2016-05-12T04:02:39-05:00 2015-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2014-07-01 520591639 James Lawrence Kernan Hospital Inc % S MICHELLE LEE JAME 4104482500 2200 Kernan Drive Baltimore MD 21207 WW AUGUSTIN III CFO 4104482500 2016-05-05 true Frank Giardini P00532355 2155614200 2014 2016-08-17 19:52:53Z Michael Jablonover 2200 Kernan Drive Baltimore MD 21207 125243927 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 9 783 98 0 0 1800644 2530000 108350196 108225669 373292 538391 2037760 2096748 112561892 113390808 0 0 0 0 49302278 50649441 0 0 0 62311795 62644687 111614073 113294128 947819 96680 150398467 141584648 49366007 42369956 101032460 99214692 JAMES L KERNAN HOSPITAL DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION. false false 99427012 110495901 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 $680,853 OF CHARITY CARE AT COST WAS PROVIDED IN 2015. OVERALL, THE HOSPITAL DELIVERS INNOVATIVE HIGH QUALITY, COST EFFECTIVE SURGICAL AND REHABILITATION SERVICES TO ITS COMMUNITY. 99427012 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 92 0 true 783 true false true false false false false false false false false false X 11 9 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 0.0 X X 0 0 0 ROBERT A CHRENCIK Treasurer 1.0 49.0 X X 0 6881071 21095 KAREN E DOYLE DIRECTOR 1.0 0.0 X 0 375113 22891 LISA A GLADDEN DIRECTOR 1.0 0.0 X 0 0 0 PETER GORMAN 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 0.0 X 0 0 0 ANDREW N POLLAK DIRECTOR 1.0 0.0 X 0 0 0 DAVIS VR SHERMAN DIRECTOR 1.0 0.0 X 0 0 0 OLIVER S TRAVERS JR DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL R JABLONOVER CEO 40.0 0.0 X 423060 0 24652 W Walter AUGUSTIN III CFO 40.0 0.0 X 265991 0 19300 JOHN STRAUMANIS SVP-CMO 40.0 0.0 X 268791 0 46417 CHERYL D LEE VP - CNO 40.0 0.0 X 223870 0 31732 LORI PATRIA MANAGER- AMBULATORY 40.0 0.0 X 146800 0 21486 LOBNA ZADA DENTAL CLINICAL CHIEF 40.0 0.0 X 198843 0 16180 THOMAS MERKLE HOSPITALIST 40.0 0.0 X 172402 0 19535 NORBERT ROBINSON DIR-PHARMACY 40.0 0.0 X 157535 0 22551 HEMA S PATEL MD HOSPITALIST 40.0 0.0 X 226253 0 26751 2083545 7256184 272590 42 false true false Turner Construction Co 1500 Spring Gardfen Sreet PHILADELPHIA PA 19130 CONSTRUCTION MGMT 1665801 Aramark HealthCare Food lockbox 25271 Network Place CHICAGO IL 606731252 Food Services 1354725 Aramark Corporation PO BOX 651009 CHARLOTTE NC 28265 Environomental Srvc 823791 Philips Medical Capital LLC PO Box 92449 CLEVELAND OH 441930003 Services 345786 Aramark 24863 Network Place CHICAGO IL 606731248 Food Services 266202 21 2530000 2530000 PATIENT SERVICE REVENUE 900099 108225669 108225669 108225669 203788 203788 0 0 0 0 0 12187722 11853119 334603 334603 334603 0 0 0 OUTPATIENT PHARMACY 446110 1457472 1457472 CAFE/VENDING 722514 401586 401586 MISCELLANEOUS REVENUE 900099 411174 411174 -173484 -173484 2096748 113390808 110495901 364907 0 0 0 0 1181710 492660 689050 0 39282622 35459737 3822885 1624468 1380798 243670 5690362 4836808 853554 2870279 2439737 430542 0 145883 145883 750037 750037 4240 4240 0 0 13444583 11427896 2016687 412634 350739 61895 581192 494013 87179 2718488 2310715 407773 0 2929579 2490142 439437 36333 30883 5450 0 0 1072195 911366 160829 0 4853840 4125764 728076 1536337 1305886 230451 MEDICAL SUPPLIES 15556618 13223125 2333493 PHYSICIAN FEE 8800955 8800955 BAD DEBT 6737847 6737847 PURCHASED SERVICES 1862305 1586563 275742 1201621 1021378 180243 113294128 99427012 13867116 0 25635911 10221550 0 0 0 0 16192464 13920621 0 0 0 0 0 0 1188192 1106370 10000 109876 104918729 58564503 45433672 46354226 8482652 14108000 5217140 14407541 0 0 0 0 48238436 41356464 150398467 141584648 10740403 12596668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38625604 29773288 49366007 42369956 X 66896460 68555774 34136000 30658918 0 0 101032460 99214692 150398467 141584648 X 96680 -729555 -1184893 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4240 4240 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 4.8% AND 22.8% 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 59860813 28850840 31009973 36944974 29178727 7766247 7414978 534936 6880042 46354226 INVESTMENTS 14407541 F 14407541 KERNAN ENDOWMENT 29303998 ECONOMIC INT IN UMMS FND 1376687 OTHER A/R -79231 ASSETS WHOSE USE IS LIMITED 10755010 41356464 0 DUE TO THIRD PARTY 3426834 PATIENT A/R CEDIT BALANCES 930141 FIN 47 ACCRUAL 415068 DUE TO AFFILIATES 21900753 OTHER LIABILITIES 3100492 29773288 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 680853 680853 0.00640 680853 680853 0.00640 114193 200 113993 0.00110 7157019 7157019 0.06730 343993 111495 232498 0.00220 164596 164596 0.00150 122518 122518 0.00120 7902319 111695 7790624 0.07330 8583172 111695 8471477 0.07970 true 5230887 29301233 29775683 -474450 X true true 1 1 James Lawrence Kernan Hospital 2200 Kernan Drive Baltimore MD 21207 30-038 X X Rehabilitation A 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/ true 15 true HTTP://WWW.UMREHABORTHO.ORG/ false false true X 200. 500. X X X X X X true true X X X true 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 new IRC Section 501(r) regulations James Lawrence Kernan Hospital is currently in the process of updating their Financial Assistance Policy to ensure its 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). 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 The James Lawrence Kernan Hospital provides health information and screenings/events as part of its community health outreach and advocacy work. The hospital has a staff person who is responsible for coordinating and implementing events and participation with the University of Maryland Medical System team events. The following are the initiatives Kernan has undertaken to meet the major health needs pertinent to Kernans specialty patient population and identified in Healthy Baltimore 2015, Marylands State Health Improvement Plan (SHIP) and in the UMMS market research survey. These initiatives have also been identified in Kernans 2012 Community Health Needs Assessment and help to promote the health of the community that it serves. Kernan staff coordinated and participated in the following initiatives that help promote the health of its community: - Chronic Disease: Heart Disease Reduce deaths from heart disease. Initiative 1 Adapted Sports Festival was created to help disabled adults fight obesity and heart disease, diabetes - Chronic Disease: Obesity Reduce the proportion of children and adolescents who are considered obese Initiative 2 Promoting Physical Activity in High Schools through Sports - Healthcare Access Reduce the proportion of individuals who are unable to afford to see a doctor Initiative 3 Support Groups/Patient Education - Chronic Disease Reduce deaths from heart disease. Initiative 4 Take a Loved One to the Doctor Day Targets obesity, diabetes, high blood pressure and cardiac issues. - Healthcare Access - Increase the proportion of children and adolescents who receive dental care Initiative 5 Dental Care for those in Need 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. Medicare reimburses Maryland hospitals according to rates established by the HSCRC as long as the State continues to meet a two-part test. This two-part waiver test allows Medicare to participate in the Maryland system as long as two conditions are met. - all other payers participating in the system pay HSCRC set rates and - the rate of growth in Medicare payments to Maryland hospitals from 1981 to the present is not greater than the rate of growth in Medicare payments to hospitals nationally over the same time frame. 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 is in the process of updating 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. 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 Financial Assistance Policy (FAP) of James Lawrence Kernan Hospital, Inc. In compliance with the new IRC Section 501(R) regulations James Lawrence Kernan Hospital is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS Regulations. University of Maryland Medical System (UMMS) hospitals are 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. Hospital care is available to all patients regardless of their race, color, national origin, age, gender, or ability to pay. We recognize the financial needs of our patients and families who are unable to afford charges associated with medical care. Our Financial Assistance Policy follow the federal poverty guidelines and is based on household size and income. We may consider other financial assets and liabilities of the patient and family when determining the ability to pay. James Lawrence Kernan Hospital, Inc. makes every effort to make financial assistance information available to our patients and families including, but not limited to: -Signage in main admitting areas and emergency rooms of the hospital -Patient Handbook distributed to all patients -Public website - in Patient Handbook - http://umm.edu/~/media/umm/pdfs/patients-and-visitors/patient-and-family-h andbook.pdf#search=%22patient handbook%22 - Brochures explaining financial assistance are made available in all patient care areas -Patient Information Sheets (available in English & Spanish) 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 The strategic priorities identified in the FY15 Community Health Needs Assessment are again as follows: 1. Transitional Care to the Community 2. Wellness/Quality of Life 3. Community Education/Awareness -Health Literacy (shared UMMS priority) Programming and initiatives are developed within each of these strategic priorities. The initiatives below reflect priorities from the FY12 CHNA and will utilized to develop new implementation plans. Initiative 1: Wellness/Quality of Life Identified Need: Obesity rates among disabled adults are nearly 58% higher than adults without disabilities. (2012 Behavioral Risk Factor Surveillance System, CDC). Estimates of Maryland adults vary. Approximately 120,00people, or 2.4% of the states population, experience difficulties with performing activities of daily living such as bathing, dressing, or moving around inside of their homes. http://www.disabled-world.com/news/america/maryland/#stats This problem was identified through the CHNA process in FY12 & FY15. Hospital Initiative: Adapted Sports Festival With a desire to help improve the quality of life for its patient population, UM Rehab organized and hosted its sixth annual Adapted Sports Festival September 6, 2014. All-day event that occurs 10a.m. 4p.m. Total number of People Reached by the Initiative w/I the Target Population: 125 disabled adults Primary Objective of the Initiative: To encourage disabled community members to participate in sports to keep as physically fit as possible, in order to reduce obesity and other health risk factors. Opportunities to participate in hand cycling, bocce ball, wheelchair basketballs, a wheelchair slalom course, scuba diving, adapted golf and quad rugby. Single or Multi-Year Initiative - Time Period: Multi-year since 2009; Expected to continue. Key Collaborators in Delivery of Initiative: Baltimore Adaptive Recreation and Sports (BARS), Forest Park Golf Course, Brain Injury Association Impact/Outcome of Hospital Initiative: 125 community members participated in the adapted sports events. Evaluations by participants (via survey) indicated that UM Rehab should continue providing opportunities for sports/activities for people with disabilities. Evaluation Outcomes: According to the Maryland SHIP website, the following data trends are: (Source: http://dhmh.maryland.gov/ship/SitePages/Home.aspx) %of Adults at health Weight Baltimore City: 2011 = 34.5%, 2012 =39.7%, 2013 = 35% Obesity rates among disable adults are nearly 58% higher than adults without disabilities. (2012 Behavioral Risk Factor Surveillance System, CDC) Sufficient evidence now exits to recommend that adults with disabilities should also get regular physical activity. Continuation of Initiative: Yes, this event marked the sixth year of the initiative. Will continue indefinitely due to the identified need for disabled adults in the community. Total Cost of Initiative for Current Fiscal Year: $20,302 Direct Offsetting Revenue from Restricted Grants: $5,000 Initiative 2: Community Education/Awareness Identified Need: Many high school students in the Baltimore and Howard County communities do not have a primary care physician and some do not have the resources to see a doctor to obtain an physical in order to participate in sports. The athletic trainers at UM Rehab, as well as many of the sports medicine physicians, donate their time each summer to provide an opportunity for students to see a physician at their school and obtain a free physical in order to participate in athleticsan opportunity for many of these students remain active in order to reduce obesity. Additionally, the physicians and/or residents in the sports medicine program donate their time and attend athletic contests as team physicians for various schools. This problem was identified through the CHNA process of FY12 & FY 15. Hospital Initiative: Promoting Physical Activity in High Schools through Sports Physicals & Concussion Testing Total Number of People Reached by the Initiative w/I the Target Population: 149 students; Events occur over several Saturdays during the early June/July Primary Objective Of the Initiative: Reduce the proportion of children and adolescents who are considered obese by providing sports physicals and care to high school students who participate in sports activities. Studies show that keeping active in sports enables many students to ward off obesity and to set a course for a life time of physical fitness. Single or Multi-Year Initiative Time Period: Multi-year initiative for 5 years Key Collaborators in Delivery of Initiate: Baltimore County Private School: Mt. de Sales); Howard County Schools: (Howard High School, Mt. Hebron High School, Glenelg High School, and Atholton High School) Impact/Outcome of Hospital Initiative: 149 students screened Evaluation Outcomes: According to the Maryland SHIP website, the following data trends are: % of Children/Adolescents who are Obese Baltimore County: 12% Maryland 2017 Goal = 10.7% (Source: http://dhmh.maryland.gov/ship/SitePages/Home.aspx) Continuation of Initiative: Yes, continuing While trends for Childhood obesity are stable or improving slightly, they are still not at the Maryland Goal and warrant continued focus. Total Cost of Initiative fir Current Fiscal Year: $12,571 Direct Offsetting Revenue for Restricted Grants: $4,455 Initiative 3: Transitional Care to the Community Identified Need: Healthcare Access Hospital Initiative: Support Groups UM Rehab provides education, services as an advocate and supports the disability populations within its continuum of care. During FY15, UM Rehab provided and facilitated monthly support groups for brain injury, stroke, spinal cord injury, amputee, caregivers, total join, and trauma survivors programs. Additionally, clients with multiple sclerosis were served by participating in UM Rehabs MS (Multiple Sclerosis) Day Program. These groups and classes are free and open to all. Each group meets monthly or bi-monthly, depending upon needs of the group. Length of meeting varies 1-2 hours. In addition to monthly groups UM Rehab held an Amputee Walking Clinic. Total Number of People Reached by the Initiative w/I the Target Population: 1,002 Primary Objective of the Initiative: To help those experiencing a live-changing event, and/or their loved ones to be able to adapt to their new experience with the aid of support groups. Single or Multi-Year Initiative Time Period: Multi-Year Key Collaborators in Delivery of Initiative: UMMS and other hospitals within the community: UMMC Shock Trauma Center, UMMC, UMMC Midtown, BWMC, St. Agnes, Howard County General, BARS (Baltimore Adapted Recreation and Sports), WEAN (Women Embracing Abilities Now) Impact/Outcome of Hospital Initiative: 1,002 attended the support groups; 85 attendees at the Walking Clinic Evaluation Outcomes: Feedback from patients and families on topics as well as monitor attendance ongoing According to the Maryland SHIP website, the fooling date trends are: (Source: http://dhmh.maryland.gov/ship/SitePages/Home.aspx) Continuation of Initiative: Yes, based on the unique needs of the disabled community in Maryland, this warrants continued focus. As a specialty hospital, UM Rehab provides care to patients who have unique health care needs. In partnership with treating those who have been patients in the stroke, multi-trauma, spinal cord, or traumatic brain injury units, a series of classes and support groups are offered that are open to patients, caregivers and the community. These free classes focus on prevention and wellness, while support groups are offered that are open to patients, caregivers and community. These free classes focus on prevention and wellness, while support groups are specifically tailored to the specialized needs of patients who have undergone a life changing event and rehabilitation process, and would not have access to appropriate providers and caregivers. Physicians, nurses, and other caregivers are frequent guest speakers. The Cost of Initiative for Current Fiscal Year: $39,347 Direct Offsetting Revenue from Restricted Grants: $200 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 1183796 0 1004469 0 4692806 0 10400 0 10695 0 6902166 0 4526360 KAREN E DOYLE DIRECTOR 0 206912 0 146388 0 21813 0 8639 0 14252 0 398004 0 0 MICHAEL R JABLONOVER CEO 299898 0 71508 0 51654 0 10400 0 14252 0 447712 0 0 0 W Walter AUGUSTIN III CFO 208416 0 35198 0 22377 0 8605 0 10695 0 285291 0 0 0 JOHN STRAUMANIS SVP-CMO 234946 0 25622 0 8223 0 31222 0 15195 0 315208 0 0 0 CHERYL D LEE VP - CNO 183693 0 31450 0 8727 0 24254 0 7478 0 255602 0 0 0 LORI PATRIA MANAGER- AMBULATORY 121500 0 25163 0 137 0 6291 0 15195 0 168286 0 0 0 LOBNA ZADA DENTAL CLINICAL CHIEF 184958 0 13168 0 717 0 9406 0 6774 0 215023 0 0 0 THOMAS MERKLE HOSPITALIST 172240 0 0 0 162 0 8840 0 10695 0 191937 0 0 0 NORBERT ROBINSON DIR-PHARMACY 141912 0 15447 0 176 0 7356 0 15195 0 180086 0 0 0 HEMA S PATEL MD HOSPITALIST 225925 0 0 0 328 0 11556 0 15195 0 253004 0 0 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, 2015, 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: -John Straumanis -Cheryl D. Lee. During the Fiscal Year,ended June 30, 2015, 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. Walter Augustin, III -karen doyle -Michael Jablonover During the Fiscal Year-ended June 30, 2015, 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): -Robert A. Chrencik 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 Net assets released from Restrictions for PPE Purchase $160,000 Capital Transfers $1,978,666 Other Additions ($1,427) Decrease in Temporarily Restricted Net Assets ($3,322,132) ------------- TOTAL ADJUSTMENT TO NET ASSETS ($1,184,893) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTS TOTAL FEES:5121229 FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE ALLOCATIONS TOTAL FEES:2606185 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:2313409 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES, PROFESSIONAL MGMT, TOTAL FEES:377575 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP LABOR TOTAL FEES:3026185 Shipley's Physical Therapy Center LLC 2200 Kernan Drive Baltimore MD 21207 522061788 Healthcare MD 624000 1000 JLK UM Rehab Institute of Southern Maryland 2200 Kernan Drive Baltimore MD 21207 Healthcare MD JLK Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 521756326 Healthcare MD 501(c)(3) 11A UMBWMS 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North Arundel Senior Living LLC 301 Hospital Drive Glen Burnie MD 20161 541810728 Healthcare MD NA 0.99000 Innovative Health LLC 29165 Canvasback Drive Suite 100 Easton MD 21601 521997287 Billing MD NA 0.50000 Central Maryland Radiology Oncology LLC 10710 Charter Drive Columbia MD 21044 270879418 Healthcare MD NA 0.50000 Universitycare LLC 22 South Greene Street Baltimore MD 21201 521914892 Healthcare MD NA 0.90000 O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson MD 21204 521682964 Rental MD NA 0.74000 Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson MD 21204 521958002 Healthcare MD NA 0.51000 UCHSUMMS Real Estate Trust 520 Upper Chesapeake Dr Bel Air MD 21014 276803540 Real Estate MD NA 0.80000 Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie MD 21061 521992649 Healthcare MD NA C Corp 1.00000 Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie MD 21061 521936656 Healthcare MD NA C Corp 1.00000 BW Professional Services Inc 301 Hospital Drive Glen Burnie MD 21061 521655640 Healthcare MD NA C Corp 1.00000 Univ of Maryland Charles Regional Care P PO Box 1070 La Plata MD 20646 522176314 Healthcare MD NA C Corp 1.00000 University Midtown Prof Center A Condo 827 Linden Avenue Baltimore MD 21201 521891126 Real Estate MD NA C Corp 1.00000 NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD NA C Corp 1.00000 Terrapin Insurance Company 980129232 Insurance NA C Corp 0.50000 UMMS Self Insurance Trust 22 South Greene Street Baltimore MD 21201 526315433 Insurance MD NA Trust 0.50000 Upper Chesapeake Insurance Company PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ 980468438 CAPTIVE Insurance CJ NA LTD 1.00000 Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air MD 21014 522031264 Healthcare MD NA C Corp 1.00000 Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air MD 21014 770674478 Real Estate MD NA C Corp 1.00000 Upper Chesapeake Medical Office 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