501(c)(3) Type I BWHS false BALTIMORE WASHINGTON HEALTHCARE SERVICES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830243 HEALTHCARE MD 501(c)(3) Type I UMBWMS false BALTIMORE WASHINGTON MEDICAL CENTER INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 520689917 HEALTHCARE MD 501(c)(3) 3 UMBWMS false UM BALTIMORE WASHINGTON MEDICAL SYSTEM 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830242 HEALTHCARE MD 501(c)(3) Type I UMMSC false NORTH ARUNDEL DEVELOPMENT CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521318404 REAL ESTATE MD 501(c)(2) NCC false NORTH COUNTY CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521591355 REAL ESTATE MD 501(c)(2) UMBWMS false CHESTER RIVER HEALTH FOUNDATION INC 100 BROWN STREET CHESTERTOWN MD 21620 521338861 FUNDRAISING MD 501(c)(3) 8 UMSRH false UNIV OF MD SHORE REGIONAL HEALTH INC 219 SOUTH WASHINGTON STREET EASTON MD 21601 522046500 HEALTHCARE MD 501(c)(3) Type I UMMSC false CHESTER RIVER HOSPITAL CENTER 100 BROWN STREET CHESTERTOWN MD 21620 520679694 HEALTHCARE MD 501(c)(3) 3 UMSRH false CHESTER RIVER MANOR INC 100 BROWN STREET 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