Community Benefit Insight - Tax-exempt hospital

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Upmc Western Maryland Corporation

Upmc-Western Maryland Corp

12500 Willowbrook Road
Cumberland, MD 21502

Bed count	240	Medicare provider number	210027	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 520591531

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

19.54%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 13,988,602 3.96 %
Medicaid as % of operating expenses	$ 1,039,339 0.29 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 279,484 0.08 %
Subsidized health services as % of operating expenses	$ 52,837,006 14.98 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 651,399 0.18 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 146,014 0.04 %
Community building* as % of operating expenses	$ 455,872 0.13 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 455,872 0.13 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 27,977 6.14 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 427,895 93.86 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 5,122,737 1.45 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of 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 (Expenses $ 185140071 including grants of $ 0) (Revenue $ 216534431)
ANCILLARY CARE - REGULATEDUPMC WESTERN MARYLAND (UPMCWM) OFFERS A COMPREHENSIVE RANGE OF GENERAL AND SPECIALTY SERVICES FOR PATIENTS. SURGICAL, LABORATORY, RADIOLOGY, CARDIOLOGY, CANCER, RESPIRATORY AND PULMONARY ARE THE LARGER SERVICES PROVIDED AT THE HOSPITAL.

4B (Expenses $ 60172163 including grants of $ 0) (Revenue $ 69009597)
INPATIENT ROUTINE CARE - REGULATEDUPMC WESTERN MARYLAND IS A FULL-SERVICE COMMUNITY HOSPITAL LICENSED FOR 224 BEDS INCLUDING MEDICAL-SURGICAL INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC, REHABILITATION, AND NURSERY. FOR THE YEAR, 9,464 PATIENTS WERE ADMITTED TO THE HOSPITAL. UPMC WESTERN MARYLAND ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THOSE PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY CARE POLICIES RECEIVE SERVICES AT NO CHARGE OR AT AN AMOUNT LESS THAN FULL CHARGES.

4C (Expenses $ 62893846 including grants of $ 0) (Revenue $ 58666130)
PHYSICIAN PRACTICES, CLINICS, AND HOME CAREUPMC WESTERN MARYLAND OPERATES 22 PHYSICIAN PRACTICES, 3 URGENT CARE CLINICS, AND A HOME CARE PRACTICE. THE PHYSICIAN PRACTICES HAD 165,199 ENCOUNTERS; THE URGENT CARE CLINICS HAD 68,317 ENCOUNTERS AND HOME CARE HAD 34,531 VISITS FOR THE YEAR.

4D (Expenses $ 19707611 including grants of $ 0) (Revenue $ 18990684)
EMERGENCY CARE - REGULATEDUPMC WESTERN MARYLAND (UPMCWM) OPERATES A 24-HOUR/7-DAY-A-WEEK EMERGENCY ROOM WHICH SERVES AS THE DESIGNATED AREA-WIDE TRAUMA CENTER. 36,070 VISITS WERE REGISTERED IN THE EMERGENCY ROOM FOR THE YEAR ENDING JUNE 30, 2022.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

UPMC WESTERN MARYLAND CORPORATION
PART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH OTHER ORGANIZATIONS THE CHNA WAS CONDUCTED JOINTLY WITH THE ALLEGANY COUNTY HEALTH DEPARTMENT.

UPMC WESTERN MARYLAND CORPORATION
PART V, SECTION B, LINE 11: THE MOST RECENT ASSESSMENT WAS COMPLETED IN JUNE 2020 AND BUILDS UPON IMPROVEMENTS MADE AND LESSONS LEARNED IN PRIOR CYCLES FROM 2011, 2014 AND 2017. THE PRIORITIES IN THE 2017 CHNA WERE SUBSTANCE ABUSE, POVERTY, HEART DISEASE, AND ACCESS TO CARE/HEALTH LITERACY. AFTER REVIEW OF HEALTH STATUS INDICATORS AND CAUSATIVE FACTORS, THE FOLLOWING PRIORITIES WERE SELECTED FOR THE MOST RECENT CHNA: TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH, AND PREVENTION-YOUTH RISK REDUCTION. THROUGHOUT EACH THREE-YEAR CYCLE, PROGRESS ON THE LOCAL HEALTH ACTION PLAN WAS MONITORED AND ITS IMPACT ON THE IDENTIFIED OUTCOME MEASURES WAS EVALUATED.KEY MEASURES AND THE CHANGES SEEN OVER TIME:- RESIDENTS THAT REPORTED MISSING APPOINTMENTS DUE TO TRANSPORTATION INCREASED FROM 16% TO 19%- LEVEL 1 AND 2 EMERGENCY DEPARTMENT VISITS INCREASED FROM 6,476 TO 7,345- 21.2% PERCENT OF ELEMENTARY AGE CHILDREN ARE IN THE 95TH PERCENTILE OR HIGHER F OR BODY MASS INDEX AND THE PERCENTAGE IS INCREASING- EMERGENCY DEPARTMENT VISITS FOR HYPERTENSION ARE AT 453.3 PER 100,000 POPULATION AND THE RATE HAS INCREASED STEADILY SINCE 2010- 52.6 DRUG INDUCED DEATHS CAUSED BY ILLICIT OR PRESCRIPTION DRUGS PER 100,000 POPULATION AND DEATHS ARE RISING.AFTER REVIEWING PROGRESS AND AREAS FOR IMPROVEMENT IN BOTH PRIOR AND THE CURRENT LOCAL HEALTH ACTION PLAN, A VARIETY OF SECONDARY DATA SOURCES WERE COMPILED AND REVIEWED BY THE LHAP WORKGROUP. THE WORKGROUP INCLUDES REPRESENTATIVES FROM THE HOSPITAL, HEALTH DEPARTMENT, COMMUNITY ACTION AGENCY AND AREA HEALTH EDUCATION CENTER. EACH OF THESE REPRESENTATIVES WAS TASKED WITH PULLING SOURCES AVAILABLE TO THEM AND SHARING THEM FOR REVIEW. 4 THE METRICS AND SOURCES INCLUDED: MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS (SHIP) COUNTY HEALTH RANKING COMMUNITY COMMONS US NEWS CIVIC RANKING ALLEGANY COUNTY YOUTH RISK BEHAVIORAL SURVEY (YRBS)KIDS COUNT AMERICAN COMMUNITY SURVEY HEALTHY PEOPLE 2020 ALLEGANY COUNTY PUBLIC SCHOOL BMI DATA OPPORTUNITY NATION COMMUNITY NEEDS INDEX FEEDING AMERICA STATE CANCER PROFILE LOCAL TRANSPORTATION SURVEY UPMCWM DENTAL ED VISITS MD COLLEGE SURVEY DRUG AND ALCOHOL RELATED DEATHS- BHA, MDH HOMELESS DATA-HRDC TOP 10 REASONS UPMCWM ED VISITS AND ADMISSIONS UPMCWM DIMENSIONAL INSIGHT NEEDS TRENDING IN THE WRONG DIRECTION OR OFF TARGET COMPARED TO THE STATE OR NATION WERE COMPILED FOR REVIEW BY THE ALLEGANY COUNTY HEALTH PLANNING COALITION. THE COUNTY HEALTH RANKING DATA FROM 2010-2019 WERE REVIEWED AND COMPARED OVER TIME WHEN VALID. DATA POINTS WERE ELIMINATED FROM CONTINUED REVIEW IF THE SAMPLE SIZE WAS TOO SMALL, NEED APPEARED STABLE, OR ISSUE WAS REPRESENTED BY ANOTHER METRIC.COMMUNITY HEALTH AND WELLNESS CONNECTIONS ARE IDENTIFIED BETWEEN THE IMPLEMENTATION STRATEGY AND THE STRATEGIC PLAN AS PART OF THE COMMUNITY BENEFIT PLANNING.THE POPULATION HEALTH COUNCIL REVIEWS THE FINDINGS TO IDENTIFY KEY OPPORTUNITIES FOR INVOLVEMENT OF UPMC WESTERN MARYLAND INTERNALLY AND WITH THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC) REGARDING THE COMMUNITY. AS A CYCLE OF LEARNING, THESE OPPORTUNITIES ARE THEN CONSIDERED IN THE STRATEGIC PLANNING PROCESS. ONCE PRIORITIES, PLANS AND METRICS ARE APPROVED AND ALIGNED WITH THE BUDGET PROCESS, THE CHNA AND IMPLEMENTATION PLAN ARE PRESENTED TO THE BOARD FOR APPROVAL, THENIMPLEMENTED, TRACKED AND MEASURED.THE FOLLOWING ARE SOME OF THE STRATEGIC OBJECTIVES FOR 2018-2021 IN THE UPMC WESTERN MARYLAND STRATEGIC PLAN THAT HAVE A CONNECTION TO THE COALITION'S LOCAL HEALTH ACTION PLAN.* IMPROVE HEALTH STATUS AND SOCIAL DETERMINANTS OF HEALTH* EXPAND PRE-HOSPITALIZATION AND POST-ACUTE CARE SERVICES TO REDUCE UTILIZATION* TRANSFORM CARE DELIVERY MODELS

UPMC WESTERN MARYLAND CORPORATION
PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENT PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE. UPMC WESTERN MARYLAND ALSO CONSIDERS PERSONS WHO DO NOT MEET THE FAP INCOME GUIDELINES UNDER EXPANSION OF THE FAP POLICY FOR FINANCIAL HARDSHIP THAT WOULD LIMIT THE AMOUNT EXPECTED TO BE PAID BASED ON PERCENTAGE OF INCOME.

SCHEDULE H, PART V, SECTION B, LINE 3 AND 5;
"LINE 3, COMMUNITY HEALTH NEEDS ASSESSMENT AND LINE 5, PERSONS CONSULTEDTHE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE UPMC WESTERN MARYLAND CO-CHAIR THE ALLEGANY COUNTY HEALTH PLANNING COALITION (COMPRISED OF 78 INDIVIDUALS REPRESENTING FOUNDING PARTNERS, AN ADVISORY BOARD, AND COMMUNITY AFFILIATES). THE MISSION OF THE ALLEGANY COUNTY HEALTH PLANNING COALITION IS ""HEALTHY LIFESTYLES THROUGH COLLABORATIVE PARTNERSHIPS, EVIDENCE-BASED PRACTICES, AND PERSONAL COMMITMENTS."" OVER THE YEARS, VARIOUS COMMUNITY STAKEHOLDERS HAVE PARTNERED TO IMPROVE THE HEALTH OF OUR COMMUNITY. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND UPMC WESTERN MARYLAND IS A TOTAL PATIENT REVENUE HOSPITALAND THE ONLY HOSPITAL IN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH."

SCHEDULE H, PART V, SECTION B, LINE 13B
"PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:A. ACTIVE MEDICAL ASSISTANCE PHARMACY COVERAGE;B. QUALIFIED MEDICARE BENEFICIARY (""QMB"") COVERAGE (COVERS MEDICARE DEDUCTIBLES) AND SPECIAL LOW-INCOME MEDICARE BENEFICIARY (""SLMB"") COVERAGE (COVERS MEDICARE PART B PREMIUMS);C. HOMELESSNESS;D. MARYLAND PUBLIC HEALTH SYSTEM EMERGENCY PETITION PATIENTS;E. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (""WIC"");F. FOOD STAMP ELIGIBILITY;G. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS;H. PATIENT IS DECEASED WITH NO KNOWN ESTATE; ANDI. PATIENTS THAT ARE DETERMINED TO MEET ELIGIBILITY CRITERIA ESTABLISHED UNDER FORMER STATE ONLY MEDICAL ASSISTANCE PROGRAM."

SCHEDULE H, PART V, SECTION B, LINE 22;
"FINANCIAL ASSISTANCE POLICYUPMCWM DETERMINES THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO THE FINANCIAL ASSISTANCE POLICY (""FAP"") ELIGIBLE INDIVIDUALS BY USING HSCRC RATE ORDER AND REGULATIONS."

Supplemental Information

Schedule H (Form 990) Part VI

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY SUPPORT - UPMC WESTERN MARYLAND HAS IN PLACE A DISASTER READINESS PROGRAM. AS THE LARGEST HOSPITAL IN THE AREA AND THE LARGEST EMPLOYER, UPMC WESTERN MARYLAND HAS INCURRED COSTS TO BE ABLE TO DEAL WITH A DISASTER IF THE NEED ARISES.COALITION BUILDING - UPMC WESTERN MARYLAND WORKS WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH IN THE COMMUNITY. EDUCATION PROGRAMS, SCREENINGS, AND VARIOUS OTHER EVENTS ARE CONDUCTED BY UPMC WESTERN MARYLAND.WORKFORCE DEVELOPMENT - UPMC WESTERN MARYLAND IS ACTIVELY INVOLVED IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS FOR THE FEDERALLY MEDICAL UNDERSERVED AREA THROUGH A COLLABORATION WITH REGIONAL PARTNERS.

PART III, LINE 8:
"MEDICAREMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COURT REVIEW COMMISSION (""HSCRC"") DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.METHOD USED: OTHER"

PART III, LINE 9B:
COLLECTION PRACTICESUPMC WESTERN MARYLAND PROVIDES CARE TO ALL PATIENTS SEEKING CARE, REGARDLESS OF THEIR ABILITY TO PAY. AN ABILITY TO PAY IS BASED ON A REVIEW WHICH IS DONE BY A MEMBER OF THE HEALTH SYSTEM'S BUSINESS OFFICE. THIS REVIEW ASSURES THAT ALL PATIENTS WHO SEEK EMERGENCY OR URGENT CARE RECEIVE THOSE SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY.-IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE.-UPMC WESTERN MARYLAND MEETS OR EXCEEDS THE STATE'S LEGAL REQUIREMENT BY PROVIDING FINANCIAL ASSISTANCE BASED ON INCOME ESTABLISHED BY AND PUBLISHED BY THE FEDERAL GOVERNMENT EACH YEAR.-THOSE PATIENTS THAT MEET THE FINANCIAL ASSISTANCE POLICY CRITERIA DESCRIBED ABOVE MAY RECEIVE ASSISTANCE FROM THE HEALTH SYSTEM IN PAYING THEIR BILL. IF A PATIENT BELIEVES HE HAS WRONGLY BEEN REFERRED TO A COLLECTION AGENCY, HE HAS THE RIGHT TO CONTACT THE HOSPITAL TO REQUEST ASSISTANCE.- UPMC WESTERN MARYLAND POLICIES MEET ALL 501R REQUIREMENTS.

PART VI, LINE 2:
COMMUNITY HEALTH NEEDS ASSESSMENTTHE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS. THE LATEST PLAN WAS APPROVED BY THE HOSPITAL'S GOVERNING BODY ON JUNE 29, 2020 AND IS AVAILABLE AT HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM THE ALLEGANY COUNTY HEALTH DEPARTMENT AND UPMC WESTERN MARYLAND ARE RESPONSIBLE FOR FACILITATING THE NEEDS ASSESSMENT PROCESS. ALLEGANY COUNTY IS LOCATED IN RURAL WESTERN MARYLAND WITH A POPULATION OF 70,416. IT IS PART OF THE APPALACHIAN REGION AND HAS LOW EDUCATION LEVELS, LIMITED RACIAL DIVERSITY, A LARGE ELDERLY POPULATION AND LOW HOUSEHOLD INCOMES.ALLEGANY COUNTY AND ITS SERVICE PROVIDERS ARE IMPACTED BY BEING PART OF A TRI-STATE REGION WHICH INCLUDES PENNSYLVANIA AND WEST VIRGINIA. UPMC WESTERN MARYLAND SERVES 7 COUNTIES IN 3 STATES. THE PROCESS INVOLVES THE REVIEW OF THE 3 PRIORITY AREAS THAT WERE IDENTIFIED IN THE PREVIOUS CHNA AS WELL AS UPDATES FOR THE COUNTY. PROBLEM AREAS AND TRENDS IDENTIFIED THROUGH COUNTY HEALTH RANKINGS AND COMMUNITY COMMONS ARE ALSO REVIEWED. IN THE REVIEW, BOTH HEALTH STATUS INDICATORS AND CAUSATIVE FACTORS ARE CONSIDERED. DATA SOURCES FROM THE LAST NEEDS ASSESSMENT ARE REVIEWED AND UTILIZED TO CLARIFY ISSUES.AFTER REVIEW OF HEALTH STATUS INDICATORS AND CAUSATIVE FACTORS, THE FOLLOWING PRIORITIES WERE SELECTED FOR THE MOST RECENT CHNA: TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH, AND PREVENTION-YOUTH RISK REDUCTION.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE UPMC WESTERN MARYLAND IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL SITUATION. A PATIENT CAN QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH LACK OF SUFFICIENT INSURANCE OR FINANCIAL HARDSHIP.UPMC WESTERN MARYLAND IS COMMITTED TO PROVIDING QUALITY HEALTH CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND WITHOUT DISCRIMINATION ON THE GROUNDS OF RACE, COLOR, NATIONAL ORIGIN OR CREED.NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE:A. UPMCWM WILL MAKE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES WILL BE AVAILABLE AT UPMCWM' LOCATIONS.B. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE POSTED AT APPROPRIATE ADMISSION AREAS, THE BILLING OFFICE, WEBSITE, AND OTHER KEY PATIENT ACCESS AREAS.C. A STATEMENT ON THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE INCLUDED ON PATIENT BILLING STATEMENTS.D. A PLAIN LANGUAGE SUMMARY OF UPMCWM' FINANCIAL ASSISTANCE POLICY WILL BE PROVIDED TO PATIENTS RECEIVING INPATIENT SERVICES WITH THEIR SUMMARY BILL AND WILL BE MADE AVAILABLE TO ALL PATIENTS UPON REQUEST.E. UPMCWM' FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE TO PATIENTS UPON REQUEST AT UPMCWM OR VIA MAIL AS WELL AS ON UPMCWM' WEBSITE AT HTTPS://WWW.WMHS.COM/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCEF. UPMCWM' FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE IN A DIFFERENT LANGUAGE UPON REQUEST.

PART VI, LINE 4:
COMMUNITY INFORMATION UPMC WESTERN MARYLAND PROVIDES HEALTHCARE SERVICES FOR RESIDENTS IN ALLEGANY AND GARRETT COUNTIES IN MARYLAND AND SURROUNDING COUNTIES IN WEST VIRGINIA AND PENNSYLVANIA. ALLEGANY COUNTY, MARYLAND, IS CONSIDERED UPMC WESTERN MARYLAND'S COMMUNITY BENEFIT SERVICE AREA.

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTHSEE COMMUNITY BENEFIT SUMMARYTHE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE UPMC WESTERN MARYLAND LEAD COMMUNITY HEALTH NEEDS ASSESSMENTS EFFORTS. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND UPMCWM IS A GLOBAL BUDGET REVENUE HOSPITAL AND THE ONLY HOSPITAL IN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH.

PART VI, LINE 6:
AFFILIATED HEALTH CARE SYSTEM-WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(C)(3), PUBLIC CHARITY STATUS 12 TYPE III, FUNDRAISING-UPMC (EIN: 25-1423657), C CORPORATION, TAX EXEMPT UNDER 501(C)(3) HEALTHCARE, EDUCATION, AND RESEARCH-WILLOWBROOK HC CONDO (37-1538510), C CORPORATION, CONDO MANAGEMENT-HAYSTACK CONSOLIDATED (52-1335895), C CORPORATION, MEDICAL SERVICES

SCHEDULE H, PART VI, LINE 7;
STATE FILING OF COMMUNITY BENEFIT REPORTUPMCWM FILES A COMMUNITY BENEFIT REPORT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC).SCHEDULE H, PART V, FAPPART V, SECTION B, LINE 19 & 20UPMC'S POLICIES DO NOT PERMIT HOSPITAL FACILITIES OR ANY OTHER AUTHORIZED PARTIES TO ENGAGE IN EXTRAORDINARY COLLECTIONS ACTIONS IN ANY CIRCUMSTANCE. THEREFORE, LINE 20 HAS BEEN LEFT BLANK SINCE IT IS NOT APPLICABLE AND UPMC BELIEVES IT WOULD BE MISLEADING TO CHECK ANY OF THE BOXES.

Operating expenses	$ 352,827,324
Total amount spent on community benefits as % of operating expenses	$ 68,941,844 19.54 %