2019-05-14T18:54:45-05:00 2018-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2017-07-01 521289729 Dimensions Health Corporation % ED WUENSCHELL DIME 4103281376 7300 Van Dusen Road Laurel MD 20707 S MICHELLE LEE CFO, UMMS 2404562245 2019-05-14 true Frank Giardini P00532355 2155614200 2019-05-15 209.220.64.52 23695320191345000057 2019-05-14 P AA918D8483008E32154F6CC583B06457B9AF9E42 FE39DA10AEC949D81AEF277AEA023C5F99DCE9C1 2017 2019-02-21 02:37:17Z Sherry perkins 7300 Van Dusen Rd Laurel MD 20707 440040995 false X www.dimensionshealth.com X 1982 MD OUR STATED MISSION IS TO PROVIDE HIGH QUALITY, EFFICIENT HEALTHCARE SERVICES TO PRESERVE, RESTORE AND IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. SEE SCHEDULE O. 8 2 3507 111 22292 19453 47363916 50371119 349901509 386511598 249321 69834 2472304 3088444 399987050 440040995 0 0 0 0 202897973 193770734 0 0 0 167251165 230031174 370149138 423801908 29837912 16239087 221642928 214342435 168964810 153635141 52678118 60707294 X OUR STATED MISSION IS TO PROVIDE HIGH QUALITY, EFFICIENT HEALTHCARE SERVICES TO PRESERVE, RESTORE AND IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THIS MISSION IS PURSUED IN COLLABORATION WITH OUR RELATED ORGANIZATIONS. WE URGE THOSE INTERESTED TO ACCESS MORE DETAILED AND COMPLETE INFORMATION AT WWW.DIMENSIONSHEALTH.ORG. false false 372361555 0 387439643 THE MAIN FUNCTION OF THE ORGANIZATION IS TO PROVIDE COMMUNITY BENEFITS THROUGH PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. OUR STATED MISSION IS TO ENHANCE THE HEALTH AND WELLNESS OF OUR PATIENTS AND COMMUNITIES, PROVIDING STATE OF THE ART CLINICAL CARE AND COMMUNITY LEADERSHIP WITH COMPASSION, DIGNITY AND RESPECT. 372361555 true true false true false false false false false false true false false false true true false true false false true false false false false false true true false false true false false false false false false false false false false false false false true false false false true 367 0 true 3507 true true true true CJ false false false false false false false false X 8 2 false false true false true true true true true false false true true true true true true true true false MD X ED WUENSCHELL 4434625811 900 ELKRIDGE LANDING ROAD - 3 EAST LINTHICUM MD 21090 X Bradford L Seamon Board Chair 1.0 0.0 X X 0 0 0 John W Ashworth III Director 1.0 47.0 X 0 822679 36514 Stephen T Bartlett MD Director 1.0 0.0 X 0 0 0 Robert A Chrencik President and CEO - UMMS 1.0 54.0 X 0 2590028 25019 Pamela B Creekmur RN Director 1.0 0.0 X 0 0 0 Henry J Franey Director 1.0 44.0 X 0 1502906 22624 Joseph L Wright MD Director 1.0 0.0 X 0 0 0 Neil Moore President and CEO 40.0 2.0 X X 1015638 0 42449 C Phillip Nichols Jr Director - end 09/2017 1.0 0.0 X 0 0 0 Barbara Frush Director - end 09/2017 1.0 0.0 X 0 0 0 Harbhajan Ajrawat MD Director - end 09/2017 1.0 0.0 X 0 0 0 Ulric Donawa Director - end 09/2017 1.0 0.0 X 0 0 0 Andrea Harrison Director - end 09/2017 1.0 0.0 X 0 0 0 Thomas Hendershot Director - end 09/2017 1.0 0.0 X 0 0 0 Lipshree Nayak MD Director - end 09/2017 1.0 0.0 X 0 0 0 Tristan J Orellano MD Director - end 09/2017 1.0 0.0 X 0 0 0 Shawn Wright ESQ Director - end 09/2017 1.0 0.0 X 0 0 0 William Brosius Treasurer 40.0 2.0 X 0 196889 20679 Megan Arthur Secretary 1.0 44.0 X 0 724017 26240 Sherry Perkins EVP and COO 40.0 2.0 X 254496 686610 76202 Carnell Cooper VP Medical Affairs & CMO 40.0 1.0 X 435272 0 45681 Trudy Hall VP Medical Affairs 40.0 1.0 X 451078 0 30689 Jeffrey Johnson SVP Strategic Planning 40.0 0.0 X 294808 0 28128 Ronald Laxton Senior VP Clin Svcs 40.0 0.0 X 501183 0 33113 Theophilus Botwe Physician Advisor 40.0 0.0 X 246554 0 1048 Eslanda Dasher Deputy General Counsel 40.0 0.0 X 298582 0 26683 Michael Jacobs Executive Director 40.0 0.0 X 254509 0 44024 Michael King VP Reimbursement Svcs 40.0 0.0 X 250222 0 40168 Tiffany Sullivan VP Comm Population Health 40.0 0.0 X 234589 0 37844 Kanwaljit Singh Taneja Former Chief Operating Officer 0.0 0.0 X 349445 0 16246 4586376 6523129 553351 260 true true false Cerner Corporation 2800 Rockcreek Parkway KANSAS CITY MO 64117 Health IT 6075002 Wilmot Sanz 18310 Montgomery Village Avenue GAITHERSBURG MD 20879 Architect Service 5536422 Broadway Services Inc 3709 East Monument Street BALTIMORE MD 21205 Security staffing 2276377 Alliant Staffing 7201 Wisconsin Avenue 705 BETHESDA MD 20814 Healthcare staff 2254909 Premier Health Care LLC 12073 Tech Road Suite B SILVER SPRING MD 20904 Healthcare staff 2229690 156 120930 42828493 7421696 50371119 NET PATIENT REVENUE 900099 386353524 386353524 TRAUMA FEES 900099 158074 158074 386511598 69834 22292 47542 0 0 837828 837828 0 837828 837828 0 0 0 0 0 0 0 0 0 0 CAFETERIA/MEAL SERVICE/ VENDING 722514 1127991 1127991 PARKING REVENUE 812930 194580 194580 INSURANCE REFUND 900099 316714 316714 611331 611331 2250616 440040995 387439643 22292 2207941 0 0 0 0 3988530 435272 3553258 0 161359298 137155403 24203895 2946942 2504901 442041 14606938 12415897 2191041 10869026 9238672 1630354 0 1525656 1296808 228848 0 19891 19891 0 0 99972050 88170254 11801796 1056103 897688 158415 3336217 2835784 500433 6968343 5923092 1045251 0 10575161 8988887 1586274 304379 258722 45657 0 366056 311148 54908 107629 91485 16144 0 14831696 12606942 2224754 7976821 7874555 102266 MEDICAL SUPPLIES 43202706 43202706 BAD DEBT EXPENSE 28048005 28048005 REPAIR/MAINTENANCE 6950275 5907734 1042541 EQUIPMENT RENT 1346541 1144560 201981 3443645 3053040 390605 423801908 372361555 51440353 0 47703678 55070935 3933302 1026579 0 0 40923484 50741972 0 0 0 0 0 0 5041029 2216264 6153914 3989771 340109470 249329705 83329321 90779765 10072216 0 0 0 6787591 0 0 0 17698393 10517149 221642928 214342435 61786671 53671887 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107178139 99963254 168964810 153635141 X 41175966 27319887 11502152 33387407 0 0 52678118 60707294 221642928 214342435 X 16239087 -8209911 X X false true X true X false false false false false false false false true 19891 19891 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 6.6% AND 22.98% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C PART II-B AS LOBBYING ACTIVITIES. 39908147 39908147 45544944 35528590 10016354 43359353 36754952 6604401 195685288 176092620 19592668 15611738 953543 14658195 90779765 0 ADVANCES FROM THIRD PARTIES 14583845 CAPITAL LEASE OBLIGATIONS 302304 ACCRUED EMPLOYEE BENEFIT 73557472 DUE TO AFFILIATES 8737050 MALPRACTICE LIABILITIES 2782583 99963254 X FIN 48 FOOTNOTE PER AUDIT REPORT SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX LIABILITIES OR BENEFITS THAT SHOULD BE RECOGNIZED. true Central America and the Caribbean Program Services Captive Insurance 2303050 2303050 2303050 false false true false false false ACTIVITIES PER REGION SCHEDULE F, PART I, LINE 3 The amount indicated as foreign investments in Part I was Dimensions Health Corporation (DHC)'s expenses incurred for Dimensions Assurance Company, Ltd (DAL), a Cayman Island Corporation owned by DHC through 8/31/17. DAL's ownership transferred to UMMS on 9/1/17. true true X true X true X true false true true 8098408 8098408 0.02050 8098408 8098408 0.02050 5815209 110000 5705209 0.01440 4919904 4919904 0.01240 41142733 7934000 33208733 0.08390 260384 260384 0.00070 30500 30500 0.00010 52168730 8044000 44124730 0.11150 60267138 8044000 52223138 0.13200 6536 6536 141995 141995 0.00040 31040 31040 0.00010 179571 179571 0.00050 true 18699605 114152846 114126553 26293 X true true 2 1 Prince Georges Hospital Center 3001 Hospital Dr Cheverly MD 20785 UMMS.org/Capital 16-015 X X X A 2 Laurel Regional Hospital 7300 Van Dusen Rd Laurel MD 20707 UMMS.org/Capital 16-026 X X X A A 12 false false true X X X X X X X X X 15 true true true true X WWW.umms.org/capital/community true 15 true WWW.umms.org/capital/community false true X 200. 300. X X X X X true true X X X true X WWW.umms.org/capital X WWW.umms.org/capital X WWW.umms.org/capital X X X X X X true X false X X X X true X false false INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SCHEDULE H, PART V, SECTION B, LINE 5 THE CHNA TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, AS WELL AS LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. IN PARTICULAR, THE PROCESS INCLUDED KEY INFORMANT INTERVIEWS OF 24 COUNTY LEADERS ON ISSUES OF MINORITY POPULATIONS, HEALTH, SOCIAL DETERMINANTS OF HEALTH, BARRIERS TO HEALTH AND WELL-BEING, BEHAVIORAL HEALTH AND ENVIRONMENTAL HEALTH ISSUES. IN ADDITION, ELECTRONIC SURVEYS WERE SENT TO 250 COMMUNITY EXPERTS. A SEPARATE SURVEY WAS SENT TO COMMUNITY RESIDENTS, ELECTRONICALLY AND BY PAPER, WITH 201 RESPONDENTS IN ENGLISH AND 115 IN SPANISH. TWO COMMUNITY INPUT MEETINGS WERE HELD, ONE WITH COMMUNITY LEADERS AND ONE WITH HEALTH EXPERTS. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, FEDERALLY QUALIFIED HEALTH CENTERS, FAITH-BASED ORGANIZATIONS, AND BUSINESS LEADERS. AT THE MEETING WITH PUBLIC HEALTH EXPERTS, ATTENDEES INCLUDED HOSPITAL BOARD MEMBERS, ADMINISTRATORS, PHYSICIANS, AND NURSES. FURTHERMORE, THE CHNA TOOK INTO ACCOUNT DATA RECEIVED PURSUANT TO THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH PUBLIC HEALTH IMPACT STUDY (SPHPHIS) PRINCE GEORGE'S COUNTY PRIMARY HEALTHCARE STRATEGIC PLAN (2015), 2015 PRINCE GEORGE'S COUNTY FOOD SYSTEM STUDY, NOVEMBER 2015. CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES SCHEDULE H, PART V, SECTION B, LINE 6A THE HOSPITAL FACILITieS' CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: DOCTORS COMMUNITY HOSPITAL, FORT WASHINGTON MEDICAL CENTER, AND MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES SCHEDULE H, PART V, SECTION B, LINE 6B THE HOSPITAL FACILIties' CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT. ADDRESSING NEEDS IN THE CHNA SCHEDULE H, PART V, SECTION B, LINE 11 THE HOSPITAL FACILities are ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN their MOST RECENTLY CONDUCTED CHNA THROUGH INITIATIVES SPECIFICALLY DESIGNED TO ADDRESS IDENTIFIED PRIORITY NEEDS. THROUGH A PRIORITIZATION PROCESS INVOLVING INTERNAL AND COMMUNITY STAKEHOLDERS THE HOSPITALs IDENTIFIED PRIORITY AREAS OF FOCUS FOR NEEDS IDENTIFIED IN THE CHNA. THEY ARE: PRIORITY AREA 1 - SOCIAL DETERMINANTS OF HEALTH; PRIORITY AREA 2 - PHYSICAL HEALTH AND CHRONIC DISEASE MANAGEMENT; PRIORITY AREA 3 - BEHAVIORAL HEALTH. GOALS ARE ESTABLISHED UNDER EACH PRIORITY AREA AND INITIATIVES ALIGNED WITH THE GOALS WERE IMPLEMENTED TO ADDRESS THE IDENTIFIED NEED. THE CURRENT INITIATIVES ARE DESIGNED TO ADDRESS EACH OF THE PRIORITY NEEDS IDENTIFIED IN THE CHIP: PHYSICAL HEALTH AND CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH RISK FACTORS. THE CHNA CHARACTERIZED THE NEEDS IN PRINCE GEORGE'S COUNTY AND THE HOSPITAL SERVICE AREA UNDER THREE HEADINGS WHICH WERE DECIDED AS PART OF A PRIORITIZATION PROCESS INVOLVING REPRESENTATIVES FROM ALL HOSPITALS IN PRINCE GEORGE'S COUNTY, PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT AND A WIDE RANGE OF COMMUNITY STAKEHOLDERS (INCLUDING PUBLIC HEALTH, FQHCS AND COMMUNITY-BASED ORGANIZATIONS). THE THREE HEADINGS DECIDED DURING THE PRIORITIZATION PROCESS ARE: BEHAVIORAL HEALTH (MENTAL HEALTH, SUBSTANCE USE, DOMESTIC VIOLENCE/VIOLENCE); METABOLIC SYNDROME (OBESITY, DIABETES, HEART DISEASE, HYPERTENSION AND STROKE) AND CANCER. THE HOSPITAL HAS IMPLEMENTED SPECIFIC INITIATIVES RELATED TO BEHAVIORAL HEALTH AND METABOLIC SYNDROME. FOR EXAMPLE, THROUGH AN INITIATIVE TITLED, "IMPROVE TRANSITIONAL CHRONIC CARE MANAGEMENT & CARE COORDINATION (INCLUSIVE OF CHRONIC DISEASE SELF-MANAGEMENT EDUCATION CLASSES AND CHRONIC DISEASE SCREENINGS)", WORKED TO KEEP THE POPULATION HEALTHY WITHIN THE COMMUNITIES SERVED BY DHC. DHC PARTNERED WITH OTHER LOCAL HOSPITALS TO FORM TOTALLY LINKING CARE-MARYLAND (TLC-MD). TLC-MD COLLABORATION WITH PRINCE GEORGE'S COUNTY FIRE & EMS, PRINCE GEORGE'S HEALTH CARE ALLIANCE, COMMUNITY CARE COORDINATION TEAM, DHC MEDICAL GROUP, UM CAPITAL CHEST PAIN PROGRAM, UM CAPITAL STROKE CENTER, UNIVERSITY OF MARYLAND SCHOOL OF PHARMACY EHEALTH SERVICES CENTER, PRINCE GEORGE'S COUNTY FAMILY SERVICE'S DEPARTMENT (AREA ON AGING), ACCESS TO HOLISTIC & PRODUCTIVE INSTITUTE, GREATER BADEN MEDICAL CENTER TO PROVIDE EFFECTIVE CARE TRANSITION, CARE COORDINATION AND DISEASE MANAGEMENT SUPPORT. DHC PARTNERS WITH THE MARCH OF DIMES & THE DHC MEDICAL GROUP AS WELL AS A HOST OF COMMUNITY ORGANIZATIONS OPERATE THE MAMA & BABY MOBILE HEALTH UNIT. THE MAMA & BABY MOBILE UNIT SERVES AS A HEALTHCARE ACCESS POINT FOR UNDER-INSURED, UNINSURED AND UNDER-SERVED WOMEN AND CHILDREN. THE MAMA & BABY MOBILE UNIT PROVIDES BASIC, UNCOMPLICATED MATERNAL AND CHILD HEALTH SERVICES THROUGH PARTNERSHIPS WITH LOCAL COMMUNITY BASED ORGANIZATIONS, SHELTERS, FOOD PANTRIES, FAITH INSTITUTIONS, SCHOOLS AND INSTITUTIONS OF HIGHER LEARNING. THE MOBILE HEALTH SERVICES TEAM CONSISTS OF A VARIETY OF PROVIDERS INCLUDING A TEAM OF MIDWIVES, FAMILY MEDICINE AND OB/GYN PROVIDERS. PRINCE GEORGE'S COUNTY PARTNERING ORGANIZATIONS ALSO WORK IN COLLABORATION WITH THE MOBILE HEALTH UNIT TO PROVIDE COMMUNITY HEALTH WORKERS AND HEALTH INSURANCE NAVIGATORS TO ASSIST PATIENTS WITH ASPECTS RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE BUS MIDWIVES MANAGE LOW-RISK PATIENTS USING PROTOCOLS DEVELOPED CONSISTENT WITH RECOMMENDATIONS OF THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG), WHICH ALLOW A MINIMUM NUMBER OF VISITS IN THE SCHEDULES FOR PRENATAL CARE. THIS APPROACH ACCOMMODATES A VARIETY OF LIFE CHALLENGES THE WOMEN MUST OVERCOME TO ATTEND REGULAR PRENATAL CARE APPOINTMENTS AND MINIMIZES THE SOME OF THE BARRIERS THESE WOMEN MAY FACE. FOR WOMEN WHO ARE AT HIGH AND MEDIUM RISK THE BUS STAFF FOLLOWS THE PREGNANCY MANAGEMENT GUIDELINES OF THE AMERICA COLLEGE OF OBSTETRICIANS AND GYNECOLOGIST RELATED TO THOSE SPECIFIC POPULATIONS. THE STAFF ALSO EMPLOYS ACOG'S WELL WOMEN VISIT GUIDELINES. PATIENTS WILL BE ROUTINELY SCREENED FOR HIV PER THE PREVENTIVE HEALTH GUIDELINES FROM THE CENTERS OF DISEASE CONTROL AND PREVENTION. POSTPARTUM CARE WILL FOLLOW ACOG GUIDELINES AND ADDRESS BREASTFEEDING SUPPORT, LEVEL OF AVAILABLE SOCIAL SUPPORT, DEPRESSION, PHYSICAL ACTIVITY, CONTRACEPTION ETC., IN ADDITION TO THE PATIENTS OVERALL HEALTH. EVERY ATTEMPT WILL BE MADE TO LINK WOMEN TO A FULL RANGE OF SUPPORTIVE SERVICES PROVIDED BY THE BUS'S PARTNERS SO THAT THEY AND THEIR INFANTS WILL ATTAIN OPTIMAL HEALTH OUTCOMES. TO ADDRESS COMMUNITY NEEDS RELATED TO BEHAVIORAL HEALTH, DHC CURRENTLY CONDUCTS MENTAL HEALTH FIRST AID TRAINING FOR ADULTS AND YOUTH MENTAL HEALTH FIRST AID TRAINING (YMHFA) FOR ADULTS WHO REGULARLY INTERACT WITH ADOLESCENTS BETWEEN THE AGES OF 12-18. THE MENTAL HEALTH FIRST AID USA CURRICULUM IS AN 8 HOUR PUBLIC EDUCATION PROGRAM WHICH INTRODUCES PARTICIPANTS TO THE UNIQUE RISK FACTORS AND WARNING SIGNS OF MENTAL PROBLEMS AND SUBSTANCE ABUSE BOTH IN ADULTS AND ADOLESCENTS. THE YMHFA TRAINING SPECIFICALLY BUILDS UNDERSTANDING OF THE IMPORTANCE OF EARLY INTERVENTION, AND TEACHES INDIVIDUALS HOW TO HELP AN ADOLESCENT IN CRISIS OR EXPERIENCING A MENTAL HEALTH CHALLENGE. EXAMPLES OF PROGRAMS ARE BEHAVIORAL HEALTH SYMPOSIUM SERIES: NOT ALL WOUNDS ARE VISIBLE: A COMMUNITY CONVERSATION: LET'S TALK ABOUT ADDICTION & SUBSTANCE ABUSE (WEDNESDAY, NOVEMBER 29, 2017); AND A COMMUNITY CONVERSATION: LET'S TALK ABOUT DEPRESSION & ANXIETY- PART I (MAY 23, 2018). LAUREL HIGH SCHOOL & DHC, ENOUGH IS ENOUGH MENTAL/ VIOLENCE AWARENESS EVENT- PART 1: AN EDUCATIONAL FORUM HOSTED AT LRH THAT CONSISTED OF LOCAL LAW ENFORCEMENT OFFICIALS, HOSPITAL AND SCHOOL ADMINISTRATORS, COMMUNITY MEMBERS, PARENTS AND STUDENTS. THE OBJECTIVE OF THE EVENT WAS TO PROMOTE AND DEVELOP COLLABORATION BETWEEN THE HIGH SCHOOL AND LRH AS IT RELATES TO HOW WE AS A COMMUNITY IN LAUREL IDENTIFY AND PROVIDE EFFECTIVE INTERVENTION MENTAL HEALTH OBSERVED NOT JUST WITHIN OUR HOSPITAL AND SCHOOLS BUT THE BROADER COMMUNITY. DHC'S "TOBACCO USE PREVENTION AND CESSATION-THE TUPAC" PROVIDES HOSPITAL AND COMMUNITY BASED GROUP SMOKING CESSATION CLASSES, HOSTS EDUCATIONAL AWARENESS SEMINARS, ONE-TO-ONE SESSIONS AS WELL AS TELEPHONE CONSULTATIONS. THE PROGRAM CURRENTLY PARTNERS WITH OVER 20 COMMUNITY ORGANIZATIONS INCLUDING THE MARYLAND NATIONAL CAPITAL PARK AND PLANNING COMMISSION, THE PRINCE GEORGE'S COUNTY HOUSING AUTHORITY AND THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE. IN FY 18, 109 PROGRAM PARTICIPANTS COMPLETED CESSATION CLASSES INTERNALLY AND 264 PARTICIPATES COMPLETED COMMUNITY BASED CESSATION CLASSES WITH AN 80% OVERALL SUCCESS RATE. IN ADDITION, A TOTAL OF 200 TELEPHONE CONSULTATIONS WERE PROVIDED. THE BEHAVIORAL HEALTH COMMUNITY STAKEHOLDER'S MEETING CONSISTED OF UM LRH PROVIDERS, BEHAVIORAL HEALTH COMMUNITY PROVIDERS, HOSPITAL ADMINISTRATORS, CLINICIANS, HEALTH DEPARTMENT OFFICIALS AND UMMS COMMUNICATION, MARKETING AND COMMUNITY HEALTH LEADERSHIP STAFF. THE INTENT OF THE STAKEHOLDERS MEETING WAS TO FOSTER AN EDUCATIONAL DISCUSSION REGARDING HOW WE AS A HEALTHCARE COMMUNITY BETTER ALIGN, PARTNER AND LINK RESIDENTS IN NEED OF BEHAVIORAL HEALTH PREVENTION AND TREATMENT TO COMMUNITY BASED RESOURCES. DHC IS ENGAGED IN CANCER SCREENING PROGRAMS AND HAS INITIATED PLANNING FOR A COMPREHENSIVE CANCER PROGRAM TO SERVE THE RESIDENTS OF PRINCE GEORGE'S COUNTY AND SOUTHERN MARYLAND. LASTLY, LRH IS ENGAGED IN A COMPREHENSIVE PLANNING PROCESS, INVOLVING STAKEHOLDER FROM THROUGH DHC TO CONVERT FROM AN ACUTE CARE FACILITY TO A FREESTANDING MEDICAL FACILITY ON JANUARY 1, 2019. THE PLAN WILL CONTINUE THE CAPACITY OF THE FACILITY TO ADDRESS THE COMMUNITY NEEDS IDENTIFIED IN THE CHNA AT THE NEW FACILITY AND IN COMMUNITY BASED SETTINGS. ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE SCHEDULE H, PART V, LINE 13B THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS. HOSPITAL EFFORTS BEFORE INITIATING ACTION SCHEDULE H, PART V, LINE 20C IN THE CASE OF AN INCOMPLETE FAP APPLICATION, PATIENTS ARE NOT AUTOMATICALLY DENIED. A LETTER IS MAILED TO THE PATIENT REQUESTING THE MISSING DOCUMENTATION, AND FAP APPLICATIONS ARE APPROVED ONCE THE MISSING DOCUMENTATION IS PROVIDED. 6 Rachel H Pemberton Senior Center 3601 Taylor Street Ste 108 Brentwood MD 20722 Senior Health Center Dical Center 7582 Annapolis Road Lanham MD 20784 Medical Center Dimensions Surgery Center 14999 Health Center Dr Ste 103 Bowie MD 20716 Ambulatory Surgery Center Larkin Chase Care & Rehabilitation 15005 Health Center Drive Bowie MD 20716 Rehabilitation Center Gladys Spellman Specialty Care Unit 7300 Van Dusen Road Laurel MD 20707 Acute Care Bowie Health Center 1017 15001 Health Center Drive Bowie MD 20716 Emergency Medical Care CRITERIA FOR FREE OR DISCOUNTED CARE SCHEDULE H, PART I, LINE 3C DHC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. BUDGET FOR CHARITY CARE SCHEDULE H, PART I, LINE 5 THE ORGANIZATION DOESN'T BUDGET A PRESET PERCENTAGE FOR CHARITY CARE. IT IS THE ORGANIZATION'S POLICY TO PROVIDE FINANCIAL ASSISTANCE TO ANY INDIVIDUAL THAT QUALIFIES UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, REGARDLESS OF THE AMOUNT OF CHARITY CARE PROVIDED BY THE ORGANIZATION DURING THE YEAR. IT IS PART OF OUR MISSION TO SERVE AS THE SAFETY NET FOR THE UNINSURED AND UNDERINSURED. RELATED ORGANIZATION BENEFIT REPORT SCHEDULE H, PART I, LINE 6b THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HSCRC. THE REPORT CAN BE FOUND AT HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPX. COSTING METHODOLOGY SCHEDULE H, PART I, LINE 7 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. ADDITIONALLY, NET REVENUES FOR MEDICAID SHOULD REFLECT THE FULL IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. Community Building Activities Schedule H, Part II COALITION BUILDING DHC partnered with other local hospitals to form Totally Linking Care-Maryland (TLC-MD), a health coalition serving Southern Maryland. Each hospital provides financial resources (through an HSCRC grant) and in-kind services to support the organization. Additionally, each hospital provides other services through their for patients/residents targeted by the TLC-MD coalition and to support the Coalition's goals. DHC also supports local coalitions and organizations that work collaboratively to provide care transition, care coordination and disease managementt support. Those organizations include, Prince George's County Fire & EMS, Prince George's Health Care Alliance, Community Care Coordination Team, UM Capital Region Health Medical Group, UM Capital Chest Pain Program, UM Capital Stroke Center, University of Maryland School of Pharmacy eHealth Services Center, Prince George's County Family Services Department (Area on Aging), Access to Wholistic & Productive Institute and Greater Baden Medical Center. WORKFORCE DHC partnered with Employ Prince George's to support YouthCareer Connect, a federal grant funded program provides career development and work experience, for students in the Prince George's County Schools, particularly school-based Health Care and IT academies. DHC Representatives participate on the YCC Advisory Council and Partners Workgroup. DHC hosted 10 summer interns from YCC in 2018. In addition, DHC supported 10 interns from the Prince George's County Summer Youth Employment Program in 2018. A DHC executive is a member of Prince George's County Workforce Development Board and is an active member of the Board's Business Development Committee and Youth Services Committee. BAD DEBT EXPENSE REPORTING IN MARYLAND SCHEDULE H, PART III, LINES 2 & 3 THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) STARTED SETTING HOSPITAL RATES IN 1974. AT THAT TIME, THE HSCRC APPROVED RATES APPLIED ONLY TO COMMERCIAL INSURERS. IN 1977, THE HSCRC NEGOTIATED A WAIVER FROM MEDICARE HOSPITAL PAYMENT RULES FOR MARYLAND HOSPITALS TO BRING THE FEDERAL MEDICARE PAYMENTS UNDER HSCRC CONTROL. IN 2014, MARYLAND'S WAIVER WITH MEDICARE WAS RENEGOTIATED AND UPDATED TO REFLECT THE CURRENT HEALTHCARE ENVIRONMENT. UNDER THIS NEW WAIVER, SEVERAL CRITERIA WERE ESTABLISHED TO MONITOR THE SUCCESS OF THE SYSTEM IN CONTROLLING HEALTHCARE COSTS AND THE CONTINUANCE OF THE WAIVER ITSELF: 1. REVENUE GROWTH PER CAPITA 2. MEDICARE HOSPITAL REVENUE PER BENEFICIARY 3. MEDICARE ALL PROVIDER REVENUE GROWTH PER BENEFICIARY 4. MEDICARE READMISSION RATES 5. HOSPITAL ACQUIRED CONDITION RATE BECAUSE OF THIS SYSTEM, THE HOSPITAL IS UNABLE TO ESTIMATE HOW MUCH OF THE AMOUNT REPORTED IN LINE 2 IS ATTRIBUTED TO PATIENTS WHO WOULD APPLY UNDER THE FAP. FOOTNOTE FOR BAD DEBT EXPENSE IN AUDITED FINANCIAL STATEMENTS SCHEDULE H, PART III, LINE 4 THE CORPORATION RECORDS REVENUES AND ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT THEIR ESTIMATED NET REALIZABLE VALUE. REVENUE IS REDUCED FOR ANTICIPATED DISCOUNTS UNDER CONTRACTUAL ARRANGEMENTS AND FOR CHARITY CARE. AN ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED BASED UPON ANTICIPATED UNCOMPENSATED CARE, AND IS ADJUSTED AS ADDITIONAL INFORMATION BECOMES AVAILABLE. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. COMMUNITY BENEFIT REPORT SCHEDULE H, PART III, LINE 8 THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9B THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE PATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT. ACCOUNT. COMMUNITY HEALTH CARE NEEDS ASSESSMENT (CHNA) SCHEDULE H, PART VI, LINE 2 IN 2016, DIMENSIONS HEALTHCARE SYSTEM (DHS) PARTICIPATED IN A JOINT CHNA PROCESS, LED BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT ("HEALTH DEPARTMENT"), TO DESIGN AND PRODUCE A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA STAKEHOLDERS ENGAGED IN A COLLABORATIVE PROCESS TO CONDUCT A COMPREHENSIVE CHNA PROCESS IN PRINCE GEORGE'S COUNTY, MARYLAND THAT COMPLIES WITH THE CHNA REQUIREMENTS AS SET FORTH BY THE INTERNAL REVENUE CODE AND PUBLIC HEALTH DEPARTMENT CERTIFICATION REQUIREMENTS. THE PROCESS INVOLVED THE COLLECTION AND ANALYSIS OF VALID DATA (QUANTITATIVE AND QUALITATIVE) TO ASCERTAIN RESIDENTS' HEALTH STATUS, IDENTIFY TRENDS IN HEALTH PROBLEMS, AS WELL AS THE SOCIAL AND ECONOMIC DETERMINANTS IMPACTING THE HEALTH OF PRINCE GEORGE'S COUNTY RESIDENTS. A WRITTEN REPORT OF THE CHNA PROCESS AND FINDINGS WAS PREPARED AND PRESENTED TO THE HEALTH DEPARTMENT AND HOSPITALS. THE REPORT INCLUDED RECOMMENDATIONS TO ADDRESS HEALTH NEED AND OTHER AREAS OF CONCERN TO THE HEALTH DEPARTMENT AND COUNTY-BASED HOSPITALS, BASED ON THE CHNA FINDINGS. RECOMMENDATIONS INCLUDE PUBLIC HEALTH POLICY, PROCESSES, PROGRAMS OR INTERVENTIONS. THE JOINT CHNA ASSESSED AND IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS IN THE COUNTY. ALTHOUGH THE JOINT CHNA ENCOMPASSED THE NEEDS OF THE COUNTY'S HOSPITALS AS A WHOLE IT WAS NOT A SERIES OF HOSPITAL-SPECIFIC NEEDS ASSESSMENTS. THE ASSESSMENT UTILIZED QUANTITATIVE AND QUALITATIVE DATA, AS AVAILABLE. THE JOINT COUNTY-WIDE CHNA PROVIDES REQUIRED DATA AND INFORMATION FOR THE HOSPITALS TO USE. EACH HOSPITAL IS RESPONSIBLE FOR USING THE CHNA TO: 1) IDENTIFY THEIR OWN GEOGRAPHICAL PRIORITY ISSUES; 2) DEVELOP AND IMPLEMENT STRATEGIES AND ACTION PLANS FOR EACH PRIORITY ISSUE, AND 3) ESTABLISH ACCOUNTABILITY TO ENSURE MEASURABLE HEALTH IMPROVEMENT. IT IS BELIEVED THE PROPOSED COMMUNITY INVOLVEMENT IN THE COUNTY-WIDE CHNA PROCESS WILL MEET THE REQUIREMENTS OF THE INTERNAL REVENUE SERVICE (IRS) FOR CHNA FOR THE HOSPITALS, INCLUDING IMPLEMENTATION PLANS THAT OUTLINE THE HOSPITALS' APPROACHES TO ADDRESSING THE NEEDS IDENTIFIED IN THE JOINT CHNA. PGHC'S MANAGEMENT ACTIVELY SOLICITS INFORMATION FROM THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY-BASED ORGANIZATIONS TO ASSESS HEALTH NEEDS IN THE COMMUNITY. PGHC REPRESENTATIVES SERVE AS MEMBERS ON A VARIETY OF HEALTHCARE FOCUSED COMMUNITY ORGANIZATIONS AND PROVIDE STAFF EXPERTISE AND OTHER RESOURCES, INCLUDING HOSTING MEETINGS AT OUR FACILITIES, AND THE PROVISION OF HEALTH SCREENING SERVICES AT LOCAL COMMUNITY EVENTS. SOME OF THESE ORGANIZATIONS INCLUDE: -PRINCE GEORGE'S HEALTH ENTERPRISE ZONE -PRINCE GEORGE COUNTY HEALTH DEPARTMENT COMMUNITY CARE COORDINATION TEAM -TOTALLY LINKING CARE MARYLAND COALITION -HEALTH ACTION FORUM OF PRINCE GEORGE'S COUNTY -PRINCE GEORGE'S HEALTHCARE ACTION COALITION -NATIONAL CAPITAL AREA BREAST HEALTH QUALITY CONSORTIUM -THE PRINCE GEORGE'S COUNTY LOCAL HEALTH DISPARITIES COMMITTEE -THE HEALTH EMPOWERMENT NETWORK OF MARYLAND, INC. (HENM) - A COMMUNITY BASED ORGANIZATION MADE UP OF PARTNERS SUCH AS THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, UNIVERSITY OF MARYLAND PREVENTION RESOURCE CENTER, PRINCE GEORGE'S COUNTY AREA AGENCY ON AGING, DEPARTMENT OF HEALTH AND MENTAL HYGIENE, INTEGRITY HEALTH PARTNERS AND THE CITY OF SEAT PLEASANT, AMONG OTHERS -PRIMARY CARE COALITION OF MONTGOMERY COUNTY -SUSAN G. KOMEN FOUNDATION ELIGIBILITY EDUCATION & FINANCIAL ASSISTANCE SCHEDULE H, PART VI, LINE 3 DHC MAKES EVERY EFFORT TO MAKE FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO OUR PATIENTS INCLUDING, BUT NOT LIMITED TO: -SIGNAGE IN MAIN ADMITTING AREAS AND EMERGENCY ROOMS OF THE HOSPITAL -THE ORGANIZATION'S WEBSITE -PATIENT HANDBOOK DISTRIBUTED TO ALL PATIENTS -BROCHURES EXPLAINING FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN ALL PATIENT CARE AREAS -PATIENT PLAIN LANGUAGE SHEETS (AVAILABLE IN ENGLISH, AS WELL AS LANGUAGES SPOKEN BY UMMS PATIENTS WITH LIMITED ENGLISH PROFICIENCY) -APPEARING IN PRINT MEDIA THROUGH LOCAL NEWSPAPERS DESCRIPTION OF COMMUNITY SERVED SCHEDULE H, PART VI, LINE 4 DHS IS THE LARGEST NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES IN PRINCE GEORGE'S COUNTY. ADDITIONAL COUNTIES AND AREAS SERVED INCLUDE ANNE ARUNDEL, HOWARD, AND MONTGOMERY COUNTIES AND THE DISTRICT OF COLUMBIA. DHS HOSPITALS' PRIMARY COVERAGE AREA IS PRINCE GEORGE'S COUNTY. THE POPULATION ESTIMATE FOR PRINCE GEORGES COUNTY IN 2015 WAS 919,417. IN PRINCE GEORGES COUNTY, THE MEDIAN HOUSEHOLD INCOME WAS $72,290 WHICH IS LOWER THAN MARYLAND ($73,971), AND THE PERCENTAGE OF PERSONS BELOW POVERTY LEVEL WAS 10%. OF THE COUNTIES AND AREAS SERVED, PRINCE GEORGES COUNTY HAS THE HIGHEST PERCENTAGE OF HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LINE AS WELL AS THE HIGHEST MORTALITY RATE (720.3/100,000). FOR EACH OF THE COUNTIES AND AREAS COMPRISING THE SERVICE AREA, 11% OF THE POPULATION IS 65 YEARS OF AGE OF OLDER. FROM 2010-2014, 16,585 DEATHS OCCURRED TO PRINCE GEORGE'S COUNTY RESIDENTS. THE LEADING TWO CAUSES OF DEATH, HEART DISEASE AND CANCER, ACCOUNT FOR HALF OF ALL RESIDENT DEATHS. OVERALL, THE AGE-ADJUSTED DEATH RATE FOR THE COUNTY IS HIGHER THAN MARYLAND, BUT LOWER THAN THE U.S. FOR 2012-2014. FOR THE LEADING CAUSES OF DEATH, THE COUNTY'S AGE-ADJUSTED MORTALITY RATES ARE HIGHER THAN MARYLAND AND THE U.S. FOR HEART DISEASE, CANCER, STROKE, DIABETES, SEPTICEMIA, NEPHRITIS, HOMICIDE, HYPERTENSION, AND PERINATAL CONDITIONS. ACCESS TO QUALITY, COMPREHENSIVE HEALTH CARE SERVICES LEADS TO AN OVERALL BETTER QUALITY OF LIFE THROUGH PREVENTION AND TIMELY TREATMENT FOR HEALTH ISSUES. THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT HAS RESULTED IN AN INCREASE OF COUNTY RESIDENTS WITH HEALTH INSURANCE, WHICH IS A KEY COMPONENT TO ACCESSING CARE; HOWEVER, THE RESULTS ARE STILL BEING COLLECTED AND WILL BE REFLECTED STARTING IN 2015 DATA. ACCESS TO CARE GOES BEYOND INSURANCE, AND INCLUDES PROVIDER PROXIMITY, ABILITY TO GET AN APPOINTMENT WITH A MEDICAL PROVIDER, TRANSPORTATION, AND ABILITY TO PAY CO-PAYS OR FEES. PRINCE GEORGES COUNTY ADULTS WITH HEALTH INSURANCE IN 2014 IS 82.5%, LOWER THAN MARYLAND (89%), AND CHILDREN WITH HEALTH INSURANCE IN 2014 IS 94.6%, ALSO LOWER THAN MARYLAND (96.8%), IN LIGHT OF THE COUNTY'S HIGH UNINSURED OR UNDERINSURED POPULATION THAT PAYS LITTLE TO NO REIMBURSEMENT FOR SERVICES RECEIVED, THE COUNTY'S LEVEL OF PRIVATE-PRACTICE PRIMARY CARE DOCTORS AND PRIMARY CARE CLINICS HAS NOT KEPT PACE WITH THE HEALTH CARE NEEDS OF COUNTY RESIDENTS. THE CAPACITY OF COMMUNITY-BASED CARE, INCLUDING SAFETY-NET CLINICS, REMAINS SEVERELY LIMITED. THIS LACK OF PRIMARY CARE SERVICES AND PATIENT "MEDICAL HOMES" HAS RESULTED IN AN INCREASE USE OF THE HOSPITAL'S EMERGENCY DEPARTMENTS AND OTHER SPECIALTY HEALTH CARE SERVICES. COMMUNITY CHALLENGES & HEALTH STATISTICS: DESPITE THE HIGHER THAN AVERAGE MEDIAN HOUSEHOLD INCOME, EDUCATIONAL ATTAINMENT, AND PERCENTAGE OF INDIVIDUALS IN THE WORK FORCE REPRESENTED BY PRINCE GEORGIANS IN COMPARISON WITH NATIONAL FIGURES, THE COUNTY DOES CONTAIN SEVERAL POCKETS OF LOW SOCIOECONOMIC STATUS. ISSUES SUCH AS DIABETES MORTALITY, HEART DISEASE, HYPERTENSION, STROKE, AND DEATHS FROM BREAST, COLORECTAL AND PROSTATE CANCERS, HIV AND INFANT MORTALITY ALL REPRESENT SIGNIFICANT HEALTH CHALLENGES FOR COMMUNITY MEMBERS. FURTHERMORE, PERSISTENT DISPARITIES IN MORTALITY AND HEALTH STATUS FOR SEVERAL HEALTH INDICES ARE SEEN IN VARIOUS RACIAL AND ETHNIC POPULATIONS. THE RACIAL AND ETHNIC MINORITIES ARE APPROXIMATELY 2/3 OF PRINCE GEORGES COUNTY MEDICAID BENEFICIARIES. COUNTY AND MARYLAND STATE HEALTH STATISTICS ARE SIMILAR TO NATIONAL TRENDS REGARDING THE STATUS OF MINORITY HEALTH. PROMOTING THE HEALTH OF THE COMMUNITY SCHEDULE H, PART VI, LINE 5 DHC MAINTAINS CLINICAL AFFILIATION AGREEMENTS WITH AND SUPPORTS CLINICAL PLACEMENTS FOR BOTH NURSING AND ANCILLARY PROGRAMS IN AND OUT OF STATE. IN ADDITION, WITH STATE SUPPORT, DHC PARTICIPATES IN THE NSP II GRANT WHICH IS A PARTNERSHIP DESIGNED TO PROMOTE BSN AND MSN COMPLETION FOR RNS. IN TERMS OF COMMUNITY-BASED MENTORING, DHC STAFF MEMBERS PARTICIPATE ON A SMALL SCALE IN CAREER DAYS AT LOCAL COUNTY SCHOOLS. IN 2014, DHC PARTNERED WITH PRINCE GEORGE'S COUNTY ECONOMIC DEVELOPMENT CORPORATION, PRINCE GEORGE'S COUNTY SCHOOL SYSTEM AND LOCKHEED MARTIN ON A SUCCESSFUL APPLICATION FOR A FEDERAL GRANT TO SUPPORT YOUTH CAREER DEVELOPMENT. UNDER THE YOUTH CAREERCONNECT GRANT, OVER A FOUR YEAR PERIOD DIMENSIONS WILL WORK WITH THE HEALTH CARE ACADEMY AT BLADENSBURG HIGH SCHOOL TO PROVIDE MENTORING FOR STUDENTS AND TEACHERS, INTERNSHIPS AND EDUCATIONAL OPPORTUNITIES FOR STUDENTS INTERESTED IN CAREERS IN HEALTH CARE. DHC HAS ESTABLISHED COLLABORATIONS WITH SUCH ORGANIZATIONS AS THE PRINCE GEORGE'S COUNTY (MARYLAND) HEALTH ACTION FORUM AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT. THE PURPOSE OF THE COLLABORATIONS IS TO WORK COLLECTIVELY TO DEVELOP CARE MODELS AND RELATIONSHIPS THAT FACILITATE QUALITY AND COST EFFECTIVE CARE FOR RESIDENTS IN THE COMMUNITIES SERVED BY DHC'S FACILITIES AND PROGRAMS. DHC CONTINUES TO WORK WITH COMMUNITY PARTNERS TO DEVELOP PLANS AND PROGRAM DESIGNED TO PROVIDE COMMUNITY-BASED HEALTH SERVICES AND EXPAND ACCESS TO AN OPTIMAL RANGE OF HEALTH RELATED SERVICES THAT WILL IMPROVE COMMUNITY HEALTH STATUS. DHC HAS PARTNERED ON THE DEVELOPMENT OF THE PRINCE GEORGE'S COUNTY HEALTH ENTERPRISE ZONE, IT FACILITATES ACCESS TO CARE BY PROVIDING FREE CLINICAL SUPPORT SERVICES TO FQHCS AND COMMUNITY ORGANIZATIONS THAT SERVE INDIVIDUALS WHO OTHERWISE WOULD NOT HAVE ACCESS TO CARE. DHC'S FOCUS ON COMMUNITY HEALTH NEEDS ALSO INCLUDED THE DISTRIBUTION OF IMPROVED HEALTH INFORMATION. AS IN PRIOR YEARS, DHC ALSO PROVIDED A NUMBER OF HEALTH FAIRS, HEALTH EMPLOYEE INTERNSHIPS, AND OTHER PROGRAMS TO PROMOTE HEALTH IN THE SURROUNDING COMMUNITIES. DHC PROVIDES A BROAD ARRAY OF INPATIENT AND COMMUNITY BASED SERVICES TO RESIDENTS IN THE METROPOLITAN REGION. THE SYSTEM OPERATES SEVERAL FACILITIES, INCLUDING TWO ACUTE CARE HOSPITALS. ALL PHYSICIANS LICENSED IN THE STATE OF MARYLAND WHO MEET THE FACILITY BYLAW REQUIREMENTS ARE ELIGIBLE TO APPLY FOR PRIVILEGES AT THE TWO ACUTE CARE HOSPITALS, PGHC AND LRH. ALTHOUGH PGHC HAS ONE OF THE LARGEST POPULATIONS OF UNINSURED PATIENTS IN THE STATE, WE BELIEVE THAT ALL PATIENTS SHOULD RECEIVE THE HIGHEST LEVEL OF CARE REGARDLESS OF ECONOMIC STANDING. THIS GOAL CAN ONLY BE ACHIEVED WITH EXPERIENCED SPECIALIST PHYSICIANS CARING FOR ALL OF OUR PATIENTS, EVEN WHEN SO MANY OF OUR PATIENTS CANNOT AFFORD TO PAY. TO OVERCOME THIS FORMIDABLE DILEMMA, WE REIMBURSE PHYSICIANS FOR BAD DEBTS INCURRED BY THE PHYSICIANS CARING FOR HOSPITAL PATIENTS, SO THE "GAP" EXISTS IN THE HOSPITAL'S PROFITS BUT NOT IN PATIENT CARE. IN PARTICULAR, WE ARE NOT REIMBURSED FROM THE HSCRC ALL-PAYOR SYSTEM FOR THESE PHYSICIAN SUBSIDY PAYMENTS. WE HAVE ALSO IDENTIFIED SEVERAL HEALTH-RELATED TRENDS, NEEDS, AND PROBLEMS FACING OUR POPULATION, INCLUDING ACCESS TO SPECIALTY CARE, MATERNAL AND CHILD HEALTH, ETC. THE ORGANIZATION'S STRATEGIES FOR ADDRESSING THESE ISSUES INCLUDE PROVIDING CLASSES, SEMINARS, SCREENING AND HEALTH SERVICES, DIABETES EDUCATION, CPR, ACLS, PREEMIE SUPPORT GROUP, SMOKING CESSATION PRESENTATIONS, PROVIDE FLU SHOTS TO THE PUBLIC, PROVIDE BLOOD PRESSURE SCREENINGS TO LOCAL CHURCHES. PRHC AND LRH HAVE PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO INCREASE THEIR CAPACITY TO PROVIDE SERVICES TO THE COMMUNITY. THIS INCLUDES: PROVIDING VARIOUS FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) SITES IN PRINCE GEORGE'S COUNTY WITH ADDITIONAL HEALTHCARE PROVIDERS TO FACILITATE ACCESS TO SUB-SPECIALTY SERVICES FOR UNINSURED AND UNDERINSURED RESIDENTS. WE ARE ALSO PROUD TO PARTNER WITH OUTREACH GROUPS SUCH AS ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, AND PARKINSON'S SUPPORT GROUP. THE HOSPITALS HAVE ALSO WORKED WITH LOCAL AND STATE HEALTH OFFICIALS TO DEVELOP THE PRINCE GEORGE'S COUNTY AND THE STATE HEALTH IMPROVEMENT PLANS AND CONTINUES TO WORK CLOSELY WITH THE HEALTH DEPARTMENT TO IMPLEMENT PROGRAMS THAT ADDRESS THE HEALTH PLAN GOALS. PGHC AND LRH ARE IMPROVING AND ADAPTING CURRENT HEALTH PROGRAMS INTO SUSTAINABLE COMMUNITY-BASED PROGRAMS TO IMPACT THE OVERALL HEALTH AND WELLNESS OF THE COMMUNITY IN A POSITIVE WAY. THIS SERVICE EXPANSION AND ADAPTATION IS BEING ACHIEVED THROUGH COLLABORATIVE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AS WELL AS STATE AND LOCAL HEALTH AGENCIES. AFFILIATED HEALTH CARE SYSTEM ROLES SCHEDULE H, PART VI, LINE 6 DHC IS A PRIVATE, NOT-FOR-PROFIT CORPORATION PROVIDING COMPREHENSIVE HEALTHCARE SERVICES THROUGH AN INTEGRATED REGIONAL NETWORK OF HOSPITALS AND RELATED CLINICAL ENTERPRISES. UMMS WAS CREATED IN 1984 WHEN ITS FOUNDING HOSPITAL WAS PRIVATIZED BY THE STATE OF MARYLAND. OVER ITS 30-YEAR HISTORY, UMMS EVOLVED INTO A MULTI-HOSPITAL SYSTEM WITH ACADEMIC, COMMUNITY AND SPECIALTY SERVICE MISSIONS REACHING PRIMARILY ACROSS MARYLAND. AS PART OF THE UMMS SYSTEM, DHC UNDERSTANDS THAT HEALTH CARE GOES BEYOND THE WALLS OF THE HOSPITAL AND INTO THE COMMUNITY IT SERVES. UMMS HOSPITALS ARE COMMITTED TO STRENGTHENING THEIR NEIGHBORING COMMUNITIES. IN DOING SO, DHC ASSESSES THE COMMUNITY'S HEALTH NEEDS, IDENTIFIES KEY PRIORITIES, AND RESPONDS WITH SERVICES, PROGRAMS AND INITIATIVES WHICH MAKE A POSITIVE, SUSTAINED IMPACT ON THE HEALTH OF THE COMMUNITY. WITH REPRESENTATION FROM ALL UMMS HOSPITALS, THE MEDICAL SYSTEMS COMMUNITY HEALTH IMPROVEMENT COUNCIL COORDINATES THE EFFECTIVE AND EFFICIENT UTILIZATION AND DEPLOYMENT OF RESOURCES FOR COMMUNITY-BASED ACTIVITIES AND EVALUATES HOW SERVICES AND ACTIVITIES MEET TARGETED COMMUNITY NEEDS WITHIN DEFINED GEOGRAPHIC AREAS. DHC IS COMMITTED TO HEALTH EDUCATION, ADVOCACY, COMMUNITY PARTNERSHIPS, AND ENGAGING PROGRAMS WHICH FOCUS ON HEALTH AND WELLNESS WITH THE GOAL OF ELIMINATING HEALTH CARE DISPARITIES IN PRINCE GEORGES COUNTY AND THE GREATER SOUTHERN MARYLAND REGION. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 AS REQUIRED BY MARYLAND STATUTE FOR ALL HOSPITALS, DHC FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) BY DECEMBER 15TH EACH YEAR. X X X X true true false false false false false true false William Brosius Treasurer 0 150698 0 20000 0 26191 0 18277 0 2402 0 217568 0 0 Megan Arthur Secretary 0 470269 0 174828 0 78920 0 10800 0 15440 0 750257 0 0 John W Ashworth III Director 0 597242 0 128170 0 97267 0 10800 0 25714 0 859193 0 0 Robert A Chrencik President and CEO - UMMS 0 1318061 0 995265 0 276702 0 10800 0 14219 0 2615047 0 0 Henry J Franey Director 0 873195 0 395891 0 233820 0 10800 0 11824 0 1525530 0 0 Neil Moore President and CEO 648835 0 361750 0 5053 0 24000 0 18449 0 1058087 0 0 0 Kanwaljit Singh Taneja Former Chief Operating Officer 84075 0 0 0 265370 0 0 0 16246 0 365691 0 0 0 Sherry Perkins EVP and COO 201964 409142 51058 270000 1474 7468 7268 64692 3294 948 265058 752250 0 0 Carnell Cooper VP Medical Affairs & CMO 253088 0 0 0 182184 0 18339 0 27342 0 480953 0 0 0 Trudy Hall VP Medical Affairs 347025 0 100800 0 3253 0 0 0 30689 0 481767 0 0 0 Jeffrey Johnson SVP Strategic Planning 223664 0 67200 0 3944 0 18000 0 10128 0 322936 0 0 0 Ronald Laxton Senior VP Clin Svcs 360600 0 134000 0 6583 0 24000 0 9113 0 534296 0 0 0 Theophilus Botwe Physician Advisor 245870 0 0 0 684 0 0 0 1048 0 247602 0 0 0 Eslanda Dasher Deputy General Counsel 223094 0 40410 0 35078 0 24000 0 2683 0 325265 0 0 0 Michael Jacobs Executive Director 218598 0 32045 0 3866 0 14615 0 29409 0 298533 0 0 0 Michael King VP Reimbursement Svcs 205743 0 0 0 44479 0 23498 0 16670 0 290390 0 0 0 Tiffany Sullivan VP Comm Population Health 180315 0 52802 0 1472 0 11232 0 26612 0 272433 0 0 0 SEVERANCE AND CHANGE OF CONTROL PAYMENTS SCHEDULE J, PART I, LINE 4A DURING THE FISCAL YEAR ENDED JUNE 30, 2018, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTABLE AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUAL AND AMOUNTS ARE LISTED BELOW: CARNELL COOPER $177,795 KANWALJIT SINGH TANEJA $265,370 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DURING THE FISCAL YEAR-ENDED JUNE 30, 2018, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION: ROBERT A. CHRENCIK HENRY J. FRANEY JOHN W. ASHWORTH III MEGAN ARTHUR DURING THE FISCAL YEAR ENDED JUNE 30, 2018, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN (C), RETIREMENT AND OTHER DEFERRED COMPENSATION. SHERRY PERKINS WILLIAM BROSIUS NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 BONUSES PAID ARE BASED ON A NUMBER OF VARIABLE INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGAINZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES. MISSION STATEMENT FORM 990, PART I, LINE 1 OUR STATED MISSION IS TO PROVIDE HIGH QUALITY, EFFICIENT HEALTHCARE SERVICES TO PRESERVE, RESTORE AND IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THIS MISSION IS PURSUED IN COLLABORATION WITH OUR RELATED ORGANIZATIONS. WE URGE THOSE INTERESTED TO ACCESS MORE DETAILED AND COMPLETE INFORMATION AT WWW.DIMENSIONSHEALTH.ORG TAX EXEMPT BOND ISSUE PART IV, LINE 24A PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE "CORPORATION") AND SEVERAL OF ITS SUBSIDIARIES HAVE ISSUED DEBT THROUGH THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE "AUTHORITY"). AS SECURITY FOR THE PERFORMANCE OF THE BOND OBLIGATION UNDER THE MASTER LOAN AGREEMENT, THE AUTHORITY MAINTAINS A SECURITY INTEREST IN THE REVENUE OF THE OBLIGORS. THE MASTER LOAN AGREEMENT CONTAINS CERTAIN RESTRICTIVE COVENANTS. THESE COVENANTS REQUIRE THAT RATES AND CHARGES BE SET AT CERTAIN LEVELS, LIMIT INCURRENCE OF ADDITIONAL DEBT, REQUIRE COMPLIANCE WITH CERTAIN OPERATING RATIOS AND RESTRICT THE DISPOSITION OF ASSETS. THE OBLIGATED GROUP UNDER THE MASTER LOAN AGREEMENT INCLUDES THE CORPORATION, ROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, UM CHARLES REGIONAL, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM PRICE GEORGE'S, BOWIE HEALTH CENTER (BOWIE), AND THE UMMS FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,745,628,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2018. ALL OF THE BONDS WERE ISSUED IN THE NAME OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. VOTING MEMBERS WHO ARE INDEPENDENT FORM 990, PART VI, LINE 1B UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS THE SOLE MEMBER OF DIMENSIONS HEALTH CORPORATION (DHC), A 501(C)(3) TAX-EXEMPT ORGANIZATION. A MAJORITY OF VOTING MEMBERS OF THE BOARD OF UMMS ARE INDEPENDENT. CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 On 9/1/2017, DHC and its affiliates were acquired by UMMS. UMMS became the sole member of DHC and has ultimate control of all affiliates as of the date of acquisition. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINES 6, 7A, AND 7B THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS THE SOLE MEMBER OF DIMENSIONS HEALTH CORPORATION. UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B UMMS ENGAGES THE ACCOUNTING FIRM GRANT THORNTON TO PREPARE AND REVIEW THE IRS FORM 990 FOR UMMS AND ITS AFFILIATES. INFORMATION NEEDED TO COMPLETE THE RETURN IS GATHERED BY ACCOUNTING PERSONNEL IN THE FINANCE SHARED SERVICES DEPARTMENT UNDER THE SUPERVISION OF THE UMMS TAX DIRECTOR AND PROVIDED TO GRANT THORNTON. ONCE A DRAFT RETURN IS PREPARED, IT UNDERGOES MULTIPLE LEVELS OF REVIEW BOTH INTERNALLY BY UMMS TAX & FINANCE PERSONNEL, AND EXTERNALLY BY GRANT THORNTON, INCLUDING AT THE PARTNER LEVEL. FOLLOWING ANY NECESSARY CHANGES TO THE RETURN, A FINAL DRAFT IS REVIEWED BY EACH AFFILIATES VICE PRESIDENT OF FINANCE AND/OR CFO. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. ALL BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING. CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S OFFICERS, DIRECTORS AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION, OR ANY ENTITY CONTROLLED BY OR OWNED IN SUBSTANTIAL PART BY THE ORGANIZATION. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF UMMS REVIEWS THE RESPONSES FOR UMMS AND CERTAIN OTHER AFFILIATES. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UMMS SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED. WITH RESPECT TO THE OTHER ENTITIES IN THE UMMS SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINES 15A AND 15B THE ORGANIZATION HAS ADOPTED A PROCESS FOR DETERMINING EXECUTIVE COMPENSATION THAT COVERS THE ORGANIZATION AND ITS SUBSIDIARIES. THE ORGANIZATION UTILIZES A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AN APPROVAL BY BOARD/COMPENSATION COMMITTEE AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS. IN ADDITION, DHC HAS A PROCESS IN PLACE TO ENSURE THE COMPENSATION PAID TO EMPLOYED PHYSICIANS IS NOT GREATER THAN FAIR MARKET VALUE, WHICH COVERS DHC AND ITS AFFILIATES. IN PARTICULAR, COMPENSATION SURVEYS ARE REGULARLY CONSULTED AND EACH PHYSICIAN CONTRACT IS APPROVED BY DHC COUNSEL, DHC CEO, AND DHC CFO. HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATES OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATIONS OR AFFILIATES WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM. HOURS ON RELATED ENTITIES FORM 990, PART VII, SECTION A, COLUMN B UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 13 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 LRH CONTRIBUTED ASSETS $ 24,184,000 FY18 PENSION ADJ TO ACTUARY $ 19,852,878 RECLASS CERTIFICATE OF NEED $ 2,000,000 med. Mal. Pre-acquisition adj. $ 1,850,162 OTHER $ (10,000) RETURN FUNDS TO GRANTOR $ (29,385) CHANGE IN ECON INT FND $ (210,226) NET ASSETS RELEASED (OP SUPT) $ (634,211) INVESTMENT IN AFFILIATE $ (5,577,365) PENSION ADJUSTMENT TO ACTUARY REPORT $ (10,657,937) BEGINING BALANCE VALUATION ADJUSTMENT $ (14,989,530) EQUITY TRANSFER $ (23,988,297) -------------- TOTAL OTHER CHANGES IN NET ASSETS $ (8,209,911) ============== FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:41864242 FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE ALLOCATION TOTAL FEES:36100195 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN CONTRACT TOTAL FEES:21293418 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:714195 Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 521756326 Healthcare MD 501(c)(3) 12A BWHS false Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie MD 21061 521830243 Healthcare MD 501(c)(3) 12A UMBWMS false Baltimore Washington Medical Center Inc 301 Hospital Drive Glen Burnie MD 21061 520689917 Healthcare MD 501(c)(3) 03 UMBWMS false UM Baltimore Washington Medical System 301 Hospital Drive Glen Burnie MD 21061 521830242 Healthcare MD 501(c)(3) 12A UMMSC false North Arundel Development Corporation 301 Hospital Drive Glen Burnie MD 21061 521318404 Real Estate MD 501(c)(2) NCC false North County Corporation 301 Hospital Drive Glen Burnie MD 21061 521591355 Real Estate MD 501(c)(2) UMBWMS false Chester River Health Foundation Inc 100 Brown Street Chestertown MD 21620 521338861 Fundraising MD 501(c)(3) 08 UMSRH false Univ of MD Shore Regional HealthInc 100 Brown Street Chestertown MD 21620 522046500 Healthcare MD 501(c)(3) 12A UMMSC false Chester River Hospital Center 100 Brown Street Chestertown MD 21620 520679694 Healthcare MD 501(c)(3) 03 UMSRH false Chester River Manor Inc 200 Morgnec Road Chestertown MD 21620 526070333 Healthcare MD 501(c)(3) 10 UMSRH false Maryland General Clinical Practice Group 827 Linden Avenue Baltimore MD 21201 521566211 Healthcare MD 501(c)(3) 12B UMMTH false University of Maryland Midtown Health I 827 Linden Avenue Baltimore MD 21201 521175337 Healthcare MD 501(c)(3) 12B UMMSC false Maryland General Hospital Inc 827 Linden Avenue Baltimore MD 21201 520591667 Healthcare MD 501(c)(3) 03 UMMTH false Care Health Services Inc 219 South Washington Street Easton MD 21601 521510269 Healthcare MD 501(c)(3) 10 SHS false Memorial Hospital Foundation Inc 219 South Washington Street Easton MD 21601 521282080 Fundraising MD 501(c)(3) 12A SHS false Shore Health System Inc 219 South Washington Street Easton MD 21601 520610538 Healthcare MD 501(c)(3) 03 UMSRH false University of Maryland Community Medical 22 South Greene Street Baltimore MD 21201 521874111 Healthcare MD 501(c)(3) 03 UMMSC false James Lawrence Kernan Hospital Inc 2200 Kernan Drive Baltimore MD 21207 520591639 Healthcare MD 501(c)(3) 03 UMMSC false UMMS Foundation Inc 22 South Greene Street Baltimore MD 21201 522238893 Fundraising MD 501(c)(3) 12A UMMSC false University of MD Medical System Corp 22 South Greene Street Baltimore MD 21201 521362793 Healthcare MD 501(c)(3) 03 NA false University of Maryland Charles Regional PO Box 1070 La Plata MD 20646 522155576 Healthcare MD 501(c)(3) 12C UMMSC false Civista Medical Center Inc PO Box 1070 La Plata MD 20646 520445374 Healthcare MD 501(c)(3) 03 UMCRH false Charles Regional Medical Center Foundati PO Box 1070 La Plata MD 20646 521414564 Fundraising MD 501(c)(3) 12A UMCRH false Charles Regional Medical Center Auxiliar PO Box 1070 La Plata MD 20646 521131193 Fundraising MD 501(c)(3) 12A UMCRH false Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 12A UMSJHS false UMSJ Health System LLC 7601 Osler Drive Towson MD 21204 462097818 Healthcare MD 501(c)(3) 03 UMMSC false Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air MD 21014 520591484 Healthcare MD 501(c)(3) 03 UMUCHS false UM Upper Chesapeake Health System Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398513 Healthcare MD 501(c)(3) 12C; III-FI UMMSC false Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398507 Fundraising MD 501(c)(3) 12A UMUCHS false Upper Chesapeake Medical Center Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521253920 Healthcare MD 501(c)(3) 03 UMUCHS false Upper Chesapeake Medical Services Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521501734 Healthcare MD 501(c)(3) 10 UMUCHS false Upper Chesapeake Properties Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521907237 Real Estate MD 501(c)(2) UMUCHS false Upper Ches Residential Hospice House In 520 Upper Chesapeake Dr Bel Air MD 21014 260737028 Hospice MD 501(c)(3) 07 UMUCHS false Upper ChesapeakeSt Joseph Home Care I 520 Upper Chesapeake Dr Bel Air MD 21014 521229742 Home Care MD 501(c)(3) 10 UMUCHS false Dimensions Healthcare Associates 3001 Hospital Drive Cheverly MD 20785 521902711 Healthcare MD 501(c)(3) 12A UMCAPRH false UM Capital Region Health Inc 250 W Pratt St Ste 2400 Baltimore MD 21201 823596114 Healthcare MD 501(c)(3) 12C UMMSC false Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie MD 20161 522000762 Healthcare MD APA Inc Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie MD 20161 200806027 Healthcare MD UMBWMS Universitycare LLC 22 South Greene Street Baltimore MD 21201 521914892 Healthcare MD UMMSC O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson MD 21204 521682964 Rental MD SJMC Prop Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson MD 21204 521958002 Healthcare MD UMSJMC University of Maryland Charles Regional PO Box 1070 LaPlata MD 20646 300956382 Healthcare MD UMCRCP Baltimore ASC Ventures LLC 7620 York Road Towson MD 21204 824133899 Healthcare DE UMSJMC Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie MD 21061 521992649 Healthcare MD BWHE C Corp false Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie MD 21061 521936656 Healthcare MD UMBWMS C Corp false BW Professional Services Inc 301 Hospital Drive Glen Burnie MD 21061 521655640 Healthcare MD BWHE C Corp false NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD NADCO C Corp false UM Charles Regional Care Partners PO Box 1070 La Plata MD 20646 522176314 Healthcare MD UMCRH C Corp false University Midtown Prof Center A Condo 827 Linden Avenue Baltimore MD 21201 521891126 Real Estate MD UMMH C Corp false University of Maryland Health Advantage 22 South Greene Street Baltimore MD 21201 461411902 Insurance MD UMMSHP C Corp false University of Maryland Health Partners 22 South Greene Street Baltimore MD 21201 452815803 Insurance MD UMMSHP C Corp false University of Maryland Medical System He 22 South Greene Street Baltimore MD 21201 452815722 Insurance MD UM Hlth Vent C Corp false Upper Chesapeake Insurance Company 520 Upper Chesapeake Dr Bel Air MD 21014 980468438 Insurance MD UMUCHS LTD false Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air MD 21014 522031264 Healthcare MD UMUCHS C Corp false Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air MD 21014 770674478 Real Estate MD UC Med Crt C Corp false Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air MD 21014 521946829 Real Estate MD UC Hlth Vent C Corp false Shore Orthopedics Inc 219 S Washington Street Easton MD 21601 371817262 Healthcare MD SHS C Corp false Madison Manor Inc 5801 42nd Ave Hyattsville MD 20781 521269059 Healthcare MD UMCAPRH C Corp false Affiliated Enterprises Inc 3001 Hospital Drive Cheverly MD 20785 521542144 Healthcare MD UMCAPRH C Corp false Dimensions Assurance LTD PO Box 1363 Genesis Bldg Grand Cayman CJ 980348082 Insurance CJ UMMSC C Corp false Riverside Health of Delaware Inc 1966 Greenspring Drive Ste 600 Timonium MD 21093 463205820 Healthcare DE UMMSHP C Corp false Riverside Health of DC Inc 1966 Greenspring Drive Ste 600 Timonium MD 21093 461411713 Healthcare DC UMMSHP C Corp false true false false false false false false false false false false true true false false true false true false