TY 2017 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) Bradford L Seamon...................................................................... Board Chair	1.0 ................. 0.0	X	X	0	0	0
(2) John W Ashworth III...................................................................... Director	1.0 ................. 47.0	X		0	822,679	36,514
(3) Stephen T Bartlett MD...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(4) Robert A Chrencik...................................................................... President and CEO - UMMS	1.0 ................. 54.0	X		0	2,590,028	25,019
(5) Pamela B Creekmur RN...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(6) Henry J Franey...................................................................... Director	1.0 ................. 44.0	X		0	1,502,906	22,624
(7) Joseph L Wright MD...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(8) Neil Moore...................................................................... President and CEO	40.0 ................. 2.0	X	X	1,015,638	0	42,449
(9) C Phillip Nichols Jr...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(10) Barbara Frush...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(11) Harbhajan Ajrawat MD...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(12) Ulric Donawa...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(13) Andrea Harrison...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(14) Thomas Hendershot...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(15) Lipshree Nayak MD...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(16) Tristan J Orellano MD...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0
(17) Shawn Wright ESQ...................................................................... Director - end 09/2017	1.0 ................. 0.0	X		0	0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) William Brosius........................................................................ Treasurer	40.0 .......................2.0	X				0	196,889	20,679
(19) Megan Arthur........................................................................ Secretary	1.0 .......................44.0	X				0	724,017	26,240
(20) Sherry Perkins........................................................................ EVP and COO	40.0 .......................2.0	X				254,496	686,610	76,202
(21) Carnell Cooper........................................................................ VP Medical Affairs & CMO	40.0 .......................1.0		X			435,272	0	45,681
(22) Trudy Hall........................................................................ VP Medical Affairs	40.0 .......................1.0		X			451,078	0	30,689
(23) Jeffrey Johnson........................................................................ SVP Strategic Planning	40.0 .......................0.0		X			294,808	0	28,128
(24) Ronald Laxton........................................................................ Senior VP Clin Svcs	40.0 .......................0.0		X			501,183	0	33,113
(25) Theophilus Botwe........................................................................ Physician Advisor	40.0 .......................0.0			X		246,554	0	1,048
(26) Eslanda Dasher........................................................................ Deputy General Counsel	40.0 .......................0.0			X		298,582	0	26,683
(27) Michael Jacobs........................................................................ Executive Director	40.0 .......................0.0			X		254,509	0	44,024
(28) Michael King........................................................................ VP Reimbursement Svcs	40.0 .......................0.0			X		250,222	0	40,168
(29) Tiffany Sullivan........................................................................ VP Comm Population Health	40.0 .......................0.0			X		234,589	0	37,844
(30) Kanwaljit Singh Taneja........................................................................ Former Chief Operating Officer	0.0 .......................0.0				X	349,445	0	16,246

(A) Name and business address	(B) Description of services	(C) Compensation
Cerner Corporation, 2800 Rockcreek Parkway KANSAS CITY,MO64117	Health IT	6,075,002
Wilmot Sanz, 18310 Montgomery Village Avenue GAITHERSBURG,MD20879	Architect Service	5,536,422
Broadway Services Inc, 3709 East Monument Street BALTIMORE,MD21205	Security staffing	2,276,377
Alliant Staffing, 7201 Wisconsin Avenue 705 BETHESDA,MD20814	Healthcare staff	2,254,909
Premier Health Care LLC, 12073 Tech Road Suite B SILVER SPRING,MD20904	Healthcare staff	2,229,690
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 156

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

Dimensions Health Corporation

Employer identification number

52-1289729

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

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) 2019

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 (explain in Part VI). 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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

Dimensions Health Corporation

Employer identification number

52-1289729

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization Dimensions Health Corporation

Part I Contributors	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
		$	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization Dimensions Health Corporation		Employer identification number 52-1289729

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization Dimensions Health Corporation			Employer identification number 52-1289729
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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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

Dimensions Health Corporation

Employer identification number

52-1289729

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

19,891

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

19,891

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
LOBBYING ACTIVITIES	SCHEDULE C, PART II-B, LINE 1I 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 6.6% AND 22.98% 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

LOBBYING ACTIVITIES

SCHEDULE C, PART II-B, LINE 1I 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 6.6% AND 22.98% 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) 2019

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Dimensions Health Corporation

Employer identification number

52-1289729

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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

Term 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 .....	39,908,147		39,908,147
b	Buildings ....	45,544,944	35,528,590	10,016,354
c	Leasehold improvements	43,359,353	36,754,952	6,604,401
d	Equipment ....	195,685,288	176,092,620	19,592,668
e	Other .....	15,611,738	953,543	14,658,195
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				90,779,765

Schedule D (Form 990) 2019

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	99,963,254
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) 2019

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

FIN 48 FOOTNOTE PER AUDIT REPORT

SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX LIABILITIES OR BENEFITS THAT SHOULD BE RECOGNIZED.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
Dimensions Health Corporation

Employer identification number

52-1289729

Part I

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

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

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

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

Yes

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

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

(a) Region		(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	Program Services	Captive Insurance	2,303,050
















3a	Sub-total ....			2,303,050
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			2,303,050

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

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

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

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

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

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

ReturnReference	Explanation
ACTIVITIES PER REGION	SCHEDULE F, PART I, LINE 3 The amount indicated as foreign investments in Part I was Dimensions Health Corporation (DHC)'s expenses incurred for Dimensions Assurance Company, Ltd (DAL), a Cayman Island Corporation owned by DHC through 8/31/17. DAL's ownership transferred to UMMS on 9/1/17.

Schedule F (Form 990) 2019

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Dimensions Health Corporation

Employer identification number

52-1289729

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

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) . . .	8,098,408		8,098,408	2.050 %
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 . . . . .	8,098,408		8,098,408	2.050 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,815,209	110,000	5,705,209	1.440 %
f	Health professions education (from Worksheet 5) . . .	4,919,904		4,919,904	1.240 %
g	Subsidized health services (from Worksheet 6) . . . .	41,142,733	7,934,000	33,208,733	8.390 %
h	Research (from Worksheet 7) .	260,384		260,384	0.070 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	30,500		30,500	0.010 %
j	Total. Other Benefits . .	52,168,730	8,044,000	44,124,730	11.150 %
k	Total. Add lines 7d and 7j .	60,267,138	8,044,000	52,223,138	13.200 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	6,536	6,536
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	141,995	141,995	0.040 %
7	Community health improvement advocacy
8	Workforce development	31,040	31,040	0.010 %
9	Other
10	Total	179,571	179,571	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

18,699,605

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).....

114,152,846

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

114,126,553

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

26,293

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) 2019

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?2Name, 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	Prince Georges Hospital Center 3001 Hospital Dr Cheverly,MD20785 UMMS.org/Capital 16-015	X	X	X	A
2	Laurel Regional Hospital 7300 Van Dusen Rd Laurel,MD20707 UMMS.org/Capital 16-026	X	X	X	A

Schedule H (Form 990) 2019

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)

	A
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

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.umms.org/capital/community

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.umms.org/capital/community

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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
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 300.%

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)

Was widely publicized 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.umms.org/capital

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

WWW.umms.org/capital

A plain language summary of the FAP was widely available on a website (list url):
WWW.umms.org/capital

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

	A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY	SCHEDULE H, PART V, SECTION B, LINE 5 THE CHNA TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, AS WELL AS LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. IN PARTICULAR, THE PROCESS INCLUDED KEY INFORMANT INTERVIEWS OF 24 COUNTY LEADERS ON ISSUES OF MINORITY POPULATIONS, HEALTH, SOCIAL DETERMINANTS OF HEALTH, BARRIERS TO HEALTH AND WELL-BEING, BEHAVIORAL HEALTH AND ENVIRONMENTAL HEALTH ISSUES. IN ADDITION, ELECTRONIC SURVEYS WERE SENT TO 250 COMMUNITY EXPERTS. A SEPARATE SURVEY WAS SENT TO COMMUNITY RESIDENTS, ELECTRONICALLY AND BY PAPER, WITH 201 RESPONDENTS IN ENGLISH AND 115 IN SPANISH. TWO COMMUNITY INPUT MEETINGS WERE HELD, ONE WITH COMMUNITY LEADERS AND ONE WITH HEALTH EXPERTS. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, FEDERALLY QUALIFIED HEALTH CENTERS, FAITH-BASED ORGANIZATIONS, AND BUSINESS LEADERS. AT THE MEETING WITH PUBLIC HEALTH EXPERTS, ATTENDEES INCLUDED HOSPITAL BOARD MEMBERS, ADMINISTRATORS, PHYSICIANS, AND NURSES. FURTHERMORE, THE CHNA TOOK INTO ACCOUNT DATA RECEIVED PURSUANT TO THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH PUBLIC HEALTH IMPACT STUDY (SPHPHIS) PRINCE GEORGE'S COUNTY PRIMARY HEALTHCARE STRATEGIC PLAN (2015), 2015 PRINCE GEORGE'S COUNTY FOOD SYSTEM STUDY, NOVEMBER 2015.
CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES	SCHEDULE H, PART V, SECTION B, LINE 6A THE HOSPITAL FACILITieS' CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: DOCTORS COMMUNITY HOSPITAL, FORT WASHINGTON MEDICAL CENTER, AND MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER.
CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES	SCHEDULE H, PART V, SECTION B, LINE 6B THE HOSPITAL FACILIties' CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT.
ADDRESSING NEEDS IN THE CHNA	SCHEDULE H, PART V, SECTION B, LINE 11 THE HOSPITAL FACILities are ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN their MOST RECENTLY CONDUCTED CHNA THROUGH INITIATIVES SPECIFICALLY DESIGNED TO ADDRESS IDENTIFIED PRIORITY NEEDS. THROUGH A PRIORITIZATION PROCESS INVOLVING INTERNAL AND COMMUNITY STAKEHOLDERS THE HOSPITALs IDENTIFIED PRIORITY AREAS OF FOCUS FOR NEEDS IDENTIFIED IN THE CHNA. THEY ARE: PRIORITY AREA 1 - SOCIAL DETERMINANTS OF HEALTH; PRIORITY AREA 2 - PHYSICAL HEALTH AND CHRONIC DISEASE MANAGEMENT; PRIORITY AREA 3 - BEHAVIORAL HEALTH. GOALS ARE ESTABLISHED UNDER EACH PRIORITY AREA AND INITIATIVES ALIGNED WITH THE GOALS WERE IMPLEMENTED TO ADDRESS THE IDENTIFIED NEED. THE CURRENT INITIATIVES ARE DESIGNED TO ADDRESS EACH OF THE PRIORITY NEEDS IDENTIFIED IN THE CHIP: PHYSICAL HEALTH AND CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH RISK FACTORS. THE CHNA CHARACTERIZED THE NEEDS IN PRINCE GEORGE'S COUNTY AND THE HOSPITAL SERVICE AREA UNDER THREE HEADINGS WHICH WERE DECIDED AS PART OF A PRIORITIZATION PROCESS INVOLVING REPRESENTATIVES FROM ALL HOSPITALS IN PRINCE GEORGE'S COUNTY, PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT AND A WIDE RANGE OF COMMUNITY STAKEHOLDERS (INCLUDING PUBLIC HEALTH, FQHCS AND COMMUNITY-BASED ORGANIZATIONS). THE THREE HEADINGS DECIDED DURING THE PRIORITIZATION PROCESS ARE: BEHAVIORAL HEALTH (MENTAL HEALTH, SUBSTANCE USE, DOMESTIC VIOLENCE/VIOLENCE); METABOLIC SYNDROME (OBESITY, DIABETES, HEART DISEASE, HYPERTENSION AND STROKE) AND CANCER. THE HOSPITAL HAS IMPLEMENTED SPECIFIC INITIATIVES RELATED TO BEHAVIORAL HEALTH AND METABOLIC SYNDROME. FOR EXAMPLE, THROUGH AN INITIATIVE TITLED, "IMPROVE TRANSITIONAL CHRONIC CARE MANAGEMENT & CARE COORDINATION (INCLUSIVE OF CHRONIC DISEASE SELF-MANAGEMENT EDUCATION CLASSES AND CHRONIC DISEASE SCREENINGS)", WORKED TO KEEP THE POPULATION HEALTHY WITHIN THE COMMUNITIES SERVED BY DHC. DHC PARTNERED WITH OTHER LOCAL HOSPITALS TO FORM TOTALLY LINKING CARE-MARYLAND (TLC-MD). TLC-MD COLLABORATION WITH PRINCE GEORGE'S COUNTY FIRE & EMS, PRINCE GEORGE'S HEALTH CARE ALLIANCE, COMMUNITY CARE COORDINATION TEAM, DHC MEDICAL GROUP, UM CAPITAL CHEST PAIN PROGRAM, UM CAPITAL STROKE CENTER, UNIVERSITY OF MARYLAND SCHOOL OF PHARMACY EHEALTH SERVICES CENTER, PRINCE GEORGE'S COUNTY FAMILY SERVICE'S DEPARTMENT (AREA ON AGING), ACCESS TO HOLISTIC & PRODUCTIVE INSTITUTE, GREATER BADEN MEDICAL CENTER TO PROVIDE EFFECTIVE CARE TRANSITION, CARE COORDINATION AND DISEASE MANAGEMENT SUPPORT. DHC PARTNERS WITH THE MARCH OF DIMES & THE DHC MEDICAL GROUP AS WELL AS A HOST OF COMMUNITY ORGANIZATIONS OPERATE THE MAMA & BABY MOBILE HEALTH UNIT. THE MAMA & BABY MOBILE UNIT SERVES AS A HEALTHCARE ACCESS POINT FOR UNDER-INSURED, UNINSURED AND UNDER-SERVED WOMEN AND CHILDREN. THE MAMA & BABY MOBILE UNIT PROVIDES BASIC, UNCOMPLICATED MATERNAL AND CHILD HEALTH SERVICES THROUGH PARTNERSHIPS WITH LOCAL COMMUNITY BASED ORGANIZATIONS, SHELTERS, FOOD PANTRIES, FAITH INSTITUTIONS, SCHOOLS AND INSTITUTIONS OF HIGHER LEARNING. THE MOBILE HEALTH SERVICES TEAM CONSISTS OF A VARIETY OF PROVIDERS INCLUDING A TEAM OF MIDWIVES, FAMILY MEDICINE AND OB/GYN PROVIDERS. PRINCE GEORGE'S COUNTY PARTNERING ORGANIZATIONS ALSO WORK IN COLLABORATION WITH THE MOBILE HEALTH UNIT TO PROVIDE COMMUNITY HEALTH WORKERS AND HEALTH INSURANCE NAVIGATORS TO ASSIST PATIENTS WITH ASPECTS RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE BUS MIDWIVES MANAGE LOW-RISK PATIENTS USING PROTOCOLS DEVELOPED CONSISTENT WITH RECOMMENDATIONS OF THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG), WHICH ALLOW A MINIMUM NUMBER OF VISITS IN THE SCHEDULES FOR PRENATAL CARE. THIS APPROACH ACCOMMODATES A VARIETY OF LIFE CHALLENGES THE WOMEN MUST OVERCOME TO ATTEND REGULAR PRENATAL CARE APPOINTMENTS AND MINIMIZES THE SOME OF THE BARRIERS THESE WOMEN MAY FACE. FOR WOMEN WHO ARE AT HIGH AND MEDIUM RISK THE BUS STAFF FOLLOWS THE PREGNANCY MANAGEMENT GUIDELINES OF THE AMERICA COLLEGE OF OBSTETRICIANS AND GYNECOLOGIST RELATED TO THOSE SPECIFIC POPULATIONS. THE STAFF ALSO EMPLOYS ACOG'S WELL WOMEN VISIT GUIDELINES. PATIENTS WILL BE ROUTINELY SCREENED FOR HIV PER THE PREVENTIVE HEALTH GUIDELINES FROM THE CENTERS OF DISEASE CONTROL AND PREVENTION. POSTPARTUM CARE WILL FOLLOW ACOG GUIDELINES AND ADDRESS BREASTFEEDING SUPPORT, LEVEL OF AVAILABLE SOCIAL SUPPORT, DEPRESSION, PHYSICAL ACTIVITY, CONTRACEPTION ETC., IN ADDITION TO THE PATIENTS OVERALL HEALTH. EVERY ATTEMPT WILL BE MADE TO LINK WOMEN TO A FULL RANGE OF SUPPORTIVE SERVICES PROVIDED BY THE BUS'S PARTNERS SO THAT THEY AND THEIR INFANTS WILL ATTAIN OPTIMAL HEALTH OUTCOMES. TO ADDRESS COMMUNITY NEEDS RELATED TO BEHAVIORAL HEALTH, DHC CURRENTLY CONDUCTS MENTAL HEALTH FIRST AID TRAINING FOR ADULTS AND YOUTH MENTAL HEALTH FIRST AID TRAINING (YMHFA) FOR ADULTS WHO REGULARLY INTERACT WITH ADOLESCENTS BETWEEN THE AGES OF 12-18. THE MENTAL HEALTH FIRST AID USA CURRICULUM IS AN 8 HOUR PUBLIC EDUCATION PROGRAM WHICH INTRODUCES PARTICIPANTS TO THE UNIQUE RISK FACTORS AND WARNING SIGNS OF MENTAL PROBLEMS AND SUBSTANCE ABUSE BOTH IN ADULTS AND ADOLESCENTS. THE YMHFA TRAINING SPECIFICALLY BUILDS UNDERSTANDING OF THE IMPORTANCE OF EARLY INTERVENTION, AND TEACHES INDIVIDUALS HOW TO HELP AN ADOLESCENT IN CRISIS OR EXPERIENCING A MENTAL HEALTH CHALLENGE. EXAMPLES OF PROGRAMS ARE BEHAVIORAL HEALTH SYMPOSIUM SERIES: NOT ALL WOUNDS ARE VISIBLE: A COMMUNITY CONVERSATION: LET'S TALK ABOUT ADDICTION & SUBSTANCE ABUSE (WEDNESDAY, NOVEMBER 29, 2017); AND A COMMUNITY CONVERSATION: LET'S TALK ABOUT DEPRESSION & ANXIETY- PART I (MAY 23, 2018). LAUREL HIGH SCHOOL & DHC, ENOUGH IS ENOUGH MENTAL/ VIOLENCE AWARENESS EVENT- PART 1: AN EDUCATIONAL FORUM HOSTED AT LRH THAT CONSISTED OF LOCAL LAW ENFORCEMENT OFFICIALS, HOSPITAL AND SCHOOL ADMINISTRATORS, COMMUNITY MEMBERS, PARENTS AND STUDENTS. THE OBJECTIVE OF THE EVENT WAS TO PROMOTE AND DEVELOP COLLABORATION BETWEEN THE HIGH SCHOOL AND LRH AS IT RELATES TO HOW WE AS A COMMUNITY IN LAUREL IDENTIFY AND PROVIDE EFFECTIVE INTERVENTION MENTAL HEALTH OBSERVED NOT JUST WITHIN OUR HOSPITAL AND SCHOOLS BUT THE BROADER COMMUNITY. DHC'S "TOBACCO USE PREVENTION AND CESSATION-THE TUPAC" PROVIDES HOSPITAL AND COMMUNITY BASED GROUP SMOKING CESSATION CLASSES, HOSTS EDUCATIONAL AWARENESS SEMINARS, ONE-TO-ONE SESSIONS AS WELL AS TELEPHONE CONSULTATIONS. THE PROGRAM CURRENTLY PARTNERS WITH OVER 20 COMMUNITY ORGANIZATIONS INCLUDING THE MARYLAND NATIONAL CAPITAL PARK AND PLANNING COMMISSION, THE PRINCE GEORGE'S COUNTY HOUSING AUTHORITY AND THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE. IN FY 18, 109 PROGRAM PARTICIPANTS COMPLETED CESSATION CLASSES INTERNALLY AND 264 PARTICIPATES COMPLETED COMMUNITY BASED CESSATION CLASSES WITH AN 80% OVERALL SUCCESS RATE. IN ADDITION, A TOTAL OF 200 TELEPHONE CONSULTATIONS WERE PROVIDED. THE BEHAVIORAL HEALTH COMMUNITY STAKEHOLDER'S MEETING CONSISTED OF UM LRH PROVIDERS, BEHAVIORAL HEALTH COMMUNITY PROVIDERS, HOSPITAL ADMINISTRATORS, CLINICIANS, HEALTH DEPARTMENT OFFICIALS AND UMMS COMMUNICATION, MARKETING AND COMMUNITY HEALTH LEADERSHIP STAFF. THE INTENT OF THE STAKEHOLDERS MEETING WAS TO FOSTER AN EDUCATIONAL DISCUSSION REGARDING HOW WE AS A HEALTHCARE COMMUNITY BETTER ALIGN, PARTNER AND LINK RESIDENTS IN NEED OF BEHAVIORAL HEALTH PREVENTION AND TREATMENT TO COMMUNITY BASED RESOURCES. DHC IS ENGAGED IN CANCER SCREENING PROGRAMS AND HAS INITIATED PLANNING FOR A COMPREHENSIVE CANCER PROGRAM TO SERVE THE RESIDENTS OF PRINCE GEORGE'S COUNTY AND SOUTHERN MARYLAND. LASTLY, LRH IS ENGAGED IN A COMPREHENSIVE PLANNING PROCESS, INVOLVING STAKEHOLDER FROM THROUGH DHC TO CONVERT FROM AN ACUTE CARE FACILITY TO A FREESTANDING MEDICAL FACILITY ON JANUARY 1, 2019. THE PLAN WILL CONTINUE THE CAPACITY OF THE FACILITY TO ADDRESS THE COMMUNITY NEEDS IDENTIFIED IN THE CHNA AT THE NEW FACILITY AND IN COMMUNITY BASED SETTINGS.
ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE	SCHEDULE H, PART V, LINE 13B THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS.
HOSPITAL EFFORTS BEFORE INITIATING ACTION	SCHEDULE H, PART V, LINE 20C IN THE CASE OF AN INCOMPLETE FAP APPLICATION, PATIENTS ARE NOT AUTOMATICALLY DENIED. A LETTER IS MAILED TO THE PATIENT REQUESTING THE MISSING DOCUMENTATION, AND FAP APPLICATIONS ARE APPROVED ONCE THE MISSING DOCUMENTATION IS PROVIDED.

Schedule H (Form 990) 2019

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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?6
Name and address		Type of Facility (describe)
1	Rachel H Pemberton Senior Center 3601 Taylor Street Ste 108 Brentwood,MD20722	Senior Health Center
2	Dical Center 7582 Annapolis Road Lanham,MD20784	Medical Center
3	Dimensions Surgery Center 14999 Health Center Dr Ste 103 Bowie,MD20716	Ambulatory Surgery Center
4	Larkin Chase Care & Rehabilitation 15005 Health Center Drive Bowie,MD20716	Rehabilitation Center
5	Gladys Spellman Specialty Care Unit 7300 Van Dusen Road Laurel,MD20707	Acute Care
6	Bowie Health Center 1017 15001 Health Center Drive Bowie,MD20716	Emergency Medical Care
7
8
9
10

Schedule H (Form 990) 2019

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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
CRITERIA FOR FREE OR DISCOUNTED CARE	SCHEDULE H, PART I, LINE 3C DHC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
BUDGET FOR CHARITY CARE	SCHEDULE H, PART I, LINE 5 THE ORGANIZATION DOESN'T BUDGET A PRESET PERCENTAGE FOR CHARITY CARE. IT IS THE ORGANIZATION'S POLICY TO PROVIDE FINANCIAL ASSISTANCE TO ANY INDIVIDUAL THAT QUALIFIES UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, REGARDLESS OF THE AMOUNT OF CHARITY CARE PROVIDED BY THE ORGANIZATION DURING THE YEAR. IT IS PART OF OUR MISSION TO SERVE AS THE SAFETY NET FOR THE UNINSURED AND UNDERINSURED.
RELATED ORGANIZATION BENEFIT REPORT	SCHEDULE H, PART I, LINE 6b THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HSCRC. THE REPORT CAN BE FOUND AT HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPX.
COSTING METHODOLOGY	SCHEDULE H, PART I, LINE 7 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. Community Building Activities Schedule H, Part II COALITION BUILDING DHC partnered with other local hospitals to form Totally Linking Care-Maryland (TLC-MD), a health coalition serving Southern Maryland. Each hospital provides financial resources (through an HSCRC grant) and in-kind services to support the organization. Additionally, each hospital provides other services through their for patients/residents targeted by the TLC-MD coalition and to support the Coalition's goals. DHC also supports local coalitions and organizations that work collaboratively to provide care transition, care coordination and disease managementt support. Those organizations include, Prince George's County Fire & EMS, Prince George's Health Care Alliance, Community Care Coordination Team, UM Capital Region Health Medical Group, UM Capital Chest Pain Program, UM Capital Stroke Center, University of Maryland School of Pharmacy eHealth Services Center, Prince George's County Family Services Department (Area on Aging), Access to Wholistic & Productive Institute and Greater Baden Medical Center. WORKFORCE DHC partnered with Employ Prince George's to support YouthCareer Connect, a federal grant funded program provides career development and work experience, for students in the Prince George's County Schools, particularly school-based Health Care and IT academies. DHC Representatives participate on the YCC Advisory Council and Partners Workgroup. DHC hosted 10 summer interns from YCC in 2018. In addition, DHC supported 10 interns from the Prince George's County Summer Youth Employment Program in 2018. A DHC executive is a member of Prince George's County Workforce Development Board and is an active member of the Board's Business Development Committee and Youth Services Committee.
BAD DEBT EXPENSE REPORTING IN MARYLAND	SCHEDULE H, PART III, LINES 2 & 3 THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) STARTED SETTING HOSPITAL RATES IN 1974. AT THAT TIME, THE HSCRC APPROVED RATES APPLIED ONLY TO COMMERCIAL INSURERS. IN 1977, THE HSCRC NEGOTIATED A WAIVER FROM MEDICARE HOSPITAL PAYMENT RULES FOR MARYLAND HOSPITALS TO BRING THE FEDERAL MEDICARE PAYMENTS UNDER HSCRC CONTROL. IN 2014, MARYLAND'S WAIVER WITH MEDICARE WAS RENEGOTIATED AND UPDATED TO REFLECT THE CURRENT HEALTHCARE ENVIRONMENT. UNDER THIS NEW WAIVER, SEVERAL CRITERIA WERE ESTABLISHED TO MONITOR THE SUCCESS OF THE SYSTEM IN CONTROLLING HEALTHCARE COSTS AND THE CONTINUANCE OF THE WAIVER ITSELF: 1. REVENUE GROWTH PER CAPITA 2. MEDICARE HOSPITAL REVENUE PER BENEFICIARY 3. MEDICARE ALL PROVIDER REVENUE GROWTH PER BENEFICIARY 4. MEDICARE READMISSION RATES 5. HOSPITAL ACQUIRED CONDITION RATE BECAUSE OF THIS SYSTEM, THE HOSPITAL IS UNABLE TO ESTIMATE HOW MUCH OF THE AMOUNT REPORTED IN LINE 2 IS ATTRIBUTED TO PATIENTS WHO WOULD APPLY UNDER THE FAP.
FOOTNOTE FOR BAD DEBT EXPENSE IN AUDITED FINANCIAL STATEMENTS	SCHEDULE H, PART III, LINE 4 THE CORPORATION RECORDS REVENUES AND ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT THEIR ESTIMATED NET REALIZABLE VALUE. REVENUE IS REDUCED FOR ANTICIPATED DISCOUNTS UNDER CONTRACTUAL ARRANGEMENTS AND FOR CHARITY CARE. AN ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED BASED UPON ANTICIPATED UNCOMPENSATED CARE, AND IS ADJUSTED AS ADDITIONAL INFORMATION BECOMES AVAILABLE. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART III, LINE 8 THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO.
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, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE PATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT. ACCOUNT.
COMMUNITY HEALTH CARE NEEDS ASSESSMENT (CHNA)	SCHEDULE H, PART VI, LINE 2 IN 2016, DIMENSIONS HEALTHCARE SYSTEM (DHS) PARTICIPATED IN A JOINT CHNA PROCESS, LED BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT ("HEALTH DEPARTMENT"), TO DESIGN AND PRODUCE A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA STAKEHOLDERS ENGAGED IN A COLLABORATIVE PROCESS TO CONDUCT A COMPREHENSIVE CHNA PROCESS IN PRINCE GEORGE'S COUNTY, MARYLAND THAT COMPLIES WITH THE CHNA REQUIREMENTS AS SET FORTH BY THE INTERNAL REVENUE CODE AND PUBLIC HEALTH DEPARTMENT CERTIFICATION REQUIREMENTS. THE PROCESS INVOLVED THE COLLECTION AND ANALYSIS OF VALID DATA (QUANTITATIVE AND QUALITATIVE) TO ASCERTAIN RESIDENTS' HEALTH STATUS, IDENTIFY TRENDS IN HEALTH PROBLEMS, AS WELL AS THE SOCIAL AND ECONOMIC DETERMINANTS IMPACTING THE HEALTH OF PRINCE GEORGE'S COUNTY RESIDENTS. A WRITTEN REPORT OF THE CHNA PROCESS AND FINDINGS WAS PREPARED AND PRESENTED TO THE HEALTH DEPARTMENT AND HOSPITALS. THE REPORT INCLUDED RECOMMENDATIONS TO ADDRESS HEALTH NEED AND OTHER AREAS OF CONCERN TO THE HEALTH DEPARTMENT AND COUNTY-BASED HOSPITALS, BASED ON THE CHNA FINDINGS. RECOMMENDATIONS INCLUDE PUBLIC HEALTH POLICY, PROCESSES, PROGRAMS OR INTERVENTIONS. THE JOINT CHNA ASSESSED AND IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS IN THE COUNTY. ALTHOUGH THE JOINT CHNA ENCOMPASSED THE NEEDS OF THE COUNTY'S HOSPITALS AS A WHOLE IT WAS NOT A SERIES OF HOSPITAL-SPECIFIC NEEDS ASSESSMENTS. THE ASSESSMENT UTILIZED QUANTITATIVE AND QUALITATIVE DATA, AS AVAILABLE. THE JOINT COUNTY-WIDE CHNA PROVIDES REQUIRED DATA AND INFORMATION FOR THE HOSPITALS TO USE. EACH HOSPITAL IS RESPONSIBLE FOR USING THE CHNA TO: 1) IDENTIFY THEIR OWN GEOGRAPHICAL PRIORITY ISSUES; 2) DEVELOP AND IMPLEMENT STRATEGIES AND ACTION PLANS FOR EACH PRIORITY ISSUE, AND 3) ESTABLISH ACCOUNTABILITY TO ENSURE MEASURABLE HEALTH IMPROVEMENT. IT IS BELIEVED THE PROPOSED COMMUNITY INVOLVEMENT IN THE COUNTY-WIDE CHNA PROCESS WILL MEET THE REQUIREMENTS OF THE INTERNAL REVENUE SERVICE (IRS) FOR CHNA FOR THE HOSPITALS, INCLUDING IMPLEMENTATION PLANS THAT OUTLINE THE HOSPITALS' APPROACHES TO ADDRESSING THE NEEDS IDENTIFIED IN THE JOINT CHNA. PGHC'S MANAGEMENT ACTIVELY SOLICITS INFORMATION FROM THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY-BASED ORGANIZATIONS TO ASSESS HEALTH NEEDS IN THE COMMUNITY. PGHC REPRESENTATIVES SERVE AS MEMBERS ON A VARIETY OF HEALTHCARE FOCUSED COMMUNITY ORGANIZATIONS AND PROVIDE STAFF EXPERTISE AND OTHER RESOURCES, INCLUDING HOSTING MEETINGS AT OUR FACILITIES, AND THE PROVISION OF HEALTH SCREENING SERVICES AT LOCAL COMMUNITY EVENTS. SOME OF THESE ORGANIZATIONS INCLUDE: -PRINCE GEORGE'S HEALTH ENTERPRISE ZONE -PRINCE GEORGE COUNTY HEALTH DEPARTMENT COMMUNITY CARE COORDINATION TEAM -TOTALLY LINKING CARE MARYLAND COALITION -HEALTH ACTION FORUM OF PRINCE GEORGE'S COUNTY -PRINCE GEORGE'S HEALTHCARE ACTION COALITION -NATIONAL CAPITAL AREA BREAST HEALTH QUALITY CONSORTIUM -THE PRINCE GEORGE'S COUNTY LOCAL HEALTH DISPARITIES COMMITTEE -THE HEALTH EMPOWERMENT NETWORK OF MARYLAND, INC. (HENM) - A COMMUNITY BASED ORGANIZATION MADE UP OF PARTNERS SUCH AS THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, UNIVERSITY OF MARYLAND PREVENTION RESOURCE CENTER, PRINCE GEORGE'S COUNTY AREA AGENCY ON AGING, DEPARTMENT OF HEALTH AND MENTAL HYGIENE, INTEGRITY HEALTH PARTNERS AND THE CITY OF SEAT PLEASANT, AMONG OTHERS -PRIMARY CARE COALITION OF MONTGOMERY COUNTY -SUSAN G. KOMEN FOUNDATION
ELIGIBILITY EDUCATION & FINANCIAL ASSISTANCE	SCHEDULE H, PART VI, LINE 3 DHC 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 -THE ORGANIZATION'S WEBSITE -PATIENT HANDBOOK DISTRIBUTED TO ALL PATIENTS -BROCHURES EXPLAINING FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN ALL PATIENT CARE AREAS -PATIENT PLAIN LANGUAGE SHEETS (AVAILABLE IN ENGLISH, AS WELL AS LANGUAGES SPOKEN BY UMMS PATIENTS WITH LIMITED ENGLISH PROFICIENCY) -APPEARING IN PRINT MEDIA THROUGH LOCAL NEWSPAPERS
DESCRIPTION OF COMMUNITY SERVED	SCHEDULE H, PART VI, LINE 4 DHS IS THE LARGEST NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES IN PRINCE GEORGE'S COUNTY. ADDITIONAL COUNTIES AND AREAS SERVED INCLUDE ANNE ARUNDEL, HOWARD, AND MONTGOMERY COUNTIES AND THE DISTRICT OF COLUMBIA. DHS HOSPITALS' PRIMARY COVERAGE AREA IS PRINCE GEORGE'S COUNTY. THE POPULATION ESTIMATE FOR PRINCE GEORGES COUNTY IN 2015 WAS 919,417. IN PRINCE GEORGES COUNTY, THE MEDIAN HOUSEHOLD INCOME WAS $72,290 WHICH IS LOWER THAN MARYLAND ($73,971), AND THE PERCENTAGE OF PERSONS BELOW POVERTY LEVEL WAS 10%. OF THE COUNTIES AND AREAS SERVED, PRINCE GEORGES COUNTY HAS THE HIGHEST PERCENTAGE OF HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LINE AS WELL AS THE HIGHEST MORTALITY RATE (720.3/100,000). FOR EACH OF THE COUNTIES AND AREAS COMPRISING THE SERVICE AREA, 11% OF THE POPULATION IS 65 YEARS OF AGE OF OLDER. FROM 2010-2014, 16,585 DEATHS OCCURRED TO PRINCE GEORGE'S COUNTY RESIDENTS. THE LEADING TWO CAUSES OF DEATH, HEART DISEASE AND CANCER, ACCOUNT FOR HALF OF ALL RESIDENT DEATHS. OVERALL, THE AGE-ADJUSTED DEATH RATE FOR THE COUNTY IS HIGHER THAN MARYLAND, BUT LOWER THAN THE U.S. FOR 2012-2014. FOR THE LEADING CAUSES OF DEATH, THE COUNTY'S AGE-ADJUSTED MORTALITY RATES ARE HIGHER THAN MARYLAND AND THE U.S. FOR HEART DISEASE, CANCER, STROKE, DIABETES, SEPTICEMIA, NEPHRITIS, HOMICIDE, HYPERTENSION, AND PERINATAL CONDITIONS. ACCESS TO QUALITY, COMPREHENSIVE HEALTH CARE SERVICES LEADS TO AN OVERALL BETTER QUALITY OF LIFE THROUGH PREVENTION AND TIMELY TREATMENT FOR HEALTH ISSUES. THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT HAS RESULTED IN AN INCREASE OF COUNTY RESIDENTS WITH HEALTH INSURANCE, WHICH IS A KEY COMPONENT TO ACCESSING CARE; HOWEVER, THE RESULTS ARE STILL BEING COLLECTED AND WILL BE REFLECTED STARTING IN 2015 DATA. ACCESS TO CARE GOES BEYOND INSURANCE, AND INCLUDES PROVIDER PROXIMITY, ABILITY TO GET AN APPOINTMENT WITH A MEDICAL PROVIDER, TRANSPORTATION, AND ABILITY TO PAY CO-PAYS OR FEES. PRINCE GEORGES COUNTY ADULTS WITH HEALTH INSURANCE IN 2014 IS 82.5%, LOWER THAN MARYLAND (89%), AND CHILDREN WITH HEALTH INSURANCE IN 2014 IS 94.6%, ALSO LOWER THAN MARYLAND (96.8%), IN LIGHT OF THE COUNTY'S HIGH UNINSURED OR UNDERINSURED POPULATION THAT PAYS LITTLE TO NO REIMBURSEMENT FOR SERVICES RECEIVED, THE COUNTY'S LEVEL OF PRIVATE-PRACTICE PRIMARY CARE DOCTORS AND PRIMARY CARE CLINICS HAS NOT KEPT PACE WITH THE HEALTH CARE NEEDS OF COUNTY RESIDENTS. THE CAPACITY OF COMMUNITY-BASED CARE, INCLUDING SAFETY-NET CLINICS, REMAINS SEVERELY LIMITED. THIS LACK OF PRIMARY CARE SERVICES AND PATIENT "MEDICAL HOMES" HAS RESULTED IN AN INCREASE USE OF THE HOSPITAL'S EMERGENCY DEPARTMENTS AND OTHER SPECIALTY HEALTH CARE SERVICES. COMMUNITY CHALLENGES & HEALTH STATISTICS: DESPITE THE HIGHER THAN AVERAGE MEDIAN HOUSEHOLD INCOME, EDUCATIONAL ATTAINMENT, AND PERCENTAGE OF INDIVIDUALS IN THE WORK FORCE REPRESENTED BY PRINCE GEORGIANS IN COMPARISON WITH NATIONAL FIGURES, THE COUNTY DOES CONTAIN SEVERAL POCKETS OF LOW SOCIOECONOMIC STATUS. ISSUES SUCH AS DIABETES MORTALITY, HEART DISEASE, HYPERTENSION, STROKE, AND DEATHS FROM BREAST, COLORECTAL AND PROSTATE CANCERS, HIV AND INFANT MORTALITY ALL REPRESENT SIGNIFICANT HEALTH CHALLENGES FOR COMMUNITY MEMBERS. FURTHERMORE, PERSISTENT DISPARITIES IN MORTALITY AND HEALTH STATUS FOR SEVERAL HEALTH INDICES ARE SEEN IN VARIOUS RACIAL AND ETHNIC POPULATIONS. THE RACIAL AND ETHNIC MINORITIES ARE APPROXIMATELY 2/3 OF PRINCE GEORGES COUNTY MEDICAID BENEFICIARIES. COUNTY AND MARYLAND STATE HEALTH STATISTICS ARE SIMILAR TO NATIONAL TRENDS REGARDING THE STATUS OF MINORITY HEALTH.
PROMOTING THE HEALTH OF THE COMMUNITY	SCHEDULE H, PART VI, LINE 5 DHC MAINTAINS CLINICAL AFFILIATION AGREEMENTS WITH AND SUPPORTS CLINICAL PLACEMENTS FOR BOTH NURSING AND ANCILLARY PROGRAMS IN AND OUT OF STATE. IN ADDITION, WITH STATE SUPPORT, DHC PARTICIPATES IN THE NSP II GRANT WHICH IS A PARTNERSHIP DESIGNED TO PROMOTE BSN AND MSN COMPLETION FOR RNS. IN TERMS OF COMMUNITY-BASED MENTORING, DHC STAFF MEMBERS PARTICIPATE ON A SMALL SCALE IN CAREER DAYS AT LOCAL COUNTY SCHOOLS. IN 2014, DHC PARTNERED WITH PRINCE GEORGE'S COUNTY ECONOMIC DEVELOPMENT CORPORATION, PRINCE GEORGE'S COUNTY SCHOOL SYSTEM AND LOCKHEED MARTIN ON A SUCCESSFUL APPLICATION FOR A FEDERAL GRANT TO SUPPORT YOUTH CAREER DEVELOPMENT. UNDER THE YOUTH CAREERCONNECT GRANT, OVER A FOUR YEAR PERIOD DIMENSIONS WILL WORK WITH THE HEALTH CARE ACADEMY AT BLADENSBURG HIGH SCHOOL TO PROVIDE MENTORING FOR STUDENTS AND TEACHERS, INTERNSHIPS AND EDUCATIONAL OPPORTUNITIES FOR STUDENTS INTERESTED IN CAREERS IN HEALTH CARE. DHC HAS ESTABLISHED COLLABORATIONS WITH SUCH ORGANIZATIONS AS THE PRINCE GEORGE'S COUNTY (MARYLAND) HEALTH ACTION FORUM AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT. THE PURPOSE OF THE COLLABORATIONS IS TO WORK COLLECTIVELY TO DEVELOP CARE MODELS AND RELATIONSHIPS THAT FACILITATE QUALITY AND COST EFFECTIVE CARE FOR RESIDENTS IN THE COMMUNITIES SERVED BY DHC'S FACILITIES AND PROGRAMS. DHC CONTINUES TO WORK WITH COMMUNITY PARTNERS TO DEVELOP PLANS AND PROGRAM DESIGNED TO PROVIDE COMMUNITY-BASED HEALTH SERVICES AND EXPAND ACCESS TO AN OPTIMAL RANGE OF HEALTH RELATED SERVICES THAT WILL IMPROVE COMMUNITY HEALTH STATUS. DHC HAS PARTNERED ON THE DEVELOPMENT OF THE PRINCE GEORGE'S COUNTY HEALTH ENTERPRISE ZONE, IT FACILITATES ACCESS TO CARE BY PROVIDING FREE CLINICAL SUPPORT SERVICES TO FQHCS AND COMMUNITY ORGANIZATIONS THAT SERVE INDIVIDUALS WHO OTHERWISE WOULD NOT HAVE ACCESS TO CARE. DHC'S FOCUS ON COMMUNITY HEALTH NEEDS ALSO INCLUDED THE DISTRIBUTION OF IMPROVED HEALTH INFORMATION. AS IN PRIOR YEARS, DHC ALSO PROVIDED A NUMBER OF HEALTH FAIRS, HEALTH EMPLOYEE INTERNSHIPS, AND OTHER PROGRAMS TO PROMOTE HEALTH IN THE SURROUNDING COMMUNITIES. DHC PROVIDES A BROAD ARRAY OF INPATIENT AND COMMUNITY BASED SERVICES TO RESIDENTS IN THE METROPOLITAN REGION. THE SYSTEM OPERATES SEVERAL FACILITIES, INCLUDING TWO ACUTE CARE HOSPITALS. ALL PHYSICIANS LICENSED IN THE STATE OF MARYLAND WHO MEET THE FACILITY BYLAW REQUIREMENTS ARE ELIGIBLE TO APPLY FOR PRIVILEGES AT THE TWO ACUTE CARE HOSPITALS, PGHC AND LRH. ALTHOUGH PGHC HAS ONE OF THE LARGEST POPULATIONS OF UNINSURED PATIENTS IN THE STATE, WE BELIEVE THAT ALL PATIENTS SHOULD RECEIVE THE HIGHEST LEVEL OF CARE REGARDLESS OF ECONOMIC STANDING. THIS GOAL CAN ONLY BE ACHIEVED WITH EXPERIENCED SPECIALIST PHYSICIANS CARING FOR ALL OF OUR PATIENTS, EVEN WHEN SO MANY OF OUR PATIENTS CANNOT AFFORD TO PAY. TO OVERCOME THIS FORMIDABLE DILEMMA, WE REIMBURSE PHYSICIANS FOR BAD DEBTS INCURRED BY THE PHYSICIANS CARING FOR HOSPITAL PATIENTS, SO THE "GAP" EXISTS IN THE HOSPITAL'S PROFITS BUT NOT IN PATIENT CARE. IN PARTICULAR, WE ARE NOT REIMBURSED FROM THE HSCRC ALL-PAYOR SYSTEM FOR THESE PHYSICIAN SUBSIDY PAYMENTS. WE HAVE ALSO IDENTIFIED SEVERAL HEALTH-RELATED TRENDS, NEEDS, AND PROBLEMS FACING OUR POPULATION, INCLUDING ACCESS TO SPECIALTY CARE, MATERNAL AND CHILD HEALTH, ETC. THE ORGANIZATION'S STRATEGIES FOR ADDRESSING THESE ISSUES INCLUDE PROVIDING CLASSES, SEMINARS, SCREENING AND HEALTH SERVICES, DIABETES EDUCATION, CPR, ACLS, PREEMIE SUPPORT GROUP, SMOKING CESSATION PRESENTATIONS, PROVIDE FLU SHOTS TO THE PUBLIC, PROVIDE BLOOD PRESSURE SCREENINGS TO LOCAL CHURCHES. PRHC AND LRH HAVE PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO INCREASE THEIR CAPACITY TO PROVIDE SERVICES TO THE COMMUNITY. THIS INCLUDES: PROVIDING VARIOUS FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) SITES IN PRINCE GEORGE'S COUNTY WITH ADDITIONAL HEALTHCARE PROVIDERS TO FACILITATE ACCESS TO SUB-SPECIALTY SERVICES FOR UNINSURED AND UNDERINSURED RESIDENTS. WE ARE ALSO PROUD TO PARTNER WITH OUTREACH GROUPS SUCH AS ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, AND PARKINSON'S SUPPORT GROUP. THE HOSPITALS HAVE ALSO WORKED WITH LOCAL AND STATE HEALTH OFFICIALS TO DEVELOP THE PRINCE GEORGE'S COUNTY AND THE STATE HEALTH IMPROVEMENT PLANS AND CONTINUES TO WORK CLOSELY WITH THE HEALTH DEPARTMENT TO IMPLEMENT PROGRAMS THAT ADDRESS THE HEALTH PLAN GOALS. PGHC AND LRH ARE IMPROVING AND ADAPTING CURRENT HEALTH PROGRAMS INTO SUSTAINABLE COMMUNITY-BASED PROGRAMS TO IMPACT THE OVERALL HEALTH AND WELLNESS OF THE COMMUNITY IN A POSITIVE WAY. THIS SERVICE EXPANSION AND ADAPTATION IS BEING ACHIEVED THROUGH COLLABORATIVE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AS WELL AS STATE AND LOCAL HEALTH AGENCIES.
AFFILIATED HEALTH CARE SYSTEM ROLES	SCHEDULE H, PART VI, LINE 6 DHC IS A PRIVATE, NOT-FOR-PROFIT CORPORATION PROVIDING COMPREHENSIVE HEALTHCARE SERVICES THROUGH AN INTEGRATED REGIONAL NETWORK OF HOSPITALS AND RELATED CLINICAL ENTERPRISES. UMMS WAS CREATED IN 1984 WHEN ITS FOUNDING HOSPITAL WAS PRIVATIZED BY THE STATE OF MARYLAND. OVER ITS 30-YEAR HISTORY, UMMS EVOLVED INTO A MULTI-HOSPITAL SYSTEM WITH ACADEMIC, COMMUNITY AND SPECIALTY SERVICE MISSIONS REACHING PRIMARILY ACROSS MARYLAND. AS PART OF THE UMMS SYSTEM, DHC UNDERSTANDS THAT HEALTH CARE GOES BEYOND THE WALLS OF THE HOSPITAL AND INTO THE COMMUNITY IT SERVES. UMMS HOSPITALS ARE COMMITTED TO STRENGTHENING THEIR NEIGHBORING COMMUNITIES. IN DOING SO, DHC ASSESSES THE COMMUNITY'S HEALTH NEEDS, IDENTIFIES KEY PRIORITIES, AND RESPONDS WITH SERVICES, PROGRAMS AND INITIATIVES WHICH MAKE A POSITIVE, SUSTAINED IMPACT ON THE HEALTH OF THE COMMUNITY. WITH REPRESENTATION FROM ALL UMMS HOSPITALS, THE MEDICAL SYSTEMS COMMUNITY HEALTH IMPROVEMENT COUNCIL COORDINATES THE EFFECTIVE AND EFFICIENT UTILIZATION AND DEPLOYMENT OF RESOURCES FOR COMMUNITY-BASED ACTIVITIES AND EVALUATES HOW SERVICES AND ACTIVITIES MEET TARGETED COMMUNITY NEEDS WITHIN DEFINED GEOGRAPHIC AREAS. DHC IS COMMITTED TO HEALTH EDUCATION, ADVOCACY, COMMUNITY PARTNERSHIPS, AND ENGAGING PROGRAMS WHICH FOCUS ON HEALTH AND WELLNESS WITH THE GOAL OF ELIMINATING HEALTH CARE DISPARITIES IN PRINCE GEORGES COUNTY AND THE GREATER SOUTHERN MARYLAND REGION.
STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VI, LINE 7 AS REQUIRED BY MARYLAND STATUTE FOR ALL HOSPITALS, DHC FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) BY DECEMBER 15TH EACH YEAR.

Schedule H (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Dimensions Health Corporation

Employer identification number

52-1289729

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 on 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 .........

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 on Line 1a? ..

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

Yes

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

Yes

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

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

Only 501(c)(3), 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 nonfixed
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) 2019

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)
1William Brosius Treasurer	(i) (ii)	0 ------------- 150,698	0 ------------- 20,000	0 ------------- 26,191	0 ------------- 18,277	0 ------------- 2,402	0 ------------- 217,568	0 ------------- 0
2Megan Arthur Secretary	(i) (ii)	0 ------------- 470,269	0 ------------- 174,828	0 ------------- 78,920	0 ------------- 10,800	0 ------------- 15,440	0 ------------- 750,257	0 ------------- 0
3John W Ashworth III Director	(i) (ii)	0 ------------- 597,242	0 ------------- 128,170	0 ------------- 97,267	0 ------------- 10,800	0 ------------- 25,714	0 ------------- 859,193	0 ------------- 0
4Robert A Chrencik President and CEO - UMMS	(i) (ii)	0 ------------- 1,318,061	0 ------------- 995,265	0 ------------- 276,702	0 ------------- 10,800	0 ------------- 14,219	0 ------------- 2,615,047	0 ------------- 0
5Henry J Franey Director	(i) (ii)	0 ------------- 873,195	0 ------------- 395,891	0 ------------- 233,820	0 ------------- 10,800	0 ------------- 11,824	0 ------------- 1,525,530	0 ------------- 0
6Neil Moore President and CEO	(i) (ii)	648,835 ------------- 0	361,750 ------------- 0	5,053 ------------- 0	24,000 ------------- 0	18,449 ------------- 0	1,058,087 ------------- 0	0 ------------- 0
7Kanwaljit Singh Taneja Former Chief Operating Officer	(i) (ii)	84,075 ------------- 0	0 ------------- 0	265,370 ------------- 0	0 ------------- 0	16,246 ------------- 0	365,691 ------------- 0	0 ------------- 0
8Sherry Perkins EVP and COO	(i) (ii)	201,964 ------------- 409,142	51,058 ------------- 270,000	1,474 ------------- 7,468	7,268 ------------- 64,692	3,294 ------------- 948	265,058 ------------- 752,250	0 ------------- 0
9Carnell Cooper VP Medical Affairs & CMO	(i) (ii)	253,088 ------------- 0	0 ------------- 0	182,184 ------------- 0	18,339 ------------- 0	27,342 ------------- 0	480,953 ------------- 0	0 ------------- 0
10Trudy Hall VP Medical Affairs	(i) (ii)	347,025 ------------- 0	100,800 ------------- 0	3,253 ------------- 0	0 ------------- 0	30,689 ------------- 0	481,767 ------------- 0	0 ------------- 0
11Jeffrey Johnson SVP Strategic Planning	(i) (ii)	223,664 ------------- 0	67,200 ------------- 0	3,944 ------------- 0	18,000 ------------- 0	10,128 ------------- 0	322,936 ------------- 0	0 ------------- 0
12Ronald Laxton Senior VP Clin Svcs	(i) (ii)	360,600 ------------- 0	134,000 ------------- 0	6,583 ------------- 0	24,000 ------------- 0	9,113 ------------- 0	534,296 ------------- 0	0 ------------- 0
13Theophilus Botwe Physician Advisor	(i) (ii)	245,870 ------------- 0	0 ------------- 0	684 ------------- 0	0 ------------- 0	1,048 ------------- 0	247,602 ------------- 0	0 ------------- 0
14Eslanda Dasher Deputy General Counsel	(i) (ii)	223,094 ------------- 0	40,410 ------------- 0	35,078 ------------- 0	24,000 ------------- 0	2,683 ------------- 0	325,265 ------------- 0	0 ------------- 0
15Michael Jacobs Executive Director	(i) (ii)	218,598 ------------- 0	32,045 ------------- 0	3,866 ------------- 0	14,615 ------------- 0	29,409 ------------- 0	298,533 ------------- 0	0 ------------- 0
16Michael King VP Reimbursement Svcs	(i) (ii)	205,743 ------------- 0	0 ------------- 0	44,479 ------------- 0	23,498 ------------- 0	16,670 ------------- 0	290,390 ------------- 0	0 ------------- 0
17Tiffany Sullivan VP Comm Population Health	(i) (ii)	180,315 ------------- 0	52,802 ------------- 0	1,472 ------------- 0	11,232 ------------- 0	26,612 ------------- 0	272,433 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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
SEVERANCE AND CHANGE OF CONTROL PAYMENTS	SCHEDULE J, PART I, LINE 4A DURING THE FISCAL YEAR ENDED JUNE 30, 2018, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTABLE AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUAL AND AMOUNTS ARE LISTED BELOW: CARNELL COOPER $177,795 KANWALJIT SINGH TANEJA $265,370
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B DURING THE FISCAL YEAR-ENDED JUNE 30, 2018, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION: ROBERT A. CHRENCIK HENRY J. FRANEY JOHN W. ASHWORTH III MEGAN ARTHUR DURING THE FISCAL YEAR ENDED JUNE 30, 2018, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN (C), RETIREMENT AND OTHER DEFERRED COMPENSATION. SHERRY PERKINS WILLIAM BROSIUS
NON-FIXED PAYMENTS	SCHEDULE J, PART I, LINE 7 BONUSES PAID ARE BASED ON A NUMBER OF VARIABLE INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGAINZATION 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) 2019

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

Dimensions Health Corporation

Employer identification number

52-1289729

Return Reference	Explanation
MISSION STATEMENT	FORM 990, PART I, LINE 1 OUR STATED MISSION IS TO PROVIDE HIGH QUALITY, EFFICIENT HEALTHCARE SERVICES TO PRESERVE, RESTORE AND IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THIS MISSION IS PURSUED IN COLLABORATION WITH OUR RELATED ORGANIZATIONS. WE URGE THOSE INTERESTED TO ACCESS MORE DETAILED AND COMPLETE INFORMATION AT WWW.DIMENSIONSHEALTH.ORG TAX EXEMPT BOND ISSUE PART IV, LINE 24A PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (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, ROI, UM MIDTOWN, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, UM CHARLES REGIONAL, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM PRICE GEORGE'S, BOWIE HEALTH CENTER (BOWIE), AND THE UMMS FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,745,628,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2018. 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. VOTING MEMBERS WHO ARE INDEPENDENT FORM 990, PART VI, LINE 1B UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS THE SOLE MEMBER OF DIMENSIONS HEALTH CORPORATION (DHC), A 501(C)(3) TAX-EXEMPT ORGANIZATION. A MAJORITY OF VOTING MEMBERS OF THE BOARD OF UMMS ARE INDEPENDENT. CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 On 9/1/2017, DHC and its affiliates were acquired by UMMS. UMMS became the sole member of DHC and has ultimate control of all affiliates as of the date of acquisition. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINES 6, 7A, AND 7B THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS THE SOLE MEMBER OF DIMENSIONS HEALTH CORPORATION. UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11B UMMS ENGAGES THE ACCOUNTING FIRM GRANT THORNTON TO PREPARE AND REVIEW THE IRS FORM 990 FOR UMMS AND ITS AFFILIATES. INFORMATION NEEDED TO COMPLETE THE RETURN IS GATHERED BY ACCOUNTING PERSONNEL IN THE FINANCE SHARED SERVICES DEPARTMENT UNDER THE SUPERVISION OF THE UMMS TAX DIRECTOR AND PROVIDED TO GRANT THORNTON. ONCE A DRAFT RETURN IS PREPARED, IT UNDERGOES MULTIPLE LEVELS OF REVIEW BOTH INTERNALLY BY UMMS TAX & FINANCE PERSONNEL, AND EXTERNALLY BY GRANT THORNTON, INCLUDING AT THE PARTNER LEVEL. FOLLOWING ANY NECESSARY CHANGES TO THE RETURN, A FINAL DRAFT IS REVIEWED BY EACH AFFILIATES VICE PRESIDENT OF FINANCE AND/OR CFO. 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. ALL BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT	FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S OFFICERS, DIRECTORS 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 OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF UMMS REVIEWS THE RESPONSES FOR UMMS AND CERTAIN OTHER AFFILIATES. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UMMS SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED. WITH RESPECT TO THE OTHER ENTITIES IN THE UMMS SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINES 15A AND 15B THE ORGANIZATION HAS ADOPTED A PROCESS FOR DETERMINING EXECUTIVE COMPENSATION THAT COVERS THE ORGANIZATION AND ITS SUBSIDIARIES. THE ORGANIZATION UTILIZES A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AN APPROVAL BY BOARD/COMPENSATION COMMITTEE AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS. IN ADDITION, DHC HAS A PROCESS IN PLACE TO ENSURE THE COMPENSATION PAID TO EMPLOYED PHYSICIANS IS NOT GREATER THAN FAIR MARKET VALUE, WHICH COVERS DHC AND ITS AFFILIATES. IN PARTICULAR, COMPENSATION SURVEYS ARE REGULARLY CONSULTED AND EACH PHYSICIAN CONTRACT IS APPROVED BY DHC COUNSEL, DHC CEO, AND DHC CFO.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC	FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATES OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATIONS OR AFFILIATES WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM.
HOURS ON RELATED ENTITIES	FORM 990, PART VII, SECTION A, COLUMN B UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 13 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.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 LRH CONTRIBUTED ASSETS $ 24,184,000 FY18 PENSION ADJ TO ACTUARY $ 19,852,878 RECLASS CERTIFICATE OF NEED $ 2,000,000 med. Mal. Pre-acquisition adj. $ 1,850,162 OTHER $ (10,000) RETURN FUNDS TO GRANTOR $ (29,385) CHANGE IN ECON INT FND $ (210,226) NET ASSETS RELEASED (OP SUPT) $ (634,211) INVESTMENT IN AFFILIATE $ (5,577,365) PENSION ADJUSTMENT TO ACTUARY REPORT $ (10,657,937) BEGINING BALANCE VALUATION ADJUSTMENT $ (14,989,530) EQUITY TRANSFER $ (23,988,297) -------------- TOTAL OTHER CHANGES IN NET ASSETS $ (8,209,911) ==============
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:41864242
FORM 990 PART IX LINE 11G	DESCRIPTION:CORPORATE ALLOCATION TOTAL FEES:36100195
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN CONTRACT TOTAL FEES:21293418
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:714195

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Dimensions Health Corporation

Employer identification number

52-1289729

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)	12A	BWHS		No
(2)Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie,MD21061 52-1830243	Healthcare	MD	501(c)(3)	12A	UMBWMS		No
(3)Baltimore Washington Medical Center Inc 301 Hospital Drive Glen Burnie,MD21061 52-0689917	Healthcare	MD	501(c)(3)	3	UMBWMS		No
(4)UM Baltimore Washington Medical System 301 Hospital Drive Glen Burnie,MD21061 52-1830242	Healthcare	MD	501(c)(3)	12A	UMMSC		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)	12A	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)	10	UMSRH		No
(11)Maryland General Clinical Practice Group 827 Linden Avenue Baltimore,MD21201 52-1566211	Healthcare	MD	501(c)(3)	12B	UMMTH		No
(12)University of Maryland Midtown Health I 827 Linden Avenue Baltimore,MD21201 52-1175337	Healthcare	MD	501(c)(3)	12B	UMMSC		No
(13)Maryland General Hospital Inc 827 Linden Avenue Baltimore,MD21201 52-0591667	Healthcare	MD	501(c)(3)	3	UMMTH		No
(14)Care Health Services Inc 219 South Washington Street Easton,MD21601 52-1510269	Healthcare	MD	501(c)(3)	10	SHS		No
(15)Memorial Hospital Foundation Inc 219 South Washington Street Easton,MD21601 52-1282080	Fundraising	MD	501(c)(3)	12A	SHS		No
(16)Shore Health System Inc 219 South Washington Street Easton,MD21601 52-0610538	Healthcare	MD	501(c)(3)	3	UMSRH		No
(17)University of Maryland Community Medical 22 South Greene Street Baltimore,MD21201 52-1874111	Healthcare	MD	501(c)(3)	3	UMMSC		No
(18)James Lawrence Kernan Hospital Inc 2200 Kernan Drive Baltimore,MD21207 52-0591639	Healthcare	MD	501(c)(3)	3	UMMSC		No
(19)UMMS Foundation Inc 22 South Greene Street Baltimore,MD21201 52-2238893	Fundraising	MD	501(c)(3)	12A	UMMSC		No
(20)University of MD Medical System Corp 22 South Greene Street Baltimore,MD21201 52-1362793	Healthcare	MD	501(c)(3)	3	NA		No
(21)University of Maryland Charles Regional PO Box 1070 La Plata,MD20646 52-2155576	Healthcare	MD	501(c)(3)	12C	UMMSC		No
(22)Civista Medical Center Inc PO Box 1070 La Plata,MD20646 52-0445374	Healthcare	MD	501(c)(3)	3	UMCRH		No
(23)Charles Regional Medical Center Foundati PO Box 1070 La Plata,MD20646 52-1414564	Fundraising	MD	501(c)(3)	12A	UMCRH		No
(24)Charles Regional Medical Center Auxiliar PO Box 1070 La Plata,MD20646 52-1131193	Fundraising	MD	501(c)(3)	12A	UMCRH		No
(25)Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson,MD21204 52-1681044	Fundraising	MD	501(c)(3)	12A	UMSJHS		No
(26)UMSJ Health System LLC 7601 Osler Drive Towson,MD21204 46-2097818	Healthcare	MD	501(c)(3)	3	UMMSC		No
(27)Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-0591484	Healthcare	MD	501(c)(3)	3	UMUCHS		No
(28)UM Upper Chesapeake Health System Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1398513	Healthcare	MD	501(c)(3)	12C; III-FI	UMMSC		No
(29)Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1398507	Fundraising	MD	501(c)(3)	12A	UMUCHS		No
(30)Upper Chesapeake Medical Center Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1253920	Healthcare	MD	501(c)(3)	3	UMUCHS		No
(31)Upper Chesapeake Medical Services Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1501734	Healthcare	MD	501(c)(3)	10	UMUCHS		No
(32)Upper Chesapeake Properties Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-1907237	Real Estate	MD	501(c)(2)		UMUCHS		No
(33)Upper Ches Residential Hospice House In 520 Upper Chesapeake Dr Bel Air,MD21014 26-0737028	Hospice	MD	501(c)(3)	7	UMUCHS		No
(34)Upper ChesapeakeSt Joseph Home Care I 520 Upper Chesapeake Dr Bel Air,MD21014 52-1229742	Home Care	MD	501(c)(3)	10	UMUCHS		No
(35)Dimensions Healthcare Associates 3001 Hospital Drive Cheverly,MD20785 52-1902711	Healthcare	MD	501(c)(3)	12A	UMCAPRH		No
(36)UM Capital Region Health Inc 250 W Pratt St Ste 2400 Baltimore,MD21201 82-3596114	Healthcare	MD	501(c)(3)	12C	UMMSC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	APA Inc
(2) Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie,MD20161 20-0806027	Healthcare	MD	UMBWMS
(3) Universitycare LLC 22 South Greene Street Baltimore,MD21201 52-1914892	Healthcare	MD	UMMSC
(4) O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson,MD21204 52-1682964	Rental	MD	SJMC Prop
(5) Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson,MD21204 52-1958002	Healthcare	MD	UMSJMC
(6) University of Maryland Charles Regional PO Box 1070 LaPlata,MD20646 30-0956382	Healthcare	MD	UMCRCP
(7) Baltimore ASC Ventures LLC 7620 York Road Towson,MD21204 82-4133899	Healthcare	DE	UMSJMC

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	BWHE	C Corp				No
(2) Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie,MD21061 52-1936656	Healthcare	MD	UMBWMS	C Corp				No
(3) BW Professional Services Inc 301 Hospital Drive Glen Burnie,MD21061 52-1655640	Healthcare	MD	BWHE	C Corp				No
(4) NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie,MD21061	Real Estate	MD	NADCO	C Corp				No
(5) UM Charles Regional Care Partners PO Box 1070 La Plata,MD20646 52-2176314	Healthcare	MD	UMCRH	C Corp				No
(6) University Midtown Prof Center A Condo 827 Linden Avenue Baltimore,MD21201 52-1891126	Real Estate	MD	UMMH	C Corp				No
(7) University of Maryland Health Advantage 22 South Greene Street Baltimore,MD21201 46-1411902	Insurance	MD	UMMSHP	C Corp				No
(8) University of Maryland Health Partners 22 South Greene Street Baltimore,MD21201 45-2815803	Insurance	MD	UMMSHP	C Corp				No
(9) University of Maryland Medical System He 22 South Greene Street Baltimore,MD21201 45-2815722	Insurance	MD	UM Hlth Vent	C Corp				No
(10) Upper Chesapeake Insurance Company 520 Upper Chesapeake Dr Bel Air,MD21014 98-0468438	Insurance	MD	UMUCHS	LTD				No
(11) Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air,MD21014 52-2031264	Healthcare	MD	UMUCHS	C Corp				No
(12) Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air,MD21014 77-0674478	Real Estate	MD	UC Med Crt	C Corp				No
(13) Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air,MD21014 52-1946829	Real Estate	MD	UC Hlth Vent	C Corp				No
(14) Shore Orthopedics Inc 219 S Washington Street Easton,MD21601 37-1817262	Healthcare	MD	SHS	C Corp				No
(15) Madison Manor Inc 5801 42nd Ave Hyattsville,MD20781 52-1269059	Healthcare	MD	UMCAPRH	C Corp				No
(16) Affiliated Enterprises Inc 3001 Hospital Drive Cheverly,MD20785 52-1542144	Healthcare	MD	UMCAPRH	C Corp				No
(17) Dimensions Assurance LTD PO Box 1363 Genesis Bldg Grand Cayman CJ 98-0348082	Insurance	CJ	UMMSC	C Corp				No
(18) Riverside Health of Delaware Inc 1966 Greenspring Drive Ste 600 Timonium,MD21093 46-3205820	Healthcare	DE	UMMSHP	C Corp				No
(19) Riverside Health of DC Inc 1966 Greenspring Drive Ste 600 Timonium,MD21093 46-1411713	Healthcare	DC	UMMSHP	C Corp				No

Schedule R (Form 990) 2019

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 .....................

Yes

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

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

Yes

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

Yes

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 ............................

Yes

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

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

Yes

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

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) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OUR STATED MISSION IS TO PROVIDE HIGH QUALITY, EFFICIENT HEALTHCARE SERVICES TO PRESERVE, RESTORE AND IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	2
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	3,507
6	Total number of volunteers (estimate if necessary) .............	6	111
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	22,292
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	19,453

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	47,363,916	50,371,119
9	Program service revenue (Part VIII, line 2g) .........	349,901,509	386,511,598
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	249,321	69,834
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,472,304	3,088,444
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	399,987,050	440,040,995
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)	202,897,973	193,770,734
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)....	167,251,165	230,031,174
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	370,149,138	423,801,908
19	Revenue less expenses. Subtract line 18 from line 12.......	29,837,912	16,239,087
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	221,642,928	214,342,435
21	Total liabilities (Part X, line 26).............	168,964,810	153,635,141
22	Net assets or fund balances. Subtract line 21 from line 20.....	52,678,118	60,707,294

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 372,361,555 including grants of $ 0 ) (Revenue $ 387,439,643 )
	THE MAIN FUNCTION OF THE ORGANIZATION IS TO PROVIDE COMMUNITY BENEFITS THROUGH PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. OUR STATED MISSION IS TO ENHANCE THE HEALTH AND WELLNESS OF OUR PATIENTS AND COMMUNITIES, PROVIDING STATE OF THE ART CLINICAL CARE AND COMMUNITY LEADERSHIP WITH COMPASSION, DIGNITY AND RESPECT.

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 expenses372,361,555

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,586,376	6,523,129	553,351

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	120,930
e	Government grants (contributions)		1e	42,828,493

f	All other contributions, gifts, grants, and similar amounts not included above		1f	7,421,696

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		50,371,119

		Business Code
2a	NET PATIENT REVENUE	900099	386,353,524	386,353,524
b	TRAUMA FEES	900099	158,074	158,074
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		386,511,598

3 Investment income (including dividends, interest, and othersimilar amounts) ......			69,834		22,292	47,542
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		837,828	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	837,828	6c
d	Net rental income or (loss).......			837,828			837,828
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA/MEAL SERVICE/ VENDING		722514	1,127,991			1,127,991
b	PARKING REVENUE		812930	194,580			194,580
c	INSURANCE REFUND		900099	316,714	316,714
d	All other revenue ....			611,331	611,331
e	Total. Add lines 11a–11d ......			2,250,616
12	Total revenue. See instructions.....			440,040,995	387,439,643	22,292	2,207,941

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	3,988,530	435,272	3,553,258
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........	161,359,298	137,155,403	24,203,895
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,946,942	2,504,901	442,041
9	Other employee benefits .......	14,606,938	12,415,897	2,191,041
10	Payroll taxes ...........	10,869,026	9,238,672	1,630,354
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,525,656	1,296,808	228,848
c	Accounting ...........	0
d	Lobbying ...........	19,891		19,891
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	99,972,050	88,170,254	11,801,796
12	Advertising and promotion ....	1,056,103	897,688	158,415
13	Office expenses .......	3,336,217	2,835,784	500,433
14	Information technology ......	6,968,343	5,923,092	1,045,251
15	Royalties ..	0
16	Occupancy ...........	10,575,161	8,988,887	1,586,274
17	Travel ............	304,379	258,722	45,657
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	366,056	311,148	54,908
20	Interest ...........	107,629	91,485	16,144
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	14,831,696	12,606,942	2,224,754
23	Insurance ...	7,976,821	7,874,555	102,266
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	43,202,706	43,202,706
b	BAD DEBT EXPENSE	28,048,005	28,048,005
c	REPAIR/MAINTENANCE	6,950,275	5,907,734	1,042,541
d	EQUIPMENT RENT	1,346,541	1,144,560	201,981
e	All other expenses	3,443,645	3,053,040	390,605
25	Total functional expenses. Add lines 1 through 24e	423,801,908	372,361,555	51,440,353	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 ........			47,703,678	1	55,070,935
2	Savings and temporary cash investments .........			3,933,302	2	1,026,579
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			40,923,484	4	50,741,972
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			5,041,029	8	2,216,264
9	Prepaid expenses and deferred charges ......			6,153,914	9	3,989,771
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	340,109,470
b	Less: accumulated depreciation	10b	249,329,705	83,329,321	10c	90,779,765
11	Investments—publicly traded securities .			10,072,216	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			6,787,591	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			17,698,393	15	10,517,149
16	Total assets. Add lines 1 through 15 (must equal line 33)...			221,642,928	16	214,342,435

17	Accounts payable and accrued expenses .....	61,786,671	17	53,671,887
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		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	107,178,139	25	99,963,254
26	Total liabilities. Add lines 17 through 25..	168,964,810	26	153,635,141

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	52,678,118	32	60,707,294
33	Total liabilities and net assets/fund balances ........	221,642,928	33	214,342,435

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