2011-05-12T09:06:14-04:00 2010-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2009-07-01 521362793 University of Maryland Medical System Corp UNIV 4103281375 22 South Greene Street Baltimore MD 21201 Henry J Franey 2011-05-10 7032868000 2009 2016-02-24 21:20:13Z University of Maryland Medical Ctr Robert Chrencik 110 S Paca Street Baltimore MD 21201 1252789416 false X www.umms.org X 1984 MD UMMS PROVIDES A VARIETY OF INPATIENT/OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SERVICES PROVIDED. 22 20 8216 852 4144807 -1227872 9285387 10195000 1095537773 1172457596 -3040894 20001860 39618215 45784958 1141400481 1248439414 0 106000 0 0 473970007 507488544 0 0 0 649889422 695408285 1123859429 1203002829 17541052 45436585 1830600334 2108852632 1336499019 1565518622 494101315 543334010 UMMS PROVIDES A VARIETY OF INPATIENT/OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SERVICES PROVIDED. false false 1022341166 1172457596 UMMS, A PRIVATE, NON-PROFIT HEALTH SYSTEM, CONSISTS OF 11 HOSPITALS - THE UNIVERSITY OF MARYLAND MEDICAL CENTER (UMMC), THE ACADEMIC "HUB" - AND THE 10 COMMUNITY AND SPECIALTY HOSPITALS THROUGHOUT THE STATE OF MARYLAND. UMMC IS A NATIONAL AND REGIONAL REFERRAL CENTER FOR TRAUMA, CANCER CARE, NEUROCARE, CARDIAC CARE AND HEART SURGERY, WOMEN'S AND CHILDREN'S HEALTH AND ORGAN TRANSPLANTS. IT HAS ONE OF THE MOST TECHNOLOGICALLY ADVANCED OPERATING ROOM FACILITIES AND IS INTERNATIONALLY RECOGNIZED FOR ITS LEADERSHIP IN DEVELOPING AND PERFORMING MINIMALLY INVASIVE SURGICAL PROCEDURES. UMMS PROVIDES CHARITY CARE TO PATIENTS UNABLE TO PAY. 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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 8.73% AND 23.76% 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. 59009620 59009620 760550776 329163939 431386837 3348127 2893450 454677 457793109 329519124 128273985 59786811 482393 59304418 678429537 OF UMMS FOUNDATION 52158437 DEFERRED FINANCING COSTS 8661119 ASSETS WHOSE USE IS LIMITED 274700567 INVESTMENT IN SUBSIDIARIES 138069072 OTHER RECEIVABLES 39055737 NOTES RECEIVABLE 347356449 860001381 0 ADVANCES FROM 3RD PARTY PAYORS 61987976 OTHER LIABILITIES 105345499 INT RATE SWAPS MARK TO MARKET 128574902 295908377 SCHEDULE D, PART X FIN 48 FOOTNOTE PER AUDIT REPORT THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48) ON JULY 1, 2007. FIN 48 PRESCRIBES 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. FIN 48 ALSO RECOGNIZES RELATED GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES AND DISCLOSURE. THE IMPLEMENTATION OF FIN 48 DID NOT HAVE A SIGNIFICANT IMPACT ON THE CORPORATION'S BALANCE SHEET OR STATEMENT OF OPERATIONS. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS THAT SHOULD BE RECOGNIZED. true true true X true X 500. true true true false true true 33947933 33947933 0.02900 33947933 33947933 0.02900 731951 731951 0.00060 93668168 93668168 0.08010 18012322 10531859 7480463 0.00640 186022 186022 0.00020 112598463 10531859 102066604 0.08730 146546396 10531859 136014537 0.11630 17463 17463 131748 131748 0.00010 1601 1601 201863 201863 0.00020 352675 352675 0.00030 true 76038465 289305365 224196239 65109126 X true true University of Maryland Hospital

22 S Greene Street Baltimore MD 21201

X X X X X Greenebaum Cancer Center

22 S Greene Street Baltimore MD 21201

X X Shock Trauma Center

22 S Greene Street Baltimore MD 21201

X X X UniversityCare Shipley's Choice

8601 Veterans Highway Ste 111 Millersville MD 21108

Healthcare clinic Univ Pediatric Specialists Bel Air

North Park Center Unit 423 4C Nort Bel Air MD 21014

Healthcare clinic UniversityCare Edmondson Village

4538 Edmondson Ave Baltimore MD 21229

Healthcare clinic UniversityCare Waxter Center

1000 Cathedral Street Baltimore MD 21201

Healthcare Clinic Univ Specialists Shipley's Choice

8601 Veterans Highway Suite 110 Millersville MD 21108

Healthcare clinic An annual Community Benefit Report is prepared for each fiscal year ending June 30. This report is submitted 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. Schedule H, 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. Schedule H, 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. Schedule H, 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. Schedule H, 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 3: The organization does not code charity care and bad debt expense into the same general ledger account. Charity Care is booked to a separate account and is classified as a "Deduction from Revenue." As such it is netted against Total Patient Revenue in arriving at Net Patient Revenue on the entity's income statements. Bad Debt Expense is booked to a separate account on the general ledger and does not include any other uncompensated care amounts. 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. In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. 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. The organization expects payment at the time the service is provided. Our policy is to comply with all state and federal law and third party regulations and to perform all credit and collection functions in a dignified and respectful manner. Emergency services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the Financial Assistance Policy. The organization does not discriminate on the basis of age, race, creed, sex or ability to pay. Patients who are unable to pay may request a Financial Assistance application at any time prior to service or during the billing and collection process. The organization may request the patient to apply for Medical Assistance prior to applying for financial assistance. The account will not be forwarded for collection during the Medical Assistance application process or the Financial Assistance application process. UMMC uses a variety of credible sources to identify community needs. Local, state, and federal assessments and reports are utilized to address and prioritize community needs. The primary source of information for identifying the health needs of Baltimore city is the 2008 Baltimore City Health Status Report, which is produced by the Baltimore City Health Department. This report outlines Baltimore's prevalence on eight major health categories as well as mortality and leading causes of death. While the focus of this report is on city-wide indicators, there are also numerous comparisons to state-wide and national prevalence rates as well. The national leading health indicators from Healthy People 2010 were also incorporated as a framework into community health programming for this year. The Baltimore City's Health Disparities Report Card was released in May 2010 and was also reviewed at the close of FY2010. This report will be used heavily for FY2011 outreach programming based on its release date late within this reporting period. Additional reports, data, alerts, and public health trends are followed as well from the Centers for Disease Control (as in the H1N1 Fall '09 season), US Dept of Health and Human Services, and locally with B'more Healthy Babies to name a few. In 2008, the Maryland Hospital Association conducted a Maryland Public Opinion Survey on attitudes toward hospitals and health care. The public rated their top health care concerns as quality of care, cost and access, more nursing staff, and reducing infections as their top priorities. This type of survey gives an initial insight into top-of-mind health concerns of the public, although they differ from the identified health needs. In addition to these formal reports, UMMC has a long standing relationship with the Baltimore City Health Department. This promotes ongoing and real-time communication on a variety of health issues for the city. UMMC staff participates in a variety of city-wide coalitions with the health department as the lead agency, such as the Tobacco Coalition, Cancer Coalition, and Flu Coalitions. This participation promotes a broader understanding of community needs with other community leaders, providers, and community organizations. UMMC sponsored a community stakeholder meeting in September 2009 and invited over 100 community and faith-based organizations to address the H1N1 epidemic. Speakers included experts from DHMH, Dr. Anne Bailowitz from the Baltimore City Health Department, and epidemiologists from UMMC and were part of an expert panel to address community concerns. This is a specific example of how UMMC responded to an urgent public health need in FY'10 in addition to our regular health promotion and outreach programming. UMMC commissioned the Jackson Organization to conduct a telephone market research survey of consumers living in its service area. Interviews were conducted with the household's main healthcare decision maker from June 10 through July 1, 2005. These interviews were conducted with residents in a number of zip codes (see Chart 1 below). The survey was conducted to develop a profile of the health status, concerns, and needs of the community served by UMMC. The geographic areas under investigation were the following: West Baltimore (Zip Codes 21207, 21211, 21215, 21216, 21217, 21223, 21225, 21229, 21230). Sample percent 48%. Households in area - 138,431. Other Baltimore City (Zip Codes 21202, 21206, 21212, 21213, 21218, 21224, 21239). Sample percent 28%. Households in area - 107,542. Surrounding (Zip Codes 21045, 21093, 21117, 21144, 21208, 21227, 21228). Sample percent 24%. Households in area - 100,635. Total households in area = 346,608. Source: The Jackson Organization UMMC 2005 Needs Assessment The Financial Assistance Policy is posted in all registration areas, either on the wall or tent signs in registration waiting areas, including the Emergency Room, Shock Trauma, Admitting, Outpatient, Specialty Clinic Areas. If a patient inquires about financial assistance during the registration process, the staff provides the PFS contact information to the patient. In addition, the Maryland Hospital Patient Information Sheet is provided with each hospital bills (Maryland Summary Bills & patient statements). This sheet includes the following statements : (1)The facility provides healthcare services to those in need regardless of an individual's ability to pay, (2) The facility will work with the uninsured to gain an understanding of each patient's financial resources, (3) The facility provides assistance with enrollment for publicly funded entitlement programs. In addition, patients are informed that they may qualify for free or reduced cost of medically necessary care. Lastly, the Self Pay team at Patient Financial Services provides financial counseling and clearance while patients are screened for their services. In addition, the Customer Service team advises and coordinates efforts with Self Pay team, for any patient/guarantor calling in, stating financial hardship. The University of Maryland Medical Center (UMMC) serves Baltimore City and the greater metropolitan region, including patients with in-state and out-of-state referrals for tertiary and quaternary care. UMMC is a private, non-profit acute care hospital and is affiliated with the University of Maryland School of Medicine, as well as the surrounding professional schools on campus. It is the second leading provider of healthcare in Baltimore City and the state of Maryland, and has served the state's and city's populations since 1823. According to 2010 population estimates by Claritas - Nielsen Company, Baltimore City's population was at 634,206. Forty-one percent of UMMC's patients reside in Baltimore City. While UMMC serves all of Baltimore City, many of the patients reside in West Baltimore City. According to the 2010 population estimate again from Claritas - Nielsen Company, African Americans or Blacks make up 63% of Baltimore City's population. Caucasians comprise 32.6% of the population followed by Hispanic or Latino representing 2.8%. The remaining racial makeup is comprised of Asian, American Indian, Native Hawaiian/Pacific Islanders and other races. The total population is shown in the chart below. 2010 Estimated Population by Single Race Class Caucasian - 200,212 31.57% African America or Black - 400,614 63.17% American Indian and Alaskan Native - 2,094 .33% Asian - 12,692 2.00% Native Hawaiian & Other Pacific Island - 254 0.04% Some Other Race - 6,220 .098% Two or more races - 12,120 1.91% 2010 Estimated Population Hispanic or Latino by Origin Not Hispanic or Latino - 616,754 97.25% Hispanic or Latino - 17,452 2.75% Source: 2010 estimate = Claritas; Neilsen Company Forty-six percent of Baltimore City households reported an income of less than $35,000 in 2010 according to the Nielsen Company. Statewide, 20% of households reported an income in this range. The 2010 median household income in Baltimore City for all races was $39,366; approximately half of the statewide median income which is $70,825. 2010 Estimated HH's by HH Income Income less than $15,000 52,970 21.31% Income $15,000 - $24,999 31,306 12.59% Income $25,000 - $34,999 28,977 11.66% Income $35,000 - $49,999 37,968 15.27% Income $50,000 - $74,999 42,120 16.94% Income $75,000 - $99,999 24,467 9.84% Income $100,000 - $124,999 12,545 5.05% Income $125,000 - $149,999 6,618 2.66% Income $150,000 - $199,999 5,764 2.32% Income $200,000 - $499,999 4,668 1.88% Income $500,000 and more 1,207 0.49% 2010 Estimated Average Household Income - $54,660 2010 Estimated Median Household Income - $39,366 2010 Estimated Per Capita Income - $21,745 Source: 2010 estimate = Claritas; Neilsen Company In 2007, the U.S. Census Bureau Poverty Threshold stated a family of four with two adults and two children under 18 years would be considered "below poverty" if their annual income was less than $21,027. Three times as many families living in Baltimore City had an income that was below the poverty level compared to Maryland families in 2007. More than three-quarters of Baltimore City residents of all races were above the poverty level, however, African American residents of Baltimore City were almost two times more likely than Caucasian residents to have a median income below the poverty level. Source: Baltimore City Health Status Report 2008 In FY2010, University of Maryland Medical Center had over 38,000 discharges. Approximately 20% of the hospital's discharges had Medicaid as a financial payor. Ten percent of the patients are considered uninsured. In 2006, heart disease, cancer and cerebrovascular disease were the top three leading causes of death in Baltimore City and nationwide. There were 7,017 deaths among Baltimore City residents, resulting in an all-cause mortality rate of 1083.4 per 100,000. There were 3,554 deaths from the top three causes of death which accounted for 51% of all deaths in Baltimore city. Among race/ethnic groups, African Americans had the highest mortality rate both in Baltimore and statewide. Source: 2008 Baltimore City Health Status Report UMMC has sponsored numerous community building activities aimed at supporting and developing the workforce internally and externally, creating jobs, and partnering with community-based organizations to encourage employees to purchase homes in Baltimore City. Our programs are based on the following three major goals: " Create career advancement and skill enhancement opportunities for UMMC employees " Provide employment opportunities for the unemployed and underemployed within our community " Introduce youth to careers in healthcare These programs include: the Live Near Your Work, Pathways to Success, Healthcare Career Alliance, and a variety of other career development programs. All of these programs focus on workforce development which, in turn, provides greater opportunities for individuals and promotes and sustains financially healthier communities. Additional community building initiatives include our environmental improvements aimed at reducing our waste stream and initiating recycling in all areas of the medical center. UMMC also sponsors a Farmer's Market weekly from May through October which hosts over 16 vendors. This community service is in its 2nd year and strives to bring healthy, fresh produce, dairy, and meat to the West side of Baltimore. Now accepting WIC coupons enables our vulnerable populations to participate as well. Intentionally left blank University of Maryland Medical System (UMMS) created the University of Maryland Community Outreach and Advocacy team that meets bi-monthly to address the health care needs of the West Baltimore community. The group is comprised of community outreach management and staff, social workers, directors, vice presidents, and physicians from UMMS system hospitals. The group determines what needs are addressed as well as community involvement and activities each year. UMMC participates in this Advocacy Team and representatives communicate priorities to the medical center. In addition to the identified UMMS priorities, UMMC senior leaders and community outreach staff meet to determine annual goals and activities. UMMC was a major participant and sponsor in the three annual UMMS outreach activities described below. Major Community Benefit Programs - hosted by the UMMS Community Advocacy Team which UMMC participated in as a major partner Fall Back into Good Health Fall Back into Good Health is an annual event focused on improving health in the West Baltimore community. This year's event was held on the west side of Baltimore City at the University Park across from the UMMC in September 2009. We choose this particular location because of the convenient accessibility to all forms of public transportation and local businesses. From community resources, to on-site screening for vascular disease and glaucoma, to prevention and wellness information, and testing for cholesterol, HIV, and diabetes, this event had it all! Free prostate screenings and flu shots were also offered to participants. The attendees could feel free to ask questions about specific heath concerns, and how to access care. The event had 876 people registered, over 110 men received prostrate screening which identified 10% of men who needed to return for follow-up, and over 150 vaccinated. From the HeartAn Afternoon of Heart Health and Education for the Entire Family The UMMS Community Outreach and Advocacy team, hosted "From the Heart, An Afternoon of Heart Heath Education for the Entire Family," The event was held at the Reginald F. Lewis Museum of Maryland African American History and Culture in recognition of National Heart Month in February 2010 and drew hundreds of Baltimore City community members. We emphasized the importance of living a heart healthy lifestyle by offering heart-related health screenings and information, stroke and diabetes prevention, and fun heart-related activities for children. The main attraction of the day was the heart-healthy cooking demonstrations, by 3 well known Baltimore chefs, while the chefs prepared healthy dishes, Yvette Rooks, M.D. presented mini- health seminars on the importance of maintaining a healthy lifestyle with food choices, portion control, and preparation. Spring into Good Health The spring event was very similar to the Fall Back event with free screenings, health and wellness information, exercise demonstrations, and more. This event was held at Mondawmin Mall in April 2010 and was well attended. In addition to UMMC's participation and leadership with the above UMMS events, UMMC led several large community events and a wide variety of smaller community and faith-based health fairs. MD true UNIVERSITY SYSTEM OF MARYLAND FOUNDATION 3300 Metzerott Rd ADELPHIA MD 20783 521125663 501(c)(3) 12500 GENERAL ASSISTANCE STATE LEGISLATIVE LEADERS FOUNDATION 1645 FALMOUTH RD CENTERVILLE MA 026322931 237148478 501(c)(3) 12500 GENERAL ASSISTANCE CORRIGAN SPORTS ENTERPRISES 6725 SANTA BARBARA CT ELKRIDGE MD 21075 522214250 10000 GENERAL ASSISTANCE UMBF INC 100N GREENE ST BALTIMORE MD 21201 311678679 501(c)(3) 25000 GENERAL ASSISTANCE THE LIVING LEGACY FOUNDATION 1730 TWIN SPRINGS RD BALTIMORE MD 21227 521736533 501(c)(3) 6000 GENERAL ASSISTANCE BALTIMORE AREA COUNCIL BSA 701 WYMAN PARK DR BALTIMORE MD 21211 520591572 501(c)(3) 10000 GENERAL ASSISTANCE 11 1 Part I, Line 2 University of Maryland Medical System makes contributions to organizations in support of its overall mission of health promotion in the community it serves. 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SUCH BENEFITS ARE CAPPED AT $7,000, $5,000 OR $3,000 DEPENDING ON JOB TITLE AS DESCRIBED IN THE PROGRAM DOCUMENTS. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE OF CONTROL PAYMENTS Trent C Smith received a severance payment of $301,274 during 2009. The amount is included in Schedule J, Part II, Column B(iii). SCHEDULE J, PART I, LINE 4B Supplemental, Nonqualifed Retirement Plan The following individuals participate in a section 457(f) supplemental, nonqualified retirement plan ("the Plan") sponsored by the filing organization or a related organization: ROBERT K ALLEN MEGAN M ARTHUR JOHN W ASHWORTH ALISON G BROWN HERBERT C BUCHANAN JON P BURNS ROBERT A CHRENCIK BARBARA DEMARTIN RICK E DUNNING HENRY J FRANEY MARK KELEMAN KEITH D PERSINGER JEFFREY A RIVEST GLENN F ROBBINS MARK L WASSERMAN LISA C ROWEN TRENT C SMITH JONATHAN E GOTTLIEB GERALD WOLLMAN In addition, the following individuals became vested in or received payments from the plan that have been reported on Schedule J, Part II, column B(iii) ALISON BROWN 31,759 HENRY J FRANEY 63,576 KEITH PERSINGER 41,337 Robert K Allen 86,174 Megan M Arthur 112,251 MARK L WASSERMAN 68,867 Glenn F Robbins 133,773 JEFFREY A RIVEST 281,052 TRENT C SMITH 87,441 MHHEFA 520936091 2003-12-17 36175000 Advance Refunding false false MHHEFA 520936091 2008-06-25 142715000 Current refunding false false MHHEFA 520936091 2006-10-24 45000000 New Money false false MHHEFA 520936091 574217G74 2007-09-05 96445000 Advance Refunding false false MHHEFA 520936091 574217G82 2007-09-05 41350000 Advance Refunding false false 39175000 2626533 183423 false true true true 145920238 135747657 640000 true false true true 47141583 2215644 102532 44475599 2008 false false true true 98519005 94723986 529664 false true true true 49492388 47168857 266404 false true true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false false false false false false false false false true true JP MORGAN BANKAMER 27. false false false false true true JP MORGAN BANKAMER 27. false false false MT BANK ATWOOD COLLINS BOARD MEMBER 324772 SEE SCHEDULE O false QUADRAMED CORP ROBERT PEVENSETIN BOARD MEMBER 214759 SEE SCHEDULE O false TAX EXEMPT BOND ISSUE FORM 990, PART IV, LINE 24A: PURSUANT TO A MASTER LOAN AGREEMENT DATED JUNE 20, 1991 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE "CORPORATION") AND SEVERAL OF ITS SUBSIDIARIES HAVE ISSUED DEBT THROUGH THE MARYLAND HEALTH AND HIGHER EDUCATION FACILITY AUTHORITY (THE "AUTHORITY"). AS SECURITY FOR THE PERFORMANCE OF THE BOND OBLIGATION UNDER THE MASTER LOAN AGREEMENT, THE AUTHORITY MAINTAINS A SECURITY INTEREST IN THE REVENUE OF THE OBLIGORS. THE MASTER LOAN AGREEMENT CONTAINS CERTAIN RESTRICTIVE COVENANTS. THESE COVENANTS REQUIRE THAT RATES AND CHARGES BE SET AT CERTAIN LEVELS, LIMIT INCURRENCE OF ADDITIONAL DEBT, REQUIRE COMPLIANCE WITH CERTAIN OPERATING RATIOS AND RESTRICT THE DISPOSITION OF ASSETS. THE OBLIGATED GROUP UNDER THE MASTER LOAN AGREEMENT INCLUDES THE CORPORATION, UNIVERSITY SPECIALTY HOSPITAL, INC., THE JAMES LAWRENCE KERNAN HOSPITAL, INC., MARYLAND GENERAL HOSPITAL, INC., BALTIMORE WASHINGTON MEDICAL CENTER, INC., SHORE HEALTH SYSTEM, INC., CHESTER RIVER HEALTH SYSTEM, INC. AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM FOUNDATION, INC. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,013,920,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2010. ALL OF THE BONDS WERE ISSUED IN THE NAME OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. PREPARATION AND REVIEW PROCESS Form 990: PART VI, SECTION B, LINE 11: THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF KPMG. 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 KPMG TAX ORGANIZER, WHICH IS A WEB-BASED SYSTEM. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO KPMG FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, KPMG STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT KPMG 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, KPMG 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 Form 990: PART VI, SECTION B, LINE 12C: THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION, OR ANY ENTITY CONTROLLED BY OR OWNED IN SUBSTANTIAL PART BY THE ORGANIZATION. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMSC) REVIEWS THE RESPONSES FOR UMMSC, UNIVERSITY SPECIALTY HOSPITAL AND JAMES LAWRENCE KERNAN HOSPITAL. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED FOR UMMSC, UNIVERSITY SPECIALTY HOSPITAL AND JAMES LAWRENCE KERNAN HOSPITAL. WITH RESPECT TO THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION. EXECUTIVE COMPENSATION Form 990: 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 Form 990: 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. BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS Form 990: SCHEDULE L, PART IV THE ORGANIZATION USES M&T BANK FOR MANY OF ITS BANKING SERVICES. ATWOOD COLLINS IS EXECUTIVE VICE PRESIDENT OF M&T BANK AS WELL AS A BOARD MEMBER OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM. SERVICES PROVIDED BY THE BANK ARE CHARGED AT OR BELOW FAIR MARKET VALUE. ROBERT PEVENSTEIN, A BOARD MEMBER OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, IS ALSO A MEMBER OF QUADRAMED CORPORATION'S BOARD OF DIRECTORS DURING THE YEAR, UNIVERSITY OF MARYLAND MEDICAL SYSTEM PURCHASED COMPUTER SOFTWARE FROM QUADRAMED CORPORATION AT FAIR MARKET VALUE. THE MEDICAL SYSTEM CONSIDERED COMPETITORS' PRODUCTS AS WELL AND SELECTED THE SOFTWARE BASED ON ITS ATTRIBUTES THROUGH A COMPARATIVE ANALYSIS. IN KEEPING WITH THE SYSTEM'S CONFLICT OF INTEREST POLICY, MR. PEVENSTEIN EXCUSED HIMSELF FROM THE BOARD MEETING DURING THE BOARD'S CONSIDERATION OF THE PURCHASE. SCHEDULE K, PART I ISSUER A - REFUNDING/NEW MONEY: CUSIP NUMBERS 574217LP8, 574217LQ6, 574217LR4, 574217LS2, 574217LT0, 574217LU7, 574217LV5, 574217LW3, 574217LX1, 574217LY9, 574217LZ6, 574217MA0, 574217MB8, 574217MC6, 574217MD4 ISSUER B - ADVANCED REFUNDING: CUSIP NUMBERS 574217W92, 574217X26, 574217X34 ISSUER C - NEW MONEY: CUSIP NUMBERS 574217YG4, 574217YH2, 574217YJ8, 574217YK5 ISSUER A - CURRENT REFUNDING: CUSIP NUMBERS 574217Y66, 574217Y74, 574217Y82, 574217Y90, 574217Z24, 574217Z32, 574217Z40, 574217Z57, 574217Z65, 574217Z73, 574217Z81, 574217Z99, 5742172A2, 5742172B0 ISSUER B - NEW MONEY/CURRENT REFUNDING: CUSIP NUMBERS 5742175E1, 5742175F8, 5742175G6, 5742175H4, 5742175J0, 5742175K7, 5742175L5, 5742175M3, 5742175N1, 5742175P6, 5742175Q4, 5742175R2, 5742175S0, 5742175A9, 5742175B7, 5742175C5, 5742175D3 36 S Paca Street LLC 36 S Paca Street Baltimore MD 21201 562544990 RENTAL MD 1147099 13771358 Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 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