2024-05-07T07:27:55-05:00 2023-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2022-07-01 522087445 MEDSTAR HEALTH INC MEDS 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 JOEL BRYAN VP/TREASURER/CIO 4107726721 2024-05-02 1 JOEL BRYAN 999009999 0 SHAWN HUTCHINSON P01048557 7032868000 2024-05-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KENNETH A SAMET 10980 GRANTCHESTER WAY COLUMBIA MD 21044 366652043 0 X WWW.MEDSTARHEALTH.ORG X 1998 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 17 13 784 0 -766391 0 -4219385 42752842 209051491 261430561 60173185 53597492 59417313 8871148 324422604 366652043 13994281 14349221 0 0 175705701 183637739 2560743 2794660 2794660 90945182 98103175 283205907 298884795 41216697 67767248 3241361236 3203474364 2671602033 2719862512 569759203 483611852 X SEE SCHEDULE O 0 0 296090135 14349221 261430561 SEE SCHEDULE OAS THE PARENT COMPANY IN AN INTEGRATED HEALTHCARE SYSTEM, MEDSTAR HEALTH, INC. ESTABLISHES THE STRATEGIC DIRECTION FOR ITS AFFILIATED ENTITIES. MEDSTAR HEALTH'S SOLE PROGRAM SERVICE IS THE MANAGEMENT AND SUPPORT OF ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE DEPARTMENTS AND FUNCTIONS FOR: ACADEMIC AFFAIRS, BUSINESS DEVELOPMENT, COMMUNITY HEALTH, COMPLIANCE, DIGITAL PLATFORM DEVELOPMENT, FINANCE, GOVERNMENT AFFAIRS, GRADUATE MEDICAL EDUCATION, HUMAN RESOURCES, INFORMATION SERVICES, INTERNAL AUDIT, LEGAL, MANAGED CARE, PHILANTHROPY, PRIVACY, QUALITY & SAFETY, RISK MANAGEMENT, STRATEGIC PLANNING & MARKETING, AND TREASURY. 296090135 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1727 0 1 784 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 17 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 X KENNETH A SAMET CEO AND PRESIDENT 29.00 11.00 X X 5361626 0 97941 LEIGH ANN CURL MD DIRECTOR 1.00 39.00 X 0 1521126 30088 CHRISTOPHER G KALHORN MD DIRECTOR 1.00 39.00 X 0 1205573 40493 ALLEN J TAYLOR MD DIRECTOR 1.00 39.00 X 0 816915 10867 MARC N DUBER DIRECTOR (UNTIL 10/31/22) 1.00 0.00 X 0 0 0 ANTHONY J BUZZELLI CHAIR 1.00 0.00 X X 0 0 0 WILLIAM COUPER DIRECTOR (UNTIL 10/31/22) 1.00 0.00 X 0 0 0 THOMAS P JOYCE JR DIRECTOR 1.00 0.00 X 0 0 0 VINCENT J MARTORANA DPM DIRECTOR 1.00 0.00 X 0 0 0 JOHN J DEGIOIA PHD DIRECTOR 1.00 0.00 X 0 0 0 JAMES A DORTA MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT OURISMAN DIRECTOR 1.00 0.00 X 0 0 0 REV DR GWENDOLYN E BOYD DIRECTOR 1.00 0.00 X 0 0 0 GARY H TABACH DIRECTOR 1.00 0.00 X 0 0 0 EBEN D FINNEY III DIRECTOR 1.00 0.00 X 0 0 0 GREGORY S PROCTOR DIRECTOR 1.00 0.00 X 0 0 0 ADAEZE ENEKWECHI PHD MPP DIRECTOR 1.00 0.00 X 0 0 0 TAMLA OLIVIER DIRECTOR 1.00 0.00 X 0 0 0 ROSIE ALLEN-HERRING VICE CHAIR 1.00 0.00 X X 0 0 0 SUSAN NELSON EVP & CFO 38.00 2.00 X 2041939 0 43468 OLIVER M JOHNSON II EVP 35.00 5.00 X 1863212 0 41692 STEPHEN EVANS MD EVP 38.00 2.00 X 2499820 0 60500 M JOY DRASS MD EVP 39.00 1.00 X 3167078 0 64380 ERIC WAGNER EVP 33.00 7.00 X 1910893 0 68921 LORETTA WALKER SVP 40.00 0.00 X 1541923 0 39067 JEFFREY MATTON SVP 40.00 0.00 X 1322648 0 53321 SCOTT MACLEAN SVP 40.00 0.00 X 1087110 0 47006 SUSAN ECKERT SVP & CHIEF NURSING OFFICER 40.00 0.00 X 1022960 0 52240 JOHN LOCK SVP & CDTO 40.00 0.00 X 1006737 0 40288 MICHAEL J CURRAN FORMER EVP & CAO 39.00 1.00 X 674083 0 29657 23500029 3543614 719929 350 1 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD & FACILITIES MANAGEMENT 26428663 CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 ENVIRONMENTAL SERVICES 14278311 UP TO DATE LAUNDRY INC 5521 RESEARCH PARK DRIVE CATONSVILLE MD 21228 LAUNDRY SERVICES 8360195 CERASOLI STAFFORD LLC PO BOX 9186 RANCHO SANTA FE CA 92067 ADVERTISING & MARKETING 4678558 JONES LANG LASALLE AMERICAS 95661 TREASURY CENTER DR CHICAGO IL 606945661 PROFESSIONAL SERVICES 3130183 90 42163284 589558 42752842 GREENSPRING FEE 900099 244223444 244223444 OTHER HEALTH REVENUE 900099 16754279 16754279 HEALTH EDUCATION 900099 452838 452838 261430561 36401272 -766391 37167663 17196220 0 17196220 17196220 17196220 OTHER INCOME/LOSS 900099 5372436 5372436 REBATE INCOME 900099 3498712 3498712 8871148 366652043 261430561 -766391 63235031 X 14349221 14349221 17221470 17221470 703740 703740 137160821 137160821 2451659 2451659 19195949 19195949 6904100 6904100 7529472 7529472 2159989 2159989 214559 214559 2794660 2794660 39414559 39414559 16080862 16080862 9124557 9124557 7887934 7887934 602074 602074 183887 183887 5171747 5171747 3602240 3602240 229254 229254 MAINTENANCE 4668486 4668486 MED/SURG SUPPLIES 2323307 2323307 UTILITIES 497495 497495 BAD DEBT 17500 17500 -1604747 -1604747 298884795 296090135 0 2794660 540617221 433724655 280665887 161650844 17501674 22139397 11244671 6167102 3710424 5192445 53661261 32076506 20498993 21584755 1909600475 2086492676 267904923 264513924 189616968 202008566 3241361236 3203474364 376218270 426631064 982487 814593 1706418125 1669713145 130588825 130588825 457394326 492114885 2671602033 2719862512 X 564184314 478578747 5574889 5033105 569759203 483611852 3241361236 3203474364 X 67767248 119184663 -273099262 X 0 1 X 1 1 1 X X 16 GEORGETOWN UNIVERSITY 530196603 2 1 14349221 0 BAY LIFE SERVICES INC 521496539 10 1 0 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 3 1 0 0 GOOD SAMARITAN NURSING CENTER INC 521672866 10 1 0 0 GS HOUSING INC 521481656 10 1 0 0 HARBOR HOSPITAL INC 520491660 3 1 0 0 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC 522218584 3 1 0 0 MEDSTAR HEALTH RESEARCH INSTITUTE INC 526056274 4 1 0 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC 530196597 10 1 0 0 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC 460726303 3 1 0 0 MEDSTAR VNA HEALTHCARE INC 521458516 10 1 0 0 MONTGOMERY GENERAL HOSPITAL INC 520646893 3 1 0 0 NATIONAL REHABILITATION HOSPITAL INC 521369749 3 1 0 0 NRH REGIONAL REHAB AT OLNEY INC 522310902 3 1 0 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC 520619006 3 1 0 0 SUBURBANNRH MEDICAL REHABILITATION INC 521931151 3 1 0 0 THE UNION MEMORIAL HOSPITAL 520591685 3 1 0 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 3 1 0 0 WASHINGTON HOSPITAL CENTER CORPORATION 521272129 3 1 0 0 WOODBOURNE WOODS INC 522299070 10 1 0 0 16 14349221 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART I, LINE 12G AMOUNT OF SUPPORT SUPPORT IS PROVIDED TO MEDSTAR HEALTH, INC.'S SUPPORTED ORGANIZATIONS IN THE FORM OF EQUITY TRANSFERS. DUE TO THE FREQUENCY OF THESE TRANSFERS AND THE LARGE NUMBER OF SUPPORTED ORGANIZATIONS THAT MEDSTAR HEALTH, INC. SUPPORTS, THE TOTAL EQUITY TRANSFERS LISTED ON SCHEDULE O, PART XI, LINE 9 HAVE NOT BEEN BROKEN OUT FOR EACH SUPPORTED ORGANIZATION. OTHER SUPPORT THE EXPENSES INCURRED BY MEDSTAR HEALTH, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 THE OFFICERS/DIRECTORS OF THE SUPPORTED ORGANIZATIONS HAVE A CLOSE AND CONTINUOUS RELATIONSHIP WITH MEDSTAR HEALTH, INC., AND THUS A SIGNIFICANT VOICE. KEN SAMET, THE PRESIDENT/CEO OF MEDSTAR HEALTH, INC., SERVES ON THE BOARD OF DIRECTORS OF MANY OF MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS. BECAUSE OF THIS, THE SUPPORTED ORGANIZATIONS ARE ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF MEDSTAR HEALTH AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 3A MEDSTAR HEALTH, INC. HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS OR DIRECTORS OF EACH OF ITS SUPPORTED ORGANIZATIONS WITH THE EXCEPTION OF GEORGETOWN UNIVERSITY, GS HOUSING, INC., WOODBOURNE WOODS, INC., AND SUBURBAN/NRH MEDICAL REHABILITATION, INC. ONE OF ITS SUPPORTED ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE SUPPORTED ORGANIZATION'S GOVERNING BODY, BUT ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE BOARD OF MEDSTAR HEALTH, INC. SCHEDULE A, PART IV, SECTION E, LINE 3B AS A PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM, MEDSTAR HEALTH, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. THE BYLAWS OF THESE SUPPORTED ORGANIZATIONS ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 897357 897357 0 PART II-B, LINE 1: OTHER ACTIVITIES THE EXPENSES INCURRED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES REFLECTS THE TOTAL EXPENDITURES FOR LOBBYING EFFORTS ON BEHALF OF SUBSTANTIALLY ALL SUBSIDIARIES AND AFFILIATES. THESE EXPENSES INCLUDED A PORTION OF THE COMPENSATION EXPENSE FOR SEVERAL EMPLOYEES IN THE GOVERNMENT AFFAIRS DEPARTMENT OF THE ORGANIZATION WHO ARE INVOLVED IN LOBBYING ACTIVITIES AS WELL AS THE AMOUNTS PAID TO OUTSIDE ADVOCACY AND CONSULTING GROUPS FOR THEIR LOBBYING ACTIVITIES ON BEHALF OF THE ORGANIZATION. THE LOBBYING WORK RELATED TO HEALTHCARE POLICY ISSUES AT THE FEDERAL LEVEL AS WELL AS WORK IN MARYLAND AND THE DISTRICT OF COLUMBIA. AMONG THE POLICY ISSUES ENCOMPASSED BY THE ORGANIZATION'S LOBBYING EFFORTS WERE HEALTH CARE COVERAGE FOR THE UNINSURED AND UNDER-INSURED, EMERGENCY PREPAREDNESS, REIMBURSEMENT POLICIES, EMPLOYMENT PRACTICES, HEALTH REFORM, AND OTHER KEY ISSUES. 1164963 1164963 1748948 870103 878845 18219822 10394076 7825746 24027670 20238151 3789519 8499858 574176 7925682 21584755 PNC POOL AND OTHER UNR. FUNDS 1595122412 F INVESTMENT IN AFFILIATES 438776367 F BOARD DESIGNATED/OTHER RESTR. 52593897 F 2086492676 DEFERRED COMPENSATION ASSET 159410634 OPERATING LEASE ASSET 34227407 ESCROW/LT DEPOSITS 3640649 CASH SURRENDER VALUE - INS 1500000 WORKERS COMP FUNDS 1364096 OTHER ASSETS 1865780 202008566 DEFERRED COMPENSATION 160553461 GU 2017 APA LT LIABILITY 90769931 PENSION LIABILITY 67822703 OPERATING LEASE LIABILITY 42564700 PROFESSIONAL LIAB. IBNR 22215494 L/T LIABILITY - SWAP 444589 OTHER LIABILITIES 107744007 492114885 X PART X, LINE 2: FIN 48 FOOTNOTE INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2023. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 273671492 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS 541021 0 0 0 0 0 0 274212513 0 274212513 1 0 1 1 1 0 PART III ACCOUNTING METHOD: X X X X X 1 LEONARDTOWN GRANTS LLC (WAS KERRI THOMPSON FRANK DBA THE MAD STUDIO) PO BOX 651 LEONARDTOWN MD 20650 GRANTS CONSULTANT 0 21200436 812250 20388186 THORN RUN PARTNERS LLC 100 M STREET SE SUITE 750 WASHINGTON DC 20003 GRANTS CONSULTANT 0 8546000 219000 8327000 SHEILA M WELLS 702 THRONWOOD COURT TOWSON MD 21286 GRANTS CONSULTANT 0 2576068 88025 2488043 LISA RAYMOND 3901 FESSENDEN ST NW WASHINGTON DC 20016 GRANTS CONSULTANT 0 386745 204000 182745 DIFFSTRAT COMPANIES INC (ADVANCEMET RESOURCES) 3950 RIVER RIDGE DRIVE NESTE A CEDAR RAPIDS IA 52404 EDUCATIONAL SESSIONS AT ENTITES FOR PHILANTHROPY STAFF, PHYS 0 0 100000 -100000 MPK&D 3114 HARFOD ROAD HYDES MD 21082 PHILANTHROPY CONSULTANT 0 0 244496 -244496 ORR GROUP INC 3000 K STREET NW SUITE E280 WASHINGTON DC 20007 PHILANTHROPY CONSULTANT 0 0 301424 -301424 GEORGETOWN UNIVERSITY 2115 WISCONSIN AVE SUITE 500 WASHINGTON DC 20007 COVER 50% COST SHARE FOR DONALD DUNN, SENIOR ASSOCIATE VICE 0 0 211778 -211778 THOMPSON & ASSOCIATES 112 WESTWOOD PLACE SUITE 250 BRENTWOOD TN 37027 CHARITABLE ESTATE PLANNING CONSULTANT 0 0 132000 -132000 WEST WING WRITERS 1150 CONNECTICUT AVE NW SUITE 505 WASHINGTON DC 20036 PHILANTHROPY WRITER AND DESIGNER 0 0 128811 -128811 32709249 2441784 30267465 DC MD SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE PROFESSIONAL FUNDRAISING EXPENSES INCURRED AT MEDSTAR HEALTH, INC. ARE FOR THE USE AND BENEFIT OF EACH HOSPITAL AND FOUNDATION IN THE MEDSTAR SYSTEM. 1 GEORGETOWN UNIVERSITY 37TH AND O STREETS NW WASHINGTON DC 20057 530196603 501(C)(3) 14349221 0 SUPPORTING THE SCHOOL OF MEDICINE 1 0 PART I, LINE 2: MEDSTAR'S GRANT MONITORING PROCEDURE BRINGS TOGETHER ALL KEY PERSONNEL INVOLVED IN THE GRANT AT THE ONSET OF THE AWARD TO DISCUSS MANAGEMENT, RESPONSIBILITIES, BUDGETS, AND REPORTING. THIS INITIAL MEETING IS DOCUMENTED AND DISBURSED TO ALL INVOLVED. THE ACTUAL GRANT MONITORING IS DONE BY THE HOSPITAL DEPARTMENT IMPLEMENTING THE GRANT. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ENSURES THAT EACH GRANT HAS A COST CENTER AND/OR GRANT ACCOUNT SET UP BASED ON THE TERMS OF THE GRANT AWARD. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ALSO TRACKS AND REMINDS HOSPITAL DEPARTMENTS WHEN PROGRESS REPORTS ARE DUE THROUGOUT THE LIFE OF THE GRANT. X 1 1 X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET CEO AND PRESIDENT 2106059 0 3176567 0 79000 0 62059 0 35882 0 5459567 0 0 0 M JOY DRASS MD EVP 1477717 0 1689361 0 0 0 37906 0 26474 0 3231458 0 0 0 STEPHEN EVANS MD EVP 1198328 0 1301492 0 0 0 20064 0 40436 0 2560320 0 0 0 SUSAN NELSON EVP & CFO 957328 0 1084611 0 0 0 8700 0 34768 0 2085407 0 0 0 ERIC WAGNER EVP 924688 0 986205 0 0 0 33421 0 35500 0 1979814 0 0 0 OLIVER M JOHNSON II EVP 921230 0 941982 0 0 0 8700 0 32992 0 1904904 0 0 0 LORETTA WALKER SVP 726909 0 815014 0 0 0 8700 0 30367 0 1580990 0 0 0 LEIGH ANN CURL MD DIRECTOR 0 1103470 0 417656 0 0 0 8700 0 21388 0 1551214 0 0 JEFFREY MATTON SVP 672796 0 649852 0 0 0 20931 0 32390 0 1375969 0 0 0 CHRISTOPHER G KALHORN MD DIRECTOR 0 1011210 0 194363 0 0 0 19163 0 21330 0 1246066 0 0 SCOTT MACLEAN SVP 601257 0 485853 0 0 0 8700 0 38306 0 1134116 0 0 0 SUSAN ECKERT SVP & CHIEF NURSING OFFICER 529865 0 493095 0 0 0 37601 0 14639 0 1075200 0 0 0 JOHN LOCK SVP & CDTO 535147 0 471590 0 0 0 8700 0 31588 0 1047025 0 0 0 ALLEN J TAYLOR MD DIRECTOR 0 716915 0 100000 0 0 0 8700 0 2167 0 827782 0 0 MICHAEL J CURRAN FORMER EVP & CAO 341975 0 332108 0 0 0 14359 0 15298 0 703740 0 0 0 PART I, LINE 1A SOCIAL CLUB DUES THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. FOR THIS INDIVIDUAL, MEDSTAR HEALTH PROVIDED THEM A GROSSED-UP ANNUAL EXECUTIVE BENEFIT ALLOCATION FOR SOCIAL CLUB DUES. SCHEDULE J, PART III MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A CASH LUMP-SUM PAYMENT OF $79,000, WHICH REPRESENTS THE ANNUAL PREMIUM FOR A SPLIT DOLLAR LIFE INSURANCE POLICY. A DISTRICT OF COLUMBIA 536001131 2548393Y7 2008-05-15 283137423 CURRENT REFUND BOND ISSUED 1998 1 0 0 B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218DY6 2011-11-17 47805502 CURRENT REFUND BANK DEBT 1 0 0 C MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 571518DV2 2011-11-17 15007204 ADVANCE REFUND BOND ISSUED 2002 0 0 0 D MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218DY6 2011-11-17 15206131 CURRENT REFUND BOND ISSUED 2009 1 0 0 A 83025000 111800000 283137423 283137423 1998 1 0 1 1 B 14965000 29625000 47805502 634328 47171175 2011 1 0 1 1 C 13790000 15007304 180830 14826474 2003 0 1 1 1 D 3610000 10430000 15206131 202240 15003890 2010 1 0 1 1 B 0 1 1 1 0 0.01180 0.01180 0 0 1 D 0 1 1 1 0 0.00050 0.00050 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 PART IV, LINE 2C, COLUMNS B, C, & D (SET 1): REBATE COMPUTATIONS AS OF JULY 10, 2021 PART II, COLUMN B (SET 2): LINES 3, 5, AND 10: INCLUDE PROCEEDS RECEIVED AT CLOSING PLUS INTEREST INCOME AND CHANGE IN FAIR MARKET VALUE OF THE UNDERLYING ASSETS, AS RECORDED ON ANNUAL TRUST STATEMENTS. PART IV, LINE 2C, COLUMNS B AND C (SET 2): REBATE COMPUTATIONS AS OF JUNE 30, 2022 PART IV, LINE 2C, COLUMN D (SET 2): REBATE COMPUTATIONS AS OF JULY 1, 2022 PART II, COLUMN B (SET 3): LINES 3, 5, 10, AND 12: INCLUDE PROCEEDS RECEIVED AT CLOSING PLUS INTEREST INCOME AND CHANGE IN FAIR MARKET VALUE OF THE UNDERLYING ASSETS, AS RECORDED ON ANNUAL TRUST STATEMENTS. PART IV, LINE 2C, COLUMNS A (SET 3): REBATE COMPUTATIONS AS OF JULY 1, 2021 A MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 999999999 2012-06-27 38620000 CURRENT REFUND BOND ISSUED 1998 0 0 0 B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574128NS8 2013-03-21 75951460 HOSPITAL CAPITAL EXPENDITURES 0 0 0 C MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218NU2 2013-03-21 52709030 CURRENT REFUND BOND ISSUED 1998 0 0 0 D MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218PJ6 2013-05-21 159366620 ACQUISITION OF SOUTHERN MD HOSP 0 0 0 A 38620000 38620000 38620000 1998 1 0 1 1 B 5180000 76180248 5244775 934175 69986735 2017 0 0 1 1 C 52709030 619896 52089133 1998 1 0 1 1 D 159366620 1376620 157990000 2013 1 0 1 1 B 0 0 0 0 0.00210 0.00210 0 0 1 D 0 0 0 0 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 A MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218VB6 2015-02-11 410753755 REFUND BOND ISSUED 98, 04, 07 0 0 0 B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 5742182R3 2017-06-29 427566974 SURG PAVILION AND HOSP EXPENSE 0 0 0 A 46820000 410753755 2851566 407902189 2010 1 1 1 1 B 445016442 67737451 3438818 373840174 109306799 0 0 0 1 A 0 1 1 1 0 0.00800 0.00800 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 KPMG SEE PART V 1876212 ACCOUNTING SERVICES 0 JACKSON LEWIS PC SEE PART V 1535440 LEGAL SERVICES 0 ERNST & YOUNG LLC SEE PART V 761558 ACCOUNTING SERVICES 0 MORGAN LEWIS & BOCKIUS LLP SEE PART V 486936 LEGAL SERVICES 0 AMN HEALTHCARE SEE PART V 513315 HEALTHCARE SERVICES 0 UP-TO-DATE LAUNDRY INC SEE PART V 8624892 LAUDRY SERVICES 0 TRANS TIME EXPRESS SEE PART V 468288 COURIER DELIVERY SERVICES 0 SCHEDULE L, PART IV THE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR HEALTH, INC. VALUED IN EXCESS OF $100,000: KPMG LLP, UP-TO-DATE LAUNDRY, INC., JACKSON LEWIS P.C., ERNST & YOUNG, LLC, MORGAN, LEWIS & BOCKIUS, LLP, AMN HEALTHCARE, AND TRANS TIME EXPRESS. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION . MEDSTAR HEALTH, INC. (MEDSTAR HEALTH) IS THE PARENT AND CONTROLLING ENTITY FOR A $7.7 BILLION, NOT-FOR-PROFIT HEALTH SYSTEM DEDICATED TO CARING FOR PEOPLE IN MARYLAND AND THE WASHINGTON, D.C., REGION (COMPRISING BALTIMORE CITY; 11 COUNTIES IN MARYLAND; THE DISTRICT OF COLUMBIA; AND NORTHERN VIRGINIA). THROUGH THE COMBINATION OF ACADEMIC MEDICINE, RESEARCH AND INNOVATION ACROSS A COMPREHENSIVE SPECTRUM OF CLINICAL SERVICES, MEDSTAR HEALTH'S MORE THAN 34,000 ASSOCIATES AND 4,000 AFFILIATED PHYSICIANS SERVE MORE THAN 1,350,000 PATIENTS AND FAMILIES ANNUALLY. THROUGH MEDSTAR HEALTH HOSPITALS, OUTPATIENT FACILITIES, PHYSICIAN PRACTICES AND OTHER HEALTH-RELATED ENTITIES, PATIENTS AND FAMILIES HAVE ACCESS TO A BROAD CONTINUUM OF SERVICES INCLUDING: ACUTE, TRAUMA & SURGERY, ADULT BURN CARE, AMBULATORY & URGENT CARE, CLINICAL RESEARCH & INNOVATION, EMERGENCY SERVICES, HEALTH & WELLNESS SCREENINGS, HOME HEALTH & HOSPICE, MANAGED CARE, MEDICAL EDUCATION, MEDICAL TRANSPORTATION, NURSING HOME & SENIOR LIVING SUPPORT, PALLIATIVE CARE, PHARMACY, PHYSICAL THERAPY & REHABILITATION, PRIMARY, SPECIALTY & SURGICAL CARE, RADIATION & INFUSION THERAPY, AND TELEHEALTH. . AS THE MEDICAL EDUCATION AND CLINICAL PARTNER OF GEORGETOWN UNIVERSITY, MEDSTAR HEALTH HAS ONE OF THE LARGEST MEDICAL EDUCATION PROGRAMS IN THE COUNTRY WITH MORE THAN 1,100 MEDICAL RESIDENTS/FELLOWS AND TRAINS NEARLY 700 NURSING RESIDENTS ANNUALLY. . MEDSTAR HEALTH OFFERS A MULTITUDE OF SPECIALTY SERVICES, LEADING THE MARKET ACROSS ITS STRATEGIC FOCUS AREAS IN HEART & VASCULAR, NEUROSCIENCES, TRANSPLANT, ORTHOPAEDICS, GASTROENTEROLOGY, AND CANCER CARE. ADDITIONAL SPECIALTY SERVICES INCLUDE PHYSICAL THERAPY & REHABILITATION, WOMEN'S HEALTH, BEHAVIORAL HEALTH, UROLOGY, DERMATOLOGY, DIABETES & ENDOCRINOLOGY, PRIMARY CARE, BARIATRICS, SPORTS MEDICINE, AND PLASTIC SURGERY. . MEDSTAR HEALTH RESEARCH INSTITUTE, THE RESEARCH ARM OF MEDSTAR HEALTH, RANKS IN THE TOP 20% OF RECIPIENTS OF RESEARCH FUNDING FROM THE FEDERAL GOVERNMENT (WITH APPROXIMATELY 1,000 OPEN CLINICAL RESEARCH STUDIES AND MORE THAN $50 MILLION IN EXTERNAL FUNDING), AND PROVIDES SCIENTIFIC, ADMINISTRATIVE AND REGULATORY SUPPORT FOR RESEARCH PROGRAMS THAT COMPLEMENT THE KEY CLINICAL SERVICES AND TEACHING PROGRAMS ACROSS MEDSTAR HEALTH. . IN FISCAL YEAR 2023, MEDSTAR HEALTH HOSPITALS HAD APPROXIMATELY 116,500 INPATIENT ADMISSIONS AND SIX MILLION OUTPATIENT VISITS THAT INCLUDED APPROXIMATELY 405,800 EMERGENCY DEPARTMENT VISITS. . OPERATING MEDSTAR HEALTH HOME CARE, THE LARGEST PROVIDER OF HOME CARE SERVICES ACROSS MARYLAND, WASHINGTON, D.C., AND NORTHERN VIRGINIA, APPROXIMATELY 307,300 VISITS WERE COMPLETED IN FISCAL YEAR 2023. . MEDSTAR FAMILY CHOICE, THE SYSTEM'S MEDICAID MANAGED CARE COMPANY, ENROLLED APPROXIMATELY 177,100 MEMBERS LIVING IN MARYLAND AND WASHINGTON, D.C. AS OF JUNE 30, 2023. . EXPANDED TELEHEALTH SERVICES, SUCH AS REMOTE PATIENT MONITORING, VIDEO AND PHONE PATIENT VISITS AND E-CONSULTATIONS, CONDUCTING MORE THAN 483,000 TELEHEALTH ENCOUNTERS IN FISCAL YEAR 2023. FORM 990, PART VI, SECTION B, LINE 11B PROCESS FOR REVIEWING FORM 990 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST APPOINTMENT OF DIRECTORS TO THE MEDSTAR HEALTH, INC. BOARD (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTIONS OR RELATIONSHIPS THAT WOULD CREATE A CONFLICT OF INTEREST PRIOR TO THEIR APPOINTMENT OR ELECTION. EACH DIRECTOR IS ALSO REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE TO DISCLOSE CONFLICTS AND HAS AN AFFIRMATIVE DUTY TO REPORT OBLIGATIONS IF THEY ARISE DURING THE BOARD YEAR. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS WHICH DETERMINES HOW THE CONFLICT SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS. ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. IN THE CASE OF DIRECTORS, SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN THE CASE OF OFFICERS AND SENIOR MANAGERS, THE CONFLICTS ARE REVIEWED BY THE APPROPRIATE SENIOR EXECUTIVE OR MANAGER. ANY CONFLICTS BY THE CEO ARE REVIEWED BY THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM,OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. PART VII, SECTION A COMPENSATION FROM RELATED ORGANIZATION ONE OF THE DIRECTORS LISTED ON PART VII, SECTION A RECEIVES COMPENSATION FROM GEORGETOWN UNIVERSITY, A RELATED ORGANIZATION. PLEASE SEE THE MOST RECENT FORM 990 FOR GEORGETOWN UNIVERSITY FOR ADDITIONAL INFORMATION. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 21,021,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,021,600. CONSULTING FEES: PROGRAM SERVICE EXPENSES 7,138,940. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,138,940. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 6,803,631. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,803,631. MISC FIXED PURCH SRVCS: PROGRAM SERVICE EXPENSES 1,209,793. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,209,793. PROFESSIONAL FEES-OTHER: PROGRAM SERVICE EXPENSES 251,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,649. LAB SERVICES: PROGRAM SERVICE EXPENSES 394,962. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 394,962. TESTING & DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 268,565. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 268,565. MEDICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 85,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,552. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 31,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,095. MISC FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 2,208,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,208,772. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS -293,125,757. ADD'L MIN PEN LIAB 29,478,553. INCOME TAX PROVISION -9,452,058. 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