2026-05-14T12:19:00-05:00 2025-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-07-01 520607945 UNION HOSPITAL OF CECIL COUNTY INC % SR VP'S OFFICE UNIO 4103984000 4000 NEXUS DRIVE NW3-100 WILMINGTON DE 19803 ROBERT MCMURRAY CFO 4103984000 2026-05-13 true true ANTONIO C RUSSO P00858539 2673303000 2026-05-12 2024 2025-03-06 01:10:19Z AMY MARSTON 106 BOW STREET ELKTON MD 219215596 222623752 false X WWW.UHCC.COM X 1903 MD TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD AND THE SURROUNDING AREA. 12 10 992 180 1744302 0 173336 618008 186412171 188403150 5543871 7477237 2392637 2634186 194522015 199132581 0 0 0 0 124692604 138230546 0 0 0 68606520 78344866 193299124 216575412 1222891 -17442831 209167049 218706660 167642633 196354604 41524416 22352056 X UNION HOSPITAL OF CECIL COUNTY, INC.'S MISSION IS TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND; WESTERN NEW CASTLE COUNTY, DELAWARE; AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA. false false 190766744 0 189018847 UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND AND NEIGHBORING COMMUNITIES. SERVICES ARE PROVIDED WITH MODERN TECHNOLOGY AND COMPASSIONATE CARE FROM HEALTH CARE PROFESSIONALS. SERVICES ARE PROVIDED REGARDLESS OF RACE, GENDER, ETHNICITY, AGE, DISABILITY, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, IT IS RECOGNIZED THAT NOT ALL MEMBERS OF THE COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE HEALTH CARE SERVICES. FOR ELIGIBLE INDIVIDUALS, UNION HOSPITAL OF CECIL COUNTY OFFERS FREE AND/OR SUBSIDIZED CARE, AS WELL AS ACCESS TO COMMUNITY FINANCIAL ASSISTANCE. DURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $3,515,802 IN CHARITY CARE. IN ADDITION, COMMUNITY BENEFIT ACTIVITIES ARE PROVIDED TO SERVE VULNERABLE POPULATIONS (I.E. PEOPLE WITH LOW INCOMES, PREGNANT PEOPLE, PEOPLE WITH SUBSTANCE USE DISORDER) AND/OR TO ADDRESS A DEMONSTRATED COMMUNITY HEALTH-RELATED NEED. COMMUNITY NEEDS ARE IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENTS, COMPLETED EVERY THREE YEARS IN PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT. COMMUNITY BENEFITS INCLUDE: A) ACCESS TO HEALTH INITIATIVES INCLUDING MOBILE HEALTH MONTHLY OUTREACH WHICH OFFERS CONNECTION TO COMMUNITY AND CLINICAL RESOURCES AND BLOOD PRESSURE AND VISION SCREENINGS, AND A PARTNERSHIP WITH THE CECIL COUNTY DEPARTMENT OF EMERGENCY SERVICES TO LAUNCH A MOBILE INTEGRATED HEALTH PROGRAM WHICH SEEKS TO CONNECT HIGH-RISK INDIVIDUALS TO CARE WHO WERE RECENTLY DISCHARGED FROM THE HOSPITAL AND/OR ARE REPEAT 911 CALLERS. B) ADDRESSING MATERNAL AND CHILD HEALTH BY OFFERING SUPPORT GROUPS AND EDUCATION ON THE TOPICS OF DELIVERY, INFANT CARE, AND BREASTFEEDING - INCLUDING SPECIALIZED EDUCATION FOR HOW TO CARE FOR BABIES WITH NEONATAL ABSTINENCE SYNDROME - OFFERED AT COMMUNITY TREATMENT CENTERS. C) HEALTH EDUCATION ON PREVENTION AND SCREENING FOR CANCER, ESPECIALLY LUNG CANCER WHICH IS PREVALENT IN CECIL COUNTY. D) THE DEVELOPMENT AND LAUNCH OF A TOBACCO CESSATION PROGRAM IN RESPONSE TO HIGH RATES OF TOBACCO USE IN CECIL COUNTY. E) PROVIDING SUPPORT FOR THOSE WITH SUBSTANCE USE DISORDER THROUGH OUR PARTNERSHIP WITH CECIL COUNTY HEALTH DEPARTMENT AND VOICES OF HOPE, INC. WHICH OFFERS NEARLY 24/7 ON-SITE CONNECTION FOR PATIENTS TO PEERS IN RECOVERY WHO PROVIDE CONNECTIONS TO BEHAVIORAL HEALTH SUPPORTS AND TREATMENT AS WELL AS MOTIVATION TO SEEK TREATMENT. F) ADDRESSING SOCIAL DETERMINANTS OF HEALTH BY IDENTIFYING SOCIAL NEEDS OF ADMITTED PATIENTS AND HELPING TO ADDRESS THOSE NEEDS THROUGH COMMUNITY PARTNERSHIPS, AN ANNUAL COMMUNITY BABY SHOWER WHICH PROVIDES EXPECTANT FAMILIES WITH EDUCATION, CONNECTIONS TO RESOURCES AND CARE, AND ESSENTIAL BABY ITEMS, AND THE PROVISION OF TRANSPORTATION FOR ELIGIBLE PATIENTS WITH TRANSPORTATION BARRIERS TO MEDICAL SERVICES. G) PARTNERING WITH THE CECIL COUNTY HEALTH DEPARTMENT TO OFFER A DIABETES PREVENTION PROGRAM TO ADDRESS HIGH RATES OF CHRONIC CONDITIONS IN CECIL COUNTY. H) HOSPITAL STAFF PARTICIPATION ON COMMUNITY BOARDS AND COALITIONS, SUCH AS THE ECONOMIC DEVELOPMENT COMMISSION, CECIL COUNTY LOCAL MANAGEMENT BOARD, CECIL COUNTY COMMISSION ON AGING, AND WEST CECIL HEALTH CENTER. UNION HOSPITAL OF CECIL COUNTY SERVICED 6,268 DISCHARGES PROVIDING 27,641 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2025 OF WHICH: 1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,326 DISCHARGES AND 11,092 PATIENT DAYS 2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 185 DISCHARGES AND 845 PATIENT DAYS 3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,567 DISCHARGES AND 5,545 PATIENT DAYS 4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 875 DISCHARGES AND 4,314 PATIENT DAYS. 4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 875 DISCHARGES AND 4,314 PATIENT DAYS. DISCHARGES AND 4,314 PATIENT DAYS. 190766744 true true false false false false false false false false true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true X 57 0 true 992 true true true false false false false false false false false false false false X 12 10 false false false false true true true true true false false true true true true true true true true false MD X SR VP'S OFFICE 3024282441 4000 NEXUS DRIVE NW3-100 WILMINGTON DE 19803 X ROBERT MCMURRAY TREASURER (EX-OFFICIO) 1.0 44.0 X 0 1192681 89596 JENNIFER L SCHWARTZ ESQ SECRETARY (EX-OFFICIO) 1.0 44.0 X 0 1102756 90376 FAHD RAHMAN MD PHYSICIAN, ONCOLOGY 45.0 0.0 X 851510 0 22334 JUSTIN SAUSVILLE MD DIRECTOR - THRU 12/24 44.0 1.0 X 767366 0 22334 ROGER D WU MD PHYSICIAN, GASTROENEROLOGY 45.0 0.0 X 641112 0 22711 SHARON KURFUERST FORMER DIRECTOR, PRESIDENT 0.0 0.0 X 0 532730 0 CLAIRE YI ZHANG MD PHYSICIAN, GASTROENEROLOGY 45.0 0.0 X 532703 0 0 KOJO ARKHURST MD PHYSICIAN, HOSPITALIST 45.0 0.0 X 523111 0 0 AMY MARSTON FORMER KEY EMPLOYEE 44.0 1.0 X 0 471716 22334 GEORGE GIANNOUKOS MD PHYSICIAN, GENERAL SURGERY 45.0 0.0 X 491425 0 0 ARSALAN SHEIKH MD CHIEF MEDICAL OFFICER 45.0 0.0 X 326243 0 17561 GINA RICCARDI MD DIRECTOR - AS OF 1/25 1.0 44.0 X 319705 0 22711 JOAN PIRRUNG MSN APRN ACNS DIRECTOR/CHIEF NURSING OFFICER 44.0 1.0 X X 269703 0 22334 DONNA MALONEY DIRECTOR OF FINANCE 1.0 44.0 X 0 266882 22503 ROBERT ASANTE DIRECTOR 1.0 44.0 X 0 258275 22334 MICHELLE TWUM-DANSO FORMER KEY EMPLOYEE 1.0 44.0 X 0 241751 14833 DERON BROWN FORMER KEY EMPLOYEE 1.0 44.0 X 0 200703 0 RYAN GERACIMOS MD FMR CHIEF MEDICAL OFFICER 0.0 0.0 X 105950 0 0 ADAM BORDEN DIRECTOR - AS OF 1/25 1.0 1.0 X 0 0 0 CHRISTY DRYER DNP DIRECTOR 1.0 2.0 X 0 0 0 DAVID TROLIO VICE CHAIR 1.0 1.0 X X 0 0 0 JACQUES RENE DIRECTOR 1.0 1.0 X 0 0 0 JOHN NESS DIRECTOR 1.0 1.0 X 0 0 0 LEO NAJERA MD DIRECTOR 1.0 1.0 X 0 0 0 MORGAN MILLER MLIS CHAIR 1.0 2.0 X X 0 0 0 REVEREND R KEVIN BROWN DIRECTOR - THRU 12/24 1.0 1.0 X 0 0 0 ROBERT PALSGROVE DIRECTOR 1.0 1.0 X 0 0 0 SUANNE BLUMBERG DIRECTOR 1.0 1.0 X 0 0 0 WANDA CRICKET BROWNE ESQ DIRECTOR 1.0 1.0 X 0 0 0 4828828 4267494 391961 10 true true false UNION RADIOLOGISTLLC 106 BOW STREET RADIOLOGY OFFICE ELKTON MD 21921 RADIOLOGY SERVICES 3588522 LOCUMTENENSCOM P O BOX 405547 ATLANTA GA 303845547 PROVIDER SERVICES 468563 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809176 LAB SERVICES 281407 DRS HICKEN CRANLEY TAYLOR PA 2360 W JOPPA RD STE 224 LUTHERVILLE MD 21093 PATHOLOGY SERVICES 204007 VASCULAR SURGERY ASSOCIATES LLC 520 UPPER CHESAPEAKE DRSUITE 306 BEL AIR MD 21014 PROVIDER SERVICES 198000 10 479651 138357 0 618008 NET PATIENT SERVICE REVENUE 621990 188039948 188039948 OTHER OPERATING REVENUE 621990 267802 231802 36000 MANAGEMENT FEE REVENUE 623990 95400 95400 188403150 2181897 8853 2173044 0 0 71732 7676 64056 0 64056 64056 28778835 23483495 5295340 5295340 74497 5220843 0 0 0 0 0 0 0 0 0 LABORATORY REVENUE 621500 2240649 615697 1624952 CAFETERIA/FOOD SERVICE REVENUE 722210 325228 325228 OTHER REVENUE 900009 4253 4253 2570130 199132581 188982847 1744302 7787424 X 0 0 0 0 672117 604228 67889 0 0 107476042 96620209 10855833 0 5035325 4280026 755299 0 17964209 16235793 1728416 0 7082853 6019460 1063393 0 0 13486 0 13486 0 177498 0 177498 0 0 0 116772 0 116772 0 21783123 20692269 1090854 0 227912 55554 172358 0 3849818 964138 2885680 0 2852045 375098 2476947 0 0 4278775 3684725 594050 0 288834 274282 14552 0 0 168820 155655 13165 0 2311526 1910245 401281 0 0 7540108 5117703 2422405 0 3399840 3398727 1113 0 MEDICAL SUPPLIES 24889298 24665788 223510 0 REPAIRS & MAINTENANCE 3947083 3893698 53385 0 DUES & PERIODICALS 874833 227957 646876 0 DIETARY 720917 705646 15271 0 904178 885543 18635 216575412 190766744 25808668 0 X 0 2572949 26711352 27186851 0 0 28131548 25594272 0 0 0 0 0 0 4736732 3531287 4874360 4728405 204939741 143221205 59405938 61718536 48038054 53259039 9614703 9512221 0 0 0 0 27654362 30603100 209167049 218706660 27255155 34793825 0 0 52303 7407 44456291 42025386 0 0 0 0 0 0 0 0 95878884 119527986 167642633 196354604 X 38436965 19618247 3087451 2733809 41524416 22352056 209167049 218706660 X -17442831 -1467750 -261779 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1134905 1134905 60921360 38243657 22677703 1115800 697862 417938 107621840 81361563 26260277 34145836 22918123 11227713 61718536 DUE FROM AFFILIATES 25423228 ROU LEASES 2888103 IN HOUSE LEASES 2246151 SECURITY DEPOSITS 25618 OTHER ASSETS 20000 30603100 0 INTERCOMPANY PAYABLES 112980923 INSURANCE CLAIMS LIABILITY 3436268 ROU LEASES 3103562 CAPITAL LEASE OBLIGATIONS 7233 119527986 true true X true X true X true true true false true true 2766955 0 2766955 0.01280 2766955 0 2766955 0.01280 679545 0 679545 0.00310 308591 0 308591 0.00140 28549742 11421227 17128515 0.07910 183134 0 183134 0.00080 29721012 11421227 18299785 0.08440 32487967 11421227 21066740 0.09720 1456 1456 1664 1664 10516 10516 0.00010 318915 318915 0.00150 332551 332551 0.00160 true 6906653 126198 35029283 27876002 7153281 X true true 1 1 UNION HOSPITAL OF CECIL COUNTY INC 106 BOW STREET ELKTON MD 21921 WWW.UHCC.COM LICENSE 07-005 X X X UNION HOSPITAL OF CECIL COUNTY INC 1 false false true X X X X X X X X X 24 true false true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 25 true SEE PART V, SECTION C false true X 200. 400. X X X X X X true true X X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X true X false X X X X true X false false PART V, SECTION B, LINES 5, 6B (INPUT FROM COMMUNITY; JOINT CHNA) IN FY2025, UNION HOSPITAL CONDUCTED A CHNA IN PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD). TO ENSURE THE CHNA WAS INFORMED BY COMMUNITY MEMBERS IN ADDITION TO EXISTING DATA, UNION HOSPITAL AND CCHD PARTNERED WITH COMMUNITY ORGANIZATIONS TO HOST FOCUS GROUPS TO OBTAIN INPUT RELEVANT TO THE HEALTH NEEDS OF CERTAIN POPULATIONS, NEIGHBORHOODS, AND COMMUNITIES WITHIN CECIL COUNTY. A TOTAL OF 44 COMMUNITY MEMBERS PARTICIPATED IN 5 FOCUS GROUPS HELD AT THE NORTHEAST AND PERRYVILLE PUBLIC LIBRARIES, THE ELKTON COMMUNITY CENTER, VOICES OF HOPE, A RECOVERY COMMUNITY ORGANIZATION, AND DEEP ROOTS AT CLAIRVAUX FARMS, AN EMERGENCY AND TRANSITIONAL HOUSING PROVIDER. FOCUS GROUP PARTICIPANTS WERE ASKED QUESTIONS ABOUT OVERALL HEALTH STATUS, MOST SIGNIFICANT HEALTH NEEDS, SOCIAL FACTORS AFFECTING HEALTH, AND WHAT IS NEEDED FROM THE HOSPITALS AND HEALTH DEPARTMENT TO BETTER SUPPORT RESIDENTS. IN ADDITION TO THE FOCUS GROUPS, UNION HOSPITAL HELD A COMMUNITY PARTNER MEETING WITH 16 INDIVIDUALS, REPRESENTING 9 COMMUNITY ORGANIZATIONS AND A MEETING OF 24 STAFF MEMBERS FROM UNION AND THE CECIL COUNTY HEALTH DEPARTMENT (CCHD). STAFF MEMBERS REPRESENTED A VARIETY OF ROLES AND DISCIPLINES INCLUDING ADMINISTRATION, PROGRAM COORDINATORS, COMMUNITY ENGAGEMENT, NURSING, ACUTE CARE CONNECTORS, SOCIAL WORKERS, EMERGENCY CARE, AND PATIENT CARE COORDINATORS. PARTICIPANTS IN BOTH MEETINGS OFFERED HELPFUL INSIGHT ABOUT COMMUNITY NEED INFORMED THROUGH THEIR SERVICE TO THE COMMUNITY. THE COMMUNITY PARTNER MEETING AND STAFF MEETING FOLLOWED THE SAME FORMAT. PARTICIPANTS WERE PRESENTED WITH SECONDARY DATA INCLUDING A SUMMARY OF UNFAVORABLE COMMUNITY HEALTH INDICATORS. THEY WERE ASKED TO SHARE REACTIONS AND IDENTIFY COMMUNITY HEALTH ISSUES THAT MAY NOT HAVE BEEN INCLUDED IN THE DATA. AT THE CONCLUSION OF EACH MEETING, PARTICIPANTS WERE ASKED TO IDENTIFY THREE TO FIVE COMMUNITY HEALTH ISSUES THEY CONSIDER TO BE MOST SIGNIFICANT. ADDITIONAL COMMUNITY INPUT WAS PROVIDED THROUGH AN ONLINE COMMUNITY HEALTH SURVEY CONDUCTED BY THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) BETWEEN SEPTEMBER AND DECEMBER 2024, TO WHICH 540 RESPONSES WERE RECEIVED. THE SURVEY HAD TWENTY-ONE QUESTIONS ORGANIZED INTO THE FOLLOWING TOPICS: DEMOGRAPHICS, HEALTH AND HEALTHCARE, NEIGHBORHOOD AND ENVIRONMENT, ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, AND SOCIAL AND COMMUNITY CONTEXT. MOST SURVEY RESPONDENTS WERE FEMALE (81.9%) AND NEARLY 60% OF SURVEY RESPONDENTS WERE FROM ELKTON (39.2%) AND NORTH EAST (20%). FINALLY, 11 INDIVIDUALS IN LEADERSHIP POSITIONS FROM THE CECIL COUNTY HEALTH DEPARTMENT, WEST CECIL HEALTH CENTER, CECIL TRANSIT, YOUTH EMPOWERMENT SOURCE, ELKTON SENIOR CENTER, AND THE JUDY CENTER PARTICIPATED IN INTERVIEWS TO SHARE THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES IN CECIL COUNTY. CHRISTIANACARE CONTRACTED WITH VERIT HEALTHCARE CONSULTING, LLC (VERIT) TO COMPLETE ITS 2025 CHNA. VERIT HAD PREVIOUSLY COMPLETED UNION'S 2022 CHNA FOR CECIL COUNTY. IN COOPERATION WITH CHRISTIANACARE AND THE CCHD, VERIT CONDUCTED THE RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW, AND ANALYSIS, TO DEVELOP THE CHNA. --------------------- SCHEDULE H, PART V, SECTION B, LINE 7A & B (CHNA AVAILABILITY) UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS ALSO AVAILABLE AT: HTTPS://CECILCOUNTYHEALTH.ORG/RESOURCES/HEALTH-ADVISORY-COMMITTEE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 10 (IMP. STRATEGY PUBLIC AVAILABILITY) UNION HOSPITAL OF CECIL COUNTY, INC.'S CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTP://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ --------------- SCHEDULE H, PART V, SECTION B, LINE 11 (ADDRESSING NEEDS FROM THE CHNA) UNION'S 2025 CHNA IDENTIFIED THE FOLLOWING AS SIGNIFICANT AREAS OF NEED IN CECIL COUNTY: . ACCESS TO HEALTH AND PREVENTIVE SERVICES . CANCER . CHILDHOOD TRAUMA/ADVERSE CHILDHOOD EXPERIENCES (ACE) . LGBTQIA+ HEALTH DISPARITIES . MATERNAL AND CHILD HEALTH . MENTAL HEALTH . NUTRITION, PHYSICAL INACTIVITY, AND CHRONIC CONDITIONS . SOCIAL DETERMINANTS OF HEALTH . SMOKING, TOBACCO, AND VAPE PRODUCT USE . SUBSTANCE USE DISORDERS . VIOLENCE AND INJURY OF THOSE SIGNIFICANT HEALTH NEEDS, UNION DID NOT PRIORITIZE THE FOLLOWING: . CHILDHOOD TRAUMA & ADVERSE CHILDHOOD EXPERIENCES (ACES) . LGBTQIA+ HEALTH DISPARITIES . MENTAL HEALTH . VIOLENCE AND INJURY THESE NEEDS WERE NOT PRIORITIZED BECAUSE UNION DID NOT HAVE THE NECESSARY RESOURCES TO CREATE NEW OR EXPANDED COMMUNITY BENEFIT PROGRAMMING IN THESE AREAS. WHILE NOT PRIORITIZED DUE TO RESOURCE CONSTRAINTS, WE WILL CONTINUE TO CONSIDER HOW WE MAY ADDRESS THESE NEEDS AND IF POSSIBLE, PURSUE OPPORTUNITIES TO DO SO BECAUSE OF THEIR SIGNIFICANCE IN OUR COMMUNITY. ACCESS TO HEALTH AND PREVENTIVE SERVICES BARRIERS PREVENTING INDIVIDUALS FROM ACCESSING HEALTH AND PREVENTIVE SERVICE ARE COMPLEX AND INCLUDE BOTH THE AVAILABILITY OF HEALTH CARE SERVICES IN THE COMMUNITY AS WELL AS SOCIAL NEEDS THAT PREVENT ACCESS. LIKE RURAL HOSPITALS THROUGHOUT THE COUNTRY, UNION FACES CHALLENGES TO RECRUITING AND RETAINING PROVIDERS. WE CONTINUE TO RESPOND TO THESE CHALLENGES THROUGH A VARIETY OF ONGOING RECRUITMENT EFFORTS. UNION IS ALSO WORKING TO ADDRESS ACCESS BARRIERS THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. IN FY2025, CHRISTIANACARE PROVIDED CECIL COUNTY'S DEPARTMENT OF EMERGENCY SERVICES (DES) WITH $75,000 TO SUPPORT A MOBILE INTEGRATED HEALTH (MIH) PROGRAM. UNION CAREGIVERS WORKED CLOSELY WITH DES TO DESIGN AND IMPLEMENT THIS PROGRAM WHICH LAUNCHED IN EARLY FY2026. MIH IS A HEALTHCARE DELIVERY PROGRAM THAT USES PARAMEDICS TO PROVIDE CARE IN A PATIENT'S HOME RATHER THAN IN THE TYPICAL HEALTHCARE SETTING. THE MIH PROGRAM SERVES COMMUNITY MEMBERS WHO ARE HIGH UTILIZERS OF 911 AS WELL AS RECENTLY DISCHARGED HIGH NEED PATIENTS. WHEN IN THE HOME, THE MIH TEAM IDENTIFIES AND ADDRESSES THE SOCIAL NEEDS OF INDIVIDUALS AND FAMILIES TO REDUCE BARRIERS TO GOOD HEALTH, PROVIDES ASSESSMENTS OF MEDICATION VALIDATION AND RECONCILIATION, AND PROVIDES CARE PLAN CARE COORDINATION. THE MIH PROGRAM IS CURRENTLY IN ITS PILOT PHASE AND UNION CAREGIVERS CONTINUE TO SUPPORT IT BY SERVING ON ITS OVERSIGHT COMMITTEE AND IDENTIFYING ELIGIBLE PATIENTS. OUR EXPECTATION IS THAT IN ADDITION TO PROVIDING ACCESS TO CARE, THE MIH PROGRAM WILL DECREASE READMISSIONS AND EMERGENCY DEPARTMENT UTILIZATION. TO FURTHER ADDRESS BARRIERS TO HEALTH AND PREVENTIVE SERVICES, UNION ALSO PARTNERS WITH THE PARIS FOUNDATION TO PROVIDE MONTHLY MOBILE HEALTH SCREENING EVENTS IN ELKTON AT HOLLINGSWORTH MANOR. THE EVENT OFFERS BLOOD PRESSURE, GLUCOSE, AND VISION SCREENINGS, AS WELL AS APPOINTMENT SCHEDULING AND CONNECTION TO LOCAL RESOURCES. IN FY2025, 11 EVENTS WERE HELD SERVING 132 INDIVIDUALS. UNION CONTINUED TO GROW ITS PARTNERSHIP WITH VOICES OF HOPE TO BEGIN OFFERING QUARTERLY HEALTH SCREENING EVENTS AT THE VOICES OF HOPE LOCATION IN ELKTON IN FY2025. THESE EVENTS PROVIDE THE SAME SERVICES AS THOSE PROVIDED AT HOLLINGWORTH MANOR WITH THE ADDITION OF WOUND CARE, A NEEDED SERVICE AMONG INDIVIDUALS WITH AND RECOVERING FROM SUBSTANCE USE DISORDER. IN FY2025, 2 SCREENING EVENTS AT VOICES OF HOPE SERVED 24 INDIVIDUALS. IN FY2025, UNION ONCE AGAIN PARTNERED WITH CECIL COUNTY PUBLIC SCHOOLS TO OFFER A FREE SPORTS PHYSICAL EVENT FOR CECIL COUNTY PUBLIC SCHOOL STUDENTS. THIS EVENT IS SIGNIFICANT IN ENSURING STUDENTS CAN PARTICIPATE IN SCHOOL SPORTS, AN ACTIVITY THAT SUPPORTS HEALTH AND WELLNESS. ON JUNE 4, 2025, 700 STUDENTS RECEIVED PHYSICALS. COMMUNITY RESOURCES AND CONNECTION TO CARE AT THE EVENT WERE ALSO AVAILABLE. CANCER CANCER MORTALITY RATES IN CECIL COUNTY HAVE BEEN ABOVE MARYLAND AND U.S. AVERAGES AND UTILIZATION OF CANCER SCREENING TESTS HAVE BEEN BELOW U.S. AVERAGES. TO ADDRESS THESE ISSUES, UNION PARTNERS WITH THE CECIL COUNTY CANCER TASK FORCE TO CRAFT AND IMPLEMENT PUBLIC OUTREACH THAT EDUCATES ON CANCER RISK, PREVENTION, AND SCREENING. THE TASK FORCE IS WORKING TO DEVELOP TAILORED MESSAGING RELATED TO CANCER PREVENTION AND SCREENING FOR IDENTIFIED POPULATIONS. INFORMATION ABOUT THESE CAMPAIGNS WILL BE SHARED IN FUTURE REPORTING. UNION CAREGIVERS PROVIDED INFORMATION AND EDUCATION AT COMMUNITY AND CAMPUS EVENTS THROUGHOUT THE YEAR TO PROMOTE CANCER SCREENING AND PREVENTION. IN FY2025, UNION CAREGIVERS PARTICIPATED IN 7 COMMUNITY EVENTS TO PROVIDE INFORMATION ON CANCER RISK, PREVENTION, AND SCREENING TO 388 COMMUNITY MEMBERS. UNION'S LUNG HEALTH NAVIGATOR CONTINUES TO ADDRESS CECIL COUNTY'S HIGH RATE OF LUNG CANCER MORTALITY BY CONNECTING PATIENTS DIRECTLY TO LOW-DOSE COMPUTED TOMOGRAPHY (LDCT) SCREENS AT UNION AND IN THE COMMUNITY, AND HELPING PATIENTS ADDRESS ANY BARRIERS TO SCREENING. IN FY2025, UNION PERFORMED 626 LDCT SCREENINGS (A 17% INCREASE FROM FY2024). WE ATTRIBUTE THIS INCREASE TO THE EFFECTIVENESS OF THE LUNG HEALTH NAVIGATOR. SMOKING, TOBACCO, AND VAPE PRODUCT USE TO ADDRESS THE HIGH RATES OF SMOKING IN CECIL COUNTY, AND TO FURTHER SUPPORT PREVENTION OF LUNG CANCER AND OTHER RELATED ILLNESSES, UNION LAUNCHED A SMOKING CESSATION PROGRAM. IN FY2025, THE FIRST SEVEN-WEEK SESSION CESSATION PROGRAM WAS HELD WITH 3 PARTICIPANTS, 1 OF WHOM COMPLETED THE COURSE. THE FREEDOM FROM SMOKING CESSATION PROGRAM WILL CONTINUE TO BE HELD AND SUCCESSFUL RECRUITMENT STRATEGIES WILL BE A FOCUS IN FY2026. MATERNAL AND CHILD HEALTH UNION'S CHILDBIRTH AND EARLY EDUCATION TEAM AND PEDIATRIC NURSES CONTINUE TO PROVIDE CHILDBIRTH AND INFANT CARE EDUCATION ON-SITE AND IN THE COMMUNITY. IN FY2025, UNION PROVIDED WEEKLY BREASTFEEDING SUPPORT GROUPS, INDIVIDUAL BREASTFEEDING CONSULTATIONS, AND MONTHLY CHILDBIRTH EDUCATION CLASSES AT UNION. A TOTAL OF 731 INDIVIDUALS PARTICIPATED IN THESE OFFERINGS. AN EDUCATION SESSION WAS ALSO HELD AT THE MARYLAND RURAL DEVELOPMENT CORPORATION FAMILY EDUCATION CENTER IN HOLLINGWORTH MANOR. 13 PARENTS LEARNED ABOUT BREASTFEEDING, SAFE SLEEP PRACTICES, AND THE IMPORTANCE OF HANDWASHING AS WELL AS HAD THEIR QUESTIONS ANSWERED ABOUT CHILDREN FROM BIRTH TO AGE 1. IN RECOGNITION OF THE UNIQUE CHALLENGES FACED BY PREGNANT MOTHERS WITH SUBSTANCE USE DISORDER AND THEIR INFANTS, UNION CAREGIVERS HAVE LONG PARTNERED WITH COMMUNITY TREATMENT PROVIDERS TO PROVIDE PREGNANT PARTICIPANTS WITH CHILDBIRTH AND INFANT CARE EDUCATION. IN FY2025, 3 PARTICIPANTS AT BRANTWOOD FAMILY SERVICES IN ELKTON RECEIVED INFORMATION ABOUT CHILDBIRTH AND THE PROGRAM EAT, SLEEP, CONSOLE WHICH IS AN APPROACH TO CARING FOR BABIES BORN WITH NEONATAL ABSTINENCE SYNDROME (NAS) THAT CAN REDUCE THE NEED FOR MEDICAL INTERVENTION. UNION PEDIATRIC NURSES CONTINUE TO SEEK NEW PARTNERSHIPS TO REACH MORE IN THIS POPULATION. NUTRITION, PHYSICAL ACTIVITY, AND CHRONIC CONDITIONS IN FY2025, UNION BEGAN A PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) TO OFFER THE DIABETES MANAGEMENT AND PREVENTION EDUCATION PROGRAM, DINING WITH DIABETES. THE SESSIONS ARE HELD AT UNION HOSPITAL AND FACILITATED BY CCHD. FOUR SESSIONS WERE HELD IN MAY 2025 WITH 16 COMMUNITY MEMBERS IN ATTENDANCE AT EACH SESSION. UNION WILL CONTINUE TO PARTNER WITH CCHD TO OFFER EDUCATION RELATED TO PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS AND TO PROMOTE THE SESSIONS TO PATIENTS. SOCIAL DETERMINANTS OF HEALTH THE ACUTE CARE CONNECTORS (ACCS) CONTINUED TO IDENTIFY AND ADDRESS THE SOCIAL NEEDS OF PATIENTS ADMITTED TO UNION HOSPITAL. ACCS ARE TRAINED IN SCREENING AND CONNECTING PATIENTS WITH RESOURCES TO ADDRESS SOCIAL CARE NEEDS. IN FY2025, WE EXPANDED OUR SCREENING TO SERVE MORE OF OUR PATIENT POPULATION. THE ACCS BEGAN TO SERVE THOSE IN UNION HOSPITAL'S ACUTE PSYCHIATRIC UNIT AND SELF-ADMINISTERED SOCIAL NEEDS SCREENING WAS LAUNCHED IN THREE UNION PRIMARY CARE PRACTICES. IN FY2025, 1,406 ADMITTED PATIENTS WERE SCREENED FOR SOCIAL NEEDS AND 2,308 PATIENTS COMPLETED A SELF-ADMINISTERED SCREENING IN OUR AMBULATORY PRACTICES. 68% OF SCREENED ADMITTED PATIENTS HAD A SOCIAL NEED AND 33% OF SCREENED AMBULATORY PATIENTS HAD A SOCIAL NEED. TRANSPORTATION CONTINUES TO PRESENT A BARRIER TO CARE FOR CECIL COUNTY RESIDENTS. SINCE FY2022, UNION HOSPITAL HAS OFFERED ELIGIBLE PATIENTS TRANSPORTATION TO MEDICAL APPOINTMENTS AND SERVICES. IN FY2025, UNION HOSPITAL PROVIDED 144 RIDES TO 34 PATIENTS. FOR MANY YEARS, UNION HOSPITAL HAS ALSO PROVIDED TAXI VOUCHERS TO INPATIENTS AT DISCHARGE WHO HAVE NO TRANSPORTATION HOME. IN FY2025, UNION HOSPITAL PAID $3,968 TO TRANSPORT PATIENTS HOME IN TAXIS. FINALLY, IN FY2025, UNION HELD ITS 2ND ANNUAL COMMUNITY BABY SHOWER WHICH SERVED 50 NEW AND EXPECTING MOTHERS AND FAMILIES. NEEDED RESOURCES LIKE DIAPERS AND CAR SEATS, EDUCATION ON TOPICS SUCH AS SAFE SLEEP, AND CONNECTION TO CARE WERE PROVIDED AT THIS CELEBRATORY EVENT TO SUPPORT THE HEALTH AND WELLNESS OF OUR YOUNG FAMILIE SCHEDULE H, PART V, SECTION B, LINE 13B (DETAIL OF INCOME LEVEL) PATIENTS WITH A HOUSEHOLD INCOME UP TO 500% OF FPL AND WITH A FINANCIAL HARDSHIP (MEDICAL DEBT, INCURRED BY A FAMILY OVER A 12-MONTH PERIOD THAT EXCEEDS 25 PERCENT OF THE FAMILY INCOME) WILL RECEIVE A 25% ADJUSTMENT. --------------- SCHEDULE H, PART V, SECTION B, LINE 16A (FAP AVAILABILITY) FAP WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 16B (FAP APPLICATION AVAILABILITY) FAP APPLICATION WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 16C (FAP PLS AVAILABILITY) FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 16J (FAP OTHER AVAILABILITY) UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP AND HOW TO APPLY. FAP IS PUBLICIZED ON ALL BILLING STATEMENTS, INVOICES, AND FINANCIAL CONSENT FORMS. FAP IS COMMUNICATED TO PATIENTS UPON DISCHARGE FROM INPATIENT, OBSERVATION, AND SURGICAL SERVICES. --------------- PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. AS A RESULT, THERE ARE NO BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX THAT NEED TO BE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES LISTED. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE. --------------- PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES) IN FY2025, UNION HOSPITAL REPORTED EXPENDITURE IN THE COMMUNITY BUILDING CATEGORIES OF ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, AND WORKFORCE DEVELOPMENT. THE ECONOMIC DEVELOPMENT AND COMMUNITY SUPPORT EXPENDITURE REPRESENTS TIME SPENT BY THE UNION CAMPUS PRESIDENT PARTICIPATING ON THE BOARD OF THE ECONOMIC DEVELOPMENT COMMISSION AND CECIL COUNTY'S LOCAL MANAGEMENT BOARD. THE ECONOMIC DEVELOPMENT COMMISSION OF THE CECIL COUNTY OFFICE OF ECONOMIC DEVELOPMENT WORKS TO ENCOURAGE ECONOMIC GROWTH AND JOB CREATION. LOCAL MANAGEMENT BOARDS EXIST IN EACH MARYLAND COUNTY AND PROMOTE THE EXISTENCE OF A QUALITY SYSTEM FOR CECIL COUNTY CHILDREN, YOUTH, AND FAMILIES THROUGH A COMPREHENSIVE PLANNING PROCESS THAT EMPHASIZES INTERAGENCY COLLABORATION, ACCOUNTABILITY, AND CITIZEN INVOLVEMENT WITH LOCAL DECISION-MAKING AUTHORITY. UNION HOSPITAL DEDICATED THE WORKFORCE DEVELOPMENT EXPENDITURE TO THE CAMP SCRUBS PROGRAM IN PARTNERSHIP WITH CECIL COLLEGE. CAMP SCRUBS PROVIDES INTERESTED STUDENTS, AGED 10 TO 18, WITH THE OPPORTUNITY TO LEARN ABOUT AND PARTICIPATE IN HOSPITAL OPERATIONS. DURING THE WEEK-LONG PROGRAM, STUDENTS TOURED A VARIETY OF HOSPITAL DEPARTMENTS AND MET WITH OVER 50 CAREGIVERS WHO SHARED INFORMATION AND ANSWERED QUESTIONS ABOUT THEIR ROLES AND EXPERIENCES. REPRESENTATIVES FROM THE POLICE AND FIRE DEPARTMENTS ALSO HAD THE OPPORTUNITY TO SPEAK WITH STUDENTS ABOUT THEIR SERVICE AND PARTNERSHIP WITH THE HOSPITAL. OUR EXPECTATION IS THAT EARLY EXPOSURE TO CAREERS IN HEALTH CARE WILL ENCOURAGE SOME STUDENTS TO PURSUE A CAREER IN THE HEALTH CARE FIELD AND MORE BROADLY, CONSIDER WHAT THEY MIGHT BE INTERESTED IN PURSUING AS A CAREER. --------------- PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606) TIMES THE COST TO CHARGE RATIO. --------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSION METHODOLOGY) THE IMPLICIT PRICE CONCESSION METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF IMPLICIT PRICE CONCESSIONS FOR THE YEAR. OTHER IMPLICIT PRICE CONCESSION AMOUNTS ARE NOT INCLUDED IN COMMUNITY BENEFITS. --------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND STARTING ON PAGE 14 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. --------------- PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL) COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND. EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT. --------------- PART III, SECTION B, LINE 9B (COLLECTION PRACTICES) UNION HOSPITAL'S BILLING AND COLLECTION POLICY INCLUDES PROVISIONS REGARDING COLLECTION PRACTICES FOR PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH BILLING AND COLLECTION COMMUNICATIONS AND MAY APPLY FOR ASSISTANCE WITHIN THE TIME PERIOD ESTABLISHED BY THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ACCOUNTS ARE NOT REFERRED TO COLLECTION ACTIVITY WHILE A FINANCIAL ASSISTANCE APPLICATION IS UNDER REVIEW OR WHILE A PATIENT IS COMPLYING WITH AN APPROVED PAYMENT PLAN. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS, INCLUDING LAWSUITS, WAGE GARNISHMENTS, OR LIENS. --------------- PART VI, LINE 2 (NEEDS ASSESSMENT) THE SOCIAL DETERMINANTS OF HEALTH SCREENING WE IMPLEMENTED FOR INPATIENTS AND AT 3 PRIMARY CARE PRACTICES GIVES US INSIGHT INTO THE CHALLENGES FACED BY OUR PATIENTS AND COMMUNITY AND PROVIDES US WITH THE OPPORTUNITY TO ASSIST IN ADDRESSING THOSE NEEDS. UNION HAS A STRONG PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) AS DEMONSTRATED BY OUR JOINT DEVELOPMENT OF THE CECIL COUNTY CHNA AND PARTNERSHIPS TO ADDRESS SEVERAL SIGNIFICANT AREAS OF NEED. OUR PARTNERSHIP WITH CCHD ALLOWS FOR MORE COMPREHENSIVE SERVICE TO OUR COMMUNITY AND FURTHER INFORMS US OF COMMUNITY NEED. A SIGNIFICANT PORTION OF THE ROLE OF UNION'S COMMUNITY ENGAGEMENT MANAGER CONTINUES TO BE DEVELOPING PARTNERSHIPS WITH ORGANIZATIONS TO LEARN MORE ABOUT AND RESPOND TO THE NEEDS OF OUR COMMUNITY. SINCE 2022, CHRISTIANACARE HAS INVITED CECIL COUNTY COMMUNITY ORGANIZATIONS TO APPLY TO OUR COMMUNITY INVESTMENT FUND PROGRAM.THIS PROGRAM PROVIDES FUNDING TO SUPPORT THEIR INITIATIVES DESIGNED TO ADDRESS THE SIGNIFICANT COMMUNITY NEEDS OF FOOD INSECURITY, HOUSING INSECURITY, AND ENVIRONMENTAL HEALTH. IN FY2025, CHRISTIANACARE AWARDED A TOTAL OF $91,316 TO THE COMMUNITY ORGANIZATIONS, RAY OF HOPE MISSION CENTER, A FOOD PANTRY, AND VOICES OF HOPE, A RECOVERY COMMUNITY ORGANIZATION. WHILE WE WERE UNABLE TO FUND EVERY CECIL COUNTY ORGANIZATION THAT APPLIED, THEIR APPLICATIONS PROVIDED FURTHER INFORMATION ABOUT THE CHALLENGES OUR COMMUNITIES FACE AND HOW COMMUNITY ORGANIZATIONS ARE WORKING TO MEET THOSE CHALLENGES. ADDITIONALLY, WE LEARN ABOUT COMMUNITY NEEDS THROUGH CAREGIVER PARTICIPATION IN CECIL COUNTY'S COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND ITS TASK FORCES CREATED TO ADDRESS PROMINENT ISSUES IN THE COUNTY SUCH AS THE HEALTHY LIFESTYLES AND TOBACCO TASK FORCES. FOR SEVERAL YEARS, A UNION CAREGIVER HAS CHAIRED THE CECIL COUNTY CANCER TASK FORCE. FINALLY, UNION CAREGIVERS ALSO PARTICIPATE IN DIFFERENT COMMUNITY BOARDS AND COMMITTEES THAT FOCUS ON DIFFERENT AREAS OF NEED. IN FY2025, UNION CAREGIVERS PARTICIPATED IN THE FOLLOWING: . CECIL COUNTY BEHAVIORAL HEALTH PROVIDER MEETINGS . CECIL COUNTY CHILD ADVOCACY CENTER . CECIL COUNTY COMMISSION ON AGING . CECIL COUNTY ECONOMIC DEVELOPMENT COMMISSION . CHILD FATALITY REVIEW BOARD . JUDY CENTER STEERING COMMITTEE . LOCAL MANAGEMENT BOARD . LOCAL OVERDOSE FATALITY REVIEW TEAM . PERINATAL RISK ASSESSMENT WORKING GROUP . WEST CECIL HEALTH CENTER BOARD ----------------------- PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE) A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP), THE FULL FAP POLICY, THE FINANCIAL ASSISTANCE APPLICATION IN ENGLISH AND SPANISH, AND THE FINANCIAL ASSISTANCE SCALE ARE ALL AVAILABLE ON UNION'S WEBSITE AT: FINANCIAL ASSISTANCE | CHRISTIANACARE CECIL COUNTY (UHCC.COM). PATIENTS RECEIVE FINANCIAL COUNSELING, REFERRALS, AND ASSISTANCE TO IDENTIFY PUBLIC OR PRIVATE HEALTHCARE PROGRAMS TO ASSIST WITH LONG TERM NEEDS. IF THE PATIENT IS UNINSURED, THEY WILL BE ASSISTED IN DETERMINING MARYLAND MEDICAID OR QUALIFIED HEALTH PLAN ELIGIBILITY THROUGH THE APPROPRIATE MARYLAND HEALTH CONNECTION CONNECTOR ENTITY OR OTHER QUALIFIED HEALTH INSURANCE MARKETPLACE. INFORMATION ABOUT THE FAP IS INCLUDED ON THE FINANCIAL CONSENT FORM, ON BILLING STATEMENTS/INVOICES, UPON DISCHARGE FROM INPATIENT, OBSERVATION, OR SURGICAL SERVICES, AND ON ELECTRONIC AND PAPER SIGNS AT REGISTRATION LOCATIONS IN THE HOSPITAL. UNION HOSPITAL'S WEBSITE ALSO PROVIDES PATIENTS WITH INFORMATION ON HOW THEY CAN OBTAIN THE FAP AND APPLICATION IN PERSON AND GET HELP IN THE APPLICATION PROCESS. UNION FINANCIAL COUNSELORS ARE AVAILABLE MONDAY THROUGH FRIDAY, FROM 8 A.M. TO 4 P.M. TO DISCUSS THE APPLICATION PROCESS BY PHONE OR AT THE HOSPITAL. THE WEBSITE ALSO PROVIDES A MAILING ADDRESS, TELEPHONE NUMBER, EMAIL ADDRESS, AND IN-PERSON LOCATIONS WHERE INDIVIDUALS CAN RECEIVE OR REQUEST THE FAP AND APPLICATION. -------------------------------------------------------------------------- PART VI, LINE 4 (COMMUNITY INFORMATION) UNION HOSPITAL PRIMARILY SERVES CECIL COUNTY, MARYLAND, A RURAL AREA THAT BORDERS DELAWARE AND PENNSYLVANIA. UNION IS THE ONLY HOSPITAL IN THE COUNTY BESIDES THE PERRY POINT VA MEDICAL CENTER WHICH PRIMARILY SERVES VETERANS. UNION HOSPITAL IS IN ELKTON, THE MOST POPULOUS TOWN IN CECIL COUNTY. IN 2020, THE TOTAL POPULATION OF CECIL COUNTY WAS 103,098 PEOPLE. BETWEEN 2020 AND 2030, THE CECIL COUNTY POPULATION IS EXPECTED TO GROW BY 8.7% WITH THE POPULATION OF THOSE 65 YEARS AND OLDER PROJECTED TO GROW BY 43.5%. IN 2018-2022, 10.1% OF CECIL COUNTY RESIDENTS LIVED IN POVERTY, HIGHER THAN THE MARYLAND AVERAGE (9.3%) AND LOWER THAN THE U.S. AVERAGES (12.5%). THE PERCENTAGE OF CHILDREN IN POVERTY WAS HIGHER IN CECIL COUNTY (13.7%) COMPARED TO MARYLAND (11.5%) AND LOWER THAN THE U.S. AVERAGE (16.7%). CECIL COUNTY HAD A HIGHER PERCENTAGE OF POPULATION LIVING WITH A DISABILITY THAN THE MARYLAND AND UNITED STATES AVERAGES. ALL OF CECIL COUNTY HAS BEEN DESIGNATED A SHORTAGE AREA FOR MENTAL HEALTH PROFESSIONALS. THE MEDICAID ELIGIBLE POPULATION OF CECIL COUNTY WAS DESIGNATED AS A HPSA FOR PRIMARY CARE. ------------------------------------------ PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH) CHRISTIANACARE IS CENTERED ON IMPROVING HEALTH OUTCOMES, MAKING HIGH-QUALITY CARE MORE ACCESSIBLE, AND LOWERING HEALTH CARE COSTS. GUIDED BY OUR VALUES, LOVE AND EXCELLENCE, UNION HOSPITAL CONTINUES TO SERVE OUR CECIL COUNTY NEIGHBORS AS THEIR COMMUNITY HOSPITAL. EACH FISCAL YEAR, UNION HOSPITAL SERVES CECIL COUNTY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT SEEK TO IMPROVE COMMUNITY HEALTH. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FY2025: A1: COMMUNITY HEALTH EDUCATION - UNION HOSPITAL PROVIDED HEALTH EDUCATION INFORMATION AND PRESENTATIONS IN THE COMMUNITY ON TOPICS SUCH AS CANCER PREVENTION AND SCREENING, CHILDBIRTH AND INFANT EDUCATION INCLUDING NEONATAL ABSTINENCE SYNDROME AND LACTATION SUPPORT, AND INFORMATION ON MARYLAND HEALTH CONNECTION. A2: COMMUNITY-BASED CLINICAL SERVICES - MONTHLY MOBILE HEALTH SCREENINGS AT COMMUNITY LOCATIONS. - A FREE ANNUAL SPORTS PHYSICALS CLINIC FOR CECIL COUNTY 6TH THROUGH 12TH GRADE STUDENTS. A2: HEALTH CARE SUPPORT SERVICES - ACUTE CARE CONNECTORS IDENTIFICATION AND ASSISTANCE IN RESOLVING SOCIAL NEEDS. - LUNG HEALTH NAVIGATOR FACILITATING CONNECTION TO CARE AND RESOURCES. - TRANSPORTATION DONATIONS FOR ELIGIBLE PATIENTS B1-B3: HEALTH PROFESSIONS EDUCATION - UNION CAREGIVERS OFFERED TRADITIONAL CLINICAL ROTATIONS AND PRECEPTORSHIPS TO 143 UNDERGRADUATE NURSING STUDENTS. - UNION RNS ALSO PROVIDED EDUCATION SESSION ON SUBSTANCE EXPOSED NEWBORNS TO STUDENT NURSES AT CECIL COMMUNITY COLLEGE. C: MISSION DRIVEN HEALTH SERVICES - UNION PROVIDED SUBSIDIZED OUTPATIENT SERVICES TO MEET IDENTIFIED NEEDS IN THE COMMUNITY. THESE INCLUDE PRIMARY CARE, PSYCH-OUTPATIENT AND ENDOCRINOLOGY, AMONG OTHERS. E3: IN-KIND CONTRIBUTIONS - PROVIDED FREE AMBULANCE TRANSPORTS AND FREE SUPPLIES FOR AMBULANCE STOCK-UPS - UNION CAREGIVERS PARTICIPATION IN COMMUNITY BOARDS/COMMITTEES/TASK FORCES AND OTHER GROUPS. - COMMUNITY SERVICE BENEFIT - CHRISTIANACARE ALLOWS EMPLOYEES TO VOLUNTEER FOR COMMUNITY ORGANIZATIONS DURING THEIR WORKDAY. IN FY2025, 29 EMPLOYEES DONATED A TOTAL OF 156 HOURS TO COMMUNITY ORGANIZATIONS. G1: ASSIGNED STAFF - SALARIES OF CAREGIVERS WHO OVERSEE COMMUNITY BENEFIT EFFORTS INCLUDING COMMUNITY HEALTH SCREENINGS, PEER PROGRAM PARTNERSHIP, COMMUNITY BABY SHOWER, DIABETES EDUCATION PARTNERSHIP, AND MOBILE INTEGRATED HEALTH PROGRAM AMONG OTHERS. F2: COMMUNITY BUILDING: ECONOMIC DEVELOPMENT - PARTICIPATION IN ECONOMIC DEVELOPMENT COMMISSION F3: COMMUNITY BUILDING: COMMUNITY SUPPORT - PARTICIPATION IN CECIL COUNTY'S LOCAL MANAGEMENT BOARD. F8: COMMUNITY BUILDING: WORKFORCE DEVELOPMENT - IN PARTNERSHIP WITH CECIL COLLEGE, UNION OFFERED CAMP SCRUBS IN AUGUST 2024 AND JUNE 2025. CAMP SCRUBS IS A WEEK-LONG PROGRAM FOR 10-18 YEAR OLDS TO LEARN ABOUT THE MANY ROLES THAT EXIST TO OPERATE A HOSPITAL. ------------------- PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. (AHA) IS THE PARENT ENTITY. ON JANUARY 1, 2020, AHA BECAME A MEMBER OF THE CHRISTIANA CARE HEALTH SYSTEM ("CHRISTIANACARE"). CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH MORE THAN 1,600 MEDICAL-STAFF MEMBERS AND 265 MEDICAL-DENTAL RESIDENTS AND FELLOWS AND INCLUDES A NUMBER OF ENTITIES INCLUDING CHRISTIANA CARE HEALTH SERVICES, INC. AHA'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY. OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC. AND UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC. UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH-RELATED VENTURES TO SERVICE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL. AS OF 12/31/23, THIS ORGANIZATION BEGAN TO WIND DOWN ITS OPERATIONS. UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC'S (ONCOLOGY") DUTY AND MISSION IS TO PROVIDE HIGH QUALITY, ADVANCED RADIATION ONCOLOGY SERVICES TO THE CECIL COUNTY AREA IN ORDER TO FOSTER THE BEST CANCER TREATMENT PROCESS CLOSE TO HOME. CANCER-RELATED DEATHS ARE AMONG THE HIGHEST CAUSES OF MORTALITY IN CECIL COUNTY, SO IT IS UNION ONCOLOGY'S MISSION TO BRING SOME OF THE MOST ADVANCED RADIATION THERAPIES TO CECIL COUNTY TO PROVIDE THE MOST COMPREHENSIVE CANCER CARE POSSIBLE TO THE PEOPLE LIVING WITH CANCER HERE AND IN NEIGHBORING COMMUNITIES. BY OFFERING THESE ADVANCED CANCER TREATMENT OPTIONS, UNION ONCOLOGY FURTHERS ITS CHARITABLE PURPOSE OF PROVIDING MEDICAL SERVICES TO PROMOTE THE HEALTH AND WELFARE OF THE RESIDENTS OF CECIL COUNTY AND NEIGHBORING COMMUNITIES. UNION HOSPITAL OF CECIL COUNTY VENTURES, INC. IS A FOR-PROFIT STOCK CORPORATION. ITS PURPOSE IS TO ENGAGE IN ANY BUSINESS OR TRANSACTION WHICH WILL BENEFIT THE ACTIVITIES AND GOALS OF ITS AFFILIATES. OPERATIONS CONSIST PRIMARILY OF PROVIDING MANAGEMENT SUPPORT SERVICES FOR PHYSICIAN PRACTICES AND PROVIDING IMAGING SERVICES TO PHYSICIANS AND HEALTH CENTERS THROUGH ITS WHOLLY OWNED SUBSIDIARY, OPEN MRI AND IMAGING CENTER OF ELKTON, LLC. --------------- PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT) MARYLAND REQUIRES AN ANNUAL COMMUNITY BENEFIT REPORT FOR CHRISTIANACARE'S UNION HOSPITAL. --------------- true true false false false false false true false AMY MARSTON FORMER KEY EMPLOYEE 0 378037 0 65000 0 28679 0 0 0 22334 0 494050 0 0 ARSALAN SHEIKH MD CHIEF MEDICAL OFFICER 278081 0 46252 0 1910 0 0 0 17561 0 343804 0 0 0 CLAIRE YI ZHANG MD PHYSICIAN, GASTROENEROLOGY 468403 0 61937 0 2363 0 0 0 0 0 532703 0 0 0 DAVID TROLIO VICE CHAIR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DERON BROWN FORMER KEY EMPLOYEE 0 171406 0 22995 0 6302 0 0 0 0 0 200703 0 0 DONNA MALONEY DIRECTOR OF FINANCE 0 202862 0 27215 0 36805 0 0 0 22503 0 289385 0 0 FAHD RAHMAN MD PHYSICIAN, ONCOLOGY 495894 0 311357 0 44259 0 0 0 22334 0 873844 0 0 0 GEORGE GIANNOUKOS MD PHYSICIAN, GENERAL SURGERY 447643 0 37688 0 6094 0 0 0 0 0 491425 0 0 0 GINA RICCARDI MD DIRECTOR - AS OF 1/25 253767 0 31990 0 33948 0 0 0 22711 0 342416 0 0 0 JENNIFER L SCHWARTZ ESQ SECRETARY (EX-OFFICIO) 0 744042 0 282639 0 76075 0 68042 0 22334 0 1193132 0 37500 JOAN PIRRUNG MSN APRN ACNS DIRECTOR/CHIEF NURSING OFFICER 208283 0 36613 0 24807 0 0 0 22334 0 292037 0 0 0 JUSTIN SAUSVILLE MD DIRECTOR - THRU 12/24 592174 0 159587 0 15605 0 0 0 22334 0 789700 0 0 0 KOJO ARKHURST MD PHYSICIAN, HOSPITALIST 449616 0 39879 0 33616 0 0 0 0 0 523111 0 0 0 MICHELLE TWUM-DANSO FORMER KEY EMPLOYEE 0 204125 0 24233 0 13393 0 0 0 14833 0 256584 0 0 ROBERT ASANTE DIRECTOR 0 211286 0 28380 0 18609 0 0 0 22334 0 280609 0 0 ROBERT MCMURRAY TREASURER (EX-OFFICIO) 0 821405 0 284430 0 86846 0 76141 0 13455 0 1282277 0 43000 ROGER D WU MD PHYSICIAN, GASTROENEROLOGY 555808 0 72526 0 12778 0 0 0 22711 0 663823 0 0 0 RYAN GERACIMOS MD FMR CHIEF MEDICAL OFFICER 0 0 0 0 105950 0 0 0 0 0 105950 0 0 0 SHARON KURFUERST FORMER DIRECTOR, PRESIDENT 0 0 0 0 0 532730 0 0 0 0 0 532730 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHOD DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. --------------- FORM 990, SCHEDULE J, PART I, LINE 4A DETAIL OF SEVERANCE PAYMENTS RYAN GERACIMOS, MD (CHIEF MEDICAL OFFICER) RECEIVED A SEVERANCE PAYMENT OF $105,950 DURING THE YEAR. SHARON KURFUERST (FORMER DIRECTOR, PRESIDENT) RECEIVED A SEVERANCE PAYMENT OF $532,730 DURING THE YEAR. --------------- FORM 990, SCHEDULE J, PART I, LINE 4B SUPP. NONQUALIFIED PLAN PARTICIPATION THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SERVICES, INC ("CCHS"). CCHS MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: ROBERT MCMURRAY- $57,758 JENNIFER L. SCHWARTZ, ESQ.- $51,000 --------------- FORM 990, SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SYSTEM, INC ("SYSTEM") AND CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). ALL OFFICER/TRUSTEE COMPENSATION ARRANGEMENTS, INCLUDING THE PAYMENT OF DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES, ARE DETERMINED BY THE SYSTEM BOARD AND PAID EITHER THROUGH CCHS OR THIS ORGANIZATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON ARE APPROVED BY THE COMPENSATION COMMITTEE OF SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. --------------- A TOWN OF ELKTON - SERIES 2012A 526000790 2012-05-18 10000000 REFUND PORTION OF SERIES 2009 BOND false false false B TOWN OF ELKTON - SERIES 2012B1B2 526000790 2012-05-18 8662336 REFUND SERIES 2009 & 2000 BONDS false false false C TOWN OF ELKTON - SERIES 2012C 526000790 2012-05-18 9000000 REFUND ESCROW TO REPAY 2002 BOND false false false D MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 520936091 2014-12-01 30778000 TO REFINANCE THE 2005 BONDS false false false A 4606540 0 10000000 0 0 0 0 0 0 0 10000000 0 2012 true false true true B 5510319 0 8662336 0 0 0 0 0 0 0 8662336 0 2012 true false true true C 2797142 0 9000000 0 0 0 0 0 0 0 9000000 0 2012 true false true true D 3347000 0 30778000 0 0 0 0 0 0 0 30778000 0 2014 true false true true A false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true C false false true false false false 0 false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true FORM 990, PART VI, SECTION A, LINES 6 & 7A,7B GOVERNING BODY AND MANAGEMENT CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") IS THE SOLE MEMBER OF AFFINITY HEALTH ALLIANCE, INC. ("AHA"), THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC"). CCHS AND AHA ARE BOTH TAX-EXEMPT ORGANIZATIONS. THE BOARD OF DIRECTORS OF CCHS ELECTS THE DIRECTORS OF UHCC AT ITS ANNUAL MEETING. THE ANNUAL OPERATING BUDGET OF UHCC IS APPROVED BY THE UHCC BOARD, THE FINANCE COMMITTEE OF THE CCHS BOARD, THE CCHS BOARD, THE FINANCE COMMITTEE OF THE BOARD OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CCHS, AND THE SYSTEM BOARD. --------------- FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS INFORMATION RELATED TO THE UHCC FORM 990 IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW. THE FINAL 2024 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2025 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2024 FORM 990 VIA ITS BOARD OF DIRECTORS PORTAL. --------------- FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE CAREGIVER RESOURCE CENTER ON THE EMPLOYEE PORTAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR REQUIRED INDIVIDUALS, WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXIST. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. --------------- FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"), THE SOLE MEMBER OF UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC"), ESTABLISHES UHCC'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE SYSTEM BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. --------------- FORM 990, PART VI, SECTION C, LINE 19 GOVERNANCE, MANAGEMENT & DISCLOSURE THE GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. --------------- FORM 990, PART X BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO CURRENT YEAR REPORTING PRESENTATION. --------------- FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN NET ASSETS OF FOUNDATION $268,376 NET ASSETS RELEASED FROM RESTRICTION 423,203 TRANSFER TO/(FROM) AFFILIATE (281) OTHER CHANGES IN NET ASSETS (953,077) --------- TOTAL ($261,779) --------------- FORM 990, SCHEDULE C DETAIL OF LOBBYING ACTIVITIES UHCC IS A MEMBER OF THE MARYLAND HOSPITAL ASSOCIATION ("MHA"). A PORTION OF THE MEMBERSHIP DUES PAID BY UHCC MAY BE USED BY MHA FOR LOBBYING PURPOSES. --------------- FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:21783123 UNION HOSPITAL OF CECIL COUNTY HLTH SVCS 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 521794553 PROPERTY MGMT MD 501(C)(3) 10 AFFINITY false AFFINITY HEALTH ALLIANCE INC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 521794697 MANAGEMENT MD 501(C)(3) 12B,II CCH SERVICES false UNION HOSPITAL OF CECIL COUNTY ONCOLOGY 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 812662359 HEALTHCARE MD 501(C)(3) 3 AFFINITY false CHRISTIANA CARE HEALTH SYSTEM INC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 521479538 FUNDRAISING DE 501(C)(3) 7 NA false CHRISTIANA CARE HLTH INITIATIVES INC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 510295186 OUTPATIENT SV DE 501(C)(3) 10 CCH SYSTEM false CHRISTIANA CARE HOME HEALTH & COM SRVCS 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 510064334 HOME HLTHCARE DE 501(C)(3) 10 CCH SYSTEM false CHRISTIANA CARE HEALTH SERVICES INC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 510103684 HOSPITAL DE 501(C)(3) 3 CCH SYSTEM false CHRISTIANA CARE WEST GROVE INC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 883155785 HEALTHCARE PA 501(C)(3) 12A, I CCH SERVICES false CHRISTIANA CARE GENE EDITING INSTITUTE 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 883110655 HEALTHCARE DE 501(C)(3) 12A, I CCH SYSTEM false CHRISTIANA CARE PENNSYLVANIA INC 400O NEXUS DRIVE NW3-100 WILMINGTON DE 19803 992607716 HEALTHCARE PA 501(C)(3) 10 CCH SYSTEM false CHRISTIANACARE GOHEALTH URGENT CARE LLC 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA GA 30342 844061485 URGENT CARE SRVCS DE CCH SERVICES false CLINERGY LLC 4755 OGLETOWN STANTON RD NEWARK DE 19718 GROUP PURCHASHING DE CCH SERVICES false LEEWARD HEALTH LLC 4000 NEXUS DR SUITE C3-300 WILMINGTON DE 19808 852698063 MED ADV RISK SHAR DE CCH SYSTEM false CHRISTIANA CARE EMERUS LLC 8686 NEW TRAILS DRIVE SUITE 100 THE WOODLANDS TX 77381 232200841 HEALTH CARE PA CCH SERVICES false CHRISTIANA CARE EMERGENCY PHYSC LLC 4000 NEXUS DR SUITE C3-300 WILMINGTON DE 19803 232468569 MEDICAL SRVCS DE CCH SERVICES false CHRISTIANA CARE ATLAS JV LLC 2355 E CAMELBACK RD STE 700 PHOENIX AZ 85016 993393372 MEDICAL SRVCS DE CCH SERVICES false SOUTHERN CHESTER COUNTY MOB I 1015 W BALTIMORE PIKE WEST GROVE PA 19390 232200841 MOB PA CC WEST GROVE false SOUTHERN CHESTER COUNTY MOB II 1015 W BALTIMORE PIKE WEST GROVE PA 19390 232468569 MOB PA CC WEST GROVE false UNION HOSPITAL OF CECIL COUNTY VENTURES 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 521793691 MEDICAL SERVICES MD AFFINITY C CORP false THE DE CTR FOR MAT FETAL MED OF CC INC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 205891272 HEALTHCARE DE CCH SERVICES C CORP false CHRISTIANA CARE HEALTH PLANS 4000 NEXUS DR STE NW3-100 WILMINGTON DE 19803 510352728 INSURANCE DE CCH SYSTEM C CORP false CHRISTIANA CARE DEFERRED COMP PLAN 4755 OGLETOWN STANTON RD NEWARK DE 19718 816359549 DEF COMP PLAN DE CCH SERVICES TRUST false CHRISTIANA CARE EXEC DEFERRED COMP PLAN 4755 OGLETOWN STANTON RD NEWARK DE 19718 357048822 DEF COMP PLAN DE CCH SERVICES TRUST false CARE ASSOCIATES DEFERRED COMP PLAN 4755 OGLETOWN STANTON RD NEWARK DE 19718 357048714 DEF COMP PLAN DE CCH SERVICES TRUST false CHRISTIANA CARE INSURANCE CO LTD PO BOX 1159 878 W BAY RD GRAND CAYMAN CJ KY1-1102 981489490 SELF-INSURANCE CJ CCH SERVICES C CORP false false false true false true false false false false true true false false true true true true true true