UNION HOSPITAL OF CECIL COUNTY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
UNION HOSPITAL OF CECIL COUNTY (EIN 52-0607945)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202321359349305827
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T11:04:12-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520607945EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNION HOSPITAL OF CECIL COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SR VP'S OFFICEInCareOfNm
Business Name ControlUNIOBusinessNameControlTxt
Phone4103984000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 NEXUS DRIVE NW3-100AddressLine1Txt
CityWILMINGTONCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19803ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROB MCMURRAYPersonNm
Person TitleCFOPersonTitleTxt
Phone4103984000PhoneNum
Signature2023-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBPersonFirstNm
Person LastMCMURRAYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2023-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerDWIGHT THOMEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BOW STREETAddressLine1Txt
CityELKTONCityNm
State AbbreviationMDStateAbbreviationCd
ZIP219215596ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$188,206,527GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UHCC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD AND THE SURROUNDING AREA.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1411TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$2,524,247TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,153,841PYContributionsGrantsAmt
CY Contributions Grants$997,954CYContributionsGrantsAmt
PY Program Service Revenue$164,727,118PYProgramServiceRevenueAmt
CY Program Service Revenue$169,542,293CYProgramServiceRevenueAmt
PY Investment Income$6,010,593PYInvestmentIncomeAmt
CY Investment Income$4,746,882CYInvestmentIncomeAmt
PY Other Revenue$3,115,185PYOtherRevenueAmt
CY Other Revenue$2,759,534CYOtherRevenueAmt
PY Total Revenue$178,006,737PYTotalRevenueAmt
CY Total Revenue$178,046,663CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$93,664,969PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$115,682,360CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$76,275,445PYOtherExpensesAmt
CY Other Expenses$86,433,407CYOtherExpensesAmt
PY Total Expenses$169,940,414PYTotalExpensesAmt
CY Total Expenses$202,115,767CYTotalExpensesAmt
PY Revenues Less Expenses$8,066,323PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$24,069,104CYRevenuesLessExpensesAmt
Total Assets BOY$184,996,008TotalAssetsBOYAmt
Total Assets EOY$171,242,854TotalAssetsEOYAmt
Total Liabilities BOY$118,875,001TotalLiabilitiesBOYAmt
Total Liabilities EOY$130,401,794TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$66,121,007NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,841,060NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionUNION HOSPITAL OF CECIL COUNTY, INC.'S MISSION IS TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND; WESTERN NEW CASTLE COUNTY, DELAWARE; AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$131,353,878ExpenseAmt
Grant$0GrantAmt
Revenue$169,572,493RevenueAmt
DescUNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND AND NEIGHBORING COMMUNITIES. SERVICES ARE PROVIDED WITH MODERN TECHNOLOGY AND COMPASSIONATE CARE FROM HEALTH CARE PROFESSIONALS. SERVICES ARE PROVIDED REGARDLESS OF RACE, GENDER, ETHNICITY, AGE, DISABILITY, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, IT IS RECOGNIZED THAT NOT ALL MEMBERS OF THE COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE HEALTH CARE SERVICES. FOR ELIGIBLE INDIVIDUALS, UNION HOSPITAL OF CECIL COUNTY OFFERS FREE AND/OR SUBSIDIZED CARE, AS WELL AS ACCESS TO COMMUNITY FINANCIAL ASSISTANCE. DURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $7,087,606 IN UNCOMPENSATED CARE (CHARITY CARE). IN ADDITION, COMMUNITY BENEFIT ACTIVITIES ARE PROVIDED TO SERVE VULNERABLE POPULATIONS (I.E. MEDICALLY UNDERSERVED, WORKING POOR, HOMELESS). ACTIVITIES ARE CREATED BASED ON COMMUNITY NEED AND ARE PROVIDED IN AN EFFORT TO IMPROVE THE HEALTH OF THE COMMUNITY. COMMUNITY BENEFITS INCLUDE: A) COMMUNITY SUPPORT GROUPS FOR CANCER, DIABETES, STROKE, ALZHEIMER'S, AND BREASTFEEDING; B) HEALTH EDUCATION FOR DIABETES AND NUTRITION, CANCER PREVENTION, STROKE RISK, AND HOW TO CARE FOR SUBSTANCE-EFFECTED NEWBORNS; C) FREE SCREENINGS IN THE COMMUNITY FOR PROSTATE CANCER, HEAD AND NECK CANCER, SKIN CANCER, AND DIABETES (EYES AND FEET); D) PROVIDING MEETING FACILITIES FOR LOCAL NONPROFITS AND AGENCIES E) ENHANCING FOOD SECURITY WITH MEALS ON WHEELS AND FOOD DONATIONS TO HOMELESS SERVING PROVIDERS IN THE COMMUNITY; F) HOSPITAL STAFF PARTICIPATION ON COMMUNITY BOARDS AND COALITIONS, LIKE THE DENTAL HEALTH ADVISORY BOARD, UNITED WAY, VOICES OF HOPE, CECIL COUNTY DRUG-FREE COMMUNITIES COALITION, CORE SERVICE AGENCY MENTAL HEALTH ADVISORY BOARD, DEPARTMENT OF SOCIAL SERVICES BOARD, AND CECIL COUNTY COMMUNITY HEALTH ADVISORY COALITION. UNION HOSPITAL OF CECIL COUNTY SERVICED 4,506 DISCHARGES, PROVIDING 20,868 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2021 OF WHICH: 1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,028 DISCHARGES AND 10,451 PATIENT DAYS; 2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 112 DISCHARGES AND 527 PATIENT DAYS; 3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,456 DISCHARGES AND 5,054 PATIENT DAYS; 4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 209 DISCHARGES AND 1,219 PATIENT DAYS.Desc
Total Program Service Expenses$131,353,878TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document105IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1411EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSR VP'S OFFICEPersonNm
Phone3024282441PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 NEXUS DRIVE NW3-100AddressLine1Txt
CityWILMINGTONCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19803ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
KENNETH SILVERSTEIN MD
DIRECTOR (THROUGH 12/31/21)1.044.0Yes (X)$0$1,543,930$41,860
SHARON T KURFUERST
PRES & DIRECTOR (AS OF 1/1/22)1.044.0Yes (X)$0$909,862$36,778Yes (X)
ROBERT MCMURRAY
TREASURER (EX-OFFICIO)1.044.0$0$849,222$43,310Yes (X)
JUSTIN SAUSVILLE MD
DIRECTOR44.01.0Yes (X)$770,969$0$33,521
JENNIFER L SCHWARTZ ESQ
SECRETARY (EX-OFFICIO)1.044.0$0$720,571$39,853Yes (X)
RICHARD C SZUMEL
FORMER OFFICER0.00.0$720,937$0$1,307Yes (X)
ROGER D WU MD
PHYSICIAN45.00.0$664,353$0$31,031Yes (X)
FAHD RAHMAN MD
PHYSICIAN45.00.0$594,491$0$32,071Yes (X)
NAVEED HASAN MD
PHYSICIAN45.00.0$563,433$0$13,871Yes (X)
RYAN GERACIMOS MD
CHIEF MEDICAL OFFICER44.01.0$540,068$0$31,839Yes (X)
THEODORA FYNN
PHYSICIAN45.00.0$461,822$0$27,938Yes (X)
VINAY K SHARMA
PHYSICIAN45.00.0$455,132$0$23,216Yes (X)
JOSE MA MD
DIRECTOR44.01.0Yes (X)$305,661$0$29,218
JOAN PIRRUNG MSN APRN ACNS-BC
VP PAT. CARE SERVIVES-NURSING44.01.0$0$211,425$62,102Yes (X)
AMY MARSTON
CAMPUS OPERATIONS OFFICER44.01.0$0$224,289$28,971Yes (X)
MICHELLE TWUM-DANSO
DIRECTOR OF HR - CECIL CAMPUS45.00.0$221,984$0$17,036Yes (X)
ROBERT ASANTE
DIRECTOR (AS OF 1/2022)1.044.0Yes (X)$0$193,924$34,931
DERON G BROWN
FORMER FINANCE DIRECTOR44.01.0$190,295$0$12,359Yes (X)
CARL ROBERTS PHD
DIRECTOR (THROUGH 4/2022)1.01.0Yes (X)$0$0$0
CHRISTY DRYER DNP
DIRECTOR1.01.0Yes (X)$0$0$0
DAVID TROLIO
DIRECTOR1.01.0Yes (X)$0$0$0
DWIGHT D THOMEY ESQ
CHAIR1.03.0Yes (X)$0$0$0Yes (X)
JACQUES RENE
DIRECTOR1.01.0Yes (X)$0$0$0
LEO NAJERA MD
DIRECTOR1.02.0Yes (X)$0$0$0
MORGAN MILLER MLIS
VICE CHAIR1.01.0Yes (X)$0$0$0Yes (X)
REVEREND R KEVIN BROWN
DIRECTOR1.01.0Yes (X)$0$0$0
ROBERT PALSGROVE
DIRECTOR1.01.0Yes (X)$0$0$0
BETTY J CAFFO PHD
DIRECTOR (THROUGH 12/31/12)1.01.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,489,145TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,653,223TotReportableCompRltdOrgAmt
Total Other Compensation$541,212TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K143IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GENERAL HEALTHCARE RESOURCES LLC
2250 HICKORY RD STE 240PLYMOUTH MEETINGPA19460PROF. STAFFING SRVCS$10,178,911
UNION RADIOLOGISTS LLC
106 BOW ST RADIOLOGY OFFICEELKTONMD21921RADIOLOGY SERVICES$3,290,021
SP CONSULTANTS INC
15 BRAINTREE HILL OFFICE PARK STEBRAINTREEMD02184CONSULTING SERVICES$1,799,673
HOSPITAL RESCUE SERVICES LLC
5234 HARVEY LANEELLICOTT CITYMD21043HEALTHCARE SERVICES$1,310,760
XANDER HEALTHCARE SERVICES LLC
8670 SPUR LNEASTONMD21601HEALTHCARE SERVICES$1,101,650
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K61CntrctRcvdGreaterThan100KCnt
Related Organizations$213,953RelatedOrganizationsAmt
Government Grants$784,001GovernmentGrantsAmt
Total Contributions$997,954TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621990$169,242,468$169,242,468
OTHER OPERATING REVENUE621990$204,425$168,425$36,000
ADULT DAY CARE623990$95,400$95,400
FieldValueIRS element (for citing)
Total Program Service Revenue$169,542,293TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$705,929TotalRevenueColumnAmt
Unrelated Business Revenue$211,924UnrelatedBusinessRevenueAmt
Exclusion$494,005ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$77,584RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$702RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$76,882RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,882TotalRevenueColumnAmt
Exclusion$76,882ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,189,773SecuritiesAmt
Other$10,342OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,145,182SecuritiesAmt
Other$13,980OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,044,591SecuritiesAmt
Other-$3,638OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,040,953TotalRevenueColumnAmt
Exclusion$4,040,953ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LABORATORY REVENUE621500$2,306,523$30,200$2,276,323
CAFETERIA/FOOD SERVICE REVENUE722210$328,588$328,588
OTHER REVENUE900009$47,541$47,541
FieldValueIRS element (for citing)
Other Revenue Total$2,682,652OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$178,046,663TotalRevenueColumnAmt
Related Or Exempt Func Income$169,536,493RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,524,247UnrelatedBusinessRevenueAmt
Exclusion$4,987,969ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,156,261TotalAmt
Program Services$2,156,261ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$89,577,752TotalAmt
Program Services$68,812,324ProgramServicesAmt
Management And General$20,765,428ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,253,003TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,253,003ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,189,385TotalAmt
Program Services$0ProgramServicesAmt
Management And General$13,189,385ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,505,959TotalAmt
Program Services$2,042,412ProgramServicesAmt
Management And General$4,463,547ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$54,159TotalAmt
Program Services$10,910ProgramServicesAmt
Management And General$43,249ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$306,695TotalAmt
Program Services$0ProgramServicesAmt
Management And General$306,695ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$138,341TotalAmt
Program Services$0ProgramServicesAmt
Management And General$138,341ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,621,321TotalAmt
Program Services$26,372,704ProgramServicesAmt
Management And General$6,248,617ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$495,985TotalAmt
Program Services$5,218ProgramServicesAmt
Management And General$490,767ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,928,033TotalAmt
Program Services$1,794,636ProgramServicesAmt
Management And General$2,133,397ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,061,520TotalAmt
Program Services$246,081ProgramServicesAmt
Management And General$2,815,439ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,680,703TotalAmt
Program Services$1,509,698ProgramServicesAmt
Management And General$3,171,005ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$267,769TotalAmt
Program Services$213,791ProgramServicesAmt
Management And General$53,978ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$100,164TotalAmt
Program Services$61,890ProgramServicesAmt
Management And General$38,274ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,750,709TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,750,709ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$700,000TotalAmt
Program Services$700,000ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,024,523TotalAmt
Program Services$1,322,599ProgramServicesAmt
Management And General$1,701,924ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,267,243TotalAmt
Program Services$554,642ProgramServicesAmt
Management And General$2,712,601ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$24,598,634$22,630,549$1,968,085$0
REPAIRS & MAINTENANCE$5,903,501$2,518,325$3,385,176$0
DIETARY$772,896$217,879$555,017$0
DUES & SUBSCRIPTIONS$716,209$176,304$539,905$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$45,002TotalAmt
Program Services$7,655ProgramServicesAmt
Management And General$37,347ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$202,115,767TotalAmt
Program Services$131,353,878ProgramServicesAmt
Management And General$70,761,889ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,902,759BOYAmt
EOY$30,464,963EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,390,270BOYAmt
EOY$14,033,313EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,985,406BOYAmt
EOY$2,934,672EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,831,631BOYAmt
EOY$4,305,163EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$184,632,430LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$131,951,575LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$51,986,532BOYAmt
EOY$52,680,855EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$43,359,783BOYAmt
EOY$38,403,812EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,546,080BOYAmt
EOY$8,790,042EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,993,547BOYAmt
EOY$19,630,034EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$184,996,008BOYAmt
EOY$171,242,854EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,438,025BOYAmt
EOY$63,932,757EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$24,763,483BOYAmt
EOY$5,627,708EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,404,224BOYAmt
EOY$49,121,622EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,269,269BOYAmt
EOY$11,719,707EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,875,001BOYAmt
EOY$130,401,794EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$62,735,295BOYAmt
EOY$37,254,152EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,385,712BOYAmt
EOY$3,586,908EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,121,007BOYAmt
EOY$40,841,060EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$184,996,008BOYAmt
EOY$171,242,854EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$24,069,104ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,241,110NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$10,030,267OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,134,905OtherCostOrOtherBasisAmt
Book Value$1,134,905BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,784,014OtherCostOrOtherBasisAmt
Depreciation$33,342,557DepreciationAmt
Book Value$18,441,457BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$937,276OtherCostOrOtherBasisAmt
Depreciation$420,944DepreciationAmt
Book Value$516,332BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$104,641,447OtherCostOrOtherBasisAmt
Depreciation$80,802,045DepreciationAmt
Book Value$23,839,402BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,134,788OtherCostOrOtherBasisAmt
Depreciation$17,386,029DepreciationAmt
Book Value$8,748,759BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,680,855TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$5,209,826BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMANAGED HEDGE FUNDSDesc
Book Value$3,580,216BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$8,790,042TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$145,344
INSURANCE CLAIMS RECOVERABLE$7,699,685
DUE FROM AFFILIATES$8,093,468
ROU LEASES$1,978,141
IN HOUSE LEASES$1,713,396
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,630,034TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$351,019
EST. MEDICAL MALPRACTICE LIABI$9,590,230
ROU LEASES$1,721,760
CYBER LIABILITY$56,698
FieldValueIRS element (for citing)
Total Liability$11,719,707TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,879,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,879,290NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,879,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,879,290NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served861PersonsServedCnt
Total Community Benefit Expns$34,982TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,982NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served72PersonsServedCnt
Total Community Benefit Expns$223,781TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,781NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,349,504TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,567,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,781,755NetCommunityBenefitExpnsAmt
Total Expense0.05830TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,668TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,668NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served16PersonsServedCnt
Total Community Benefit Expns$138,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$138,549NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served949PersonsServedCnt
Total Community Benefit Expns$22,760,484TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,567,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,192,735NetCommunityBenefitExpnsAmt
Total Expense0.06040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served949PersonsServedCnt
Total Community Benefit Expns$24,639,774TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,567,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,072,025NetCommunityBenefitExpnsAmt
Total Expense0.06970TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$775TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$775NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$950NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,725TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,725NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,480,714BadDebtExpenseAmt
Bad Debt Expense Attributable$95,103BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,156,507ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,569,286CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$587,221MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNION HOSPITAL OF CECIL COUNTY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BOW STREETAddressLine1Txt
CityELKTONCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21921ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UHCC.COMWebsiteAddressTxt
State LicenseLICENSE# 07-005StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNION HOSPITAL OF CECIL COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA)AT CHRISTIANACARE, WE ARE GUIDED BY THE CHRISTIANACARE WAY: WE SERVE OUR NEIGHBORS AS RESPECTFUL, EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE AND EQUITABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. TO MEET OUR MISSION, WE MUST PARTNER WITH OUR COMMUNITIES TO MEET THEIR NEEDS EFFECTIVELY. BECAUSE THE CHNA PRESENTS AN OPPORTUNITY TO LEARN DIRECTLY FROM OUR COMMUNITY, IT IS AN ASSESSMENT WE ARE EAGER TO UNDERTAKE TO ENSURE OUR UNDERSTANDING OF OUR COMMUNITY'S CHALLENGES IS ACCURATE. EVERY CHNA UNION HAS COMPLETED HAS BEEN DONE IN PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT. WE ARE GRATEFUL FOR THAT CONTINUED PARTNERSHIP TO COMPLETE THE 2022 CHNA ESPECIALLY AS THIS WAS THE FIRST CHNA UNION HAS COMPLETED AS PART OF CHRISTIANACARE. AS WE WERE PLANNING THE PRIMARY DATA COLLECTION FOR THE 2022 CHNA, HIGH COMMUNITY TRANSMISSION OF COVID-19 REQUIRED US TO HOST VIRTUAL COMMUNITY MEETINGS TO RECEIVE COMMUNITY INPUT. OUR PREFERRED FORMAT WOULD HAVE BEEN IN-PERSON MEETINGS AT ACCESSIBLE COMMUNITY LOCATIONS, BUT COMMUNITY SAFETY BECAME THE MOST IMPORTANT CONSIDERATION. WE HELD FOUR VIRTUAL MEETINGS WITH THE PARTICIPATION OF 43 COMMUNITY STAKEHOLDERS WHO REPRESENTED THE CECIL COUNTY HEALTH DEPARTMENT AND OTHER GOVERNMENT AGENCIES, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESSES, HEALTH CARE PROVIDERS, AND THE SCHOOL SYSTEM. WE WERE ALSO ABLE TO MEET WITH FOUR TEENAGERS PARTICIPATING IN THE CECIL COUNTY PUBLIC LIBRARY'S YOUTH ADVISORY COUNCIL. IT WAS IMPORTANT TO US TO INCLUDE THE VOICES OF YOUTH AS THEY TOO ARE A PART OF THE COMMUNITY WE SERVE AND MAY HAVE DIFFERENT PERSPECTIVES THAN THOSE OF THE ADULTS. FINALLY, WE ALSO HELD A VIRTUAL MEETING WITH THE PARTICIPATION OF 16 UNION CAREGIVERS REPRESENTING ADMINISTRATION, NURSING, CASE MANAGEMENT, SOCIAL SERVICES, AND PROJECT MANAGEMENT. THIS MEETING WAS HELD TO GAIN THEIR PERSPECTIVE ON THE COMMUNITY'S MOST SIGNIFICANT CHALLENGES AS WELL AS PROVIDE THEM WITH INSIGHT INTO THE COMMUNITY. EACH MEETING FOLLOWED THE SAME FORMAT. THE CHNA PROCESS AND THE PURPOSE OF THE MEETING WAS EXPLAINED. SECONDARY DATA WERE THEN PRESENTED INCLUDING A SUMMARY OF UNFAVORABLE COMMUNITY HEALTH INDICATORS. MEETING PARTICIPANTS WERE ASKED FOR FEEDBACK ON THE SECONDARY DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH ISSUES THAT MAY NOT HAVE BEEN FOUND BASED ON THE DATA. TO CONCLUDE, PARTICIPANTS WERE ASKED TO COMPLETE AN ONLINE SURVEY AND TO IDENTIFY THREE TO FIVE COMMUNITY HEALTH ISSUES THEY CONSIDER TO BE MOST SIGNIFICANT. AN ONLINE COMMUNITY HEALTH SURVEY WAS ALSO CONDUCTED DURING FEBRUARY AND MARCH OF 2022. THE SURVEY WAS COMPRISED OF TWENTY QUESTIONS ON THE FOLLOWING TOPICS: DEMOGRAPHICS, COMMUNITY HEALTH, QUALITY OF LIFE, AND ACCESS TO HEALTH CARE SERVICES. 544 PARTICIPANTS COMPLETED THE SURVEY. 64% OF THE SURVEY RESPONDENTS WERE FROM NORTH EAST AND ELKTON AND NEARLY 87% OF THE RESPONDENTS WERE FEMALE. FINALLY, SEVEN KEY STAKEHOLDERS WERE INTERVIEWED TO LEARN ABOUT COMMUNITY HEALTH ISSUES. THE PARTICIPANTS WERE HEALTH OFFICERS FROM THE CECIL COUNTY HEALTH DEPARTMENT AND ADMINISTRATIVE AND CLINICAL STAFF FROM WEST CECIL HEALTH CENTER, A LOCAL FEDERALLY QUALIFIED HEALTH CENTER. THE PARTICIPANTS WERE ASKED TO FIRST IDENTIFY AND DISCUSS COMMUNITY HEALTH ISSUES PRIOR TO THE COVID-19 PANDEMIC, AND THEN DESCRIBE THE PANDEMIC'S IMPACTS ON THE COMMUNITY AND WHAT HAS BEEN LEARNED ABOUT THE COMMUNITY'S HEALTH GIVEN THOSE IMPACTS. STAKEHOLDERS ALSO WERE ASKED TO DESCRIBE THE TYPES OF INITIATIVES, PROGRAMS, AND INVESTMENTS THAT SHOULD BE IMPLEMENTED TO ADDRESS THE COMMUNITY'S HEALTH ISSUES AND TO BE BETTER PREPARED FOR FUTURE RISKS. CHRISTIANACARE CONTRACTED WITH VERIT HEALTHCARE CONSULTING, LLC (VERITE) TO COMPLETE ITS 2022 CHNA. IN COOPERATION WITH CHRISTIANACARE'S OFFICE OF HEALTH EQUITY AND THE CECIL COUNTY HEALTH DEPARTMENT, VERIT CONDUCTED THE RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW, AND ANALYSIS, TO DEVELOP THE CHNA. ---------------
SCHEDULE H, PART V, SECTION B, LINE 7A & B (CHNA AVAILABILITY)UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS ALSO AVAILABLE AT: HTTPS://CECILCOUNTYHEALTH.ORG/RESOURCES/HEALTH-ADVISORY-COMMITTEE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 10 (IMP. STRATEGY PUBLIC AVAILABILITY) UNION HOSPITAL OF CECIL COUNTY, INC.'S CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTP://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 11 (ADDRESSING NEEDS FROM THE CHNA)UNION'S 2022 CHNA IDENTIFIED THE FOLLOWING AS SIGNIFICANT AREAS OF NEED IN CECIL COUNTY: - ACCESS TO HEALTH SERVICES - CANCER - CHILDHOOD TRAUMA/ADVERSE CHILDHOOD EXPERIENCES (ACE) - LGBTQIA+ HEALTH DISPARITIES - MENTAL HEALTH - NUTRITION, OBESITY, AND PHYSICAL INACTIVITY - SMOKING, TOBACCO, AND VAPE PRODUCT USE - SUBSTANCE USE DISORDERS OF THESE SIGNIFICANT NEEDS, UNION PRIORITIZED: - ACCESS TO HEALTH SERVICES - CANCER - LGBTQIA+ HEALTH DISPARITIES - SUBSTANCE USE DISORDERS SELECTION FOR PRIORITIZATION WAS BASED ON RESOURCE AVAILABILITY AND PROGRAMMING UNDERWAY OR PLANNED. UNION DOES ADDRESS ALL THE SIGNIFICANT AREAS OF NEED, BUT DID NOT PRIORITIZE THE FOLLOWING AREAS OF NEED: - CHILDHOOD TRAUMA/ADVERSE CHILDHOOD EXPERIENCES (ACE) - MENTAL HEALTH - NUTRITION, OBESITY, AND PHYSICAL INACTIVITY - SMOKING, TOBACCO, AND VAPE PRODUCT USE THESE WERE NOT PRIORITIZED BECAUSE WE WERE UNABLE TO CREATE NEW OR EXPANDED COMMUNITY BENEFIT PROGRAMMING IN THOSE AREAS. IF OPPORTUNITIES TO ADDRESS THESE AREAS OF NEED ARISE, PARTICULARLY THROUGH COMMUNITY PARTNERSHIPS, THEIR IDENTIFICATION AS SIGNIFICANT AREAS OF NEED WILL BE CONSIDERED. ACCESS TO HEALTH SERVICES CECIL COUNTY HAS A LOW PER-CAPITA SUPPLY OF PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH PROFESSIONALS COMPARED TO NATIONAL AVERAGES, WHICH CREATES SIGNIFICANT BARRIERS TO CARE. LIKE HOSPITALS ACROSS THE COUNTRY, PARTICULARLY RURAL ONES, UNION HAS EXPERIENCED CHALLENGES RECRUITING AND RETAINING PROVIDERS. CHRISTIANACARE IS RESPONDING WITH A DIVERSITY OF RECRUITMENT EFFORTS THAT INCLUDE DEDICATED RECRUITERS, PARTICIPATION IN CAREER EVENTS AND ADVERTISING, AND THE UTILIZATION OF CONTINGENCY AND RETAINED SEARCH FIRMS WHEN NECESSARY. THESE EFFORTS WILL BE ONGOING AS WE SEEK TO RECRUIT PROVIDERS. HAVING MORE PROVIDERS TO MEET THE COMMUNITY NEED WILL NOT OVERCOME ALL BARRIERS TO CARE. LACK OF TRANSPORTATION PRESENTS AN ISSUE FOR MANY OF OUR CECIL COUNTY NEIGHBORS. WE ARE ADDRESSING THIS ISSUE ON A SMALL SCALE THROUGH UNION'S CARE TRANSFORMATION INITIATIVE (CTI) WHICH LAUNCHED ON JULY 1, 2021. UNION'S CTI, TRANSITIONS OF CARE, CHRONIC DISEASE NAVIGATION PROGRAM SERVES ADULT MEDICARE FFS BENEFICIARIES WITH A PRIMARY OR SECONDARY DIAGNOSIS OF HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DIABETES, AND RESPIRATORY FAILURE WHO WERE ADMITTED TO UNION AS AN INPATIENT OR FOR OBSERVATION. FOR 180 DAYS POST DISCHARGE, THESE PATIENTS RECEIVE A CARE TEAM APPROACH AND INTERACTIVE PATIENT TOOLS TO PREVENT READMISSION. WE EXPECT THIS INITIATIVE TO PROVIDE COST SAVINGS AND IMPROVE THE HEALTH OF THE PATIENTS. AFTER LAUNCH, WE RECOGNIZED THAT AN IMPEDIMENT TO PATIENT PARTICIPATION FOR SOME WAS LACK OF TRANSPORTATION. THESE PATIENTS DID NOT HAVE RELIABLE TRANSPORTATION TO GET TO APPOINTMENTS, AND THEY ALSO DID NOT HAVE THE RESOURCES TO PARTICIPATE IN VIRTUAL VISITS THAT WOULD HAVE RESOLVED THE TRANSPORTATION BARRIER. TO ADDRESS THIS BARRIER, THE CARE TEAM BEGAN USING ROUNDTRIP FOR THIS PATIENT POPULATION. ROUNDTRIP IS A COMPANY THAT PROVIDES A DIGITAL TRANSPORTATION MARKETPLACE TO CONNECT PATIENTS FACING TRANSPORTATION BARRIERS WITH NON-EMERGENCY MEDICAL TRANSPORTATION. CHRISTIANACARE HAS BEEN PARTNERED WITH ROUNDTRIP SINCE 2019 TO PROVIDE FREE TRANSPORTATION TO ELIGIBLE PATIENTS IN DELAWARE WITH TRANSPORTATION BARRIERS TO RECEIVE MEDICAL SERVICES. THE CTI IS THE FIRST UNION PROGRAM TO UTILIZE ROUNDTRIP. IN FY2022, 19 RIDES THROUGH ROUNDTRIP WERE PROVIDED TO HELP CTI PATIENT PARTICIPANTS RECEIVE MEDICAL SERVICES. WE ARE EXPLORING THE FEASIBILITY OF IMPLEMENTING ROUNDTRIP IN OTHER AREAS OF THE HOSPITAL. FOR YEARS, UNION HAS ALSO PROVIDED TRANSPORTATION TO INPATIENTS AT DISCHARGE WHO HAD NO TRANSPORTATION HOME. IN FY2022, UNION PAID $11,244 TO TRANSPORT PATIENTS HOME IN TAXIS. THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) HAS ALSO PRIORITIZED ACCESS TO HEALTH SERVICES IN THEIR IMPLEMENTATION PLAN WHICH WILL PROVIDE THE OPPORTUNITY TO COLLABORATE IN THIS AREA. IN JANUARY 2023, UNION CAREGIVERS, PARTICIPATED IN THE CCHD'S ACCESS TO HEALTH SERVICES WORKING GROUP TO IDENTIFY GOALS, OBJECTIVES, AND STRATEGIES TO ADDRESS ACCESS ISSUES WITHIN CECIL COUNTY. THE GROUP AGREED ON THE GOALS OF INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES, DIABETES PREVENTION AND MANAGEMENT SERVICES, AND CANCER SCREENING SERVICES ALONG WITH INCREASING ACCESS TO TRANSPORTATION SERVICES FOR MEDICAL SERVICES. OUR PARTICIPATION IN THIS COLLABORATIVE EFFORT WILL BE ONGOING. UNION'S CHILDBIRTH AND EARLY EDUCATION TEAM AND PEDIATRIC NURSES HAVE LONG BEEN RESPONSIVE TO OUR COMMUNITY'S NEED FOR CHILDBIRTH AND INFANT CARE EDUCATION. SIGNIFICANTLY, THIS EDUCATION IS PROVIDED IN RESPONSE TO REQUESTS FROM THE COMMUNITY AND IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS. EDUCATION IS PRIMARILY PROVIDED IN THE COMMUNITY WHERE IT IS REQUESTED. FY2022 WAS A BUSY YEAR FOR THESE TEAMS. AS WILL BE DESCRIBED IN MORE DETAIL IN THE SECTION THAT DESCRIBES OUR EFFORTS ADDRESSING SUBSTANCE USE DISORDER, UNION CAREGIVERS PROVIDE MONTHLY EDUCATION TO PREGNANT WOMEN RECEIVING SUBSTANCE USE DISORDER TREATMENT AT A TREATMENT FACILITY IN ELKTON. BEGINNING IN JUNE 2022, A UNION LACTATION CONSULTANT PROVIDED BI-WEEKLY BREASTFEEDING EDUCATION SESSIONS AT THE HERITAGE PREGNANCY CENTER IN RISING SUN. IN ANOTHER EXAMPLE OF COMMUNITY PARTNERSHIP, THE CCHD ALSO REQUESTED OUR LACTATION CONSULTANT PROVIDE BREASTFEEDING EDUCATION TO A MOM-TO-BE GROUP ALSO HELD AT THE HERITAGE PREGNANCY CENTER IN RISING SUN. IN THE FALL OF 2022, A NEW OPPORTUNITY AROSE TO SERVE WOMEN WHOSE CHILDREN ARE ATTENDING A HEAD START PROGRAM AT HOLLINGSWORTH MANOR IN ELKTON. OUR CHILDBIRTH AND EARLY EDUCATION TEAM RECEIVED A REQUEST TO PROVIDE A WEEKLY GROUP THAT WOULD BE FOCUSED NOT JUST ON CARING FOR YOUNG CHILDREN, BUT ON WOMEN'S OVERALL HEALTH. A UNION CAREGIVER SPENT TIME WITH THE STAFF OF THE HEAD START PROGRAM TO THINK OF ENGAGEMENT STRATEGIES TO PROMOTE THE IDEA THAT A PARENT'S GOOD HEALTH WOULD NOT ONLY BE GOOD FOR THEM, BUT ALSO HAVE A POSITIVE IMPACT ON THEIR CHILDREN. WE EXPECT TO KEEP WORKING WITH THIS GROUP TO FIGURE OUT WAYS TO ENGAGE THESE MOTHERS. HEAD START PROGRAMS SERVE FAMILIES WHOSE INCOMES ARE AT OR BELOW THE FEDERAL POVERTY GUIDELINES OR WHO PARTICIPATE IN TEMPORARY ASSISTANCE FOR NEEDY FAMILIES. PROVIDING CONVENIENT ACCESS TO EDUCATION THAT WOULD BE HELPFUL TO THE HEALTH AND WELLNESS OF THESE FAMILIES IS WHAT WE HOPE TO ACCOMPLISH. LAST YEAR, A HIGH SCHOOL IN CECIL COUNTY HAD A NOTABLE NUMBER OF PREGNANT STUDENTS DURING THE SCHOOL YEAR. STAFF AT THE HIGH SCHOOL REQUESTED THAT UNION PROVIDE THESE STUDENTS WITH CHILDBIRTH AND INFANT CARE EDUCATION. TO DO THIS, OUR TEAM HAD TO RECEIVE APPROVAL FROM THE SCHOOL BOARD TO PROVIDE THIS EDUCATION, AND ONCE APPROVED, THE EDUCATION SESSIONS HAD TO BE DESIGNED TO MEET THE NEEDS OF TEENAGE MOTHERS. ONCE THE APPROVAL PROCESS WAS COMPLETE, UNION CAREGIVERS WERE ABLE TO PROVIDE FOUR EDUCATION SESSIONS AT THE SCHOOL BEFORE THE SUMMER BREAK. THE YOUNG MOTHERS, MANY OF WHOM WENT ON TO DELIVER AT UNION, SHARED THAT WHAT THEY LEARNED PREPARED THEM AND HELPED DECREASE THEIR FEAR. FINALLY, UNION HAS HELD A FREE SPORTS PHYSICAL EVENT FOR CECIL COUNTY STUDENTS FOR OVER 15 YEARS. EACH YEAR THESE PHYSICALS ARE REQUESTED BY CECIL COUNTY PUBLIC SCHOOL ATHLETIC ADMINISTRATION. GIVEN THE PROVIDER SHORTAGE IN CECIL COUNTY, THIS YEAR'S EVENT WAS SIGNIFICANT IN ENSURING STUDENTS WERE PROVIDED WITH THE PHYSICALS THAT WERE REQUIRED TO PARTICIPATE IN SCHOOL SPORTS AND ALSO PROVIDED RELIEF TO MEDICAL PRACTICES IN CECIL COUNTY. ON JUNE 8, 2022, IN PARTNERSHIP WITH ATI PHYSICAL THERAPY AND THE CECIL COUNTY PUBLIC SCHOOLS, 530 STUDENTS WERE ABLE TO COMPLETE THEIR PHYSICALS. CANCER WHILE SOME IMPROVEMENTS HAVE BEEN MADE, CANCER RATES IN CECIL COUNTY REMAIN ABOVE THE MARYLAND AND UNITED STATES AVERAGES. THE MORTALITY RATE FOR LUNG AND BRONCHUS CANCER IN CECIL COUNTY HAS BEEN CONSIDERABLY ABOVE THE UNITED STATES AVERAGE AT 87.1 PER 100,000 IN COMPARISON TO 57.3 PER 100,000. TO ADDRESS THIS HIGH MORTALITY RATE, UNION CAREGIVERS HAVE BEEN WORKING TO PROMOTE ANNUAL LOW DOSE COMPUTED TOMOGRAPHY (LDCT) SCREENING TO ADULTS AGED 50 TO 80 YEARS OLD, WHO HAVE A 20 PACK A YEAR SMOKING HISTORY AND CURRENTLY SMOKE OR HAVE QUIT WITHIN THE PAST YEAR. PROMOTING THE LDCT SCREENING WAS ALSO AN OBJECTIVE OF UNION'S 2019 CHIP. A NEW ASPECT TO THIS PROMOTION IS TO CONSIDER THE PROVIDER, AS WELL AS PATIENT, PERSPECTIVE ON SCREENING BARRIERS. AFTER NOTICING MORE PATIENTS PRESENT TO UNION'S CANCER PROGRAM FOR THE FIRST TIME WITH LATE-STAGE LUNG CANCER, UNION CAREGIVERS, LED BY NURSE MANAGER SHEELAGH STEWART, WHO ALSO SERVES AS THE CHAIR OF THE CECIL COUNTY CANCER TASK FORCE, UNDERTOOK A RESEARCH INITIATIVE TO ATTEMPT TO GAIN AN UNDERSTANDING OF THE BARRIERS TO SCREENING. IN JULY AND AUGUST OF 2022, CAREGIVERS REVIEWED PATIENT RECORDS OF THOSE WHO WERE DIAGNOSED WITH LUNG CANCER TO SEE THE STAGE OF LUNG CANCER PRESENT AT DIAGNOSIS AND IF THE PATIENT HAD HAD AN LDCT SCREENING OR HAD RECE
SCHEDULE H, PART V, SECTION B, LINE 11 (ADDRESSING NEEDS FROM THE CHNA)(CONT.) JUST AS UNION AND THE CECIL COUNTY HEALTH DEPARTMENT BOTH IDENTIFIED ACCESS TO CARE AS A PRIORITIZED NEED, CANCER IS ANOTHER AREA OF NEED THAT WAS ALSO PRIORITIZED BY BOTH. WE WILL CONTINUE TO WORK TOGETHER TO PROMOTE LDCT SCREENS THROUGH THE CANCER TASK FORCE. IN 2022, UNION PERFORMED 340 LDCT SCREENS AT ITS THREE IMAGING LOCATIONS. THIS IS A SIGNIFICANT INCREASE FROM THE NUMBER OF LDCT SCREENED PROVIDED IN PRIOR YEARS: - 2019: 306 INDIVIDUALS SCREENED - 2020: 256 INDIVIDUALS SCREENED - 2021: 287 INDIVIDUALS SCREENED - 2022: 340 INDIVIDUALS SCREENED IN FY2022, THE CORONAVIRUS PANDEMIC CONTINUED TO DISRUPT OUR USUAL PARTICIPATION IN HEALTH FAIRS AND OTHER COMMUNITY EVENTS AS WELL AS OUR CANCER SUPPORT GROUP. IN FY2022, OUR CAREGIVERS PROVIDED EDUCATION AT 3 COMMUNITY EVENTS. WE EXPECT MORE COMMUNITY EVENT PARTICIPATION THIS YEAR. CAREGIVERS HAVE ALREADY PROVIDED BREAST CANCER SCREENING EDUCATION AT PLEASANT VIEW BAPTIST CHURCH IN PORT DEPOSIT IN AUGUST, AND GENERAL CANCER PREVENTION INFORMATION AT THE ELKTON SENIOR CENTER IN NOVEMBER. THE COPING WITH CANCER SUPPORT GROUP RESUMED WEEKLY MEETINGS IN JULY 2022. UNION PARTNERED WITH CECIL COUNTY PUBLIC SCHOOLS FOR THE SECOND YEAR TO PROMOTE EDUCATOR MAMMOGRAMS. EMPLOYEES OF THE PUBLIC SCHOOL SYSTEM WERE ENCOURAGED TO SCHEDULE A MAMMOGRAM ON CERTAIN DAYS AT UNION. THIS PROMOTION WAS HELD ON AUGUST 31, 2021 AND DUE TO INCREASED RESPONSE WAS AGAIN HELD ON JULY 13, 2022 AND AUGUST 23RD AND 31ST, 2022. LGBTQIA+ HEALTH DISPARITIES IN THE 2022 CHNA, WE LEARNED THAT LESBIAN, GAY, TRANSGENDER, QUEER/QUESTIONING, INTERSEX AND ASEXUAL, ETC. (LGBTQIA+) YOUTH ARE MORE THAN TWICE AS LIKELY TO BE BULLIED AND THREATENED WITH A WEAPON ON SCHOOL PROPERTY COMPARED TO YOUTH WHO IDENTIFY AS STRAIGHT. THESE YOUTH ARE ALSO MORE LIKELY TO ENGAGE IN HIGH-RISK BEHAVIORS SUCH AS TOBACCO, ALCOHOL, AND OTHER DRUG USE AND TO REPORT SIGNIFICANTLY LOWER RATES OF PHYSICAL ACTIVITY. IN THE 2022 CHNA, THE STAKEHOLDERS INTERVIEWED ALSO IDENTIFIED AS SIGNIFICANT THE DISCRIMINATION IN HEALTHCARE FACED BY THE LGBTQIA+ COMMUNITY, WHICH LEADS TO AVOIDING HEALTH CARE SERVICES. GIVEN THE LIKELIHOOD OF POOR HEALTH OUTCOMES FOR THIS POPULATION AND OUR COMMITMENT TO PROVIDING A WELCOMING AND INCLUSIVE ENVIRONMENT IN ALL OUR CHRISTIANACARE LOCATIONS, WE MADE THE DECISION TO PRIORITIZE THIS AREA OF NEED. THROUGHOUT THE YEAR, A SMALL GROUP OF UNION CAREGIVERS HAVE BEEN PROMOTING GENDER INCLUSIVENESS TO OTHER CAREGIVERS, PATIENTS, AND VISITORS BY PROVIDING EDUCATION THROUGH ACTIVITIES LIKE PASSING OUT PRONOUN PINS IN THE HOSPITAL LOBBY AND INPATIENT FLOORS. IN A SMALL COMMUNITY, UNION'S ACTIONS TO RAISE AWARENESS AND UNDERSTANDING CAN HAVE A SIGNIFICANT IMPACT AS WE STRIVE TO BETTER SERVE EVERYONE IN OUR COMMUNITY. CHRISTIANACARE'S OFFICE OF HEALTH EQUITY CREATED A PRIDE AMBASSADORS PROGRAM WHICH OFFERS SIX HOURS OF INSTRUCTION INCLUDING EXPLORATION OF LGBTQIA+ HEALTH TOPICS AS THEY RELATE TO CREATING MORE EQUITABLE HEALTHCARE FOR OUR LGBTQIA+ PATIENTS AND FAMILIES. AFTER A SESSION LAST JULY, THE FIRST COHORT OF UNION CAREGIVERS BECAME PRIDE AMBASSADORS. THESE CAREGIVERS WILL BE ABLE TO USE THAT KNOWLEDGE TO BETTER SERVE THEIR PATIENTS AND ACT AS AMBASSADORS FOR THEIR COLLEAGUES BY SHARING WHAT THEY LEARNED. WE ARE CURRENTLY IN THE PROCESS OF PROMOTING AND SCHEDULING THE NEXT PRIDE AMBASSADORS SESSION FOR UNION CAREGIVERS. WE ARE GOING TO OPEN IT UP TO OTHER CECIL COUNTY PROVIDERS AS WELL TO ENSURE THESE PROVIDERS ALSO HAVE ACCESS TO THE KNOWLEDGE AND TOOLS TO BEST SERVE THE LGBTQIA+ POPULATION OF CECIL COUNTY. SUBSTANCE USE DISORDERS SUBSTANCE USE DISORDER HAS BEEN AN INTRACTABLE ISSUE IN CECIL COUNTY AND UNION IS WORKING TO ADDRESS IT WITH COMMUNITY PARTNERS. UNION HAS PARTNERED WITH CECIL COUNTY HEALTH DEPARTMENT'S ALCOHOL & DRUG RECOVERY CENTER TO HAVE A DESIGNATED PEER RECOVERY SPECIALIST AVAILABLE FOR REFERRALS ON BEHALF OF UNION PATIENTS. CAREGIVERS WILL CONTACT THE PEER RECOVERY SPECIALIST ON BEHALF OF THE PATIENT IF THEY EXPRESS AN INTEREST IN SPEAKING WITH THEM OR AN INTEREST IN TREATMENT. IF AVAILABLE, THE PEER RECOVERY SPECIALIST CAN COME TO THE HOSPITAL TO MEET WITH THE PATIENT OR FOLLOW UP WITH THEM IN THE COMMUNITY WITH THE BASIC DEMOGRAPHIC AND CONTACT INFORMATION PROVIDED BY THE CAREGIVER. WHEN A PATIENT EXPRESSES AN INTEREST IN RECOVERY OUTSIDE OF REGULAR BUSINESS HOURS, THE CAREGIVER WILL ENCOURAGE THEM TO CALL CATCH (CECIL ADDICTION TREATMENT COORDINATION HOTLINE) WHICH IS AVAILABLE 24 HOURS-A-DAY, 7 DAYS-A-WEEK. IN FY2022, 184 REFERRALS WERE MADE TO THE PEER RECOVERY SPECIALIST. FOR SEVERAL YEARS, UNION CAREGIVERS HAVE PROVIDED CHILDBIRTH AND INFANT EDUCATION TO PREGNANT WOMEN RECEIVING SUBSTANCE USE DISORDER TREATMENT AT SERENITY HEALTH ELKTON. A REGISTERED NURSE GOES TO SERENITY HEALTH TO PROVIDE MONTHLY EDUCATIONAL SESSIONS ON TOPICS SUCH AS BREASTFEEDING, NEONATAL ABSTINENCE SYNDROME (NAS), AND SAFE SLEEP, AMONG OTHERS. UNION SOCIAL WORKERS ALSO ATTEND SOME OF THE SESSIONS WITH THE REGISTERED NURSES TO PROVIDE INFORMATION ON TOPICS LIKE CHILD PROTECTIVE SERVICES AND ANSWER QUESTIONS ON ACCESSING SOCIAL SERVICES. IN FY2022, TEN EDUCATION SESSIONS WERE HELD AT SERENITY HEALTH ELKTON WITH 2 TO 5 PREGNANT PARTICIPANTS IN EACH COURSE. THE REGISTERED NURSES SPENT 19.5 HOURS PROVIDING THESE SESSIONS AND TWO SOCIAL WORKERS SPENT 6 HOURS WITH THE PARTICIPANTS. IT IS IMPORTANT TO PROVIDE THESE MOTHERS WITH THE EDUCATION TO EMPOWER THEM TO TAKE THE BEST CARE OF THEIR BABY. HAVING A SUBSTANCE USE DISORDER WHILE PREGNANT CAN BE ISOLATING BECAUSE OF THE SHAME THE EXPECTANT MOTHER MAY FEEL. CAREGIVERS WORK TO MAKE SURE THESE EXPECTANT MOTHERS KNOW THAT THEY CAN TAKE GOOD CARE OF THEIR CHILDREN JUST LIKE ANY OTHER MOTHER. IN SEPTEMBER 2022, UNION PARTNERED WITH THE CECIL COUNTY HEALTH DEPARTMENT TO PARTICIPATE IN THE OVERDOSE RESPONSE PROGRAM TO BEGIN DISTRIBUTING NALOXONE IN THE EMERGENCY DEPARTMENT. THE NALOXONE KITS ARE PROVIDED BY THE CECIL COUNTY HEALTH DEPARTMENT AND ALONG WITH THE MEDICATION, HAVE RESOURCE INFORMATION TO ENSURE THE INDIVIDUAL KNOWS HOW TO ACCESS THE HELP AVAILABLE TO SUPPORT THEIR RECOVERY. THE NURSE MANAGERS DISTRIBUTING THE NALOXONE KITS ALSO TRAIN THE INDIVIDUALS RECEIVING THE KIT ON ITS USE. THESE KITS ARE PROVIDED TO PATIENTS, THEIR FAMILY AND FRIENDS, AND ANY INDIVIDUAL WHO MAY HAVE CAUSE TO USE NALOXONE. IN AUGUST 2022, UNION ALSO BEGAN PROVIDING MEDICATION ASSISTED TREATMENT (MAT) INDUCTIONS WITHIN THE EMERGENCY DEPARTMENT. MAT IS THE USE OF MEDICATIONS ALONG WITH COUNSELING AND BEHAVIORAL HEALTH THERAPIES TO TREAT SUBSTANCE USE DISORDER. MAT INDUCTION IS A MEDICAL INTERVENTION THAT CAN BEGIN IN THE HOSPITAL AND BE SUSTAINED BY OUTPATIENT PROVIDERS IN THE COMMUNITY. WHILE MAT INDUCTIONS ARE NOT YET ROUTINELY OFFERED IN EMERGENCY DEPARTMENTS, UNION MADE THE DECISION TO PROVIDE THIS SERVICE BECAUSE OF THE COMMUNITY NEED AND OUR STRONG COMMUNITY PARTNERSHIPS THAT PROVIDE US WITH THE ASSURANCE THAT THE PATIENTS' MAT WILL CONTINUE. WE ARE PARTNERING CLOSELY WITH CECIL COUNTY HEALTH DEPARTMENT'S ALCOHOL & DRUG RECOVERY CENTER TO ENSURE THE PATIENT HAS A PLAN FOR CONTINUED MAT IN THE COMMUNITY. THOSE WHO WANT TO BE INDUCTED AT THE HOSPITAL CAN WORK WITH THE UNION ASSIGNED PEER RECOVERY SPECIALIST DURING BUSINESS HOURS OR CALL THE 24/7 CATCH HOTLINE IN THE EVENINGS AND WEEKENDS TO RECEIVE SUPPORT IN CONTINUING THEIR TREATMENT. ON BEHALF OF UNION, A REGISTERED NURSE ALSO ATTENDS MONTHLY LOCAL OVERDOSE FATALITY REVIEW TEAMS (LORFT) MEETINGS TO DISCUSS AND CONDUCT A CASE REVIEW OF ALL UNINTENTIONAL OVERDOSE DEATHS RELATED TO STREET DRUGS AND ALCOHOL IN CECIL COUNTY. MEMBERS ARE STAKEHOLDERS FROM LAW ENFORCEMENT, THE COMMUNITY, GOVERNMENT AGENCIES, AND PROVIDERS. WHILE NOT IDENTIFIED AS A SIGNIFICANT AREA OF NEED, EACH AREA OF NEED IS EXACERBATED, IF NOT CAUSED BY, SOCIAL DETERMINANTS OF HEALTH (SDOH). CHRISTIANACARE HAS UNDERTAKEN SEVERAL INITIATIVES TO ADDRESS SDOH THAT ARE BEING IMPLEMENTED AT UNION. CHRISTIANACARE DESIGNED AND IMPLEMENTED AN SDOH SCREENING INSTRUMENT TO BE ADMINISTERED TO PATIENTS. TO IMPROVE THE FACILITATION OF THE SDOH SCREENING INSTRUMENT, PATIENT SELF-ADMINISTRATION OF THE SDOH SCREENING INSTRUMENT WAS RECENTLY INTRODUCED AT OUR DELAWARE LOCATIONS. ALLOWING PATIENTS TO COMPLETE THE SCREENING ON THEIR OWN WILL INCREASE THE NUMBER OF SDOH SCREENS COMPLETED, IMPROVE EFFICIENCY, AND PROVIDE A BETTER PATIENT EXPERIENCE, AS PATIENTS MAY FEEL MORE COMFORTABLE ENTERING ANSWERS TO QUESTIONS THAT CAN FEEL INVASIVE. UNION IS NEAR THE END OF THE PROCESS OF INTEGRATING WITH CHRISTIANACARE'S ELECTRONIC HEALTH RECORD. THIS WAS COMPLETED IN MARCH 2023, AND UNION CAREGIVERS NOW HAVE ACCESS TO THE SDOH SCREENING INSTRUMENT. WITH THIS TOOL, A BETTER UNDERSTANDING OF THE CHALLENGES FACED BY UNION PATIENTS AND THE COMMUNITY WILL BE GAINED. IMPORTANTLY, WE WOULD NOT WANT TO ASK THESE QUESTIONS IF THERE WAS NO ABILITY TO ADDRESS THE ISSUES THE PATIENTS REVEAL. OUR UNION CAREGIVERS ARE ALREADY
SCHEDULE H, PART V, SECTION B, LINE 13B (DETAIL OF INCOME LEVEL)PATIENTS WITH A HOUSEHOLD INCOME UP TO 500% OF FPL AND WITH A FINANCIAL HARDSHIP (MEDICAL DEBT, INCURRED BY A FAMILY OVER A 12-MONTH PERIOD THAT EXCEEDS 25 PERCENT OF THE FAMILY INCOME) WILL RECEIVE A 25% ADJUSTMENT. ---------------
SCHEDULE H, PART V, SECTION B, LINE 16A (FAP AVAILABILITY)FAP WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16B (FAP APPLICATION AVAILABILITY)FAP APPLICATION WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16C (FAP PLS AVAILABILITY)FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16J (FAP OTHER AVAILABILITY)UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP AND HOW TO APPLY. FAP IS PUBLICIZED ON ALL BILLING STATEMENTS, INVOICES, AND FINANCIAL CONSENT FORMS. FAP IS COMMUNICATED TO PATIENTS UPON DISCHARGE FROM INPATIENT, OBSERVATION, AND SURGICAL SERVICES. ---------------

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. AS A RESULT, THERE ARE NO BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX THAT NEED TO BE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES LISTED. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE. ---------------
PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES)IN FY2022, UNION HOSPITAL REPORTED EXPENDITURES IN THE COMMUNITY BUILDING CATEGORIES OF ECONOMIC DEVELOPMENT AND COMMUNITY SUPPORT. THIS EXPENDITURE REPRESENTS TIME SPENT BY THE UNION HOSPITAL PRESIDENT PARTICIPATING ON TWO COMMUNITY BOARDS: THE BOARD OF THE ECONOMIC DEVELOPMENT COMMISSION FOR CECIL COUNTY AND THE LOCAL MANAGEMENT BOARD OF CECIL COUNTY. THE ECONOMIC DEVELOPMENT COMMISSION FOCUSES ON BUSINESS AND INDUSTRY DEVELOPMENT BY BUILDING RELATIONSHIPS WITH LOCAL PARTNERS IN CECIL COUNTY. THE CORE FUNCTION OF LOCAL MANAGEMENT BOARDS (LMBS) IS TO IDENTIFY COMMUNITY DRIVEN PRIORITIES AND TARGET RESOURCES FOR THEIR COMMUNITIES, AS WELL AS SERVE AS THE COORDINATOR OF COLLABORATION FOR CHILD AND FAMILY SERVICES. THERE IS A LOCAL MANAGEMENT BOARD IN EACH COUNTY IN MARYLAND, INCLUDING BALTIMORE CITY. ---------------
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606) TIMES THE COST TO CHARGE RATIO. ---------------
PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSION METHODOLOGY)THE IMPLICIT PRICE CONCESSION METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF IMPLICIT PRICE CONCESSIONS FOR THE YEAR. OTHER IMPLICIT PRICE CONCESSION AMOUNTS ARE NOT INCLUDED IN COMMUNITY BENEFITS. ---------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE)THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND STARTING ON PAGE 13 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. ---------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND. EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT. ---------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES)UNION HOSPITAL'S F-416 CREDIT AND COLLECTION POLICY AND PROCEDURE HAS A SECTION CALLED, "INTERNAL COLLECTION EFFORTS" WHICH STATES: "UPON DISCHARGE, PATIENTS RECEIVE AN ITEMIZED BILL FOR INPATIENT ADMISSIONS IN ACCORDANCE WITH THE MARYLAND HOSPITAL COST REVIEW COMMISSION REQUIREMENTS. WHEN INSURANCE PAYMENTS ARE RECEIVED LEAVING A SELF-PAY BALANCE, OR THE ACCOUNT IS STRICTLY SELF-PAY, IT IS OUTSOURCED FOR FOLLOW-UP BUT REMAINS ON THE HOSPITAL'S ACTIVE ACCOUNTS RECEIVABLE. AGENTS WORK THE ACCOUNTS IN THE HOSPITAL'S NAME AND REPRESENTATIVES ARE DIRECTED TO ACCEPT MONTHLY PAYMENTS UNTIL THE ACCOUNT IS PAID IN FULL. COLLECTION EFFORTS CONSIST OF PHONE CALLS AND MONTHLY STATEMENTS. THE PATIENT MAY ALSO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THIS PROCESS (SEE POLICY F-415, FINANCIAL ASSISTANCE)." IN THE F-415 FINANCIAL ASSISTANCE POLICY AND PROCEDURE, UNDER SECTION, "ACTION IN THE EVENT OF NON-PAYMENT," IT IS EXPLAINED THAT: "A. UNION HOSPITAL MAY CONTRACT WITH OUTSIDE COLLECTION SERVICES TO PURSUE COLLECTION OF DELINQUENT ACCOUNTS. ALL UNPAID ACCOUNTS WITHOUT EXCEPTION OR PAYMENT ARRANGEMENTS ARE PLACED IN OUTSIDE COLLECTION AFTER A MINIMUM OF 90 DAYS FROM THE INITIAL BILLING STATEMENT AND DELIVERY OF ALL SCHEDULED PATIENT ACCOUNT STATEMENTS TO THE PATIENT/GUARANTOR. B. UNION HOSPITAL DOES NOT CONDUCT, OR PERMIT COLLECTION AGENCIES TO CONDUCT ON THEIR BEHALF, EXTRAORDINARY COLLECTIONS EFFORTS AGAINST INDIVIDUALS." IN ADDITION, IN THE F-416 POLICY, UNDER THE SECTION, "EXTERNAL COLLECTION (BAD DEBT WRITE-OFF)," IT EXPLAINS THAT PATIENTS WITH BALANCES BEING COLLECTED BY AN ASSIGNED COLLECTION AGENCY WILL HAVE THEIR BALANCES WRITTEN OFF IF THEY ARE DETERMINED TO BE INDIGENT. ---------------
PART VI, LINE 2 (NEEDS ASSESSMENT)UNION ABIDES BY THE CHRISTIANACARE WAY: WE SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE, AND EQUITABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE. TO MEET THIS MISSION, WE MUST PARTNER WITH OUR NEIGHBORS TO BETTER UNDERSTAND THEIR NEEDS AND GOALS FOR HEALTH. THIS REQUIRES ROUTINE COMMUNICATION WITH COMMUNITY PARTNERS AND OUR PATIENTS. AS MENTIONED IN THE PRIOR SECTION, CAREGIVERS AT UNION WILL SOON BE ABLE TO UTILIZE THE SDOH SCREENING INSTRUMENT TO LEARN ABOUT AND ADDRESS OUR PATIENTS' NEEDS. TO EFFECTIVELY SERVE OUR COMMUNITY, WE HAVE ALSO DEVELOPED A STRONG RELATIONSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) TO AMPLIFY SERVICES AND BETTER UNDERSTAND OUR COMMUNITY. SINCE 2013, WE HAVE COMPLETED OUR CHNAS IN PARTNERSHIP WITH THE CCHD. EVEN THOUGH WE DID NOT PRODUCE A JOINT CHIP, WE ARE WORKING COLLABORATIVELY ON OUR SHARED PRIORITIES, INCLUDING ACCESS TO CARE, AS DESCRIBED IN A PRIOR SECTION. UNION CAREGIVERS ALSO PARTICIPATE IN CECIL COUNTY'S COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND ITS TASK FORCES. A UNION CAREGIVER CHAIRS THE CANCER TASK FORCE AND UNION CAREGIVERS PARTICIPATE IN THE HEALTHY LIFESTYLES AND TOBACCO TASK FORCES OF THE CHAC AS WELL. THIS PARTICIPATION PROVIDES INSIGHT INTO THE COMMUNITY'S STRENGTHS AND CHALLENGES IN THESE AREAS AND AN OPPORTUNITY TO WORK TOGETHER TO IMPROVE THE COMMUNITY'S HEALTH. UNION CAREGIVERS ALSO PARTICIPATE IN DIFFERENT COMMUNITY BOARDS AND COMMITTEES THAT FOCUS ON DIFFERENT AREAS OF COMMUNITY NEED. ALONG WITH THE CHAC TASK FORCES. UNION CAREGIVERS ALSO PARTICIPATED IN THESE ADDITIONAL COMMUNITY GROUPS FOR A TOTAL OF 87.5 HOURS IN FY2022: - CECIL COUNTY BEHAVIORAL HEALTH PROVIDERS - CECIL COUNTY RESOURCE NETWORK - CECIL COUNTY BEHAVIORAL HEALTH ADVISORY BOARD - CECIL COUNTY CHILD ADVOCACY CENTER - CECIL COUNTY ECONOMIC DEVELOPMENT COMMISSION - ADULT DISABILITY RESOURCE COMMITTEE - LOCAL MANAGEMENT BOARD - LOCAL OVERDOSE FATALITY REVIEW TEAM - CECIL COUNTY PREVENTION OVERDOSE RESPONSE TEAM THE NEW MANAGER OF COMMUNITY ENGAGEMENT WILL ALSO BE A CONSTANT PRESENCE IN THE COMMUNITY. ---------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)UNION PROVIDES EMERGENCY AND MEDICALLY NECESSARY SERVICES TO PATIENTS WITHOUT DISCRIMINATION, REGARDLESS OF THE PATIENT'S FINANCIAL ASSISTANCE ELIGIBILITY. UNION'S FINANCIAL ASSISTANCE POLICY (FAP) ENSURES A CONSISTENT AND EQUITABLE PROCESS IN GRANTING FINANCIAL ASSISTANCE TO APPROPRIATE PATIENTS WHILE RESPECTING THE INDIVIDUAL'S DIGNITY. THE FAP ALIGNS WITH FEDERAL AND STATE REGULATIONS. UNION'S FAP, A PLAIN LANGUAGE SUMMARY OF THE FAP, THE FINANCIAL ASSISTANCE APPLICATION IN ENGLISH AND SPANISH, AND THE FINANCIAL ASSISTANCE SCALE ARE ALL AVAILABLE ON UNION'S WEBSITE AT: HTTPS://WWW.UHCC.COM/ABOUT-US/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTA NCE/. UNION'S WEBSITE ALSO PROVIDES INFORMATION ABOUT HOW PATIENTS CAN OBTAIN THE FAP AND APPLICATION. UNION FINANCIAL COUNSELORS ARE AVAILABLE MONDAY THROUGH FRIDAY, FROM 8 A.M. TO 4:30 P.M. TO DISCUSS THE APPLICATION PROCESS BY PHONE OR AT THE HOSPITAL. THE WEBSITE ALSO PROVIDES A MAILING ADDRESS, TELEPHONE NUMBER, EMAIL ADDRESS, AND IN-PERSON LOCATIONS WHERE INDIVIDUALS CAN RECEIVE OR REQUEST THE FAP AND APPLICATION. INFORMATION ABOUT THE FAP IS INCLUDED ON THE FINANCIAL CONSENT FORM, ON BILLING STATEMENTS/INVOICES, UPON DISCHARGE FROM INPATIENT, OBSERVATION, OR SURGICAL SERVICES, AND ON ELECTRONIC AND PAPER SIGNS AT REGISTRATION LOCATIONS IN THE HOSPITAL. PATIENTS RECEIVE FINANCIAL COUNSELING, REFERRALS, AND ASSISTANCE TO IDENTIFY PUBLIC OR PRIVATE HEALTHCARE PROGRAMS TO ASSIST WITH LONG TERM NEEDS. IF THE PATIENT IS UNINSURED, THEY WILL BE PROVIDED ASSISTANCE TO DETERMINE MARYLAND MEDICAID OR QUALIFIED HEALTH PLAN ELIGIBILITY THROUGH THE APPROPRIATE MARYLAND HEALTH CONNECTION CONNECTOR ENTITY OR OTHER QUALIFIED HEALTH INSURANCE MARKETPLACE. ---------------
PART VI, LINE 4 (COMMUNITY INFORMATION)UNION PRIMARILY SERVES CECIL COUNTY, MARYLAND. IN FY2022, CECIL COUNTY RESIDENTS ACCOUNTED FOR APPROXIMATELY 85% OF THE HOSPITAL'S TOTAL INPATIENT VOLUMES AND 84% OF TOTAL EMERGENCY DEPARTMENT VISITS. UNION HOSPITAL IS THE ONLY HOSPITAL IN THE COUNTY AND IS LOCATED IN ELKTON, THE COUNTY SEAT. THERE ARE EIGHT TOWNS AND SEVEN UNINCORPORATED COMMUNITIES IN THE COUNTY. CECIL COUNTY IS RURAL, AND IT BORDERS DELAWARE AND PENNSYLVANIA. ELKTON IS THE MOST POPULOUS TOWN IN CECIL COUNTY WITH 45,225 RESIDENTS AND THE SMALLEST TOWN IN CECIL COUNTY, PERRY POINT, HAS 262 RESIDENTS. THE TOTAL POPULATION OF CECIL COUNTY IN 2021 WAS APPROXIMATELY 102,722 PERSONS. BETWEEN 2020 AND 2030, THE CECIL COUNTY POPULATION IS EXPECTED TO GROW BY 8.5% WITH THE POPULATION OF THOSE 65 YEARS AND OLDER PROJECTED TO GROW AT A MORE RAPID RATE OF 43.1%. FROM 2016 TO 2020, THE POVERTY RATE IN CECIL COUNTY (9.5%) WAS SLIGHTLY ABOVE THE MARYLAND POVERTY RATE (9%), BUT BELOW THE UNITED STATES AVERAGE (12.8%). CECIL COUNTY POVERTY RATES FOR BLACK (15.8%) AND HISPANIC (18.1%) PEOPLE WERE SIGNIFICANTLY HIGHER THAN THOSE FOR WHITE (8.5%) RESIDENTS DEMONSTRATING SIGNIFICANT RACIAL DISPARITIES. LOW-INCOME CENSUS TRACTS ARE MOST PREVALENT IN ELKTON, NORTH EAST, AND PORT DEPOSIT. MOST OF THESE CENSUS TRACTS ARE WHERE MORE THAN ONE-HALF OF HOUSEHOLDS ARE "RENT BURDENED," ARE CATEGORIZED AS "HIGH NEED" BY THE DIGNITY HEALTH COMMUNITY NEED INDEXT (CNI) AND ARE IN THE TOP QUARTILE NATIONALLY FOR "SOCIAL VULNERABILITY" ACCORDING TO THE CENTERS FOR DISEASE CONTROL SOCIAL VULNERABILITY INDEX. THERE ARE CONSIDERABLE SUBSTANCE USE DISORDER ISSUES IN CECIL COUNTY. ADULT SMOKING RATES ARE HIGHER IN CECIL COUNTY THAN IN MARYLAND AND THE UNITED STATES. YOUTH TOBACCO AND NICOTINE USE ALSO COMPARES UNFAVORABLY IN COMPARISON TO NATIONAL AVERAGES. THE PERCENT OF CECIL COUNTY YOUTH THAT CURRENTLY USE SMOKELESS TOBACCO IS MORE THAN 50% ABOVE THE UNITED STATES AVERAGE. THE DRUG OVERDOSE DEATH RATE IS ALSO CONSIDERABLY HIGHER IN CECIL COUNTY THAN THE RATE IN MARYLAND AND THE UNITED STATES. BETWEEN 2016 AND 2020, THE DRUG OVERDOSE DEATH RATE MORE THAN DOUBLED. CECIL COUNTY'S PERCENTAGE OF THE POPULATION WITHOUT HEALTH INSURANCE IS 4.2% WHICH IS LOWER THAN THE PERCENTAGE OF THE POPULATION WITHOUT HEALTH INSURANCE IN MARYLAND, 5.9%. ---------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)CHRISTIANACARE IS CENTERED ON IMPROVING HEALTH OUTCOMES, MAKING HIGH-QUALITY CARE MORE ACCESSIBLE, AND LOWERING HEALTH CARE COSTS. GUIDED BY OUR VALUES, LOVE AND EXCELLENCE, UNION CONTINUES TO SERVE OUR CECIL COUNTY NEIGHBORS AS THEIR COMMUNITY HOSPITAL. EACH FISCAL YEAR, UNION SERVES CECIL COUNTY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT SEEK TO IMPROVE COMMUNITY HEALTH. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FY2022: A1: COMMUNITY HEALTH EDUCATION - UNION HOSPITAL PROVIDED: HEALTH EDUCATION PRESENTATIONS IN THE COMMUNITY ON TOPICS SUCH AS DIABETES AND NUTRITION, CANCER PREVENTION AND SCREENING, CHILDBIRTH AND INFANT EDUCATION INCLUDING NEONATAL ABSTINENCE SYNDROME AND LACTATION SUPPORT A2: COMMUNITY-BASED CLINICAL SERVICES - TWO FREE EYE SCREENINGS FOR DIABETICS - A FREE SPORTS PHYSICALS CLINIC FOR COUNTY PUBLIC AND PRIVATE MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS A3: HEALTH CARE SUPPORT SERVICES - PARTICIPATION ON CHILD ADVOCACY CENTER INVESTIGATIONS/MEETINGS - PARTNERSHIP WITH CCHD TO SUPPORT THE PEER RECOVERY ADVOCATES PROGRAM A4: SOCIAL AND ENVIRONMENTAL IMPROVEMENTS - TRANSPORTATION DONATIONS FOR ELIGIBLE (NEEDS-BASED) PATIENTS B1-B3: HEALTH PROFESSIONS EDUCATION - UNION CAREGIVERS OFFERED TRADITIONAL CLINICAL ROTATIONS TO 72 UNDERGRADUATE NURSING STUDENTS. C: MISSION DRIVEN HEALTH SERVICES - UNION PROVIDED SUBSIDIZED OUTPATIENT SERVICES TO MEET IDENTIFIED NEEDS IN THE COMMUNITY, EVEN THOUGH THEY OPERATE AT A LOSS. THESE INCLUDE SERVICES LIKE PRIMARY CARE AND RHEUMATOLOGY. E3: IN-KIND CONTRIBUTIONS - PROVIDED FREE AMBULANCE TRANSPORTS AND FREE SUPPLIES FOR AMBULANCE STOCK-UPS - PROVIDED FREE NOTARY SERVICES TO PATIENTS - PARTICIPATION IN COMMUNITY BOARDS/COMMITTEES/TASK FORCES AND OTHER GROUPS ---------------
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. (AHA) IS THE PARENT ENTITY. AHA'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES, FUNDRAISING AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY. OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE THE UNION HOSPITAL OF CECIL COUNTY FOUNDATION, INC., UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC., AND UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC. THE FOUNDATION CONDUCTS AND SUPERVISES FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES. THE FOUNDATION ENGAGES IN CORPORATE FUNDRAISING, CAPITAL CAMPAIGNS, SPECIAL EVENTS, ACTIVITIES, AND A MULTI-FACETED COMMUNICATION PROGRAM THAT APPEALS TO PRIVATE AND CORPORATE CONTRIBUTORS. UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH RELATED VENTURES TO SERVICE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL. UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC'S (ONCOLOGY") DUTY AND MISSION IS TO PROVIDE HIGH QUALITY, ADVANCED RADIATION ONCOLOGY SERVICES TO THE CECIL COUNTY AREA IN ORDER TO FOSTER THE BEST CANCER TREATMENT PROCESS CLOSE TO HOME. CANCER-RELATED DEATHS ARE AMONG THE HIGHEST CAUSES OF MORTALITY IN CECIL COUNTY, SO IT IS UNION ONCOLOGY'S MISSION TO BRING SOME OF THE MOST ADVANCED RADIATION THERAPIES TO CECIL COUNTY TO PROVIDE THE MOST COMPREHENSIVE CANCER CARE POSSIBLE TO THE PEOPLE LIVING WITH CANCER HERE AND IN NEIGHBORING COMMUNITIES. BY OFFERING THESE ADVANCED CANCER TREATMENT OPTIONS, UNION ONCOLOGY FURTHERS ITS CHARITABLE PURPOSE OF PROVIDING MEDICAL SERVICES TO PROMOTE THE HEALTH AND WELFARE OF THE RESIDENTS OF CECIL COUNTY AND NEIGHBORING COMMUNITIES. UNION HOSPITAL OF CECIL COUNTY VENTURES, INC. IS A FOR-PROFIT STOCK CORPORATION. ITS PURPOSE IS TO ENGAGE IN ANY BUSINESS OR TRANSACTION WHICH WILL BENEFIT THE ACTIVITIES AND GOALS OF ITS AFFILIATES. OPERATIONS CONSIST PRIMARILY OF PROVIDING MANAGEMENT SUPPORT SERVICES FOR PHYSICIAN PRACTICES AND PROVIDING IMAGING SERVICES TO PHYSICIANS AND HEALTH CENTERS THROUGH ITS WHOLLY OWNED SUBSIDIARIES, TRIANGLE ALLIANCE LLC AND OPEN MRI AND IMAGING CENTER OF ELKTON LLC. ON JANUARY 1, 2020, AHA BECAME A MEMBER OF CHRISTIANA CARE HEALTH SYSTEM. CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH MORE THAN 1,600 MEDICAL-STAFF MEMBERS AND 265 MEDICAL-DENTAL RESIDENTS AND FELLOWS AND INCLUDES A NUMBER OF ENTITIES INCLUDING CHRISTIANA CARE HEALTH SERVICES, INC. ---------------
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT)LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MD

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENNIFER L SCHWARTZ ESQ
SECRETARY (EX-OFFICIO)$0$504,545$0$216,026$0$0$0$16,843$0$23,010$0$760,424$0$0
JOSE MA MD
DIRECTOR$236,711$0$68,950$0$0$0$20,300$0$8,918$0$334,879$0$0$0
JUSTIN SAUSVILLE MD
DIRECTOR$748,469$0$22,500$0$0$0$20,300$0$13,221$0$804,490$0$0$0
ROBERT ASANTE
DIRECTOR (AS OF 1/2022)$0$159,203$0$34,721$0$0$0$24,050$0$10,881$0$228,855$0$0
SHARON T KURFUERST
PRES & DIRECTOR (AS OF 1/1/22)$0$654,345$0$255,517$0$0$0$20,300$0$16,478$0$946,640$0$0
ROBERT MCMURRAY
TREASURER (EX-OFFICIO)$0$600,633$0$248,589$0$0$0$20,300$0$23,010$0$892,532$0$0
RYAN GERACIMOS MD
CHIEF MEDICAL OFFICER$421,800$0$118,268$0$0$0$18,850$0$12,989$0$571,907$0$0$0
JOAN PIRRUNG MSN APRN ACNS-BC
VP PAT. CARE SERVIVES-NURSING$0$175,138$0$36,287$0$0$0$23,010$0$39,092$0$273,527$0$0
AMY MARSTON
CAMPUS OPERATIONS OFFICER$0$188,481$0$35,808$0$0$0$22,152$0$6,819$0$253,260$0$0
MICHELLE TWUM-DANSO
DIRECTOR OF HR - CECIL CAMPUS$191,262$0$30,722$0$0$0$17,036$0$0$0$239,020$0$0$0
DERON G BROWN
FORMER FINANCE DIRECTOR$164,705$0$25,590$0$0$0$12,359$0$0$0$202,654$0$0$0
RICHARD C SZUMEL
FORMER OFFICER$720,937$0$0$0$0$0$1,307$0$0$0$722,244$0$0$0
ROGER D WU MD
PHYSICIAN$584,886$0$79,467$0$0$0$18,850$0$12,181$0$695,384$0$0$0
FAHD RAHMAN MD
PHYSICIAN$594,491$0$0$0$0$0$18,850$0$13,221$0$626,562$0$0$0
NAVEED HASAN MD
PHYSICIAN$529,433$0$34,000$0$0$0$0$0$13,871$0$577,304$0$0$0
THEODORA FYNN
PHYSICIAN$432,422$0$29,400$0$0$0$19,241$0$8,697$0$489,760$0$0$0
VINAY K SHARMA
PHYSICIAN$430,632$0$24,500$0$0$0$19,121$0$4,095$0$478,348$0$0$0
KENNETH SILVERSTEIN MD
DIRECTOR (THROUGH 12/31/21)$0$1,227,165$0$316,765$0$0$0$18,850$0$23,010$0$1,585,790$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 3TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHOD DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4ADETAIL OF SEVERANCE PAYMENTS RICHARD C. SZUMEL, MD (FORMER PRESIDENT & CEO) RECEIVED A SEVERANCE PAYMENT OF $456,980 DURING THE YEAR. --------------- FORM 990, SCHEDULE J, PART I, LINE 4B SUPP. NONQUALIFIED PLAN PARTICIPATION THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). CCHS MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: RYAN GERACIMOS, MD- $11,448 SHARON T. KURFUERST- $23,571 ROBERT MCMURRAY- NO DISTRIBUTION JENNIFER L. SCHWARTZ, ESQ.- NO DISTRIBUTION KENNETH SILVERSTEIN, MD- NO DISTRIBUTION ---------------
FORM 990, SCHEDULE J, PART I, LINE 7NONFIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM") AND CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). ALL OFFICER/TRUSTEE COMPENSATION ARRANGEMENTS, INCLUDING THE PAYMENT OF DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES, ARE DETERMINED BY THE SYSTEM BOARD AND PAID EITHER THROUGH CCHS OR THIS ORGANIZATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON ARE APPROVED BY THE COMPENSATION COMMITTEE OF SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ---------------

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TOWN OF ELKTON - SERIES 2012A
A5260007902012-05-18$10,000,000REFUND PORTION OF SERIES 2009 BONDfalsefalsefalse
TOWN OF ELKTON - SERIES 2012B1B2
B5260007902012-05-18$8,662,336REFUND SERIES 2009 & 2000 BONDSfalsefalsefalse
TOWN OF ELKTON - SERIES 2012C
C5260007902012-05-18$9,000,000REFUND ESCROW TO REPAY 2002 BoNDfalsefalsefalse
MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
D5209360912012-07-18$9,924,000REFUND PORTION OF SERIES 2002 BONDfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,417,204$0$10,000,000$0$0$0$0$0$0$0$10,000,000$02012Yes (true)falseYes (true)Yes (true)
B$4,816,306$0$8,662,336$0$0$0$0$0$0$0$8,662,336$02012Yes (true)falseYes (true)Yes (true)
C$0$0$9,000,000$0$0$0$0$0$0$0$9,000,000$02012Yes (true)falseYes (true)Yes (true)
D$9,924,000$0$9,924,000$0$0$0$0$0$0$0$9,924,000$02012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)
CfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)
DfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
CfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
DfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
A5209360912012-07-18$4,007,000FINANCE ACQUISITION OF EQUIPMENTfalsefalsefalse
MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
B5209360912014-12-01$30,778,000REFINANCE THE 2005 BONDYes (true)falsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,007,000$0$4,007,000$0$0$0$0$0$0$0$4,007,000$02012Yes (true)falseYes (true)Yes (true)
B$900,000$0$30,778,000$0$0$0$0$0$0$0$30,778,000$02014Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINES 6 & 7A,7BGOVERNING BODY AND MANAGEMENT CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") IS THE SOLE MEMBER OF AFFINITY HEALTH ALLIANCE, INC. ("AHA"), THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC"). CCHS AND AHA ARE BOTH TAX-EXEMPT ORGANIZATIONS. THE BOARD OF DIRECTORS OF CCHS ELECTS THE DIRECTORS OF UHCC AT ITS ANNUAL MEETING. THE ANNUAL OPERATING BUDGET OF UHCC IS APPROVED BY THE UHCC BOARD, THE FINANCE COMMITTEE OF THE CCHS BOARD, THE CCHS BOARD, THE FINANCE COMMITTEE OF THE BOARD OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CCHS, AND THE SYSTEM BOARD. ---------------
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS INFORMATION RELATED TO THE UHCC FORM 990 IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2021 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2022 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2021 FORM 990 VIA ITS BOARD OF DIRECTORS PORTAL. ---------------
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE CAREGIVER RESOURCE CENTER ON THE EMPLOYEE PORTAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR REQUIRED INDIVIDUALS, WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXIST. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. ---------------
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"), THE SOLE MEMBER OF AFFINITY HEALTH ALLIANCE, INC. ("AHA"), THE SOLE MEMBER OF UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC") ESTABLISHES UHCC'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE SYSTEM BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. ---------------
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE, MANAGEMENT & DISCLOSURE THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ---------------
FORM 990, PART XI, LINE 9DETAIL OF OTHER CHANGES IN NET ASSETS TRANSFER TO AFFILIATES $ 10,382,025 CHANGE IN NET ASSETS - FDN (374,915) OTHER CHANGES 23,157 ____________ TOTAL $ 10,030,267 ---------------
FORM 990, SCHEDULE CDETAIL OF LOBBYING ACTIVITIES UHCC IS A MEMBER OF THE MARYLAND HOSPITAL ASSOCIATION ("MHA"). A PORTION OF THE MEMBERSHIP DUES PAID BY UHCC MAY BE USED BY MHA FOR LOBBYING PURPOSES. ---------------
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:12408
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:11759573
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES & FEES TOTAL FEES:20096065
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY EMPLOYEES TOTAL FEES:197038
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:214884
FORM 990 PART IX LINE 11GDESCRIPTION:CLEANING SERVICES TOTAL FEES:49140
FORM 990 PART IX LINE 11GDESCRIPTION:BILLING & COLLECTIONS SERVICES TOTAL FEES:290818
FORM 990 PART IX LINE 11GDESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:1395

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UNION HOSPITAL OF CECIL COUNTY FDN INC
4000 NEXUS DR NW3-100WILMINGTONDE19803521794552FUNDRAISINGMD501(C)(3)7AFFINITYfalse
UNION HOSPITAL OF CECIL COUNTY HLTH SVCS
4000 NEXUS DR NW3-100WILMINGTONDE19803521794553PROPERTY MGMTMD501(C)(3)10AFFINITYfalse
AFFINITY HEALTH ALLIANCE INC
4000 NEXUS DR NW3-100WILMINGTONDE19803521794697MANAGEMENTMD501(C)(3)12B,IICCH SERVICESfalse
UNION HOSPITAL OF CECIL COUNTY ONCOLOGY
4000 NEXUS DR NW3-100WILMINGTONDE19803812662359HEALTHCAREMD501(C)(3)3AFFINITYfalse
CHRISTIANA CARE HEALTH SYSTEM INC
4000 NEXUS DR NW3-100WILMINGTONDE19803521479538FUNDRAISINGDE501(C)(3)7NAfalse
CHRISTIANA CARE HLTH INITIATIVES INC
4000 NEXUS DR NW3-100WILMINGTONDE19803510295186OUTPATIENT SVDE501(C)(3)10CCH SYSTEMfalse
CHRISTIANA CARE HOME HEALTH & COM SRVCS
4000 NEXUS DR NW3-100WILMINGTONDE19803510064334HOME HLTHCAREDE501(C)(3)7CCH SYSTEMfalse
CHRISTIANA CARE HEALTH SERVICES INC
4000 NEXUS DR NW3-100WILMINGTONDE19803510103684HOSPITALDE501(C)(3)3CCH SYSTEMfalse
CHRISTIANA CARE WEST GROVE INC
4000 NEXUS DR NW3-100WILMINGTONDE19803510275944HEALTHCAREPA501(C)(3)12C,III-FICCH SERVICESfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CHRISTIANACARE GOHEALTH URGENT CARE LLC
5555 GLENRIDGE CONNECTOR STE 700ATLANTAGA30342844061485URGENT CARE SRVCSDECCH SERVICESfalse
CHRISTIANACARE VALUE HEALTH JV LLC
11221 ROE AVELEAWOODKS66211851100149AMBULATORY SRVCSDECCH SERVICESfalse
CLINERGY LLC
4755 OGLETOWN STANTON RDNEWARKDE19718852698063GROUP PURCHASINGDECCH SERVICESfalse
LEEWARD HEALTH LLC
4000 NEXUS DRIVE STE C3-300WILMINGTONDE19803MED ADV RISKDECCH SYSTEMfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
UNION HOSPITAL OF CECIL COUNTY VENTURES
4000 NEXUS DR NW3-100WILMINGTONDE19803521793691MEDICAL SERVICESMDAFFINITYC CORPfalse
THE DE CTR FOR MAT FETAL MED OF CC INC
4000 NEXUS DR NW3-100WILMINGTONDE19803205891272HEALTHCAREDECCH SERVICESC CORPfalse
CHRISTIANA CARE HEALTH PLANS
4000 NEXUS DR STE NW3-100WILMINGTONDE19803510352728INSURANCEDECCH SYSTEMC CORPfalse
CHRISTIANA CARE DEFERRED COMP PLAN
4755 OGLETOWN STANTON RDNEWARKDE19718816359549DEF COMP PLANDECCH SERVICESTRUSTfalse
CHRISTIANA CARE EXEC DEFERRED COMP PLAN
4755 OGLETOWN STANTON RDNEWARKDE19718357048822DEF COMP PLANDECCH SERVICESTRUSTfalse
CARE ASSOCIATES DEFERRED COMP PLAN
4755 OGLETOWN STANTON RDNEWARKDE19718357048714DEF COMP PLANDECCH SERVICESTRUSTfalse
CHRISTIANA CARE INSURANCE CO LTD
981489490SELF-INSURANCECCH SERVICESC CORPfalsePO BOX 1159 878 W BAY RDGRAND CAYMANCJKY1-1102CJ
CHRISTIANA CARE STRATEGIC INVESTMENTS
4000 NEXUS DR STE NW3-100WILMINGTONDE19803853348300STRATEGYDECCH SYSTEMC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.