2026-05-12T13:45:49+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 2005 Market Street Ste 700 Philadephia PA 19103 990 2024-07-01 520591639 James Lawrence Kernan Hospital Inc JAME 4104482500 2200 Kernan Drive Baltimore MD 21207 MARINA BOGIN SVP, Finance 2026-05-12 true Lauren E Bennett P01787029 2154485000 2026-05-12 2024 2025-03-06 01:10:19Z UM Rehabilitation thopaedic Institute JULIE NEMENS RN MSN 2200 Kernan Drive Baltimore MD 21207 163722935 false X WWW.UMMS.ORG/REHAB X 1895 MD JAMES L KERNAN HOSPITAL DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST-EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION. 13 10 908 150 0 0 14425 46588 130294426 137066119 2117141 4358423 853434 2300504 133279426 143771634 0 0 0 0 67843564 70386204 0 0 0 66451929 64547704 134295493 134933908 -1016067 8837726 200786678 212621582 31746773 29526417 169039905 183095165 JAMES L KERNAN HOSPITAL, DOING BUSINESS AS UM REHABILITATION THOPEDIC INSTITUTE (UMROI), DELIVERS INNOVATIVE, HIGH-QUALITY, AND COST-EFFECTIVE REHABILITATION AND SURGICAL SERVICES TO THE COMMUNITY AND REGION. false false 114892914 0 139203733 James L. Kernan Hospital (DBA University of Maryland Rehabilitation thopedic Institute (UMROI)) OWNS AND OPERATES A MEDICAL, SURGICAL AND REHABILITATION HOSPITAL WITH 144 LICENSED BEDS. UMROI PROVIDES CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. SUCH PATIENTS ARE IDENTIFIED BASED ON INFORMATION OBTAINED FROM THE PATIENTS AND SUBSEQUENT ANALYSIS. BECAUSE THE HOSPITAL DOES NOT EXPECT COLLECTION OF AMOUNTS DETERMINED AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE BASED ON ESTABLISHED RATES. UMROI ESTIMATES OVER $1.0 MILLION OF CHARITY CARE AT COST WAS PROVIDED IN THE YEAR ENDED JUNE 30, 2025. OVERALL, UMROI DELIVERS INNOVATIVE HIGH QUALITY, COST EFFECTIVE SURGICAL AND REHABILITATION SERVICES TO ITS COMMUNITY. 114892914 true true false true false false false false false false true true false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false true true false false false false true X 0 0 908 true false false false false false false false false false false false false X 13 10 false false false false true true true true true false false false true true true true true true true true false false MD X JENINE WARNKE 4434625811 900 ELKRIDGE LANDING ROAD - 3 EAST LINTHICUM MD 21090 CHRISTINA L CAFEO CHAIRMAN 1.0 0 X X 0 0 0 DAVIS VR SHERMAN VICE CHAIRMAN 1.0 2.0 X X 0 0 0 HENRY GRANDIZIO TREASURER 1.0 0 X X 0 0 0 ALAN LEVITT MD DIRECTOR 1.0 0 X 0 0 0 DANNY BELLAMY DIRECTOR 1.0 0 X 0 0 0 DAVE MCDONALD DIRECTOR (ENDED 03/2025) 1.0 0 X 0 0 0 KRISTIE SNEDEKER DIRECTOR 1.0 0 X 0 352662 56177 LAWRENCE SCHMIDT DIRECTOR 1.0 0 X 0 0 0 MARY BARRON DIRECTOR 1.0 0 X 0 0 0 MOHAN SUNTHA MD PRESIDENT AND CEO, UMMS 1.0 60.0 X 0 3870578 70039 NANCY L EFRON DIRECTOR 1.0 0 X 0 0 0 NEEL VIBHAKAR MD DIRECTOR 1.0 42.0 X 0 725837 52031 SEUNG J LEE MD DIRECTOR 1.0 0 X 0 0 0 VICTORIA MARCHESE PHD DIRECTOR 1.0 0 X 0 0 0 WILLIAM V STACK DIRECTOR (ENDED 07/2024) 1.0 0 X 0 0 0 JULIE NEMENS SVP, CAO & SECRETARY 40.0 1.0 X 441678 0 88607 MARINA BOGIN VP Finance 40.0 0 X 336602 0 52705 DANIEL SHELLY VICE PRESIDENT OPERATIONS 40.0 0 X 303685 0 20235 HEATHER A BEAUCHAMP VP PATIENT CARE, CNO 40.0 0 X 269855 0 66924 KRISHNAJ GOURAB MD VP MEDICAL AFFAIRS AND CMO 40.0 0 X 582836 0 52530 FIRIEDA HILDENBRAND NURSE ANESTHETIST 40.0 0 X 314530 0 1123 LOBNA ZADA DENTAL CLINICAL CHIEF 40.0 0 X 295767 0 22079 ROSINE WOCTCHOU NURSE 40.0 0 X 280555 0 1073 SCOTT D LANGLOIS NURSE 40.0 0 X 338293 0 15619 THOMAS J MERKLE PHYSICIAN 40.0 0 X 388927 0 40394 KAREN DOYLE FORMER ASSISTANT SECRETARY 0.0 40.0 X 0 548059 60837 3552728 5497136 600373 163 true true false UM BALTIMORE PO BOX 41427 BALTIMORE MD 21203 Healthcare Services 5539291 MDICS at UMROI LLC 7250 Parkway Dr Ste 500 Hanover MD 21076 Physician Services 2551771 CROSS COUNTRY STAFFING INC PO BOX 404674 Atlanta GA 30384 AGENCY STAFFING 2207235 BROWN & HEIM 3620 Commerce Drive Suite 714 Baltimore MD 21227 Electrician 971973 Crothall Healthcare 13028 Collection Center Dr Ste 210 Chicago IL 60693 Environmental services 658852 35 0 0 0 15826 21923 8839 0 46588 PATIENT SERVICE REVENUE 622110 135660582 135660582 0 0 OUTPATIENT PHARMACY 446110 1405537 1405537 0 0 0 0 0 0 137066119 1298890 0 0 1298890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23010834 0 19951301 0 3059533 0 3059533 0 0 3059533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jt Venture Income 900099 2089990 2089990 0 0 Hackerman Patz housing 721110 110875 0 0 110875 Medical records & Rebates 900099 52015 0 0 52015 47624 47624 0 0 2300504 143771634 139203733 0 4521313 X 0 0 0 0 0 0 0 0 2215657 2040565 175092 0 0 0 0 0 55253137 50886760 4366377 0 1561724 1438309 123415 0 7244799 6672279 572520 0 4110887 3786024 324863 0 0 0 0 0 0 0 0 0 0 0 0 0 4438 0 4438 0 0 0 100591 0 100591 0 32929033 19436713 13492320 0 9128 8407 721 0 140067 128998 11069 0 0 0 0 0 0 0 0 0 1714462 1578977 135485 0 71452 65806 5646 0 0 0 0 0 114427 105384 9043 0 475829 438227 37602 0 0 0 0 0 7100036 6538956 561080 0 2280595 2260964 19631 0 MEDICAL SUPPLIES 13454558 13454558 0 0 BAD DEBT 4873739 4873739 0 0 REPAIR & MAINTENANCE 687159 632856 54303 0 OTHER 398608 367108 31500 0 193582 178284 15298 0 134933908 114892914 20040994 0 6802116 6904846 0 0 0 0 19986377 22216246 0 0 0 0 0 0 1814691 1960526 319133 336642 128856832 94243823 36763366 34613009 29720000 37002000 25559194 31939961 0 0 0 79821801 77648352 200786678 212621582 8407237 5236069 0 0 7848 7848 0 0 0 0 0 0 0 0 0 0 23331688 24282500 31746773 29526417 X 124005505 134125037 45034400 48970128 0 0 0 0 0 0 169039905 183095165 200786678 212621582 X 8837726 2297574 0 0 0 2919960 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4438 4438 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION DOES NOT ENGAGE IN ANY DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 1.62% AND 39.00% 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. 697964 697964 78571694 55333598 23238096 46382596 38360930 8021666 3204578 549295 2655283 34613009 Closely-held equity interests Financial derivatives Alternative investments 31939961 F 31939961 ECONOMIC INT IN KERNAN ENDOWMENT 47507253 ECONOMIC INT IN UMMS FND 1436144 OTHER A/R 191279 Constr Fund LT Asset 9446666 Invest in Subs 19067010 77648352 Federal Income Taxes DUE TO UMMS 16459937 ADVANCES FROM THIRD PARTY PAYORS 6862791 PATIENT A/R CREDIT BALANCES 920702 OTHER LIABILITIES 39070 24282500 X 0 0 0 0 0 0 0 0 0 0 0 0 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 X true X true X 1052014 0 1052014 0.00809 0 0.0 0 0.0 0 0 1052014 0 1052014 0.00809 200907 0 200907 0.00154 4352321 0 4352321 0.03346 2511602 907648 1603954 0.01233 0 0.0 0 0.0 0 0 7064830 907648 6157182 0.04734 0 0 8116844 907648 7209196 0.05543 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 true 3849279 0 39724388 36159723 3564665 X true true 1 1 UM Rehabilitation thopaedic Institute 2200 KERNAN DRIVE BALTIMORE MD 21207 WWW.UMMS.ORG/REHAB 30-038 X X REHABILITATION 1 1 1 false false true X X X X X X X X X 23 true true false true X https://www.umms.org/rehab/community/health-needs-assessment X true 23 true https://www.umms.org/rehab/community/health-needs-assessment false true X 200.0 300.0 X X X X X true true X X X true X https://www.umms.org/rehab/patients-visitors/for-patients/financial-assistance-and-billing X https://www.umms.org/rehab/patients-visitors/for-patients/financial-assistance-and-billing X https://www.umms.org/rehab/patients-visitors/for-patients/financial-assistance-and-billing X X X X X X true X false X X X X false X 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 - JAMES LAWRENCE KERNAN HOSPITAL, INC.. James Lawrence Kernan Hospital, Inc. (DBA University of Maryland Rehabilitation and Orthopedic Institute ("UMROI")) partnered with seven other Baltimore based hospital(s)/ hospital systems (via the Baltimore City Hospital Collaborative) and Ascendient Health to complete the FY2024 Community Health Needs Assessment. Primary (new) data were collected through community-based focus groups and web-based surveys for community members and key community leaders and included feedback from more than 2,600 people who live, work or receive healthcare in Baltimore City. Key leaders most frequently represented nonprofit organizations, but participants also included government, health, and faith leaders among others. A total of 33 focus groups were conducted, either virtually or in person, with a variety of community members from different backgrounds, age groups and life experiences. Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - James Lawrence Kernan Hospital, Inc. UMROI conducted its FY'24 CHNA with the University of Maryland Medical Center Downtown and Midtown Campuses. Additional hospitals that collaborated with UMMC include: University of Maryland Rehabilitation and Orthopedics, Johns Hopkins Hospital (Main Campus and Bayview), St Agnes Hospital, Sinai, Mercy Medical Center, Medstar Health (Good Samaritan, Union Memorial, Harbor Hospital), and Mt. Washington Pediatric Hospital. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - JAMES LAWRENCE KERNAN HOSPITAL, INC.. UMROI will address the prioritized needs obtained from the CHNA. In that document, a plan is outlined as to how UMROI will support specific community benefit efforts as part of a larger community-wide and system plan. Since UMROI is a specialty hospital, the focus in more targeted to patients and community requiring support and education post injury or limb loss. This plan also addresses social needs and strives to improve health disparity. The priorities are mental health, chronic disease management and access to care. UMROI will focus the majority of its efforts on the identified strategic priorities, and will continue to 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 either existing clinical services and through collaboration with other health care organizations as needed. The unmet needs not addressed by this CHNA will also continue to be addressed by key Baltimore City governmental agencies and existing community-based organizations. The UMMC identified core priorities target the intersection of the identified community needs and the organization's key strengths and mission. Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - JAMES LAWRENCE KERNAN HOSPITAL, INC.. 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 3c CRITERIA FOR FREE OR DISCOUNTED CARE UM REHAB 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 I, Line 6b RELATED ORGANIZATION REPORT 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 VI, Line 5 Promotion of community health Analysis of all quantitative and qualitative data through the CHNA process identified multiple areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and UMROI's key strengths and mission. These priorities were identified by the executive and clinical leadership, and ultimately approved by the Board. Programming is based on these strategic priorities as identified in the CHNA. The identified priorities include Access to Care, Chronic Disease Management, and Mental Health. Identified Need/Priority: Chronic Disease Prevention/ Diabetes UMROI provide diabetes education, transportation, and health food access to individuals who have diabetes and complex medical needs. Since the rate of diabetes in high in Baltimore City, support services are integral for success in managing blood sugar. Identified Need/Priority: Mental Health Patients post stroke, brain injury, spinal cord injury, traumatic injuries, organ transplants and amputation often require assistance to gain access to medical appointments and various support services post discharge. Our strategy is to provide transitional navigation services to any patient referred who is accepting of the service. Last year, 95% of our patients were enrolled in transitional care services although only 77% completed the episode. Successful completion of programs improves mental health status. Identified Need/Priority: Access to Dental Care Dental services are provided for special needs adults and children who may not receive care otherwise. Many dentists in the community are not comfortable performing dental services to disabled patients. The goal of the program in to increase the number of dental treatments available to special needs population. Another goal is to increase awareness of proper brushing, flossing, home care, and proper diet of patients that had comprehensive treatment under general anesthesia. Schedule H, Part VI, Line 5 Promotion of community health cont 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 III, Line 7 State Filing of Community Benefit Report As required by Maryland statute for all hospitals, University of Maryland Medical Center submits a detailed, annual community benefit report, which provides information related to programs, services, contributions, etc. that the hospital makes with no or little expectation of financial return, to the Maryland Health Services Cost Review Commission (HSCRC), a state regulatory agency, by January 31 each year. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 4873739 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. 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 THE PATIENT 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 - UM Rehabilitation thopaedic Institute: Line 16a URL: https://www.umms.org/rehab/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - UM Rehabilitation thopaedic Institute: Line 16b URL: https://www.umms.org/rehab/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - UM Rehabilitation thopaedic Institute: Line 16c URL: https://www.umms.org/rehab/patients-visitors/for-patients/financial-assistance-and-billing; Schedule H, Part VI, Line 2 Needs assessment Since fiscal year 2012, UMROI has completed a comprehensive community health needs assessment (CHNA) every three years in partnership with the University of Maryland Medical Center (Downtown and Midtown campuses). The UMMC Community Health Improvement Team (CHI Team) collaborated with the University of Maryland Medical System, University of Maryland/ Baltimore, other Baltimore City-based hospitals, community leaders, the public, health experts, and the Baltimore City Health Department. Data was collected from the major areas of the community's perspective, health experts' opinions, and community leaders' perspectives along with a review of social determinants of health and epidemiologic data to complete a comprehensive assessment of the community's needs. Data includes primary and secondary sources of data. The triennial needs assessment was completed in FY2024 and was approved by the UMROI Board of Directors in June, 2024. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Patients are informed of their eligibility for assistance through signage in admitting and registration areas, online, in the Patient Handbooks, in local newspapers, and with Patient Information Sheets. UMMC translated its financial assistance policy into the following languages: English, Spanish, French, and Chinese. UMMC also has a plain language summary of its financial assistance policy in addition to its patient information sheet. Schedule H, Part VI, Line 4 Community information The residents in the West Baltimore community, where UMROI is located, have life expectancy rates of nearly 20 years less than residents in other parts of Baltimore City. High rates of unemployment, poverty, healthy food access issues, substance use, and violence are major social barriers to health. Residents in these communities have some of the worst health outcomes when compared to the City and the State of Maryland. The larger regional patient mix of University of Maryland Rehabilitation thopedic Institute consists of disabled adults from the metropolitan area, state, and region. For purposes of community benefits programming and the FY'21 Community Health Needs Assessment (CHNA), the Community Benefit Service Area (CBSA) of UM Rehab tho includes disabled adults from Baltimore City and the surrounding counties of Baltimore, Howard, and Anne Arundel. It is estimated that 7.3% of Marylanders under 65 years of age have some type of disability. This prevalence accounts for 441,808 Marylanders who need some type of support and/or resources to improve their daily quality of life. These individuals report barriers to health which include mobility, transportation, limited recreational options, unemployment, insurance coverage, and mental health issues. Disability* in the UM Rehab tho Service Area Anne Arundel Co, 58, 838, Baltimore City, 95,416, Baltimore Co, 92,959, Howard Co, 24,919 *Disability defined as mild to severe visual, hearing, ambulatory, cognitive, self-care, and independent living. Source: Local Disability Data for Planners Schedule H, Part VI, Line 6 Affiliated health care system The 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), the University of Maryland Rehabilitation and Orthopedic Institute 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, the UMMC 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. As Maryland's largest and most comprehensive rehabilitation and orthopedic specialty hospital, UMROI's highly specialized staff provides an interdisciplinary continuum of care with four distinct rehabilitative specialty units, including Stroke, Brian Injury, Spinal Cord Injury/Multi-Trauma and Comprehensive Medical Rehabilitation in a restorative environment. At UM Rehab, health care is not limited to in-hospital patients. UM Rehab is a leader in the research and treatment of musculoskeletal disease, joint replacement and sports injuries, strengthening communities and providing for better tomorrows through education, classes and support groups. Schedule H, Part VI, Line 7 State filing of community benefit report MD X X X X false true false false false false false true false KRISTIE SNEDEKER DIRECTOR 0 246070 0 64925 0 41667 0 10782 0 45395 0 408839 0 0 MOHAN SUNTHA MD PRESIDENT AND CEO, UMMS 0 2035925 0 1438800 0 395853 0 13800 0 56239 0 3940617 0 0 NEEL VIBHAKAR MD DIRECTOR 0 455326 0 164546 0 105965 0 11668 0 40363 0 777868 0 0 KAREN DOYLE FORMER ASSISTANT SECRETARY 0 383944 0 109664 0 54451 0 13800 0 47037 0 608896 0 0 MARINA BOGIN VP Finance 232508 0 72182 0 31912 0 9663 0 43042 0 389307 0 0 0 JULIE NEMENS SVP, CAO & SECRETARY 307844 0 118140 0 15694 0 50215 0 38392 0 530285 0 0 0 KRISHNAJ GOURAB MD VP MEDICAL AFFAIRS AND CMO 405511 0 107070 0 70255 0 11694 0 40836 0 635366 0 0 0 DANIEL SHELLY VICE PRESIDENT OPERATIONS 201611 0 73064 0 29010 0 8573 0 11662 0 323920 0 0 0 HEATHER A BEAUCHAMP VP PATIENT CARE, CNO 203965 0 54390 0 11500 0 28147 0 38777 0 336779 0 0 0 FIRIEDA HILDENBRAND NURSE ANESTHETIST 314530 0 0 0 0 0 0 0 1123 0 315653 0 0 0 SCOTT D LANGLOIS NURSE 275539 0 60814 0 1940 0 5724 0 9895 0 353912 0 0 0 THOMAS J MERKLE PHYSICIAN 324593 0 63823 0 511 0 13354 0 27040 0 429321 0 0 0 ROSINE WOCTCHOU NURSE 224603 0 55080 0 872 0 0 0 1073 0 281628 0 0 0 LOBNA ZADA DENTAL CLINICAL CHIEF 292072 0 0 0 3695 0 10852 0 11227 0 317846 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR- ENDED JUNE 30, 2025, 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: JULIE NEMENS DURING THE FISCAL YEAR ENDED JUNE 30, 2025, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS VESTED IN THE PLAN IN THE REPORTING TAX YEAR, THEREFORE THE FULL VALUE OF THE PLAN, INCLUDING ANY CONTRIBUTIONS TO THE PLAN FOR THE CURRENT FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. PRIOR YEAR CONTRIBUTIONS TO THE PLAN WERE PREVIOUSLY REPORTED ON FORM 990 AND ARE INDICATED ON SCHEDULE J, PART II, COLUMN (F). DANIEL SHELLY, $19,290 DURING THE FISCAL YEAR-ENDED JUNE 30, 2025, 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: KAREN DOYLE, $47,482 MARINA BOGIN, $23,666 MOHAN SUNTHA, MD, $374,969 KRISTIE SNEDEKER, $28,303 KRISHNAB GOURAB, MD, $45,775 NEEL VIBHAKAR, MD, $58,172 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, UMMS 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 UMMS, UMROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, UM MEMORIAL, 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 $2,092,015,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2025. ALL OF THE BONDS WERE ISSUED IN THE NAME OF UMMS AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. Form 990, Part V, Line 1a Tax Compliance INDEPENDENT CONTRACTORS OF THE FILING ORGANIZATION ARE REPORTED BY THE PARENT 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 6 Classes of members or stockholders UMMS IS THE SOLE MEMBER OF UM REHAB. UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMMS IS THE SOLE MEMBER OF UM REHAB. UMMS 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; leases or intercompany transfers of assets, subject to certain dollar thresholds; 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; and 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 Governance 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. The Chief Compliance Officer reviews all disclosure statements for compliance with the Conflict of Interest Policy and any/all related UMMS policies to identify all actual or potential conflicts of interest. The Chief Compliance Officer prepares and submits to the Governance Committee annual and updated (where applicable) reports summarizing all relevant information contained in the disclosure statements. With respect to the other entities in the University of Maryland Medical System, the Chief Compliance Officer may be called for consult. If the Governance Committee determines that a Conflict of Interest exists, the Governance Committee shall notify the Covered Person, the UMMS Chief Executive Officer, and the UMMS Board Chair and further will notify the full Board at its next meeting. Furthermore, in the event the Governance Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Governance Committee determines that a Conflict of Interest exists but that UMMS 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 Governance Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the Governance 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 UMMS, the Governance Committee shall recommend to the Executive Committee appropriate corrective action to be taken. 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. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. 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 10 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 VIII, Line 11d Other Miscellaneous Revenue Other - Total Revenue: 47624, Related or Exempt Function Revenue: 47624, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees PHYSICIAN SERVICES - Total Expense: 9499547, Program Service Expense: 9499547, Management and General Expenses: 0, Fundraising Expenses: 0; CORPORATE ALLOCATIONS - Total Expense: 12887738, Program Service Expense: 0, Management and General Expenses: 12887738, Fundraising Expenses: 0; CONTRACT SERVICES - Total Expense: 7650521, Program Service Expense: 7045939, Management and General Expenses: 604582, Fundraising Expenses: 0; TEMP LABOR - Total Expense: 2891227, Program Service Expense: 2891227, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN KERNAN ENDOWMENT SUPPORT - 3935728; CORP DEPRECIATION ALLOCATION - 1118499; IT ENTERPRISE AND 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