2026-05-12T14:32:01+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 2005 Market Street Ste 700 Philadelphia PA 19103 990 2024-07-01 521253920 Upper Chesapeake Medical Center Inc UPPE 4436431000 500 Upper Chesapeake Drive Bel Air MD 21014 Marco Priolo SVP, FINANCE 2026-05-12 true Lauren E Bennett P01787029 2154485000 2026-05-12 2024 2025-03-06 01:10:19Z Elizabeth Wise 500 Upper Chesapeake Drive Bel Air MD 21014 608932531 false X WWW.UMMS.ORG/UCH X 1997 MD DEDICATION TO MAINTAINING AND IMPROVING THE HEALTH OF THE PEOPLE IN ITS COMMUNITIES THROUGH AN INTEGRATED HEALTH DELIVERY SYSTEM THAT PROVIDES HIGH QUALITY CARE TO ALL. 21 17 2722 457 1343515 1342515 921004 1040026 382730827 460599050 8206633 22532539 -2728832 3686792 389129632 487858407 21000 0 0 0 150354815 182496386 0 0 0 210009210 246799981 360385025 429296367 28744607 58562040 849101567 1006954834 481559856 452611573 367541711 554343261 UPPER CHESAPEAKE MEDICAL CENTER IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF THE PEOPLE IN ITS COMMUNITIES THROUGH AN INTEGRATED HEALTH DELIVERY SYSTEM THAT PROVIDES HIGH QUALITY CARE TO ALL. UCMC IS COMMITTED TO SERVICE EXCELLENCE AS IT OFFERS A BROAD RANGE OF HEALTH CARE SERVICES, TECHNOLOGY AND FACILITIES. UCMC WORKS COLLABORATIVELY WITH ITS COMMUNITIES AND OTHER HEALTH ORGANIZATIONS TO SERVE AS A RESOURCE FOR HEALTH PROMOTION AND EDUCATION. false false 300721507 0 462070946 PROVIDING HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTHCARE. UPPER CHESAPEAKE MEDICAL CENTER OFFERS SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY, AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES, AND TO HOMES. UPPER CHESAPEAKE MEDICAL CENTER IS A MEMBER OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE MEDICAL CENTER (THE MEDICAL CENTER) IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE MEDICAL CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THIS PREMIER HEALTH CARE FACILITY INCORPORATES SEVERAL TRENDS THAT REFLECT HOW HEALTH CARE IS CHANGING, INCLUDING REORIENTATION TOWARDS OUTPATIENT CARE, MORE ACUTELY ILL PATIENTS IN THE HOSPITAL AND FLEXIBILITY FOR GROWTH AND CHANGE TO MEET OUR COMMUNITY'S FUTURE HEALTH CARE NEEDS. LOCATED ON THE MEDICAL CAMPUS IS THE UPPER CHESAPEAKE MEDICAL CENTER WITH 194 ACUTE CARE BEDS. ADJACENT TO THE MEDICAL CENTER IS THE AMBULATORY CARE CENTER OF HARFORD COUNTY, CONTAINING PHYSICIAN OFFICES, OUTPATIENT IMAGING AND LABORATORY PROCEDURES, OUTPATIENT PRE-ASSESSMENT TESTING AND ASSESSMENT, UPPER CHESAPEAKE CARDIOVASCULAR INSTITUTE, AND THE ADMINISTRATIVE OFFICES OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. ALSO LOCATED NEXT TO THE MEDICAL CENTER, IS A PRE-EXISTING MEDICAL OFFICE BUILDING WITH PHYSICIAN OFFICES AND OTHER HEALTHCARE RELATED SERVICES, A PARKING GARAGE AND A SECOND MEDICAL OFFICE BUILDING WHICH INCLUDES OUTPATIENT SERVICES AND PHYSICIAN OFFICES. UPPER CHESAPEAKE MEDICAL CENTER MAINTAINS CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCTS MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS - SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS - HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES - FREE AND MOBILE CLINIC 300721507 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 false false true false false false false false false false false true false false false false false true true true true false false true 0 0 2722 true true true false false false false false false false false false false false X 21 17 false false false false true true true true true false false false true true true true true true false false false false MD X JENINE WARNKE 4434625811 900 ELKRIDGE LANDING ROAD - 3 EAST LINTHICUM MD 21090 BRYAN E KELLY CHAIRMAN 1.0 6.0 X X 0 0 0 DENNIS KURGANSKY MD SECRETARY 1.0 6.0 X X 0 0 0 ELIZABETH WISE PRESIDENT/CEO, UCHS 1.0 48.0 X X 0 719937 131887 JAMES M HARKINS VICE CHAIRMAN 1.0 8.5 X X 0 0 0 MICHAEL F ALLEN TREASURER 1.0 5.0 X X 0 0 0 ADELE A WILZACK RN MS DIRECTOR 1.0 6.0 X 0 0 0 ALBERT JA YOUNG ESQ DIRECTOR 1.0 5.0 X 0 0 0 ALICIA L CUNNINGHAM DIRECTOR 1.0 42.0 X 0 611951 43530 CHARLES E ALEXANDER DIRECTOR 1.0 4.0 X 0 0 0 JAMES C RICHARDSON MD DIRECTOR 1.0 4.0 X 0 0 0 LISA THOMAS MD DIRECTOR 1.0 4.0 X 0 0 0 MELINDA L CRAIG DIRECTOR 1.0 6.0 X 0 0 0 MOHAN SUNTHA MD PRESIDENT AND CEO, UMMS 1.0 60.0 X 0 3870578 70039 R BRYAN KILBY III DIRECTOR 1.0 0 X 0 0 0 RICHARD P STREETT JR VMD DIRECTOR 1.0 6.0 X 0 0 0 RYAN D JOHN DIRECTOR 1.0 4.0 X 0 0 0 SANJEEV KUMAR MD \DIRECTOR 1.0 4.0 X 0 0 0 SHARON M LIPFORD DIRECTOR 1.0 4.0 X 0 0 0 THERESA B FELDER DIRECTOR 1.0 4.0 X 0 0 0 TOBIAS MUSSER DIRECTOR 1.0 4.0 X 0 0 0 V DIXON KING MD DIRECTOR 1.0 3.0 X 0 0 0 MARCO PRIOLO VP Finance/CFO 1.0 47.0 X 0 398161 89335 BEVERLY A WEHMER MD Asst VP - Patient Services 40.0 0 X 244798 0 10028 HAFSA BHATTI Physician Advisor 40.0 0 X 300548 0 12114 KAREN HENSLEY MD Asst VP - Patient Services 40.0 0 X 229090 0 4553 LAURIE HOFFMAN RN Clinical Nurse 40.0 0 X 225997 0 16879 MELODI VEST RN Clinical Nurse 40.0 0 X 252755 0 10897 LISA C ROWEN RN FORMER CHIEF NURSE EXECUTIVE, UMMS 0.0 0.0 X 0 589226 27889 1253188 6189853 417151 485 true true false Team Anesthesia LLC PO Box 639425 Cincinnati OH 452639425 Medical services 8345777 Adfinitas Health 7250 Parkway Dr ste 500 Hanover MD 21076 Medical services 4977219 Cross Country Staffing PO Box 404674 Atlanta GA 303844674 Temp labor 3233929 OBHG Maryland PC 777 Lowndes Hill RD Greenville SC 29607 Physician services 2047188 Aya Healthcare Inc 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 Temp labor 1578380 83 1009093 30933 1040026 NET PATIENT SERVICE REVENUE 621110 460410715 460410715 0 0 Care Management fees 621110 188335 188335 0 0 0 0 0 0 460599050 5140713 0 110668 5030045 9579808 6109461 3470347 0 3470346 0 1144782 2325564 132356489 114964663 17391826 0 17391826 0 0 17391826 Miscellaneous revenue 900099 128381 128381 0 0 Management fee-ASC 561499 88065 0 88065 0 0 0 0 0 216446 487858407 460727431 1343515 24747435 X 0 0 153379708 102913454 50466254 0 4077284 2735742 1341542 0 13889407 9319400 4570007 0 11149987 7481326 3668661 0 18818 0 18818 0 533011 0 533011 0 95025136 51062782 43962354 0 21328 14310 7018 0 922976 619291 303685 0 10153339 6812604 3340735 0 101894 68368 33526 0 387661 260110 127551 0 13298330 8922804 4375526 0 26489691 17773835 8715856 0 6436368 6436368 0 0 MEDICAL SUPPLIES 52866074 52866074 0 0 Bad Debt 18935306 18935306 0 0 Corporate Fees 13838992 9285573 4553419 0 Repair and maintenance 2705784 1815505 890279 0 5065273 3398655 1666618 0 429296367 300721507 128574860 0 0 72122 242049 6737140 0 100000 60703354 61715622 0 0 0 0 0 7552838 6878503 139257 297426 542980808 152943902 412225673 390036906 115153298 193122999 98876000 207846430 0 55686000 55686000 98523098 84461686 849101567 1006954834 21187747 21848574 19147 444886 0 0 460352962 430318113 481559856 452611573 X 317435121 496644023 50106590 57699238 367541711 554343261 849101567 1006954834 X 58562040 11316540 116922970 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18818 18818 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). Each organization engages 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 other lobbying activities. 26528687 26528687 364798135 67427383 297370752 118365440 83877711 34487729 33288546 1638808 31649738 390036906 Closely-held equity interests Financial derivatives Hedge Funds 207846430 F 207846430 ECONOMIC INT - UC FOUNDATION 57698488 LT ASSETS 9242496 FINANCING LEASE 8385694 OTHER ASSETS 635776 Construction Fund Due to / Due From 8499232 84461686 Federal Income Taxes NOTES PAYABLE TO UMMS 405336991 ADVANCES FROM THIRD PARTY PAYORS 12146541 OTHER CURRENT LIABILITIES 1973759 FINANCING LEASE 9100269 CREDIT BALANCES 1760553 430318113 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 3982186 0 3982186 0.00970 0 0.0 0 0.0 0 0 3982186 0 3982186 0.00970 3959328 156475 3802853 0.00927 2761861 0 2761861 0.00673 12815177 0 12815177 0.03123 1285624 0 1285624 0.00313 48879 0 48879 0.00012 0 0 20870869 156475 20714394 0.05048 0 0 24853055 156475 24696580 0.06018 0 0.0 5988 0 5988 0.00001 1394 0 1394 0.00000 0 0.0 4338 0 4338 0.00001 7133 0 7133 0.00002 0 0.0 5572 0 5572 0.00001 0 0.0 0 0 24425 0 24425 0.00006 true 14078400 0 159421000 122297091 37123909 X true true 1 1 UPPER CHESAPEAKE MEDICAL CENTER INC 500 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 WWW.UMMS.ORG/UCH 12-006 X X X 1 1 1 false false true X X X X X X X X X 23 true true true true X https://www.umms.org/uch/community/assessment-and-implementation-plan WWW.HARFORDCOUNTYHEALTH.COM X true 23 true https://www.umms.org/uch/community/assessment-and-implementation-plan false true X 200.0 300.0 X X X X X true true X X X true X https://www.umms.org/uch/patients-visitors/for-patients/financial-assistance-and-billing X https://www.umms.org/uch/patients-visitors/for-patients/financial-assistance-and-billing X https://www.umms.org/uch/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 - UPPER CHESAPEAKE MEDICAL CENTER, INC.. Harford County Community Health Survey_ An online community survey of Harford County residents was conducted between October 2023 and February 2024. The community survey aimed to gather data on demographics, access to care, health behaviors, and health status. A total of 2,242 resident surveys were completed. Respondents had a diverse, geographical, gender, race, and ethnic background, however, the survey could not be weighted to offer a statistically representative sample of the community. Stakeholder and General Public Focus Groups To gain a better understanding of community efforts that are in place, a key informant focus group was conducted with 56 major community partners who are experts in the community. The focus group consisted of a series of seven questions on Kahoot! (a game-based learning platform), so that respondents could answer directly on their phone. Questions aimed to identify the problems/concerns of the community, as well as the strengths and resources available to the residents. The focus group was concluded with a discussion of possible solutions to the barriers identified. Following the key informant focus group, a similar concept was repeated for the general population, with ten total questions asking for their view of the health and community strengths and barriers. Groups from various backgrounds were contacted to participate in a focus group. This resulted in four focus groups, which included the Susquehanna Ministerium (Harford County Faith Based Group), Spanish Speaking Residents, Minority Health Community Advisory Board Members, and Seniors/caregivers. LHIC Stakeholder Organizations Local Health Department: Harford County Health Department Local Health Improvement Coalition: Behavioral Health Chronic Disease Prevention & Wellness Family Health & Resilience Local Government: Bel Air Police Department Harford County Council Harford County Emergency Service Harford County Government Harford County Government Planning & Zoning Harford County Sheriff's Office Harford County Office on Aging Harford County Parks & Rec Harford County Public Libraries Town of Bel Air School - K-12: Harford County Public Schools School - Colleges, Universities: Harford Community College and Towson University Behavioral Health Organizations: Addictions Connection Resource Addiction Recovery Systems Ashley Addiction Treatment BHA Maryland Commitment to Veterans Brantwood Family Services Char Hope Foundation Core Services Agency Department of Juvenile Services District Court of Maryland for Harford County Empowering Minds Resource Center Hannah's Hope Harbor of Grace Recovery Harford County Detention Center Harford County Volunteer Fire Maryland Circuit Court Maryland Coalition of Families Medmark Treatment Centers New Day Wellness and Recovery Center Norkris Services Northern Chesapeake Counseling, LLC Office of Drug Control Policy OIC Counseling Services, Inc. Opioid Operational Command Center Pyramid Healthcare Riverside Treatment Springboard Community Services The Bergand Group The Homecoming Project Upper Bay Counseling Voices of Hope Social Service Organizations: Harford County Department of Social Services Department of Community Services Community/Neighborhood Organizations: Breathe 379 Epicenter Girls on the Run Horowitz Center for Health Literacy Klein's Shoprite LASOS (Linking All So Others Succeed) Mason-Dixon Community Services National Coalition of 100 Black Women Leukemia & Lymphoma Society United Way of Central Maryland Y of Central Maryland Other: CareFirst Habitat for Humanity Inner County Outreach Joyce Steinberg - Pharmacist Meghan Crosby Budinger, LCPC, LLC, Mosaic Group Seedco The Judy Center United Healthcare Following the completion of the CHNA research, the health issues were prioritized, and implementation plans were drafted with the help of 23 internal and external partners including health care providers, public health experts, health and human service agencies, and other community representatives during a Priority Setting Meeting held on April 24, 2024. Prioritization Session Participants UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH Nate Albright, UMUCH Clinical Service Line Patsy Astarita, UMUCH Kaufman Cancer Center Vickie Bands, UMUCH Community Outreach and Health Improvement Michelle Brusio, UMUCH Population Health Jennifer Redding, UMUCH Behavioral Health Julie Siejack, UMUCH Community Outreach Charlene Smith, UMUCH Population Health Jasmine Stock, UMUCH Population Health Kimberly Theis, UMUCH Community Benefit Jennifer Thomas, UMUCH Nursery & Pediatrics HARFORD COUNTY HEALTH DEPARTMENT Marcy Austin, HCHD Deputy Health Officer Zach Macas, HCHD Epidemiologist Ronya Graves, HCHD Population Health Andrea Pappas, HCHD Behavioral Health Zill Raval, HCHD Epidemiologist COMMUNITY PARTNERS Kurt Doan, Governor's Commission on LGBTQIA+ Joe Harbert, Harford County Public Schools Jessica Kraus, Core Services Agency Amadelis Mattei, Harford County Public Schools Mary Nasuta, Harford County Public Schools Amber Shrodes, Harford County Public Libraries Heather Uzdilla, Mason-Dixon Caitlin Ledford, Harford County DES Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - UPPER CHESAPEAKE MEDICAL CENTER, INC.. UCMC'S CHNA WAS CONDUCTED IN CONJUNCTION WITH ITS RELATED AFFILIATE HOSPITAL, HARFORD MEMORIAL HOSPITAL. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - UPPER CHESAPEAKE MEDICAL CENTER, INC.. THE HOSPITAL'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES AS FOLLOWS: HEALTHY HARFORD (A 501(C)(3) ORGANIZATION) AND HARFORD COUNTY HEALTH DEPARTMENT. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - UPPER CHESAPEAKE MEDICAL CENTER, INC.. The following priority health issues are the final community-wide priorities that were selected through the process described above: Harford County: 1. Mental Health and Wellness 2. Prevention and Health Management 3. Community and Family Wellbeing Priority Health Issue #1: Mental Health and Wellness Description of Community Need The Chesapeake Regional Information System for Our Patients (CRISP) reported that 7,380 visits to the hospital were due to depression, increasing about 12% from the previous year. When looking at anxiety, it has decreased by 46.6%, with 1,635 visits in 2022. In addition, the suicide rate was 12 deaths by suicide per 100,000 residents. The Maryland Vital Statistics report indicates that the total intoxication death rate for 2021 was 36.5 per 100,000. The most used drug that caused intoxication deaths was fentanyl, followed by cocaine and prescription opioids. County Health Rankings indicated that 16% of adults reported binge or heavy drinking in 2021. While the rate for intoxication-related deaths has decreased, there is still a large concern for the county with rates much higher than they were a decade ago. The issue now lies with an increase in fentanyl, especially when laced with other products, such as cocaine, which was legalized in Maryland in July 2023. Desired Community Result * Reduce emergency room visits and inpatient admissions for behavioral health patients while providing comprehensive behavioral health services that will serve the entire County; and provide the Community an easy-to-access alternative to the hospital emergency room for behavioral health (mental illness and substance use) crises. * Improve access to mental health services and treatments for all Harford County residents. * Increase knowledge and awareness for the Harford County community on behavioral health and substance use and the resources available in the community. Partner Agencies and Roles In addition to the community partners listed above, UM UCH will collaborate with the following partnering agencies. Harford Community Action Agency Harford County Department of Community Services Harford County Department of Social Services Harford County Emergency Services Harford County Office on Aging Harford County Office on Drug Control Policy Harford County Office on Mental Health/Core Services Agency Harford County Public Schools Harford County Sheriff's Office NAACP Related Hospital Strategies * Through the use of telehealth, collaborative care clinical staff could increase the ability to service more individuals in need of behavioral health and psychiatric care within the primary care physician's office. * Provide educational classes specific to behavioral health: o Mental Health First Aid o QPR o Mental health/substance use disorder topics o How nutrition affects depression and anxiety o Linkages between diabetes and depression. * Work with the Harford County Sheriff's Office to provide crisis management consultation as part of their Crisis Intervention and Crisis Negotiation Teams. * Participate in community stakeholder meetings: o Mental Health Addiction Advisory Council/Local Health Coalition o Behavioral Health Workgroup/Harford County Opioid Intervention Team Meeting o All (Behavioral Health) Providers Meeting o Crisis Response Provider Meeting o Office on Mental Health Board Meetings o Police Commission Meeting o QPR (Question, Persuade, Refer) /Suicide Prevention Workgroup o Involuntary Commitment Stakeholders Meeting o Law Enforcement Assisted Diversion Operational Workgroup * Increase education to Harford County Public Schools, pediatricians and OB/GYN practices on local mental health resources for Women and Children. Evaluation and Metrics We will use the following metrics to identify trends and corrective action for the above strategies. 1. # Mental Health First Aid and QPR Trainings, # individuals trained 2. # patients utilizing the Klein Family Center 3. # patients referred to the Klein Family Center 4. # patients referred to substance use treatment Priority Health Issue #2: Prevention and Health Management Description of Community Need Unhealthy behaviors can lead to chronic diseases that can be life-threatening. The leading causes of mortality in Harford County are heart disease, cancer, and stroke. These conditions can be prevented with lifestyle changes, such as healthy eating habits, physical activity, and avoiding smoking and drinking. There were 168.9 deaths per 100,000 persons in Harford County in 2021 due to heart disease deaths. Hypertension, a large factor of heart disease, was shown to be higher in African Americans, with 106.24 hospital visits per 1000 compared to 77.27 hospital visits per 1000 for the white population. Smoking in adults has been high for several years in Harford County, with 14% of adults reporting they smoked in 2021. Smoking is known to cause many chronic conditions, such as lung cancer and chronic obstructive pulmonary disease (COPD). Lung cancer was the specific cancer type causing the most deaths, at 24% of all cancers in Harford County in 2020. COPD also remains higher than the state rate, with the death rate being 36.9 per 100,000 residents. The diabetes mortality rate was at 18.2 per 100,00 in 2021. The African American population had almost double the rates that the white population did. From 2018 to 2021 there was a slight increase in youth obesity, with 14.7% of high school students falling into the obese category for Body Mass Index (BMI) and 14.8% of students in the overweight category for BMI. County Health Rankings reported that 32% of 7 adult residents are in the obese category. This rate coincides with the percentage of inactive adults, with 21% of adults reporting they had no physical activity outside of work. Desired Community Result * Improve care coordination and continuity of care for identified high risk, rising risk and high ED utilizers through navigation services ensuring these patients receive the right care in the right setting. * Decrease avoidable ED utilization for identified high risk. * Improve general wellness in Harford County with a reduction on chronic disease burden. * Improve education and awareness of prevention and wellness through community programming, health screenings, and vaccinations. Partner Agencies UM UCH will partner with local community agencies as listed below, but not limited to: Breathe 379 Harford Community Action Agency Harford County Department of Community Services Harford County Department of Social Services Harford County Office on Aging Harford County Public Libraries Harford County Public Schools LASOS, Inc. Mason Dixon NAACP Susquehanna Ministerium United Way of Central Maryland Y of Central Maryland Related Member Organization Strategies * Provide health education and access to community programs, targeted disease specific community events, resources, and health and wellness screenings throughout Harford County to include, but not limited to, addressing diabetes, heart disease, stroke, cancer, and respiratory diseases. * Offer nurse navigation, dietician and social work services to assist all Harford County residents, with a diagnosis of cancer, free of charge with obtaining access to care for 8 clinical services, diagnostic procedures, treatment and distress management due to their cancer, regardless of where they plan to receive their treatment. * Provide monitored cardiac rehabilitation program for any Harford County resident requiring rehabilitation after a cardiac event Evaluation and Metrics We will use the following metrics to identify trends and corrective action for the above strategies. 1. # of participants in educational programs 2. # of participants meeting program identified goals 3. # of participants in health screenings 4. # of participants attending support groups 5. % reduction in avoidable diabetes related hospital admissions. Schedule H, Part V, Section B, Line 11 Facility 1, 2 Facility 1, 2 - UPPER CHESAPEAKE MEDICAL CENTER, INC.. Priority Health Issue #3: Community and Family Wellbeing Description of Community Need Social Determinants of Health (SDOH), conditions in the environment where we are born, live, learn, work, play, worship, and age, affect a wide range of health, functioning, and quality-of-life outcomes and risks. These are non-medical factors that influence health outcomes. There are five determinant areas that make up the underlying factors of the SDOH and contribute to health equity: Education Access and Quality, Health Care and Quality, Neighborhood and Built Environment, Social and Community Context, and Economic Stability. There is a strong association between social ties and health. Strong relationships are important for one's physical and psychosocial well-being and can influence health outcomes through support such as helping people maintain a healthy diet, reducing emotional stress, increasing physical activity, and helping to connecting people to health and wellness services. By promoting good health and addressing all factors of the SDOH, we can create opportunities for people to live their best, healthiest lives and achieve health equity. Desired Community Result * Work collaboratively with community partners to address the SDOH issues. * Improve food access to populations in need (seniors, children, and families) * Provide opportunities for safe and inclusive physical activities. * Improve access to, education and awareness of community health and wellness resources. Partner Agencies and Roles In addition to the community partners listed above, UM UCH will collaborate with the following partnering agencies. Harford County Health Department/Minority Health Program Breathe 379 Harford Community Action Agency Harford County Department of Social Services Harford County Office on Aging Harford County Public Libraries Harford County Public Schools LASOS, Inc. Mason Dixon NAACP Susquehanna Ministerium United Way of Central Maryland Y of Central Maryland Related Member Organization Strategies * Provide health education and access to community programs. * Offer nurse navigation, dietician, and social work services to assist all Harford County residents with address SDOH. * Partner with community stakeholders in health and wellness programing. Evaluation and Metrics We will use the following metrics to identify trends and corrective action for the above strategies. 1. # of people served in the various programs. 2. # of events held to educate and increase awareness of opportunities for assistance. 3. # individuals connected to additional resources needed. 4. % of minorities participating in events 5. % of minorities connected to services For the full implementation strategy, please visit https://www.umms.org/uch/community/assessment-and-implementation-plan Oral health in Harford County is addressed by the Harford County Health Department through a Dental Care Clinic. The dental clinic provides services to include oral health of children ages 1 -20 enrolled in the Maryland Children's Health Program (MCHP), and pregnant women on the Medical Assistance Program who may not have previously had access to dental care. The clinic is also committed to treating same-day dental emergencies involving infection and trauma. In addition, an FQHC, Beacon Health Center, provides dental services to include pediatric and adult preventative and restorative care, replacement care with dentures, partials, and bridges, emergency care such as extractions and root canals, and cosmetic care. Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - UPPER CHESAPEAKE 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 THAN THE FPG INCOME LEVELS. 1 Upper Chesapeake Medical Center at Aberdeen 660 McHenry Road Aberdeen MD 21001 Full-service emergency department, Behavioral Health Pavilion and a Health and Wellness Center. Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE UCMC 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 THAN 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.STATE.MD.US/PAGES/INIT_CB.ASPX. Schedule H, Part VI, Line 4 Community Information The following is a summary description of the community that UMUCH serves as described in our Community Health Needs Assessment and Community Benefit Implementation Plan. A more detailed description, including maps and data tables, can be found in our Community Health Needs Assessment available at: https://www.umms.org/uch/community/assessment-and-implementation-plan POPULATION Demographic characteristics such as age, gender, race, and ethnicity have an impact on people's health. Understanding these characteristics across Harford County helps determine the resources needed for optimum health and well-being of the population. The Town of Bel Air is the Harford County seat, which has a population of 10,630, or about 4% of the county's population. The cities of Aberdeen and Havre de Grace each make up approximately 6.2% and 5.5%, respectively. The remaining population in the county is mostly distributed along the Route 40 corridor and in rural and suburban parts of the county. The table below illustrates the change in population size for Maryland, Harford County, and selected zip codes (U.S. Census Bureau, 2019-2022). In 2022, the total population of Harford County was estimated to be 264,644, which was a 3.6% increase from 2019 (255,441). The county is located in the northeastern part of Maryland, with towns and cities of various sizes, wealth, and diversity. AGE DISTRIBUTION Data on the age distribution of a county is important in order to monitor aging. The population distribution can also help determine what types of services are needed as well as infrastructure and housing needs. The age category with the largest percentage of the population was adults ages 60-64. The median age for the county was 41 years old. Harford County is comprised of 49.7% males and 50.3% females. 22.1% of the Harford County population is under the age of 17. (U.S. Census Bureau, American Community Survey 2022). RACIAL AND ETHNIC DIVERSITY Data on the racial and ethnic diversity of a population allows leaders to understand health disparities and racial gaps. It also allows for organizations to target culturally competent healthcare services. For example, in Harford County, 7.8% of residents (age 5 and up) speak a language other than English at home. Therefore, it is important to address health literacy in the community (U.S. Census Bureau, American Community Survey 2022). While 73.2% of Harford County is White, Aberdeen, Edgewood, and Havre de Grace have larger minority populations. INCOME AND PHYSICAL ENVIRONMENT The environment where people are born, work, live, learn, worship, and play can have an impact on health and well-being. Examples include education level, transportation, and access to nutritious foods and physical activity. Many of these social factors can lead to poor health outcomes, health disparities, and inequities. Compared to the United States, Maryland is a wealthy state. The median household income in Harford County is $100,915 compared to the US median household income of $74,800, and Maryland's at $95,000. There are significant differences in median income across municipalities in Harford County with Bel Air at $104,767, Havre de Grace at $95,025, Edgewood at $85,742, and Aberdeen at $74,555 (U.S. Census Bureau, 2022). 67.1% of the Harford County population aged 16 and over were employed, while 32.9% were not in the labor force. The unemployment rate in Harford County is 2%. Furthermore, 73.4% of Harford County employees were private wage and salary workers, 22.4% were government workers, and 4% were self-employed (U.S. Census Bureau, 2022). The percentage of Harford County families that are below the poverty level is 5.8%. There are racial disparities in poverty within the county. There are 5.5% of White families below the poverty level, while 8.1% of African American/ Black families are below the poverty level. EDUCATION The Harford County Public School District has 55 schools. The school district's mission is that each student will attain academic and personal success in a safe and caring environment that honors the diversity of our students and staff. Within the 55 schools, there are nine Title I schools that aim to ensure academic achievement for at-risk students attending schools in high-poverty areas. Three schools are located in Aberdeen, two in Edgewood and Joppa, and one in Havre de Grace and Abingdon (Harford County Public Schools, 2023). Harford County Public Schools had a total of 38,105 students enrolled as of September 30, 2023, with a 93% attendance rate. The high school graduation rate for Harford County was 90.8%, which was higher than the state of Maryland's rate of 85.8% (Maryland State Department of Education, 2023). The Maryland State Department of Education administers assessments each year for each school district in Maryland. Based on the test scores, each school district is ranked by SchoolDigger. Due to the pandemic, school assessments were not taken for the 2019-2020 year. For the 2022-2023 school year, Harford County was ranked 9th out of 24 public school systems in Maryland (SchoolDigger, 2023). This was a significant improvement from the previous school year when Harford County was ranked 12th. When it comes to attained education in the county as a whole, it was estimated that 94.2% of people 25 years and over in Harford County had a high school diploma or higher, and 38.8% had a bachelor's degree or higher in 2022. HOUSING AND TRANSPORTATION The median value of homes in 2023 for Harford County ($351,100) is less than Maryland's ($380,500), and the difference when considering housing prices by zip code is dramatic. The median home value has increased by 18.5% since 2020. Prices range below the state value in the Edgewood area, where the median value of a home is $217,800, to well above the state in areas like Fallston where the median home value is $485,800. Rental costs must also be taken into account when assessing the housing landscape of a community. It is estimated that 22% of households rent rather than own their house. Limited access to public transportation is especially troublesome for rural and low-income areas of Harford County. Lack of transportation impacts accessing healthcare services. Among workers 16 and over, 3% do not have a vehicle available. Rates are higher along the Route 40 corridor with Edgewood at 9%, Aberdeen at 8.8%, and Havre de Grace at 7.5% (U.s. Census Bureau, 2022). The HCHD offers a program called Medical Assistance Transportation which provides transportation to medical appointments. The service is available to Harford County residents who have active, non-restrictive Medical Assistance (Medicaid) coverage, or have no other means of transportation. Since Fiscal Year 2021, this program has completed an average of 33,465 rides per year. Transportation to and from work has proven to be a challenge for many. 61.8% of Harford County residents work within the county, with 35.5% of residents working outside of the county, and 2.7% working outside of Maryland. The average commute time to work is about 31.1 minutes. Only .8% of residents use public transportation. The Harford Transit Link is the bus system for Harford County that offers seven bus routes (Harford County Government, n.d.). While this aids in access to care, there are still gaps in transportation throughout many areas of the county. CRIME In 2022, Harford County had an annual overall crime rate of 2,002 per 100,000 people. The most recent available crime data for the state is from 2016, which reported an annual overall crime rate of 2,801.3 per 100,000. The crime rate in Maryland has been consistently higher than in Harford County for years, being 3,810 per 100,000 (Governor's Office of Crime Prevention, Youth, And Victim Services, 2022). ACCESS TO HEALTH FOOD The 2024 County Health Rankings estimate that 5% of Harford County residents had limited access to healthy foods. This percentage is based on 2019 data of those who do not live close to a grocery store and are low-income. In addition, 9% of Harford County residents are considered food insecure. This is measured by the percentage of the population who did not have access to a reliable source of food during the past year (based on 2021 data). The County Health Rankings created a food environment index to score a given area on a scale from 0-10 (zero being the worst and ten being the best). The score is based on limited access to food and food insecurity. Harford County was given a score of 8.6 out of 10 which was slightly less than Maryland as a whole (County Health Rankings, 2021). Schedule H, Part VI, Line 4 Community Information Cont It should also be noted that the US Census estimates that 7.6% of households in Harford County use the Supplemental Nutrition Assistance Program (SNAP benefits) (U.S. Census Bureau, 2022). In summary, while most Harford County residents have access to healthy foods and a reliable source of food, there are still gaps in the county. Lacking reliable access to food is related to poor outcomes such as obesity and premature mortality. ACCESS TO RECREATIONAL OPPORTUNTIES It is estimated that access to exercise opportunities in Harford County is 94% while the state of Maryland is at 92%. This is measured by the percentage of individuals in a county who live reasonably close to a park or recreational facility (County Health Rankings, 2023). The Harford County public recreation system is a combination of sites owned by municipal, County, State, and Federal government, and the Harford County Board of Education. There are numerous opportunities for Harford County residents to stay active through parks, trails, and recreation centers. Note that this is limited to public facilities and there are additional recreation opportunities through apartment complexes' playgrounds or private gyms. TOBACCO/ VAPE USE The 2021 YRBS/YTS reports that 18.6% of high school students currently use an electronic vape product, a 60% decrease from 2019. For adults over the age of 18, the smoking prevalence has been decreasing since 2018 in Harford County, with the prevalence in 2021 being 7.9%. Adult electronic cigarette (e-cig) use has also decreased in the past few years, with 5% of adults indicating they currently smoke an e-cig in 2022, a 53% decrease since 2019. ALCOHOL USE In 2021, 7% of middle school students reported having at least one drink of alcohol in the last 30 days. High school students reported higher, with 23.9% of students reporting they had at least one drink of alcohol in the last 30 days. Adults were asked if they binge drank (having 5 or more drinks for men and 4 or more drinks for women on one occasion) and 17.4% of adults reported they did in the past 30 days in 2022. POOR NUTRITION AND PHYSICAL INACTIVITY Eating well-balanced meals and exercising regularly have a major impact on one's health and well-being, both physically and mentally. Data from the 2021 BRFSS reports that 17% of the population reported eating a vegetable less than 1 time per day and 35% reported eating fruit less than I time per day. The consumption of fruit and vegetables closely mirrors the state average. It is recommended that adults engage in 150 minutes of moderate-intensity physical activity per week (or equivalent of vigorous physical activity). In Harford County, the monthly exercise percentage is high, with 77% reporting they exercised within the past 30 days but the adult obesity prevalence is at 31%, which closely aligns with the state and national average, according to the BRFSS. The BRFSS reports that the obesity prevalence for adults in 2022 was 43.6%, a 39.74% increase from 2021. Youth being overweight and obese is also a major health concern in Harford County. In 2021, 14.8% of high school students were reported being overweight (>= 85th percentile for body mass index but <95th percentile body mass index) and 14.7% were reported being obese (>= 85th percentile for body mass index). The obesity percentage in high school students has increased by 47% from 2018 to 2021. HEALTH OUTCOMES The health outcomes section reports perceived health status, incidence and prevalence of health conditions in Harford County, hospitalizations, and mortality from certain health conditions. This includes chronic and communicable disease, injury, mental health, and maternal and child health. The previous health factors section that discussed healthy and unhealthy behaviors go hand in hand with health outcomes. PERCEIVED HEALTH STATUS In 2021, County Health Rankings reports that 13% of adults consider themselves in fair or poor health. In the past 5 years, the findings have been fairly consistent, with the range being 11-16%. When looking at mental health status, individuals were asked how many days in the past 30 days was their mental health not good. The amount of poor mental health days has increased from 2017 to 2021 for adults. The table below shows the breakdown by each year. LEADING CAUSES OF DEATH AND HOSPITALIZATION In the 2024 County Health Rankings, Harford County was ranked 8th among 24 jurisdictions for health outcomes. Years of potential life (YPLL) is used to measure premature mortality (before the age of 75) rather than overall mortality to focus on deaths that could have been prevented. Based on County Health Rankings, 7,300 years of life were lost to deaths of people under age 75, per 100,000. This rate was significantly higher for African Americans/Blacks with the YPLL being 10,400 per 100,000 deaths. Maryland Vital Statistics reports 2,606 total deaths in 2021 and the top three causes of death were heart disease, cancer, and COVID-19. *Due to the rise of COVID-19 in 2020, COVID-19 became the 3rd leading cause of death in Harford County. If COVID were not a factor in 2020, the 3rd leading cause would be cerebrovascular disease (stroke). Stroke closely follows as the 4th leading cause of death. The age-adjusted mortality rate in 2021 for all causes was 821.9 per 100,000 deaths in Harford County and 786.3 per 100,000 in Maryland. EMERGENCY DEPARTMENT VISITS For 2023, CRISP's utilization map indicates that there were 204 emergency department visits per 1,000 compared to the state rate of 244 visits per 1,000. In the map below, the orange colors indicate a higher rate and the blue colors indicate a lower rate. The highest rates of ED visits in the county were for residents in Aberdeen (317 per 1,000), Edgewood (319 per 1,000), Havre de Grace (276 per 1,000), and Darlington (261 per 1,000). CRISP reports that the top conditions that patients came to the emergency department were hypertension, mental health conditions, substance use disorders, and diabetes, all of which aligned with the state's top conditions as well. CHRONIC AND COMMUNICABLE DISEASES Heart disease is the number one cause of death in Harford County and Maryland. In 2021, 168.9 per 100,000 died from heart disease, compared to the state with a rate of 160.1 per 100,000. The rate increased in 2019 and has remained higher than the state for several years. The cancer mortality rate has been on a decline in Harford County for several years but when compared to the state of Maryland, rates are much higher. The mortality rate for all cancers in 2021 was 146.8 per 100,000, compared to Maryland, with a rate of 136.8 per 100,000. Lung Cancer was the single cancer type resulting in the most deaths in Harford County in 2021, followed by colorectal and pancreatic. MATERNAL AND CHILD HEALTH Maternal and child health refers to a woman i s health during pregnancy, childbirth, and postpartum as well as the health of children. A mother's health immensely impacts a child's health; therefore, they must attend regular checkups and maintain their well-being. In 2021, Harford County had 2,632 live births in Harford County but only 79% of mothers received care in their first trimester and 3.8% received late (at third trimester) or no care at all during pregnancy. In Harford County, there are large racial disparities when it comes to maternal and child health. The rates for low birth weight (>2500 grams) were much higher for non-Hispanic African American/Black mothers (11.5%) compared to non-Hispanic White mothers (6.8%) in 2021. Low birth weight can cause health complications that start from infancy and carry on to adulthood and lead to poor outcomes. In 2022, the infant mortality rate in Harford County was 4.9 per 1,000 live births, which is lower than the state at 6.0 per 1,000 live births. The rate has declined for several years, but it is still much higher than in 2017. Racial disparities exist in infant mortality too, with the infant mortality rate being 9.8 per 1,000 births in the state of Maryland for non-Hispanic African American/Black women compared to 6.1 per 1,000 live births in the White population. The substance exposed newborn (SEN) rate has been inclining in Harford County and remained higher than the state for several years. In 2022, the rate per 1,000 live births in Harford County was 45.6, compared to the state, at 30.2. In contrast, the neonatal abstinence syndrome (NAS) rate has been declining in Harford but remains higher than the state rate. In 2022, the NAS rate in Harford County was 11.9 per 1,000 live births, compared to the state at 8.5 per 1,000 live births. Schedule H, Part VI, Line 4 Community Information Cont INJURY In Harford County, the total amount of deaths due to injury was 87 per 100,000, in 2021. These deaths include homicides, suicides, motor vehicle crashes, and poisonings. The age-adjusted rate for deaths by an accident was 39 per 100,000, lower than the state, at 45.1 per 100,000. The rate of homicide deaths in Harford was 4 per 100,000 compared to the state, at a higher rate, at 10 per 100,000. Suicide deaths have been increasing in the past few years and remain higher than the state. In Harford County, the suicide rate was 13.6 per 100,000, compared to the state at 9.7 per 100,000. Motor vehicle crashes resulted in 8 deaths per 100,000 in Harford County, compared to the state at 9 per 100,000. Falls in older adults can lead to serious injury and complications that can prevent them from completing day-to-day tasks. CRISP reports a steady number of fall hospitalizations per year in Harford County and Maryland. In 2023, Harford County had 4 per 1,000 hospitalizations due to falls and all of Maryland had 9 per 1,000. The American Automobile Association and National Safety Council observed that the car seat misuse rate in children was at 89.3% in Harford County, higher than the state average at 76.3%. BEHAVIORAL HEALTH The YRBS reports 40.1% of high school students feeling sad or hopeless almost every day for two weeks or more in a row, in the past 12 months, in 2022. When middle school students were asked the same question, 31.5% answered yes. Adults were asked how many days their mental health was not good in the past 30 days, 46.8% said none, 11.2% said 1-2 days were not good, 18% said 3-7 days were not good, and 16.6% said 8-29 days were not good. Language Barriers Language barriers are also an access to care issue in the county. Effective communication is a key principle within public health and healthcare settings. Patient and client understanding is important so they can make informed decisions about their health and build trust with providers and healthcare professionals. Many organizations recognize the importance of language services and offer a variety of options including professional interpreters, language line services, bilingual staff members, cultural competency training, and Limited EnglishProficient (LEP) groups. As previously mentioned, the racial and ethnic diversity of Harford County is steadily growing every year, with about 7% of the population speaking a language other than English at home, see the table below. An example of how these services are utilized is the Health Department offering no-cost translation services to the LEP population who utilize their services and programs. In fiscal year 2023, HCHD used LEP services 2,781 times in 27 different languages. Bi-lingual staff can assist at all locations of HCHD. ACCESS TO HEALTH CARE Access to health care has a significant influence on a person's overall health and wellbeing. Health insurance is a major contributor to access to care as well as physician shortages and lack of transportation. INSURANCE COVERAGE Health insurance allows more people to receive quality health care and improves overall health and wellness. People without health insurance may be more likely to delay or skip receiving health care or skip preventive screenings due to costs. The table to the left shows the percentage of those uninsured broken down by different demographic variables. While the uninsured rate for Harford County is relatively low, disparities in coverage are very prevalent. For example, 10.8% of the Hispanic population is uninsured, while 2.2% of the White population is uninsured. Percentages have been improving slightly over the last couple of years. ACCESS TO PRIMARY CARE AND PREVENTIVE SERVICE Regular exams and screening tests play a key role in detecting disease early which can lead to proper intervention. Vaccinations for influenza or coronavirus, for example, are also used to stop the spread of disease. Typically, screening exams and vaccines are at no cost to those with insurance. In Harford County, there are opportunities for these screenings to be provided at little or no cost to those without insurance. There are approximately 143 primary care providers in Harford County, with the ratio of the population to primary care providers in Harford County being This rate has continued to grow worse over the years and is higher than Maryland as a whole at 1,180:] (County Health Rankings, 2024). The map below is from the Health Resources and Services Administration (HRSA) and they have designated Edgewood as a Health Professional Shortage Area with a score of Il out of 25 (HRSA, n.d.) Scores range from I to 25 for primary care and mental health, and 1 to 26 for dental health. The higher the score, the greater the priority. ACCESS TO MENTAL HEALTH AND SUBSTANCE USE Mental health is just as important as physical health for overall health and wellbeing. Mental illness can also lead to physical illness such as heart disease and type 2 diabetes. The COVID-19 pandemic allowed residents to access primary and mental health services via telehealth. In Harford County, there are an estimated 677 mental health providers, while the ratio of the population to mental health providers was 390:1. This rate improved from 500:] in 2021. (County Health Rankings, 2024). Similarly to primary care providers, Harford County's ratio is worse than the state rate of 290:1. Harford County as a whole has been designated as a mental health shortage area with a score of 7 out of 25. ACCESS TO ORAL HEALTH Oral health is an important aspect of overall health and wellness and should not be overlooked. Poor oral health not only affects the mouth, gums, and teeth with problems such as cavities and gingivitis, but has also been linked to cancer, diabetes, heart disease, and pregnancy complications. There are an estimated 172 dentists in Harford County and the ratio of population to dentists is 390:1 (County Health Rankings, 2024). Harford County has been named a dental health shortage area, with a rating of 13 out of 26. Schedule H, Part VI, Line 7 State Filing of Community Benefit Report As required by Maryland statute for all hospitals, UMUCH 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's Health Services Cost Review Commission (HSCRC), a state regulatory agency that governs hospital rates. Schedule H, Part VI, Line 5 Promotion of Community Health UMUCH aims to strengthen our community through promoting health and wellness with our outreach program, Community Outreach. Community Outreach is dedicated to promoting health and wellness outside of the hospital and to increasing the quality of life in Harford County. Focusing on prevention and improving health outcomes, we provide an expansive variety of health education, screenings, lifestyle management classes and information on referrals and local resources. We promote our programs through various social media outlets, including Facebook, Instagram and Twitter. In addition, we distribute a quarterly publication, "Maryland Health Matters", have an up-to-date calendar of events on our website, targeted direct mailing and emails and distribute flyers throughout Harford County focusing on areas of interest such as, senior centers, libraries, churches, grocery stores to name a few. In 2025, Community Outreach had over 17,288 community-wide contacts through our screenings and educational programs, flu vaccination clinics, and support groups. Throughout the year, many different health screenings and health education sessions took place throughout Harford County to service those individuals who otherwise would not be able to receive. Programs provided, but not limited to, included: o 34 health education sessions - 2,043 participants o 17 New Year, Strong You education sessions - 117 participants o 80 cancer education sessions - 678 participants o 4 HPV education sessions -122 participants o 18 men 's health education session - 67 participants o 21 radon education sessions - 137 participants o 17 stroke education sessions - 257 participants o 9 glo germ/hand hygiene sessions - 258 participants o 22 vision care education sessions - 203 participants o 17 nutrition education sessions - 680 participants o 36 hydration education sessions - 542 participants o 10 activity wheel education sessions - 625 participants o 36 Walk with a Doc education sessions - 278 participants o 19 smoking/tobacco education sessions - 536 participants o 21 healthy aging sessions - 342 participants o 7 Compress & Shock/Stop the Bleed trainings - 282 participants o 14 Teddy Bear Clinic sessions - 423 participants o Monthly Stroke Survivors Support Group "Stroke Club" - 30 participants, 300 encounters o Diabetes Wellness Groups - provided at 5 locations; 52 sessions; 291 participants o 44 Urban Soul Line Dancing classes - 2,802 participants o 35 Zumba classes - 359 participants o 176 diabetes risk assessment sessions - 941 participants of which 885 participants had documented results: 75% female, 25% male; 54% Caucasian, 32% African American, 6% Hispanic, 2% Asian, and 1% unknown. Of these 885 individuals, 603 or 68% were identified as high risk and received counseling, education on diabetes and appropriate referrals. o 44 hemoglobin A1c screening session - 299 individuals received a hemoglobin A1c screening, of which 286 were recorded: 72% female, 28% male; 64% Caucasian, 22% African American, 8% Hispanic, 3% Asian. Of these 286 individuals, 122 or 43% were identified as pre diabetic and 38 or 13% were identified as diabetic. These individuals received counseling, education on diabetes and appropriate referrals. o 34 monthly blood pressure screening locations - 1,291 individual participated in one or more blood pressure screenings in FY25: 67% female, 31% male, 61% Caucasian, 26% African American, 5% Hispanic, 2% Asian, 1% Native American, 2% other. 2,250 blood pressure encounters. 548 or 24% encounters that registered a blood pressure reading of Stage 2 >140 or >90 and above. Of those 548 encounters, 257 or 47% who participated in a blood pressure screening have been identified as being Stage 2 >140 or >90 and above and were referred to the Blood Pressure Follow-up Program. The remaining 291 or 53% opted out of receiving follow-up. o 35 cholesterol screenings - 164 individuals received a cholesterol screening: 73% female, 27% male, 74% White %, 18% African American, 3% Asian, 3% Hispanic. 240 encounters: 165 or 69% Normal (<200), 45 or 19% Borderline (200-239); 28 or 12% High (>240). Of the 176 females, 77% had a normal (>40). Of the 64 males, 20% had a normal HDL. o 22 stroke risk assessment sessions - 125 participants o 22 body fat composition screenings - 177 participants o 8 sleep apnea screenings - 51 participants o 3 car fit education sessions - 42 participants Senior Center/Senior Housing/Assisted Living Programs Harford County is a diverse community with approximately 25% of the population being 55 years old or older. With senior citizens making up a quarter of the community and being the population that utilizes a large proportion of health care services, our community programs are centered around their specific needs, helping to ensure successful and healthy senior living. Community Outreach provided 3,498 screenings, education sessions, support groups and vaccinations to Harford County seniors at five senior activity center locations to include Edgewood, Fallston, Havre de Grace, Highland and Bel Air. In addition, to all senior housing centers including Aberdeen Court, Abingdon Gardens, Fairbrooke, St. Johns Commons, St. Johns Towers, Aberdeen and Perryman as well as Parkview at Box Hill, Parkview at Bel Air and Avondale Assisted Living Facilities. Children's Programs One of the most important jobs parents have is keeping their child safe while riding in a car. Tragically, thousands of young children are killed or injured every year in car accidents. Proper use of car safety seats can help keep children safe - but with so many different car seat options on the market, parents can quickly become overwhelmed. Not only does the community outreach team at UMUCH provide education on choosing the correct seat, they teach parents and caregivers how to properly install the seat as well. UMUCH has five team members who are nationally certified car safety technicians and one who have been specially trained to fit children with disabilities to the proper safety seat. In FY25, Car Seat Education Sessions were provided at 12 locations with a total of 256 participants. At bi-monthly car safety seat checks, technicians review installation of infant, child and booster seats. Proper seat fitting and use is crucial, and safety checks are the best way to ensure seats are being used correctly. Our technicians also support Maryland's Kids in Safety Seats (KISS) program at their installation checks offered throughout Harford County. In FY25, UMUCH technicians participated in 22 car seat safety checks with a total of 120 car seats being checked for accurate installation, of which 100 were rear facing, 11 were forward facing, and 4 were booster seats. Of these 120 car seats, 32 were new installations, of which 26 were rear facing, 3 were forward facing and 2 were booster seats. Of these 120 car seats, 88 were already installed and checked for proper installation and safety, 78 were rear facing, and 9 were forward facing. Of the 88 installed car seats, 67 or 76% were found to be incorrectly installed. The UMUCH program continues to grow and has become one of our busiest and most sought-after community offerings. In addition to car seat safety, our community outreach team also manages Harford County's car seat assistance program that helps low-income families purchase car safety seats. Based on income, families with demonstrated need are able to receive a new car safety seat for little to no money. The program requires each family to have 60 minutes of car safety seat education, which covers proper seat installation and Maryland car seat laws. 6 cars seats and 1 booster seat provided. Chronic Disease and Wellness Evidence Based Programs With the ever-growing number of people who suffer from chronic diseases, the search for more effective strategies to both prevent and manage these conditions is essential. The use of evidence-based chronic disease self-management programs (CDSMP) is helping people with chronic conditions and their caregivers gain better control over and improve their health. These programs focus on overall health, quality of life and well-being and are designed for both the ill and healthy, empowering them to manage the many factors that affect their health. Facilitators introduce tools needed for daily life when an individual is battling a chronic condition or illness. Participants practice using self-management skills, focus on goal setting and share experiences which can help promote mutual support. Highly interactive, these programs serve as an adjunct to the care provided by primary care doctors and specialists. Schedule H, Part VI, Line 5 Promotion of Community Health Cont At UMUCH, a variety of self-management programs are offered by the experts in our Community Outreach department: * Chronic Disease Self-Management - to increase knowledge of the individual's' chronic condition; 2.) To improve ability to self-manage the individual's chronic condition; To improve utilization of needed health care services. One class took place with 10 participants: 17% African American, 67% Caucasian; 17% Asian. Six individuals or 60% completed the class. Chronic conditions included: 83% Chronic Pain, 67% Arthritis, 50% Diabetes; 50% Hypertension, 33% Obesity, Lung Disease, and Stroke, 17% Osteoporosis, Stroke and Kidney Disease. 60% reported they had multiple conditions. * Diabetes Prevention Program -A lifestyle change yearlong program facilitated by trained lifestyle coaches to help individuals lose weight, eat healthier, increase physical activity and manage stress. The program consists of weekly and monthly sessions. The goal of the program is to have participants lose 5 to 7% of their body weight and increase their activity to 150 minutes per week. Five DPP classes started in FY25. 41 individuals started in a DPP class, of which 85% were female and 15% male, 56% Caucasian, 17% African American, and 27% Hispanic. 89% of participants reported doing at least 150+ minutes of physical activity/week. 34% of participants reported at last 5% weight loss. Eight DPP classes ended in FY25. 74 individuals participated in a class that ended in FY25, of which 56 or 76% were completers. 82% were female and 18% were male, 67% Caucasian, 21 African American and 10% Hispanic. 69% of participants reported doing at least 150+ minutes of physical activity/week. 39% of participants reported at least 5% weight loss. * Forward Focus Session - To increase knowledge on various healthcare topics to aid in managing chronic disease and chronic pain. Six classes took place with a total of 65 participants. * Living Well with Diabetes Self-Management - designed for people with Type 1, Type 2, or Pre-diabetes. It is a free six-week program that teaches individuals how to manage their diabetes, ways to maintain or increase their activity level and how the food they eat can affect their blood sugar. Three 6-week class took place with 25 participants: 67% female, 33% male; 60% Caucasian, 35% African American. 18 of the 25 participants completed the classes for a percentage of 72% completers. * Living Well with Hypertension - a one time 2.5 hour session for people who have been diagnosed with hypertension, or high blood pressure. Participants of this workshop will learn how to better manage this condition. Six classes took place in FY25 with a total of 58 participants. * Matter of Balance - designed to reduce the fear of falling and improve activity levels among community-dwelling older adults. Six classes took place in FY2f with a total of 33 participants. * Road to Health - An evidence-based program from the CDC developed to help people prevent or delay Type 2 Diabetes through lifestyle changes. Nine four-week sessions took place in FY25 with a total of 663 participants. Route 40 Corridor Program UM UCH Community Outreach provided episodic clinical and medical care by a Nurse Practitioner and/or Physician Assistant to unhoused and vulnerable individuals along the Route 40 Corridor to include areas such as Havre de Grace, Aberdeen and Edgewood. The purpose of a NP/PA in this setting is to proactively engage vulnerable individuals in these high-risk areas through proactive strategies to better access healthcare and function better in their communities, creating a long-term plan to address patient needs. There were 281 individual patients seen and 484 encounters: 23% male, 76% female; 50% African American; 37% Caucasian, 5% Hispanic, 8% Unspecified; Ages 18-39: 7%, 40-49: 6%, 50-59:10%, 60-69: 34%, 70-79: 23%, 80+: 19. Pediatric Asthma Program UM UCH Community Outreach provided 1:1 follow-up asthma education to children/caregivers who were seen in UCH EDs for treatment of asthma ages 2-18. 130 children ages 2-18 presented in UCH ED for treatment of asthma, of which 53% were African American and 66% listed Medicaid as their insurance. We started consistently tracking this data in January. From January to June out of 53 kids total, we reached 28 kids at the 2 week follow up call 24 of the 28 kids had a follow up appointment. 100 % of the children who do not already have a pediatric pulmonologist listed get referred to the pulmonary peds clinic. Flu Clinic Program UMUCH's longstanding flu clinic program was offered throughout the county free of charge or for a nominal fee. In FY25, community outreach administered 454 vaccines at 27 different locations. Community Outreach Call Center The HealthLink Call Center is responsible for successfully managing large amounts of inbound and outbound calls focusing on physician referrals and registration for community outreach events and programs. In FY25, our call center handled approximately 1,712 calls. Healthy Harford Healthy Harford/Healthy Cecil is the healthy communities' initiative of Harford and Cecil Counties, dedicated to the health and wellness of the northern Chesapeake community - in mind body and spirit. It was formed by leaders from UMUCH, the Harford County Health Department, and Harford County Government - Healthy Harford/Healthy Cecil is a coalition of local government agencies, businesses, nonprofits, and citizens dedicated to improving the health of Harford and Cecil County residents through education, policy changes, improvements in the built environment, increased access to care, and improved care coordination for people with chronic illness. Healthy Harford/Healthy Cecil is financially supported by UMUCH. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 18935306 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 Through a variety of community building activities, UMUCH promotes health and wellness in the communities it serves. These activities include community support, coalition building and community health improvement advocacy. UMUCH provides leadership to many community coalitions and collaborative partnerships to improve community health, which include, but are not limited to: Healthy Harford - the healthy communities initiative of Harford County, dedicated to the health and wellness of the northern Chesapeake community. Founded in 1993 as a non-profit 501c3 by leaders from University of Maryland Upper Chesapeake Health, the Harford County Health Department, and Harford County Government, Healthy Harford is a coalition of local government agencies, businesses, non-profits, and citizens dedicated to improving the health of Harford County residents through education, policy changes, improvements in the built environment, increased access to care, and improved care coordination for people with chronic illness. Healthy Harford's mission is to inspire and empower healthy people, healthy families, and healthy communities in mind, body, and spirit, with a focus of improving health and wellness in the Harford County region by promoting healthy lifestyles, building community partnerships, and proving care coordination. The Harford County Local Health Improvement Coalition (LHIC) - jointly led by the Harford County Health Department and UMUCH. This Coalition brings together representatives from the community every October to examine the health of our community and determine a plan for moving forward. Primary health improvement priorities for this Coalition include behavioral health, chronic disease prevention & wellness and family health & resiliency. The charge for each priority is then lead by a community workgroup. Each workgroup has strategic initiatives, action plans, and measurable goals. They meet either monthly or quarterly and report out at the Annual LHIC meeting. Other community coalitions that UMUCH plays an active role in include: Harford County Cancer Coalition, Suicide Prevention Workgroup, Overdose Fatality Review Team, Citizen Review Board for Children, and Harford County Child Fatality Review Board. All of these committees and coalition are collaborative efforts to address health issues and advocate for policies and programs that improve health in the communities we serve. 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 WOULD APPLY 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 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 - UPPER CHESAPEAKE MEDICAL CENTER, INC.: Line 16a URL: https://www.umms.org/uch/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - UPPER CHESAPEAKE MEDICAL CENTER, INC.: Line 16b URL: https://www.umms.org/uch/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - UPPER CHESAPEAKE MEDICAL CENTER, INC.: Line 16c URL: https://www.umms.org/uch/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part VI, Line 2 Needs assessment UMUCH assessed the health status of Harford County residents, as individuals and as population groups, and provided population comparisons to residents of Maryland and to the nation as a whole. We examined trends in health indicators of County residents over time, highlighting racial and geographic disparities, and identified areas of poverty and at-risk populations which provided a basis for our public health planning. Data in our assessment came from a variety of National and State sources, including, but not limited to, the United States Census Bureau, Maryland State Health Improvement Plan, Maryland Vital Statistics, the Maryland Behavioral Risk Factor Surveillance survey, the Injuries in Maryland report, and national County Health Rankings. The CHNA includes each of Harford County's 21 zip codes. In keeping with the UMUCH mission of maintaining and improving the health of the people in its communities and providing high quality care to all, the community benefit service area (CBSA) was identified as all of Harford County. The zip codes where the most vulnerable populations reside (21009, 21040, 21001, & 21078) were included in the assessment and represent the most concentrated areas of poverty within the county. It is important to note that pockets of concentrated poverty also exist within rural northern zip codes in Harford County. Identifying all of Harford County as the CBSA provides the opportunity to better address the needs of the vulnerable residents of Harford County. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Information regarding the Financial Assistance program/policy and the number for our patients to contact someone with questions or concerns are as follows: o Posted in registration areas (inpatient, emergency department, Kaufman Cancer Center, Family Birth Place, outpatient testing), waiting areas and by Cashier's offices o Offered to all Self Pay patients at the time of registration o Printed on the back of all patient financial statements o Posted on the UMUCH website o Offered by Billing Department when patients call inquiring about their hospital bill A Financial Counselor is available onsite to assist patients with applying for Financial Assistance. A representative from Hospital Support Services contacts all Self-Pay ED patients and Self Pay inpatients to assist the patient with applying for Medical Assistance. Our Financial Assistance policy is available in English and Spanish. The financial assistance policy for UMUCH is regularly reviewed and to make sure it is available to our patients in a variety of formats and that it is available in culturally/linguistically sensitive manner and at a reading comprehensive level appropriate to the population of our Community Benefit Service Area. 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), UMUCH understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, UMUCH assesses the community's health needs, identifies key priorities, and responds with services, programs and initiatives which make a positive, sustained impact on the health of the community. 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. UMUCH is committed to health education, advocacy, community partnerships, and engaging programs which focus on health and wellness with the goal of eliminating health care disparities in the Harford County. Schedule H, Part VI, Line 7 State filing of community benefit report MD true true false false false false false true false ELIZABETH WISE PRESIDENT/CEO, UCHS 0 525332 0 166901 0 27704 0 101081 0 30806 0 851824 0 0 LISA C ROWEN RN FORMER CHIEF NURSE EXECUTIVE, UMMS 0 349861 0 170104 0 69261 0 13800 0 14089 0 617115 0 0 ALICIA L CUNNINGHAM DIRECTOR 0 388456 0 146459 0 77036 0 13800 0 29730 0 655481 0 0 MOHAN SUNTHA MD PRESIDENT AND CEO, UMMS 0 2035925 0 1438800 0 395853 0 13800 0 56239 0 3940617 0 0 MARCO PRIOLO VP Finance/CFO 0 292953 0 81565 0 23643 0 50325 0 39010 0 487496 0 0 HAFSA BHATTI Physician Advisor 280244 0 20000 0 304 0 9451 0 2663 0 312662 0 0 0 KAREN HENSLEY MD Asst VP - Patient Services 101688 0 10334 0 117068 0 2051 0 2502 0 233643 0 0 0 LAURIE HOFFMAN RN Clinical Nurse 184395 0 41299 0 303 0 9089 0 7790 0 242876 0 0 0 MELODI VEST RN Clinical Nurse 231170 0 20790 0 795 0 0 0 10897 0 263652 0 0 0 BEVERLY A WEHMER MD Asst VP - Patient Services 109432 0 10939 0 124427 0 2179 0 7849 0 254826 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THIS ORGANIZATION DOES NOT HAVE A PAID CHIEF EXECUTIVE OFFICER. ALL COMPENSATION TO THE CHIEF EXECUTIVE OFFICER REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION, CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. Schedule J, Part I, Line 4a Severance or change-of-control payment DURING THE FISCAL YEAR-ENDED JUNE 30, 2025, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUALS AND AMOUNTS ARE LISTED BELOW: BEVERLY WEHMER MD, $123,802 KAREN HENSLEY MD, $116,954 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 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: MARCO PRIOLO ELIZABETH WISE 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 ALICIA CUNNINGHAM, $50,130 LISA ROWEN, RN, $44,328 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. Mathew Thomas MD Mathew Thomas, MD is a family member of Lisa Thomas, MD, a director of the filing organization 654448 Mathew Thomas, MD was paid reasonable compensation as an employee of the filing organization false Form 990, Part IV, Line 24a Tax Exempt Bonds PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, UMMS 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 UMMS, UMROI, MGH, UM BALTIMORE WASHINGTON, UM MEMORIAL, UM CHESTER RIVER, UM CHARLES REGIONAL, 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 UMMS AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION DID NOT COMPENSATE ITS EXECUTIVES, BUT RATHER, THE EXECUTIVES RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. ACCORDINGLY, THE ORGANIZATION'S PARENT COMPANY 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. THE PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. Form 990, Part VI, Line 6 Classes of members or stockholders UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. (UMUCHS) IS THE SOLE MEMBER OF UPPER CHESAPEAKE MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMUCHS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY. 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, finance committee or other member(s) 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 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 IX, Line 11g Other Fees Contract Services - Total Expense: 5022035, Program Service Expense: 3369644, Management and General Expenses: 1652391, Fundraising Expenses: 0; Corporate Shared Services - Total Expense: 37159090, Program Service Expense: 0, Management and General Expenses: 37159090, Fundraising Expenses: 0; Agency Labor - Total Expense: 11655746, Program Service Expense: 11655746, Management and General Expenses: 0, Fundraising Expenses: 0; Physician - Total Expense: 25533460, Program Service Expense: 25533460, Management and General Expenses: 0, Fundraising Expenses: 0; Non-medical purchased services - Total Expense: 15654805, Program Service Expense: 10503932, Management and General Expenses: 5150873, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital transfer from Affiliates - 375854; Change in economic interested in Foundation - 7592649; Transfers to related organizations - XXX-XX-XXXX; Total - XXX-XX-XXXX; TOLLGATE MEDICAL PLAZA LLC 515 S TOLLGATE RD BEL AIR MD 21014 263886674 REAL ESTATE MD 0 0 UCMC 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 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521958002 HEALTHCARE MD UMSJMC N/A false false UNIVERSITY OF MARYLAND CHARLES PO BOX 1070 LAPLATA MD 20646 300956382 HEALTHCARE MD UMCRCP N/A false false BALTIMORE ASC VENTURES LLC 7620 YORK ROAD TOWSON MD 21204 824133899 HEALTHCARE DE UMSJMC N/A false false UCHSUMMS REAL ESTATE TRUST 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 276803540 HOLDING CO MD UMMSC N/A false false UM CHESAPEAKE SURGERY CENTER LLC 515 SOUTH TOLLGATE ROAD BEL AIR MD 21014 873038857 HEALTHCARE MD UCHV N/A false false RUXTON SURGICENTER LLC 1122 KENILWORTH DRIVE TOWSON MD 21014 522095835 HEALTHCARE MD UMSJMC N/A false false NA EXECUTIVE BUILDING CONDO ASSN INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 REAL ESTATE MD NA C Corporation false UM CHARLES REGIONAL CARE PARTNERS PO BOX 1070 LA PLATA MD 20646 522176314 HEALTHCARE MD NA C Corporation false UNIVERSITY MIDTOWN PROF CENTER 827 LINDEN AVENUE BALTIMORE MD 21201 521891126 REAL ESTATE MD NA C Corporation false UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE 900 Elkridge 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