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) KAREN E OLSCAMP...................................................................... PRESIDENT & CEO	5.0 ................. 45.0	X	X	740,471	10,856
(2) R KENT SCHWAB...................................................................... CHAIRMAN	1.0 ................. 0.0	X	X	0	0
(3) KORKUT ONAL...................................................................... VICE CHAIRMAN	1.0 ................. 0.0	X	X	0	0
(4) KATHRYN B FREELAND...................................................................... TREASURER	1.0 ................. 0.0	X	X	0	0
(5) JEFFREY S ARMIGER...................................................................... SECRETARY	1.0 ................. 0.0	X	X	0	0
(6) PAMELA BEIDLE...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(7) MICHAEL P CARUTHERS...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(8) ROBERT A CHRENCIK...................................................................... DIRECTOR	1.0 ................. 49.0	X		2,562,797	23,637
(9) THOMAS R GARDNER...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(10) THOMAS B HOWELL...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(11) STANLEY J KLOS JR...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(12) FRANCES L LESSANS...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(13) DAWN LINDSAY...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(14) MICHAEL S RIEBMAN MD...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(15) Bayinnah Shabazz MD...................................................................... Director	1.0 .................	X		0	0
(16) GEOFFREY N SKLAR MD...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(17) JOHN G WARNER...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) RICHARD WILLIAMSON........................................................................ DIRECTOR	1.0 .......................0.0	X					0	0	0
(19) LOUIS L ZAGARINO........................................................................ DIRECTOR	1.0 .......................0.0	X					0	0	0
(20) ALFRED A PIETSCH........................................................................ SVP/CFO	5.0 .......................45.0		X				0	451,682	26,883
(21) LAWRENCE S LINDER........................................................................ SVP & CMO	5.0 .......................45.0			X			0	245,407	26,831
(22) CATHERINE WHITAKER-KLICK........................................................................ VP - CNO	5.0 .......................45.0			X			0	302,557	55,457
(23) KATHLEEN C MCCOLLUM........................................................................ SVP & COO	5.0 .......................45.0			X			0	471,156	26,555
(24) WILLIAM HENCIAK........................................................................ SR DIRECTOR - PAT FIN SERV	40.0 .......................0.0				X		223,386	0	24,237
(25) CATHERINE CORWIN........................................................................ NURSE	40.0 .......................0.0				X		167,972	0	25,860
(26) DEBORAH HALL........................................................................ VP - QUALITY	40.0 .......................0.0				X		175,748	0	20,098
(27) BRIAN COTTER........................................................................ DIRECTOR - PHARMACY	40.0 .......................0.0				X		182,405	0	7,296
(28) JOYCE MYERS........................................................................ DIRECTOR - PERIOPERATIVE	40.0 .......................0.0				X		174,658	0	15,088
(29) RANDY DAVIS........................................................................ physician/former director	0.0 .......................50.0					X	0	933,321	15,504

(A) Name and business address	(B) Description of services	(C) Compensation
CAREFUSION SOLUTIONS LLC PYXIS PROD, 25082 NETWORK PLACE CHICAGO,IL606731250	MEDICAL SERVICES	1,960,891
SEVERN ANESTHESIA SERVICES PA, PO BOX 403 MILLERSVILLE,MD21108	PHYSICAN SERVICES	1,378,165
B E SMITH INC, PO BOX 219241 KANSAS CITY,MO641219241	STAFFING SERVICES	1,055,171
CHESAPEAKE MEDICAL STAFFING, 2401 YORK ROAD TIMONIUM,MD21093	STAFFING SERVICES	970,171
DIGITRACE CARE SERVICES, 200 CORPORATE PLACE PEABODY,MA01960	HEALTHCARE	872,623
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 36

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

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

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

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 Baltimore Washington Medical Center 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 Baltimore Washington Medical Center Inc		Employer identification number 52-0689917

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 Baltimore Washington Medical Center Inc			Employer identification number 52-0689917
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 C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

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

Yes

18,887

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

18,887

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Schedule C, Part II-B, Line ii	OTHER ACTIVITIES THE ORGANIZATION DOES NOT ENGAGE IN ANY DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 6.15% AND 22.12% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C, PART II-B AS LOBBYING ACTIVITIES.

Return Reference

Explanation

Schedule C, Part II-B, Line ii

OTHER ACTIVITIES THE ORGANIZATION DOES NOT ENGAGE IN ANY DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 6.15% AND 22.12% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C, PART II-B AS LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 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

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

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 ...	602,544		602,544
b	Buildings	285,439,258	114,934,560	170,504,698
c	Leasehold improvements	2,421,477	2,113,812	307,665
d	Equipment ...	226,709,325	171,887,669	54,821,656
e	Other ...	15,355,421		15,355,421
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				241,591,984

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) OTHER INVESTMENTS	73,024,755	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	73,024,755

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) SELF INSURANCE TRUST				24,388,015
(2) TERRAPIN REINSURANCE				18,702,773
(3) COLLATERALIZED INVESTMENTS				8,000,000
(4) LIMITED USE ASSET - BWMC FOUND				7,960,238
(5) DEBT SERVICE AND CONSTRUCTION				4,994,928
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				64,045,954

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	0
DUE TO UMMS	168,722,588
AP - AFFILIATES	35,147,275
TERRAPIN REINSURANCE	18,702,773
PENSION LIABILITY	15,077,493
MALPRACTICE INSURANCE LIABILITY	13,094,202
ADVANCES - THIRD PARTY PAYORS	9,667,118
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	260,411,449
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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

Schedule D, Part X, Line 2

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

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

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

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 500 %

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,367,541		4,367,541	1.320 %
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 . . . . .	4,367,541		4,367,541	1.320 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,659,522	45,538	1,613,984	0.050 %
f	Health professions education (from Worksheet 5) . . .	2,675,280		2,675,280	0.810 %
g	Subsidized health services (from Worksheet 6) . . . .	9,339,071		9,339,071	2.820 %
h	Research (from Worksheet 7) .	673,976		673,976	0.200 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	101,547		101,547	0.030 %
j	Total. Other Benefits . .	14,449,396	45,538	14,403,858	3.910 %
k	Total. Add lines 7d and 7j .	18,816,937	45,538	18,771,399	5.230 %

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.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support	197	197
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	9,741	9,741
7	Community health improvement advocacy	396	396
8	Workforce development
9	Other
10	Total	10,334	10,334

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. ......

13,580,703

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

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

Section B. Medicare

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

145,030,251

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

150,403,577

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

-5,373,326

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)					Facility reporting group
1	Baltimore Washington Medical Center 301 Hospital Drive Glen Burnie,MD21061 www.mybwmc.org 02-015	X	X	X	A

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)

	BALTIMORE WASHINGTON MEDICAL CENTER
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..................................

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): WWW.MYBWMC.ORG/COMMUNITY-BENEFIT

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.MYBWMC.ORG/COMMUNITY-BENEFIT

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)

	BALTIMORE WASHINGTON MEDICAL CENTER
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.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

www.mybwmc.org

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

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

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)

	BALTIMORE WASHINGTON MEDICAL CENTER
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
BALTIMORE WASHINGTON MEDICAL CENTER	Line 5 - The Community Health Needs Assessment which was completed on May 12, 2015, on which date it was approved by the Board of Directors and implemented. The CNHA took 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. The Anne Arundel County Health Needs Assessment (CHNA) was conducted under the auspices of the Healthy Anne Arundel Coalition with leadership from UM BWMC, Anne Arundel Medical Center, Anne Arundel County Department of Health, Anne Arundel County Mental Health Agency, Inc. and the Anne Arundel County Partnership for Children, Youth and Families. The goal of the CHNA was to help frame informed decisions about community health needs and trends in Anne Arundel County in order plan, implement and evaluate actions to address those needs. The CHNA was unveiled at a community meeting and has been made widely available to the public. The CHNA is intended to be used by hospitals, health care providers, social service organizations, government agencies, community organizations, businesses, county residents and other key stakeholders. The CHNA used quantitative and qualitative methods and was designed to be as comprehensive as feasible. No written comments on the previous CHNA were received to be incorporated into this CHNA. A community meeting sponsored by the Healthy Anne Arundel Coalition to discuss and prioritize the CHNA findings was attended by over sixty community members, including county residents, health care and social service provider and representatives from schools, businesses and community organizations. The quantitative portion of the CHNA consisted of a secondary data analysis of various local, state and federal data sources. The CHNA provided a detailed demographic profile of Anne Arundel County and illustrated the social determinants of health that impact residents. The CHNA includes estimates from hard to reach portions of the population, such as drug users, domestic violence victims, and homeless individuals. Data on these subpopulations primarily came from police reports, Emergency Department (ED) data, and the public school system. It only captures individuals who have come in contact with these services. Therefore, the CHNA may underestimate the true burden of some heath issues within Anne Arundel County. Another limitation of the data in the report is that there is a delay between when secondary data is collected and made available. Focus groups and key informant interviews were used to solicit the thoughts and opinions of diverse Anne Arundel County residents, health care providers, social service providers and community leaders. A shortcoming of the qualitative data is that not all community perspectives will be obtained, although we did our best to engage a diverse and representative sample. A total of seven focus groups were conducted. The seven groups included: -Emergency Department and emergency response providers -North County residents and stakeholders -South County residents and stakeholders -Behavioral health patients, family members and providers -Low-income youth -Older adults -Hispanic community The key informants that provided qualitative data for the report included: -President and Chief Executive Officer, University of Maryland Baltimore Washington Medical Center -President and Chief Executive Officer, Anne Arundel Medical Center -Health Officer, Anne Arundel County Department of Health -Executive Director, Anne Arundel County Mental Health Agency, Inc. -Director, Anne Arundel County Department of Aging and Disabilities -Clinical Director, Anne Arundel County Mental Health Agency, Inc. -Director, Anne Arundel County Crisis Response -Program Director, Domestic Violence Program, YWCA of Annapolis and Anne Arundel County -Health Consultant, Anne Arundel County (former County Health Officer and Deputy Secretary for Public Health Services at the Maryland Department of Health and Mental Hygiene) -Two county legislative leaders When using the CHNA data to determine the hospitals community benefit priorities, UM BWMC consulted with the medical centers administrative and clinical leadership, state and local health and social service officials, other health care providers and community members. UM BWMCs community health improvement priorities are aligned with the Maryland State Health Improvement Process and the priorities of our local health improvement coalition, the Healthy Anne Arundel Coalition.
Line 6a	The other hospital facility with which the reporting hospital facility conducted it's CHNA include: - Anne Arundel Medical Center
Line 6b	The organizations other than hospital facilities with which the reporting hospital facility conducted it's CHNA include: Anne Arundel County Department of Health Anne Arundel County Mental Health Agency, Inc. Anne Arundel County Partnership for Children, Youth and Families Healthy Anne Arundel Coalition
Line 7	UM BWMCs CHNA report is made widely available to the public. The CHNA is posted on the hospitals web site at http://www.mybwmc.org/community-benefit. This link allows the viewer to download the UM BWMC Community Benefit Implementation Plan that summarizes the Anne Arundel County Community Health Needs Assessment, prioritizes the identified community health needs and describes UM BWMCs strategies for addressing those needs. The Anne Arundel County Community Health Needs Assessment is also available for download. Paper copies of CHNA documents are available upon request. The Healthy Anne Arundel Coalition helped to make the Anne Arundel County CHNA report widely available to the public. The Healthy Anne Arundel Coalition hosted a meeting in February 2016 to present and discuss the CHNA findings. Approximately sixty area professionals and community members attended. A website was developed to share the county-wide CHNA results (www.aahealth.org/chna). The CHNA was also posted on the Coalitions website (www.HealthyAnnneArundel.org) and Facebook page. Other Coalition members also used their websites and social media to promote the release of the CHNA and key findings. Additionally, a press release was issued and generated several news stories, including newspaper and television coverage.
Line 11	UM BWMC took a multi-pronged approach to reviewing CHNA data, prioritizing our local community health needs and developing a comprehensive Community Benefit Implementation Plan with strategies to address the significant needs identified in the CHNA. This approach helped to assure that our Community Benefit Implementation Plan addresses the most significant needs identified in the CHNA while also being aligned with UMMS community health improvement initiatives and national, state and local public health priorities. The plan was also developed to be responsive to Marylands health system transformation, including the increased focus on population health and community partnerships. This approach also helped to assure that we had the necessary infrastructure and resources to successfully implement our Community Benefit Implementation Plan. Our planning process resulted in the following community benefit strategic priorities being identified for UM BWMCs FY16-18 Community Benefit Implementation Plan. -Chronic Health Conditions (Cancer, Cardiovascular Disease, Diabetes, Obesity/Overweight, Chronic Lower Respiratory Diseases) -Behavioral Health -Maternal and Child Health -Health Care Access and Utilization -Community Support An overarching theme is the reduction of health disparities among vulnerable populations. Um BWMCs FY16-18 Community Benefit Implementation Plan can be downloaded from http://www.mybwmc.org/community-benefit. It provides an overview of community benefit at UM BWMC, a summary of the CHNA, the process used to prioritize community health needs, and a description of the goals, strategies, key partners and intended outcomes for each of our identified community benefit priorities. UM BWMC focuses the majority of our community benefit resources on our identified implementation strategies, as these areas are important to the health of the community and UM BWMC has the infrastructure, clinical expertise and other resources to support these strategies. Below are some highlights of UM BWMCs FY 16 initiatives that support these priorities: Color Your Heart 5K Fun Run: This event was created to encourage individuals and families to engage in fun, heart-healthy exercise. Exercise is an important aspect of leading a healthy lifestyle. Regular exercise, coupled with a healthy diet, can help reduce the risk of overweight/obesity, diabetes, cardiovascular disease, cancer and other conditions. The non-competitive event attracted runners and walkers of all ages and activity levels. Families, friends and even a Girl Scout troop participated together. The event was promoted as a fun run with the goal of engaging members of the community who would not typically participate in a 5K. Heartbeat for Health: UM BWMC hosted Heartbeat for Health, its annual family-friendly heart health event, on Saturday, February 20, 2016 at the Severna Park Community Center. Dance demonstrations and dance learning opportunities represented a variety of dance styles and cultural representations. The event was attended by over 400 Anne Arundel County residents who participated in heart healthy activities, health screenings and more. Attendees learned about the benefits of dance and exercise in the prevention of heart disease, diabetes, and overweight/obesity. Smoking Cessation: Smoking Cessation classes are offered to adults ages 18 and older. The classes educate participants on the health risks associated with tobacco use and provide the mechanisms (e.g. medication, counseling) to help people quit. Vascular Screenings: Free community screenings of vascular disorders are done using non-invasive, state-of-the-art ultrasound and Doppler technology. Screening results are reviewed with a physician or nurse practitioner immediately following the screening. Participants leave the screening with a copy of their results to share with their primary care provider. Subsidized Physician Services for Primary Care, Transitional Care and Womens Health: UM BWMC subsidizes physician practices that provide needed outpatient care (primary care and womens health). In FY16, UM BWMC and University of Maryland Community Medical Group established a Transitional Care Center for complex patients without a current primary care physician and patients who need additional management before being safely transitioned back to the care of their existing primary care physician. Storks Nest: Stork's Nest is a prenatal education program that offers several sessions a year in English and Spanish. Any pregnant Anne Arundel County resident is eligible to participate, however, the program targets pregnant women at the greatest risk for having poor pregnancy outcomes, specifically African-American women, teenagers, women of low socioeconomic status and women with previous poor pregnancy outcomes. Participants earn points by attending classes, going to prenatal care appointments and adopting healthy behaviors. Participants continue to earn points until their baby turns one year old by attending well-baby checkups and making sure immunizations are received on time. Points can be used to "purchase" pregnancy and infant care items at the Storks Nest Store. Flu Education and Prevention: Education and outreach regarding the importance of receiving an influenza vaccine, prevention of disease transmission/self-care, hand hygiene education and free seasonal influenza vaccines are provided to the community. Lack of affordable dental services, environmental health concerns and transportation barriers are community health needs identified through the CHNA not directly being addressed by UM BWMC. UM BWMC will support the advancement of community health improvement initiatives in these areas as feasible. UM BWMC does not provide routine dental care at this time, but we do refer patients to low-cost dental clinics for care. We subsidize oral surgery on-call services and have oral surgeons on our medical staff. We are currently partnering with the Anne Arundel County Department of Health to offer dental care coordination services for patients presenting to the ED with a dental emergency. Environmental health concerns are being addressed by the Anne Arundel County Department of Healths Bureau of Environmental Health Services and other local environmental advocacy organizations. Public transportation is not in the scope of services that UM BWMC can provide as a hospital; however, we do provide some transportation assistance through our care management program and our Transitional Care Center. We also provide transportation assistance for participants in our Storks Nest prenatal education program. Anne Arundel and surrounding county governments are collaborating to expand access to public transportation in the Central Maryland region.
Line 22d	ALL PATIENTS ARE CHARGED STATE REGULATED RATES REGARDLESS OF THEIR ABILITY TO PAY.
Line 24	THE STATE OF MARYLAND IS A UNIQUE STATE IN REGARD TO THE PROVISION OF HEALTH CARE SERVICES AND THEIR RELATED CHARGES BY HOSPITALS. ALL HOSPITAL CHARGES PROCESSED TO ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, ARE SET THROUGH MARYLAND'S HEALTH SERVICES COST COMMISSION. ACCORDINGLY, ALL HOSPITAL CHARGES ARE NOT GROSS CHARGES AS DEFINED BY THE IRS UNDER INTERNAL REVENUE CODE SECTION 501(R)(5)(B).

Schedule H (Form 990) 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
Related Organization Report	Schedule H, Part I, Line 6a An annual community benefit report is prepared for each fiscal year ending June 30. This report is submitted to the health services cost review commission (hscrc), a state regulatory agency, by December 15 of each year. In addition, the annual community benefit report is available upon request at the entity's corporate offices.
Costing Methodology	SCHEDULE H, PART I, LINE 7 Schedule H, Part I, line 7a, column (d) Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The health services cost review commission (hscrc), determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing uncompensated care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to uncompensated care. Schedule h, line 7b, columns (c) through (f) Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The health services cost review commission (hscrc), determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing uncompensated care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to uncompensated care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule h, line 7f column (c) and (D) Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The health services cost review commission (hscrc), determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing uncompensated care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to uncompensated care.
Community Building Activities	Schedule H, Part II Through a variety of community building activities, UM BWMC promotes health and wellness in the communities it serves. These activities include community support, coalition building and community health improvement advocacy. UM BWMC provides leadership to many community coalitions and collaborative partnerships to improve community health. The Healthy Anne Arundel Coalition (HAAC) is jointly led by the Anne Arundel County Department of Health, UM BWMC and Anne Arundel Medical Center. This Coalition is a partnership of public sector agencies, health care providers and payers, community-based partners, the business community and academic institutions. Primary health improvement priorities for this Coalition include obesity prevention, behavioral health and access to care. Other community coalition that UM BWMC plays an active role in include: Conquer Cancer Coalition, Fetal and Infant Mortality Review Team, Change Agents Committee, Drug and Alcohol Council Workgroup and the Fatal Overdose Review Team. All of these committees and coalition are collaborative efforts to address health issues and advocate for policies and programs that improve health in the communities we serve.
Bad Debt Expense	Schedule H, Part III, Line 4 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES.
Medicare Cost Report	Schedule H, Part III, Line 8 IN MARYLAND, THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) STARTED SETTING HOSPITAL RATES IN 1974. AT THAT TIME, THE HSCRC APPROVED RATES APPLIED ONLY TO COMMERCIAL INSURERS. IN 1977, THE HSCRC NEGOTIATED A WAIVER FROM MEDICARE HOSPITAL PAYMENT RULES FOR MARYLAND HOSPITALS TO BRING THE FEDERAL MEDICARE PAYMENTS UNDER HSCRC CONTROL. In 2014, Marylands waiver with Medicare was renegotiated and updated to reflect the current healthcare environment. Under this new waiver, several criteria were established to monitor the success of the system in controlling healthcare costs and the continuance of the waiver itself: 1. Revenue Growth per Capita 2. Medicare Hospital Revenue per Beneficiary 3. Medicare All Provider Revenue Growth per Beneficiary 4. Medicare Readmission Rates 5. Hospital Acquired Condition Rate
Collection Practices	Schedule H, Part III, Line 9B THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. UMMC makes every effort to make financial assistance information available to our patients including, but not limited to: -signage in main admitting areas and emergency rooms of the hospital -UMMC website -patient handbook distributed to all patients -brochures explaining financial assistance are made available in all patient care areas -patient plain language sheets - newly revised in June 2016, this handout was revised and is at the 5th grade reading level (available in English, Spanish, French & chinese based on top languages spoken by UMMC patients) -appearing in print media through local newspapers
Community Health Care Needs Assessment	Schedule H, Part VI, Line 2 UM BWMC continuously assesses the health needs of the communities it serves. In addition the CHNA that is conducted every three years, UM BWMC regularly analyzes inpatient and Emergency Department utilization data and data from employed outpatient physician practices. UM BWMC also reviews Anne Arundel County, Maryland and national health data and trends. UM BWMC and University of Maryland Medical System ("UMMS") also conduct studies to assess health needs, such as the Physician Needs Assessment that was conducted in 2014 in partnership with The Advisory Board Company. Additionally, UM BWMC receives input and feedback into community needs through its participation in community coalitions and committees. Some of these coalitions and committees are described in the narrative for Part II. UM BWMCs process for conducting its most recent CHNA is described in detail in Part IV, Section C.
Patient Education of Eligibility for Assistance	Schedule H, Part VI, Line 3 UM BWMC provides emergency, inpatient, and other care regardless of ability to pay. UM BWMCs Financial Assistance Policy (FAP) was established to assist patients in obtaining financial aid when the services rendered are beyond a patients ability to pay. A patients inability to obtain financial assistance does not in any way preclude the patients right to receive and have access to medical treatment at UM BMWC. UM BWMCs FAP complies with Maryland regulations, and includes a statement that a determination on probable eligibility will be made within two business days following receipt of a patients application for financial assistance. UM BWMCs financial assistance policy provides assistance ranging up to 100% of the total cost of hospital services. Physician charges for non-hospital employees, which are billed separately, are excluded from UM BWMCs FAP. Patients are encouraged to contact their physicians directly for financial assistance related to physician charges. UM BWMCs financial assistance application packet is available in English, Spanish and Korean, consistent with federal regulations for translating documents for Limited-English Proficient (LEP) populations. This packet includes the information and forms needed to apply for financial assistance. For emergency services, applications to the financial assistance program are completed and evaluated after treatment is commenced and the process will not delay patients from receiving necessary emergency and inpatient care. UM BWMC informs patients and persons who would otherwise be billed for services about their eligibility for assistance under federal, state or local government programs or under the hospitals financial assistance policy in the following manner: 1. UM BWMC publishes annual notices informing the public that financial assistance is available at UM BWMC. The notices are published in the Baltimore Sun, Maryland Gazette and The Capital, the three main newspapers distributed in the UM BWMCs community benefit service area. 2. UM BWMC prepares its financial assistance information in a culturally sensitive manner, at a reading level appropriate for the service areas population and in Spanish and Korean, language prevalent in UM BWMCs community benefit service area. 3. UM BWMC posts information about its FAP and financial assistance contact information in the business office, all admission areas, the emergency department, and other outpatient areas throughout the facility. 4. UM BWMC provides individualized notice regarding the hospitals FAP at the time of preadmission or admission to each person who seeks services in the hospital. Individuals are provided a copy of the Financial Assistance Patient Information Sheet. A copy of the Financial Assistance Patient Information Sheet is attached as Appendix IV. 5. UM BWMC provides each patient a patient handbook upon admission that contains information about its FAP and answers to common billing questions. 6. UM BWMC provides information about its FAP and financial assistance contact information in patient bills. 7. UM BWMC provides information about its FAP, including downloadable application forms and financial assistance contact information on its web site in English, Spanish and Korean. 8. UM BWMC contracts with the MA eligibility firms DECO and ROI to assist patients with applying for its financial assistance program and other financial assistance programs for health care services. UM BWMC discusses with patients or their families the availability of various government benefits, such as Medicaid and other federal, state and local programs. Programs include, but are not limited to, the Maryland Health Connection for enrollment in Medicaid and Qualified Health Plans and the Anne Arundel County Department of Healths REACH (Residents Accessing a Coalition of Health) low-cost health care program for uninsured Anne Arundel County residents. UM BWMC was a participating provider in the REACH program in FY16.
Description of Community Served	Schedule H, Part VI, Line 4 The following is a summary description of the community that UM BWMC serves as described in our Community Health Needs Assessment and Community Benefit Implementation Plan. A more detailed description, including maps and data tables, can be found in our Community Health Needs Assessment, available at http://www.mybwmc.org/community-benefit. UM BWMC considers our Community Benefit Service Area (CBSA) to include all of Anne Arundel County. This is consistent with our leadership role in county-wide collaborative population health initiatives such as the Healthy Anne Arundel Coalition (local health improvement coalition) and the Bay Area Transformation Partnership between UM BWMC and Anne Arundel Medical Center. UM BWMC provides additional community outreach to our primary service area as defined by our Global Budget Revenue Agreement with the Maryland Health Services Cost Review Commission. These zip codes include: 21061 Glen Burnie (West); 21122 Pasadena; 21060 Glen Burnie (East); 21144 Severn; 21225 Brooklyn. This area surrounding UM BWMC where most of our discharges originate from has some of the most vulnerable, high-risk residents in Anne Arundel County based on socioeconomic and health data. We make concerted efforts to reach vulnerable, at-risk populations, including the uninsured, racial/ethnic minorities, persons with risky health behaviors (e.g. smoking), and people with chronic health conditions (e.g. diabetes, cancer). According to 2013 census estimates, the Anne Arundel County population is 556,348, an 11.2% increase from 2000. The Hispanic population in Anne Arundel County is growing more significantly than all races/ethnicities, increasing 170% from 2000 to 2013. Anne Arundels Hispanic population is also the youngest, with a median age of 26.7 years, whereas non-Hispanic whites have a median age of 42.2 years. Currently, 13.1% of Anne Arundels population is 65 or older. This portion of the population is expected to increase until 2030. As such, seniors will have an increasing impact on county services, supports, resource allocation, and health care use. The income gap between rich and poor in the county has widened since 2010. There is an increase at both ends of the economic scale; households living below the poverty line and households with a combined income of $200,000 or more. While Anne Arundel Countys median family income of $101,268 is higher compared to the state and the nation, 6.3% of Anne Arundel County residents are living below the poverty level. Poverty is concentrated in the northern and southern portions of the county. Zip codes with the highest poverty levels are 21225 (Brooklyn), 21077 (Harmans), 21226 (Curtis Bay), 21060 (Glen Burnie-East), and 21061 (Glen Burnie-West). There is a correlation between low income and number of ED visits. Brooklyn, the area with the highest poverty level in Anne Arundel County, also had the highest rate of ED visits, 960 per 1,000 residents, and 186% higher than the county-wide rate of ED visits. Social determinants of health can impact individual and community health. Social determinants of health include race and ethnicity, employment status and income level, education, housing quality, neighborhood safety, family and social supports, and sense of community belonging. Many demographic and health indicators associated with poorer health status and outcomes are found in the northern and southern portions of the county. There are a variety of needs concerning social determinants of health. There is a lack of public transportation throughout Anne Arundel County, and the operating bus routes have limited hours. This is especially an issue for the countys low-income and elderly residents. Limited transportation affects residents ability to access health care services and their educational and employment options. Twelve percent of county residents live in areas considered food deserts and dont have ready access to healthy eating options which contributes to higher levels of obesity and associated chronic health conditions such as diabetes. Homeowners and renters spend over a third of their income on housing, 34.3% and 49.5% respectively, and 9,000 families are on the waiting list for public housing. The amount of money spent on housing limits the funds available for meeting other personal needs, including health care, healthy food, and opportunities for physical activity and recreational activities that can reduce stress. Anne Arundel County is served by two major hospitals: Anne Arundel Medical Center (AAMC) in Annapolis and the University of Maryland Baltimore Washington Medical Center (UM BWMC) in Glen Burnie. Both hospitals are affiliated with academic medical centers, which offer advantages to patients requiring highly-specialized tertiary care. MedStar Harbor Hospital, which is located just north of the county line in Baltimore City, also serves county residents. Additionally, there are four Federally Qualified Health Centers (FQHCs) that serve county residents: Chase Brexton Health Care, Total Health Care, Family Health Centers of Baltimore, and Owensville Primary Care. The Anne Arundel County Department of Health offers a range of physical and behavioral health services at five clinic sites. The Anne Arundel County Mental Health Agency, Inc. provides a wide range of mental health services to Medicaid recipients and other low-income and uninsured county residents who meet certain criteria. Other health care services available in the county include primary care practices, outpatient specialty care, community clinics, urgent care facilities and retail store-based health clinics. Many providers of health care offer financial assistance. All hospitals in Maryland have financial assistance policies that provide medically necessary services to all people regardless of their ability to pay. Depending on their circumstances, patients can receive coverage for up to 100% of their medically necessary care. Payment plans are also available. FQHCs, community clinics and governmental providers offer services on a sliding scale or free basis. Assistance with enrolling in publicly funded entitlement programs and health insurance plans through the state health benefit exchange are available from the hospitals, county health departments, social service agencies and the Maryland Health Connection. However, it is important to note that not all health care providers, particularly behavioral health providers, accept all insurance plans or self-pay patients. In Maryland, under the Affordable Care Act (ACA), persons whose income is up to 138% of the poverty level are eligible for Medicaid. The number of Medicaid enrollments increased from 68,166 in January 2013 to 84,616 in December 2014. However, there are still many primary care providers who do not accept Medicare/Medicaid. In addition, a small percentage of county residents such as undocumented people, those not enrolled in Medicaid despite being eligible, and people opting to pay the annual penalty instead of purchasing insurance will remain uninsured. Access to primary care physicians, dentists, and mental health services are demonstrated needs within the county. The ratio of patients to primary care physicians is 1,430:1, patients to dentists is 1,518:1, and patients to mental health providers is 718:1. All ratios are lower than the state in general. Additionally, 6.6% of the population does not have health insurance. The Hispanic population has the highest rate of uninsured in the county (22%). There were an estimated 59,533 hospitalizations in Anne Arundel County during 2013 at a rate of 107.1 stays per 1,000 individuals. Hospital admissions were highest among those 65 and older, at a rate of 267.9 stays per 1,000. In 2013, Anne Arundel county residents made approximately 186,124 ED visits to hospitals within Maryland at a rate of 355 visits per 1,000 individuals. 85.6% of all ED visits by Anne Arundel County residents in 2013 were due to acute conditions and 14.3% were due to chronic conditions. Mood disorder was the most common chronic condition (12.2%) for ED visits followed by asthma (11.6%), alcohol-related disorders (7.2%), anxiety disorders (6.0%), headaches/migraines (5.9%) and substance-related disorders (3.9%). These chronic conditions are ambulatory-sensitive and could potentially be better prevented and managed though outpatient care and community supports. For patient care to be effective, patients and their caregivers need to understand the information about their health condition and treatment that their health care provider is trying to teach them. Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make informed health decisions. Low health literacy can result in medication errors, complications, unnecessary ED visits, low rates of treatment compliance, and ultimately higher mortality rat
Promoting the Health of the Community	Schedule H, Part VI, Line 5 UM BWMCs mission is to provide the highest quality health care services to the communities we serve. We extend our services beyond the hospital walls and outside of our campus through partnerships with organizations throughout our community. We are always engaging in new collaborations and enhancing existing ones to meet the needs of the community and reach people we havent reached before. We place a particular emphasis on reaching vulnerable populations and addressing the health improvement priorities identified through our CHNA. Our community benefit program includes community outreach and health education services to provide people with the education and tools to lead healthier lives, screenings so that people can be diagnosed with diseases when they are most treatable, support groups for patients and their families, financial assistance to those who could not otherwise afford health care services, subsidies to increase access to care, health care workforce development, partnership development and other community building activities. As part of our commitment to provide the highest quality of health care services to the communities we serve, UM BWMC is working to ensure patients can receive the right care, at the right place and at the right time. UM BWMC is helping connect community members with medical and social resources to help them be healthier. Our FY16 Annual Operating Plan, which is derived from our strategic plan, included a focus on population health and reducing potentially avoidable utilization, specifically related to readmissions. UM BWMC collaborates with numerous external partners for the promotion of community health. UM BWMC works with many county government agencies including the Anne Arundel County Departments of Health, Aging and Disabilities, Recreation and Parks, and Social Services, the Office of Community and Constituent Services, and Anne Arundel County Public Schools. We collaborate with Anne Arundel Medical Center, MedStar Harbor Hospital, Federally Qualified Health Centers (Chase Brexton Health Care, Total Health Care) and primary care, behavioral health, specialty and post-acute care providers. Most importantly, we partner with local community and faith based organizations such as Maryland Health Care for All, March of Dimes Maryland Chapter, Zeta Phi Beta Sorority Rho Eta Zeta Chapter, Safe Sitter, American Red Cross, American Cancer Society, Judy Center at Hilltop Elementary, Glen Burnie Improvement Association, Severna Park Community Center, Arundel Mills Mall, several local businesses and Chambers of Commerce and numerous churches. In FY16, key health promotion initiatives included Color Your Heart 5K Fun Run, Heartbeat for Health Dance, Smoking Cessation Classes, Vascular Screenings, Subsidized Physician Services for Primary Care, Transitional Care and Womens Health, Storks Nest Prenatal Education Program and Flu Education and Prevention. These initiatives were discussed in greater detail in the Supplemental Information provided for Part IV, Section C, Item 11. These initiatives were also described in greater detail in the FY16 Community Benefit Report submitted to the Maryland Health Services Cost Review Commission (HSCRC), a state regulatory agency. In addition to the community outreach activities described above, UM BWMC provides support to our communities in numerous other ways. We host blood drives, exercise classes, childbirth classes and educational events for cancer survivorship. We allow community groups to utilize our conference facilities free of charge. We also make donations to certain community organizations. We also participate with in emergency preparedness planning to assure appropriate health services are available during emergency situations. Our Community Benefit Implementation Plan, available at http://www.mybwmc.org/community-benefit, details our goals, strategies, key partners and intended outcomes related to the promotion of community health. In FY15-16, UM BWMC collaborated with Anne Arundel Medical Center to form the Bay Area Transformation Partnership (BATP). Our local health improvement coalition and numerous governmental agencies, health care providers, and community agencies are also part of this partnership. In FY16, BATP was awarded $4.3 million to reduce potentially avoidable utilization among Medicare and Medicare/Medicaid dual-eligible high-utilizers. The BATP includes a portfolio of population health improvement projects to improve access to care and strengthen care coordination. The UM BWMC Board of Directors Community Benefit Committee provides oversight and guidance to UM BWMCs Community Benefit programming. This Committee is comprised of members of the UM BWMC Board of Directors (including UM BWMCs President and Chief Executive Officer), members of the UM BWMC Foundation Board of Directors and a member of University of Maryland Medical System (UMMS) Executive Leadership. The Committee is staffed by UM BWMC Executive Team members including the Senior Vice President and Chief Operating Officer, Senior Vice President and Chief Financial Officer and Vice President for Strategy and Business Development. This Committee recommends the adoption of the CHNA, the Community Benefit Implementation Plan and annual reports to the UM BWMC Board of Directors. This committee also provides feedback related to community benefit strategies and monitors the implementation of community benefit activities. The UM BWMC Board of Directors formally adopts the CHNA, the Community Benefit Implementation Plan and annual reports. This committee also ensures that population health improvement and community benefit initiatives are included in the medical centers strategic and annual operating plans. The majority of our Board members reside in the organizations service area and are not employees, independent contractors or family members thereof. UM BWMC extends medical staff privileges to qualifying physicians in the community. UM BMWC operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Marylands global budget revenue model, UM BWMC reports on a regular basis how it is investing in efforts to improve population health.
Affiliated Health Care System Roles	Schedule H, Part VI, Line 6 UM BWMC is part of the University of Maryland Medical System (UMMS). We collaborate with other UMMS hospitals to develop and implement activities, programs and initiatives to help Marylanders live healthier lives and to identify the most impactful ways we can give back to communities throughout Maryland. UMMS convenes a monthly Community Health Improvement Committee meeting that includes leaders for community health improvement across the system. There is a roundtable at each meeting to discuss best practices and strategies, program evaluation methodologies, community benefit reporting and other concerns or topics of interest. The Community Health Improvement Committee selects community health concerns that impact all system hospitals and devotes collaborative resources and expertise to addressing those concerns.
Community Benefit Report State Filings	Schedule H, Part VI, Line 7 Maryland

Schedule H (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

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

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)
1KAREN E OLSCAMPPRESIDENT & CEO	(i) (ii)	0 ------------- 466,147	0 ------------- 191,651	0 ------------- 82,673	0 ------------- 10,600	0 ------------- 256	0 ------------- 751,327	0 ------------- 0
2ROBERT A CHRENCIKDIRECTOR	(i) (ii)	0 ------------- 1,254,208	0 ------------- 1,054,693	0 ------------- 253,896	0 ------------- 10,600	0 ------------- 13,037	0 ------------- 2,586,434	0 ------------- 0
3ALFRED A PIETSCHSVP/CFO	(i) (ii)	0 ------------- 290,461	0 ------------- 113,400	0 ------------- 47,821	0 ------------- 10,600	0 ------------- 16,283	0 ------------- 478,565	0 ------------- 0
4LAWRENCE S LINDERSVP & CMO	(i) (ii)	0 ------------- 213,629	0 ------------- 0	0 ------------- 31,778	0 ------------- 10,600	0 ------------- 16,231	0 ------------- 272,238	0 ------------- 0
5CATHERINE WHITAKER-KLICKVP - CNO	(i) (ii)	0 ------------- 236,272	0 ------------- 62,832	0 ------------- 3,453	0 ------------- 39,175	0 ------------- 16,282	0 ------------- 358,014	0 ------------- 0
6KATHLEEN C MCCOLLUMSVP & COO	(i) (ii)	0 ------------- 320,143	0 ------------- 107,508	0 ------------- 43,505	0 ------------- 10,600	0 ------------- 15,955	0 ------------- 497,711	0 ------------- 0
7WILLIAM HENCIAKSR DIRECTOR - PAT FIN SERV	(i) (ii)	186,965 ------------- 0	28,452 ------------- 0	7,969 ------------- 0	11,169 ------------- 0	13,068 ------------- 0	247,623 ------------- 0	0 ------------- 0
8CATHERINE CORWINNURSE	(i) (ii)	166,019 ------------- 0	0 ------------- 0	1,953 ------------- 0	12,262 ------------- 0	13,598 ------------- 0	193,832 ------------- 0	0 ------------- 0
9DEBORAH HALLVP - QUALITY	(i) (ii)	152,559 ------------- 0	21,211 ------------- 0	1,978 ------------- 0	7,030 ------------- 0	13,068 ------------- 0	195,846 ------------- 0	0 ------------- 0
10BRIAN COTTERDIRECTOR - PHARMACY	(i) (ii)	155,776 ------------- 0	22,331 ------------- 0	4,298 ------------- 0	7,296 ------------- 0	0 ------------- 0	189,701 ------------- 0	0 ------------- 0
11JOYCE MYERSDIRECTOR - PERIOPERATIVE	(i) (ii)	153,281 ------------- 0	19,869 ------------- 0	1,508 ------------- 0	14,671 ------------- 0	417 ------------- 0	189,746 ------------- 0	0 ------------- 0
12RANDY DAVISphysician/former director	(i) (ii)	0 ------------- 928,083	0 ------------- 0	0 ------------- 5,238	0 ------------- 9,450	0 ------------- 6,054	0 ------------- 948,825	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
Schedule J, Part I, Line 1a	University of Maryland Medical System executives receive a benefit package paid by a related organization which may be used towards health club dues or other health maintenance programs. Such benefits are capped at $7,000, $5,000 or $3,000 depending on job title as described in the program documents.
Part I, Line 3	compensation of officers All compensation to Officers reported on Part VII of the Form 990 was paid by a related organization, The University of Maryland Medical System Corporation ("UMMSC") or another related entity in the University of Maryland Medical System. The following are used by the related entity to establish the compensation of organization's CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committtee
PART I, LINE 4b	Supplemental nonqualified retirement plan During the fiscal year ended June 30, 2016, certain officers and key employees participated in the University of Maryland Medical System ("UMMS") Supplemental Nonqualified Plan. The individuals listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J, Part II, Column (c), Retirement and Other Deferred Compensation. Catherine Whitaker-Klick During the fiscal year ended June 30, 2016, certain officers and key employees participated in the UMMS Supplemental Nonqualified Plan. The officers and key employees listed below have vested in the plan in a prior year, therefore the contribution to the plan for the fiscal year is reportable as taxable compensation and reported on Schedule J, Part II, Column B(iii), Other Reportable Compensation: Karen E. Olscamp Alfred A. Pietsch Lawrence S. Linder Kathleen C. McCollum Robert A. Chrencik
Part I, Line 7	non-fixed payments Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operation achievements. The final determination of the bonus amount is determined and approved by the Board as part of the overall compensation review of the officers and key employees.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

Part I

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

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

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

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

Part II

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

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










Total ............... $

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Geoffrey Sklar MD	Director	212,360	See Below		No

Part V

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

Return Reference	Explanation
Business Transactions involving Interested Persons	Schedule L, Part IV Geoffrey Sklar, M.D., who is a Board member of the University of Maryland Baltimore Washington Medical System, is also the Chief Medical Officer of Chesapeake Urology Associates. Chesapeake Urology Associates provides physician services, oversight, risk management and physician recruitment services to the health system.

Schedule L (Form 990 or 990-EZ) 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

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

Return Reference	Explanation
Member Disclosure	Part VI, Section A, Line 6, Line 7A and Line 7B BALTIMORE WASHINGTON MEDICAL SYSTEM, INC. (BWMS) IS THE SOLE MEMBER OF BALTIMORE WASHINGTON MEDICAL CENTER, INC. ("BWMC"). BWMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY BWMS.
Form 990 Review Process	Part Vi, section b, line 11b The IRS Form 990 is prepared and reviewed by the accounting firm of Grant Thornton. Accounting personnel in Finance Shared Services at the University of Maryland Medical System ("umms")gather the information needed to complete the return and input the data into the Grant Thornton Tax Organizer, which is an excel-based system. When all data has been entered, the information is submitted to Grant Thornton for importation into their tax software. At this point, Grant Thornton staff members review the data, ask for additional information if needed and prepare the tax return. Each return is reviewed at several levels at Grant Thornton including the tax partner. After their review process, a draft return is sent to the accounting staff at UMMS for an in-house review. Upon completion of the in-house review, Grant Thornton is instructed to make any necessary changes and to prepare the final tax return. The final return undergoes another review by the accounting staff at Finance Shared Services and is also reviewed by the Accounting Manager, the Director of Financial Reporting, the Vice President of Finance and the CFO, who signs the return. Prior to filing the IRS Form 990, the organization's Board Chairman, Treasurer, Audit Committee Chairman, Executive Committee Chairman or other member of the Board with similar authority will review the IRS Form 990. At the discretion of the reviewing Board member, such member will bring any issues or questions related to the completed IRS Form 990 to the attention of the Board. Notwithstanding the above, a Board resolution is not required for the filing of the Organization's IRS Form 990. Each Board member is provided with a copy of the final IRS Form 990 before filing.
Conflict of Interest Policy	Part VI, Section B, Line 12c THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION, OR ANY ENTITY CONTROLLED BY OR OWNED IN SUBSTANTIAL PART BY THE ORGANIZATION. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ("UMMSC") REVIEWS THE RESPONSES FOR UMMSC AND JAMES LAWRENCE KERNAN HOSPITAL. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN UMMS REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED FOR UMMSC, AND JAMES LAWRENCE KERNAN HOSPITAL. WITH RESPECT TO THE OTHER ENTITIES IN UMMS, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION.
Executive Compensation	Part VI, Section B, Line 15 THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP.
Public Disclosure	Part VI, SECTION c, Line 19 IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A COPY IS PROVIDED ON THE SAME DAY. A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT.
HOURS FOR RELATED ORGANIZATIONS	PART VII, SECTION A, COLUMN (B) UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS.
PART XI, LINE 9	Unfunded Pension Liability $ (6,225,000) Change in BWMC FD Net Assets $ 938,000 Capital Transfer to Affiliates $ (2,841,485) Other $ 139,410 ------------ Total $ (7,989,075) ============
TAX EXEMPT BONDS	Form 990, Part IV Line 24a Pursuant to a Master Loan Agreement dated June 20, 1991 (The "Master Loan Agreement"), as Amended, The University Of Maryland Medical System Corporation (The "Corporation") and several of its subsidiaries have issued debt through the Maryland Health and Higher Educational Facilities Authority (the "Authority"). As Security for the performance of the bond obligation under the Master Loan Agreement, The Authority maintains a security interest in the revenue of the obligors. The Master Loan Agreement contains certain restrictive covenants. These covenants require that rates and charges be set at certain levels, limit incurrence of additional debt, require compliance with certain operating ratios and restrict the disposition of assets. The obligated group under the Master Loan Agreement includes the Corporation, The James Lawrence Kernan Hospital, Inc., Maryland General Hospital, Inc., Baltimore Washington Medical Center, Inc., Shore Health System, Inc., Chester River Hospital Center, Inc., Civista Medical Center, Inc., University of Maryland St. Joseph Medical Center, LLC, Upper Chesapeake Medical Center, Inc., Harford Memorial Hospital, Inc. and the University of Maryland Medical System Foundation, Inc. Each member of the obligated Group is jointly and severally liable for the repayment of the obligations under the Master Loan Agreement of the Corporation's $1,417,355,000 of outstanding Authority Bonds on June 30, 2016. All of the bonds were issued in the name of the University of Maryland Medical System Corporation and are reported on Schedule K of its Form 990.

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

Baltimore Washington Medical Center Inc

Employer identification number

52-0689917

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)Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie,MD21061 52-1756326	Healthcare	MD	501(c)(3)	11a	UMBWMS		No
(2)Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie,MD21061 52-1830243	Healthcare	MD	501(c)(3)	11a	UMBWMS		No
(3)UMd Baltimore Washington Medical System 301 Hospital Drive Glen Burnie,MD21061 52-1830242	Healthcare	MD	501(c)(3)	11a	ummsc		No
(4)BW Medical Center Foundation Inc 301 Hospital Drive Glen Burnie,MD21061 52-1813656	Fundraising	MD	501(c)(3)	11c	UMBWMS		No
(5)North Arundel Development Corporation 301 Hospital Drive Glen Burnie,MD21061 52-1318404	Real Estate	MD	501(c)(2)		NCC		No
(6)North County Corporation 301 Hospital Drive Glen Burnie,MD21061 52-1591355	Real Estate	MD	501(c)(2)		UMBWMS		No
(7)Chester River Health Foundation Inc 100 Brown Street Chestertown,MD21620 52-1338861	Fundraising	MD	501(c)(3)	8	UMSRH		No
(8)Univ of MD Shore Regional HealthInc 100 Brown Street Chestertown,MD21620 52-2046500	Healthcare	MD	501(c)(3)	11a	UMMSC		No
(9)Chester River Hospital Center 100 Brown Street Chestertown,MD21620 52-0679694	Healthcare	MD	501(c)(3)	3	UMSRH		No
(10)Chester River Manor Inc 200 Morgnec Road Chestertown,MD21620 52-6070333	Healthcare	MD	501(c)(3)	9	UMSRH		No
(11)Maryland General Clinical Practice Group 827 Linden Avenue Baltimore,MD21201 52-1566211	Healthcare	MD	501(c)(3)	11b	UMMTH		No
(12)Maryland General Comm Health Foundation 827 Linden Avenue Baltimore,MD21201 52-2147532	Fundraising	MD	501(c)(3)	11c	UMMTH		No
(13)University of Maryland Midtown Health 827 Linden Avenue Baltimore,MD21201 52-1175337	Healthcare	MD	501(c)(3)	11b	UMMSC		No
(14)Maryland General Hospital Inc 827 Linden Avenue Baltimore,MD21201 52-0591667	Healthcare	MD	501(c)(3)	3	UMMTH		No
(15)Care Health Services Inc 219 South Washington Street Easton,MD21601 52-1510269	Healthcare	MD	501(c)(3)	9	UMSRH		No
(16)Dorchester General Hospital Foundation 219 South Washington Street Easton,MD21601 52-1703242	Fundraising	MD	501(c)(3)	11d	UMSRH		No
(17)Memorial Hospital Foundation Inc 219 South Washington Street Easton,MD21601 52-1282080	Fundraising	MD	501(c)(3)	11a	UMSRH		No
(18)UM Community Medical Group Inc 250 S Pratt Sreet Baltimore,MD21201 52-1874111	Healthcare	MD	501(c)(3)	3	UMMSC		No
(19)Shore Health System Inc 219 South Washington Street Easton,MD21601 52-0610538	Healthcare	MD	501(c)(3)	3	UMMSC		No
(20)James Lawrence Kernan Hosp Endow Fdn 2200 Kernan Drive Baltimore,MD21207 23-7360743	Fundraising	MD	501(c)(3)	11b	UMMSC		No
(21)James Lawrence Kernan Hospital Inc 2200 Kernan Drive Baltimore,MD21207 52-0591639	Healthcare	MD	501(c)(3)	3	UMMSC		No
(22)UMMS Foundation Inc 22 South Greene Street Baltimore,MD21201 52-2238893	Fundraising	MD	501(c)(3)	11a	UMMSC		No
(23)University of MD Medical System Corp 22 South Greene Street Baltimore,MD21201 52-1362793	Healthcare	MD	501(c)(3)	3	UMMSC		No
(24)University of Maryland Charles Regional PO Box 1070 La Plata,MD20646 52-2155576	Healthcare	MD	501(c)(3)	11c	UMMSC		No
(25)Civista Medical Center Inc PO Box 1070 La Plata,MD20646 52-0445374	Healthcare	MD	501(c)(3)	3	UMCRH		No
(26)Charles Regional Medical Center Fdn PO Box 1070 La Plata,MD20646 52-1414564	Fundraising	MD	501(c)(3)	11a	UMCRH		No
(27)Charles Regional Medical Center Auxiliar PO Box 1070 La Plata,MD20646 52-1131193	Fundraising	MD	501(c)(3)	11a	UMCRH		No
(28)Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson,MD21204 52-1681044	Fundraising	MD	501(c)(3)	11a	UMMSC		No
(29)Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-0591484	Healthcare	MD	501(c)(3)	3	UMUCHS		No
(30)UCH Legacy Funding Corporation 520 Upper Chesapeake Dr Bel Air,MD21014 52-0882914	Fundraising	MD	501(c)(3)	11a	UMUCHS		No
(31)Univ of md Upper Chesapeake Health Sys 520 Upper Chesapeake Dr Bel Air,MD21014 52-1398513	Healthcare	MD	501(c)(3)	11c;III-FI	UMUCHS		No
(32)Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1398507	Fundraising	MD	501(c)(3)	11a	UMUCHS		No
(33)Upper Chesapeake Medical Center Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1253920	Healthcare	MD	501(c)(3)	3	UMUCHS		No
(34)Upper Chesapeake Medical Services Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1501734	Healthcare	MD	501(c)(3)	9	UMUCHS		No
(35)Upper Chesapeake Properties Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1907237	Real Estate	MD	501(c)(2)		UMUCHS		No
(36)Upper Ches Residential Hospice House In 520 Upper Chesapeake Dr Bel Air,MD21014 26-0737028	Hospice	MD	501(c)(3)	7	UMUCHS		No
(37)Upper ChesapeakeSt Joe's Home CareInc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1229742	Home Care	MD	501(c)(3)	9	UMUCHS		No
(38)UMSJ Health System LLC 7601 Osler Drive Towson,MD21204 46-0797956	Healthcare	MD	501(c)(3)		UMMSC		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
(1) Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie,MD20161 52-2000762	Healthcare	MD	NA
(2) Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie,MD20161 20-0806027	Healthcare	MD	NA
(3) Innovative Health LLC 29165 Canvasback Drive Suite 100 Easton,MD21601 52-1997287	Billing	MD	NA
(4) Central Maryland Radiology Oncology LLC 10710 Charter Drive Columbia,MD21044 27-0879418	Healthcare	MD	ummsc
(5) Universitycare LLC 22 South Greene Street Baltimore,MD21201 52-1914892	Healthcare	MD	ummsc
(6) O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson,MD21204 52-1682964	Rental	MD	ummsc
(7) Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson,MD21204 52-1958002	Healthcare	MD	NA
(8) UCHSUMMS Real Estate Trust 520 Upper Chesapeake Dr Bel Air,MD21014 27-6803540	Real Estate	MD	NA
(9) University of Maryland Charles Regional PO Box 1070 LaPlata,MD20646 30-0956382	Healthcare	MD	NA

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) Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie,MD21061 52-1992649	Healthcare	MD	NA	C Corp
(2) Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie,MD21061 52-1936656	Healthcare	MD	NA	C Corp
(3) BW Professional Services Inc 301 Hospital Drive Glen Burnie,MD21061 52-1655640	Healthcare	MD	NA	C Corp
(4) Univ of Maryland Charles Regional Care P PO Box 1070 La Plata,MD20646 52-2176314	Healthcare	MD	NA	C Corp
(5) University Midtown Prof Center A Condom 827 Linden Avenue Baltimore,MD21201 52-1891126	Real Estate	MD	UMMSC	C Corp
(6) NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie,MD21061	Real Estate	MD	na	C Corp
(7) Terrapin Insurance Company PO Box 1109 Grand Cayman KY1-1102 CJ 98-0129232	Insurance	CJ	UMMS	C Corp
(8) UMMS Self Insurance Trust 22 South Greene Street Baltimore,MD21201 52-6315433	Insurance	MD	UMMS	Trust
(9) Upper Chesapeake Insurance Company Po Box 1109 Grand cayman CJ 98-0468438	Captive Insurance	MD	UMUCHS	ltd
(10) Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-2031264	Healthcare	MD	UMMS	C Corp
(11) Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air,MD21014 77-0674478	Real Estate	MD	UC Med Crt	C Corp
(12) Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air,MD21014 52-1946829	Real Estate	MD	UC Hlth Vent	C Corp
(13) University of Maryland Health Advantage 22 South Greene Street Baltimore,MD21201 46-1411902	Insurance	MD	UMMS	C Corp
(14) University of Maryland Health Partners 22 South Greene Street Baltimore,MD21201 45-2815803	Insurance	MD	UMMS	C Corp
(15) University of Maryland Medical System He 22 South Greene Street Baltimore,MD21201 45-2815722	Insurance	MD	UMMS	C Corp
(16) Shore Orthopedics Inc 219 S Washington Street Easton,MD21601 37-1817260	Healthcare	MD	SHS	C Corp

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

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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: TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	3,396
6	Total number of volunteers (estimate if necessary) .............	6	250
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	89,348	63,906
9	Program service revenue (Part VIII, line 2g) .........	370,788,632	375,219,146
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-3,606,866	2,343,062
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,859,360	468,928
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	370,130,474	378,095,042
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	169,482,430	162,721,951
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)....	174,060,728	185,685,431
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	343,543,158	348,407,382
19	Revenue less expenses. Subtract line 18 from line 12.......	26,587,316	29,687,660
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	482,442,670	493,574,322
21	Total liabilities (Part X, line 26).............	313,554,153	307,756,997
22	Net assets or fund balances. Subtract line 21 from line 20.....	168,888,517	185,817,325

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 303,434,046 including grants of $ ) (Revenue $ 378,095,042 )
	BWMC IS A COMMUNITY HOSPITAL WITH 334 LICENSED BEDS. 17,650 PATIENTS WERE ADMITTED IN FISCAL YEAR ENDED JUNE 30, 2016, ACCOUNTING FOR 71,390 PATIENT DAYS OF CARE. 95,708 PATIENTS WERE TREATED IN THE CENTER'S EMERGENCY DEPARTMENT. 12,892 PATIENTS REQUIRED SURGICAL PROCEDURES IN THE CENTER'S OPERATING AND ENDOSCOPY ROOMS. THE MEDICAL CENTER TREATED 421,952 PATIENTS IN THEIR ANCILLARY DEPARTMENTS: LABORATORY, RADIOLOGY, PULMONARY, RESPIRATORY, REHABILITATION, OP-INFUSION AND EEG-SLEEP STUDIES. THE MEDICAL CENTER EMPLOYED 3,396 EMPLOYEES IN CALENDAR YEAR 2015. THE CENTER'S MISSION IS TO PROVIDE QUALITY HEALTH CARE TO ALL, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, HANDICAP OR ABILITY TO PAY. BWMC ALSO PROVIDES NUMEROUS FREE PROGRAMS AND SERVICES SUCH AS HEALTH CARE SEMINARS, BLOOD PRESSURE AND CHOLESTEROL SCREENINGS, EXERCISE PROGRAMS, PUBLIC SPEAKING ENGAGEMENTS, ETC. THE CENTER'S FACILITIES ARE ALSO UTILIZED BY MANY PUBLIC SERVICE GROUPS AND ORGANIZATIONS THROUGHOUT THE YEAR AT NO CHARGE. DURING FISCAL YEAR ENDED JUNE 30, 2016, BWMC PROVIDED $5,655,016 OF CHARITY CARE TO THOSE WHO QUALIFIED UNDER REGULATORY GUIDELINES AND WROTE OFF ANOTHER $17,584,217 OF PATIENT SERVICE REVENUE AS BAD DEBTS.

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 expenses303,434,046

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	924,169	5,707,391	278,302

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	63,906
e	Government grants (contributions)		1e

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

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		63,906

			Business Code
2a	NET PATIENT REVENUE	621990	375,219,146	375,219,146
b
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			375,219,146

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,282,326			1,282,326
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,097,738
b	Less: rental expenses
c	Rental income or (loss)	0	1,097,738
d	Net rental income or (loss)......			1,097,738			1,097,738
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		49,735,401
b	Less: cost or other basis and sales expenses		48,674,665
c	Gain or (loss)		1,060,736
d	Net gain or (loss).....			1,060,736			1,060,736
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA/SALES		722514	1,849,935			1,849,935
b	MEDICAL RECORDS REVENUE		900099	225,350			225,350
c	MANAGEMENT FEES		900099	57,595			57,595
d	All other revenue ....			-2,761,690			-2,761,690
e	Total. Add lines 11a–11d ......			-628,810
12	Total revenue. See Instructions......			378,095,042	375,219,146		2,811,990

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	133,352,065	113,349,255	20,002,810
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,645,365	3,948,560	696,805
9	Other employee benefits .......	14,992,193	12,743,364	2,248,829
10	Payroll taxes ...........	9,732,328	8,272,479	1,459,849
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	3,224,593		3,224,593
c	Accounting ...........	2,286,425		2,286,425
d	Lobbying ...........	18,887		18,887
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	350,482		350,482
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	13,778,778	11,711,961	2,066,817
12	Advertising and promotion ....	116,422	98,959	17,463
13	Office expenses .......	9,364,019	7,959,416	1,404,603
14	Information technology ......	12,996,607	11,047,116	1,949,491
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	6,003,094	5,102,630	900,464
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	23,109,327	19,642,928	3,466,399
23	Insurance ...	5,109,849	4,746,661	363,188
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	SUPPLIES - MEDICAL & NON-MED	52,165,939	52,165,939	0	0
b	PURCHASED SERVICES	27,375,223	23,268,940	4,106,283	0
c	BAD DEBT EXPENSE	17,584,217	17,584,217	0	0
d	PROFESSIONAL FEES	9,468,584	9,468,584	0	0
e	All other expenses	2,732,985	2,323,037	409,948
25	Total functional expenses. Add lines 1 through 24e	348,407,382	303,434,046	44,973,336	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 ........			59,773,936	1	27,186,127
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			28,369,399	4	29,646,146
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			6,758,638	8	6,150,138
9	Prepaid expenses and deferred charges ......			2,061,309	9	3,186,218
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	530,528,025
b	Less: accumulated depreciation	10b	288,936,041	230,368,203	10c	241,591,984
11	Investments—publicly traded securities .			35,843,000	11	48,743,000
12	Investments—other securities. See Part IV, line 11 .....			36,604,188	12	73,024,755
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			82,663,997	15	64,045,954
16	Total assets. Add lines 1 through 15 (must equal line 34)...			482,442,670	16	493,574,322

17	Accounts payable and accrued expenses .....	54,296,792	17	47,345,548
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
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	259,257,361	25	260,411,449
26	Total liabilities. Add lines 17 through 25..	313,554,153	26	307,756,997

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	161,866,279	27	177,857,087
28	Temporarily restricted net assets ...........	7,022,238	28	7,960,238
29	Permanently restricted net assets	0	29	0
	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 ...........	168,888,517	33	185,817,325
34	Total liabilities and net assets/fund balances ........	482,442,670	34	493,574,322