2025-05-13T16:14:53+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVE NW WASHINGTON DC 20005 990 2023-07-01 521501734 Upper Chesapeake Medical Services Inc UPPE 4108773700 520 Upper Chesapeake Drive 405 Bel Air MD 21014 Marco Priolo SVP, Finance 2025-05-13 true Amber Doane P01391011 2023276000 2025-05-13 2023 2025-03-06 01:10:19Z Elizabeth Wise 520 Upper Chesapeake Drive 405 Bel Air MD 21014 89021715 false X WWW.UMMS.ORG/UCH X 1986 MD TO PROVIDE PHYSICIAN SERVICES TO PATIENTS OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. 9 6 0 12 0 0 818368 628147 79396183 82089101 0 0 13100162 6304467 93314713 89021715 0 0 0 0 69424156 59624931 0 0 0 41103844 50665514 110528000 110290445 -17213287 -21268730 7748149 7798957 12808234 5216540 -5060085 2582417 TO PROVIDE PHYSICIAN SERVICES TO PATIENTS OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. false false 110269238 0 88393568 UPPER CHESAPEAKE MEDICAL SERVICES, INC. HOUSES THE ACTIVITY OF PRIMARY CARE, SURGEONS, SPECIALISTS AND HOSPITALISTS. THESE PHYSICIANS TREAT EXCLUSIVELY UPPER CHESAPEAKE HEALTH SYSTEM PATIENTS. PHYSICIANS CHARGE REASONABLE RATES FOR THEIR SERVICES IN ORDER TO ENSURE THAT THESE SERVICES ARE WIDELY AVAILABLE TO THE COMMUNITY. ALL BARIATRIC PATIENTS ARE PATIENTS OF UPPER CHESAPEAKE MEDICAL CENTER OR HARFORD MEMORIAL HOSPITAL, AND ACCORDINGLY, ARE PROVIDED CHARITY CARE TO THE SAME EXTENT THAT IT IS AVAILABLE UNDER THE HOSPITAL'S CHARITY CARE POLICY. 110269238 true true false false false false false false false true false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false true true false false false true X 0 0 0 false false false false false false false false false false false false X 9 6 false false false false true true true true true false false true true true true true true false false false X JENINE WARNKE 4434625811 900 ELKRIDGE LANDING ROAD - 3 EAST LINTHICUM MD 21090 ELIZABETH WISE PRESIDENT/CEO, UMUCHS 1.0 48.0 X X 0 929725 114369 MARCO PRIOLO CHAIRMAN 1.0 47.0 X X 0 495603 73554 ADELE A WILZACK RN MS DIRECTOR 1.0 6.0 X 0 0 0 ALBERT JA YOUNG ESQ DIRECTOR 1.0 5.0 X 0 0 0 BRYAN E KELLY DIRECTOR 1.0 6.0 X 0 0 0 DENNIS KURGANSKY MD DIRECTOR 1.0 6.0 X 0 0 0 JASON M BIRNBAUM MD DIRECTOR 40.0 0 X 681991 0 28375 MELINDA L CRAIG DIRECTOR 1.0 6.0 X 0 0 0 RICHARD P STREETT JR VMD DIRECTOR 1.0 6.0 X 0 0 0 DAVID FATKIN TREASURER 1.0 1.0 X 0 158299 12680 DORIS B WALKER ASSISTANT SECRETARY (ENDED 4/3/2024) 1.0 40.0 X 0 100933 17540 FERMIN BARRUETO JR MD SECRETARY 1.0 40.0 X 0 880097 44207 DAVID RUBIN PHYSICIAN 40.0 0 X 825027 0 24659 EDWARD G OMARA MD PHYSICIAN 40.0 0 X 1030526 0 29016 MATHEW THOMAS PHYSICIAN 40.0 0 X 888858 0 34040 RAJ YALAMANCHILI PHYSICIAN 40.0 0 X 877363 0 31557 WILLIAM P COOK MD PHYSICIAN 40.0 0 X 822464 0 20601 JOSEPH E HOFFMAN III Former CFO 0.0 49.0 X 0 526320 8544 LYLE E SHELDON FORMER PRESIDENT/CEO 1.0 45.0 X 0 706306 31162 5126229 3797283 470304 162 true true false UNIV OF MD SURGICAL PO BOX 62523 BALTIMORE MD 212642523 PHYSICIAN SERVICES 1203898 ICON MEDICAL NETWORK HOLDINGS PO BOX 29647 DALLAS TX 752299647 PHYSICIAN SERVICES 551092 UM ORTHOPAEDIC ASSICATES PA PO BOX 64881 BALTIMORE MD 212644881 PHYSICAN SERVICES 458333 MEDICAL CLAIMS MANAGEMENT INC PO BOX 260 FALLSTON MD 210470260 BILLING SERVICES 452515 PINNACLE LOCUM TENENS PO BOX 467902 ATLANTA GA 311467902 PHYSICAN SERVICES 443049 13 0 0 0 5114 623033 0 0 628147 NET PATIENT SERVICE REVENUE 621110 77589864 77589864 0 0 CARE MGMT FEES 621110 4333921 4333921 0 0 Carefirst shared savings 621110 165316 165316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82089101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEES FROM RELATED ENTITIES 621110 6052467 6052467 0 0 PHYSICIAN STIPEND 621110 217400 217400 0 0 MISCELLANEOUS 900099 34600 34600 0 0 0 0 0 0 6304467 89021715 88393568 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51349381 51332976 16405 0 740918 740681 237 0 4558852 4557396 1456 0 2975780 2974829 951 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10331597 10331084 513 0 13815 13811 4 0 514934 514769 165 0 102417 102384 33 0 0 0 0 0 3185741 3184723 1018 0 64602 64581 21 0 0 0 0 0 358940 358825 115 0 0 0 0 0 0 0 0 0 263822 263738 84 0 1318509 1318509 0 0 MEDICAL SUPPLIES 30453045 30453045 0 0 BAD DEBT EXPENSE 2597922 2597922 0 0 COLLECTION AGENCY 823156 823156 0 0 REPAIRS & MAINTENANCE 147873 147826 47 0 489141 488983 158 0 110290445 110269238 21207 0 0 0 0 0 0 0 0 0 0 0 5295452 5365624 0 0 0 0 0 0 763044 1007060 246645 245875 3892964 2802566 1299213 1090398 0 0 0 0 120000 90000 23795 0 7748149 7798957 10986959 4728995 0 0 1726484 487545 0 0 0 0 0 0 0 0 0 0 94791 0 12808234 5216540 X -5060085 2582417 0 0 0 0 0 0 0 0 -5060085 2582417 7748149 7798957 X -21268730 0 0 0 0 28911232 X false true X true false X 0 0 1523279 818368 628147 2969794 67874396 70856263 66326319 79396183 82089101 366542262 0 0 0 67874396 70856263 67849598 80214551 82717248 369512056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369512056 8140 8140 0 0 0 0 8140 0 8140 0 0 0 9152104 13092022 6304467 28548593 67874396 70856263 77001702 93314713 89021715 398068789 0.9283 0.9429 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - FEES FROM RELATED ENTITIES, COLUMN A - , COLUMN B - , COLUMN C - 9146795.0, COLUMN D - 13084580.0, COLUMN E - 6269867.0, COLUMN F - 28501242.0; DESCRIPTION - MISCELLANEOUS, COLUMN A - , COLUMN B - , COLUMN C - 5309.0, COLUMN D - 7442.0, COLUMN E - 34600.0, COLUMN F - 47351.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1826 1552 274 0 2353464 1549610 803854 0 1537674 1251404 286270 0 0 0 0 1090398 THIRD PARTY ADVANCES 0 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. X X X X true true false false false false false true false ELIZABETH WISE PRESIDENT/CEO, UMUCHS 0 697579 0 204796 0 27350 0 91557 0 22812 0 1044094 0 0 MARCO PRIOLO CHAIRMAN 0 354183 0 118440 0 22980 0 44394 0 29160 0 569157 0 0 JASON M BIRNBAUM MD DIRECTOR 370284 0 310805 0 902 0 0 0 28375 0 710366 0 0 0 JOSEPH E HOFFMAN III Former CFO 0 453670 0 70000 0 2650 0 0 0 8544 0 534864 0 0 LYLE E SHELDON FORMER PRESIDENT/CEO 0 0 0 0 0 706306 0 0 0 31162 0 737468 0 0 DAVID FATKIN TREASURER 0 144008 0 14120 0 171 0 11340 0 1340 0 170979 0 0 FERMIN BARRUETO JR MD SECRETARY 0 637505 0 155343 0 87249 0 13200 0 31007 0 924304 0 0 DAVID RUBIN PHYSICIAN 573124 0 231620 0 20283 0 0 0 24659 0 849686 0 0 0 EDWARD G OMARA MD PHYSICIAN 514677 0 492059 0 23790 0 0 0 29016 0 1059542 0 0 0 MATHEW THOMAS PHYSICIAN 458570 0 407293 0 22995 0 2377 0 31663 0 922898 0 0 0 RAJ YALAMANCHILI PHYSICIAN 520265 0 334032 0 23066 0 1932 0 29625 0 908920 0 0 0 WILLIAM P COOK MD PHYSICIAN 516679 0 280774 0 25011 0 0 0 20601 0 843065 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THIS ORGANIZATION DOES NOT HAVE A PAID CHIEF EXECUTIVE OFFICER. ALL COMPENSATION TO THE CHIEF EXECUTIVE OFFICER REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. Schedule J, Part I, Line 4a Severance or change-of-control payment DURING THE FISCAL YEAR-ENDED JUNE 30, 2024, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUALS AND AMOUNTS ARE LISTED BELOW: LYLE SHELDON, $ 706,306 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR- ENDED JUNE 30, 2024, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: Marco Priolo Lyle Sheldon Elizabeth Wise Joseph Hoffman DURING THE FISCAL YEAR-ENDED JUNE 30, 2024, 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: FERMIN BARRUETO, $57,740 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 V, Line 2a Number of employees Employees of the filing organization are reported in Part VII-A as paid by the organization. Payroll processing and filing is performed by a related organization, Upper Chesapeake Medical Center Inc. (UCMC), which issues W-2s for the employees of the filing organization. Therefore, Part V, Question 2a for the filing organization is zero. The filing organization reports salary expenses for the employees on Part IX, line 7. 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. ACCORDINGLY, THE ORGANIZATION'S PARENT COMPANY 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 UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. (UMUCHS) IS THE SOLE MEMBER OF UPPER CHESAPEAKE MEDICAL SERVICES, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMUCHS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY. 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 XI, Line 9 Other changes in net assets or fund balances Equity transfer subsidiary - 28911232; UPPER CHESAPEAKE SURGICAL ASSOCIATE LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 061791551 HEALTHCARE MD 5875308 509656 UCMS UPPER CHESAPEAKE PRIMARY CARE LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 352307206 HEALTHCARE MD 6901215 -1243052 UCMS UPPER CHESAPEAKE CRITICAL CARE ASSC LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 010898697 HEALTHCARE MD 7566960 521716 UCMS UPPER CHESAPEAKE ENDOCRINOLOGY ASSC LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 010898699 HEALTHCARE MD 2951432 222665 UCMS UPPER CHESAPEAKE CARDIOLOGY LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 263214001 HEALTHCARE MD 8172130 78687 UCMS UPPER CHESAPEAKE WOMENS CARE LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 273386855 HEALTHCARE MD 2538823 157887 UCMS UPPER CHESAPEAKE ORTHOPEDICS LLC 520 UPPER CHESAPEAKE DRIVE BEL AIR MD 21014 273489665 HEALTHCARE MD 5178711 1028736 UCMS UPPER CHESAPEAKE 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