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)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 06-30-2025
BCheck if applicable:
CName of organization
UNION HOSPITAL OF CECIL COUNTY INC
 
% SR VP'S OFFICE
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
4000 NEXUS DRIVE NW3-100
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILMINGTON, DE19803
D Employer identification number

52-0607945
E Telephone number

G Gross receipts $ 222,623,752
F Name and address of principal officer:
AMY MARSTON
106 BOW STREET
ELKTON,MD219215596
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.UHCC.COM
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  
K Form of organization:  
L Year of formation: 1903
M State of legal domicile: MD
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MD AND THE SURROUNDING AREA.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 10
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 992
6 Total number of volunteers (estimate if necessary) ............. 6 180
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,744,302
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 173,336 618,008
9 Program service revenue (Part VIII, line 2g) ......... 186,412,171 188,403,150
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,543,871 7,477,237
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,392,637 2,634,186
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 194,522,015 199,132,581
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 124,692,604 138,230,546
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 68,606,520 78,344,866
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 193,299,124 216,575,412
19 Revenue less expenses. Subtract line 18 from line 12....... 1,222,891 -17,442,831
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 209,167,049 218,706,660
21 Total liabilities (Part X, line 26)............. 167,642,633 196,354,604
22 Net assets or fund balances. Subtract line 21 from line 20..... 41,524,416 22,352,056
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
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



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 (2024)
Form 990 (2024)
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: UNION HOSPITAL OF CECIL COUNTY, INC.'S MISSION IS TO PROVIDE CHARITABLE HEALTHCARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND; WESTERN NEW CASTLE COUNTY, DELAWARE; AND SOUTHERN CHESTER COUNTY, PENNSYLVANIA.
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 $ 190,766,744 including grants of $ 0 ) (Revenue $ 189,018,847 )
UNION HOSPITAL OF CECIL COUNTY'S MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF CECIL COUNTY, MARYLAND AND NEIGHBORING COMMUNITIES. SERVICES ARE PROVIDED WITH MODERN TECHNOLOGY AND COMPASSIONATE CARE FROM HEALTH CARE PROFESSIONALS. SERVICES ARE PROVIDED REGARDLESS OF RACE, GENDER, ETHNICITY, AGE, DISABILITY, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS VITALLY IMPORTANT TO THE OPERATION, STABILITY, AND VIABILITY OF UNION HOSPITAL OF CECIL COUNTY, IT IS RECOGNIZED THAT NOT ALL MEMBERS OF THE COMMUNITY ARE IN THE FINANCIAL POSITION TO PURCHASE HEALTH CARE SERVICES. FOR ELIGIBLE INDIVIDUALS, UNION HOSPITAL OF CECIL COUNTY OFFERS FREE AND/OR SUBSIDIZED CARE, AS WELL AS ACCESS TO COMMUNITY FINANCIAL ASSISTANCE. DURING THE YEAR, UNION HOSPITAL OF CECIL COUNTY PROVIDED $3,515,802 IN CHARITY CARE. IN ADDITION, COMMUNITY BENEFIT ACTIVITIES ARE PROVIDED TO SERVE VULNERABLE POPULATIONS (I.E. PEOPLE WITH LOW INCOMES, PREGNANT PEOPLE, PEOPLE WITH SUBSTANCE USE DISORDER) AND/OR TO ADDRESS A DEMONSTRATED COMMUNITY HEALTH-RELATED NEED. COMMUNITY NEEDS ARE IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENTS, COMPLETED EVERY THREE YEARS IN PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT. COMMUNITY BENEFITS INCLUDE: A) ACCESS TO HEALTH INITIATIVES INCLUDING MOBILE HEALTH MONTHLY OUTREACH WHICH OFFERS CONNECTION TO COMMUNITY AND CLINICAL RESOURCES AND BLOOD PRESSURE AND VISION SCREENINGS, AND A PARTNERSHIP WITH THE CECIL COUNTY DEPARTMENT OF EMERGENCY SERVICES TO LAUNCH A MOBILE INTEGRATED HEALTH PROGRAM WHICH SEEKS TO CONNECT HIGH-RISK INDIVIDUALS TO CARE WHO WERE RECENTLY DISCHARGED FROM THE HOSPITAL AND/OR ARE REPEAT 911 CALLERS. B) ADDRESSING MATERNAL AND CHILD HEALTH BY OFFERING SUPPORT GROUPS AND EDUCATION ON THE TOPICS OF DELIVERY, INFANT CARE, AND BREASTFEEDING - INCLUDING SPECIALIZED EDUCATION FOR HOW TO CARE FOR BABIES WITH NEONATAL ABSTINENCE SYNDROME - OFFERED AT COMMUNITY TREATMENT CENTERS. C) HEALTH EDUCATION ON PREVENTION AND SCREENING FOR CANCER, ESPECIALLY LUNG CANCER WHICH IS PREVALENT IN CECIL COUNTY. D) THE DEVELOPMENT AND LAUNCH OF A TOBACCO CESSATION PROGRAM IN RESPONSE TO HIGH RATES OF TOBACCO USE IN CECIL COUNTY. E) PROVIDING SUPPORT FOR THOSE WITH SUBSTANCE USE DISORDER THROUGH OUR PARTNERSHIP WITH CECIL COUNTY HEALTH DEPARTMENT AND VOICES OF HOPE, INC. WHICH OFFERS NEARLY 24/7 ON-SITE CONNECTION FOR PATIENTS TO PEERS IN RECOVERY WHO PROVIDE CONNECTIONS TO BEHAVIORAL HEALTH SUPPORTS AND TREATMENT AS WELL AS MOTIVATION TO SEEK TREATMENT. F) ADDRESSING SOCIAL DETERMINANTS OF HEALTH BY IDENTIFYING SOCIAL NEEDS OF ADMITTED PATIENTS AND HELPING TO ADDRESS THOSE NEEDS THROUGH COMMUNITY PARTNERSHIPS, AN ANNUAL COMMUNITY BABY SHOWER WHICH PROVIDES EXPECTANT FAMILIES WITH EDUCATION, CONNECTIONS TO RESOURCES AND CARE, AND ESSENTIAL BABY ITEMS, AND THE PROVISION OF TRANSPORTATION FOR ELIGIBLE PATIENTS WITH TRANSPORTATION BARRIERS TO MEDICAL SERVICES. G) PARTNERING WITH THE CECIL COUNTY HEALTH DEPARTMENT TO OFFER A DIABETES PREVENTION PROGRAM TO ADDRESS HIGH RATES OF CHRONIC CONDITIONS IN CECIL COUNTY. H) HOSPITAL STAFF PARTICIPATION ON COMMUNITY BOARDS AND COALITIONS, SUCH AS THE ECONOMIC DEVELOPMENT COMMISSION, CECIL COUNTY LOCAL MANAGEMENT BOARD, CECIL COUNTY COMMISSION ON AGING, AND WEST CECIL HEALTH CENTER. UNION HOSPITAL OF CECIL COUNTY SERVICED 6,268 DISCHARGES PROVIDING 27,641 PATIENT DAYS TO INPATIENTS IN FISCAL YEAR 2025 OF WHICH: 1) PATIENTS COVERED UNDER THE MEDICARE PROGRAM WERE 2,326 DISCHARGES AND 11,092 PATIENT DAYS 2) PATIENTS COVERED UNDER THE MEDICAID PROGRAM WERE 185 DISCHARGES AND 845 PATIENT DAYS 3) PATIENTS COVERED UNDER THE MEDICAID HMO PROGRAM WERE 1,567 DISCHARGES AND 5,545 PATIENT DAYS 4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 875 DISCHARGES AND 4,314 PATIENT DAYS. 4) PATIENTS COVERED UNDER THE MEDICARE HMO PROGRAM WERE 875 DISCHARGES AND 4,314 PATIENT DAYS. DISCHARGES AND 4,314 PATIENT DAYS.
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 expenses190,766,744
Form 990 (2024)
Form 990 (2024)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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 II.........
4
 
No
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
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 IClick to see attachment
List of Attached Documents:
// Content
.........................
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 IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
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 IVClick to see attachment
List of Attached Documents:
// Content
..............
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 VClick to see attachment
List of Attached Documents:
// Content
......
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
List of Attached Documents:
// Content
...................
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 VIIClick to see attachment
List of Attached Documents:
// Content
.......
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 VIIIClick to see attachment
List of Attached Documents:
// Content
.......
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
List of Attached Documents:
// Content
............
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
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
List of Attached Documents:
// Content
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.........
14b
 
No
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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.....
21
 
No
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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
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
List of Attached Documents:
// Content
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 attachment
List of Attached Documents:
// Content
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 ....
25a
 
No
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.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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 the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
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
List of Attached Documents:
// Content
33
 
No
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
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
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 ...
35b
 
 
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............. Click to see attachment
List of Attached Documents:
// Content
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 VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on 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
57
b
Enter the number of Forms W-2G included on 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 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
992
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
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
 
No
b
If "Yes," enter the name of the foreign country:
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
 
No
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
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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 the 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
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
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
12
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
10
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
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
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
Yes
 
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
Yes
 
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 on 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 on 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 on 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
 
No
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
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
MD
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
SR VP'S OFFICE4000 NEXUS DRIVE NW3-100   WILMINGTON,DE19803 (302) 428-2441
Form 990 (2024)
Form 990 (2024)
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 the 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, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) ROBERT MCMURRAY......................................................................
TREASURER (EX-OFFICIO)
 1.0
.................
44.0 		    X       0 1,192,681 89,596
(2) JENNIFER L SCHWARTZ ESQ......................................................................
SECRETARY (EX-OFFICIO)
 1.0
.................
44.0 		    X       0 1,102,756 90,376
(3) FAHD RAHMAN MD......................................................................
PHYSICIAN, ONCOLOGY
 45.0
.................
0.0 		        X   851,510 0 22,334
(4) JUSTIN SAUSVILLE MD......................................................................
DIRECTOR - THRU 12/24
 44.0
.................
1.0 		X           767,366 0 22,334
(5) ROGER D WU MD......................................................................
PHYSICIAN, GASTROENEROLOGY
 45.0
.................
0.0 		        X   641,112 0 22,711
(6) SHARON KURFUERST......................................................................
FORMER DIRECTOR, PRESIDENT
 0.0
.................
0.0 		          X 0 532,730 0
(7) CLAIRE YI ZHANG MD......................................................................
PHYSICIAN, GASTROENEROLOGY
 45.0
.................
0.0 		        X   532,703 0 0
(8) KOJO ARKHURST MD......................................................................
PHYSICIAN, HOSPITALIST
 45.0
.................
0.0 		        X   523,111 0 0
(9) AMY MARSTON......................................................................
FORMER KEY EMPLOYEE
 44.0
.................
1.0 		          X 0 471,716 22,334
(10) GEORGE GIANNOUKOS MD......................................................................
PHYSICIAN, GENERAL SURGERY
 45.0
.................
0.0 		        X   491,425 0 0
(11) ARSALAN SHEIKH MD......................................................................
CHIEF MEDICAL OFFICER
 45.0
.................
0.0 		      X     326,243 0 17,561
(12) GINA RICCARDI MD......................................................................
DIRECTOR - AS OF 1/25
 1.0
.................
44.0 		X           319,705 0 22,711
(13) JOAN PIRRUNG MSN APRN ACNS......................................................................
DIRECTOR/CHIEF NURSING OFFICER
 44.0
.................
1.0 		X     X     269,703 0 22,334
(14) DONNA MALONEY......................................................................
DIRECTOR OF FINANCE
 1.0
.................
44.0 		      X     0 266,882 22,503
(15) ROBERT ASANTE......................................................................
DIRECTOR
 1.0
.................
44.0 		X           0 258,275 22,334
(16) MICHELLE TWUM-DANSO......................................................................
FORMER KEY EMPLOYEE
 1.0
.................
44.0 		          X 0 241,751 14,833
(17) DERON BROWN......................................................................
FORMER KEY EMPLOYEE
 1.0
.................
44.0 		          X 0 200,703 0
Form 990 (2024)
Form 990 (2024)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) RYAN GERACIMOS MD........................................................................
FMR CHIEF MEDICAL OFFICER
 0.0
.......................0.0 		          X 105,950 0 0
(19) ADAM BORDEN........................................................................
DIRECTOR - AS OF 1/25
 1.0
.......................1.0 		X           0 0 0
(20) CHRISTY DRYER DNP........................................................................
DIRECTOR
 1.0
.......................2.0 		X           0 0 0
(21) DAVID TROLIO........................................................................
VICE CHAIR
 1.0
.......................1.0 		X     X     0 0 0
(22) JACQUES RENE........................................................................
DIRECTOR
 1.0
.......................1.0 		X           0 0 0
(23) JOHN NESS........................................................................
DIRECTOR
 1.0
.......................1.0 		X           0 0 0
(24) LEO NAJERA MD........................................................................
DIRECTOR
 1.0
.......................1.0 		X           0 0 0
(25) MORGAN MILLER MLIS........................................................................
CHAIR
 1.0
.......................2.0 		X   X       0 0 0
(26) REVEREND R KEVIN BROWN........................................................................
DIRECTOR - THRU 12/24
 1.0
.......................1.0 		X           0 0 0
(27) ROBERT PALSGROVE........................................................................
DIRECTOR
 1.0
.......................1.0 		X           0 0 0
(28) SUANNE BLUMBERG........................................................................
DIRECTOR
 1.0
.......................1.0 		X           0 0 0
(29) WANDA CRICKET BROWNE ESQ........................................................................
DIRECTOR
 1.0
.......................1.0 		X           0 0 0


1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 4,828,828 4,267,494 391,961
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 10
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
UNION RADIOLOGISTLLC,
106 BOW STREET RADIOLOGY OFFICE
ELKTON,MD21921 		RADIOLOGY SERVICES 3,588,522
LOCUMTENENSCOM,
P O BOX 405547
ATLANTA,GA303845547 		PROVIDER SERVICES 468,563
MAYO COLLABORATIVE SERVICES INC,
PO BOX 9146
MINNEAPOLIS,MN554809176 		LAB SERVICES 281,407
DRS HICKEN CRANLEY TAYLOR PA,
2360 W JOPPA RD STE 224
LUTHERVILLE,MD21093 		PATHOLOGY SERVICES 204,007
VASCULAR SURGERY ASSOCIATES LLC,
520 UPPER CHESAPEAKE DRSUITE 306
BEL AIR,MD21014 		PROVIDER SERVICES 198,000
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 10
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 479,651
f All other contributions, gifts, grants, and similar amounts not included above1f 138,357
g Noncash contributions included in lines 1a - 1f:$ 1g 0
h Total. Add lines 1a-1f....... 618,008
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 621990 188,039,948 188,039,948    
b OTHER OPERATING REVENUE 621990 267,802 231,802 36,000  
c MANAGEMENT FEE REVENUE 623990 95,400 95,400    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ..... 188,403,150
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 2,181,897   8,853 2,173,044
4 Income from investment of tax-exempt bond proceeds 0      
5 Royalties........... 0      
(i) Real (ii) Personal
6a Gross rents 6a 71,732  
b Less: rental expenses 6b 7,676  
c Rental income or (loss) 6c 64,056 0
d Net rental income or (loss)....... 64,056     64,056
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 28,778,835  
b Less: cost or other basis and sales expenses 7b 23,483,495  
c Gain or (loss) 7c 5,295,340  
d Net gain or (loss)......... 5,295,340   74,497 5,220,843
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events.. 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities.. 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory.. 0      
OtherRevenueMiscAmt
Business Code
11a LABORATORY REVENUE 621500 2,240,649 615,697 1,624,952  
b CAFETERIA/FOOD SERVICE REVENUE 722210 325,228     325,228
c OTHER REVENUE 900009 4,253     4,253
d All other revenue ....        
e Total. Add lines 11a–11d ...... 2,570,130
12 Total revenue. See instructions..... 199,132,581 188,982,847 1,744,302 7,787,424
Form 990 (2024)
Form 990 (2024)
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 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 672,117 604,228 67,889 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 107,476,042 96,620,209 10,855,833 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,035,325 4,280,026 755,299 0
9 Other employee benefits ....... 17,964,209 16,235,793 1,728,416 0
10 Payroll taxes ........... 7,082,853 6,019,460 1,063,393 0
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 13,486 0 13,486 0
c Accounting ........... 177,498 0 177,498 0
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 116,772 0 116,772 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 21,783,123 20,692,269 1,090,854 0
12 Advertising and promotion .... 227,912 55,554 172,358 0
13 Office expenses ....... 3,849,818 964,138 2,885,680 0
14 Information technology ...... 2,852,045 375,098 2,476,947 0
15 Royalties .. 0      
16 Occupancy ........... 4,278,775 3,684,725 594,050 0
17 Travel ............ 288,834 274,282 14,552 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 168,820 155,655 13,165 0
20 Interest ........... 2,311,526 1,910,245 401,281 0
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 7,540,108 5,117,703 2,422,405 0
23 Insurance ... 3,399,840 3,398,727 1,113 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 24,889,298 24,665,788 223,510 0
b REPAIRS & MAINTENANCE 3,947,083 3,893,698 53,385 0
c DUES & PERIODICALS 874,833 227,957 646,876 0
d DIETARY 720,917 705,646 15,271 0
e All other expenses 904,178 885,543 18,635  
25 Total functional expenses. Add lines 1 through 24e 216,575,412 190,766,744 25,808,668 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
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 ........ 0 1 2,572,949
2 Savings and temporary cash investments ......... 26,711,352 2 27,186,851
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 28,131,548 4 25,594,272
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 4,736,732 8 3,531,287
9 Prepaid expenses and deferred charges ...... 4,874,360 9 4,728,405
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 204,939,741
b Less: accumulated depreciation 10b 143,221,205 59,405,938 10c 61,718,536
11 Investments—publicly traded securities . 48,038,054 11 53,259,039
12 Investments—other securities. See Part IV, line 11 ..... 9,614,703 12 9,512,221
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 27,654,362 15 30,603,100
16 Total assets. Add lines 1 through 15 (must equal line 33)... 209,167,049 16 218,706,660
Liabilities 17 Accounts payable and accrued expenses ..... 27,255,155 17 34,793,825
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 52,303 19 7,407
20 Tax-exempt bond liabilities ......... 44,456,291 20 42,025,386
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 95,878,884 25 119,527,986
26 Total liabilities. Add lines 17 through 25.. 167,642,633 26 196,354,604
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 38,436,965 27 19,618,247
28 Net assets with donor restrictions ........... 3,087,451 28 2,733,809
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 41,524,416 32 22,352,056
33 Total liabilities and net assets/fund balances ........ 209,167,049 33 218,706,660
Form 990 (2024)
Form 990 (2024)
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
199,132,581
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
216,575,412
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-17,442,831
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
41,524,416
5
Net unrealized gains (losses) on investments ...............
5
-1,467,750
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
-261,779
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
22,352,056
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 on
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 Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
 
No
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
 
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number

52-0607945
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 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) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 5 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
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2024

Schedule A (Form 990) 2024
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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 on 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
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
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 on 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 on 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) 2024

Schedule A (Form 990) 2024
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

Schedule A (Form 990) 2024
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 0.015 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 0.035 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) 2024

Schedule A (Form 990) 2024
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, 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 2024. 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 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
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) 2024


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number

52-0607945
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

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

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
UNION HOSPITAL OF CECIL COUNTY INC
  		Employer identification number
52-0607945
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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
UNION HOSPITAL OF CECIL COUNTY INC
  		Employer identification number

52-0607945
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
UNION HOSPITAL OF CECIL COUNTY INC
  		Employer identification number

52-0607945
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (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) (Rev. 1-2025)
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow 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.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number

52-0607945
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
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 July 25, 2006, 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 right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
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
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
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 FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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 right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
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 .....   1,134,905 1,134,905
b Buildings ....   60,921,360 38,243,657 22,677,703
c Leasehold improvements   1,115,800 697,862 417,938
d Equipment ....   107,621,840 81,361,563 26,260,277
e Other .....   34,145,836 22,918,123 11,227,713
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 61,718,536
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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.)right arrow  
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.)right arrow  
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)DUE FROM AFFILIATES 25,423,228
(2)ROU LEASES 2,888,103
(3)IN HOUSE LEASES 2,246,151
(4)SECURITY DEPOSITS 25,618
(5)OTHER ASSETS 20,000
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 30,603,100
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
INTERCOMPANY PAYABLES 112,980,923
INSURANCE CLAIMS LIABILITY 3,436,268
ROU LEASES 3,103,562
CAPITAL LEASE OBLIGATIONS 7,233





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 119,527,986
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) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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 (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number

52-0607945
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
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
Yes
 
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
 
No
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) . . . 		    2,766,955 0 2,766,955 1.280 %
b Medicaid (from Worksheet 3, column a) . . . . .            
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     2,766,955 0 2,766,955 1.280 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     679,545 0 679,545 0.310 %
f Health professions education (from Worksheet 5) . . .     308,591 0 308,591 0.140 %
g Subsidized health services (from Worksheet 6) . . . .     28,549,742 11,421,227 17,128,515 7.910 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     183,134 0 183,134 0.080 %
j Total. Other Benefits . .     29,721,012 11,421,227 18,299,785 8.440 %
k Total. Add lines 7d and 7j .     32,487,967 11,421,227 21,066,740 9.720 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
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            
2 Economic development     1,456   1,456  
3 Community support     1,664   1,664  
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     10,516   10,516 0.010 %
9 Other     318,915   318,915 0.150 %
10 Total     332,551   332,551 0.160 %
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 Healthcare 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
6,906,653
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
126,198
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
35,029,283
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
27,876,002
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
7,153,281
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) 2024
Schedule H (Form 990) 2024
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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 UNION HOSPITAL OF CECIL COUNTY INC
106 BOW STREET
ELKTON,MD21921
WWW.UHCC.COM
LICENSE 07-005 		X X         X      
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
UNION HOSPITAL OF CECIL COUNTY INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		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 24
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   No
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 25
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
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) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
UNION HOSPITAL OF CECIL COUNTY INC
Name of hospital facility or letter of facility reporting group  
Yes 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 Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 400.%
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 Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
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
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
UNION HOSPITAL OF CECIL COUNTY INC
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) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
UNION HOSPITAL OF CECIL COUNTY INC
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) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B, LINES 5, 6B (INPUT FROM COMMUNITY; JOINT CHNA) IN FY2025, UNION HOSPITAL CONDUCTED A CHNA IN PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD). TO ENSURE THE CHNA WAS INFORMED BY COMMUNITY MEMBERS IN ADDITION TO EXISTING DATA, UNION HOSPITAL AND CCHD PARTNERED WITH COMMUNITY ORGANIZATIONS TO HOST FOCUS GROUPS TO OBTAIN INPUT RELEVANT TO THE HEALTH NEEDS OF CERTAIN POPULATIONS, NEIGHBORHOODS, AND COMMUNITIES WITHIN CECIL COUNTY. A TOTAL OF 44 COMMUNITY MEMBERS PARTICIPATED IN 5 FOCUS GROUPS HELD AT THE NORTHEAST AND PERRYVILLE PUBLIC LIBRARIES, THE ELKTON COMMUNITY CENTER, VOICES OF HOPE, A RECOVERY COMMUNITY ORGANIZATION, AND DEEP ROOTS AT CLAIRVAUX FARMS, AN EMERGENCY AND TRANSITIONAL HOUSING PROVIDER. FOCUS GROUP PARTICIPANTS WERE ASKED QUESTIONS ABOUT OVERALL HEALTH STATUS, MOST SIGNIFICANT HEALTH NEEDS, SOCIAL FACTORS AFFECTING HEALTH, AND WHAT IS NEEDED FROM THE HOSPITALS AND HEALTH DEPARTMENT TO BETTER SUPPORT RESIDENTS. IN ADDITION TO THE FOCUS GROUPS, UNION HOSPITAL HELD A COMMUNITY PARTNER MEETING WITH 16 INDIVIDUALS, REPRESENTING 9 COMMUNITY ORGANIZATIONS AND A MEETING OF 24 STAFF MEMBERS FROM UNION AND THE CECIL COUNTY HEALTH DEPARTMENT (CCHD). STAFF MEMBERS REPRESENTED A VARIETY OF ROLES AND DISCIPLINES INCLUDING ADMINISTRATION, PROGRAM COORDINATORS, COMMUNITY ENGAGEMENT, NURSING, ACUTE CARE CONNECTORS, SOCIAL WORKERS, EMERGENCY CARE, AND PATIENT CARE COORDINATORS. PARTICIPANTS IN BOTH MEETINGS OFFERED HELPFUL INSIGHT ABOUT COMMUNITY NEED INFORMED THROUGH THEIR SERVICE TO THE COMMUNITY. THE COMMUNITY PARTNER MEETING AND STAFF MEETING FOLLOWED THE SAME FORMAT. PARTICIPANTS WERE PRESENTED WITH SECONDARY DATA INCLUDING A SUMMARY OF UNFAVORABLE COMMUNITY HEALTH INDICATORS. THEY WERE ASKED TO SHARE REACTIONS AND IDENTIFY COMMUNITY HEALTH ISSUES THAT MAY NOT HAVE BEEN INCLUDED IN THE DATA. AT THE CONCLUSION OF EACH MEETING, PARTICIPANTS WERE ASKED TO IDENTIFY THREE TO FIVE COMMUNITY HEALTH ISSUES THEY CONSIDER TO BE MOST SIGNIFICANT. ADDITIONAL COMMUNITY INPUT WAS PROVIDED THROUGH AN ONLINE COMMUNITY HEALTH SURVEY CONDUCTED BY THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) BETWEEN SEPTEMBER AND DECEMBER 2024, TO WHICH 540 RESPONSES WERE RECEIVED. THE SURVEY HAD TWENTY-ONE QUESTIONS ORGANIZED INTO THE FOLLOWING TOPICS: DEMOGRAPHICS, HEALTH AND HEALTHCARE, NEIGHBORHOOD AND ENVIRONMENT, ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, AND SOCIAL AND COMMUNITY CONTEXT. MOST SURVEY RESPONDENTS WERE FEMALE (81.9%) AND NEARLY 60% OF SURVEY RESPONDENTS WERE FROM ELKTON (39.2%) AND NORTH EAST (20%). FINALLY, 11 INDIVIDUALS IN LEADERSHIP POSITIONS FROM THE CECIL COUNTY HEALTH DEPARTMENT, WEST CECIL HEALTH CENTER, CECIL TRANSIT, YOUTH EMPOWERMENT SOURCE, ELKTON SENIOR CENTER, AND THE JUDY CENTER PARTICIPATED IN INTERVIEWS TO SHARE THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES IN CECIL COUNTY. CHRISTIANACARE CONTRACTED WITH VERIT HEALTHCARE CONSULTING, LLC (VERIT) TO COMPLETE ITS 2025 CHNA. VERIT HAD PREVIOUSLY COMPLETED UNION'S 2022 CHNA FOR CECIL COUNTY. IN COOPERATION WITH CHRISTIANACARE AND THE CCHD, VERIT CONDUCTED THE RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW, AND ANALYSIS, TO DEVELOP THE CHNA. ---------------------
SCHEDULE H, PART V, SECTION B, LINE 7A & B (CHNA AVAILABILITY) UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS AVAILABLE ON ITS WEBSITE AT: HTTPS://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ UNION HOSPITAL OF CECIL COUNTY, INC.'S CHNA IS ALSO AVAILABLE AT: HTTPS://CECILCOUNTYHEALTH.ORG/RESOURCES/HEALTH-ADVISORY-COMMITTEE/ --------------- SCHEDULE H, PART V, SECTION B, LINE 10 (IMP. STRATEGY PUBLIC AVAILABILITY) UNION HOSPITAL OF CECIL COUNTY, INC.'S CHIP IS AVAILABLE ON ITS WEBSITE AT: HTTP://WWW.UHCC.COM/ABOUT-US/COMMUNITY-BENEFIT/REPORTS/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 11 (ADDRESSING NEEDS FROM THE CHNA) UNION'S 2025 CHNA IDENTIFIED THE FOLLOWING AS SIGNIFICANT AREAS OF NEED IN CECIL COUNTY: . ACCESS TO HEALTH AND PREVENTIVE SERVICES . CANCER . CHILDHOOD TRAUMA/ADVERSE CHILDHOOD EXPERIENCES (ACE) . LGBTQIA+ HEALTH DISPARITIES . MATERNAL AND CHILD HEALTH . MENTAL HEALTH . NUTRITION, PHYSICAL INACTIVITY, AND CHRONIC CONDITIONS . SOCIAL DETERMINANTS OF HEALTH . SMOKING, TOBACCO, AND VAPE PRODUCT USE . SUBSTANCE USE DISORDERS . VIOLENCE AND INJURY OF THOSE SIGNIFICANT HEALTH NEEDS, UNION DID NOT PRIORITIZE THE FOLLOWING: . CHILDHOOD TRAUMA & ADVERSE CHILDHOOD EXPERIENCES (ACES) . LGBTQIA+ HEALTH DISPARITIES . MENTAL HEALTH . VIOLENCE AND INJURY THESE NEEDS WERE NOT PRIORITIZED BECAUSE UNION DID NOT HAVE THE NECESSARY RESOURCES TO CREATE NEW OR EXPANDED COMMUNITY BENEFIT PROGRAMMING IN THESE AREAS. WHILE NOT PRIORITIZED DUE TO RESOURCE CONSTRAINTS, WE WILL CONTINUE TO CONSIDER HOW WE MAY ADDRESS THESE NEEDS AND IF POSSIBLE, PURSUE OPPORTUNITIES TO DO SO BECAUSE OF THEIR SIGNIFICANCE IN OUR COMMUNITY. ACCESS TO HEALTH AND PREVENTIVE SERVICES BARRIERS PREVENTING INDIVIDUALS FROM ACCESSING HEALTH AND PREVENTIVE SERVICE ARE COMPLEX AND INCLUDE BOTH THE AVAILABILITY OF HEALTH CARE SERVICES IN THE COMMUNITY AS WELL AS SOCIAL NEEDS THAT PREVENT ACCESS. LIKE RURAL HOSPITALS THROUGHOUT THE COUNTRY, UNION FACES CHALLENGES TO RECRUITING AND RETAINING PROVIDERS. WE CONTINUE TO RESPOND TO THESE CHALLENGES THROUGH A VARIETY OF ONGOING RECRUITMENT EFFORTS. UNION IS ALSO WORKING TO ADDRESS ACCESS BARRIERS THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. IN FY2025, CHRISTIANACARE PROVIDED CECIL COUNTY'S DEPARTMENT OF EMERGENCY SERVICES (DES) WITH $75,000 TO SUPPORT A MOBILE INTEGRATED HEALTH (MIH) PROGRAM. UNION CAREGIVERS WORKED CLOSELY WITH DES TO DESIGN AND IMPLEMENT THIS PROGRAM WHICH LAUNCHED IN EARLY FY2026. MIH IS A HEALTHCARE DELIVERY PROGRAM THAT USES PARAMEDICS TO PROVIDE CARE IN A PATIENT'S HOME RATHER THAN IN THE TYPICAL HEALTHCARE SETTING. THE MIH PROGRAM SERVES COMMUNITY MEMBERS WHO ARE HIGH UTILIZERS OF 911 AS WELL AS RECENTLY DISCHARGED HIGH NEED PATIENTS. WHEN IN THE HOME, THE MIH TEAM IDENTIFIES AND ADDRESSES THE SOCIAL NEEDS OF INDIVIDUALS AND FAMILIES TO REDUCE BARRIERS TO GOOD HEALTH, PROVIDES ASSESSMENTS OF MEDICATION VALIDATION AND RECONCILIATION, AND PROVIDES CARE PLAN CARE COORDINATION. THE MIH PROGRAM IS CURRENTLY IN ITS PILOT PHASE AND UNION CAREGIVERS CONTINUE TO SUPPORT IT BY SERVING ON ITS OVERSIGHT COMMITTEE AND IDENTIFYING ELIGIBLE PATIENTS. OUR EXPECTATION IS THAT IN ADDITION TO PROVIDING ACCESS TO CARE, THE MIH PROGRAM WILL DECREASE READMISSIONS AND EMERGENCY DEPARTMENT UTILIZATION. TO FURTHER ADDRESS BARRIERS TO HEALTH AND PREVENTIVE SERVICES, UNION ALSO PARTNERS WITH THE PARIS FOUNDATION TO PROVIDE MONTHLY MOBILE HEALTH SCREENING EVENTS IN ELKTON AT HOLLINGSWORTH MANOR. THE EVENT OFFERS BLOOD PRESSURE, GLUCOSE, AND VISION SCREENINGS, AS WELL AS APPOINTMENT SCHEDULING AND CONNECTION TO LOCAL RESOURCES. IN FY2025, 11 EVENTS WERE HELD SERVING 132 INDIVIDUALS. UNION CONTINUED TO GROW ITS PARTNERSHIP WITH VOICES OF HOPE TO BEGIN OFFERING QUARTERLY HEALTH SCREENING EVENTS AT THE VOICES OF HOPE LOCATION IN ELKTON IN FY2025. THESE EVENTS PROVIDE THE SAME SERVICES AS THOSE PROVIDED AT HOLLINGWORTH MANOR WITH THE ADDITION OF WOUND CARE, A NEEDED SERVICE AMONG INDIVIDUALS WITH AND RECOVERING FROM SUBSTANCE USE DISORDER. IN FY2025, 2 SCREENING EVENTS AT VOICES OF HOPE SERVED 24 INDIVIDUALS. IN FY2025, UNION ONCE AGAIN PARTNERED WITH CECIL COUNTY PUBLIC SCHOOLS TO OFFER A FREE SPORTS PHYSICAL EVENT FOR CECIL COUNTY PUBLIC SCHOOL STUDENTS. THIS EVENT IS SIGNIFICANT IN ENSURING STUDENTS CAN PARTICIPATE IN SCHOOL SPORTS, AN ACTIVITY THAT SUPPORTS HEALTH AND WELLNESS. ON JUNE 4, 2025, 700 STUDENTS RECEIVED PHYSICALS. COMMUNITY RESOURCES AND CONNECTION TO CARE AT THE EVENT WERE ALSO AVAILABLE. CANCER CANCER MORTALITY RATES IN CECIL COUNTY HAVE BEEN ABOVE MARYLAND AND U.S. AVERAGES AND UTILIZATION OF CANCER SCREENING TESTS HAVE BEEN BELOW U.S. AVERAGES. TO ADDRESS THESE ISSUES, UNION PARTNERS WITH THE CECIL COUNTY CANCER TASK FORCE TO CRAFT AND IMPLEMENT PUBLIC OUTREACH THAT EDUCATES ON CANCER RISK, PREVENTION, AND SCREENING. THE TASK FORCE IS WORKING TO DEVELOP TAILORED MESSAGING RELATED TO CANCER PREVENTION AND SCREENING FOR IDENTIFIED POPULATIONS. INFORMATION ABOUT THESE CAMPAIGNS WILL BE SHARED IN FUTURE REPORTING. UNION CAREGIVERS PROVIDED INFORMATION AND EDUCATION AT COMMUNITY AND CAMPUS EVENTS THROUGHOUT THE YEAR TO PROMOTE CANCER SCREENING AND PREVENTION. IN FY2025, UNION CAREGIVERS PARTICIPATED IN 7 COMMUNITY EVENTS TO PROVIDE INFORMATION ON CANCER RISK, PREVENTION, AND SCREENING TO 388 COMMUNITY MEMBERS. UNION'S LUNG HEALTH NAVIGATOR CONTINUES TO ADDRESS CECIL COUNTY'S HIGH RATE OF LUNG CANCER MORTALITY BY CONNECTING PATIENTS DIRECTLY TO LOW-DOSE COMPUTED TOMOGRAPHY (LDCT) SCREENS AT UNION AND IN THE COMMUNITY, AND HELPING PATIENTS ADDRESS ANY BARRIERS TO SCREENING. IN FY2025, UNION PERFORMED 626 LDCT SCREENINGS (A 17% INCREASE FROM FY2024). WE ATTRIBUTE THIS INCREASE TO THE EFFECTIVENESS OF THE LUNG HEALTH NAVIGATOR. SMOKING, TOBACCO, AND VAPE PRODUCT USE TO ADDRESS THE HIGH RATES OF SMOKING IN CECIL COUNTY, AND TO FURTHER SUPPORT PREVENTION OF LUNG CANCER AND OTHER RELATED ILLNESSES, UNION LAUNCHED A SMOKING CESSATION PROGRAM. IN FY2025, THE FIRST SEVEN-WEEK SESSION CESSATION PROGRAM WAS HELD WITH 3 PARTICIPANTS, 1 OF WHOM COMPLETED THE COURSE. THE FREEDOM FROM SMOKING CESSATION PROGRAM WILL CONTINUE TO BE HELD AND SUCCESSFUL RECRUITMENT STRATEGIES WILL BE A FOCUS IN FY2026. MATERNAL AND CHILD HEALTH UNION'S CHILDBIRTH AND EARLY EDUCATION TEAM AND PEDIATRIC NURSES CONTINUE TO PROVIDE CHILDBIRTH AND INFANT CARE EDUCATION ON-SITE AND IN THE COMMUNITY. IN FY2025, UNION PROVIDED WEEKLY BREASTFEEDING SUPPORT GROUPS, INDIVIDUAL BREASTFEEDING CONSULTATIONS, AND MONTHLY CHILDBIRTH EDUCATION CLASSES AT UNION. A TOTAL OF 731 INDIVIDUALS PARTICIPATED IN THESE OFFERINGS. AN EDUCATION SESSION WAS ALSO HELD AT THE MARYLAND RURAL DEVELOPMENT CORPORATION FAMILY EDUCATION CENTER IN HOLLINGWORTH MANOR. 13 PARENTS LEARNED ABOUT BREASTFEEDING, SAFE SLEEP PRACTICES, AND THE IMPORTANCE OF HANDWASHING AS WELL AS HAD THEIR QUESTIONS ANSWERED ABOUT CHILDREN FROM BIRTH TO AGE 1. IN RECOGNITION OF THE UNIQUE CHALLENGES FACED BY PREGNANT MOTHERS WITH SUBSTANCE USE DISORDER AND THEIR INFANTS, UNION CAREGIVERS HAVE LONG PARTNERED WITH COMMUNITY TREATMENT PROVIDERS TO PROVIDE PREGNANT PARTICIPANTS WITH CHILDBIRTH AND INFANT CARE EDUCATION. IN FY2025, 3 PARTICIPANTS AT BRANTWOOD FAMILY SERVICES IN ELKTON RECEIVED INFORMATION ABOUT CHILDBIRTH AND THE PROGRAM EAT, SLEEP, CONSOLE WHICH IS AN APPROACH TO CARING FOR BABIES BORN WITH NEONATAL ABSTINENCE SYNDROME (NAS) THAT CAN REDUCE THE NEED FOR MEDICAL INTERVENTION. UNION PEDIATRIC NURSES CONTINUE TO SEEK NEW PARTNERSHIPS TO REACH MORE IN THIS POPULATION. NUTRITION, PHYSICAL ACTIVITY, AND CHRONIC CONDITIONS IN FY2025, UNION BEGAN A PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) TO OFFER THE DIABETES MANAGEMENT AND PREVENTION EDUCATION PROGRAM, DINING WITH DIABETES. THE SESSIONS ARE HELD AT UNION HOSPITAL AND FACILITATED BY CCHD. FOUR SESSIONS WERE HELD IN MAY 2025 WITH 16 COMMUNITY MEMBERS IN ATTENDANCE AT EACH SESSION. UNION WILL CONTINUE TO PARTNER WITH CCHD TO OFFER EDUCATION RELATED TO PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS AND TO PROMOTE THE SESSIONS TO PATIENTS. SOCIAL DETERMINANTS OF HEALTH THE ACUTE CARE CONNECTORS (ACCS) CONTINUED TO IDENTIFY AND ADDRESS THE SOCIAL NEEDS OF PATIENTS ADMITTED TO UNION HOSPITAL. ACCS ARE TRAINED IN SCREENING AND CONNECTING PATIENTS WITH RESOURCES TO ADDRESS SOCIAL CARE NEEDS. IN FY2025, WE EXPANDED OUR SCREENING TO SERVE MORE OF OUR PATIENT POPULATION. THE ACCS BEGAN TO SERVE THOSE IN UNION HOSPITAL'S ACUTE PSYCHIATRIC UNIT AND SELF-ADMINISTERED SOCIAL NEEDS SCREENING WAS LAUNCHED IN THREE UNION PRIMARY CARE PRACTICES. IN FY2025, 1,406 ADMITTED PATIENTS WERE SCREENED FOR SOCIAL NEEDS AND 2,308 PATIENTS COMPLETED A SELF-ADMINISTERED SCREENING IN OUR AMBULATORY PRACTICES. 68% OF SCREENED ADMITTED PATIENTS HAD A SOCIAL NEED AND 33% OF SCREENED AMBULATORY PATIENTS HAD A SOCIAL NEED. TRANSPORTATION CONTINUES TO PRESENT A BARRIER TO CARE FOR CECIL COUNTY RESIDENTS. SINCE FY2022, UNION HOSPITAL HAS OFFERED ELIGIBLE PATIENTS TRANSPORTATION TO MEDICAL APPOINTMENTS AND SERVICES. IN FY2025, UNION HOSPITAL PROVIDED 144 RIDES TO 34 PATIENTS. FOR MANY YEARS, UNION HOSPITAL HAS ALSO PROVIDED TAXI VOUCHERS TO INPATIENTS AT DISCHARGE WHO HAVE NO TRANSPORTATION HOME. IN FY2025, UNION HOSPITAL PAID $3,968 TO TRANSPORT PATIENTS HOME IN TAXIS. FINALLY, IN FY2025, UNION HELD ITS 2ND ANNUAL COMMUNITY BABY SHOWER WHICH SERVED 50 NEW AND EXPECTING MOTHERS AND FAMILIES. NEEDED RESOURCES LIKE DIAPERS AND CAR SEATS, EDUCATION ON TOPICS SUCH AS SAFE SLEEP, AND CONNECTION TO CARE WERE PROVIDED AT THIS CELEBRATORY EVENT TO SUPPORT THE HEALTH AND WELLNESS OF OUR YOUNG FAMILIE
SCHEDULE H, PART V, SECTION B, LINE 13B (DETAIL OF INCOME LEVEL) PATIENTS WITH A HOUSEHOLD INCOME UP TO 500% OF FPL AND WITH A FINANCIAL HARDSHIP (MEDICAL DEBT, INCURRED BY A FAMILY OVER A 12-MONTH PERIOD THAT EXCEEDS 25 PERCENT OF THE FAMILY INCOME) WILL RECEIVE A 25% ADJUSTMENT. ---------------
SCHEDULE H, PART V, SECTION B, LINE 16A (FAP AVAILABILITY) FAP WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16B (FAP APPLICATION AVAILABILITY) FAP APPLICATION WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16C (FAP PLS AVAILABILITY) FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.UHCC.COM/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ ---------------
SCHEDULE H, PART V, SECTION B, LINE 16J (FAP OTHER AVAILABILITY) UNION HOSPITAL PLACES AN ADVERTISEMENT ONCE A YEAR IN THE LOCAL NEWSPAPERS OUTLINING THE FAP AND HOW TO APPLY. FAP IS PUBLICIZED ON ALL BILLING STATEMENTS, INVOICES, AND FINANCIAL CONSENT FORMS. FAP IS COMMUNICATED TO PATIENTS UPON DISCHARGE FROM INPATIENT, OBSERVATION, AND SURGICAL SERVICES. ---------------
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
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?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
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
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. AS A RESULT, THERE ARE NO BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX THAT NEED TO BE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES LISTED. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON ACTUAL COST PLUS OVERHEAD. OVERHEAD IS A HOSPITAL AVERAGE PERCENTAGE OF OVERHEAD TO DIRECT COSTS. DIRECT COSTS EXCLUDE BAD DEBT EXPENSE. ---------------
PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES) IN FY2025, UNION HOSPITAL REPORTED EXPENDITURE IN THE COMMUNITY BUILDING CATEGORIES OF ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, AND WORKFORCE DEVELOPMENT. THE ECONOMIC DEVELOPMENT AND COMMUNITY SUPPORT EXPENDITURE REPRESENTS TIME SPENT BY THE UNION CAMPUS PRESIDENT PARTICIPATING ON THE BOARD OF THE ECONOMIC DEVELOPMENT COMMISSION AND CECIL COUNTY'S LOCAL MANAGEMENT BOARD. THE ECONOMIC DEVELOPMENT COMMISSION OF THE CECIL COUNTY OFFICE OF ECONOMIC DEVELOPMENT WORKS TO ENCOURAGE ECONOMIC GROWTH AND JOB CREATION. LOCAL MANAGEMENT BOARDS EXIST IN EACH MARYLAND COUNTY AND PROMOTE THE EXISTENCE OF A QUALITY SYSTEM FOR CECIL COUNTY CHILDREN, YOUTH, AND FAMILIES THROUGH A COMPREHENSIVE PLANNING PROCESS THAT EMPHASIZES INTERAGENCY COLLABORATION, ACCOUNTABILITY, AND CITIZEN INVOLVEMENT WITH LOCAL DECISION-MAKING AUTHORITY. UNION HOSPITAL DEDICATED THE WORKFORCE DEVELOPMENT EXPENDITURE TO THE CAMP SCRUBS PROGRAM IN PARTNERSHIP WITH CECIL COLLEGE. CAMP SCRUBS PROVIDES INTERESTED STUDENTS, AGED 10 TO 18, WITH THE OPPORTUNITY TO LEARN ABOUT AND PARTICIPATE IN HOSPITAL OPERATIONS. DURING THE WEEK-LONG PROGRAM, STUDENTS TOURED A VARIETY OF HOSPITAL DEPARTMENTS AND MET WITH OVER 50 CAREGIVERS WHO SHARED INFORMATION AND ANSWERED QUESTIONS ABOUT THEIR ROLES AND EXPERIENCES. REPRESENTATIVES FROM THE POLICE AND FIRE DEPARTMENTS ALSO HAD THE OPPORTUNITY TO SPEAK WITH STUDENTS ABOUT THEIR SERVICE AND PARTNERSHIP WITH THE HOSPITAL. OUR EXPECTATION IS THAT EARLY EXPOSURE TO CAREERS IN HEALTH CARE WILL ENCOURAGE SOME STUDENTS TO PURSUE A CAREER IN THE HEALTH CARE FIELD AND MORE BROADLY, CONSIDER WHAT THEY MIGHT BE INTERESTED IN PURSUING AS A CAREER. ---------------
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606) TIMES THE COST TO CHARGE RATIO. ---------------
PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSION METHODOLOGY) THE IMPLICIT PRICE CONCESSION METHODOLOGY ASSUMES THAT THE PERCENTAGE OF CHARITY CARE TO TOTAL REVENUE CAN BE APPLIED TO THE AMOUNT OF IMPLICIT PRICE CONCESSIONS FOR THE YEAR. OTHER IMPLICIT PRICE CONCESSION AMOUNTS ARE NOT INCLUDED IN COMMUNITY BENEFITS. ---------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND STARTING ON PAGE 14 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. ---------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL) COSTING METHODOLOGY USED TO DETERMINE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE ALLOWABLE COSTS EQUAL MEDICARE REVENUE ADJUSTED FOR THE HOSPITAL TOTAL RATIO OF PATIENT CARE COSTS TO CHARGES DUE TO THE FACT THAT MEDICARE PAYS FULL CHARGES IN MARYLAND. EXTENT TO WHICH MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: IN THE STATE OF MARYLAND, MEDICARE PAYS FULL CHARGES. THERE IS NO SHORTFALL THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT. ---------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES) UNION HOSPITAL'S BILLING AND COLLECTION POLICY INCLUDES PROVISIONS REGARDING COLLECTION PRACTICES FOR PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH BILLING AND COLLECTION COMMUNICATIONS AND MAY APPLY FOR ASSISTANCE WITHIN THE TIME PERIOD ESTABLISHED BY THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ACCOUNTS ARE NOT REFERRED TO COLLECTION ACTIVITY WHILE A FINANCIAL ASSISTANCE APPLICATION IS UNDER REVIEW OR WHILE A PATIENT IS COMPLYING WITH AN APPROVED PAYMENT PLAN. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS, INCLUDING LAWSUITS, WAGE GARNISHMENTS, OR LIENS. ---------------
PART VI, LINE 2 (NEEDS ASSESSMENT) THE SOCIAL DETERMINANTS OF HEALTH SCREENING WE IMPLEMENTED FOR INPATIENTS AND AT 3 PRIMARY CARE PRACTICES GIVES US INSIGHT INTO THE CHALLENGES FACED BY OUR PATIENTS AND COMMUNITY AND PROVIDES US WITH THE OPPORTUNITY TO ASSIST IN ADDRESSING THOSE NEEDS. UNION HAS A STRONG PARTNERSHIP WITH THE CECIL COUNTY HEALTH DEPARTMENT (CCHD) AS DEMONSTRATED BY OUR JOINT DEVELOPMENT OF THE CECIL COUNTY CHNA AND PARTNERSHIPS TO ADDRESS SEVERAL SIGNIFICANT AREAS OF NEED. OUR PARTNERSHIP WITH CCHD ALLOWS FOR MORE COMPREHENSIVE SERVICE TO OUR COMMUNITY AND FURTHER INFORMS US OF COMMUNITY NEED. A SIGNIFICANT PORTION OF THE ROLE OF UNION'S COMMUNITY ENGAGEMENT MANAGER CONTINUES TO BE DEVELOPING PARTNERSHIPS WITH ORGANIZATIONS TO LEARN MORE ABOUT AND RESPOND TO THE NEEDS OF OUR COMMUNITY. SINCE 2022, CHRISTIANACARE HAS INVITED CECIL COUNTY COMMUNITY ORGANIZATIONS TO APPLY TO OUR COMMUNITY INVESTMENT FUND PROGRAM.THIS PROGRAM PROVIDES FUNDING TO SUPPORT THEIR INITIATIVES DESIGNED TO ADDRESS THE SIGNIFICANT COMMUNITY NEEDS OF FOOD INSECURITY, HOUSING INSECURITY, AND ENVIRONMENTAL HEALTH. IN FY2025, CHRISTIANACARE AWARDED A TOTAL OF $91,316 TO THE COMMUNITY ORGANIZATIONS, RAY OF HOPE MISSION CENTER, A FOOD PANTRY, AND VOICES OF HOPE, A RECOVERY COMMUNITY ORGANIZATION. WHILE WE WERE UNABLE TO FUND EVERY CECIL COUNTY ORGANIZATION THAT APPLIED, THEIR APPLICATIONS PROVIDED FURTHER INFORMATION ABOUT THE CHALLENGES OUR COMMUNITIES FACE AND HOW COMMUNITY ORGANIZATIONS ARE WORKING TO MEET THOSE CHALLENGES. ADDITIONALLY, WE LEARN ABOUT COMMUNITY NEEDS THROUGH CAREGIVER PARTICIPATION IN CECIL COUNTY'S COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND ITS TASK FORCES CREATED TO ADDRESS PROMINENT ISSUES IN THE COUNTY SUCH AS THE HEALTHY LIFESTYLES AND TOBACCO TASK FORCES. FOR SEVERAL YEARS, A UNION CAREGIVER HAS CHAIRED THE CECIL COUNTY CANCER TASK FORCE. FINALLY, UNION CAREGIVERS ALSO PARTICIPATE IN DIFFERENT COMMUNITY BOARDS AND COMMITTEES THAT FOCUS ON DIFFERENT AREAS OF NEED. IN FY2025, UNION CAREGIVERS PARTICIPATED IN THE FOLLOWING: . CECIL COUNTY BEHAVIORAL HEALTH PROVIDER MEETINGS . CECIL COUNTY CHILD ADVOCACY CENTER . CECIL COUNTY COMMISSION ON AGING . CECIL COUNTY ECONOMIC DEVELOPMENT COMMISSION . CHILD FATALITY REVIEW BOARD . JUDY CENTER STEERING COMMITTEE . LOCAL MANAGEMENT BOARD . LOCAL OVERDOSE FATALITY REVIEW TEAM . PERINATAL RISK ASSESSMENT WORKING GROUP . WEST CECIL HEALTH CENTER BOARD -----------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE) A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP), THE FULL FAP POLICY, THE FINANCIAL ASSISTANCE APPLICATION IN ENGLISH AND SPANISH, AND THE FINANCIAL ASSISTANCE SCALE ARE ALL AVAILABLE ON UNION'S WEBSITE AT: FINANCIAL ASSISTANCE | CHRISTIANACARE CECIL COUNTY (UHCC.COM). PATIENTS RECEIVE FINANCIAL COUNSELING, REFERRALS, AND ASSISTANCE TO IDENTIFY PUBLIC OR PRIVATE HEALTHCARE PROGRAMS TO ASSIST WITH LONG TERM NEEDS. IF THE PATIENT IS UNINSURED, THEY WILL BE ASSISTED IN DETERMINING MARYLAND MEDICAID OR QUALIFIED HEALTH PLAN ELIGIBILITY THROUGH THE APPROPRIATE MARYLAND HEALTH CONNECTION CONNECTOR ENTITY OR OTHER QUALIFIED HEALTH INSURANCE MARKETPLACE. INFORMATION ABOUT THE FAP IS INCLUDED ON THE FINANCIAL CONSENT FORM, ON BILLING STATEMENTS/INVOICES, UPON DISCHARGE FROM INPATIENT, OBSERVATION, OR SURGICAL SERVICES, AND ON ELECTRONIC AND PAPER SIGNS AT REGISTRATION LOCATIONS IN THE HOSPITAL. UNION HOSPITAL'S WEBSITE ALSO PROVIDES PATIENTS WITH INFORMATION ON HOW THEY CAN OBTAIN THE FAP AND APPLICATION IN PERSON AND GET HELP IN THE APPLICATION PROCESS. UNION FINANCIAL COUNSELORS ARE AVAILABLE MONDAY THROUGH FRIDAY, FROM 8 A.M. TO 4 P.M. TO DISCUSS THE APPLICATION PROCESS BY PHONE OR AT THE HOSPITAL. THE WEBSITE ALSO PROVIDES A MAILING ADDRESS, TELEPHONE NUMBER, EMAIL ADDRESS, AND IN-PERSON LOCATIONS WHERE INDIVIDUALS CAN RECEIVE OR REQUEST THE FAP AND APPLICATION. --------------------------------------------------------------------------
PART VI, LINE 4 (COMMUNITY INFORMATION) UNION HOSPITAL PRIMARILY SERVES CECIL COUNTY, MARYLAND, A RURAL AREA THAT BORDERS DELAWARE AND PENNSYLVANIA. UNION IS THE ONLY HOSPITAL IN THE COUNTY BESIDES THE PERRY POINT VA MEDICAL CENTER WHICH PRIMARILY SERVES VETERANS. UNION HOSPITAL IS IN ELKTON, THE MOST POPULOUS TOWN IN CECIL COUNTY. IN 2020, THE TOTAL POPULATION OF CECIL COUNTY WAS 103,098 PEOPLE. BETWEEN 2020 AND 2030, THE CECIL COUNTY POPULATION IS EXPECTED TO GROW BY 8.7% WITH THE POPULATION OF THOSE 65 YEARS AND OLDER PROJECTED TO GROW BY 43.5%. IN 2018-2022, 10.1% OF CECIL COUNTY RESIDENTS LIVED IN POVERTY, HIGHER THAN THE MARYLAND AVERAGE (9.3%) AND LOWER THAN THE U.S. AVERAGES (12.5%). THE PERCENTAGE OF CHILDREN IN POVERTY WAS HIGHER IN CECIL COUNTY (13.7%) COMPARED TO MARYLAND (11.5%) AND LOWER THAN THE U.S. AVERAGE (16.7%). CECIL COUNTY HAD A HIGHER PERCENTAGE OF POPULATION LIVING WITH A DISABILITY THAN THE MARYLAND AND UNITED STATES AVERAGES. ALL OF CECIL COUNTY HAS BEEN DESIGNATED A SHORTAGE AREA FOR MENTAL HEALTH PROFESSIONALS. THE MEDICAID ELIGIBLE POPULATION OF CECIL COUNTY WAS DESIGNATED AS A HPSA FOR PRIMARY CARE. ------------------------------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH) CHRISTIANACARE IS CENTERED ON IMPROVING HEALTH OUTCOMES, MAKING HIGH-QUALITY CARE MORE ACCESSIBLE, AND LOWERING HEALTH CARE COSTS. GUIDED BY OUR VALUES, LOVE AND EXCELLENCE, UNION HOSPITAL CONTINUES TO SERVE OUR CECIL COUNTY NEIGHBORS AS THEIR COMMUNITY HOSPITAL. EACH FISCAL YEAR, UNION HOSPITAL SERVES CECIL COUNTY BY PROVIDING ACTIVITIES, PROGRAMS, AND INITIATIVES THAT SEEK TO IMPROVE COMMUNITY HEALTH. THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES, PROGRAMS, AND INITIATIVES THAT UNION HOSPITAL PROVIDED IN CECIL COUNTY DURING FY2025: A1: COMMUNITY HEALTH EDUCATION - UNION HOSPITAL PROVIDED HEALTH EDUCATION INFORMATION AND PRESENTATIONS IN THE COMMUNITY ON TOPICS SUCH AS CANCER PREVENTION AND SCREENING, CHILDBIRTH AND INFANT EDUCATION INCLUDING NEONATAL ABSTINENCE SYNDROME AND LACTATION SUPPORT, AND INFORMATION ON MARYLAND HEALTH CONNECTION. A2: COMMUNITY-BASED CLINICAL SERVICES - MONTHLY MOBILE HEALTH SCREENINGS AT COMMUNITY LOCATIONS. - A FREE ANNUAL SPORTS PHYSICALS CLINIC FOR CECIL COUNTY 6TH THROUGH 12TH GRADE STUDENTS. A2: HEALTH CARE SUPPORT SERVICES - ACUTE CARE CONNECTORS IDENTIFICATION AND ASSISTANCE IN RESOLVING SOCIAL NEEDS. - LUNG HEALTH NAVIGATOR FACILITATING CONNECTION TO CARE AND RESOURCES. - TRANSPORTATION DONATIONS FOR ELIGIBLE PATIENTS B1-B3: HEALTH PROFESSIONS EDUCATION - UNION CAREGIVERS OFFERED TRADITIONAL CLINICAL ROTATIONS AND PRECEPTORSHIPS TO 143 UNDERGRADUATE NURSING STUDENTS. - UNION RNS ALSO PROVIDED EDUCATION SESSION ON SUBSTANCE EXPOSED NEWBORNS TO STUDENT NURSES AT CECIL COMMUNITY COLLEGE. C: MISSION DRIVEN HEALTH SERVICES - UNION PROVIDED SUBSIDIZED OUTPATIENT SERVICES TO MEET IDENTIFIED NEEDS IN THE COMMUNITY. THESE INCLUDE PRIMARY CARE, PSYCH-OUTPATIENT AND ENDOCRINOLOGY, AMONG OTHERS. E3: IN-KIND CONTRIBUTIONS - PROVIDED FREE AMBULANCE TRANSPORTS AND FREE SUPPLIES FOR AMBULANCE STOCK-UPS - UNION CAREGIVERS PARTICIPATION IN COMMUNITY BOARDS/COMMITTEES/TASK FORCES AND OTHER GROUPS. - COMMUNITY SERVICE BENEFIT - CHRISTIANACARE ALLOWS EMPLOYEES TO VOLUNTEER FOR COMMUNITY ORGANIZATIONS DURING THEIR WORKDAY. IN FY2025, 29 EMPLOYEES DONATED A TOTAL OF 156 HOURS TO COMMUNITY ORGANIZATIONS. G1: ASSIGNED STAFF - SALARIES OF CAREGIVERS WHO OVERSEE COMMUNITY BENEFIT EFFORTS INCLUDING COMMUNITY HEALTH SCREENINGS, PEER PROGRAM PARTNERSHIP, COMMUNITY BABY SHOWER, DIABETES EDUCATION PARTNERSHIP, AND MOBILE INTEGRATED HEALTH PROGRAM AMONG OTHERS. F2: COMMUNITY BUILDING: ECONOMIC DEVELOPMENT - PARTICIPATION IN ECONOMIC DEVELOPMENT COMMISSION F3: COMMUNITY BUILDING: COMMUNITY SUPPORT - PARTICIPATION IN CECIL COUNTY'S LOCAL MANAGEMENT BOARD. F8: COMMUNITY BUILDING: WORKFORCE DEVELOPMENT - IN PARTNERSHIP WITH CECIL COLLEGE, UNION OFFERED CAMP SCRUBS IN AUGUST 2024 AND JUNE 2025. CAMP SCRUBS IS A WEEK-LONG PROGRAM FOR 10-18 YEAR OLDS TO LEARN ABOUT THE MANY ROLES THAT EXIST TO OPERATE A HOSPITAL. -------------------
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) UNION HOSPITAL OF CECIL COUNTY, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM IN WHICH AFFINITY HEALTH ALLIANCE, INC. (AHA) IS THE PARENT ENTITY. ON JANUARY 1, 2020, AHA BECAME A MEMBER OF THE CHRISTIANA CARE HEALTH SYSTEM ("CHRISTIANACARE"). CHRISTIANA CARE IS A MAJOR TEACHING HEALTH SYSTEM WITH MORE THAN 1,600 MEDICAL-STAFF MEMBERS AND 265 MEDICAL-DENTAL RESIDENTS AND FELLOWS AND INCLUDES A NUMBER OF ENTITIES INCLUDING CHRISTIANA CARE HEALTH SERVICES, INC. AHA'S PURPOSE IS TO SUPPORT THE UNION HOSPITAL OF CECIL COUNTY IN PROVIDING HEALTH CARE AND HEALTH CARE RELATED SERVICES THROUGH THE EFFECTIVE MANAGEMENT OF ALL AFFILIATED CORPORATIONS. SPECIFICALLY, THIS INVOLVES COORDINATING SYSTEM WIDE POLICIES AND STRATEGIC PLANNING PROGRAMS TO PROVIDE HEALTH CARE SERVICES IN RESPONSE TO THE MEDICAL, HUMAN AND RELATED SERVICE NEEDS OF THE COMMUNITY. OTHER TAX-EXEMPT ORGANIZATIONS IN THE GROUP INCLUDE UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC. AND UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC. UNION HOSPITAL OF CECIL COUNTY HEALTH SERVICES, INC.'S MISSION IS TO OWN, MANAGE AND MAINTAIN PROPERTIES FOR HEALTH-RELATED VENTURES TO SERVICE CECIL COUNTY AND THE SURROUNDING AREAS. THE ACTIVITIES OF THIS CORPORATION COMPLEMENT AND AUGMENT THE HEALTH CARE ACTIVITIES OF THE HOSPITAL. AS OF 12/31/23, THIS ORGANIZATION BEGAN TO WIND DOWN ITS OPERATIONS. UNION HOSPITAL OF CECIL COUNTY ONCOLOGY, INC'S (ONCOLOGY") DUTY AND MISSION IS TO PROVIDE HIGH QUALITY, ADVANCED RADIATION ONCOLOGY SERVICES TO THE CECIL COUNTY AREA IN ORDER TO FOSTER THE BEST CANCER TREATMENT PROCESS CLOSE TO HOME. CANCER-RELATED DEATHS ARE AMONG THE HIGHEST CAUSES OF MORTALITY IN CECIL COUNTY, SO IT IS UNION ONCOLOGY'S MISSION TO BRING SOME OF THE MOST ADVANCED RADIATION THERAPIES TO CECIL COUNTY TO PROVIDE THE MOST COMPREHENSIVE CANCER CARE POSSIBLE TO THE PEOPLE LIVING WITH CANCER HERE AND IN NEIGHBORING COMMUNITIES. BY OFFERING THESE ADVANCED CANCER TREATMENT OPTIONS, UNION ONCOLOGY FURTHERS ITS CHARITABLE PURPOSE OF PROVIDING MEDICAL SERVICES TO PROMOTE THE HEALTH AND WELFARE OF THE RESIDENTS OF CECIL COUNTY AND NEIGHBORING COMMUNITIES. UNION HOSPITAL OF CECIL COUNTY VENTURES, INC. IS A FOR-PROFIT STOCK CORPORATION. ITS PURPOSE IS TO ENGAGE IN ANY BUSINESS OR TRANSACTION WHICH WILL BENEFIT THE ACTIVITIES AND GOALS OF ITS AFFILIATES. OPERATIONS CONSIST PRIMARILY OF PROVIDING MANAGEMENT SUPPORT SERVICES FOR PHYSICIAN PRACTICES AND PROVIDING IMAGING SERVICES TO PHYSICIANS AND HEALTH CENTERS THROUGH ITS WHOLLY OWNED SUBSIDIARY, OPEN MRI AND IMAGING CENTER OF ELKTON, LLC. ---------------
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT) MARYLAND REQUIRES AN ANNUAL COMMUNITY BENEFIT REPORT FOR CHRISTIANACARE'S UNION HOSPITAL. ---------------
Schedule H (Form 990) 2024
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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number

52-0607945
Part I
Questions Regarding Compensation
Yes
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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
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 on 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) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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, 1099-MISC compensation, and/or 1099-NEC (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
1AMY MARSTON
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
378,037 		0
-------------
65,000 		0
-------------
28,679 		0
-------------
0 		0
-------------
22,334 		0
-------------
494,050 		0
-------------
0
2ARSALAN SHEIKH MD
CHIEF MEDICAL OFFICER 		(i)

(ii)		 278,081
-------------
0 		46,252
-------------
0 		1,910
-------------
0 		0
-------------
0 		17,561
-------------
0 		343,804
-------------
0 		0
-------------
0
3CLAIRE YI ZHANG MD
PHYSICIAN, GASTROENEROLOGY 		(i)

(ii)		 468,403
-------------
0 		61,937
-------------
0 		2,363
-------------
0 		0
-------------
0 		0
-------------
0 		532,703
-------------
0 		0
-------------
0
4DAVID TROLIO
VICE CHAIR 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0
5DERON BROWN
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
171,406 		0
-------------
22,995 		0
-------------
6,302 		0
-------------
0 		0
-------------
0 		0
-------------
200,703 		0
-------------
0
6DONNA MALONEY
DIRECTOR OF FINANCE 		(i)

(ii)		 0
-------------
202,862 		0
-------------
27,215 		0
-------------
36,805 		0
-------------
0 		0
-------------
22,503 		0
-------------
289,385 		0
-------------
0
7FAHD RAHMAN MD
PHYSICIAN, ONCOLOGY 		(i)

(ii)		 495,894
-------------
0 		311,357
-------------
0 		44,259
-------------
0 		0
-------------
0 		22,334
-------------
0 		873,844
-------------
0 		0
-------------
0
8GEORGE GIANNOUKOS MD
PHYSICIAN, GENERAL SURGERY 		(i)

(ii)		 447,643
-------------
0 		37,688
-------------
0 		6,094
-------------
0 		0
-------------
0 		0
-------------
0 		491,425
-------------
0 		0
-------------
0
9GINA RICCARDI MD
DIRECTOR - AS OF 1/25 		(i)

(ii)		 253,767
-------------
0 		31,990
-------------
0 		33,948
-------------
0 		0
-------------
0 		22,711
-------------
0 		342,416
-------------
0 		0
-------------
0
10JENNIFER L SCHWARTZ ESQ
SECRETARY (EX-OFFICIO) 		(i)

(ii)		 0
-------------
744,042 		0
-------------
282,639 		0
-------------
76,075 		0
-------------
68,042 		0
-------------
22,334 		0
-------------
1,193,132 		0
-------------
37,500
11JOAN PIRRUNG MSN APRN ACNS
DIRECTOR/CHIEF NURSING OFFICER 		(i)

(ii)		 208,283
-------------
0 		36,613
-------------
0 		24,807
-------------
0 		0
-------------
0 		22,334
-------------
0 		292,037
-------------
0 		0
-------------
0
12JUSTIN SAUSVILLE MD
DIRECTOR - THRU 12/24 		(i)

(ii)		 592,174
-------------
0 		159,587
-------------
0 		15,605
-------------
0 		0
-------------
0 		22,334
-------------
0 		789,700
-------------
0 		0
-------------
0
13KOJO ARKHURST MD
PHYSICIAN, HOSPITALIST 		(i)

(ii)		 449,616
-------------
0 		39,879
-------------
0 		33,616
-------------
0 		0
-------------
0 		0
-------------
0 		523,111
-------------
0 		0
-------------
0
14MICHELLE TWUM-DANSO
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
204,125 		0
-------------
24,233 		0
-------------
13,393 		0
-------------
0 		0
-------------
14,833 		0
-------------
256,584 		0
-------------
0
15ROBERT ASANTE
DIRECTOR 		(i)

(ii)		 0
-------------
211,286 		0
-------------
28,380 		0
-------------
18,609 		0
-------------
0 		0
-------------
22,334 		0
-------------
280,609 		0
-------------
0
16ROBERT MCMURRAY
TREASURER (EX-OFFICIO) 		(i)

(ii)		 0
-------------
821,405 		0
-------------
284,430 		0
-------------
86,846 		0
-------------
76,141 		0
-------------
13,455 		0
-------------
1,282,277 		0
-------------
43,000
17ROGER D WU MD
PHYSICIAN, GASTROENEROLOGY 		(i)

(ii)		 555,808
-------------
0 		72,526
-------------
0 		12,778
-------------
0 		0
-------------
0 		22,711
-------------
0 		663,823
-------------
0 		0
-------------
0
18RYAN GERACIMOS MD
FMR CHIEF MEDICAL OFFICER 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		105,950
-------------
0 		0
-------------
0 		0
-------------
0 		105,950
-------------
0 		0
-------------
0
19SHARON KURFUERST
FORMER DIRECTOR, PRESIDENT 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
532,730 		0
-------------
0 		0
-------------
0 		0
-------------
532,730 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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
FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHOD DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4A DETAIL OF SEVERANCE PAYMENTS RYAN GERACIMOS, MD (CHIEF MEDICAL OFFICER) RECEIVED A SEVERANCE PAYMENT OF $105,950 DURING THE YEAR. SHARON KURFUERST (FORMER DIRECTOR, PRESIDENT) RECEIVED A SEVERANCE PAYMENT OF $532,730 DURING THE YEAR. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4B SUPP. NONQUALIFIED PLAN PARTICIPATION THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SERVICES, INC ("CCHS"). CCHS MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: ROBERT MCMURRAY- $57,758 JENNIFER L. SCHWARTZ, ESQ.- $51,000 ---------------
FORM 990, SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SYSTEM, INC ("SYSTEM") AND CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). ALL OFFICER/TRUSTEE COMPENSATION ARRANGEMENTS, INCLUDING THE PAYMENT OF DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES, ARE DETERMINED BY THE SYSTEM BOARD AND PAID EITHER THROUGH CCHS OR THIS ORGANIZATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON ARE APPROVED BY THE COMPENSATION COMMITTEE OF SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ---------------
Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number
52-0607945
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A TOWN OF ELKTON - SERIES 2012A
  		52-6000790   05-18-2012 10,000,000 REFUND PORTION OF SERIES 2009 BOND   X   X   X
B TOWN OF ELKTON - SERIES 2012B1B2
  		52-6000790   05-18-2012 8,662,336 REFUND SERIES 2009 & 2000 BONDS   X   X   X
C TOWN OF ELKTON - SERIES 2012C
  		52-6000790   05-18-2012 9,000,000 REFUND ESCROW TO REPAY 2002 BOND   X   X   X
D MD HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY
  		52-0936091   12-01-2014 30,778,000 TO REFINANCE THE 2005 BONDS   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 4,606,540 5,510,319 2,797,142 3,347,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 10,000,000 8,662,336 9,000,000 30,778,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 0 0 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
11 Other spent proceeds ............. 10,000,000 8,662,336 9,000,000 30,778,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2012 2012 2012 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
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
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government .... 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
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
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... 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 (Form 990) (Rev. 1-2025)

Additional Data


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SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number

52-0607945
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINES 6 & 7A,7B GOVERNING BODY AND MANAGEMENT CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") IS THE SOLE MEMBER OF AFFINITY HEALTH ALLIANCE, INC. ("AHA"), THE SOLE MEMBER OF THE UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC"). CCHS AND AHA ARE BOTH TAX-EXEMPT ORGANIZATIONS. THE BOARD OF DIRECTORS OF CCHS ELECTS THE DIRECTORS OF UHCC AT ITS ANNUAL MEETING. THE ANNUAL OPERATING BUDGET OF UHCC IS APPROVED BY THE UHCC BOARD, THE FINANCE COMMITTEE OF THE CCHS BOARD, THE CCHS BOARD, THE FINANCE COMMITTEE OF THE BOARD OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CCHS, AND THE SYSTEM BOARD. ---------------
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS INFORMATION RELATED TO THE UHCC FORM 990 IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW. THE FINAL 2024 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2025 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2024 FORM 990 VIA ITS BOARD OF DIRECTORS PORTAL. ---------------
FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE CAREGIVER RESOURCE CENTER ON THE EMPLOYEE PORTAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR REQUIRED INDIVIDUALS, WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXIST. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. ---------------
FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"), THE SOLE MEMBER OF UNION HOSPITAL OF CECIL COUNTY, INC. ("UHCC"), ESTABLISHES UHCC'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE SYSTEM BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. ---------------
FORM 990, PART VI, SECTION C, LINE 19 GOVERNANCE, MANAGEMENT & DISCLOSURE THE GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ---------------
FORM 990, PART X BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO CURRENT YEAR REPORTING PRESENTATION. ---------------
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN NET ASSETS OF FOUNDATION $268,376 NET ASSETS RELEASED FROM RESTRICTION 423,203 TRANSFER TO/(FROM) AFFILIATE (281) OTHER CHANGES IN NET ASSETS (953,077) --------- TOTAL ($261,779) ---------------
FORM 990, SCHEDULE C DETAIL OF LOBBYING ACTIVITIES UHCC IS A MEMBER OF THE MARYLAND HOSPITAL ASSOCIATION ("MHA"). A PORTION OF THE MEMBERSHIP DUES PAID BY UHCC MAY BE USED BY MHA FOR LOBBYING PURPOSES. ---------------
FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:21783123
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


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SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
UNION HOSPITAL OF CECIL COUNTY INC
 
Employer identification number

52-0607945
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)UNION HOSPITAL OF CECIL COUNTY HLTH SVCS
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
52-1794553 		PROPERTY MGMT MD 501(C)(3) 10 AFFINITY
 
 
No
(2)AFFINITY HEALTH ALLIANCE INC
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
52-1794697 		MANAGEMENT MD 501(C)(3) 12B,II CCH SERVICES
 
 
No
(3)UNION HOSPITAL OF CECIL COUNTY ONCOLOGY
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
81-2662359 		HEALTHCARE MD 501(C)(3) 3 AFFINITY
 
 
No
(4)CHRISTIANA CARE HEALTH SYSTEM INC
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
52-1479538 		FUNDRAISING DE 501(C)(3) 7 NA
 
 
No
(5)CHRISTIANA CARE HLTH INITIATIVES INC
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
51-0295186 		OUTPATIENT SV DE 501(C)(3) 10 CCH SYSTEM
 
 
No
(6)CHRISTIANA CARE HOME HEALTH & COM SRVCS
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
51-0064334 		HOME HLTHCARE DE 501(C)(3) 10 CCH SYSTEM
 
 
No
(7)CHRISTIANA CARE HEALTH SERVICES INC
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
51-0103684 		HOSPITAL DE 501(C)(3) 3 CCH SYSTEM
 
 
No
(8)CHRISTIANA CARE WEST GROVE INC
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
88-3155785 		HEALTHCARE PA 501(C)(3) 12A, I CCH SERVICES
 
 
No
(9)CHRISTIANA CARE GENE EDITING INSTITUTE
4000 NEXUS DR NW3-100

WILMINGTON,DE19803
88-3110655 		HEALTHCARE DE 501(C)(3) 12A, I CCH SYSTEM
 
 
No
(10)CHRISTIANA CARE PENNSYLVANIA INC
400O NEXUS DRIVE NW3-100

WILMINGTON,DE19803
99-2607716 		HEALTHCARE PA 501(C)(3) 10 CCH SYSTEM
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) CHRISTIANACARE GOHEALTH URGENT CARE LLC

5555 GLENRIDGE CONNECTOR SUITE 700
ATLANTA,GA30342
84-4061485 		URGENT CARE SRVCS DE CCH SERVICES
  		              No  
(2) CLINERGY LLC

4755 OGLETOWN STANTON RD
NEWARK,DE19718
 GROUP PURCHASHING DE CCH SERVICES
  		              No  
(3) LEEWARD HEALTH LLC

4000 NEXUS DR SUITE C3-300
WILMINGTON,DE19808
85-2698063 		MED ADV RISK SHAR DE CCH SYSTEM
  		              No  
(4) CHRISTIANA CARE EMERUS LLC

8686 NEW TRAILS DRIVE SUITE 100
THE WOODLANDS,TX77381
23-2200841 		HEALTH CARE PA CCH SERVICES
  		              No  
(5) CHRISTIANA CARE EMERGENCY PHYSC LLC

4000 NEXUS DR SUITE C3-300
WILMINGTON,DE19803
23-2468569 		MEDICAL SRVCS DE CCH SERVICES
  		              No  
(6) CHRISTIANA CARE ATLAS JV LLC

2355 E CAMELBACK RD STE 700
PHOENIX,AZ85016
99-3393372 		MEDICAL SRVCS DE CCH SERVICES
  		              No  
(7) SOUTHERN CHESTER COUNTY MOB I

1015 W BALTIMORE PIKE
WEST GROVE,PA19390
23-2200841 		MOB PA CC WEST GROVE
  		              No  
(8) SOUTHERN CHESTER COUNTY MOB II

1015 W BALTIMORE PIKE
WEST GROVE,PA19390
23-2468569 		MOB PA CC WEST GROVE
  		              No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) UNION HOSPITAL OF CECIL COUNTY VENTURES

4000 NEXUS DR NW3-100
WILMINGTON,DE19803
52-1793691 		MEDICAL SERVICES MD AFFINITY
  		C CORP         No
(2) THE DE CTR FOR MAT FETAL MED OF CC INC

4000 NEXUS DR NW3-100
WILMINGTON,DE19803
20-5891272 		HEALTHCARE DE CCH SERVICES
  		C CORP         No
(3) CHRISTIANA CARE HEALTH PLANS

4000 NEXUS DR STE NW3-100
WILMINGTON,DE19803
51-0352728 		INSURANCE DE CCH SYSTEM
  		C CORP         No
(4) CHRISTIANA CARE DEFERRED COMP PLAN

4755 OGLETOWN STANTON RD
NEWARK,DE19718
81-6359549 		DEF COMP PLAN DE CCH SERVICES
  		TRUST         No
(5) CHRISTIANA CARE EXEC DEFERRED COMP PLAN

4755 OGLETOWN STANTON RD
NEWARK,DE19718
35-7048822 		DEF COMP PLAN DE CCH SERVICES
  		TRUST         No
(6) CARE ASSOCIATES DEFERRED COMP PLAN

4755 OGLETOWN STANTON RD
NEWARK,DE19718
35-7048714 		DEF COMP PLAN DE CCH SERVICES
  		TRUST         No
(7) CHRISTIANA CARE INSURANCE CO LTD

PO BOX 1159 878 W BAY RD
GRAND CAYMAN   KY1-1102
CJ
98-1489490 		SELF-INSURANCE CJ CCH SERVICES
  		C CORP         No
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
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
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
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
Yes
 
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





Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version: