CIVISTA MEDICAL CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CIVISTA MEDICAL CENTER INC (EIN 52-0445374)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201811319349301726
Schema version
2016v3.1
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)
Return2018-05-11T09:49:07-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Begin2016-07-01TaxPeriodBeginDt

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)
PersonERIK BOASPersonNm
Person TitleCFOPersonTitleTxt
Phone3016094130PhoneNum
Signature2018-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFrank GiardiniPreparerPersonNm
PTINP00532355PTIN
Phone2155614200PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

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 AvenueAddressLine1Txt
CityLa PlataCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20646ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$139,535,295GrossReceiptsAmt
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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1101TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$84,431TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$57,467NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$199,586CYContributionsGrantsAmt
PY Program Service Revenue$133,783,449PYProgramServiceRevenueAmt
CY Program Service Revenue$137,873,060CYProgramServiceRevenueAmt
PY Investment Income$504,610PYInvestmentIncomeAmt
CY Investment Income$955,981CYInvestmentIncomeAmt
PY Other Revenue$653,627PYOtherRevenueAmt
CY Other Revenue$506,668CYOtherRevenueAmt
PY Total Revenue$134,941,686PYTotalRevenueAmt
CY Total Revenue$139,535,295CYTotalRevenueAmt
PY Grants And Similar Paid$21,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,950,667PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,921,816CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$67,198,823PYOtherExpensesAmt
CY Other Expenses$70,969,359CYOtherExpensesAmt
PY Total Expenses$121,170,490PYTotalExpensesAmt
CY Total Expenses$126,897,675CYTotalExpensesAmt
PY Revenues Less Expenses$13,771,196PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,637,620CYRevenuesLessExpensesAmt
Total Assets BOY$153,443,724TotalAssetsBOYAmt
Total Assets EOY$158,482,503TotalAssetsEOYAmt
Total Liabilities BOY$96,591,224TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,279,737TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,852,500NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$72,202,766NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCIVISTA MEDICAL CENTER, INC. 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$108,425,433ExpenseAmt
Grant$6,500GrantAmt
Revenue$138,874,780RevenueAmt
DescPROGRAM SERVICE ACTIVITY #1 Charles Regional MEDICAL CENTER, INC. (UM CRMC) IS A COMPONENT OF A REGIONAL INTEGRATED HEALTHCARE SYSTEM SERVING THE HEALTH NEEDS OF CHARLES COUNTY AND THE CITIZENS OF SOUTHERN MARYLAND. GOVERNANCE IS PROVIDED THROUGH A COMMUNITY VOLUNTEER BOARD OF DIRECTORS AND COMMUNITY HEALTH IMPROVEMENT STRATEGIES ARE INCLUDED IN THE ORGANIZATIONS STRATEGIC PLAN. UM CRMCS 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 WORKING WITH HEALTH - PROVIDING AGENCY PARTNERS. FROM JULY 2014 TO MARCH 2015, UM CRMC, IN COLLABORATION WITH THE CHARLES COUNTY DEPARTMENT OF HEALTH (CCDOH) UNDERTOOK A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS OF CHARLES COUNTY, MARYLAND. AN EPIDEMIOLOGIST WITH A MASTERS DEGREE IN PUBLIC HEALTH EPIDEMIOLOGY WAS CONTRACTED TO ANALYZE THE QUALITATIVE AND QUANTITATIVE DATA. TO PROVIDE A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS OF THE COUNTY, A FOUR-METHOD PLAN WAS DEVELOPED WHICH INCLUDED FOUR 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, 15 FOCUS GROUPS WITH COMMUNITY LEADERS, CITIZENS, AND STAKEHOLDERS, AND A QUANTITATIVE DATA ANALYSIS OF SECONDARY, PUBLISHED DATA. DATA COLLECTION OCCURRED BETWEEN JULY 2014 AND FEBRUARY 2015. 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. FIFTEEN FOCUS GROUPS WERE PERFORMED THROUGHOUT THE COUNTY BETWEEN JULY 2014 AND FEBRUARY 2015. THE FOCUS GROUP TOPICS INCLUDED: CHRONIC DISEASE SPECIFIC HEALTH, SPECIAL POPULATIONS, COUNTY LEADERSHIP, DRUG AND ALCOHOL COUNCIL MEMBERS, CHARLES COUNTY SUBSTANCE ABUSE ADVISORY COALITION MEMBERS, SCHOOL NURSES, IN-HOUSE HEALTH DEPARTMENT NURSES, FITNESS AND NUTRITION, MINORITY HEALTH AND HEALTH DISPARITIES, PREVENTION AND SAFETY, FAITH-BASED LEADERS, BEHAVIORAL HEALTH, REPRODUCTIVE AND INFANT HEALTH, CANCER, AND ACCESS TO CARE. APPROXIMATELY 235 PEOPLE PARTICIPATED IN THE COUNTY FOCUS GROUPS. ATTENDANCE FOR THOSE MEETINGS RANGED FROM 5 TO 100 PEOPLE. 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, JUST TO NAME A FEW. A COMPLETE LISTING OF THE NAMES OF THE COMMUNITY REPRESENTATIVES PARTICIPATING IN THE FOCUS GROUPS IS LOCATED AS AN ADDENDUM TO UM CRMCS CHNA (UM CRMC 2015 CHNA) BEGINNING ON PAGE 242. 806 CHARLES COUNTY RESIDENTS COMPLETED THE 27 QUESTION ONLINE SURVEY THAT WAS CREATED USING SURVEY MONKEY. THE LINK TO THE SURVEY WAS AVAILABLE ON THE UNIVERSITY OF MARYLAND CHARLES REGIONAL MEDICAL CENTER 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 ARE FROM CHARLES COUNTY (82.4%). THE SECOND LARGEST PERCENTAGE IS FROM ST MARYS COUNTY (7.22%). ONLY 4% REPORTED LIVING OUTSIDE OF SOUTHERN MARYLAND (CHARLES, CALVERT, ST MARYS, OR PG). APPROXIMATELY 69% OF THE RESPONDENTS WERE BETWEEN THE AGES OF 35-64 YEARS. THE HIGHEST PERCENTAGE WAS IN THE 45-54 YEAR AGE GROUP (30%). THE OVERWHELMING MAJORITY OF THE RESPONDENTS WERE FEMALE (81%). MINORITIES WERE UNDER-REPRESENTED IN THE FY 2012 SURVEY. THEREFORE, INCREASED OUTREACH WAS DONE WITH THE HELP OF COMMUNITY PARTNERS AND AGENCIES TO BOLSTER MINORITY PARTICIPATION IN THE FY 2015 SURVEY. THESE EFFORTS WERE SUCCESSFUL. MINORITIES MADE UP 35% OF THE TOTAL 2014 SURVEY POPULATION. AFRICAN AMERICANS COMPRISED 30% OF THE RESPONDENTS, FOLLOWED BY 4% ASIAN/PACIFIC ISLANDER AND 1% AMERICAN INDIAN/NATIVE AMERICAN. FOURTEEN RESPONDENTS SELF-REPORTED AS 2 OR MORE RACES. APPROXIMATELY 4% OF THE SURVEY RESPONDENTS SELF-IDENTIFIED AS HISPANIC. THIS IS SIMILAR TO THE COUNTY OVERALL HISPANIC POPULATION OF 5%. A SHORT 4 QUESTION SURVEY WAS DISTRIBUTED THROUGHOUT THE COUNTY REGARDING PERCEPTIONS OF HEALTH WITHIN THE COUNTY. A TOTAL OF 1,002 SHORT SURVEYS WERE COMPLETED. ONGOING SURVEY COLLECTION WAS CONDUCTED AT THE CHARLES COUNTY DEPARTMENT OF HEALTHS NURSING, SUBSTANCE ABUSE, AND MENTAL HEALTH CLINICS; UM CRMCS WAITING ROOMS AND CARDIAC REHABILITATION PROGRAM; THE CENTER FOR CHILDREN; HEALTH PARTNERS INC; THE WESTERN COUNTY FAMILY MEDICAL CENTER; AND CAMBRIDGE PEDIATRICS. THE COMMUNITY WAS ALSO SURVEYED AT LARGE EVENTS SUCH AS MISSION OF MERCY, CHARLES COUNTY HOMELESS RESOURCE DAY, THE CHARLES COUNTY FAIR, COLLEGE OF SOUTHERN MARYLAND HEALTH AND WELLNESS FAIR, LIFESTYLES FOOD DISTRIBUTION DAYS, NANJEMOY BACK TO SCHOOL FAIR, NANJEMOY NATIONAL NIGHT OUT, AND NANJEMOY HERITAGE DAYS. A CRITICAL PART OF THE NEEDS ASSESSMENT PROCESS IS TO INVITE THE COMMUNITY TO EXPRESS THEIR PERCEPTIONS OF HEALTH STATUS. QUALITATIVE DATA CUMULATED FROM THIS PROCESS WAS USED IN CONJUNCTION WITH THE QUANTITATIVE HEALTH DATA TO DETERMINE THE MOST IMPORTANT HEALTH ISSUES WITHIN THE COUNTY. ACCOMPLISHMENTS: UM CRMC PROVIDED $10.8 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 2017. THE HOSPITAL PROVIDED MANY PROGRAMS, SERVICES, ACTIVITIES AND SCREENINGS THROUGHOUT THE COMMUNITY. LISTED HERE ARE PROGRAM ACCOMPLISHMENTS SPECIFIC TO IDENTIFIED NEEDS FROM THE MOST RECENT CHNA: - THREE TEAMS OF REPRESENTATIVES FROM THE LOCAL HEALTH IMPROVEMENT COALITION WERE FORMED TO ADDRESS THE IDENTIFIED NEEDS IN THE FY 2015 CHNA. FOUR 3-YEAR ACTION PLANS WERE DEVELOPED WITHIN THE TEAMS TO ADDRESS THE NEEDS USING BENCHMARKS SUCH AS COUNTY PERFORMANCE (MD SHIP) DATA, HEALTHY PEOPLE 2020, CDC GUIDELINES, UM CRMC POPULATION HEALTH STRATEGIC PLAN, ETC. THIRTY ACTION ITEMS WERE DEVELOPED. CHRONIC DISEASE MANAGEMENT AND PREVENTION - CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP): TRAINED STAFF IN UNIVERSITY OF STANFORDS PROGRAM; OFFERED 16 FREE CDSMP CLASSES WITH A TOTAL OF 137 PARTICIPANTS - COMMUNITY RESOURCE GUIDE: DEVELOPED TO PROMOTE SERVICES AND PROGRAMS FOR PEOPLE WITH CHRONIC DISEASE; 2000 DISTRIBUTED - STROKE EDUCATION AND OUTREACH: STROKE AWARENESS; COMMUNITY EVENTS; 625 EDUCATED - BETTER BREATHERS CLUB: EDUCATED 77 PEOPLE FOR COPD AND ASTHMA MANAGEMENT - COLORECTAL CANCER EDUCATION: CHARLES COUNTY FAIR INFLATABLE COLON; 1000 PEOPLE EDUCATED ON EARLY DETECTION BEHAVIORAL HEALTH - CHARLES COUNTY PRESCRIPTION DRUG TAKE BACK: PARTNERED WITH CC GOVERNMENT, MD GOVERNOR'S OFFICE AND LOCAL PHARMACIES; LAUNCH IN FY 16; 1283 PRESCRIPTION TAKE BACKS IN FY 17 - COMMUNITY EDUCATION AND OUTREACH: COMMUNITY EVENTS, PROJECT GRADUATION, OPIATE AWARENESS CAMPAIGN (VAN GO), COMMUNITY PRESENTATION TO PARENTS @ CSM ON DRUG AWARENESS; 9700 EDUCATED - MENTAL HEALTH FIRST AID TRAINING: ALL CCPS SCHOOL COUNSELORS AND PRINCIPALS TRAINED; LAW ENFORCEMENT AND FIRST RESPONDERS IN PROCESS OF TRAINING; 387 TRAINED - BEHAVIORAL HEALTH COUNSELOR IN ED: CONTRACT WITH CALVERT MEMORIAL HOSPITAL; EVALUATING THE FEASIBILITY OF TELE-PSYCH SERVICES IN FY 17 ACCESS TO CARE - RECRUITED 3 HEALTH CARE PROVIDERS TO THE COMMUNITY - URGENT CARE: OPENED IN SEPTEMBER 2015; GENERATED 13,584 VISITS IN FY 17; 34% OF RESPONDENTS STATED GOING TO URGENT CARE INSTEAD OF ED - LAUNCHED A COMMUNITY EDUCATION CAMPAIGN ON WHEN TO USE ED VS. URGENT CARE; 15,000 DISTRIBUTED - POPULATION HEALTH DEPARTMENT: ONE MANAGER AND TWO NURSE NAVIGATORS; HIRED 7 NEW POSITIONS IN FY 17 WITH A TOTAL OF 12 POSITIONS IN THE DEPARTMENT - MOBILE INTEGRATED HEALTH PROGRAM: IN PARTNERSHIP WITH CCDOH AND CC EMS, SECURED $350,000 IN 3 YEAR GRANT FUNDING FOR PILOT TO IMPROVE ACCESS TO CARE AND WRAP AROUND HEALTH CARE TO COMMUNITY MEMBERS WITH BARRIERS. IN ADDITION TO PARTICIPATING IN THE PROGRAM UM CRMC WILL CONTRIBUTE FINANCIALLY TO THE PROGRAM FOR 3 YEARS. FY 17 WAS USED AS THE PLANNING YEAR, PROGRAM WILL LAUNCH IN FY 18 - HEALTH LITERACY: IN PARTNERSHIP WITH THE UMMS, DEVELOPED AND PRESENTED A HEALTH LITERACY EDUCATION VIDEO AND DOCUMENT CHECKLIST FOR HEALTH CARE WORKERS: 2 GROUP PRESENTATIONS TO DATE - PROMOTED COUNTY HEALTH RESOURCES AT 25 COUNTY EVENTS - PROMOTED COUNTY HEALTH RESOURCES AT 25Desc
Total Program Service Expenses$108,425,433TotalProgramServiceExpensesAmt
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document156IRPDocumentCnt
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Shelly Culhane
Board Chair1.01.0Yes (X)Yes (X)$0$0$0
Richard Winkler
Vice Chair1.01.0Yes (X)Yes (X)$0$0$0
R Wayne Barnes
Secretary/Treasurer1.01.0Yes (X)Yes (X)$0$0$0
Louis Jenkins Jr
Director1.01.0Yes (X)$0$0$0
Dianna Abney MD
Director1.01.0Yes (X)$0$0$0
Khadar Baig MD
Director1.01.0Yes (X)$0$0$0
Brianna Bowling
Director1.01.0Yes (X)$0$0$0
Michael Cady
Director1.01.0Yes (X)$0$0$0
Anthony B Covington
Director1.01.0Yes (X)$0$0$0
Richard Ferraro MD
Ex-Officio Director1.01.0Yes (X)$0$0$0
B Larry Jenkins JR MD
Director1.01.0Yes (X)$0$0$0
Sara A Middleton
Director1.02.0Yes (X)$0$0$0
Ashvin J Patel MD
Director1.01.0Yes (X)$0$0$0
Austin Joseph Slater
Director1.01.0Yes (X)$0$0$0
Robert A Chrencik
Ex-Officio/Director1.057.5Yes (X)$0$4,241,043$24,034
Jon P Burns
Ex-Officio/Director1.041.0Yes (X)$0$648,238$24,034
Noel A Cervino
Ex-Officio/President & CEO40.015.0Yes (X)Yes (X)$664,798$0$27,652
Erik Boas
Chief Financial Officer40.015.0Yes (X)$339,654$0$8,768
Dana Levy
Chief Nursing Officer40.00.0$245,710$0$30,170Yes (X)
Joseph D Moser
Chief Medical Officer40.00.0$254,563$0$30,046Yes (X)
Paul Blackwood
VP Planning40.00.0$290,055$0$20,994Yes (X)
William Grimes
VP Ancilliary Services40.00.0$207,591$0$22,010Yes (X)
Marilyn Gregory
RN40.00.0$177,432$0$1,300Yes (X)
Katherine Middleton
RN40.00.0$177,530$0$5,398Yes (X)
Gabriel Abiola
Clinical Pharmacist40.00.0$163,894$0$21,031Yes (X)
Mark R Dumais
Former Chief Medical Officer0.00.0$240,071$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,761,298TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,889,281TotReportableCompRltdOrgAmt
Total Other Compensation$215,437TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K46IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARYLAND INPATIENT CARE SPECIALISTS
7250 PARKWAY DRIVE SUITE 500HANOVERMD21076PHYSICIANS$2,517,381
CROTHALL HEALTHCARE
13028 COLLECTIONS CTR DRIVECHICAGOIL60693ENVIRONMENTAL SERVS$1,900,099
EMERGENCY MEDICINE ASSOCIATES
20010 CENTURY BLVD SUITE 200GERMANTOWNMD20874CONTRACTED STAFFING$1,699,871
CMI GENERAL CONTRACTORS INC
30069 BUSINESS CENTER DRCHARLOTTE HALLMD20622CONSTRUCTION$1,129,901
HEALOGICS WOUND CARE
28525 NETWORK PLACECHICAGOIL60673WOUND CARE$757,972
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt
Government Grants$87,073GovernmentGrantsAmt
All Other Contributions$112,513AllOtherContributionsAmt
Total Contributions$199,586TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business900099BusinessCd
Total Revenue Column$137,873,060TotalRevenueColumnAmt
Related Or Exempt Func Income$137,873,060RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$137,873,060TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$179,782TotalRevenueColumnAmt
Exclusion$179,782ExclusionAmt

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$776,199SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$776,199SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$776,199TotalRevenueColumnAmt
Exclusion$776,199ExclusionAmt
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 RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & COFFEE BAR SALES900099$357,052$357,052
ANSWERING SERVICE561000$84,431$84,431
OTHER REVENUE900099$65,185$65,185
FieldValueIRS element (for citing)
Other Revenue Total$506,668OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,535,295TotalRevenueColumnAmt
Related Or Exempt Func Income$137,938,245RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$84,431UnrelatedBusinessRevenueAmt
Exclusion$1,313,033ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,500TotalAmt
Program Services$6,500ProgramServicesAmt

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$1,744,796TotalAmt
Program Services$740,344ProgramServicesAmt
Management And General$1,004,452ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,537,934TotalAmt
Program Services$37,007,244ProgramServicesAmt
Management And General$6,530,690ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,549,119TotalAmt
Program Services$2,166,751ProgramServicesAmt
Management And General$382,368ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,836,011TotalAmt
Program Services$4,110,609ProgramServicesAmt
Management And General$725,402ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,253,956TotalAmt
Program Services$2,765,863ProgramServicesAmt
Management And General$488,093ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$152,904TotalAmt
Management And General$152,904ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,392TotalAmt
Management And General$6,392ManagementAndGeneralAmt

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$14,746,687TotalAmt
Program Services$13,276,511ProgramServicesAmt
Management And General$1,470,176ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$44,792TotalAmt
Management And General$44,792ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,056,447TotalAmt
Management And General$3,056,447ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,343,708TotalAmt
Program Services$2,842,152ProgramServicesAmt
Management And General$501,556ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$42,942TotalAmt
Program Services$36,501ProgramServicesAmt
Management And General$6,441ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$84,950TotalAmt
Program Services$72,208ProgramServicesAmt
Management And General$12,742ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,745,905TotalAmt
Program Services$2,334,019ProgramServicesAmt
Management And General$411,886ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,666,654TotalAmt
Program Services$4,816,656ProgramServicesAmt
Management And General$849,998ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,137,344TotalAmt
Program Services$962,172ProgramServicesAmt
Management And General$175,172ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES AND DRUGS$15,795,727$15,795,727
PURCHASED SERVICES$15,644,924$13,298,185$2,346,739
BAD DEBT$6,460,039$6,460,039
EQUIPMENT SERVICE CONTRACTS$843,791$717,222$126,569

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,196,153TotalAmt
Program Services$1,016,730ProgramServicesAmt
Management And General$179,423ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$126,897,675TotalAmt
Program Services$108,425,433ProgramServicesAmt
Management And General$18,472,242ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,899,409BOYAmt
EOY$8,549,521EOYAmt

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$7,721,480BOYAmt
EOY$8,559,999EOYAmt

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$1,487,388BOYAmt
EOY$1,391,364EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$479,198BOYAmt
EOY$794,618EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$126,739,697LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$51,014,662LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$75,125,637BOYAmt
EOY$75,725,035EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,177,000BOYAmt
EOY$11,651,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,746,296BOYAmt
EOY$19,494,373EOYAmt

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$28,807,316BOYAmt
EOY$32,316,593EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$153,443,724BOYAmt
EOY$158,482,503EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,136,413BOYAmt
EOY$12,671,516EOYAmt

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$5,508,806BOYAmt
EOY$4,411,514EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,946,005BOYAmt
EOY$69,196,707EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,591,224BOYAmt
EOY$86,279,737EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,759,903BOYAmt
EOY$72,110,169EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,852,500BOYAmt
EOY$72,202,766EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$153,443,724BOYAmt
EOY$158,482,503EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,637,620ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$740,050NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,972,596OtherChangesInNetAssetsAmt
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule 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 LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$6,392OtherActivitiesAmt
Total Lobbying Expenditures$6,392TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITIESFormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION DOES NOT ENGAGE IN ANY DIRECT LOBBYING ACTIVITIES. 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 6.46% AND 21.78% 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$75,987,191OtherCostOrOtherBasisAmt
Depreciation$20,802,525DepreciationAmt
Book Value$55,184,666BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,057,496OtherCostOrOtherBasisAmt
Depreciation$516,160DepreciationAmt
Book Value$541,336BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,922,862OtherCostOrOtherBasisAmt
Depreciation$29,695,977DepreciationAmt
Book Value$16,226,885BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,772,148OtherCostOrOtherBasisAmt
Book Value$3,772,148BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$75,725,035TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER SECURITIESDesc
Book Value$19,494,373BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Securities$19,494,373TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$18,035,335
ECONOMIC INTEREST -NET ASSETS$5,179,372
DUE FROM AFFILIATES$4,936,580
INV. CHES POTOMAC HEALTHCARE$3,591,637
OTHER CURRENT RECEIVABLES$355,584
PHYSICIAN LOANS$206,612
SECURITY DEPOSIT$11,473
FieldValueIRS element (for citing)
Total Book Value Other Assets$32,316,593TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO AFFILIATES$52,991,159
ACCRUED PENSION COSTS$9,149,317
MALPRACTICE IBNR$3,423,536
ADVANCES FROM THIRD PARTIES$2,592,850
LEASE LIABILITIES$439,782
OTHER LIABILITIES$600,063
FieldValueIRS element (for citing)
Total Liability$69,196,707TotalLiabilityAmt
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 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$1,123,982TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,123,982NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,123,982TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,123,982NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$641,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$486DirectOffsettingRevenueAmt
Net Community Benefit Expns$640,874NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$308,602TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$308,602NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,129,537TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,129,537NetCommunityBenefitExpnsAmt
Total Expense0.05090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,461TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,461NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,130,960TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$486DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,130,474NetCommunityBenefitExpnsAmt
Total Expense0.05920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,254,942TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$486DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,254,456NetCommunityBenefitExpnsAmt
Total Expense0.06850TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,613TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,613NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$124,279TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,279NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,001TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,001NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$195,955TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$195,955NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$323,848TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$293,848NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,460,039BadDebtExpenseAmt
Reimbursed By Medicare$50,019,404ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$50,813,054CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$793,650MedicareSurplusOrShortfallAmt

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 Conducted15CHNAConductedYr
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
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
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 URLhttp://www.charlesregional.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.charlesregional.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.charlesregional.orgFAPSummaryOnWebsiteURLTxt
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
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
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 2014 to March 2015, the Civisa Medical Center (UM CRMC), in collaboration with the Charles County Department of Health (CCDOH) 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 four method plan was developed which included 4 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, 15 focus groups with community leaders, citizens, and stakeholders, and a quantitative data analysis of secondary, published data. Data collection occurred between July 2014 and February 2015. 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. Fifteen focus groups were formed throughout the county between July 2014 and February 2015. The focus group topics included: chronic disease specific health, special populations, county leadership, drug and alcohol council members, Charles County substance abuse advisory coalition members, youth through the school nurses, in-house health department nurses, fitness and nutrition, minority health and health disparities, prevention and safety, faith-based leaders, behavioral health, reproductive and infant health, cancer, and access to care. Approximately 235 people participated in the county focus groups. Attendance for those meetings ranged from 5 to 100 people. 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, just to name a few. A complete listing of the names of the community representatives participating in the focus groups is located as an addendum to UM CRMCs CHNA (UM CRMC 2015 CHNA) beginning on page 242. 806 Charles County residents completed the 27 question online survey that was created using Survey Monkey. The link to the survey was available on the University of Maryland Charles Regional Medical Center 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 are from Charles County (82.4%). The second largest percentage is from St Marys County (7.22%). Only 4% reported living outside of Southern Maryland (Charles, Calvert, St Marys, or PG). Approximately 69% of the respondents were between the ages of 35-64 years. The highest percentage was in the 45-54 year age group (30%). The overwhelming majority of the respondents were female (81%). Minorities were under-represented in the FY 2012 survey. Therefore, increased outreach was done with the help of community partners and agencies to bolster minority participation in the FY 2015 survey. These efforts were successful. Minorities made up 35% of the total 2014 survey population. African Americans comprised 30% of the respondents, followed by 4% Asian/Pacific Islander and 1% American Indian/Native American. Fourteen respondents self reported as 2 or more races. Approximately 4% of the survey respondents self identified as Hispanic. This is similar to the county overall Hispanic population of 5%. A short 4 question survey was distributed throughout the county regarding perceptions of health within the county. The A total of 1,002 short surveys were completed. Ongoing survey collection was conducted at the Charles County Department of Healths Nursing, Substance Abuse, and Mental Health clinics; the University of Maryland Charles Regional Medical Centers Waiting Rooms and Cardiac Rehabilitation Program; the Center for Children; Health Partners Inc; the Western County Family Medical Center; and Cambridge Pediatrics. The community was also surveyed at large events such as Mission of Mercy, Charles County Homeless Resource Day, the Charles County Fair, College of Southern Maryland Health and Wellness Fair, Lifestyles Food Distribution Days, Nanjemoy Back to School Fair, Nanjemoy National Night Out, and Nanjemoy Heritage Days. A critical part of the needs assessment process is to invite the community to express their perceptions of health status. Qualitative data cumulated from this process was used in conjunction with the quantitative health data to determine the most important health issues within the county.
CHNA Conducted with One or More Organizations Other than HospitalSchedule H, Part V, Line 6b UM 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 Partnerships for a Healthier Charles County (PHCC) to complete the CHNA. Executive Leadership of PHCC consists of the CEO of UM CRMC, the County Health Officer, the Superintendent of Charles County Public Schools and the President of the College of Southern 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 -UM CRMC, Noel Cervino, President and CEO Steering Committee of LHIC -Charles County Dept. of Health, William Leebel, Public Information Officer -Charles County Public Schools, Jennifer Conte, Coordinator of Student Intervention Programs -College of Southern Maryland, Linda Smith, Project Coordinator, Safe Communities -UM CrMC, Joyce Riggs, Dir., Community development and Planning Subcommittees: -Health Partners Clinic, Chrissie Mulcahey, DirectorChair, Access to Care -Charles County Dept. of Health, Mary Beth Klick, Tobacco Prevention Coordinator, Co-Chair, Chronic Disease Prevention and Management Subcommittee -UM 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
Needs not Addressed by the Most Recently Conducted CHNASchedule H, Part V, Line 11 Based on the priority score using the Hanlon Method, the health priorities chosen include: 1. Chronic Disease Prevention and Management -Major Cardiovascular Disease (Heart Disease, Hypertension, and Stroke) -Obesity and Overweight -Diabetes Prevalence -Cancer 2. Behavioral Health -Substance Use Disorders (Alcohol, Drug, and Tobacco Use) -Mental Health 3. Access to Care -Physician Recruitment and Retention -Social Determinants of Health (transportation, health literacy) All 3 priorities outlined in the CHNA are being addressed by UM CRMC either directly (Physician Recruitment), or through partnerships with other organizations (i.e. Chronic Disease Self-Management Program), or through the LHIC, Partnerships for a Healthier Charles County (PHCC) which is co-led and financially supported by UM CRMC. Where a need is appropriately addressed by another community entity, UM 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 Hospitals Director of Community Development and Planning serves as the co-chair of the county LHIC. Hospital Efforts Before Initiating Action Schedule H, PArt V, line 20e 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.
Individuals Eligible for Financial AssistanceSCHEDULE H, PART V, SECTION B, LINE 22D ALL PATIENTS ARE CHARGED STATE REGULATED RATES REGARDLESS OF THEIR ABILITY TO PAY. Individuals Eligible for Financial Assistance SCHEDULE H, PART V, SECTION B, LINE 24 THE STATE OF MARYLAND IS A UNIQUE STATE IN REGARD TO THE PROVISION OF HEALTH CARE SERVICES AND THEIR RELATED CHARGES BY HOSPITALS. ALL HOSPITAL CHARGES PROCESSED TO ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, ARE SET THROUGH MARYLAND'S HEALTH SERVICES COST COMMISSION. ACCORDINGLY, ALL HOSPITAL CHARGES ARE NOT GROSS CHARGES AS DEFINED BY THE IRS UNDER INTERNAL REVENUE CODE SECTION 501(R)(5)(B).

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Related Organization ReportSchedule H, Part I, Line 6a AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR EACH FISCAL YEAR ENDING JUNE 30. THIS REPORT IS SUBMITTED TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), A STATE REGULATORY AGENCY, BY DECEMBER 15 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AT THE ENTITY'S CORPORATE OFFICES.
Cost Attributable to a Physical ClinicSchedule H, Part I, Line 7 Marylands 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. Marylands 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. Schedule H, Part I, Line 7B, Columns (C) through (F) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. ADDITIONALLY, NET REVENUES FOR MEDICAID SHOULD REFLECT THE FULL IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. SCHEDULE H, PART I, LINE 7F COLUMN (C) & (D) 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 Building ActivitiesSchedule H, Part II As the only hospital serving Charles County, Maryland, Charles Regional Medical Center (UM CRMC) supports programs and activities where the hospitals expertise and resources can influence the fundamental issues that affect the health of the community. UM 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. UM 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 Commissioners healthcare taskforce and support of College of Southern Maryland Nursing and Allied Health programs. In addition, UM CRMC participates and supports the Black Leadership Council on Excellences Young Researchers Community Project which offers disadvantage 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, UM CRMC has developed a robust and ongoing physician recruitment and retainment program. Bad Debt Expense Schedule H, Part III, line 2 & 4 UM CRMC REPORTS BAD DEBT EXPENSE IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) HFMA 15. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE 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, AS WELL AS, THE ACCUMULATION OF RECEIVABLE BALANCES BY PERIOD OUTSTANDING. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY NECESSARY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND THE ESTABLISHED 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. Medicare Cost Report Schedule H, Part III, line 8 In Maryland, 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 Collection Practices Schedule H, Part III, Line 9b THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS. 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. UM 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 -UM CRMC WEBSITE -PATIENT HANDBOOK DISTRIBUTED TO ALL PATIENTS -BROCHURES EXPLAINING FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN ALL PATIENT CARE AREAS -PATIENT PLAIN LANGUAGE SHEETS - NEWLY REVISED IN JUNE 2016, THIS HANDOUT WAS REVISED AND IS AT THE 5TH GRADE READING LEVEL (AVAILABLE IN ENGLISH, SPANISH, FRENCH & CHINESE BASED ON TOP LANGUAGES SPOKEN BY UM CRMC PATIENTS) -APPEARING IN PRINT MEDIA THROUGH LOCAL NEWSPAPERS
Community Health Care Needs AssessmentSchedule H, Part VI, line 2 From July 2014 to March 2015, UM 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 four method plan was developed which included 4 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, 15 focus groups with community leaders, citizens, and stakeholders, and a quantitative data analysis of secondary, published data. Data collection occurred between July 2014 and February 2015. 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. Fifteen focus groups were performed throughout the county between July 2014 and February 2015. The focus group topics included: chronic disease specific health, special populations, county leadership, drug and alcohol council members, Charles County substance abuse advisory coalition members, youth through the school nurses, in-house health department nurses, fitness and nutrition, minority health and health disparities, prevention and safety, faith-based leaders, behavioral health, reproductive and infant health, cancer, and access to care. Approximately 235 people participated in the county focus groups. 806 Charles County residents completed the 27 question online survey that was created using Survey Monkey. The link to the survey was available on the University of Maryland Charles Regional Medical Center 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. A short 4 question survey was distributed throughout the county regarding perceptions of health within the county. The A total of 1,002 short surveys were completed. Ongoing survey collection was conducted at the Charles County Department of Healths Nursing, Substance Abuse, and Mental Health clinics; UM CRMCs Waiting Rooms and Cardiac Rehabilitation Program; the Center for Children; Health Partners Inc; the Western County Family Medical Center; and Cambridge Pediatrics. The community was also surveyed at large events such as Mission of Mercy, Charles County Homeless Resource Day, the Charles County Fair, College of Southern Maryland Health and Wellness Fair, Lifestyles Food Distribution Days, Nanjemoy Back to School Fair, Nanjemoy National Night Out, and Nanjemoy Heritage Days. 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 uninsurance, cancer, asthma, injuries, diabetes, obesity, osteoporosis, arthritis, dementia/Alzheimers disease, communicable disease, environmental health, sexually transmitted diseases, HIV/AIDS, mental health, dental health, substance abuse, disabilities, and tobacco use.
Eligibility EducationSchedule H, Part VI, line 3 UM CRMC posts its charity care policy, or a summary thereof, as well as financial assistance contact information in admissions areas, emergency rooms, business offices and other areas of the facility where eligible patients are likely to present. Additionally, the policy and plain language version are available on the hospitals public website. The financial assistance policy (FAP) is written in a culturally sensitive and at an appropriate reading level. It is available in English and Spanish. All Patient Access Customer Service Staff have training in the financial assistance process. During the intake or discharge process or when there is contact regarding a billing matter, if a patient discloses financial difficulty or concern with payment of the bill, the patient is provided with FAP information. A packet with the application, criteria and a documentation checklist is provided. Assistance completing the application is available. Additionally, assistance is provided for patients or their families in qualification and application of government benefits, Medicaid and other state programs. Once an application is processed and if it is deemed incomplete, a letter is sent to the patient requesting the missing or incomplete items. Patients may call the Call Center or come into the Patient Access Office for assistance.
Description of Community ServedSchedule H, PArt VI, line 4 UM CRMC is Charles Countys only hospital and, as such, serves the residents of the entire county. Geography Charles County is located 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 Marylands twenty-four counties and accounts for about 5 percent of Marylands 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 the countys residents live in the greater Waldorf-La Plata area. By contrast, the southern (Cobb Neck area) and western (Nanjemoy, Indian Head, Marbury) areas of the region still remain very rural with smaller populations. Population Charles County has experienced rapid growth since 1970, expanding its population from 47,678 in 1970 to 120,546 in the 2000 census and 146,551 in the 2010 census. The current 2016 Census Bureau estimates the population at 157,705 for a 7.6% increase in six years. The magnitude of growth can be seen in the changes in population density. The 1990 census showed that there were 219.4 individuals per square mile, which increased to 261.5 individuals per square mile by 2000, an increase of 19.2%, and to 320.2 individuals per square mile by 2010, an increase of 22.5%. Source: 2011-2015 US Census Bureaus American Community Survey 5 year estimates and 2016 one-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 42.8 minutes which is higher than the Maryland average of 32.3 minutes (Source US Census Bureau's 2011-2015 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: 2011-2015 US Census Bureaus 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 Bureaus 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 Bureaus American Community Survey 1 year estimate Economy Employment and economic indicators for the county are fairly strong. The 2011-2015 US Census American Community Survey estimates that 68.5% of the Charles County population is currently in the labor work force. The 2011-2015 5-year estimate for Charles County found that approximately 7.1% 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 $90,607, well above the Maryland median household income of $74,551.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: 2011-2015 US Census Bureaus American Community Survey 5 year estimates Education Charles County has a larger percentage of high school graduates than Maryland (92.3% vs. 89.4%); however, Charles County has a smaller percentage than Maryland of individuals with a bachelors degree or higher (27.4% vs. 37.9%). Source: 2011-2015 US Census Bureaus American Community Survey 5 year estimates Housing There is a high level of home ownership in Charles County (77.7%); 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 ($284,500 vs. $286,900). Home values across Maryland have decreased and Charles County showed a similar downward trend. The average household size in Charles County is 2.84 persons. Source: 2011-2015 US Census Bureaus American Community Survey 5 year estimates Life Expectancy The life expectancy for a Charles County resident, as calculated for 2016, was 79.2 years. This is slightly below the state average life expectancy of 79.5 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 2015 (52%) 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 UM CRMC is the parent company of a regional integrated health system serving the health needs of Charles County and the citizens of Southern Maryland. Governance is provided through a community volunteer Board of Directors. UM CRMCs 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 organizations strategic plan. UM CRMC provided $10.8 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 2017. 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 is a program that started in FY 17 with the planning process, this program improves access to care and wrap around health care to community members with barriers. In addition to participating in the program UM CRMC will contribute financially to the program for 3 years. UM CRMC provided health education programs on hearty healthy eating, diabetes education, cancer education, breast and cervical cancer, tobacco cessation program. In addition, we sponsored American Cancer Societys Look Good Feel Better, advanced directives, 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 17 was a successful second 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 Societys Relay for Life, Alzheimers Walk, March of Dimes and Safe Nights.
Affiliated Health Care System RolesSchedule H, Part VI, line 6 UM CRMC is a member of the University of Maryland Medical System (UMMS). System hospitals meet monthly to coordinate and plan Community Benefit Operations such as Health Needs Assessments and Maryland State Health Improvement Plan objectives. UMMS provides leadership and guidance to local system jurisdictions regarding alignment with System and State wide goals. Southern Maryland had the highest percentage of physician shortages of all of the regions in Maryland (89.9%). To address the shortage, UM CRMC and UMMS have developed a recruitment and retention plan to successfully attract and retain private physicians to the community.
State Filing of Community Benefit ReportSchedule H, Part VI, line 7 Community Benefit Report was filed in the state of Maryland.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Rotary Club of Charles CountyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 37AddressLine1Txt
CityLa PlataCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20646ZIPCd
FieldValueIRS element (for citing)
Recipient EIN521236616RecipientEIN
IRC Section501(C)(4)IRCSectionDesc
Cash Grant$6,500CashGrantAmt
Purpose Of GrantEvent SponsorshipPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S.FormAndLineReferenceDesc
ExplanationPART I, LINE 2 UM Charles Regional MEDICAL CENTER MAKES FINANCIAL AND IN-KIND CONTRIBUTIONS TO VARIOUS ORGANIZATIONS IN THE COMMUNITY. EACH OF THE CONTRIBUTION RECIPIENTS ARE EITHER GOVERNMENTAL UNITS OR SECTION 501(C)(3) CHARITABLE ORGANIZATIONS WHICH WORK TO FULFILL THE ORGANIZATION'S MISSION OF PROMOTING HEALTH WITHIN THE COMMUNITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
Robert A Chrencik
Ex-Officio/Director$0$1,265,687$0$1,105,294$0$1,870,062$0$10,600$0$13,434$0$4,265,077$0$0
Jon P Burns
Ex-Officio/Director$0$412,502$0$175,483$0$60,253$0$10,600$0$13,434$0$672,272$0$0
Noel A Cervino
Ex-Officio/President & CEO$380,522$0$210,375$0$73,901$0$10,600$0$17,052$0$692,450$0$0$0
Erik Boas
Chief Financial Officer$216,640$0$90,007$0$33,007$0$8,768$0$0$0$348,422$0$0$0
Dana Levy
Chief Nursing Officer$186,959$0$57,998$0$753$0$24,570$0$5,600$0$275,880$0$0$0
Joseph D Moser
Chief Medical Officer$249,885$0$0$0$4,678$0$30,046$0$0$0$284,609$0$0$0
Paul Blackwood
VP Planning$182,789$0$52,005$0$55,261$0$7,560$0$13,434$0$311,049$0$0$0
William Grimes
VP Ancilliary Services$161,952$0$45,008$0$631$0$21,196$0$814$0$229,601$0$0$0
Marilyn Gregory
RN$177,088$0$0$0$344$0$1,300$0$0$0$178,732$0$0$0
Katherine Middleton
RN$177,410$0$0$0$120$0$1,641$0$3,757$0$182,928$0$0$0
Gabriel Abiola
Clinical Pharmacist$158,899$0$4,200$0$795$0$2,527$0$18,504$0$184,925$0$0$0
Mark R Dumais
Former Chief Medical Officer$0$0$0$0$240,071$0$0$0$0$0$240,071$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HEALTH OR SOCIAL CLUB DUESSCHEDULE J, PART I, LINE 1A UMMS EXECUTIVES RECEIVE A BENEFIT PACKAGE WHICH MAY BE USED TOWARDS HEALTH CLUB DUES OR OTHER HEALTH MAINTENANCE PROGRAMS. SUCH BENEFITS ARE CAPPED AT $7,000, $5,000, OR $3,000 DEPENDING ON JOB TITLE AS DESCRIBED IN THE PROGRAM DOCUMENTS.
SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENTSCHEDULE J, PART I, LINE 4A DURING THE FISCAL YEAR-ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUALS AND AMOUNTS ARE LISTED BELOW: MARK R. DUMAIS 225,127
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4B DURING THE FISCAL YEAR ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (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. JOSEPH D. MOSER DANA LEVY WILLIAM GRIMES DURING THE FISCAL YEAR ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE OFFICERS AND KEY EMPLOYEES LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTABLE AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION: ERIK BOAS NOEL CERVINO ROBERT A. CHRENCIK JOHN W. ASHWORTH JON P. BURNS MARK R. DUMAIS DURING THE FISCAL YEAR-ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN 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). PAUL BLACKWOOD
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$893,012TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceAustin Joseph SlaterFormAndLineReferenceDesc
ExplanationSchedule L, Part IV Austin Joseph Slater is a board member of the filing organization, and is President and CEO of Southern Maryland Electric Cooperative. 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
TAX EXEMPT BOND ISSUESFORM 990, PART IV, QUESTION 24 PURSUANT TO A MASTER LOAN AGREEMENT DATED JUNE 20, 1991 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ("UMMSTHE "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, THE JAMES LAWRENCE KERNAN HOSPITAL, INC., MARYLAND GENERAL HOSPITAL, INC., BALTIMORE WASHINGTON MEDICAL CENTER, INC., SHORE HEALTH SYSTEM, INC., CHESTER RIVER HOSPITAL CENTER, INC., CIVISTA MEDICAL CENTER, INC., UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, LLC, UPPER CHESAPEAKE MEDICAL CENTER, INC., HARFORD MEMORIAL HOSPITAL, INC. AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM FOUNDATION, INC. 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 $1,585,136,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2017. 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, LINE 6, 7A AND 7B University of Maryland Medical System (UMMS) is the sole member of the University of Maryland Charles Regional Health, Inc. (UMCRH). UMCRH is the sole member of Civista Medical Center (UM CRMC). UMCRH and UMMS may elect members and approve decisions of the UM CRMC Board.
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11B THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE GRANT THORNTON TAX ORGANIZER, WHICH IS AN EXCEL-BASED SYSTEM. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, GRANT THORNTON IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. 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. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, LINE 12C THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES 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 ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMSC) REVIEWS THE RESPONSES FOR UMMSC and certain other affiliates. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL 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 UNIVERSITY OF MARYLAND MEDICAL 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, LINE 15A & 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, LINE 19 IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT.
HOURS ON RELATED ENTITIESFORM 990, PART VII, SECTION A, COLUMN B THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 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 Equity of Affiliates - Foundation 282,118 Change in FMV of Alt. Investments 1,527,306 Pension Liability Adjustment 705,275 Change in Intercompany - Equity transfer (1,121,586) Change in FMV of Self-Insurance 531,394 Change in equity of affiliates- CPHA 48,089 --------------- 1,972,596
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:6068289
FORM 990 PART IX LINE 11GDESCRIPTION:SHARED SERVICES TOTAL FEES:5652601
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY EXP/CONTRACTUAL STAFFIN TOTAL FEES:1472454
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING SERVICES TOTAL FEES:673673
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:879670

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 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)12AUMBWMSfalse
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
BW Medical Center Foundation Inc
301 Hospital DriveGlen BurnieMD21061521813656FundraisingMD501(c)(3)12Cbwmcfalse
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
Dorchester General Hospital Foundation
219 South Washington StreetEastonMD21601521703242FundraisingMD501(c)(3)12Dumsrhfalse
Memorial Hospital Foundation Inc
219 South Washington StreetEastonMD21601521282080FundraisingMD501(c)(3)12ASHSfalse
Shore Health System Inc
219 South Washington StreetEastonMD21601520610538HealthcareMD501(c)(3)03umsrhfalse
UM Community Medical Group inc
22 South Greene StreetBaltimoreMD21201521874111HealthcareMD501(c)(3)03UMMSCfalse
James Lawrence Kernan Hosp Endow Fd
2200 Kernan DriveBaltimoreMD21207237360743FundraisingMD501(c)(3)12Bjlkhfalse
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)03UMMSCfalse
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
Harford Memorial Hospital Inc
520 Upper Chesapeake DrBel AirMD21014520591484HealthcareMD501(c)(3)03UMUCHSfalse
UCH Legacy Funding Corporation
520 Upper Chesapeake DrBel AirMD21014520882914FundraisingMD501(c)(3)12AUMUCHSfalse
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
UMSJ Health System LLC
7601 Osler DriveTowsonMD21204460797956HealthcareMD501(c)(3)03UMMSCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 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
UM Charles Regional imaging
PO Box 1070La PlataMD20646300956382HealthcareMDumcrcp

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
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 BurnieMD21061521655640HealthcareMDumbwmsC 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
Terrapin Insurance Company
980129232InsuranceUMMSC CorpfalsePOBOX 1109GRAND CAYMANCJKYI-1102CJ
um medicine comp insurance program
22 South Greene StreetBaltimoreMD21201526315433InsuranceMDnaTrustfalse
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 AirMD21014980468438InsuranceUMUCHSltdfalseCJ
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
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 OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
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.