UNION HOSPITAL OF CECIL COUNTY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: UNION HOSPITAL OF CECIL COUNTY (EIN 52-0607945)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-12-08
IRS object ID: 201403429349300700
Schema version: 2012v2.1
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-12-08T08:32:07-06:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	390859910	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY VIRCHOW KRAUSE LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520607945	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL OF CECIL COUNTY INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	UNIO	NameControl
Phone	4103984000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 BOW STREET	AddressLine1
City	ELKTON	City
State	MD	State
ZIP Code	219215596	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LAURIE R BEYER CPA	Name
Title	SENIOR VP/CFO	Title
Phone	4103984000	Phone
Date Signed	2014-12-03	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	2159720701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	X	AmendedReturn
Name Of Principal Officer Person	KENNETH S LEWIS MD JD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	106 BOW STREET	AddressLine1
City	ELKTON	City
State	MD	State
ZIP Code	219215596	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	162769500	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.UHCC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1903	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD, AND THE SURROUNDING AREA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	1286	TotalNbrEmployees
Total Nbr Volunteers	426	TotalNbrVolunteers
Total Gross UBI	982579	TotalGrossUBI
Net Unrelated Business Txbl Income	-571243	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	358066	ContributionsGrantsPriorYear
Contributions Grants Current Year	520133	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	147528194	ProgramServiceRevenuePriorYear
Program Service Revenue CY	151762502	ProgramServiceRevenueCY
Investment Income Prior Year	-1015994	InvestmentIncomePriorYear
Investment Income Current Year	1412315	InvestmentIncomeCurrentYear
Other Revenue Prior Year	909475	OtherRevenuePriorYear
Other Revenue Current Year	3949188	OtherRevenueCurrentYear
Total Revenue Prior Year	147779741	TotalRevenuePriorYear
Total Revenue Current Year	157644138	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3652832	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4738934	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	69543149	SalariesEtcPriorYear
Salaries Etc Current Year	75246162	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	74113793	OtherExpensePriorYear
Other Expenses Current Year	76658317	OtherExpensesCurrentYear
Total Expenses Prior Year	147309774	TotalExpensesPriorYear
Total Expenses Current Year	156643413	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	469967	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1000725	RevenuesLessExpensesCY
Total Assets BOY	185901825	TotalAssetsBOY
Total Assets EOY	188229305	TotalAssetsEOY
Total Liabilities BOY	100850222	TotalLiabilitiesBOY
Total Liabilities EOY	99544828	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	85051603	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	88684477	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	152974263	Expense
Grants	4738934	Grants
Revenue	151772348	Revenue
Description	UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA, THAT REPRESENT QUALITY AND VALUE AND ARE PROVIDED WITH MODERN TECHNOLOGY, COMPASSIONATE NURSES AND STAFF, AND CONVENIENT TO THE CITIZENS OF OUR COMMUNITY. THESE HEALTHCARE SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, WE RECOGNIZE THAT NOT ALL MEMBERS OF OUR COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, CONSISTENT WITH UNION HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF CECIL COUNTY, MARYLAND, FREE CARE AND/OR SUBSIDIZED CARE AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION, SPECIAL PROGRAMS FOR THE ELDERLY, SPECIAL PROGRAMS FOR THE PHYSICALLY/MENTALLY CHALLENGED, MEDICALLY UNDERSERVED AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.UNION HOSPITAL OF CECIL COUNTY SERVICED 5,762 ADMISSIONS PROVIDING 20,994 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2013 OF WHICH:1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,554 ADMISSIONS AND 10,737 PATIENT DAYS2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 92 ADMISSIONS AND 316 PATIENT DAYS3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,189 ADMISSIONS AND 3,634 PATIENT DAYS4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 135 ADMISSIONS AND 610 PATIENT DAYSCHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT UNION HOSPITAL OF CECIL COUNTY BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE INCLUDE:A) ADULT DAY CARE SERVICES FOR THE ELDERLY AND PHYSICALLY/MENTALLY CHALLENGEDB) SUPPORT GROUPS FOR CANCER PATIENTS AND FAMILIES, DIABETES, ALCOHOLICS ANONYMOUS, OSTOMY, AND SMOKELESSC) OFFERING AND CONDUCTING FREE BLOOD PRESSURE, CHOLESTEROL SCREENINGS, AND PROSTATE SCREENINGSD) IN CONJUNCTION WITH THE STATE OF MARYLAND AND THE LOCAL DEPARTMENT OF HEALTH, OFFERING AND CONDUCTING A CANCER SCREENING PROGRAM FOR INDIGENT FEMALESE) PROVIDING MEETING FACILITIES FOR A VARIETY OF NONPROFITS AND VOLUNTEER FIRE COMPANIESF) HOSPITAL STAFF VOLUNTEERS ON NONPROFIT ORGANIZATION BOARDS SUCH AS THE AMERICAN CANCER SOCIETYDURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $13,136,000 IN UNCOMPENSATED CARE.	Description
Total Program Service Expense	152974263	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	183	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1286	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DERON G BROWN DIRECTOR OF FINANCE	NamePerson
Telephone Number	4103984000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	106 BOW STREET	AddressLine1
City	ELKTON	City
State	MD	State
ZIP Code	21921	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JACK GOLDSTEIN
CHAIRMAN	0.40	0.50	X	X	0	0	0
MARTIN J HEALY
VICE CHAIRMAN	0.40	0.50	X	X	0	0	0
RICHARD GUTTENDORF
TREASURER	0.40	0.50	X	X	0	0	0
RONALD GRAYBEAL
SECRETARY	0.50	0.50	X	X	0	0	0
ALFONSO BASILE MD
DIRECTOR	0.50	0.50	X		0	0	0
MARY BOLT PHD
DIRECTOR	0.50	0.50	X		0	0	0
RON CULLIS
DIRECTOR	0.50	0.50	X		0	0	0
PHILLIP FARMER
DIRECTOR	0.50	0.50	X		0	0	0
RAYMOND HAMM
DIRECTOR	0.50	0.50	X		0	0	0
RAYMOND HEIDEL
DIRECTOR	0.30	0.70	X		0	0	0
MARTHA HOSFORD MD
DIRECTOR	0.50	0.50	X		0	0	0
TARI MOORE
DIRECTOR	0.50	0.50	X		0	0	0
HENRY PASSI
DIRECTOR	0.50	0.50	X		0	0	0
SHEELMOHAN SACHDEV MD
DIRECTOR	0.60	0.40	X		0	0	0
MICHAEL SCIBINICO
DIRECTOR	0.50	0.50	X		0	0	0
KENNETH S LEWIS MD JD
PRESIDENT/CEO	30.00	10.00	X	X	0	721506	144960
LAURIE R BEYER CPA
SENIOR VP/CFO	28.00	12.00		X	0	308570	84480
CYDNEY TEAL
VP MEDICAL AFFAIRS	39.90	0.10			0	296876	28900	X
TERRANCE LOVELL
VP HUMAN RESOURCES	40.00				164085	0	16696	X
DAVID GIPSON
SENIOR VP/COO	28.60	11.40			0	325305	85433	X
CAREN LEWIS
SR. VP CARE SVCS (THROUGH 6.15.13)	39.10	0.90			0	226865	54740	X
ROHIT SINGHANIA
PHYSICIAN	40.00				426827	0	13479		X
IRFAN M HISAMUDDIN MD
PHYSICIAN	40.00				416246	0	20192		X
JUSTIN SAUSVILLE
PHYSICIAN	40.00				394870	0	23771		X
JAGDEEP HUNDAL
PHYSICIAN	40.00				368569	0	23561		X
BERNARD J HYNES
PHYSICIAN	40.00				367864	0	19805		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2138461	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1879122	TotalReportableCompFrmRltdOrgs
Total Other Compensation	516017	TotalOtherCompensation
Number Individuals GT100 K	82	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
OWENS & MINOR INC
PO BOX 79171	BALTIMORE	MD	21279	MEDICAL SUPPLY DISTRIBUTOR	3710338
RADCAREEMCARE
PO BOX 368	PERRY HALL	MD	21128	IMAGING READINGS	2703710
MEDICAL INFORMATION TECHNOLOGY INC
PO BOX 74569	CHICAGO	IL	60696	SOFTWARE	2699777
CLEARPATH SOLUTIONS GROUP LLC
2465 CENTERVILLE ROAD	HERNDON	VA	20171	HARDWARE AND MAINTENANCE	2697158
NAVIN HAFFTY & ASSOC LLC
1900 WEST PARK DRIVE	WESTBOROUGH	MA	01581	SOFTWARE CONSULTING	2494415

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	95	NumberOfContractorsGT100K
Related Organizations	480133	RelatedOrganizations
All Other Contributions	40000	AllOtherContributions
Total Contributions	520133	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	621990	150282645	150282645
OTHER OPERATING REVENUE	621990	849519	849519
ADULT DAY CARE	623990	540577	540577
LIFELINE	900099	89761	89761

Field	Value	IRS element (for citing)
Total Program Service Revenue	151762502	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1324410	TotalRevenueColumn
Exclusion	$1,324,410	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	167604	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	34829	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	132775	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	132775	TotalRevenueColumn
Exclusion	$132,775	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5178438	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	5090533	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	87905	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	87905	TotalRevenueColumn
Exclusion	$87,905	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
MEANINGFUL USE REVENUE	900099	1997301	$1,997,301
LABORATORY REVENUE	621500	972733		972733
CAFETERIA/FOOD SERVICE	722210	773133	$773,133

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	73246	TotalRevenueColumn
Unrelated Business Revenue	9846	UnrelatedBusinessRevenue
Exclusion	$63,400	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3816413	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	157644138	TotalRevenueColumn
Related Or Exempt Function Income	151762502	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	982579	UnrelatedBusinessRevenue
Exclusion	$4,378,924	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4738934	Total
Program Services	4738934	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	2572233	Total
Program Services	2572233	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	61139628	Total
Program Services	60311795	ProgramServices
Management And General	827833	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	960928	Total
Program Services	811691	ProgramServices
Management And General	149237	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6238319	Total
Program Services	6136302	ProgramServices
Management And General	102017	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4335054	Total
Program Services	4284363	ProgramServices
Management And General	50691	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2070605	Total
Program Services	1035302	ProgramServices
Management And General	1035303	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	290439	Total
Management And General	290439	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	101664	Total
Management And General	101664	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	63111	Total
Management And General	63111	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19621779	Total
Program Services	18897011	ProgramServices
Management And General	724768	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	479112	Total
Program Services	479112	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1966464	Total
Program Services	1888451	ProgramServices
Management And General	78013	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	426990	Total
Program Services	426990	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2437680	Total
Program Services	2437680	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	309543	Total
Program Services	280504	ProgramServices
Management And General	29039	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	22436	Total
Program Services	8143	ProgramServices
Management And General	14293	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2688829	Total
Program Services	2688829	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8970371	Total
Program Services	8970371	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2515823	Total
Program Services	2515823	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES/DRUGS	18918168	18918168
BAD DEBT	9628002	9628002
REPAIRS & MAINTENANCE	2336946	2336946
FOOD/DIETARY SUPPLIES	1059133	1059133

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2751222	Total
Program Services	2548480	ProgramServices
Management And General	202742	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	156643413	Total
Program Services	152974263	ProgramServices
Management And General	3669150	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	298522	BOY
EOY	5405023	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	9013704	BOY
EOY	784061	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	18298560	BOY
EOY	15574231	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1158970	BOY
EOY	561214	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1805445	BOY
EOY	1759420	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1619387	BOY
EOY	2253892	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	179685973	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	93292117	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	79944732	BOY
EOY	86393856	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	63033266	BOY
EOY	63626059	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	5060977	BOY
EOY	5112129	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5668262	BOY
EOY	6759420	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	185901825	BOY
EOY	188229305	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11415256	BOY
EOY	15108507	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	81847367	BOY
EOY	74136484	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7587599	BOY
EOY	10299837	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	100850222	BOY
EOY	99544828	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	84203884	BOY
EOY	87623004	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	847719	BOY
EOY	1061473	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	85051603	BOY
EOY	88684477	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	185901825	BOY
EOY	188229305	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1000725	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3169351	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-537202	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1134905	OtherCostOrOtherBasis
Book Value	1134905	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70711838	OtherCostOrOtherBasis
Depreciation	27255835	Depreciation
Book Value	43456003	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	774439	OtherCostOrOtherBasis
Depreciation	644543	Depreciation
Book Value	129896	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	95102987	OtherCostOrOtherBasis
Depreciation	64346149	Depreciation
Book Value	30756838	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11961804	OtherCostOrOtherBasis
Depreciation	1045590	Depreciation
Book Value	10916214	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	86393856	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
THIRD PARTY ADVANCES	$2,073,357
CAPITAL LEASE OBLIGATIONS	$696,808
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$6,289,313
DUE TO AFFILIATES	$1,240,359

Field	Value	IRS element (for citing)
Total Of Amounts	10299837	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	150532531	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3169351	NetUnrealizedGainsInvestments
Other Revenues	-10217847	OtherRevenues
Revenue Not Rptd F990	-7048496	RevenueNotRptdF990
Revenue Subtotal	157581027	RevenueSubtotal
Investment Expenses Not Included	63111	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	63111	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	157644138	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	146899657	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	146899657	ExpensesSubtotal
Investment Expenses Not Included2	63111	InvestmentExpensesNotIncluded2
Other Expenses Not Included	9680645	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	9743756	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	156643413	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR YEARS AFTER 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION & SUBSIDIARY -167,878. LOSS ON REFINANCING -322,110. PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS -9,628,002. CHANGE IN PROVISION FOR UNCOLLECTIBLE PLEDGES -47,214. BANK FEES NETTED ON FINANCIAL STATEMENTS -52,643.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 9,628,002. BANK FEES NETTED ON FINANCIAL STATEMENTS 52,643.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3767210	TotalCommunityBenefitExpense
Net Community Benefit Expense	3767210	NetCommunityBenefitExpense
Percent Of Total Expense	0.02560	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3767210	TotalCommunityBenefitExpense
Net Community Benefit Expense	3767210	NetCommunityBenefitExpense
Percent Of Total Expense	0.02560	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	487087	TotalCommunityBenefitExpense
Direct Offsetting Revenue	120756	DirectOffsettingRevenue
Net Community Benefit Expense	366331	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	293786	TotalCommunityBenefitExpense
Net Community Benefit Expense	293786	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11659981	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5918978	DirectOffsettingRevenue
Net Community Benefit Expense	5741003	NetCommunityBenefitExpense
Percent Of Total Expense	0.03910	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	575619	TotalCommunityBenefitExpense
Direct Offsetting Revenue	135202	DirectOffsettingRevenue
Net Community Benefit Expense	440417	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13016473	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6174936	DirectOffsettingRevenue
Net Community Benefit Expense	6841537	NetCommunityBenefitExpense
Percent Of Total Expense	0.04660	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16783683	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6174936	DirectOffsettingRevenue
Net Community Benefit Expense	10608747	NetCommunityBenefitExpense
Percent Of Total Expense	0.07220	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	21330	TotalCommunityBuildingExpense
Net Community Building Expense	21330	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	9814	TotalCommunityBuildingExpense
Net Community Building Expense	9814	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	102587	TotalCommunityBuildingExpense
Net Community Building Expense	102587	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	133731	TotalCommunityBuildingExpense
Net Community Building Expense	133731	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$7,906,949	BadDebtExpenseAmount
Amount Attributable To	203754	AmountAttributableTo
Amount Reimbursed By Medicare	63796787	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	63796787	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL OF CECIL COUNTY INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	106 BOW STREET	AddressLine1
City	ELKTON	City
State	MD	State
ZIP Code	21921	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNION HOSPITAL OF CECIL COUNTY INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: ALL INFORMATION IS BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,628,002.
PART II: ECONOMIC DEVELOPMENT (F2)MEMBERS OF UNION HOSPITAL'S EXECUTIVE MANAGEMENT TEAM ATTENDED MEETINGS WITH THE FOLLOWING ENTITIES: 1)ECONOMIC DEVELOPMENT COMMISSION FOR CECIL COUNTY. THIS COMMISSION PROMOTES ECONOMIC DEVELOPMENT IN CECIL COUNTY, FOCUSING ON BUSINESS AND INDUSTRY DEVELOPMENT BY BUILDING RELATIONSHIPS WITH LOCAL AND EXTERNAL PARTNERS. UNION HOSPITAL COLLABORATES WITH THIS COMMISSION TO PROMOTE STABILITY WITHIN THE HOSPITAL'S WORKFORCE OF HEALTH PROFESSIONALS AND TO BRING MUCH NEEDED PRACTITIONERS TO THE AREA, ESPECIALLY IN AREAS WHERE THERE ARE TOO FEW PROVIDERS OR SERVICE GAPS. 2)ELKTON ALLIANCE. ELKTON ALLIANCE WORKS TOGETHER WITH THE LOCAL GOVERNMENT AND BUSINESS COMMUNITY TO RESTORE, PROMOTE AND MAINTAIN THE DIVERSE HISTORIC DOWNTOWN AREA, WHILE ATTRACTING NEW ENTERPRISES FOR THE BENEFIT OF COMMUNITY RESIDENTS, BUSINESSES, AND VISITORS. IN COLLABORATING WITH ELKTON ALLIANCE, UNION HOSPITAL SEEKS TO MAINTAIN A POSITIVE PRESENCE IN THE COMMUNITY BY HELPING TO ADDRESS ANY COMMUNITY DEVELOPMENT ISSUES. 3)AMER-INDO ORGANIZATION. THIS IS A NON-PROFIT ORGANIZATION THAT SEEKS MUTUAL BUSINESS OPPORTUNITIES BETWEEN AMERICAN & INDONESIAN CULTURES. AS A SUPPORTER OF CULTURAL DIVERSITY, UNION HOSPITAL'S CEO BEGAN MEETING WITH THIS ORGANIZATION TO LEARN MORE ABOUT THE BARRIERS AND NEEDS THAT INDONESIAN PEOPLES IN CECIL COUNTY FACE IN THE CURRENT ECONOMY. COMMUNITY SUPPORT (F3)MEMBERS OF UNION HOSPITAL'S EXECUTIVE MANAGEMENT TEAM, AS WELL AS ADMINISTRATIVE STAFF, WORK CLOSELY WITH UNITED WAY OF CECIL COUNTY TO BUILD FUNDING AND PROGRAM CAPACITY FOR COMMUNITY-BASED PROGRAMMING FOR UNDERSERVED YOUTH IN THE COUNTY. HAVING HEALTHY YOUTH IS AN IMPORTANT FACET OF A STRONG COMMUNITY AND UNION HOSPITAL CONTINUES TO UPHOLD THIS IMPORTANCE BY FACILITATING A COLLABORATIVE PARTNERSHIP WITH UNITED WAY OF CECIL COUNTY. WORKFORCE DEVELOPMENT (F8)THERE WERE SEVERAL ACTIVITIES REPORTED UNDER WORKFORCE DEVELOPMENT DURING FISCAL YEAR 2013:1)HOLLY EMMONS, DIRECTOR OF FOOD SERVICES AT UNION HOSPITAL, AND HER STAFF MENTORED 97 MENTALLY-CHALLENGED HIGH SCHOOL STUDENTS FROM ELKTON HIGH SCHOOL AND PERRYVILLE HIGH SCHOOL AS PART OF UNION HOSPITAL'S AND CECIL COUNTY PUBLIC SCHOOLS' PARTNER PROGRAM: THE HIGH SCHOOL WORK ENRICHMENT PROGRAM. THIS PROGRAM PROVIDES WORK ASSIGNMENTS AND APPROPRIATE TRAINING IN FOOD SERVICE ACTIVITIES, LIKE DEVELOPING CULINARY SKILLS FOR FOOD PREPARATION AND DEVELOPING SANITATION RESPONSIBILITIES (DISHWARE WASHING, SANITIZATION, TRASH DISPOSAL, AND RECYCLING). THE PROGRAM IS AN IMPORTANT FACET OF THE WORK ENRICHMENT EXPERIENCE BECAUSE IT PROVIDES DIRECTION, IMPORTANT LIFE SKILLS AND ALLOWS STUDENTS TO FEEL NEEDED, USEFUL, AND CAPABLE, ESPECIALLY IN A BUSY WORK ENVIRONMENT. STUDENTS ENJOY THEIR ROLES AND LEARN THE VALUE OF PRODUCTIVITY AND TASK COMPLETION BOTH WORKING INDIVIDUALLY AND AS PART OF A TEAM. 2)HUMAN RESOURCES STAFF MEMBERS PARTICIPATED IN WORKSHOPS WHERE THEY PROVIDED NEEDS-BASED CAREER COUNSELING FOR COMMUNITY MEMBERS. THIS INCLUDED HOW TO CONSTRUCT A RESUME, PROVIDING INTERVIEWING SKILLS, AND DISCUSSING WORKFORCE RESOURCES. STAFF PARTICULARLY VOLUNTEERED FOR THIS WORK BECAUSE THEY WERE SEEKING TO SHARE KNOWLEDGE AND PROVIDE INSIGHT FOR THE LESS FORTUNATE WHO WERE TRYING TO BETTER THEIR LIFE SITUATIONS BY GETTING JOBS OR AT LEAST BEING PREPARED FOR GETTING A JOB. FOR THE HUMAN RESOURCES STAFF THIS WAS ALSO A WAY FOR THEM TO PROMOTE THE VALUE OF SHARED LEARNING THAT UNION HOSPITAL EMPHASIZES ALL STAFF SHOULD DEMONSTRATE. 3)A MEMBER OF UNION HOSPITAL'S EXECUTIVE MANAGEMENT TEAM ATTENDS MEETINGS WITH THE SUSQUEHANNA WORKFORCE BOARD IN CECIL COUNTY. SUSQUEHANNA WORKFORCE IS A NON-PROFIT ORGANIZATION THAT PLANS WORKFORCE DEVELOPMENT PROGRAMS AND SERVICES FOR INDIVIDUALS AND BUSINESSES IN CECIL COUNTY AND HARTFORD COUNTY. UNION HOSPITAL CONTINUES TO UPHOLD THE NECESSITY OF THIS RESOURCE IN THE CECIL COUNTY COMMUNITY. 4)A MEMBER OF UNION HOSPITAL'S EXECUTIVE MANAGEMENT TEAM ATTENDS MEETINGS WITH THE BUSINESS EDUCATION PARTNERSHIP ADVISORY COUNCIL (BEPAC), WHICH SERVES TO IDENTIFY STRENGTHS, NEEDS AND TRENDS IN JOB READINESS AS IT CORRELATES TO STUDENT SUCCESS UPON GRADUATION FROM HIGH SCHOOL. BEPAC STRIVES TO PREPARE STUDENTS TO MEET JOB MARKET NEEDS, SELECT SATISFYING CAREERS, AND BE GOOD CITIZENS IN THEIR COMMUNITIES. UNION HOSPITAL HAS BEEN A PARTNER IN THIS PROCESS FOR SEVERAL YEARS. 5)UNION HOSPITAL REPORTS PHYSICIAN RECRUITMENT UNDER WORKFORCE DEVELOPMENT BECAUSE IT ADDRESSES GAPS IN SERVICES, ESPECIALLY WHERE THERE ARE TOO FEW PROVIDERS TO PRACTICE (IN UNDERSERVED AREAS, ETC.).
PART III, LINE 4: COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AMOUNTS: THE METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF BAD DEBT EXPENSE FOR THE YEAR. OTHER BAD DEBT AMOUNTS ARE NOT INCLUDED IN COMMUNITY BENEFITS.HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: DISCOUNTS AND PAYMENTS ARE OFFSET AGAINST BAD DEBT EXPENSE.METHOD USED TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY: THE HOSPITAL USES THE AVERAGE CHARITY CARE WRITE-OFF PER CHARITY CASE MULTIPLIED BY THE NUMBER OF CASES NOT APPROVED DUE TO LACK OF DOCUMENTATION.FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.
PART III, LINE 8: COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND.EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B: IN ACCORDANCE WITH THE COLLECTION POLICY, BAD DEBT ACCOUNTS WILL BE ELIGIBLE FOR A CHARITY CARE DISCOUNT IF THE PATIENT MEETS CHARITY CARE POLICY GUIDELINES. THE PATIENT WILL NEED TO SUPPLY INCOME INFORMATION IN ORDER TO DETERMINE ELIGIBILITY FOR CHARITY CARE PER POLICY. ALSO SEE RESPONSE TO PART III LINE 4 ABOVE.
PART V, SECTION B, LINE 3: CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT BETWEEN UNION HOSPITAL OF CECIL COUNTY AND THE CECIL COUNTY HEALTH DEPARTMENT. UNION HOSPITAL'S COMMUNITY BENEFITS COORDINATOR MET WITH CECIL COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH OFFICER, DEPUTY PUBLIC HEALTH OFFICER, AND EPIDEMIOLOGIST TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS TEAM FACILITATED A SERIES OF MEETINGS WITH BOTH COMMUNITY LEADERS AND COMMUNITY RESIDENTS TO GAIN FIRST-HAND KNOWLEDGE OF IMPORTANT HEALTH NEEDS IN CECIL COUNTY. THE CHNA PROCESS BEGAN IN JANUARY 2012 (DURING THE 3RD QUARTER OF FISCAL YEAR 2012). SECONDARY DATA WAS ANALYZED AND USED IN CONJUNCTION WITH ALL COMMUNITY MEETINGS AS PART OF THE SUPPORTING DATA PLATFORM. USE OF SECONDARY DATA WAS ALSO INTEGRAL TO THE HEALTH NEEDS PRIORITIZATION PROCESS CONDUCTED BY UNION HOSPITAL. INPUT FROM COMMUNITY PARTNERS ENGAGED IN CECIL COUNTY'S LOCAL HEALTH IMPROVEMENT COALITION MEETINGS WAS INCLUDED TO FURTHER VERIFY AND SUPPORT CONDUCTION OF THE CHNA. THE COMMUNITY PARTNERS CONSULTED WERE AS FOLLOWS: AMERICAN CANCER SOCIETY CECIL COLLEGE CECIL COUNTY COMMISSIONERS CECIL COUNTY DEPARTMENT OF EMERGENCY SERVICES CECIL COUNTY DEPARTMENT OF JUVENILE SERVICES CECIL COUNTY DEPARTMENT OF SOCIAL SERVICES CECIL COUNTY HEALTH DEPARTMENT CECIL COUNTY LIQUOR BOARD CECIL COUNTY LOCAL MANAGEMENT BOARD CECIL COUNTY PARKS AND RECREATIONAL SERVICES CECIL COUNTY PUBLIC SCHOOLS CECIL COUNTY SHERIFF'S OFFICE ELKTON HOUSING AUTHORITY JOHNS HOPKINS HEALTH CARE MARYLAND STATE DELEGATION MARYLAND STATE SENATE PRIVATE HEALTH CARE PROVIDERS PROJECT CROSSROAD UNION HOSPITAL EMPLOYED PROVIDERS, STAFF, AND EXECUTIVE MANAGEMENT UNIVERSITY OF MARYLAND STATEWIDE HEALTH NETWORK UPPER BAY COUNSELING AND SUPPORT SERVICES WEST CECIL HEALTH CENTER (FQHC) YMCATHE LOCAL HEALTH IMPROVEMENT COALITION WAS SURVEYED TO DETERMINE WHICH HEALTH NEEDS WERE PROMINENT IN CECIL COUNTY. DATA GATHERED FROM THE SURVEY REFLECTED CONCERNS RELATED TO PRESCRIPTION DRUG AND SUBSTANCE ABUSE, MENTAL HEALTH ACCESS, CHILD ABUSE, AND CHILDHOOD OBESITY. FOUR FOCUS GROUPS WERE ALSO CONDUCTED WITH COMMUNITY RESIDENTS. THESE FOCUS GROUPS INCLUDED RESIDENTS FROM ELKTON, CHARLESTOWN, NORTH EAST, CHESAPEAKE CITY, CECILTON, PERRYVILLE, RISING SUN, AND PORT DEPOSIT. FOCUS GROUP PARTICIPANTS INCLUDED YOUNG ADULTS, SENIOR CITIZENS, MEMBERS FROM VARIOUS LOCAL COMMUNITY ORGANIZATIONS AND CHURCHES, HOMEMAKERS, SMALL BUSINESS OWNERS, LIFE COACHES, RETIREES, AND COMMUNITY ORGANIZERS. THE FOCUS GROUPS WERE FACILITATED/MODERATED BY UNION HOSPITAL'S COMMUNITY BENEFITS COORDINATOR AND CECIL COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH OFFICER. THE HEALTH DEPARTMENT'S EPIDEMIOLOGIST PROVIDED TECHNICAL SUPPORT AND TRANSCRIPTION OF MEETING NOTES. EACH FOCUS GROUP SESSION BEGAN WITH A DESCRIPTION OF THE CHNA. PARTICIPANTS WERE THEN PRESENTED WITH DATA GATHERED FROM THE LOCAL HEALTH IMPROVEMENT COALITION SURVEY MEETINGS AND OTHER SECONDARY HEALTH DATA. AFTER REVIEW OF THE DATA, PARTICIPANTS WERE ASKED TO RESPOND BASED ON THEIR OWN PERSONAL UNDERSTANDING OF HEALTH IN THEIR COMMUNITIES AND WHAT NEEDED TO BE DONE TO ADDRESS IDENTIFIED HEALTH NEEDS. LISTED BELOW ARE THE DIFFERENT HEALTH NEEDS IDENTIFIED PER FOCUS GROUP. FOCUS GROUP HEALTH NEEDS IDENTIFIEDELKTON FOCUS GROUP SUBSTANCE ABUSE MENTAL HEALTH CARE ACCESS HOMELESSNESS SMOKING NUTRITION LUNG CANCER CHESAPEAKE CITY FOCUS GROUP GERIATRIC CARE IMPROVEMENTS MEDICAL TRANSPORTATION ACCESS CANCER TOBACCO USE SUBSTANCE ABUSE OBESITY MENTAL HEALTH CARE ACCESS GENERAL ACCESS TO HEALTH CARE FOR RESIDENTS THAT LIVE BELOW THE C & D CANALPERRYVILLE FOCUS GROUP CANCER SMOKING OBESITY ACCESS TO HEALTHIER FOODS MENTAL HEALTH CARE ACCESS CHILD NEGLECT SUBSTANCE ABUSERISING SUN FOCUS GROUP MENTAL HEALTH CARE ACCESS SUICIDE PREVENTION CANCER OBESITY DIABETES PRESCRIPTION DRUG ABUSE HEALTH COMMUNICATION IMPROVEMENTS ADDRESSING HEALTH DISPARITIESDATA FROM THE FOCUS GROUPS WAS ANALYZED, COMPARED TO SECONDARY HEALTH DATA FROM LOCAL, STATE AND NATIONAL SOURCES, AND PRESENTED TO UNION HOSPITAL'S INTERNAL COMMUNITY BENEFITS WORKGROUP TO COMPLETE THE HEALTH NEEDS PRIORITIZATION PROCESS. SECONDARY HEALTH DATA PROVIDED BY HEALTHY COMMUNITIES INSTITUTE FOR CECIL COUNTY FROM A VARIETY OF LOCAL, STATE AND NATIONAL SOURCES WAS ANALYZED ACCORDING TO HEALTH INDICATORS IDENTIFIED AS HIGH RISK FOR THE CECIL COUNTY POPULATION. UNION HOSPITAL'S INTERNAL COMMUNITY BENEFITS WORKGROUP WAS ESTABLISHED TO MONITOR THE PROGRESSION OF COMMUNITY BENEFITS PLANNING AND REPORTING ACTIVITIES. IT WAS ALSO ESTABLISHED TO SET THE FRAMEWORK FOR ACCOUNTABILITY AND TRANSPARENCY BOTH INTERNALLY AND EXTERNALLY TO THE HOSPITAL. THE WORKGROUP'S MAIN ROLE DURING THE CHNA WAS TO HELP PRIORITIZE HEALTH NEEDS IDENTIFIED FROM BOTH THE COMMUNITY AND THE ANALYSIS OF SECONDARY HEALTH DATA SOURCES. THE FINAL PRIORITIZATION OF HEALTH NEEDS WAS BASED ON THE FOLLOWING CRITERIA:- SIZE. THE NUMBER OF PERSONS AFFECTED BY THE HEALTH NEED (INCIDENCE AND PREVALENCE). - SERIOUSNESS. LEVEL OF SEVERITY AS INDICATED BY MORBIDITY AND MORTALITY RATES AND ECONOMIC AND/OR SOCIAL IMPACT. - ECONOMIC FEASIBILITY. COSTS OF INTERNAL RESOURCES AND POTENTIAL COSTS OF EXTERNAL RESOURCES. - POTENTIAL FOR IMPACT. COULD THE HOSPITAL MAKE AN IMPORTANT CONTRIBUTION? DID IT HAVE THE EXPERTISE, TIME, AND RESOURCES FOR PLANNING, IMPLEMENTATION OF PROGRAMS/ACTIVITIES, AND EVALUATION OF ALL INITIATIVES?- AVAILABILITY OF COMMUNITY ASSETS. WERE THERE PROGRAMS ALREADY IN EXISTENCE THAT WERE ADDRESSING THE IDENTIFIED HEALTH NEEDS?- PROBABILITY OF SUCCESS. WHAT WAS THE LIKELIHOOD OF ACHIEVING OBJECTIVES AND GOALS CREATED FOR A COMMUNITY BENEFIT IMPLEMENTATION PLAN?- VALUE. SUBJECTIVE MEASURES THAT INDICATED IMPORTANCE. AFTER CAREFUL CONSIDERATION OF ALL DATA AND PRIORITIZATION CRITERIA, THE INTERNAL COMMUNITY BENEFITS WORKGROUP CHOSE THE FOLLOWING TOP THREE RANKED HEALTH PRIORITIES FOR CECIL COUNTY:1) RESPIRATORY HEALTH;2) HEART DISEASE; AND 3) OBESITY.UNION HOSPITAL WILL ADDRESS THESE HEALTH PRIORITIES THROUGH THE COMMUNITY BENEFIT IMPLEMENTATION PLAN OVER THE NEXT THREE FISCAL YEARS.	UNION HOSPITAL OF CECIL COUNTY, INC.
PART V, SECTION B, LINE 6I: COLLABORATIVE COMMUNITY PARTNERS HAVE ALSO BEEN IDENTIFIED IN THE IMPLEMENTATION PLAN.	UNION HOSPITAL OF CECIL COUNTY, INC.
PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED BUT NOT ADDRESSEDTHE CHNA REVEALED SEVERAL HEALTH NEEDS THAT WERE NOT SELECTED FOR PRIORITIZATION BY UNION HOSPITAL. BELOW WE DISCUSS WHICH NEEDS WERE IDENTIFIED AND WHY THEY WERE NOT CHOSEN FOR PRIORITIZATION. HEALTH NEEDS NOT INCLUDED AND REASONS HEALTH NEEDS WERE NOT PRIORITIZEDLOCAL HEALTH IMPROVEMENT COALITION HEALTH NEEDS: PRESCRIPTION DRUG ABUSE SUBSTANCE ABUSE MENTAL HEALTH ACCESS TO TREATMENT CHILD NEGLECT THESE HEALTH NEEDS WERE NOT PRIORITIZED BECAUSE THE LOCAL HEALTH IMPROVEMENT COALITION WAS ABLE TO PRODUCE A COMMUNITY HEALTH ACTION PLAN TO ADDRESS THEM. MEMBER ORGANIZATIONS IN THE COALITION ARE CURRENTLY WORKING TOGETHER TO INCORPORATE STRATEGIES TO ADDRESS THESE HEALTH NEEDS, AS WELL AS ACHIEVE MEASURABLE OUTCOMES. UNION HOSPITAL IS REPRESENTED ON THE COALITION AND IS CURRENTLY WORKING IN PARTNERSHIP WITH SEVERAL COMMUNITY PARTNERS ON ALL OF THESE HEALTH NEEDS. SUICIDE PREVENTION UNION HOSPITAL RESPONDS TO SUICIDAL TENDENCIES EXHIBITED BY PATIENTS ON AN INPATIENT LEVEL. HOWEVER, MORE WORK IS BEING DONE TO ADDRESS THESE PATIENTS IN THEIR HOME BY WORKING IN PARTNERSHIP WITH MOBILE HEALTH CRISIS, A TEAM OF MENTAL HEALTH PROFESSIONALS DEDICATED TO ADDRESSING CRISIS ONSITE IN THE PATIENT'S HOME. HOMELESSNESS THE ELKTON ALLIANCE (CHAMBER OF COMMERCE) HAS DEVELOPED A COALITION TO BETTER IDENTIFY AND ADDRESS THE HEALTH AND SOCIAL NEEDS OF THE HOMELESS POPULATION IN CECIL COUNTY. UNION HOSPITAL STAFF ACTIVELY PARTICIPATES ON THIS COALITION. ACCESS TO CARE ADDRESSING ACCESS TO CARE ISSUES, INCLUDING TRANSPORTATION NEEDS, IS A MISSION DRIVEN CONCERN FOR UNION HOSPITAL, AND IS ADDRESSED ON A DAILY BASIS. OTHER HEALTH BASED ORGANIZATIONS IN CECIL COUNTY ALSO WORK TO PROVIDE ADEQUATE ACCESS TO CARE (I.E., THE CECIL COUNTY HEALTH DEPARTMENT, SCHOOL-BASED HEALTH CENTERS IN BAINBRIDGE AND GILPIN ELEMENTARY SCHOOLS, AND WEST CECIL HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER). ACCESS TO HEALTHY FOODS ACCESS TO HEALTHY FOODS COULD BE INCLUDED IN STRATEGIES TO REDUCE OBESITY, WHICH IS A PRIORITY HEALTH NEED FOR BOTH UNION HOSPITAL AND THE LOCAL HEALTH IMPROVEMENT COALITION'S COMMUNITY HEALTH ACTION PLAN. PROMOTION OF HEALTHY FOOD ACCESS CAN ALSO BE PROMOTED IN THE WORKPLACE, AT SCHOOL, AND AT HOME. ACCESS TO MEDICAL TRANSPORTATIONTHE CECIL COUNTY HEALTH DEPARTMENT OFFERS MEDICAL TRANSPORTATION FOR INDIVIDUALS WITH INSURANCE THAT COVERS IT. ALSO, SOME PRIVATE ORGANIZATIONS OFFER MEDICAL TRANSPORT ACCORDING TO BOTH INSURANCE COVERAGE AND LOCAL NEED. UNION HOSPITAL DOES NOT HAVE TRANSPORT VEHICLES NOR THE CAPITAL TO START AND MAINTAIN SUCH AN ENDEAVOR. RESOURCE ALLOCATION IS BETTER SERVED BY COLLABORATING WITH OTHER ENTITIES THAT HAVE VEHICLES OR BRINGING ISSUES OF ACCESS TO THE LOCAL GOVERNMENT TO ADVOCATE FOR BETTER PUBLIC TRANSPORTATION. GERIATRIC CARE IMPROVEMENTS GERIATRIC CARE IMPROVEMENTS REFLECT CONCERNS RELATED TO FALLS, ISOLATION, DEPRESSION, IMPROPER DIET AND POOR CHRONIC DISEASE MANAGEMENT. INCIDENTALLY, THE CECIL COUNTY HEALTH DEPARTMENT AND SEVERAL LOCAL COMMUNITY ORGANIZATIONS HAVE PROGRAMS TAILORED TO ADDRESSING, DEPRESSION, ISOLATION, CHRONIC DISEASE MANAGEMENT AND FALLS PREVENTION. UNION HOSPITAL ALSO WORKS ON CHRONIC DISEASE MANAGEMENT AMONG THE ELDERLY AND FALLS PREVENTION. DIABETESPREVENTION OF AND AWARENESS AROUND DIABETES IS ALREADY INCORPORATED IN MANY OF THE NUTRITION EDUCATION PROGRAMS AND ACTIVITIES THAT UNION HOSPITAL PROVIDES IN THE COMMUNITY. DIABETES CARE, MANAGEMENT, AND AWARENESS ARE ALSO INTEGRAL PARTS OF ACTIVITIES BEING CONSIDERED FOR THE 2ND AND 3RD HEALTH PRIORITIES OF HEART DISEASE AND OBESITY IN THE COMMUNITY BENEFIT IMPLEMENTATION PLAN. CANCERUNION HOSPITAL ALREADY PROVIDES FREE CANCER SCREENINGS FOR THE COMMUNITY AND IS CONTINUOUSLY WORKING ON NEW WAYS TO SCREEN AND IDENTIFY SYMPTOMS FOR VARIOUS CANCERS. UNION HOSPITAL STAFF ALSO COLLABORATES WITH COMMUNITY PARTNERS AND AGENCIES TO BRING ACCESS TO CANCER CARE TO THE COMMUNITY. HEALTH COMMUNICATION IMPROVEMENTS EFFORTS TO IMPROVE HEALTH COMMUNICATION ARE A CONSTANT TASK FOR UNION HOSPITAL AND ALL COMMUNITY ORGANIZATIONS. IT DOES NOT GO UNNOTICED. ADDRESSING DISPARITIES IN HEALTH CARE HEALTH DISPARITIES HAVE BEEN IDENTIFIED WHERE APPLICABLE IN THE LOCAL HEALTH IMPROVEMENT COALITION'S COMMUNITY HEALTH ACTION PLAN. UNION HOSPITAL ACTIVELY SEEKS TO REDUCE HEALTH DISPARITIES BOTH IN ITS DAILY FUNCTIONING AND IN PARTNERSHIP WITH CECIL COUNTY'S LOCAL HEALTH IMPROVEMENT COALITION.	UNION HOSPITAL OF CECIL COUNTY, INC.
PART V, SECTION B, LINE 20D: MARYLAND IS AN ALL-PAYOR STATE AND THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) SETS THE RATES FOR UNION HOSPITAL.	UNION HOSPITAL OF CECIL COUNTY, INC.
PART VI, LINE 2: CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT BETWEEN UNION HOSPITAL OF CECIL COUNTY AND THE CECIL COUNTY HEALTH DEPARTMENT. UNION HOSPITAL'S COMMUNITY BENEFITS COORDINATOR MET WITH CECIL COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH OFFICER, DEPUTY PUBLIC HEALTH OFFICER, AND EPIDEMIOLOGIST TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS TEAM FACILITATED A SERIES OF MEETINGS WITH BOTH COMMUNITY LEADERS AND COMMUNITY RESIDENTS TO GAIN FIRST-HAND KNOWLEDGE OF IMPORTANT HEALTH NEEDS IN CECIL COUNTY. THE CHNA PROCESS BEGAN IN JANUARY 2012 (DURING THE 3RD QUARTER OF FISCAL YEAR 2012). SECONDARY DATA WAS ANALYZED AND USED IN CONJUNCTION WITH ALL COMMUNITY MEETINGS AS PART OF THE SUPPORTING DATA PLATFORM. USE OF SECONDARY DATA WAS ALSO INTEGRAL TO THE HEALTH NEEDS PRIORITIZATION PROCESS CONDUCTED BY UNION HOSPITAL.SEE ADDITIONAL DETAIL REGARDING THE NEEDS ASSESSMENT IN OUR RESPONSE TO PART V, SECTION B, LINE 3.
PART VI, LINE 3: UNION HOSPITAL OF CECIL COUNTY UTILIZES A COMMUNITY FINANCIAL ASSISTANCE (CHARITY CARE) POLICY TO ENSURE THAT THE HOSPITAL'S STAFF FOLLOWS A CONSISTENT AND EQUITABLE PROCESS IN GRANTING CHARITY CARE/FINANCIAL ASSISTANCE TO APPROPRIATE PATIENTS, WHILE RESPECTING THE INDIVIDUAL'S DIGNITY. THE POLICY IS IN AGREEMENT WITH THE ESTABLISHED MARYLAND STATE FINANCIAL ASSISTANCE GUIDELINES REGARDING CHARITY CARE.THE POLICY DESCRIBES THE APPLICATION PROCESS FOR THE FINANCIAL ASSISTANCE PROGRAM, THE INFORMATION REQUIRED TO VERIFY INCOME AND ASSETS, THE TIMELINE FOR APPLICATION REVIEW AND TIERED ADJUSTMENTS BASED ON FEDERAL POVERTY GUIDELINES.THE APPLICATION FOR FINANCIAL ASSISTANCE IS AVAILABLE TO ALL UNDERINSURED AND UNINSURED PATIENTS OF UNION HOSPITAL. APPLICATIONS AND SIGNAGE ARE LOCATED THROUGHOUT THE HOSPITAL, EMERGENCY ROOM, AND OUTPATIENT AREAS. THE FINANCIAL ASSISTANCE APPLICATION AND BROCHURE (IN ENGLISH AND SPANISH) ARE AVAILABLE ON THE HOSPITAL'S WEBSITE: HTTP://WWW.UHCC.COM/ABOUT/PATIENTS-VISITORS/ADMISSION/FINANCIAL-ASSISTANCE. IN ADDITION, THE HOSPITAL PLACES AN ADVERTISEMENT TWICE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING ITS FINANCIAL ASSISTANCE POLICY. ALL FINANCIAL ASSISTANCE APPLICATIONS RECEIVED ARE PROCESSED FOR ELIGIBILITY. PATIENTS WHO ARE NOT ELIGIBLE FOR CHARITY CARE ARE REFERRED TO CECIL COUNTY HEALTH DEPARTMENT TO DETERMINE IF OTHER ASSISTANCE IS AVAILABLE. ANY INDIVIDUAL WHO PRESENTS TO THE BUSINESS OFFICE OF UNION HOSPITAL IN PERSON TO DISCUSS HIS/HER BILL IS PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION. ALL INPATIENT, SELF-PAY PATIENTS ARE VISITED BY FINANCE STAFF AND SCREENED FOR THE FINANCIAL ASSISTANCE PROGRAM, AS WELL AS FOR MEDICAID AND OTHER STATE AND COUNTY PROGRAMS. FOLLOWING DISCHARGE FROM THE HOSPITAL, EACH PATIENT RECEIVES A SUMMARY OF CHARGES WHICH INCLUDES NOTICE OF THE FINANCIAL ASSISTANCE PROGRAM AND A DESIGNATED CONTACT TELEPHONE NUMBER.
PART VI, LINE 4: UNION HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) INCLUDES THE TOWNS OF ELKTON, ELK MILLS, CHILDS, CHESAPEAKE CITY, EARLEVILLE, WARWICK, CECILTON, NORTH EAST, CHARLESTOWN, PERRYVILLE, AND RISING SUN. UNION HOSPITAL ALSO SERVES TOWNS IN WESTERN CECIL COUNTY: CONOWINGO, COLORA, PORT DEPOSIT, AND PERRY POINT. UNION HOSPITAL IS THE ONLY HOSPITAL IN CECIL COUNTY. IN 2013, THE TOTAL POPULATION OF CECIL COUNTY IS 102,349 PERSONS. OF THE TOTAL COUNTY POPULATION, 50.3% IS FEMALE (49.7% MALE). THE MEDIAN AGE IS 39 YEARS. THE RACIAL MAKE-UP OF THE COUNTY IS AS FOLLOWS: -WHITE: 88.19% -BLACK/AFRICAN AMERICAN: 6.76% -AMERICAN INDIAN/ALASKAN NATIVE: 0.28% -ASIAN: 1.17%THERE ARE 37,360 HOUSEHOLDS. THE MEDIAN HOUSEHOLD INCOME IS $62,660. APPROXIMATELY 7.11% OF HOUSEHOLDS AND 5.92% OF FAMILIES WITH CHILDREN LIVE BELOW THE POVERTY LEVEL. DATA FROM THE 2011 AMERICAN COMMUNITY SURVEY SHOWS THAT 10.2% OF THE POPULATION IN CECIL COUNTY IS UNINSURED AND 15.3% RECEIVE MEDICAID.
PART VI, LINE 5: EACH FISCAL YEAR, UNION HOSPITAL SERVES THE CECIL COUNTY COMMUNITY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT AIM TO IMPROVE COMMUNITY HEALTH, SERVING UNDERSERVED AREAS. THE FOLLOWING IS A BRIEF SUMMARY OF SOME OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED DURING FISCAL YEAR 2013:* COMMUNITY HEALTH EDUCATION - A VARIETY OF HEALTH EDUCATION TOPICS HELD IN THE COMMUNITY - EXPLORER POST AT UNION HOSPITAL FOR HIGH SCHOOL STUDENTS SEEKING EXPOSURE TO MEDICAL OR HEALTH SCIENCE EXPERIENCES - SUPPORT GROUPS TO SUPPORT VARIOUS HEALTH NEEDS - HEALTH FAIRS IN THE COMMUNITY * COMMUNITY-BASED CLINICAL SERVICES - FREE SCREENINGS FOR CANCERS, DIABETES, AND HEARING LOSS - A FREE HEALTH CARE CLINIC FOR UNINSURED PERSONS - SPORTS PHYSICALS IN UNDERSERVED AREAS* HEALTH CARE SUPPORT SERVICES - COMMUNITY ASSISTED MEDICATIONS PROGRAM - PROVIDING CARE COORDINATION FOR VULNERABLE PERSONS OUTSIDE OF THE HOSPITAL VISIT - PROVIDING LIFE LINE INSTALLATIONS - FACILITATING A PEER COUNSELOR PARTNERSHIP WITH THE EMERGENCY DEPARTMENT AND THE CECIL COUNTY HEALTH DEPARTMENT - PROVIDING SCHOOL-BASED HEALTH CENTERS IN TWO TITLE 1 ELEMENTARY SCHOOLS - PROVIDING TRANSPORTATION DONATIONS FOR NEEDS-BASED PATIENTS AND THEIR FAMILIES* SOCIAL AND ENVIRONMENTAL IMPROVEMENTS - HOSPITAL STAFF VOLUNTEER TO PARTICIPATE WITH THE FOLLOWING OUTDOOR AND/OR LABOR-INTENSIVE INITIATIVES: > HABITAT-FOR-HUMANITY > CHRISTMAS IN APRIL > PROJECT ECHO > ADOPT-A-HIGHWAY - HOSPITAL STAFF ALSO VOLUNTEER TO MENTOR AT-RISK YOUTH DURING THE SCHOOL DAY - HOSPITAL STAFF PROVIDE LEADERSHIP DEVELOPMENT IN CONJUNCTION WITH THE CECIL LEADERSHIP INSTITUTE - HOSPITAL STAFF ALSO SERVES ON THE FOLLOWING COMMUNITY BOARDS THAT SEEK TO IMPROVE THE SOCIAL DETERMINANTS OF HEALTH: > CECIL HUMAN SERVICES AGENCY > FAMILY SERVICES ASSOCIATION > DEPARTMENT OF SOCIAL SERVICES > HOMELESSNESS COALITION * HEALTH PROFESSIONS EDUCATION - UNION HOSPITAL PRECEPTS AND MENTORS STUDENTS THROUGH A VARIETY OF STUDENT EXPERIENCES, FROM NURSING AND OTHER MEDICAL/CLINICAL ROTATIONS TO GRADUATE STUDENT INTERNSHIPS TO HIGH SCHOOL CAPSTONE PROJECTS. * MISSION DRIVEN HEALTH SERVICES - UNION HOSPITAL PROVIDES THESE SERVICES EVEN THOUGH THEY OPERATE AT A LOSS. THE FOLLOWING SERVICES ARE PROVIDED BECAUSE THEY MEET IDENTIFIED NEEDS IN THE COMMUNITY: > A FREE OSTOMY CLINIC > ACCESS TO PEDIATRIC HOSPITALISTS > ADULT DAY SERVICES > OUTPATIENT PALLIATIVE CARE SERVICES * FINANCIAL/IN-KIND CONTRIBUTIONS - UNION HOSPITAL PROVIDED DONATIONS OF TIME (STAFF VOLUNTEER HOURS) AND MONEY (CASH AND EQUIPMENT DONATIONS) FOR THE LOCAL COMMUNITY AND FOREIGN ONES. EXAMPLES OF SOME IN-KIND CONTRIBUTIONS IN THE LOCAL COMMUNITY INCLUDE: > PROVISION OF FREE AMBULANCE SERVICES AND SUPPLIES > BLOOD DONATIONS > ATTENDING MEETINGS FOR COMMUNITY HEALTH IMPROVEMENT > SERVING THE HOMELESS > PROVIDING MEALS ON WHEELS > PROVIDING FREE NOTARY SERVICES FOR THE COMMUNITY > VOLUNTEERING WITH LOCAL ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH* FUNDRAISING FOR COMMUNITY BENEFIT PROGRAMMING - UNION HOSPITAL, IN CONJUNCTION WITH THE CECIL COUNTY HEALTH DEPARTMENT, PARTICIPATED IN SEVERAL GRANT-WRITING OPPORTUNITIES TO SUPPORT LOCAL INITIATIVES TO IMPROVE ACCESS TO CARE IN CECIL COUNTY. THE GRANTS SUBMITTED WERE AS FOLLOWS: > LOCAL HEALTH IMPROVEMENT COALITION - 1ST ROUND FUNDING (GRANTED) > LOCAL HEALTH IMPROVEMENT COALITION - 2ND ROUND FUNDING TO SUPPORT COUNTY MENTAL HEALTH SERVICE ACCESS (GRANTED) > LOCAL HEALTH IMPROVEMENT COALITION - 2ND ROUND FUNDING TO SUPPORT THE UNION HOSPITAL/CECIL COUNTY HEALTH DEPARTMENT COMMUNITY CASE MANAGEMENT PILOT (GRANTED) > HEALTH ENTERPRISE ZONE (NOT GRANTED)SURPLUS FUNDS OF THE HOSPITAL ARE USED TO DEVELOP EMPLOYEES AND FURTHER EDUCATE STAFF TO KEEP UP WITH THE EVER CHANGING HEALTHCARE TECHNOLOGY AND NEW TREATMENT PLANS FOR DISEASES, AS WELL AS TO PROVIDE FOR CAPITAL NEEDS OF THE ORGANIZATION TO KEEP THE NECESSARY NEW MEDICAL EQUIPMENT AVAILABLE TO BETTER TREAT THE PATIENTS OF THE COMMUNITY.
PART VI, LINE 6: UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. IS THE PARENT ENTITY. AFFINITY HEALTH ALLIANCE, INC.'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES, FUNDRAISING AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY.OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE THE UNION HOSPITAL OF CECIL COUNTY FOUNDATION, INC., CECIL COUNTY BREEDERS FAIR AND UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.THE FOUNDATION CONDUCTS AND SUPERVISES FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES. THE FOUNDATION ENGAGES IN CORPORATE FUNDRAISING, CAPITAL CAMPAIGNS, SPECIAL EVENTS, ACTIVITIES, AND A MULTI-FACETED COMMUNICATION PROGRAM THAT APPEALS TO PRIVATE AND CORPORATE CONTRIBUTORS.CECIL COUNTY BREEDERS FAIR, INC. IS ORGANIZED FOR THE PURPOSE OF SUPPORTING THE UNION HOSPITAL OF CECIL COUNTY THROUGH FUNDRAISING ACTIVITIES CONSISTING OF THE RUNNING OF THE FAIR HILL RACES.UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH RELATED VENTURES TO SERVE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL.
MD	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC
106 BOW STREET	ELKTON	MD	21921	521794553	501(C)(3)	4115149	CHARITABLE ACTIVITIES
UNION HOSPITAL OF CECIL COUNTY VENTURES INC
106 BOW STREET	ELKTON	MD	21921	521793691		623785	CAPITAL CONTRIBUTION

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES ASSISTANCE TO ITS AFFILIATED ENTITIES. IT DOES NOT PROVIDE GRANTS TO OTHER ORGANIZATIONS. USE OF FUNDS IS MONITORED BY MANAGEMENT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENNETH S LEWIS MD JD
PRESIDENT/CEO	0	478821	0	102839	0	139846	0	111750	0	33210	0	866466	0	0
LAURIE R BEYER CPA
SENIOR VP/CFO	0	242996	0	45198	0	20376	0	58066	0	26414	0	393050	0	0
CYDNEY TEAL
VP MEDICAL AFFAIRS	0	235346	0	49769	0	11761	0	3472	0	25428	0	325776	0	0
TERRANCE LOVELL
VP HUMAN RESOURCES	133349	0	23813	0	6923	0	0	0	16696	0	180781	0	0	0
DAVID GIPSON
SENIOR VP/COO	0	251625	0	46305	0	27375	0	58885	0	26548	0	410738	0	0
CAREN LEWIS
SR. VP CARE SVCS (THROUGH 6.15.13)	0	188750	0	28213	0	9902	0	43480	0	11260	0	281605	0	0
ROHIT SINGHANIA
PHYSICIAN	398755	0	21895	0	6177	0	3750	0	9729	0	440306	0	0	0
IRFAN M HISAMUDDIN MD
PHYSICIAN	384245	0	31802	0	199	0	0	0	20192	0	436438	0	0	0
JUSTIN SAUSVILLE
PHYSICIAN	359920	0	14773	0	20177	0	3750	0	20021	0	418641	0	0	0
JAGDEEP HUNDAL
PHYSICIAN	323014	0	45333	0	222	0	3750	0	19811	0	392130	0	0	0
BERNARD J HYNES
PHYSICIAN	330783	0	36859	0	222	0	0	0	19805	0	387669	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	THE ORGANIZATION'S PRESIDENT & CEO, DR. KENNETH LEWIS, HAS A DISCRETIONARY SPENDING ACCOUNT FOR FLEXIBLE BENEFITS WHICH INCLUDED: A) LEASED CAR PAYMENTS, GAS, REPAIRS AND INSURANCE B) TAX RETURN PREPARATION C) ATTORNEY REGISTRATION FEE D) MEDICAL LICENSE RENEWAL E) FINGERPRINTING/CRIMINAL INVESTIGATION FOR DELAWARE PHYSICIAN LICENSE F) BJ'S MEMBERSHIP G) CASH ALL BENEFITS HAVE BEEN INCLUDED IN TAXABLE WAGES.
PART I, LINE 4B	THE FOLLOWING PEOPLE PARTICIPATE IN A SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLAN UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE: DR. KENNETH LEWIS, PRESIDENT & CEO LAURIE BEYER, SENIOR VP/CFO DAVID GIPSON, SENIOR VP/COO CAREN LEWIS, SENIOR VP OF PATIENT CARE SERVICES THE FOLLOWING PAYMENTS HAVE BEEN CONTRIBUTED TO THE PLAN EACH CALENDAR YEAR SINCE 2007: 12/31/2007 - $90,000 (DR. KENNETH LEWIS) 12/31/2008 - $90,000 (DR. KENNETH LEWIS) 12/31/2009 - $90,000 (DR. KENNETH LEWIS) 12/31/2010 - $90,000 (DR. KENNETH LEWIS) 12/31/2011 - $108,000 (DR. KENNETH LEWIS) 12/31/2012 - $108,000 (DR. KENNETH LEWIS) 12/31/2011 - $51,431 (LAURIE BEYER) 12/31/2012 - $54,576 (LAURIE BEYER) 12/31/2011 - $51,968 (DAVID GIPSON) 12/31/2012 - $55,135 (DAVID GIPSON) 12/31/2011 - $35,649 (CAREN LEWIS) 12/31/2012 - $40,178 (CAREN LEWIS) THE RIGHT TO RECEIVE PAYMENTS UNDER THE PLAN SHALL BE FORFEITED IN THE EVENT THAT EMPLOYMENT WITH THE HOSPITAL TERMINATES PRIOR TO THE VESTING DATE FOR ANY REASON OTHER THAN INVOLUNTARY TERMINATION WITHOUT CAUSE, DEATH, OR DISABILITY. CAREN LEWIS LEFT THE ORGANIZATION ON JUNE 15TH, 2013. SHE RECEIVED SEVARANCE PAY THROUGH OCTOBER 1, 2013 IN THE AMOUNT OF $45,509. SHE ALSO RECEIVED, DURING THIS TIME, THE BALANCE OF HER PTO IN THE AMOUNT OF $9,098 AND A BONUS IN THE AMOUNT OF $33,150 THAT HAD BEEN EARNED PRIOR TO HER LEAVING.
PART I, LINE 7	A PORTION OF THE BONUSES AND MERIT INCREASE ARE TIED TO THE ORGANIZATIONAL GOALS, SUCH AS PATIENT SATISFACTION, QUALITY, EMPLOYEE TURNOVER, ETC. A PORTION OF THE BONUSES AND MERIT INCREASE ARE ALSO TIED TO EXPENSES PER EQUIVALENT INPATIENT DAYS OF UNION HOSPITAL OF CECIL COUNTY.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
A	520936091	5742168A8	2005-07-14	31401189	SEE PART VI	0	0	0
TOWN OF ELKTON
B	526000790		2012-05-18	10000000	SEE PART VI	0	0	0
TOWN OF ELKTON
C	526000790		2012-05-18	8662336	SEE PART VI	0	0	0
TOWN OF ELKTON
D	526000790		2012-05-18	9000000	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Other Spent ProceedsOtherSpentProceeds
A	35836388	3933718	576473	33640038	2007	0	1	1
B	10000000				2012	1	1	1	10000000
C	8662336				2012	1	1	1	8662336
D	9000000				2012	1	1	1	9000000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	1
B	1	1	1
C	1	1	1
D	1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
BANK OF AMERICA
A	0	0	0	1	0	1	NA	35.000000000000	0	0	0	0	1
(no name)
B	0	0	1	0	0	0					0	0	1
(no name)
C	0	0	1	0	0	0					0	0	1
(no name)
D	0	0	1	0	0	0					0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C	DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2010
PART I, COLUMN (F)	PURPOSE OF BONDS	ISSUE A: THE PURPOSE OF THE ISSUE WAS FINANCING AND REFINANCING THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES. ISSUE B: TO REFUND PORTION OF SERIES 2009 BONDS. ISSUE C: TO REFUND REMAINING PORTION OF SERIES 2009 BONDS AND ALL OF SERIES 2000 BONDS. ISSUE D: TO FUND AN ESCROW WHICH REPAYS A PORTION OF THE SERIES 2002 BONDS AND INTEREST THEREON. ISSUE E: TO REFUND REMAINING PORTION OF SERIES 2002 BONDS. ISSUE F: TO FINANCE ACQUISITION OF EQUIPMENT AND CLOSING COSTS.
PART II, LINE 3	DIFFERENCE IN PROCEEDS	ISSUE A: THIS NUMBER REPRESENTS SALE PROCEEDS PLUS INVESTMENT EARNINGS IN THE CONSTRUCTION FUND, PLUS INVESTMENT EARNINGS IN THE COST OF ISSUANCE FUND, PLUS INVESTMENT EARNINGS IN THE DEBT SERVICE RESERVE FUND DURING THE CONSTRUCTION PERIOD.
PART II, LINE 10	CAPITAL EXPENDITURES FROM PROCEEDS	ISSUE A: THIS NUMBER REPRESENTS TOTAL PROCEEDS LESS PROCEEDS DEPOSITED INTO A RESERVE FUND LESS PROCEEDS SPENT ON ISSUANCE COSTS.
PART IV, LINES 3(B) AND 3(C)	HEDGE	ISSUE A: THE ORGANIZATION ENTERED INTO AN INTEREST RATE HEDGE WITH BANK OF AMERICA, N.A. ON MARCH 28, 2005. THE TERM OF THE HEDGE WAS FROM JUNE 22, 2005 THROUGH JULY 1, 2040. THE HEDGE WAS TERMINATED IN CONNECTION WITH THE ISSUANCE OF THE BONDS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
A	520936091	2012-07-18	9924000	SEE PART VI	0	0	0
MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
B	520936091	2012-07-18	4007000	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	9924000	9924000	2012	1	0	1	1
B	4007000	4007000	2012	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	1	1	0	0.00000	0.00000	0.00000	0	0	1
B	0	0	1	1	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	1	0	0	0	0	0	1
B	0	0	1	0	0	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6	AFFINITY HEALTH ALLIANCE, INC. ("AHA"), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS DIRECTORS ARE APPOINTED BY ITS SOLE MEMBER, AHA.
FORM 990, PART VI, SECTION A, LINE 7B	THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS SOLE MEMBER (AHA) MAY AMEND ITS BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. IT IS THEN PRESENTED TO THE BOARD AT THE NEXT BOARD MEETING PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE ORGANIZATION'S CEO REVIEWS THE SIGNED ANNUAL DISCLOSURES. THE CORPORATE COMPLIANCE OFFICER IS MADE AWARE OF ANY DISCLOSED CONFLICT, INVESTIGATES THE CONFLICT, AND REPORTS BACK TO THE BOARD OF DIRECTORS. THE BOARD CONSIDERS THE FACTS AND MAKES AN APPROPRIATE FINDING. ANY BOARD MEMBER WITH A CONFLICT MUST ABSTAIN FROM BOARD DELIBERATIONS AND VOTING ON THE MATTER. ALL VICE PRESIDENTS ANNUALLY RECEIVE A LIST OF THE INDIVIDUALS UNDER THEIR SUPERVISION WHO MAY HAVE A POTENTIAL CONFLICT OF INTEREST. THE LIST IS COMPRISED OF ALL MANAGERS, CERTAIN PROFESSIONAL STAFF WHO MAY HAVE RESPONSIBILITY NEGOTIATING WITH VENDORS, AND ANY OTHER PERSONS THAT HOSPITAL EXECUTIVES DEEM APPROPRIATE. EACH VICE PRESIDENT REVIEWS THE CONFLICT OF INTEREST POLICY WITH THEIR DESIGNATED EMPLOYEES, AND EACH EMPLOYEE IS REQUIRED TO SIGN A FORM STIPULATING WHETHER OR NOT THEY HAVE A CONFLICT. THE FORMS ARE REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES. IF A CONFLICT IS NOTED, IT IS BROUGHT TO THE ATTENTION OF THE APPROPRIATE VICE PRESIDENT AND THE CEO TO DETERMINE WHETHER OPERATIONAL CHANGES NEED TO OCCUR BECAUSE OF THE POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY OF THE ORGANIZATION, AS WELL AS SETTING, MONITORING AND REVIEWING THE COMPENSATION PACKAGE OF THE ORGANIZATION'S CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM. THE COMMITTEE USES RELEVANT MARKET INFORMATION, INCLUDING THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDIES OR SURVEYS, TO SET COMPENSATION. DURING THE FISCAL YEAR ENDED JUNE 30, 2012, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED THE FOLLOWING SERVICES: EXECUTIVE COMPENSATION AND PERFORMANCE EVALUATION. COMPENSATION REVIEW AND APPROVAL IS DOCUMENTED VIA BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,753,559. MANAGEMENT AND GENERAL EXPENSES 724,768. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,478,327. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,817,893. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,817,893. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,788,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,788,960. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,569,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,569,828. AGENCY EMPLOYEES: PROGRAM SERVICE EXPENSES 2,328,650. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,328,650. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 435,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435,769. RECORD FILE STORAGE: PROGRAM SERVICE EXPENSES 202,352. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,352.	OTHER FEES
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION & SUBSIDIARY -167,878. LOSS ON REFINANCING -322,110. CHANGE IN PROVISION FOR UNCOLLECTIBLE PLEDGES -47,214.	CHANGES IN NET ASSETS OR FUND BALANCES:
STATEMENT PURSUANT TO SECTION 1.351-3(A):	STATEMENT PURSUANT TO SECTION 1.351-3(A) BY SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET 23-1352202 (1) NAME AND EMPLOYER IDENTIFICATION NUMBER OF THE TRANSFEREE CORPORATION: NAME: UNION HOSPITAL OF CECIL COUNTY, INC. EIN: 52-0607945 (2) DATE(S) OF TRANSFER(S) OF ASSETS: TRANSFER DATE(S): VARIOUS FROM 7/1/12 THROUGH 6/30/13 (3) AGGREGATE FAIR MARKET VALUE AND BASIS OR PROPERTY TRANSFERRED: FAIR MARKET VALUE: $1,582,248 BASIS: $1,582,248 (4) DATE AND CONTROL NUMBER OF PRIVATE LETTER RULING(S) ISSUED BY THE IRS IN CONNECTION WITH THE EXCHANGE: DATE(S) AND CONTROL NUMBER(S): NONE
FORM 990 AMENDED RETURN:	THE FORM 990 IS AMENDED AS FOLLOWS: SCHEDULE K PART II LINE 11 COLUMN A - THE AMOUNT OF OTHER SPENT PROCEEDS FOR THE MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 2005 BONDS WAS IMPROPERLY REPORTED AS $10,000,000. OTHER SPENT PROCEEDS SHOULD BE ZERO FOR THIS BOND.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
UNION HOSPITAL OF CECIL COUNTY FOUNDATION INC
106 BOW STREET	ELKTON	MD	21921	521794552	FUNDRAISING & SUPPORT	MD	501(C)(3)	LINE 11C, III-FI	AFFINITY HEALTH ALLIANCE INC	0
UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC
106 BOW STREET	ELKTON	MD	21921	521794553	HEALTHCARE PROPERTY MANAGEMENT	MD	501(C)(3)	LINE 9	AFFINITY HEALTH ALLIANCE INC	0
CECIL COUNTY BREEDERS FAIR INC
106 BOW STREET	ELKTON	MD	21921	516018180	FUNDRAISING & SUPPORT	MD	501(C)(4)		UNION HOSPITAL OF CECIL COUNTY FOUNDATION INC	0
AFFINITY HEALTH ALLIANCE INC
106 BOW STREET	ELKTON	MD	21921	521794697	MANAGEMENT & SUPPORT	MD	501(C)(3)	LINE 11C, III-FI		0	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
UNION HOSPITAL OF CECIL COUNTY VENTURES INC
106 BOW STREET	ELKTON	MD	21921	521793691	MEDICAL SERVICES	MD	N/A	C	0
CECIL COUNTY ANESTHESIOLOGISTS INC
106 BOW STREET	ELKTON	MD	21921	521886386	INACTIVE	MD	N/A	C	0
EMERGENCY MEDICAL SPECIALISTS OF CECIL COUNTY
106 BOW STREET	ELKTON	MD	21921	521881684	INACTIVE	MD	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg