CIVISTA MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CIVISTA MEDICAL CENTER INC (EIN 52-0445374)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201941349349309484
Schema version
2017v2.3
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)
Return2019-05-14T17:43:44-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 700AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520445374EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Civista Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ERIK BOASInCareOfNm
Business Name ControlCIVIBusinessNameControlTxt
Phone3016094130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1070AddressLine1Txt
CityLa PlataCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20646ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALBERT ZANGERPersonNm
Person TitleVICE PRESIDENT/CFOPersonTitleTxt
Phone3016094130PhoneNum
Signature2019-05-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFrank GiardiniPreparerPersonNm
PTINP00532355PTIN
Phone2155614200PhoneNum
Preparation2019-05-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.220.136.124IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id23695320191345000029FederalOriginalSubmissionId
Federal Original Submission Id2019-05-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6C78E5C2C9CFDA217BB1DC8554CE16A03C3903FCAtSubmissionCreationDeviceId
At Submission Filing Device Id8368FFE12CE24C0281507B4769D0368EE4BA05B9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1UM Charles Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerNoel CervinoPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Garrett AveAddressLine1Txt
CityLa PlataCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20646ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$143,767,740GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.charlesregional.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionCIVISTA MEDICAL CENTER, INC. IS A COMPONENT OF A REGIONAL INTEGRATED HEALTH SYSTEM SERVING THE HEALTH NEEDS OF CHARLES COUNTY AND THE CITIZENS OF SOUTHERN MARYLAND.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1101TotalEmployeeCnt
Total Volunteers175TotalVolunteersCnt
Total Gross UBI$73,565TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$69,049NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$199,586PYContributionsGrantsAmt
CY Contributions Grants$105,000CYContributionsGrantsAmt
PY Program Service Revenue$137,873,060PYProgramServiceRevenueAmt
CY Program Service Revenue$142,325,452CYProgramServiceRevenueAmt
PY Investment Income$955,981PYInvestmentIncomeAmt
CY Investment Income$786,906CYInvestmentIncomeAmt
PY Other Revenue$506,668PYOtherRevenueAmt
CY Other Revenue$550,382CYOtherRevenueAmt
PY Total Revenue$139,535,295PYTotalRevenueAmt
CY Total Revenue$143,767,740CYTotalRevenueAmt
PY Grants And Similar Paid$6,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$55,921,816PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$56,241,051CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$70,969,359PYOtherExpensesAmt
CY Other Expenses$74,261,222CYOtherExpensesAmt
PY Total Expenses$126,897,675PYTotalExpensesAmt
CY Total Expenses$130,502,273CYTotalExpensesAmt
PY Revenues Less Expenses$12,637,620PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,265,467CYRevenuesLessExpensesAmt
Total Assets BOY$158,482,503TotalAssetsBOYAmt
Total Assets EOY$170,040,930TotalAssetsEOYAmt
Total Liabilities BOY$86,279,737TotalLiabilitiesBOYAmt
Total Liabilities EOY$82,330,029TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$72,202,766NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$87,710,901NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCIVISTA MEDICAL CENTER, INC. (DOING BUSINESS AS UM CHARLES REGIONAL MEDICAL CENTER, (CRMC)) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTHCARE SYSTEM CREATED TO PROVIDE EXCELLENCE IN ACUTE HEALTHCARE AND PREVENTIVE SERVICES IN CHARLES COUNTY AND THE SURROUNDING COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$112,148,208ExpenseAmt
Grant$0GrantAmt
Revenue$142,378,795RevenueAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$112,148,208TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 FootnoteYes (true)IncludeFIN48FootnoteInd
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 BondsfalseTaxExemptBondsInd
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 With Officer EntYes (true)BusinessRlnWithOfficerEntInd
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
IRP Document153IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1101EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIK BOASPersonNm
Phone3016094130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 GARRETT AVEAddressLine1Txt
CityLa PlataCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20646ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Shelly Culhane
Board Chair1.01.0Yes (X)Yes (X)$0$0$0
R Wayne Barnes
Board Vice Chair1.01.0Yes (X)Yes (X)$0$0$0
Austin Joseph Slater
Secretary/Treasurer1.01.0Yes (X)Yes (X)$0$0$0
Dianna Abney MD
Director1.01.0Yes (X)$0$0$0
Brianna Bowling
Director1.01.0Yes (X)$0$0$0
Jon P Burns
Director1.041.0Yes (X)$0$662,095$21,320
Michael Cady
Director1.01.0Yes (X)$0$0$0
Anthony B Covington
Director1.01.0Yes (X)$0$0$0
Richard Ferraro MD
Director1.01.0Yes (X)$0$0$0
B Larry Jenkins Jr MD
Director1.01.0Yes (X)$0$0$0
Louis Jenkins Jr
Director1.01.0Yes (X)$0$0$0
Matthew M Martin
Director1.02.0Yes (X)$0$0$0
Ashvin J Patel MD
Director1.01.0Yes (X)$0$0$0
Charles Rosenfield
Director1.01.0Yes (X)$0$0$0
Robert A Chrencik
President and CEO - UMMS1.054.0Yes (X)$0$2,590,028$25,019
Noel A Cervino
President and CEO40.010.0Yes (X)Yes (X)$663,929$0$26,492
Erik Boas
SVP Finance and CFO40.05.0Yes (X)$356,543$0$11,152
Dana Levy
Chief Nursing Officer40.00.0$229,975$0$29,646Yes (X)
Joseph D Moser
SVP and Chief Medical Officer40.00.0$414,300$0$49,600Yes (X)
Paul Blackwood
VP Planning40.00.0$267,959$0$18,951Yes (X)
William Grimes
VP Ancilliary Services40.00.0$269,904$0$7,660Yes (X)
Marilyn Gregory
RN40.00.0$174,200$0$7,753Yes (X)
Katherine Middleton
RN40.00.0$176,991$0$5,129Yes (X)
Gabriel Abiola
Clinical Pharmacist40.00.0$167,152$0$8,629Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,720,953TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,252,123TotReportableCompRltdOrgAmt
Total Other Compensation$211,351TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K43IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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
Maryland Inpatient Care Specialists
7250 Parkway Drive Suite 500HANOVERMD21076Physician Services$3,098,525
Crothall Healthcare
13028 Collections Center DriveCHICAGOIL60693Environmental Servs$1,788,745
Emergency Medicine Associates
20010 Century Blvd Suite 200GERMANTOWNMD20874Contracted Staffing$1,496,723
Healogics Wound Care
28525 Network PlaceCHICAGOIL60673Wound Care Services$1,027,056
Newbridge Anesthesia
PO Box 822861PHILADELPHIAPA19182Physician Services$770,004
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Government Grants$105,000GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$105,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business900099BusinessCd
Total Revenue Column$142,325,452TotalRevenueColumnAmt
Related Or Exempt Func Income$142,325,452RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$142,325,452TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$144,819TotalRevenueColumnAmt
Exclusion$144,819ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$642,087SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$642,087SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$642,087TotalRevenueColumnAmt
Exclusion$642,087ExclusionAmt
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 ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA & COFFEE BAR SALES900099$359,123$359,123
ANSWERING SERVICE561000$73,565$73,565
MEDICAL RECORDS900099$64,351$64,351

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,343TotalRevenueColumnAmt
Related Or Exempt Func Income$53,343RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$550,382OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,767,740TotalRevenueColumnAmt
Related Or Exempt Func Income$142,378,795RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$73,565UnrelatedBusinessRevenueAmt
Exclusion$1,210,380ExclusionAmt
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$1,664,747TotalAmt
Program Services$644,275ProgramServicesAmt
Management And General$1,020,472ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,831,296TotalAmt
Program Services$37,256,602ProgramServicesAmt
Management And General$6,574,694ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,266,951TotalAmt
Program Services$1,926,908ProgramServicesAmt
Management And General$340,043ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,229,536TotalAmt
Program Services$4,445,106ProgramServicesAmt
Management And General$784,430ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,248,521TotalAmt
Program Services$2,761,243ProgramServicesAmt
Management And General$487,278ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$171,166TotalAmt
Management And General$171,166ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$56,443TotalAmt
Management And General$56,443ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,460,020TotalAmt
Program Services$22,493,495ProgramServicesAmt
Management And General$2,966,525ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$54,341TotalAmt
Management And General$54,341ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,099,686TotalAmt
Management And General$3,099,686ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,303,668TotalAmt
Program Services$2,808,118ProgramServicesAmt
Management And General$495,550ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$51,831TotalAmt
Program Services$44,056ProgramServicesAmt
Management And General$7,775ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,885TotalAmt
Program Services$67,902ProgramServicesAmt
Management And General$11,983ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,359,214TotalAmt
Program Services$2,005,332ProgramServicesAmt
Management And General$353,882ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,005,135TotalAmt
Program Services$5,104,365ProgramServicesAmt
Management And General$900,770ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,949,058TotalAmt
Program Services$3,821,218ProgramServicesAmt
Management And General$127,840ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES AND DRUGS$15,885,959$15,885,959
BAD DEBT$7,498,102$7,498,102
PURCHASED SERVICES$4,272,816$3,631,894$640,922
EQUIPMENT SERVICE CONTRACTS$789,523$671,095$118,428

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,224,375TotalAmt
Program Services$1,082,538ProgramServicesAmt
Management And General$141,837ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$130,502,273TotalAmt
Program Services$112,148,208ProgramServicesAmt
Management And General$18,354,065ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,549,521BOYAmt
EOY$3,954,691EOYAmt

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$8,559,999BOYAmt
EOY$10,784,422EOYAmt

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$1,391,364BOYAmt
EOY$1,680,379EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$794,618BOYAmt
EOY$619,052EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$129,653,233LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,502,639LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$75,725,035BOYAmt
EOY$74,150,594EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,651,000BOYAmt
EOY$13,472,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$19,494,373BOYAmt
EOY$19,745,505EOYAmt

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$32,316,593BOYAmt
EOY$45,634,287EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$158,482,503BOYAmt
EOY$170,040,930EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,671,516BOYAmt
EOY$9,786,350EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

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$4,411,514BOYAmt
EOY$3,280,301EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69,196,707BOYAmt
EOY$69,263,378EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,279,737BOYAmt
EOY$82,330,029EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$72,110,169BOYAmt
EOY$87,710,901EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$92,597BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$72,202,766BOYAmt
EOY$87,710,901EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$158,482,503BOYAmt
EOY$170,040,930EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,265,467ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$352,952NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,889,716OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Form4720 FiledfalseForm4720FiledInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$49,200DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$7,243OtherActivitiesAmt
Total Lobbying Expenditures$56,443TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITIESFormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II-B, LINES 1G AND 1I DIRECT LOBBYING EFFORTS RELATE TO FEDERAL, STATE AND LOCAL LEGISLATION AFFECTING HEALTH CARE ISSUES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 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.ExplanationTxt

Schedule D IRS990ScheduleD

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,077,399OtherCostOrOtherBasisAmt
Depreciation$22,731,412DepreciationAmt
Book Value$54,345,987BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,687,305OtherCostOrOtherBasisAmt
Depreciation$618,768DepreciationAmt
Book Value$1,068,537BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,301,689OtherCostOrOtherBasisAmt
Depreciation$32,152,459DepreciationAmt
Book Value$16,149,230BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,586,840OtherCostOrOtherBasisAmt
Book Value$2,586,840BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$74,150,594TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER SECURITIESDesc
Book Value$19,745,505BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$19,745,505TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
CAPITAL CARRYOVER$13,434,000
DUE FROM AFFILIATES$8,668,526
MALPRACTICE TRUST FUNDS$7,392,161
TERRAPIN REINSURANCE$5,703,517
ECONOMIC INTEREST-NET ASSETS$5,265,110
INV. CHES POTOMAC HEALTHCARE$3,838,312
OTHER CURRENT RECEIVABLES$714,583
MALPRACTICE CURRENT PORTION$484,144
PHYSICIAN LOANS$131,259
SECURITY DEPOSITS$2,675
FieldValueIRS element (for citing)
Total Book Value Other Assets$45,634,287TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATES$48,229,568
ACCRUED PENSION COSTS$6,287,232
TERRAPIN REINSURANCE$5,703,517
MALPRACTICE IBNR$4,838,078
ADVANCES FROM THIRD PARTIES$3,508,427
LEASE LIABILITIES$421,329
HCCF ASSESSMENT LIABILITY$275,227
FieldValueIRS element (for citing)
Total Liability$69,263,378TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLIABILITY FOR UNCERTAIN TAX POSITION (ASC 740)FormAndLineReferenceDesc
ExplanationSCHEDULE 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
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$722,262TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$722,262NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$722,262TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$722,262NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$844,043TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71DirectOffsettingRevenueAmt
Net Community Benefit Expns$843,972NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$238,411TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$238,411NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,521,569TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,521,569NetCommunityBenefitExpnsAmt
Total Expense0.05300TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,215TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75,215NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,679,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,679,167NetCommunityBenefitExpnsAmt
Total Expense0.06240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,401,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,401,429NetCommunityBenefitExpnsAmt
Total Expense0.06830TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,832NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$441TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$441NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,880TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,880NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$116,153NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,518,508BadDebtExpenseAmt
Reimbursed By Medicare$51,269,008ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,995,642CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$7,273,366MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
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 Line1Civista Medical Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Garrett AveAddressLine1Txt
CityLa PlataCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20646ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.charlesregional.orgWebsiteAddressTxt
State License08-001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Civista Medical Center 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 Conducted17CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.UMMS.ORG/CHARLES/COMMUNITYOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.UMMS.ORG/CHARLES/COMMUNITYStrategyWebsiteURLTxt
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 Care300.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
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.umms.org/charlesFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.umms.org/charlesFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.umms.org/charlesFAPSummaryOnWebsiteURLTxt
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
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INPUT FROM INDIVIDUALS REPRESENTING THE COMMUNITYSCHEDULE H, PART V, LINE 5 FROM JULY 2017 TO MARCH 2018, University of Maryland Charles Regional Medical Center (CRMC) UNDERTOOK A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS OF CHARLES COUNTY, MARYLAND. TO PROVIDE A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS OF THE COUNTY, A FIVE METHOD PLAN WAS DEVELOPED WHICH INCLUDED 5 DIFFERENT SOURCES OF DATA: A LONG ONLINE SURVEY OF CHARLES COUNTY RESIDENTS PERCEPTIONS OF HEALTH AND HEALTH BEHAVIORS, A SHORT PAPER SURVEY ON HEALTH PERCEPTIONS THROUGHOUT THE COUNTY, 5 FOCUS GROUPS WITH COMMUNITY LEADERS, CITIZENS, AND STAKEHOLDERS, 9 KEY INFORMANT INTERVIEWS ON BEHAVIORAL HEALTH, AND A QUANTITATIVE DATA ANALYSIS OF SECONDARY, PUBLISHED DATA. DATA COLLECTION OCCURRED BETWEEN JULY 2017 AND FEBRUARY 2018. THE USE OF THE MULTIPLE DATA COLLECTION METHODS STRENGTHENED THE VALIDITY OF THE ASSESSMENT'S FINDINGS AS WELL AS ENSURING THAT CHARLES COUNTY RESIDENTS HAD AN OPPORTUNITY TO PARTICIPATE IN THE ASSESSMENT PROCESS AND TO FEEL INVESTED IN ITS OUTCOME. FIVE FOCUS GROUPS WERE PERFORMED THROUGHOUT THE COUNTY BETWEEN JULY 2017 AND FEBRUARY 2018. THE FOCUS GROUP TOPICS INCLUDED: CHRONIC DISEASE SPECIFIC HEALTH, COUNTY LEADERSHIP, YOUTH THROUGH THE SCHOOL NURSES, REPRODUCTIVE AND INFANT HEALTH, AND ACCESS TO CARE. APPROXIMATELY 128 PEOPLE PARTICIPATED IN THE COUNTY FOCUS GROUPS. PARTICIPANTS REPRESENTED ALL SERVICE ORGANIZATIONS WITHIN THE COMMUNITY. THEY PROVIDE SERVICES TO ALL FACETS OF THE COMMUNITY INCLUDING WOMEN, INFANTS, SCHOOL AGED CHILDREN, THOSE WHO ARE INCARCERATED, THOSE WITH MENTAL HEALTH PROBLEMS, THOSE WITH FINANCIAL/HOUSING/EMPLOYMENT/HEALTH ISSUES, THE UN-AND UNDERINSURED, THE HUNGRY, THOSE WITH CHRONIC HEALTH CONDITIONS, THE HOMELESS, THE ELDERLY, COLLEGE STUDENTS, MEDICALLY UNDERSERVED, ALL FAITHS AND RELIGIONS, AND MINORITIES. 846 CHARLES COUNTY RESIDENTS COMPLETED THE 27 QUESTION ONLINE SURVEY THAT WAS CREATED USING SURVEY MONKEY. THE LINK TO THE SURVEY WAS AVAILABLE ON THE CRMC WEBSITE AND THE CHARLES COUNTY DEPARTMENT OF HEALTH WEBSITE. THE FIRST SECTION OF THE SURVEY ASKED PARTICIPANTS ABOUT THEIR PERCEPTION OF HEALTH AND HEALTH SERVICES WITHIN THE COUNTY. THE SECOND SECTION ASKED THEM ABOUT THEIR HEALTH BEHAVIORS, IN ORDER TO DETERMINE THEIR RISK FOR THE DEVELOPMENT OF CERTAIN HEALTH CONDITIONS. MOST OF THE RESPONDENTS WERE FROM CHARLES COUNTY (77%). THE SECOND LARGEST PERCENTAGE IS FROM ST MARY'S COUNTY (12%). ONLY 7% REPORTED LIVING OUTSIDE OF SOUTHERN MARYLAND (CHARLES, CALVERT, ST MARY'S, OR PG). APPROXIMATELY 71% OF THE RESPONDENTS WERE BETWEEN THE AGES OF 35-64 YEARS. THE HIGHEST PERCENTAGE WAS IN THE 55-64 YEAR AGE GROUP (25%). THE OVERWHELMING MAJORITY OF THE RESPONDENTS WERE 4 FEMALE (80%). MINORITIES MADE UP 23% OF THE TOTAL 2014 SURVEY POPULATION. AFRICAN AMERICANS COMPRISED 17% OF THE RESPONDENTS. APPROXIMATELY 4% OF THE SURVEY RESPONDENTS SELF-IDENTIFIED AS HISPANIC. THIS IS SIMILAR TO THE COUNTY OVERALL HISPANIC POPULATION OF 5%. THE SURVEY PARTICIPANTS WERE A HIGHLY EDUCATED GROUP WITH 89.97% REPORTING HAVING HAD ANY AMOUNT OF COLLEGE EDUCATION. JUST OVER HALF OF THE GROUP HAD COMPLETED AN UNDERGRADUATE DEGREE OR HIGHER (50.42%). MOST OF THE PARTICIPANTS WERE EMPLOYED AND WORKING FULL-TIME. THE MOST COMMON RESPONSE WAS A HOUSEHOLD INCOME OF $60,000-$120,000 PER YEAR (39.39%). INDIVIDUALS WITH A HOUSEHOLD INCOME LESS THAN $60,000 MADE UP ONE-QUARTER OF THE 2018 SURVEY. NEARLY ALL OF THE SURVEY PARTICIPANTS (97.59%) REPORTED HAVING HEALTH INSURANCE. THE MAJORITY OF THE PARTICIPANTS ALSO REPORTED HAVING DENTAL INSURANCE (85.92%), THOUGH THIS PERCENTAGE IS SMALLER THAN THOSE REPORTING HEALTH INSURANCE. MANY OF THE RESPONDENTS ALSO HAD VISION INSURANCE (72.68%). ONLY 1.56% OF THE SURVEY POPULATION REPORTED HAVING NO TYPE OF INSURANCE. A SHORT 4 QUESTION SURVEY WAS DISTRIBUTED THROUGHOUT THE COUNTY REGARDING PERCEPTIONS OF HEALTH WITHIN THE COUNTY. A TOTAL OF 1,317 SHORT SURVEYS WERE COMPLETED. ONGOING SURVEY COLLECTION WAS CONDUCTED AT THE CHARLES COUNTY DEPARTMENT OF HEALTH'S NURSING, SUBSTANCE ABUSE, AND MENTAL HEALTH CLINICS; CRMC'S URGENT CARE, PRIMARY CARE, AND OBGYN CLINICS 5 AND CARDIAC REHABILITATION PROGRAM; THE CENTER FOR CHILDREN; HEALTH PARTNERS INC; THE WESTERN COUNTY COMMUNITY HEALTH CENTER; LIFELONG LEARNING CENTER; UNIVERSITY OF MARYLAND EXTENSION OFFICE; WHITE PLAINS PRIMARY CARE; CHARLES COUNTY GOVERNMENT; LIFESTYLES OF MARYLAND INC.; CHARLES COUNTY DEPARTMENT OF AGING; AND CAMBRIDGE PEDIATRICS. THE COMMUNITY WAS ALSO SURVEYED AT LARGE EVENTS SUCH AS MISSION OF MERCY, CHARLES COUNTY COMMUNITY RESOURCE DAY, THE CHARLES COUNTY FAIR, THE CANCER WALK IN INDIAN HEAD, AND THE LIVING WELL WITH CHRONIC CONDITIONS SELF-MANAGEMENT CLASSES. A CRITICAL PART OF THE NEEDS ASSESSMENT PROCESS IS TO INVITE THE COMMUNITY TO EXPRESS THEIR PERCEPTIONS OF HEALTH STATUS. QUALITATIVE DATA ACCUMULATED FROM THIS PROCESS WAS USED IN CONJUNCTION WITH THE QUANTITATIVE HEALTH DATA TO DETERMINE THE MOST IMPORTANT HEALTH ISSUES WITHIN THE COUNTY. QUANTITATIVE DATA WAS ANALYZED FOR VARIOUS HEALTH TOPICS INCLUDING: MORTALITY, POPULATION AND DEMOGRAPHIC DATA, NATALITY, INFANT MORTALITY, HEART DISEASE, STROKE, HYPERTENSION, ACCESS TO HEALTH CARE/HEALTH INSURANCE, CANCER, ASTHMA, INJURIES, DIABETES, OBESITY, OSTEOPOROSIS, ARTHRITIS, DEMENTIA/ALZHEIMER'S DISEASE, COMMUNICABLE DISEASE, ENVIRONMENTAL HEALTH, SEXUALLY TRANSMITTED DISEASES, HIV/AIDS, MENTAL HEALTH, DENTAL HEALTH, SUBSTANCE ABUSE, DISABILITIES, AND TOBACCO USE.
CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITALSCHEDULE H, PART V, LINE 6B CRMC LED THE EFFORT AND COVERED 100% OF THE COST OF THE CHNA; HOWEVER, THE HOSPITAL WORKED COLLABORATIVELY WITH THE CHARLES COUNTY DEPARTMENT OF HEALTH AND THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), PARTNERSHIPS FOR A HEALTHIER CHARLES COUNTY (PHCC), TO COMPLETE THE CHNA. EXECUTIVE LEADERSHIP OF PHCC CONSISTS OF THE CEO OF CRMC, THE COUNTY HEALTH OFFICER, THE SUPERINTENDENT OF CHARLES COUNTY PUBLIC SCHOOLS AND THE PRESIDENT OF THE COLLEGE OF SOUTHERN maryland. MEMBERSHIP OF THE PHCC CONSISTS OF OVER 30 NONPROFIT AND COUNTY AGENCIES. EXECUTIVE COMMITTEE OF LHIC: -CHARLES COUNTY DEPT. OF HEALTH, DIANNA ABNEY, MD, CHARLES COUNTY HEALTH OFFICER -CHARLES COUNTY PUBLIC SCHOOLS, DR. KIM HILL, SUPERINTENDENT, -COLLEGE OF SOUTHERN MARYLAND, DR. BRAD GOTTFRIED, PRESIDENT -CRMC, NOEL CERVINO, PRESIDENT AND CEO STEERING COMMITTEE OF LHIC: -CHARLES COUNTY DEPT. OF HEALTH, AMBER STARN, EPIDEMIOLOGIST -CHARLES COUNTY PUBLIC SCHOOLS, JENNIFER CONTE, COORDINATOR OF STUDENT INTERVENTION PROGRAMS -COLLEGE OF SOUTHERN MARYLAND, KELLY WINTERS, DIRECTOR, WORKFORCE DEVELOPMENT -CRMC, CRYSTAL HUNT, DIRECTOR, COMMUNITY DEVELOPMENT AND PLANNING SUBCOMMITTEES: -HEALTH PARTNERS CLINIC, CHRISSIE MULCAHEY, DIRECTOR CO CHAIR, ACCESS TO CARE -CRMC, MARY HANNAH, CHAIR, ACCESS TO CARE -CHARLES COUNTY DEPT. OF HEALTH MARY BETH KLICK, TOBACCO PREVENTION - COORDINATOR, CO-CHAIR, CHRONIC DISEASE PREVENTION AND MANAGEMENT SUBCOMMITTEE -CRMC, AMY ZIMMERMAN, CO-CHAIR, CHRONIC DISEASE SUB COMM. -CHARLES COUNTY CORE SERVICES, KARYN BLACK, DIRECTOR CO-CHAIR, BEHAVIORAL HEALTH SUBCOMMITTEE -CHARLES COUNTY DEPT. OF HEALTH ANGELA DEAL, COMMUNITY HEALTH EDUCATOR, CO-CHAIR, CHRONIC DISEASE PREVENTION AND MANAGEMENT SUBCOMMITTEE -CHARLES COUNTY DEPARTMENT OF HEALTH LAURA BORAWSKI, COMMUNITY OUTREACH WORKER, CO-CHAIR, CHRONIC DISEASE PREVENTION AND MANAGEMENT SUBCOMMITTEE
ADDRESSING SIGNIFICANT NEEDS FROM CHNASCHEDULE H, PART V, LINE 11 CUMULATIVE ANALYSIS OF ALL QUANTITATIVE AND QUALITATIVE DATA WAS USED TO PRIORITIZE THE TOP HEALTH ISSUES IN CHARLES COUNTY. THE PRIORITIES WERE CHOSEN BY THE PARTNERSHIPS FOR A HEALTHIER CHARLES COUNTY'S STEERING COMMITTEE AND SUBCOMMITTEE LEADERS USING THE HANLON METHOD, A NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS' RECOMMENDED MEANS FOR HEALTH PRIORITIZATION. THE METHOD OBJECTIVES SCORE HEALTH CONDITIONS BASED ON THE SIZE OF THE PROBLEM, SERIOUSNESS OF THE PROBLEM, AND THE EFFECTIVENESS OF AVAILABLE INTERVENTIONS. THE HEALTH PRIORITIES CHOSEN INCLUDE: 1. CHRONIC DISEASE PREVENTION AND MANAGEMENT -MAJOR CARDIOVASCULAR DISEASE (HEART DISEASE, HYPERTENSION, AND STROKE) -OBESITY AND OVERWEIGHT -DIABETES MELLITUS 2. BEHAVIORAL HEALTH -SUBSTANCE USE DISORDERS -MENTAL HEALTH 3. ACCESS TO CARE ALL 3 PRIORITIES OUTLINED IN THE CHNA ARE BEING ADDRESSED BY CRMC EITHER DIRECTLY (PHYSICIAN RECRUITMENT), OR THROUGH PARTNERSHIPS WITH OTHER ORGANIZATIONS (I.E. CHRONIC DISEASE SELF-MANAGEMENT PROGRAM), OR THROUGH THE LHIC, PHCC WHICH IS CO-LED AND FINANCIALLY SUPPORTED BY CRMC. WHERE A NEED IS APPROPRIATELY ADDRESSED BY ANOTHER COMMUNITY ENTITY, CRMC PROVIDES LEADERSHIP AND/OR FUNDING THROUGH THE CHARLES COUNTY HEALTH IMPROVEMENT PLAN AND THE LOCAL HEALTH COALITION (PHCC) TO COMMUNICATE INITIATIVES, PROVIDE FINANCIAL SUPPORT AND/OR ASSISTANCE OR DATA WHEN NEEDED, AND REVIEW RESULTS (I.E., SUBSTANCE ABUSE, MENTAL HEALTH). EACH LHIC TEAM HAS DEVELOPED AND IMPLEMENTED STRATEGIES SPECIFIC TO THEIR IDENTIFIED PRIORITIES AND REPORTS BACK QUARTERLY TO THE LHIC STEERING COMMITTEE. THE HOSPITAL PROVIDES SUPPORT AND OVERSIGHT TO THE TEAMS AS A CRITICAL MEMBER OF THE LHIC STEERING COMMITTEE. THE HOSPITAL'S DIRECTOR OF COMMUNITY DEVELOPMENT AND PLANNING SERVES AS THE CO-CHAIR OF THE COUNTY LHIC.
ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCESCHEDULE 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 THAT 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.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CRITERIA FOR FREE OR DISCOUNTED CARESCHEDULE H, PART I, LINE 3C CRMC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAT THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
COMMUNITY BENEFIT REPORTSCHEDULE 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 METHODOLOGYSCHEDULE 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 ACTIVITIESSCHEDULE H, PART II AS THE ONLY HOSPITAL SERVING CHARLES COUNTY, MARYLAND, CRMC SUPPORTS PROGRAMS AND ACTIVITIES WHERE THE HOSPITAL'S EXPERTISE AND RESOURCES CAN INFLUENCE THE FUNDAMENTAL ISSUES THAT AFFECT THE HEALTH OF THE COMMUNITY. CRMC SUPPORTS ECONOMIC DEVELOPMENT OF THE COMMUNITY THROUGH LEADERSHIP PARTICIPATION IN ORGANIZATIONS SUCH AS THE CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT COMMISSION, LEADERSHIP SOUTHERN MARYLAND, AND THE TRI-COUNTY COUNCIL OF SOUTHERN MARYLAND. CRMC PARTICIPATES IN MANY COUNTY, STATE AND REGION-WIDE EMERGENCY PREPAREDNESS PLANNING ACTIVITIES AND DRILLS WITH OUR COMMUNITY PARTNERS SUCH AS EMERGENCY SERVICES, FIRE AND RESCUE, DEPARTMENT OF HEALTH, COUNTY GOVERNMENT, FEMA AND MEMA. THIS SERVES TO ENSURE THAT IN THE EVENT OF A DISASTER, THE HOSPITAL IS READY TO SUPPORT AND CARE FOR OUR COMMUNITY. HOSPITAL ADMINISTRATION PARTICIPATES IN HEALTHCARE WORKFORCE DEVELOPMENT BY SERVING ON COMMITTEES SUCH AS THE CHARLES COUNTY COMMISSIONER'S HEALTHCARE TASKFORCE AND SUPPORT OF COLLEGE OF SOUTHERN MARYLAND NURSING AND ALLIED HEALTH PROGRAMS. IN ADDITION, CRMC PARTICIPATES AND SUPPORTS THE STEAM ONWARD'S YOUNG RESEARCHERS COMMUNITY PROJECT WHICH OFFERS DISADVANTAGEd YOUTH IN HIGH SCHOOL AN OPPORTUNITY TO SHADOW MEDICAL PROFESSIONALS. ACCORDING TO MARYLAND HEALTH WORKFORCE STUDY PHASE 2 REPORT (JANUARY 2014), THE SOUTHERN MARYLAND REGION HAS A PHYSICIAN SHORTAGE FOR PRIMARY CARE PHYSICIANS. IN CHARLES COUNTY, THE PRIMARY CARE PHYSICIAN FTE DEMAND IS GREATER THAN THE PRIMARY CARE FTE SUPPLY (7.4 VS. 6.1). THERE IS AN 18% SHORTFALL IN THE PRIMARY CARE SERVICES SUPPLY TO FULFILL THE CURRENT DEMAND. UNDER MEDICAL SPECIALTIES, THE SOUTHERN MARYLAND REGION HAD A SHORTAGE FOR CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY, ONCOLOGY, INFECTIOUS DISEASE, NEPHROLOGY, PSYCHIATRY, PULMONARY MEDICINE, AND RHEUMATOLOGY. THE FTE PER 10,000 SUPPLY RATES FOR PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND PSYCHOLOGISTS IN CHARLES COUNTY IS MUCH LOWER THAN THE RATES FOR MARYLAND. THE DEMAND FOR PSYCHIATRISTS IN CHARLES COUNTY IS MUCH HIGHER THAN THE COUNTY SUPPLY FOR PSYCHIATRY. CHARLES COUNTY HAS A SHORTAGE BETWEEN 50-75% OF FULL TIME EQUIVALENT PSYCHIATRISTS. AS A RESULT OF THE PREVAILING PHYSICIAN SHORTAGE, AND TO MITIGATE THE EFFECTS OF THE LACK OF ACCESS OF THE COMMUNITY TO MEDICAL CARE, CRMC HAS DEVELOPED A ROBUST AND ONGOING PHYSICIAN RECRUITMENT AND RETENTION PROGRAM.
BAD DEBT EXPENSE REPORTING IN MARYLANDSCHEDULE H, PART III, LINES 2 and 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 HISTOICAL 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.
MEDICARE COST REPORTSCHEDULE 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 PRACTICESSCHEDULE 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.
COMMUNITY HEALTH CARE NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2 FROM JULY 2017 TO MARCH 2018, CRMC UNDERTOOK A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS OF CHARLES COUNTY, MARYLAND. TO PROVIDE A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS OF THE COUNTY, A FIVE METHOD PLAN WAS DEVELOPED WHICH INCLUDED 5 DIFFERENT SOURCES OF DATA: A LONG ONLINE SURVEY OF CHARLES COUNTY RESIDENTS PERCEPTIONS OF HEALTH AND HEALTH BEHAVIORS, A SHORT PAPER SURVEY ON HEALTH PERCEPTIONS THROUGHOUT THE COUNTY, 5 FOCUS GROUPS WITH COMMUNITY LEADERS, CITIZENS, AND STAKEHOLDERS, 9 KEY INFORMANT INTERVIEWS ON BEHAVIORAL HEALTH, AND A QUANTITATIVE DATA ANALYSIS OF SECONDARY, PUBLISHED DATA. DATA COLLECTION OCCURRED BETWEEN JULY 2017 AND FEBRUARY 2018. THE USE OF THE MULTIPLE DATA COLLECTION METHODS STRENGTHENED THE VALIDITY OF THE ASSESSMENTS FINDINGS AS WELL AS ENSURING THAT CHARLES COUNTY RESIDENTS HAD AN OPPORTUNITY TO PARTICIPATE IN THE ASSESSMENT PROCESS AND TO FEEL INVESTED IN ITS OUTCOME.
ELIGIBILITY EDUCATION & FINANCIAL ASSISTANCESCHEDULE H, PART VI, LINE 3 CRMC 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 CRMC PATIENTS WITH LIMITED ENGLISH PROFICIENCY) -APPEARING IN PRINT MEDIA THROUGH LOCAL NEWSPAPERS
DESCRIPTION OF COMMUNITY SERVEDSCHEDULE H, PART VI, LINE 4 CRMC IS CHARLES COUNTY'S ONLY HOSPITAL AND, AS SUCH, SERVES THE RESIDENTS OF THE ENTIRE COUNTY. GEOGRAPHY CHARLES COUNTY IS A LARGELY RURAL JURISDICTION LOCATED APPROXIMATELY 23 MILES SOUTH OF WASHINGTON, D.C. IT IS ONE OF FIVE MARYLAND COUNTIES, WHICH ARE PART OF THE WASHINGTON, DC-MD-VA METROPOLITAN AREA. AT 458 SQUARE MILES, CHARLES COUNTY IS THE EIGHTH LARGEST OF MARYLAND'S TWENTY-FOUR COUNTIES AND ACCOUNTS FOR ABOUT 5 PERCENT OF MARYLAND'S TOTAL LANDMASS. THE NORTHERN PART OF THE COUNTY IS THE DEVELOPMENT DISTRICT WHERE COMMERCIAL, RESIDENTIAL, AND BUSINESS GROWTH IS FOCUSED. THE MAJOR COMMUNITIES OF CHARLES COUNTY ARE LA PLATA, THE COUNTY SEAT; PORT TOBACCO, INDIAN HEAD, AND ST CHARLES; AND THE MAIN COMMERCIAL CLUSTER OF HUGHESVILLE-WALDORF-WHITE PLAINS. APPROXIMATELY 60 PERCENT OF COUNTY'S RESIDENTS LIVE IN THE GREATER WALDORF-LA PLATA AREA. CHARLES COUNTY HAS EXPERIENCED RAPID GROWTH SINCE 1970, EXPANDING ITS POPULATION FROM 47,678 TO 146,551 IN THE 2010 CENSUS. POPULATION THE 2016 CHARLES COUNTY POPULATION ESTIMATE WAS 157,705. THE MAGNITUDE OF GROWTH CAN BE SEEN IN THE CHANGES IN POPULATION DENSITY. THE 2000 CENSUS SHOWED THAT THERE WERE 219.4 INDIVIDUALS PER SQUARE MILE; BY THE 2010 CENSUS, THIS ESTIMATE ROSE TO 320.2 INDIVIDUALS PER SQUARE MILE. THE PERCENT CHANGE IN THE POPULATION GROWTH FOR CHARLES COUNTY FROM 2010 TO 2016 WAS GREATER THAN THE CHANGE SEEN IN THE MARYLAND STATE POPULATION GROWTH (7.6% VS. 4.2%). SOURCE: 2012-2016 US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES TRANSPORTATION THE PERCENT CHANGE IN THE POPULATION GROWTH FOR CHARLES COUNTY HAS BEEN SLIGHTLY GREATER THAN THE CHANGE SEEN IN THE MARYLAND POPULATION GROWTH. THIS GROWTH HAS CREATED TRANSPORTATION ISSUES FOR THE COUNTY, IN PARTICULAR FOR THE "DEVELOPMENT DISTRICT" IN THE NORTHERN PART OF THE COUNTY WHERE MANY RESIDENTS COMMUTE TO WASHINGTON D.C. TO WORK. THE AVERAGE WORK COMMUTE TIME FOR A CHARLES COUNTY RESIDENT IS 42.9 MINUTES WHICH IS HIGHER THAN THE MARYLAND AVERAGE OF 32.4 MINUTES (SOURCE: US CENSUS BUREAU'S 2012-2016 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES). PUBLIC TRANSPORTATION CONSISTS OF COMMUTER BUSES FOR OUT-OF-COUNTY TRAVEL AND THE COUNTY-RUN VAN GO BUS SERVICE FOR IN-COUNTY TRANSPORTATION. SOURCE: 2012-2016 US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES DIVERSITY AS THE POPULATION OF THE COUNTY CHANGES, THE DIVERSITY OF THE COUNTY ALSO INCREASES. THE AFRICAN AMERICAN POPULATION HAS EXPERIENCED THE GREATEST INCREASE. IN 2000, AFRICAN AMERICANS MADE UP 26% OF THE TOTAL CHARLES COUNTY POPULATION; BY 2016, THEY COMPRISE 46.4% OF THE TOTAL COUNTY POPULATION. AS OF 2016, MINORITIES COMPRISE ROUGHLY 58.3% OF THE CHARLES COUNTY POPULATION. THE HISPANIC COMMUNITY HAS ALSO SEEN INCREASES OVER THE PAST FEW YEARS. THEY NOW COMPRISE 5.5% OF THE TOTAL COUNTY POPULATION. THIS IS THE ONE OF THE HIGHEST PERCENTAGES AMONG THE 24 MARYLAND JURISDICTIONS. CHARLES COUNTY ALSO HAS ONE OF THE LARGEST AMERICAN INDIAN/NATIVE AMERICAN POPULATIONS IN THE STATE OF MARYLAND AT 0.8% OF THE TOTAL COUNTY POPULATION. SOURCE: 2016 US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 1 YEAR ESTIMATE THE 2016 CHARLES COUNTY GENDER BREAKDOWN IS APPROXIMATELY 50/50. MALES MAKE UP 48.2% OF THE POPULATION, AND FEMALES MAKE UP 51.8% OF THE COUNTY POPULATION. SOURCE: 2016 US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 1 YEAR ESTIMATE ECONOMY EMPLOYMENT AND ECONOMIC INDICATORS FOR THE COUNTY ARE FAIRLY STRONG. THE 2012-2016 US CENSUS AMERICAN COMMUNITY SURVEY ESTIMATES THAT 67.7% OF THE CHARLES COUNTY POPULATION IS CURRENTLY IN THE LABOR WORK FORCE. THE 2012-2016 5-YEAR ESTIMATE FOR CHARLES COUNTY FOUND THAT APPROXIMATELY 7.4% OF CHARLES COUNTY INDIVIDUALS ARE LIVING BELOW THE POVERTY LEVEL; HOWEVER, THIS IS LOWER THAN THE MARYLAND RATE OF 9.7%. THE CHARLES COUNTY MEDIAN HOUSEHOLD INCOME WAS $91,373, WELL ABOVE THE MARYLAND MEDIAN HOUSEHOLD INCOME OF $76,067.THE DIVERSITY OF THE COUNTY IS ALSO REPRESENTED IN THE BUSINESS COMMUNITY WITH 46% OF ALL CHARLES COUNTY BUSINESSES BEING MINORITY-OWNED FIRMS. THIS IS HIGHER THAN THE STATE OF MARYLAND AT 38%. SOURCE: 2012-2016 US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES EDUCATION CHARLES COUNTY HAS A LARGER PERCENTAGE OF HIGH SCHOOL GRADUATES THAN MARYLAND (92.8% VS. 89.6%); HOWEVER, CHARLES COUNTY HAS A SMALLER PERCENTAGE THAN MARYLAND OF INDIVIDUALS WITH A BACHELOR'S DEGREE OR HIGHER (27.4% VS. 38.4%). SOURCE: 2012-2016 US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES HOUSING THERE IS A HIGH LEVEL OF HOME OWNERSHIP IN CHARLES COUNTY (77.4%); HOWEVER, THIS IS SLIGHTLY DOWN FROM THE 2010 LEVEL (81.8%). THE MEDIAN VALUE OF A HOUSING UNIT IN CHARLES COUNTY IS SIMILAR TO THE MARYLAND AVERAGE ($287,600 VS. $290,400). HOME VALUES ACROSS MARYLAND HAVE DECREASED AND CHARLES COUNTY SHOWED A SIMILAR DOWNWARD TREND. THE AVERAGE HOUSEHOLD SIZE IN CHARLES COUNTY IS 2.81 PERSONS. SOURCE: 2012-2016 US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES LIFE EXPECTANCY THE LIFE EXPECTANCY FROM BIRTH FOR A CHARLES COUNTY RESIDENT AS CALCULATED FOR 2016 WAS 79.2 YEARS. THIS IS SLIGHTLY LOWER THAN THE STATE AVERAGE LIFE EXPECTANCY OF 79.5 YEARS. THE 2016 LIFE EXPECTANCY FOR CHARLES COUNTY WHITES WAS 78.9 YEARS. THE 2016 LIFE EXPECTANCY FOR CHARLES COUNTY AFRICAN AMERICANS WAS 79.3 YEARS. SOURCE: 2016 MARYLAND VITAL STATISTICS REPORT BIRTHS THERE WERE 1,817 BIRTHS IN CHARLES COUNTY IN 2016. CHARLES COUNTY REPRESENTS 44% OF THE BIRTHS IN SOUTHERN MARYLAND AND 2.5% OF THE TOTAL BIRTHS IN MARYLAND FOR 2016. MINORITIES MADE UP JUST OVER HALF OF THE BABIES BORN IN CHARLES COUNTY IN 2016 (62%) WHICH IS IN LINE WITH THE COMPOSITION OF THE COUNTY. SOURCE: 2016 MARYLAND VITAL STATISTICS REPORT
PROMOTING THE HEALTH OF THE COMMUNITYSCHEDULE H, PART VI, LINE 5 AS THE ONLY HOSPITAL SERVING CHARLES COUNTY, MARYLAND, CRMC SUPPORTS PROGRAMS AND ACTIVITIES WHERE THE HOSPITAL'S EXPERTISE AND RESOURCES CAN INFLUENCE THE FUNDAMENTAL ISSUES THAT AFFECT THE HEALTH OF THE COMMUNITY. GOVERNANCE IS PROVIDED THROUGH A COMMUNITY VOLUNTEER BOARD OF DIRECTORS. CRMC'S COMMUNITY BENEFITS PROGRAM UTILIZES A PLANNED, MANAGED, ORGANIZED, AND MEASURED APPROACH TO MEETING THE IDENTIFIED COMMUNITY NEEDS OF THE AREA WE SERVE. THE MISSION IS TO IMPROVE OVERALL COMMUNITY HEALTH BY IMPROVING ACCESS TO HEALTH CARE, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING HEALTHCARE KNOWLEDGE AND COLLABORATING WITH HEALTH - PROVIDING AGENCY PARTNERS. COMMUNITY HEALTH IMPROVEMENT STRATEGIES ARE INCLUDED IN THE ORGANIZATION'S STRATEGIC PLAN. CRMC SUPPORTS ECONOMIC DEVELOPMENT OF THE COMMUNITY THROUGH LEADERSHIP PARTICIPATION IN ORGANIZATIONS SUCH AS THE CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT COMMISSION, LEADERSHIP SOUTHERN MARYLAND, AND THE TRI-COUNTY COUNCIL OF SOUTHERN MARYLAND. CRMC PARTICIPATES IN MANY COUNTY, STATE AND REGION-WIDE EMERGENCY PREPAREDNESS PLANNING ACTIVITIES AND DRILLS WITH OUR COMMUNITY PARTNERS SUCH AS EMERGENCY SERVICES, FIRE AND RESCUE, DEPARTMENT OF HEALTH, COUNTY GOVERNMENT, FEMA AND MEMA. THIS SERVES TO ENSURE THAT IN THE EVENT OF A DISASTER, THE HOSPITAL IS READY TO SUPPORT AND CARE FOR OUR COMMUNITY. HOSPITAL ADMINISTRATION PARTICIPATES IN HEALTHCARE WORKFORCE DEVELOPMENT BY SERVING ON COMMITTEES SUCH AS THE CHARLES COUNTY COMMISSIONER'S HEALTHCARE TASKFORCE AND SUPPORT OF COLLEGE OF SOUTHERN MARYLAND NURSING AND ALLIED HEALTH PROGRAMS. IN ADDITION, CRMC PARTICIPATES AND SUPPORTS THE STEAM ONWARD'S YOUNG RESEARCHERS COMMUNITY PROJECT WHICH OFFERS DISADVANTAGEd YOUTH IN HIGH SCHOOL AN OPPORTUNITY TO SHADOW MEDICAL PROFESSIONALS. ACCORDING TO MARYLAND HEALTH WORKFORCE STUDY PHASE 2 REPORT (JANUARY 2014), THE SOUTHERN MARYLAND REGION HAS A PHYSICIAN SHORTAGE FOR PRIMARY CARE PHYSICIANS. IN CHARLES COUNTY, THE PRIMARY CARE PHYSICIAN FTE DEMAND IS GREATER THAN THE PRIMARY CARE FTE SUPPLY (7.4 VS. 6.1). THERE IS AN 18% SHORTFALL IN THE PRIMARY CARE SERVICES SUPPLY TO FULFILL THE CURRENT DEMAND. UNDER MEDICAL SPECIALTIES, THE SOUTHERN MARYLAND REGION HAD A SHORTAGE FOR CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY, ONCOLOGY, INFECTIOUS DISEASE, NEPHROLOGY, PSYCHIATRY, PULMONARY MEDICINE, AND RHEUMATOLOGY. THE FTE PER 10,000 SUPPLY RATES FOR PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND PSYCHOLOGISTS IN CHARLES COUNTY IS MUCH LOWER THAN THE RATES FOR MARYLAND. THE DEMAND FOR PSYCHIATRISTS IN CHARLES COUNTY IS MUCH HIGHER THAN THE COUNTY SUPPLY FOR PSYCHIATRY. CHARLES COUNTY HAS A SHORTAGE BETWEEN 50-75% OF FULL TIME EQUIVALENT PSYCHIATRISTS. AS A RESULT OF THE PREVAILING PHYSICIAN SHORTAGE, AND TO MITIGATE THE EFFECTS OF THE LACK OF ACCESS OF THE COMMUNITY TO MEDICAL CARE, CRMC HAS DEVELOPED A ROBUST AND ONGOING PHYSICIAN RECRUITMENT AND RETENTION PROGRAM. CRMC PROVIDED $8.4 MILLION IN CHARITY CARE, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND DONATIONS AND COMMUNITY BUILDING ACTIVITIES IN FY 2018. THIS YEAR, WE PROVIDED AND SUPPORTED PROGRAMS, ACTIVITIES AND SCREENINGS SUCH AS BLOOD PRESSURE, GLUCOSE, BREAST AND CERVICAL CANCER, COLORECTAL CANCER AND STROKE RISK REDUCTION EDUCATION. MOBILE INTEGRATED HEALTH COMPLETED THE SECOND YEAR TO IMPROVE ACCESS TO CARE AND WRAP AROUND HEALTH CARE TO COMMUNITY MEMBERS WITH BARRIERS. IN ADDITION TO PARTICIPATING IN THE PROGRAM, CRMC WILL CONTRIBUTE FINANCIALLY TO THE PROGRAM FOR 3 YEARS. CRMC PROVIDED HEALTH EDUCATION PROGRAMS ON HEARTY HEALTHY EATING, DIABETES EDUCATION, CANCER EDUCATION ON BREAST AND CERVICAL CANCER, TOBACCO CESSATION PROGRAM. IN ADDITION, WE SPONSORED AMERICAN CANCER SOCIETY'S LOOK GOOD FEEL BETTER, CAR SAFETY SEAT INSPECTIONS, COMMUNITY DISASTER DRILLS, SCHOOL CAREER DAYS, THE YOUNG RESEARCHES COMMUNITY PROJECT, AND SUPPORT GROUPS SUCH AS STROKE SUPPORT, CARDIAC SUPPORT, AND THE BETTER BREATHERS CLUB. FISCAL YEAR 18 WAS A SUCCESSFUL THIRD YEAR FOR THE LIVING WELL CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, A FREE, 6 WEEK, EVIDENCE BASED PROGRAM TO IMPROVE THE WELL-BEING OF PEOPLE LIVING WITH A VARIETY OF CHRONIC CONDITIONS. THE HOSPITAL OFFERS CLINICS AND CLINIC SERVICES SUCH AS RENAL DIALYSIS SERVICES AND AMERICAN RED CROSS BLOOD DRIVES. WE PARTICIPATED IN COMMUNITY COALITIONS AND BOARDS SUCH AS THE UNITED WAY, PARTNERSHIPS FOR A HEALTHIER CHARLES COUNTY, CHARLES COUNTY TOBACCO COALITION, LEADERSHIP SOUTHERN MARYLAND, HOSPICE OF CHARLES COUNTY, HEALTHY FAMILIES, FETAL INFANT MORTALITY BOARD, CENTER FOR ABUSED PERSONS, JUVENILE DRUG COURT, MISSION OF MERCY; CHAMBER OF COMMERCE AND CHARLES COUNTY CHILD ADVOCACY PARTNERSHIP. WE PARTICIPATED IN AND SUPPORTED COMMUNITY EVENTS SUCH AS CHRISTMAS CONNECTION, AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, ALZHEIMER'S WALK, AND MARCH OF DIMES.
AFFILIATED HEALTH CARE SYSTEM ROLESSCHEDULE H, PART VI, LINE 6 CRMC is A PRIVATE, NOT-FOR-PROFIT CORPORATION PROVIDING COMPREHENSIVE HEALTHCARE SERVICES THROUGH AN INTEGRATED REGIONAL NETWORK OF HOSPITALS AND RELATED CLINICAL ENTERPRISES. University of Maryland Medical System (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 UMMS, CRMC 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, CRMC assesses the community's health needs, identifies key priorities, and responds with services, programs and initiatives which make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical System's Community Health Improvement Council coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. CRMC 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 Charles County.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, LINE 7 AS REQUIRED BY MARYLAND STATUTE FOR ALL HOSPITALS, CRMC FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH MARYLANDS HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) BY DECEMBER 15TH EACH YEAR.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
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 (11 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
Jon P Burns
Director$0$435,154$0$160,705$0$66,236$0$10,800$0$10,520$0$683,415$0$0
Robert A Chrencik
President and CEO - UMMS$0$1,318,061$0$995,265$0$276,702$0$10,800$0$14,219$0$2,615,047$0$0
Noel A Cervino
President and CEO$388,878$0$198,900$0$76,151$0$10,800$0$15,692$0$690,421$0$0$0
Erik Boas
SVP Finance and CFO$222,860$0$103,506$0$30,177$0$9,000$0$2,152$0$367,695$0$0$0
Dana Levy
Chief Nursing Officer$188,885$0$40,171$0$919$0$24,832$0$4,814$0$259,621$0$0$0
Joseph D Moser
SVP and Chief Medical Officer$310,000$0$90,210$0$14,090$0$49,600$0$0$0$463,900$0$0$0
Paul Blackwood
VP Planning$184,763$0$61,125$0$22,071$0$7,641$0$11,310$0$286,910$0$0$0
William Grimes
VP Ancilliary Services$163,688$0$34,604$0$71,612$0$6,590$0$1,070$0$277,564$0$45,410$0
Marilyn Gregory
RN$173,925$0$275$0$0$0$1,300$0$6,453$0$181,953$0$0$0
Katherine Middleton
RN$176,716$0$275$0$0$0$1,665$0$3,464$0$182,120$0$0$0
Gabriel Abiola
Clinical Pharmacist$162,552$0$4,600$0$0$0$2,576$0$6,053$0$175,781$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE 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 JON P. BURNS NOEL A. CERVINO ERIK BOAS PAUL BLACKWOOD 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: DANA LEVY JOSEPH D. MOSER DURING THE FISCAL YEAR-ENDED JUNE 30, 2018, CERTAIN OFFICERS PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN THE REPORTING TAX YEAR, THEREFORE THE FULL VALUE OF THE PLAN, INCLUDING ANY CONTRIBUTIONS TO THE PLAN FOR THE CURRENT FISCAL YEAR IS REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. PRIOR YEAR CONTRIBUTIONS TO THE PLAN WERE PREVIOUSLY REPORTED ON FORM 990 AND ARE INDICATED ON SCHEDULE J, PART II, COLUMN (F): WILLIAM GRIMES $66,827
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7 BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSOUTHERN MD ELECTRIC COOPERATIVEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSee Part VRelationshipDescriptionTxt
Transaction$795,302TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV, LINE 1 Austin Joseph Slater is a Board Member of the filing Organization, and is the President and CEO of Southern Maryland Electric Cooperative. Southern Maryland Electric Cooperative provides services to the filing Organization at or below Fair Market Value.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4A AS A MEMBER OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, CIVISTA MEDICAL CENTER, INC. (D/B/A UM CHARLES REGIONAL MEDICAL CENTER, "CRMC") OPERATES A 98-BED HOSPITAL IN LA PLATA, MARYLAND. CRMC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. ITS ACTIVITIES INCLUDE PROVIDING HEALTHCARE TREATMENT AND CARE TO PERSONS WHO ARE ACUTELY ILL, OPERATING A 24-HOUR EMERGENCY DEPARTMENT WHICH SERVICES ALL COMMUNITY PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. DURING ITS FISCAL YEAR ENDED JUNE 30, 2018, THE HOSPITAL ENGAGED IN THE FOLLOWING ACTIVITIES THAT WERE IN FURTHERANCE OF ITS EXEMPT PURPOSE: PROVIDED INPATIENT SERVICES WHICH INCLUDED 6,541 INPATIENT ADMISSIONS; PROVIDED OUTPATIENT SERVICES WHICH INCLUDED 54,575 EMERGENCY DEPARTMENT VISITS AND 3,863 OUTPATIENT SURGERIES; AND 893 BIRTHS. CRMC PROVIDED $8.4 MILLION IN CHARITY CARE, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND DONATIONS AND COMMUNITY BUILDING ACTIVITIES IN FY 2018. THIS YEAR, WE PROVIDED AND SUPPORTED PROGRAMS, ACTIVITIES AND SCREENINGS SUCH AS BLOOD PRESSURE, GLUCOSE, BREAST AND CERVICAL CANCER, COLORECTAL CANCER AND STROKE RISK REDUCTION EDUCATION. MOBILE INTEGRATED HEALTH COMPLETED THE SECOND YEAR TO IMPROVE ACCESS TO CARE AND WRAP AROUND HEALTH CARE TO COMMUNITY MEMBERS WITH BARRIERS. IN ADDITION TO PARTICIPATING IN THE PROGRAM CRMC WILL CONTRIBUTE FINANCIALLY TO THE PROGRAM FOR 3 YEARS. CRMC PROVIDED HEALTH EDUCATION PROGRAMS ON HEARTY HEALTHY EATING, DIABETES EDUCATION, CANCER EDUCATION, BREAST AND CERVICAL CANCER, TOBACCO CESSATION PROGRAM. TAX EXEMPT BOND ISSUES FORM 990, PART IV, QUESTION 24 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, CRMC, 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.
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, SECTION A, LINES 6, 7A AND 7B UMMS IS THE SOLE MEMBER OF UMCRH. UMCRH IS THE SOLE MEMBER OF CRMC. UMCRH AND UMMS MAY ELECT MEMBERS AND APPROVE DECISIONS OF THE CRMC BOARD.
FORM 990 REVIEW PROCESSFORM 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 & ENFORCEMENTFORM 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 COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A AND 15B THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE 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 ENTITIESFORM 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 BALANCESFORM 990, PART XI, LINE 9 CHANGE IN PENSION LIABILITY $ 1,873,136 CHANGE IN FMV - ALTERNATIVE INVESTMENTS $ 922,144 MALPRACTICE INVESTMENT ADJUSTMENT $ 445,403 CHANGE IN EQUITY OF AFFILIATES, CPHA $ 238,647 CHANGE IN EQUITY OF AFFILIATES, FOUNDATION $ 85,738 ENTERPRISE ROAD MAP $ (1,164,997) NON OPERATING PENSION EXPENSE $ (313,362) STRATEGIC PRIORITIES $ (160,474) CHANGE IN INTERCO. - EQUITY TRANSFER TO CMG $ (36,519) -------------- TOTAL OTHER CHANGES IN NET ASSETS $ 1,889,716 ==============
FORM 990 PART IX LINE 11GDESCRIPTION:SHARED SERVICES TOTAL FEES:12624955
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:5683192
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY EXP/CONTRACTUAL STAFF TOTAL FEES:3927186
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING SERVICES TOTAL FEES:387465
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:2837222

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Baltimore Washington Emergency Phys Inc
301 Hospital DriveGlen BurnieMD21061521756326HealthcareMD501(c)(3)12ABWHSfalse
Baltimore Washington Healthcare Services
301 Hospital DriveGlen BurnieMD21061521830243HealthcareMD501(c)(3)12AUMBWMSfalse
Baltimore Washington Medical Center Inc
301 Hospital DriveGlen BurnieMD21061520689917HealthcareMD501(c)(3)03UMBWMSfalse
UM Baltimore Washington Medical System
301 Hospital DriveGlen BurnieMD21061521830242HealthcareMD501(c)(3)12AUMMSCfalse
North Arundel Development Corporation
301 Hospital DriveGlen BurnieMD21061521318404Real EstateMD501(c)(2)NCCfalse
North County Corporation
301 Hospital DriveGlen BurnieMD21061521591355Real EstateMD501(c)(2)UMBWMSfalse
Chester River Health Foundation Inc
100 Brown StreetChestertownMD21620521338861FundraisingMD501(c)(3)08UMSRHfalse
Univ of MD Shore Regional HealthInc
100 Brown StreetChestertownMD21620522046500HealthcareMD501(c)(3)12AUMMSCfalse
Chester River Hospital Center
100 Brown StreetChestertownMD21620520679694HealthcareMD501(c)(3)03UMSRHfalse
Chester River Manor Inc
200 Morgnec RoadChestertownMD21620526070333HealthcareMD501(c)(3)10UMSRHfalse
Maryland General Clinical Practice Group
827 Linden AvenueBaltimoreMD21201521566211HealthcareMD501(c)(3)12BUMMTHfalse
University of Maryland Midtown Health I
827 Linden AvenueBaltimoreMD21201521175337HealthcareMD501(c)(3)12BUMMSCfalse
Maryland General Hospital Inc
827 Linden AvenueBaltimoreMD21201520591667HealthcareMD501(c)(3)03UMMTHfalse
Care Health Services Inc
219 South Washington StreetEastonMD21601521510269HealthcareMD501(c)(3)10SHSfalse
Memorial Hospital Foundation Inc
219 South Washington StreetEastonMD21601521282080FundraisingMD501(c)(3)12ASHSfalse
Shore Health System Inc
219 South Washington StreetEastonMD21601520610538HealthcareMD501(c)(3)03UMSRHfalse
University of Maryland Community Medical
22 South Greene StreetBaltimoreMD21201521874111HealthcareMD501(c)(3)03UMMSCfalse
James Lawrence Kernan Hospital Inc
2200 Kernan DriveBaltimoreMD21207520591639HealthcareMD501(c)(3)03UMMSCfalse
UMMS Foundation Inc
22 South Greene StreetBaltimoreMD21201522238893FundraisingMD501(c)(3)12AUMMSCfalse
University of MD Medical System Corp
22 South Greene StreetBaltimoreMD21201521362793HealthcareMD501(c)(3)03NAfalse
University of Maryland Charles Regional
PO Box 1070La PlataMD20646522155576HealthcareMD501(c)(3)12CUMMSCfalse
Charles Regional Medical Center Foundati
PO Box 1070La PlataMD20646521414564FundraisingMD501(c)(3)12AUMCRHfalse
Charles Regional Medical Center Auxiliar
PO Box 1070La PlataMD20646521131193FundraisingMD501(c)(3)12AUMCRHfalse
Univ of MD St Joseph Foundation Inc
7601 Osler DriveTowsonMD21204521681044FundraisingMD501(c)(3)12AUMSJHSfalse
UMSJ Health System LLC
7601 Osler DriveTowsonMD21204462097818HealthcareMD501(c)(3)03UMMSCfalse
Harford Memorial Hospital Inc
520 Upper Chesapeake DrBel AirMD21014520591484HealthcareMD501(c)(3)03UMUCHSfalse
UM Upper Chesapeake Health System Inc
520 Upper Chesapeake DrBel AirMD21014521398513HealthcareMD501(c)(3)12C; III-FIUMMSCfalse
Upper Chesapeake Health Foundation Inc
520 Upper Chesapeake DrBel AirMD21014521398507FundraisingMD501(c)(3)12AUMUCHSfalse
Upper Chesapeake Medical Center Inc
520 Upper Chesapeake DrBel AirMD21014521253920HealthcareMD501(c)(3)03UMUCHSfalse
Upper Chesapeake Medical Services Inc
520 Upper Chesapeake DrBel AirMD21014521501734HealthcareMD501(c)(3)10UMUCHSfalse
Upper Chesapeake Properties Inc
520 Upper Chesapeake DrBel AirMD21014521907237Real EstateMD501(c)(2)UMUCHSfalse
Upper Ches Residential Hospice House In
520 Upper Chesapeake DrBel AirMD21014260737028HospiceMD501(c)(3)07UMUCHSfalse
Upper ChesapeakeSt Joseph Home Care I
520 Upper Chesapeake DrBel AirMD21014521229742Home CareMD501(c)(3)10UMUCHSfalse
Dimensions Health Corporation
3001 Hospital DriveCheverlyMD20785521289729HealthcareMD501(c)(3)03UMMSCfalse
Dimensions Healthcare Associates
3001 Hospital DriveCheverlyMD20785521902711HealthcareMD501(c)(3)12AUMCAPRHfalse
UM Capital Region Health Inc
250 W Pratt St Ste 2400BaltimoreMD21201823596114HealthcareMD501(c)(3)12CUMMSCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Arundel Physicians Associates LLC
301 Hospital DriveGlen BurnieMD20161522000762HealthcareMDAPA Inc
Baltimore Washington Imaging LLC
301 Hospital DriveGlen BurnieMD20161200806027HealthcareMDUMBWMS
Universitycare LLC
22 South Greene StreetBaltimoreMD21201521914892HealthcareMDUMMSC
O'Dea Medical Arts Limited Partnership
7601 Osler DriveTowsonMD21204521682964RentalMDSJMC Prop
Advanced Imaging at St Joseph Medical C
7601 Osler DriveTowsonMD21204521958002HealthcareMDUMSJMC
University of Maryland Charles Regional
PO Box 1070LaPlataMD20646300956382HealthcareMDUMCRCP
Baltimore ASC Ventures LLC
7620 York RoadTowsonMD21204824133899HealthcareDEUMSJMC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Arundel Physicians Associates Inc
301 Hospital DriveGlen BurnieMD21061521992649HealthcareMDBWHEC Corpfalse
Baltimore Washington Health Enterprises
301 Hospital DriveGlen BurnieMD21061521936656HealthcareMDUMBWMSC Corpfalse
BW Professional Services Inc
301 Hospital DriveGlen BurnieMD21061521655640HealthcareMDBWHEC Corpfalse
NA Executive Building Condo Assn Inc
301 Hospital DriveGlen BurnieMD21061Real EstateMDNADCOC Corpfalse
UM Charles Regional Care Partners
PO Box 1070La PlataMD20646522176314HealthcareMDUMCRHC Corpfalse
University Midtown Prof Center A Condo
827 Linden AvenueBaltimoreMD21201521891126Real EstateMDUMMHC Corpfalse
University of Maryland Health Advantage
22 South Greene StreetBaltimoreMD21201461411902InsuranceMDUMMSHPC Corpfalse
University of Maryland Health Partners
22 South Greene StreetBaltimoreMD21201452815803InsuranceMDUMMSHPC Corpfalse
University of Maryland Medical System He
22 South Greene StreetBaltimoreMD21201452815722InsuranceMDUM Hlth VentC Corpfalse
Upper Chesapeake Insurance Company
520 Upper Chesapeake DrBel AirMD21014980468438InsuranceMDUMUCHSLTDfalse
Upper Chesapeake Health Ventures Inc
520 Upper Chesapeake DrBel AirMD21014522031264HealthcareMDUMUCHSC Corpfalse
Upper Chesapeake Medical Center Land Con
520 Upper Chesapeake DrBel AirMD21014770674478Real EstateMDUC Med CrtC Corpfalse
Upper Chesapeake Medical Office Building
520 Upper Chesapeake DrBel AirMD21014521946829Real EstateMDUC Hlth VentC Corpfalse
Shore Orthopedics Inc
219 S Washington StreetEastonMD21601371817262HealthcareMDSHSC Corpfalse
Madison Manor Inc
5801 42nd AveHyattsvilleMD20781521269059HealthcareMDUMCAPRHC Corpfalse
Affiliated Enterprises Inc
3001 Hospital DriveCheverlyMD20785521542144HealthcareMDUMCAPRHC Corpfalse
Dimensions Assurance LTD
980348082InsuranceUMMSCC CorpfalsePO Box 1363 Genesis BldgGrand CaymanCJCJ
Riverside Health of Delaware Inc
1966 Greenspring Drive Ste 600TimoniumMD21093463205820HealthcareDEUMMSHPC Corpfalse
Riverside Health of DC Inc
1966 Greenspring Drive Ste 600TimoniumMD21093461411713HealthcareDCUMMSHPC 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 OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
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 OrgfalseReimbursementPaidToOtherOrgInd
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.