TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MARTIN J HEALY...................................................................... CHAIRMAN	0.50 ................. 0.60	X	X	0	0
(2) RAYMOND HAMM...................................................................... VICE CHAIRMAN/TREASURER	0.50 ................. 0.60	X	X	0	0
(3) RONALD GRAYBEAL...................................................................... SECRETARY	0.50 ................. 0.50	X	X	0	0
(4) KENNETH S LEWIS MD JD...................................................................... PRESIDENT & CEO (UNTIL 12/31/15)	30.00 ................. 10.00	X	X	1,012,714	248,368
(5) RICHARD C SZUMEL MD...................................................................... PRESIDENT & CEO (AS OF 1/1/16)	30.00 ................. 10.00	X	X	0	0
(6) KELLY ALBANESE BEDDER...................................................................... DIRECTOR	0.50 ................. 1.50	X		0	0
(7) CHRISTY DRYER...................................................................... DIRECTOR (AS OF 3/2016)	0.50 ................. 0.50	X		0	0
(8) RYAN GERACIMOS MD...................................................................... DIRECTOR (AS OF 7/2015)	0.50 ................. 0.50	X		0	0
(9) MARY BOLT PHD...................................................................... DIRECTOR	0.50 ................. 0.50	X		0	0
(10) RONALD CULLIS...................................................................... DIRECTOR	0.50 ................. 0.50	X		0	0
(11) DAVID FERGUSON...................................................................... DIRECTOR	0.50 ................. 0.50	X		0	0
(12) STEPHANIE GARRITY...................................................................... DIRECTOR	0.50 ................. 0.50	X		0	0
(13) MARTHA HOSFORD MD...................................................................... DIRECTOR (UNTIL 5/2016)	0.50 ................. 0.50	X		0	0
(14) CARL ROBERTS...................................................................... DIRECTOR	0.50 ................. 0.50	X		0	0
(15) SHEELMOHAN SACHDEV MD...................................................................... DIRECTOR	0.50 ................. 0.50	X		0	0
(16) DWIGHT THOMEY...................................................................... DIRECTOR (AS OF 2/2016)	0.50 ................. 0.50	X		0	0
(17) LAURIE R BEYER CPA...................................................................... SENIOR VP/CHIEF FINANCIAL OFFICER	31.00 ................. 9.00		X	376,333	83,083

(A) Name and business address	(B) Description of services	(C) Compensation
UNION RADIOLOGISTS LLC 106 BOW STREET ELKTON,MD21921	RADIOLOGISTS	3,183,522
WHITING-TURNER CONTRACTING CO PO BOX 17596 BALTIMORE,MD21297	CONTRACTOR	2,855,286
MDICS AT UNION CECIL COUNTY LLC 7250 PARKWAY DRIVE HANOVER,MD21076	CONTRACTOR	2,165,855
UNIVERSITY OF MARYLAND MEDICAL 22 SOUTH GREENE STREET BALTIMORE,MD21201	ADVISORY SERVICES	902,207
INSIGHT INVESTMENTS LLC 611 ANTON BLVD SUITE 700 COSTA MESA,CA92626	IT INFRASTRUCTURE	868,001
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 108

- 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.
right arrow

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

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

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

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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—2014. 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2015

Page 6

Part V

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

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

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

2015

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization UNION HOSPITAL OF CECIL COUNTY INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization UNION HOSPITAL OF CECIL COUNTY INC		Employer identification number 52-0607945

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization UNION HOSPITAL OF CECIL COUNTY INC			Employer identification number 52-0607945
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.) $ 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) (2015)

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," on 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

2015

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(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 on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	1,221,305		1,221,305
b	Buildings	83,303,394	34,402,158	48,901,236
c	Leasehold improvements	567,132	163,457	403,675
d	Equipment ...	120,291,463	81,133,573	39,157,890
e	Other ...	5,213,455	1,337,745	3,875,710
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				93,559,816

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) OTHER ASSETS				601,294
(2) LOAN ISSUANCE COSTS				584,710
(3) INSURANCE CLAIMS RECEIVABLE				9,473,438
(4) DUE FROM AFFILIATES				25,050
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				10,684,492

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
THIRD PARTY ADVANCES	3,637,293
CAPITAL LEASE OBLIGATIONS	2,266,010
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	10,484,224
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	16,387,527
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	155,353,713
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-3,506,242
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-7,235,095
e	Add lines 2a through 2d .....................			2e	-10,741,337
3	Subtract line 2e from line 1..................			3	166,095,050
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	166,095,050

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	157,319,232
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	157,319,232
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	6,880,208
c	Add lines 4a and 4b.....................			4c	6,880,208
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	164,199,440

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS AFTER 2013 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES -322,101. PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS -6,826,331. BANK FEES NETTED ON FINANCIAL STATEMENTS -53,877. NET ASSETS RELEASED -32,786.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 6,826,331. BANK FEES NETTED ON FINANCIAL STATEMENTS 53,877.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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? . . . . . .

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		899,826		899,826	0.570 %
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 . . . . .		899,826		899,826	0.570 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,960	215,928	256	215,672	0.140 %
f	Health professions education (from Worksheet 5) . . .	693	488,740	200	488,540	0.310 %
g	Subsidized health services (from Worksheet 6) . . . .	104	10,635,618	6,562,026	4,073,592	2.590 %
h	Research (from Worksheet 7) .		7,568		7,568	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	40,527	380,848	178,801	202,047	0.130 %
j	Total. Other Benefits . .	47,284	11,728,702	6,741,283	4,987,419	3.170 %
k	Total. Add lines 7d and 7j .	47,284	12,628,528	6,741,283	5,887,245	3.740 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	525	16,514	16,514	0.010 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members	22	3,240	3,240	0 %
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	230	109,187	109,187	0.070 %
9	Other
10	Total	777	128,941	128,941	0.080 %

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. ......

5,781,902

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. ......

36,264

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).....

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

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

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

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

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	UNION HOSPITAL OF CECIL COUNTY INC 106 BOW STREET ELKTON,MD21921 WWW.UHCC.COM 07-005	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	UNION HOSPITAL OF CECIL COUNTY INC
Name of hospital facility or 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

6 a

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

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): WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/

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): WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/

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

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 200.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

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):

HTTPS://WWW.UHCC.COM/ABOUT-US/PATIENTS-GUESTS/ADMISSION-TO-THE-HOSPITAL/FIN

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

HTTPS://WWW.UHCC.COM/ABOUT-US/PATIENTS-GUESTS/ADMISSION-TO-THE-HOSPITAL/FIN

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.UHCC.COM/ABOUT-US/PATIENTS-GUESTS/ADMISSION-TO-THE-HOSPITAL/FIN

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) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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 19. (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) 2015

Page 7

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
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 5: UNION HOSPITAL COLLABORATED WITH THE CECIL COUNTY HEALTH DEPARTMENT TO CONDUCT THE NEWEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHOSE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) COVERS FISCAL YEARS 2017 - 2019. THE CHNA PLANNING TEAM INCLUDED STAFF FROM UNION HOSPITAL: THE COMMUNITY BENEFITS COORDINATOR, THE DIRECTOR OF MARKETING, AND A PHYSICIAN FROM OCCUPATIONAL HEALTH (MASTER OF PUBLIC HEALTH (MPH) INTERN), AS WELL AS STAFF FROM THE CECIL COUNTY HEALTH DEPARTMENT: THE HEALTH POLICY ANALYST, THE HEALTH OFFICER, THE DEPUTY HEALTH OFFICER, AND THE PUBLIC AFFAIRS OFFICER. THE CHNA PLANNING TEAM WAS RESPONSIBLE TO FACILITATE ALL COMPONENT PARTS OF THE CHNA PROCESS, INCLUDING WRITING AND SUBMITTING THE REPORTS TO THE INTERNAL REVENUE SERVICE (IRS). ULTIMATELY, THE CHNA/CHIP PROCESS REFLECTED COLLABORATION OF COMMUNITY PARTNERS WORKING TOGETHER TO ACHIEVE THE SAME HEALTH IMPROVEMENT GOALS FOR CECIL COUNTY. PLANNING THE CHNA OCCURRED FROM FEBRUARY 2015 - JUNE 2015. THE CHNA/CHIP WAS APPROVED BY BOTH THE UNION HOSPITAL BOARD (FEBRUARY 2015) AND THE COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) (JULY 2015). PRIMARY DATA COLLECTION OCCURRED FROM JULY 2015 - SEPTEMBER 2015 VIA THREE FOCUS GROUPS AND ADMINISTRATION OF AN ONLINE COMMUNITY SURVEY. SECONDARY DATA WAS TAKEN FROM A VARIETY OF RELIABLE NATIONAL AND LOCAL DATA SOURCES. ANALYSIS OF PRIMARY AND SECONDARY DATA COLLECTED OCCURRED FROM NOVEMBER 2015 THROUGH MID-JANUARY 2016. THE THREE FOCUS GROUPS WERE CONDUCTED WITH ADULT POPULATIONS WITHOUT ACCESS TO THE INTERNET TO TAKE THE ONLINE SURVEY (HOMELESS, SENIORS, AND SPANISH-SPEAKING MIGRANT WORKERS). EACH FOCUS GROUP SESSION INCLUDED A DESCRIPTION OF THE CHNA, THE PURPOSE OF THE FOCUS GROUP, AN INTRODUCTION OF THE FACILITATORS, AND THE RULES OF ENGAGEMENT. ALL MATERIALS WERE TRANSLATED INTO SPANISH FOR THE FOCUS GROUP WITH MIGRANT, SPANISH-SPEAKING WORKERS, AND A SPANISH INTERPRETER WAS PROVIDED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE. PARTICIPANTS WERE ASKED TO RESPOND TO THE FOLLOWING QUESTIONS:1) WHAT ARE THE GREATEST STRENGTHS OF OUR COMMUNITY?2) WHAT DO YOU THINK ARE THE MOST IMPORTANT HEALTH ISSUES IN CECIL COUNTY?3) WHAT WOULD MOST IMPROVE THE QUALITY OF LIFE IN CECIL COUNTY?4) WHAT ARE THE MOST SIGNIFICANT BARRIERS TO ACCESSING HEALTH CARE IN CECIL COUNTY?5) RELATED TO HEALTH AND QUALITY OF LIFE, WHAT RESOURCES OR SERVICES DO YOU THINK ARE MISSING IN CECIL COUNTY?THE ONLINE COMMUNITY SURVEY WAS DEVELOPED BY THE HEALTH POLICY ANALYST (CECIL COUNTY HEALTH DEPARTMENT) WITH INPUT FROM CHAC MEMBER ORGANIZATIONS. THE SURVEY WAS CREATED USING SURVEY MONKEY AND CONSISTED OF TWENTY QUESTIONS - MULTIPLE CHOICE, LIKERT SCALE SELECTIONS, AND FREE TEXT ENTRY. THE SURVEY WAS DIVIDED INTO FOUR SECTIONS: 1) DEMOGRAPHICS, 2) COMMUNITY HEALTH, 3) QUALITY OF LIFE, AND 4) ACCESS TO HEALTH CARE. THE SURVEY TOOK APPROXIMATELY 15 TO 20 MINUTES TO COMPLETE AND 506 PEOPLE COMPLETED THE SURVEY. INPUT FROM COMMUNITY PARTNERS ENGAGED IN CECIL COUNTY'S CHAC MEETINGS, ALSO KNOWN AS THE LOCAL HEALTH IMPROVEMENT COALITION, WAS INTEGRAL TO THE PROCESS OF SELECTING THE HEALTH PRIORITIES FOR THE COUNTY AND CREATING THE CHIP. CHAC MEMBER ORGANIZATIONS THAT PARTICIPATED IN THE PRIORITIZATION AND STRATEGIC PLANNING PROCESSES INCLUDED: AFFILIATED SANT GROUP (MOBILE CRISIS), AMERICAN CANCER SOCIETY, CECIL COUNTY DEPT OF EMERGENCY SERVICES, CECIL COUNTY DEPT OF JUVENILE SERVICES, CECIL COUNTY DEPT OF SOCIAL SERVICES, CECIL COUNTY DIRECTOR OF ADMINISTRATION, CECIL COUNTY EXECUTIVE OFFICE, CECIL COUNTY HEALTH DEPT., CECIL COUNTY LIQUOR BOARD, CECIL COUNTY PUBLIC SCHOOLS, CECIL COUNTY SHERIFF'S OFFICE, COUNTY COUNCIL MEMBERS, DHMH - OFFICE OF POPULATION HEALTH IMPROVEMENT, CECIL COLLEGE, CECIL COUNTY DEPT OF COMMUNITY SERVICES, CECIL COUNTY DEPT OF CORRECTIONS, CECIL COUNTY HOUSING, DEEP ROOTS, ELKTON COMMUNITY KITCHEN, ELKTON POLICE DEPARTMENT, ELKTON PRESBYTERIAN CHURCH, ELKTON HOUSING AUTHORITY, MARYLAND STATE DELEGATES, MARYLAND STATE SENATORS, MEADOW WOOD BEHAVIORAL HEALTH SYSTEM, PRIVATE CITIZENS, PRIVATE EDUCATION ORGANIZATIONS, PRIVATE HEALTH CARE PROFESSIONALS, SEVENTH DAY ADVENTIST CHURCH, UNION HOSPITAL OF CECIL COUNTY, UPPER BAY COUNSELING & SUPPORT SERVICES, WEST CECIL HEALTH CENTER, YOUTH EMPOWERMENT SOURCE, IMMACULATE CONCEPTION MEETING GROUND, ON OUR OWN OF CECIL COUNTY, PARIS FOUNDATION, SERENITY HEALTH, STONE RUN FAMILY MEDICINE, WIN FAMILY SERVICES, & YMCA.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 6B: UNION HOSPITAL COLLABORATED WITH THE CECIL COUNTY HEALTH DEPARTMENT TO CONDUCT THE NEWEST COMMUNITY HEALTH NEEDS ASSESSMENT.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 11: IN 2016, CECIL COUNTY HEALTH DEPARTMENT, UNION HOSPITAL OF CECIL COUNTY, AND PARTNER ORGANIZATIONS IN CHAC BEGAN A COMMUNITY HEALTH IMPROVEMENT PROCESS TO IDENTIFY HEALTH PRIORITIES FOR CECIL COUNTY. THE FOLLOWING THREE HEALTH PRIORITIES WERE SELECTED FOR CECIL COUNTY:1. BEHAVIORAL HEALTH2. CHRONIC DISEASE3. DETERMINANTS OF HEALTHBEHAVIORAL HEALTHGOAL: REDUCE THE PREVALENCE OF SUBSTANCE USE DISORDERS IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, REDUCE THE DRUG-INDUCED DEATH RATE BY 5%STRATEGIES: 1) CONTINUE TO PROVIDE NARCAN TRAINING TO LAW ENFORCEMENT OFFICERS AND THE PUBLIC2) PROVIDE EDUCATION AT PHARMACIES AND PHYSICIANS' OFFICES ON PRESCRIPTION DRUG ABUSE AND NARCAN TRAINING3) ADVOCATE FOR THE DEVELOPMENT OF MORE TREATMENT OPTIONS FOR ADULTS AND ADOLESCENTS IN THE COUNTY4) PARTNER WITH PROVIDERS TO INCREASE THE UTILIZATION OF EXISTING SERVICES5) WORK WITH THE SCHOOL SYSTEM TO REACH AT-RISK ADOLESCENTS6) INCREASE PARTICIPATION IN PREVENTION AND EDUCATION PROGRAMS SUCH AS "MY FAMILY MATTERS AND "STRENGTHENING FAMILIES"7) PROVIDE INCENTIVES FOR ATTENDING PROGRAMS8) PROMOTE THE CREATION OF EDUCATIONAL MESSAGES FOCUSING ON PREVENTION9) IMPLEMENT RECOMMENDATIONS OF CECIL COUNTY'S LOCAL OVERDOSE FATALITY REVIEW TEAM (LOFRT)OBJECTIVE: BY JUNE 30, 2019 REDUCE THE PERCENTAGE OF YOUTH IN GRADES 9-12 REPORTING THE USE OF ALCOHOL ON ONE OR MORE OF THE PAST 30 DAYS TO NO MORE THAN 33.8%STRATEGIES:1) PARTNER WITH MARYLAND STRATEGIC PREVENTION FRAMEWORK 2 (MSPF2) TO IMPLEMENT STRATEGIES IDENTIFIED THROUGH A NEEDS ASSESSMENT2) CONTINUE TO SUPPORT AND EXPAND LIFE SKILLS TRAINING IN CECIL COUNTY PUBLIC SCHOOLSGOAL: IMPROVE THE MENTAL HEALTH AND WELL-BEING OF CECIL COUNTY RESIDENTSOBJECTIVE: BY JUNE 30, 2019, REDUCE THE PERCENTAGE OF YOUTH IN GRADES 9-12 WHO FELT SAD OR HOPELESS ALMOST EVERY DAY FOR TWO WEEKS OR MORE DURING THE PAST 12 MONTHS TO NO MORE THAN 24.8%STRATEGIES:1) PROMOTE DEPRESSION SCREENING DURING WELLNESS CHECKUPS2) RESEARCH PROGRAMMING TO PROMOTE THE HEALTH AND WELL-BEING OF YOUTH3) PROMOTE BEHAVIORAL HEALTH INTEGRATION IN PEDIATRIC PRIMARY CAREOBJECTIVE: BY JUNE 30, 2019, DECREASE THE SUICIDE RATE IN CECIL COUNTY BY 5%.STRATEGIES:1) PROMOTE THE AVAILABILITY OF CRISIS AND SUICIDE HOTLINES2) CONTINUE TO SUPPORT, PROMOTE THE UTILIZATION OF, AND EXPAND MOBILE CRISIS SERVICES IN CECIL COUNTY3) PROMOTE REGULAR SCREENING FOR DEPRESSION DURING PRIMARY CARE PROVIDER VISITS4) PROMOTE MENTAL HEALTH FIRST AID (MHFA) TRAININGGOAL: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, DECREASE THE RATE OF EMERGENCY DEPARTMENT VISITS RELATED TO MENTAL HEALTH CONDITIONS BY 10% AND EMERGENCY DEPARTMENT VISITS RELATED TO SUBSTANCE USE DISORDERS BY 5%STRATEGIES:1) PROVIDE EDUCATION TO REDUCE THE STIGMA SURROUNDING BEHAVIORAL HEALTH DISORDERS2) INCREASE AWARENESS OF BEHAVIORAL HEALTH RESOURCES AND SERVICES IN THE COMMUNITY3) CONTINUE TO SUPPORT OUTREACH EFFORTS TO ENROLL UNINSURED RESIDENTS IN HEALTH INSURANCE/MEDICAL ASSISTANCE4) REDUCE THE HEALTH IMPACT OF VIOLENCE AND TRAUMA BY INTEGRATING TRAUMA-INFORMED CARE THROUGHOUT THE HEALTH CARE AND BEHAVIORAL HEALTH SYSTEMS5) EXPAND OPTIONS FOR INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH TREATMENT FOR CECIL COUNTY RESIDENTS6) PARTNER IN THE DEVELOPMENT OF A REGIONAL CRISIS CENTER7) PROMOTE A SYSTEM OF CARE THAT INTEGRATES SOMATIC AND BEHAVIORAL HEALTH CARE8) CONTINUE TO HOLD MONTHLY ER DIVERSION MEETINGSCHRONIC DISEASEGOAL: REDUCE THE MORBIDITY OF DIABETES IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, INCREASE PHYSICIAN PRACTICE SITES MAKING REFERRALS TO CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS BY 2 SITESSTRATEGIES:1) ENGAGE 2 PHYSICIAN PRACTICE SITES TO PARTICIPATE2) TRACK THE NUMBER OF REFERRALS MADEOBJECTIVE: BY JUNE 30, 2019, INCREASE THE NUMBER OF SITES HOSTING CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS BY 5 SITESSTRATEGIES:1) ENGAGE 5 ADDITIONAL SITES TO HOST CHRONIC DISEASE SELF-MANAGEMENT PROGRAMSOBJECTIVE: BY JUNE 30, 2019, CREATE 1 COUNTY-WIDE WALKING PROGRAMSTRATEGIES:1) USING THE DELAWARE WALKING PROGRAM AS A MODEL, CREATE AND IMPLEMENT A WALKING PROGRAM THAT TRACKS THE NUMBER OF PARTICIPATING INDIVIDUALS, TESTIMONIALS RECEIVED, AND TOTAL MILES WALKED2) IF SUCCESSFUL, CREATE A PLAN FOR FUTURE WALKING PROGRAMS (IF NOT SUCCESSFUL, INDICATE IN ANNUAL REPORTING AND PROVIDE LESSONS LEARNED)GOAL: REDUCE MORTALITY FROM LUNG CANCER IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2017, INCREASE THE NUMBER OF INDIVIDUALS RECEIVING LOW-DOSE LUNG CT SCREENINGS BY 5% IN ORDER TO INCREASE AWARENESS FOR LUNG CANCER PREVENTIONSTRATEGIES:1) ADVERTISE AND PROMOTE THE LOW-DOSE LUNG CT SCREENING PROGRAM IN THE COMMUNITY2) SUPPORT RECOMMENDATIONS OF THE UNION HOSPITAL CANCER PROGRAM'S COMMUNITY OUTREACH PLAN FOR LOW-DOSE LUNCH CT SCREENINGOBJECTIVE: BY JUNE 30, 2019, REDUCE THE PREVALENCE OF TOBACCO USE AMOUNG ADOLESCENTS BY 5% AND CIGARETTE SMOKING AMONG ADULTS BY 5%STRATEGIES: 1) PROMOTE COMMUNITY SMOKING CESSATION2) EDUCATE ADULTS ABOUT COMMUNITY-BASED AND STATE-BASED SMOKING CESSATION AND PREVENTION RESOURCES3) SUPPORT RECOMMENDATIONS OF THE CECIL COUNTY TOBACCO TASK FORCEGOAL: REDUCE MORBIDITY AND MORTALITY OF HEART DISEASE AND STROKE IN CECIL COUNTYOBJECTIVE: BY JUNE 30, 2019, REDUCE HIGH BLOOD PRESSURE AMONG ADULTS BY 5%, IN ORDER TO REDUCE THE INCIDENCE OF STROKE IN CECIL COUNTYSTRATEGIES:1) EDUCATE AND SUPPORT HEALTH CARE PROVIDERS ON HOW TO WRITE PRESCRIPTIONS FOR PHYSICAL ACTIVITY2) PROVIDE A COMMUNITY-WIDE CAMPAIGN TO TARGET REDUCING SODIUM INTAKE (ALSO SUPPORTS HEALTHY EATING FOR YOUTH)3) SUPPORT RECOMMENDATIONS FROM THE UNION HOSPITAL STROKE PROGRAM FOR STROKE PREVENTION IN THE COMMUNITY.OBJECTIVE: BY JUNE 30, 2019, INCREASE THE PERCENTAGE OF STUDENTS WHO EAT VEGETABLES ONE OR MORE TIMES PER DAY BY 5%, IN ORDER TO REDUCE THE INCIDENCE OF HEART DISEASE IN CECIL COUNTYSTRATEGIES:1) PARTNER WITH SCHOOLS, DAY CARES, AND THE "HEAD START" PROGRAM TO PROVIDE EDUCATION TO STAFF AND COMMUNITY MEMBERS ON NUTRITION FOR YOUTH2) SUPPORT THE TRANSITION FROM THE SCHOOL YEAR TO THE SUMMER BY WORKING WITH SUMMER FOOD PROGRAM PROVIDERS TO INCREASE ACCESS TO AND AWARENESS OF SUMMER FOOD PROGRAMS IN THE COMMUNITY3) ADVOCATE FOR THE INCORPORATION OF HEALTHY FOODS INTO SCHOOL LESSONS4) UTILIZE A LOCAL NEWSPAPER TO PROVIDE HELPFUL TIPS, RECIPES, AND/OR NEWS STORIES ON HEALTHY LIFESTYLE CHOICES AS THEY PERTAIN TO THE "CHIP" OBJECTIVESOBJECTIVE: BY JUNE 30, 2019, IMPLEMENT A WELLNESS PROGRAM FOR ONE LOCAL SMALL BUSINESSSTRATEGIES:1) IMPLEMENT A WELLNESS PROGRAM THAT PROVIDES WELLNESS CHALLENGES FOR EMPLOYEES TO PARTICIPATE IN2) REQUIRE THE PARTNERING SMALL BUSINESS TO PROVIDE PRIZES/AWARDS FOR ITS STAFF THAT WINS THE CHALLENGESDETERMINANTS OF HEALTHGOAL: REDUCE THE BURDEN OF POVERTY IN CECIL COUNTY TO IMPROVE THE OVERALL HEALTH OF CECIL COUNTY RESIDENTSOBJECTIVE: BY OCTOBER 30, 2016, RESEARCH EXISTING AND NEW OR INNOVATIVE ANTI- POVERTY PROGRAMS/INITIATIVES FOR IMPLEMENTATION IN CECIL COUNTYSTRATEGIES:1) GET INFORMATION ON THE ANTI-POVERTY PROGRAM RECENTLY PRESENTED AT THE BHA CHILD/ADOLESCENT CONFERENCE2) IDENTIFY & RESEARCH EXISTING ANTI-POVERTY PROGRAMS IN THE COUNTY3) COLLECT INFORMATION FROM FAITH-BASED ANTI-POVERTY INITIATIVES4) INVESTIGATE CARROLL COUNTY'S PROGRAM MODEL5) REVIEW ALL OPTIONS AS A GROUPGOAL: REDUCE THE PREVALENCE OF HOMELESSNESS IN CECIL COUNTY TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY AND ITS RESIDENTSOBJECTIVE: BY JUNE 2018, EXPAND SERVICES AND INTERVENTIONS FOR HOMELESS INDIVIDUALS/FAMILIES TO DECREASE PREVALENCE OF HOMELESSNESS IN CECIL COUNTY BY 10%. SERVICES/INTERVENTIONS WILL BE BASED ON THREE TIERS, INCLUDING 1) EMERGENCY/IMMEDIATE ASSISTANCE, 2) INTERMEDIATE/SHORT-TERM ASSISTANCE, 3) LONGER-TERM ASSISTANCE GEARED TOWARD THOSE EXPERIENCING CHRONIC HOMELESSNESS.STRATEGIES:1) IMPLEMENT A COUNTY-WIDE COORDINATED ASSESSMENT SYSTEM FOR EFFICIENT LINKAGE TO SERVICES AND HOUSING OPTIONS FOR ALL.2) PARTICIPATE IN TECHNICAL ASSISTANCE FROM HUD TO DEVELOP A BY-NAME LIST TO END VETERAN'S HOMELESSNESS.3) SEEK FUNDING FOR OR DEVELOP CASE MANAGEMENT/HOUSING SEARCH SERVICES WHOSE SOLE ELIGIBILITY CRITERIA IS THAT OF BEING HOMELESS.4) EXPLORE THE POSSIBILITY OF A MULTIDISCIPLINARY MEETING TO REVIEW THOSE AT RISK OF HOMELESSNESS OR THOSE WITH COMPLEX HOUSING NEEDS.5) CREATE THE AVAILABILITY OF 24-HOUR RESOURCE ASSISTANCE TO PEOPLE EXPERIENCING HOMELESSNESS, INCLUING EMERGENCY SHELTER DURING EXTREME WEATHER EVENTS.6) ESTABLISH LIASIONS BETWEEN LAW ENFORCEMENT AND PROVIDER AGENCIES7) ESTABLISH A COMMUNITY FURNITURE BANK TO ASSIST THOSE TRANSITIONING FROM HOMELESSNESS BACK INTO STABLE HOUSING.SOME HEALTH NEEDS WERE IDENTIFIED BUT NOT PRIORITIZED BY UHCC AS THERE ARE OTHERS IN THE AREA THAT ARE MORE SUITED TO MEET THEM SUCH AS DENTAL HEALTH, PROBLEM GAMBLING, & INFECTIOUS DISEASE.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 16I: INFORMATION ABOUT OUR FAP APPLICATION IS PLACED IN THE LOCAL NEWSPAPER TWO TIMES PER YEAR TO NOTIFY THE PUBLIC OF AVAILABILITY OF FINANCIAL ASSISTANCE.
UNION HOSPITAL OF CECIL COUNTY, INC.	PART V, SECTION B, LINE 22D: MARYLAND IS AN ALL-PAYOR STATE AND THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) SETS THE RATES FOR UNION HOSPITAL.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

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

Schedule H (Form 990) 2015

Page 9

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
PART I, LINE 7:	ALL INFORMATION IS BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,826,331.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT (F2) IN FISCAL YEAR 2016, UNION HOSPITAL SUPPORTED THE FOLLOWING ECONOMIC DEVELOPMENT ORGANIZATIONS IN CECIL COUNTY: 1) ECONOMIC DEVELOPMENT COMMISSION FOR CECIL COUNTY - THIS COMMISSION PROMOTES ECONOMIC DEVELOPMENT IN CECIL COUNTY, FOCUSING ON BUSINESS AND INDUSTRY DEVELOPMENT, BY BUILDING RELATIONSHIPS WITH LOCAL PARTNERS. UNION HOSPITAL COLLABORATES WITH THIS COMMISSION TO PROMOTE STABILITY WITHIN THE HOSPITAL'S WORKFORCE AND TO BRING MUCH NEEDED PRACTITIONERS TO THE AREA, ESPECIALLY WHERE THERE ARE TOO FEW PROVIDERS OR IDENTIFIED SERVICE GAPS. UNION HOSPITAL'S EXECUTIVE MANAGEMENT STAFF ATTEND BOARD MEETINGS. 2) ELKTON ALLIANCE - ELKTON ALLIANCE WORKS TOGETHER WITH THE LOCAL GOVERNMENT AND BUSINESS COMMUNITIES TO RESTORE, PROMOTE, AND MAINTAIN THE DIVERSE HISTORIC DOWNTOWN ELKTON AREA, WHILE ATTRACTING NEW ENTERPRISES FOR THE BENEFIT OF COMMUNITY RESIDENTS, BUSINESSES, AND VISITORS. IN COLLABORATING WITH ELKTON ALLIANCE, UNION HOSPITAL SEEKS TO MAINTAIN A POSITIVE PRESENCE IN THE COMMUNITY BY HELPING TO ADDRESS COMMUNITY DEVELOPMENT ISSUES. UNION HOSPITAL'S EXECUTIVE MANAGEMENT STAFF ATTEND BOARD MEETINGS. 3) CECIL COUNTY SCHOOL EMPLOYEES FEDERAL CREDIT UNION BOARD - THE CREDIT UNION'S BOARD PROMOTES FINANCIAL LITERACY AND EDUCATION FOR ITS MEMBERS AND FOR LOCAL ELEMENTARY SCHOOL STUDENTS, WHICH CONTRIBUTES TO REDUCING FINANCIAL BARRIERS THAT CAN BE EXACERBATED BY SOCIAL DETERMINANTS OF HEALTH. UNION HOSPITAL FINANCE STAFF ATTEND BOARD MEETINGS. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS (F5)IN FISCAL YEAR 2016, UNION HOSPITAL SUPPORTED THE FOLLOWING LEADERSHIP DEVELOPMENT AND TRAINING EFFORTS IN CECIL COUNTY:1) CECIL LEADERSHIP INSTITUTE - THE CECIL LEADERSHIP INSTITUTE (CLI) IS HOSTED BY CECIL COLLEGE AND PROVIDES A FRAMEWORK WHERE EXISTING AND EMERGING LEADERS IN BUSINESS, GOVERNMENT, AND TOURISM ENGAGE, COLLABORATE, AND COMMIT TO CECIL COUNTY'S ONGOING DEVELOPMENT. UNION HOSPITAL PARTNERS WITH CECIL COLLEGE TO PROVIDE A LEARNING ENVIRONMENT AT THE HOSPITAL FOR CLI PARTICIPANTS. PARTICIPANTS ENGAGE WITH HEALTH CARE PROFESSIONALS THROUGH QUESTION AND ANSWER SESSIONS, PRESENTATIONS BY HOSPITAL LEADERSHIP STAFF, AND TOURS OF THE DIFFERENT HOSPITAL SERVICE LINES, PROGRAMS, AND MODALITIES. 2) PROFESSIONAL DEVELOPMENT FOR CECIL COUNTY PUBLIC SCHOOLS NURSING STAFF - UNION HOSPITAL'S AFFINITY HEALTH INSTITUTE (AHI) UTILIZES ITS CLINICAL EDUCATION STAFF TO PROVIDE NURSING SKILLS REFRESHERS AND LEADERSHIP TRAININGS FOR COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2016, AHI STAFF MET WITH THE NURSING COORDINATOR FOR CECIL COUNTY PUBLIC SCHOOLS (CCPS) TO BEGIN A CONVERSATION AROUND HOW UNION HOSPITAL COULD PROVIDE LEADERSHIP DEVELOPMENT TOOLS THAT COULD BE FACILITATED THROUGH WORKSHOPS DURING CCPS PROFESSIONAL DEVELOPMENT DAYS. LEADERSHIP DEVELOPMENT AND TRAINING SUPPORT FROM THE HOSPITAL'S CLINICAL EDUCATION TEAM WILL ESTABLISH AND GROW CLINICAL AND LEADERSHIP COMPETENCIES FOR CCPS NURSES AND WILL SET A PRECEDENCE FOR THIS TYPE OF SUPPORT FOR FUTURE COMMUNITY PARTNERS SEEKING GUIDANCE. WORKFORCE DEVELOPMENT (F8)IN FISCAL YEAR 2016, UNION HOSPITAL SUPPORTED THE FOLLOWING WORKFORCE DEVELOPMENT PROGRAMS/ENTITIES IN CECIL COUNTY: 1) HIGH SCHOOL WORK ENRICHMENT PROGRAM - UNION HOSPITAL FOOD SERVICES STAFF MENTORED 140 DEVELOPMENTALLY DISABLED HIGH SCHOOL STUDENTS FROM ELKTON HIGH SCHOOL AND PERRYVILLE HIGH SCHOOL AS PART OF THE HIGH SCHOOL WORK ENRICHMENT PROGRAM, A PARTNERSHIP PROGRAM BETWEEN UNION HOSPITAL AND CECIL COUNTY PUBLIC HIGH SCHOOLS. THIS PROGRAM PROVIDES FOOD SERVICES WORK ASSIGNMENTS AND TRAINING FOR DEVELOPMENTALLY-DISABLED STUDENTS, LIKE DEVELOPING SKILLS FOR FOOD PREPARATION AND FOOD SANITATION. THE PROGRAM PROVIDES DIRECTION AND IMPORTANT LIFE SKILLS, ALLOWING STUDENTS TO FEEL NEEDED, USEFUL, AND CAPABLE WITHIN A BUSY WORK ENVIRONMENT. STUDENTS LEARN THE VALUE OF PRODUCTIVITY AND TASK COMPLETION AND WORK INDIVIDUALLY AND AS PART OF A TEAM. 2) SUSQUEHANNA WORKFORCE BOARD - SUSQUEHANNA WORKFORCE IS A NON-PROFIT ORGANIZATION THAT PLANS WORKFORCE DEVELOPMENT PROGRAMS AND SERVICES FOR INDIVIDUALS AND BUSINESSES IN CECIL AND HARFORD COUNTIES. UNION HOSPITAL'S EXECUTIVE MANAGEMENT STAFF ATTEND BOARD MEETINGS. 3) PHYSICIAN RECRUITMENT - RECRUITMENT COSTS WERE REPORTED IN FISCAL YEAR 2016 FOR HOSPITAL OUTPATIENT SERVICES THAT BRIDGED ACCESS TO HEALTH CARE SERVICE GAPS IN CECIL COUNTY. THESE HOSPITAL OUTPATIENT SERVICES INCLUDED: ENDOCRINOLOGY, PULMONOLOGY, FAMILY MEDICINE, AND PSYCHIATRY.
PART III, LINE 2:	THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO.
PART III, LINE 3:	THE METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF BAD DEBT EXPENSE (AT COST) FOR THE YEAR. UNION HOSPITAL OF CECIL COUNTY PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION.
PART III, LINE 4:	FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND.EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	IN ACCORDANCE WITH THE COLLECTION POLICY, BAD DEBT ACCOUNTS WILL BE ELIGIBLE FOR A CHARITY CARE DISCOUNT IF THE PATIENT MEETS CHARITY CARE POLICY GUIDELINES. THE PATIENT WILL NEED TO SUPPLY INCOME INFORMATION IN ORDER TO DETERMINE ELIGIBILITY FOR CHARITY CARE PER POLICY. WITHIN 2 BUSINESS DAYS FOLLOWING A PATIENT'S REQUEST FOR CHARITY CARE SERVICES THE HOSPITAL WILL MAKE A CONDITIONAL DETERMINATION OF PROBABLE ELIGIBILITY. FINAL DETERMINATION WILL BE MADE BASED UPON A COMPLETED AND ACCURATE APPLICATION. PATIENTS WILL BE NOTIFIED VIA LETTER INDICATING THE LEVEL AT WHICH THE APPLICATION WAS APPROVED OR THE REASON FOR DENIAL. ANY PORTION OF THE PATIENT'S BALANCE THAT DOES NOT MEET THE GUIDELINES/QUALIFY FOR FINANCIAL ASSISTANCE DISCOUNT, WILL FOLLOW THE HOSPITAL'S NORMAL COLLECTION PROCESS INCLUDING 3 PATIENT ACCOUNT STATEMENTS. AFTER 90 DAYS, IF STILL UNPAID, THE BALANCE IS TRANSFERRED TO OUR COLLECTIONS AGENCY.
PART VI, LINE 2:	THE CHNA REFLECTS THE CURRENT STATUS OF THE MEDICAL AND SOCIAL DETERMINANTS OF HEALTH FOR CECIL COUNTY AND PROVIDES QUALITATIVE FEEDBACK ON KEY HEALTH ISSUES. THE CHNA IS COMPRISED OF AN ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS TAKEN FROM RESULTS FROM ANONLINE COMMUNITY SURVEY CONDUCTED WITH ADULT (AGED 18 YEARS OR OLDER) CECIL COUNTY RESIDENTS AND THREE FOCUS GROUPS CONDUCTED WITH COMMUNITY RESIDENTS. SECONDARY DATA WAS TAKEN FROM A VARIETY OF RELIABLE NATIONAL AND LOCAL DATA SOURCES (LOCAL DATA WAS COMPARED, WHEN POSSIBLE,AGAINST STATE AND NATIONAL TRENDS). IN ADDITION, TWO COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) MEETINGS WERE HELD TO HELP SELECT THE HEALTH PRIORITIES FOR CECIL COUNTY AND BEGIN FORMATION OF STRATEGIES TO ADDRESS THEM. THE CHNA WAS CONDUCTED FROM QUARTER 3 OF FISCAL YEAR 2015 THROUGH QUARTER 3 OF FISCAL YEAR 2016. THE CHNA PROCESS REFLECTS COLLABORATION OFCOMMUNITY PARTNERS WORKING TOGETHER TO ACHIEVE THE SAME HEALTH IMPROVEMENT GOALS FOR CECIL COUNTY.SEE ADDITIONAL DETAIL REGARDING THE NEEDS ASSESSMENT IN OUR RESPONSE TO PART V, SECTION B, LINE 3.
PART VI, LINE 3:	UNION HOSPITAL OF CECIL COUNTY UTILIZES A FINANCIAL ASSISTANCE POLICY (FAP) TO ENSURE THAT THE HOSPITAL'S STAFF FOLLOWS A CONSISTENT AND EQUITABLE PROCESS IN GRANTING FINANCIAL ASSISTANCE TO PATIENTS, WHILE RESPECTING THE INDIVIDUAL'S DIGNITY. THE POLICY IS IN AGREEMENT WITH THE ESTABLISHED MARYLAND STATE FINANCIAL ASSISTANCE GUIDELINES. IN FACT, IN FISCAL YEAR 2015, UNION HOSPITAL'S FINANCE DEPARTMENT DIVISIONS OF MANAGED CARE, REVENUE CYCLE, AND BILLING BEGAN WORKING ON CHANGES TO THE FAP TO REFLECT THE ACA'S HEALTH CARE COVERAGE EXPANSION OPTION EFFECTIVE JANUARY 1, 2014. THE RESULTING REVISED FAP IS MORE COMPREHENSIVE IN THAT IT INCLUDES MORE DESCRIPTIONS, PATIENT EXPECTATIONS, AND CONTENT THAT IS EASY TO FOLLOW AND DIGEST. NEW SECTIONS THAT GIVE THE FAP MORE DEPTH INCLUDE: DEFINITIONS, SCOPE, PRESUMPTIVE ELIGIBILITY, ELIGIBILITY PERIOD, RECONSIDERATION OF DENIAL OF FREE OR REDUCED-COST CARE, MEDICAL DEBT DETERMINATION (LIMIT ON CHARGES), ACTION IN THE EVENT OF NON-PAYMENT, ENSURING COMPLIANCE, PLAIN LANGUAGE SUMMARY, AND REFERENCES. THE FAP CLEARLY DEFINES PATIENT EXPECTATIONS, OFFERS A STEP-BY-STEP PROCESS FOR PATIENT APPLICATION, DOCUMENT REVIEW, AND REQUEST FOR MORE INFORMATION. ANY INDIVIDUAL WHO PRESENTS TO UNION HOSPITAL IN PERSON TO DISCUSS HIS/HER BILL IS PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION. ALL INPATIENT, SELF-PAY PATIENTS ARE VISITED BY FINANCIAL ASSISTANCE NAVIGATORS AND ARE SCREENED FOR THE FINANCIAL ASSISTANCE PROGRAM, AS WELL AS FOR MEDICAID AND OTHER STATE AND COUNTY PROGRAMS. FOLLOWING DISCHARGE FROM THE HOSPITAL, EACH PATIENT RECEIVES A SUMMARY OF CHARGES WHICH INCLUDES NOTICE OF THE FINANCIAL ASSISTANCE PROGRAM AND A DESIGNATED CONTACT TELEPHONE NUMBER AND EMAIL. PATIENT BILLING ALSO INCLUDES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE TO ALL UNDERINSURED AND UNINSURED PATIENTS OF UNION HOSPITAL. ALL FINANCIAL ASSISTANCE APPLICATIONS RECEIVED ARE PROCESSED FOR ELIGIBILITY. PATIENTS WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE ARE REFERRED TO THE CECIL COUNTY HEALTH DEPARTMENT, OTHER STATE PROGRAMS, THE MARYLAND HEALTH CONNECTION, AND MEDICAID TO DETERMINE IF OTHER ASSISTANCE IS AVAILABLE. FINANCIAL ASSISTANCE APPLICATIONS AND FAP SIGNAGE ARE LOCATED THROUGHOUT THE HOSPITAL, EMERGENCY ROOM, AND OUTPATIENT AREAS. THE FINANCIAL ASSISTANCE APPLICATION AND BROCHURE (ENGLISH AND SPANISH) ARE AVAILABLE ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/. IN ADDITION, UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP, HOW TO ACCESS FINANCIAL ASSISTANCE MATERIALS, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:	UNION HOSPITAL IS THE ONLY HOSPITAL IN CECIL COUNTY AND SERVES THE ENTIRE COUNTY. THEREFORE, THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS INCLUSIVE OF THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS INCLUDE ELKTON, NORTH EAST, CHILDS, ELK MILLS, CHESAPEAKE CITY, CHARLESTOWN, RISING SUN, WARWICK, CECILTON, & EARLEVILLE. THE SECONDARY SERVICE AREAS INCLUDE PERRYPOINT, PERRYVILLE, PORT DEPOSIT, COLORA, CONOWINGO, & GEORGETOWN.A MAJORITY OF UNION HOSPITAL'S COMMUNITY BENEFIT RESOURCES ARE FOCUSED WITHIN ELKTON (21921) AND NORTH EAST (21901) - HOSPITAL UTILIZATION SHOWS THAT 60% OF THE HOSPITAL'S PATIENTS COME FROM ELKTON AND NORTH EAST. DATA FOR OVERUTILIZATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT AND READMISSIONS ALSO CORROBORATE THAT A MAJORITY OF HOSPITAL UTILIZATION COMES FROM ELKTON AND NORTH EAST. GEOGRAPHY PLAYS A SIGNIFICANT ROLE IN VULNERABILITY AND POVERTY IN CECIL COUNTY. THERE IS POVERTY IN THE MORE RURAL AREAS, LIKE CONOWINGO, EARLEVILLE, AND CECILTON, BUT ALSO IN ELKTON WHICH IS MORE URBAN-RURAL. IN ADDITION, PEOPLE THAT RESIDE IN THE AREAS BELOW THE C & D CANAL (WARWICK, CHESAPEAKE CITY, CECILTON, EARLEVILLE, AND GEORGETOWN) AND WEST OF NORTH EAST (PERRY POINT, PERRYVILLE, PORT DEPOSIT, CHARLESTOWN, COLORA, AND CONOWINGO) OFTEN HAVE THE MOST DIFFICULTY ACCESSING SERVICES BECAUSE OF THE DISTANCE NEEDED TO TRAVEL TO THE NEAREST SERVICE PROVIDER AND THE LACK OF RELIABLE TRANSPORTATION. THE ESTIMATED TOTAL POPULATION OF CECIL COUNTY IN 2014 WAS 101,803 PEOPLE. OF THE TOTAL COUNTY POPULATION, 50.3% WAS FEMALE AND 49.7% WAS MALE. THE MEDIAN AGE WAS 39.7 YEARS. IN 2014, THE ESTIMATED RACIAL MAKE-UP OF CECIL COUNTY WAS:- WHITE: 89.3%- BLACK/AFRICAN AMERICAN: 6.9% - AMERICAN INDIAN/ALASKAN NATIVE: 0.2%- ASIAN: 1.3%- NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER: 0%- OTHER: 0.7%- 2+ RACES: 1.6%IN 2014 IT WAS ESTIMATED THAT 96% OF CECIL COUNTY WAS NON-HISPANIC/LATINO WITH 96% OF THE ADULT POPULATION SPEAKING ENGLISH AS A FIRST LANGUAGE (US CENSUS BUREAU, 2010-2014 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES). IN 2015, THE MEDIAN HOUSEHOLD INCOME WAS ESTIMATED TO BE $70,676. IN 2015, IT WAS ESTIMATED THAT 6.7% OF FAMILIES LIVED BELOW THE POVERTY LEVEL. THESE ESTIMATES ALSO SHOWED THAT 4.5% OF THE POPULATION IN CECIL COUNTY WAS UNINSURED AND 32.1% RECEIVED MEDICAID (US CENSUS BUREAU, 2015 AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES).
PART VI, LINE 5:	EACH FISCAL YEAR, UNION HOSPITAL SERVES THE CECIL COUNTY COMMUNITY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT AIM TO IMPROVE COMMUNITY HEALTH, ESPECIALLY SERVING UNDERSERVED AREAS AND VULNERABLE POPULATIONS. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FISCAL YEAR 2016:A1: COMMUNITY HEALTH EDUCATIONUNION HOSPITAL STAFF PROVIDED:- A VARIETY OF HEALTH EDUCATION PRESENTATIONS AND ACTIVITIES IN THE COMMUNITY - FREE BASIC LIFE SUPPORT (BLS) INSTRUCTION IN THE COMMUNITY - EXPLORER POST AT UNION HOSPITAL FOR HIGH SCHOOL STUDENTS SEEKING EXPOSURE TO MEDICAL OR HEALTH SCIENCE EXPERIENCES- SUPPORT GROUPS FOR VARIOUS HEALTH NEEDS- HEALTH FAIRS IN THE COMMUNITY - HEALTH LITERACY ACTIVITIES IN PARTNERSHIP WITH THE LOCAL LIBRARY AND HEALTH DEPARTMENT A2: COMMUNITY-BASED CLINICAL SERVICESUNION HOSPITAL STAFF PROVIDED:- FREE SCREENINGS FOR SKIN CANCER, PROSTATE CANCER, AND DIABETES- FREE SPORTS PHYSICALS CLINIC FOR COUNTY PUBLIC AND PRIVATE HIGH SCHOOL STUDENTS A3: HEALTH CARE SUPPORT SERVICESUNION HOSPITAL STAFF PROVIDED:- INTERPRETING SERVICES BEYOND THE STANDARD OF CARE (FACILITATED THROUGH THE HOSPITAL'S QUALIFIED BILINGUAL STAFF PROGRAM)- DEVELOPED/IMPLEMENTED ACCESS TO THE TOBACCO CESSATION SERVICE ASSISTANCE FOR PREGNANT WOMEN THROUGH THE PREGNANCY AND TOBACCO CESSATION HELP (PATCH) GRANT ACTIVITIES (FACILITATED IN PARTNERSHIP WITH CECIL COUNTY HEALTH DEPARTMENT'S DIVISION OF HEALTH PROMOTIONS)- PROVIDED MEDICAL EXAMINATIONS FOR ABUSED CHILDREN IN CONJUNCTION WITH DEPARTMENT OF SOCIAL SERVICES AND THE CECIL COUNTY CHILD ADVOCACY CENTERUNION HOSPITAL:- SUPPORTED THE PEER RECOVERY ADVOCATE PROGRAM PARTNERSHIP BETWEEN THE ALCOHOL AND DRUG RECOVERY CENTER AT CECIL COUNTY HEALTH DEPARTMENT AND UNION HOSPITAL'S EMERGENCY DEPARTMENT AND PSYCH UNIT/CRISIS - PROVIDED TRANSPORTATION DONATIONS FOR ELIGIBLE PATIENTS AND THEIR FAMILIES- PROVIDED ACCESS TO PEDIATRIC PATIENT BEHAVIORAL HEALTH RESOURCES FOR PRIMARY CARE PROVIDERS THROUGH B-HIPP SERVICESA4: SOCIAL AND ENVIRONMENTAL IMPROVEMENTS UNION HOSPITAL STAFF:- PARTICIPATED IN TWO BUILD DAYS WITH HABITAT-FOR-HUMANITY- MENTORED AT-RISK YOUTH WITH DISTRICT-PARTNERED SCHOOLS - SUPPORTED THE HOSPITAL'S PARTNER IN EDUCATION, GILPIN MANOR ELEMENTARY SCHOOL, THROUGH DONATIONS, MENTOR SUPPORT, AND COMMUNITY HEALTH EDUCATION OPPORTUNITIES FOR FAMILIES - SUPPORTED AT-RISK ADULTS BY OFFERING GED TUTORING THROUGH THE JUDY CENTER B: HEALTH PROFESSIONS EDUCATIONUNION HOSPITAL STAFF PRECEPTED AND MENTORED STUDENTS THROUGH A VARIETY OF STUDENT EXPERIENCES FROM NURSING AND OTHER MEDICAL RESIDENCY AND CLINICAL ROTATIONS TO GRADUATE STUDENT INTERNSHIPS, ALLIED HEALTH STUDENT EXPERIENCES, AND HIGH SCHOOL TECHNOLOGY AND APPLIED SCIENCES PROGRAMS. C: MISSION DRIVEN HEALTH SERVICESUNION HOSPITAL PROVIDED THESE SERVICES TO MEET IDENTIFIED NEEDS IN THE COMMUNITY, EVEN THOUGH THEY OPERATE AT A LOSS:- A FREE OSTOMY CLINIC (C3)- EMPLOYED PHYSICIAN PRACTICE SUBSIDIES (C3)- ADULT DAY SERVICES FOR OLDER ADULT CLIENTS WITH DEMENTIA AND OTHER NEUROLOGICAL DISORDERS (C7)- FREE HOSPICE SUPPORT (C9)D1: CLINICAL RESEARCHUNION HOSPITAL MAINTAINED A CANCER REGISTRY THROUGH THE CANCER PROGRAM THAT WAS AVAILABLE TO HEALTH SERVICE PROVIDERS AND RESEARCHERS. E1-3: FINANCIAL/IN-KIND CONTRIBUTIONS UNION HOSPITAL STAFF PROVIDED DONATIONS OF TIME (STAFF HOURS) AND MONEY (EQUIPMENT/SUPPLIES DONATIONS) FOR THE CECIL COUNTY COMMUNITY BY:- PROVIDING FREE AMBULANCE TRANSPORTS AND FREE SUPPLIES FOR AMBULANCE STOCK-UPS- GIVING BLOOD AT HOSPITAL AND OTHER COMMUNITY BLOOD DRIVES AND OTHER LOCAL DONOR LOCATIONS- FACILITATING THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) KIDS CLUB IN THE AFTER-SCHOOL SETTING FOR YOUTH IN THE COMMUNITY TO INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING HABITS- ATTENDING MEETINGS FOR COMMUNITY HEALTH IMPROVEMENT (LOCAL HEALTH IMPROVEMENT COALITION, COMMUNITY BOARDS, ETC.)- SERVING AND EDUCATING THE HOMELESS- CONNECTING LOW-INCOME, PREGNANT WOMEN TO PRE- AND POST-NATAL RESOURCES - PROVIDING FOOD FOR MINISTRIES, LIKE THE HOME DELIVERED MEALS PROGRAM IN PARTNERSHIP WITH THE CECIL COUNTY DEPARTMENT OF COMMUNITY SERVICES, LOCAL CHURCHES, AND OTHER LOW-INCOME AND POOR SERVING MINISTRIES - PROVIDING FREE NOTARY SERVICES FOR THE COMMUNITY- VOLUNTEERING WITH LOCAL ORGANIZATIONS TO PROVIDE A DIRECT IMPACT ON COMMUNITY HEALTH- MEETING WITH OTHER HOSPITAL AND COMMUNITY PARTNERS TO DEVELOP A COMMUNITY-BASED CARE COORDINATION HEALTH CARE DELIVERY MODEL TO MANAGE HIGH-RISK, MEDICARE CLIENTS IN THE COMMUNITY SETTING, IN ORDER TO CREATE PATIENT SELF-MANAGEMENT SKILLS, ESTABLISH SOLID SUPPORT LINKAGES BETWEEN PATIENTS AND PRIMARY CARE PROVIDERS, AND PREVENT OVERUTILIZATION OF THE EMERGENCY DEPARTMENT AND INPATIENT READMISSIONS (OFFSET BY GRANT DOLLARS)J: FOUNDATION FUNDED COMMUNITY BENEFIT THE UNION HOSPITAL FOUNDATION PROVIDED FUNDING FOR THE COMMUNITY ASSISTED MEDICATIONS PROGRAM (CAMP) WHICH PROVIDES REDUCED-COST MEDICATIONS TO PATIENTS THAT QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE.
PART VI, LINE 6:	UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. (AHA) IS THE PARENT ENTITY. AHA'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES, FUNDRAISING AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY.OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE THE UNION HOSPITAL OF CECIL COUNTY FOUNDATION, INC. AND UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.THE FOUNDATION CONDUCTS AND SUPERVISES FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES. THE FOUNDATION ENGAGES IN CORPORATE FUNDRAISING, CAPITAL CAMPAIGNS, SPECIAL EVENTS, ACTIVITIES, AND A MULTI-FACETED COMMUNICATION PROGRAM THAT APPEALS TO PRIVATE AND CORPORATE CONTRIBUTORS.UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH RELATED VENTURES TO SERVE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL.UNION HOSPITAL OF CECIL COUNTY VENTURES, INC. IS A FOR-PROFIT STOCK CORPORATION. ITS PURPOSE IS TO ENGAGE IN ANY BUSINESS OR TRANSACTION WHICH WILL BENEFIT THE ACTIVITIES AND GOALS OF ITS AFFILIATES. OPERATIONS CONSIST PRIMARILY OF PROVIDING MANAGEMENT SUPPORT SERVICES FOR PHYSICIAN PRACTICES AND PROVIDING IMAGING SERVICES TO PHYSICIANS AND HEALTH CENTERS THROUGH ITS WHOLLY OWNED SUBSIDIARIES, TRIANGLE ALIANCE LLC AND OPEN MRI AND IMAGING CENTER OF ELKTON LLC.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule H (Form 990) 2015

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," on 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

2015

Open to Public
Inspection

Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number
52-0607945

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON,MD21921	52-1794553	501(C)(3)	3,894,862	CHARITABLE ACTIVITIES
(2) TRIANGLE HEALTH ALLIANCE INC (WHOLLY OWNED SUB OF UHCC VENTURES INC) 106 BOW STREET ELKTON,MD21921	01-0789341		350,920	CAPITAL CONTRIBUTION
(3) OPEN MRI & IMAGING CENTER LLC (WHOLLY OWNED SUB OF UHCC VENTURES INC) 106 BOW STREET ELKTON,MD21921	20-2119977		222,478	CAPITAL CONTRIBUTION

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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

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

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 on 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)
1KENNETH S LEWIS MD JDPRESIDENT & CEO (UNTIL 12/31/15)	(i) (ii)	0 ------------- 560,717	0 ------------- 0	0 ------------- 451,997	0 ------------- 228,248	0 ------------- 20,120	0 ------------- 1,261,082	0 ------------- 0
2LAURIE R BEYER CPASENIOR VP/CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 279,290	0 ------------- 75,877	0 ------------- 21,166	0 ------------- 63,149	0 ------------- 19,934	0 ------------- 459,416	0 ------------- 0
3CYDNEY TEALVP MEDICAL AFFAIRS	(i) (ii)	0 ------------- 300,783	0 ------------- 61,343	0 ------------- 24,935	0 ------------- 6,575	0 ------------- 13,788	0 ------------- 407,424	0 ------------- 0
4DAVID GIPSONSENIOR VP/CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 114,117	0 ------------- 59,992	0 ------------- 42,096	0 ------------- 6,181	0 ------------- 10,520	0 ------------- 232,906	0 ------------- 0
5KHADIJATU BOSTONSENIOR VP/CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 183,009	0 ------------- 30,345	0 ------------- 13,553	0 ------------- 5,370	0 ------------- 1,741	0 ------------- 234,018	0 ------------- 0
6TERRANCE LOVELLVP HUMAN RESOURCES	(i) (ii)	192,040 ------------- 0	32,391 ------------- 0	16,277 ------------- 0	44,323 ------------- 0	19,160 ------------- 0	304,191 ------------- 0	0 ------------- 0
7JUSTIN SAUSVILLEPHYSICIAN	(i) (ii)	387,630 ------------- 0	142,424 ------------- 0	20,486 ------------- 0	6,575 ------------- 0	20,455 ------------- 0	577,570 ------------- 0	0 ------------- 0
8MICHAEL BASSPHYSICIAN	(i) (ii)	396,314 ------------- 0	28,096 ------------- 0	507 ------------- 0	3,975 ------------- 0	20,432 ------------- 0	449,324 ------------- 0	0 ------------- 0
9ROGER WUPHYSICIAN	(i) (ii)	274,062 ------------- 0	122,219 ------------- 0	432 ------------- 0	6,575 ------------- 0	14,496 ------------- 0	417,784 ------------- 0	0 ------------- 0
10OSCAR GALVISPHYSICIAN	(i) (ii)	328,040 ------------- 0	45,500 ------------- 0	2,322 ------------- 0	6,575 ------------- 0	20,113 ------------- 0	402,550 ------------- 0	0 ------------- 0
11EUGENIA GRAYPHYSICIAN	(i) (ii)	346,846 ------------- 0	16,875 ------------- 0	845 ------------- 0	3,975 ------------- 0	11,888 ------------- 0	380,429 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 1A	THE ORGANIZATION'S PRESIDENT & CEO, DR. KENNETH LEWIS, HAS A DISCRETIONARY SPENDING ACCOUNT FOR FLEXIBLE BENEFITS WHICH INCLUDED: A) LEASED CAR PAYMENTS, GAS, REPAIRS AND INSURANCE B) TAX RETURN PREPARATION C) ATTORNEY REGISTRATION FEE D) DEA REGISTRATION E) CASH ALL BENEFITS HAVE BEEN INCLUDED IN TAXABLE WAGES.
PART I, LINE 4B	THE FOLLOWING PEOPLE PARTICIPATE IN A SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLAN UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE: DR. KENNETH LEWIS, PRESIDENT & CEO LAURIE BEYER, SENIOR VP/CFO DAVID GIPSON, SENIOR VP/COO TERRENCE LOVELL, VP HUMAN RESOURCES THE FOLLOWING PAYMENTS HAVE BEEN CONTRIBUTED TO THE PLAN EACH CALENDAR YEAR SINCE 2007: 12/31/2007 - $90,000 (DR. KENNETH LEWIS) 12/31/2008 - $90,000 (DR. KENNETH LEWIS) 12/31/2009 - $90,000 (DR. KENNETH LEWIS) 12/31/2010 - $90,000 (DR. KENNETH LEWIS) 12/31/2011 - $108,000 (DR. KENNETH LEWIS) 12/31/2012 - $108,000 (DR. KENNETH LEWIS) 12/31/2013 - $108,000 (DR. KENNETH LEWIS) 12/31/2014 - $108,000 (DR. KENNETH LEWIS) 12/31/2015 - $216,000 (DR. KENNETH LEWIS) 12/31/2011 - $51,431 (LAURIE BEYER) 12/31/2012 - $54,576 (LAURIE BEYER) 12/31/2013 - $59,861 (LAURIE BEYER) 12/31/2014 - $62,999 (LAURIE BEYER) 12/31/2015 - $56,574 (LAURIE BEYER) 12/31/2011 - $51,968 (DAVID GIPSON) 12/31/2012 - $55,135 (DAVID GIPSON) 12/31/2013 - $60,606 (DAVID GIPSON) 12/31/2014 - $63,775 (DAVID GIPSON) 12/31/2014 - $38,993 (TERRANCE LOVELL) 12/31/2015 - $38,731 (TERRANCE LOVELL) NO ONE RECEIVED A PAYMENT FROM THE PLAN IN CALENDAR YEAR 2015. THE RIGHT TO RECEIVE PAYMENTS UNDER THE PLAN SHALL BE FORFEITED IN THE EVENT THAT EMPLOYMENT WITH THE HOSPITAL TERMINATES PRIOR TO THE VESTING DATE FOR ANY REASON OTHER THAN INVOLUNTARY TERMINATION WITHOUT CAUSE, DEATH, OR DISABILITY.
PART I, LINE 7	A PORTION OF THE BONUSES AND MERIT INCREASE ARE TIED TO THE ORGANIZATIONAL GOALS, SUCH AS PATIENT SATISFACTION, QUALITY, EMPLOYEE TURNOVER, ETC. A PORTION OF THE BONUSES AND MERIT INCREASE ARE ALSO TIED TO EXPENSES PER EQUIVALENT INPATIENT DAYS OF UNION HOSPITAL OF CECIL COUNTY.

Schedule J (Form 990) 2015

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

2015

Open to Public
Inspection

Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number
52-0607945

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		12-01-2014	30,778,000	SEE PART VI		X		X		X
B	TOWN OF ELKTON	52-6000790		05-18-2012	10,000,000	SEE PART VI		X		X		X
C	TOWN OF ELKTON	52-6000790		05-18-2012	8,662,336	SEE PART VI		X		X		X
D	TOWN OF ELKTON	52-6000790		05-18-2012	9,000,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	9,924,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	4,007,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	180,000		1,268,486		2,096,631
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	30,778,000		10,000,000		8,662,336		9,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			4,007,000
11 Other spent proceeds .............	30,778,000		10,000,000		8,662,336		9,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2014		2012		2012		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

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

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, 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? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
PART I, COLUMN (F)	ISSUE A: TO REFINANCE THE 2005 BONDS. ISSUE B: TO REFUND PORTION OF SERIES 2009 BONDS. ISSUE C: TO REFUND REMAINING PORTION OF SERIES 2009 BONDS AND ALL OF SERIES 2000 BONDS. ISSUE D: TO FUND AN ESCROW WHICH REPAYS A PORTION OF THE SERIES 2002 BONDS AND INTEREST THEREON. ISSUE E: TO REFUND REMAINING PORTION OF SERIES 2002 BONDS. ISSUE F: TO FINANCE ACQUISITION OF EQUIPMENT AND CLOSING COSTS.

Schedule K (Form 990) 2015

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

2015

Open to Public
Inspection

Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number
52-0607945

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		12-01-2014	30,778,000	SEE PART VI		X		X		X
B	TOWN OF ELKTON	52-6000790		05-18-2012	10,000,000	SEE PART VI		X		X		X
C	TOWN OF ELKTON	52-6000790		05-18-2012	8,662,336	SEE PART VI		X		X		X
D	TOWN OF ELKTON	52-6000790		05-18-2012	9,000,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	9,924,000	SEE PART VI		X		X		X
	MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY	52-0936091		07-18-2012	4,007,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	180,000		1,268,486		2,096,631
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	30,778,000		10,000,000		8,662,336		9,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			4,007,000
11 Other spent proceeds .............	30,778,000		10,000,000		8,662,336		9,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2014		2012		2012		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

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

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, 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? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
PART I, COLUMN (F)	ISSUE A: TO REFINANCE THE 2005 BONDS. ISSUE B: TO REFUND PORTION OF SERIES 2009 BONDS. ISSUE C: TO REFUND REMAINING PORTION OF SERIES 2009 BONDS AND ALL OF SERIES 2000 BONDS. ISSUE D: TO FUND AN ESCROW WHICH REPAYS A PORTION OF THE SERIES 2002 BONDS AND INTEREST THEREON. ISSUE E: TO REFUND REMAINING PORTION OF SERIES 2002 BONDS. ISSUE F: TO FINANCE ACQUISITION OF EQUIPMENT AND CLOSING COSTS.

Schedule K (Form 990) 2015

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

2015

Open to Public
Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	AFFINITY HEALTH ALLIANCE, INC. ("AHA"), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS DIRECTORS ARE APPOINTED BY ITS SOLE MEMBER, AHA.
FORM 990, PART VI, SECTION A, LINE 7B	THE BYLAWS OF THE HOSPITAL PROVIDE THAT ITS SOLE MEMBER (AHA) MAY AMEND ITS BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT OF THE HOSPITAL REVIEWS THE 990 IN DETAIL BEFORE IT IS PRESENTED TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE ORGANIZATION'S CEO REVIEWS THE SIGNED ANNUAL DISCLOSURES. THE CORPORATE COMPLIANCE OFFICER IS MADE AWARE OF ANY DISCLOSED CONFLICT, INVESTIGATES THE CONFLICT, AND REPORTS BACK TO THE BOARD OF DIRECTORS. THE BOARD CONSIDERS THE FACTS AND MAKES AN APPROPRIATE FINDING. ANY BOARD MEMBER WITH A CONFLICT MUST ABSTAIN FROM BOARD DELIBERATIONS AND VOTING ON THE MATTER. ALL VICE PRESIDENTS ANNUALLY RECEIVE A LIST OF THE INDIVIDUALS UNDER THEIR SUPERVISION WHO MAY HAVE A POTENTIAL CONFLICT OF INTEREST. THE LIST IS COMPRISED OF ALL MANAGERS, CERTAIN PROFESSIONAL STAFF WHO MAY HAVE RESPONSIBILITY NEGOTIATING WITH VENDORS, AND ANY OTHER PERSONS THAT HOSPITAL EXECUTIVES DEEM APPROPRIATE. EACH VICE PRESIDENT REVIEWS THE CONFLICT OF INTEREST POLICY WITH THEIR DESIGNATED EMPLOYEES, AND EACH EMPLOYEE IS REQUIRED TO SIGN A FORM STIPULATING WHETHER OR NOT THEY HAVE A CONFLICT. THE FORMS ARE REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES. IF A CONFLICT IS NOTED, IT IS BROUGHT TO THE ATTENTION OF THE APPROPRIATE VICE PRESIDENT AND THE CEO TO DETERMINE WHETHER OPERATIONAL CHANGES NEED TO OCCUR BECAUSE OF THE POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY OF THE ORGANIZATION, AS WELL AS SETTING, MONITORING AND REVIEWING THE COMPENSATION PACKAGE OF THE ORGANIZATION'S CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM. THE COMMITTEE USES RELEVANT MARKET INFORMATION, INCLUDING THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDIES OR SURVEYS, TO SET COMPENSATION. DURING 2015, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED THE FOLLOWING SERVICES: EXECUTIVE COMPENSATION AND PERFORMANCE EVALUATION. COMPENSATION REVIEW AND APPROVAL IS DOCUMENTED VIA BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 6,648,048. MANAGEMENT AND GENERAL EXPENSES 337,364. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,985,412. PHYSICIAN SERVICES AND FEES: PROGRAM SERVICE EXPENSES 13,017,530. MANAGEMENT AND GENERAL EXPENSES 280,528. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,298,058. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,531,510. MANAGEMENT AND GENERAL EXPENSES 5,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,537,271. AGENCY EMPLOYEES: PROGRAM SERVICE EXPENSES 1,247,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,247,808. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 217,113. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,113. RECORD FILE STORAGE: PROGRAM SERVICE EXPENSES 151,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,337. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 5,575. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,575. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 445,777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 445,777. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,710.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF SUBSIDIARIES -322,101. NET ASSETS RELEASED FROM RESTRICTION -32,786.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

2015

Open to Public Inspection

Name of the organization

UNION HOSPITAL OF CECIL COUNTY INC

Employer identification number

52-0607945

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)UNION HOSPITAL OF CECIL COUNTY FOUNDATION INC 106 BOW STREET ELKTON,MD21921 52-1794552	FUNDRAISING & SUPPORT	MD	501(C)(3)	LINE 11C, III-FI	AFFINITY HEALTH ALLIANCE INC		No
(2)UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES INC 106 BOW STREET ELKTON,MD21921 52-1794553	HEALTHCARE PROPERTY MANAGEMENT	MD	501(C)(3)	LINE 9	AFFINITY HEALTH ALLIANCE INC		No
(3)AFFINITY HEALTH ALLIANCE INC 106 BOW STREET ELKTON,MD21921 52-1794697	MANAGEMENT & SUPPORT	MD	501(C)(3)	LINE 11C, III-FI	N/A		No
(4)UNION HOSPITAL OF CECIL COUNTY ONCOLOGY INC 106 BOW STREET ELKTON,MD21921 81-2662359	HEALTHCARE	MD	501(C)(2)	LINE 3	AFFINITY HEALTH ALLIANCE INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

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

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

Part IV

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

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

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Yes

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

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

Schedule R (Form 990) 2015

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) 2015

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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD, AND THE SURROUNDING AREA.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	1,359
6	Total number of volunteers (estimate if necessary) .............	6	241
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,897,553
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-32,535

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,360,946	277,147
9	Program service revenue (Part VIII, line 2g) .........	156,204,081	159,157,991
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,534,753	3,230,261
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,963,097	3,429,651
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	165,062,877	166,095,050
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,790,991	4,468,260
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)	80,458,877	80,161,134
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)....	77,180,025	79,570,046
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	159,429,893	164,199,440
19	Revenue less expenses. Subtract line 18 from line 12.......	5,632,984	1,895,610
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	193,142,014	188,348,000
21	Total liabilities (Part X, line 26).............	92,744,500	89,916,005
22	Net assets or fund balances. Subtract line 21 from line 20.....	100,397,514	98,431,995

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 160,563,863 including grants of $ 4,468,260 ) (Revenue $ 159,157,991 )
	UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND, WESTERN NEW CASTLE COUNTY, DELAWARE, AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA, THAT REPRESENT QUALITY AND VALUE AND ARE PROVIDED WITH MODERN TECHNOLOGY, COMPASSIONATE NURSES AND STAFF, AND CONVENIENT TO THE CITIZENS OF OUR COMMUNITY. THESE HEALTHCARE SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, WE RECOGNIZE THAT NOT ALL MEMBERS OF OUR COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, CONSISTENT WITH UNION HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF CECIL COUNTY, MARYLAND, FREE CARE AND/OR SUBSIDIZED CARE AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION, SPECIAL PROGRAMS FOR THE ELDERLY, SPECIAL PROGRAMS FOR THE PHYSICALLY/MENTALLY CHALLENGED, MEDICALLY UNDERSERVED AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.UNION HOSPITAL OF CECIL COUNTY SERVICED 5,763 ADMISSIONS PROVIDING 21,221 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2016 OF WHICH:1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,888 ADMISSIONS AND 11,542 PATIENT DAYS2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 206 ADMISSIONS AND 886 PATIENT DAYS3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,391 ADMISSIONS AND 4,597 PATIENT DAYS4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 73 ADMISSIONS AND 275 PATIENT DAYSCHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT UNION HOSPITAL OF CECIL COUNTY BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE INCLUDE:A) ADULT DAY CARE SERVICES FOR THE ELDERLY AND PHYSICALLY/MENTALLY CHALLENGEDB) SUPPORT GROUPS FOR CANCER PATIENTS AND FAMILIES, DIABETES, ALCOHOLICS ANONYMOUS, OSTOMY, AND SMOKELESSC) OFFERING AND CONDUCTING FREE BLOOD PRESSURE, CHOLESTEROL SCREENINGS, AND PROSTATE SCREENINGSD) IN CONJUNCTION WITH THE STATE OF MARYLAND AND THE LOCAL DEPARTMENT OF HEALTH, OFFERING AND CONDUCTING A CANCER SCREENING PROGRAM FOR INDIGENT FEMALESE) PROVIDING MEETING FACILITIES FOR A VARIETY OF NONPROFITS AND VOLUNTEER FIRE COMPANIESF) HOSPITAL STAFF VOLUNTEERS ON NONPROFIT ORGANIZATION BOARDS SUCH AS THE AMERICAN CANCER SOCIETYDURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $7,726,157 IN UNCOMPENSATED CARE.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses160,563,863

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) CYDNEY TEAL........................................................................ VP MEDICAL AFFAIRS	39.00 .......................1.00	X		0	387,061	20,363
(19) DAVID GIPSON........................................................................ SENIOR VP/CHIEF OPERATING OFFICER	33.00 .......................7.00	X		0	216,205	16,701
(20) KHADIJATU BOSTON........................................................................ SENIOR VP/CHIEF NURSING OFFICER	39.00 .......................1.00	X		0	226,907	7,111
(21) TERRANCE LOVELL........................................................................ VP HUMAN RESOURCES	40.00 .......................	X		240,708	0	63,483
(22) JUSTIN SAUSVILLE........................................................................ PHYSICIAN	40.00 .......................		X	550,540	0	27,030
(23) MICHAEL BASS........................................................................ PHYSICIAN	40.00 .......................		X	424,917	0	24,407
(24) ROGER WU........................................................................ PHYSICIAN	40.00 .......................		X	396,713	0	21,071
(25) OSCAR GALVIS........................................................................ PHYSICIAN	40.00 .......................		X	375,862	0	26,688
(26) EUGENIA GRAY........................................................................ PHYSICIAN	40.00 .......................		X	364,566	0	15,863

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,353,306	2,219,220	554,168

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	246,480
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	30,667

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		277,147

			Business Code
2a	NET PATIENT SERVICE REVENUE	621990	157,675,670	157,675,670
b	OTHER OPERATING REVENUE	621990	853,641	853,641
c	ADULT DAY CARE	623990	628,680	628,680
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			159,157,991

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			2,604,102		3,726	2,600,376
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		43,236
b	Less: rental expenses		14,287
c	Rental income or (loss)		28,949
d	Net rental income or (loss)......			28,949			28,949
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	47,179	14,774,426
b	Less: cost or other basis and sales expenses	12,397	14,183,049
c	Gain or (loss)	34,782	591,377
d	Net gain or (loss).....			626,159			626,159
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	LABORATORY REVENUE		621500	1,893,827		1,893,827
b	CAFETERIA/FOOD SERVICE		722210	812,188			812,188
c	MEANINGFUL USE REVENUE		900099	558,187			558,187
d	All other revenue ....			136,500			136,500
e	Total. Add lines 11a–11d ......			3,400,702
12	Total revenue. See Instructions......			166,095,050	159,157,991	1,897,553	4,762,359

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	4,468,260	4,468,260
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	329,806		329,806
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	67,458,068	66,698,504	759,564
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	743,583	714,916	28,667
9	Other employee benefits .......	6,967,130	6,910,121	57,009
10	Payroll taxes ...........	4,662,547	4,600,614	61,933
11	Fees for services (non-employees):
a	Management ......	1,899,642	949,821	949,821
b	Legal .........	274,589		274,589
c	Accounting ...........	109,467		109,467
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	53,877		53,877
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	23,890,061	23,264,698	625,363
12	Advertising and promotion ....	510,403	510,403
13	Office expenses .......	866,383	859,175	7,208
14	Information technology ......	246,019	246,019
15	Royalties ..
16	Occupancy ...........	2,982,268	2,982,268
17	Travel ............	264,549	214,816	49,733
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	49,314	19,927	29,387
20	Interest ...........	1,951,158	1,951,158
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	11,135,283	11,135,283
23	Insurance ...	2,966,353	2,966,353
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	19,407,111	19,404,162	2,949
b	BAD DEBTS	6,826,331	6,826,331
c	REPAIRS & MAINTENANCE	2,750,959	2,750,959
d	DIETARY	1,083,904	1,025,140	58,764
e	All other expenses	2,302,375	2,064,935	237,440
25	Total functional expenses. Add lines 1 through 24e	164,199,440	160,563,863	3,635,577	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).

1	Cash–non-interest-bearing ........			7,622,571	1	2,982,884
2	Savings and temporary cash investments .........			2,225,164	2	956,144
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			13,294,247	4	15,088,409
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			1,974,105	8	2,065,581
9	Prepaid expenses and deferred charges ......			2,893,481	9	3,520,101
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	210,596,749
b	Less: accumulated depreciation	10b	117,036,933	94,568,035	10c	93,559,816
11	Investments—publicly traded securities .			56,528,098	11	53,675,995
12	Investments—other securities. See Part IV, line 11 .....			6,030,772	12	5,814,578
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			8,005,541	15	10,684,492
16	Total assets. Add lines 1 through 15 (must equal line 34)...			193,142,014	16	188,348,000

17	Accounts payable and accrued expenses .....	12,681,544	17	9,482,516
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	66,398,857	20	64,045,962
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	13,664,099	25	16,387,527
26	Total liabilities. Add lines 17 through 25..	92,744,500	26	89,916,005

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	98,057,789	27	95,806,742
28	Temporarily restricted net assets ...........	2,339,725	28	2,625,253
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	100,397,514	33	98,431,995
34	Total liabilities and net assets/fund balances ........	193,142,014	34	188,348,000