2014-11-17T15:11:46-06:00 2013-12-31 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2013-01-01 520591484 HARFORD MEMORIAL HOSPITAL INC % JOSEPH E HOFFMAN HARF 4108773700 501 SOUTH UNION AVENUE Suite HAVRE DE GRACE MD 21078 Joseph E Hoffman III CFO 4108773700 2014-11-12 true Russlee Armstrong P00288383 4108773700 2013 2015-11-30 17:44:51Z LYLE E SHELDON 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 94507778 false X WWW.UMUCH.ORG X 1911 MD DEDICATION TO MAINTAINING AND IMPROVING THE HEALTH OF THE PEOPLE IN ITS COMMUNITIES THROUGH AN INTEGRATED HEALTH DELIVERY SYSTEM THAT PROVIDES HIGH QUALITY CARE TO ALL. 21 17 0 0 0 1230777 323904 92270172 89922741 2687565 1397488 2614599 2132527 98803113 93776660 0 0 0 0 47052185 46968755 0 0 0 45160194 41244813 92212379 88213568 6590734 5563092 127058074 126242210 92881646 76375767 34176428 49866443 AN ACUTE CARE, NON-PROFIT HOSPITAL, HARFORD MEMORIAL HOSPITAL OFFERS A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC, AND EMERGENCY CARE SERVICES. THE HOSPITAL HAS A STATE-OF-THE-ART ICU/PCU AND A BUSY EMERGENCY DEPARTMENT THAT CARES FOR OVER 50,000 PATIENTS A YEAR. HARFORD MEMORIAL OFFERS SPECIALIZED, HOSPITAL-BASED SERVICES, INCLUDING A BARIATRIC SURGERY PROGRAM, ANTICOAGULATION MANAGEMENT, CENTER FOR WOUND CARE, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, JOINT CENTER FOR HIP AND KNEE REPLACEMENT, AND A SLEEP DISORDER CENTER. false false 62257006 91411779 SEE SCHEDULE O 62257006 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false true 0 0 true 0 true false true false false false false false false false false false X 21 17 true false false false true false false true true false false true true true true true true true true false MD X JOSEPH E HOFFMAN 4436431000 520 UPPER CHESAPEAKE DRIVE STE 405 BEL AIR MD 21014 ROGER E SCHNEIDER MD CHAIRMAN/DIRECTOR 1.0 2.5 X X 0 0 0 JAMES LAMBDIN VICE CHAIRMAN/DIRECTOR 1.0 2.5 X X 0 0 0 ADELE WILZACK RN MS SECRETARY/DIRECTOR 1.0 2.5 X X 0 0 0 Richard P Street Jr VMD TREASURER/DIRECTOR 1.0 2.5 X X 0 0 0 LYLE E SHELDON PRESIDENT/CEO/DIRECTOR 5.0 50.0 X X 0 1287691 81383 WILLIAM B ALLEN PHD DIRECTOR 0.5 1.0 X 0 0 0 John W Ashworth III DIRECTOR/UMMS Board Rep 0.5 1.0 X 0 0 0 JASON BIRNBAUM DIRECTOR 0.5 1.0 X 0 0 0 John H Cain DIRECTOR 0.5 1.0 X 0 0 0 Robert A Chrencik DIRECTOR/UMMS Board Rep 0.5 1.0 X 0 0 0 Melinda L Craig DIRECTOR 0.5 1.0 X 0 0 0 Franklin J Hajek DIRECTOR 0.5 1.0 X 0 0 0 Robert J Jirsa DIRECTOR 0.5 1.5 X 0 0 0 M Scot Kaufman DIRECTOR 0.5 1.5 X 0 0 0 Bryan E Kelly DIRECTOR 0.5 1.5 X 0 0 0 Anne W Kinsley DIRECTOR 0.5 1.5 X 0 0 0 Andrew Klein DIRECTOR 0.5 1.5 X 0 0 0 Donald W Mathis DIRECTOR 0.5 1.5 X 0 0 0 Angela Poppe Ries MD DRCTOR/MED DIR-PALLIATIVE CARE 5.0 45.0 X 0 138117 18590 William J Ward Jr DIRECTOR 0.5 1.5 X 0 0 0 Albert J A Young DIRECTOR 0.5 1.0 X 0 0 0 Joseph E Hoffman III SR VP/CFO 5.0 50.0 X 0 620604 78358 Joyce Fox VP - Patient SVCS/CNO 20.0 20.0 X 284054 0 49558 Eugene Currotto VP - Operations 50.0 X 203075 0 60564 Richard C Casteel VP - MIS 50.0 X 216161 0 40173 Stephen Low Dir - Pharmaceutical Services 50.0 X 139383 0 30443 Susan A Costa Dir-Perioperstive Clinical Svc 50.0 X 134939 0 29916 Beverly A Wehmer asst vp - patient services 50.0 X 137551 0 22954 1115163 2046412 411939 6 false true false NORTHERN CHESAPEAKE ANESTHESIA ASSO PO BOX 89 BEL AIR MD 21014 PHYSICIAN FEES 882480 BRAIN AND SPINE SPECIALISTS PA 206 SOUTH HAYS STREET BEL AIR MD 21014 PHYSICIAN FEES 216080 ROCK GLENN COMMERCIAL LLC 101 N MAIN STREET SUITE B BEL AIR MD 21014 OFFICE RENT 172171 BEL AIR CENTER FOR PLASTICHand Sur PO Box 845 BEL AIR MD 210140845 PHYSICIAN FEES 148904 KPMG LLP 111 SOUTH CALVERT STREET BALTIMORE MD 21202 Audit Fees 142784 5 321051 2853 323904 NET PATIENT SERVICE REVENUE 621400 89857166 89857166 BARIATRIC PROGRAM 621400 65575 65575 89922741 967919 967919 0 0 649263 731118 -81855 0 -81855 -81855 429569 429569 429569 429569 0 0 0 INCENTIVE PMTS-ELECTRONIC HLTH RECORDS 900099 1489038 1489038 CAFETERIA SALES/VENDING 900099 480444 480444 INTEREST INCOME - ACCTS RECEIVABLE 900099 6264 6264 238636 238636 2214382 93776660 91411779 2040977 0 0 0 0 0 0 38069629 27643876 10425753 0 6017006 4369188 1647818 2882120 2092822 789298 0 0 363225 363225 0 0 340147 340147 3000533 2037938 962595 524 495 29 751427 1694 749733 0 0 1487809 29367 1458442 37954 5568 32386 0 67620 14746 52874 1331986 967208 364778 0 4102469 2978966 1123503 1447573 1051140 396433 MEDICAL SUPPLIES 9229530 8839714 389816 PROVISION FOR BAD DEBT 9045651 9045651 MAINTENANCE CONTRACT 3875458 142568 3732890 CORPORATE FEES 3624094 3624094 2538813 3036065 -497252 88213568 62257006 25956562 0 18485374 16868982 0 0 0 0 12721993 9380183 0 0 0 0 0 0 0 0 3896879 4243559 113843222 77446840 37107341 36396382 0 0 0 0 0 0 0 0 54846487 59353104 127058074 126242210 18459175 17548988 0 0 0 0 26959326 26501600 0 0 0 0 0 0 0 0 47463145 32325179 92881646 76375767 X 34176428 49866443 0 0 0 0 34176428 49866443 127058074 126242210 X 5563092 10126923 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4021 4021 false SCHEDULE, C, PART II-B, LINE 1i LOBBYING EXPENSES IN THE AMOUNT OF $4,021 FOR 12/31/13 REPRESENT A PORTION OF THE DUES PAID TO MARYLAND HOSPITAL ASSOCIATION. THIS ASSOCIATION ALLOCATES A PORTION OF MEMBER DUES TO LOBBYING ACTIVITY. 10819220 10819220 32371460 19242823 13128637 1542099 1061289 480810 49056423 42655036 6401387 20054019 14487692 5566327 36396381 ASSETS LIMITED TO USE 57183988 DEFERRED FINANCING COSTS 102750 TRUSTEE HELD FUNDS 640062 OTHER ASSETS 1426304 59353104 0 ADVANCES FROM THIRD PARTIES 1796794 DUE TO AFFILIATES 29340237 ACCRUED PENSION OBLIGATION 1188148 32325179 X 95248904 6283355 -4811111 1472244 93776660 93776660 79558888 79558888 8654680 8654680 88213568 PART X, QUESTION 2 Harford Memorial Hospital accounts for tax provisions in accordance with FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes, included in ASC Subtopic 740-10, Income Taxes - Overall, which clarifies the accounting for uncertainty in tax provisions. FIN 48 requires that Harford Memorial Hospital recognize the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. SCHEDULE D, PART XI LINE 2D - OTHER REVENUE ON BOOKS NOT ON RETURN MINIMUM PENSION LIABILITY $ 3,843,569 RECLASS- INVESTMENT EXPENSE $ (340,147) RECLASS- PROVISIONS FOR BAD DEBTS $ (9,045,651) RECLASS- RENTAL EXPENSE $ 731,118 ---------- $ (4,811,111) SCHEDULE D, PART XII LINE 4B - OTHER EXPENSES INCLUDED ON RETURN NOT ON BOOKS RECLASS- PROVISION FOR BAD DEBTS $ 9,045,651 RECLASS- INVESTMENT EXPENSE $ 340,147 RECLASS- RENTAL EXPENSE $ (731,118) ------------- $ 8,654,680 true true X true X true X true true false true true 7303321 7303321 0.09230 7303321 7303321 0.09230 631503 57271 574232 0.00730 631503 57271 3095996 0.03920 7934824 57271 10399317 0.13150 29592 13500 16092 2533 2533 749 749 11594 11594 997 997 45465 13500 31965 true 9045651 1668501 37256805 36679301 577504 X true true 1 1 HARFORD MEMORIAL HOSPITAL 501 SOUTH UNION AVENUE HAVRE DE GRACE MD 21078 www.umuch.org X X X HARFORD MEMORIAL HOSPITAL 1 true X X X X X X X X 12 true true true X www.umuch.org X X X X X X X X X false false true true 200. true 300. true X X X X true true X X X X X X true false X X X X true X false false GENERAL INFORMATION: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED OVER A NUMBER OF YEARS AND CONCLUDED IN JULY OF 2012. THE PURPOSE OF THE ASSESSMENT WAS TO GATHER INFORMATION ABOUT LOCAL HEALTH NEEDS AND HEALTH BEHAVIORS. THE UPPER CHESAPEAKE HEALTH SYSTEM BOARD QUALITY OF CARE COMMITTEE MET ON APRIL 8, 2014 TO REVIEW THE FINDINGS OF THE CHNA AND THE RECOMMENDED IMPLEMENTATION STRATEGY. THE COMMITTEE VOTED TO ADOPT THE FINAL SUMMARY REPORT AND IMPLEMENTATION STRATEGY AND PROVIDE THE NECESSARY RESOURCES AND SUPPORT TO CARRY OUT THE INITIATIVES THEREIN. QUESTION 3: Harford Memorial Hospital maintains a key leadership role in Healthy Harford (an IRC Section 501(c)(3) organization labeled - The Healthy Communities Initiative of Harford County), established in 1995. In 1996, Healthy Harford began collecting community data via a comprehensive Community Health Assessment Project (CHAP) survey that measured the incidence of disease, preventive behaviors, and lifestyle behaviors of Harford County residents with an eye towards assessing community health and establishing health priorities in the community. CHAP data was subsequently collected in 2000, 2005, and 2010. The goals of the CHAP survey are multiple: assessing the overall health of Harford County adult residents, insuring that health education and programming efforts in Harford County match actual needs, establishing a baseline of health indicators so that progress can be measured over time, and aligning community stakeholders around the common goal of improving health in our community. In addition to the CHAP survey, a secondary data profile was created utilizing sources that included data from the Harford County Health Department and the Local Health Improvement Plan (LHIP), the Harford County Department of Community Services, 2010 U.S. Census, Maryland Vital Statistics, the CDC Behavioral Risk Factor Surveillance System, National Health Interview Survey, Community Health Rankings, and the Maryland Department of Health and Mental Hygiene State Health Improvement Plan (SHIP). Information from Local Health Improvement Coalition and the resulting plan (LHIP) was used as a major source of information regarding community health needs. Directed by the Harford County Health Officer, this local health assessment utilized the Community Cafe model to bring together over 60 community representatives from a variety of backgrounds to focus on the most pressing health concerns in our community. Leadership from UCH played a significant role in this exercise and subsequently chaired two of the leading workgroups (Community Engagement under the Obesity priority, and Tobacco). Data from the SHIP was used as a basis for this exercise. The health areas that were deemed the most pressing for our community by the LHIC were Obesity, Tobacco Use, and Behavioral Health (mental health/substance abuse). Concurrent with this exercise an Obesity Task Force and Tobacco Work Group were initiated and chaired by UCH leadership. As a result of the Obesity Task Force, the County Council commissioned a county wide board, named the Healthy Community Planning Board, who reports directly to the County Council and is staffed by the County Council and is responsible for making recommendations for health policy planning and implementation in the county. QUESTION 4: HARFORD MEMORIAL HOSPITAL'S CHNA WAS CONDUCTED IN CONJUCTION WITH ITS RELATED AFFILIATE HOSPITAL, UPPER CHESAPEAKE MEDICAL CENTER. QUESTION 7: Behavioral Health (mental health/substance abuse) has been identified as a health priority in the hospital's community. Upper Chesapeake Health, however, is not able to focus its efforts on this health priority. This priority is instead being addressed by the Harford County Health Department, Addictions Department; the Office on Mental Health - Core Service Agency; and Department of Community Services, Office of Drug Control Policy as this is their area of expertise and primary focus. QUESTION 20: CHARGE RATES IN COMPLIANCE WITH STATE REGULATION TO ALL PAYERS. 1 UC HEALTHLINK CLINIC 2027 PULASKI HWY SUITE 206 HAVRE DE GRACE MD 21078 PRIMARY CARE CLINIC FOR MEDICALLY INDIGENT PART III, SECTION A, LINES 2-4: BAD DEBT EXPENSE The Hospital grants credit to patients, substantially all of whom are local residents. The Hospital generally does not require collateral or other security in extending credit; however, the Hospital routinely obtains assignment of (or are otherwsie entitled to receive) patients' benefits receivable under their health insurance programs, plans or policies. Please refer to Footnote 15 Charity Care and Other Deductions from Revenue for the description regarding the Organization's bad debt expense. PART III, SECTION B, LINE 8: COMMUNITY BENEFIT AND SHORTFALL The Hospital did not have a Medicare shortfall. PART III, SECTION C, LINE 9B: FAP AND COLLECTION PROCESS IT IS THE POLICY OF THE HOSPITAL TO ATTEMPT TO COLLECT PAYMENT FOR ALL SERVICES RENDERED TO PATIENTS IN THE MOST EFFICIENT AND PATIENT FRIENDLY MANNER. THE HOSPITAL IS COMMITTED TO PROVIDE FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE: UNINSURED, UNDERINSURED, INELIGIBLE FOR GOVERNMENT PROGRAMS, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON INDIVIDUAL FINANCIAL SITUATION. THE HOSPITAL WILL FIRST ATTEMPT TO COLLECT PAYMENT FROM THE PATIENT'S INSURANCE COMPANY. IN THE EVENT THE PATIENT HAS NO INSURANCE OR LIMITED INSURANCE COVERAGE, THE HOSPITAL WILL ATTEMPT TO QUALIFY THE PATIENT FOR THE MARYLAND MEDICAL ASSISTANCE PROGRAM AND/OR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY'S PROCEDURES ARE AS FOLLOWS: -FINANCIAL ASSISTANCE IS MADE AVAILABLE TO ALL OF UPPER CHESAPEAKE HEALTH'S CUSTOMERS -APPLICATIONS ARE PROVIDED TO EVERY UNINSURED PATIENT AND UPON REQUEST -NOTICES OF AVAILABILITY ARE AT ALL PATIENT ACCESS POINTS, BILLING OFFICES AND CASHIER'S STATIONS -NOTICE OF AVAILABILITY PROVIDED TO PATIENTS ON PATIENTS BILLS AND BEFORE DISCHARGE -FREE CARE IS AVAILABLE TO PATIENTS IN HOUSEHOLDS BETWEEN 0 PERCENT AND 200 PERCENT OF FEDERAL POVERTY LEVEL -REDUCED COST CARE IS AVAILABLE TO UNINSURED PATIENTS BETWEEN 200 PERCENT AND 300 PERCENT OF FEDERAL POVERTY LEVEL -INTEREST FREE PAYMENT PLANS ARE AVAILABLE TO UNINSURED PATIENTS WITH INCOME BETWEEN 200 PERCENT AND 500 PERCENT OF FEDERAL POVERTY LEVEL -FINANCIAL ASSISTANCE DETERMINATION APPEAL PROCESS IN PLACE -MEDICAL HARDSHIP / CATASTROPHIC CARE POLICY IN PLACE PATIENTS WHO ARE LEFT WITH A BALANCE AFTER ALL INSURANCES HAVE BEEN PURSUED AND FINANCIAL ASSISTANCE HAS BEEN OFFERED - THEIR ACCOUNTS WILL BE HANDLED IN THE FOLLOWING MANNER: -THE ORGANIZATION WILL REFER THESE ACCOUNTS TO ITS EARLY-OUT VENDOR. THIS EARLY-OUT VENDOR IS NOT A COLLECTION AGENCY; IT IS AN EXTENSION OF THE HOSPITAL'S PATIENT ACCOUNTING OFFICE. -THE EARLY-OUT VENDOR WILL FACILITATE THE NEGOTATION OF SELF-PAY NO-INTEREST PAYMENT ARRANGEMENTS THROUGH A SERIES OF LETTERS AND PHONE CALLS. -AN INITIAL NOTICE WILL BE SENT TO THE PATIENT'S GUARANTOR PROVIDING OPTIONS FOR RESOLUTION. IF GUARANTOR IS UNABLE TO PAY THE BALANCE IN FULL, AN ATTEMPT WILL BE MADE TO HAVE THE BALANCE RESOLVED WITHIN 3 TO 6 MONTHS. THE MINIMUM PAYMENT GUIDELINES REQUIRE THE ACCOUNT BALANCE BE PAID IN 12 MONTHS WITH A MINIMUM PAYMENT OF FIFTY DOLLARS. THERE IS EXCEPTIONS FOR CANCER CENTER PATIENTS. -IF A VALID ADDRESS AND OR PHONE NUMBER IS LISTED A TOTAL OF 3 LETTERS AND 3 PHONE CALL ATTEMPTS WILL BE MADE ON ACCOUNTS THAT HAVE NOT BEEN PAID IN FULL OR WHERE AN APPROVED PAYMENT ARRANGEMENT HAS NOT BEEN MADE. DAY 15 TO 30 ONE PHONE CALL CAMPAIGN WILL BE MADE; DAY 68 TO 80 IF ACCOUNT HAS NOT BEEN PAID IN FULL OR HAS NOT BEEN SET UP ON AN APPROVED PAYMENT PLAN, THE EARLY-OUT VENDOR WILL RECOMMEND THAT THE ACCOUNT BE PLACED WITH A COLLECTION AGENCY. -ACCOUNTS MAINTAINED UNDER AN APPROVED PAYMENT ARRANGEMENT WILL RECEIVE MONTHLY STATEMENTS 30 DAYS PRIOR TO THE PAYMENT DUE DATE. AS A LAST RESORT, ACCOUNTS THAT ARE FORWARDED TO A COLLECTION AGENCY, HAVE THE FOLLOWING PROCEDURES: -TWO COLLECTION AGENCIES ARE EMPLOYED BY THE HOSPITAL; EACH RECEIVING APPROXIMATELY FIFTY PERCENT OF THE ACCOUNT (BASED ON THE FIRST LETTER OF THE LAST NAME OF EACH PATIENT). ACCOUNTS PLACED WITH ONE OF THE COLLECTION AGENCIES ARE CLASSIFIED AS BAD DEBTS AND REMOVED FROM ACCOUNTS RECEIVABLE. -AFTER THE INITIAL PLACEMENT WITH A COLLECTION AGENCY, AN INITIAL NOTICE WILL BE SENT TO THE GUARANTOR ADVISING THAT THE AGENCY HAS BEEN CONTRACTED TO MANAGE THE ACCOUNT AND THE NOTICE WILL PROVIDE THE GUARANTOR WITH OPTIONS FOR RESOLUTION. IN RARE CASES, ACCOUNTS MAY WARRANT LEGAL ACTION. ONCE AN ACCOUNT HAS MET THE FOLLOWING CRITERIA, THE ACCOUNT IS CLOSED BY THE COLLECTION AGENCY AS UNCOLLECTIBLE AND FORWARDED BACK TO PATIENT ACCOUNTING FOR REVIEW TO ESTABLISH GROUNDS FOR LEGAL ACTION. THIS ONLY OCCURS AFTER ALL EFFORTS TO RESOLVE THE DEBT HAVE BEEN EXHAUSTED. CRITERIA: THE DEBT IS VALID; THE ACCOUNT IS EQUAL TO OR GREATER THAN 120 DAYS OLD; PATIENTS REFUSES TO ACKNOWLEDGE THE DEBT; UPON REVIEW AND INVESTIGATION, THE HOSPITAL HAS DETERMINED THAT LIQUID ASSETS ARE AVAILABLE; AND THE HOSPITAL'S VP OF FINANCE MUST AUTHORIZE LEGAL ACTION. PART VI, LINE 2: NEEDS ASSESSMENT EVERY THREE YEARS A COMMUNITY HEALTH ASSESSMENT SURVEY/PLAN IS PERFORMED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE The Hospital displays signs at every registration point, the patient accounting office, on all patient bills, and other key patient access areas informing the patients about the availability of the various financial and medical assistance programs. A patient billing and financial assistance information sheet will be provided before discharge and will be available to all patients upon request. The Hospital offers every self-pay patient or any patient who inquires the financial assistance informational packet and application. The cover sheet for the financial assistance packet also includes information on obtaining Medical Assistance. In addition, the Hospital has a financial counselor that visits the self-pay patient in the emergency department or in the patient's room to discuss what is available to them. The Hospital also employs a medical assistance advocacy company to assist the hospital's patients get medical assistance. Determination for financial assistance eligibility is based on assets, income and family size. A few items to note as follows: -liquid assets greater than $15,000 for individuals, and $25,000 for families will disqualify the patient for 100% assistance -equity of $150,000 in a primary residence will be excluded from the calculation for determination of financial assistance -retirement assets will not be used for determination of financial assistance -there is special qualifications for non-citizens/non-residents of the United States Patients may also be considered for presumptive financial assistance eligibility with proof of enrollment in one of the programs listed below: -active medical assistance pharmacy coverage -special low income medicare beneficiary coverage -primary adult care coverage -homelessness -medical assistance and medicaid managed care patients -maryland public health system emergency petition patients -participating in women, infants and children program -supplemental nutritional assistance program -eligibility for other state or local assistance programs -deceased with no known estate -eligibility for state only medical assistance program -households with children in the free or reduced lunch program -low income household energy assistance program -self-administered drugs -medical assistance spenddown amounts PART VI, LINE 4: COMMUNITY INFORMATION The service area of the Upper Chesapeake Health System, which includes Upper Chesapeake Medical Center, consists of the northeast part of Maryland, including Harford County, western Cecil County and portion of Baltimore County. This service area is located at the apex of the Chesapeake Bay and is spread across 536 square miles. It contains, among others, the cities and towns of Havre de Grace, Aberdeen, Bel Air, Fallston, and Edgewood. The service area enjoys a diverse economic base, ranging from concentrations in service, manufacturing, distribution, and retail, to Federal government employment. Harford Community College provides a local venue for advanced education and Harford County's proximity to Baltimore gives it access to nationally recognized universities which help provide a skilled workforce. The Service Area is served by Interstate 95, Amtrak and freight rail lines along the busy east-coast transportation corridor between New York and Washington, DC. In 2010, the Service Area had a total population of 244,826 people with historical annual growth rates of approximately 1.8% per year. This growth has been characterized by an influx of young families seeking suburban environment in which to live and is complemented by a growth in businesses and other services that follow young, middle class families. In 2010, the Service Area had an estimated 90,218 households with a median family income of $76,808. 91% of the service area's adults over the age of 25 are high school graduates or higher; 30% achieved bachelor's degrees or higher. The service area's growth and geographic location explain its ability to attract major east-coast distribution center and industry, which have provided additional employment opportunities in the service area. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH Monies spent for hospital and community preparedness for hazardous accidents, natural disasters, and coalition building in the community. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM Harford Memorial Hospital, Inc. (HMH) is one hospital in an "Affiliated Health Care System" that includes a second hospital, Upper Chesapeake Medical Center, Inc. (UCMC), a physician services organization (Upper Chesapeake Medical Services, Inc.), a property holding company (Upper Chesapeake Properties, Inc.), a hospice residence (Upper Chesapeake Residential Hospice House, Inc. & Hospice of Harford County LLC) and a for-profit venture with investments in private imaging services (Upper Chesapeake Health Ventures, Inc.). The "System" provides a broad range of community health care services, including preventive, ambulatory, acute and hospice services, through an integrated health care delivery system in Harford County and parts of Baltimore and Cecil Counties, in northeast Maryland. HMH and UCMC are the only hospitals in Harford County, Maryland. HMH offers acute care services, including intensive care, emergency and other outpatient services, and has the only acute care behavioral health unit in Harford County. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT The Health Services Cost Review Commission, the State agency that regulates hospital rates in Maryland, requires a Community Benefit Report to be filed annually. false true false false false false false false false LYLE E SHELDON PRESIDENT/CEO/DIRECTOR 0 539669 0 288074 0 459948 0 55799 0 25584 0 1369074 Angela Poppe Ries MD DRCTOR/MED DIR-PALLIATIVE CARE 0 138009 0 0 0 108 0 18005 0 585 0 156707 Joyce Fox VP - Patient SVCS/CNO 191267 0 47646 0 45141 0 46319 0 3239 0 333612 0 Joseph E Hoffman III SR VP/CFO 0 313531 0 150656 0 156417 0 53250 0 25108 0 698962 Eugene Currotto VP - Operations 140830 0 31431 0 30814 0 32146 0 28418 0 263639 0 Richard C Casteel VP - MIS 155628 0 29043 0 31490 0 24050 0 16123 0 256334 0 Stephen Low Dir - Pharmaceutical Services 127381 0 11896 0 106 0 6991 0 23452 0 169826 0 Susan A Costa Dir-Perioperstive Clinical Svc 121737 0 11401 0 1801 0 15142 0 14774 0 164855 0 Beverly A Wehmer asst vp - patient services 113009 0 15852 0 8690 0 21269 0 1685 0 160505 0 SCHEDULE J, PART I, QUESTION 3 THIS ORGANIZATION DOES NOT HAVE A PAID CEO/EXECUTIVE DIRECTOR. ALL COMPENSATION TO THE CEO/EXECUTIVE DIRECTOR REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE HEALTH SYSTEM UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. UPPER CHESAPEAKE HEALTH SYSTEM CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE SCHEDULE J, PART I, QUESTION 4B THE ORGANIZATION MADE INTERNAL REVENUE CODE SECTION 457F PLAN CONTRIBUTIONS TO THE FOLLOWING MEMBERS OF SENIOR LEADERSHIP WHO ARE LISTED ON THE ORGANIZATION'S FORM 990, PART VII, SECTION A, LINE 1A. THE OFFICERS AND KEY EMPLOYEES LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, THE CONTRIBUTION TO THE PLAN IS REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III), OTHER REPORTABLE COMPENSATION. LYLE E. SHELDON $285,657 JOSEPH E. HOFFMAN III $ 45,896 JAMES J. HURSEY $ 22,440 DEAN C. KASTER $ 16,197 JOHN K. LYNCH $ 22,565 A MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY 520936091 5742172p9 2008-08-08 8852000 REFI EXISTING DEBT-SERIES 2008C false false false B MARYLAND HEALTH & HIHGER ED FACILITIES AUTHORITY 520936091 2011-12-01 9476000 REFI EXISTING DEBT-SERIES 2011B false false false C MARYLAND HEALTH & HIGHER ED FACILITIES AUTHORITY 520936091 2011-12-01 9476000 REFI EXISTING DEBT-SERIES 2011C false false false A 8659840 0 9375360 401898 0 0 0 0 0 0 0 0 2008 true false true true B 9888000 0 9476000 0 0 0 0 0 0 0 0 0 2000 true false true true C 9292800 0 9476000 0 0 0 0 0 0 0 0 0 2000 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false 0 false 0 false false B false false false 0 false 0 false false C false false false 0 false 0 false false A false B false C false ROGER E SCHNEIDER MD VASC SURG ASSOC PARTNER 494519 PHYSICIAN FEES PAID TO VSA LLC false JASON M BIRNBAUM MD PULMONARY CCA PARTNER 1033071 PHYSICIAN FEES PAID TO PCCA false PART VI, SECTION A, GOVERNING BODY & MANAGEMENT QUESTION 2 FAMILY OR BUSINESS RELATIONSHIP LYLE E SHELDON AND JOSEPH E HOFFMAN III ARE OFFICERS IN THE SAME BUSINESS ENTITIES. THE SAME BUSINESS ENTITIES ARE THE FOR-PROFT CORPORATIONS OR PARTNERSHIPS THAT ARE RELATED TO THIS FILING ENTITY. PLEASE SEE FORM 990, SCHEDULE R. PART VI, SECTION A, GOVERNING BODY & MANAGEMENT QUESTION 6 EXISTENCE OF MEMBERS UPPER CHESAPEAKE HEALTH SYSTEM AND UNIVERSITY OF MARYLAND MEDICAL SYSTEM ARE PARTNERS IN A MARYLAND LIMITED LIABILITY COMPANY NAMED UCHS/UMMS VENTURE LLC ("VENTURE"). THE VENTURE WAS ORGANIZED FOR CHARITABLE PURPOSES TO COORDINATE ACTIVITIES OF HEALTHCARE FACILITIES AND OTHER CORPORATE BODIES WHOSE PURPOSES INCLUDE THE PROVISION OF HEALTHCARE SERVICES OR FINANCIAL ASSISTANCE TO HEALTHCARE FACILITIES IN HARFORD COUNTY, MARYLAND. VENTURE IS THE SOLE MEMBER OF THIS FILING ORGANIZATION. PART VI, SECTION B, POLICIES QUESTION 11B ORGANIZATIONAL REVIEW OF FORM 990 THE BOARD OF UPPER CHESAPEAKE HEALTH SYSTEM, INC. ("HEALTH SYSTEM") HAS ASSIGNED THE EXECUTIVE COMMITTEE OF THE HEALTH SYSTEM'S BOARD TO REVIEW AND APPROVE ALL CONTENTS OF FORM 990 ON BEHALF OF THE BOARDS OF ALL HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. IN TURN, ONCE THE FORM 990 HAS BEEN APPROVED BY HEALTH SYSTEM'S EXECUTIVE COMMITTEE, A FINAL VERSION OF THE FORM 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS OF THE RESPECTIVE HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. FORMAL NOTIFICATION OF THE FINAL AND APPROVED FORM 990 FOR EACH OF THE HEALTH SYSTEM'S AFFILIATES AS WELL AS ITS AVAILABILITY WILL BE COMMUNICATED TO THE APPLICABLE BOARD MEMBERS ON OR BEFORE THE FILING OF THE FORM 990. PART VI, SECTION B, POLICIES QUESTION 12C CONFLICT OF INTEREST POLICY The organization's written conflict of interest policy covers the following individuals: Directors, Principal Officers, and Senior Management. Furthermore, the policy extends to the family members (per Internal Revenue Service definition) of such Directors, Principal Officers, and Senior Management. The Board of Directors and any committee considering a contract, transaction or arrangement to which a known or potential conflict of interest relates, determines whether a conflict exists. Actual conflicts are reviewed by the Chairman of the Board. An individual with a known or potential conflict of interest must refrain from participating in, or acting on, the decision on any matter in which a conflict of interest, or even the appearance of such a conflict of interest, is present with respect to such individual and will remove himself or herself from any meeting or deliberations on the matter. PART VI, SECTION B, POLICIES QUESTION 15 PROCESS FOR DETERMINING COMPENSATION The executive compensation committee of the board of directors approves compensation for the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and all key employees. The executive compensation committee utilizes but is not limited to the following resources in evaluating and establishing reasonable compensation: independent compensation consultants, compensation surveys and compensation studies. This organization and its tax-exempt affiliates strive to maintain an arm's length relationship between itself and its employees. It is the goal of the executive compensation committee to ensure that total compensation (compensation and benefits) paid to its employees is fair and reasonable. Finally, the process of setting and approving such compensation is performed annually by the board's executive compensation committee. PART VI, SECTION C, DISCLOSURE QUESTION 19 DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST: ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS. PART VIII STATEMENT OF REVENUE LINE 2A - PROGRAM SERVICE REVENUE GROSS PATIENT REVENUE......................... $103,293,315 LESS: ALLOWANCES & CHARITY POLICIES........... (13,436,149) ------------- NET PATIENT REVENUE.......................... $ 89,857,166 RECONCILIATION OF NET ASSETS PART XI, LINE 5 MINIMUM PENSION PLAN LIABILITY............ $ 3,843,569 UNREALIZED GAIN ON OTHER THAN TRADING SECURITY.. $ 6,283,354 ----------- TOTAL............................ $10,126,923 PART III, PROGRAM SERVICE ACCOMPLISHMENTS TO PROVIDE HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTHCARE. ITS TWO HOSPITALS, HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER OFFER SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH SYSTEM IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH SYSTEM HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY, AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES, AND TO HOMES. UPPER CHESAPEAKE MEDICAL CENTER IS A MEMBER OF THE UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE MEDICAL CENTER IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THIS PREMIER HEALTH CARE FACILITY INCORPORATES SEVERAL TRENDS THAT REFLECT HOW HEALTH CARE IS CHANGING, INCLUDING REORIENTATION TOWARDS OUTPATIENT CARE, MORE ACUTELY ILL PATIENTS IN THE HOSPITAL AND FLEXIBILITY FOR GROWTH AND CHANGE TO MEET OUR COMMUNITY'S FUTURE HEALTH CARE NEEDS. LOCATED ON THE MEDICAL CAMPUS IS THE UPPER CHESAPEAKE MEDICAL CENTER WITH 194 ACUTE CARE BEDS. ADJACENT TO THE MEDICAL CENTER IS THE AMBULATORY CARE CENTER OF HARFORD COUNTY, CONTAINING PHYSICIAN OFFICES, OUTPATIENT IMAGING AND LABORATORY PROCEDURES, OUTPATIENT PRE-ASSESSMENT TESTING AND ASSESSMENT, UPPER CHESAPEAKE CARDIOVASCULAR INSTITUTE, AND THE ADMINISTRATIVE OFFICES OF UPPER CHESAPEAKE HEALTH. ALSO LOCATED NEXT TO THE MEDICAL CENTER, IS A PRE-EXISTING MEDICAL OFFICE BUILDING WITH PHYSICIAN OFFICES AND OTHER HEALTHCARE RELATED SERVICES, A PARKING GARAGE AND A SECOND MEDICAL OFFICE BUILDING WHICH INCLUDES OUTPATIENT SERVICES AND PHYSICIAN OFFICES. HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER MAINTAIN CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCT MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS - SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS - HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES - FREE AND MOBILE CLINIC UPPER CHESAPEAKE HEALTH FOUNDATION INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521398507 FIN SUPPORT MD 501(c)(3) 11A NA false UPPER CHESAPEAKE MEDICAL SERVICES INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521501734 PHYSICIAN SVC MD 501(c)(3) 9 UCHSUMMS VN false UPPER CHESAPEAKEST JOE'S HOME CARE IN 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521229742 HOSPICE CARE MD 501(c)(3) 9 UCHSUMMS VN false UPPER CHESAPEAKE MEDICAL CENTER INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521253920 HOSPITAL CARE MD 501(c)(3) 3 UCHSUMMS VN false UPPER CHESAPEAKE PROPERTIES INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521907237 TITLE HOLDING MD 501(c)(3) N/A UCHSUMMS VN false UNIV OF MD UPPER CHESAPEAKE HLTH SYSTEM 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 521398513 HLTHCARE SVCS MD 501(c)(3) 11C;III-FI UCHSUMMS VN false UPPER CHESAPKE RESIDENTIAL HOSPICE HOUSE 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 260737028 HOSPICE CARE MD 501(c)(3) 7 UCHSUMMS VN false HEALTHY HARFORD INC 2027 PULASKI HWY SUITE 215 HAVRE DE GRACE MD 21078 521944325 HEALTH INIATV MD 501(c)(3) 7 NA false UCHSUMMS VENTURE LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 522178070 MEDICAL SERVI MD NA UCHS UMMS REAL ESTATE TRUST 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 276803540 HOLD LAND MD NA UPPER CHESAPEAKE HEALTH VENTURES INC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 522031264 MISC. 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