UNION HOSPITAL OF CECIL COUNTY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: UNION HOSPITAL OF CECIL COUNTY (EIN 52-0607945)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-03-28
IRS object ID: 201200889349301250
Schema version: 2010v3.4
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-03-28T14:42:32-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARENTEBEARD LLC	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	2010-07-01	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	2012-03-26	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS GREEN CPA	Name
Phone	2159720701	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
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	151478765	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	1248	TotalNbrEmployees
Total Nbr Volunteers	410	TotalNbrVolunteers
Total Gross UBI	878577	TotalGrossUBI
Net Unrelated Business Txbl Income	-480796	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	977572	ContributionsGrantsPriorYear
Contributions Grants Current Year	667518	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	128832816	ProgramServiceRevenuePriorYear
Program Service Revenue CY	139069390	ProgramServiceRevenueCY
Investment Income Prior Year	-146067	InvestmentIncomePriorYear
Investment Income Current Year	1179680	InvestmentIncomeCurrentYear
Other Revenue Prior Year	911141	OtherRevenuePriorYear
Other Revenue Current Year	689865	OtherRevenueCurrentYear
Total Revenue Prior Year	130575462	TotalRevenuePriorYear
Total Revenue Current Year	141606453	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2642957	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4089347	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	61358579	SalariesEtcPriorYear
Salaries Etc Current Year	63312190	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	71462890	OtherExpensePriorYear
Other Expenses Current Year	72395699	OtherExpensesCurrentYear
Total Expenses Prior Year	135464426	TotalExpensesPriorYear
Total Expenses Current Year	139797236	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-4888964	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1809217	RevenuesLessExpensesCY
Total Assets BOY	174781521	TotalAssetsBOY
Total Assets EOY	171527434	TotalAssetsEOY
Total Liabilities BOY	97849767	TotalLiabilitiesBOY
Total Liabilities EOY	87457012	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	76931754	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	84070422	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	136359245	Expense
Grants	4089347	Grants
Revenue	138191493	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 7,032 ADMISSIONS PROVIDING 26,375 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2011 OF WHICH:1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 3,324 ADMISSIONS AND 13,663 PATIENT DAYS2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 133 ADMISSIONS AND 528 PATIENT DAYS3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,225 ADMISSIONS AND 3,913 PATIENT DAYS4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 60 ADMISSIONS AND 256 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 $16,030,000 IN UNCOMPENSATED CARE.	Description
Total Program Service Expense	136359245	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	155	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1248	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	CARLA MOORE 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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JACK GOLDSTEIN
CHAIRMAN	0.50	X	X	0	0	0
MARTIN J HEALY
VICE CHAIRMAN	0.50	X	X	0	0	0
RICHARD GUTTENDORF
TREASURER	0.50	X	X	0	0	0
RONALD GRAYBEAL
SECRETARY	0.50	X	X	0	0	0
MARY BOLT PHD
DIRECTOR	0.50	X		0	0	0
PHILLIP FARMER
DIRECTOR	0.50	X		0	0	0
HARLAND GRAEF
DIRECTOR	0.50	X		0	0	0
RAYMOND HAMM
DIRECTOR	0.50	X		0	0	0
RAYMOND HEIDEL
DIRECTOR	0.40	X		0	0	0
MARTHA HOSFORD MD
DIRECTOR	0.50	X		0	0	0
HENRY PASSI
DIRECTOR	0.50	X		0	0	0
SHEELMOHAN SACHDEV MD
DIRECTOR	0.60	X		0	0	0
MICHAEL SCIBINICO
DIRECTOR	0.50	X		0	0	0
DWIGHT THOMEY
DIRECTOR	0.50	X		0	0	0
RICHARD SZUMEL MD
DIRECTOR	0.60	X		0	0	0
KENNETH S LEWIS MD JD
PRESIDENT/CEO	28.00	X	X	0	628122	117860
LAURIE R BEYER CPA
SENIOR VP/CFO	26.00		X	0	253540	16496
JOSE MA
VP MEDICAL AFFAIRS	38.00			0	305232	17813	X
DAVID GIPSON
SENIOR VP/COO	29.60			0	260371	16715	X
PETER GLOGGNER
VP HUMAN RESOURCES	40.00			185153	0	7321	X
MARY JANE KAMPS
VP/CIO	40.00			169620	0	13984	X
NADER J DABABNEH MD
PHYSICIAN	40.00			523241	0	19697		X
IRFAN M HISAMUDDIN MD
PHYSICIAN	40.00			388897	0	19334		X
JOHN M HEBEKA MD
PHYSICIAN	40.00			318821	0	21974		X
MICHAEL BRYWKA MD
ANESTHESIOLOGIST	40.00			317380	0	21962		X
ALFONSO J BASILE MD
ANESTHESIOLOGIST	40.00			315613	0	21520		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2218725	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1447265	TotalReportableCompFrmRltdOrgs
Total Other Compensation	294676	TotalOtherCompensation
Number Individuals GT100 K	63	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
RADCAREEMCARE
PO BOX 368	PERRY HALL	MD	21128	RADIOLOGY PHYSICIAN SERVICES	3326391
DIVERSIFIED CLINICAL SERVICES INC
4500 SALISBURY ROAD 300	JACKSONVILLE	FL	32216	STAFFING & SERVICES FOR WOUND CARE CENTE	742121
MD-IT TRANSCRIPTION SERVICES LLC
4940 PEARL EAST CIRCLE	BOULDER	CO	80301	TRANSCRIPTION SERVICES	608883
LAB CORP OF AMERICA HOLDINGS INC
PO BOX 1290	BURLINGTON	NC	27216	LAB TESTING	575719
PHYSIOTHERAPY ASSOCIATES INC
855 SPRINGDALE DRIVE	EXTON	PA	19341	PHYSICAL THERAPY SERVICES	555707

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Related Organizations	607773	RelatedOrganizations
All Other Contributions	59745	AllOtherContributions
Total Contributions	667518	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE	621990	136913669	136913669
LABORATORY REVENUE	621500	877897		877897
OTHER OPERATING REVENU	621990	770356	770356
ADULT DAY CARE	623990	408614	408614
LIFELINE	900099	98854	98854

Field	Value	IRS element (for citing)
Total Program Service Revenue	139069390	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1167152	TotalRevenueColumn
Exclusion	$1,167,152	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	32735	TotalRevenueColumn
Exclusion	$32,735	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	185835	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	270545	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-84710	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-84710	TotalRevenueColumn
Exclusion	-$84,710	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	9125226	Securities
Other	456334	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	9300215	Securities
Other	301552	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-174989	Securities
Other	154782	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-20207	TotalRevenueColumn
Exclusion	-$20,207	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA/FOOD SERVICE	722210	745841	$745,841
PURCHASE DISCOUNTS	900099	28054	$28,054
UBI FROM PARTNERSHIP	541900	680		680

Field	Value	IRS element (for citing)
Total Other Revenue	774575	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	141606453	TotalRevenueColumn
Related Or Exempt Function Income	138191493	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	878577	UnrelatedBusinessRevenue
Exclusion	$1,868,865	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4089347	Total
Program Services	4089347	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	376078	Total
Management And General	376078	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	53266933	Total
Program Services	52923532	ProgramServices
Management And General	343401	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	413479	Total
Program Services	390363	ProgramServices
Management And General	23116	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5467916	Total
Program Services	5418881	ProgramServices
Management And General	49035	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3787784	Total
Program Services	3736087	ProgramServices
Management And General	51697	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3108573	Total
Program Services	1554286	ProgramServices
Management And General	1554287	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	295895	Total
Management And General	295895	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	124400	Total
Management And General	124400	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	117889	Total
Management And General	117889	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	16662320	Total
Program Services	16401356	ProgramServices
Management And General	260964	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	447677	Total
Program Services	447677	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	22133216	Total
Program Services	22067735	ProgramServices
Management And General	65481	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	140054	Total
Program Services	140054	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2303566	Total
Program Services	2303566	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	170269	Total
Program Services	161474	ProgramServices
Management And General	8795	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	15454	Total
Program Services	2328	ProgramServices
Management And General	13126	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4074222	Total
Program Services	4074222	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8715464	Total
Program Services	8715464	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1830200	Total
Program Services	1830200	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	9542426	9542426
REPAIRS & MAINTENANCE	2076753	2076753
DUES/ACCREDITATIONS	416752	262925	153827
EMPLOYEE RELATIONS	134900	134900
PUBLICATIONS	85669	85669

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	139797236	Total
Program Services	136359245	ProgramServices
Management And General	3437991	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	205919	BOY
EOY	149667	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3426868	BOY
EOY	6561658	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16872772	BOY
EOY	16239575	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2310616	BOY
EOY	1741983	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1686189	BOY
EOY	1990589	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1314477	BOY
EOY	1797805	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	156379063	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	76356778	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	84954723	BOY
EOY	80022285	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	53439337	BOY
EOY	54102807	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	5030779	BOY
EOY	4947666	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5539841	BOY
EOY	3973399	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	174781521	BOY
EOY	171527434	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	10622232	BOY
EOY	11652633	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	83056483	BOY
EOY	71632043	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4171052	BOY
EOY	4172336	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	97849767	BOY
EOY	87457012	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	75819074	BOY
EOY	83217623	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1112680	BOY
EOY	852799	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	76931754	BOY
EOY	84070422	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	174781521	BOY
EOY	171527434	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1809217	ReconcilationRevenueExpenses
Reconcilation Other Changes	5329451	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
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	69795667	OtherCostOrOtherBasis
Depreciation	22808747	Depreciation
Book Value	46986920	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	691473	OtherCostOrOtherBasis
Depreciation	390705	Depreciation
Book Value	300768	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	83305192	OtherCostOrOtherBasis
Depreciation	52252005	Depreciation
Book Value	31053187	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1451826	OtherCostOrOtherBasis
Depreciation	905321	Depreciation
Book Value	546505	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	80022285	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
THIRD PARTY ADVANCES	$2,460,368
CAPITAL LEASE OBLIGATIONS	$1,192,154
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$519,814

Field	Value	IRS element (for citing)
Total Of Amounts	4172336	TotalOfAmounts
Total Revenue	141606453	TotalRevenue
Total Expenses	139797236	TotalExpenses
Excess Or Deficit For Year	1809217	ExcessOrDeficitForYear
Net Unrealized GL On Investments	5471400	NetUnrealizedGLOnInvestments
Other	-$141,949	OtherAmount
Total Adjustments	5329451	TotalAdjustments
Excess Or Deficit Per FS	7138668	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	146818015	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	5471400	NetUnrealizedGainsInvestments
Other Revenues	-259838	OtherRevenues
Revenue Not Rptd F990	5211562	RevenueNotRptdF990
Revenue Subtotal	141606453	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	141606453	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	139679347	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	139679347	ExpensesSubtotal
Investment Expenses Not Included2	117889	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	117889	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	139797236	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	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 2011 AND 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION & SUBSIDIARY -141,949.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION & SUBSIDIARY -141,949. INVESTMENT FEES -117,889.

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	0	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	2640343	TotalCommunityBenefitExpense
Net Community Benefit Expense	2640343	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30259445	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30259445	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32899788	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30259445	DirectOffsettingRevenue
Net Community Benefit Expense	2640343	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	636362	TotalCommunityBenefitExpense
Direct Offsetting Revenue	116740	DirectOffsettingRevenue
Net Community Benefit Expense	519622	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	241512	TotalCommunityBenefitExpense
Net Community Benefit Expense	241512	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8241273	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4866360	DirectOffsettingRevenue
Net Community Benefit Expense	3374913	NetCommunityBenefitExpense
Percent Of Total Expense	0.02590	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	421	TotalCommunityBenefitExpense
Net Community Benefit Expense	421	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	435271	TotalCommunityBenefitExpense
Direct Offsetting Revenue	126575	DirectOffsettingRevenue
Net Community Benefit Expense	308696	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9554839	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5109675	DirectOffsettingRevenue
Net Community Benefit Expense	4445164	NetCommunityBenefitExpense
Percent Of Total Expense	0.03420	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42454627	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35369120	DirectOffsettingRevenue
Net Community Benefit Expense	7085507	NetCommunityBenefitExpense
Percent Of Total Expense	0.05450	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	6329	TotalCommunityBuildingExpense
Net Community Building Expense	6329	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	5126	TotalCommunityBuildingExpense
Net Community Building Expense	5126	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	1931	TotalCommunityBuildingExpense
Net Community Building Expense	1931	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	7565	TotalCommunityBuildingExpense
Net Community Building Expense	7565	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	159	TotalCommunityBuildingExpense
Net Community Building Expense	159	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	20745	TotalCommunityBuildingExpense
Net Community Building Expense	20745	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	3023	TotalCommunityBuildingExpense
Net Community Building Expense	3023	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	72189	TotalCommunityBuildingExpense
Net Community Building Expense	72189	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	38710	TotalCommunityBuildingExpense
Net Community Building Expense	38710	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	155777	TotalCommunityBuildingExpense
Net Community Building Expense	155777	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$7,796,162	BadDebtExpenseAmount
Amount Attributable To	132535	AmountAttributableTo
Amount Reimbursed By Medicare	50187786	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	35432577	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	14755209	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	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	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	0	CHNAConducted

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 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, LINE 7G: THE AMOUNTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WHICH WERE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES FIGURES ON PART I, LINE 7G ARE AS FOLLOWS:COLUMN (C) TOTAL COMMUNITY BENEFIT EXPENSE - $7,393,843COLUMN (D) DIRECT OFFSETTING REVENUE - $4,457,746COLUMN (E) NET COMMUNITY BENEFIT EXPENSE - $2,936,097
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 $9,542,426.
PART II: PHYSICAL IMPROVEMENTS/HOUSING UNION HOSPITAL PROVIDED OPPORTUNITIES FOR HOSPITAL STAFF TO GET INVOLVED IN REPAIR INITIATIVES. ONE SUCH PROGRAM WAS ENTITLED "PROJECT ECHO." THROUGH THIS PROGRAM COMMUNITY MEMBERS OR ORGANIZATIONS PROPOSED PHYSICAL IMPROVEMENT PROJECTS FOR THE HOSPITAL TO ADOPT. IN FISCAL YEAR 2011, HOSPITAL STAFF PARTICIPATED IN BUILDING HANDICAP RAMPS FOR CHURCHES, RE-FLOORING YOUTH CENTERS AND OTHER FACILITY ENHANCEMENT PROJECTS. THESE FACILITY REPAIRS MAY HAVE CONTRIBUTED TO HEALTH IMPROVEMENTS FOR THOSE WITH DISABILITIES OR FOR SHIELDING YOUTH FROM ENGAGEMENT IN CRIMINAL ACTIVITIES THAT COULD LEAD TO POORER HEALTH OUTCOMES. ECONOMIC DEVELOPMENT UNION HOSPITAL WORKED WITH THE CECIL COUNTY ECONOMIC DEVELOPMENT COMMISSION IN FISCAL YEAR 2011. THIS ORGANIZATION INVESTIGATED AND ASSEMBLED INFORMATION PERTINENT TO THE ECONOMIC RESOURCES AND INDUSTRIAL OPPORTUNITIES OF CECIL COUNTY. IT ENCOURAGED THE LOCATION OF NEW INDUSTRIAL ENTERPRISES AND THE EXPANSIONS OF PRESENT ENTERPRISES IN THE COUNTY. HOSPITAL STAFF PUT TOGETHER A PRESENTATION TO THE COMMISSION TO DISCUSS THE ECONOMIC IMPACT AND BENEFITS OF CRITICAL AND GENERAL HEALTH CARE THROUGH TELEMEDICINE. COMMUNITY SUPPORTIN FISCAL YEAR 2011, UNION HOSPITAL PROVIDED COMMUNITY SUPPORT THROUGH INITIATIVES SUCH AS PROVIDING FREE NOTARY SERVICES TO THE COMMUNITY AND WORKING WITH CECIL COUNTY EMERGENCY MEDICAL SERVICES TO PROVIDE LECTURES ON IMPORTANT EMS TOPICS IN THE COMMUNITY, AS WELL AS PROVIDING PARAMEDIC EVALUATIONS AND PRACTICALS FOR STUDENTS AND HEALTH PROFESSIONALS IN THE COMMUNITY. COMMUNITY SUPPORT PROVIDES AN OUTLET FOR GROWTH AND DEVELOPMENT OF COMMUNITY RESOURCES. THIS CAN IMPACT HEALTH IN A NUMBER OF POSITIVE WAYS-IN PARTICULAR UNION HOSPITAL CHOSE TO GROW AND DEVELOP ACCESS TO ADVISORY AND EMERGENCY SERVICES FOR THE CECIL COUNTY COMMUNITY. ENVIRONMENTAL IMPROVEMENTS IN FISCAL YEAR 2011, A GROUP OF UNION HOSPITAL STAFF CONDUCTED AN ADOPT-A-HIGHWAY LITTER PICK-UP TO MAINTAIN A STRETCH OF HIGHWAY THAT THE HOSPITAL HAD ADOPTED. MEMBERS OF THE HOSPITAL'S FACILITIES AND SECURITY STAFF ALSO PROVIDED FREE PROPERTY ASSESSMENTS TO AREA ORGANIZATIONS. ENVIRONMENTAL MAINTENANCE AND IMPROVEMENTS CAN IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING SUSTAINABLE AND RESPONSIBLE STEWARDSHIP OF RESOURCES. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERSUNION HOSPITAL'S EDUCATION DEPARTMENT, AFFINITY HEALTH INSTITUTE, PROVIDED LEADERSHIP DEVELOPMENT TRAINING TO MEMBERS OF THE CECIL COUNTY COMMUNITY IN COLLABORATION WITH THE CECIL LEADERSHIP INSTITUTE, AS PART OF A COUNTY-WIDE LEADERSHIP PROGRAM. INCREASED ACCESS TO LEADERSHIP SERVICES CAN IMPROVE THE HEALTH OF A COMMUNITY, ESPECIALLY FOR INDIVIDUALS TASKED WITH MAKING CRITICAL CARE DECISIONS, ALLOCATING RESOURCES AMONG COMMUNITY HEALTH ORGANIZATIONS AND TRAINING AND EDUCATING HEALTH CARE WORKFORCES. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS UNION HOSPITAL'S BEHAVIORAL HEALTH STAFF PARTICIPATED IN MEETINGS WITH THE DEPARTMENT OF SOCIAL SERVICES IN CECIL COUNTY AND THE CECIL COUNTY HEALTH DEPARTMENT TO FACILITATE THE ALLOCATION OF COMMUNITY RESOURCES AND THE PROVISION OF PLACEMENT OPPORTUNITIES FOR BEHAVIORAL HEALTH PATIENTS. THIS COLLABORATION ADDRESSED ISSUES LIKE MENTAL HEALTH AND HOMELESSNESS WHILE WORKING WITH SENATOR PIPKIN AND OTHER LEGISLATIVE REPRESENTATIVES/EVENTS. ADVOCACY FOR BEHAVIORAL HEALTH RESOURCES AND PLACEMENT OPPORTUNITIES WITHIN THE COMMUNITY AND IN TREATMENT PROGRAMS, ESPECIALLY FOR THE HOMELESS POPULATION, PROVIDES THESE AND POTENTIAL PATIENTS WITH ACCESS TO MENTAL HEALTH SERVICES THAT THEY WOULD OTHERWISE NOT HAVE IF THESE SERVICE EXTENSIONS WERE NOT AVAILABLE. UNION HOSPITAL STAFF ALSO PARTICIPATED IN EDUCATIONAL PROGRAMS FOR WOMEN AND CHILDREN THROUGH THE JUDY CENTER-AN ORGANIZATION THAT PROVIDES COMPREHENSIVE, COMMUNITY BASED SERVICES TO YOUNG CHILDREN AND THEIR FAMILIES. UNION HOSPITAL STAFF PROVIDED NUTRITIONAL AND COMMUNITY NEEDS PLANNING SESSIONS FOR FAMILIES. PROVIDING THESE OPPORTUNITIES INCREASES COMMUNITY HEALTH IMPROVEMENT THROUGH PUBLIC HEALTH EDUCATION IN PARTNERSHIP WITH A COMMUNITY ORGANIZATION. WORKFORCE DEVELOPMENT UNION HOSPITAL STAFF PROVIDED A MIDDLE SCHOOL-BASED PROGRAM THAT GRANTED STUDENTS ACCESS TO VARIOUS HOSPITAL JOBS AND ENVIRONMENTS TO LEARN MORE ABOUT VARIOUS HEALTH CARE CAREER OPPORTUNITIES. IN FISCAL YEAR 2011, THE HOSPITAL HOSTED TEN CAREER AWARENESS DAYS WITH PARTICIPATION FROM FIVE CECIL COUNTY MIDDLE SCHOOLS-450 STUDENTS WERE SERVED IN TOTAL. AT A HIGHER EDUCATIONAL LEVEL, UNION HOSPITAL PROVIDED SUPPORT FOR LOCAL NURSING PROGRAMS THROUGH FACULTY SEARCHES AND OFFERING EXPERTISE IN INTERVIEWING CANDIDATES FOR HIRE. UNION HOSPITAL ALSO RECRUITED PHYSICIANS FOR AREAS IDENTIFIED AS MEDICALLY UNDERSERVED AREAS. FROM AUGUST 2010 TO JUNE 2011, THE HOSPITAL RECRUITED PHYSICIANS IN THE FOLLOWING SERVICE LINES:-UROLOGY;-RHEUMATOLOGY;-ENDOCRINOLOGY; AND-PSYCHIATRY. OTHERIN-KIND CONTRIBUTIONS BY UNION HOSPITAL STAFF THAT HAD AN INDIRECT AFFECT ON HEALTH NEEDS WERE REPORTED IN THIS CATEGORY. THESE INCLUDED ACTIVITIES SUCH AS SERVING ON COMMUNITY BOARDS THAT COULD BE INDIRECTLY ASSOCIATED WITH IMPROVING HEALTH ISSUES IN THE COMMUNITY. THE FOLLOWING ARE EXAMPLES: -SERVICE ON THE BOYS AND GIRLS CLUB COMMUNITY BOARD -SERVICE ON THE CECIL PARTNERSHIPS FOR CHILDREN, YOUTH AND FAMILIES COMMUNITY BOARD -SERVICE ON THE UNITED WAY OF CECIL COUNTY COMMUNITY BOARD -SERVICE ON THE CHESAPEAKE HEALTH EDUCATION PROGRAM COMMUNITY BOARD NET COMMUNITY BENEFITS FOR ACTIVITIES REPORTED IN THIS CATEGORY WERE $38,710, AND 1,160 PEOPLE WERE SERVED THROUGHOUT THE CECIL COUNTY COMMUNITY IN FISCAL YEAR 2011.
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.
FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARE--CHARITY CARE AND PATIENT BAD DEBT--AND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS.MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORS--GOVERNMENTALLY-INSURED, COMMERICALLY--INSURED, OR SELF PAY--ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STAGE AGENCY--THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC)--THAT IS REQUIRED TO:1) PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS;2) REVIEW AND APPROVE HOSPITAL RATES;3) COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND,4) MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS.SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS' COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS' COMMUNITY BENEFIT TOTALS. BECAUSE OF THIS UNIQUE STRUCTURE, MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT.MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFITS EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.
PART VI, LINE 2: IMPROVING THE HEALTH OF UNION HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA REQUIRES COLLABORATION AMONG COMMUNITY MEMBERS AND ACTIVE PARTICIPATION IN THE PLANNING AND IMPLEMENTATION OF HEALTH PROGRAMS. DURING FISCAL YEAR 2011, UNION HOSPITAL WORKED WITH THE CECIL COUNTY HEALTH DEPARTMENT AND THE CECIL COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE TO DISCUSS THE BEST METHOD TO ASSESS THE COUNTY'S HEALTH PROBLEMS, IDENTIFY PRIORITIES AND DEVELOP STRATEGIES TO ADDRESS THESE PROBLEMS. THE HOSPITAL ALSO WORKED WITH A COMMUNITY BENEFIT CONSULTANT, JOAN LINDENSTEIN, TO ADVISE THE HOSPITAL REGARDING THE PLANNING AND IMPLEMENTATION OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ADDITIONALLY, IN JULY 2011, THE HOSPITAL HIRED A FULL-TIME COMMUNITY BENEFITS COORDINATOR TO ASSIST WITH THE MONITORING AND TRACKING OF COMMUNITY BENEFITS, AS WELL AS THE PREPARATION AND ANALYSIS OF THE CHNA. THROUGH THE MARYLAND HOSPITAL ASSOCIATION, UNION HOSPITAL WAS INTRODUCED TO THE HEALTHY COMMUNITIES INSTITUTE (HCI). HCI HAS DESIGNED A SYSTEM AND STRATEGIES TO HELP LOCAL PUBLIC HEALTH DEPARTMENTS, HOSPITALS AND COALITIONS MEASURE COMMUNITY HEALTH, SHARE BEST PRACTICES, IDENTIFY NEW FUNDING SOURCES AND FACILITATE COMMUNITY HEALTH IMPROVEMENT. AFTER CAREFUL REVIEW OF THE HCI SYSTEM, AND WITH THE SUPPORT OF THE CECIL COUNTY HEALTH DEPARTMENT, THE HOSPITAL CONTRACTED WITH HCI TO ASSIST WITH THE DEVELOPMENT OF THE HOSPITAL'S CHNA. THE HCI SYSTEM IS AVAILABLE VIA THE HOSPITAL'S WEBSITE: HTTP://WWW.UHCC.COM/ABOUT/COMMUNITY-BENEFIT. THE WEBSITE PROVIDES CONTINUOUSLY UPDATED HEALTH AND QUALITY OF LIFE INDICATOR DASHBOARDS. HAVING ACCESS TO THE HCI SYSTEM WILL HELP UNION HOSPITAL MEET THE HEALTHCARE REFORM AND IRS FORM 990 REQUIREMENTS FOR CONDUCTING A CHNA. IN COLLABORATION WITH THE CECIL COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY STAKEHOLDERS, THE HOSPITAL WILL USE THE INFORMATION GATHERED FROM THIS ASSESSMENT OF HEALTH DATA TO IDENTIFY HEALTH PRIORITIES FOR THE COMMUNITY BENEFIT SERVICE AREA. THE HOSPITAL WILL ALSO FORMULATE A STRATEGIC PLAN FOR MEETING THESE HEALTH NEEDS. IN ADDITION, THE HOSPITAL WILL CONDUCT FOUR TOWN HALL MEETINGS THROUGHOUT FISCAL YEAR 2012, IN ORDER TO FULLY ENGAGE THE COMMUNITY AND FURTHER SUPPORT THE HEALTH PRIORITIES THAT ARE IDENTIFIED BY THE CHNA. UNION HOSPITAL WILL WORK COLLABORATIVELY WITH THE CECIL COUNTY HEALTH DEPARTMENT'S HEALTH OFFICERS AND EPIDEMIOLOGIST, UTILIZING THEIR EXPERTISE TO BOTH IDENTIFY COMMUNITY HEALTH NEEDS AND DEVELOP A STRATEGIC PLAN. IN THE PAST, THE HOSPITAL HAS RELIED ON THE CECIL COUNTY HEALTH DEPARTMENT'S COMMUNITY HEALTH SURVEY. THE LAST COMMUNITY HEALTH SURVEY WAS CONDUCTED IN 2009. THE RESULTS OF THIS SURVEY CONFIRMED THE ONGOING PRESENCE OF THE FOLLOWING HEALTH PRIORITIES: 1) TOBACCO USE; 2) CANCER (LUNG CANCER HAVING THE HIGHEST INCIDENCE AND PREVALENCE IN THE COUNTY); 3) LIFESTYLE AND NUTRITION; AND 4) ALCOHOL AND DRUG ABUSE/ADDICTION.
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, EVERY JANUARY THE HOSPITAL PLACES AN ADVERTISEMENT IN THE LOCAL PAPER 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 THE 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 INCLUDES THE TOWNS OF ELKTON, ELK MILLS, CHILDS, CHESAPEAKE CITY, EARLEVILLE, WARWICK, CECILTON, NORTH EAST, CHARLESTOWN, AND RISING SUN IN CECIL COUNTY. THE HOSPITAL'S SECONDARY SERVICE AREA, WHERE THE HOSPITAL RECEIVES ADDITIONAL PATIENTS, INCLUDES THE TOWNS IN WESTERN CECIL COUNTY OF CONOWINGO, COLORA, PORT DEPOSIT, PERRYVILLE, AND PERRY POINT; BEAR, MIDDLETOWN, AND TOWNSEND IN DELAWARE; AND SOUTHERN CHESTER COUNTY IN PENNSYLVANIA. IN 2010, THE TOTAL POPULATION OF CECIL COUNTY WAS 101,108 PERSONS. THE POPULATION DENSITY WAS 292 PEOPLE PER SQUARE MILE. OF THE TOTAL COUNTY POPULATION, 50.3% WERE FEMALES. THE MEDIAN AGE WAS 38.9 YEARS. THE RACIAL MAKEUP OF THE COUNTY WAS 89.2% WHITE; 6.2% BLACK OR AFRICAN AMERICAN; 0.3% AMERICAN INDIAN OR ALASKAN NATIVE; AND 1.1% ASIAN. THERE WERE 36,867 HOUSEHOLDS, AND OF THIS AMOUNT, 26,681 WERE FAMILY HOUSEHOLDS. THE MEDIAN HOUSEHOLD INCOME WAS $62,427. APPROXIMATELY 8.1% OF HOUSEHOLDS AND 12.2% OF ALL PEOPLE WERE BELOW THE POVERTY LINE. THOSE PERSONS YOUNGER THAN 18 YEARS OF AGE MADE UP 18.1% OF THIS IMPOVERISHED POPULATION; WHILE, 11.1% WERE AGED 65 AND OLDER. DURING FISCAL YEAR 2011, 5.7% OF THE HOSPITAL'S PATIENTS WERE UNINSURED AND 21.7% WERE MEDICAID RECIPIENTS.UNION HOSPITAL'S TARGET POPULATION WAS EVENLY SPLIT BETWEEN MALES AND FEMALES IN 2010, SO THE COMMUNITY BENEFIT INITIATIVES TARGETED BOTH GENDERS. THE MAJORITY OF CECIL COUNTY WAS WHITE, BUT THE HOSPITAL'S INITIATIVES WERE NOT NECESSARILY BASED ON RACE/ETHNICITY; THE HOSPITAL FOCUSED ON THE HEALTH NEED VERSUS THE ETHNIC/RACIAL MAKE-UP OF THE COUNTY. WHILE THE AVERAGE AGE OF THE HOSPITAL'S PATIENTS WAS 38.9 YEARS, PROGRAMS WERE TAILORED TO FIT THE APPROPRIATE AGE GROUP, BLENDING PROGRAM DESIGN ELEMENTS WHERE APPROPRIATE. OTHER IMPORTANT FACTORS THAT INFLUENCED THE MAKE-UP OF UNION HOSPITAL'S COMMUNITY BENEFIT PROGRAMMING WERE POVERTY AND UNINSURED PERCENTAGES. IN 2010, THE MEDIAN HOUSEHOLD INCOME WAS $62,427, AND 8.1% OF ALL HOUSEHOLDS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL. ALMOST 15% OF THE RESIDENTS OF CECIL COUNTY WERE MEDICAID RECIPIENTS, AND 9.08% OF ALL RESIDENTS DID NOT HAVE HEALTH INSURANCE. CECIL COUNTY'S MORTALITY RATE WAS GREATLY INFLUENCED BY DEATHS ASSOCIATED WITH HEART DISEASE AND CANCER. AS A RESULT, UNION HOSPITAL DEVELOPED FREE SCREENING OPPORTUNITIES AND HEALTH EDUCATION INITIATIVES FOR THE COMMUNITY TO TRY TO IMPROVE MORTALITY IN THE COMMUNITY BENEFIT SERVICE AREA. UNION HOSPITAL'S PROGRAMMING WAS FOCUSED ON PROVIDING AS MUCH HEALTH EDUCATION AND ACCESS TO CARE AS POSSIBLE; HOWEVER, WITH NO PUBLIC TRANSPORTATION, A SHORTAGE OF PRIMARY CARE PROVIDERS, AND BEING A RURAL COUNTY, ACCESS TO CARE CONTINUED TO BE A BARRIER FOR HEALTH CARE DELIVERY.
PART VI, LINE 6: THE CECIL COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE IN CONJUNCTION WITH UNION HOSPITAL AND CECIL COUNTY HEALTH DEPARTMENT IDENTIFIED FOUR HEALTH PRIORITIES FOR CECIL COUNTY IN 2009: 1) CANCER, 2) TOBACCO USE, 3) LIFESTYLES AND NUTRITION, AND 4) ALCOHOL AND DRUG ABUSE/ADDICTION. UNION HOSPITAL ADDRESSED EACH HEALTH PRIORITY. THE FOLLOWING EXPLANATION DETAILS DIFFERENT ASPECTS OF THE COMMUNITY BENEFITS SERVICES UNION HOSPITAL PROVIDED TO PATIENTS IN CECIL COUNTY, ACCORDING TO THE FOUR IDENTIFIED HEALTH PRIORITIES. CANCER IN FISCAL YEAR 2011, UNION HOSPITAL PROVIDED FREE PROSTATE SCREENINGS (42) AND COLORECTAL SCREENINGS (482) TO RESIDENTS OF CECIL COUNTY. ACCESS TO THESE SCREENINGS PROVIDED PATIENTS WITH THE OPPORTUNITY TO IDENTIFY SIGNS AND SYMPTOMS OF PROSTATE AND COLORECTAL CANCERS. THESE SCREENINGS EDUCATE PATIENTS ON WHAT THE NEXT STEPS ARE IN TAKING CARE OF ILLNESS OR INFIRMARY. THE SCREENINGS ALSO GIVE UNION HOSPITAL STAFF THE CHANCE TO MAKE SURE, THROUGH FOLLOW-UP CARE, THAT PATIENTS ARE CONNECTED TO PRIMARY CARE PROVIDERS WHO WILL GUIDE THEM THROUGH THE NEXT STEPS THAT ARE NECESSARY FOR CONTINUED CARE. UNION HOSPITAL ALSO PROVIDES CANCER SUPPORT GROUPS. THROUGH 24 BREAST CANCER SUPPORT GROUP SESSIONS AND 12 I CAN COPE SUPPORT GROUP SESSIONS, PATIENTS WERE PROVIDED WITH OUTLETS TO COPE WITH THE CHALLENGES THAT ARISE FROM A CANCER DIAGNOSIS, OPPORTUNITIES ON HOW TO MANAGE THE IMPACT OF CANCER AND RECEIVE EDUCATION AND GUIDANCE ON HOW TO STAY STRONG. THE BREAST CANCER SUPPORT GROUP SERVED 269 INDIVIDUALS IN FISCAL YEAR 2011 AND THE I CAN COPE SUPPORT GROUP SERVED 135 INDIVIDUALS. TOBACCO USEIN FISCAL YEAR 2011, UNION HOSPITAL PROVIDED THE TOBACCO CESSATION PROGRAM THAT HELPED STAFF IDENTIFY SMOKERS IN THE HOSPITAL'S PATIENT POPULATION AND PROVIDE THEM WITH THE TOOLS THEY NEEDED TO EITHER QUIT SMOKING AND/OR STOP USING TOBACCO PRODUCTS. LIFESTYLES AND NUTRITION IN FISCAL YEAR 2011, UNION HOSPITAL STAFF PROVIDED NUTRITION SEMINARS AND PRESENTATIONS THROUGHOUT CECIL COUNTY IN ORDER TO IMPROVE THE QUALITY AND QUANTITY OF HEALTHY LIFESTYLE HEALTH EDUCATION IN THE COMMUNITY. THESE SEMINARS AND PRESENTATIONS PROVIDED INFORMATION AND SKILLS ON HOW TO PROVIDE PROPER NUTRITION FOR BOTH THE INDIVIDUAL AND THE FAMILY. A DIABETES SUPPORT GROUP WAS OFFERED TO COMMUNITY RESIDENTS AT UNION HOSPITAL. THIS SUPPORT GROUP MET FOR 12 SESSIONS AND SERVED 90 INDIVIDUALS THROUGHOUT FISCAL YEAR 2011. ACCESS TO THE DIABETES SUPPORT GROUP PROVIDED COMMUNITY RESIDENTS WITH EDUCATION AND CARE SUPPORT. UNION HOSPITAL'S CLINICAL AND NON-CLINICAL STAFF MENTORED STUDENTS FROM AREA COLLEGES AND UNIVERSITIES THROUGH NUTRITION AND FOOD SERVICES INTERNSHIPS IN FISCAL YEAR 2011. THESE INTERNSHIPS PROVIDED STUDENTS WITH THE OPPORTUNITY TO LEARN ABOUT AND PROMOTE HEALTHY LIFESTYLE CHOICES, IN TURN TRAINING STUDENT INTERNS ON HOW TO CONVEY THIS INFORMATION TO COMMUNITY MEMBERS AND UTILIZE SKILLS LEARNED IN FUTURE CAREERS. IN FISCAL YEAR 2011, EIGHT INTERNS COMPLETED 889 HOURS OF INTERNSHIP WORK (189 HOURS WERE REPORTED FOR COMMUNITY BENEFITS AFTER AN 80% STANDARD REDUCTION WAS TAKEN). IN JANUARY 2011, THE CECIL COMMUNITY HEALTH CENTER WAS CREATED IN PARTNERSHIP WITH CECIL COUNTY HEALTH DEPARTMENT AND AREA PRIMARY CARE PROVIDERS. THE MISSION OF THIS CLINIC WAS TO INCREASE ACCESS TO PRIMARY CARE SERVICES IN CECIL COUNTY AMONG UNINSURED OR UNDER-INSURED PATIENTS, OVERALL REDUCING THE NUMBER OF UNNECESSARY ADMISSIONS AND READMISSIONS TO UNION HOSPITAL'S EMERGENCY DEPARTMENT. FIVE PHYSICIANS AND 21 ADDITIONAL UNION HOSPITAL STAFF CONTRIBUTED 270.75 HOURS OF SERVICE TO THIS CLINIC. EIGHTY-FIVE PERSONS WERE SERVED BY THIS INITIATIVE. THE CECIL COMMUNITY HEALTH CENTER IS STILL IN OPERATION IN FISCAL YEAR 2012. UNION HOSPITAL'S EMPLOYED PHYSICIANS AND ADDITIONAL STAFF PROVIDED 450 SPORTS PHYSICALS TO STUDENTS IN THE CECIL COUNTY PUBLIC SCHOOL SYSTEM THAT DID NOT HAVE ACCESS TO PROPER PHYSICAL CARE. CHILD AND ADOLESCENT HEALTH WAS PROMOTED THROUGH THIS ACCESSIBILITY TO FREE HEALTH CARE IN THE FORM OF A SPORTS PHYSICAL. UNION HOSPITAL, IN COLLABORATION WITH CECIL COUNTY CHILD ADVOCACY CENTER, PROMOTED THE HEALTH AND WELL-BEING OF CHILDREN THROUGH ADVOCACY FOR INVESTIGATION AND ASSESSMENT OF CHILD MALTREATMENT IN CECIL COUNTY. TWO PHYSICIANS, THE HOSPITAL'S CEO AND TWO MANAGERS CONTRIBUTED A TOTAL OF 27.15 COMMUNITY BENEFIT HOURS TO PLANNING SESSIONS AND TASK FORCE MEETINGS FOR CHILD ADVOCACY IN CECIL COUNTY. A TOTAL OF 250 PERSONS WERE SERVED BY THIS INITIATIVE. ADVOCACY THROUGH THIS COLLABORATION HAS CONTINUED INTO FISCAL YEAR 2012. ALCOHOL AND DRUG ABUSE/ADDICTIONUNION HOSPITAL PROVIDED THE FOLLOWING COMPONENTS OF INITIATIVES DIRECTED AT ADDRESSING ALCOHOL AND DRUG ABUSE/ADDICTION IN CECIL COUNTY: -THE HOSPITAL FORMED A COLLABORATIVE PROJECT WITH DRUG-EFFECTED NEWBORNS; -THE HOSPITAL TRAINED SEVEN FOSTER PARENTS IN IDENTIFYING THE SIGNS AND SYMPTOMS OF NEONATAL ABSTINENCE SYNDROME (NAS), AS WELL AS THE HOSPITAL SERVICES AVAILABLE TO CARE FOR BABIES GOING THROUGH WITHDRAWAL; AND -THE HOSPITAL ALSO PROVIDED MEETING SPACE FOR ALCOHOLICS ANONYMOUS THROUGHOUT FISCAL YEAR 2011. CECIL COUNTY HEALTH DEPARTMENT PROVIDED THE MAJORITY OF INITIATIVES DIRECTED AT IMPROVING HEALTH IN THIS AREA DURING FISCAL YEAR 2011. THEY OFFERED TRADITIONAL OUTPATIENT SERVICES FOR BOTH ADULTS AND CHILDREN THAT INCLUDED: EVALUATION, GROUP TREATMENT SESSIONS AND EDUCATIONAL GROUPS; AFTERCARE PROGRAMS FOR PATIENTS WHO COMPLETED INPATIENT PROGRAMS; AND REFERRALS TO MORE INTENSIVE TREATMENTS AND OTHER COMMUNITY RESOURCES. THE CECIL COUNTY HEALTH DEPARTMENT ALSO OFFERED INFORMATION ON THE ALCOHOL AND OTHER DRUG ABUSE PREVENTION PROGRAM. THIS PROGRAM PROMOTES HEALTHY, DRUG-FREE LIFESTYLES AMONG YOUTHS AND THEIR FAMILIES THROUGH THE PROMOTION OF DRUG RESISTANCE PROTOCOL AND SELF MANAGEMENT SKILLS.
PART VI, LINE 7: 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)	2384875	CHARITABLE ACTIVITIES
UNION HOSPITAL OF CECIL COUNTY VENTURES INC
106 BOW STREET	ELKTON	MD	21921	521793691		1704472	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Club Dues Or Fees	X	ClubDuesOrFees
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	1	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)

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
0	411761	0	76262	0	140099	0	93675	0	24185	0	745982	0	0
LAURIE R BEYER CPA
0	211957	0	28035	0	13548	0	3083	0	13413	0	270036	0	0
JOSE MA
0	247578	0	33900	0	23754	0	3675	0	14138	0	323045	0	0
DAVID GIPSON
0	212938	0	26875	0	20558	0	3206	0	13509	0	277086	0	0
PETER GLOGGNER
151622	0	20158	0	13373	0	0	0	7321	0	192474	0	0	0
MARY JANE KAMPS
139310	0	20580	0	9730	0	0	0	13984	0	183604	0	0	0
NADER J DABABNEH MD
477854	0	43988	0	1399	0	0	0	19697	0	542938	0	0	0
IRFAN M HISAMUDDIN MD
350873	0	37825	0	199	0	606	0	18728	0	408231	0	0	0
JOHN M HEBEKA MD
309497	0	8992	0	332	0	3675	0	18299	0	340795	0	0	0
MICHAEL BRYWKA MD
302011	0	9170	0	6199	0	3675	0	18287	0	339342	0	0	0
ALFONSO J BASILE MD
305703	0	9400	0	510	0	3248	0	18272	0	337133	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 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) SOCIAL CLUB DUES ALL BENEFITS HAVE BEEN INCLUDED IN TAXABLE WAGES.
PART I, LINE 4B	THE ORGANIZATION'S PRESIDENT & CEO, DR. KENNETH LEWIS, PARTICIPATES IN A SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLAN UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE. $90,000 HAS BEEN CONTRIBUTED TO THE PLAN EACH CALENDAR YEAR SINCE 2007 ($90,000 EACH ON 12/31/07, 12/31/08, 12/31/09 AND 12/31/10). 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. THE ENTIRE BALANCE OF THE ACCOUNT SHALL VEST AND BE PAID ON OR AFTER JANUARY 1, 2011.
PART I, LINE 6	A PORTION OF THE BONUSES AND MERIT INCREASE ARE TIED TO EXPENSES PER EQUIVALENT INPATIENT DAY OF UNION HOSPITAL OF CECIL COUNTY.
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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
COUNTY COMMISSIONERS OF CECIL COUNTY
526000919	2009-12-01	16000000	SEE PART V	0	0	0
MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
520936091	2005-07-14	31401189	SEE PART V	0	0	0	5742168A8

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund
13834447	90381	140715	13672373	2165553	2010	1	0	0	1
35836388	726046	576473	33640038		2007	0	0	1	1	927659

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	1	0	1	0.00000	0.00000	0.00000	1
0	0	1	0	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	1	0	0	0	1
BANK OF AMERICA
0	0	1	0	0	0	NA	35.000000000000	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE (F)	PURPOSE OF BOND	ISSUE A: THE PURPOSE OF THE ISSUE WAS FINANCING AND REFINANCING THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES. A PORTION OF THE ISSUE REFUNDED INTERIM TAXABLE INDEBTEDNESS THAT WAS INCURRED ON OCTOBER 2, 2009. ISSUE B: THE PURPOSE OF THE ISSUE WAS FINANCING AND REFINANCING THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES.
PART II, LINE 3	DIFFERENCE IN PROCEEDS	ISSUE A: THE DIFFERENCE IN PROCEEDS REPORTED ON PART II, LINE 3 AND PART I, COLUMN (E) FOR ISSUE A IS DUE TO $2,165,553 OF FUNDS NOT USED AND STILL AVAILABLE. THIS AMOUNT HAS NOT BEEN RECORDED ON THE BALANCE SHEET AS OF JUNE 30, 2011. ISSUE B: 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 B: 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 B: 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.
PART IV, LINE 5	TEMPORARY PERIOD	ISSUE A: THE PROCEEDS USED TO REFUND THE TAXABLE DEBT WERE NOT INVESTED BEYOND THEIR TEMPORARY PERIOD. THE PROCEEDS USED FOR "NEW MONEY" EXPENDITURES PROJECTS ARE STILL SUBJECT TO THEIR TEMPORARY PERIOD.
PART IV, LINE 6	EXCEPTION TO REBATE	ISSUE A: THE PORTION OF THE ISSUE USED TO REFUND THE TAXABLE DEBT QUALIFIED FOR AN EXCEPTION TO REBATE. THE REMAINDER OF THE ISSUE MAY QUALIFY FOR AN EXCEPTION TO REBATE BUT IT IS TOO EARLY TO MAKE THAT CONCLUSION.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 FINANCE COMMITTEE OF THE ORGANIZATION REVIEWS THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
	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 12C
	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, 2011, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED THE FOLLOWING SERVICES: EXECUTIVE COMPENSATION AND PERFORMANCE EVALUATION.	FORM 990, PART VI, SECTION B, LINE 15
	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
AVERAGE HOURS PER WEEK	AVERAGE HOURS PER WEEK LISTED IN PART VII ARE FOR THIS LEGAL ENTITY ONLY. BOARD MEMBERS, OFFICERS AND CERTAIN KEY EMPLOYEES ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. TOTAL AVERAGE HOURS PER WEEK FOR THESE INDIVIDUALS FOR ALL RELATED ORGANIZATIONS ARE AS FOLLOWS: PRESIDENT/CEO KENNETH S. LEWIS - 40 HOURS SENIOR VP/CFO LAURIE R. BEYER - 40 HOURS SENIOR VP/COO DAVID GIPSON - 40 HOURS VP OF MEDICAL AFFAIRS JOSE MA - 40 HOURS BOARD MEMBERS - 1 HOUR	FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 5,471,400. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION & SUBSIDIARY -141,949. TOTAL TO FORM 990, PART XI, LINE 5: 5,329,451.	FORM 990, PART XI, LINE 5:

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
UNION HOSPITAL OF CECIL COUNTY VENTURES INC
106 BOW STREET	ELKTON	MD	21921	521793691	MEDICAL SERVICES	MD	N/A	C
CECIL COUNTY ANESTHESIOLOGISTS INC
106 BOW STREET	ELKTON	MD	21921	521886386	INACTIVE	MD	N/A	C
EMERGENCY MEDICAL SPECIALISTS OF CECIL COUNTY
106 BOW STREET	ELKTON	MD	21921	521881684	INACTIVE	MD	N/A	C

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
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