2024-05-13T14:38:23+00:00 2023-06-30 346565596 Ernst & Young US LLP 1101 New York Avenue NW Washington DC 20005 990 2022-07-01 520679694 Chester River Hospital Center Inc CHES 4108221000 100 Brown Street Chestertown MD 21620 PAUL NICHOLSON SVP, Finance 2024-05-13 true PAUL NICHOLSON 999009999 true Justin Lowe P01866796 2023276000 2022 2023-04-26 12:10:37Z UM Shore Medical Center at Chestertown KENNETH D KOZEL 100 Brown Street Chestertown MD 21620 53823116 false X WWW.UMMS.ORG/SHORE X 1935 MD CHESTER RIVER HOSPITAL CENTER (CRHC) IS AN ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF KENT AND QUEEN ANNE'S COUNTIES AND PORTIONS OF CAROLINE AND CECIL COUNTIES. 22 16 211 104 0 0 786069 401522 51186328 48386990 430094 24816 232394 1121924 52634885 49935252 0 0 0 0 13976233 13399172 0 0 0 29684082 30378813 43660315 43777985 8974570 6157267 77280686 78843769 21219623 13815565 56061063 65028204 CHESTER RIVER HOSPITAL CENTER (CRHC) IS AN ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF KENT AND QUEEN ANNE'S COUNTIES AND PORTIONS OF CAROLINE AND CECIL COUNTIES false false 28881524 0 49352240 CHESTER RIVER HOSPITAL CENTER, INC. (DOING BUSINESS AS UNIVERSITY OF MARYLAND SHORE MEDICAL CENTER AT CHESTERTOWN) IS A 5-BED HOSPITAL. IT IS SERVED BY APPROXIMATELY 200 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, AND ONCOLOGY TO SERVE THE LOCAL COMMUNITY'S NEEDS. THE HOSPITAL WAS ESTABLISHED IN 1935. IT IS STAFFED BY APPROXIMATELY 200 EMPLOYEES. 28881524 true true false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 0 0 211 true false false false false false false false false false false false false X 22 16 false false false false true true true true true false false true true true true true true false false false MD X JENINE WARNKE 4434625811 900 ELKRIDGE LANDING ROAD - 3 EAST LINTHICUM MD 21090 David Milligan Chairman 1.0 4.0 X X 0 0 0 Kathy Deoudes Vice Chairman 1.0 4.0 X X 0 0 0 KENNETH D KOZEL President and CEO 1.0 46.0 X X 0 894808 17670 Art Cecil III Director 1.0 4.0 X 0 0 0 Catherine Burton Director 1.0 4.0 X 0 0 0 Charles Capute Director 1.0 5.0 X 0 0 0 Chris Parry DO Director 1.0 44.0 X 0 266425 32221 Eugene Newmier DO Director 1.0 4.0 X 0 0 0 Garrett Falcone Director 1.0 4.0 X 0 0 0 J Wayne Howard Director 1.0 4.0 X 0 0 0 Jane Wang Director 1.0 4.0 X 0 0 0 John W Ashworth III Director 1.0 4.0 X 0 0 0 Keith McMahan Director 1.0 7.0 X 0 0 0 Kenny Kreiser Director 1.0 4.0 X 0 0 0 KIM R HERMAN MD Director 1.0 44.0 X 0 417489 23487 Kristin Jones-Bryce Director 1.0 44.0 X 0 606290 43868 MOHAN SUNTHA MD Director 1.0 59.0 X 0 4360614 41855 Robert Roth Director 1.0 4.0 X 0 0 0 S Michelle Lee Director (Ended 6/2023) 1.0 47.0 X 0 1279041 34610 Stephen Satchell Director 1.0 4.0 X 0 0 0 Thomas Stauch MD Director 1.0 44.0 X 0 955963 13001 Tom Seip Director 1.0 4.0 X 0 0 0 William B Noll Director 1.0 4.0 X 0 0 0 JoAnne R Hahey SVP Finance, CFO and Treasurer 1.0 46.0 X 0 453458 24149 Pamela Addy Secretary (Ended 07/22) 1.0 43.0 X 0 318442 23795 William E Huffner MD SVP and CMO 1.0 41.0 X 0 650540 22187 Brande R Rhodes Nurse 40.0 0 X 187256 0 11118 Cassandra A Bilbrough Nurse Coordinator 40.0 0 X 193629 0 11551 Chandra Dye Adminisrtative Supervisor 40.0 0 X 176062 0 27328 Eden C Kinser Staff Nurse 40.0 0 X 169594 0 30241 Radine M Haynes Clinical Nurse 40.0 0 X 340908 0 8221 1067449 10203070 365302 26 false true false MD EMERGENCY MEDICAL NETWORK 250 W Pratt Street BALTIMORE MD 21201 PHYSICIAN SERVICES 2782174 HEALTHCARE SERVICES GROUP INC PO BOX 829677 PHILADELPHIA PA 191829677 Healthcare Services 601669 TIDEWATER ANESTHESIA ASSOCIATE PO BOX 1208 EASTON MD 21601 Physician Services 449540 Choptank Community Health System PO Box 448 Preston MD 216550448 Healthcare Services 200967 Arup Lab PO Box 27964 Salt Lake City UT 84127 Lab Services 167014 7 239320 141836 20366 401522 Program Service Revenue CRC 622110 48386990 48386990 0 0 0 0 0 0 48386990 62915 0 0 62915 276643 119969 156674 0 156674 0 0 156674 3729796 3767895 -38099 0 -38099 0 0 -38099 Insurance Recoveries 900099 963753 963753 0 0 Other Revenue 900099 1497 1497 0 0 0 0 0 0 965250 49935252 49352240 0 181490 X 0 0 11090653 5938090 5152563 0 311699 166888 144811 0 1203457 644348 559109 0 793363 424778 368585 0 2310 0 2310 0 6383 0 6383 0 8378810 7549062 829748 0 5194 2781 2413 0 152718 81767 70951 0 1082268 579461 502807 0 21313 11411 9902 0 3149 1686 1463 0 2602843 1393598 1209245 0 945494 909970 35524 0 Shared Services 10887384 5829257 5058127 0 Bad Debt 2474385 2474385 0 0 Medical Supplies 1787831 1787831 0 0 Repairs/Maintenance 478715 256311 222404 0 1550016 829900 720116 0 43777985 28881524 14896461 0 309592 0 4230829 4097098 0 0 0 0 711816 490382 23028 10565 59819788 50049795 11190166 9769993 48186773 53900236 395000 1346000 0 12233482 9229495 77280686 78843769 14004247 8822294 31182 32820 0 0 7184194 4960451 21219623 13815565 X 50194670 58904151 5866393 6124053 56061063 65028204 77280686 78843769 X 6157267 558255 2251619 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2310 2310 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY HE 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 2.36% AND 27.29% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C PART II-B AS LOBBYING ACTIVITIES. 417951 417951 36850719 29581694 7269025 21062369 19490549 1571820 1488749 977552 511197 9769993 ECONOMIC INTEREST IN FND 7975857 OTHER RECEIVABLES 1037317 Construction funds LT Asset Financing Lease Due From Affiliates 36143 Other LT Assets - Land held for sale 180178 9229495 ENVIRONMENTAL REMEDIATION 629279 ADVANCES FROM THIRD PARTY PAYORS 751738 OTHER - CREDIT PATIENT AR 207009 DUE TO UMMS 3372425 FINANCING LEASE 4960451 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX LIABILITIES OR BENEFITS THAT SHOULD BE RECOGNIZED. true true true X true X true true true false true true 477977 0 477977 0.0116 0 0.0 0 0.0 0 0 477977 0 477977 0.0116 641515 0 641515 0.0155 0 0.0 23152910 22244572 908338 0.0220 0 0.0 28572 0 28572 0.0007 0 0 23822997 22244572 1578425 0.0382 0 0 24300974 22244572 2056402 0.0498 0 0.0 1460 0 1460 0.0000 0 0.0 887 0 887 0.0000 0 0.0 5542 0 5542 0.0001 0 0.0 0 0.0 0 0.0 0 0 7889 0 7889 0.0002 true 1880285 0 18759911 13291338 5468573 X true true 1 1 CHESTER RIVER HOSPITAL CENTER 100 BROWN STREET CHESTERTOWN MD 21620 WWW.UMMS.ORG/SHORE 14-002 X X X 1 1 1 false false true X X X X X X X X X 21 true true false true X https://www.umms.org/shore/community/assessment-implementation-plan X true 21 true https://www.umms.org/shore/community/assessment-implementation-plan false true X 200.0 300.0 X X X X X true true X X X true X https://www.umms.org/patients-visitors/umms-financial-assistance X https://www.umms.org/patients-visitors/umms-financial-assistance X https://www.umms.org/patients-visitors/umms-financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - CHESTER RIVER HOSPITAL CENTER. UM Shore Regional Health (SHS) conducted a Community Health Needs Assessment (CHNA) for FY2023-FY2025 (board approved 5/25/2022) for the five counties of Maryland's Mid-Shore: Talbot, Caroline, Queen Anne's, Dorchester, and Kent. UM SRH used primary and secondary sources of data as well as quantitative and qualitative data and consulted with numerous individuals and organizations during the CHNA, including community leaders, community partners, the University of Maryland Medical System Community Health Improvement Committee, the general public, local health experts, and the Health Officers representing the five counties of the Mid-Shore. Feedback from customers includes data collected from surveys, advisory groups and from our community outreach and education sessions. Secondary data resources referenced to identify community health needs include County Health Rankings (http://www.countyhealthrankings.org) and Maryland Department of Health State Health Improvement Process (SHIP) https://pophealth.health.maryland.gov/Pages/SHIP-Lite-Home.aspx , and Maryland State Health Improvement Measures as Related to Activities in Rural Communities and Workforce Development http://www.mdruralhealth.org/ Shore Regional Health participates on the University of Maryland Medical System (UMMS) Community Health Improvement Committee to study demographics, assess community health disparities, inventory resources and establish community benefit goals for both UM Shore Regional Health and UMMS. UM Shore Regional Health consulted with community partners and organizations to discuss community needs related to health improvement and access to care. Shore Regional Health hosted a series of community listening forums to gather community input for a regionalization study that explores the benefits of a regional approach to providing health care for Caroline, Dorchester, Kent, Queen Anne's and Talbot counties. In addition, Shore Health meets regularly with members of the local health departments and community leaders, including: Choptank Community Health System Sara Rich Health Departments Health Officers Mid Shore Behavioral Health, Inc. Katie Dilley In addition, the following agencies/organizations are referenced in gathering information and data: * Maryland Department of Health * Maryland Department of Planning * Maryland Vital Statistics Administration * County Health Rankings * Mid Shore Comprehensive Economic Development Strategy CEDS Our CHNA identified the following list of priorities for our community: Health Priorities FY2023-2025 The top five priorities: 1. Mental health/substance abuse 2. Access to care 3. Chronic Disease management 4. Preventive/wellness programs 5. Cancer Overarching theme for addressing health priorities: 1. Reduce barriers to care 2. Improve care coordination 3. Focus on health outreach and education Maryland Health Care Commission (MHCC) Rural Health Study During the 2016 Legislative Session, Senate Bill 707 Freestanding Medical Facilities- Certificate of Need, Rates and Definition (SB 707), passed into law and was signed by the Governor on May 10, 2016. The legislation established a workgroup on rural health care delivery to oversee a study of healthcare delivery in the Middle Shore region and to develop a plan for meeting the health care needs of the five counties -- Caroline, Dorchester, Kent, Queen Anne's and Talbot. The purpose of the study was to assess the health care of the residents of the five-county study area and the capacities of the health system in the region, and propose options for enhancing health and health care delivery on the Mid-Shore. The research team was asked to consider: (1) the limited availability of health care providers and services; (2) the special needs of vulnerable populations, including the frail and elderly, racial and ethnic minorities, immigrants and patients with persistent behavioral illnesses; (3) barriers to access caused by transportation limitations; and (4) the economic impact of closures, partial closures or conversions of health care facilities. The Summary Report provides highlights of findings from all components of the study and integrates them into key recommendations. Methods and findings are detailed for review at: http://mhcc.maryland.gov/mhcc/pages/home/workgroups/documents/rural_health/September%2025th%202017%20Meeting/lgsrpt_%20ExecutiveSummary_rpt_20170928.pdf The University of Maryland Medical System in partnership with UM Shore Regional Health as members of the Rural Health Care Delivery Workgroup produced a white paper, Commitment to Meeting the Health Care Needs of Our Vulnerable Rural Communities. This paper explores concerns about the unique needs of rural hospitals and communities and can be accessed at: http://mhcc.maryland.gov/mhcc/pages/home/workgroups/documents/rural_health/July%2025th%202017%20Meeting/LGSRPT_Shore_White_Paper_rpt20170523.pdf Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - CHESTER RIVER HOSPITAL CENTER. UM SHORE REGIONAL HEALTH (UMSRH) CONDUCTED A CHNA FOR THE UMSRH NETWORK WHICH SERVES THE MID-SHORE REGION, INCLUDING CHESTER RIVER HOSPITAL CENTER (DBA SHORE MEDICAL CENTER AT CHESTERTOWN) AND SHORE HEALTH SYSTEM (DBA SHORE MEDICAL CENTER AT DORCHESTER AND SHORE MEDICAL CENTER AT EASTON. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - CHESTER RIVER HOSPITAL CENTER. ALL PRIMARY HEALTH NEEDS ARE BEING ADDRESSED TO THE EXTENT THAT AVAILABLE RESOURCES AND CLINICAL EXPERTISE ALLOW. THE COMMUNITY BENEFITS PLAN IS ABLE TO ADEQUATELY ADDRESS HEART DISEASE, CANCER, DIABETES, HYPERTENSION, HIGH CHOLESTEROL, ISSUES ASSOCIATED WITH AGING POPULATION. NUTRITION, WEIGHT MANAGEMENT/OBESITY IS ADDRESSED THROUGH EDUCATIONAL CLASSES AND/OR SEMINARS. TOBACCO USE/SMOKING AND ALCOHOL/BINGE DRINKING/UNDERAGE DRINKING ARE BEING ADDRESSED BY OTHER COUNTY AGENCIES AND ORGANIZATIONS AND THROUGH PARTNERSHIPS, INCLUDING THE COUNTY HEALTH DEPARTMENTS. UMSRH HOSPITALS DO NOT POSSESS THE RESOURCES AND EXPERTISE REQUIRED FOR ENVIRONMENTAL HEALTH CONCERNS AND ISSUES. MENTAL HEALTH IS BEING ADDRESSED THROUGH THE MID-SHORE MENTAL HEALTH SYSTEMS, INC., WHICH IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION SERVING THE FIVE MID-SHORE COUNTIES: CAROLINE, DORCHESTER, KENT, QUEEN ANNE'S AND TALBOT. SEVERAL ADDITIONAL TOPIC AREAS WERE IDENTIFIED BY THE COMMUNITY HEALTH PLANNING COUNCIL INCLUDING: SAFE HOUSING, TRANSPORTATION, AND SUBSTANCE ABUSE. THE UNMET NEEDS NOT ADDRESSED BY UMC AT EATON, UMC AT DORCHESTER, NOR UMC AT CHESTERTOWN WILL CONTINUE TO BE ADDRESSED BY KEY GOVERNMENTAL AGENCIES AND EXISTING COMMUNITY- BASED ORGANIZATIONS. WHILE UMSRH HOSPITALS WILL FOCUS THE MAJORITY OF OUR EFFORTS ON THE IDENTIFIED PRIORITIES OUTLINED IN THE CHNA ACTION PLAN, WE WILL REVIEW THE COMPLETE SET OF NEEDS IDENTIFIED IN THE CHNA FOR FUTURE COLLABORATION AND WORK. THESE AREAS, WHILE STILL IMPORTANT TO THE HEALTH OF THE COMMUNITY, WILL BE MET THROUGH OTHER HEALTH CARE ORGANIZATIONS WITH OUR ASSISTANCE AS AVAILABLE. Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - CHESTER RIVER HOSPITAL CENTER. THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. In addition to FPG, the income levels defined by the Maryland State Department of Health and Mental Hygiene (MD DHMH) are used to determine eligibility for financial assistance. The MD DHMH income levels are more generous that the FPG income levels. 0 Schedule H, Part I, Line 6b PART I, LINE 6B THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HSCRC. THE REPORT CAN BE FOUND AT HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPX Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE CRHC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH Based on qualitative and quantitative data collected and analyzed -specifically related to racial, ethnic and other demographic and geographic-related health disparities during the CHNA process, UM SRH's Implementation Plan is committed to the goals and strategies identified in the CNHA and to examining what evidence-based initiatives can improve the county's health. Maryland's State Health Improvement Process (SHIP) provides a framework for continual progress toward a healthier Maryland. Maryland's State Heath Improvement Process (SHIP) began with national, state and local data being reviewed and analyzed by the Maryland Department of Health and Office of Population Health as well as by the five Departments of Health (Talbot, Caroline, Dorchester, Queen Anne's, Kent). It has three main components: accountability, local action and public engagement. SHIP includes 39 measures that provide a framework to improve the health of Maryland residents. Twenty-eight of the measures have been identified as critical racial/ethnic health disparities. Each measure has a data source and a target, and where possible, can be assessed at the county level. UM SRH's priorities are aligned with the Maryland State Health Improvement Process vision areas and those objectives outlined by the local health improvement coalition. The top five priorities: 1. Mental health/substance abuse 2. Access to care 3. Chronic Disease management 4. Preventive/wellness programs 5. Cancer Several additional topic areas were identified by UM SRH: safe housing, transportation, and substance abuse. The unmet needs not addressed by UM SRH will continue to be addressed by key governmental agencies and existing community- based organizations. While UM SRH will focus the majority of our efforts on the identified priorities outlined in the CHNA Implementation Plan, we will review the complete set of needs identified in the CHNA for future collaboration and work. These areas, while still important to the health of the community, will be met through other health care organizations with our assistance as available. Initiative 1 Title of Initiative: UM SRH Shore Community Outreach Team Describe the program: UM Shore Regional Health Shore Community Outreach Team (SCOT) is a wellness program that increases community members' access to care and connects individuals needing assistance with chronic disease management to community services and to local mental health resources. SCOT is part of Shore Medical Center at Chestertown's Maryland Rural Hospital model. SCOT reduces barriers to care by working with patients in their homes. The SCOT RN or MSW perform an in-home assessment to determine each patient's individualized needs and then connects the patient to the needed resources to better support their health and wellness. SCOT provides education to patients in their homes and educational programs and screenings in the community. Primary Objective of the Initiative: * CHNA priority 4, Preventive/wellness program * CHNA priority 2, Access to Care * CHNA priority 3, Chronic Disease Management * CHNA priority 1, Mental Health SCOT serves Kent and Northern Queen Anne's County residents. The team includes a registered nurse, a licensed social worker, and two community health workers. The mission of SCOT is to improve the community's health by collaborating with local partners to bring healthcare access and support services to residents in their homes and community settings. SCOT accepts referrals for patients in the community needing support and assistance navigating their healthcare and accessing available resources. SCOT makes home visits to identify the health and social issues contributing to the patient's difficulties managing their health in the community and sets health and wellness goals and supports the patient in achieving these goals. SCOT performs Diabetes Risk Tests and free HbA1c screenings in the community, raising participant awareness of their risk of having or developing diabetes. SCOT provides information on regional DPP programs and how to register for these programs and has also offered a Diabetes and Healthy Eating Lunch and Learn with the Dixon Group, a major employer in Kent County, MD. Key Collaborators in Delivery of the Initiative: Adult Multi-Disciplinary Team (Kent County Health Department, Kent County Department of Social Services, Kent County Behavioral Health, Mid-shore Behavioral Health, Upper Shore Aging) Mid-Shore Health Improvement Coalition,Kent County Health Department Initiative Outcomes Observed Community Case Management data: * Enrolled patients: 115 * Home visits: 920 * Referrals received for SCOT program: 156 * Patients connected to PCP: 33 * Patients connected to mental health services: 37 * Referrals made to Transitions Pharmacist for medication review and reconciliation: 8 * Advance Directives completed: 27 The SCOT program has shown a reduction in participant hospital visits, charge per member, and charge per visit one month, 3 months, and six months after program enrollment. Community Outreach Data: * SCOT community blood pressure and diabetes screening events held: 26 * SCOT Health and wellness education and outreach events held: 23 * Community gardens started in four Kent County locations: Rock Hall, Edesville, Butlertown, and Coleman * Collaboration with Kent County Emergency Services Office to establish the Vulnerable Population Assistance Program (VPAP). VPAP is a voluntary registry that enables first responders to assist members of our vulnerable populations better. * Creation of a new African American Women's Health Advisory Committee (AAWHAC). The first free event held on 4/29/23 focused on mental health in the African American community. The AAWHAC has begun planning its next event in collaboration with the Alzheimer's Association. * Collaboration with Choptank Community Health to provide a Heat-Related Illness Prevention program for employees of Angelica Nurseries Inc. * Health and Wellness activities and education with Dixon Group employees Initiative 2 Identified Need: Health Priority #1. Access to Care How was the need identified: Identified through the CHNA process Name of hospital initiative: Community Care Coordination- Transitional Nurse Navigators Target population Population includes those with CHF, COPD, diabetes and other chronic diseases as well as those with complex medical needs and/or lacking social support. Total number of people reached by the initiative: Served 1,100 patients- improved access to outpatient services through follow-up and referral to community resources. Primary objective of initiative: Access to care and care coordination were identified in the 2022 CHNA. This program addresses these needs through navigators who refer patients at discharge from the in-patient setting to community based programs who can address health needs and social determinants of health. Patients are followed through an out-patient care coordination process to address medical and non-medical needs. UM SRH implemented a follow up system for all discharged patients and has expanded services to the community to determine if additional health services are required to address medical and non-medical needs (e.g., appointment setting, obtaining medications, and understanding care instructions. UM SRH also pays for medical transportation and some medications for patients with medical and financial needs Key collaborators in delivery: * Queen Anne's County Department of Health * Department of Aging Upper Shore Impact of hospital initiative: Reduction of utilization of emergency room services for ongoing treatment. Evaluation of outcome: Improved chronic disease management Schedule H, Part VI, Line 5 Promotion of Community Health (cont.) Initiative 3 Identified Need Health: Health Priority #1, Access to Care; Health Priority #3, Chronic Disease management; Provide outreach for education opportunities to the community for chronic disease awareness and management. How was the need identified: Identified through the CHNA process Name of hospital initiative: Diabetes, Stroke, Heart Education Programs Education Series Support Groups Radio Broadcasts Heart Wellness Newsletter and Presentations Stroke Education/Presentations Blood Pressure Screenings Total number of people within target population: 5 county population (See below for prevalence of disease) Prevalence of Diabetes in this community is higher than average within Maryland. Diagnosed Diabetes Among Adults: Caroline County: Prevalence=12.2 2,856 individuals Dorchester County: Prevalence=14.7 3,893 individuals Kent County: Prevalence=8.9 1,549 individuals Queen Anne's County: Prevalence=9.4 3,603 individuals Talbot County: Prevalence=9.5 3,434 individuals Maryland: Prevalence=9.4 Source: Prevalence data presented here include number of existing cases and rates per 100 overall and by age, sex, and level of education https://www.cdc.gov/diabetes/atlas/obesityrisk/24/atlas.htm Prevalence of Age-adjusted mortality rate from heart disease (per 100,000 population). Heart disease is the leading cause of death in Maryland accounting for 25% of all deaths. Prevalence for Maryland= 169.4: 2017 Goal= 166.3 Caroline County: Prevalence=195.6 Dorchester County: Prevalence=190.9 Kent County: Prevalence=154.3 Queen Anne's County: Prevalence=159.8 Talbot County: Prevalence=143.0 In Maryland, 30% of all deaths were attributed to heart disease and stroke. Heart disease and stroke can be prevented by control of high blood pressure. The rate of emergency department visits due to hypertension (per 100,000 population) in Maryland= 252.2 2017 Goal=234 Caroline County: Rate=257.8 Dorchester County: Rate=465.4 Kent County: Rate=334.7 Queen Anne's County: Rate=187.8 Talbot County: Prevalence=265.1 Total number of people reached by the initiative: Total Community Benefit encounters or "touchpoints" in FY2023 was over 3,000 for Diabetes, Stroke, Heart Wellness related Education and Support Groups. Primary objective of initiative: Reduce incidence of diabetes, stroke, cardiovascular disease Improve management of diabetes and hypertension, lung and heart health, Support for population managing diabetes, stroke, cancer Provide educational material to promote a focus on personal health Key collaborators in delivery: Community Senior Centers UM Center for Diabetes and Endocrinology UM Center at Easton Primary Stroke Center Health Departments Impact of hospital initiative: Raised/improved the level of diabetes awareness, stroke, and heart wellness education and management in the community. Education and Support Education and support groups: (1) Weekly Diabetes Self-Management Classes Offered in Chestertown and Easton, this program provides medical information and strategies, enabling patients to manage their diabetes for optimal wellness (2) Individualized instruction and support services provides support for patients on the topics listed below: Topics include: carb counting; medical nutrition therapy, providing an individualized comprehensive nutrition plan; glucose meters, injectable medications, continuous glucose monitoring (CGM) and insulin pump management; and gestational diabetes - care during pregnancy and what to expect afterward (3) Diabetes Support Groups Stroke Awareness and Warning Signs-Education/ Presentations inform adults of signs and symptoms, risk factors, and prevention methods for stroke. Community Education Radio Broadcasts - 200+ listeners for health show. Maryland Health Matters- published 3x year, mailed to 77,000 households. "Let's Talk about Health" - monthly webex event on different health topics "Community Conversations"- Mental Health Series offered throughout the year. Have transitioned to webex events. UM SRH operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Maryland's global budget revenue model, UM SRH reports on a regular basis how it is investing in efforts to improve population health. UM SRH provides on-going services that are fundamental to addressing the identified community health needs that demonstrate the extent to which our commitment to serve our community is integrated into our care delivery model. We have a strong focus on treating patients with chronic conditions. UM Shore Regional Health works to coordinate care, ensure smooth transitions and promote disease self-management strategies at every step of a patient's journey - whether at home, in the community, or within our hospital. We operate specialized clinics to enable access to routine outpatient care. Our transitional care services help patients newly diagnosed or those that have had a recent hospitalization transition safely back to the community. Transitional nurse navigators provide patients with disease education and self-management strategies, connect them to primary care providers and specialists, and help them overcome any barriers to making follow up appointments. An urgent care center to address off hours visits and low acuity emergencies is also available. Our coudamin clinic provides anticoagulation medication management, specifically managing and monitoring warfarin (Coumadin) therapy upon physician referral. It also provides patients with ongoing monitoring of their anticoagulation therapy to ensure desired outcomes and decrease adverse events. Additionally, our behavioral health clinic provides a community access point for those in need of outpatient mental health services. Resources are embedded throughout the hospital and in the community so that every patient receives the same level of care coordination. Care managers are embedded within our emergency department and hospital, and provide in-home visits as needed. Community health workers reach out to patients who are identified as being high risk for readmission or in need of critical resources. Close relationships are maintained with skilled nursing facilities and home health agencies so that transfers from the hospital to these facilities are smooth, and the highest quality of care is constantly delivered. Strong relationships exist with local emergency medical service (EMS) providers through our mobile integrated health program, which delivers effective and efficient care to patients outside of the hospital. Nurses and community health workers function outside traditional emergency response roles, with a focus on maintaining individuals' health at their homes while also providing convenient access to care in the community. Additional care partners include primary care providers, specialists, local department of health, office on aging and other community based partners. We are proud to serve our community and appreciate our partners who allow us to fulfill our mission. We will always do what is right for the patient, no matter where they are in their health journey, and will always strive to have our patients receive care in the community they reside. As a part of the University of Maryland Medical System (UMMS) we are shaping a new paradigm in care delivery that we believe should be the future standard of care. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 2474385 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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, Part II Community Building Activities Through a variety of community building activities, UM Shore Regional Health promotes health and wellness in the community it serves. These activities include: active engagement and collaboration with local Health Departments, Chambers of Commerce, and organizations that work to improve the quality of life for the residents of the Mid-Shore (Talbot, Caroline, Dorchester, Queen Anne's, and Kent Counties). Because local action is essential to public health progress, UM Shore Regional Health works in partnership with public sector agencies, health care providers and community-based partners. In addition, a variety of clinical and non-clinical UM SRH associates serve on various coalition workgroups. The work of UM SRH and community-based partners continues on the identified priorities and objectives of the Maryland Department of Health (MDH) State Health Improvement Process (SHIP). SHIP, launched in September 2011, focuses on improving the health of Maryland residents in six vision areas: Healthy Babies, Healthy Social Environments, Safe Physical Environments, Infectious Disease, Chronic Disease and Health Care Access. Under SHIP's umbrella, the coalition develops and implements strategies that will improve local public health. UM SRH maintains open communication with the Health Departments of Talbot, Caroline, Dorchester, Queen Anne's, and Kent Counties, Mid-Shore Mental Health System, Choptank Community Health System, local government and schools. UM SRH's community outreach programs can be found in County schools, senior centers, community centers and churches throughout the Mid-Shore. UM SRH's director of community outreach participates in committees and advisory councils, promoting continuous dialogue between the medical center and community stakeholders. This provides opportunities for new ideas and programs to be exchanged, allowing UM SRH to maximize community outreach efforts. UM SRH seeks insight from community members attending educational programs through its outreach events. Program participants are asked to complete a brief survey evaluation, providing feedback and comments about the program they attended, as well as providing suggestions for future program topics. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. IN 2014, MARYLAND'S WAIVER WITH MEDICARE WAS RENEGOTIATED AND UPDATED TO REFLECT THE CURRENT HEALTHCARE ENVIRONMENT. UNDER THIS NEW WAIVER, SEVERAL CRITERIA WERE ESTABLISHED TO MONITOR THE SUCCESS OF THE SYSTEM IN CONTROLLING HEALTHCARE COSTS AND THE CONTINUANCE OF THE WAIVER ITSELF: 1. REVENUE GROWTH PER CAPITA 2. MEDICARE HOSPITAL REVENUE PER BENEFICIARY 3. MEDICARE ALL PROVIDER REVENUE GROWTH PER BENEFICIARY 4. MEDICARE READMISSION RATES 5. HOSPITAL ACQUIRED CONDITION RATE Schedule H, Part III, Line 3 Bad Debt Expense Methodology BECAUSE OF THE UNIQUE PAYMENT SYSTEM DESCRIBED ON LINE 2 (ABOVE), THE HOSPITAL IS UNABLE TO ESTIMATE HOW MUCH OF THE AMOUNT REPORTED IN LINE 2 IS ATTRIBUTED TO PATIENTS WHO WOULD APPLY UNDER THE FAP. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE CORPORATION RECORDS REVENUES AND ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT THEIR ESTIMATED NET REALIZABLE VALUE. REVENUE IS REDUCED FOR ANTICIPATED DISCOUNTS UNDER CONTRACTUAL ARRANGEMENTS AND FOR CHARITY CARE. AN ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED BASED UPON ANTICIPATED UNCOMPENSATED CARE, AND IS ADJUSTED AS ADDITIONAL INFORMATION BECOMES AVAILABLE. 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 HEALTHCARE 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. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. 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. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THEPATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT. Schedule H, Part V, Section B, Line 16a FAP website 1 - CHESTER RIVER HOSPITAL CENTER: Line 16a URL: https://www.umms.org/patients-visitors/umms-financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - CHESTER RIVER HOSPITAL CENTER: Line 16b URL: https://www.umms.org/patients-visitors/umms-financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - CHESTER RIVER HOSPITAL CENTER: Line 16c URL: https://www.umms.org/patients-visitors/umms-financial-assistance; Schedule H, Part VI, Line 2 Needs assessment UM Shore Regional Health (SHS) primarily relies on its Community Health Needs Assessment (CHNA) to assess the health care needs of the communities it serves. Please see Part V, Section B of this Schedule H for more information about the organization's most recent CHNA. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance It is the policy of UM Shore Regional Health to work with our patients to identify available resources to pay for their care. All patients presenting as self pay and requesting charity relief from their bill will be screened at all points of entry, for possible coverage through state programs and a probable determination for coverage for either Medical Assistance or Financial Assistance (charity care) from the hospital is immediately given to the patient. The process is resource intensive and time consuming for patients and the hospital; however, if patients qualify for one of these programs, then they will have health benefits that they will carry with them beyond their current hospital bills, and allow them to access preventive care services as well. UM Shore Regional Health works with a business partner who will work with our patients to assist them with the state assistance programs, which is free to our patients. If a patient does not qualify for Medicaid or another program, UM Shore Regional Health offers our financial assistance program. UM Shore Regional Health posts notices of our policy in conspicuous places throughout the hospitals- including the emergency department, has information within our hospital billing brochure, educates all new employees thoroughly on the process during orientation, and does a yearly re- education to all existing staff. All staff have copies of the financial assistance application, both in English and Spanish, to supply to patients who, after screening, have a need for assistance. UM Shore Regional Health has a dedicated Financial Assistance Liaison to work with our patients to assist them with this process and expedite the decision process. Shore Health notifies patients of the availability of financial assistance funds prior to service during our calls to patients, through signage at all of our registration locations, through our patient billing brochure and through our discussions with patients during registration. In addition, the patient information sheet is mailed to patients with all statements and/or handed to them if needed. * Shore Health prepares its Financial Assistance Policy (FAP) in a culturally sensitive manner, at a reading comprehension level appropriate to the CBSA's population, and in Spanish. * Shore Health posts its FAP and financial assistance contact information in admissions areas, emergency rooms, and other areas of our facilities in which eligible patients are likely to present; * Shore Health provides a copy of the FAP and financial assistance contact information to patients or their families as part of the intake process; * Shore Health provides a copy of the FAP and financial assistance contact information to patients with discharge materials. * A copy of Shore Health's FAP along with financial assistance contact information, is provided in patient bills; and/or * Shore Health discusses with patients or their families the availability of various government benefits, such as Medicaid or state programs, and assists patients with qualification for such programs, where applicable. * An abbreviated statement advising of Shore Health's financial assistance policy, including a phone number to call for more information, is run annually in the local newspaper (Star Democrat) Schedule H, Part VI, Line 4 Community information Situated on Maryland's Eastern Shore, Shore Regional Health's three hospitals, University of Maryland Medical Center at Easton (UMC at Easton), University of Maryland Medical Center at Dorchester (UMC at Dorchester- closed Sept. 2021), University of Maryland Medical Center at Chestertown (UMC at Chestertown) are not- for-profit hospitals offering a complete range of inpatient and outpatient services to over 170,000 people throughout the Mid-Shore of Maryland. Shore Regional Health's service area is defined as the Maryland counties of Caroline, Dorchester, Talbot, Queen Anne's and Kent. UMC at Easton is situated at the center of the mid-shore area and thus serves a large rural geographical area (all five counties of the mid-shore). UMC at Dorchester located approximately 18 miles from Easton closed September 2021. A comprehensive, freestanding medical facility, UM Shore Medical Center at Cambridge, opened October 2021 and provides an emergency department, helipad, behavioral health treatment rooms and several other services. The facility primarily serves Dorchester County and portions of Caroline County. UMC at Chestertown located in Chestertown, in Kent County merged with Shore Regional Health in July 2013. UMC at Chestertown serves the residents of Kent County, portions of Queen Anne's and Caroline Counties and the surrounding areas. The five counties of the Mid-Shore comprise 20% of the landmass of the State of Maryland and 2% of the population. The entire region has over 4,400 employers with nearly 45,000 workers. Only 50 of those employers employ 100 or more workers. The economic condition varies significantly throughout the region, especially for Caroline, Dorchester, and Kent Counties. It should be noted that Talbot County appears to have a significantly higher median income than Caroline and Dorchester; however, a large percentage of the population has incomes in line with those of Caroline and Dorchester. The figures for Talbot are somewhat skewed due to large incomes of a few individual families and high net worth individuals. Shore Regional Health's service area has a higher percentage of population aged 65 and older as compared to Maryland overall. Talbot County has a 27.2% rate for this age group and Kent County has 25.3% of its residents age 65 years or older. These rates are 65% higher than Maryland's average percentages, and higher than other rural areas in the state by almost a quarter. Today, more than two-thirds of all health care costs are for treating chronic illnesses. Among health care costs for older Americans, 95% are for chronic diseases. The cost of providing health care for one person aged 65 or older is three to five times higher than the cost for someone younger than 65. https://www.cdc.gov/aging/pdf/State-Aging-Health-in-America-2013.pdf While progress is being made, challenges persist that include limited access to affordable high speed broadband services, a shortage of affordable housing, an inadequate supply of skilled workers, low per capita income, and more layoffs in the manufacturing sector. (Source: Mid Shore Comprehensive Economic Development Strategy CEDS) County Health Rankings for the Mid-Shore counties also reveal the large disparities between counties for health outcomes in the service area. Overall, Queen Anne's County ranks 6th; Talbot County ranks 9th; Dorchester ranks 23rd, Caroline ranks 17th, Kent ranks 14th (out of 24 counties including Baltimore City) in health outcomes that indicate the overall health of the county Service Areas: UMC at Easton's Primary Service Area: 21601, 21613, 21629, 21632, 21655, 21639, 21643 UMC at Dorchester's Primary Service Area: 21613, 21643, 21631 UMC at Chestertown's Primary Service Area: 21620,21661,21651,21678 Community Benefit Service Area (CBSA) Target Population: 170,000+ Talbot County Total Population: 37,181 Male: 47.4%, Female: 52.6% White, Not Hispanic (NH): 83.3% Black, NH: 13.0% Hispanic: 6.6% Asian, NH: 1.4% American Indian, NH: 0.4% Median Age: 51 Median Household Income: $79,349 Dorchester County Total Population: 31,929 Male: 47.5%, Female: 52.5% White, Not Hispanic (NH): 67.4% Black, NH: 27.9% Hispanic: 6.1% Asian, NH: 1.2% American Indian, NH: 0.5% Median Age: 44.8 Median Household Income: $55,652 Caroline County Total Population: 33,406 Male: 48.9%, Female: 51.1% White, Not Hispanic (NH): 75.1% Black, NH: 13.6% Hispanic: 7.8% Asian, NH: 1.2% American Indian, NH: 0.9% Median Age: 39.3 Median Household Income: $63,027 Queen Anne's County Total Population: 50,381 Male: 49.6%, Female: 50.4% White, Not Hispanic (NH): 89.7% Black, NH: 6.1% Hispanic: 4.3% Asian, NH: 1.2% American Indian, NH: 0.5% Median Age: 44.7 Median Household Income: $99,597 Kent County Total Population: 19,422 Male: 48.8%, Female: 51.2% White, Not Hispanic (NH): 81.3% Black, NH: 14.4% Hispanic: 4.5% Asian, NH: 1.4% American Indian, NH: 0.4% Median Age: 48 Median Household Income: $65,451 (Source: https://www.census.gov/quickfacts/US /) Percentage of households with incomes below the federal poverty guidelines within the CBSA: Talbot 9.4%, Dorchester 15%, Caroline 13.5%, Queen Anne's 8%, Kent 12% Source: https://www.census.gov/quickfacts/fact/table/US Percentage of uninsured people by County within the CBSA: Talbot 8%, Dorchester 7%, Caroline 8%, Queen Anne's 5%, Kent 8% Source: http://www.towncharts.com/Maryland/Maryland-state-Healthcare-data.html Percentage of Medicaid recipients by County within the CBSA: Talbot 16%, Dorchester 27%, Caroline 26%, Queen Anne's 11%, Kent 19% Source: http://www.towncharts.com/Maryland/Maryland-state-Healthcare-data.html Life Expectancy by County within the CBSA: Talbot County: All Races 80.8 White 81.6, Black 76.5 Dorchester County: All Races 77.6, White 78.2, Black 75.7 Caroline County: All Races 76.1, White 76.3, Black 75.4 Queen Anne's County: All Races 79.6, White 79.7, Black 77.2 Kent County: All Races 79, White 80, Black 74 Access to healthy food, Population that is Food Insecure: Talbot County: 10.5% Dorchester County: 15.8% Caroline County: 12.1% Queen Anne's County: 7.5% Kent County: 11.5% (Source: URL: http://www.mdfoodsystemmap.org) Quality of Housing Home Ownership Rate: Talbot County: 68.6% Dorchester County: 65.6% Caroline County: 70.5% Queen Anne's County: 83.8% Kent County: 71.9% Source: Mid Shore Comprehensive Economic Development Strategy CEDS Source: Access to Transportation within the CBSA: Transit services in the five counties are provided under contract by Delmarva Community Transit. Services include medical and senior citizen demand services and fixed route county and regional service. While most of the region is served by the fixed routes, there are gaps in coverage in the less populated areas of the counties. The regional system, Maryland Upper Shore Transit (MUST), provides low cost service for the general public from Kent Island to Ocean City with convenient free transfer points at key locations on the shore. MUST is a coordinated effort of several Upper Shore agencies and governments to provide a regional transit system for Kent, Queen Anne's, Talbot, Caroline, and Dorchester Counties. Transit services are provided by Queen Anne's County Ride (operated by the county) and Delmarva Community Transit (DCT), a private company under contract to the counties. The system also includes Shore Transit, which provides scheduled routes on the lower shore. The MTA and the Maryland Department of Human Resources have provided funding. Overall management of the regional system is the responsibility of the Transportation Advisory Group (TAG). The County Commissioners of the five Upper Shore counties appoint the members of the TAG. (Source: Mid Shore Comprehensive Economic Development Strategy CEDS(revised March 2012) Annual Average CBSA Unemployment Rate: Talbot 5.3%, Dorchester 5.6%, Caroline 4.7%, Queen Anne's 4.4%, Kent 5.5% https://msa.maryland.gov/msa/mdmanual/01glance/economy/html/unemployrates.html Access to Quality Health Care: Hospitals: UM Shore Regional Health Tidal Health (Peninsula Regional Medical Center) Luminus Health (Anne Arundel Medical Center) Federally Qualified Health Centers (FQHCs): Choptank Community Health Schedule H, Part VI, Line 6 Affiliated health care system University of Maryland Medical System Corporation (UMMS) is a private, not-for-profit corporation providing comprehensive healthcare services through an integrated regional network of hospitals and related clinical enterprises. UMMS was created in 1984 when its founding hospital was privatized by the State of Maryland. Over its 30-year history, UMMS evolved into a multi-hospital system with academic, community and specialty service missions reaching primarily across Maryland. As part of the University Of Maryland Medical System (UMMS), Shore Regional Health understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, UM Shore Regional Medical Center assesses the community's health needs, identifies key priorities, and responds with services, programs and initiatives which make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical System's Community Health Improvement Council coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. UM Shore Regional Health is committed to health education, advocacy, community partnerships, and engaging programs which focus on health and wellness with the goal of eliminating health care disparities on Maryland's Mid-Eastern Shore. Schedule H, Part VI, Line 7 State filing of community benefit report MD false true false false false false false true false KENNETH D KOZEL President and CEO 0 596873 0 166611 0 131324 0 12200 0 5470 0 912478 0 0 KIM R HERMAN MD Director 0 267185 0 131122 0 19182 0 11400 0 12087 0 440976 0 0 Kristin Jones-Bryce Director 0 446139 0 73703 0 86448 0 12200 0 31668 0 650158 0 0 S Michelle Lee Director (Ended 6/2023) 0 959169 0 149727 0 170145 0 12200 0 22410 0 1313651 0 0 Chris Parry DO Director 0 259688 0 0 0 6737 0 10600 0 21621 0 298646 0 0 Thomas Stauch MD Director 0 955963 0 0 0 0 0 0 0 13001 0 968964 0 0 MOHAN SUNTHA MD Director 0 2371864 0 946575 0 1042175 0 12200 0 29655 0 4402469 0 550000 Pamela Addy Secretary (Ended 07/22) 0 245370 0 48048 0 25024 0 19024 0 4771 0 342237 0 0 JoAnne R Hahey SVP Finance, CFO and Treasurer 0 317318 0 91125 0 45015 0 12200 0 11949 0 477607 0 0 William E Huffner MD SVP and CMO 0 466757 0 107534 0 76249 0 12200 0 9987 0 672727 0 0 Cassandra A Bilbrough Nurse Coordinator 146893 0 46640 0 96 0 6084 0 5467 0 205180 0 0 0 Chandra Dye Adminisrtative Supervisor 89000 0 86862 0 200 0 3768 0 23560 0 203390 0 0 0 Radine M Haynes Clinical Nurse 229388 0 111417 0 103 0 0 0 8221 0 349129 0 0 0 Eden C Kinser Staff Nurse 129444 0 40120 0 30 0 5368 0 24873 0 199835 0 0 0 Brande R Rhodes Nurse 137079 0 50150 0 27 0 5076 0 6042 0 198374 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ALL COMPENSATION TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES REPORTED ON PART VII OF THE FORM 990 WAS DETERMINED BY A RELATED ORGANIZATION, UMMS. THE RELATED ENTITY CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, QUESTION 3 ON ITS FORM 990: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR-ENDED JUNE 30, 2023, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: KENNETH D KOZEL, $105,984 MOHAN SUNTHA, MD, $1,015,893 JOANNE R. HAHEY, $40,370 WILLIAM HUFFNER, MD, $64,070 S. MICHELLE LEE, $145,643 KRISTIN JONES BRYCE, $64,042 DURING THE FISCAL YEAR- ENDED JUNE 30, 2023, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS 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: PAMELA ADDY Schedule J, Part I, Line 7 Non-fixed payments BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES. Form 990, Part IV, Line 24a TAX EXEMPT BOND ISSUE PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (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 EDUCATIONAL FACILITIES 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, UM ROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, UM CHARLES REGIONAL, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM CAPITAL REGION, BOWIE HEALTH CENTER (BOWIE), AND THE UM MEDICINE FOUNDATION. 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 $1,869,549,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2023. 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. Form 990, Part V, Line 1a TAX COMPLIANCE PAYMENTS TO INDEPENDENT CONTRACTORS OF THE FILING ORGANIZATION ARE REPORTED BY THE PARENT CORPORATION, UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS). UMMS ISSUES THE FORMS 1099 FOR THESE VENDOR PAYMENTS, WHILE THE FILING ORGANIZATION REPORTS THE EXPENSES FOR ITS INDEPENDENT CONTRACTORS ON PART VII, SECTION B, LINE 1 ON ITS FORM 990. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION DID NOT COMPENSATE ITS EXECUTIVES DIRECTLY, BUT RATHER, THE EXECUTIVES RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. 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. Form 990, Part VI, Line 6 Classes of members or stockholders UM SHORE REGIONAL HEALTH (UMSRH) IS THE SOLE MEMBER OF CRHC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMSRH & UMMS MAY ELECT MEMBERS OF CRHC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following decisions of the governing body are among those subject to the approval of the member: amendment of charter documents; dissolution of the organization; strategic plans; participation in joint ventures; and leases or intercompany transfers of assets, subject to certain dollar thresholds. In addition, the following decisions of the governing body are subject to the approval of the member and UMMS: annual operating and capital budgets; acquisition or disposition of an entity or substantially all assets; merger or consolidation of entity; mortgage, pledge or disposition of property; incurrence of debt or real property, subject to certain dollar thresholds. Form 990, Part VI, Line 11b Review of form 990 by governing body The University of Maryland Medical System ("UMMS") prepares the IRS Form 990 for UMMS and its affiliates. Information needed to complete the return is gathered by accounting personnel in the Finance Shared Services department under the supervision of the UMMS Tax Director. Draft returns are prepared using IRS-approved tax software. Once a draft return is prepared, it undergoes multiple levels of review both internally by UMMS tax & finance personnel, and externally by Ernst & Young LLP. Following any necessary changes to the return, a final draft is reviewed by each affiliate's vice president of finance and/or CFO. Prior to filing the IRS Form 990, the organization's board chairman, treasurer, governance committee, finance committee or other member(s) of the board with similar authority will review the IRS Form 990. All board members are provided with a copy of the final IRS Form 990 before filing. Form 990, Part VI, Line 12c Conflict of interest policy The filing organization follows the University of Maryland Medical System (UMMS) Conflicts of Interest Policy, which requires that all Covered Persons 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. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The organization (or its sole member) is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Governance Committee (or other Board committee having similar authority) reviews any and all conflicts, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization or its sole member's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the oversight committee. A questionnaire which discloses potential conflicts of interest is distributed annually to Covered Persons. The Chief Compliance Officer of the University of Maryland Medical System Corporation (UMMS) distributes and collects the responses for UMMS and other affiliates, and may be called for consult when potential conflicts are disclosed. If the oversight Committee determines that a Conflict of Interest exists, the Committee shall notify the Covered Person and the organization's Board Chair, and further will notify the full Board at its next meeting. Furthermore, in the event the Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Committee determines that a Conflict of Interest exists but that the organization may enter into the subject transaction or arrangement, the interested Covered Person shall be recused from all deliberations and decisions concerning said transaction or arrangement, any arrangements with that entity, and compensation or benefits for officers, directors, and trustees. Furthermore, the Chair of the Board and the Chairs of the oversight Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the oversight Committee determines that a Covered Person has used their position to accrue Excess Benefits or to knowingly assist others in accruing Excess Benefits in any way at the expense of the organization, the Committee shall recommend to the Executive Committee appropriate corrective action to be taken. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM. Form 990, Part VII, Section A HOURS ON RELATED ENTITIES UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT 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 THAT COMPRISE UMMS. Form 990, Part IX, Line 11g Other Fees Physician Services - Total Expense: 4954635, Program Service Expense: 4954635, Management and General Expenses: 0, Fundraising Expenses: 0; Temp Labor - Total Expense: 1638181, Program Service Expense: 1638181, Management and General Expenses: 0, Fundraising Expenses: 0; Contracted Services - Total Expense: 1785994, Program Service Expense: 956246, Management and General Expenses: 829748, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in Beneficial Interest - 881690; Corporate Capital Transfers - 278229; IT Enterprise Allocation - -951000; Intercompany Transfers - -5184; Sale of UM Chester River Home Care - 2047884; BALTIMORE WASHINGTON EMERGENCY PHYS INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521756326 HEALTHCARE MD 501(c)(3) Type I BWHS false BALTIMORE WASHINGTON HEALTHCARE SERVICES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830243 HEALTHCARE MD 501(c)(3) Type I UMBWMS false BALTIMORE WASHINGTON MEDICAL CENTER INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 520689917 HEALTHCARE MD 501(c)(3) 3 UMBWMS false UM BALTIMORE WASHINGTON MEDICAL SYSTEM 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830242 HEALTHCARE MD 501(c)(3) Type I UMMSC false NORTH ARUNDEL DEVELOPMENT CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521318404 REAL ESTATE MD 501(c)(2) NCC false NORTH COUNTY CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521591355 REAL ESTATE MD 501(c)(2) UMBWMS false CHESTER RIVER HEALTH FOUNDATION INC 100 BROWN STREET CHESTERTOWN MD 21620 521338861 FUNDRAISING MD 501(c)(3) 8 UMSRH false UNIV OF MD SHORE REGIONAL HEALTH INC 100 BROWN STREET CHESTERTOWN MD 21620 522046500 HEALTHCARE MD 501(c)(3) Type I UMMSC false MEMORIAL HOSPITAL FOUNDATION INC 219 SOUTH WASHINGTON STREET EASTON MD 21601 521282080 FUNDRAISING MD 501(c)(3) Type I SHS false CHESTER RIVER MANOR INC 200 MORGNEC ROAD CHESTERTOWN MD 21620 526070333 HEALTHCARE MD 501(c)(3) 10 UMSRH false MARYLAND GENERAL CLINICAL PRACTICE GROUP 827 LINDEN AVENUE BALTIMORE MD 21201 521566211 HEALTHCARE MD 501(c)(3) Type II UMMTH false UNIVERSITY OF MARYLAND MIDTOWN HEALTH INC 827 LINDEN AVENUE BALTIMORE MD 21201 521175337 HEALTHCARE MD 501(c)(3) Type II UMMSC false MARYLAND GENERAL HOSPITAL INC 827 LINDEN AVENUE BALTIMORE MD 21201 520591667 HEALTHCARE MD 501(c)(3) 3 UMMTH false CARE HEALTH SERVICES INC 219 SOUTH WASHINGTON STREET EASTON MD 21601 521510269 HEALTHCARE MD 501(c)(3) 10 SHS false SHORE HEALTH SYSTEM INC 219 SOUTH WASHINGTON STREET EASTON MD 21601 520160538 HEALTHCARE MD 501(c)(3) 3 UMSRH false UNIVERSITY OF MARYLAND COMMUNITY MEDICAL 22 SOUTH GREENE STREET BALTIMORE MD 21201 521874111 HEALTHCARE MD 501(c)(3) 3 UMSRH false JAMES LAWRENCE KERNAN HOSPITAL INC 2200 KERNAN DRIVE BALTIMORE MD 21207 520591639 HEALTHCARE MD 501(c)(3) 3 UMMSC false UMMS FOUNDATION INC 22 SOUTH GREENE STREET BALTIMORE MD 21201 522238893 FUNDRAISING MD 501(c)(3) Type I UMMSC false UNIVERSITY OF MD MEDICAL SYSTEM CORP 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Truman Drive N Upper Marlboro MD 20774 521902711 HEALTHCARE MD 501(c)(3) Type I UMCAPRH false ARUNDEL PHYSICIANS ASSOCIATES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 522000762 HEALTHCARE MD APA INC N/A false false BALTIMORE WASHINGTON IMAGING 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 200806027 HEALTHCARE MD UMBWMS N/A false false UNIVERSITYCARE LLC 22 SOUTH GREENE STREET BALTIMORE MD 21201 521914892 HEALTHCARE MD UMMSC N/A false false O'DEA MEDICAL ARTS LIMITED PAR 7601 OSLER DRIVE TOWSON MD 21204 521682964 RENTAL MD SJMC PROP N/A false false ADVANCED IMAGING AT ST JOSEPH 7601 OSLER DRIVE TOWSON MD 21204 521958002 HEALTHCARE MD UMSJMC N/A false false UNIVERSITY OF MARYLAND CHARLES PO BOX 1070 LAPLATA MD 20646 300956382 HEALTHCARE MD UMCRCP N/A false false BALTIMORE ASC VENTURES LLC 7620 YORK ROAD TOWSON MD 21204 824133899 HEALTHCARE DE UMSJMC N/A false false UCHSUMMS Real Estate Trust 520 Upper Chesapeake Drive Bel Air MD 21014 276803540 Holding Co MD UMMSC N/A false false UM Chesapeake Surgery Center LLC 515 South Tollgate Road Bel Air MD 21014 873038857 Healthcare MD UCHV N/A false false ARUNDEL PHYSICIANS ASSOCIATES INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521992649 HEALTHCARE MD NA C Corporation false BALTIMORE WASHINGTON HEALTH ENTERPRISES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521936656 HEALTHCARE MD NA C Corporation false BW PROFESSIONAL SERVICES INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521655640 HEALTHCARE MD NA C Corporation false NA EXECUTIVE BUILDING CONDO ASSN INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 REAL ESTATE MD NA C Corporation false UM CHARLES REGIONAL CARE PARTNERS PO BOX 1070 LA PLATA MD 20646 522176314 HEALTHCARE MD NA C Corporation false UNIVERSITY MIDTOWN PROF CENTER 827 LINDEN AVENUE BALTIMORE MD 21201 521891126 REAL ESTATE MD NA C Corporation false UNIVERSITY OF MARYLAND HEALTH ADVANTAGE 22 SOUTH GREENE STREET BALTIMORE MD 21201 461411902 INSURANCE MD NA C Corporation false UNIVERSITY OF MARYLAND HEALTH PARTNERS 22 SOUTH GREENE STREET BALTIMORE MD 21201 452815803 INSURANCE MD NA C Corporation false UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE 22 SOUTH GREENE STREET BALTIMORE MD 21201 452815722 INSURANCE MD NA C Corporation false UPPER CHESAPEAKE HEALTH VENTURES INC 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 522031264 HEALTHCARE MD NA C Corporation false UPPER CHESAPEAKE MEDICAL CENTER LAND CON 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 770674478 REAL ESTATE MD NA C Corporation false UPPER CHESAPEAKE MEDICAL OFFICE BUILDING 520 UPPER CHESAPEAKE DR BEL AIR MD 21014 521946829 REAL ESTATE MD NA C Corporation false SHORE ORTHOPEDICS INC 219 S WASHINGTON STREET EASTON MD 21601 371817262 HEALTHCARE MD NA C Corporation false MADISON MANOR INC 5801 42ND AVE HYATTSVILLE MD 20781 521269059 HEALTHCARE MD NA C Corporation false AFFILIATED ENTERPRISES INC 3001 HOSPITAL DRIVE CHEVERLY MD 20785 521542144 HEALTHCARE MD NA C Corporation false DIMENSIONS ASSURANCE LTD PO BOX 1363 GENESIS BLDG GRAND CAYMAN CJ 980348082 INSURANCE CJ NA C Corporation false RIVERSIDE HEALTH OF DELAWARE INC 1966 GREENSPRING DRIVE STE 600 TIMONIUM MD 21093 463205820 HEALTHCARE DE NA C Corporation false RIVERSIDE HEALTH OF DC INC 1966 GREENSPRING DRIVE STE 600 TIMONIUM MD 21093 461411713 HEALTHCARE DC NA C Corporation false false false true false false false false false false false false true true true true true false true false