Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2018 , and ending 06-30-2019
BCheck if applicable:
CName of organization
University of Maryland Medical System Corporation
 
 
Doing business as
University of Maryland Medical Center
 
Number and street (or P.O. box if mail is not delivered to street address)
22 South Greene Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Baltimore, MD21201
D Employer identification number

52-1362793
E Telephone number

G Gross receipts $ 1,858,056,322
F Name and address of principal officer:
MOHAN SUNTHA MD
250 W PRATT ST
BALTIMORE,MD21201
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.UMMS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1984
M State of legal domicile: MD
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE UNVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) PROVIDES A VARIETY OF INPATIENT/ OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 22
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 19
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 12,624
6 Total number of volunteers (estimate if necessary) ............. 6 1,129
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -234,554
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 36,796,513 16,665,793
9 Program service revenue (Part VIII, line 2g) ......... 1,599,469,253 1,712,610,515
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,328,422 11,190,566
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,494,565 7,671,549
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,656,088,753 1,748,138,423
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 498,069 326,115
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) 755,234,772 810,552,136
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 860,466,892 877,925,986
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,616,199,733 1,688,804,237
19 Revenue less expenses. Subtract line 18 from line 12....... 39,889,020 59,334,186
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,501,112,693 4,618,387,071
21 Total liabilities (Part X, line 26)............. 2,536,876,955 2,656,734,883
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,964,235,738 1,961,652,188
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: UMMS PROVIDES A VARIETY OF INPATIENT/OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SERVICES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,468,038,217 including grants of $ 326,115 ) (Revenue $ 1,714,733,827 )
UMMS, A PRIVATE, NON-PROFIT HEALTH SYSTEM, CONSISTS OF 13 HOSPITALS - UMMC, THE ACADEMIC 'HUB' - AND THE 12 COMMUNITY AND SPECIALTY HOSPITALS THROUGHOUT THE STATE OF MARYLAND. UMMC IS A NATIONAL AND REGIONAL REFERRAL CENTER FOR TRAUMA, CANCER CARE, NEUROCARE, CARDIAC CARE AND HEART SURGERY, WOMEN'S AND CHILDREN'S HEALTH AND ORGAN TRANSPLANTS. IT HAS ONE OF THE MOST TECHNOLOGICALLY ADVANCED OPERATING ROOM FACILITIES AND IS INTERNATIONALLY RECOGNIZED FOR ITS LEADERSHIP IN DEVELOPING AND PERFORMING MINIMALLY INVASIVE SURGICAL PROCEDURES. UMMS PROVIDES CHARITY CARE TO PATIENTS UNABLE TO PAY. CHARITY CARE FOR THE YEAR ENDED 6/30/2019 IS APPROXIMATELY $17 MILLION AT COST.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,468,038,217
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
Yes
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................Click to see attachment
25b
Yes
 
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,513
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
12,624
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
22
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
Yes
 
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MD
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletED WUENSCHELL900 ELKRIDGE LANDING ROAD - 3 EAST   LINTHICUM,MD21090 (443) 462-5811
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Stephen A Burch
 
CHAIRMAN
 1.0
.................
3.0 		X   X       0 0 0
(2) Michael E Busch
 
DIRECTOR (DECEASED 04/19)
 1.0
.................
0 		X           0 0 0
(3) R Alan Butler
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(4) August J Chiasera
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(5) John P Coale
 
DIRECTOR
 1.0
.................
1.0 		X           0 0 0
(6) John Dillon
 
DIRECTOR (ENDED 04/19)
 17.0
.................
5.0 		X           156,375 0 0
(7) James C Dipaula Jr
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(8) George L Doetsch Jr
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(9) Wayne L Gardner Sr
 
DIRECTOR
 1.0
.................
4.0 		X           0 0 0
(10) Louise M Gonzales
 
DIRECTOR
 1.0
.................
2.0 		X           0 0 0
(11) Barry P Gossett
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(12) Louis P Jenkins Jr
 
DIRECTOR
 1.0
.................
2.0 		X           0 0 0
(13) Edward J Kasemeyer
 
DIRECTOR (ENDED 12/18)
 1.0
.................
0 		X           0 0 0
(14) Francis X Kelly
 
DIRECTOR (ENDED 06/19)
 1.0
.................
1.0 		X           0 0 0
(15) Belkis Leong-Hong
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(16) Kenneth V Moreland
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(17) Kevin B O'connor
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Korkut Onal
 
DIRECTOR
 1.0
.......................2.0 		X           0 0 0
(19) Robert L Pevenstein
 
DIRECTOR (ENDED 03/19)
 21.0
.......................0 		X           180,000 0 0
(20) D Bruce Poole
 
DIRECTOR
 1.0
.......................0 		X           0 0 0
(21) Louise M Pope
 
DIRECTOR
 1.0
.......................0 		X           0 0 0
(22) Catherine E Pugh
 
DIRECTOR (ENDED 03/19)
 1.0
.......................0 		X           0 0 0
(23) Robert D Rauch
 
DIRECTOR
 1.0
.......................4.0 		X           0 0 0
(24) Scott Rifkin
 
DIRECTOR (ENDED 05/19)
 1.0
.......................0 		X           0 0 0
(25) James T Smith Jr
 
DIRECTOR
 1.0
.......................1.0 		X           0 0 0
(26) James A Soltesz
 
DIRECTOR
 1.0
.......................0 		X           0 0 0
(27) Leonard Stoler
 
DIRECTOR
 1.0
.......................0 		X           0 0 0
(28) Walter A Tilley Jr
 
DIRECTOR
 1.0
.......................0 		X           0 0 0
(29) Joseph D Tydings
 
DIRECTOR (DECEASED 10/18)
 1.0
.......................0 		X           0 0 0
(30) Alexander Williams Jr
 
DIRECTOR
 1.0
.......................3.0 		X           0 0 0
(31) Megan Arthur
 
SVP, GEN COUNSEL AND SEC'TY (ENDED 06/19)
 40.0
.......................5.0 		    X       729,538 0 42,446
(32) John W Ashworth III
 
INTERIM PRESIDENT AND CEO
 40.0
.......................22.0 		    X       653,119 0 36,969
(33) Robert A Chrencik
 
PRESIDENT AND CEO (ENDED 04/19)
 40.0
.......................22.0 		    X       2,634,806 0 36,554
(34) Henry J Franey
 
EVP, CFO AND TREASURER (ENDED 03/19)
 40.0
.......................9.0 		    X       1,540,548 0 34,207
(35) S Michelle Lee
 
SVP AND CFO
 40.0
.......................0 		    X       510,123 0 31,697
(36) Stephen T Bartlett
 
EVP AND CMO (ENDED 12/18)
 40.0
.......................3.0 		      X     1,767,873 0 166,433
(37) Jon P Burns
 
SVP AND CIO
 40.0
.......................2.0 		      X     731,665 0 32,353
(38) Michelle Gourdine
 
SVP AND INTERIM CMO - UMMS
 40.0
.......................3.0 		      X     508,697 0 51,129
(39) Joseph E Hoffman III
 
EVP AND CFO - UMMC
 40.0
.......................11.0 		      X     753,107 98,631 57,951
(40) Michael R Jablonover
 
SVP AND CMO - UMMC
 40.0
.......................0 		      X     713,575 0 43,064
(41) Kathleen M Mccann
 
SVP, CHIEF HUMAN RESOURCE OFFICER
 40.0
.......................0 		      X     749,505 0 33,067
(42) Keith D Persinger
 
SVP AND CHIEF PERFORMANCE IMPROV OFFICER (ENDED 06/19)
 40.0
.......................0.0 		      X     1,135,594 0 24,470
(43) Lisa C Rowen
 
SVP AND CNO - UMMC
 40.0
.......................0 		      X     1,020,496 0 33,383
(44) Mohan Suntha MD
 
PRESIDENT AND CEO, UMMC
 40.0
.......................2.0 		      X     1,927,863 0 39,767
(45) Alicia J Cunningham
 
SVP CORPORATE FINANCE
 40.0
.......................0 		        X   495,783 0 45,258
(46) Janice M Eisele
 
SVP DEVELOPMENT
 0.0
.......................40.0 		        X   444,055 0 12,699
(47) Leonard Taylor Jr
 
SVP OPERATIONS SUPPORT SERVICES
 40.0
.......................0 		        X   533,692 0 14,201
(48) Mark L Wasserman
 
SVP EXTERNAL AFFAIRS
 40.0
.......................1.0 		        X   514,894 0 33,379
(49) Gerald L Wollman
 
SVP CORP OPERATIONS (ENDED 06/19)
 40.0
.......................0 		        X   708,329 0 39,863
(50) Walter Ettinger
 
FORMER SVP and CMO
 0.0
.......................0 		          X 642,534 0 0
(51) Mark Kelemen
 
FORMER CHIEF MED INFO OFFICER - UMMC
 0.0
.......................0 		          X 192,702 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 19,244,873 98,631 808,890
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,415
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CLARK CONSTRUCTION GROUP LLC

7500 OLD GEORGETOWN RD
Bethesda,MD20814 		Construction 59,050,747
ENVIRONMENTAL AIR SYSTEMS LLC

PO BOX 2026
High Point,NC27261 		Maintenance 12,026,688
DPR CONSTRUCTION INC

11109 SUNSET HILLS RD SUITE 200
Reston,VA20190 		Construction 7,809,664
WOHLSEN CONSTRUCTION COMPANY

PO BOX 4612
LANCASTER,PA17604 		Construction 6,161,066
GRANT THORNTON LLP

33562 TREASURY CTR
CHICAGO,IL60694 		Financial Services Consultant 4,992,677
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet304
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 5,376,127
e Government grants (contributions)1e 10,335,156
f All other contributions, gifts, grants, and similar amounts not included above1f 954,510
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 16,665,793
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 622000 1,612,889,138 1,612,168,398 720,740 0
b PHARMACY 446110 99,721,377 99,239,141 482,236 0
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ....MediumBullet 1,712,610,515
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 8,419,019 0 0 8,419,019
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   3,398,939
b Less: rental expenses   2,277,367
c Rental income or (loss) 0 1,121,572
d Net rental income or (loss)......MediumBullet 1,121,572 0 -1,437,530 2,559,102
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   110,412,079
b Less: cost or other basis and sales expenses   107,640,532
c Gain or (loss) 0 2,771,547
d Net gain or (loss).....MediumBullet 2,771,547 0 0 2,771,547
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a CAFETERIA 722210 3,223,689 0 0 3,223,689
b ECARE 621400 556,023 556,023 0 0
c INCOME FROM JOINT VENTURES 621990 190,175 190,175 0 0
d All other revenue .... 2,580,090 2,580,090 0 0
e Total. Add lines 11a–11d ...... MediumBullet 6,549,977
12 Total revenue. See Instructions......MediumBullet 1,748,138,423 1,714,733,827 -234,554 16,973,357
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 326,115 326,115
2 Grants and other assistance to domestic individuals. See Part IV, line 22 0 0
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16. 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 15,475,140 2,940,277 12,534,863 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0 0 0 0
7 Other salaries and wages 663,229,083 537,215,557 126,013,526 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 21,816,203 17,671,124 4,145,079 0
9 Other employee benefits ....... 60,460,146 48,972,719 11,487,427 0
10 Payroll taxes ........... 49,571,564 40,152,967 9,418,597 0
11 Fees for services (non-employees):        
a Management ...... 0 0 0 0
b Legal ......... 4,661,005 3,775,414 885,591 0
c Accounting ........... 2,678,878 2,169,891 508,987 0
d Lobbying ........... 94,119 0 94,119 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 61,682,398 61,682,398 0 0
12 Advertising and promotion .... 7,813,882 6,329,244 1,484,638 0
13 Office expenses ....... 20,843,525 16,883,255 3,960,270 0
14 Information technology ...... 916,501 742,366 174,135 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 27,914,109 22,610,428 5,303,681 0
17 Travel ............ 3,323,609 2,692,123 631,486 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0 0 0 0
19 Conferences, conventions, and meetings .... 2,816,228 2,281,145 535,083 0
20 Interest ........... 28,150,074 22,801,560 5,348,514 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization .. 100,637,474 81,516,354 19,121,120 0
23 Insurance ... 19,349,954 19,000,967 348,987 0
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 410,837,293 410,837,293 0 0
b REPAIR/MAINTENANCE 84,420,254 68,380,406 16,039,848 0
c BAD DEBT EXPENSES 56,579,201 56,579,201 0 0
d TRANSPLANT COSTS 22,891,650 22,891,650 0 0
e All other expenses 22,315,832 19,585,763 2,730,069 0
25 Total functional expenses. Add lines 1 through 24e 1,688,804,237 1,468,038,217 220,766,020 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 235,640,855 1 231,359,279
2 Savings and temporary cash investments ......... 100,000 2 100,000
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 198,855,097 4 194,390,842
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
0 6 0
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........ 33,503,321 8 35,224,491
9 Prepaid expenses and deferred charges ...... 16,282,164 9 45,924,587
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,314,582,188
b Less: accumulated depreciation 10b 1,226,851,292 926,332,991 10c 1,087,730,896
11 Investments—publicly traded securities . 101,156,000 11 126,852,000
12 Investments—other securities. See Part IV, line 11 ..... 187,033,319 12 151,905,040
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 2,802,208,946 15 2,744,899,936
16 Total assets. Add lines 1 through 15 (must equal line 34)... 4,501,112,693 16 4,618,387,071
Liabilities 17 Accounts payable and accrued expenses ..... 247,662,817 17 285,799,016
18 Grants payable ...   18  
19 Deferred revenue ......... 1,684,108 19 3,197,480
20 Tax-exempt bond liabilities ......... 1,585,071,835 20 1,532,726,160
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.. 0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .. 151,413,402 24 150,418,854
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 551,044,793 25 684,593,373
26 Total liabilities. Add lines 17 through 25.. 2,536,876,955 26 2,656,734,883
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 1,346,545,923 27 1,329,741,985
28 Temporarily restricted net assets ........... 616,001,076 28 630,221,464
29 Permanently restricted net assets 1,688,739 29 1,688,739
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 1,964,235,738 33 1,961,652,188
34 Total liabilities and net assets/fund balances ........ 4,501,112,693 34 4,618,387,071
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,748,138,423
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,688,804,237
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
59,334,186
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,964,235,738
5
Net unrealized gains (losses) on investments ...............
5
12,370,322
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-74,288,058
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,961,652,188
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Form 990, Special Condition Description:
Special Condition Description
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 the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
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 2018 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-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, 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 2018. 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 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... 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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
University of Maryland Medical System Corporation
  		Employer identification number
52-1362793
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
University of Maryland Medical System Corporation
  		Employer identification number

52-1362793
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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
University of Maryland Medical System Corporation
  		Employer identification number

52-1362793
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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) 2018

Schedule C (Form 990 or 990-EZ) 2018
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2015 (b) 2016 (c) 2017 (d) 2018 (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) 2018


Schedule C (Form 990 or 990-EZ) 2018
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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
42,590
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
51,529
j
Total. Add lines 1c through 1i ....................................................................................................
94,119
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DIRECT LOBBYING EFFORTS RELATE TO FEDERAL, STATE AND LOCAL LEGISLATION AFFECTING HEALTH CARE ISSUES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 4.8% AND 22.73% 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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   82,083,109 82,083,109
b Buildings ....   1,169,278,521 624,722,670 544,555,851
c Leasehold improvements   8,649,777 4,719,506 3,930,271
d Equipment ....   819,282,463 596,833,678 222,448,785
e Other .....   235,288,318 575,438 234,712,880
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,087,730,896
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INVESTMENT IN SUBSIDIARIES 796,971,750
(2) AFFILIATE RECOVERY 733,019,073
(3) OTHER RECEIVABLES 41,946,674
(4) DEBT SERVICE FUND 308,754,897
(5) ECO. INT. ASSETS LIMITED TO USE 215,767,795
(6) ASSETS WHOSE USE IS LIMITED 59,692,135
(7) SELF INSURANCE TRUST FUNDS 76,676,106
(8) DUE TO AFFILIATES  
(9) ESCROW 21,774,274
(10) LT ASSET 290,757,442
(11) COLLATERAL FUNDS 94,786,193
(12) CONSTRUCTION FUNDS 95,466,010
(13) DEFERRED FINANCING COSTS 9,287,587
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,744,899,936
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  
INT. RATE SWAPS MARK TO MARKET 196,173,690
OTHER MALPRACTICE 136,956,925
LINE OF CREDIT 161,300,000
ADVANCES FROM 3RD PARTY PAYORS 73,408,354
CAPITAL LEASE 39,788,541
OTHER LIABILITIES 34,687,134
UMHV LT LIABILITY 16,881,429
CREDIT BALANCES 15,599,869
DUE FROM AFFILAITE 9,797,431
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 684,593,373
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) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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
2018
Open to Public Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., 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 region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean 0 0 Program Services CAPTIVE INSURANCE 37,088,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 37,088,000
b Total from continuation sheets to Part I ...     0
c Totals (add lines 3a and 3b) 0 0 37,088,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
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 .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Schedule F, Part I, Line 1 SCHEDULE F, PART I, LINE 1 THE BOOK VALUE OF THE FILING ORGANIZATION'S INVESTMENT IN THE REGION AS OF 6/30/2019 WAS $10,597,000. THE FILING ORGANIZATION'S SHARE OF EXPENSES IN THE REGION WAS $26,491,000.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2018
Open to Public Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    17,100,704 0 17,100,704 1.05 %
b Medicaid (from Worksheet 3, column a) . . . . .     0 0 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 17,100,704 0 17,100,704 1.05 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,719,991 440,996 2,278,995 0.14 %
f Health professions education (from Worksheet 5) . . .     186,584,015 0 186,584,015 11.43 %
g Subsidized health services (from Worksheet 6) . . . .     20,235,397 11,152,099 9,083,298 0.56 %
h Research (from Worksheet 7) .     0 0 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     378,292 0 378,292 0.02 %
j Total. Other Benefits . . 0 0 209,917,695 11,593,095 198,324,600 12.15 %
k Total. Add lines 7d and 7j . 0 0 227,018,399 11,593,095 215,425,304 13.20 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     327,771 0 327,771 0.02 %
2 Economic development     65,391 0 65,391 0 %
3 Community support     19,059 0 19,059 0 %
4 Environmental improvements     0 0 0 0 %
5 Leadership development and
training for community members		     0 0 0 0 %
6 Coalition building     36,329 0 36,329 0 %
7 Community health improvement advocacy     0 0 0 0 %
8 Workforce development     288,369 0 288,369 0.02 %
9 Other     0 0 0 0 %
10 Total 0 0 736,919 0 736,919 0.05 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
41,717,090
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
452,274,370
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
398,113,816
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
54,160,554
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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) 2018
Schedule H (Form 990) 2018
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?1Name, 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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 UNIVERSITY OF MARYLAND MEDICAL CENTER
22 S GREENE STREET
BALTIMORE,MD21201
WWW.UMMS.ORG
30-068 		X X X X     X     1
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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)
1
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.umms.org/ummc/community
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
1
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.umms.org/ummc/community
b
https://www.umms.org/ummc/community
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
1
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
1
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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, 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
Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER. The University of Maryland Medical Center Downtown Campus (UMMC) utilized two major frameworks for completing its most recent Community Health Needs Assessment (CHNA) in fiscal year 2018. To complete this comprehensive assessment of the needs of the community, the Association for Community Health Improvement's (ACHI) 9-step Community Health Assessment Process was utilized as an organizing methodology. An additional 5-component assessment and engagement strategy was also utilized to lead the data collection methodology. The UMMC Community Health Improvement Team (CHI Team) included both the Downtown and Midtown Campuses and served as the lead team to conduct the CHNA with input from other University of Maryland Medical System Baltimore City-based hospitals, community leaders, the academic community, the public, health experts, and the Baltimore City Health Department. Data was collected from multiple sources, groups, and individuals and integrated into a comprehensive document which was utilized at a retreat on January 22, 2018 of the UMMC Downtown/Midtown Campuses' Community Health Improvement (CHI) Team. During that strategic planning retreat, priorities were identified using the collected data and an adapted version of the Catholic Health Association's (CHA) priority setting criteria. The identified priorities were also validated by a panel of UM Clinical Advisors and University of Maryland Baltimore (UMB) Campus experts. UMMC used primary and secondary sources of data as well as quantitative and qualitative data and consulted with numerous individuals and organizations during the CHNA, including other University of Maryland Medical System (UMMS) Baltimore City-based hospitals (University of Maryland Medical Center Midtown Campus, University of Maryland Rehabilitation and Orthopedic Institute, community leaders, community partners, the University of Maryland Baltimore (UMB) academic community, the general public, local health experts, and the Baltimore City Health Department. Additionally, for the first time in the city's history, nine Baltimore City hospitals joined together in fiscal year 2018 to collaborate on several key data collection strategies for a joint community health needs assessment. UMMC partnered with University of Maryland Midtown Campus, University of Maryland Rehabilitaton & Orthopedic Institute, Johns Hopkins Hospital, Sinai Hospital (Lifebridge), Medstar Health, St. Agnes Health System, and Mercy Medical Center. The above hospitals/health systems had been collaborating on several initiatives prior to the CHNA year and agreed that it would be beneficial to work on a more detailed level on a joint city-wide CHNA. This multi-hospital collaborative worked on the following data collection components together: - Public survey of Baltimore City residents - Key stakeholder interviews - Key population focus groups - Key community partner focus groups After the data was collected and analyzed jointly, each individual hospital used the collected data for their respective community benefit service areas to identify their unique priorities for their communities. The collaborating hospitals/health systems did agree to jointly focus on behavioral health as a key city-wide priority. The following describes the individual data collection strategies with the accompanying results. A) Community Perspective The community's perspective was obtained through one survey offered to the public using several methods throughout Baltimore City. A 6-item survey queried Baltimore City residents to identify their top health concerns and their top barriers in accessing health care. Methods 6-item survey distributed in FY2018 using the following methods: * Conducted from late September through November 2017 * Participating hospitals collected data throughout the city * Distributed in person and offered online * Offered in English, Spanish, and Russian * Collected 4,755 surveys * All Baltimore City zip codes were represented in the responses Analysis by CBSA targeted zip codes revealed the same top health concerns and top health barriers with little deviation from the overall Baltimore City data. The sample size was 4,755 for all of Baltimore City and 1,324 for residents from the identified UMMC CBSA. Results 1 - Community's Top Health Concerns (All Baltimore City) Alcohol/Drug Addiction Mental Health Diabetes/High Blood Sugar Overweight/Obesity Heart Disease/High Blood Pressure Smoking/Tobacco Use 1A - UMMC's Community Benefit Service Area Top Health Concerns Alcohol/Drug Addiction Diabetes/High Blood Sugar Mental Health Smoking/Tobacco Use Overweight/Obesity Heart Disease/High Blood Pressure 2 - Community's Top Social/Environmental Issues (All Baltimore City) Neighborhood Safety/Violence Lack of Job Opportunities Housing/Homelessness Availability/Access to Insurance Poverty Limited Access to Healthy Foods 2A - UMMC's Community Benefit Service Area Top Social/Environmental Issues Lack of Job Opportunities Neighborhood Safety/Violence Housing/Homelessness School Dropout/Poor Schools Access to Healthy Foods Poverty 3 - Community's Top Barriers to Healthcare (All Baltimore City) Cost/Too Expensive/Can't Afford No Insurance Insurance not Accepted Lack of Transportation 3A - UMMC's Community Benefit Service Area Top Barriers to Healthcare Cost/Too Expensive/Can't Afford No Insurance Insurance not Accepted Lack of Transportation B) Health Experts Methods Reviewed & included National Prevention Strategy Priorities, Maryland State Health Improvement Plan (SHIP) indicators, and Healthy Baltimore 2020 plan from the Baltimore City Health Department Reviewed Healthy Baltimore 2020: A blueprint for health Reviewed Baltimore City Health Department's 2017 Community Health Assessment Conducted campus-wide stakeholder retreat in January 2018, including University of Maryland Schools of Medicine, Nursing, Social Work and UMB Community Affairs office Results National Prevention Strategy - 7 Priority Areas * Tobacco Free Living * Preventing Drug Abuse and Excessive Alcohol Use * Healthy Eating * Active Living * Injury and Violence Free Living * Reproductive and Sexual Health * Mental and Emotional Well Being SHIP: 39 Objectives in 5 Vision Areas for the State, includes targets for Baltimore City - While progress has been made since 2012, measures within Baltimore City have not met identified targets; Even wider minority disparities exist within the City Healthy Baltimore 2020: Four Priority Areas for Baltimore City 1) Strategic Priority 1: Behavioral Health 2) Strategic Priority 2: Violence Prevention 3) Strategic Priority 3: Chronic Disease Prevention 4) Strategic Priority 4: Life Course Approach and Core Services Health Expert UMB Campus Panel Focus Group Top Action Items included: Continue collaborative work from the UMMC/UMB Strategic Community Plan Improve communication and synergy across campus schools and UMMC Identify ways to partner and support each other C) Community Leaders Methods Hosted two focus groups in collaboration with the other Baltimore-based hospitals for 22 community-based organization partners to share their perspectives on health needs (November 2017) Results Consensus that social determinants of health (and "upstream factors") are key elements that determine health outcomes Top needs and barriers were identified as well potential suggestions for improvement and collaboration (See Appendix 4 for details) Top Needs: Health Literacy Employment/Poverty Mental/Behavioral Health Cardiovascular Health (obesity, hypertension, stroke, & diabetes) Maternal/Child Health - focusing on promoting a healthy start for all children Top Barriers: Focusing on the outcome and not the root of the problems (i.e. SDoH) Lack of inter-agency collaboration/working in silos Suggestions for Improvement: Leverage existing resources Increase collaboration Focus on Social Determinants of Health Enhance behavioral health resources D) Social Determinants of Health (SDoH) Defined by the World Health Organization as: ....the conditions in which people are born, grow, live, work and age... Methods Reviewed data from Baltimore Neighborhood Indicator Alliance (Demographic data and SDoH data) Reviewed data from identified 2011 Baltimore City Health Department's Baltimore City Neighborhood Profiles, Reviewed Baltimore City Food Desert Map Results Baltimore City Summary of CBSA targeted zip codes Top SDoHs: Low Education Attainment (52.6% w/ less than HS degree) High Poverty Rate (15.7%)/High Unemployment Rate (11%) Violence Poor Food Environment Housing Instability
Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER. UMMC conducted its FY'18 CHNA with the University of Maryland Medical Center Midtown Campus. Additionally, most Baltimore City hospitals collaborated together for the first time to gather primary data together. So, the additional hospitals that collaborated with UMMC include: UMMC Midtown Campus, UM Rehabilitation and Orthopedic Institute, Johns Hopkins Hospital (Main Campus and Bayview), St Agnes Hospital, Sinai, Mercy Medical Center, and Medstar Health (Good Samaritan, Union Memorial, Harbor Hospital).
Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER. UMMC CONDUCTED ITS CHNA WITH ASSISTANCE FROM THE UNIVERSITY OF MARYLAND, BALTIMORE (UMB) ACADEMIC COMMUNITY AND THE BALTIMORE CITY HEALTH DEPARTMENT.
Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER. Several additional topic areas were identified by the Community Health Improvement Team during the CHNA process including: Safe housing, transportation, and poverty, behavioral health, and substance abuse were listed as high priorities. While the Medical Center will focus the majority of our efforts on the identified strategic priorities, we will review the complete set of needs identified in the CHNA for future collaboration and work. These areas, while still important to the health of the community, will be met through either existing programs (i.e. workforce development for poverty) or through collaboration with other health care and social support organizations as needed. For example, all the Baltimore City hospitals agreed to work together on behavioral health and to potentially look at housing issues throughout the City. The additional unmet needs not addressed by UMMC will also continue to be addressed by key Baltimore City governmental agencies and existing community-based organizations. The UMMC identified core priorities target the intersection of the identified community needs and the organization's key strengths and mission.
Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER. 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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address Type of Facility (describe)
1 UNIVERSITYCARE EDMONDSON VILLAGE
4538 EDMONDSON AVE
BALTIMORE,MD21229 		HEALTHCARE CLINIC
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
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
Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE UMMS IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN 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.
Schedule H, Part I, Line 6b COMMUNITY BENEFIT REPORT 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.
Schedule H, Part VI, Line 5 Promotion of Community Health Analysis of all quantitative and qualitative data described in the above section identified these top six areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and the organization's key strengths and mission. These priorities were identified and approved by the UMMC/Midtown CHI Team and validated with the health experts from the UMB Campus Panel and ultimately approved by the Board. Programming is based on these strategic priorities as identified in the CHNA. 1) Mental Health (in collaboration with City hospitals) 2) Substance Abuse 3) Chronic Disease Management (CVD, Diabetes, HIV) 4) Maternal/Child Health 5) Violence Prevention 6) Workforce Development The University of Maryland Medical Center has community health programming in each of the above strategic community priorities. The following is an example of key initiatives from three of the above priorities. Identified Need/Priority: Chronic Disease Prevention Identified Need: Cardiovascular Disease Prevention Currently, there is at least a 40% prevalence rate of hypertension in the targeted population and much higher rates in specific neighborhoods. Hospital Initiative: Maryland Healthy Men Primary objectives of initiative: 1) Decrease the ED visit rate due to hypertension (Maryland SHIP) 2) Engage and educate at least 400 African American men with hypertension (HTN) and refer as needed to additional treatment. Single or multi-year plan: This program is a multi-year, ongoing initiative. Key collaborators in delivery: UMMC Midtown Campus UMMC Mobile Market Hungry Harvest Shoppers Food Warehouse MAC, Inc. Impact of hospital initiative: Hypertension affects over 40% of the African American community and frequently leads to stroke, cardiac failure, kidney disease, etc. This program educates and engages AA men to take control of their health and take active steps to lower their blood pressure and prevent ED visits due to HTN. Metrics: * # of BP screenings of all Baltimore City residents * # of AA men with HTN * # of AA men educated * % of Self-reported behaviors - men taking their BPs and men knowing their BPs * # of men with decreased BP after the program Evaluation of Outcomes in FY19: * 2,178 BP screenings in the community * 186 AA men identified with HTN * 186 AA men educated * 60% of men decreased their BP (of men completing the program) * 35% of men had stable BPs (of men completing the program) * 100% of men knew and took their BP (of men completing the program) Continuation of initiative: UMMC will continue to monitor performance and outcome measures annually. This priority and the accompanying initiatives will continue until the FY18 CHNA is completed and as long as there continues to be an identified community need. Identified Need/Priority: Maternal/Child Health Identified Need: Maternal/Child Health - Infant Mortality Currently, there is an infant mortality rate (# per live births) of 10 Baltimore City wide with 13.9 and 20 in several neighborhoods of the targeted population. Hospital Initiative: Stork's Nest Primary objectives of initiative: 1) Increase % of babies born >37 weeks gestation 2) Reduce the percentage of births that are low birth weight 3) Increase the % of women breastfeeding at discharge after delivery Single or multi-year plan: This program is a multi-year, ongoing initiative. Key collaborators in delivery: Zeta Phi Beta Sorority March of Dimes B'more for Healthy Babies Impact of hospital initiative: Babies born at full-term and at healthy birth weights are less likely to die in the first year of life (Infant mortality reduction). Babies who are breastfed have fewer infections in the first year of life. Metrics: * # of women enrolled * % of Babies born >37 weeks gestation * % of Babies born at >2500 grams * % of Women breastfeeding at discharge Evaluation of Outcomes in FY19: * 76% of Babies born >37 weeks gestation * 80% of Babies born >2500 grams * 92% of Women were breastfeeding at discharge Continuation of initiative: UMMC will continue to monitor performance and outcome measures annually. This priority and the accompanying initiatives will continue until the FY18 CHNA is completed and as long as there continues to be an identified community need. Identified Need/Priority: Violence Prevention Identified Need: Violence Prevention Currently, there is an overall homicide rate of 3.9 (# of homicides/10,000 population) rate in Baltimore City. Within the targeted population, there are rates of 7.7 and 8.2 in some of the neighborhoods. Hospital Initiative: Violence Intervention Program (VIP) Primary objectives of initiative: 1) Reduce the rate of recidivism due to violent injury Single or multi-year plan: This program is a multi-year, ongoing initiative. Key collaborators in delivery: Baltimore City Police Department Baltimore City Health Department University of Maryland Baltimore Impact of hospital initiative: The participants in the VIP program receive education and social support and return to the workforce and/or high school or college. The participants get out of the cycle of violence and therefore reduce the number of return admissions to Shock Trauma and have an improved quality of life. Metrics: * # of people in the VIP program * Recidivism rate Evaluation of Outcomes in FY19: * 703 individuals in the VIP program * 0.1% Recidivism rate Continuation of initiative: UMMC will continue to monitor performance and outcome measures annually. This priority and the accompanying initiatives will continue until the FY18 CHNA is completed and as long as there continues to be an identified community need. UMMC operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Maryland's global budget revenue model, UMMC reports on a regular basis how it is investing in efforts to improve population health. UMMC provides on-going services that are fundamental to addressing the identified community health needs that demonstrate the extent to which our commitment to serve our community is integrated into our care delivery model. We have a strong focus on treating patients with chronic conditions. University of Maryland Medical Center works to coordinate care, ensure smooth transitions and promote disease self-management strategies at every step of a patient's journey - whether at home, in the community, or within our hospital. We operate specialized clinics to enable access to routine outpatient care. Our transitional care services help patients newly diagnosed or those that have had a recent hospitalization transition safely back to the community. Transitional nurse navigators provide patients with disease education and self-management strategies, connect them to primary care providers and specialists, and help them overcome any barriers to making follow up appointments. An urgent care center to address off hours visits and low acuity emergencies is also available. Our coudamin clinic provides anticoagulation medication management, specifically managing and monitoring warfarin (Coumadin) therapy upon physician referral. It also provides patients with ongoing monitoring of their anticoagulation therapy to ensure desired outcomes and decrease adverse events. UMMC's congestive heart failure clinic provides similar disease-specific services. Additionally, our behavioral health clinic provides a community access point for those in need of outpatient mental health services. Resources are embedded throughout the hospital and in the community so that every patient receives the same level of care coordination. Care managers are embedded within our emergency department, community and hospitals, and provide in-home visits as needed. Community health workers reach out to patients who are identified as being high risk for readmission or in need of critical resources. Close relationships are maintained with skilled nursing facilities and home health agencies so that transfers from the hospital to these facilities are smooth, and the highest quality of care is constantly delivered. Strong relationships exist with local emergency medical service (EMS) providers through our mobile integrated health program, which delivers effective and efficient care to patients outside of the hospital. Nurses and community health workers function outside traditional emergency response roles, with a focus on maintaining individuals' health at their homes while also providing convenient access to care in the community. Additional care partners include primary care providers, specialists, local department of health, office on aging and other community based partners.
Schedule H, Part VI, Line 5 Promotion of Community Health We are proudly partnered with Lyft, providing rides to patient follow up appointments. We also provide housing assistance to those in need because we know that stable housing leads to better health. We are proud to serve our community and appreciate our partners who allow us to fulfill our mission. We will always do what is right for the patient, no matter where they are in their health journey, and will always strive to have our patients receive care in the community they reside. As a part of the University of Maryland Medical System (UMMS) we are shaping a new paradigm in care delivery that we believe should be the future standard of care.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 56579201
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment.
Schedule H, Part II Community Building Activities COMMUNITY BUILDING ACTIVITIES INCLUDE THE NUMEROUS WORKFORCE/CAREER DEVELOPMENT PROGRAMS THAT ARE IN PLACE AT UMMC (UNIVERSITY AND MIDTOWN CAMPUSES). THESE PROGRAMS PROMOTE LITERACY, HEALTH LITERACY, AND JOB SKILLS TO PREPARE YOUNG ADULTS AND CURRENT EMPLOYEES FOR A VARIETY OF POSITIONS WITHIN EITHER THE MEDICAL CENTER OR IN THE HEALTHCARE INDUSTRY. THE HEALTH OF THE COMMUNITY IS IMPACTED BY HAVING INDIVIDUALS PREPARED FOR JOBS THAT ENABLE THEM TO OBTAIN HEALTH INSURANCE WHILE ALSO ASSISTING THEM TO BE MORE AWARE OF THEIR OWN HEALTHCARE NEEDS. WORKFORCE/CAREER DEVELOPMENT PROGRAMS INCLUDE: YOUTHWORKS BACH FELLOWS PROJECT SEARCH HEALTHCARE CAREER ALLIANCE PATIENT CARE TECHNICIAN TRAINING/SURGICAL TECH TRAINING BALTIMORE CITY SCHOOL PARTNERSHIPS (5 LOCAL SCHOOLS)
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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.
Schedule H, Part V, Section B, Line 16a FAP website 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER: Line 16a URL: https://www.umms.org/ummc/community;
Schedule H, Part V, Section B, Line 16b FAP Application website 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER: Line 16b URL: https://www.umms.org/ummc/community;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - UNIVERSITY OF MARYLAND MEDICAL CENTER: Line 16c URL: https://www.umms.org/ummc/community;
Schedule H, Part VI, Line 2 Needs assessment Since fiscal year 2012, the University of Maryland Medical Center Downtown Campus has completed a comprehensive community health needs assessment (CHNA) every three years. To complete this comprehensive assessment of the needs of the community, the Association for Community Health Improvement's (ACHI) 9-step Community Health Assessment Process was utilized as an organizing methodology. An additional 5-component assessment and engagement strategy was also utilized to lead the data collection methodology. The UMMC Community Health Improvement Team (CHI Team) included both the Downtown and Midtown Campuses and served as the lead team to conduct the Community Health Needs Assessment (CHNA) with input from other University of Maryland Medical System Baltimore City-based hospitals, community leaders, the academic community, the public, health experts, and the Baltimore City Health Department. Data was collected from the major areas of the community's perspective, health experts' opinions, and community leaders' perspectives along with a review of social determinants of health and epidemiologic data to complete a comprehensive assessment of the community's needs. Data includes primary and secondary sources of data. This community health needs assessment report was approved by the UMMC Board of Directors Community Engagement Committee on June 4, 2018.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Patient Education of Eligibility for Assistance - Patients are informed of their eligibility for assistance through signage in admitting and registration areas, online, in the Patient Handbooks, in local newspapers, and with Patient Information Sheets. LANGUAGE TRANSLATIONS - UMMC translated its financial assistance policy into the following languages: English, Spanish, French, and Chinese. PLAIN LANGUAGE SUMMARY - UMMC created a new plain language summary of its financial assistance policy in addition to its already-existing patient information sheet.
Schedule H, Part VI, Line 4 Community information Despite the larger regional patient mix of UMMC from the metropolitan area, state, and region, for purposes of community benefits programming and this report, the Community Benefit Service Area (CBSA) of UMMC is within Baltimore City, specifically West Baltimore. The top eight zip codes within Baltimore City represent the top 60% of all Baltimore City admissions in FY'17. These eight targeted zip codes (21201, 21215, 21216, 21217, 21218, 21223, 21229, and 21230) are the primary community benefit service area (CBSA) and comprise the geographic scope of the assessment. These zip codes are shared with the UMMC Midtown Campus as well. Both the CHNA and programming for both campuses are targeted to these identified West Baltimore communities. The residents in these identified communities have life expectancy rates of nearly 20 years less than residents in other parts of Baltimore City. High rates of unemployment, poverty, healthy food access issues, substance use, and violence are major social barriers to health. Residents in these communities have some of the worst health outcomes when compared to the City and the State of Maryland.
Schedule H, Part VI, Line 6 Affiliated health care system The University of Maryland Medical System Corporation (UMMS) 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 University of Maryland Medical System (UMMS), the University of Maryland Medical Center understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, the UMMC assesses the community's health needs, 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 System's 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. The UMMC is committed to health education, advocacy, community partnerships, and engaging programs which focus on promoting health and wellness in an effort to eliminate health disparities for the West Baltimore community.
Schedule H, Part VI, Line 7 State filing of community benefit report MD
Schedule H (Form 990) 2018
Additional Data


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Software Version: 2018v3.1

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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number
52-1362793
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) BALTIMORE CITY FOUNDATION INC
7 E Redwood St
9th Floor
Baltimore,MD21202 		52-1212473 501(c)(3) 56,250       General Assistance
(2) BALTIMORE SYMPHONY ORCHESTRA
1212 Cathedral St
Baltimore,MD21201 		52-0629696 501(c)(3) 6,000       General Assistance
(3) BALTIMORE WASHINGTON MEDICAL CNTR FOUNDATION
300 Hospital Drive
Glen Burnie,MD21061 		52-1813656 501(c)(3) 10,000       General Assistance
(4) CAL RIPKEN SR FOUNDATION
1427 Clarkview Rd
Baltimore,MD21209 		52-2310500 501(c)(3) 11,250       General Assistance
(5) CHARLES REGIONAL MEDICAL CENTER FOUNDATION
PO Box 1701
La Plata,MD20646 		52-1414564 501(c)(3) 10,000       General Assistance
(6) GREATER BALTIMORE COMMITTEE
111 S Calvert St
Baltimore,MD21202 		52-0645650 501(c)(4) 44,115       General Assistance
(7) LIVING LEGACY FOUNDATION
1730 Twin Springs Rd
Halethorpe,MD21227 		52-1736533 501(c)(3) 15,000       General Assistance
(8) MT WASHINGTON PEDIATRIC HOSPITAL
1708 W Rogers Ave
Baltimore,MD21209 		52-0591483 501(c)(3) 10,000       General Assistance
(9) RONALD MCDONALD HOUSE BALTIMORE
1 Aisquith St
Baltimore,MD21202 		52-1184957 501(c)(3) 70,000       General Assistance
(10) SOUTHWEST PARTNERSHIP INC
1138 Hollins St
Baltimore,MD21223 		47-4390017 501(c)(3) 15,000       General Assistance
(11) UNITED WAY OF CENTRAL MARYLAND FOR THE JOURNEY HOME
1800 Washington Blvd
SUITE 340
Baltimore,MD21230 		52-0591543 501(c)(3) 12,500       General Assistance
(12) UNIVERSITY OF MARYLAND COLLEGE PARK FOUNDATION
4603 Calvert Rd
College Park,MD20740 		52-2197313 501(c)(3) 7,500       General Assistance
(13) UNIVERSITY OF MARYLAND BALTIMORE FOUNDATION INC
3300 Metzerott Road
Adelphi,MD20783 		31-1678679 501(c)(3) 13,000       General Assistance
(14) UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 Upper Chesapeake Dr
Bel Air,MD21014 		52-1398507 501(c)(3) 7,500       General Assistance
(15) BALTIMORE AREA COUNCIL BSA
701 Wyman Park Drive
Baltimore,MD21211 		52-0591572 501(c)(3) 8,000       General Assistance
(16) AMERICAN HEART ASSOCIATION
PO Box 4002906
Des Moines,IA50340 		13-5613797 501(c)(3) 30,000       General Assistance
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
15
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. UMMS FOLLOWS STANDARD PROCEDURES TO PERIODICALLY COMMUNICATE WITH GRANTEES TO MONITOR HOW GRANT MONEY IS UTILIZED FOR THEIR INTENDED PURPOSE.
Schedule I (Form 990) 2018



Additional Data


Software ID: 18007697
Software Version: 2018v3.1


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
2018
Open to Public Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1John Dillon
 
DIRECTOR (ENDED 04/19) 		(i)

(ii)		 156,375
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		156,375
-------------
0 		0
-------------
0
2Robert L Pevenstein
 
DIRECTOR (ENDED 03/19) 		(i)

(ii)		 180,000
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		180,000
-------------
0 		0
-------------
0
3Megan Arthur
 
SVP, GEN COUNSEL AND SEC'TY (ENDED 06/19) 		(i)

(ii)		 475,888
-------------
0 		172,913
-------------
0 		80,737
-------------
0 		11,000
-------------
0 		31,446
-------------
0 		771,984
-------------
0 		0
-------------
0
4John W Ashworth III
 
INTERIM PRESIDENT AND CEO 		(i)

(ii)		 422,013
-------------
0 		160,212
-------------
0 		70,894
-------------
0 		11,000
-------------
0 		25,969
-------------
0 		690,088
-------------
0 		0
-------------
0
5Robert A Chrencik
 
PRESIDENT AND CEO (ENDED 04/19) 		(i)

(ii)		 1,355,350
-------------
0 		995,365
-------------
0 		284,091
-------------
0 		11,000
-------------
0 		25,554
-------------
0 		2,671,360
-------------
0 		0
-------------
0
6Henry J Franey
 
EVP, CFO AND TREASURER (ENDED 03/19) 		(i)

(ii)		 902,962
-------------
0 		395,891
-------------
0 		241,695
-------------
0 		11,000
-------------
0 		23,207
-------------
0 		1,574,755
-------------
0 		0
-------------
0
7S Michelle Lee
 
SVP AND CFO 		(i)

(ii)		 340,683
-------------
0 		113,715
-------------
0 		55,725
-------------
0 		11,000
-------------
0 		20,697
-------------
0 		541,820
-------------
0 		0
-------------
0
8Walter Ettinger
 
FORMER SVP and CMO 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		642,534
-------------
0 		0
-------------
0 		0
-------------
0 		642,534
-------------
0 		0
-------------
0
9Mark Kelemen
 
FORMER CHIEF MED INFO OFFICER - UMMC 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		192,702
-------------
0 		0
-------------
0 		0
-------------
0 		192,702
-------------
0 		0
-------------
0
10Stephen T Bartlett
 
EVP AND CMO (ENDED 12/18) 		(i)

(ii)		 1,449,968
-------------
0 		301,306
-------------
0 		16,599
-------------
0 		139,022
-------------
0 		27,411
-------------
0 		1,934,306
-------------
0 		0
-------------
0
11Jon P Burns
 
SVP AND CIO 		(i)

(ii)		 486,243
-------------
0 		170,347
-------------
0 		75,075
-------------
0 		11,000
-------------
0 		21,353
-------------
0 		764,018
-------------
0 		0
-------------
0
12Michelle Gourdine
 
SVP AND INTERIM CMO - UMMS 		(i)

(ii)		 403,692
-------------
0 		92,728
-------------
0 		12,277
-------------
0 		49,385
-------------
0 		1,744
-------------
0 		559,826
-------------
0 		0
-------------
0
13Joseph E Hoffman III
 
EVP AND CFO - UMMC 		(i)

(ii)		 492,748
-------------
76,383 		195,000
-------------
0 		65,359
-------------
22,248 		11,000
-------------
17,142 		23,393
-------------
6,416 		787,500
-------------
122,189 		0
-------------
0
14Michael R Jablonover
 
SVP AND CMO - UMMC 		(i)

(ii)		 470,188
-------------
0 		163,863
-------------
0 		79,524
-------------
0 		11,000
-------------
0 		32,064
-------------
0 		756,639
-------------
0 		0
-------------
0
15Kathleen M Mccann
 
SVP, CHIEF HUMAN RESOURCE OFFICER 		(i)

(ii)		 401,662
-------------
0 		140,790
-------------
0 		207,053
-------------
0 		11,000
-------------
0 		22,067
-------------
0 		782,572
-------------
0 		163,574
-------------
0
16Keith D Persinger
 
SVP AND CHIEF PERFORMANCE IMPROV OFFICER (ENDED 06/19) 		(i)

(ii)		 725,269
-------------
0 		302,400
-------------
0 		107,925
-------------
0 		11,000
-------------
0 		13,470
-------------
0 		1,160,064
-------------
0 		0
-------------
0
17Lisa C Rowen
 
SVP AND CNO - UMMC 		(i)

(ii)		 466,710
-------------
0 		175,950
-------------
0 		377,836
-------------
0 		11,000
-------------
0 		22,383
-------------
0 		1,053,879
-------------
0 		182,819
-------------
0
18Mohan Suntha MD
 
PRESIDENT AND CEO, UMMC 		(i)

(ii)		 1,184,928
-------------
0 		523,480
-------------
0 		219,455
-------------
0 		11,000
-------------
0 		28,767
-------------
0 		1,967,630
-------------
0 		0
-------------
0
19Alicia J Cunningham
 
SVP CORPORATE FINANCE 		(i)

(ii)		 316,569
-------------
0 		113,715
-------------
0 		65,499
-------------
0 		11,000
-------------
0 		34,258
-------------
0 		541,041
-------------
0 		0
-------------
0
20Janice M Eisele
 
SVP DEVELOPMENT 		(i)

(ii)		 303,711
-------------
0 		97,536
-------------
0 		42,808
-------------
0 		11,000
-------------
0 		1,699
-------------
0 		456,754
-------------
0 		0
-------------
0
21Leonard Taylor Jr
 
SVP OPERATIONS SUPPORT SERVICES 		(i)

(ii)		 377,212
-------------
0 		98,297
-------------
0 		58,183
-------------
0 		11,000
-------------
0 		3,201
-------------
0 		547,893
-------------
0 		0
-------------
0
22Mark L Wasserman
 
SVP EXTERNAL AFFAIRS 		(i)

(ii)		 334,922
-------------
0 		126,610
-------------
0 		53,362
-------------
0 		11,000
-------------
0 		22,379
-------------
0 		548,273
-------------
0 		0
-------------
0
23Gerald L Wollman
 
SVP CORP OPERATIONS (ENDED 06/19) 		(i)

(ii)		 469,113
-------------
0 		169,144
-------------
0 		70,072
-------------
0 		11,000
-------------
0 		28,863
-------------
0 		748,192
-------------
0 		0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 4a Severance or change-of-control payment DURING THE FISCAL YEAR-ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES HAVE RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUALS AND AMOUNT ARE LISTED BELOW: WALTER ETTINGER $624,240. MARK KELEMEN $182,782
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR- ENDED JUNE 30, 2019, 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: STEPHEN T. BARTLETT MICHELLE GOURDINE DURING THE FISCAL YEAR ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN THE REPORTING TAX YEAR, THEREFORE THE FULL VALUE OF THE PLAN, INCLUDING ANY CONTRIBUTIONS TO THE PLAN FOR THE CURRENT FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. PRIOR YEAR CONTRIBUTIONS TO THE PLAN WERE PREVIOUSLY REPORTED ON FORM 990 AND ARE INDICATED ON SCHEDULE J, PART II, COLUMN (F). LISA C ROWEN, $370,732 KATHLEEN M MCCANN, $196,276 DURING THE FISCAL YEAR-ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: JOHN W. ASHWORTH ROBERT A. CHRENCIK HENRY J. FRANEY MEGAN M. ARTHUR S. MICHELLE LEE JON P. BURNS MICHAEL R. JABLONOVER KEITH D. PERSINGER MOHANAKUMAR SUNTHARALINGAM JOSEPH E. HOFFMAN III KATHLEEN MCCANN MARK WASSERMAN GERALD L. WOLLMAN JANICE EISELE LEONARD TAYLOR ALICIA CUNNINGHAM
Schedule J, Part I, Line 7 Non-fixed payments BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES.
Schedule J (Form 990) 2018
Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number
52-1362793
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A MHHEFA (SERIES 2007A&B)
  		52-0936091 574217G74 09-12-2007 137,795,000 ADVANCED REFUNDING OF SERIES 2002 BONDS, AND SERIES 2001 BONDS   X   X   X
B MHHEFA (SERIES 2008A-E)
  		52-0936091 574217U78 05-21-2008 280,000,000 CURRENT REFUNDING- 2006B-F BONDS   X   X   X
C MHHEFA (SERIES 2008F)
  		52-0936091 574217Y66 07-10-2008 89,764,001 CURRENT REFUNDING- 2006B-F BONDS   X   X   X
D MHHEFA (SERIES 2010)
  		52-0936091 5742175D3 01-07-2010 241,441,656 FINANCE 2010 FACILITY COSTS; AND REFUND SERIES 2008G, SERIES 2008H AND SERIES 2004A BONDS   X   X   X
MHHEFA (SERIES 2013A)
  		52-0936091 574218MH3 03-08-2013 265,377,428 (See Statement)   X   X   X
MHHEFA (SERIES 2015)
  		52-0936091 574218WD1 05-21-2015 86,603,677 ADVANCED REFUNDING OF SERIES 2006A BONDS AND SERIES 2008C (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2016A-D)
  		52-0936091   09-27-2016 212,785,000 REFUNDING OF SERIES- 2012A-D BONDS   X   X   X
MHHEFA (SERIES 2016E&F)
  		52-0936091   10-13-2016 108,730,000 REFUNDING OF SERIES 2011B/C (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2017A)
  		52-0936091   01-01-2017 44,010,000 REFUNDING OF SERIES 2011A (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2017B)
  		52-0936091 574218V75 02-02-2017 165,070,579 ADVANCED REFUNDING OF SER. 1991B BONDS, A PORTION OF SER. 2005 BONDS & A PORTION OF SER. 2010 BONDS   X   X   X
MHHEFA (SERIES 2017D)
  		52-0936091 5742184J9 12-19-2017 147,182,498 (SEE STATEMENT)   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 17,180,000 5,085,000 59,790,000 95,645,000
2 Amount of bonds legally defeased .............. 41,175,000 175,000,000    
3 Total proceeds of issue .................. 137,849,502 280,000,000 89,951,422 243,598,715
4 Gross proceeds in reserve funds .............       17,980,097
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   164,998,598    
7 Issuance costs from proceeds ............... 1,120,731 1,586,410 792,457 2,656,305
8 Credit enhancement from proceeds ............. 19,824 188,590    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 173,100,000   145,611,600 130,000,000
11 Other spent proceeds ............. 136,708,947 278,225,000 89,158,965 92,962,313
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? ..... X     X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X              
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X     X   X
b Name of provider .......... JP MORGAN BANK OF AMERICA
  		JP MORGAN BANK OF AMERICA
  		 
  		 
 
c Term of hedge ......... 2700 % 3460 %    
d Was the hedge superintegrated? ......   X   X        
e Was the hedge terminated? ........   X   X        
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) Description of purpose ISSUER NAME: MHHEFA (SERIES 2013A) ACQUISITION COSTS RELATED TO ST. JOSEPH MEDICAL CENTER; FINANCE CAPITAL PROJECTS; AND REFUND SERIES 1998, SERIES 2004B AND SERIES 2005.
Schedule K, Part I, Column (f) Description of Purpose ISSUER NAME: MHHEFA (SERIES 2017D) BONDS TO FINANCE A PORTION OF ACQUISITION COSTS RELATED TO UM CAPITAL REGION AND CONSTRUCTION COSTS OF NEW REGIONAL MEDICAL CENTER AND NEW FREESTANDING MEDICAL FACILITY.
Schedule K, Part II, Line 3 MHHEFA (Series 2007A&B) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $54,502.
Schedule K, Part II, Line 3 MMHEFA (Series 2008F) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $187,421.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2010) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $2,157,059.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2013A) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $72,288.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2015) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $3,496.
Schedule K, Part II, Line 3 MHHEFA (Series 2017B) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $5,958.
Schedule K, Part II, Line 3 MHHEFA (Series 2017D) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $2,989,131.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: MHHEFA (SERIES 2007A&B) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K, Part IV, Line 2c COLUMN B Issuer name: MHHEFA (SERIES 2008A-E) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K, Part IV, Line 2c COLUMN C Issuer name: MHHEFA (SERIES 2008F) The calculation for computing no rebate due was performed on 07/01/2018
Schedule K, Part IV, Line 2c COLUMN D Issuer name: MHHEFA (SERIES 2010) The calculation for computing no rebate due was performed on 04/01/2019
Schedule K, Part IV, Line 2c COLUMN A Issuer name: MHHEFA (SERIES 2013A) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number
52-1362793
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A MHHEFA (SERIES 2007A&B)
  		52-0936091 574217G74 09-12-2007 137,795,000 ADVANCED REFUNDING OF SERIES 2002 BONDS, AND SERIES 2001 BONDS   X   X   X
B MHHEFA (SERIES 2008A-E)
  		52-0936091 574217U78 05-21-2008 280,000,000 CURRENT REFUNDING- 2006B-F BONDS   X   X   X
C MHHEFA (SERIES 2008F)
  		52-0936091 574217Y66 07-10-2008 89,764,001 CURRENT REFUNDING- 2006B-F BONDS   X   X   X
D MHHEFA (SERIES 2010)
  		52-0936091 5742175D3 01-07-2010 241,441,656 FINANCE 2010 FACILITY COSTS; AND REFUND SERIES 2008G, SERIES 2008H AND SERIES 2004A BONDS   X   X   X
MHHEFA (SERIES 2013A)
  		52-0936091 574218MH3 03-08-2013 265,377,428 (See Statement)   X   X   X
MHHEFA (SERIES 2015)
  		52-0936091 574218WD1 05-21-2015 86,603,677 ADVANCED REFUNDING OF SERIES 2006A BONDS AND SERIES 2008C (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2016A-D)
  		52-0936091   09-27-2016 212,785,000 REFUNDING OF SERIES- 2012A-D BONDS   X   X   X
MHHEFA (SERIES 2016E&F)
  		52-0936091   10-13-2016 108,730,000 REFUNDING OF SERIES 2011B/C (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2017A)
  		52-0936091   01-01-2017 44,010,000 REFUNDING OF SERIES 2011A (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2017B)
  		52-0936091 574218V75 02-02-2017 165,070,579 ADVANCED REFUNDING OF SER. 1991B BONDS, A PORTION OF SER. 2005 BONDS & A PORTION OF SER. 2010 BONDS   X   X   X
MHHEFA (SERIES 2017D)
  		52-0936091 5742184J9 12-19-2017 147,182,498 (SEE STATEMENT)   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 17,180,000 5,085,000 59,790,000 95,645,000
2 Amount of bonds legally defeased .............. 41,175,000 175,000,000    
3 Total proceeds of issue .................. 137,849,502 280,000,000 89,951,422 243,598,715
4 Gross proceeds in reserve funds .............       17,980,097
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   164,998,598    
7 Issuance costs from proceeds ............... 1,120,731 1,586,410 792,457 2,656,305
8 Credit enhancement from proceeds ............. 19,824 188,590    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 173,100,000   145,611,600 130,000,000
11 Other spent proceeds ............. 136,708,947 278,225,000 89,158,965 92,962,313
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? ..... X     X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X              
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X     X   X
b Name of provider .......... JP MORGAN BANK OF AMERICA
  		JP MORGAN BANK OF AMERICA
  		 
  		 
 
c Term of hedge ......... 2700 % 3460 %    
d Was the hedge superintegrated? ......   X   X        
e Was the hedge terminated? ........   X   X        
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) Description of purpose ISSUER NAME: MHHEFA (SERIES 2013A) ACQUISITION COSTS RELATED TO ST. JOSEPH MEDICAL CENTER; FINANCE CAPITAL PROJECTS; AND REFUND SERIES 1998, SERIES 2004B AND SERIES 2005.
Schedule K, Part I, Column (f) Description of Purpose ISSUER NAME: MHHEFA (SERIES 2017D) BONDS TO FINANCE A PORTION OF ACQUISITION COSTS RELATED TO UM CAPITAL REGION AND CONSTRUCTION COSTS OF NEW REGIONAL MEDICAL CENTER AND NEW FREESTANDING MEDICAL FACILITY.
Schedule K, Part II, Line 3 MHHEFA (Series 2007A&B) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $54,502.
Schedule K, Part II, Line 3 MMHEFA (Series 2008F) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $187,421.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2010) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $2,157,059.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2013A) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $72,288.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2015) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $3,496.
Schedule K, Part II, Line 3 MHHEFA (Series 2017B) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $5,958.
Schedule K, Part II, Line 3 MHHEFA (Series 2017D) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $2,989,131.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: MHHEFA (SERIES 2007A&B) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K, Part IV, Line 2c COLUMN B Issuer name: MHHEFA (SERIES 2008A-E) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K, Part IV, Line 2c COLUMN C Issuer name: MHHEFA (SERIES 2008F) The calculation for computing no rebate due was performed on 07/01/2018
Schedule K, Part IV, Line 2c COLUMN D Issuer name: MHHEFA (SERIES 2010) The calculation for computing no rebate due was performed on 04/01/2019
Schedule K, Part IV, Line 2c COLUMN A Issuer name: MHHEFA (SERIES 2013A) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number
52-1362793
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A MHHEFA (SERIES 2007A&B)
  		52-0936091 574217G74 09-12-2007 137,795,000 ADVANCED REFUNDING OF SERIES 2002 BONDS, AND SERIES 2001 BONDS   X   X   X
B MHHEFA (SERIES 2008A-E)
  		52-0936091 574217U78 05-21-2008 280,000,000 CURRENT REFUNDING- 2006B-F BONDS   X   X   X
C MHHEFA (SERIES 2008F)
  		52-0936091 574217Y66 07-10-2008 89,764,001 CURRENT REFUNDING- 2006B-F BONDS   X   X   X
D MHHEFA (SERIES 2010)
  		52-0936091 5742175D3 01-07-2010 241,441,656 FINANCE 2010 FACILITY COSTS; AND REFUND SERIES 2008G, SERIES 2008H AND SERIES 2004A BONDS   X   X   X
MHHEFA (SERIES 2013A)
  		52-0936091 574218MH3 03-08-2013 265,377,428 (See Statement)   X   X   X
MHHEFA (SERIES 2015)
  		52-0936091 574218WD1 05-21-2015 86,603,677 ADVANCED REFUNDING OF SERIES 2006A BONDS AND SERIES 2008C (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2016A-D)
  		52-0936091   09-27-2016 212,785,000 REFUNDING OF SERIES- 2012A-D BONDS   X   X   X
MHHEFA (SERIES 2016E&F)
  		52-0936091   10-13-2016 108,730,000 REFUNDING OF SERIES 2011B/C (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2017A)
  		52-0936091   01-01-2017 44,010,000 REFUNDING OF SERIES 2011A (UCHS) BONDS   X   X   X
MHHEFA (SERIES 2017B)
  		52-0936091 574218V75 02-02-2017 165,070,579 ADVANCED REFUNDING OF SER. 1991B BONDS, A PORTION OF SER. 2005 BONDS & A PORTION OF SER. 2010 BONDS   X   X   X
MHHEFA (SERIES 2017D)
  		52-0936091 5742184J9 12-19-2017 147,182,498 (SEE STATEMENT)   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 17,180,000 5,085,000 59,790,000 95,645,000
2 Amount of bonds legally defeased .............. 41,175,000 175,000,000    
3 Total proceeds of issue .................. 137,849,502 280,000,000 89,951,422 243,598,715
4 Gross proceeds in reserve funds .............       17,980,097
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   164,998,598    
7 Issuance costs from proceeds ............... 1,120,731 1,586,410 792,457 2,656,305
8 Credit enhancement from proceeds ............. 19,824 188,590    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 173,100,000   145,611,600 130,000,000
11 Other spent proceeds ............. 136,708,947 278,225,000 89,158,965 92,962,313
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? ..... X     X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X              
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X     X   X
b Name of provider .......... JP MORGAN BANK OF AMERICA
  		JP MORGAN BANK OF AMERICA
  		 
  		 
 
c Term of hedge ......... 2700 % 3460 %    
d Was the hedge superintegrated? ......   X   X        
e Was the hedge terminated? ........   X   X        
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) Description of purpose ISSUER NAME: MHHEFA (SERIES 2013A) ACQUISITION COSTS RELATED TO ST. JOSEPH MEDICAL CENTER; FINANCE CAPITAL PROJECTS; AND REFUND SERIES 1998, SERIES 2004B AND SERIES 2005.
Schedule K, Part I, Column (f) Description of Purpose ISSUER NAME: MHHEFA (SERIES 2017D) BONDS TO FINANCE A PORTION OF ACQUISITION COSTS RELATED TO UM CAPITAL REGION AND CONSTRUCTION COSTS OF NEW REGIONAL MEDICAL CENTER AND NEW FREESTANDING MEDICAL FACILITY.
Schedule K, Part II, Line 3 MHHEFA (Series 2007A&B) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $54,502.
Schedule K, Part II, Line 3 MMHEFA (Series 2008F) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $187,421.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2010) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $2,157,059.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2013A) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $72,288.
Schedule K, Part II, Line 3 MHHEFA (SERIES 2015) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $3,496.
Schedule K, Part II, Line 3 MHHEFA (Series 2017B) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $5,958.
Schedule K, Part II, Line 3 MHHEFA (Series 2017D) The difference between the issue price and the total proceeds of issue is investment earnings in the amount of $2,989,131.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: MHHEFA (SERIES 2007A&B) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K, Part IV, Line 2c COLUMN B Issuer name: MHHEFA (SERIES 2008A-E) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K, Part IV, Line 2c COLUMN C Issuer name: MHHEFA (SERIES 2008F) The calculation for computing no rebate due was performed on 07/01/2018
Schedule K, Part IV, Line 2c COLUMN D Issuer name: MHHEFA (SERIES 2010) The calculation for computing no rebate due was performed on 04/01/2019
Schedule K, Part IV, Line 2c COLUMN A Issuer name: MHHEFA (SERIES 2013A) The calculation for computing no rebate due was performed on 07/01/2017
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
(1) Catherine Pugh
  		Board Member Catherine Pugh ("Pugh") served on the UMMS Board of Directors from 2002 until her resignation in March 2019. Between November 2011 and 2018, while Pugh was on the board of UMMS, UMMS entered into contractual agreements with Pugh and her wholly owned entity to purchase a total of 100,000 copies of Healthy Holly books written by Pugh. The books were purchased by UMMS on the understanding that they would be delivered to the Baltimore City Public School System and made available to children in Baltimore City Public Schools. Five $100,000 payments (each for 20,000 books) were made in each of 2011, 2012, 2015, 2016 and 2018, for an aggregate amount of $500,000. In March 2019, UMMS became aware that Pugh was under investigation by law enforcement authorities. In March 2019, Pugh returned $100,000 of the payments made by UMMS. In November 2019, Pugh entered into a plea agreement with the government and pleaded guilty to (1) conspiracy to commit wire fraud, (2) conspiracy to defraud the United States, and (3) two counts of tax evasion. As necessary for the count on the conspiracy to commit wire fraud, Pugh acknowledged in the Stipulation of Facts that accompanied the plea agreement that she did not deliver all copies of books intended for Baltimore City Public Schools, but instead kept thousands of copies for her later personal use; that she resold copies of books intended for Baltimore City Public Schools; and that, in years 2016 and 2018, she did not deliver any copies of books for which UMMS had paid. Pugh stipulated that she defrauded UMMS of the $500,000 paid for books that were not delivered as agreed. Pugh's admitted fraud demonstrates that any approval or participation in these transactions by UMMS directors and management was not knowing. As part of the sentencing process following the plea agreement, UMMS was awarded a $400,000 judgment of restitution by court order reflecting UMMS' full outstanding claim against Pugh. UMMS will take all necessary and appropriate steps to enforce the judgment. Yes  
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
125,000
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
0

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2018
Schedule L (Form 990 or 990-EZ) 2018
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) KELLY & ASSOCIATES INSURANCE GROUP
  		SEE PART V 1,671,538 SEE PART V   No
(2) DR SARAH KLEIST
  		SEE Part V 48,031 SEE PART V   No
(3) Soltesz Inc
  		SEE Part V 158,462 See Part V   No
(4) Matthew Irby
  		See Part V 99,767 See Part V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV Line 1, COLUMN B AND COLUMN D Francis Kelly is a director of the filing organization, and an owner of Kelly & Associates Insurance Group. Kelly & Associates Insurance Group was paid commissions and adminstrative fees, at or below fair market value, related to employee benefits.
Schedule L, Part IV LINE 2, Column B and Column D Dr. Sarah Kleist is a family member of Kenneth Moreland, a director of the filing organization. Dr. Sarah Kleist was paid reasonable compensation as an employee of the filing organization.
Schedule L, Part IV Line 3, Column B and Column D James Soltesz is a director of the filing organization, and an owner of Soltesz, Inc. Soltesz, Inc. was paid fees, at or below fair market value, for engineering services.
Schedule L, Part IV Line 4, Column B and Column D Matthew Irby is a family member of John Ashworth, an officer of the filing organization. Matthew Irby was paid reasonable compensation as an employee of the filing organization.
Schedule L (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




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
2018
Open to Public
Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Return Reference Explanation
Form 990, Part VI, Line 4 Significant changes to organizational documents During its tax year ended June 30, 2019, UMMS implemented comprehensive governance changes addressing significant, widely publicized governance failures involving transactions between UMMS and nine of its 30 board members. A number of these changes were statutory, resulting from oversight and legislation enacted by the Maryland State Legislature in April 2019. Unlike other nonprofit hospital systems, UMMS' governance is largely dictated and overseen by the Maryland State Legislature. Prior to 1984, UMMS was an integral part of the University of Maryland, a state university. In 1984, the Maryland Legislature converted the University of Maryland Hospital into the University of Maryland Medical System, a private nonprofit corporation recognized as a section 501(c)(3) tax exempt hospital. A primary objective of the conversion was to prompt creation of a single, integrated hospital system serving the entire State of Maryland. UMMS was also formed because the legislature sought to "separate the operations, revenues and obligations of the medical system from the State," because it "ha[d] proven unnecessarily costly and administratively cumbersome for the University [of Maryland] to finance, manage, and carry out the patient care activities of an academic institution within the existing framework of a State agency...." Md.Code (1978, 2008 Repl.Vol.), § 13-302(5), (6) of the Education Article ("Educ."). While the 1984 legislation created a separate, private entity, the State maintained substantial control of UMMS' governance and operations, including, for example, by (i) requiring that UMMS' articles of incorporation and initial asset transfer be approved by Maryland's Board of Public Works; (ii) vesting appointment of Board members in the Governor; and (iii) requiring that the Chancellor of the University System of Maryland and other University officials serve as ex officio members of the UMMS Board. See 98 Opinions of the Attorney General 114, at 117-20 (November 21, 2013) (identifying examples and stating, "Although it established UMMS as an ostensibly private corporation, the General Assembly ensured that the State would continue to play a prominent role in the System's governance"). In addition to statutory changes, other governance changes were the result of two independent reviews commissioned by the UMMS Board. The Nygren Report, completed and released to the public in June 2019, identified transactions between UMMS and nine of UMMS' 30 Board members that were not presented to, reviewed by, and/or approved by the UMMS Board or an appropriate UMMS Board committee as required by UMMS' bylaws, policies and procedures. See https://www.umms.org/-/media/files/umms/about-us/leadership/board-updates/nygren-report.pdf?upd=20190621155341&la=en&hash=A6C8E300FF486C78F751A9F6EB1FF22639AF1824. A second report commissioned by the Special Committee of the newly constituted UMMS Board was a comprehensive governance review that was completed and released to the public in December 2019, and recommended significant governance, management and operational reforms (the "Special Committee Report"). See https://cdn.s3-media.wbal.com/Media/2019/12/13/f92dad8e-9486-4119-b64b-1f079a56475d/original.pdf. On a parallel track, beginning in August 2019 the UMMS Board retained McDermott, Will & Emery to advise on modifications and enhancements to UMMS governance policies and procedures, based on a review of UMMS' then existing policies and procedures and transactions identified in the Nygren Report. The recommendations, amplified by and aligned with the Special Committee Report recommendations, have been adopted and are being implemented by the UMMS Board and management. Below is a summary of governance changes mandated unanimously by the Maryland State Legislature and signed into law by the Governor in April 2019, as well as governance changes implemented by the UMMS Board in response to the Nygren and Special Committee Reports and McDermott review. Statutory Governance Changes: * UMMS was required to adopt a new conflict of interest policy (described herein on Schedule O) including certain statutorily mandated provisions such as standards on recusal from voting and conflicts disclosures. Educ. § 13-303(n). The new statute mandated that, on or before May 31, 2019 (and each time a change is made to the policy), the new conflict of interest policy be adopted and provided to the Governor, the President of the Maryland Senate and Speaker of the Maryland House. * The UMMS Board was reconstituted to consist of not less than 22 and not more than 25 voting members and six non-voting ex officio members. Educ. § 13-304(b)(1). * All UMMS Board members were required to be replaced by January 1, 2020 with new members appointed or reappointed by the Governor with the advice and consent of the Maryland Senate. Sections 5(a) and (b) of Chapter 19 (House Bill 1428) of the Acts of 2019. * UMMS Board members are prohibited from being State or local elected officials and three voting members must include the Governor's designee, an appointment by the President of the Maryland Senate and an appointment by the Speaker of Maryland's House of Delegates. Educ. § 13-304(c).
Form 990, Part VI, Line 5 Diversion of organization assets An UMMS board of directors member (the "director") served on the UMMS board of directors from 2002 until her resignation in March 2019. Between November 2011 and 2018, while the director was on the board of UMMS, UMMS entered into contractual agreements with her and her wholly owned entity to purchase a total of 100,000 copies of children's books written by the director. The books were purchased by UMMS on the understanding that they would be delivered to the Baltimore City Public School System and made available to children in Baltimore City Public Schools. Five $100,000 payments (each for 20,000 books) were made in each of 2011, 2012, 2015, 2016 and 2018, for an aggregate amount of $500,000. In March 2019, UMMS became aware that the director was under investigation by law enforcement authorities. In March 2019, the director returned $100,000 of the payments made by UMMS. In November 2019, the director entered into a plea agreement with the government and pleaded guilty to (1) conspiracy to commit wire fraud, (2) conspiracy to defraud the United States, and (3) two counts of tax evasion. As necessary for the count on the conspiracy to commit wire fraud, the director acknowledged in the Stipulation of Facts that accompanied the plea agreement that she did not deliver all copies of books intended for Baltimore City Public Schools, but instead kept thousands of copies for her later personal use; that she resold copies of books intended for Baltimore City Public Schools; and that, in years 2016 and 2018, she did not deliver any copies of books for which UMMS had paid. The director stipulated that she defrauded UMMS of the $500,000 paid for books that were not delivered as agreed. As part of the sentencing process following the plea agreement, UMMS was awarded a $400,000 judgment of restitution by court order reflecting UMMS' full outstanding claim against the director. UMMS will take all necessary and appropriate steps to enforce the judgment.
Form 990, Part VI, Line 11b Review of form 990 by governing body The University of Maryland Medical System ("UMMS") prepares 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. Draft returns are prepared using IRS-approved tax software. Once a draft return is prepared, it undergoes multiple levels of review both internally by UMMS tax & finance personnel, and externally by Ernst & Young LLP. Following any necessary changes to the return, a final draft is reviewed by each affiliate's vice president of finance and/or CFO. Prior to filing the IRS Form 990, the organization's board chairman, treasurer, governance committee chairman, finance 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.
Form 990, Part VI, Line 12c Conflict of interest policy The organization requires that all Covered Persons 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. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The Governance Committee of the Board is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Chair of the Governance Committee, having reviewed any and all conflicts with the Committee, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the Governance Committee. A questionnaire which discloses potential conflicts of interest is distributed annually to Covered Persons. The Chief Compliance Officer of the University of Maryland Medical System Corporation (UMMS) distributes and collects the responses for UMMS and other affiliates. The Chief Compliance Officer reviews all disclosure statements for compliance with the Conflict of Interest Policy and any/all related UMMS policies to identify all actual or potential conflicts of interest. The Chief Compliance Officer prepares and submits to the Governance Committee annual and updated (where applicable) reports summarizing all relevant information contained in the disclosure statements. With respect to the other entities in the University of Maryland Medical System, the Chief Compliance Officer may be called for consult. If the Governance Committee determines that a Conflict of Interest exists, the Governance Committee shall notify the Covered Person, the UMMS Chief Executive Officer, and the UMMS Board Chair and further will notify the full Board at its next meeting. Furthermore, in the event the Governance Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Governance Committee determines that a Conflict of Interest exists but that UMMS may enter into the subject transaction or arrangement, the interested Covered Person shall be recused from all deliberations and decisions concerning said transaction or arrangement, any arrangements with that entity, and compensation or benefits for officers, directors, and trustees. Furthermore, the Chair of the Board and the Chairs of the Governance Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the Governance Committee determines that a Covered Person has used their position to accrue Excess Benefits or to knowingly assist others in accruing Excess Benefits in any way at the expense of UMMS, the Governance Committee shall recommend to the Executive Committee appropriate corrective action to be taken. 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 totaling in excess of $10,000 between the board members and/or their related entities and the organization.
Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization determines the executive compensation paid to its executives in the following manner prescribed in the IRS regulations: Executive compensation packages are determined by a committee of the board that is composed entirely of board members who have no conflict of interest. The committee acquires credible comparability market data concerning the compensation packages of similarly situated executives. The committee carefully reviews that data, the executive's performance and the proposed compensation packages during the decision making process. The committee memorializes its deliberations in detailed minutes reviewed and adopted at the next-following meeting. The committee seeks an opinion of counsel that it has met the requirements of the IRS intermediate sanctions regulations. This process is used to determine the compensation packages for all management employees from the Vice President level and up.
Form 990, Part VI, Line 15b Process to establish compensation of other employees The organization determines the executive compensation paid to its executives in the following manner prescribed in the IRS regulations: Executive compensation packages are determined by a committee of the board that is composed entirely of board members who have no conflict of interest. The committee acquires credible comparability market data concerning the compensation packages of similarly situated executives. The committee carefully reviews that data, the executive's performance and the proposed compensation packages during the decision making process. The committee memorializes its deliberations in detailed minutes reviewed and adopted at the next-following meeting. The committee seeks an opinion of counsel that it has met the requirements of the IRS intermediate sanctions regulations. This process is used to determine the compensation packages for all management employees from the Vice President level and up.
Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM.
Form 990, Part VII, Section A HOURS ON RELATED ENTITIES 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.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL RECORDS - Total Revenue: 573173, Related or Exempt Function Revenue: 573173, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OTHER - Total Revenue: 1636678, Related or Exempt Function Revenue: 1636678, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; RESIDENT REIMBURSEMENT - Total Revenue: 370239, Related or Exempt Function Revenue: 370239, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances IT ENTERPRISE - 24861178; STRATEGIC PRIORITIES - 3999996; CHANGE IN ECON INT FOUNDATION - 13042686; INVESTMENT IN MWPH - 1110091; EQUITY TRANSFER - -45529619; CORP DEPRECIATION ALLOCATION - -9518378; UCHS CAPITAL CONTRIBUTION ESCROW - -15000000; SWAP VALUATION AND EXPENSE - -52830825; ELIMINATION ADJUSTMENT - 5576813;
Form 990, Part VI, Line 4 Significant changes to organizing documents (continued) * A prior requirement that two voting Board members also be members of the General Assembly was repealed. Section 1 of Chapter 19 (House Bill 1428) of the Acts of 2019. * UMMS was required to retain a certified public accounting firm through a competitive bid process to conduct a performance audit of administrative and financial offices at UMMS. Any certified public accounting firm doing business with UMMS was prohibited from submitting a bid. The certified public accounting firm retained by UMMS was required to consult with the General Assembly's Joint Audit Committee and Office of Legislative Audits on the scope and objectives of the performance audit. UMMS was required to submit a certified copy of the performance audit to the Governor, the President of the Senate and the Speaker of the House by December 31, 2019, and is required to do so again in 2022. Section 2 of Chapter 19 (House Bill 1428) of the Acts of 2019. * UMMS must undergo a forensic audit by the Maryland Office of Legislative Audits covering the period January 1, 2016 through April 18, 2019, and the audit findings must be provided to the Governor, President of the Senate and Speaker of the House. Section 3 of Chapter 19 (House Bill 1428) of the Acts of 2019. * UMMS Board members must annually submit a statement of financial interest (including disclosing conflicts of interest) to the State Health Services Cost Review Commission ("HSCRC"), an independent state agency governed by seven commissioners appointed by the Governor and tasked with establishing hospital rates, for public disclosure on HSCRC's website. Educ. § 13-304(l). The General Assembly required also that UMMS' Board of Directors and compliance officer review each disclosure statement for compliance with UMMS' conflict of interest policy and that the HSCRC provide a summary of the annual statements to the Governor, President of the Senate and Speaker of the House. Id. * The UMMS Board must "develop a policy governing contracts with and payments to a member of the Board of Directors or members of the board of directors of hospitals affiliated with the Medical System Corporation by" UMMS or its affiliated hospitals and annually submit (by December 1) a report to the Governor and specific General Assembly leaders and committees involving the policy and how the Board has maintained compliance with the policy at UMMS' affiliated hospitals and the boards of its affiliated hospitals. Educ. § 13-304(o). * During calendar year 2019 UMMS' Board must conduct an internal review of Board policies and procedures and report findings and recommendations to state government officials by December 31, 2019. The Office of Legislative Audits must review and comment on the report. Section 4 of Chapter 19 (House Bill 1428) of the Acts of 2019. UMMS Board Changes Based on Reports and Assessments: * UMMS' Board unanimously adopted a new conflict of interest policy, which was provided to the Governor on May 31, 2019. * UMMS adopted a Board member Code of Conduct. * UMMS has adopted a new "governance handbook" that is, along with regular training, aimed at educating Board members on their roles and responsibilities and strong governance, among other things. * UMMS has adopted new policies or amended existing policies to strengthen its internal controls around procurement, expenditures, and travel and expense reimbursement. * UMMS also has revised its policies on reporting of potential compliance issues and compliance oversight so as to, together with the other improvements described above, eliminate both the appearance and occurrence of interested party transactions that pose conflicts of interest without appropriate approvals and to prevent the occurrence of transactions that are prohibited under U.S. federal tax rules applicable to UMMS. In the wake of press reporting regarding conflicts of interest with certain UMMS' Board members in March 2019, several UMMS Board members, the President and CEO (Robert Chrencik), General Counsel (Megan Arthur), Chief Compliance Officer (Christine Bachrach), Chief Administrative Officer (Jerry Wollman), and Chief Performance Improvement Officer (Keith Persinger), resigned. By the end of calendar year 2019, UMMS' 25-person Board was comprised of five members who had previously served, had not engaged in transactions with UMMS and were not named in the Nygren Report, and were re-appointed by the Governor; and 20 new members appointed by the Governor who had not previously served on the UMMS Board. UMMS appointed a new CEO, Dr. Mohan Suntha, effective December 1, 2019. In March 2020, the Maryland General Assembly's Office of Legislative Audits ("OLA") released findings from a Special Review of UMMS mandated by the April 2019 legislation (see https://www.ola.state.md.us/). The legislation required that the OLA identify all members of the UMMS Board of Directors over the period January 1, 2016 to April 18, 2019, review all transactions with those individuals and their associated businesses, and recommend any necessary improvements to the procurement and disbursement processes. The OLA Report states that "[t]he listing of Board members and associated businesses . . . is intended to provide a comprehensive summary of the payments identified by our review, and not to establish that the Board members were aware of, involved in, or benefitted from the payments, nor that the transactions were improper." The OLA Report concludes that if UMMS successfully implements the recommendations contained in the Special Committee Report and University of Maryland Medical System Financial Management Practices Audit Report, "further recommendations regarding UMMS' procurement and contracting processes, additional business relationships, and other related parties should not be necessary." UMMS has carefully reviewed each interested party transaction identified in the Nygren, Special Committee and OLA Reports to determine whether they constitute excess benefit transactions under section 4958. While many of those transactions were undertaken pursuant to deficient governance and control processes (which have since been addressed, as described above), the section 4958 inquiry looks to whether the transaction was, in fact, at fair market value, or whether an excessive economic benefit was conveyed to the interested party. Of the 18 Board members that OLA identified as having a "direct financial relationship" with an entity that received payments from UMMS, 11 were previously identified in the Nygren and/or Special Committee Reports. The additional 7 individuals were included in OLA's scope because OLA defined "associated business" broadly to include "any entity, regardless of whether it operated as for-profit or not-for-profit, with which the Board members or their immediate family member (spouses and adult children) (a) held an ownership interest (excluding non-controlling interests in publicly traded stock), (b) was employed, (c) received income, or (d) served as a member of the entity's board of directors or equivalent governing body." That definition includes serving as a Board member of a charity that received a donation from UMMS and holding an investment in a public company. Based on its review of each identified transaction, UMMS concluded that none of the transactions with these 7 directors involved actual or potential excess benefits to the UMMS director in question. Of the 11 directors originally identified in the Nygren and/or Special Committee Reports, one director defrauded UMMS in what constitutes not only an excess benefit transaction, but also a significant diversion of assets. That transaction is reported in Part IV, lines 25 (a) and (b) and corresponding Schedule L; Part VI, Sec. A, line 5, and this Schedule O; and Form 4720. Of the remaining 10 directors, the transactions with respect to which 8 directors were identified, were with associated businesses entered into and conducted in the ordinary course of business, which UMMS has concluded did not convey an excess benefit. The transactions with the remaining 2 directors, each of which is described in detail in the Nygren, Special Committee and OLA Reports, involved personal services performed directly by the director in question. These transactions did not follow appropriate governance procedures including adequate contemporaneous documentation. Nonetheless, after extensive review of these transactions, UMMS has made the judgment that substantial evidence supports the conclusion that none of these two directors' arrangements conveyed an excess benefit. UMMS has determined that in each case, the compensation paid would be reasonable, based on substantial evidence as to the work performed.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
University of Maryland Medical System Corporation
 
Employer identification number

52-1362793
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) 36 S PACA STREET LLC
36 S PACA STREET
BALTIMORE,MD21211
56-2544990 		RENTAL MD 755,000 12,663,000 UMMSC
 
(2) UNIVERSITY OF MARYLAND ECARE LLC
250 W PRATT STREET
BALTIMORE,MD21201
46-1441270 		HEALTHCARE MD 556,000 776,000 UMMSC
 
(3) UNIVERSITY OF MARYLAND MEDICAL CENTER
250 W PRATT STREET
BALTIMORE,MD21201
32-0443777 		HEALTHCARE MD 0 0 UMMSC
 
(4) UNIVERSITY OF MARYLAND HEALTH VENTURES
250 W PRATT STREET
BALTIMORE,MD21201
47-4794292 		HEALTHCARE MD 0 170,180,000 UMMSC
 
(5) UMRMC LLC
250 W PRATT STREET
BALTIMORE,MD21201
 HEALTHCARE MD 0 0 UMMSC
 
(6) UMMC I LLC
250 W PRATT STREET
BALTIMORE,MD21201
38-3945516 		HEALTHCARE MD 0 0 UMMSC
 
(7) UNIVERSITY OF MD QUALITY CARE NETWORK
250 W PRATT STREET
BALTIMORE,MD21201
37-1824357 		HEALTHCARE MD 1,520,000 1,440,000 UMMSC
 
(8) University of Maryland Care Transformation Organization LLC
250 W Pratt Street
Baltimore,MD21201
83-1206196 		Healthcare MD 1,661,000 3,117,000 UMMSC
 
Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BALTIMORE WASHINGTON EMERGENCY PHYS INC
301 HOSPITAL DRIVE

GLEN BURNIE,MD21061
52-1756326 		HEALTHCARE MD 501(c)(3) Type I BWHS
 
Yes
 
(2)BALTIMORE WASHINGTON HEALTHCARE SERVICES
301 HOSPITAL DRIVE

GLEN BURNIE,MD21061
52-1830243 		HEALTHCARE MD 501(c)(3) Type I UMBWMS
 
Yes
 
(3)BALTIMORE WASHINGTON MEDICAL CENTER INC
301 HOSPITAL DRIVE

GLEN BURNIE,MD21061
52-0689917 		HEALTHCARE MD 501(c)(3) 3 UMBWMS
 
Yes
 
(4)UM BALTIMORE WASHINGTON MEDICAL SYSTEM
301 HOSPITAL DRIVE

GLEN BURNIE,MD21061
52-1830242 		HEALTHCARE MD 501(c)(3) Type I UMMSC
 
Yes
 
(5)NORTH ARUNDEL DEVELOPMENT CORPORATION
301 HOSPITAL DRIVE

GLEN BURNIE,MD21061
52-1318404 		REAL ESTATE MD 501(c)(2)   NCC
 
Yes
 
(6)NORTH COUNTY CORPORATION
301 HOSPITAL DRIVE

GLEN BURNIE,MD21061
52-1591355 		REAL ESTATE MD 501(c)(2)   UMBWMS
 
Yes
 
(7)CHESTER RIVER HEALTH FOUNDATION INC
100 BROWN STREET

CHESTERTOWN,MD21620
52-1338861 		FUNDRAISING MD 501(c)(3) 8 UMSRH
 
Yes
 
(8)UNIV OF MD SHORE REGIONAL HEALTH INC
100 BROWN STREET

CHESTERTOWN,MD21620
52-2046500 		HEALTHCARE MD 501(c)(3) Type I UMMSC
 
Yes
 
(9)CHESTER RIVER HOSPITAL CENTER
100 BROWN STREET

CHESTERTOWN,MD21620
52-0679694 		HEALTHCARE MD 501(c)(3) 3 UMSRH
 
Yes
 
(10)CHESTER RIVER MANOR INC
200 MORGNEC ROAD

CHESTERTOWN,MD21620
52-6070333 		HEALTHCARE MD 501(c)(3) 10 UMSRH
 
Yes
 
(11)MARYLAND GENERAL CLINICAL PRACTICE GROUP
827 LINDEN AVENUE

BALTIMORE,MD21201
52-1566211 		HEALTHCARE MD 501(c)(3) Type II UMMTH
 
Yes
 
(12)UNIVERSITY OF MARYLAND MIDTOWN HEALTH INC
827 LINDEN AVENUE

BALTIMORE,MD21201
52-1175337 		HEALTHCARE MD 501(c)(3) Type II UMMSC
 
Yes
 
(13)MARYLAND GENERAL HOSPITAL INC
827 LINDEN AVENUE

BALTIMORE,MD21201
52-0591667 		HEALTHCARE MD 501(c)(3) 3 UMMTH
 
Yes
 
(14)CARE HEALTH SERVICES INC
219 SOUTH WASHINGTON STREET

EASTON,MD21601
52-1510269 		HEALTHCARE MD 501(c)(3) 10 SHS
 
Yes
 
(15)MEMORIAL HOSPITAL FOUNDATION INC
219 SOUTH WASHINGTON STREET

EASTON,MD21601
52-1282080 		FUNDRAISING MD 501(c)(3) Type I SHS
 
Yes
 
(16)UNIVERSITY OF MARYLAND COMMUNITY MEDICAL
22 SOUTH GREENE STREET

BALTIMORE,MD21201
52-1874111 		HEALTHCARE MD 501(c)(3) 3 UMSRH
 
Yes
 
(17)SHORE HEALTH SYSTEM INC
219 SOUTH WASHINGTON STREET

EASTON,MD21601
52-0160538 		HEALTHCARE MD 501(c)(3) 3 UMSRH
 
Yes
 
(18)JAMES LAWRENCE KERNAN HOSPITAL INC
2200 KERNAN DRIVE

BALTIMORE,MD21207
52-0591639 		HEALTHCARE MD 501(c)(3) 3 UMMSC
 
Yes
 
(19)UMMS FOUNDATION INC
22 SOUTH GREENE STREET

BALTIMORE,MD21201
52-2238893 		FUNDRAISING MD 501(c)(3) Type I UMMSC
 
Yes
 
(20)UNIVERSITY OF MARYLAND CHARLES REGIONAL
PO BOX 1070

LA PLATA,MD20646
52-2155576 		HEALTHCARE MD 501(c)(3) Type III-FI UMMSC
 
Yes
 
(21)CIVISTA MEDICAL CENTER INC
PO BOX 1070

LA PLATA,MD20646
52-0445374 		HEALTHCARE MD 501(c)(3) 3 UMCRH
 
Yes
 
(22)CHARLES REGIONAL MEDICAL CENTER FOUNDATION
PO BOX 1070

LA PLATA,MD20646
52-1414564 		FUNDRAISING MD 501(c)(3) Type I UMCRH
 
Yes
 
(23)UNIV OF MD ST JOSEPH FOUNDATION INC
7601 OSLER DRIVE

TOWSON,MD21204
52-1681044 		FUNDRAISING MD 501(c)(3) Type I UMSJHS
 
Yes
 
(24)UMSJ HEALTH SYSTEM LLC
7601 OSLER DRIVE

TOWSON,MD21204
46-2097818 		HEALTHCARE MD 501(c)(3) 3 UMMSC
 
Yes
 
(25)HARFORD MEMORIAL HOSPITAL INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-0591484 		HEALTHCARE MD 501(c)(3) 3 UMUCHS
 
Yes
 
(26)UM UPPER CHESAPEAKE HEALTH SYSTEM INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-1398513 		HEALTHCARE MD 501(c)(3) Type III-O UMMSC
 
Yes
 
(27)UPPER CHESAPEAKE HEALTH FOUNDATION INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-1398507 		FUNDRAISING MD 501(c)(3) Type I UMUCHS
 
Yes
 
(28)UPPER CHESAPEAKE MEDICAL CENTER INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-1253920 		HEALTHCARE MD 501(c)(3) 3 UMUCHS
 
Yes
 
(29)UPPER CHESAPEAKE MEDICAL SERVICES INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-1501734 		HEALTHCARE MD 501(c)(3) 10 UMUCHS
 
Yes
 
(30)UPPER CHESAPEAKE PROPERTIES INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-1907237 		REAL ESTATE MD 501(c)(2)   UMUCHS
 
Yes
 
(31)UPPER CHES RESIDENTIAL HOSPICE HOUSE INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
26-0737028 		HOSPICE MD 501(c)(3) 10 UMUCHS
 
Yes
 
(32)HARFORD CRISIS CENTER INC
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-1229742 		HOME CARE MD 501(c)(3) Type II UMUCHS
 
Yes
 
(33)DIMENSIONS HEALTH CORPORATION
3001 HOSPITAL DRIVE

CHEVERLY,MD20785
52-1289729 		HEALTHCARE MD 501(c)(3) 3 UMMSC
 
Yes
 
(34)DIMENSIONS HEALTHCARE ASSOCIATES
3001 HOSPITAL DRIVE

CHEVERLY,MD20785
52-1902711 		HEALTHCARE MD 501(c)(3) Type I UMCAPRH
 
Yes
 
(35)UM CAPITAL REGION HEALTH INC
250 W PRATT ST STE 2400

BALTIMORE,MD21201
82-3596114 		HEALTHCARE MD 501(c)(3) Type III-FI UMMSC
 
Yes
 
(36)UCH LEGACY FUNDING CORPORATION
520 UPPER CHESAPEAKE DR

BEL AIR,MD21014
52-0882914 		FUNDRAISING MD 501(c)(3) Type II UMUCHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ARUNDEL PHYSICIANS ASSOCIATES

301 HOSPITAL DRIVE
GLEN BURNIE,MD21061
52-2000762 		HEALTHCARE MD APA INC
  		        No     No  
(2) BALTIMORE WASHINGTON IMAGING

301 HOSPITAL DRIVE
GLEN BURNIE,MD21061
20-0806027 		HEALTHCARE MD UMBWMS
  		        No     No  
(3) UNIVERSITYCARE LLC

22 SOUTH GREENE STREET
BALTIMORE,MD21201
52-1914892 		HEALTHCARE MD UMMSC
  		  0 3,931,035   No     No 90 %
(4) O'DEA MEDICAL ARTS LIMITED PAR

7601 OSLER DRIVE
TOWSON,MD21204
52-1682964 		RENTAL MD SJMC PROP
  		        No     No  
(5) ADVANCED IMAGING AT ST JOSEPH

7601 OSLER DRIVE
TOWSON,MD21204
52-1958002 		HEALTHCARE MD UMSJMC
  		        No     No  
(6) UNIVERSITY OF MARYLAND CHARLES

PO BOX 1070
LAPLATA,MD20646
30-0956382 		HEALTHCARE MD UMCRCP
  		        No     No  
(7) BALTIMORE ASC VENTURES LLC

7620 YORK ROAD
TOWSON,MD21204
82-4133899 		HEALTHCARE DE UMSJMC
  		        No     No  
(8) UCHSUMMS Real Estate Trust

520 Upper Chesapeake Drive
Bel Air,MD21014
27-6803540 		Holding Co MD UMMSC
  		  0 2,405,858   No   Yes   80 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ARUNDEL PHYSICIANS ASSOCIATES INC

301 HOSPITAL DRIVE
GLEN BURNIE,MD21061
52-1992649 		HEALTHCARE MD NA
  		C Corporation       Yes  
(2) BALTIMORE WASHINGTON HEALTH ENTERPRISES

301 HOSPITAL DRIVE
GLEN BURNIE,MD21061
52-1936656 		HEALTHCARE MD NA
  		C Corporation       Yes  
(3) BW PROFESSIONAL SERVICES INC

301 HOSPITAL DRIVE
GLEN BURNIE,MD21061
52-1655640 		HEALTHCARE MD NA
  		C Corporation       Yes  
(4) NA EXECUTIVE BUILDING CONDO ASSN INC

301 HOSPITAL DRIVE
GLEN BURNIE,MD21061
 REAL ESTATE MD NA
  		C Corporation       Yes  
(5) UM CHARLES REGIONAL CARE PARTNERS

PO BOX 1070
LA PLATA,MD20646
52-2176314 		HEALTHCARE MD NA
  		C Corporation       Yes  
(6) UNIVERSITY MIDTOWN PROF CENTER

827 LINDEN AVENUE
BALTIMORE,MD21201
52-1891126 		REAL ESTATE MD NA
  		C Corporation       Yes  
(7) UNIVERSITY OF MARYLAND HEALTH ADVANTAGE

22 SOUTH GREENE STREET
BALTIMORE,MD21201
46-1411902 		INSURANCE MD NA
  		C Corporation       Yes  
(8) UNIVERSITY OF MARYLAND HEALTH PARTNERS

22 SOUTH GREENE STREET
BALTIMORE,MD21201
45-2815803 		INSURANCE MD NA
  		C Corporation       Yes  
(9) UNIVERSITY OF MARYLAND MEDICAL SYSTEM HE

22 SOUTH GREENE STREET
BALTIMORE,MD21201
45-2815722 		INSURANCE MD NA
  		C Corporation       Yes  
(10) UPPER CHESAPEAKE HEALTH VENTURES INC

520 UPPER CHESAPEAKE DR
BEL AIR,MD21014
52-2031264 		HEALTHCARE MD NA
  		C Corporation       Yes  
(11) UPPER CHESAPEAKE MEDICAL CENTER LAND CON

520 UPPER CHESAPEAKE DR
BEL AIR,MD21014
77-0674478 		REAL ESTATE MD NA
  		C Corporation       Yes  
(12) UPPER CHESAPEAKE MEDICAL OFFICE BUILDING

520 UPPER CHESAPEAKE DR
BEL AIR,MD21014
52-1946829 		REAL ESTATE MD NA
  		C Corporation       Yes  
(13) SHORE ORTHOPEDICS INC

219 S WASHINGTON STREET
EASTON,MD21601
37-1817262 		HEALTHCARE MD NA
  		C Corporation       Yes  
(14) MADISON MANOR INC

5801 42ND AVE
HYATTSVILLE,MD20781
52-1269059 		HEALTHCARE MD NA
  		C Corporation       Yes  
(15) AFFILIATED ENTERPRISES INC

3001 HOSPITAL DRIVE
CHEVERLY,MD20785
52-1542144 		HEALTHCARE MD NA
  		C Corporation       Yes  
(16) DIMENSIONS ASSURANCE LTD

PO BOX 1363 GENESIS BLDG
  GRAND CAYMAN  
CJ
98-0348082 		INSURANCE CJ Yes
  		C Corporation 0 35,790,178 100 % Yes  
(17) RIVERSIDE HEALTH OF DELAWARE INC

1966 GREENSPRING DRIVE STE 600
TIMONIUM,MD21093
46-3205820 		HEALTHCARE DE NA
  		C Corporation       Yes  
(18) RIVERSIDE HEALTH OF DC INC

1966 GREENSPRING DRIVE STE 600
TIMONIUM,MD21093
46-1411713 		HEALTHCARE DC NA
  		C Corporation       Yes  
(19) UPPER CHESAPEAKE INSURANCE COMPANY LTD

520 UPPER CHESAPEAKE DR
BEL AIR,MD21014
98-0468438 		INSURANCE CJ NA
  		C Corporation       Yes  
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
No
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 .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Universitycare LLC

 B 2,417,538 FMV
(2) University of Maryland Midtown Health Inc

 B 248,367 FMV
(3) Civista Medical Center Inc

 C 546,510 FMV
(4) University of Maryland Community Medical Group Inc

 C 2,526,896 FMV
(5) University of Maryland Medical System Foundation Inc

 C 5,342,734 FMV
(6) UMSJ Health System LLC

 D 73,146,004 FMV
(7) Baltimore Washington Medical Center Inc

 E 863,950 FMV
(8) Chester River Hospital Center Inc

 E 219,949 FMV
(9) Civista Medical Center Inc

 E 2,705,374 FMV
(10) James Lawrence Kernan Hospital Inc

 E 16,707,077 FMV
(11) Maryland General Hospital Inc

 E 1,991,728 FMV
(12) Shore Health System Inc

 E 4,061,728 FMV
(13) University of Maryland Upper Chesapeake Health System Inc

 E 22,317,823 FMV
(14) Baltimore Washington Medical Center Inc

 L 24,277,378 FMV
(15) Chester River Hospital Center Inc

 L 2,519,643 FMV
(16) University of Maryland Community Medical Group Inc

 L 4,083,222 FMV
(17) James Lawrence Kernan Hospital Inc

 L 6,694,020 FMV
(18) Maryland General Hospital Inc

 L 11,631,913 FMV
(19) Shore Health System Inc

 L 17,078,318 FMV
(20) UMSJ Health System LLC

 L 20,380,591 FMV
(21) University of Maryland Upper Chesapeake Health System Inc

 L 330,312 FMV
(22) UM Capital Region Health Inc

 L 523,698 FMV
(23) Maryland General Hospital Inc

 M 2,533,812 FMV
(24) UMSJ Health System LLC

 M 1,547,650 FMV
(25) Shore Health System Inc

 M 87,837 FMV
(26) UMSJ Health System LLC

 M 14,430,204 FMV
(27) University of Maryland Upper Chesapeake Health System Inc

 M 3,855,411 FMV
(28) Chester River Hospital Center Inc

 N 951,000 FMV
(29) Civista Medical Center Inc

 N 1,714,163 FMV
(30) Shore Health System Inc

 N 353,106 FMV
(31) University of Maryland Upper Chesapeake Health System Inc

 N 5,268,212 FMV
(32) UM Capital Region Health Inc

 N 639,954 FMV
(33) Baltimore Washington Medical Center Inc

 O 462,392 FMV
(34) James Lawrence Kernan Hospital Inc

 O 1,903,591 FMV
(35) Maryland General Hospital Inc

 O 7,570,024 FMV
(36) University of Maryland Midtown Health Inc

 O 832,629 FMV
(37) University of Maryland Upper Chesapeake Health System Inc

 O 1,555,020 FMV
(38) UM Capital Region Health Inc

 O 357,441 FMV
(39) James Lawrence Kernan Hospital Inc

 P 759,335 FMV
(40) Maryland General Hospital Inc

 P 540,069 FMV
(41) Baltimore Washington Medical Center Inc

 Q 40,153,692 FMV
(42) Chester River Hospital Center Inc

 Q 4,084,741 FMV
(43) Civista Medical Center Inc

 Q 15,762,781 FMV
(44) University of Maryland Community Medical Group Inc

 Q 6,646,547 FMV
(45) James Lawrence Kernan Hospital Inc

 Q 8,645,343 FMV
(46) Maryland General Hospital Inc

 Q 19,957,530 FMV
(47) Shore Health System Inc

 Q 28,777,689 FMV
(48) UMSJ Health System LLC

 Q 38,833,334 FMV
(49) University of Maryland Upper Chesapeake Health System Inc

 Q 17,569,452 FMV
(50) UM Capital Region Health Inc

 Q 37,667,159 FMV
(51) Baltimore Washington Medical Center Inc

 Q 7,224,124 FMV
(52) Chester River Hospital Center Inc

 Q 179,259 FMV
(53) Civista Medical Center Inc

 Q 2,204,882 FMV
(54) James Lawrence Kernan Hospital Inc

 Q 902,269 FMV
(55) Maryland General Hospital Inc

 Q 1,392,242 FMV
(56) Shore Health System Inc

 Q 3,315,850 FMV
(57) UMSJ Health System LLC

 Q 10,128,114 FMV
(58) University of Maryland Upper Chesapeake Health System Inc

 Q 8,945,007 FMV
(59) UMSJ Health System LLC

 R 34,275,000 FMV
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 2018

Additional Data


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