TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MARTIN J HEALY........................................................................ CHAIRMAN	.40 ........................50	X	X		0	0	0
(2) RAYMOND HAMM........................................................................ VICE CHAIRMAN	.40 ........................50	X	X		0	0	0
(3) RICHARD GUTTENDORF........................................................................ TREASURER	.40 ........................50	X	X		0	0	0
(4) RONALD GRAYBEAL........................................................................ SECRETARY	.50 ........................50	X	X		0	0	0
(5) KELLY ALBANESE........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(6) ALFONSO BASILE MD........................................................................ DIRECTOR/PHYSICIAN	40.00 ........................50	X			361,208	0	20,920
(7) MARY BOLT PHD........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(8) RON CULLIS........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(9) PHILLIP FARMER........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(10) MARTHA HOSFORD MD........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(11) TARI MOORE........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(12) HENRY PASSI........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(13) CARL ROBERTS........................................................................ DIRECTOR	.50 ........................50	X			0	0	0
(14) SHEELMOHAN SACHDEV MD........................................................................ DIRECTOR	.60 ........................40	X			0	0	0
(15) KENNETH S LEWIS MD JD........................................................................ PRESIDENT/CEO	30.00 .......................10.00	X	X		0	1,338,731	138,783
(16) LAURIE R BEYER CPA........................................................................ SENIOR VP/CFO	28.00 .......................12.00		X		0	341,662	86,857
(17) DAVID GIPSON........................................................................ SENIOR VP/COO	28.60 .......................11.40			X	0	350,922	83,634

(A) Name and business address	(B) Description of services	(C) Compensation
CLEARPATH SOLUTIONS GROUP LLC2465 CENTERVILLE ROADHERNDONVA20171	SOFTWARE/HARDWARE	3,250,799
NAVIN HAFFTY & ASSOC LLC1900 WEST PARK DRIVEWESTBOROUGHMA01581	SOFTWARE CONSULTANTS	3,174,436
MEDICAL INFORMATION TECHNOLOGY INCMEDITECH CIRCLEWESTWOODMA02090	IT NETWORK	3,117,887
OWENS & MINOR INCPO BOX 79171BALTIMOREMD21279	MEDICAL SUPPLY DISTRIBUTOR	3,088,935
RADCAREEMCAREPO BOX 368PERRY HALLMD21128	RADIOLOGY READING	2,865,393
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 118

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	2,350,032	2,350,032
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,650,828	2,231,081	419,747
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	63,256,473	62,703,222	553,251
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,217,671	1,186,310	31,361
9	Other employee benefits .......	7,250,985	7,162,117	88,868
10	Payroll taxes ...........	4,417,299	4,359,935	57,364
11	Fees for services (non-employees):
a	Management ......	2,188,756	1,094,378	1,094,378
b	Legal .........	343,976		343,976
c	Accounting ...........	101,664		101,664
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	53,465		53,465
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	20,352,804	19,925,810	426,994
12	Advertising and promotion ....	548,129	548,129
13	Office expenses .......	2,133,613	2,050,779	82,834
14	Information technology ......	168,162	168,162
15	Royalties ..
16	Occupancy ...........	2,517,554	2,517,554
17	Travel ............	196,739	155,594	41,145
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	32,546	13,249	19,297
20	Interest ...........	2,760,413	2,760,413
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	9,898,644	9,898,644
23	Insurance ..............	2,754,304	2,754,304
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	18,561,544	18,561,544
b	BAD DEBTS	9,171,774	9,171,774
c	REPAIRS & MAINTENANCE	2,512,197	2,512,197
d	DIETARY	1,123,806	1,123,806
e	All other expenses	1,647,649	1,497,119	150,530
25	Total functional expenses. Add lines 1 through 24e	158,211,027	154,746,153	3,464,874	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	5,405,023	1	4,791,231
2	Savings and temporary cash investments .........	784,061	2	2,877,238
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	15,574,231	4	17,964,783
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	561,214	7
8	Inventories for sale or use ..............	1,759,420	8	1,936,385
9	Prepaid expenses and deferred charges ..........	2,253,892	9	2,604,779
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	196,612,617
b	Less: accumulated depreciation .....	10b	101,643,119	86,393,856	10c	94,969,498
11	Investments—publicly traded securities ..........	63,626,059	11	59,367,528
12	Investments—other securities. See Part IV, line 11 .....	5,112,129	12	5,565,010
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	6,759,420	15	8,722,178
16	Total assets. Add lines 1 through 15 (must equal line 34)......	188,229,305	16	198,798,630
	17	Accounts payable and accrued expenses .........	15,108,507	17	15,237,765
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	74,136,484	20	72,012,044
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	10,299,837	25	13,869,984
26	Total liabilities. Add lines 17 through 25.........	99,544,828	26	101,119,793
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	87,623,004	27	96,434,672
28	Temporarily restricted net assets ...........	1,061,473	28	1,244,165
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	88,684,477	33	97,678,837
34	Total liabilities and net assets/fund balances ........	188,229,305	34	198,798,630

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization UNION HOSPITAL OF CECIL COUNTY INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization UNION HOSPITAL OF CECIL COUNTY INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,134,905		1,134,905
b	Buildings ................	71,201,057	29,451,062	41,749,995
c	Leasehold improvements ............	153,095	51,009	102,086
d	Equipment ................	115,944,507	71,025,155	44,919,352
e	Other .................	8,179,053	1,115,893	7,063,160
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				94,969,498

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
THIRD PARTY ADVANCES		2,687,062
CAPITAL LEASE OBLIGATIONS		3,116,568
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY		8,066,354






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		13,869,984
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	157,980,149
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	5,593,599
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-8,873,996
e	Add lines 2a through 2d .....................			2e	-3,280,397
3	Subtract line 2e from line 1.....................			3	161,260,546
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	161,260,546

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	148,985,789
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e	0
3	Subtract line 2e from line 1.....................			3	148,985,789
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	9,225,239
c	Add lines 4a and 4b.......................			4c	9,225,239
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	158,211,028

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 AND 2013. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS AFTER 2011 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES 351,243. PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS -9,171,774. BANK FEES NETTED ON FINANCIAL STATEMENTS -53,465.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 9,171,774. BANK FEES NETTED ON FINANCIAL STATEMENTS 53,465.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		3,064,396		3,064,396	2.060 %
b	Medicaid (from Worksheet 3, column a) ....
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .		3,064,396		3,064,396	2.060 %
Other Benefits		11,880	546,369	100,941	445,428	0.300 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	11,880	546,369	100,941	445,428	0.300 %
f	Health professions education (from Worksheet 5) ..	813	425,197		425,197	0.290 %
g	Subsidized health services (from Worksheet 6) ..	180	11,662,721	5,881,047	5,781,674	3.880 %
h	Research (from Worksheet 7)		7,568		7,568	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	37,330	423,166	155,118	268,048	0.180 %
j	Total. Other Benefits ..	50,203	13,065,021	6,137,106	6,927,915	4.660 %
k	Total. Add lines 7d and 7j .	50,203	16,129,417	6,137,106	9,992,311	6.720 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	330	19,553	19,553	0.010 %
3	Community support	86	7,633	7,633	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	100	126	126	0 %
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	378	56,232	56,232	0.040 %
9	Other
10	Total	894	83,544	83,544	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

7,759,321

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

170,409

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

62,964,652

Enter Medicare allowable costs of care relating to payments on line 5.....

62,964,652

Subtract line 6 from line 5. This is the surplus (or shortfall)........

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	UNION HOSPITAL OF CECIL COUNTY INC 106 BOW STREET ELKTON,MD21921 WWW.UHCC.COM	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	UNION HOSPITAL OF CECIL COUNTY INC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.UHCC.COM

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 3: CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT BETWEEN UNION HOSPITAL OF CECIL COUNTY AND THE CECIL COUNTY HEALTH DEPARTMENT. UNION HOSPITAL'S COMMUNITY BENEFITS COORDINATOR MET WITH CECIL COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH OFFICER, DEPUTY PUBLIC HEALTH OFFICER, AND EPIDEMIOLOGIST TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS TEAM FACILITATED A SERIES OF MEETINGS WITH BOTH COMMUNITY LEADERS AND COMMUNITY RESIDENTS TO GAIN FIRST-HAND KNOWLEDGE OF IMPORTANT HEALTH NEEDS IN CECIL COUNTY. THE CHNA PROCESS BEGAN IN JANUARY 2012 (DURING THE 3RD QUARTER OF FISCAL YEAR 2012). SECONDARY DATA WAS ANALYZED AND USED IN CONJUNCTION WITH ALL COMMUNITY MEETINGS AS PART OF THE SUPPORTING DATA PLATFORM. USE OF SECONDARY DATA WAS ALSO INTEGRAL TO THE HEALTH NEEDS PRIORITIZATION PROCESS CONDUCTED BY UNION HOSPITAL. INPUT FROM COMMUNITY PARTNERS ENGAGED IN CECIL COUNTY'S LOCAL HEALTH IMPROVEMENT COALITION MEETINGS WAS INCLUDED TO FURTHER VERIFY AND SUPPORT CONDUCTION OF THE CHNA. THE COMMUNITY PARTNERS CONSULTED WERE AS FOLLOWS: * AMERICAN CANCER SOCIETY * CECIL COLLEGE * CECIL COUNTY COMMISSIONERS * CECIL COUNTY DEPARTMENT OF EMERGENCY SERVICES * CECIL COUNTY DEPARTMENT OF JUVENILE SERVICES * CECIL COUNTY DEPARTMENT OF SOCIAL SERVICES * CECIL COUNTY HEALTH DEPARTMENT * CECIL COUNTY LIQUOR BOARD * CECIL COUNTY LOCAL MANAGEMENT BOARD * CECIL COUNTY PARKS AND RECREATIONAL SERVICES * CECIL COUNTY PUBLIC SCHOOLS * CECIL COUNTY SHERIFF'S OFFICE * ELKTON HOUSING AUTHORITY * JOHNS HOPKINS HEALTH CARE * MARYLAND STATE DELEGATION * MARYLAND STATE SENATE * PRIVATE HEALTH CARE PROVIDERS * PROJECT CROSSROAD * UNION HOSPITAL EMPLOYED PROVIDERS, STAFF, AND EXECUTIVE MANAGEMENT * UNIVERSITY OF MARYLAND STATEWIDE HEALTH NETWORK * UPPER BAY COUNSELING AND SUPPORT SERVICES * WEST CECIL HEALTH CENTER (FQHC) * YMCATHE CECIL COUNTY LOCAL HEALTH IMPROVEMENT COALITION WAS SURVEYED TO DETERMINE WHICH HEALTH NEEDS WERE PROMINENT IN CECIL COUNTY. DATA GATHERED FROM THE SURVEY REFLECTED CONCERNS RELATED TO PRESCRIPTION DRUG AND SUBSTANCE ABUSE, MENTAL HEALTH ACCESS, CHILD ABUSE, AND CHILDHOOD OBESITY. FOUR FOCUS GROUPS WERE ALSO CONDUCTED WITH COMMUNITY RESIDENTS. THESE FOCUS GROUPS INCLUDED RESIDENTS FROM ELKTON, CHARLESTOWN, NORTH EAST, CHESAPEAKE CITY, CECILTON, PERRYVILLE, RISING SUN, AND PORT DEPOSIT. FOCUS GROUP PARTICIPANTS INCLUDED YOUNG ADULTS, SENIOR CITIZENS, MEMBERS FROM VARIOUS LOCAL COMMUNITY ORGANIZATIONS AND CHURCHES, HOMEMAKERS, SMALL BUSINESS OWNERS, LIFE COACHES, RETIREES, AND COMMUNITY ORGANIZERS. THE FOCUS GROUPS WERE FACILITATED/MODERATED BY UNION HOSPITAL'S COMMUNITY BENEFITS COORDINATOR AND CECIL COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH OFFICER. THE HEALTH DEPARTMENT'S EPIDEMIOLOGIST PROVIDED TECHNICAL SUPPORT AND TRANSCRIPTION OF MEETING NOTES. EACH FOCUS GROUP SESSION BEGAN WITH A DESCRIPTION OF THE CHNA. PARTICIPANTS WERE THEN PRESENTED WITH DATA GATHERED FROM THE LOCAL HEALTH IMPROVEMENT COALITION SURVEY MEETINGS AND OTHER SECONDARY HEALTH DATA. AFTER REVIEW OF THE DATA, PARTICIPANTS WERE ASKED TO RESPOND BASED ON THEIR OWN PERSONAL UNDERSTANDING OF HEALTH IN THEIR COMMUNITIES AND WHAT NEEDED TO BE DONE TO ADDRESS IDENTIFIED HEALTH NEEDS. LISTED BELOW ARE THE DIFFERENT HEALTH NEEDS IDENTIFIED PER FOCUS GROUP. FOCUS GROUP HEALTH NEEDS IDENTIFIEDELKTON FOCUS GROUP SUBSTANCE ABUSE MENTAL HEALTH CARE ACCESS HOMELESSNESS SMOKING NUTRITION LUNG CANCER CHESAPEAKE CITY FOCUS GROUP GERIATRIC CARE IMPROVEMENTS MEDICAL TRANSPORTATION ACCESS CANCER TOBACCO USE SUBSTANCE ABUSE OBESITY MENTAL HEALTH CARE ACCESS GENERAL ACCESS TO HEALTH CARE FOR RESIDENTS THAT LIVE BELOW THE C & D CANALPERRYVILLE FOCUS GROUP CANCER SMOKING OBESITY ACCESS TO HEALTHIER FOODS MENTAL HEALTH CARE ACCESS CHILD NEGLECT SUBSTANCE ABUSERISING SUN FOCUS GROUP MENTAL HEALTH CARE ACCESS SUICIDE PREVENTION CANCER OBESITY DIABETES PRESCRIPTION DRUG ABUSE HEALTH COMMUNICATION IMPROVEMENTS ADDRESSING HEALTH DISPARITIESDATA FROM THE FOCUS GROUPS WAS ANALYZED, COMPARED TO SECONDARY HEALTH DATA FROM LOCAL, STATE AND NATIONAL SOURCES, AND PRESENTED TO UNION HOSPITAL'S INTERNAL COMMUNITY BENEFITS WORKGROUP TO COMPLETE THE HEALTH NEEDS PRIORITIZATION PROCESS. SECONDARY HEALTH DATA PROVIDED BY HEALTHY COMMUNITIES INSTITUTE FOR CECIL COUNTY FROM A VARIETY OF LOCAL, STATE, AND NATIONAL SOURCES WAS ANALYZED ACCORDING TO HEALTH INDICATORS IDENTIFIED AS HIGH RISK FOR THE CECIL COUNTY POPULATION. UNION HOSPITAL'S INTERNAL COMMUNITY BENEFITS WORKGROUP WAS ESTABLISHED TO MONITOR THE PROGRESSION OF COMMUNITY BENEFITS PLANNING AND REPORTING ACTIVITIES. IT WAS ALSO ESTABLISHED TO SET THE FRAMEWORK FOR ACCOUNTABILITY AND TRANSPARENCY BOTH INTERNALLY AND EXTERNALLY TO THE HOSPITAL. THE WORKGROUP'S MAIN ROLE DURING THE CHNA WAS TO HELP PRIORITIZE HEALTH NEEDS IDENTIFIED FROM BOTH THE COMMUNITY AND THE ANALYSIS OF SECONDARY HEALTH DATA SOURCES. THE FINAL PRIORITIZATION OF HEALTH NEEDS WAS BASED ON THE FOLLOWING CRITERIA:- SIZE. THE NUMBER OF PERSONS AFFECTED BY THE HEALTH NEED (INCIDENCE AND PREVALENCE). - SERIOUSNESS. LEVEL OF SEVERITY AS INDICATED BY MORBIDITY AND MORTALITY RATES AND ECONOMIC AND/OR SOCIAL IMPACT. - ECONOMIC FEASIBILITY. COSTS OF INTERNAL RESOURCES AND POTENTIAL COSTS OF EXTERNAL RESOURCES. - POTENTIAL FOR IMPACT. COULD THE HOSPITAL MAKE AN IMPORTANT CONTRIBUTION? DID IT HAVE THE EXPERTISE, TIME, AND RESOURCES FOR PLANNING, IMPLEMENTATION OF PROGRAMS/ACTIVITIES, AND EVALUATION OF ALL INITIATIVES?- AVAILABILITY OF COMMUNITY ASSETS. WERE THERE PROGRAMS ALREADY IN EXISTENCE THAT WERE ADDRESSING THE IDENTIFIED HEALTH NEEDS?- PROBABILITY OF SUCCESS. WHAT WAS THE LIKELIHOOD OF ACHIEVING OBJECTIVES AND GOALS CREATED FOR A COMMUNITY BENEFIT IMPLEMENTATION PLAN?- VALUE. SUBJECTIVE MEASURES THAT INDICATED IMPORTANCE. AFTER CAREFUL CONSIDERATION OF ALL DATA AND PRIORITIZATION CRITERIA, THE INTERNAL COMMUNITY BENEFITS WORKGROUP CHOSE THE FOLLOWING TOP THREE RANKED HEALTH PRIORITIES FOR CECIL COUNTY:1) RESPIRATORY HEALTH;2) HEART DISEASE; AND 3) OBESITY.UNION HOSPITAL IS CURRENTLY ADDRESSING THESE HEALTH PRIORITIES THROUGH THE COMMUNITY BENEFIT IMPLEMENTATION PLAN AS PART OF THE THREE FISCAL YEAR CYCLE OF THE CHNA.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 6I: THE COMMUNITY BENEFITS COORDINATOR CONTINUES TO WORK WITH THE CECIL COUNTY HEALTH DEPARTMENT AND THE CECIL COUNTY LOCAL HEALTH IMPROVEMENT COALITION TO WORK COLLABORATIVELY WITH COMMUNITY PARTNERS ON INITATIVES AND ACTIVITIES THAT PERTAIN TO THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED BUT NOT ADDRESSEDTHE CHNA REVEALED SEVERAL HEALTH NEEDS THAT WERE NOT SELECTED FOR PRIORITIZATION BY UNION HOSPITAL. BELOW WE DISCUSS WHICH NEEDS WERE IDENTIFIED AND WHY THEY WERE NOT CHOSEN FOR PRIORITIZATION. HEALTH NEEDS NOT INCLUDED AND REASONS HEALTH NEEDS WERE NOT PRIORITIZEDLOCAL HEALTH IMPROVEMENT COALITION HEALTH NEEDS: * PRESCRIPTION DRUG ABUSE * SUBSTANCE ABUSE * MENTAL HEALTH ACCESS TO TREATMENT * CHILD NEGLECT THESE HEALTH NEEDS WERE NOT PRIORITIZED BECAUSE THE LOCAL HEALTH IMPROVEMENT COALITION WAS ABLE TO PRODUCE A COMMUNITY HEALTH ACTION PLAN TO ADDRESS THEM. MEMBER ORGANIZATIONS IN THE COALITION ARE CURRENTLY WORKING TOGETHER TO INCORPORATE STRATEGIES TO ADDRESS THESE HEALTH NEEDS, AS WELL AS ACHIEVE MEASURABLE OUTCOMES. UNION HOSPITAL IS REPRESENTED ON THE COALITION AND IS CURRENTLY WORKING IN PARTNERSHIP WITH SEVERAL COMMUNITY PARTNERS ON ALL OF THESE HEALTH NEEDS. * SUICIDE PREVENTION UNION HOSPITAL RESPONDS TO SUICIDAL TENDENCIES EXHIBITED BY PATIENTS ON AN INPATIENT LEVEL. HOWEVER, MORE WORK IS BEING DONE TO ADDRESS THESE PATIENTS IN THEIR HOME BY WORKING IN PARTNERSHIP WITH MOBILE HEALTH CRISIS, A TEAM OF MENTAL HEALTH PROFESSIONALS DEDICATED TO ADDRESSING CRISIS ONSITE IN THE PATIENT'S HOME. * HOMELESSNESS THE ELKTON ALLIANCE (CHAMBER OF COMMERCE) HAS DEVELOPED A COALITION TO BETTER IDENTIFY AND ADDRESS THE HEALTH AND SOCIAL NEEDS OF THE HOMELESS POPULATION IN CECIL COUNTY. UNION HOSPITAL STAFF ACTIVELY PARTICIPATES ON THIS COALITION. * ACCESS TO CARE ADDRESSING ACCESS TO CARE ISSUES, INCLUDING TRANSPORTATION NEEDS, IS A MISSION DRIVEN CONCERN FOR UNION HOSPITAL, AND IS ADDRESSED ON A DAILY BASIS. OTHER HEALTH BASED ORGANIZATIONS IN CECIL COUNTY ALSO WORK TO PROVIDE ADEQUATE ACCESS TO CARE (I.E., THE CECIL COUNTY HEALTH DEPARTMENT, SCHOOL-BASED HEALTH CENTERS IN BAINBRIDGE AND GILPIN ELEMENTARY SCHOOLS, AND WEST CECIL HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER). * ACCESS TO HEALTHY FOODS ACCESS TO HEALTHY FOODS COULD BE INCLUDED IN STRATEGIES TO REDUCE OBESITY, WHICH IS A PRIORITY HEALTH NEED FOR BOTH UNION HOSPITAL AND THE LOCAL HEALTH IMPROVEMENT COALITION'S COMMUNITY HEALTH ACTION PLAN. PROMOTION OF HEALTHY FOOD ACCESS CAN ALSO BE PROMOTED IN THE WORKPLACE, AT SCHOOL, AND AT HOME. * ACCESS TO MEDICAL TRANSPORTATIONTHE CECIL COUNTY HEALTH DEPARTMENT OFFERS MEDICAL TRANSPORTATION FOR INDIVIDUALS WITH INSURANCE THAT COVERS IT. ALSO, SOME PRIVATE ORGANIZATIONS OFFER MEDICAL TRANSPORT ACCORDING TO BOTH INSURANCE COVERAGE AND LOCAL NEED. UNION HOSPITAL DOES NOT HAVE TRANSPORT VEHICLES NOR THE CAPITAL TO START AND MAINTAIN SUCH AN ENDEAVOR. RESOURCE ALLOCATION IS BETTER SERVED BY COLLABORATING WITH OTHER ENTITIES THAT HAVE VEHICLES OR BRINGING ISSUES OF ACCESS TO THE LOCAL GOVERNMENT TO ADVOCATE FOR BETTER PUBLIC TRANSPORTATION. * GERIATRIC CARE IMPROVEMENTS GERIATRIC CARE IMPROVEMENTS REFLECT CONCERNS RELATED TO FALLS, ISOLATION, DEPRESSION, IMPROPER DIET AND POOR CHRONIC DISEASE MANAGEMENT. INCIDENTALLY, THE CECIL COUNTY HEALTH DEPARTMENT AND SEVERAL LOCAL COMMUNITY ORGANIZATIONS HAVE PROGRAMS TAILORED TO ADDRESSING, DEPRESSION, ISOLATION, CHRONIC DISEASE MANAGEMENT AND FALLS PREVENTION. UNION HOSPITAL ALSO WORKS ON CHRONIC DISEASE MANAGEMENT AMONG THE ELDERLY AND FALLS PREVENTION. * DIABETESPREVENTION OF AND AWARENESS AROUND DIABETES IS ALREADY INCORPORATED IN MANY OF THE NUTRITION EDUCATION PROGRAMS AND ACTIVITIES THAT UNION HOSPITAL PROVIDES IN THE COMMUNITY. DIABETES CARE, MANAGEMENT, AND AWARENESS ARE ALSO INTEGRAL PARTS OF ACTIVITIES BEING CONSIDERED FOR THE 2ND AND 3RD HEALTH PRIORITIES OF HEART DISEASE AND OBESITY IN THE COMMUNITY BENEFIT IMPLEMENTATION PLAN. * CANCERUNION HOSPITAL ALREADY PROVIDES FREE CANCER SCREENINGS FOR THE COMMUNITY AND IS CONTINUOUSLY WORKING ON NEW WAYS TO SCREEN AND IDENTIFY SYMPTOMS FOR VARIOUS CANCERS. UNION HOSPITAL STAFF ALSO COLLABORATES WITH COMMUNITY PARTNERS AND AGENCIES TO BRING ACCESS TO CANCER CARE TO THE COMMUNITY. * HEALTH COMMUNICATION IMPROVEMENTS EFFORTS TO IMPROVE HEALTH COMMUNICATION ARE A CONSTANT TASK FOR UNION HOSPITAL AND ALL COMMUNITY ORGANIZATIONS. IT DOES NOT GO UNNOTICED. * ADDRESSING DISPARITIES IN HEALTH CARE HEALTH DISPARITIES HAVE BEEN IDENTIFIED WHERE APPLICABLE IN THE LOCAL HEALTH IMPROVEMENT COALITION'S COMMUNITY HEALTH ACTION PLAN. UNION HOSPITAL ACTIVELY SEEKS TO REDUCE HEALTH DISPARITIES BOTH IN ITS DAILY FUNCTIONING AND IN PARTNERSHIP WITH CECIL COUNTY'S LOCAL HEALTH IMPROVEMENT COALITION.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 20D: MARYLAND IS AN ALL-PAYOR STATE AND THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) SETS THE RATES FOR UNION HOSPITAL.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 3: CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT BETWEEN UNION HOSPITAL OF CECIL COUNTY AND THE CECIL COUNTY HEALTH DEPARTMENT. UNION HOSPITAL'S COMMUNITY BENEFITS COORDINATOR MET WITH CECIL COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH OFFICER, DEPUTY PUBLIC HEALTH OFFICER, AND EPIDEMIOLOGIST TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS TEAM FACILITATED A SERIES OF MEETINGS WITH BOTH COMMUNITY LEADERS AND COMMUNITY RESIDENTS TO GAIN FIRST-HAND KNOWLEDGE OF IMPORTANT HEALTH NEEDS IN CECIL COUNTY. THE CHNA PROCESS BEGAN IN JANUARY 2012 (DURING THE 3RD QUARTER OF FISCAL YEAR 2012). SECONDARY DATA WAS ANALYZED AND USED IN CONJUNCTION WITH ALL COMMUNITY MEETINGS AS PART OF THE SUPPORTING DATA PLATFORM. USE OF SECONDARY DATA WAS ALSO INTEGRAL TO THE HEALTH NEEDS PRIORITIZATION PROCESS CONDUCTED BY UNION HOSPITAL. INPUT FROM COMMUNITY PARTNERS ENGAGED IN CECIL COUNTY'S LOCAL HEALTH IMPROVEMENT COALITION MEETINGS WAS INCLUDED TO FURTHER VERIFY AND SUPPORT CONDUCTION OF THE CHNA. THE COMMUNITY PARTNERS CONSULTED WERE AS FOLLOWS: * AMERICAN CANCER SOCIETY * CECIL COLLEGE * CECIL COUNTY COMMISSIONERS * CECIL COUNTY DEPARTMENT OF EMERGENCY SERVICES * CECIL COUNTY DEPARTMENT OF JUVENILE SERVICES * CECIL COUNTY DEPARTMENT OF SOCIAL SERVICES * CECIL COUNTY HEALTH DEPARTMENT * CECIL COUNTY LIQUOR BOARD * CECIL COUNTY LOCAL MANAGEMENT BOARD * CECIL COUNTY PARKS AND RECREATIONAL SERVICES * CECIL COUNTY PUBLIC SCHOOLS * CECIL COUNTY SHERIFF'S OFFICE * ELKTON HOUSING AUTHORITY * JOHNS HOPKINS HEALTH CARE * MARYLAND STATE DELEGATION * MARYLAND STATE SENATE * PRIVATE HEALTH CARE PROVIDERS * PROJECT CROSSROAD * UNION HOSPITAL EMPLOYED PROVIDERS, STAFF, AND EXECUTIVE MANAGEMENT * UNIVERSITY OF MARYLAND STATEWIDE HEALTH NETWORK * UPPER BAY COUNSELING AND SUPPORT SERVICES * WEST CECIL HEALTH CENTER (FQHC) * YMCATHE CECIL COUNTY LOCAL HEALTH IMPROVEMENT COALITION WAS SURVEYED TO DETERMINE WHICH HEALTH NEEDS WERE PROMINENT IN CECIL COUNTY. DATA GATHERED FROM THE SURVEY REFLECTED CONCERNS RELATED TO PRESCRIPTION DRUG AND SUBSTANCE ABUSE, MENTAL HEALTH ACCESS, CHILD ABUSE, AND CHILDHOOD OBESITY. FOUR FOCUS GROUPS WERE ALSO CONDUCTED WITH COMMUNITY RESIDENTS. THESE FOCUS GROUPS INCLUDED RESIDENTS FROM ELKTON, CHARLESTOWN, NORTH EAST, CHESAPEAKE CITY, CECILTON, PERRYVILLE, RISING SUN, AND PORT DEPOSIT. FOCUS GROUP PARTICIPANTS INCLUDED YOUNG ADULTS, SENIOR CITIZENS, MEMBERS FROM VARIOUS LOCAL COMMUNITY ORGANIZATIONS AND CHURCHES, HOMEMAKERS, SMALL BUSINESS OWNERS, LIFE COACHES, RETIREES, AND COMMUNITY ORGANIZERS. THE FOCUS GROUPS WERE FACILITATED/MODERATED BY UNION HOSPITAL'S COMMUNITY BENEFITS COORDINATOR AND CECIL COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH OFFICER. THE HEALTH DEPARTMENT'S EPIDEMIOLOGIST PROVIDED TECHNICAL SUPPORT AND TRANSCRIPTION OF MEETING NOTES. EACH FOCUS GROUP SESSION BEGAN WITH A DESCRIPTION OF THE CHNA. PARTICIPANTS WERE THEN PRESENTED WITH DATA GATHERED FROM THE LOCAL HEALTH IMPROVEMENT COALITION SURVEY MEETINGS AND OTHER SECONDARY HEALTH DATA. AFTER REVIEW OF THE DATA, PARTICIPANTS WERE ASKED TO RESPOND BASED ON THEIR OWN PERSONAL UNDERSTANDING OF HEALTH IN THEIR COMMUNITIES AND WHAT NEEDED TO BE DONE TO ADDRESS IDENTIFIED HEALTH NEEDS. LISTED BELOW ARE THE DIFFERENT HEALTH NEEDS IDENTIFIED PER FOCUS GROUP. FOCUS GROUP HEALTH NEEDS IDENTIFIEDELKTON FOCUS GROUP SUBSTANCE ABUSE MENTAL HEALTH CARE ACCESS HOMELESSNESS SMOKING NUTRITION LUNG CANCER CHESAPEAKE CITY FOCUS GROUP GERIATRIC CARE IMPROVEMENTS MEDICAL TRANSPORTATION ACCESS CANCER TOBACCO USE SUBSTANCE ABUSE OBESITY MENTAL HEALTH CARE ACCESS GENERAL ACCESS TO HEALTH CARE FOR RESIDENTS THAT LIVE BELOW THE C & D CANALPERRYVILLE FOCUS GROUP CANCER SMOKING OBESITY ACCESS TO HEALTHIER FOODS MENTAL HEALTH CARE ACCESS CHILD NEGLECT SUBSTANCE ABUSERISING SUN FOCUS GROUP MENTAL HEALTH CARE ACCESS SUICIDE PREVENTION CANCER OBESITY DIABETES PRESCRIPTION DRUG ABUSE HEALTH COMMUNICATION IMPROVEMENTS ADDRESSING HEALTH DISPARITIESDATA FROM THE FOCUS GROUPS WAS ANALYZED, COMPARED TO SECONDARY HEALTH DATA FROM LOCAL, STATE AND NATIONAL SOURCES, AND PRESENTED TO UNION HOSPITAL'S INTERNAL COMMUNITY BENEFITS WORKGROUP TO COMPLETE THE HEALTH NEEDS PRIORITIZATION PROCESS. SECONDARY HEALTH DATA PROVIDED BY HEALTHY COMMUNITIES INSTITUTE FOR CECIL COUNTY FROM A VARIETY OF LOCAL, STATE, AND NATIONAL SOURCES WAS ANALYZED ACCORDING TO HEALTH INDICATORS IDENTIFIED AS HIGH RISK FOR THE CECIL COUNTY POPULATION. UNION HOSPITAL'S INTERNAL COMMUNITY BENEFITS WORKGROUP WAS ESTABLISHED TO MONITOR THE PROGRESSION OF COMMUNITY BENEFITS PLANNING AND REPORTING ACTIVITIES. IT WAS ALSO ESTABLISHED TO SET THE FRAMEWORK FOR ACCOUNTABILITY AND TRANSPARENCY BOTH INTERNALLY AND EXTERNALLY TO THE HOSPITAL. THE WORKGROUP'S MAIN ROLE DURING THE CHNA WAS TO HELP PRIORITIZE HEALTH NEEDS IDENTIFIED FROM BOTH THE COMMUNITY AND THE ANALYSIS OF SECONDARY HEALTH DATA SOURCES. THE FINAL PRIORITIZATION OF HEALTH NEEDS WAS BASED ON THE FOLLOWING CRITERIA:- SIZE. THE NUMBER OF PERSONS AFFECTED BY THE HEALTH NEED (INCIDENCE AND PREVALENCE). - SERIOUSNESS. LEVEL OF SEVERITY AS INDICATED BY MORBIDITY AND MORTALITY RATES AND ECONOMIC AND/OR SOCIAL IMPACT. - ECONOMIC FEASIBILITY. COSTS OF INTERNAL RESOURCES AND POTENTIAL COSTS OF EXTERNAL RESOURCES. - POTENTIAL FOR IMPACT. COULD THE HOSPITAL MAKE AN IMPORTANT CONTRIBUTION? DID IT HAVE THE EXPERTISE, TIME, AND RESOURCES FOR PLANNING, IMPLEMENTATION OF PROGRAMS/ACTIVITIES, AND EVALUATION OF ALL INITIATIVES?- AVAILABILITY OF COMMUNITY ASSETS. WERE THERE PROGRAMS ALREADY IN EXISTENCE THAT WERE ADDRESSING THE IDENTIFIED HEALTH NEEDS?- PROBABILITY OF SUCCESS. WHAT WAS THE LIKELIHOOD OF ACHIEVING OBJECTIVES AND GOALS CREATED FOR A COMMUNITY BENEFIT IMPLEMENTATION PLAN?- VALUE. SUBJECTIVE MEASURES THAT INDICATED IMPORTANCE. AFTER CAREFUL CONSIDERATION OF ALL DATA AND PRIORITIZATION CRITERIA, THE INTERNAL COMMUNITY BENEFITS WORKGROUP CHOSE THE FOLLOWING TOP THREE RANKED HEALTH PRIORITIES FOR CECIL COUNTY:1) RESPIRATORY HEALTH;2) HEART DISEASE; AND 3) OBESITY.UNION HOSPITAL IS CURRENTLY ADDRESSING THESE HEALTH PRIORITIES THROUGH THE COMMUNITY BENEFIT IMPLEMENTATION PLAN AS PART OF THE THREE FISCAL YEAR CYCLE OF THE CHNA.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 6I: THE COMMUNITY BENEFITS COORDINATOR CONTINUES TO WORK WITH THE CECIL COUNTY HEALTH DEPARTMENT AND THE CECIL COUNTY LOCAL HEALTH IMPROVEMENT COALITION TO WORK COLLABORATIVELY WITH COMMUNITY PARTNERS ON INITATIVES AND ACTIVITIES THAT PERTAIN TO THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED BUT NOT ADDRESSEDTHE CHNA REVEALED SEVERAL HEALTH NEEDS THAT WERE NOT SELECTED FOR PRIORITIZATION BY UNION HOSPITAL. BELOW WE DISCUSS WHICH NEEDS WERE IDENTIFIED AND WHY THEY WERE NOT CHOSEN FOR PRIORITIZATION. HEALTH NEEDS NOT INCLUDED AND REASONS HEALTH NEEDS WERE NOT PRIORITIZEDLOCAL HEALTH IMPROVEMENT COALITION HEALTH NEEDS: * PRESCRIPTION DRUG ABUSE * SUBSTANCE ABUSE * MENTAL HEALTH ACCESS TO TREATMENT * CHILD NEGLECT THESE HEALTH NEEDS WERE NOT PRIORITIZED BECAUSE THE LOCAL HEALTH IMPROVEMENT COALITION WAS ABLE TO PRODUCE A COMMUNITY HEALTH ACTION PLAN TO ADDRESS THEM. MEMBER ORGANIZATIONS IN THE COALITION ARE CURRENTLY WORKING TOGETHER TO INCORPORATE STRATEGIES TO ADDRESS THESE HEALTH NEEDS, AS WELL AS ACHIEVE MEASURABLE OUTCOMES. UNION HOSPITAL IS REPRESENTED ON THE COALITION AND IS CURRENTLY WORKING IN PARTNERSHIP WITH SEVERAL COMMUNITY PARTNERS ON ALL OF THESE HEALTH NEEDS. * SUICIDE PREVENTION UNION HOSPITAL RESPONDS TO SUICIDAL TENDENCIES EXHIBITED BY PATIENTS ON AN INPATIENT LEVEL. HOWEVER, MORE WORK IS BEING DONE TO ADDRESS THESE PATIENTS IN THEIR HOME BY WORKING IN PARTNERSHIP WITH MOBILE HEALTH CRISIS, A TEAM OF MENTAL HEALTH PROFESSIONALS DEDICATED TO ADDRESSING CRISIS ONSITE IN THE PATIENT'S HOME. * HOMELESSNESS THE ELKTON ALLIANCE (CHAMBER OF COMMERCE) HAS DEVELOPED A COALITION TO BETTER IDENTIFY AND ADDRESS THE HEALTH AND SOCIAL NEEDS OF THE HOMELESS POPULATION IN CECIL COUNTY. UNION HOSPITAL STAFF ACTIVELY PARTICIPATES ON THIS COALITION. * ACCESS TO CARE ADDRESSING ACCESS TO CARE ISSUES, INCLUDING TRANSPORTATION NEEDS, IS A MISSION DRIVEN CONCERN FOR UNION HOSPITAL, AND IS ADDRESSED ON A DAILY BASIS. OTHER HEALTH BASED ORGANIZATIONS IN CECIL COUNTY ALSO WORK TO PROVIDE ADEQUATE ACCESS TO CARE (I.E., THE CECIL COUNTY HEALTH DEPARTMENT, SCHOOL-BASED HEALTH CENTERS IN BAINBRIDGE AND GILPIN ELEMENTARY SCHOOLS, AND WEST CECIL HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER). * ACCESS TO HEALTHY FOODS ACCESS TO HEALTHY FOODS COULD BE INCLUDED IN STRATEGIES TO REDUCE OBESITY, WHICH IS A PRIORITY HEALTH NEED FOR BOTH UNION HOSPITAL AND THE LOCAL HEALTH IMPROVEMENT COALITION'S COMMUNITY HEALTH ACTION PLAN. PROMOTION OF HEALTHY FOOD ACCESS CAN ALSO BE PROMOTED IN THE WORKPLACE, AT SCHOOL, AND AT HOME. * ACCESS TO MEDICAL TRANSPORTATIONTHE CECIL COUNTY HEALTH DEPARTMENT OFFERS MEDICAL TRANSPORTATION FOR INDIVIDUALS WITH INSURANCE THAT COVERS IT. ALSO, SOME PRIVATE ORGANIZATIONS OFFER MEDICAL TRANSPORT ACCORDING TO BOTH INSURANCE COVERAGE AND LOCAL NEED. UNION HOSPITAL DOES NOT HAVE TRANSPORT VEHICLES NOR THE CAPITAL TO START AND MAINTAIN SUCH AN ENDEAVOR. RESOURCE ALLOCATION IS BETTER SERVED BY COLLABORATING WITH OTHER ENTITIES THAT HAVE VEHICLES OR BRINGING ISSUES OF ACCESS TO THE LOCAL GOVERNMENT TO ADVOCATE FOR BETTER PUBLIC TRANSPORTATION. * GERIATRIC CARE IMPROVEMENTS GERIATRIC CARE IMPROVEMENTS REFLECT CONCERNS RELATED TO FALLS, ISOLATION, DEPRESSION, IMPROPER DIET AND POOR CHRONIC DISEASE MANAGEMENT. INCIDENTALLY, THE CECIL COUNTY HEALTH DEPARTMENT AND SEVERAL LOCAL COMMUNITY ORGANIZATIONS HAVE PROGRAMS TAILORED TO ADDRESSING, DEPRESSION, ISOLATION, CHRONIC DISEASE MANAGEMENT AND FALLS PREVENTION. UNION HOSPITAL ALSO WORKS ON CHRONIC DISEASE MANAGEMENT AMONG THE ELDERLY AND FALLS PREVENTION. * DIABETESPREVENTION OF AND AWARENESS AROUND DIABETES IS ALREADY INCORPORATED IN MANY OF THE NUTRITION EDUCATION PROGRAMS AND ACTIVITIES THAT UNION HOSPITAL PROVIDES IN THE COMMUNITY. DIABETES CARE, MANAGEMENT, AND AWARENESS ARE ALSO INTEGRAL PARTS OF ACTIVITIES BEING CONSIDERED FOR THE 2ND AND 3RD HEALTH PRIORITIES OF HEART DISEASE AND OBESITY IN THE COMMUNITY BENEFIT IMPLEMENTATION PLAN. * CANCERUNION HOSPITAL ALREADY PROVIDES FREE CANCER SCREENINGS FOR THE COMMUNITY AND IS CONTINUOUSLY WORKING ON NEW WAYS TO SCREEN AND IDENTIFY SYMPTOMS FOR VARIOUS CANCERS. UNION HOSPITAL STAFF ALSO COLLABORATES WITH COMMUNITY PARTNERS AND AGENCIES TO BRING ACCESS TO CANCER CARE TO THE COMMUNITY. * HEALTH COMMUNICATION IMPROVEMENTS EFFORTS TO IMPROVE HEALTH COMMUNICATION ARE A CONSTANT TASK FOR UNION HOSPITAL AND ALL COMMUNITY ORGANIZATIONS. IT DOES NOT GO UNNOTICED. * ADDRESSING DISPARITIES IN HEALTH CARE HEALTH DISPARITIES HAVE BEEN IDENTIFIED WHERE APPLICABLE IN THE LOCAL HEALTH IMPROVEMENT COALITION'S COMMUNITY HEALTH ACTION PLAN. UNION HOSPITAL ACTIVELY SEEKS TO REDUCE HEALTH DISPARITIES BOTH IN ITS DAILY FUNCTIONING AND IN PARTNERSHIP WITH CECIL COUNTY'S LOCAL HEALTH IMPROVEMENT COALITION.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 20D: MARYLAND IS AN ALL-PAYOR STATE AND THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) SETS THE RATES FOR UNION HOSPITAL.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number
52-0607945

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON,MD21921	52-1794553	501(C)(3)	1,443,346	CHARITABLE ACTIVITIES
(2) TRIANGLE HEALTH ALLIANCE INC 106 BOW STREET ELKTON,MD21921	01-0789341		587,695	FINANCIAL SUPPORT
(3) OPEN MRI & IMAGING CENTER LLC 106 BOW STREET ELKTON,MD21921	20-2119977		318,991	FINANCIAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE ORGANIZATION ONLY PROVIDES ASSISTANCE TO ITS AFFILIATED ENTITIES. IT DOES NOT PROVIDE GRANTS TO OTHER ORGANIZATIONS. USE OF FUNDS IS MONITORED BY MANAGEMENT.

Schedule I (Form 990) 2013

Additional Data

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Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)ALFONSO BASILE MDDIRECTOR/PHYSICIAN	(i) (ii)	329,223 0	0 0	31,985 0	3,563 0	17,357 0	382,128 0	0 0
(2)KENNETH S LEWIS MD JDPRESIDENT/CEO	(i) (ii)	0 510,413	0 177,687	0 650,631	0 111,825	0 26,958	0 1,477,514	0 414,900
(3)LAURIE R BEYER CPASENIOR VP/CFO	(i) (ii)	0 256,052	0 64,242	0 21,368	0 63,686	0 23,171	0 428,519	0 0
(4)DAVID GIPSONSENIOR VP/COO	(i) (ii)	0 263,050	0 66,300	0 21,572	0 64,431	0 19,203	0 434,556	0 0
(5)KHADIJATU BOSTONSENIOR VP/CNO	(i) (ii)	111,708 40,704	21,746 0	6,377 0	2,622 0	5,648 0	148,101 40,704	0 0
(6)CYDNEY TEALVP MEDICAL AFFAIRS	(i) (ii)	0 248,980	0 48,263	0 26,375	0 3,825	0 23,169	0 350,612	0 0
(7)TERRANCE LOVELLVP HUMAN RESOURCES	(i) (ii)	154,827 0	33,349 0	14,635 0	0 0	16,113 0	218,924 0	0 0
(8)CAREN LEWISSR VP CARE SERVICES (UNTIL 6/15/13)	(i) (ii)	0 108,933	0 33,150	0 60,703	0 1,586	0 5,178	0 209,550	0 0
(9)IRFAN M HUSAMUDDINPHYSICIAN	(i) (ii)	438,921 0	84,153 0	1,597 0	0 0	17,340 0	542,011 0	0 0
(10)ROHIT SINGHANIAPHYSICIAN	(i) (ii)	380,505 0	71,423 0	6,277 0	1,669 0	6,637 0	466,511 0	0 0
(11)JUSTIN SAUSVILLEPHYSICIAN	(i) (ii)	373,724 0	13,729 0	21,528 0	3,825 0	17,240 0	430,046 0	0 0
(12)BERNARD J HYNESPHYSICIAN	(i) (ii)	349,874 0	29,207 0	346 0	0 0	17,252 0	396,679 0	0 0
(13)JOHN HEBEKAPHYSICIAN	(i) (ii)	322,254 0	0 0	31,985 0	3,825 0	17,230 0	375,294 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	THE ORGANIZATION'S PRESIDENT & CEO, DR. KENNETH LEWIS, HAS A DISCRETIONARY SPENDING ACCOUNT FOR FLEXIBLE BENEFITS WHICH INCLUDED: A) LEASED CAR PAYMENTS, GAS, REPAIRS AND INSURANCE B) TAX RETURN PREPARATION C) ATTORNEY REGISTRATION FEE D) MEDICAL LICENSE RENEWAL E) FINGERPRINTING/CRIMINAL INVESTIGATION FOR DELAWARE PHYSICIAN LICENSE F) BJ'S MEMBERSHIP G) CASH ALL BENEFITS HAVE BEEN INCLUDED IN TAXABLE WAGES.
PART I, LINES 4A-B	THE FOLLOWING PEOPLE PARTICIPATE IN A SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLAN UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE: DR. KENNETH LEWIS, PRESIDENT & CEO LAURIE BEYER, SENIOR VP/CFO DAVID GIPSON, SENIOR VP/COO CAREN LEWIS, SENIOR VP OF PATIENT CARE SERVICES THE FOLLOWING PAYMENTS HAVE BEEN CONTRIBUTED TO THE PLAN EACH CALENDAR YEAR SINCE 2007: 12/31/2007 - $90,000 (DR. KENNETH LEWIS) 12/31/2008 - $90,000 (DR. KENNETH LEWIS) 12/31/2009 - $90,000 (DR. KENNETH LEWIS) 12/31/2010 - $90,000 (DR. KENNETH LEWIS) 12/31/2011 - $108,000 (DR. KENNETH LEWIS) 12/31/2012 - $108,000 (DR. KENNETH LEWIS) 12/31/2013 - $108,000 (DR. KENNETH LEWIS) 12/31/2011 - $51,431 (LAURIE BEYER) 12/31/2012 - $54,576 (LAURIE BEYER) 12/31/2013 - $59,861 (LAURIE BEYER) 12/31/2011 - $51,968 (DAVID GIPSON) 12/31/2012 - $55,135 (DAVID GIPSON) 12/31/2013 - $60,606 (DAVID GIPSON) 12/31/2011 - $35,649 (CAREN LEWIS) 12/31/2012 - $40,178 (CAREN LEWIS) DR. KENNETH LEWIS RECEIVED PAYMENTS FROM THE 457(F) PLAN OF $483,708. THE RIGHT TO RECEIVE PAYMENTS UNDER THE PLAN SHALL BE FORFEITED IN THE EVENT THAT EMPLOYMENT WITH THE HOSPITAL TERMINATES PRIOR TO THE VESTING DATE FOR ANY REASON OTHER THAN INVOLUNTARY TERMINATION WITHOUT CAUSE, DEATH, OR DISABILITY. CAREN LEWIS LEFT THE ORGANIZATION ON JUNE 15TH, 2013. SHE RECEIVED SEVARANCE PAY THROUGH OCTOBER 1, 2013 IN THE AMOUNT OF $45,509. SHE ALSO RECEIVED, DURING THIS TIME, THE BALANCE OF HER PTO IN THE AMOUNT OF $9,098 AND A BONUS IN THE AMOUNT OF $33,150 THAT HAD BEEN EARNED PRIOR TO HER LEAVING.
PART I, LINE 7	A PORTION OF THE BONUSES AND MERIT INCREASE ARE TIED TO THE ORGANIZATIONAL GOALS, SUCH AS PATIENT SATISFACTION, QUALITY, EMPLOYEE TURNOVER, ETC. A PORTION OF THE BONUSES AND MERIT INCREASE ARE ALSO TIED TO EXPENSES PER EQUIVALENT INPATIENT DAYS OF UNION HOSPITAL OF CECIL COUNTY.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number
52-0607945

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091	5742168A8	07-14-2005	31,401,189	SEE PART VI		X		X		X
B	TOWN OF ELKTON	52-6000790		05-18-2012	10,000,000	SEE PART VI		X		X		X
C	TOWN OF ELKTON	52-6000790		05-18-2012	8,662,336	SEE PART VI		X		X		X
D	TOWN OF ELKTON	52-6000790		05-18-2012	9,000,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	9,924,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	4,007,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	615,596		615,596		1,023,580
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	35,836,388		10,000,000		8,662,336		9,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	3,965,421
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	576,473
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	33,640,038		4,007,000
11 Other spent proceeds . . . . . . . . . . . . . .	10,000,000		10,000,000		8,662,336		9,000,000
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2007		2012		2012		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X	X		X		X
c No rebate due? . . . . . . . .	X			X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider . . . . . . . . .	BANK OF AMERICA NA
c Term of hedge . . . . . . . . . .	35.000000000000
d Was the hedge superintegrated? . . . .		X
e Was the hedge terminated? . . . . . .		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2010
PART I, COLUMN (F)	ISSUE A: THE PURPOSE OF THE ISSUE WAS FINANCING AND REFINANCING THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES. ISSUE B: TO REFUND PORTION OF SERIES 2009 BONDS. ISSUE C: TO REFUND REMAINING PORTION OF SERIES 2009 BONDS AND ALL OF SERIES 2000 BONDS. ISSUE D: TO FUND AN ESCROW WHICH REPAYS A PORTION OF THE SERIES 2002 BONDS AND INTEREST THEREON. ISSUE E: TO REFUND REMAINING PORTION OF SERIES 2002 BONDS. ISSUE F: TO FINANCE ACQUISITION OF EQUIPMENT AND CLOSING COSTS.
PART II, LINE 3	ISSUE A: THIS NUMBER REPRESENTS SALE PROCEEDS PLUS INVESTMENT EARNINGS IN THE CONSTRUCTION FUND, PLUS INVESTMENT EARNINGS IN THE COST OF ISSUANCE FUND, PLUS INVESTMENT EARNINGS IN THE DEBT SERVICE RESERVE FUND DURING THE CONSTRUCTION PERIOD.
PART II, LINE 10	ISSUE A: THIS NUMBER REPRESENTS TOTAL PROCEEDS LESS PROCEEDS DEPOSITED INTO A RESERVE FUND LESS PROCEEDS SPENT ON ISSUANCE COSTS.
PART IV, LINES 4(B) AND 4(C)	ISSUE A: THE ORGANIZATION ENTERED INTO AN INTEREST RATE HEDGE WITH BANK OF AMERICA, N.A. ON MARCH 28, 2005. THE TERM OF THE HEDGE WAS FROM JUNE 22, 2005 THROUGH JULY 1, 2040.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number
52-0607945

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091	5742168A8	07-14-2005	31,401,189	SEE PART VI		X		X		X
B	TOWN OF ELKTON	52-6000790		05-18-2012	10,000,000	SEE PART VI		X		X		X
C	TOWN OF ELKTON	52-6000790		05-18-2012	8,662,336	SEE PART VI		X		X		X
D	TOWN OF ELKTON	52-6000790		05-18-2012	9,000,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	9,924,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	4,007,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	615,596		615,596		1,023,580
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	35,836,388		10,000,000		8,662,336		9,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	3,965,421
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	576,473
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	33,640,038		4,007,000
11 Other spent proceeds . . . . . . . . . . . . . .	10,000,000		10,000,000		8,662,336		9,000,000
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2007		2012		2012		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X	X		X		X
c No rebate due? . . . . . . . .	X			X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider . . . . . . . . .	BANK OF AMERICA NA
c Term of hedge . . . . . . . . . .	35.000000000000
d Was the hedge superintegrated? . . . .		X
e Was the hedge terminated? . . . . . .		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2010
PART I, COLUMN (F)	ISSUE A: THE PURPOSE OF THE ISSUE WAS FINANCING AND REFINANCING THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES. ISSUE B: TO REFUND PORTION OF SERIES 2009 BONDS. ISSUE C: TO REFUND REMAINING PORTION OF SERIES 2009 BONDS AND ALL OF SERIES 2000 BONDS. ISSUE D: TO FUND AN ESCROW WHICH REPAYS A PORTION OF THE SERIES 2002 BONDS AND INTEREST THEREON. ISSUE E: TO REFUND REMAINING PORTION OF SERIES 2002 BONDS. ISSUE F: TO FINANCE ACQUISITION OF EQUIPMENT AND CLOSING COSTS.
PART II, LINE 3	ISSUE A: THIS NUMBER REPRESENTS SALE PROCEEDS PLUS INVESTMENT EARNINGS IN THE CONSTRUCTION FUND, PLUS INVESTMENT EARNINGS IN THE COST OF ISSUANCE FUND, PLUS INVESTMENT EARNINGS IN THE DEBT SERVICE RESERVE FUND DURING THE CONSTRUCTION PERIOD.
PART II, LINE 10	ISSUE A: THIS NUMBER REPRESENTS TOTAL PROCEEDS LESS PROCEEDS DEPOSITED INTO A RESERVE FUND LESS PROCEEDS SPENT ON ISSUANCE COSTS.
PART IV, LINES 4(B) AND 4(C)	ISSUE A: THE ORGANIZATION ENTERED INTO AN INTEREST RATE HEDGE WITH BANK OF AMERICA, N.A. ON MARCH 28, 2005. THE TERM OF THE HEDGE WAS FROM JUNE 22, 2005 THROUGH JULY 1, 2040.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	AFFINITY HEALTH ALLIANCE, INC. ("AHA"), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS DIRECTORS ARE APPOINTED BY ITS SOLE MEMBER, AHA.
FORM 990, PART VI, SECTION A, LINE 7B	THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS SOLE MEMBER (AHA) MAY AMEND ITS BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	THE BOARD OF DIRECTORS OF THE ORGANIZATION REVIEWS THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE ORGANIZATION'S CEO REVIEWS THE SIGNED ANNUAL DISCLOSURES. THE CORPORATE COMPLIANCE OFFICER IS MADE AWARE OF ANY DISCLOSED CONFLICT, INVESTIGATES THE CONFLICT, AND REPORTS BACK TO THE BOARD OF DIRECTORS. THE BOARD CONSIDERS THE FACTS AND MAKES AN APPROPRIATE FINDING. ANY BOARD MEMBER WITH A CONFLICT MUST ABSTAIN FROM BOARD DELIBERATIONS AND VOTING ON THE MATTER. ALL VICE PRESIDENTS ANNUALLY RECEIVE A LIST OF THE INDIVIDUALS UNDER THEIR SUPERVISION WHO MAY HAVE A POTENTIAL CONFLICT OF INTEREST. THE LIST IS COMPRISED OF ALL MANAGERS, CERTAIN PROFESSIONAL STAFF WHO MAY HAVE RESPONSIBILITY NEGOTIATING WITH VENDORS, AND ANY OTHER PERSONS THAT HOSPITAL EXECUTIVES DEEM APPROPRIATE. EACH VICE PRESIDENT REVIEWS THE CONFLICT OF INTEREST POLICY WITH THEIR DESIGNATED EMPLOYEES, AND EACH EMPLOYEE IS REQUIRED TO SIGN A FORM STIPULATING WHETHER OR NOT THEY HAVE A CONFLICT. THE FORMS ARE REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES. IF A CONFLICT IS NOTED, IT IS BROUGHT TO THE ATTENTION OF THE APPROPRIATE VICE PRESIDENT AND THE CEO TO DETERMINE WHETHER OPERATIONAL CHANGES NEED TO OCCUR BECAUSE OF THE POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY OF THE ORGANIZATION, AS WELL AS SETTING, MONITORING AND REVIEWING THE COMPENSATION PACKAGE OF THE ORGANIZATION'S CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM. THE COMMITTEE USES RELEVANT MARKET INFORMATION, INCLUDING THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDIES OR SURVEYS, TO SET COMPENSATION. DURING 2014, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED THE FOLLOWING SERVICES: EXECUTIVE COMPENSATION AND PERFORMANCE EVALUATION. COMPENSATION REVIEW AND APPROVAL IS DOCUMENTED VIA BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,367,186. MANAGEMENT AND GENERAL EXPENSES 426,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,794,180. PHYSICIAN SERVICES AND FEES: PROGRAM SERVICE EXPENSES 9,955,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,955,302. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,525,448. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,525,448. AGENCY EMPLOYEES: PROGRAM SERVICE EXPENSES 2,602,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,602,920. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 274,014. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 274,014. RECORD FILE STORAGE: PROGRAM SERVICE EXPENSES 200,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200,127. OTHER FEES: PROGRAM SERVICE EXPENSES 813. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 813.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES 351,243.
STATEMENT PURSUANT TO SECTION 1.351-3(A):	STATEMENT PURSUANT TO SECTION 1.351-3(A) BY UNION HOSPITAL OF CECIL COUNTY, INC. EIN: 52-0607945 (1) NAME AND EMPLOYER IDENTIFICATION NUMBER OF THE TRANSFEREE CORPORATION: NAME: UNION HOSPITAL OF CECIL COUNTY, INC. EIN: 52-0607945 (2) DATE(S) OF TRANSFER(S) OF ASSETS: TRANSFER DATE(S): VARIOUS FROM 7/1/13 THROUGH 6/30/14 (3) AGGREGATE FAIR MARKET VALUE AND BASIS OR PROPERTY TRANSFERRED: FAIR MARKET VALUE: $1,251,143 BASIS: $1,251,143 (4) DATE AND CONTROL NUMBER OF PRIVATE LETTER RULING(S) ISSUED BY THE IRS IN CONNECTION WITH THE EXCHANGE: DATE(S) AND CONTROL NUMBER(S): NONE

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) UNION HOSPITAL OF CECIL COUNTY FOUNDATION INC 106 BOW STREET ELKTON,MD21921 52-1794552	FUNDRAISING & SUPPORT	MD	501(C)(3)	LINE 11C, III-FI	AFFINITY HEALTH ALLIANCE INC		No
(2) UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON,MD21921 52-1794553	HEALTHCARE PROPERTY MANAGEMENT	MD	501(C)(3)	LINE 9	AFFINITY HEALTH ALLIANCE INC		No
(3) CECIL COUNTY BREEDERS FAIR INC 106 BOW STREET ELKTON,MD21921 51-6018180	FUNDRAISING & SUPPORT	MD	501(C)(4)		UNION HOSPITAL OF CECIL COUNTY FOUNDATION INC		No
(4) AFFINITY HEALTH ALLIANCE INC 106 BOW STREET ELKTON,MD21921 52-1794697	MANAGEMENT & SUPPORT	MD	501(C)(3)	LINE 11C, III-FI	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) UNION HOSPITAL OF CECIL COUNTY VENTURES INC 106 BOW STREET ELKTON,MD21921 52-1793691	MEDICAL SERVICES	MD	N/A	C				No
(2) CECIL COUNTY ANESTHESIOLOGISTS INC 106 BOW STREET ELKTON,MD21921 52-1886386	INACTIVE	MD	N/A	C				No
(3) EMERGENCY MEDICAL SPECIALISTS OF CECIL COUNTY 106 BOW STREET ELKTON,MD21921 52-1881684	INACTIVE	MD	N/A	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD, AND THE SURROUNDING AREA.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	1,324
6	Total number of volunteers (estimate if necessary) .............	6	415
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	961,612
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-788,791

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	520,133	591,508
9	Program service revenue (Part VIII, line 2g) .........	151,762,502	155,558,982
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,412,315	1,857,214
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,949,188	3,252,842
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	157,644,138	161,260,546
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,738,934	2,350,032
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	75,246,162	78,793,256
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	76,658,317	77,067,739
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	156,643,413	158,211,027
19	Revenue less expenses. Subtract line 18 from line 12.......	1,000,725	3,049,519
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	188,229,305	198,798,630
21	Total liabilities (Part X, line 26).............	99,544,828	101,119,793
22	Net assets or fund balances. Subtract line 21 from line 20.....	88,684,477	97,678,837

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 154,746,153 including grants of $ 2,350,032 ) (Revenue $ 155,558,982 )
	UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA, THAT REPRESENT QUALITY AND VALUE AND ARE PROVIDED WITH MODERN TECHNOLOGY, COMPASSIONATE NURSES AND STAFF, AND CONVENIENT TO THE CITIZENS OF OUR COMMUNITY. THESE HEALTHCARE SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, WE RECOGNIZE THAT NOT ALL MEMBERS OF OUR COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, CONSISTENT WITH UNION HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF CECIL COUNTY, MARYLAND, FREE CARE AND/OR SUBSIDIZED CARE AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION, SPECIAL PROGRAMS FOR THE ELDERLY, SPECIAL PROGRAMS FOR THE PHYSICALLY/MENTALLY CHALLENGED, MEDICALLY UNDERSERVED AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.UNION HOSPITAL OF CECIL COUNTY SERVICED 5,051 ADMISSIONS PROVIDING 19,999 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2014 OF WHICH:1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,215 ADMISSIONS AND 10,032 PATIENT DAYS2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 125 ADMISSIONS AND 540 PATIENT DAYS3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,149 ADMISSIONS AND 3,800 PATIENT DAYS4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 122 ADMISSIONS AND 647 PATIENT DAYSCHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT UNION HOSPITAL OF CECIL COUNTY BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE INCLUDE:A) ADULT DAY CARE SERVICES FOR THE ELDERLY AND PHYSICALLY/MENTALLY CHALLENGEDB) SUPPORT GROUPS FOR CANCER PATIENTS AND FAMILIES, DIABETES, ALCOHOLICS ANONYMOUS, OSTOMY, AND SMOKELESSC) OFFERING AND CONDUCTING FREE BLOOD PRESSURE, CHOLESTEROL SCREENINGS, AND PROSTATE SCREENINGSD) IN CONJUNCTION WITH THE STATE OF MARYLAND AND THE LOCAL DEPARTMENT OF HEALTH, OFFERING AND CONDUCTING A CANCER SCREENING PROGRAM FOR INDIGENT FEMALESE) PROVIDING MEETING FACILITIES FOR A VARIETY OF NONPROFITS AND VOLUNTEER FIRE COMPANIESF) HOSPITAL STAFF VOLUNTEERS ON NONPROFIT ORGANIZATION BOARDS SUCH AS THE AMERICAN CANCER SOCIETYDURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $16,571,157 IN UNCOMPENSATED CARE.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses154,746,153

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) KHADIJATU BOSTON........................................................................ SENIOR VP/CNO	39.90 ........................10	X		139,831	40,704	8,270
(19) CYDNEY TEAL........................................................................ VP MEDICAL AFFAIRS	39.90 ........................10	X		0	323,618	26,994
(20) TERRANCE LOVELL........................................................................ VP HUMAN RESOURCES	40.00 .......................	X		202,811	0	16,113
(21) CAREN LEWIS........................................................................ SR VP CARE SERVICES (UNTIL 6/15/13)	39.90 ........................10	X		0	202,786	6,764
(22) IRFAN M HUSAMUDDIN........................................................................ PHYSICIAN	40.00 .......................		X	524,671	0	17,340
(23) ROHIT SINGHANIA........................................................................ PHYSICIAN	40.00 .......................		X	458,205	0	8,306
(24) JUSTIN SAUSVILLE........................................................................ PHYSICIAN	40.00 .......................		X	408,981	0	21,065
(25) BERNARD J HYNES........................................................................ PHYSICIAN	40.00 .......................		X	379,427	0	17,252
(26) JOHN HEBEKA........................................................................ PHYSICIAN	40.00 .......................		X	354,239	0	21,055

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,829,373	2,598,423	473,353

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		522,168
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		69,340

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			591,508
			Business Code
2a	NET PATIENT SERVICE REVENUE		621990	153,774,692	153,774,692
b	OTHER OPERATING REVENUE		621990	1,158,512	1,158,512
c	ADULT DAY CARE		623990	545,923	545,923
d	LIFELINE		900099	79,855	79,855
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			155,558,982
3	Investment income (including dividends, interest, and other similar amounts).......			1,058,080			1,058,080
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	165,959
b	Less: rental expenses	38,979
c	Rental income or (loss)	126,980
d	Net rental income or (loss).......			126,980			126,980
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	11,678,900	18,620
b	Less: cost or other basis and sales expenses	10,889,606	8,780
c	Gain or (loss)	789,294	9,840
d	Net gain or (loss)..........			799,134			799,134
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	MEANINGFUL USE REVENUE		900099	1,220,255			1,220,255
b	LABORATORY REVENUE		621500	966,578		966,578
c	CAFETERIA/FOOD SERVICE		722210	844,550			844,550
d	All other revenue ....			94,479		-4,966	99,445
e	Total. Add lines 11a–11d ......			3,125,862
12	Total revenue. See Instructions......			161,260,546	155,558,982	961,612	4,148,444


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			5,405,023	1	4,791,231
2	Savings and temporary cash investments .........			784,061	2	2,877,238
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			15,574,231	4	17,964,783
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			561,214	7
8	Inventories for sale or use ..............			1,759,420	8	1,936,385
9	Prepaid expenses and deferred charges ..........			2,253,892	9	2,604,779
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	196,612,617
b	Less: accumulated depreciation .....	10b	101,643,119	86,393,856	10c	94,969,498
11	Investments—publicly traded securities ..........			63,626,059	11	59,367,528
12	Investments—other securities. See Part IV, line 11 .....			5,112,129	12	5,565,010
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			6,759,420	15	8,722,178
16	Total assets. Add lines 1 through 15 (must equal line 34)......			188,229,305	16	198,798,630
17	Accounts payable and accrued expenses .........			15,108,507	17	15,237,765
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			74,136,484	20	72,012,044
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			10,299,837	25	13,869,984
26	Total liabilities. Add lines 17 through 25.........			99,544,828	26	101,119,793
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			87,623,004	27	96,434,672
28	Temporarily restricted net assets ...........			1,061,473	28	1,244,165
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			88,684,477	33	97,678,837
34	Total liabilities and net assets/fund balances ........			188,229,305	34	198,798,630