2017-05-11T08:10:34-05:00 2016-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2015-07-01 520591639 James Lawrence Kernan Hospital Inc % S MICHELLE LEE JAME 4104482500 2200 Kernan Drive Baltimore MD 21207 WW AUGUSTIN III CFO 4103281376 2017-05-02 true Frank Giardini P00532355 2155614200 2015 2021-01-29 14:40:06Z Cynthia Kelleher 2200 Kernan Drive Baltimore MD 21207 128689450 false X N/A X 1895 MD JAMES L KERNAN HOSPITAL DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION. 11 8 819 75 0 0 2530000 3494316 108225669 108434993 538391 635929 2096748 2099687 113390808 114664925 0 0 0 0 50649441 46891759 0 0 0 62644687 64238425 113294128 111130184 96680 3534741 141584648 129809868 42369956 29589230 99214692 100220638 JAMES L KERNAN HOSPITAL DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION. false false 94427548 110534680 THE ORGANIZATION OWNS AND OPERATES A MEDICAL SURGICAL AND REHABILIATION HOSPITAL WITH 134 LICENSED BEDS. THE HOSPITAL PROVIDES CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. SUCH PATIENTS ARE IDENTIFIED BASED ON INFORMATION OBTAINED FROM THE PATIENTS AND SUBSEQUENT ANALYSIS. BECAUSE THE HOSPITAL DOES NOT EXPECT COLLECTION OF AMOUNTS DETERMINED AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE BASED ON ESTABLISHED RATES. THE HOSPITAL ESTIMATES THAT $XXXX OF CHARITY CARE AT COST WAS PROVIDED IN 2016. OVERALL, THE HOSPITAL DELIVERS INNOVATIVE HIGH QUALITY, COST EFFECTIVE SURGICAL AND REHABILITATION SERVICES TO ITS COMMUNITY. 94427548 true true false true false false false false false true true false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 77 0 true 819 true false true false false false false false false false false false X 11 8 false false false false true true true true true false false true true true true true true true true false MD X S MICHELLE LEE 4103281376 250 W PRATT STREET 14TH FLOOR Baltimore MD 21201 JOHN T CHAY Chairman 1.0 1.0 X X 0 0 0 ROBERT A CHRENCIK Treasurer 1.0 49.0 X X 0 2562797 23637 ALISON GATES BROWN DIRECTOR 1.0 49.0 X 0 676815 27035 KAREN E DOYLE DIRECTOR 1.0 0.0 X 0 330888 26155 LISA A GLADDEN DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY T HAWKINS DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY F LEHMAN DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM F PECK DIRECTOR 1.0 1.0 X 0 0 0 ANDREW N POLLAK DIRECTOR 1.0 0.0 X 0 0 0 DAVIS VR SHERMAN DIRECTOR 1.0 1.0 X 0 0 0 OLIVER STRAVERS JR DIRECTOR 1.0 1.0 X 0 0 0 THOMAS MERKLE Hospitalist 40.0 0.0 X 215844 0 27239 CYNTHIA KELLEHER CEO 40.0 0.0 X 176555 0 30839 W WALTER AUGUSTIN III CFO 40.0 0.0 X 289045 0 22115 JOHN STRAUMANIS SVP-CMO 40.0 0.0 X 425824 0 26866 CHERYL D LEE VP - CNO 40.0 0.0 X 222420 0 36167 MARIACHRISTINA YEN PEDIATRIC DENTIST 40.0 0.0 X 162746 0 0 LOBNA ZADA DENTAL CLINICAL CHIEF 40.0 0.0 X 193984 0 20154 NORBERT ROBINSON DIR-PHARMACY 40.0 0.0 X 156911 0 23870 HEMA S PATEL MD HOSPITALIST 40.0 0.0 X 253606 0 29024 James Collins Pharmacist 40.0 0.0 X 137829 0 23191 Michael R Jablonover Former CEO 40.0 0.0 X 0 655279 23671 2234764 4225779 339963 53 true true false Forest Park Specialists 2200 Kernan Drive BALTIMORE MD 21207 Hospital Services 798492 Physician Mgmt Ltd 3 Bethesda Metro Center 630 BETHESDA MD 20814 Consulting/Analytics 572010 Accountable Healthcare Staffing 245 Garrisonville Road Suite 102 STAFFORD VA 22554 Temp. Agency Staff 338908 Temporary Help Inc 7297 Lee Highway Suite R FALLS CHURCH VA 22042 Temp. Agency Staff 322733 Studer Group LLC 350 W Cedar Street Suite 300 PENSACOLA FL 32502 Marketing 269510 13 3487321 6995 6995 3494316 PATIENT SERVICE REVENUE 900099 108434993 108434993 108434993 330301 330301 0 0 0 0 0 14330153 14024525 305628 305628 305628 0 0 0 OUTPATIENT PHARMACY 446110 1357156 1357156 CAFE/VENDING 722210 389952 389952 MISCELLENEOUS REVENUE 900099 352579 352579 2099687 114664925 110534680 635929 0 0 0 0 4945939 648243 4297696 0 32472960 27602016 4870944 1508464 1282194 226270 5304364 4508709 795655 2660032 2261027 399005 0 65000 55250 9750 44502 37827 6675 4679 4679 0 0 20842558 17716174 3126384 233736 198676 35060 101796 86527 15269 0 0 2165790 1840921 324869 43658 37109 6549 0 0 1023828 870254 153574 0 5675494 4824170 851324 1824963 1705180 119783 MEDICAL SUPPLIES 13359251 13359251 0 PHYSICIAN FEE 9125500 9125500 0 BAD DEBT 7015409 5963098 1052311 PURCHASED SERVICES 1760303 1496258 264045 951958 809164 142794 111130184 94427548 16702636 0 10221550 6217962 0 0 0 0 13920621 9848655 0 0 0 0 0 0 1106370 1072458 109876 128007 112386847 64197273 46354226 48189574 14108000 10129000 14407541 15174659 0 0 0 0 41356464 39049553 141584648 129809868 12596668 13143843 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29773288 16445387 42369956 29589230 X 68555774 71865801 30658918 28354837 0 0 99214692 100220638 141584648 129809868 X 3534741 -1302947 -1225848 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4679 4679 false Other 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 6.15% AND 22.12% 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. 697964 697964 66292272 31331850 34960422 44106243 32294234 11812009 1290368 571189 719179 48189574 OTHER SECURITIES 15174659 F 15174659 KERNAN ENDOWMENT 26820707 ECONOMIC INT IN UMMS FND 1534130 OTHER A/R 334706 ASSETS WHOSE USE IS LIMITED 10360010 39049553 0 DUE TO THIRD PARTY 2910178 PATIENT A/R CEDIT BALANCES 1185013 FIN 47 ACCRUAL 144004 DUE TO AFFILIATES 12054734 OTHER LIABILITIES 151458 16445387 X SCHEDULE D, Part X, Line 2 FIN 48 Footnote per Audit Report 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 500. true true true false true true 1656816 1656816 0.01590 1656816 1656816 0.01590 78498 78498 0.00080 7473572 7473572 0.07180 103996 1680 102316 0.00100 124226 124226 0.00120 7780292 1680 7778612 0.07480 9437108 1680 9435428 0.09070 231036 231036 0.00220 231036 231036 0.00220 true 5239673 29440156 29786366 -346210 X true true 1 1 James Lawrence Kernan Hospital 2200 Kernan Drive Baltimore MD 21207 http://www.umrehabortho.org/ 30-038 X X REHABILITATION 1 james lawrence kernan hospital 1 false false true X X X X X X X X X 15 true true true true X HTTP://WWW.UMREHABORTHO.ORG/ X true 16 true HTTP://WWW.UMREHABORTHO.ORG/ false false true X 200. 500. X X X X X X true true X X X X true X http://umrehabortho.org/patients X http://umrehabortho.org/patients X X X true false X X X X X false X X false false James Lawrence Kernan Hospital Schedule H, Part V, Section B Line 13 - In compliance with the IRC Section 501(r) regulations James Lawrence Kernan Hospital has updated its Financial Assistance Policy to ensure compliance with IRS Regulations. Line 22D - All patients are charged state regulated rates regardless of their ability to pay. 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). 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. 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. Costing Methodology Schedule H, Part I, Line 7A, COLUMN (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. SCHEDULE H, 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, 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 Community Building activities include the workforce/career development/volunteer programs that are in place at the University of Maryland Rehabilitation & Orthopedic Institute (UM Rehab). These programs promote literacy, health literacy, and job skills to prepare adults and current employees for a variety of positions. Volunteers also gain valuable soft skills which are important to long-term success in the job market. The health of the community is impacted by having individuals prepared for jobs that enable them to obtain health insurance while also assisting them to be more aware of their own healthcare needs. Bad Debt Expense Schedule H, Part III, Lines 2, 3, and 4 PART III, LINES 2 AND 3: The organization does not code charity care and bad debt expense into the same general ledger account. Charity Care is booked to a separate account and is classified as a "Deduction from Revenue." As such it is netted against Total Patient Revenue in arriving at Net Patient Revenue on the entity's income statements. Bad Debt Expense is booked to a separate account on the general ledger and does not include any other uncompensated care amounts. Part III, Line 4: The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in 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. The results of this review are then used to make modifications to the provision for bad debts and to establish an allowance for uncollectible receivables. After collection of amounts due from insurers, the Corporation follows internal guidelines for placing certain past due balances with collection agencies. 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, Marylands 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. Currently, James Lawrence Kernan Hospital has updated its billing and collections process to ensure it is in compliance with the new IRC Section 501(R) regulations. 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. UMMC 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 -UMMC 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 UMMC patients) -appearing in print media through local newspapers Community Health Care Needs Assessment Schedule H, Part VI, Line 2 James Lawrence Kernan Hospital, Inc. completed a comprehensive community health needs assessment (CHNA) in Fiscal Year 2015. This was the second CHNA completed with the first one done and reported in Fiscal Year 2012. The Association for Community Health Improvements (ACHI) 6-step Community Health Assessment Process was utilized as an organizing methodology. The UM Rehab leadership team served as the lead team to conduct the CHNA with input from other University of Maryland Medical System Baltimore City-based hospitals and community partners. James Lawrence Kernan Hospital, Inc. is the largest inpatient rehabilitation specialty hospital located in Maryland with 141 licensed beds. Formerly known also as Kernan Orthopaedic and Rehabilitation, the hospital is Baltimores original orthopaedic and rehabilitation specialty hospital and is a committed provider of a full array of rehabilitation programs and specialty surgery-primarily orthopaedics. A member of the University of Maryland Medical System (UMMS) and affiliated with the University of Maryland School of Medicine, the hospital has been serving patients who are residents of the State of Maryland and the surrounding Baltimore metropolitan area for over 118 years. Using the above framework, data was collected from multiple sources, groups, and individuals and integrated into comprehensive document which was vetted through the UM Rehabs Leadership Team and the Board. Priorities were identified using the collected data and analysis and through consensus of the Leadership Team. UM Rehab collaborated with the University of Maryland Medical Center and used primary and secondary sources of data as well as quantitative and qualitative data and consulted with numerous individuals and organizations during the CHNA, including other University of Maryland Medical System (UMMS) Baltimore City-based hospitals (University of Maryland Medical Center, University of Maryland Midtown Campus, and Mt. Washington Pediatric Hospitals), community partners, disabled community, general public, local health experts, and local governmental partners. The primary data collected for this CHNA included key informant interviews, focus groups, and a community assets assessment. Secondary data included health outcomes, socio-demographic data, behavioral data, and environmental data and were collected from a variety of sources. Ultimately, the CHNA included the analysis of secondary data and feedback from 1,348 patients, caregivers, and staff; focus groups with patients, caregivers, staff, and community partners. Secondary Data Analysis The UM Rehab utilized a number of internal and external sources for secondary data on demographics, socioeconomic data, and health status. These data were compiled from the University of Maryland Medical Center, the Maryland Department of Health and Mental Hygiene, US Census Bureau, and reports summarizing the activities, successes, and lessons learned of programs and services. Primary Data Analysis Survey Methodology Three surveys were used to secure feedback about community health needs, gaps in health and social services, and UM Rehabs programs and services. One survey was distributed in hardcopy to people who live in the neighborhoods surrounding the University of Maryland Medical Center. A second paper survey was given to UM Rehab employees during an employee health fair. The third was an online survey released to UM Rehab patients, caregivers, and community partners and leaders. The two paper surveys asked general questions about the respondents top health concerns and perceived barriers to healthcare. A total of 1,265 people completed the two surveys. Twenty-one patients and caregivers completed the online survey, which asked specific questions about the quality of and gaps in UM Rehabs programs and services. Key Informant Interview Methods Key informants were health and community experts familiar with specific populations and geographic areas. To gain a deeper understanding of the health issues for patients and the community, key informant interviews were conducted. Each interview lasted about thirty minutes. During the introduction of the interview, confidentially was reassured and respondents were informed that quotes from the interview would not directly be attributed to them. Seven questions were developed for the survey to collect key informants opinions and perceptions on the following topics: -Perceptions of the institutions responsiveness to patient and community needs -Perceptions of the institutions responsiveness to community partner needs -Gaps in services The interview responses were recorded and content analysis was conducted to identify key themes and important points. Focus Groups Eight focus groups were conducted for the CHNA. Five of the groups consisted of people who received services from UM Rehab or who cared for someone who receives treatment at the hospital. The remaining three groups were comprised of UM Rehab staff. Selecting Priorities Analysis of all quantitative and qualitative data described in the above section identified these top five areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and the organizations key strengths and mission. These priorities were identified and approved by UM Rehab Leadership Team and approved by the Board: 1) Transitional Care to the Community 2) Wellness/Quality of Life (of the Disabled in the Community) 3) Community Education/Awareness (of Needs of the Disabled) Health Literacy (shared UMMS priority) Future Community Health Needs Assessments will be conducted in Fiscal Year 2018 and every three years afterward and strategic priorities will be re-evaluated then. Programmatic evaluations will occur on an ongoing basis and annually, and adjustments to programs will be as needed. All community benefits reporting will occur annually to meet state and federal reporting requirements. Unmet Community Needs Several additional topic areas were identified by the Community Health Improvement Team during the CHNA process including: Behavioral/mental health, safe housing, transportation, and substance abuse. While UM Rehab will focus the majority of its efforts on the identified strategic programs outlined below, we will review the complete set of needs identified in the CHNA for future collaboration and work. These areas, while still important to the health of the community, will be met through either existing clinical programs (i.e. Methadone clinics, Residential Psychiatric program) or through collaboration with other UMMS hospitals like the University of Maryland Medical Center or other health care organizations as needed. Additionally, substance abuse programming is already integrated into existing programs at the Medical Center Storks Nest and Violence Prevention programs. The additional unmet needs not addressed by UM Rehab, UMMC, or UMMC Midtown Campus will also continue to be addressed by key Baltimore City governmental agencies and existing community-based organizations. The UM Rehab strategic community priorities target the intersection of the identified community needs and the organizations key strengths and mission. The needs assessment process will be repeated in Fiscal Year 2018. Eligibility Education Schedule H, Part VI, Line 3 University of Maryland Rehabilitation and Orthopedic Institute is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation. It is the policy of the UMMS Entities to provide Financial Assistance based on indigence or high medical expenses for patients who meet specified financial criteria and request such assistance. The Financial Clearance Program Policy is a clear, comprehensive policy established to assess the needs of particular patients that have indicated a possible financial hardship in obtaining aid when it is beyond their financial ability to pay for services rendered. UM Rehab 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 Rehab 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, Russian, Korean, Vietnamese, and Tagalog based on top languages spoken by UM Rehab patients) - Appearing in print media through local newspapers Description of Community Served Schedule H, Part VI, Line 4 Because the majority of James Lawrence Kernan Hospital patients reside in Baltimore City, Baltimore County, Anne Arundel County, and Howard County, the secondary data assessment focused on these communities. Data below offers a summary of key demographic statistics for these areas. Demographics of UM Rehab Service Area Baltimore City Baltimore County Anne Arundel Co. Howard Co. Population 621,342 805,029 550,488 299,430 Non-Hispanic Whites 29.6% 64.8% 76.9% 62.3% Non-Hispanic Blacks 63.7% 27% 16.1% 18.1% American Indian 0.4% 0.4% 0.4% 0.4% Asian 2.3% 5.4% 3.7% 15.7% Median Income $38,458 $65,411 $85,690 $105,692 Percent Below Poverty 20.9% 8.2% 5.5% 4.5% Source: US Census, 2010 This data demonstrates the significant diversity in the population the hospital serves-ranging from the wealthiest to the most economically-underserved communities in the state. On average, patients from Baltimore city earn more than $60,000 less than patients from howard Country. Moreover, they are five time more likely to be living below the poverty level. Disability* in James Lawrence Kernan Hospital Area Anne Arundel Co. Baltimore City Baltimore Co Howard Co Under 21 years 12% 19.8% 13.6% 8.5% 21 to 64 years 9.5% 18.2% 10.4% 6.9% 64 + years 9.3% 17.2% 10.0% 6.8% *Disability defined as mild to severe visual, hearing, ambulatory, cognitive, self-care, and independent living. Source: Local Disability Data for Planners (http://disabilityplanningdata.com) Promoting the Health of the Community Schedule H, Part VI, Line 5 Analysis of all quantitative and qualitative data from the FY15 CHNA identified four top areas of need within the disabled population. These top priorities represent the intersection of documented unmet community health needs and the organizations key strengths and mission. These priorities were identified and approved by the UM Rehabs Leadership Team and Board. All community health improvement programming is focused on these strategic priorities and are followed by implementation plans with programming in each priority area: Priorities as identified in the FY15 CHNA include: - Transition to the Community (for the disabled community) - Quality of Life (for the disabled community) - Community Education/Awareness (of the disabled in the community) - Health Literacy (shared UMMS Priority) Identified Need/Priority: Health Literacy During the CHNA conducted in FY12 and FY15, UMMC identified key community priorities, one of which was Health Literacy. This need was identified both years and was based on the low rates of high school completion rates as well as public in the CBSA targeted zip codes as outlined below. Baltimore City Data: Overall high school completion rate in Baltimore City is 80.3%. However, within the targeted CBSA zip codes, the high school completion rate ranges from 73.1% to 86.8%. These rates are far lower than the State of Maryland average of 87%.. As a result of a lack of health literacy is the overall misuse of emergency services when urgent care or preventive/primary care is, at times, more appropriate. In a survey of Baltimore City residents during the FY15 CHNA, 69% of residents reported they did not have health insurance. When further questioned, many participants actually had the new ACA health care coverage but didnt know that it covered preventive care and didnt understand the process of selecting a physician for primary care. Therefore, many individuals do not pursue primary/preventive care and eventually seek emergency care after a problem becomes significantly worse. Health literacy is a significant social determinant of health in Baltimore City which affects patients health outcomes and speaks to the identified need, and subsequently, the UMMC and UMMS priority of Health Literacy Hospital Initiatives To work on the issue of health literacy, UMMC had one major initiative to address the above identified need with healthcare professionals in FY16. Health Literacy (for professionals) Primary Objectives: 1) Develop video for healthcare professionals on importance of health literacy 2) Post video on staff intranet 3) Engage staff in at least 5 key organizational staff meetings Description: Provide health literacy information to health care professionals to inform their practice - Metrics: - Video developed - Video posted on the intranet - number of key organizational staff meetings - number of meetings where video shown - number of healthcare professionals watching video - number of page views Single or Multi-Year Initiative Time Period: Multi-Year UMMC is working on this identified need over the three year cycle that is consistent with the CHNA cycle. Updates per Implementation Plan metric for each Fiscal Year are provided in the HSCRC Report and to the IRS. Key Partners in Development and/or Implementation: UMMS System hospitals, UMMC Dept of Communications, Healthcare professionals across the UMMS system How were the outcomes evaluated? The outcomes were evaluated based on the metrics discussed in the Primary Objectives section above. Outcomes: - Video developed and finalized 4/2016 - 2 major organizational meetings with video shown - Over 50 professionals watched video in meetings - 61 page views on the intranet where video is posted www.umm.edu/community (only for April - June 2016) Continuation of Initiative: UMMC will continue to monitor performance and outcome measures annually. This priority and the accompanying initiatives will continue until the FY18 CHNA. A. Total Cost of Initiative Approx. $10,000 to develop video (utilized across UMMS) B. Direct offsetting revenue from Restricted Grants - $0 Quality of Life Adapted Sports Program Identified Need: Through patient and staff focus groups as well as key informant interviews, the Adapted Sports Program was identified as part of the Community Health Needs Assessment in FY15 as a valued service which is currently provided. A need to expand the program was also identified to further meet health, fitness, social, and overall quality of life needs in the community. Hospital Initiative: The Adapted Sports Program maximizes participation for individuals with disabilities in adapted recreational and competitive sports, in order to promote independence, self-confidence, health and overall well-being through structured, individual and team sports Programs offered are: Adapted Sports Festival, Wheelchair Basketball Clinic, Wheelchair Rugby Team, Adapted Golf Program, Amputee Walking/Running Clinic. Primary Objectives: Adapted Sports Program 1)Increase physical activity (Maryland SHIP) 2)Increase awareness & benefits of adapted sports for disabled individuals 3)Increase awareness in healthcare providers of adapted sports for the disabled 4)Increase self-reported quality of life of disabled Description: Provide adapted sports programs to educate disabled adults in the community about a variety of ways to stay physically active Metrics: - number of participants - number of health care students/professionals aware of adapted sports for disabled adults - Self-reported benefits to participants Single or Multi-Year Initiative: All programs are multi-year, ongoing initiatives. Key Partners in Development and/or Implementation: United States Olympic Committee United States Paralympic Committee Dankmeyer, Inc. Baltimore Municipal Golf Corporation - Forrest Park Golf Course Baltimore City Recreation and Parks Baltimore County Recreation and Parks How were the outcomes evaluated? Participants of the various programs were surveyed. Outcomes: (Include process and impact measures) Participation in all adapted sports activities was tracked. 1,021 people participated in the Adapted Sports Program with an additional 180 participants who are either allied health professionals or students in allied health professional schools. Feedback in all activities was collected; response from the participants was overwhelmingly positive. Participants report improvement in endurance, speed and wheelchair maneuverability, knowledge of wheelchair sports and overall improved confidence to try other adapted sports. Participants also reported that they were more likely to participate in other programs offered in their local community such as Baltimore Adapted Recreational Sports and Baltimore City Rec and Parks programs. A. Total Cost of Initiative - $59,531 B. Direct offsetting revenue from Restricted Grants - N/A Transition to the Community Dental Clinic Identified Need: Through patient and staff focus groups as well as key informant interviews, the Dental Clinic was identified as part of the Community Health Needs Assessment as a valued service currently provided. Hospital Initiative The UM Rehabilitation & Orthopaedic Institute Dental Clinic serves children and adults who have limited access to oral health care in the community. This population includes special health care needs (SHCN) patients (individuals who are mentally and/or physically disabled), as well as many children in the Maryland Medicaid Program. The Dental Clinic at UM Rehab is one of the few providers in the state who serves both pediatric and adult SHCN populations. These individuals may not receive care otherwise as many dentists in the community are not comfortable performing dental services for special health care needs patients. The Dental Clinic at UM Rehab partners with a number of area colleges to offer dental and hygiene students hands-on experience to provide preventive services for its patients .Overall, the program helps reduce health care costs and improve patient care by treating dental disease in the Dental Clinic instead of in the ER. Primary Objectives: Dental Clinic 1)Increase children receiving dental care (Maryland SHIP) 2)Decrease emergency department visit rate for dental care (Maryland SHIP) 2)Increase number of dental treatments available to disabled population (Program goal) Description: Provide dental care and treatment for disabled adults and children within Maryland Metrics: - number of visits - percentage of treatments which were preventive (preventing emergent care) Single or Multi-Year Initiative: Ongoing initiative; has existed for many years and will continue indefinitely. Key Partners in Development and/or Implementation: - University of Maryland School of Dentistry - Hygienist program - 4th year dental students (externship program) Baltimore City Community College - Hygienist program Community College of Baltimore County, Dundalk - Hygienist program How were the o Affiliated Health Care System Roles Schedule H, Part VI, Line 6 As part of the University of Maryland Medical System (UMMS), James Lawrence Kernan Hospital understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, the UM Rehab assesses the communitys health needs, identifies key priorities, and responds with services, programs and initiatives which make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical Systems Community Health Improvement Council coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. James Lawrence Kernan Hospital is committed to health education, advocacy, community partnerships, and engaging programs which focus on health and wellness with the goal of eliminating health care disparities in our community state filing of community benefit report Schedule H, part VI, Line 7 James Lawrence Kernan Hospital, Inc. files an annual community benefit report with Marylands Health Services Cost Review Commission (HSCRC) every December. X true true X X X X false true false false false false false true false ROBERT A CHRENCIK Treasurer 0 1254208 0 1054693 0 253896 0 10600 0 13037 0 2586434 0 0 ALISON GATES BROWN DIRECTOR 0 432980 0 179760 0 64075 0 10600 0 16435 0 703850 0 0 KAREN E DOYLE DIRECTOR 0 234740 0 69905 0 26243 0 9720 0 16435 0 357043 0 0 THOMAS MERKLE Hospitalist 215611 0 0 0 233 0 11090 0 16149 0 243083 0 0 0 CYNTHIA KELLEHER CEO 128426 0 47000 0 1129 0 24861 0 5978 0 207394 0 0 0 W WALTER AUGUSTIN III CFO 221251 0 41342 0 26452 0 9078 0 13037 0 311160 0 0 0 JOHN STRAUMANIS SVP-CMO 254757 0 32500 0 138567 0 10431 0 16435 0 452690 0 0 0 CHERYL D LEE VP - CNO 192920 0 24531 0 4969 0 25588 0 10579 0 258587 0 0 0 MARIACHRISTINA YEN PEDIATRIC DENTIST 162609 0 0 0 137 0 0 0 0 0 162746 0 0 0 LOBNA ZADA DENTAL CLINICAL CHIEF 187596 0 5643 0 745 0 9575 0 10579 0 214138 0 0 0 NORBERT ROBINSON DIR-PHARMACY 146430 0 10298 0 183 0 7639 0 16231 0 180781 0 0 0 HEMA S PATEL MD HOSPITALIST 253233 0 0 0 373 0 12945 0 16079 0 282630 0 0 0 James Collins Pharmacist 137261 0 0 0 568 0 6960 0 16231 0 161020 0 0 0 MICHAEL R JABLONOVER CEO (FORMER) 411801 183150 60328 8985 14686 678950 0 Health or social club dues or initiation fees Schedule J, Part I, Line 1a UMMS executives receive a benefit package wihich 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. Supplemental Nonqualified Retirement Plan Schedule J, Part I, Line 4b During the Fiscal Year ended June 30, 2016, 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: Cynthia Kelleher Cheryl D. Lee. During the Fiscal Year,ended June 30, 2016, 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: W.W. Augustin III Robert A. Chrencik Alison Gates Brown Karen Doyle During the Fiscal Year-ended June 30, 2016, 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). John P. Straumanis Non Fixed Compensation 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, Line 6, 7a & 7b UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) IS THE SOLE MEMBER OF JAMES LAWRENCE KERNAN HOSPITAL (JLK). UMMS MAY ELECT ONE OR MORE BOARD 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 JAMES LAWRENCE KERNAN HOSPITAL. 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 FOR UMMSC, AND JAMES LAWRENCE KERNAN HOSPITAL. 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, Lines 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 COPY IS PROVIDED ON THE SAME DAY. 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. Tax Exempt Bond Issue Part IV, Line 24a Pursuant to a Master Loan Agreement dated June 20, 1991 (The "Master Loan Agreement"), as Amended, The University Of Maryland Medical System Corporation (The "Corporation") and several of its subsidiaries have issued debt through the Maryland Health and Higher Education Facility 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 $1,457,870,000 of outstanding Authority Bonds on June 30, 2015. 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. Hours on Related Entities 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. Reconciliation of Net Assets Form 990, Part XI, Line 9 W. Hackerman Restricted Gift $2,000,000 Capital Transfer to Affiliate ($900,000) Change in UMMS Foundation $157,443 Endowment Support ($2,483,291) ------------- TOTAL ADJUSTMENT TO NET ASSETS ($1,225,848) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:9379240 FORM 990 PART IX LINE 11G DESCRIPTION:SHARED SERVICES TOTAL FEES:6746638 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:845347 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP. LABOR & OTHER FEES TOTAL FEES:3871333 Shipley's Physical Therapy Center LLC 2200 Kernan Drive Baltimore MD 21207 522061788 Healthcare MD 676000 -5889000 JLK UM Rehab Institute of Southern Maryland 2200 Kernan Drive Baltimore MD 20207 Healthcare MD JLK Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 521756326 Healthcare MD 501(c)(3) 11A UMBWMS false Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie MD 21061 521830243 Healthcare MD 501(c)(3) 11A 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) 11A UMBWMS false BW Medical Center Foundation Inc 301 Hospital Drive Glen Burnie MD 21061 521813656 Fundraising MD 501(c)(3) 11C UMBWMS 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) 11A 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) 09 UMSRH false Maryland General Clinical Practice Group 827 Linden Avenue Baltimore MD 21201 521566211 Healthcare MD 501(c)(3) 11B UMMTH false Maryland General Comm Health Foundation 827 Linden Avenue Baltimore MD 21201 522147532 Fundraising MD 501(c)(3) 11C UMMTH false University of Maryland Midtown Health 827 Linden Avenue Baltimore MD 21201 521175337 Healthcare MD 501(c)(3) 11B 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) 09 UMSRH false Dorchester General Hospital Foundation 219 South Washington Street Easton MD 21601 521703242 Fundraising MD 501(c)(3) 11D UMSRH false Memorial Hospital Foundation Inc 219 South Washington Street Easton MD 21601 521282080 Fundraising MD 501(c)(3) 11A UMSRH false University of Maryland Community Medical 22 South Greene Street Baltimore MD 21201 521874111 Healthcare MD 501(c)(3) 03 UMMSC false Shore Health System Inc 219 South Washington Street Easton MD 21601 520610538 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) 11B UMMSC false UMMS Foundation Inc 22 South Greene Street Baltimore MD 21201 522238893 Fundraising MD 501(c)(3) 11A UMMSC false University of MD Medical System Corp 22 South Greene Street Baltimore MD 21201 521362793 Healthcare MD 501(c)(3) 03 NA false University of Maryland Charles Regional PO Box 1070 La Plata MD 20646 522155576 Healthcare MD 501(c)(3) 11C UMMSC false Civista Medical Center Inc PO Box 1070 La Plata MD 20646 520445374 Healthcare MD 501(c)(3) 03 UMCRH false Charles Regional Medical Center Foundati PO Box 1070 La Plata MD 20646 521414564 Fundraising MD 501(c)(3) 11A UMCRH false Charles Regional Medical Center Auxiliar PO Box 1070 La Plata MD 20646 521131193 Fundraising MD 501(c)(3) 11A UMCRH false Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 11A 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) 11A UMUCHS false UM Upper Chesapeake Health System Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398513 Healthcare MD 501(c)(3) 11C;III-FI UMUCHS false Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398507 Fundraising MD 501(c)(3) 11A 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) 09 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 HouseInc 520 Upper Chesapeake Dr Bel Air MD 21014 260737028 Hospice MD 501(c)(3) 07 UMUCHS false Upper ChesapeakeStJoseph Home CareInc 520 Upper Chesapeake Dr Bel Air MD 21014 521229742 Hospice MD 501(c)(3) 09 UMUCHS false UMSJ Health System LLC 7601 Osler Drive Towson MD 21204 460797956 Healthcare MD 501(c)(3) UMMSC false Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie MD 20161 522000762 Healthcare MD NA 0.99000 Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie MD 20161 200806027 Healthcare MD NA 0.99000 Innovative Health LLC 29165 Canvasback Drive Suite 100 Easton MD 21601 521997287 Billing MD NA 0.99000 Central Maryland Radiology Oncology LLC 10710 Charter Drive Columbia MD 21044 270879418 Healthcare MD NA 0.99000 Universitycare LLC 22 South Greene Street Baltimore MD 21201 521914892 Healthcare MD NA 0.99000 O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson MD 21204 521682964 Rental MD NA 0.99000 Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson MD 21204 521958002 Healthcare MD NA 0.99000 UCHSUMMS Real Estate Trust 520 Upper Chesapeake Dr Bel Air MD 21014 276803540 Real Estate MD NA 0.99000 University of Maryland Charles Regional PO Box 1070 LaPlata MD 20646 300956382 Healthcare MD NA 0.80000 Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie MD 21061 521992649 Healthcare MD BWHE C Corp 1.00000 Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie MD 21061 521936656 Healthcare MD BWMS C Corp 1.00000 BW Professional Services Inc 301 Hospital Drive Glen Burnie MD 21061 521655640 Healthcare MD BWHE C Corp 1.00000 Univ of Maryland Charles Regional Care P PO Box 1070 La Plata MD 20646 522176314 Healthcare MD CHI C Corp 1.00000 University Midtown Prof Center A Condom 827 Linden Avenue Baltimore MD 21201 521891126 Real Estate MD MGHS C Corp 1.00000 NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD NADCO C Corp 1.00000 Terrapin Insurance Company PO Box 1109 Grand Cayman KY 11102 980129232 Insurance KY UMMS C Corp 1.00000 UMMS Self Insurance Trust 22 South Greene Street Baltimore MD 21201 526315433 Insurance MD UMMS Trust 0.50000 Upper Chesapeake Insurance Company 520 Upper Chesapeake Dr Bel Air MD 21014 980468438 Insurance MD UMUCHS Trust 1.00000 Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air MD 21014 522031264 Healthcare MD UMUCHS C Corp 1.00000 Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air MD 21014 770674478 Real Estate MD UC Med Crt C Corp 1.00000 Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air MD 21014 521946829 Real Estate MD UC Hlth Vent C Corp 1.00000 University of Maryland Health Advantage 22 South Greene Street Baltimore MD 21201 461411902 Insurance MD UMMS C Corp 1.00000 University of Maryland Health Partners 22 South Greene Street Baltimore MD 21201 452815803 Insurance MD UMMS C Corp 1.00000 University of Maryland Medical System He 22 South Greene Street Baltimore MD 21201 452815722 Insurance MD UMMS C Corp 1.00000 Shore Orthopedics Inc 219 S Washington Street Easton MD 21601 371817260 Healthcare MD SHS C Corp 1.00000 false false true false false false false false false false false false false false false false false false false JAMES L KERNAN HOSP ENDOWMENT FUND INC c 3516576 FMV