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 522155576 University of Maryland Charles Regional Health Inc % ERIK BOAS UNIV 3016094130 PO Box 1070 La Plata MD 206461070 ERIK BOAS CFO 3016094130 2018-05-11 true Frank Giardini P00532355 2155614200 2016 2022-09-23 18:48:47Z Noel Cervino PO Box 1070 La Plata MD 206461070 307221 false X www.charlesregional.org X 1998 MD UNIV. OF MD CHARLES REGIONAL HEALTH, INC. IS THE PARENT COMPANY OF A REGIONAL INTEGRATED HEALTH SYSTEM SERVING THE HEALTH NEEDS OF CHARLES CO. AND THE CITIZENS OF SOUTHERN MARYLAND. 17 13 0 14 0 0 0 0 0 0 66460 62825 -360350 -276905 -293890 -214080 0 0 0 0 0 0 0 0 0 2192946 3082789 2192946 3082789 -2486836 -3296869 29386426 30207677 9416361 14280481 19970065 15927196 X UNIVERSITY OF MARYLAND CHARLES REGIONAL HEALTH, INC. IS THE PARENT COMPANY OF A NOT-FOR-PROFIT HEALTHCARE SYSTEM THAT STRIVES TO PROVIDE EXCELLENCE IN ACUTE HEALTHCARE AND PREVENTIVE SERVICES IN CHARLES COUNTY AND THE SURROUNDING COMMUNITIES. UNIVERSITY OF MARYLAND CHARLES REGIONAL HEALTH, INC. PROVIDES LEADERSHIP AND OVERALL PLANNING AND COORDINATION OF THE DELIVERY OF HEALTH CARE SERVICES, FACILITIES AND PROGRAMS FOR UNIVERSITY OF MARYLAND Charles Regional Medical Center AND ITS RELATED SUBSIDIARIES. false false 3082789 UNIVERSITY OF MARYLAND CHARLES REGIONAL HEALTH, INC. (UM CRH) 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 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, THE UNIVERSITY OF MARYLAND CHARLES REGIONAL MEDICAL CENTER, 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; 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. 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 2,020, CDC GUIDELINES, 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; 2,000 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; 1,000 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 FY16; 1,283 PRESCRIPTION TAKE BACKS IN FY17. - COMMUNITY EDUCATION AND OUTREACH: COMMUNITY EVENTS, PROJECT GRADUATION, OPIATE AWARENESS CAMPAIGN (VAN GO), COMMUNITY PRESENTATION TO PARENTS @ CSM ON DRUG AWARENESS; 9,700 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 FY17. ACCESS TO CARE - RECRUITED 3 HEALTH CARE PROVIDERS TO THE COMMUNITY. - URGENT CARE: OPENED IN SEPTEMBER 2015; GENERATED 13,584 VISITS IN FY17; 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 FY17 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. FY17 WAS USED AS THE PLANNING YEAR, PROGRAM WILL LAUNCH IN FY18 - 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. - 3082789 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 0 0 0 false true false 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 false MD X ERIK BOAS 3016094130 5 GARRETT AVENUE La Plata MD 20646 X Shelley 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 B Larry Jenkins 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 Richard Ferraro MD Director 1.0 1.0 X 0 0 0 Jon P Burns Ex-Officio/Director 1.0 41.0 X 0 648238 24034 Robert A Chrencik Ex-Officio/Director 1.0 57.5 X 0 4241043 24034 Noel A Cervino Ex-Officio/President & CEO 10.0 45.0 X X 0 664798 27652 Erik Boas Chief Financial Officer 10.0 45.0 X 0 339654 8768 0 5893733 84488 0 false true false 0 0 0 62825 62825 0 0 239396 521301 -281905 0 -281905 -281905 0 0 0 0 0 0 0 0 0 0 LEGAL SETTLEMENTS 900099 5000 5000 5000 -214080 -214080 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30507 30507 0 0 0 117576 117576 0 1530845 1530845 0 SHARED SERVICES 1376999 1376999 TAXES 26737 26737 BANK FEES 125 125 3082789 3082789 0 0 79039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 554 30716860 4249275 20015778 26467585 3576318 0 0 0 0 0 910000 910000 4805291 2829538 29386426 30207677 0 97 0 0 0 0 0 0 0 0 0 0 0 0 5387398 6944024 4028963 7336360 9416361 14280481 X 19970065 15927196 0 0 0 0 19970065 15927196 29386426 30207677 X -3296869 -746000 X false true X true X X 2 CIVISTA MEDICAL CENTER INC 520445374 3 true 0 0 CIVISTA HEALTH AUXILIARY 521131193 3 true 0 0 2 0 0 true false false false false false false false false false false false false false false true true false X false false 17981656 17981656 3596563 942857 2653706 9138641 3306418 5832223 26467585 DUE FROM AFFILIATES 2941725 SECURITY DEPOSITS -6216 BOARD DESGNATED FUNDS -105971 2829538 0 DUE TO AFFILIATES 7336360 7336360 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. X true true false true false false false false false false false Jon P Burns Ex-Officio/Director 0 412502 0 175483 0 60253 0 10600 0 13434 0 672272 0 0 Robert A Chrencik Ex-Officio/Director 0 1265687 0 1105294 0 1870062 0 10600 0 13434 0 4265077 0 0 Noel A Cervino Ex-Officio/President & CEO 0 380522 0 210375 0 73901 0 10600 0 17052 0 692450 0 0 Erik Boas Chief Financial Officer 0 216640 0 90007 0 33007 0 8768 0 0 0 348422 0 0 HEALTH AND SOCIAL DUES OR INITIATION FEES SCHEDULE J, PART 1, 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. RELATED ORGANIZATION METHODS TO ESTABLISH COMPENSATION SCHEDULE J, PART 1, LINE 3 THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES; ALL COMPENSATION TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ("UMMSC") OR ANOTHER RELATED ENTITY IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM. THE RELATED ENTITY CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, QUESTION 3 ON ITS FORM 990: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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 VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION: JON P. BURNS JOHN W. ASHWORTH ROBERT A. CHRENCIK NOEL CERVINO ERIK BOAS 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. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINES 6, 7A, AND 7B UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) IS THE SOLE MEMBER OF UNIVERSITY OF MARYLAND CHARLES REGIONAL HEALTH, INC. UMMS MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS. FORM 990 REVIEW PROCESS FORM 990, PART VI, 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 AND 15B THE ORGANIZATION DID NOT COMPENSATE ITS EXECUTIVES; BUT, RATHER, THE EXECUTIVES RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. ACCORDINGLY, THE ORGANIZATIONS PARENT COMPANY 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 Equity transfer - UMCMG $(746,000) Civista Clinical Services LLC PO Box 1070 La Plata MD 20646 260269489 Healthcare MD 0 0 UMCRH 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 NA false Civista Medical Center Inc PO Box 1070 La Plata MD 20646 520445374 Healthcare MD 501(c)(3) 03 UMCRH true Charles Regional Medical Center Foundati PO Box 1070 La Plata MD 20646 521414564 Fundraising MD 501(c)(3) 12A UMCRH true Charles Regional Medical Center Auxiliar PO Box 1070 La Plata MD 20646 521131193 Fundraising MD 501(c)(3) 12A UMCRH true Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 12A umsjhs false UMSJ Health System LLC 7601 Osler Drive Towson MD 21204 462097818 Healthcare MD 501(c)(3) 03 UMMSC false Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air MD 21014 520591484 Healthcare MD 501(c)(3) 03 UMUCHS false 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 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 LaPlata MD 20646 300956382 Healthcare MD umcrcp Arundel Physicians Associates 301 Hospital Drive glen burnie MD 21061 522000762 healthcare MD apa inc 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 um charles regional care partners PO Box 1070 La Plata MD 20646 522176314 Healthcare MD umcrh C Corp 3274000 1.00000 true University Midtown Prof Center A Condo 827 Linden Avenue Baltimore MD 21201 521891126 Real Estate MD ummh C Corp false NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD NADCO C Corp false Terrapin Insurance Company PO Box 1109 GRAND CAYMAN CJ KY1-1102 980129232 Insurance CJ UMMS C Corp false MD Medicine Comp Insurance Program 22 South Greene Street Baltimore MD 21201 526315433 Insurance MD na Trust 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 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 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 false true false false false false true false false false false UNIV OF MD CHARLES REGIONAL CARE PARTNERS J 98142 CASH