2018-05-11T09:49:07-05:00 2017-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2016-07-01 520445374 Civista Medical Center Inc % ERIK BOAS CIVI 3016094130 PO Box 1070 La Plata MD 20646 ERIK BOAS CFO 3016094130 2018-05-11 true Frank Giardini P00532355 2155614200 2016 2022-09-23 18:48:47Z X UM CHarles Regional Medical Center Noel Cervino 5 Garrett Avenue La Plata MD 20646 139535295 false X www.charlesregional.org X 1980 MD CIVISTA 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. 17 13 1101 125 84431 -57467 0 199586 133783449 137873060 504610 955981 653627 506668 134941686 139535295 21000 6500 0 0 53950667 55921816 0 0 0 67198823 70969359 121170490 126897675 13771196 12637620 153443724 158482503 96591224 86279737 56852500 72202766 X CIVISTA 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. false false 108425433 6500 138874780 PROGRAM 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 25 108425433 true true false true false false false false false false true true false true true true false true false false false false false false false false true true true false true false false false false false false false true false false false false true true false false false true 156 0 true 1101 true true true false false false false false false false false false X 17 13 false false false false true true true true true false false true true true true true true true true true true MD X ERIK BOAS 3016094130 5 GARRETT AVE La Plata MD 20646 X Shelly Culhane Board Chair 1.0 1.0 X X 0 0 0 Richard Winkler Vice Chair 1.0 1.0 X X 0 0 0 R Wayne Barnes Secretary/Treasurer 1.0 1.0 X X 0 0 0 Louis Jenkins Jr Director 1.0 1.0 X 0 0 0 Dianna Abney MD Director 1.0 1.0 X 0 0 0 Khadar Baig MD Director 1.0 1.0 X 0 0 0 Brianna Bowling Director 1.0 1.0 X 0 0 0 Michael Cady Director 1.0 1.0 X 0 0 0 Anthony B Covington Director 1.0 1.0 X 0 0 0 Richard Ferraro MD Ex-Officio Director 1.0 1.0 X 0 0 0 B Larry Jenkins JR MD Director 1.0 1.0 X 0 0 0 Sara A Middleton Director 1.0 2.0 X 0 0 0 Ashvin J Patel MD Director 1.0 1.0 X 0 0 0 Austin Joseph Slater Director 1.0 1.0 X 0 0 0 Robert A Chrencik Ex-Officio/Director 1.0 57.5 X 0 4241043 24034 Jon P Burns Ex-Officio/Director 1.0 41.0 X 0 648238 24034 Noel A Cervino Ex-Officio/President & CEO 40.0 15.0 X X 664798 0 27652 Erik Boas Chief Financial Officer 40.0 15.0 X 339654 0 8768 Dana Levy Chief Nursing Officer 40.0 0.0 X 245710 0 30170 Joseph D Moser Chief Medical Officer 40.0 0.0 X 254563 0 30046 Paul Blackwood VP Planning 40.0 0.0 X 290055 0 20994 William Grimes VP Ancilliary Services 40.0 0.0 X 207591 0 22010 Marilyn Gregory RN 40.0 0.0 X 177432 0 1300 Katherine Middleton RN 40.0 0.0 X 177530 0 5398 Gabriel Abiola Clinical Pharmacist 40.0 0.0 X 163894 0 21031 Mark R Dumais Former Chief Medical Officer 0.0 0.0 X 240071 0 0 2761298 4889281 215437 46 true true false MARYLAND INPATIENT CARE SPECIALISTS 7250 PARKWAY DRIVE SUITE 500 HANOVER MD 21076 PHYSICIANS 2517381 CROTHALL HEALTHCARE 13028 COLLECTIONS CTR DRIVE CHICAGO IL 60693 ENVIRONMENTAL SERVS 1900099 EMERGENCY MEDICINE ASSOCIATES 20010 CENTURY BLVD SUITE 200 GERMANTOWN MD 20874 CONTRACTED STAFFING 1699871 CMI GENERAL CONTRACTORS INC 30069 BUSINESS CENTER DR CHARLOTTE HALL MD 20622 CONSTRUCTION 1129901 HEALOGICS WOUND CARE 28525 NETWORK PLACE CHICAGO IL 60673 WOUND CARE 757972 42 87073 112513 199586 NET PATIENT REVENUE 900099 137873060 137873060 137873060 179782 179782 0 0 0 0 0 776199 776199 776199 776199 0 0 0 0 0 0 0 0 0 CAFETERIA & COFFEE BAR SALES 900099 357052 357052 ANSWERING SERVICE 561000 84431 84431 OTHER REVENUE 900099 65185 65185 506668 139535295 137938245 84431 1313033 6500 6500 0 0 0 1744796 740344 1004452 0 43537934 37007244 6530690 2549119 2166751 382368 4836011 4110609 725402 3253956 2765863 488093 0 152904 152904 0 6392 6392 0 0 14746687 13276511 1470176 44792 44792 3056447 3056447 0 0 3343708 2842152 501556 42942 36501 6441 0 84950 72208 12742 2745905 2334019 411886 0 5666654 4816656 849998 1137344 962172 175172 SUPPLIES AND DRUGS 15795727 15795727 PURCHASED SERVICES 15644924 13298185 2346739 BAD DEBT 6460039 6460039 EQUIPMENT SERVICE CONTRACTS 843791 717222 126569 1196153 1016730 179423 126897675 108425433 18472242 0 11899409 8549521 0 0 0 0 7721480 8559999 0 0 0 0 0 0 1487388 1391364 479198 794618 126739697 51014662 75125637 75725035 11177000 11651000 16746296 19494373 0 0 0 0 28807316 32316593 153443724 158482503 13136413 12671516 0 0 0 0 0 0 0 0 0 0 5508806 4411514 0 0 77946005 69196707 96591224 86279737 X 56759903 72110169 92597 92597 0 0 56852500 72202766 153443724 158482503 X 12637620 740050 1972596 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false true 6392 6392 false LOBBYING ACTIVITIES SCHEDULE 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. 75987191 20802525 55184666 1057496 516160 541336 45922862 29695977 16226885 3772148 3772148 75725035 OTHER SECURITIES 19494373 19494373 OTHER ASSETS 18035335 ECONOMIC INTEREST -NET ASSETS 5179372 DUE FROM AFFILIATES 4936580 INV. CHES POTOMAC HEALTHCARE 3591637 OTHER CURRENT RECEIVABLES 355584 PHYSICIAN LOANS 206612 SECURITY DEPOSIT 11473 32316593 0 DUE TO AFFILIATES 52991159 ACCRUED PENSION COSTS 9149317 MALPRACTICE IBNR 3423536 ADVANCES FROM THIRD PARTIES 2592850 LEASE LIABILITIES 439782 OTHER LIABILITIES 600063 69196707 X LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS THAT SHOULD BE RECOGNIZED. true true true X true X true true true false true true 1123982 1123982 0.00930 1123982 1123982 0.00930 641360 486 640874 0.00530 308602 308602 0.00260 6129537 6129537 0.05090 51461 51461 0.00040 7130960 486 7130474 0.05920 8254942 486 8254456 0.06850 1613 1613 124279 30000 94279 0.00080 2001 2001 195955 195955 0.00160 323848 30000 293848 0.00240 true 6460039 50019404 50813054 -793650 X true true 1 1 Civista Medical Center Inc 5 Garrett Ave La Plata MD 20646 www.charlesregional.org 08-001 X X X 1 Civista Medical Center Inc 1 false false true X X X X X X X X X 15 true false true true X HTTP://WWW.umms.org/charles/community X true 15 true HTTP://WWW.umms.org/charles/community false true X 200. 300. X X X X X true true X X X true X http://www.charlesregional.org X http://www.charlesregional.org X www.charlesregional.org X X X X X X true X false X X X X true X false false Input from Individuals Representing the Community Schedule 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 Hospital Schedule 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 CHNA Schedule 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 Assistance SCHEDULE 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). Related Organization Report Schedule 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 Clinic Schedule 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 Activities Schedule 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 Assessment Schedule 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 Education Schedule 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 Served Schedule 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 Community Schedule 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 Roles Schedule 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 Report Schedule H, Part VI, line 7 Community Benefit Report was filed in the state of Maryland. true Rotary Club of Charles County PO Box 37 La Plata MD 20646 521236616 501(C)(4) 6500 Event Sponsorship 0 1 PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S. PART 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. X true true X X X X true true false false false false false true false Robert A Chrencik Ex-Officio/Director 0 1265687 0 1105294 0 1870062 0 10600 0 13434 0 4265077 0 0 Jon P Burns Ex-Officio/Director 0 412502 0 175483 0 60253 0 10600 0 13434 0 672272 0 0 Noel A Cervino Ex-Officio/President & CEO 380522 0 210375 0 73901 0 10600 0 17052 0 692450 0 0 0 Erik Boas Chief Financial Officer 216640 0 90007 0 33007 0 8768 0 0 0 348422 0 0 0 Dana Levy Chief Nursing Officer 186959 0 57998 0 753 0 24570 0 5600 0 275880 0 0 0 Joseph D Moser Chief Medical Officer 249885 0 0 0 4678 0 30046 0 0 0 284609 0 0 0 Paul Blackwood VP Planning 182789 0 52005 0 55261 0 7560 0 13434 0 311049 0 0 0 William Grimes VP Ancilliary Services 161952 0 45008 0 631 0 21196 0 814 0 229601 0 0 0 Marilyn Gregory RN 177088 0 0 0 344 0 1300 0 0 0 178732 0 0 0 Katherine Middleton RN 177410 0 0 0 120 0 1641 0 3757 0 182928 0 0 0 Gabriel Abiola Clinical Pharmacist 158899 0 4200 0 795 0 2527 0 18504 0 184925 0 0 0 Mark R Dumais Former Chief Medical Officer 0 0 0 0 240071 0 0 0 0 0 240071 0 0 0 HEALTH OR SOCIAL CLUB DUES SCHEDULE 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 PAYMENT SCHEDULE 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 PLAN SCHEDULE 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 PAYMENTS SCHEDULE 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. Southern MD Electric Cooperative See Part V 893012 See Part V false Austin Joseph Slater Schedule 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. TAX EXEMPT BOND ISSUES FORM 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 STOCKHOLDERS FORM 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 PROCESS FORM 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 & ENFORCEMENT FORM 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 COMPENSATION FORM 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 PUBLIC FORM 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 ENTITIES FORM 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 BALANCES FORM 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 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:6068289 FORM 990 PART IX LINE 11G DESCRIPTION:SHARED SERVICES TOTAL FEES:5652601 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY EXP/CONTRACTUAL STAFFIN TOTAL FEES:1472454 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:673673 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:879670 Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 521756326 Healthcare MD 501(c)(3) 12A UMBWMS false Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie MD 21061 521830243 Healthcare MD 501(c)(3) 12A UMBWMS false Baltimore Washington Medical Center Inc 301 Hospital Drive Glen Burnie MD 21061 520689917 Healthcare MD 501(c)(3) 03 UMBWMS false UM Baltimore Washington Medical System 301 Hospital Drive Glen Burnie MD 21061 521830242 Healthcare MD 501(c)(3) 12A UMMSC false BW Medical Center Foundation Inc 301 Hospital Drive Glen Burnie MD 21061 521813656 Fundraising MD 501(c)(3) 12C bwmc false North Arundel Development Corporation 301 Hospital Drive Glen Burnie MD 21061 521318404 Real Estate MD 501(c)(2) ncc false North County Corporation 301 Hospital Drive Glen Burnie MD 21061 521591355 Real Estate MD 501(c)(2) UMBWMS false Chester River Health Foundation Inc 100 Brown Street Chestertown MD 21620 521338861 Fundraising MD 501(c)(3) 08 UMSRH false Univ of MD Shore Regional HealthInc 100 Brown Street Chestertown MD 21620 522046500 Healthcare MD 501(c)(3) 12A UMMSC false Chester River Hospital Center 100 Brown Street Chestertown MD 21620 520679694 Healthcare MD 501(c)(3) 03 UMSRH false Chester River Manor Inc 200 Morgnec Road Chestertown MD 21620 526070333 Healthcare MD 501(c)(3) 10 UMSRH false Maryland General Clinical Practice Group 827 Linden Avenue Baltimore MD 21201 521566211 Healthcare MD 501(c)(3) 12B ummth false University of Maryland Midtown Health I 827 Linden Avenue Baltimore MD 21201 521175337 Healthcare MD 501(c)(3) 12B UMMSC false Maryland General Hospital Inc 827 Linden Avenue Baltimore MD 21201 520591667 Healthcare MD 501(c)(3) 03 ummth false Care Health Services Inc 219 South Washington Street Easton MD 21601 521510269 Healthcare MD 501(c)(3) 10 SHS false Dorchester General Hospital Foundation 219 South Washington Street Easton MD 21601 521703242 Fundraising MD 501(c)(3) 12D umsrh false Memorial Hospital Foundation Inc 219 South Washington Street Easton MD 21601 521282080 Fundraising MD 501(c)(3) 12A SHS false Shore Health System Inc 219 South Washington Street Easton MD 21601 520610538 Healthcare MD 501(c)(3) 03 umsrh false UM Community Medical Group inc 22 South Greene Street Baltimore MD 21201 521874111 Healthcare MD 501(c)(3) 03 UMMSC false James Lawrence Kernan Hosp Endow Fd 2200 Kernan Drive Baltimore MD 21207 237360743 Fundraising MD 501(c)(3) 12B jlkh false James Lawrence Kernan Hospital Inc 2200 Kernan Drive Baltimore MD 21207 520591639 Healthcare MD 501(c)(3) 03 UMMSC false UMMS Foundation Inc 22 South Greene Street Baltimore MD 21201 522238893 Fundraising MD 501(c)(3) 12A UMMSC false University of MD Medical System Corp 22 South Greene Street Baltimore MD 21201 521362793 Healthcare MD 501(c)(3) 03 UMMSC false University of Maryland Charles Regional PO Box 1070 La Plata MD 20646 522155576 Healthcare MD 501(c)(3) 12C ummsc false Charles Regional Medical Center Foundati PO Box 1070 La Plata MD 20646 521414564 Fundraising MD 501(c)(3) 12A umcrh false Charles Regional Medical Center Auxiliar PO Box 1070 La Plata MD 20646 521131193 Fundraising MD 501(c)(3) 12A umcrh false Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 12A umsjhs false Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air MD 21014 520591484 Healthcare MD 501(c)(3) 03 UMUCHS false UCH Legacy Funding Corporation 520 Upper Chesapeake Dr Bel Air MD 21014 520882914 Fundraising MD 501(c)(3) 12A UMUCHS false UM Upper Chesapeake Health System Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398513 Healthcare MD 501(c)(3) 12C;III-FI ummsc false Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398507 Fundraising MD 501(c)(3) 12A UMUCHS false Upper Chesapeake Medical Center Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521253920 Healthcare MD 501(c)(3) 03 UMUCHS false Upper Chesapeake Medical Services Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521501734 Healthcare MD 501(c)(3) 10 UMUCHS false Upper Chesapeake Properties Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521907237 Real Estate MD 501(c)(2) UMUCHS false Upper Ches Residential Hospice House In 520 Upper Chesapeake Dr Bel Air MD 21014 260737028 Hospice MD 501(c)(3) 07 UMUCHS false Upper ChesapeakeSt Joseph Home Care I 520 Upper Chesapeake Dr Bel Air MD 21014 521229742 Home Care MD 501(c)(3) 10 UMUCHS false UMSJ Health System LLC 7601 Osler Drive Towson MD 21204 460797956 Healthcare MD 501(c)(3) 03 UMMSC false Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie MD 20161 522000762 Healthcare MD apa inc Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie MD 20161 200806027 Healthcare MD umbwms Universitycare LLC 22 South Greene Street Baltimore MD 21201 521914892 Healthcare MD ummsc O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson MD 21204 521682964 Rental MD sjmc prop Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson MD 21204 521958002 Healthcare MD umsjmc UM Charles Regional imaging PO Box 1070 La Plata MD 20646 300956382 Healthcare MD umcrcp Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie MD 21061 521992649 Healthcare MD BWHE C Corp false Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie MD 21061 521936656 Healthcare MD umBWMS C Corp false BW Professional Services Inc 301 Hospital Drive Glen Burnie MD 21061 521655640 Healthcare MD umbwms C Corp false NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD NADCO C Corp false UM Charles regional care partners PO Box 1070 La Plata MD 20646 522176314 Healthcare MD umcrh C Corp false University Midtown Prof Center A Condo 827 Linden Avenue Baltimore MD 21201 521891126 Real Estate MD ummh C Corp false Terrapin Insurance Company POBOX 1109 GRAND CAYMAN CJ KYI-1102 980129232 Insurance CJ UMMS C Corp false um medicine comp insurance program 22 South Greene Street Baltimore MD 21201 526315433 Insurance MD na Trust false University of Maryland Health Advantage 22 South Greene Street Baltimore MD 21201 461411902 Insurance MD UMMShp C Corp false University of Maryland Health Partners 22 South Greene Street Baltimore MD 21201 452815803 Insurance MD UMMShp C Corp false University of Maryland Medical System He 22 South Greene Street Baltimore MD 21201 452815722 Insurance MD um hlth vent C Corp false Upper Chesapeake Insurance Company 520 Upper Chesapeake Dr Bel Air MD 21014 980468438 Insurance CJ UMUCHS ltd false Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air MD 21014 522031264 Healthcare MD UMUCHS C Corp false Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air MD 21014 770674478 Real Estate MD UC Med Crt C Corp false Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air MD 21014 521946829 Real Estate MD UC Hlth Vent C Corp false Shore Orthopedics Inc 219 S Washington Street Easton MD 21601 371817262 Healthcare MD SHS C Corp false false false false false false false false false true false false false false true true false true true true