ChristianaCare Cecil County

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 98.4%; rating input score 98
• Program expense ratio: 88.1%; rating input score 88
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -8.8%; rating input score 9; 9th percentile among comparable filings
• Total-asset coverage ratio: 1.01; rating input score 40; 40th percentile among comparable filings
• Liabilities to assets ratio: 0.9; rating input score 13; 13th percentile among comparable filings
• Officer compensation ratio: 2.4%; rating input score 48; 48th percentile among comparable filings

Growth

• Program expense growth: 0.3% per year; rating input score 100; 8th percentile among comparable filings
• Revenue growth: 2.1% per year; rating input score 100; 15th percentile among comparable filings
• Asset growth: 0.5% per year; rating input score 100; 9th percentile among comparable filings