2012-05-14T11:09:38-04:00 2011-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2010-07-01 520679694 Chester River Hospital Center CHES 4107783300 100 Brown Street Chestertown MD 216201435 Samuel P Marinelli Jr 2012-05-07 true 2155614200 2010 2016-02-24 21:20:13Z JAMES E ROSS 100 Brown Street Chestertown MD 21620 56160103 false X WWW.CHESTERRIVERHEALTH.ORG X 1935 MD Chester River Hospital Ctr, a member of UMMS, is an integrated rural delivery system dedicated to providing excellent and caring health services and facilities to the people of the Upper Eastern Shore. 17 14 534 14 212490 -56891 450803 421096 55059451 55064765 162811 177228 312253 497014 55985318 56160103 16724 14245 0 0 30247927 29554328 0 0 168182 27007143 25463272 57271794 55031845 -1286476 1128258 48971328 49507263 25323275 21512687 23648053 27994576 AN ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF KENT AND QUEEN ANNE'S COUNTIES AND PORTIONS OF CAROLINE AND CECIL COUNTIES. false false 47259225 14245 55064765 CHESTER RIVER HOSPITAL CENTER IS A 53-BED HOSPITAL. IT IS SERVED BY APPROXIMATELY 100 ACTIVE AND CONSULTING STAFF PHYSICIANS REPRESENTING A WIDE ARRAY OF MEDICAL SPECIALTIES. THE COMMUNITY HOSPITAL, WHICH IS FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, PROVIDES INPATIENT MEDICAL SERVICES, 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, OUTPATIENT DIAGNOSTIC SERVICES, LABORATORY SERVICES, REHABILITATION, MATERNITY/BIRTHING SUITES AND ONCOLOGY TO SERVE THE LOCAL COMMUNITY'S NEEDS. THE HOSPITAL WAS ESTABLISHED IN 1935. IT IS STAFFED BY APPROXIMATELY 500 EMPLOYEES. 47259225 true true false true false false false false false false true true false true true true false true false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true false false false false true 203 0 true 534 true true true false false false false false false false false false X 17 14 false false false false true true true true true false false true true true true true true true true false MD X SAMUEL MARINELLI JR 4107783300 100 BROWN STREET CHESTERTOWN MD 216201435 X X WAYNE L GARDNER 3.0 X 0 0 0 CHARLES D MACLEOD 2.0 X 0 0 0 DAVID C BRAMBLE 2.0 X 0 0 0 JUDITH E COOPER 2.0 X 0 0 0 HENRY C JOHNSON 2.0 X 0 0 0 DAVID W KNUTSON MD 2.0 X 0 0 0 KAREN P O CONNOR 2.0 X 0 0 0 ERNEST W STRONG 2.0 X 0 0 0 ANTHONY J MOORMAN M D 2.0 X 0 0 0 GLENN F ROBBINS MD 2.0 X 0 687828 28341 JOHN W ASHWORTH 2.0 X 0 587447 24958 MARY ELLEN VALLIANT 2.0 X 0 0 0 ROBERT A CHRENCIK 2.0 X 0 1654567 198871 WILLIAM J WASHINGTON 2.0 X 0 0 0 JANE E HUKILL 2.0 X 0 0 0 GERARD S O CONNER MD 2.0 X 0 0 0 EDWIN R FRY 2.0 X 0 0 0 SAMUEL P MARINELLI JR 40.0 X 210603 0 41454 JAMES E ROSS 40.0 X 366946 24336 24685 SCOTT BURLESON 40.0 X 187007 0 38619 Mary Jo Keefe 40.0 X 138172 0 29007 DEBORAH DAVIS 40.0 X 353523 0 30306 Henry Arakaky 40.0 X 280289 0 8380 Steven Lucas 40.0 X 287637 0 31233 CHERYL DICKASON 40.0 X 236711 0 7059 JOSEPH SMITH 40.0 X 268178 0 8369 JEFFREY L JOHNSON X 19360 0 724 2348426 2954178 472006 9 true true false EAGLE HOSPITAL PHYSICIANS LLC 5901-C PEACHTREE DUNWODDY ROAD SUIT ATLANTA GA 30328 STAFFING 1185486 SODEXO INC AFFILIATES PO BOX 536922 ATLANTA GA 30353 SERVICES 420042 CHESTERTOWN PHYSICAL THERAPY 818 HIGH STREET SUITE 1 CHESTERTOWN MD 21620 THERAPISTS 399937 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 345682 CARDINAL HEALTH PHARMACY 21377 NETWORK PLACE CHICAGO IL 60673 MGMT SRVCS 345210 19 70096 351000 421096 PATIENT SERVICE REVENUE 623000 55064765 54852275 212490 55064765 177228 177228 0 0 159464 159464 159464 159464 0 0 0 0 MISCELLANEOUS REVENUE 900099 337550 337550 337550 56160103 55189825 212490 336692 0 14245 14245 0 0 1054666 924186 124481 5999 0 22023761 19297291 2601121 125349 1785005 1564170 210682 10153 2953493 2588096 348598 16799 1737403 1522457 205064 9882 0 0 0 5334 5334 0 0 4181870 2434558 1747312 0 56830 38477 18353 1515543 1507560 7983 0 1299295 1176993 122302 17467 2882 14585 0 145098 103631 41467 385351 341036 44315 0 3594311 3180965 413346 522765 522765 BAD DEBT EXPENSE 2020649 2020649 PURCHASED SERVICES 3416354 2131078 1285276 SUPPLIES 8116388 7838572 277816 PROFESSIONAL DUES & LICENSES 186017 49614 136403 55031845 47259225 7604438 168182 2642198 2046592 2146480 0 8500034 8569869 686463 581594 761082 1989339 51236413 29229501 21084340 22006912 5201000 5614000 2046000 3108000 5903731 5590957 48971328 49507263 8615235 7718647 0 0 4160155 3249402 3770767 3346322 8777118 7198316 25323275 21512687 X 22274167 26362650 20146 268670 1353740 1363256 23648053 27994576 48971328 49507263 X 1128258 3218265 X false true true X X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5334 5334 false false LOBBYING ACTIVITIES SCHEDULE C, PART II-B THE ORGANIZATION DOES NOT ENGAGE IN ANY DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 8.65% AND 24.42% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C PART IV AS LOBBYING ACTIVITIES. 478341 478341 24589825 10822137 13767688 24513890 17715779 6798111 1654357 691585 962772 22006912 ALTERNATIVE INVESTMENTS 3108000 F 3108000 DUE FROM AFFILIATES 195903 ASSETS LIMITED AS TO USE 432535 OF FOUNDATION 4962519 5590957 0 ADVANCES FROM 3RD PARTY PAYORS 1004354 MINIMUM PENSION LIABILITY 6193962 7198316 56160103 55031845 1128258 1167050 2051215 3218265 4346523 57544769 1167050 217616 1384666 56160103 56160103 53198246 -1833599 -1833599 55031845 55031845 FIN 48 FOOTNOTE PER AUDIT REPORT SCHEDULE D, PART X The organization is a subsidiary of the University of Maryland Medical System Corporation (The Corporation). The Corporation adopted the provisions of ASC 740, Accounting for Uncertainty in the Income Taxes (FIN 48) on July 1, 2007. The footnote related to ASC 740 in the Corporation's audited financial statements is as follows: The Corporation follows a threshold of more-likely-than-not for recognition and de-recognition of tax positions taken or expected to be taken in a tax return. Management does not believe that there are any unrecognized tax benefits that should be recognized. RECONCILIATION OF CHANGE IN NET ASSETS PART XI,LINE 8 CHANGE IN PENSION $1,833,599 ALLOCATION OF BENEFICIAL INTEREST FROM FOUNDATION $ 217,616 ---------- $2,051,215 Reconciliation of REVENUE Part XII, LINE 2D ALLOCATION OF BENEFICIAL INTEREST FROM FOUNDATION $ 217,616 ---------- $ 217,616 RECONCILIATION OF EXPENSES PART XIII, LINE 2D CHANGE IN PENSION BENEFITS $1,833,599 ---------- $1,833,599 true true true X true X true true false true true 3579124 3579124 0.06500 3579124 3579124 0.06500 518059 518059 0.00940 71049 71049 0.00130 4094016 616000 3478016 0.06320 23075 23075 0.00040 4706199 616000 4090199 0.07430 8285323 616000 7669323 0.13930 7636 7636 0.00010 4203 4203 0.00010 2452 2452 2145 2145 149775 149775 0.00260 166211 166211 0.00280 true 1603644 26450850 23590753 2860097 X true true NA 1 1 Chester River Hospital Center

100 Brown Street Chestertown MD 21620

X X X Chester River Hospital Center 1 true true 200. true 300. true X X X X true true X X X X X true X true X X X X X true X false true PART I, LINE 3C N/A PART I, LINE 6A CHESTER RIVER HOSPITAL PREPARES A COMMUNITY BENEFIT REPORT FOR EACH FISCAL YEAR ENDING JUNE 30, WHICH IT SUBMITS TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), A STATE REGULATORY AGENCY, BY DECEMBER 31 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AT THE ENTITY'S CORPORATE OFFICES. Part I, Line 7a, Column (d) Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Part I, Line 7b, Columns (c) through (f) Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Part I, Line 7f Column (c) 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. Part I, Line 7f Column (d) Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Part III Line 4 The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write off experience by payor category. The results of this review are then used to make modifications to the provision for bad debts and to establish an allowance for uncollectible receivables. After collection of amounts due from insurers, the Corporation follows internal guidelines for placing certain past due balances with collection agencies. MEDICARE REIMBURSES MARYLAND HOSPITALS ACCORDING TO RATES ESTABLISHED BY THE HSCRC AS LONG AS THE STATE CONTINUES TO MEET A TWO-PART TEST. THIS TWO-PART WAIVER TEST ALLOWS MEDICARE TO PARTICIPATE IN THE MARYLAND SYSTEM AS LONG AS TWO CONDITIONS ARE MET. -ALL OTHER PAYERS PARTICIPATING IN THE SYSTEM PAY HSCRC SET RATES AND -THE RATE OF GROWTH IN MEDICARE PAYMENTS TO MARYLAND HOSPITALS FROM 1981 TO THE PRESENT IS NOT GREATER THAN THE RATE OF GROWTH IN MEDICARE PAYMENTS TO HOSPITALS NATIONALLY OVER THE SAME TIME FRAME. Part V, Line 19d: Charges for Medical Care All patients are charged state regulated rates, regardless of their ability to pay. Part V, Line 21 Charges for Medical Care Due to state regulations, charges are not reduced for any payer, including commercial insurance, government payers, or uninsured patients. All charges are gross charges. Part VI, Line 2 NEEDS ASSESSMENT Chester River Hospital Center, member of Chester River Health System, did not conduct a community health needs assessment, as described by the federal reform bill in FY 2011. Such an assessment is being conducted in FY2012 and will be fully implemented in FY2013. The last time that Chester River Hospital Center participated in a formal community needs assessment was in calendar year 2008, with the full report compiled and published in May 2009 (Kent County Health Needs Assessment by Mid-Atlantic Association of Community Health Centers). This report has been utilized for the last three fiscal years to identify the needs of the community served Chester River Hospital Center, along with information provided both of our local health departments Kent and Queen Anne's counties. The information provided below reflects the standard assessment process, typically conducted each year by Chester River Hospital Center. 1. Identification of Community Health Needs: Chester River Hospital Center (CRHC) identifies the health needs for its primary service area (Kent County and northern Queen Anne's County) by utilizing the data available in the Kent County Health Needs Assessment, May 2009. Additional resources used to identify community health needs for FY 2011 include: the Maryland Department of Health and Mental Hygiene's State Improvement Plan (SHIP, http://dhmh.maryland.gov./ship); the Healthy People 2020 guidelines (http://www.cdc.gov/nchs/healthy_people/hp2010.htm), Maryland DHHS; and county health rankings (http://www.countyhealthrankings.org). These data sources are used to guide and direct the community benefit plan activities for Chester River Hospital. CRHC also used data collected from its strategic plan. During FY2010, Chester River Hospital Center completed a strategic planning process from November 2009 through April 2010. The purpose of the strategic plan was to provide direction for Chester River Health System for the next three to five years. CRHS retained the services of a consultant and formed a planning committee to develop the strategic plan. The strategic planning process gathered input and information from a variety of community sources, including: o Interviews with Board members, medical staff, management and community members/leaders o Meetings/interviews with CRHS employees o Meetings/interviews with physicians o Consumer telephone survey (500 telephone interviews with area residents) o Consumer survey (438 community members completed a printed form survey) 2. In seeking information about community health needs, what organizations or individuals outside the hospital were consulted? Chester River Hospital Center has relationships with the local health departments, including Kent County Health Department and Queen Anne's County Health Department. CRHC staff attends committee meetings at both health departments, enabling the exchange of information regarding the health of the community. CRHC also has relationships with churches/church groups and spiritual leaders, including the Chester Valley Ministries Association and the Bethel African Methodist Episcopal Church and MOTA Program. Churches and church groups often host cultural diversity activities that are targeted to educate specific minority groups on cancer, diabetes and heart disease. This allows CRHC the opportunity to collaborate with other organizations throughout Kent County to address a variety of health concerns and needs. Many of CRHC senior leadership are members of boards, community work groups and committees that target the health care needs of the community. This affords the opportunity for CRHC staff to exchange ideas and develop programs with these community organizations. Part VI, Line 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE A patient's inability to obtain financial assistance does not, in any way, preclude the patient's right to receive and have access to medical treatment at Chester River Hospital Center. Chester River Hospital Center is committed to providing excellent medical care to our patients regardless of their ability to pay for those services. This policy has been established to assist patients in obtaining financial aid when it is beyond their financial ability to pay for services received. Chester River Hospital Center's registrars provide the hospital's patient financial assistance program packet to all self-pay inpatients and outpatients at the time of registration. Emergency department patients who are self-pay also receive this packet if their condition permits. Emergency department patients who are admitted are visited by the hospital's credit and collection officer while in the hospital, and the packet is provided to them at that time. The packet is also available by request. The forms are available in English and Spanish. Signage is posted in the Emergency Department, registration and Business Office areas to notify patients of our patient financial assistance programs. Chester River Hospital Center has engaged ROI, a firm which works with patients to help them qualify for medical assistance. Part VI, Line 4 COMMUNITY INFORMATION Chester River Hospital Center (CRHC) serves the communities of Kent County and upper Queen Anne's County. CRHC also serves portions of southern Cecil County and northern Caroline County. These rural areas are populated by active farmers and small, close-knit communities. Transportation is often a barrier for access to health care services. Chester River Hospital Center's (CRHC) primary service area (PSA) and community benefit area (CBSA) are the same, which includes Kent County, along with portions of upper (northern) Queen Anne's County. CRHC also serves portions of southern Cecil County and northern Caroline County, although not part of the community benefit area or primary services area. For the purposes of this report, all information and data represent Kent County. Kent County, with a total population of 19,197, is bordered by Cecil County in the north, Queen Anne's county to the south, Delaware to the east, and the Chesapeake Bay on its west. According to the 2000 Census, the majority of the population is living in what is described as a rural area; no population is reported as living in an urban area. There were 117,372 acres of farm land reported in 2002, which makes agriculture one of the leading industries in Kent County. It has a higher percentage of the population aged 65 years and older. Kent County is unique in that nearly 21% of its residents are 65 years of age or older, which is 65% higher than Maryland's percentage and higher than other rural areas in the state by almost a quarter. This makes Kent County's population one of the oldest, aging populations in Maryland. Approximately 16% of the residents of Kent County are African-American/Black. The Hispanic population is growing, but accounts for only a small percentage of the population (approximately 546 of Hispanic origin). Nearly 30% of the population is classified as low income, with 21% without insurance. Kent County ranked number one in the state for percentage of deaths related to Alzheimer's, a disease mostly associated with the aging population. The report also noted that Kent County has a higher prevalence of hypertension, high cholesterol, obesity and diabetes than Maryland. Children living on the Eastern Shore are more likely to have dental caries, yet less likely to have dental sealant or restoration than other parts of the state. Alcohol abuse and mental health diagnoses occur at significantly higher rates than the state average, too. Key characters and statistics about Kent County's population (source Kent County Health Needs Assessment, 2009; U.S. Census Data 2000; U.S. Census Bureau, Small Area Income & Poverty Estimates, 2009): - Poverty among adults and children in Kent County has been increasing since 2000. - Kent County has one of the highest populations of residents aged 65 years and older, while the age group made of children age 18 years and younger is decreasing. -African-Americans/Blacks living in Kent County experience poverty at a disproportionately higher rate than other racial groups. -Seasonal residents and recreational visitors to Kent County aren't accounted for in official estimates, but still use county health resources, including the emergency room and EMS; county tourism board unofficial estimates about 100,000 tourists visit Kent County each year. - Nearly 40% of the population has public health insurance, such as Medicare and Medicaid; approximately 15% have no health insurance. - Kent County has a higher reported prevalence of hypertension, high cholesterol and diabetes than Maryland. - Kent County's total population of 19,197 reflects 546 people of Hispanic origin; 837 people with less than a 9th grade education; 1,942 completing 9th-12th grades, but with no diploma; and 10.7% of the population below poverty level. Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH N/A Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM Chester River Hospital is affiliated with the University of Maryland Medical System but the community benefit activities are determined locally at the hospital level. Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT Chester River Hospital Center files a community benefit report annually in the state of Maryland with the Health Services Cost Review Commission (HSCRC), a state regulatory agency. true EMPLOYEE EDUCATION 10 14245 SCHEDULE I, PART I PROCEDURE FOR GRANT MONITORING Chester River Hospital Center has written policies included in adminiStrative policies/Management of Human Resources. Assistance is provided to employees who are eligible by need/eligibility. X true true X X X false true false false false false false false false SCOTT BURLESON 162422 0 19968 0 4617 0 22880 0 15739 0 225626 0 DEBORAH DAVIS 272559 0 71140 0 9824 0 9710 0 20596 0 383829 0 GLENN F ROBBINS MD 0 478282 0 140773 0 68773 0 8607 0 19734 0 716169 Henry Arakaky 258956 0 21333 0 0 0 8380 0 0 0 288669 0 JEFFREY L JOHNSON 16938 0 0 0 2422 0 607 0 117 0 20084 0 JOHN W ASHWORTH 0 345255 0 120341 0 121851 0 8928 0 16030 0 612405 58486 Mary Jo Keefe 123701 0 10387 0 4084 0 13957 0 15050 0 167179 0 ROBERT A CHRENCIK 0 986285 0 659250 0 9032 0 179103 0 19768 0 1853438 SAMUEL P MARINELLI JR 186100 0 22800 0 1703 0 26125 0 15329 0 252057 0 Steven Lucas 257383 0 23000 0 7254 0 8832 0 22401 0 318870 0 JAMES E ROSS 253178 21098 62943 0 50825 3238 8353 750 14421 1161 389720 26247 CHERYL DICKASON 229378 0 7333 0 0 0 7059 0 0 0 243770 0 JOSEPH SMITH 247178 0 21000 0 0 0 8023 0 346 0 276547 0 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, LINE 4B During the fiscal year end June 30, 2011, the certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The individuals, listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J Part II Column (C), Retirement and Other Deferred Compensation. SCOTT BURLESON ROBERT A. CHRENCIK MARY JO KEEFE SAMUEL P. MARINELLI During the fiscal year end June 30, 2011, the certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The officers and key employees listed below have vested in the plan in a prior year, therefore the contribution to the plan for the fiscal year is reported as taxable compensation and reported on Schedule J, Part II, Column (Biii), Other Reportable Compensation. JEFFREY L. JOHNSON GLENN F. ROBBINS JAMES E. ROSS JOHN W. ASHWORTH HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES SCHEDULE J, PART I, LINE 1 UMMS EXECUTIVES RECEIVE A BENEFIT PACKAGE WHICH MAY BE USED TOWARDS HEALTH CLUB DUES OR OTHER HEALTH MAINTENANCE PROGRAMS. SUCH BENEFITS ARE CAPPED AT $7,000, $5,000 OR $3,000 DEPENDING ON JOB TITLE AS DESCRIBED IN THE PROGRAM DOCUMENTS. Maryland Health and Higher Educational Facilities 520936091 NONENONEN 2006-05-01 3952807 TAX EXEMPT BOND MHHEFA MASTER false false false Maryland Health and Higher Educational Facilities 520936091 NONENONEN 2003-12-01 4000000 TAX EXEMPT BOND MHHEFA SERIES false false false 2882783 0 3952807 0 0 0 48200 0 0 3904607 0 0 2006 false false true true 1920000 0 4000000 0 0 0 81072 0 0 3918928 0 0 2004 false false true true false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true false true false false false false false true false false false MEMBERS Part VI line 6, 7a, and 7b CHESTER RIVER HEALTH SYSTEM, INC. AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION MAY ELECT MEMBERS AND APPROVE DECISIONS OF CHESTER RIVER HOSPITAL CENTER. FORM 990 PREPARATION AND REVIEW PROCESS Part VI, Section B, Line 11 THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE GRANT THORNTON TAX ORGANIZER. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, GRANT THORNTON IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING. CONFLICT OF INTEREST POLICY Part VI, Section B, Line 12c THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. EXECUTIVE COMPENSATION Part VI, Section B, Line 15 THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. PUBLIC DISCLOSURE Part VI, Section C, Line 19 IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A COPY IS PROVIDED ON THE SAME DAY. A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT. Hours on Related Entity Disclosure PART VII The University of Maryland Medical System (UMMS) is a multi-entity health care system including 8 acute care hospitals and various supporting entities. A number of individuals provide services to various entities within the system. In general, the officers and key employees of UMMS average in excess of 40 hours per week serving the different entities the comprise UMMS. SECURED MORTGAGE NOTES PAYABLE Part X, Line 23 FARMERS HOME ADMINISTRATION LOAN AND MHHEFA POOLED LOAN WERE USED TO ADD ADDITIONS TO THE HOSPITAL. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN/LOSS $1,167,050 CHANGE IN PENSION BENEFITS $1,833,599 ALLOCATION OF BENEFICAL ASSETS FROM THE FOUNDATION $ 217,616 ---------- $3,218,265 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GLENN F ROBBINS MD TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN W ASHWORTH TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT A CHRENCIK TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES E ROSS TITLE:PRESIDENT & CEO HOURS:5 Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 521756326 Health Care MD 501(c)(3) 11 BWMS Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie MD 21061 521830243 Health Care MD 501(c)(3) 11 BWMS Baltimore Washington Medical Center Inc 301 Hospital Drive Glen Burnie MD 21061 520689917 Health Care MD 501(c)(3) 3 BWMS 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Inc 2200 Kernan Drive Baltimore MD 21207 520591639 Health Care MD 501(c)(3) 3 UMMSC Shipley's Choice Medical Park Inc 22 South Greene Street Baltimore MD 21201 043643849 Real Estate MD 501(c)(2) UMMSC UMMS Foundation Inc 22 South Greene Street Baltimore MD 21201 522238893 Fundraising MD 501(c)(3) 11 UMMSC University of MD Medical System Corp 22 South Greene Street Baltimore MD 21201 521362793 Health Care MD 501(c)(3) 3 UMMSC University Specialty Hospital 520882914 Health Care 501(c)(3) 3 UMMSC Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie MD 21061 522000762 Health Care MD NA n/a Central Maryland Radiology Oncology 10710 Charter Drive Columbia MD 21044 270879418 Health Care MD NA n/a Central MD Rehabilitation Center LLC 22 South Greene Street Baltimore MD 21201 521939987 Health Care MD NA n/a Helen P Denit Cancer Treatment Center 22 South Greene Street Baltimore MD 21201 522283591 Health Care MD NA n/a Innovative Health LLC 29165 Canvasback Drive Suite 100 Easton MD 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21601 521363201 Real Estate MD NA C Corp University Lithotripter Inc 22 South Greene Street Baltimore MD 21201 521451021 Health Care MD NA C Corp UMMS Self Insurance Trust 22 South Greene Street Baltimore MD 21201 526315433 Insurance MD NA Trust Terrapin Insurance Company PO Box 1109 Grand Cayman Cayman Islands CJ KY1-1102 980129232 Insurance CJ NA C Corp NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD NA C Corp false false true true false false false false false false true true true true true true false false