2012-03-28T14:42:32-05:00 2011-06-30 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-07-01 520607945 UNION HOSPITAL OF CECIL COUNTY INC UNIO 4103984000 106 BOW STREET ELKTON MD 219215596 LAURIE R BEYER CPA 4103984000 2012-03-26 1 JULIUS GREEN CPA 2159720701 2010 2016-02-24 21:20:13Z KENNETH S LEWIS MD JD 106 BOW STREET ELKTON MD 219215596 151478765 0 X WWW.UHCC.COM X 1903 MD PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD, AND THE SURROUNDING AREA. 16 15 1248 410 878577 -480796 977572 667518 128832816 139069390 -146067 1179680 911141 689865 130575462 141606453 2642957 4089347 0 0 61358579 63312190 0 0 0 71462890 72395699 135464426 139797236 -4888964 1809217 174781521 171527434 97849767 87457012 76931754 84070422 X 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. 0 0 136359245 4089347 138191493 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. 136359245 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 155 0 1 1248 1 1 1 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X CARLA MOORE DIRECTOR OF FINANCE 4103984000 106 BOW STREET ELKTON MD 21921 X JACK GOLDSTEIN 0.50 X X 0 0 0 MARTIN J HEALY 0.50 X X 0 0 0 RICHARD GUTTENDORF 0.50 X X 0 0 0 RONALD GRAYBEAL 0.50 X X 0 0 0 MARY BOLT PHD 0.50 X 0 0 0 PHILLIP FARMER 0.50 X 0 0 0 HARLAND GRAEF 0.50 X 0 0 0 RAYMOND HAMM 0.50 X 0 0 0 RAYMOND HEIDEL 0.40 X 0 0 0 MARTHA HOSFORD MD 0.50 X 0 0 0 HENRY PASSI 0.50 X 0 0 0 SHEELMOHAN SACHDEV MD 0.60 X 0 0 0 MICHAEL SCIBINICO 0.50 X 0 0 0 DWIGHT THOMEY 0.50 X 0 0 0 RICHARD SZUMEL MD 0.60 X 0 0 0 KENNETH S LEWIS MD JD 28.00 X X 0 628122 117860 LAURIE R BEYER CPA 26.00 X 0 253540 16496 JOSE MA 38.00 X 0 305232 17813 DAVID GIPSON 29.60 X 0 260371 16715 PETER GLOGGNER 40.00 X 185153 0 7321 MARY JANE KAMPS 40.00 X 169620 0 13984 NADER J DABABNEH MD 40.00 X 523241 0 19697 IRFAN M HISAMUDDIN MD 40.00 X 388897 0 19334 JOHN M HEBEKA MD 40.00 X 318821 0 21974 MICHAEL BRYWKA MD 40.00 X 317380 0 21962 ALFONSO J BASILE MD 40.00 X 315613 0 21520 2218725 1447265 294676 63 0 1 0 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 16 607773 59745 667518 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 139069390 1167152 1167152 32735 32735 185835 270545 -84710 -84710 -84710 9125226 456334 9300215 301552 -174989 154782 -20207 -20207 CAFETERIA/FOOD SERVICE 722210 745841 745841 PURCHASE DISCOUNTS 900099 28054 28054 UBI FROM PARTNERSHIP 541900 680 680 774575 141606453 138191493 878577 1868865 4089347 4089347 376078 376078 53266933 52923532 343401 413479 390363 23116 5467916 5418881 49035 3787784 3736087 51697 3108573 1554286 1554287 295895 295895 124400 124400 117889 117889 16662320 16401356 260964 447677 447677 22133216 22067735 65481 140054 140054 2303566 2303566 170269 161474 8795 15454 2328 13126 4074222 4074222 8715464 8715464 1830200 1830200 BAD DEBT 9542426 9542426 REPAIRS & MAINTENANCE 2076753 2076753 DUES/ACCREDITATIONS 416752 262925 153827 EMPLOYEE RELATIONS 134900 134900 PUBLICATIONS 85669 85669 139797236 136359245 3437991 0 205919 149667 3426868 6561658 16872772 16239575 2310616 1741983 1686189 1990589 1314477 1797805 156379063 76356778 84954723 80022285 53439337 54102807 5030779 4947666 5539841 3973399 174781521 171527434 10622232 11652633 83056483 71632043 4171052 4172336 97849767 87457012 X 75819074 83217623 1112680 852799 76931754 84070422 174781521 171527434 X 1809217 5329451 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1134905 1134905 69795667 22808747 46986920 691473 390705 300768 83305192 52252005 31053187 1451826 905321 546505 80022285 THIRD PARTY ADVANCES 2460368 CAPITAL LEASE OBLIGATIONS 1192154 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 519814 4172336 141606453 139797236 1809217 5471400 -141949 5329451 7138668 146818015 5471400 -259838 5211562 141606453 0 141606453 139679347 0 139679347 117889 117889 139797236 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. 1 1 1 X 1 X 0 1 1 0 1 1 2640343 2640343 0.02030 30259445 30259445 32899788 30259445 2640343 0.02030 636362 116740 519622 0.00400 241512 241512 0.00190 8241273 4866360 3374913 0.02590 421 421 0.00000 435271 126575 308696 0.00240 9554839 5109675 4445164 0.03420 42454627 35369120 7085507 0.05450 6329 6329 0.00000 5126 5126 0.00000 1931 1931 0.00000 7565 7565 0.00010 159 159 0.00000 20745 20745 0.00020 3023 3023 0.00000 72189 72189 0.00060 38710 38710 0.00030 155777 155777 0.00120 1 7796162 132535 50187786 35432577 14755209 X 1 0 1 1 UNION HOSPITAL OF CECIL COUNTY INC

106 BOW STREET ELKTON MD 21921

X X X NA 1 0 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. REPORTS FILED WITH STATES PART VI, LINE 7 MD 1 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 1 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES ASSISTANCE TO ITS AFFILIATED ENTITIES. IT DOES NOT PROVIDE GRANTS TO OTHER ORGANIZATIONS. X X X 1 1 X X X X X 0 1 0 0 0 1 0 1 0 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 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. COUNTY COMMISSIONERS OF CECIL COUNTY 526000919 2009-12-01 16000000 SEE PART V 0 0 0 MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 520936091 5742168A8 2005-07-14 31401189 SEE PART V 0 0 0 13834447 90381 140715 13672373 2165553 2010 1 0 0 1 35836388 927659 726046 576473 33640038 2007 0 0 1 1 0 0 1 0 1 0.00000 0.00000 0.00000 1 0 0 1 0 1 0.00000 0.00000 0.00000 1 0 1 0 0 0 1 0 0 1 BANK OF AMERICA NA 35.000000000000 0 0 0 0 0 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. 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. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE ORGANIZATION'S CEO REVIEWS THE SIGNED ANNUAL DISCLOSURES. THE CORPORATE COMPLIANCE OFFICER IS MADE AWARE OF ANY DISCLOSED CONFLICT, INVESTIGATES THE CONFLICT, AND REPORTS BACK TO THE BOARD OF DIRECTORS. THE BOARD CONSIDERS THE FACTS AND MAKES AN APPROPRIATE FINDING. ANY BOARD MEMBER WITH A CONFLICT MUST ABSTAIN FROM BOARD DELIBERATIONS AND VOTING ON THE MATTER. ALL VICE PRESIDENTS ANNUALLY RECEIVE A LIST OF THE INDIVIDUALS UNDER THEIR SUPERVISION WHO MAY HAVE A POTENTIAL CONFLICT OF INTEREST. THE LIST IS COMPRISED OF ALL MANAGERS, CERTAIN PROFESSIONAL STAFF WHO MAY HAVE RESPONSIBILITY NEGOTIATING WITH VENDORS, AND ANY OTHER PERSONS THAT HOSPITAL EXECUTIVES DEEM APPROPRIATE. EACH VICE PRESIDENT REVIEWS THE CONFLICT OF INTEREST POLICY WITH THEIR DESIGNATED EMPLOYEES, AND EACH EMPLOYEE IS REQUIRED TO SIGN A FORM STIPULATING WHETHER OR NOT THEY HAVE A CONFLICT. THE FORMS ARE REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES. IF A CONFLICT IS NOTED, IT IS BROUGHT TO THE ATTENTION OF THE APPROPRIATE VICE PRESIDENT AND THE CEO TO DETERMINE WHETHER OPERATIONAL CHANGES NEED TO OCCUR BECAUSE OF THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY OF THE ORGANIZATION, AS WELL AS SETTING, MONITORING AND REVIEWING THE COMPENSATION PACKAGE OF THE ORGANIZATION'S CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM. THE COMMITTEE USES RELEVANT MARKET INFORMATION, INCLUDING THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDIES OR SURVEYS, TO SET COMPENSATION. DURING THE FISCAL YEAR ENDED JUNE 30, 2011, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED THE FOLLOWING SERVICES: EXECUTIVE COMPENSATION AND PERFORMANCE EVALUATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. AVERAGE HOURS PER WEEK FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) 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 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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. 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 N/A 0 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 0 1 1 0 0 0 0 0 0 1 0 1 0 1 0 0 1 1