2017-05-11T12:31:14-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-07-01 520607945 UNION HOSPITAL OF CECIL COUNTY INC UNIO 4103984000 106 BOW STREET ELKTON MD 219215596 LAURIE R BEYER CPA SR. VP/CHIEF FINANCIAL OFFICER 4103984000 2017-05-09 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2021-01-29 14:40:06Z RICHARD C SZUMEL MD 106 BOW STREET ELKTON MD 219215596 180304783 0 X WWW.UHCC.COM X 1903 MD PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD, AND THE SURROUNDING AREA. 14 13 1359 241 1897553 -32535 2360946 277147 156204081 159157991 2534753 3230261 3963097 3429651 165062877 166095050 1790991 4468260 0 0 80458877 80161134 0 0 0 77180025 79570046 159429893 164199440 5632984 1895610 193142014 188348000 92744500 89916005 100397514 98431995 X UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA. 0 0 160563863 4468260 159157991 UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA, THAT REPRESENT QUALITY AND VALUE AND ARE PROVIDED WITH MODERN TECHNOLOGY, COMPASSIONATE NURSES AND STAFF, AND CONVENIENT TO THE CITIZENS OF OUR COMMUNITY. THESE HEALTHCARE SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, WE RECOGNIZE THAT NOT ALL MEMBERS OF OUR COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, CONSISTENT WITH UNION HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF CECIL COUNTY, MARYLAND, FREE CARE AND/OR SUBSIDIZED CARE AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION, SPECIAL PROGRAMS FOR THE ELDERLY, SPECIAL PROGRAMS FOR THE PHYSICALLY/MENTALLY CHALLENGED, MEDICALLY UNDERSERVED AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.UNION HOSPITAL OF CECIL COUNTY SERVICED 5,763 ADMISSIONS PROVIDING 21,221 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2016 OF WHICH:1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,888 ADMISSIONS AND 11,542 PATIENT DAYS2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 206 ADMISSIONS AND 886 PATIENT DAYS3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,391 ADMISSIONS AND 4,597 PATIENT DAYS4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 73 ADMISSIONS AND 275 PATIENT DAYSCHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT UNION HOSPITAL OF CECIL COUNTY BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE INCLUDE:A) ADULT DAY CARE SERVICES FOR THE ELDERLY AND PHYSICALLY/MENTALLY CHALLENGEDB) SUPPORT GROUPS FOR CANCER PATIENTS AND FAMILIES, DIABETES, ALCOHOLICS ANONYMOUS, OSTOMY, AND SMOKELESSC) OFFERING AND CONDUCTING FREE BLOOD PRESSURE, CHOLESTEROL SCREENINGS, AND PROSTATE SCREENINGSD) IN CONJUNCTION WITH THE STATE OF MARYLAND AND THE LOCAL DEPARTMENT OF HEALTH, OFFERING AND CONDUCTING A CANCER SCREENING PROGRAM FOR INDIGENT FEMALESE) PROVIDING MEETING FACILITIES FOR A VARIETY OF NONPROFITS AND VOLUNTEER FIRE COMPANIESF) HOSPITAL STAFF VOLUNTEERS ON NONPROFIT ORGANIZATION BOARDS SUCH AS THE AMERICAN CANCER SOCIETYDURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $7,726,157 IN UNCOMPENSATED CARE. 160563863 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 196 0 1 1359 1 1 1 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DERON G BROWN DIRECTOR OF FINANCE 4103984000 106 BOW STREET ELKTON MD 21921 MARTIN J HEALY CHAIRMAN 0.50 0.60 X X 0 0 0 RAYMOND HAMM VICE CHAIRMAN/TREASURER 0.50 0.60 X X 0 0 0 RONALD GRAYBEAL SECRETARY 0.50 0.50 X X 0 0 0 KENNETH S LEWIS MD JD PRESIDENT & CEO (UNTIL 12/31/15) 30.00 10.00 X X 0 1012714 248368 RICHARD C SZUMEL MD PRESIDENT & CEO (AS OF 1/1/16) 30.00 10.00 X X 0 0 0 KELLY ALBANESE BEDDER DIRECTOR 0.50 1.50 X 0 0 0 CHRISTY DRYER DIRECTOR (AS OF 3/2016) 0.50 0.50 X 0 0 0 RYAN GERACIMOS MD DIRECTOR (AS OF 7/2015) 0.50 0.50 X 0 0 0 MARY BOLT PHD DIRECTOR 0.50 0.50 X 0 0 0 RONALD CULLIS DIRECTOR 0.50 0.50 X 0 0 0 DAVID FERGUSON DIRECTOR 0.50 0.50 X 0 0 0 STEPHANIE GARRITY DIRECTOR 0.50 0.50 X 0 0 0 MARTHA HOSFORD MD DIRECTOR (UNTIL 5/2016) 0.50 0.50 X 0 0 0 CARL ROBERTS DIRECTOR 0.50 0.50 X 0 0 0 SHEELMOHAN SACHDEV MD DIRECTOR 0.50 0.50 X 0 0 0 DWIGHT THOMEY DIRECTOR (AS OF 2/2016) 0.50 0.50 X 0 0 0 LAURIE R BEYER CPA SENIOR VP/CHIEF FINANCIAL OFFICER 31.00 9.00 X 0 376333 83083 CYDNEY TEAL VP MEDICAL AFFAIRS 39.00 1.00 X 0 387061 20363 DAVID GIPSON SENIOR VP/CHIEF OPERATING OFFICER 33.00 7.00 X 0 216205 16701 KHADIJATU BOSTON SENIOR VP/CHIEF NURSING OFFICER 39.00 1.00 X 0 226907 7111 TERRANCE LOVELL VP HUMAN RESOURCES 40.00 X 240708 0 63483 JUSTIN SAUSVILLE PHYSICIAN 40.00 X 550540 0 27030 MICHAEL BASS PHYSICIAN 40.00 X 424917 0 24407 ROGER WU PHYSICIAN 40.00 X 396713 0 21071 OSCAR GALVIS PHYSICIAN 40.00 X 375862 0 26688 EUGENIA GRAY PHYSICIAN 40.00 X 364566 0 15863 2353306 2219220 554168 100 0 1 0 UNION RADIOLOGISTS LLC 106 BOW STREET ELKTON MD 21921 RADIOLOGISTS 3183522 WHITING-TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 CONTRACTOR 2855286 MDICS AT UNION CECIL COUNTY LLC 7250 PARKWAY DRIVE HANOVER MD 21076 CONTRACTOR 2165855 UNIVERSITY OF MARYLAND MEDICAL 22 SOUTH GREENE STREET BALTIMORE MD 21201 ADVISORY SERVICES 902207 INSIGHT INVESTMENTS LLC 611 ANTON BLVD SUITE 700 COSTA MESA CA 92626 IT INFRASTRUCTURE 868001 108 246480 30667 277147 NET PATIENT SERVICE REVENUE 621990 157675670 157675670 OTHER OPERATING REVENUE 621990 853641 853641 ADULT DAY CARE 623990 628680 628680 159157991 2604102 3726 2600376 43236 14287 28949 28949 28949 14774426 47179 14183049 12397 591377 34782 626159 626159 LABORATORY REVENUE 621500 1893827 1893827 CAFETERIA/FOOD SERVICE 722210 812188 812188 MEANINGFUL USE REVENUE 900099 558187 558187 136500 136500 3400702 166095050 159157991 1897553 4762359 X 4468260 4468260 329806 329806 67458068 66698504 759564 743583 714916 28667 6967130 6910121 57009 4662547 4600614 61933 1899642 949821 949821 274589 274589 109467 109467 53877 53877 23890061 23264698 625363 510403 510403 866383 859175 7208 246019 246019 2982268 2982268 264549 214816 49733 49314 19927 29387 1951158 1951158 11135283 11135283 2966353 2966353 MEDICAL SUPPLIES 19407111 19404162 2949 BAD DEBTS 6826331 6826331 REPAIRS & MAINTENANCE 2750959 2750959 DIETARY 1083904 1025140 58764 2302375 2064935 237440 164199440 160563863 3635577 0 7622571 2982884 2225164 956144 13294247 15088409 1974105 2065581 2893481 3520101 210596749 117036933 94568035 93559816 56528098 53675995 6030772 5814578 8005541 10684492 193142014 188348000 12681544 9482516 66398857 64045962 13664099 16387527 92744500 89916005 X 98057789 95806742 2339725 2625253 100397514 98431995 193142014 188348000 X 1895610 -3506242 -354887 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1221305 1221305 83303394 34402158 48901236 567132 163457 403675 120291463 81133573 39157890 5213455 1337745 3875710 93559816 OTHER ASSETS 601294 LOAN ISSUANCE COSTS 584710 INSURANCE CLAIMS RECEIVABLE 9473438 DUE FROM AFFILIATES 25050 10684492 THIRD PARTY ADVANCES 3637293 CAPITAL LEASE OBLIGATIONS 2266010 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 10484224 16387527 X 155353713 -3506242 -7235095 -10741337 166095050 0 166095050 157319232 0 157319232 6880208 6880208 164199440 PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS AFTER 2013 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES -322,101. PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS -6,826,331. BANK FEES NETTED ON FINANCIAL STATEMENTS -53,877. NET ASSETS RELEASED -32,786. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 6,826,331. BANK FEES NETTED ON FINANCIAL STATEMENTS 53,877. 1 1 X 1 X 1 X 1 1 1 0 1 1 899826 899826 0.00570 899826 899826 0.00570 5960 215928 256 215672 0.00140 693 488740 200 488540 0.00310 104 10635618 6562026 4073592 0.02590 7568 7568 0.00000 40527 380848 178801 202047 0.00130 47284 11728702 6741283 4987419 0.03170 47284 12628528 6741283 5887245 0.03740 525 16514 16514 0.00010 22 3240 3240 0.00000 230 109187 109187 0.00070 777 128941 128941 0.00080 1 5781902 36264 X 1 1 1 1 UNION HOSPITAL OF CECIL COUNTY INC 106 BOW STREET ELKTON MD 21921 WWW.UHCC.COM 07-005 X X X UNION HOSPITAL OF CECIL COUNTY INC 1 0 0 1 X X X X X X X X 15 1 0 1 1 X WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ X 1 15 1 WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ 0 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.UHCC.COM/ABOUT-US/PATIENTS-GUESTS/ADMISSION-TO-THE-HOSPITAL/FIN X HTTPS://WWW.UHCC.COM/ABOUT-US/PATIENTS-GUESTS/ADMISSION-TO-THE-HOSPITAL/FIN X HTTPS://WWW.UHCC.COM/ABOUT-US/PATIENTS-GUESTS/ADMISSION-TO-THE-HOSPITAL/FIN X X 1 X 0 X X X X 1 X 0 0 UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 5: UNION HOSPITAL COLLABORATED WITH THE CECIL COUNTY HEALTH DEPARTMENT TO CONDUCT THE NEWEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHOSE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) COVERS FISCAL YEARS 2017 - 2019. THE CHNA PLANNING TEAM INCLUDED STAFF FROM UNION HOSPITAL: THE COMMUNITY BENEFITS COORDINATOR, THE DIRECTOR OF MARKETING, AND A PHYSICIAN FROM OCCUPATIONAL HEALTH (MASTER OF PUBLIC HEALTH (MPH) INTERN), AS WELL AS STAFF FROM THE CECIL COUNTY HEALTH DEPARTMENT: THE HEALTH POLICY ANALYST, THE HEALTH OFFICER, THE DEPUTY HEALTH OFFICER, AND THE PUBLIC AFFAIRS OFFICER. THE CHNA PLANNING TEAM WAS RESPONSIBLE TO FACILITATE ALL COMPONENT PARTS OF THE CHNA PROCESS, INCLUDING WRITING AND SUBMITTING THE REPORTS TO THE INTERNAL REVENUE SERVICE (IRS). ULTIMATELY, THE CHNA/CHIP PROCESS REFLECTED COLLABORATION OF COMMUNITY PARTNERS WORKING TOGETHER TO ACHIEVE THE SAME HEALTH IMPROVEMENT GOALS FOR CECIL COUNTY. PLANNING THE CHNA OCCURRED FROM FEBRUARY 2015 - JUNE 2015. THE CHNA/CHIP WAS APPROVED BY BOTH THE UNION HOSPITAL BOARD (FEBRUARY 2015) AND THE COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) (JULY 2015). PRIMARY DATA COLLECTION OCCURRED FROM JULY 2015 - SEPTEMBER 2015 VIA THREE FOCUS GROUPS AND ADMINISTRATION OF AN ONLINE COMMUNITY SURVEY. SECONDARY DATA WAS TAKEN FROM A VARIETY OF RELIABLE NATIONAL AND LOCAL DATA SOURCES. ANALYSIS OF PRIMARY AND SECONDARY DATA COLLECTED OCCURRED FROM NOVEMBER 2015 THROUGH MID-JANUARY 2016. THE THREE FOCUS GROUPS WERE CONDUCTED WITH ADULT POPULATIONS WITHOUT ACCESS TO THE INTERNET TO TAKE THE ONLINE SURVEY (HOMELESS, SENIORS, AND SPANISH-SPEAKING MIGRANT WORKERS). EACH FOCUS GROUP SESSION INCLUDED A DESCRIPTION OF THE CHNA, THE PURPOSE OF THE FOCUS GROUP, AN INTRODUCTION OF THE FACILITATORS, AND THE RULES OF ENGAGEMENT. ALL MATERIALS WERE TRANSLATED INTO SPANISH FOR THE FOCUS GROUP WITH MIGRANT, SPANISH-SPEAKING WORKERS, AND A SPANISH INTERPRETER WAS PROVIDED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE. PARTICIPANTS WERE ASKED TO RESPOND TO THE FOLLOWING QUESTIONS:1) WHAT ARE THE GREATEST STRENGTHS OF OUR COMMUNITY?2) WHAT DO YOU THINK ARE THE MOST IMPORTANT HEALTH ISSUES IN CECIL COUNTY?3) WHAT WOULD MOST IMPROVE THE QUALITY OF LIFE IN CECIL COUNTY?4) WHAT ARE THE MOST SIGNIFICANT BARRIERS TO ACCESSING HEALTH CARE IN CECIL COUNTY?5) RELATED TO HEALTH AND QUALITY OF LIFE, WHAT RESOURCES OR SERVICES DO YOU THINK ARE MISSING IN CECIL COUNTY?THE ONLINE COMMUNITY SURVEY WAS DEVELOPED BY THE HEALTH POLICY ANALYST (CECIL COUNTY HEALTH DEPARTMENT) WITH INPUT FROM CHAC MEMBER ORGANIZATIONS. THE SURVEY WAS CREATED USING SURVEY MONKEY AND CONSISTED OF TWENTY QUESTIONS - MULTIPLE CHOICE, LIKERT SCALE SELECTIONS, AND FREE TEXT ENTRY. THE SURVEY WAS DIVIDED INTO FOUR SECTIONS: 1) DEMOGRAPHICS, 2) COMMUNITY HEALTH, 3) QUALITY OF LIFE, AND 4) ACCESS TO HEALTH CARE. THE SURVEY TOOK APPROXIMATELY 15 TO 20 MINUTES TO COMPLETE AND 506 PEOPLE COMPLETED THE SURVEY. INPUT FROM COMMUNITY PARTNERS ENGAGED IN CECIL COUNTY'S CHAC MEETINGS, ALSO KNOWN AS THE LOCAL HEALTH IMPROVEMENT COALITION, WAS INTEGRAL TO THE PROCESS OF SELECTING THE HEALTH PRIORITIES FOR THE COUNTY AND CREATING THE CHIP. CHAC MEMBER ORGANIZATIONS THAT PARTICIPATED IN THE PRIORITIZATION AND STRATEGIC PLANNING PROCESSES INCLUDED: AFFILIATED SANT GROUP (MOBILE CRISIS), AMERICAN CANCER SOCIETY, CECIL COUNTY DEPT OF EMERGENCY SERVICES, CECIL COUNTY DEPT OF JUVENILE SERVICES, CECIL COUNTY DEPT OF SOCIAL SERVICES, CECIL COUNTY DIRECTOR OF ADMINISTRATION, CECIL COUNTY EXECUTIVE OFFICE, CECIL COUNTY HEALTH DEPT., CECIL COUNTY LIQUOR BOARD, CECIL COUNTY PUBLIC SCHOOLS, CECIL COUNTY SHERIFF'S OFFICE, COUNTY COUNCIL MEMBERS, DHMH - OFFICE OF POPULATION HEALTH IMPROVEMENT, CECIL COLLEGE, CECIL COUNTY DEPT OF COMMUNITY SERVICES, CECIL COUNTY DEPT OF CORRECTIONS, CECIL COUNTY HOUSING, DEEP ROOTS, ELKTON COMMUNITY KITCHEN, ELKTON POLICE DEPARTMENT, ELKTON PRESBYTERIAN CHURCH, ELKTON HOUSING AUTHORITY, MARYLAND STATE DELEGATES, MARYLAND STATE SENATORS, MEADOW WOOD BEHAVIORAL HEALTH SYSTEM, PRIVATE CITIZENS, PRIVATE EDUCATION ORGANIZATIONS, PRIVATE HEALTH CARE PROFESSIONALS, SEVENTH DAY ADVENTIST CHURCH, UNION HOSPITAL OF CECIL COUNTY, UPPER BAY COUNSELING & SUPPORT SERVICES, WEST CECIL HEALTH CENTER, YOUTH EMPOWERMENT SOURCE, IMMACULATE CONCEPTION MEETING GROUND, ON OUR OWN OF CECIL COUNTY, PARIS FOUNDATION, SERENITY HEALTH, STONE RUN FAMILY MEDICINE, WIN FAMILY SERVICES, & YMCA. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 6B: UNION HOSPITAL COLLABORATED WITH THE CECIL COUNTY HEALTH DEPARTMENT TO CONDUCT THE NEWEST COMMUNITY HEALTH NEEDS ASSESSMENT. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 11: IN 2016, CECIL COUNTY HEALTH DEPARTMENT, UNION HOSPITAL OF CECIL COUNTY, AND PARTNER ORGANIZATIONS IN CHAC BEGAN A COMMUNITY HEALTH IMPROVEMENT PROCESS TO IDENTIFY HEALTH PRIORITIES FOR CECIL COUNTY. THE FOLLOWING THREE HEALTH PRIORITIES WERE SELECTED FOR CECIL COUNTY:1. BEHAVIORAL HEALTH2. CHRONIC DISEASE3. DETERMINANTS OF HEALTHBEHAVIORAL HEALTHGOAL: REDUCE THE PREVALENCE OF SUBSTANCE USE DISORDERS IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, REDUCE THE DRUG-INDUCED DEATH RATE BY 5%STRATEGIES: 1) CONTINUE TO PROVIDE NARCAN TRAINING TO LAW ENFORCEMENT OFFICERS AND THE PUBLIC2) PROVIDE EDUCATION AT PHARMACIES AND PHYSICIANS' OFFICES ON PRESCRIPTION DRUG ABUSE AND NARCAN TRAINING3) ADVOCATE FOR THE DEVELOPMENT OF MORE TREATMENT OPTIONS FOR ADULTS AND ADOLESCENTS IN THE COUNTY4) PARTNER WITH PROVIDERS TO INCREASE THE UTILIZATION OF EXISTING SERVICES5) WORK WITH THE SCHOOL SYSTEM TO REACH AT-RISK ADOLESCENTS6) INCREASE PARTICIPATION IN PREVENTION AND EDUCATION PROGRAMS SUCH AS "MY FAMILY MATTERS AND "STRENGTHENING FAMILIES"7) PROVIDE INCENTIVES FOR ATTENDING PROGRAMS8) PROMOTE THE CREATION OF EDUCATIONAL MESSAGES FOCUSING ON PREVENTION9) IMPLEMENT RECOMMENDATIONS OF CECIL COUNTY'S LOCAL OVERDOSE FATALITY REVIEW TEAM (LOFRT)OBJECTIVE: BY JUNE 30, 2019 REDUCE THE PERCENTAGE OF YOUTH IN GRADES 9-12 REPORTING THE USE OF ALCOHOL ON ONE OR MORE OF THE PAST 30 DAYS TO NO MORE THAN 33.8%STRATEGIES:1) PARTNER WITH MARYLAND STRATEGIC PREVENTION FRAMEWORK 2 (MSPF2) TO IMPLEMENT STRATEGIES IDENTIFIED THROUGH A NEEDS ASSESSMENT2) CONTINUE TO SUPPORT AND EXPAND LIFE SKILLS TRAINING IN CECIL COUNTY PUBLIC SCHOOLSGOAL: IMPROVE THE MENTAL HEALTH AND WELL-BEING OF CECIL COUNTY RESIDENTSOBJECTIVE: BY JUNE 30, 2019, REDUCE THE PERCENTAGE OF YOUTH IN GRADES 9-12 WHO FELT SAD OR HOPELESS ALMOST EVERY DAY FOR TWO WEEKS OR MORE DURING THE PAST 12 MONTHS TO NO MORE THAN 24.8%STRATEGIES:1) PROMOTE DEPRESSION SCREENING DURING WELLNESS CHECKUPS2) RESEARCH PROGRAMMING TO PROMOTE THE HEALTH AND WELL-BEING OF YOUTH3) PROMOTE BEHAVIORAL HEALTH INTEGRATION IN PEDIATRIC PRIMARY CAREOBJECTIVE: BY JUNE 30, 2019, DECREASE THE SUICIDE RATE IN CECIL COUNTY BY 5%.STRATEGIES:1) PROMOTE THE AVAILABILITY OF CRISIS AND SUICIDE HOTLINES2) CONTINUE TO SUPPORT, PROMOTE THE UTILIZATION OF, AND EXPAND MOBILE CRISIS SERVICES IN CECIL COUNTY3) PROMOTE REGULAR SCREENING FOR DEPRESSION DURING PRIMARY CARE PROVIDER VISITS4) PROMOTE MENTAL HEALTH FIRST AID (MHFA) TRAININGGOAL: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, DECREASE THE RATE OF EMERGENCY DEPARTMENT VISITS RELATED TO MENTAL HEALTH CONDITIONS BY 10% AND EMERGENCY DEPARTMENT VISITS RELATED TO SUBSTANCE USE DISORDERS BY 5%STRATEGIES:1) PROVIDE EDUCATION TO REDUCE THE STIGMA SURROUNDING BEHAVIORAL HEALTH DISORDERS2) INCREASE AWARENESS OF BEHAVIORAL HEALTH RESOURCES AND SERVICES IN THE COMMUNITY3) CONTINUE TO SUPPORT OUTREACH EFFORTS TO ENROLL UNINSURED RESIDENTS IN HEALTH INSURANCE/MEDICAL ASSISTANCE4) REDUCE THE HEALTH IMPACT OF VIOLENCE AND TRAUMA BY INTEGRATING TRAUMA-INFORMED CARE THROUGHOUT THE HEALTH CARE AND BEHAVIORAL HEALTH SYSTEMS5) EXPAND OPTIONS FOR INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH TREATMENT FOR CECIL COUNTY RESIDENTS6) PARTNER IN THE DEVELOPMENT OF A REGIONAL CRISIS CENTER7) PROMOTE A SYSTEM OF CARE THAT INTEGRATES SOMATIC AND BEHAVIORAL HEALTH CARE8) CONTINUE TO HOLD MONTHLY ER DIVERSION MEETINGSCHRONIC DISEASEGOAL: REDUCE THE MORBIDITY OF DIABETES IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, INCREASE PHYSICIAN PRACTICE SITES MAKING REFERRALS TO CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS BY 2 SITESSTRATEGIES:1) ENGAGE 2 PHYSICIAN PRACTICE SITES TO PARTICIPATE2) TRACK THE NUMBER OF REFERRALS MADEOBJECTIVE: BY JUNE 30, 2019, INCREASE THE NUMBER OF SITES HOSTING CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS BY 5 SITESSTRATEGIES:1) ENGAGE 5 ADDITIONAL SITES TO HOST CHRONIC DISEASE SELF-MANAGEMENT PROGRAMSOBJECTIVE: BY JUNE 30, 2019, CREATE 1 COUNTY-WIDE WALKING PROGRAMSTRATEGIES:1) USING THE DELAWARE WALKING PROGRAM AS A MODEL, CREATE AND IMPLEMENT A WALKING PROGRAM THAT TRACKS THE NUMBER OF PARTICIPATING INDIVIDUALS, TESTIMONIALS RECEIVED, AND TOTAL MILES WALKED2) IF SUCCESSFUL, CREATE A PLAN FOR FUTURE WALKING PROGRAMS (IF NOT SUCCESSFUL, INDICATE IN ANNUAL REPORTING AND PROVIDE LESSONS LEARNED)GOAL: REDUCE MORTALITY FROM LUNG CANCER IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2017, INCREASE THE NUMBER OF INDIVIDUALS RECEIVING LOW-DOSE LUNG CT SCREENINGS BY 5% IN ORDER TO INCREASE AWARENESS FOR LUNG CANCER PREVENTIONSTRATEGIES:1) ADVERTISE AND PROMOTE THE LOW-DOSE LUNG CT SCREENING PROGRAM IN THE COMMUNITY2) SUPPORT RECOMMENDATIONS OF THE UNION HOSPITAL CANCER PROGRAM'S COMMUNITY OUTREACH PLAN FOR LOW-DOSE LUNCH CT SCREENINGOBJECTIVE: BY JUNE 30, 2019, REDUCE THE PREVALENCE OF TOBACCO USE AMOUNG ADOLESCENTS BY 5% AND CIGARETTE SMOKING AMONG ADULTS BY 5%STRATEGIES: 1) PROMOTE COMMUNITY SMOKING CESSATION2) EDUCATE ADULTS ABOUT COMMUNITY-BASED AND STATE-BASED SMOKING CESSATION AND PREVENTION RESOURCES3) SUPPORT RECOMMENDATIONS OF THE CECIL COUNTY TOBACCO TASK FORCEGOAL: REDUCE MORBIDITY AND MORTALITY OF HEART DISEASE AND STROKE IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, REDUCE HIGH BLOOD PRESSURE AMONG ADULTS BY 5%, IN ORDER TO REDUCE THE INCIDENCE OF STROKE IN CECIL COUNTYSTRATEGIES:1) EDUCATE AND SUPPORT HEALTH CARE PROVIDERS ON HOW TO WRITE PRESCRIPTIONS FOR PHYSICAL ACTIVITY2) PROVIDE A COMMUNITY-WIDE CAMPAIGN TO TARGET REDUCING SODIUM INTAKE (ALSO SUPPORTS HEALTHY EATING FOR YOUTH)3) SUPPORT RECOMMENDATIONS FROM THE UNION HOSPITAL STROKE PROGRAM FOR STROKE PREVENTION IN THE COMMUNITY.OBJECTIVE: BY JUNE 30, 2019, INCREASE THE PERCENTAGE OF STUDENTS WHO EAT VEGETABLES ONE OR MORE TIMES PER DAY BY 5%, IN ORDER TO REDUCE THE INCIDENCE OF HEART DISEASE IN CECIL COUNTYSTRATEGIES:1) PARTNER WITH SCHOOLS, DAY CARES, AND THE "HEAD START" PROGRAM TO PROVIDE EDUCATION TO STAFF AND COMMUNITY MEMBERS ON NUTRITION FOR YOUTH2) SUPPORT THE TRANSITION FROM THE SCHOOL YEAR TO THE SUMMER BY WORKING WITH SUMMER FOOD PROGRAM PROVIDERS TO INCREASE ACCESS TO AND AWARENESS OF SUMMER FOOD PROGRAMS IN THE COMMUNITY3) ADVOCATE FOR THE INCORPORATION OF HEALTHY FOODS INTO SCHOOL LESSONS4) UTILIZE A LOCAL NEWSPAPER TO PROVIDE HELPFUL TIPS, RECIPES, AND/OR NEWS STORIES ON HEALTHY LIFESTYLE CHOICES AS THEY PERTAIN TO THE "CHIP" OBJECTIVESOBJECTIVE: BY JUNE 30, 2019, IMPLEMENT A WELLNESS PROGRAM FOR ONE LOCAL SMALL BUSINESSSTRATEGIES:1) IMPLEMENT A WELLNESS PROGRAM THAT PROVIDES WELLNESS CHALLENGES FOR EMPLOYEES TO PARTICIPATE IN2) REQUIRE THE PARTNERING SMALL BUSINESS TO PROVIDE PRIZES/AWARDS FOR ITS STAFF THAT WINS THE CHALLENGESDETERMINANTS OF HEALTHGOAL: REDUCE THE BURDEN OF POVERTY IN CECIL COUNTY TO IMPROVE THE OVERALL HEALTH OF CECIL COUNTY RESIDENTSOBJECTIVE: BY OCTOBER 30, 2016, RESEARCH EXISTING AND NEW OR INNOVATIVE ANTI- POVERTY PROGRAMS/INITIATIVES FOR IMPLEMENTATION IN CECIL COUNTYSTRATEGIES:1) GET INFORMATION ON THE ANTI-POVERTY PROGRAM RECENTLY PRESENTED AT THE BHA CHILD/ADOLESCENT CONFERENCE2) IDENTIFY & RESEARCH EXISTING ANTI-POVERTY PROGRAMS IN THE COUNTY3) COLLECT INFORMATION FROM FAITH-BASED ANTI-POVERTY INITIATIVES4) INVESTIGATE CARROLL COUNTY'S PROGRAM MODEL5) REVIEW ALL OPTIONS AS A GROUPGOAL: REDUCE THE PREVALENCE OF HOMELESSNESS IN CECIL COUNTY TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY AND ITS RESIDENTSOBJECTIVE: BY JUNE 2018, EXPAND SERVICES AND INTERVENTIONS FOR HOMELESS INDIVIDUALS/FAMILIES TO DECREASE PREVALENCE OF HOMELESSNESS IN CECIL COUNTY BY 10%. SERVICES/INTERVENTIONS WILL BE BASED ON THREE TIERS, INCLUDING 1) EMERGENCY/IMMEDIATE ASSISTANCE, 2) INTERMEDIATE/SHORT-TERM ASSISTANCE, 3) LONGER-TERM ASSISTANCE GEARED TOWARD THOSE EXPERIENCING CHRONIC HOMELESSNESS.STRATEGIES:1) IMPLEMENT A COUNTY-WIDE COORDINATED ASSESSMENT SYSTEM FOR EFFICIENT LINKAGE TO SERVICES AND HOUSING OPTIONS FOR ALL.2) PARTICIPATE IN TECHNICAL ASSISTANCE FROM HUD TO DEVELOP A BY-NAME LIST TO END VETERAN'S HOMELESSNESS.3) SEEK FUNDING FOR OR DEVELOP CASE MANAGEMENT/HOUSING SEARCH SERVICES WHOSE SOLE ELIGIBILITY CRITERIA IS THAT OF BEING HOMELESS.4) EXPLORE THE POSSIBILITY OF A MULTIDISCIPLINARY MEETING TO REVIEW THOSE AT RISK OF HOMELESSNESS OR THOSE WITH COMPLEX HOUSING NEEDS.5) CREATE THE AVAILABILITY OF 24-HOUR RESOURCE ASSISTANCE TO PEOPLE EXPERIENCING HOMELESSNESS, INCLUING EMERGENCY SHELTER DURING EXTREME WEATHER EVENTS.6) ESTABLISH LIASIONS BETWEEN LAW ENFORCEMENT AND PROVIDER AGENCIES7) ESTABLISH A COMMUNITY FURNITURE BANK TO ASSIST THOSE TRANSITIONING FROM HOMELESSNESS BACK INTO STABLE HOUSING.SOME HEALTH NEEDS WERE IDENTIFIED BUT NOT PRIORITIZED BY UHCC AS THERE ARE OTHERS IN THE AREA THAT ARE MORE SUITED TO MEET THEM SUCH AS DENTAL HEALTH, PROBLEM GAMBLING, & INFECTIOUS DISEASE. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 16I: INFORMATION ABOUT OUR FAP APPLICATION IS PLACED IN THE LOCAL NEWSPAPER TWO TIMES PER YEAR TO NOTIFY THE PUBLIC OF AVAILABILITY OF FINANCIAL ASSISTANCE. UNION HOSPITAL OF CECIL COUNTY, INC. PART V, SECTION B, LINE 22D: MARYLAND IS AN ALL-PAYOR STATE AND THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) SETS THE RATES FOR UNION HOSPITAL. PART I, LINE 7: ALL INFORMATION IS BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,826,331. PART II, COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT (F2) IN FISCAL YEAR 2016, UNION HOSPITAL SUPPORTED THE FOLLOWING ECONOMIC DEVELOPMENT ORGANIZATIONS IN CECIL COUNTY: 1) ECONOMIC DEVELOPMENT COMMISSION FOR CECIL COUNTY - THIS COMMISSION PROMOTES ECONOMIC DEVELOPMENT IN CECIL COUNTY, FOCUSING ON BUSINESS AND INDUSTRY DEVELOPMENT, BY BUILDING RELATIONSHIPS WITH LOCAL PARTNERS. UNION HOSPITAL COLLABORATES WITH THIS COMMISSION TO PROMOTE STABILITY WITHIN THE HOSPITAL'S WORKFORCE AND TO BRING MUCH NEEDED PRACTITIONERS TO THE AREA, ESPECIALLY WHERE THERE ARE TOO FEW PROVIDERS OR IDENTIFIED SERVICE GAPS. UNION HOSPITAL'S EXECUTIVE MANAGEMENT STAFF ATTEND BOARD MEETINGS. 2) ELKTON ALLIANCE - ELKTON ALLIANCE WORKS TOGETHER WITH THE LOCAL GOVERNMENT AND BUSINESS COMMUNITIES TO RESTORE, PROMOTE, AND MAINTAIN THE DIVERSE HISTORIC DOWNTOWN ELKTON AREA, WHILE ATTRACTING NEW ENTERPRISES FOR THE BENEFIT OF COMMUNITY RESIDENTS, BUSINESSES, AND VISITORS. IN COLLABORATING WITH ELKTON ALLIANCE, UNION HOSPITAL SEEKS TO MAINTAIN A POSITIVE PRESENCE IN THE COMMUNITY BY HELPING TO ADDRESS COMMUNITY DEVELOPMENT ISSUES. UNION HOSPITAL'S EXECUTIVE MANAGEMENT STAFF ATTEND BOARD MEETINGS. 3) CECIL COUNTY SCHOOL EMPLOYEES FEDERAL CREDIT UNION BOARD - THE CREDIT UNION'S BOARD PROMOTES FINANCIAL LITERACY AND EDUCATION FOR ITS MEMBERS AND FOR LOCAL ELEMENTARY SCHOOL STUDENTS, WHICH CONTRIBUTES TO REDUCING FINANCIAL BARRIERS THAT CAN BE EXACERBATED BY SOCIAL DETERMINANTS OF HEALTH. UNION HOSPITAL FINANCE STAFF ATTEND BOARD MEETINGS. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS (F5)IN FISCAL YEAR 2016, UNION HOSPITAL SUPPORTED THE FOLLOWING LEADERSHIP DEVELOPMENT AND TRAINING EFFORTS IN CECIL COUNTY:1) CECIL LEADERSHIP INSTITUTE - THE CECIL LEADERSHIP INSTITUTE (CLI) IS HOSTED BY CECIL COLLEGE AND PROVIDES A FRAMEWORK WHERE EXISTING AND EMERGING LEADERS IN BUSINESS, GOVERNMENT, AND TOURISM ENGAGE, COLLABORATE, AND COMMIT TO CECIL COUNTY'S ONGOING DEVELOPMENT. UNION HOSPITAL PARTNERS WITH CECIL COLLEGE TO PROVIDE A LEARNING ENVIRONMENT AT THE HOSPITAL FOR CLI PARTICIPANTS. PARTICIPANTS ENGAGE WITH HEALTH CARE PROFESSIONALS THROUGH QUESTION AND ANSWER SESSIONS, PRESENTATIONS BY HOSPITAL LEADERSHIP STAFF, AND TOURS OF THE DIFFERENT HOSPITAL SERVICE LINES, PROGRAMS, AND MODALITIES. 2) PROFESSIONAL DEVELOPMENT FOR CECIL COUNTY PUBLIC SCHOOLS NURSING STAFF - UNION HOSPITAL'S AFFINITY HEALTH INSTITUTE (AHI) UTILIZES ITS CLINICAL EDUCATION STAFF TO PROVIDE NURSING SKILLS REFRESHERS AND LEADERSHIP TRAININGS FOR COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2016, AHI STAFF MET WITH THE NURSING COORDINATOR FOR CECIL COUNTY PUBLIC SCHOOLS (CCPS) TO BEGIN A CONVERSATION AROUND HOW UNION HOSPITAL COULD PROVIDE LEADERSHIP DEVELOPMENT TOOLS THAT COULD BE FACILITATED THROUGH WORKSHOPS DURING CCPS PROFESSIONAL DEVELOPMENT DAYS. LEADERSHIP DEVELOPMENT AND TRAINING SUPPORT FROM THE HOSPITAL'S CLINICAL EDUCATION TEAM WILL ESTABLISH AND GROW CLINICAL AND LEADERSHIP COMPETENCIES FOR CCPS NURSES AND WILL SET A PRECEDENCE FOR THIS TYPE OF SUPPORT FOR FUTURE COMMUNITY PARTNERS SEEKING GUIDANCE. WORKFORCE DEVELOPMENT (F8)IN FISCAL YEAR 2016, UNION HOSPITAL SUPPORTED THE FOLLOWING WORKFORCE DEVELOPMENT PROGRAMS/ENTITIES IN CECIL COUNTY: 1) HIGH SCHOOL WORK ENRICHMENT PROGRAM - UNION HOSPITAL FOOD SERVICES STAFF MENTORED 140 DEVELOPMENTALLY DISABLED HIGH SCHOOL STUDENTS FROM ELKTON HIGH SCHOOL AND PERRYVILLE HIGH SCHOOL AS PART OF THE HIGH SCHOOL WORK ENRICHMENT PROGRAM, A PARTNERSHIP PROGRAM BETWEEN UNION HOSPITAL AND CECIL COUNTY PUBLIC HIGH SCHOOLS. THIS PROGRAM PROVIDES FOOD SERVICES WORK ASSIGNMENTS AND TRAINING FOR DEVELOPMENTALLY-DISABLED STUDENTS, LIKE DEVELOPING SKILLS FOR FOOD PREPARATION AND FOOD SANITATION. THE PROGRAM PROVIDES DIRECTION AND IMPORTANT LIFE SKILLS, ALLOWING STUDENTS TO FEEL NEEDED, USEFUL, AND CAPABLE WITHIN A BUSY WORK ENVIRONMENT. STUDENTS LEARN THE VALUE OF PRODUCTIVITY AND TASK COMPLETION AND WORK INDIVIDUALLY AND AS PART OF A TEAM. 2) SUSQUEHANNA WORKFORCE BOARD - SUSQUEHANNA WORKFORCE IS A NON-PROFIT ORGANIZATION THAT PLANS WORKFORCE DEVELOPMENT PROGRAMS AND SERVICES FOR INDIVIDUALS AND BUSINESSES IN CECIL AND HARFORD COUNTIES. UNION HOSPITAL'S EXECUTIVE MANAGEMENT STAFF ATTEND BOARD MEETINGS. 3) PHYSICIAN RECRUITMENT - RECRUITMENT COSTS WERE REPORTED IN FISCAL YEAR 2016 FOR HOSPITAL OUTPATIENT SERVICES THAT BRIDGED ACCESS TO HEALTH CARE SERVICE GAPS IN CECIL COUNTY. THESE HOSPITAL OUTPATIENT SERVICES INCLUDED: ENDOCRINOLOGY, PULMONOLOGY, FAMILY MEDICINE, AND PSYCHIATRY. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. PART III, LINE 3: THE METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF BAD DEBT EXPENSE (AT COST) FOR THE YEAR. UNION HOSPITAL OF CECIL COUNTY PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. PART III, LINE 4: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND.EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 9B: IN ACCORDANCE WITH THE COLLECTION POLICY, BAD DEBT ACCOUNTS WILL BE ELIGIBLE FOR A CHARITY CARE DISCOUNT IF THE PATIENT MEETS CHARITY CARE POLICY GUIDELINES. THE PATIENT WILL NEED TO SUPPLY INCOME INFORMATION IN ORDER TO DETERMINE ELIGIBILITY FOR CHARITY CARE PER POLICY. WITHIN 2 BUSINESS DAYS FOLLOWING A PATIENT'S REQUEST FOR CHARITY CARE SERVICES THE HOSPITAL WILL MAKE A CONDITIONAL DETERMINATION OF PROBABLE ELIGIBILITY. FINAL DETERMINATION WILL BE MADE BASED UPON A COMPLETED AND ACCURATE APPLICATION. PATIENTS WILL BE NOTIFIED VIA LETTER INDICATING THE LEVEL AT WHICH THE APPLICATION WAS APPROVED OR THE REASON FOR DENIAL. ANY PORTION OF THE PATIENT'S BALANCE THAT DOES NOT MEET THE GUIDELINES/QUALIFY FOR FINANCIAL ASSISTANCE DISCOUNT, WILL FOLLOW THE HOSPITAL'S NORMAL COLLECTION PROCESS INCLUDING 3 PATIENT ACCOUNT STATEMENTS. AFTER 90 DAYS, IF STILL UNPAID, THE BALANCE IS TRANSFERRED TO OUR COLLECTIONS AGENCY. PART VI, LINE 2: THE CHNA REFLECTS THE CURRENT STATUS OF THE MEDICAL AND SOCIAL DETERMINANTS OF HEALTH FOR CECIL COUNTY AND PROVIDES QUALITATIVE FEEDBACK ON KEY HEALTH ISSUES. THE CHNA IS COMPRISED OF AN ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS TAKEN FROM RESULTS FROM ANONLINE COMMUNITY SURVEY CONDUCTED WITH ADULT (AGED 18 YEARS OR OLDER) CECIL COUNTY RESIDENTS AND THREE FOCUS GROUPS CONDUCTED WITH COMMUNITY RESIDENTS. SECONDARY DATA WAS TAKEN FROM A VARIETY OF RELIABLE NATIONAL AND LOCAL DATA SOURCES (LOCAL DATA WAS COMPARED, WHEN POSSIBLE,AGAINST STATE AND NATIONAL TRENDS). IN ADDITION, TWO COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) MEETINGS WERE HELD TO HELP SELECT THE HEALTH PRIORITIES FOR CECIL COUNTY AND BEGIN FORMATION OF STRATEGIES TO ADDRESS THEM. THE CHNA WAS CONDUCTED FROM QUARTER 3 OF FISCAL YEAR 2015 THROUGH QUARTER 3 OF FISCAL YEAR 2016. THE CHNA PROCESS REFLECTS COLLABORATION OFCOMMUNITY PARTNERS WORKING TOGETHER TO ACHIEVE THE SAME HEALTH IMPROVEMENT GOALS FOR CECIL COUNTY.SEE ADDITIONAL DETAIL REGARDING THE NEEDS ASSESSMENT IN OUR RESPONSE TO PART V, SECTION B, LINE 3. PART VI, LINE 3: UNION HOSPITAL OF CECIL COUNTY UTILIZES A FINANCIAL ASSISTANCE POLICY (FAP) TO ENSURE THAT THE HOSPITAL'S STAFF FOLLOWS A CONSISTENT AND EQUITABLE PROCESS IN GRANTING FINANCIAL ASSISTANCE TO PATIENTS, WHILE RESPECTING THE INDIVIDUAL'S DIGNITY. THE POLICY IS IN AGREEMENT WITH THE ESTABLISHED MARYLAND STATE FINANCIAL ASSISTANCE GUIDELINES. IN FACT, IN FISCAL YEAR 2015, UNION HOSPITAL'S FINANCE DEPARTMENT DIVISIONS OF MANAGED CARE, REVENUE CYCLE, AND BILLING BEGAN WORKING ON CHANGES TO THE FAP TO REFLECT THE ACA'S HEALTH CARE COVERAGE EXPANSION OPTION EFFECTIVE JANUARY 1, 2014. THE RESULTING REVISED FAP IS MORE COMPREHENSIVE IN THAT IT INCLUDES MORE DESCRIPTIONS, PATIENT EXPECTATIONS, AND CONTENT THAT IS EASY TO FOLLOW AND DIGEST. NEW SECTIONS THAT GIVE THE FAP MORE DEPTH INCLUDE: DEFINITIONS, SCOPE, PRESUMPTIVE ELIGIBILITY, ELIGIBILITY PERIOD, RECONSIDERATION OF DENIAL OF FREE OR REDUCED-COST CARE, MEDICAL DEBT DETERMINATION (LIMIT ON CHARGES), ACTION IN THE EVENT OF NON-PAYMENT, ENSURING COMPLIANCE, PLAIN LANGUAGE SUMMARY, AND REFERENCES. THE FAP CLEARLY DEFINES PATIENT EXPECTATIONS, OFFERS A STEP-BY-STEP PROCESS FOR PATIENT APPLICATION, DOCUMENT REVIEW, AND REQUEST FOR MORE INFORMATION. ANY INDIVIDUAL WHO PRESENTS TO UNION HOSPITAL IN PERSON TO DISCUSS HIS/HER BILL IS PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION. ALL INPATIENT, SELF-PAY PATIENTS ARE VISITED BY FINANCIAL ASSISTANCE NAVIGATORS AND ARE SCREENED FOR THE FINANCIAL ASSISTANCE PROGRAM, AS WELL AS FOR MEDICAID AND OTHER STATE AND COUNTY PROGRAMS. FOLLOWING DISCHARGE FROM THE HOSPITAL, EACH PATIENT RECEIVES A SUMMARY OF CHARGES WHICH INCLUDES NOTICE OF THE FINANCIAL ASSISTANCE PROGRAM AND A DESIGNATED CONTACT TELEPHONE NUMBER AND EMAIL. PATIENT BILLING ALSO INCLUDES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE TO ALL UNDERINSURED AND UNINSURED PATIENTS OF UNION HOSPITAL. ALL FINANCIAL ASSISTANCE APPLICATIONS RECEIVED ARE PROCESSED FOR ELIGIBILITY. PATIENTS WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE ARE REFERRED TO THE CECIL COUNTY HEALTH DEPARTMENT, OTHER STATE PROGRAMS, THE MARYLAND HEALTH CONNECTION, AND MEDICAID TO DETERMINE IF OTHER ASSISTANCE IS AVAILABLE. FINANCIAL ASSISTANCE APPLICATIONS AND FAP SIGNAGE ARE LOCATED THROUGHOUT THE HOSPITAL, EMERGENCY ROOM, AND OUTPATIENT AREAS. THE FINANCIAL ASSISTANCE APPLICATION AND BROCHURE (ENGLISH AND SPANISH) ARE AVAILABLE ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/. IN ADDITION, UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP, HOW TO ACCESS FINANCIAL ASSISTANCE MATERIALS, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: UNION HOSPITAL IS THE ONLY HOSPITAL IN CECIL COUNTY AND SERVES THE ENTIRE COUNTY. THEREFORE, THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS INCLUSIVE OF THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS INCLUDE ELKTON, NORTH EAST, CHILDS, ELK MILLS, CHESAPEAKE CITY, CHARLESTOWN, RISING SUN, WARWICK, CECILTON, & EARLEVILLE. THE SECONDARY SERVICE AREAS INCLUDE PERRYPOINT, PERRYVILLE, PORT DEPOSIT, COLORA, CONOWINGO, & GEORGETOWN.A MAJORITY OF UNION HOSPITAL'S COMMUNITY BENEFIT RESOURCES ARE FOCUSED WITHIN ELKTON (21921) AND NORTH EAST (21901) - HOSPITAL UTILIZATION SHOWS THAT 60% OF THE HOSPITAL'S PATIENTS COME FROM ELKTON AND NORTH EAST. DATA FOR OVERUTILIZATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT AND READMISSIONS ALSO CORROBORATE THAT A MAJORITY OF HOSPITAL UTILIZATION COMES FROM ELKTON AND NORTH EAST. GEOGRAPHY PLAYS A SIGNIFICANT ROLE IN VULNERABILITY AND POVERTY IN CECIL COUNTY. THERE IS POVERTY IN THE MORE RURAL AREAS, LIKE CONOWINGO, EARLEVILLE, AND CECILTON, BUT ALSO IN ELKTON WHICH IS MORE URBAN-RURAL. IN ADDITION, PEOPLE THAT RESIDE IN THE AREAS BELOW THE C & D CANAL (WARWICK, CHESAPEAKE CITY, CECILTON, EARLEVILLE, AND GEORGETOWN) AND WEST OF NORTH EAST (PERRY POINT, PERRYVILLE, PORT DEPOSIT, CHARLESTOWN, COLORA, AND CONOWINGO) OFTEN HAVE THE MOST DIFFICULTY ACCESSING SERVICES BECAUSE OF THE DISTANCE NEEDED TO TRAVEL TO THE NEAREST SERVICE PROVIDER AND THE LACK OF RELIABLE TRANSPORTATION. THE ESTIMATED TOTAL POPULATION OF CECIL COUNTY IN 2014 WAS 101,803 PEOPLE. OF THE TOTAL COUNTY POPULATION, 50.3% WAS FEMALE AND 49.7% WAS MALE. THE MEDIAN AGE WAS 39.7 YEARS. IN 2014, THE ESTIMATED RACIAL MAKE-UP OF CECIL COUNTY WAS:- WHITE: 89.3%- BLACK/AFRICAN AMERICAN: 6.9% - AMERICAN INDIAN/ALASKAN NATIVE: 0.2%- ASIAN: 1.3%- NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER: 0%- OTHER: 0.7%- 2+ RACES: 1.6%IN 2014 IT WAS ESTIMATED THAT 96% OF CECIL COUNTY WAS NON-HISPANIC/LATINO WITH 96% OF THE ADULT POPULATION SPEAKING ENGLISH AS A FIRST LANGUAGE (US CENSUS BUREAU, 2010-2014 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES). IN 2015, THE MEDIAN HOUSEHOLD INCOME WAS ESTIMATED TO BE $70,676. IN 2015, IT WAS ESTIMATED THAT 6.7% OF FAMILIES LIVED BELOW THE POVERTY LEVEL. THESE ESTIMATES ALSO SHOWED THAT 4.5% OF THE POPULATION IN CECIL COUNTY WAS UNINSURED AND 32.1% RECEIVED MEDICAID (US CENSUS BUREAU, 2015 AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES). PART VI, LINE 5: EACH FISCAL YEAR, UNION HOSPITAL SERVES THE CECIL COUNTY COMMUNITY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT AIM TO IMPROVE COMMUNITY HEALTH, ESPECIALLY SERVING UNDERSERVED AREAS AND VULNERABLE POPULATIONS. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FISCAL YEAR 2016:A1: COMMUNITY HEALTH EDUCATIONUNION HOSPITAL STAFF PROVIDED:- A VARIETY OF HEALTH EDUCATION PRESENTATIONS AND ACTIVITIES IN THE COMMUNITY - FREE BASIC LIFE SUPPORT (BLS) INSTRUCTION IN THE COMMUNITY - EXPLORER POST AT UNION HOSPITAL FOR HIGH SCHOOL STUDENTS SEEKING EXPOSURE TO MEDICAL OR HEALTH SCIENCE EXPERIENCES- SUPPORT GROUPS FOR VARIOUS HEALTH NEEDS- HEALTH FAIRS IN THE COMMUNITY - HEALTH LITERACY ACTIVITIES IN PARTNERSHIP WITH THE LOCAL LIBRARY AND HEALTH DEPARTMENT A2: COMMUNITY-BASED CLINICAL SERVICESUNION HOSPITAL STAFF PROVIDED:- FREE SCREENINGS FOR SKIN CANCER, PROSTATE CANCER, AND DIABETES- FREE SPORTS PHYSICALS CLINIC FOR COUNTY PUBLIC AND PRIVATE HIGH SCHOOL STUDENTS A3: HEALTH CARE SUPPORT SERVICESUNION HOSPITAL STAFF PROVIDED:- INTERPRETING SERVICES BEYOND THE STANDARD OF CARE (FACILITATED THROUGH THE HOSPITAL'S QUALIFIED BILINGUAL STAFF PROGRAM)- DEVELOPED/IMPLEMENTED ACCESS TO THE TOBACCO CESSATION SERVICE ASSISTANCE FOR PREGNANT WOMEN THROUGH THE PREGNANCY AND TOBACCO CESSATION HELP (PATCH) GRANT ACTIVITIES (FACILITATED IN PARTNERSHIP WITH CECIL COUNTY HEALTH DEPARTMENT'S DIVISION OF HEALTH PROMOTIONS)- PROVIDED MEDICAL EXAMINATIONS FOR ABUSED CHILDREN IN CONJUNCTION WITH DEPARTMENT OF SOCIAL SERVICES AND THE CECIL COUNTY CHILD ADVOCACY CENTERUNION HOSPITAL:- SUPPORTED THE PEER RECOVERY ADVOCATE PROGRAM PARTNERSHIP BETWEEN THE ALCOHOL AND DRUG RECOVERY CENTER AT CECIL COUNTY HEALTH DEPARTMENT AND UNION HOSPITAL'S EMERGENCY DEPARTMENT AND PSYCH UNIT/CRISIS - PROVIDED TRANSPORTATION DONATIONS FOR ELIGIBLE PATIENTS AND THEIR FAMILIES- PROVIDED ACCESS TO PEDIATRIC PATIENT BEHAVIORAL HEALTH RESOURCES FOR PRIMARY CARE PROVIDERS THROUGH B-HIPP SERVICESA4: SOCIAL AND ENVIRONMENTAL IMPROVEMENTS UNION HOSPITAL STAFF:- PARTICIPATED IN TWO BUILD DAYS WITH HABITAT-FOR-HUMANITY- MENTORED AT-RISK YOUTH WITH DISTRICT-PARTNERED SCHOOLS - SUPPORTED THE HOSPITAL'S PARTNER IN EDUCATION, GILPIN MANOR ELEMENTARY SCHOOL, THROUGH DONATIONS, MENTOR SUPPORT, AND COMMUNITY HEALTH EDUCATION OPPORTUNITIES FOR FAMILIES - SUPPORTED AT-RISK ADULTS BY OFFERING GED TUTORING THROUGH THE JUDY CENTER B: HEALTH PROFESSIONS EDUCATIONUNION HOSPITAL STAFF PRECEPTED AND MENTORED STUDENTS THROUGH A VARIETY OF STUDENT EXPERIENCES FROM NURSING AND OTHER MEDICAL RESIDENCY AND CLINICAL ROTATIONS TO GRADUATE STUDENT INTERNSHIPS, ALLIED HEALTH STUDENT EXPERIENCES, AND HIGH SCHOOL TECHNOLOGY AND APPLIED SCIENCES PROGRAMS. C: MISSION DRIVEN HEALTH SERVICESUNION HOSPITAL PROVIDED THESE SERVICES TO MEET IDENTIFIED NEEDS IN THE COMMUNITY, EVEN THOUGH THEY OPERATE AT A LOSS:- A FREE OSTOMY CLINIC (C3)- EMPLOYED PHYSICIAN PRACTICE SUBSIDIES (C3)- ADULT DAY SERVICES FOR OLDER ADULT CLIENTS WITH DEMENTIA AND OTHER NEUROLOGICAL DISORDERS (C7)- FREE HOSPICE SUPPORT (C9)D1: CLINICAL RESEARCHUNION HOSPITAL MAINTAINED A CANCER REGISTRY THROUGH THE CANCER PROGRAM THAT WAS AVAILABLE TO HEALTH SERVICE PROVIDERS AND RESEARCHERS. E1-3: FINANCIAL/IN-KIND CONTRIBUTIONS UNION HOSPITAL STAFF PROVIDED DONATIONS OF TIME (STAFF HOURS) AND MONEY (EQUIPMENT/SUPPLIES DONATIONS) FOR THE CECIL COUNTY COMMUNITY BY:- PROVIDING FREE AMBULANCE TRANSPORTS AND FREE SUPPLIES FOR AMBULANCE STOCK-UPS- GIVING BLOOD AT HOSPITAL AND OTHER COMMUNITY BLOOD DRIVES AND OTHER LOCAL DONOR LOCATIONS- FACILITATING THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) KIDS CLUB IN THE AFTER-SCHOOL SETTING FOR YOUTH IN THE COMMUNITY TO INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING HABITS- ATTENDING MEETINGS FOR COMMUNITY HEALTH IMPROVEMENT (LOCAL HEALTH IMPROVEMENT COALITION, COMMUNITY BOARDS, ETC.)- SERVING AND EDUCATING THE HOMELESS- CONNECTING LOW-INCOME, PREGNANT WOMEN TO PRE- AND POST-NATAL RESOURCES - PROVIDING FOOD FOR MINISTRIES, LIKE THE HOME DELIVERED MEALS PROGRAM IN PARTNERSHIP WITH THE CECIL COUNTY DEPARTMENT OF COMMUNITY SERVICES, LOCAL CHURCHES, AND OTHER LOW-INCOME AND POOR SERVING MINISTRIES - PROVIDING FREE NOTARY SERVICES FOR THE COMMUNITY- VOLUNTEERING WITH LOCAL ORGANIZATIONS TO PROVIDE A DIRECT IMPACT ON COMMUNITY HEALTH- MEETING WITH OTHER HOSPITAL AND COMMUNITY PARTNERS TO DEVELOP A COMMUNITY-BASED CARE COORDINATION HEALTH CARE DELIVERY MODEL TO MANAGE HIGH-RISK, MEDICARE CLIENTS IN THE COMMUNITY SETTING, IN ORDER TO CREATE PATIENT SELF-MANAGEMENT SKILLS, ESTABLISH SOLID SUPPORT LINKAGES BETWEEN PATIENTS AND PRIMARY CARE PROVIDERS, AND PREVENT OVERUTILIZATION OF THE EMERGENCY DEPARTMENT AND INPATIENT READMISSIONS (OFFSET BY GRANT DOLLARS)J: FOUNDATION FUNDED COMMUNITY BENEFIT THE UNION HOSPITAL FOUNDATION PROVIDED FUNDING FOR THE COMMUNITY ASSISTED MEDICATIONS PROGRAM (CAMP) WHICH PROVIDES REDUCED-COST MEDICATIONS TO PATIENTS THAT QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE. PART VI, LINE 6: UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. (AHA) IS THE PARENT ENTITY. AHA'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES, FUNDRAISING AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY.OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE THE UNION HOSPITAL OF CECIL COUNTY FOUNDATION, INC. AND UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.THE FOUNDATION CONDUCTS AND SUPERVISES FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES. THE FOUNDATION ENGAGES IN CORPORATE FUNDRAISING, CAPITAL CAMPAIGNS, SPECIAL EVENTS, ACTIVITIES, AND A MULTI-FACETED COMMUNICATION PROGRAM THAT APPEALS TO PRIVATE AND CORPORATE CONTRIBUTORS.UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH RELATED VENTURES TO SERVE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL.UNION HOSPITAL OF CECIL COUNTY VENTURES, INC. IS A FOR-PROFIT STOCK CORPORATION. ITS PURPOSE IS TO ENGAGE IN ANY BUSINESS OR TRANSACTION WHICH WILL BENEFIT THE ACTIVITIES AND GOALS OF ITS AFFILIATES. OPERATIONS CONSIST PRIMARILY OF PROVIDING MANAGEMENT SUPPORT SERVICES FOR PHYSICIAN PRACTICES AND PROVIDING IMAGING SERVICES TO PHYSICIANS AND HEALTH CENTERS THROUGH ITS WHOLLY OWNED SUBSIDIARIES, TRIANGLE ALIANCE LLC AND OPEN MRI AND IMAGING CENTER OF ELKTON LLC. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON MD 21921 521794553 501(C)(3) 3894862 CHARITABLE ACTIVITIES TRIANGLE HEALTH ALLIANCE INC (WHOLLY OWNED SUB OF UHCC VENTURES INC) 106 BOW STREET ELKTON MD 21921 010789341 350920 CAPITAL CONTRIBUTION OPEN MRI & IMAGING CENTER LLC (WHOLLY OWNED SUB OF UHCC VENTURES INC) 106 BOW STREET ELKTON MD 21921 202119977 222478 CAPITAL CONTRIBUTION 1 2 PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES ASSISTANCE TO ITS AFFILIATED ENTITIES. IT DOES NOT PROVIDE GRANTS TO OTHER ORGANIZATIONS. USE OF FUNDS IS MONITORED BY MANAGEMENT. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 KENNETH S LEWIS MD JD PRESIDENT & CEO (UNTIL 12/31/15) 0 560717 0 0 0 451997 0 228248 0 20120 0 1261082 0 0 LAURIE R BEYER CPA SENIOR VP/CHIEF FINANCIAL OFFICER 0 279290 0 75877 0 21166 0 63149 0 19934 0 459416 0 0 CYDNEY TEAL VP MEDICAL AFFAIRS 0 300783 0 61343 0 24935 0 6575 0 13788 0 407424 0 0 DAVID GIPSON SENIOR VP/CHIEF OPERATING OFFICER 0 114117 0 59992 0 42096 0 6181 0 10520 0 232906 0 0 KHADIJATU BOSTON SENIOR VP/CHIEF NURSING OFFICER 0 183009 0 30345 0 13553 0 5370 0 1741 0 234018 0 0 TERRANCE LOVELL VP HUMAN RESOURCES 192040 0 32391 0 16277 0 44323 0 19160 0 304191 0 0 0 JUSTIN SAUSVILLE PHYSICIAN 387630 0 142424 0 20486 0 6575 0 20455 0 577570 0 0 0 MICHAEL BASS PHYSICIAN 396314 0 28096 0 507 0 3975 0 20432 0 449324 0 0 0 ROGER WU PHYSICIAN 274062 0 122219 0 432 0 6575 0 14496 0 417784 0 0 0 OSCAR GALVIS PHYSICIAN 328040 0 45500 0 2322 0 6575 0 20113 0 402550 0 0 0 EUGENIA GRAY PHYSICIAN 346846 0 16875 0 845 0 3975 0 11888 0 380429 0 0 0 PART I, LINE 1A THE ORGANIZATION'S PRESIDENT & CEO, DR. KENNETH LEWIS, HAS A DISCRETIONARY SPENDING ACCOUNT FOR FLEXIBLE BENEFITS WHICH INCLUDED: A) LEASED CAR PAYMENTS, GAS, REPAIRS AND INSURANCE B) TAX RETURN PREPARATION C) ATTORNEY REGISTRATION FEE D) DEA REGISTRATION E) CASH ALL BENEFITS HAVE BEEN INCLUDED IN TAXABLE WAGES. PART I, LINE 4B THE FOLLOWING PEOPLE PARTICIPATE IN A SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLAN UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE: DR. KENNETH LEWIS, PRESIDENT & CEO LAURIE BEYER, SENIOR VP/CFO DAVID GIPSON, SENIOR VP/COO TERRENCE LOVELL, VP HUMAN RESOURCES THE FOLLOWING PAYMENTS HAVE BEEN CONTRIBUTED TO THE PLAN EACH CALENDAR YEAR SINCE 2007: 12/31/2007 - $90,000 (DR. KENNETH LEWIS) 12/31/2008 - $90,000 (DR. KENNETH LEWIS) 12/31/2009 - $90,000 (DR. KENNETH LEWIS) 12/31/2010 - $90,000 (DR. KENNETH LEWIS) 12/31/2011 - $108,000 (DR. KENNETH LEWIS) 12/31/2012 - $108,000 (DR. KENNETH LEWIS) 12/31/2013 - $108,000 (DR. KENNETH LEWIS) 12/31/2014 - $108,000 (DR. KENNETH LEWIS) 12/31/2015 - $216,000 (DR. KENNETH LEWIS) 12/31/2011 - $51,431 (LAURIE BEYER) 12/31/2012 - $54,576 (LAURIE BEYER) 12/31/2013 - $59,861 (LAURIE BEYER) 12/31/2014 - $62,999 (LAURIE BEYER) 12/31/2015 - $56,574 (LAURIE BEYER) 12/31/2011 - $51,968 (DAVID GIPSON) 12/31/2012 - $55,135 (DAVID GIPSON) 12/31/2013 - $60,606 (DAVID GIPSON) 12/31/2014 - $63,775 (DAVID GIPSON) 12/31/2014 - $38,993 (TERRANCE LOVELL) 12/31/2015 - $38,731 (TERRANCE LOVELL) NO ONE RECEIVED A PAYMENT FROM THE PLAN IN CALENDAR YEAR 2015. THE RIGHT TO RECEIVE PAYMENTS UNDER THE PLAN SHALL BE FORFEITED IN THE EVENT THAT EMPLOYMENT WITH THE HOSPITAL TERMINATES PRIOR TO THE VESTING DATE FOR ANY REASON OTHER THAN INVOLUNTARY TERMINATION WITHOUT CAUSE, DEATH, OR DISABILITY. PART I, LINE 7 A PORTION OF THE BONUSES AND MERIT INCREASE ARE TIED TO THE ORGANIZATIONAL GOALS, SUCH AS PATIENT SATISFACTION, QUALITY, EMPLOYEE TURNOVER, ETC. A PORTION OF THE BONUSES AND MERIT INCREASE ARE ALSO TIED TO EXPENSES PER EQUIVALENT INPATIENT DAYS OF UNION HOSPITAL OF CECIL COUNTY. A MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 520936091 2014-12-01 30778000 SEE PART VI 0 0 0 B TOWN OF ELKTON 526000790 2012-05-18 10000000 SEE PART VI 0 0 0 C TOWN OF ELKTON 526000790 2012-05-18 8662336 SEE PART VI 0 0 0 D TOWN OF ELKTON 526000790 2012-05-18 9000000 SEE PART VI 0 0 0 A 180000 30778000 30778000 2014 1 0 1 1 B 1268486 10000000 10000000 2012 1 0 1 1 C 2096631 8662336 8662336 2012 1 0 1 1 D 9000000 9000000 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, COLUMN (F) ISSUE A: TO REFINANCE THE 2005 BONDS. ISSUE B: TO REFUND PORTION OF SERIES 2009 BONDS. ISSUE C: TO REFUND REMAINING PORTION OF SERIES 2009 BONDS AND ALL OF SERIES 2000 BONDS. ISSUE D: TO FUND AN ESCROW WHICH REPAYS A PORTION OF THE SERIES 2002 BONDS AND INTEREST THEREON. ISSUE E: TO REFUND REMAINING PORTION OF SERIES 2002 BONDS. ISSUE F: TO FINANCE ACQUISITION OF EQUIPMENT AND CLOSING COSTS. A MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 520936091 2012-07-18 9924000 SEE PART VI 0 0 0 B MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 520936091 2012-07-18 4007000 SEE PART VI 0 0 0 A 3603523 9924000 9924000 2012 1 0 1 1 B 1202673 4007000 4007000 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 6 AFFINITY HEALTH ALLIANCE, INC. ("AHA"), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS DIRECTORS ARE APPOINTED BY ITS SOLE MEMBER, AHA. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS SOLE MEMBER (AHA) MAY AMEND ITS BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT OF THE HOSPITAL REVIEWS THE 990 IN DETAIL BEFORE IT IS PRESENTED TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE ORGANIZATION'S CEO REVIEWS THE SIGNED ANNUAL DISCLOSURES. THE CORPORATE COMPLIANCE OFFICER IS MADE AWARE OF ANY DISCLOSED CONFLICT, INVESTIGATES THE CONFLICT, AND REPORTS BACK TO THE BOARD OF DIRECTORS. THE BOARD CONSIDERS THE FACTS AND MAKES AN APPROPRIATE FINDING. ANY BOARD MEMBER WITH A CONFLICT MUST ABSTAIN FROM BOARD DELIBERATIONS AND VOTING ON THE MATTER. ALL VICE PRESIDENTS ANNUALLY RECEIVE A LIST OF THE INDIVIDUALS UNDER THEIR SUPERVISION WHO MAY HAVE A POTENTIAL CONFLICT OF INTEREST. THE LIST IS COMPRISED OF ALL MANAGERS, CERTAIN PROFESSIONAL STAFF WHO MAY HAVE RESPONSIBILITY NEGOTIATING WITH VENDORS, AND ANY OTHER PERSONS THAT HOSPITAL EXECUTIVES DEEM APPROPRIATE. EACH VICE PRESIDENT REVIEWS THE CONFLICT OF INTEREST POLICY WITH THEIR DESIGNATED EMPLOYEES, AND EACH EMPLOYEE IS REQUIRED TO SIGN A FORM STIPULATING WHETHER OR NOT THEY HAVE A CONFLICT. THE FORMS ARE REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES. IF A CONFLICT IS NOTED, IT IS BROUGHT TO THE ATTENTION OF THE APPROPRIATE VICE PRESIDENT AND THE CEO TO DETERMINE WHETHER OPERATIONAL CHANGES NEED TO OCCUR BECAUSE OF THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY OF THE ORGANIZATION, AS WELL AS SETTING, MONITORING AND REVIEWING THE COMPENSATION PACKAGE OF THE ORGANIZATION'S CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM. THE COMMITTEE USES RELEVANT MARKET INFORMATION, INCLUDING THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDIES OR SURVEYS, TO SET COMPENSATION. DURING 2015, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED THE FOLLOWING SERVICES: EXECUTIVE COMPENSATION AND PERFORMANCE EVALUATION. COMPENSATION REVIEW AND APPROVAL IS DOCUMENTED VIA BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 6,648,048. MANAGEMENT AND GENERAL EXPENSES 337,364. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,985,412. PHYSICIAN SERVICES AND FEES: PROGRAM SERVICE EXPENSES 13,017,530. MANAGEMENT AND GENERAL EXPENSES 280,528. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,298,058. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,531,510. MANAGEMENT AND GENERAL EXPENSES 5,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,537,271. AGENCY EMPLOYEES: PROGRAM SERVICE EXPENSES 1,247,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,247,808. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 217,113. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,113. RECORD FILE STORAGE: PROGRAM SERVICE EXPENSES 151,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,337. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 5,575. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,575. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 445,777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 445,777. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,710. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES -322,101. NET ASSETS RELEASED FROM RESTRICTION -32,786. UNION HOSPITAL OF CECIL COUNTY FOUNDATION INC 106 BOW STREET ELKTON MD 21921 521794552 FUNDRAISING & SUPPORT MD 501(C)(3) LINE 11C, III-FI AFFINITY HEALTH ALLIANCE INC 0 UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON MD 21921 521794553 HEALTHCARE PROPERTY MANAGEMENT MD 501(C)(3) LINE 9 AFFINITY HEALTH ALLIANCE INC 0 AFFINITY HEALTH ALLIANCE INC 106 BOW STREET ELKTON MD 21921 521794697 MANAGEMENT & SUPPORT MD 501(C)(3) LINE 11C, III-FI N/A 0 UNION HOSPITAL OF CECIL COUNTY ONCOLOGY INC 106 BOW STREET ELKTON MD 21921 812662359 HEALTHCARE MD 501(C)(2) LINE 3 AFFINITY HEALTH ALLIANCE INC 0 UNION HOSPITAL OF CECIL COUNTY VENTURES INC 106 BOW STREET ELKTON MD 21921 521793691 MEDICAL SERVICES MD N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1