Chester River Manor Inc.

“FORM 990, PART III, LINE 1 TO PROVIDE HEALTH CARE SERVICES NECESSARY TO MEET THE INDIVIDUAL NEEDS OF RESIDENTS AND THEIR FAMILIES, AS WELL AS THE COMMUNITY BY ASSISTING RESIDENTS TO ACHIEVE AND MAINTAIN THEIR HIGHEST PRACTICAL LEVEL OF WELL BEING WHILE AT THE SAME TIME MAINTAINING MEASURABLE STANDARDS OF EXCELLENCE IN THEIR DELIVERY. Significant Changes in Operations Form 990, Part III, line 3 Chester River Manor made a significant change in how it conducts business. It sold its assets to outcome health, LLC as part of an asset purchase agreement. See Schedule N, Part II. Independent Contractors. Part V Line 1(a) and Part VII, Section B, Line 1 Independent Contractors of the filing organization are paid and reported by the parent organization University of Maryland Medical System Corporation (UMMS). UMMS issues the 1099s for these vendor payments, while the filing organization reports the expenses for its Independent Contractors on Part VII, Section B, Line 1.”

“Form 990, part vi, section a, lines 6, 7a, and 7b university of maryland shore regional health, inc. (umsrh) is a sole member of crm. Umsrh and umms may elect members and approve decisions of crm.”

“Form 990, part vi, section b, line 11b umms engages the accounting firm grant thornton to prepare and review the irs form 990 for umms and its affiliates. Information needed to complete the return is gathered by accounting personnel in the finance shared services department under the supervision of the umms tax director and provided to grant thornton. Once a draft return is prepared, it undergoes multiple levels of review both internally by umms tax & finance personnel, and externally by grant thornton, including at the partner level. Following any necessary changes to the return, a final draft is reviewed by each affiliates vice president of finance and/or cfo. Prior to filing the irs form 990, the organization's board chairman, treasurer, audit committee chairman, executive committee chairman or other member of the board with similar authority will review the irs form 990. All board members are provided with a copy of the final irs form 990 before filing.”

“Form 990, part vi, section b, line 12c the organization's officers, directors, and medical staff members, as applicable, shall disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the organization, or any entity controlled by or owned in substantial part by the organization. A questionnaire which discloses potential conflicts of interest is distributed annually to all officers, directors and key employees. The general counsel of umms reviews the responses for umms and certain other affiliates. The ceo or cfo of each of the other entities in the umms system reviews the responses for those entities. The general counsel, in consultation with the audit committee, if necessary, would determine if a conflict of interest existed. With respect to the other entities in the umms system, the general counsel may be called for consult. If so, the general counsel may consult the audit committee, if necessary. Whenever a conflict or potential conflict of interest exists, the nature of the conflict or potential conflict of interest must be disclosed in writing to the organization's board, board committee, an officer of the organization or other appropriate executive. Such individual having a potential conflict of interest shall play no role on behalf of the organization, or any organization controlled or substantially owned, in any transaction in which a conflict exists. All invitations for bids, proposals or solicitations for offers include the following provision: any vendor, supplier or contractor must disclose any actual or potential transaction with any organization officer, director, employee or member of the medical staff, including family members within five days of the transaction. Failure to comply with this provision is a material breach of agreement.”

“Form 990, part vi, section b, lines 15a and 15b the organization did not compensate its executives, but rather, the executives received compensation from a related organization. Accordingly, the organization's parent company determines the executive compensation paid to its executives in the following manner prescribed in the irs regulations: executive compensation packages are determined by a committee of the board that is composed entirely of board members who have no conflict of interest. The committee acquires credible comparability market data concerning the compensation packages of similarly situated executives. The committee carefully reviews that data, the executive's performance and the proposed compensation packages during the decision making process. The committee memorializes its deliberations in detailed minutes reviewed and adopted at the next-following meeting. The committee seeks an opinion of counsel that it has met the requirements of the irs intermediate sanctions regulations. This process is used to determine the compensation packages for all management employees from the vice president level and up.”

“Form 990, part vi, section c, line 19 the organization's governing documents are made publicly available through the state of maryland via the secretary of state's office. The conflict of interest policy is generally available on the organization's or affiliate's website. Financial statements are made publicly available on a quarterly basis through filings on the electronic municipal market access ("emma") system.”

“Part vii, section a, col (b) umms is a multi-entity health care system that includes 13 acute care hospitals, 1 acute care hospital owned in a joint venture arrangement and various supporting entities. A number of individuals provide services to various entities within the system. In general, the officers and key employees of umms average in excess of 40 hours per week serving the different entities that comprise umms.”

“Form 990, part viii, line 7d crm sold its assets to outcome health, llc as part of an asset purchase agreement. The net proceeds of this sale are reported on form 990, part viii, line 7d. Shore health system (shs), the parent entity of the filing organization, ultimately recorded the proceeds from the sale; therefore, the transfer of these proceeds from crm to shs are reported as an equity transfer on form 990, part xi, line 9. Reconciliation of net assets form 990, part xi, line 9 allocation of beneficial interest from the foundation $2,903,149 fund balance transfer to shs ($7,053,216) ---------- total ($4,150,067) ==========”

“Description:temporary labor total fees:627244”

“Description:medical/physician contract ser total fees:406331”

“Description:shore reg. Health shared servi total fees:321772”

“Description:contract hskp/laundry svc total fees:361346”

“Description:other misc. Services total fees:541288”