TY 2014 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)
(1) GEORGES C BENJAMIN MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(2) STEPHEN A BURCH ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X
(3) DELEGATE MICHAEL E BUSCH........................................................................ DIRECTOR	1.0 .......................0.0	X
(4) R ALLEN BUTLER........................................................................ DIRECTOR	1.0 .......................0.0	X
(5) JOHN P COALE ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X
(6) ATWOOD COLLINS III........................................................................ DIRECTOR	1.0 .......................0.0	X
(7) GILBERTO DE JESUS ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X
(8) CONNIE G DEJULIUS........................................................................ DIRECTOR	1.0 .......................0.0	X
(9) JOHN W DILLON........................................................................ DIRECTOR	1.0 .......................0.0	X
(10) ALAN H FLEISCHMANN........................................................................ DIRECTOR	1.0 .......................0.0	X
(11) WAYNE L GARDNER SR........................................................................ DIRECTOR	1.0 .......................0.0	X
(12) LOUISE MICHAUX GONZALES ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X
(13) BARRY P GOSSETT........................................................................ DIRECTOR	1.0 .......................0.0	X
(14) ROOMINA ANWER HASAN MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(15) ORLAN M JOHNSON ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X
(16) SENATOR EDWARD J KASEMEYER........................................................................ DIRECTOR	1.0 .......................0.0	X
(17) SENATOR FRANCIS X KELLY........................................................................ DIRECTOR	1.0 .......................0.0	X

(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
(18) BELKIS LEONG-HONG........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(19) SARA A MIDDLETON........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(20) KEVIN B O'CONNOR........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(21) ROBERT L PEVENSTEIN........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(22) D BRUCE POOLE ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(23) SENATOR CATHERINE E PUGH........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(24) JAMES T SMITH JR........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(25) WALTER A TILLEY JR........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(26) SENATOR JOSPEH D TYDINGS........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(27) W MOORHEAD VERMILYE........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(28) LOUIS L ZAGARINO........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(29) ROBERT A CHRENCIK........................................................................ PRESIDENT AND CEO	40.0 .......................10.0		X			6,881,071	21,095
(30) HENRY J FRANEY........................................................................ CFO- UMMS/TREASURER	40.0 .......................10.0		X			1,214,368	21,095
(31) MEGAN M ARTHUR........................................................................ SVP & GEN COUNSEL/ SEC'TY	40.0 .......................10.0		X			666,842	24,652
(32) JEFFERY A RIVEST........................................................................ PRESIDENT & CEO - UMMC	40.0 .......................10.0			X		1,173,898	20,269
(33) LISA C ROWEN........................................................................ SVP & CNO - UMMC	40.0 .......................10.0			X		525,960	25,595
(34) WALTER ETTINGER........................................................................ SVP & CMO - UMMS	40.0 .......................10.0			X		797,839	105,561
(35) JON P BURNS........................................................................ SVP & CIO	40.0 .......................10.0			X		591,209	20,269
(36) JONATHAN E GOTTLIEB........................................................................ SVP & CMO	40.0 .......................10.0			X		1,057,190	21,095
(37) KEITH D PERSINGER........................................................................ SVP & CFO UMMC	40.0 .......................10.0			X		759,851	16,812
(38) DAVID P SWIFT........................................................................ SVP - Chief HR Officer	40.0 .......................10.0			X		585,112	10,400
(39) JOHN W ASHWORTH III........................................................................ SVP NETWORK DEVELOPMENT	40.0 .......................10.0				X	597,210	21,095
(40) GARY H KANE........................................................................ VP - SUPPLY CHAIN MGMT	40.0 .......................10.0				X	595,179	21,095
(41) KENNETH LEWIS........................................................................ EXECUTIVE - UNION OF CECIL	40.0 .......................10.0				X	778,526	25,942
(42) MARK KELEMEN........................................................................ CHIEF MEDICAL INFO OFFICER	40.0 .......................10.0				X	514,341	25,615
(43) ALISON G BROWN........................................................................ SVP PLANNING & MARKETING	40.0 .......................10.0				X	583,957	25,595

(A) Name and business address	(B) Description of services	(C) Compensation
The Whiting Turner Contracting Comp, 300 East Joppa Road TOWSON,MD21286	General Contractors	16,087,880
Huntzinger Staffing Solutions LLC, 670 North River Street PLAINS,PA18705	Staffing	13,518,043
Towson Orthopedics, 8322 Belona Ave BALTIMORE,MD21204	billing & mgmt	10,553,040
Turner Construction Co, 1500 Spring Garden Street Suite 22 PHILADELPHIA,PA19130	General Contractors	8,910,152
EMC Corporation, 4246 Collections Center Drive CHICAGO,IL60693	software	8,024,435
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 329

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 domestic organizations and domestic governments. See Part IV, line 21 ....	1,013,801	1,013,801
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	20,579,169	15,784,581	4,794,588
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	691,857,906	590,097,558	101,760,348
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	21,483,066	16,472,353	5,010,713
9	Other employee benefits .......	81,275,231	68,241,804	13,033,427
10	Payroll taxes ...........	48,674,530	41,489,467	7,185,063
11	Fees for services (non-employees):
a	Management ......	1,207,394	977,989	229,405
b	Legal .........	4,285,429	313,541	3,971,888
c	Accounting ...........	2,481,315		2,481,315
d	Lobbying ...........	81,924		81,924
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	179,680,003	151,801,307	27,878,696
12	Advertising and promotion ....	6,169,482	1,188,782	4,980,700
13	Office expenses .......	10,780,981	9,227,348	1,553,633
14	Information technology ......	48,279,153	40,931,396	7,347,757
15	Royalties ..	0
16	Occupancy ...........	21,680,577	18,654,979	3,025,598
17	Travel ............	1,250,972	1,071,324	179,648
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	546,840	470,282	76,558
20	Interest ...........	40,931,207	34,508,130	6,423,077
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	98,291,897	83,855,366	14,436,531
23	Insurance ..............	27,057,632	23,576,776	3,480,856
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	BAD DEBT EXPENSE	51,557,570	51,557,570
b	MEDICAL SUPPLIES	377,786,137	377,718,706	67,431
c	UTILITIES	30,745,652	26,224,476	4,521,176
d	TRANSPLANT COSTS	21,049,134	21,049,134
e	All other expenses	39,649,550	36,233,441	3,416,109
25	Total functional expenses. Add lines 1 through 24e	1,828,396,552	1,612,460,111	215,936,441	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 .............	123,262,145	1	252,299,871
2	Savings and temporary cash investments .........	576,603	2	648,236
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	196,319,650	4	183,589,273
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
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
		0	6	0
7	Notes and loans receivable, net .............	2,734,105	7	1,933,322
8	Inventories for sale or use ..............	29,585,325	8	32,251,958
9	Prepaid expenses and deferred charges ..........	8,310,507	9	8,327,116
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,150,146,999
b	Less: accumulated depreciation .....	10b	1,020,958,593	1,101,382,026	10c	1,129,188,406
11	Investments—publicly traded securities ..........	234,828,000	11	141,618,000
12	Investments—other securities. See Part IV, line 11 .....	126,987,769	12	143,025,000
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	1,420,104,636	15	1,254,391,755
16	Total assets. Add lines 1 through 15 (must equal line 34)......	3,244,090,766	16	3,147,272,937
	17	Accounts payable and accrued expenses .........	295,461,886	17	299,797,345
18	Grants payable .................	0	18	0
19	Deferred revenue ................	125,419	19	125,419
20	Tax-exempt bond liabilities .............	1,109,015,207	20	920,693,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
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..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	248,904,469	24	243,823,209
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....................	413,167,836	25	494,393,677
26	Total liabilities. Add lines 17 through 25.........	2,066,674,817	26	1,958,832,650
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	952,985,876	27	966,240,836
28	Temporarily restricted net assets ...........	222,741,334	28	220,510,712
29	Permanently restricted net assets ...........	1,688,739	29	1,688,739
	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 ...........	1,177,415,949	33	1,188,440,287
34	Total liabilities and net assets/fund balances ........	3,244,090,766	34	3,147,272,937

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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

2014

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

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, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

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	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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

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

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

81,924

Total. Add lines 1c through 1i ...............................

81,924

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Other Activities	Schedule C, Part II-B, Line 1i The organization does not engage in any direct lobbying activities. The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 4.80% and 22.80% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C Part IV as lobbying activities.

Return Reference

Explanation

Other Activities

Schedule C, Part II-B, Line 1i The organization does not engage in any direct lobbying activities. The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 4.80% and 22.80% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C Part IV as lobbying activities.

Schedule C (Form 990 or 990EZ) 2014

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

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 value of contributions to (during year)
3	Aggregate value of 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)

Revenue 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:

Revenue 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) 2014

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, for escrow or custodial account liability?

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 .................	87,305,286		87,305,286
b	Buildings ................	1,158,926,081	478,284,099	680,641,982
c	Leasehold improvements ............	5,846,137	3,153,651	2,692,486
d	Equipment ................	743,699,679	538,661,961	205,037,718
e	Other .................	154,369,816	858,882	153,510,934
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,129,188,406

Schedule D (Form 990) 2014

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
(1) ECONOMIC INTEREST IN ASSETS OF				200,019,688
(2) DEFERRED FINANCING COSTS				10,116,504
(3) ASSETS WHOSE USE IS LIMITED				223,631,000
(4) INVESTMENT IN SUBSIDIARIES				653,631,216
(5) OTHER RECEIVABLES				161,050,942
(6) LIMITED USE ASSET - DEBT SERVI				31,669,401
(7) LIMITED USE ASSET - MALPRACTIC				8,785,789
(8) ECONOMIC INTEREST IN FOUNDATIO				9,502,627
(9) LONG-TERM INVESTMENT - MRI				6,714,301
(10) DUE FROM AFFILIATES - NOTES RE				-57,596,187
(11) OTHER ASSETS				6,866,474
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,254,391,755

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		0
ADVANCES FROM 3RD PARTY PAYORS		89,201,419
DUE TO AFFILIATE		120,107,999
OTHER LIABILITIES		106,449,961
INT RATE SWAPS MARK TO MARKET		167,520,000
OTHER MALPRACTICE		8,954,231
RETIRE PENSION		2,160,067



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		494,393,677
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) 2014

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
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
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
3	Subtract line 2e from line 1.....................		3
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
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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

Schedule D, Part X

FIN 48 FOOTNOTE PER AUDIT REPORT The University of Maryland Medical System Corporation (The Corporation) adopted the provisions of ASC 740, Accounting for Uncertainty in the Income Taxes (FIN 48) on July 1, 2007. The footnote related to ASC 740 in the Corporation's audited financial statements is as follows: The Corporation follows a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Management does not believe that there are any unrecognized tax benefits that should be recognized.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	99,702,640
















3a	Sub-total .....		99,702,640
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		99,702,640

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

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 criteria used 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? ......

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		(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) ..	46,150,266		46,150,266	2.600 %
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 .	46,150,266		46,150,266	2.600 %
Other Benefits		5,460,359	304,988	5,155,371	0.290 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	5,460,359	304,988	5,155,371	0.290 %
f	Health professions education (from Worksheet 5) ..	132,465,043		132,465,043	7.460 %
g	Subsidized health services (from Worksheet 6) ..	47,896,400	11,121,467	36,774,933	2.070 %
h	Research (from Worksheet 7)	695,821	33,828	661,993	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	461,256		461,256	0.030 %
j	Total. Other Benefits ..	186,978,879	11,460,283	175,518,596	9.890 %
k	Total. Add lines 7d and 7j .	233,129,145	11,460,283	221,668,862	12.490 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	5,559		5,559
2	Economic development	34,017		34,017
3	Community support
4	Environmental improvements	587,712		587,712	0.030 %
5	Leadership development and training for community members
6	Coalition building	102,832		102,832	0.010 %
7	Community health improvement advocacy
8	Workforce development	422,336	80,000	342,336	0.020 %
9	Other
10	Total	1,152,456	80,000	1,072,456	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. ......

36,744,105

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. ......

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).....

515,751,420

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

484,736,452

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

31,014,968

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) 2014

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?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	University of Maryland Hospital 22 S Greene Street Baltimore,MD21201 http://umm.edu 30-068	X	X	X	X	X	A
2	UMMS St Joseph Medical Center LLC 250 West Pratt Street Baltimore,MD21201 HTTP://WWW.STJOSEPHTOWSON.COM/ 03-079	X	X			X

Schedule H (Form 990) 2014

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)

	UNIVERSITY OF MARYLAND HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 Section C 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 Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

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): HTTP://UMM.EDU/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): http://umm.edu/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	UNIVERSITY OF MARYLAND HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): HTTP://UMM.EDU/

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	UNIVERSITY OF MARYLAND HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other 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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2014

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)

	UMMS St Joseph Medical Center LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

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 12....................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

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): HTTP://WWW.STJOSEPHTOWSON.COM/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): http://www.stjosephtowson.com/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	UMMS St Joseph Medical Center LLC
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): http://www.stjosephtowson.com/

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	UMMS St Joseph Medical Center LLC
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
University of Maryland Hospital - 1	Schedule H, Part V, Section B Line 13h - The financial assistance policy explains several eligibility criteria, including participation in Medicaid/Medicare programs as well as eligibility under various state regulations. In compliance with the new IRC Section 501(r) regulations UMMS is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. Line 22D - All patients are charged state regulated rates, regardless of their ability to pay. Line 24 - The State of Maryland is a unique state in regard to the provision of health care services and their related charges by hospitals. All hospital charges processed to all payors, including governmental payors, are set through Maryland's Health Services Cost Commission. Accordingly, all hospital charges are not gross charges as defined by the IRS under Internal Revenue Code Section 501(r)(5)(b).
UMMS St. Joseph Medical Center, LLC - 2	Schedule H, Part V, Section B Line 13h - The financial assistance policy explains several eligibility criteria, including participation in Medicaid/Medicare programs as well as eligibility under various state regulations. In compliance with the new IRC Section 501(r) regulations UMMS is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. Line 22D - All patients are charged state regulated rates, regardless of their ability to pay. Line 24 - The State of Maryland is a unique state in regard to the provision of health care services and their related charges by hospitals. All hospital charges processed to all payors, including governmental payors, are set through Maryland's Health Services Cost Commission. Accordingly, all hospital charges are not gross charges as defined by the IRS under Internal Revenue Code Section 501(r)(5)(b).

Schedule H (Form 990) 2014

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?1
Name and address		Type of Facility (describe)
1	UniversityCare Edmondson Village 4538 Edmondson Ave Baltimore,MD21229	Healthcare Clinic
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

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
Related Organization Benefit Report	Schedule H, Part I, Line 6a An annual Community Benefit Report is prepared for each fiscal year ending June 30. This report is submitted to the Health Services Cost Review Commission (HSCRC), a state regulatory agency, by December 15 of each year. In addition, the annual Community Benefit Report is available upon request at the entity's corporate offices.
Costing Methodology	Schedule H, Part I, Line 7 Schedule H, Line 7a, Column (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Schedule H, Line 7b, Columns (c) through (f) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payor's rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule H, Line 7f Column (c) & (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.
Community Building Activities - UMMSC	Schedule H, Part II Through a variety of community building activities, UMMC promotes health and wellness in the communities it serves. These activities include community support, coalition building and community health improvement advocacy. In FY15, UMMC associates served in many capacities. UMMC provides leadership to many Baltimore City coalitions and collaborative partnerships to improve community health. UMMC leadership staff play key roles on the Baltimore City Health Department's Cardiovascular Disease, Tobacco, and Flu coalitions. These Coalitions are a partnership of public sector agencies, health care providers and payers, community-based partners, the business community and academic institutions. Examples of health policy advocacy worked on in these coalitions have included hookah legislation and healthier kids' meals at fast food restaurants. UMMC staff also participated in a variety of career fairs and youth mentoring programs. Additionally, key UMMC executives serve on several Boards of Directors for a variety of non-profit agencies in Baltimore City and provide their leadership expertise to build the capacity of local community resources. Lastly, UMMC has supported the Southwest Partnership which is a coalition of UM Baltimore Professional Schools, UMMC, and other community agencies to revitalize Baltimore's Southwest community. All of these examples demonstrate collaborative efforts to address health issues and advocate for policies and programs that improve health in the communities we serve. Community Building Activities - UMSJMC Schedule H, Part II UM-St. Joseph Medical Center collaborates with over 30 groups, organizations and agencies outside the hospital to design and participate in initiatives that promote coalition building and community health improvement advocacy. These organizations include but are not limited to: Partners/Sites of Services: - Baltimore County Department of Aging - Calvert Hall High School - Catholic Charities - Catholic High School - Cristo Rey Jesuit High School - Department of Health and Mental Hygiene- Healthy Heart Beats at Govans Manor - Greetings & Readings Hunt Valley - Halstead Academy Elementary School - Health Park at Hereford - Hopkins Village - Marian House - McCormick & Co. - Mercy Ridge Retirement Community - Mt. Calvary AME- Biggest Loser Competition - Oak Crest Retirement Community - St. Joseph Parish Cockeysville - St. Michael the Archangel - Towson University - Towson Y - Wellwood International Elementary School Cancer specific collaboration: - Maryland Cancer Collaborative Steering Committee Representative/ Responsible for implementing the Maryland Cancer Control Plan - Maryland Patient Navigation Collaborative Leadership Committee Member - Baltimore County Cancer Coalition Member - Nueva Vida Cancer Support for Latinas/ Monthly Breast Screening - Mt. Calvary AME Church Educational Activities - University of MD. Outreach and Advocacy Coalition - American Cancer Society - GEDCO - Komen Disparities Conference for Community - Advanced Radiology Partnership to support the Monthly Breast Screening Program - Hoffberger Foundation - Baltimore Gas and Electric
Bad Debt Expense	Schedule H, Part III, Line 2 & 4 In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. Medicare reimburses Maryland hospitals according to rates established by the HSCRC as long as the State continues to meet a two-part test. This two-part waiver test allows Medicare to participate in the Maryland system as long as two conditions are met. - all other payers participating in the system pay HSCRC set rates and - the rate of growth in Medicare payments to Maryland hospitals from 1981 to the present is not greater than the rate of growth in Medicare payments to hospitals nationally over the same time frame.
Medicare Cost Report	Schedule H, Part III, Line 8 In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. Medicare reimburses Maryland hospitals according to rates established by the HSCRC as long as the State continues to meet a two-part test. This two-part waiver test allows Medicare to participate in the Maryland system as long as two conditions are met. - all other payers participating in the system pay HSCRC set rates and - the rate of growth in Medicare payments to Maryland hospitals from 1981 to the present is not greater than the rate of growth in Medicare payments to hospitals nationally over the same time frame.
Collection Practices	Schedule H, Part III, Line 9b The organization expects payment at the time the service is provided. Our policy is to comply with all state and federal law and third party regulations and to perform all credit and collection functions in a dignified and respectful manner. Currently, UMMS is in the process of updating its billing and collections process to ensure it is in compliance with the new IRC Section 501(r) regulations. Emergency services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the Financial Assistance Policy. The organization does not discriminate on the basis of age, race, creed, sex or ability to pay. Patients who are unable to pay may request a Financial Assistance application at any time prior to service or during the billing and collection process. The organization may request the patient to apply for Medical Assistance prior to applying for financial assistance. The account will not be forwarded for collection during the Medical Assistance application process or the Financial Assistance application process.
Community Health Care Needs Assessment - UMMSC	Schedule H, Part VI, Line 2 The University of Maryland Medical Center (UMMC) completed a comprehensive community health needs assessment (CHNA) in Fiscal Year 2015. This was the second CHNA completed with the first one done and reported in Fiscal Year 2012. The Association for Community Health Improvements (ACHI) 6-step Community Health Assessment Process was utilized as an organizing methodology. The UMMC/Midtown Community Health Improvement Team (CHI Team) served as the lead team to conduct the CHNA with input from other University of Maryland Medical System Baltimore City-based hospitals, community leaders, the academic community, the public, health experts, and the Baltimore City Health Department. In addition to using the ACHI 6-step process to lead the assessment process, the UMMC/Midtown CHI Team used an additional 5-component assessment and engagement strategy to lead the data collection methodology. The University of Maryland Medical Center (UMMC) is an 800-bed academic medical center which is part of the University of Maryland Medical System. Despite the larger regional patient mix of UMMC from the metropolitan area, state, and region, for purposes of community benefits programming and this report, the Community Benefit Service Area (CBSA) of UMMC is within Baltimore City. The top nine zip codes within Baltimore City represent the top 66% of all Baltimore City admissions in FY14. These nine targeted zip codes are: 21201 21215 21216 21217 21218 21206 21223 21229 21230 The populations in these zip codes are some of the most vulnerable, underserved residents in Baltimore City. There are significant health disparities in these zip codes when compared to other zip codes in Baltimore City and Maryland. Using the above frameworks, data was collected from multiple sources, groups, and individuals and integrated into a comprehensive document which was utilized at a retreat on March 11, 2014 of the UMMC/Midtown Community Health Improvement (CHI) Team. During that strategic planning retreat, priorities were identified using the collected data and an adapted version of the Catholic Health Associations (CHA) priority setting criteria. The identified priorities were also validated by a panel of UM Clinical Advisors and UMB Campus experts. UMMC used primary and secondary sources of data as well as quantitative and qualitative data and consulted with numerous individuals and organizations during the CHNA, including other University of Maryland Medical System (UMMS) Baltimore City-based hospitals (University of Maryland Medical Center Midtown Campus, University of Maryland Rehabilitation and Orthopedic Institute, and Mt Washington Pediatric Hospitals), community leaders, community partners, the University of Maryland Baltimore (UMB) academic community, the general public, local health experts, and the Baltimore City Health Department. A) Community Perspective The communitys perspective was obtained through one survey offered to the public using several methods throughout Baltimore City. A 6-item survey queried Baltimore City residents to identify their top health concerns and their top barriers in accessing health care. (See Appendix for the actual survey) Methods: 6-item survey distributed in FY2015 using the following methods: - Survey insert in Maryland Health Matters (health newsletter) distributed to over 40,000 residents within the CBSA - Online survey posted to www.umm.edu website for community to complete - Waiting rooms (Ambulatory clinics and EDs) at both campuses - Health fairs and events in neighborhoods within UMMCs CBSA Results: Top 5 Health Concerns: - Diabetes/Sugar - Smoking/Drug/Alcohol Use - High Blood Pressure/Stroke - Cancer - Heart Disease Analysis by CBSA targeted zip codes revealed the same top health concerns and top health barriers with little deviation from the overall Baltimore City data. The sample size was 1,212 Baltimore City residents from the identified CBSA. B) Health Experts Methods: - Reviewed & included National Prevention Strategy Priorities, Maryland State Health Improvement Plan (SHIP) indicators, and Healthy Baltimore 2015 plan from the Baltimore City Health Department - Reviewed Marylands State Health Improvement Plan (SHIP) and attended state-wide health summit in October 2014. - Progress to date on SHIP measures were presented as well as state-wide health priorities for upcoming multi-year cycle. - Conducted campus-wide stakeholder retreat in March 2015, including University of Maryland Schools of Medicine, Nursing, Social Work and UMB Community Affairs office - Interviewed Director of Chronic Disease Prevention at Baltimore City Health Department Results: - National Prevention Strategy 7 Priority Areas - SHIP: 39 Objectives in 5 Vision Areas for the State, includes targets for Baltimore City - While progress has been made since 2012 - with 16 out of 41 measures meeting the identified targets at the state level, Measures within Baltimore City have not met identified targets; Even wider minority disparities within the City. - Healthy Baltimore 2015: Ten Priority Areas (See Figure 4) - Baltimore City Health Department and Mayors Top Health Priorities: #1 Cardiovascular Disease (CVD) Decrease premature mortality (as defined as death prior to 75 years) #2 Asthma - Particularly pediatric asthma #3 Heroin Use While a priority, no major initiatives to date #4 Diabetes As related to CVD as a comorbidity - Health Expert UMB Campus Panel Focus Group Top Action Items included: - Improve communication and synergy across Campus schools and UMMC - Include University of Maryland Medical Center on UMB Community Action Council - Look for ways to partner and support each other C) Community Leaders Methods: - Hosted a focus group in collaboration with the other Baltimore-based UMMS hospitals for community-based organization partners to share their perspectives on health needs (October 30, 2014) Results: - Consensus reached that social determinants of health (and upstream factors) are key elements that determine health outcomes - Top needs and barriers were identified as well potential suggestions for improvement and collaboration (See Appendix 4 for details) - Top Needs: - Health Literacy - Employment/Poverty - Mental/Behavioral Health - Cardiovascular Health (obesity, hypertension, stroke, & diabetes) - Maternal/Child Health focusing on promoting a healthy start for all children Top Barriers: - Focusing on the outcome and not the root of the problems (i.e. SDoH) - Lack of inter-agency collaboration/working in silos Suggestions for Improvement: - Leverage existing resources - Increase collaboration - Focus on Social Determinants of Health - Enhance behavioral health resources D) Social Determinants of Health (SDoH) Defined by the World Health Organization as: 'the conditions in which people are born, grow, live, work and age.' Methods: - Reviewed data from Baltimore Neighborhood Indicator Alliance (Demographic data and SDoH data) - Reviewed data from identified 2011 Baltimore City Health Departments Baltimore City Neighborhood Profiles, - Reviewed Baltimore City Food Desert Map Results: - Baltimore City Summary of CBSA targeted zip codes - Top SDoHs: - Low Education Attainment (52.6% w/ less than HS degree) - High Poverty Rate (15.7%)/High Unemployment Rate (11%) - Violence - Poor Food Environment - Housing Instability E) Health Statistics/Indicators Methods: Review annually and for this triennial survey the following: Local data sources: - Baltimore City Health Status Report - Baltimore Health Disparities Report Card - Baltimore Neighborhood Health Profiles - DHMH SHIP Biennial Progress Report 2012-2014 National trends and data: - Healthy People 2020 - County Health Rankings - Centers for Disease Control reports/updates - F as in Fat: Executive Summary (RWJF) Results: - Baltimore City Health Outcomes Summary for CBSA-targeted zip codes - Top 3 Causes of Death in Baltimore City in rank order: 1. Heart Disease 2. Cancer 3. Stroke - Cause of Pediatric Deaths - High rate of Infant Mortality Selecting Priorities: Analysis of all quantitative and qualitative data described in the above section identified these top five areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and the organizations key strengths and mission. These priorities were identified and approved by the UMMC/Midtown CHI Team and validated with the health experts from the UMB Campus Panel: 1. Cardiovascular Disease 2. Workforce Development (as a shared component of literacy and SDoH) 3. Maternal & Child Health 4. Violence Prevention (related to behavioral/mental health) 5. Health Literacy (shared UMMS priority) In addition to the identified strategic priorities from the CHNA, UMMC employs the following prioritization framework which is stated in the UMMC Community Outreach Plan. Because the Medical Center, serves the region and state, priorities may need to be adjusted rapidl
Community Health Care Needs Assessment - UMSJMC	Schedule H, Part VI, Line 2 The University of Maryland St. Joseph Medical Center completed a comprehensive community health needs assessment (CHNA) in Fiscal Year 2013. Community Benefits planning is part of the hospitals strategic plan. The stakeholders in the hospital who are involved in the hospital community benefit process/structure to implement and deliver community benefit activities include the CEO, CFO, Vice President of Mission Integration, and Senior Director of Marketing and Community Health. Our CEO provides the value orientation of all leadership and management to our community benefit activities. Our CFO instructs our local financial team to provide assistance in compiling financial data for the annual CBR. Our Vice President for Mission Integration is tasked with educating the entire medical center community about community benefit-eligible activity and educating staff in the use of CBISA, and is also responsible for compiling the annual CBR. Our Director of Marketing and Community Health provides leadership to the community health outreach team. The members of clinical leadership in the hospital who are involved in the hospital community benefit process/structure to implement and deliver community benefit activities include the Chief Medical Officer, Chief Nursing Officer, and Supervisor of Case Management. Our Chief Medical Officer helps educate all the physicians regarding the importance of uncompensated care as part of the services they provide. Our Chief Nursing Officer encourages all the nurse managers to become familiar with what constitutes community benefit-eligible activity. Our Supervisor of Case Management has social workers working quickly with patients and families who are identified as having financial difficulties. The Community Benefit Department/Team includes: - Vice President for Mission Integration - Oncology Outreach Program Coordinator - Community Health Specialist - Nurse Manager of our free clinic - Director of Revenue Cycle/Managed Care - Decision Support Analyst - Diabetes educator Our oncology center has a part-time employee who serves as Oncology Outreach Program Coordinator. We have two full-time Community Health Specialists who coordinate work in the community to provide preventive care such as flu shots and bone density screenings at no cost to participants. We also have a Nurse Manager of our St. Clare Medical Outreach Clinic, a free clinic for those who have no health insurance whatsoever. There is an internal audit (i.e., an internal review conducted at the hospital) of the Community Benefit report. Our Chief Financial Officer oversees a team of internal and external financial analysts who prepare the hospitals annual audit. This same team then provides the financial spreadsheet for the CBR. This is ultimately approved by our CFO. There is no narrative accompanying our audit of the CBR. The hospitals Board reviews and approves the FY Community Benefit report that is submitted to the HSCRC. COMMUNITY BENEFIT EXTERNAL COLLABORATION External collaborations are highly structured and effective partnerships with relevant community stakeholders aimed at collectively solving the complex health and social problems that result in health inequities. Maryland hospital organizations should demonstrate that they are engaging partners to move toward specific and rigorous processes aimed at generating improved population health. Collaborations of this nature have specific conditions that together lead to meaningful results, including: a common agenda that addresses shared priorities, a shared defined target population, shared processes and outcomes, measurement, mutually reinforcing evidence based activities, continuous communication and quality improvement, and a backbone organization designated to engage and coordinate partners. The hospital organization engages in external collaboration with the following partners: - Local health improvement coalitions (LHICs) - Faith based community organizations No member of the hospital organization co-chairs the Local Health Improvement Coalition (LHIC) in the jurisdictions where the hospital organization is targeting community benefit dollars? No member of the hospital organization attends or is a member of the LHIC in the jurisdictions where the hospital organization is targeting community benefit dollars.
Eligibility Education & FINANCIAL ASSISTANCE - UMMSC	Schedule H, Part VI, Line 3 University of Maryland Medical UMMS is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation. In compliance with the new IRC Section 501(r) regulations UMMS is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. It is the policy of the UMMS Entities to provide Financial Assistance based on indigence or high medical expenses for patients who meet specified financial criteria and request such assistance. The Financial Clearance Program Policy is a clear, comprehensive policy established to assess the needs of particular patients that have indicated a possible financial hardship in obtaining aid when it is beyond their financial ability to pay for services rendered. UMMC makes every effort to make financial assistance information available to our patients including, but not limited to: - Signage in main admitting areas and emergency rooms of the hospital - Patient Handbook distributed to all patients - Brochures explaining financial assistance are made available in all patient care areas - Patient Information Sheets (available in English & Spanish) - Appearing in print media through local newspapers
Eligibility Education & FINANCIAL ASSISTANCE - UMSJMC	Schedule H, Part VI, Line 3 Our financial assistance policy and the communication about our financial assistance policy is regularly reviewed to make sure it is available to our patients in a variety of formats and that it is available in culturally/linguistically sensitive manner and at a reading comprehensive level appropriate to the population of our CBSA. In compliance with the new IRC Section 501(r) regulations UMSJMC is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. The availability of financial assistance for patients who would otherwise be billed for services about their eligibility for assistance under federal, state or local government programs is communicated to patients in multiple ways: - At all our points of registration in the hospital (general registration, Emergency Department) and in our specialized service areas (Perinatal Center, Cancer Institute, etc.) large signs are posted informing the patient that if they face problems in paying for their care, they may apply for financial assistance. The phone number is posted for them to contact one of our financial counselors. - When patients are registering in the hospital for inpatient treatment or outpatient treatment, they are given the Patient Financial Information Sheet (Appendix III) that is printed on two sides in English and Spanish. This Patient Financial Information Sheet is available at every point of entrance to the hospital and every point of service delivery. It is also included in the patient information packet given to each patient. - When patients are inpatients and do not have any health insurance, one of our financial counselors visits them in their room and discusses with them availability of various government benefits such as Medicaid or state programs offering health care assistance and assists the patients with appropriate qualifications to apply. - When patients receive outpatient services and do not have any health insurance, the financial counselor sends them information about their potential eligibility for various government benefits such as Medicaid or state programs offering health care assistance, and invites them to call (Spanish and English-speaking financial counselors are available) to discuss applying for these programs. When a patient applies for financial assistance, our bilingual financial assistance counselor works with the patient to gather appropriate documents and submit their application for financial assistance.
Description of Community Served - UMMSC	Schedule H, Part VI, Line 4 For purposes of community benefits programming to the State, the community benefit service area for the University of Maryland Medical Center is defined as within Baltimore City. There are seven zip codes which specifically defines the target population: 21201, 21206, 21215, 21216, 21217, 21218, 21223, 21229, and 21230. Zip codes in this community are part of the federally designated West Baltimore Medicaid Health Professional Shortage Area (HPSA). This designation indicates that there is less than one primary care provider practicing in the area for every 3,000 Medicaid eligible community members. The populations in these zip codes are some of the most vulnerable, underserved residents in Baltimore City with significant health disparities when compared to other zip codes in Baltimore City and Maryland. Residents within the targeted zip codes face significant health disparities. Life expectancy in the target population is 62.9 years vs 71.8 years for Baltimore City overall and 82 years for Roland Park, an upscale Baltimore City neighborhood. Life expectancy is affected by chronic disease prevalence and uncontrolled risk factors, like hypertension. According to Marylands Statewide Health Improvement Plan (SHIP), ER visits due to hypertension are 658.9/100,000 population in Baltimore City as compared with 252.2/100,000 for Maryland, placing Baltimore City with the highest prevalence in the State. This 20-year disparity in life expectancy and quality of life is also profoundly affected by multiple social determinants of health (SDoH). While there are numerous social determinants which affect this population, the main SDOHs include the prevalence of food deserts, unemployment and poverty, transportation issues, and violence. Physical environment determinants include the prevalence of inadequate/unsafe housing, vacant homes, and high tobacco and alcohol store density. The following table illustrates demographics and some of the significant social determinants of health affecting the target population. For a more detailed analysis of these and other determinants of health in this population, please review UMMCs FY2015 Community Health Needs Assessment at: www.umm.edu/community Target Population Description: Target Population Total: 344,124 (Male=159,688, Female=184,436) Median Age: 34.6 years Race: White/Caucasian 81,208 Black/African American 242,172 Amer. Indian/Alaska Native 1,084 Asian 8,161 Native Hawaiian/Other Pacific 205 Other 2,629 Two or More Races 8,665 Ethnicity: Hispanic 8,759 Non-Hispanic 335,365 Median Household Income: $42,266 Percentage of households w/ incomes below the federal poverty guidelines: 22.7% Percentage of uninsured people: 14% Percentage of Medicaid recipients: 30.9% Percentage of HS graduates: 66% Unemployment Rate: 21.9% - 28.6% No Vehicle Available: 15.3% Severe Housing Problems: 24% Healthy Food Availability Index: 7.8-12.4 (Scale = 0-25) Tobacco Store Density: 27.8- 51.4 stores/10,000 people
Description of Community Served - UMSJMC	Schedule H, Part VI, Line 4 The UM St. Joseph Medical Center is located in a northern suburb of Baltimore County, draws patients from Franklinville, Westminster in the West, Aberdeen and Eastern Shore to the East, to the Pennsylvania line up the I-83 corridor including and Hanover, PA and as far south as Landsdowne. This is an area distinctive in the very broad range of populations it contains in terms of economic, ethnic/racial, and urban/rural considerations. The Community Benefit Service Area of UM St. Joseph Medical Center is constituted by the zip codes in which patients reside who have received charity care. These zip codes are: 17361, 20011, 20724, 21001, 21014, 21030, 21050, 21057, 21078, 21082, 21093, 21094, 21111, 21117, 21120, 21136, 21161, 21202, 21204, 21206, 21207, 21209, 21211, 21212, 21214, 21215, 21216, 21217, 21218, 21221, 21222, 21227, 21228, 21229, 21234, 21236, 21237, 21239, 21244, 21286, 30062 The CBSA for UM St. Joseph Medical Center (UM SJMC) has been identified by plotting the zip codes of recipients of financial assistance/charity care in FY 15. UM St. Joseph Medical Centers CBSA falls primarily within Baltimore County with a few outlying areas in, Harford County. When illustrated in this way, it becomes clear that a significant portion of the charity care cases for FY 15 are concentrated in two areas, i.e., the northern segment of Baltimore County around Hunt Valley and Cockeysville, and the Eastern segment in the Carney/Parkville area. We feel this confirms several things we know already: The immediate geographic area in which UM SJMC is located is predominantly a middle-class/upper middle-class population. While there are, indeed, people from the area proximate to UM SJMC who receive charity care, this is not where the greatest need for charity care exists for us. The hidden population receiving a significant amount of charity care is a growing Hispanic immigrant population in the Hunt Valley/Cockeysville area. This has created a pocket of financially challenged people in an area that is usually viewed as fairly affluent. Median Household Income: $65,411 Percentage of households with incomes below the federal poverty guidelines: 5.4% The following links provide information on the percentage of uninsured people by County within the CBSA: http://www.census.gov/hhes/www/hlthins/data/acs/aff.html; http://planning.maryland.gov/msdc/American_Community_Survey/2009ACS.shtml NH black: 17.5% Hispanic: 44.7% NH white: 10.4% Percentage of Medicaid recipients by County: 107,294 recipients or 13.13% Life Expectancy by County (including by race and ethnicity where data are available). See SHIP website: http://dhmh.maryland.gov/ship/SitePages/Home.aspx and county profiles: http://dhmh.maryland.gov/ship/SitePages/LHICcontacts.aspx General: 78.1 years Black: 75.4 years White: 78.6 years Mortality Rates by County (including by race and ethnicity where data are available): - Heart Disease - Deaths per 100,000 people: Average: 68.3 Black: 238.6 White: 197.4 - Cancer - Deaths per 100,000 people: Average: 98.5 Black: 218.8 Hispanic: 65.3 White: 191.7 Race, ethnicity, and language: See SHIP County profiles for demographic information of Maryland jurisdictions. http://dhmh.maryland.gov/ship/SitePages/LHICcontacts.aspx White: 64.8% Black/African American: 27.0% Hispanic/Latino: 4.6% Asian alone: 5.4% Two or more races: 2.2% Language other than English spoken at home: 12.6%
Promoting the Health of the Community - UMMSC	Schedule H, Part VI, Line 5 The strategic priorities identified in the FY15 Community Health Needs Assessment are again as follows: 1. Cardiovascular Disease 2. Workforce Development (as a shared component of literacy and SDoH) 3. Maternal & Child Health 4. Violence Prevention (related to behavioral/mental health) 5. Health Literacy (shared UMMS priority) Programming and initiatives are developed within each of these strategic priorities. Initiative 1: Cardiovascular Disease/Obesity Identified Need: 68% of Baltimore City adults are either overweight or obese. Heart Disease is the number one leading cause of death, and stroke is the third leading cause of death in Baltimore City. Baltimore Citys Hypertension ED visit rate is 658/100,000 as compared to 252/100,000 for Maryland. Significant health disparities exist among African Americans in Baltimore City. Food deserts exist in half of the targeted zips. This problem was identified through the CHNA process (FY12 & FY15). Hospital Initiatives: - Fall Back into Health/Spring into Healthy Summer Health Fairs - Farmers Market, Kids to Farmers Market - Hypertension (HTN) Program for AA Men - Smoking Cessation Program for AA Men Total Number of People Reached by the Initiative Within the Target Population: - Health Fairs = 850+ (for 2 larger health fairs & 2,761 for all other smaller health fairs/events) - Farmers Market = approx. 2,800 - Kids to Farmers Market = 150 - Hypertension (HTN) Program = 1,400 BP screens, all races/both genders, 842 African American men - Smoking Cessation = 393 people educated/counseled; 18 in cessation class Primary Objective of the Initiative: Provide evidence-based, innovative, and engaging programs that: 1) Reduce prevalence of obesity (children & adults) 2) Reduce prevalence of uncontrolled hypertension 3) Increase self-reported knowledge/behaviors of heart healthy lifestyle Single or Multi-Year Initiative Time Period: Multi-year initiative since 2008; Expected to continue Key Collaborators in Delivery of Initiative: UMMC Staff, UM Midtown Staff, University of Maryland Baltimore, Baltimore City Health Department, American Heart Association, Union Baptist Church, Shoppers Food Warehouse, Bi-Rite, American Diabetes Association, Baltimore City Dept of Parks & Rec, Baltimore City Public Schools Impact/Outcome of Hospital Initiatives: Health Fairs: 86% of people surveyed following the health fair reported learning new health information; When asked before & after health fair, there was a statistically significant improvement in people knowing what their BP means Z score = -2.3897, p = 0.01684, p <0.05. Farmers Market: Maryland Market Money (Bonus dollars program) redeemed = $1,065; SNAP Benefits redeemed - $1,440; FVC?FMNP/SFMP redeemed - $982 Kids to Farmers Market: Over 90% of children who attended tried a new healthy recipe with fresh produce and liked it. HTN Program: 577 out of 842 AA men were identified as hypertensive in the community & educated/counseled about hypertension and prevention & referred for treatment. Smoking Cessation: NRTs distributed to 9/18 class participants at Helping Up Mission; 393 others were educated about cessation and/or tobacco prevention. Evaluation Outcomes: According to the Maryland SHIP website, the following data trends are: (Source: http://dhmh.maryland.gov/ship/SitePages/Home.aspx ) % of Adults at Healthy Weight Baltimore City: 2011 = 34.5%, 2012 =39.7%, 2013 = 35% % of Children/Adolescents Who are Obese Baltimore City: 2010 = 16.4, 2013 = 14.9 ED Visit Rate due to HTN Baltimore City: 2012 = 591.1, 2013 = 599.6, 2014 = 658.9 Trends for adults at a healthy weight and ED visits due to HTN are performing negatively at this time for Baltimore City and especially African Americans. Prevalence trend of obese children/adolescents in Baltimore City is showing improvement. Continuation of Initiative: Trends for adults at a healthy weight and ED visits due to HTN are performing negatively at this time for Baltimore City and especially African Americans. Total Cost of Initiative for Current Fiscal Year: Health Fairs = $46,153 Farmers Market = $5,569 Kids to Farmers Market = $3,000 HTN Program = $46,037 Smoking Cessation = $6,000 Direct Offsetting Revenue from Restricted Grants: Health Fairs = $0 Farmers Market = $0 Kids to Farmers Market = $0 HTN Program = $46,037 Smoking Cessation = $6,000 Initiative 2: Maternal/Child Health Identified Need: Infant mortality is 10.3 per 1,000 births in Baltimore making it the highest rate of infant mortality in Maryland. The Maryland 2017 goal is 6.3. The percentage of low birth weight infants born in Balto City is 11.9% - once again the highest in Maryland. The Maryland 2017 goal is 8%. Maryland 2013 prevalence of ever breastfeeding was 69.4% with the Healthy People 2020 goal at 81.9%. This was identified through the CHNA process (FY12 & FY15). Hospital Initiatives: - Storks Nest - Breathmobile - Safe Kids Total Number of People Reached by the Initiative Within the Target Population: - Storks Nest 163 - Breathmobile 536 - Safe Kids 5,393 Primary Objectives of the Initiative: Provide evidence-based, innovative, and engaging programs that: 1) Reduce low birthweight births in West Baltimore communities 2) Reduce pediatric asthma incidence and ED visits 3) Reduce unintentional injuries in children 4) Increase awareness and benefits of breastfeeding Single or Multi-Year Initiative Time Period: Multi-year initiative since 2005; Expected to continue Key Collaborators in Delivery of Initiative: Zeta Phi Beta Sorority, March of Dimes, BMore Healthy Babies, Baltimore City Public Schools, Baltimore City Fire and Police Departments Impact/Outcome of Hospital Initiative: - Storks Nest 84.2% Babies born >37 weeks; 80.8% babies born >2500 grams; 64.4% of SN Moms initiated breastfeeding - Breathmobile 51.5% of BM patients had any ED visit; Only 33.7% of those had > 2 ED visits; Only 12.3% were hospitalized; Only 34.2% missed > 5 days of school - Safe Kids 1)Child Passenger Safety - Car Safety Misuse Rate = 83% - All seats corrected to 100% 2) Fire Safety Pre-program safety assessment score = 69.6% with Post-program safety assessment score = 88.5% (N = 100 third graders from 2 elementary schools) 3) Pedestrian Safety Pre-program assessment score = 51.6% with Post-program assessment score = 96.8% (N = 50 third grade students) - Breastfeeding Just initiating initiative in FY16 Evaluation Outcomes: According to the Maryland SHIP website, the following data trends are: (Source: http://dhmh.maryland.gov/ship/SitePages/Home.aspx ) % of Babies at Low Birth Rate Baltimore City: 2011 11.6%, 2012 = 11.8, 2013 11.9 % of ED Visits r/t Asthma Baltimore City: 2012 = 235.2/10,000 population, 2013 = 223.5, 2014 = 224.8 % of Breastfeeding - Maryland: 2013 = 69.4% ever breastfed (Source: http://www.cdc.gov/breastfeeding/pdf/2013breastfeedingreportcard.pdf ) Trends in above measures are stagnant or worsening for Baltimore City. Continuation of Initiative: Yes Indicators are not improving and warrant continued focus Total Cost of Initiative for Current Fiscal Year: - Storks Nest - $18,044 - Breathmobile - $177,747 - Safe Kids - $61,952 D. Direct Offsetting Revenue from Restricted Grants: SN = $0 Breathmobile = $171,944 Safe Kids = $0 Initiative 3: Violence Prevention Identified Need: Homicide is the 6th leading cause of death in Balto City. Homicide rate is much higher in 5/9 of the targeted zips and at same rate in 1 zip. Homicide is the number 1 killer of African American men ages 19-24 yrs. Alcohol/ substance use & distractions impairs driving & lead to preventable accidents. This was identified through the CHNA process (FY12 & FY15). Hospital Initiatives: - Violence Intervention Program (VIP) - My Future My Career - Promoting Healthy Alternatives for Teens (PHAT) - Trauma Prevention Programs (including Distracted Driving) Total Number of People Reached by the Initiative Within the Target Population: - VIP - 1,662 encounters with 42 registered participants - Domestic Violence Project 126 - PHAT program 25 - Trauma Prevention 11,795 Primary Objectives of the Initiative: Provide evidence-based, innovative, and engaging programs that: 1) Reduces recidivism due to violent injury and domestic violence 2) Promote violence prevention and education in youth 3) Promote trauma prevention (distracted driving, driving while intoxicated) Single or Multi-Year Initiative Time Period: Multi-year initiative since 1998; Expected to continue Key Collaborators in Delivery of Initiative: UMMC partners with Baltimore City Police Commissioner, Baltimore City Police Dept., Baltimore City Public Schools, Baltimore City Health Dept., HSCRC, and DPSC Secretary Impact/Outcome of Hospital Initiative: As a result of the VPP program (of 42 clients), there were: - Recidivism: 2 clients - Only 4.76% had a repeat admission secondary to violence - Job/Employment: 9 clients - 21% of clients became gainfully employed - School :1 client Returned to school Evaluation
Promoting the Health of the Community - UMSJMC	Schedule H, Part VI, Line 5 Initiative 1 Early Cancer Detection Screening Identified Need: Cancer prevention and early detection through cancer screenings. This was not identified through the CHNA process. Hospital Initiative: One Voice Total Number of People Within the Target Population: Unavailable Total Number of People Reached by the Initiative Within the Target Population: 210 Primary Objective of the Initiative: To provide early mammogram screening for patients who had not had screenings before due to financial issues Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: Baltimore County Cancer Program; Advanced Radiology Impact/Outcome of Hospital Initiative: 210 routine screening mammograms and clinical breast exams; 1 diagnosis of cancer with follow-up treatment Evaluation of Outcomes: Modestly successful Continuation of Initiative? Unknown (dependent on funding and collaboration) Total Cost of Initiative for Current Fiscal Year: $10,386 Direct Offsetting Revenue from Restricted Grants: $0 Initiative 2 Cancer Prevention and Early Detection Identified Need: Cancer prevention and early detection through cancer screenings This is need was identified through the CHNA process. In addition, needs were identified through Nueva Vida, a community cancer support program for Latinas and Baltimore County Cancer Program Hospital Initiative: One Voice Total Number of People Within the Target Population: Unavailable Total Number of People Reached by the Initiative Within the Target Population: 63 uninsured women were educated and provided CBE and Mammograms through the Cancer Institute One Voice Program, a monthly Breast Cancer Education and Screening Program. 40 Diagnostic follow-up procedures were provided to women in the One Voice Program Primary Objective of the Initiative: To educate uninsured/underserved women about cancer prevention and provide early detection of breast cancer through screening program and patient navigation Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: Nueva Vida, a Community Cancer Support and Advocacy Group for Hispanic women, Cancer Institute Breast Center who provides the CBE and follow-up for women with positive findings and Advanced Radiology who provided 100 free screening mammograms for the program. UM SJMC works with Baltimore County Cancer Program (BCCP) to enroll women in need of a biopsy and/or treatment into the Breast and Cervical Cancer Diagnosis and Treatment Program. Impact/Outcome of Hospital Initiative: Through our collaborative partners, the One Voice Breast Screening Program has been able to be sustained since 2012 and has expanded to include diagnostics and a seamless referral process for cervical and colorectal screenings for uninsured women. Evaluation of Outcomes: Feedback was provided by women served by the program, Nueva Vida, Breast Center and Advanced Radiology. Two quality measures were added to the monthly breast screening program based on evaluation: Diagnostics were included in the Screening Program to provide continuity of care for the women and a Referral Process was developed with BCCP for women in need of Cervical and/or Colon cancer screening. Continuation of Initiative? Yes Total Cost of Initiative for Current Fiscal Year: $1,129 Direct Offsetting Revenue from Restricted Grants $0 Initiative 3 Cancer Coalition Building Identified Need: Coalition building and advocacy are vital to a strong outreach program focused on cancer education, prevention, early detection and survivorship, with particular attention to culturally sensitive approaches. This need was identified through the CHNA process, with the addition of collaborative partnerships. Hospital Initiative: Cancer Coalition Building and Advocacy Total Number of People Within the Target Population: Unavailable Total Number of People Reached by the Initiative Within the Target Population: 1,768 Primary Objective of the Initiative: To enhance the effectiveness of each participating organization/agency in cancer education/prevention by collaborating in initiatives to educate and screen persons, especially those in minority and traditionally underserved/marginal communities. Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: Nueva Vida, UMSJMC Community Health, UMMS Community Outreach Downtown, MD State Cancer Collaborative, MD State Cancer Control Steering Committee, Baltimore County Cancer Coalition Impact/Outcome of Hospital Initiative: Total # of collaborative education/prevention activities = 36 Evaluation of Outcomes: Metrics include the following: # people reached (unavailable) # people screened (unavailable) # evaluations at individual events (unavailable) # of collaborative activities (unavailable) Continuation of Initiative? Yes Total Cost of Initiative for Current Fiscal Year: $705 Direct Offsetting Revenue from Restricted Grants $0 Initiative 4 St. Clare Medical Outreach Identified Need: Primary care services for persons with no insurance whatsoever (no Medicare, no Medicaid, not eligible for any health insurance under the ACA) or an easily accessible bus route. This need was identified through the CHNA process. Access to health care was identified as one of the primary unmet health care needs. Hospital Initiative: St. Clare Medical Outreach Total Number of People Within the Target Population: Number of Hispanics in Baltimore City 2010 Census 29,960 Number of Hispanics in Baltimore County 2010 Census 33,735 Total 63,695 Total Number of People Reached by the Initiative Within the Target Population: St. Clare has 900 individual patients Primary Objective of the Initiative: Primary health care service for those with no health insurance, particularly the Hispanic community (also immigrant). Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: UM SJMC provides no cost lab and out-patient services Charity in-patient services for patients referred from St. Clare Medical Outreach, including surgery and cancer treatment: - Service of employed physicians - Service of non-employed specialists who accept St. Clare patients as pro bono patients - Baltimore County Cancer Prevention Program - Baltimore City Cancer Prevention Program Med Star - Esperanza Center - House of Ruth/Adelente Familia - Nueva Vida - Provision JHH Wilmer Eye Institute Diabetic Retinopathy - University of MD Dental School - Baltimore County Health Department for Womens Health - Baltimore City FQHC for Womens Health Care - Baltimore City Health Dept. STD clinics - Medicine and International Health JHU SOM Center for TB Research Impact/Outcome of Hospital Initiative: St. Clare sees approximately 2200 patients/year. Evaluation of Outcomes: Number of patients able to be seen with limited health care providers in the practice Decrease in AIC markers indicating better control of diabetes (diabetes is one of the most prevalent and chronic conditions of St. Clare patients) Decrease number of patients seen in the Emergency Room at SJMC Continuation of Initiative UM St. Joseph Medical Center is committed to underwriting the expenses of St. Clare Medical Outreach including rent, salaries, pharmaceuticals, etc. Total Cost of Initiative for Current Fiscal Year: $735,527 Direct Offsetting Revenue from Restricted Grants $0
Affiliated Health Care System Roles - UMMSC	Schedule H, Part VI, Line 6 As part of the University of Maryland Medical System (UMMS), the University of Maryland Medical Center understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, the UMMC assesses the community's health needs, develops budgets, and responds with services, programs and initiatives which make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical System's Community Health Needs Assessment and Reporting Coalition coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. The University of Maryland Medical Center is committed to health education, advocacy, community partnerships, and programs to eliminate health care disparities in our community. Affiliated Health Care System Roles - UMSJMC Schedule H, Part VI, Line 6 As a member of the University of Maryland Medical System, UM-SJMC participates annually in multiple community-based events, i.e., health fairs, screenings and educational opportunities across the UMMS system, particularly in collaboration with the downtown University of Maryland Medical Center.
State Filing of Community Benefit Report - UMMSC & UMSJMC	Schedule H, Part Vi, Line 7 MD

Schedule H (Form 990) 2014

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

2014

Open to Public
Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number
52-1362793

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 Domestic Organizations and Domestic Governments. 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	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) UMBF Inc 100 N Greene St Baltimore,MD21201	30,000	General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance
(2) Youthworks Baltimore City Foundation Inc 101 West 24th Street Baltimore,MD21218	55,000	General Assistance
(3) BWMC Foundation 300 Hospital Drive Glen Burnie md Glen Burnie,MD21061	10,000	General Assistance
(4) Cal Ripken Sr Foundation 1427 Clarkview Road Baltimore,MD21209	10,000	General Assistance
(5) UMMS Foundation 22 S Greene St Baltimore,MD21201	10,000	General Assistance
(6) Greater Baltimore Committee 111 South Calvert St Baltimore,MD21202	9,000	General Assistance
(7) Healthy Holly LLC 3603 Dennly Road Baltimore,MD21215	100,000	General Assistance
(8) HoganRutherford Enaugural Committee 2702 LH Point East baltimore md 2 Baltimore,MD21224	25,000	General Assistance
(9) American Heart Association 217 E Redwood Street Baltimore,MD21201	82,261	General Assistance
(10) Ronald McDonald House - Baltimore 635 W Lexington Street Baltimore,MD21201	20,000	General Assistance
(11) The Living Legacy Foundation 1730 Twin Springs Road Baltimore,MD21227	10,000	General Assistance
(12) Univ of Maryland St Joseph Foundation Inc 250 West Pratt Street 1436 Baltimore,MD21201	500,000	General Assistance
(13) Cristo Rey Corporate Internship Program 420 S Chester STreet Baltimore,MD21231	25,500	General Assistance
(14) Y of Central Maryland 303 W Chesapeake Ave Baltimore,MD21204	46,145	General Assistance
(15) American Heart Association Mid Atlantic 107 Waterhouse Road Bourne,MA02532	7,500	General Assistance

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) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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	University of Maryland Medical System makes contributions to organizations in support of its overall mission of health promotion in the community it serves.

Schedule I (Form 990) 2014

Additional Data

Software ID:
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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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

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? ................

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), 501(c)(4), and 501(c)(29) organizations 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) 2014

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 in column(B) 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)
1ROBERT A CHRENCIKPRESIDENT AND CEO	(i) (ii)	1,183,796 ............................... 0	1,004,469 ............................... 0	4,692,806 ............................... 0	10,400 ............................... 0	10,695 ............................... 0	6,902,166 ............................... 0	4,526,360 ............................... 0
2HENRY J FRANEYCFO- UMMS/TREASURER	(i) (ii)	716,371 ............................... 0	364,157 ............................... 0	133,840 ............................... 0	10,400 ............................... 0	10,695 ............................... 0	1,235,463 ............................... 0	0 ............................... 0
3MEGAN M ARTHURSVP & GEN COUNSEL/ SEC'TY	(i) (ii)	428,562 ............................... 0	172,033 ............................... 0	66,247 ............................... 0	10,400 ............................... 0	14,252 ............................... 0	691,494 ............................... 0	0 ............................... 0
4JEFFERY A RIVESTPRESIDENT & CEO - UMMC	(i) (ii)	743,558 ............................... 0	278,394 ............................... 0	151,946 ............................... 0	10,400 ............................... 0	9,869 ............................... 0	1,194,167 ............................... 0	0 ............................... 0
5LISA C ROWENSVP & CNO - UMMC	(i) (ii)	349,373 ............................... 0	126,744 ............................... 0	49,843 ............................... 0	10,400 ............................... 0	15,195 ............................... 0	551,555 ............................... 0	0 ............................... 0
6WALTER ETTINGERSVP & CMO - UMMS	(i) (ii)	581,016 ............................... 0	207,943 ............................... 0	8,880 ............................... 0	95,692 ............................... 0	9,869 ............................... 0	903,400 ............................... 0	0 ............................... 0
7JON P BURNSSVP & CIO	(i) (ii)	381,339 ............................... 0	154,634 ............................... 0	55,236 ............................... 0	10,400 ............................... 0	9,869 ............................... 0	611,478 ............................... 0	0 ............................... 0
8JONATHAN E GOTTLIEBSVP & CMO	(i) (ii)	446,296 ............................... 0	147,094 ............................... 0	463,800 ............................... 0	10,400 ............................... 0	10,695 ............................... 0	1,078,285 ............................... 0	314,430 ............................... 0
9KEITH D PERSINGERSVP & CFO UMMC	(i) (ii)	505,707 ............................... 0	181,300 ............................... 0	72,844 ............................... 0	10,400 ............................... 0	6,412 ............................... 0	776,663 ............................... 0	0 ............................... 0
10DAVID P SWIFTSVP - Chief HR Officer	(i) (ii)	337,762 ............................... 0	196,500 ............................... 0	50,850 ............................... 0	10,400 ............................... 0	0 ............................... 0	595,512 ............................... 0	0 ............................... 0
11JOHN W ASHWORTH IIISVP NETWORK DEVELOPMENT	(i) (ii)	373,547 ............................... 0	155,458 ............................... 0	68,205 ............................... 0	10,400 ............................... 0	10,695 ............................... 0	618,305 ............................... 0	0 ............................... 0
12GARY H KANEVP - SUPPLY CHAIN MGMT	(i) (ii)	292,984 ............................... 0	91,357 ............................... 0	210,838 ............................... 0	10,400 ............................... 0	10,695 ............................... 0	616,274 ............................... 0	134,854 ............................... 0
13KENNETH LEWISEXECUTIVE - UNION OF CECIL	(i) (ii)	559,246 ............................... 0	212,203 ............................... 0	7,077 ............................... 0	18,351 ............................... 0	7,591 ............................... 0	804,468 ............................... 0	0 ............................... 0
14MARK KELEMENCHIEF MEDICAL INFO OFFICER	(i) (ii)	335,377 ............................... 0	130,804 ............................... 0	48,160 ............................... 0	10,400 ............................... 0	15,215 ............................... 0	539,956 ............................... 0	0 ............................... 0
15ALISON G BROWNSVP PLANNING & MARKETING	(i) (ii)	379,957 ............................... 0	141,814 ............................... 0	62,186 ............................... 0	10,400 ............................... 0	15,195 ............................... 0	609,552 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

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
Health or social club dues or initiation fees	Schedule J, Part I, Line 1a UMMS executives receive a benefit package which may be used towards health club dues or other health maintenance programs. Such benefits are capped at $7,000, $5,000 or $3,000 depending on job title as described in the program documents.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b During the Fiscal Year- ended June 30, 2015, certain officers and key employees participated in the University of Maryland Medical System (UMMS) Supplemental Nonqualified Retirement Plan. The individuals listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J, Part II, Column C, Retirement and Other Deferred Compensation: Kenneth Lewis Walter Ettinger. During the Fiscal Year-ended June 30, 2015, certain officers and key employees participated in the University of Maryland Medical System (UMMS) Supplemental Nonqualified Retirement Plan. The individuals listed below have vested in the plan in a prior year, therefore the contributions to the plan for the fiscal year are reported as taxable compensation and reported on Schedule J, Part II, Line B(III), Other Reportable Compensation: Jeffrey A. Rivest Henry J. Franey Keith D. Persinger Lisa C. Rowan Megan M. Arthur Jon P. Burns David P. Swift John W. Ashworth Allison G. Brown Mark Kelemen During the Fiscal Year-ended June 30, 2015, certain officers and key employees participated in the University of Maryland Medical System (UMMS) Supplemental Nonqualified Retirement Plan. The individuals listed below have vested in the plan in the reporting tax year, therefore the full value of the plan, including any contributions to the plan for the current fiscal year is reported as taxable compensation and reported on schedule J, Part II, Line B(III), Other Reportable Compensation. Prior year contributions to the plan were previously reported on Form 990 and are indicated on Schedule J, Part II, Column (F). Robert A. Chrencik Jonathan E. Gottlieb Gary H. Kane
Non-fixed Payments	Schedule J, Part I, Line 7 Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operation achievements. The final determination of the bonus amount is determined and approved by the Board as part of the overall compensation review of the officers and key employees.

Schedule J (Form 990) 2014

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number
52-1362793

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	MHHEFA (SERIES 2004B)	52-0936091	574217LP8	12-17-2003	37,590,847	ADVANCE REFUNDING	X			X		X
B	MHHEFA (SERIES 2005)	52-0936091	574217W92	06-25-2008	144,317,619	CURRENT REFUNDING		X		X		X
C	MHHEFA (SERIES 2006A)	52-0936091	574217YG4	10-24-2006	46,070,791	NEW MONEY		X		X		X
D	MHHEFA (SERIES 2007A)	52-0936091	574217G74	09-12-2007	96,445,000	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2007B)	52-0936091	574217G82	09-12-2007	41,350,000	ADVANCE REFUNDING	X			X		X
	MHHEFA (SERIES 2008A)	52-0936091	574217U78	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008B)	52-0936061	574217U86	05-21-2008	75,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008C)	52-0936091	574217U94	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008D)	52-0936091	574217V28	05-21-2008	50,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008E)	52-0936091	574217V36	05-21-2008	55,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008F)	52-0936091	574217Y66	07-10-2008	89,764,001	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2010)	52-0936091	5742175E1	01-07-2010	241,441,656	NEW MONEY/CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012A)	52-0936091		08-16-2012	40,785,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012B)	52-0936091		08-16-2012	50,175,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012C)	52-0936091		08-16-2012	75,205,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012D)	52-0936091		08-16-2012	50,170,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2013A)	52-0936091	574218MH3	03-08-2013	265,377,428	NEW MONEY/CURRENT & ADVANCED REFUN		X		X		X
	MHHEFA (SERIES 2015)	52-0936091	574218WD1	05-21-2015	86,603,677	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2008C)	52-0936091	5742172P9	08-08-2008	55,325,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011A)	52-0936091		10-01-2011	42,000,000	NEW MONEY		X		X		X
	MHHEFA (SERIES 2011B)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011C)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,485,000		7,025,000		0		400,000
2 Amount of bonds legally defeased . . . . . . . . . . .	25,160,000		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	37,590,847		144,317,619		46,907,010		96,445,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		2,214,122		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		3,498,365		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	444,968		1,167,619		350,032		784,512
8 Credit enhancement from proceeds . . . . . . . . . . .	1,056,738		0		0		13,877
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		40,844,491		0
11 Other spent proceeds . . . . . . . . . . . . . .	36,089,142		143,150,000		0		95,646,611
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008		2000		2008		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) 2014

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?	X		X		X		X
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? . . . . .
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?. . . . . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .
If "Yes" to 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 . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .	27.		34.6		34.6		27.
d Was the hedge superintegrated? . . . .		X		X		X		X
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

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)? . . . . . . . . .
b Name of provider . . . . . . . . .	0		0		0		0
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? . . .

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

Schedule K, Part III, Line 9, Part IV, Line 9, Part V

The organization is in the process of establishing written procedures, to be effective by the end of the fiscal year June 30, 2015, to ensure the following: 1) All nonqualified bonds of the issue are remediated in accordance with the requirements under regulations sections 1.141-12 and 1.145-2; 2) Violations of Federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulation; and 3) Ensure compliance by monitoring the requirement of section 148.

Schedule K (Form 990) 2014

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number
52-1362793

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	MHHEFA (SERIES 2004B)	52-0936091	574217LP8	12-17-2003	37,590,847	ADVANCE REFUNDING	X			X		X
B	MHHEFA (SERIES 2005)	52-0936091	574217W92	06-25-2008	144,317,619	CURRENT REFUNDING		X		X		X
C	MHHEFA (SERIES 2006A)	52-0936091	574217YG4	10-24-2006	46,070,791	NEW MONEY		X		X		X
D	MHHEFA (SERIES 2007A)	52-0936091	574217G74	09-12-2007	96,445,000	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2007B)	52-0936091	574217G82	09-12-2007	41,350,000	ADVANCE REFUNDING	X			X		X
	MHHEFA (SERIES 2008A)	52-0936091	574217U78	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008B)	52-0936061	574217U86	05-21-2008	75,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008C)	52-0936091	574217U94	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008D)	52-0936091	574217V28	05-21-2008	50,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008E)	52-0936091	574217V36	05-21-2008	55,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008F)	52-0936091	574217Y66	07-10-2008	89,764,001	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2010)	52-0936091	5742175E1	01-07-2010	241,441,656	NEW MONEY/CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012A)	52-0936091		08-16-2012	40,785,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012B)	52-0936091		08-16-2012	50,175,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012C)	52-0936091		08-16-2012	75,205,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012D)	52-0936091		08-16-2012	50,170,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2013A)	52-0936091	574218MH3	03-08-2013	265,377,428	NEW MONEY/CURRENT & ADVANCED REFUN		X		X		X
	MHHEFA (SERIES 2015)	52-0936091	574218WD1	05-21-2015	86,603,677	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2008C)	52-0936091	5742172P9	08-08-2008	55,325,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011A)	52-0936091		10-01-2011	42,000,000	NEW MONEY		X		X		X
	MHHEFA (SERIES 2011B)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011C)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,485,000		7,025,000		0		400,000
2 Amount of bonds legally defeased . . . . . . . . . . .	25,160,000		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	37,590,847		144,317,619		46,907,010		96,445,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		2,214,122		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		3,498,365		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	444,968		1,167,619		350,032		784,512
8 Credit enhancement from proceeds . . . . . . . . . . .	1,056,738		0		0		13,877
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		40,844,491		0
11 Other spent proceeds . . . . . . . . . . . . . .	36,089,142		143,150,000		0		95,646,611
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008		2000		2008		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) 2014

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?	X		X		X		X
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? . . . . .
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?. . . . . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .
If "Yes" to 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 . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .	27.		34.6		34.6		27.
d Was the hedge superintegrated? . . . .		X		X		X		X
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

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)? . . . . . . . . .
b Name of provider . . . . . . . . .	0		0		0		0
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? . . .

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

Schedule K, Part III, Line 9, Part IV, Line 9, Part V

Schedule K (Form 990) 2014

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number
52-1362793

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	MHHEFA (SERIES 2004B)	52-0936091	574217LP8	12-17-2003	37,590,847	ADVANCE REFUNDING	X			X		X
B	MHHEFA (SERIES 2005)	52-0936091	574217W92	06-25-2008	144,317,619	CURRENT REFUNDING		X		X		X
C	MHHEFA (SERIES 2006A)	52-0936091	574217YG4	10-24-2006	46,070,791	NEW MONEY		X		X		X
D	MHHEFA (SERIES 2007A)	52-0936091	574217G74	09-12-2007	96,445,000	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2007B)	52-0936091	574217G82	09-12-2007	41,350,000	ADVANCE REFUNDING	X			X		X
	MHHEFA (SERIES 2008A)	52-0936091	574217U78	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008B)	52-0936061	574217U86	05-21-2008	75,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008C)	52-0936091	574217U94	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008D)	52-0936091	574217V28	05-21-2008	50,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008E)	52-0936091	574217V36	05-21-2008	55,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008F)	52-0936091	574217Y66	07-10-2008	89,764,001	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2010)	52-0936091	5742175E1	01-07-2010	241,441,656	NEW MONEY/CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012A)	52-0936091		08-16-2012	40,785,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012B)	52-0936091		08-16-2012	50,175,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012C)	52-0936091		08-16-2012	75,205,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012D)	52-0936091		08-16-2012	50,170,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2013A)	52-0936091	574218MH3	03-08-2013	265,377,428	NEW MONEY/CURRENT & ADVANCED REFUN		X		X		X
	MHHEFA (SERIES 2015)	52-0936091	574218WD1	05-21-2015	86,603,677	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2008C)	52-0936091	5742172P9	08-08-2008	55,325,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011A)	52-0936091		10-01-2011	42,000,000	NEW MONEY		X		X		X
	MHHEFA (SERIES 2011B)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011C)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,485,000		7,025,000		0		400,000
2 Amount of bonds legally defeased . . . . . . . . . . .	25,160,000		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	37,590,847		144,317,619		46,907,010		96,445,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		2,214,122		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		3,498,365		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	444,968		1,167,619		350,032		784,512
8 Credit enhancement from proceeds . . . . . . . . . . .	1,056,738		0		0		13,877
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		40,844,491		0
11 Other spent proceeds . . . . . . . . . . . . . .	36,089,142		143,150,000		0		95,646,611
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008		2000		2008		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) 2014

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?	X		X		X		X
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? . . . . .
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?. . . . . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .
If "Yes" to 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 . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .	27.		34.6		34.6		27.
d Was the hedge superintegrated? . . . .		X		X		X		X
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

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)? . . . . . . . . .
b Name of provider . . . . . . . . .	0		0		0		0
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? . . .

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

Schedule K, Part III, Line 9, Part IV, Line 9, Part V

Schedule K (Form 990) 2014

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number
52-1362793

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	MHHEFA (SERIES 2004B)	52-0936091	574217LP8	12-17-2003	37,590,847	ADVANCE REFUNDING	X			X		X
B	MHHEFA (SERIES 2005)	52-0936091	574217W92	06-25-2008	144,317,619	CURRENT REFUNDING		X		X		X
C	MHHEFA (SERIES 2006A)	52-0936091	574217YG4	10-24-2006	46,070,791	NEW MONEY		X		X		X
D	MHHEFA (SERIES 2007A)	52-0936091	574217G74	09-12-2007	96,445,000	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2007B)	52-0936091	574217G82	09-12-2007	41,350,000	ADVANCE REFUNDING	X			X		X
	MHHEFA (SERIES 2008A)	52-0936091	574217U78	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008B)	52-0936061	574217U86	05-21-2008	75,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008C)	52-0936091	574217U94	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008D)	52-0936091	574217V28	05-21-2008	50,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008E)	52-0936091	574217V36	05-21-2008	55,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008F)	52-0936091	574217Y66	07-10-2008	89,764,001	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2010)	52-0936091	5742175E1	01-07-2010	241,441,656	NEW MONEY/CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012A)	52-0936091		08-16-2012	40,785,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012B)	52-0936091		08-16-2012	50,175,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012C)	52-0936091		08-16-2012	75,205,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012D)	52-0936091		08-16-2012	50,170,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2013A)	52-0936091	574218MH3	03-08-2013	265,377,428	NEW MONEY/CURRENT & ADVANCED REFUN		X		X		X
	MHHEFA (SERIES 2015)	52-0936091	574218WD1	05-21-2015	86,603,677	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2008C)	52-0936091	5742172P9	08-08-2008	55,325,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011A)	52-0936091		10-01-2011	42,000,000	NEW MONEY		X		X		X
	MHHEFA (SERIES 2011B)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011C)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,485,000		7,025,000		0		400,000
2 Amount of bonds legally defeased . . . . . . . . . . .	25,160,000		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	37,590,847		144,317,619		46,907,010		96,445,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		2,214,122		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		3,498,365		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	444,968		1,167,619		350,032		784,512
8 Credit enhancement from proceeds . . . . . . . . . . .	1,056,738		0		0		13,877
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		40,844,491		0
11 Other spent proceeds . . . . . . . . . . . . . .	36,089,142		143,150,000		0		95,646,611
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008		2000		2008		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) 2014

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?	X		X		X		X
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? . . . . .
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?. . . . . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .
If "Yes" to 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 . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .	27.		34.6		34.6		27.
d Was the hedge superintegrated? . . . .		X		X		X		X
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

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)? . . . . . . . . .
b Name of provider . . . . . . . . .	0		0		0		0
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? . . .

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

Schedule K, Part III, Line 9, Part IV, Line 9, Part V

Schedule K (Form 990) 2014

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number
52-1362793

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	MHHEFA (SERIES 2004B)	52-0936091	574217LP8	12-17-2003	37,590,847	ADVANCE REFUNDING	X			X		X
B	MHHEFA (SERIES 2005)	52-0936091	574217W92	06-25-2008	144,317,619	CURRENT REFUNDING		X		X		X
C	MHHEFA (SERIES 2006A)	52-0936091	574217YG4	10-24-2006	46,070,791	NEW MONEY		X		X		X
D	MHHEFA (SERIES 2007A)	52-0936091	574217G74	09-12-2007	96,445,000	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2007B)	52-0936091	574217G82	09-12-2007	41,350,000	ADVANCE REFUNDING	X			X		X
	MHHEFA (SERIES 2008A)	52-0936091	574217U78	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008B)	52-0936061	574217U86	05-21-2008	75,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008C)	52-0936091	574217U94	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008D)	52-0936091	574217V28	05-21-2008	50,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008E)	52-0936091	574217V36	05-21-2008	55,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008F)	52-0936091	574217Y66	07-10-2008	89,764,001	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2010)	52-0936091	5742175E1	01-07-2010	241,441,656	NEW MONEY/CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012A)	52-0936091		08-16-2012	40,785,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012B)	52-0936091		08-16-2012	50,175,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012C)	52-0936091		08-16-2012	75,205,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012D)	52-0936091		08-16-2012	50,170,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2013A)	52-0936091	574218MH3	03-08-2013	265,377,428	NEW MONEY/CURRENT & ADVANCED REFUN		X		X		X
	MHHEFA (SERIES 2015)	52-0936091	574218WD1	05-21-2015	86,603,677	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2008C)	52-0936091	5742172P9	08-08-2008	55,325,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011A)	52-0936091		10-01-2011	42,000,000	NEW MONEY		X		X		X
	MHHEFA (SERIES 2011B)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011C)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,485,000		7,025,000		0		400,000
2 Amount of bonds legally defeased . . . . . . . . . . .	25,160,000		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	37,590,847		144,317,619		46,907,010		96,445,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		2,214,122		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		3,498,365		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	444,968		1,167,619		350,032		784,512
8 Credit enhancement from proceeds . . . . . . . . . . .	1,056,738		0		0		13,877
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		40,844,491		0
11 Other spent proceeds . . . . . . . . . . . . . .	36,089,142		143,150,000		0		95,646,611
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008		2000		2008		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) 2014

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?	X		X		X		X
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? . . . . .
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?. . . . . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .
If "Yes" to 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 . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .	27.		34.6		34.6		27.
d Was the hedge superintegrated? . . . .		X		X		X		X
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

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)? . . . . . . . . .
b Name of provider . . . . . . . . .	0		0		0		0
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? . . .

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

Schedule K, Part III, Line 9, Part IV, Line 9, Part V

Schedule K (Form 990) 2014

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number
52-1362793

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	MHHEFA (SERIES 2004B)	52-0936091	574217LP8	12-17-2003	37,590,847	ADVANCE REFUNDING	X			X		X
B	MHHEFA (SERIES 2005)	52-0936091	574217W92	06-25-2008	144,317,619	CURRENT REFUNDING		X		X		X
C	MHHEFA (SERIES 2006A)	52-0936091	574217YG4	10-24-2006	46,070,791	NEW MONEY		X		X		X
D	MHHEFA (SERIES 2007A)	52-0936091	574217G74	09-12-2007	96,445,000	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2007B)	52-0936091	574217G82	09-12-2007	41,350,000	ADVANCE REFUNDING	X			X		X
	MHHEFA (SERIES 2008A)	52-0936091	574217U78	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008B)	52-0936061	574217U86	05-21-2008	75,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008C)	52-0936091	574217U94	05-21-2008	50,000,000	CURRENT REFUNDING	X			X		X
	MHHEFA (SERIES 2008D)	52-0936091	574217V28	05-21-2008	50,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008E)	52-0936091	574217V36	05-21-2008	55,000,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2008F)	52-0936091	574217Y66	07-10-2008	89,764,001	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2010)	52-0936091	5742175E1	01-07-2010	241,441,656	NEW MONEY/CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012A)	52-0936091		08-16-2012	40,785,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012B)	52-0936091		08-16-2012	50,175,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012C)	52-0936091		08-16-2012	75,205,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2012D)	52-0936091		08-16-2012	50,170,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2013A)	52-0936091	574218MH3	03-08-2013	265,377,428	NEW MONEY/CURRENT & ADVANCED REFUN		X		X		X
	MHHEFA (SERIES 2015)	52-0936091	574218WD1	05-21-2015	86,603,677	ADVANCE REFUNDING		X		X		X
	MHHEFA (SERIES 2008C)	52-0936091	5742172P9	08-08-2008	55,325,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011A)	52-0936091		10-01-2011	42,000,000	NEW MONEY		X		X		X
	MHHEFA (SERIES 2011B)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X
	MHHEFA (SERIES 2011C)	52-0936091		12-01-2011	59,225,000	CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,485,000		7,025,000		0		400,000
2 Amount of bonds legally defeased . . . . . . . . . . .	25,160,000		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	37,590,847		144,317,619		46,907,010		96,445,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		2,214,122		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		3,498,365		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	444,968		1,167,619		350,032		784,512
8 Credit enhancement from proceeds . . . . . . . . . . .	1,056,738		0		0		13,877
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		40,844,491		0
11 Other spent proceeds . . . . . . . . . . . . . .	36,089,142		143,150,000		0		95,646,611
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008		2000		2008		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) 2014

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?	X		X		X		X
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? . . . . .
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?. . . . . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .
If "Yes" to 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 . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .	27.		34.6		34.6		27.
d Was the hedge superintegrated? . . . .		X		X		X		X
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

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)? . . . . . . . . .
b Name of provider . . . . . . . . .	0		0		0		0
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? . . .

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

Schedule K, Part III, Line 9, Part IV, Line 9, Part V

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Atwood Collins	Board Member	2,500,000	see below
(2) Francis Kelly	Board Member	1,481,793	see below
(3) John Dillon	Board Member	156,000	see below

Part V

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

Return Reference	Explanation
Atwood Collins	The Organization used M&T Bank for many of it's banking services, including treasury management, deposit serviecs, lines of credit and corporate trust and custody services. Atwood Collins is Executive Vice President of M&T Bank as well as a Board Member of the University of Maryland Medical System. Services provided by M&T Bank are charged at or below fair market value.
Francis Kelly	Francis Kelly is a board member of the University of Maryland Medical System as well as the chairman and chief executive officer of Kelly & Associates Insurance Group, Inc. The Medical System uses Kelly & Associates to purchase health, vision, dental and life insurance policies for the employees of the system. Services provided by Kelly & Associates are charged at or below fair market value. The above amount includes $941,294 attributable to UMMC and $137,394 attributable to SJMC.
John Dillon	Mr. Dillon provides healthcare consulting services to UMMS. All services are provided at or below FMV.

Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ 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

2014

Open to Public
Inspection

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

Return Reference	Explanation
Form 990, Part III, Line 2	On December 1, 2012, the University of Maryland Medical System acquired substantially all of the assets of St. Joseph Medical Center, a 247-bed community hospital located in Towson, Maryland, as well as ownership interests in related affiliates, pursuant to an Asset Purchase Agreement with Catholic Health Initiatives, St. Joseph Medical Center, Inc. and certain other entities controlled by Catholic Health Initiatives. The hospital assets were purchased by University of Maryland St. Joseph Medical Center, LLC, a wholly-owned subsidiary of UMSJ Health System, LLC. UMSJ Health System, LLC is a wholly-owned subsidiary of the University of Maryland Medical System. Under the Purchase Agreement, purchased assets include the St. Joseph Medical Center hospital facility land and improvements, furniture, fixtures and equipment, supplies, inventory, intangible assets, prepaid expenses and certain records necessary to continue operations at the facility, but exclude certain assets such as cash, investments and accounts receivable as of the purchase date. Under the terms of the Purchase Agreement, the University of Maryland Medical System did not assume any liabilities or financial obligations associated with any acquired assets or the business operations at St. Joseph Medical Center that existed at the time of, or occurred prior to, the purchase date, including but not limited to accounts payable, liabilities for benefits or pension plans, financial obligations to any governmental authority and claims or litigation relating to acts or omissions that occurred prior to the purchase date. On December 6, 2013, The University of Maryland Medical System completed a full acquisition and beacame a sole corporate member of Upper Chesapeake. Prior to 2013, UMMS owned a 49 percent interest in a joint venture that included the majority of the operating assets and revenues of Upper Chesapeake. For this period, UMMS' investment in Upper Chesapeake was accounted for as a noncontrolling joint venture interest and a component of UMMS' nonoperating income.
Form 990, Part VII	University of Maryland St. Joseph's Medical Center Board of Directors Robert A. Chrencik, member John W. Ashworth III, member Honorable Francis X. Kelly, chairman Rev. Joseph Barr, member John P. Coale Esq., member Monsignor Richard Cramblitt, member R. Michael Gill, member Edward J. Gillis, Esq., Vice Chairman Patrick J. Goles, member Caroline A. Griffin, Esq., member E. Albert Reece, MD, member Honorable James T. Smith, Jr., member Adele A. Wilzack, RN, member David Brinker, MD, member Honorable Andrew P. Harris, MD, member Monsignor J. Bruce Jarboe, member Officers- non voting members Mohanakumar Suntharalingam, President & CEO Craig J. Carmichael, VP Operations Paul S Nicholson, CFO The following represents compensation paid by University of Maryland Medical System Corp. to the Officers of St. Joseph's Medical Center during the tax year: Individual Reportable Compensation Other Compensation M. Suntharalingam 1,138,649 119,195 Paul S. Nicholson 416,369 25,595 Honorable F. Kelly - - Edward J. Gillis, Esq. - - -Edward J Gillis also serves as a director but does not recieves any compensation for his serves as a director or as an officer of St. Joseph's Medical Ceneter. -Honorable F. Kelly serves as an officer, without compensation for his services to St. Joseph's Medical Center. The following directors of St. Joseph's Medical Center are not compensated for their roles as directors of St. Joseph's Medical Center but rather receive compensation from the The University of Maryland Corp. (UMMS Corp.) as the President & CEO and SVP Network Development of UMMS Corp., respectively: Individual Reportable Compensation Other Compensation Robert Chencik 6,881,071 21,095 John Ashworth III 597,210 21,095 The following represents compensation paid by University of Maryland Medical System Corp. to the Key Employees of St. Joseph's Medical Center during the tax year: Individual Reportable Compensation Other Compensation Craig Carmichael 327,823 23,328 Gail Cunningham 496,179 21,095 Walter Furlong 273,229 45,243 Pamela Jamieson 350,107 19,804 The following represents compensation paid by University of Maryland Medical System Corp. to the Top 5 Highest Compensated Employees of St. Joseph's Medical Center during the tax year: Individual Reportable Compensation Other Compensation Michael Schultz 769,493 23,651 R.C.S Finney Jr. 727,483 24,329 Farhan Majeed 1,010,785 23,842 Henry Sun 721,436 23,985 Rawn Salender 663,702 23,842
Form 990, Part VIII, IX, and X	Consolidation Total Revenue Per 990 Entity Contributions Program Invest/Rental Other and g/l UMMS 52-1362793 10,758,011 1,424,000,866 12,642,480 12,133,967 UMMRSS LLC 45-5565991 - 800,924 - - UMRPS LLC 45-5559036 - - - 3,593,026 UMSJP LLC 30-0755741 - - - 1,533,792 UMSJMG LLC 37-1704041 - 32,601,519 - 8,049,275 UMSJO LLC 32-0391006 - 22,276,882 - 92,978 UMSJMC 35-2445106 331,111 334,909,146 1,199,532 4,420,323 Total 11,089,122 1,814,589,337 13,842,012 29,823,361 Total Expense Per 990 Entity Program Management Fundraising UMMS 52-1362793 1,250,831,730 158,450,322 - UMMRSS LLC 45-5565991 791,176 59,906 - UMRPS LLC 45-5559036 2,585,945 251,701 - UMSJP LLC 30-0755741 2,023,821 51,120 - UMSJMG LLC 37-1704041 44,814,888 7,450,285 - UMSJO LLC 32-0391006 26,208,186 1,540,491 - UMSJMC 35-2445106 285,204,365 48,132,616 - Total 1,612,460,111 215,936,441 - Balance Sheet- Assets Entity Total Assets UMMS 52-1362793 2,905,496,433 UMMRSS LLC 45-5565991 (689,590) UMRPS LLC 45-5559036 1,875,327 UMSJP LLC 30-0755741 (1,163,439) UMSJMG LLC 37-1704041 (31,122,541) UMSJO LLC 32-0391006 (14,268,761) UMSJMC 35-2445106 287,145,508 Total 3,147,272,937 Balance Sheet- Liabilities and Fund Balance Entity Total Total Total Liabilities Fund Balance UMMS 52-1362793 1,611,670,711 1,293,825,722 2,905,496,433 UMMRSS LLC 45-5565991 241,743 (931,333) (689,590) UMRPS LLC 45-5559036 887,740 987,587 1,875,327 UMSJP LLC 30-0755741 456,441 (1,619,880) (1,163,439) UMSJMG LLC 37-1704041 3,459,273 (34,581,814) (31,122,541) UMSJO LLC 32-0391006 2,713,768 (16,982,529) (14,268,761) UMSJMC 35-2445106 339,402,974 (52,257,466) 287,145,508 Total 1,958,832,650 1,188,440,287 3,147,272,937
Form 990 Review Process	Form 990, Part VI, Line 11b THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE GRANT THORNTON TAX ORGANIZER, WHICH IS AN EXCEL-BASED SYSTEM. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, GRANT THORNTON IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING.
Conflict of Interest Policy Monitoring & Enforcement	Form 990, Part VI, Line 12c THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION, OR ANY ENTITY CONTROLLED BY OR OWNED IN SUBSTANTIAL PART BY THE ORGANIZATION. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMSC) REVIEWS THE RESPONSES FOR UMMSC AND JAMES LAWRENCE KERNAN HOSPITAL. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED FOR UMMSC, AND JAMES LAWRENCE KERNAN HOSPITAL. WITH RESPECT TO THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION.
Process for Determining Compensation	Form 990, Part VI, Lines 15a and 15b THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP.
How Documents are Made Available to the Public	Form 990, Part VI, Line 19 IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A COPY IS PROVIDED ON THE SAME DAY. A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT.
Reconciliation of Net Assets	Form 990, Part XI, Line 9 Capital transfer- MGH $ (5,081,000) Change Fair Value- Interest rate swap (19,423,000) Net assets Released from Restrictions for purchases 14,669,000 Change in Economic/Beneficial Interest in Net Assets of Related Organizations (2,170,000) Change in Unrestricted Net Assets (UMMC, IHL, Elim, Ecare) 938,808 Change in Ownership of Nonconsolidated Subsidiaries (234,000) Other Changes in Net Assets (1,321,825) -------------- Total $ (12,622,017)
HOURS ON RELATED ENTITY	PART VII, SECTION A, COL (B) THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP

Employer identification number

52-1362793

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
(1) 36 S Paca Street LLC 36 S Paca Street Baltimore,MD21211 56-2544990	Rental	MD	1,087,000	9,697,000	UMMSC
(2) University of Maryland Ecare LLC 250 W Pratt Street Baltimore,MD21201 46-1441270	Healthcare	MD	2,936,000	1,774,000	UMMSC
(3) SJMC Physicians LLC 7601 Osler Drive Towson,MD20204 36-4734065	Healthcare	MD	0	0	UMMSC
(4) Univ of MD Med Reg Supplier Services 7601 Osler Drive Towson,MD21204 45-5565991	Healthcare	MD	800,924	-689,589	UMMSC
(5) Univ of MD Med Reg Prof Services 7601 Osler Drive Towson,MD21204 45-5559036	Healthcare	MD	3,593,026	1,875,000	UMMSC
(6) UMSJ Properties LLC 7601 Osler Drive Towson,MD21204 30-0755741	Rental	MD	1,533,792	-1,163,439	UMMSC
(7) Univ of MD St Joseph Medical Center LLC 7601 Osler Drive Towson,MD21204 35-2445106	Healthcare	MD	340,860,112	263,705,637	UMMSC
(8) Univ of MD St Joseph Medical Group LLC 7601 Osler Drive Towson,MD21204 37-1704041	Healthcare	MD	40,650,794	-31,122,541	UMMSC
(9) Univ of MD St Joseph Orthopaedics LLC 7601 Osler Drive Towson,MD21204 32-0391006	Healthcare	MD	22,369,860	-14,268,761	UMMSC
(10) OLP LLC 7601 Osler Drive Towson,MD21204	Healthcare	MD	0	0	UMMSC
(11) University of MD Medical Center LLC 250 W Pratt Street Baltimore,MD21201 32-0443777	Healthcare	MD	1,458,811,090	2,906,094,433	UMMSC
(12) University of MD Health Ventures LLC 250 W Pratt Street Baltimore,MD21201 47-4794292	Healthcare	MD	0	0	UMMSC
(13) UMRMC I Inc 250 W Pratt Street Baltimore,MD21201	Healthcare	MD	0	0	UMMSC
(14) UMRMC LLC 250 W Pratt Street Baltimore,MD21201	Healthcare	MD	0	0	UMMSC
(15) UMMC I LLC 250 W Pratt Street Baltimore,MD21201 38-3945516	Healthcare	MD	0	0	UMMSC

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) Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie,MD21061 52-1756326	Healthcare	MD	501(c)(3)	11A	UMBWMS		No
(2) Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie,MD21061 52-1830243	Healthcare	MD	501(c)(3)	11A	UMBWMS		No
(3) Baltimore Washington Medical Center Inc 301 Hospital Drive Glen Burnie,MD21061 52-0689917	Healthcare	MD	501(c)(3)	3	UMBWMS		No
(4) UMD Baltimore Washington Medical Center 301 Hospital Drive Glen Burnie,MD21061 52-1830242	Healthcare	MD	501(c)(3)	11A	UMMSC	Yes
(5) BW Medical Center Foundation Inc 301 Hospital Drive Glen Burnie,MD21061 52-1813656	Fundraising	MD	501(c)(3)	11C	UMBWMS		No
(6) North Arundel Development Corporation 301 Hospital Drive Glen Burnie,MD21061 52-1318404	Real Estate	MD	501(c)(2)		NCC		No
(7) North County Corporation 301 Hospital Drive Glen Burnie,MD21061 52-1591355	Real Estate	MD	501(c)(2)		UMBWMS		No
(8) Shipleys Choice Medical Park Inc 22 South Greene Street Baltimore,MD21201 04-3643849	Real Estate	MD	501(c)(2)		NCC		No
(9) Chester River Health Foundation Inc 100 Brown Street Chestertown,MD21620 52-1338861	Fundraising	MD	501(c)(3)	8	UMSRH		No
(10) Univ of MD Shore Regional HealthInc 100 Brown Street Chestertown,MD21620 52-2046500	Healthcare	MD	501(c)(3)	11A	UMMSC	Yes
(11) Chester River Hospital Center 100 Brown Street Chestertown,MD21620 52-0679694	Healthcare	MD	501(c)(3)	3	UMSRH		No
(12) Chester River Manor Inc 200 Morgnec Road Chestertown,MD21620 52-6070333	Healthcare	MD	501(c)(3)	9	UMSRH		No
(13) Maryland General Clinical Practice Group 827 Linden Avenue Baltimore,MD21201 52-1566211	Healthcare	MD	501(c)(3)	11B	UMMTH		No
(14) Maryland General Comm Health Foundation 827 Linden Avenue Baltimore,MD21201 52-2147532	Fundraising	MD	501(c)(3)	11C	UMMTH		No
(15) University of Maryland Midtown Health I 827 Linden Avenue Baltimore,MD21201 52-1175337	Healthcare	MD	501(c)(3)	11B	UMMSC	Yes
(16) Maryland General Hospital Inc 827 Linden Avenue Baltimore,MD21201 52-0591667	Healthcare	MD	501(c)(3)	3	UMMTH		No
(17) Care Health Services Inc 219 South Washington Street Easton,MD21601 52-1510269	Healthcare	MD	501(c)(3)	9	UMSRH		No
(18) Dorchester General Hospital Foundation 219 South Washington Street Easton,MD21601 52-1703242	Fundraising	MD	501(c)(3)	11D	UMSRH		No
(19) Memorial Hospital Foundation Inc 219 South Washington Street Easton,MD21601 52-1282080	Fundraising	MD	501(c)(3)	11A	UMSRH		No
(20) UM Community Medical Group Inc 920 Elkridge Landing Road Linthicum,MD21090 52-1874111	Healthcare	MD	501(c)(3)	3	UMMSC	Yes
(21) Shore Health System Inc 219 South Washington Street Easton,MD21601 52-0610538	Healthcare	MD	501(c)(3)	3	UMMSC		No
(22) James Lawrence Kernan Hosp Endow Fd 2200 Kernan Drive Baltimore,MD21207 23-7360743	Fundraising	MD	501(c)(3)	11B	UMMSC		No
(23) James Lawrence Kernan Hospital Inc 2200 Kernan Drive Baltimore,MD21207 52-0591639	Healthcare	MD	501(c)(3)	3	UMMSC	Yes
(24) UMMS Foundation Inc 22 South Greene Street Baltimore,MD21201 52-2238893	Fundraising	MD	501(c)(3)	11A	UMMSC	Yes
(25) University of Maryland Charles Regional PO Box 1070 La Plata,MD20646 52-2155576	Healthcare	MD	501(c)(3)	11C	UMMSC	Yes
(26) Civista Medical Center Inc PO Box 1070 La Plata,MD20646 52-0445374	Healthcare	MD	501(c)(3)	3	UMCRH		No
(27) Charles Regional Medical Center Foundati PO Box 1070 La Plata,MD20646 52-1414564	Fundraising	MD	501(c)(3)	11A	UMCRH		No
(28) Charles Regional Medical Center Auxiliar PO Box 1070 La Plata,MD20646 52-1131193	Fundraising	MD	501(c)(3)	11A	UMCRH		No
(29) Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson,MD21204 52-1681044	Fundraising	MD	501(c)(3)	11A	UMMSC	Yes
(30) Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-0591484	Healthcare	MD	501(c)(3)	3	UMUCHS		No
(31) UCH Legacy Funding Corporation 520 Upper Chesapeake Dr Bel Air,MD21014 52-0882914	Fundraising	MD	501(c)(3)	11A	UMUCHS		No
(32) Univ of MD Upper Chesapeake Health Sys 520 Upper Chesapeake Dr Bel Air,MD21014 52-1398513	Healthcare	MD	501(c)(3)	11C;III-FI	UMUCHS	Yes
(33) Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1398507	Fundraising	MD	501(c)(3)	11A	UMUCHS		No
(34) Upper Chesapeake Medical Center Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1253920	Healthcare	MD	501(c)(3)	3	UMUCHS		No
(35) Upper Chesapeake Medical Services Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1501734	Healthcare	MD	501(c)(3)	9	UMUCHS		No
(36) Upper Chesapeake Properties Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1907237	Real Estate	MD	501(c)(2)		UMUCHS		No
(37) Upper Ches Residential Hospice House In 520 Upper Chesapeake Dr Bel Air,MD21014 26-0737028	Hospice	MD	501(c)(3)	7	UMUCHS		No
(38) Upper ChesapeakeSt Joe's Home CareInc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1229742	Hospice	MD	501(c)(3)	9	UMUCHS		No
(39) UMSJ Health System LLC 7601 Osler Drive Towson,MD21204 46-0797956	Healthcare	MD	501(c)(3)		UMMSC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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
(1) Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie,MD20161 52-2000762	Healthcare	MD	NA
(2) Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie,MD20161 20-0806027	Healthcare	MD	NA						0
(3) NAHSunrise of Severna Park LLC 301 Hospital Drive Glen Burnie,MD20161 54-1810729	Healthcare	MD	NA
(4) North Arundel Senior Living LLC 301 Hospital Drive Glen Burnie,MD20161 54-1810728	Healthcare	MD	NA
(5) Innovative Health LLC 29165 Canvasback Drive Suite 100 Easton,MD21601 52-1997287	Billing	MD	NA
(6) Central Maryland Radiology Oncology LLC 10710 Charter Drive Columbia,MD21044 27-0879418	Healthcare	MD	UMMSC	RELATED	3,303,000	5,284,000		No			No	50.000 %
(7) Universitycare LLC 22 South Greene Street Baltimore,MD21201 52-1914892	Healthcare	MD	UMMSC	RELATED	2,964,600	611,100		No	0		No	90.000 %
(8) O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson,MD21204 52-1682964	Rental	MD	UMMSC	related	1,903,280	10,157,240		No	0		No	74.000 %
(9) Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson,MD21204 52-1958002	Healthcare	MD	NA		0	0		No			No	51.000 %
(10) UCHSUMMS Real Estate Trust 520 Upper Chesapeake Dr Bel Air,MD21014 27-6803540	Real Estate	MD	NA		0	0		No			No	80.000 %

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	(h) Percentage ownership	(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) Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie,MD21061 52-1992649	Healthcare	MD	na	C Corp
(2) Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie,MD21061 52-1936656	Healthcare	MD	na	C Corp
(3) BW Professional Services Inc 301 Hospital Drive Glen Burnie,MD21061 52-1655640	Healthcare	MD	na	c corp
(4) Univ of Maryland Charles Regional Care P PO Box 1070 La Plata,MD20646 52-2176314	Healthcare	MD	na	C Corp
(5) University Midtown Prof Center A Condom 827 Linden Avenue Baltimore,MD21201 52-1891126	Real Estate	MD	ummsc	C Corp
(6) NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie,MD21061	Real Estate	MD	na	C Corp
(7) Terrapin Insurance Company 98-0129232	Insurance		UMMS	C Corp	19,799,500	99,853,000	50.000 %		No
(8) UMMS Self Insurance Trust 22 South Greene Street Baltimore,MD21201 52-6315433	Insurance	MD	UMMS	Trust	21,987,000	114,726,000	50.000 %		No
(9) Upper Chesapeake Insurance Company PO Box 1109 Grand Cayman,Cayman Islands CJ 98-0468438	Captive Insurance	CJ	UMUCHS	ltd			100.000 %
(10) Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-2031264	Healthcare	MD	umms	C Corp	397,000	3,322,000	100.000 %		No
(11) Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air,MD21014 77-0674478	Real Estate	MD	UC Med Crt	C Corp			100.000 %
(12) Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air,MD21014 52-1946829	Real Estate	MD	UC Hlth Vent	C Corp			100.000 %

Schedule R (Form 990) 2014

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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) . . . . . . . . . . . . . . . . . . . .

Yes

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

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

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

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

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

Yes

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

Yes

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

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
(1) James L Kernan Hospital Inc	l	330,516	FMV
(2) James L Kernan Hospital Inc	q	11,035,173	FMV
(3) Maryland General Hospital Inc	q	18,438,671	FMV
(4) Maryland General Hospital Inc	r	1,633,171	FMV
(5) Baltimore Washington Medical Center Inc	q	29,632,691	FMV
(6) Shore Health System Inc	q	17,717,448	FMV
(7) Shore Health System Inc	p	245,592	FMV
(8) Chester River Hospital Center Inc	q	3,785,398	FMV
(9) Charles Regional Medical Center Inc	q	8,416,193	FMV
(10) Charles Regional Medical Center Inc	r	2,500,000	FMV
(11) Umms Foundation Inc	c	6,814,512	FMV

Schedule R (Form 990) 2014

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) 2014

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) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: UMMS PROVIDES A VARIETY OF INPATIENT/ OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SVCS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	28
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	28
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	14,350
6	Total number of volunteers (estimate if necessary) .............	6	1,271
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	337,583
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,439,307

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,974,136	11,089,122
9	Program service revenue (Part VIII, line 2g) .........	1,769,658,811	1,814,589,337
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,306,526	11,049,490
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	33,327,555	32,615,883
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,824,267,028	1,869,343,832
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	438,045	1,013,801
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)	812,125,038	863,869,902
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)....	993,952,293	963,512,849
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,806,515,376	1,828,396,552
19	Revenue less expenses. Subtract line 18 from line 12.......	17,751,652	40,947,280
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,244,090,766	3,147,272,937
21	Total liabilities (Part X, line 26).............	2,066,674,817	1,958,832,650
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,177,415,949	1,188,440,287

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: 900,099 ) (Expenses $ 1,612,460,111 including grants of $ 1,013,801 ) (Revenue $ 1,823,767,870 )
	UMMS, A PRIVATE, NON-PROFIT HEALTH SYSTEM, CONSISTS OF 13 HOSPITALS - THE UNIVERSITY OF MARYLAND MEDICAL CENTER (UMMC), THE ACADEMIC "HUB" - AND THE 12 COMMUNITY AND SPECIALTY HOSPITALS THROUGHOUT THE STATE OF MARYLAND. UMMC IS A NATIONAL AND REGIONAL REFERRAL CENTER FOR TRAUMA, CANCER CARE, NEUROCARE, CARDIAC CARE AND HEART SURGERY, WOMEN'S AND CHILDREN'S HEALTH AND ORGAN TRANSPLANTS. IT HAS ONE OF THE MOST TECHNOLOGICALLY ADVANCED OPERATING ROOM FACILITIES AND IS INTERNATIONALLY RECOGNIZED FOR ITS LEADERSHIP IN DEVELOPING AND PERFORMING MINIMALLY INVASIVE SURGICAL PROCEDURES. UMMS PROVIDES CHARITY CARE TO PATIENTS UNABLE TO PAY. CHARITY CARE FOR THE YEAR ENDED 6/30/2015 IS APPROXIMATELY $46,150,257 AT COST.

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 expenses1,612,460,111

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	17,322,553	0	406,185

				(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		7,869,857
e	Government grants (contributions)1e		3,200,000

f	All other contributions, gifts, grants, and similar amounts not included above1f		19,265

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			11,089,122
			Business Code
2a	PATIENT SERVICE REVENUE		900099	1,741,832,187	1,741,306,691	525,496
b	PHARMACY		900099	72,757,150	72,407,091	350,059
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,814,589,337
3	Investment income (including dividends, interest, and other similar amounts).......			3,521,585			3,521,585
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	4,563,779
b	Less: rental expenses	1,771,257
c	Rental income or (loss)	2,792,522	0
d	Net rental income or (loss).......			2,792,522	3,525,452	-732,930
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	264,690,226
b	Less: cost or other basis and sales expenses	257,162,321
c	Gain or (loss)	7,527,905
d	Net gain or (loss)..........			7,527,905			7,527,905
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..			0
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...			0
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..			0
Miscellaneous Revenue			Business Code
11a	STIPEND ENTRY		900099	8,047,479			8,047,479
b	INCOME FROM JOINT VENTURE		900099	4,126,200	1,617,240		2,508,960
c	CAFETERIA		900099	3,177,135	3,177,135
d	All other revenue ....			14,472,547	1,734,261	194,958	12,543,328
e	Total. Add lines 11a–11d ......			29,823,361
12	Total revenue. See Instructions......			1,869,343,832	1,823,767,870	337,583	34,149,257


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			123,262,145	1	252,299,871
2	Savings and temporary cash investments .........			576,603	2	648,236
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			196,319,650	4	183,589,273
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
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
				0	6	0
7	Notes and loans receivable, net .............			2,734,105	7	1,933,322
8	Inventories for sale or use ..............			29,585,325	8	32,251,958
9	Prepaid expenses and deferred charges ..........			8,310,507	9	8,327,116
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,150,146,999
b	Less: accumulated depreciation .....	10b	1,020,958,593	1,101,382,026	10c	1,129,188,406
11	Investments—publicly traded securities ..........			234,828,000	11	141,618,000
12	Investments—other securities. See Part IV, line 11 .....			126,987,769	12	143,025,000
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			1,420,104,636	15	1,254,391,755
16	Total assets. Add lines 1 through 15 (must equal line 34)......			3,244,090,766	16	3,147,272,937
17	Accounts payable and accrued expenses .........			295,461,886	17	299,797,345
18	Grants payable .................			0	18	0
19	Deferred revenue ................			125,419	19	125,419
20	Tax-exempt bond liabilities .............			1,109,015,207	20	920,693,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
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..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			248,904,469	24	243,823,209
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....................			413,167,836	25	494,393,677
26	Total liabilities. Add lines 17 through 25.........			2,066,674,817	26	1,958,832,650
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			952,985,876	27	966,240,836
28	Temporarily restricted net assets ...........			222,741,334	28	220,510,712
29	Permanently restricted net assets ...........			1,688,739	29	1,688,739
	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 ...........			1,177,415,949	33	1,188,440,287
34	Total liabilities and net assets/fund balances ........			3,244,090,766	34	3,147,272,937

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No