2021-05-07T15:39:14-05:00 2020-06-30 KPMG LLP 8350 Broad Street Suite 900 McLean VA 22102 990 2019-07-01 460726303 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC % JOEL BRYAN MEDS 3018688000 7503 SURRATTS ROAD CLINTON MD 20735 JOEL BRYAN VP/TREASURER 4107726721 2021-05-05 true JG WHITE P01498698 7032868000 2021-05-02 2019 2022-09-23 18:48:47Z CHRISTINE WRAY 7503 Surratts Road Clinton MD 20735 252394918 false X MEDSTARSOUTHERNMARYLAND.ORG X 2012 MD MEDSTAR SOUTHERN MD HOSPITAL CENTER UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. 11 6 1358 85 0 0 1357872 7009550 235923221 244656972 1755 -271684 1687022 698181 238969870 252093019 0 0 0 0 112045514 123961741 0 0 0 134749619 115975814 246795133 239937555 -7825263 12155464 126940958 138221613 30601185 75267641 96339773 62953972 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER'S (MEDSTAR SOUTHERN MARYLAND) MISSION IS TO UPHOLD ITS COMMITMENT TO THE COMMUNITY BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING FISCAL INTEGRITY. MEDSTAR SOUTHERN MARYLAND IS LOCATED IN SOUTHERN PRINCE GEORGE'S COUNTY, MARYLAND. IN FISCAL YEAR 2020, MSMHC HAD APPROXIMATELY 10,805 INPATIENT ADMISSIONS AND APPROXIMATELY 88,071 OUTPATIENT VISITS INCLUDING 44,763 EMERGENCY VISITS. false false 156183512 0 241639867 MedStar Southern Marylands largest program is access to and the provision of acute hospital services to the communities of Prince Georges, Charles and Calvert County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Southern Maryland incurred $78.2M of management and general expenses in providing services to its communities. The hospital offers a full range of services and is known for its cardiovascular and orthopaedic programs. The hospital also has the Women & Newborns Center, which includes an obstetrics and gynecology program with a Level 2 special care nursery and private patient rooms. Other specialty services include an emergency department and critical care unit, breast health program, surgical center, sleep disorders lab, inpatient and outpatient behavioral health programs, rehabilitative medicine, and MedStar Southern Maryland is a Primary Stroke Center. As one of the largest healthcare systems in Maryland and the Washington, D.C., region, MedStar Health and its affiliated entities cared for one in four COVID-19 patients in the region since March 2020. Operating as One MedStar and aligning with guidance from the Centers for Disease Control and Prevention (CDC) and local Departments of Health, MedStar Healths COVID-19 preparations and response were guided by two critical drivers: providing a safe care environment for patients and associates and ensuring operational continuity to fulfill our core mission of caring for our communities. These efforts included adding hospital beds in preparation for patient surges; balancing hospital admissions by using urgent care sites as frontline providers and facilitating telehealth interactions for virtual care and referrals; utilizing home health services to transition care from inpatient settings, ambulatory facilities, and a convention center field hospital; and standing up more than 40 COVID-19 testing locations. Underlying these actions is MedStar Healths commitment to the highest levels of quality and safety, reflected by the systemwide implementation of universal face masking for patients and associates, and acquisition of Personal Protective Equipment at usage levels 10 times normal use. 11728652 0 3017105 MedStar Southern Maryland provided $11.7M in subsidized (mission driven) health services in fiscal year 2020. These critical services, which are driven by community needs, operate at a loss. They address priorities primarily through disease prevention and improvement of health status. Services provided include hospital outpatient services, womens and childrens services, neonatal services, and behavioral health. 4837740 0 0 MedStar Southern Maryland provided $4.8M in charity care services in fiscal year 2020. Charity care is provided pursuant to MedStar Healths Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Marylands unique payer system, the amount reported represents MedStar Southern Marylands charity care expense and revenues represent direct payments from the states charity care pool. Other charity care expenses are indirectly reimbursed via the state of Marylands payment system. 172749904 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false true false false true false false false false true true true false false true 0 0 true 1358 true false false false false false false false false false false true false X 11 6 false false false false true true true true true false false true true true true true true true true false MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY Columbia MD 21044 X Kenneth A Samet DIRECTOR 1.0 39.0 X 0 7598800 90696 Christine r Wray PRESIDENT/DIRECTOR 20.0 20.0 X X 584325 584325 36483 Clyde Pray DIRECTOR 40.0 0.0 X 719559 0 24903 Chiledum Ahaghotu VP, Medical Affairs 40.0 0.0 X 675681 0 30363 William O Suddath MD Director 40.0 0.0 X 599643 0 28345 Robert Lally CFO (2/2020 - 5/2020) 1.0 39.0 X 0 441802 60761 William Tanner MD DIRECTOR 40.0 0.0 X 481442 0 19846 David Havrilla CFO (UNTIL 2/2020) 10.0 30.0 X 106168 318503 36843 Louis Mavromatis MD VP - IT 40.0 0.0 X 339388 0 36690 Patricia Scalfari CNO 40.0 0.0 X 308927 0 19408 Daniel Feeley FORMER OFFICER 0.0 40.0 X 0 281372 34050 Grant Mcclure VP, PROF SVCS & PLANT OPS 40.0 0.0 X 288771 0 20033 Annette Broner SECRETARY 20.0 20.0 X 127229 127228 34889 Sallu Munu NURSE II 40.0 0.0 X 205655 0 6474 Carrie Jennison Former CFO 0.0 0.0 X 80076 80076 12762 TAMMY L JONES DIRECTOR 1.0 0.0 X 0 0 0 Rosalind E Bishop DIRECTOR 1.0 0.0 X 0 0 0 Antonio Poag Director 1.0 0.0 X 0 0 0 Kerry R Watson JR VICE CHAIR 1.0 0.0 X 0 0 0 Sonya Williams Director 1.0 0.0 X 0 0 0 John W Rollins Jr CHAIR 1.0 0.0 X 0 0 0 Michael Meisel TREASURER (AS OF 5/2020) 40.0 0.0 X 0 0 0 4516864 9432106 492546 89 true true false AMN Healthcare Inc 12400 High Bluff DR SANDIAGO CA 92130 Medical Staffing 18753812 Diamond Healthcare of northern virg 701 E byrd St 15th floor RICHMOND VA 23219 Healthcare MGT SVCS 4010170 SODEXO INC AFFILIATES 9801 Washingtonian Blvd GAITHERSBURG MD 20878 Food&Facilities MGMT 1804172 Callison RTKL INC 233 Broadway Ste 16 NEWYORK NY 10279 Professional SVCS 1579731 Diamond Healthcare Corporation 701 E Bryd St Fl 15 RICHMOND VA 23219 Healthcare Mgt svcs 1330970 31 6252842 756708 29985 7009550 PATIENT SERVICE REVENUE 621300 244329833 244329833 MEANINGFUL USE-HOSPITAL 621300 327139 327139 244656972 25416 25416 0 0 0 0 0 4799 301899 4799 -301899 -297100 -297100 0 0 0 0 0 0 0 0 0 REBATE INCOME 900099 451053 451053 GIFT SHOP SALES 900099 139749 139749 CAFETERIA AND VENDING SALES 900099 34546 34546 72833 72833 698181 252093019 244656972 426497 X 0 0 0 0 2736355 2408944 327411 0 104054596 92449206 11605390 1097262 916521 180741 10777527 7545746 3231781 5296001 4697606 598395 25158037 25158037 6808 6808 0 0 0 0 27075997 25658774 1417223 449641 449641 1256199 1014767 241432 0 0 66 66 264612 247625 16987 0 30670 2733 27937 6518611 6518611 0 12374383 3513810 8860573 3534327 70 3534257 MED/SURG SUPPLIES 19119741 19008658 111083 MAINTENANCE 6252532 5395166 857366 IMPLANTS/PROSTHESES 3984308 3984308 UTILITIES 2689414 2239603 449811 7260468 3666367 3594101 239937555 172749904 67187651 0 12192 9888 0 0 211960 668741 26019884 28865793 0 0 0 0 0 0 3537434 3040323 800581 751628 154161436 71400789 72404075 82760647 0 0 118046 260688 0 0 23836786 21852501 0 11404 126940958 138221613 15198945 17411197 0 0 189925 197783 0 0 0 0 0 0 0 0 0 0 15212315 57658661 30601185 75267641 X 96107598 62370868 232175 583104 96339773 62953972 126940958 138221613 X 12155464 -3236 -45538029 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3140000 3140000 43727841 15577891 28149950 3807953 1529886 2278067 83954474 54148777 29805697 19531168 144235 19386933 82760647 0 ADVANCES 51217713 CREDIT BALANCES PATIENT AR 1276858 PENDING PFS REFUNDS 111362 LEASE LIABILITIES 66345 OTHER LIABILITIES 4986383 57658661 X FIN 48 FOOTNOTE SCHEDULE D, PART X 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, 2020. true true X true X true X true true true false true true 4852434 4852434 0.02020 4852434 4852434 0.02020 1637929 1637929 0.00680 22781 22781 0.00010 11728652 3017105 8711547 0.03630 19640 19640 0.00010 13409002 3017105 10391897 0.04330 18261436 3017105 15244331 0.06350 1219 1219 5621 5621 26386 26386 0.00010 317202 317202 0.00130 350428 350428 0.00140 true 10335132 true true 1 1 MEDSTAR SOUTHERN MD HOSPITAL CENTER 7503 SURRATTS ROAD CLINTON MD 20735 X X X MEDSTAR SOUTHERN MD HOSPITAL CENTER 1 false false true X X X X X X X X X 17 true false false true X WWW.MEDSTARHEALTH.ORG/MSMHC X true 17 true WWW.MEDSTARHEALTH.ORG/MSMHC false true X 200. 400. X X X X X true true X X X X true X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X X X X X X true X false X X X X true X false false CHNA INPUT PART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION. Name of Hospital Lead: CHANTAL TUELL Executive Sponsor Role Description The Executive Sponsor serves as the conduit between the Advisory Task Force and the Senior Management Team. The sponsor is an active participant of the Advisory Task Force and he/she communicates the hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: DR. CHILEDUM AHAGHOTU. Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. Name TITLE/AFFILIATION NAME OF ORGANIZATION WITH HOSPITAL Beatrice Tignor, Municipal Liaison Office of the County Ed.D. Executive Carmen Spenser House of Delegates Maryland State Delegate Member Carolyn Lowe Coordinator District "V" Coffee Club Cheryl Brown Medical Wellness Union Bethal AME Church, Ministry Brandywine Chiledum Ahaghotu, Executive Sponsor, MSMHC MD Vice President of Medical Affairs Chrisie Mulcahey Executive Director Health Partners Christine R. Wray President MSMHC Gloria Brown- Director of Social Prince George's County Burnett Services Health Department John OBrien Director of Community New Beginnings Recovery Health Center Kevin Reed, MD Physician MSMHC, ED Mary Jobson-Oliver Stroke Coordinator MSMHC Lori Werrell Community Health MSMHC Manager Pamela Creekmur Health Officer Prince George's County Health Department Ronnie Barnes-Bey Local Resident, Stroke Fort Washington, MD Survivor Tara Saggar, MD Physician MSMHC Valarie Barnes Director, Case MSMHC Management Veda Belton, RN Community Health Coalition of Metropolitan Coordinator Minister's Alliance Willie Hunt Reverend Coalition of Metropolitan Minister's Alliance IMPLEMENTATION STRATEGIES PART V, SECTION B, LINE 11 The implementation strategies serve as a roadmap for how community benefit resources will be allocated and deployed. MedStar's hospitals will be able to measure our contribution to improving the health of underserved and vulnerable populations in the regions we serve. Three-year implementation strategies with measurable objectives were developed for each hospital's community benefit service area - a specific community or target population of focus. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. The MedStar Health Corporate Community Health Department will provide system-wide coordination and oversight of community benefit programming. HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT. FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS.ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS. CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST PART I, LINE 7 MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES. BAD DEBT PART III, LINES 2 & 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. DEBT COLLECTION POLICY PART III, LINE 8 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 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. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT PART VI, LINE 2 In FY18, MedStar Southern Maryland Hospital Center (MSMHC) conducted a Community Health Needs Assessment (CHNA) in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. The hospitals FY18 CHNA and three-year Implementation Strategies were endorsed by MSMHCs Board of Directors and approved by the MedStar Health Board of Directors. The document became available on the hospitals website on June 30, 2018. During FY19, key revisions were made across MedStar Health to more effectively impact the communities served throughout Maryland and Washington, DC. Several internal meetings were convened with leadership from each MedStar Health Hospital to review current practices and strategies. As a result of these meetings, the approach to the current CHNA for the remainder of the three-year cycle (FY19-FY21) was revised. A key revision to the CHNA is a greater focus on hospital area strategies that are most appropriate for the local communities served. The number of strategies each hospital is accountable for executing was reduced to encourage more meaningful reach within key areas contrasted with broader reach with reduced impact. Using the standard categories, Health and Wellness, Access to Care and Social Determinants of Health to determine what to prioritize for the CHNA IRS requirements, each hospital agreed to select two to three strategies as priorities that have size and scale impact and measurable outcomes. All other programming was integrated as part of the hospitals overall community health portfolio. These additional programs were captured in the inventory for the whole picture of contributing to the health of the communities served as well as sorted for what counts as community benefit for regulatory reporting. The hospitals Community Benefit Service Area (CBSA) remains the same, based on the Advisory Task Force (ATF) recommendation. The hospital identified Southern Prince Georges County as its CBSA, which includes all residents living in ZIP codes 20735 and 20747. The hospital selected this geographic area based on hospital utilization data and secondary public health data as well as its proximity to the hospital. The ATF included a diverse group of individuals, including hospital leaders, grassroots activists, community residents, faith-based leaders, hospital representatives, public health leaders and other stakeholder organizations, such as representatives from local health departments. MSMHCs health priorities for the CBSA include health and wellness (chronic disease prevention and management, behavioral health, maternal and child health programming) and social determinants of health (community health worker program). As a proud member of MedStar Health, representatives from MSMHC routinely participate in the MedStar Health community health workgroup. The workgroup is comprised of community health professionals who represent all ten MedStar hospitals. The team analyzes local and regional community health data, establishes system-wide community health programming performance and evaluation measures and shares best practices. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 As one of the regions leading not-for-profit healthcare systems, MedStar Health is committed to ensuring that uninsured patients; underinsured patients meeting medical hardship criteria; and patients determined eligible for presumptive eligibility within the communities we serve who lack financial resources have access to emergency and medically necessary hospital services. MedStar hospitals and hospital based-physician practices will: . Treat all patients equitably, with dignity, respect, and compassion. . Serve the emergency health care needs of everyone who presents to our MedStar hospitals and hospital-based physician practices regardless of a patient's ability to pay for care. . Assist those patients who are admitted through our admission process for non-urgent, medically necessary care who cannot pay for the care they receive. . Balance needed financial assistance for some patients with broader fiscal responsibilities in order to keep its hospitals' doors open for all who may need care in the community. In meeting its commitments, MedStar hospitals and hospital-based physician practices will work with their uninsured patients seeking emergency and medically necessary care to gain an understanding of each patients financial resources. Based on this information and eligibility determination, MedStar hospitals and hospital-based physician practices will provide financial assistance to uninsured patients who reside within the communities we serve in one or more of the following ways: . Assist with enrollment in publicly-funded entitlement programs (e.g., Medicaid). . Refer patients to State or Federal Insurance Exchange Navigator resources. . Assist with consideration of funding that may be available from other charitable organizations. . Provide financial assistance according to applicable policy guidelines . Provide financial assistance for payment of MedStar hospital and hospital-based physician practice charges using a sliding-scale based on the patients household income and financial resources. . Offer periodic payment plans to assist patients with financing their healthcare services. MedStar Health will widely publicize the MedStar Financial Assistance Policy by: . Providing access to the MedStar Financial Assistance Policy, Financial Assistance Applications, and MedStar Patient Information Sheet on all hospital websites and patient portals. . Providing hard copies of the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and MedStar Patient Information Sheet to patients upon request. . Providing hard copies of the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and MedStar Patient Information Sheet to patients upon request by mail and without charge. . Providing notification and information about the MedStar Financial Assistance Policy by: . Offering copies as part of all registration or discharges processes, and answering questions on how to apply for assistance. . Providing written notices on billing statements. . Displaying MedStar Financial Assistance Policy information at all hospital registration points. . Translating the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and the Medstar Patient Information Sheet into primary languages of all significant populations with Limited English Proficiency. MedStar Health will provide public notices yearly in local newspapers serving all hospital target populations. MedStar Health provides a financial assistance probable and likely eligibility determination to the patient within two business days from receipt of the initial financial assistance application. Final eligibility determinations are made and communicated to the patient based on receipt and review of a completed application. MedStar Health believes that its patients have personal responsibilities related to the financial aspects of their healthcare needs. Financial assistance and periodic payment plans available under this policy will not be available to those patients who fail to fulfill their responsibilities. For purposes of this policy, patient responsibilities include: . Comply with providing the necessary financial disclosure forms to evaluate their eligibility for publicly-funded healthcare programs, charity care programs, and other forms of financial assistance. These disclosure forms must be completed accurately, truthfully, and timely to allow MedStar Healths facilities to properly counsel patients concerning the availability of financial assistance. . Working with MedStar hospital Patient Advocates and Patient Financial Services staff to ensure there is a complete understanding of the patients financial situation and constraints. . Making applicable payments for services in a timely fashion, including any payments made pursuant to deferred and periodic payment schedules. . Providing updated financial information to MedStar hospital Patient Advocates or Customer Service Representatives on a timely basis as the patients financial circumstances may change. . It is a patients responsibility, during their 12-month eligibility period, to notify MedStar Health of their existing household eligibility for free care, reduced cost-care, and/or eligibility under medical hardship provisions for medical necessary care received during the 12-month eligibility period. . In the event a patient fails to meet these responsibilities, MedStar reserves the right to pursue additional billing and collection efforts. In the event of non-payment billing, and collection efforts are defined in the MedStar Billing and Collection Policy. A free copy is available on all hospital websites and patient portals via the following URL: www.medstarhealth.org/FinancialAssistance , or by call customer service at 1-800-280-9006. Uninsured patients of MedStar Healths facilities may be eligible for full financial assistance or partial sliding-scale financial assistance under this policy. The Patient Advocate and Patient Financial Services staff will determine eligibility for full financial assistance and partial sliding-scale financial assistance based on review of income for the patient and their family (household), other financial resources available to the patients family, family size, and the extent of the medical costs to be incurred by the patient. COMMUNITY INFORMATION PART VI, LINE 4 Geographic: MSMHCs CBSA includes residents of Prince Georges County, specifically Clinton, Maryland (ZIP code 20735) and District Heights, Maryland (ZIP code 20747). The community was selected based on its proximity to the hospital, and the availability of pre-existing programs and services. Demographics: Prince Georges County was established in the 17th century and encompasses a mix of urban, suburban, and rural communities. The county is predominately African American with an increasing Hispanic, immigrant, and non-English speaking population. The countys once rural geography is rapidly evolving into a suburban area, with an increased presence of commercial and residential dwellings. Prince George's County, MD has a population of 909,327 people with a median age of 37.2 and a median household income of $81,969. The population of Prince George's County, MD has grown 5.2% from 864,029 in 2010 and its median household income grew from $79,184 to $81,969, a 3.5% increase. The population of Prince George's County, MD is 64.4% Black or African American, 19.5% Hispanic or Latino, and 27.1% White. 27.1% of the people in Prince George's County, MD speak a non-English language, and 87.7% are U.S. citizens. Prince George's County, MD borders Fairfax County, VA, Montgomery County, MD, District of Columbia, DC, Anne Arundel County, MD, Charles County, MD, Alexandria city, VA, Calvert County, MD, and Howard County, MD. The economy of Prince George's County, MD employs 491k people. The largest industries in Prince George's County, MD are Trade, Transportation and Utilities (19.4%), Local Government (13.7%), Professional and Business Services (12.6%), and Education and Health Services (10.6%). District Heights (ZIP code 20747) has an approximate population of 5,800 with a median age of 34. The median household income is $70,382. The population of District Heights, MD is 90.2% Black or African American, 7.2% Hispanic or Latino, and 2.05% two or more races. 14.9% of the population for whom poverty status is determined in District Heights, MD (864 out of 5.8k people) live below the poverty line, a number that is lower than the national average of 10.5%. The largest demographic living in poverty is females 12 - 14, followed by females 35 - 44 and then females 6 - 11. As for Clinton, MD (ZIP code 20735), there are approximately 38,000 residents living in this CBSA with a median age of 42 and a median household income of $108,622. The percentage of individuals in Clinton, MD living below poverty level is 4.9%. The population of Clinton, MD is 84.5% Black or African American, 8.4% White, and 6.9% Hispanic or Latino. 7.1% of Clinton, MD residents are foreign born. Of the employed population, 73.1% commute to work alone, 14.4% utilize public transportation (excluding taxicab) and 7.4% carpool. Faith based organizations have a prominent presence in the CBSA. There are approximately 19 faith-based organizations of various denominations located within the ZIP code. Promotion of community health Part VI, line 5 As a community partner, MSMHC engages in several community benefit activities to improve and promote the health and wellbeing of the community. Priority areas, as determined by the 2018 CHNA, fall under three areas of focus including health and wellness, access to care, and social determinants of health. Programs include (but are not limited to): Health and Wellness Senior Wellness programs focus on chronic disease prevention and management among high-risk populations. Exercise is a key factor in managing chronic illnesses and improving quality of life. Community members aged 65 and better can participate in the Walk with Ease Program to increase flexibility, balance, coordination and cardiovascular endurance. Educational Programs are offered with the goal of improving community health and well-being. For example, the National Diabetes Prevention Program is a free year-long program that is delivered in person, online, or through a combination approach The goal is for participants to make lifestyle changes such as eating healthier, reducing stress, and getting more physical activity to reduce the risk of developing type 2 diabetes. The Smoking Cessation Program is also offered both virtually and in-person to Prince Georges County residents in and around the CBSA. This is an 8-week program designed to help participants quit tobacco use. Support groups are offered to community members for a variety of topics including mental health, prostate cancer, multiple sclerosis, diabetes, breastfeeding, cancer, and stroke. Staff participate in community health events such as health fairs, festivals and expositions where screenings are performed, and health information is shared. Outreach is also provided in-person and virtually, hospital staff share their knowledge with the community through engaging interviews, seminars, blogs and videos. Access to Care Physicians assist at safety-net clinics and school-based health centers. The Whole School, Whole Community, Whole Child model is implemented by ensuring access to adolescent health, primary care, mental health screenings and health education. Patient Financial Services provides financial assistance to uninsured patients who reside within the community by assisting with enrollment in publicly-funded entitlement programs, referring patients to State or Federal Insurance Exchange navigator resources and assisting with consideration of funding that may be available from other charitable organizations. Social Determinants of Health The Screening, Brief Intervention, and Referral to Treatment (SBIRT) Program is provided to support substance abuse recovery in the community and promote access to behavioral health programs. This program includes three main components: screening, brief intervention, and referral to treatment. Those who screen positive for high-risk behaviors are connected to peer recovery coaches who conduct a brief intervention and refer to treatment if appropriate. Opioid Overdose Survivor Outreach Coaches link community members with a history of substance abuse treatment with the resources they need to prevent a future overdose. Community Health Advocates improve the health of their communities by educating others on disease and injury prevention and linking community members to healthcare and social services, including food access, transportation, housing, and utility assistance. Social Needs Screenings are provided to screen for food and housing insecurity, and barriers related to transportation, employment, and utilities. Identified needs are addressed by connecting the participant to social services and other resources in the community. Our community partner, Aunt Bertha, provides an online platform that allows staff to track and manage referrals with local nonprofit groups. Disaster Readiness The hospital strengthened the community health resilience by improving the ability of the community to withstand and recover from coronavirus, a public health emergency that surfaced in March 2020. Leadership participated in community-wide task forces and staff implemented programs associated with addressing health needs arising from coronavirus. Affiliated health care system Part VI, line 6 As a proud member of MedStar Health, MSMHC is able to expand its capacity to meet the needs of the community by partnering with other MedStar hospitals and associated entities. MedStar Health resources assist the hospital in community health planning to meet the needs of the uninsured and other vulnerable populations. Through its community health function, MedStar Health provides MSMHC with technical support to enhance community health programming and evaluation. MedStars corporate philanthropy department identifies and seeks public and private funding sources to ensure the availability of high quality health services, regardless of ability to pay. State filing of community benefit report Part VI, line 7 The community benefit report for MSMHC is filed in the state of Maryland. X X X X X X false false false false false false false false false Kenneth A Samet DIRECTOR 0 1965427 0 5633373 0 0 0 54494 0 36202 0 7689496 0 0 Louis Mavromatis MD VP - IT 273751 0 65637 0 0 0 8400 0 28290 0 376078 0 0 0 William Tanner MD DIRECTOR 277712 0 203148 0 582 0 0 0 19846 0 501288 0 0 0 William O Suddath MD Director 599643 0 0 0 0 0 8400 0 19945 0 627988 0 0 0 Clyde Pray DIRECTOR 660809 0 58750 0 0 0 8400 0 16503 0 744462 0 0 0 Christine r Wray PRESIDENT/DIRECTOR 293881 293881 290444 290444 0 0 4200 4200 14042 14041 602567 602566 0 0 David Havrilla CFO (UNTIL 2/2020) 72347 217040 31421 94262 2400 7201 4159 12478 5051 15155 115378 346136 0 0 Annette Broner SECRETARY 101796 101795 25433 25433 0 0 4592 4592 12852 12853 144673 144673 0 0 Patricia Scalfari CNO 257563 0 51364 0 0 0 8400 0 11008 0 328335 0 0 0 Grant Mcclure VP, PROF SVCS & PLANT OPS 236278 0 52493 0 0 0 0 0 20033 0 308804 0 0 0 Chiledum Ahaghotu VP, Medical Affairs 398932 0 276749 0 0 0 1532 0 28831 0 706044 0 0 0 Sallu Munu NURSE II 201305 0 4350 0 0 0 6170 0 304 0 212129 0 0 0 Daniel Feeley FORMER OFFICER 0 227696 0 53676 0 0 0 8400 0 25650 0 315422 0 0 Carrie Jennison Former CFO 72397 72396 0 0 7679 7680 0 0 6381 6381 86457 86457 0 0 Robert Lally CFO (2/2020 - 5/2020) 0 314629 0 127173 0 0 0 34576 0 26185 0 502563 0 0 SCHEDULE J, PART III Mr. Samet's compensation in Part II, Column (B) includes $2,636,097, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service and long-term retention arrangements. Christine Wray's compensation is for services provided as President to both MedStar Southern Maryland Hospital Center and MedStar St. Mary's Hospital. David Havrilla's compensation is for services provided as CFO to MedStar Montgomery Medical Center, MedStar St. Mary's Hospital, and MedStar Southern Maryland Hospital Center. Whiting-Turner Contracting Company SEE PART V 6317387 Contracting Company false Business Transactions Involving Interested Persons Schedule L, Part V The Whiting-Turner Contracting Company was a substantial contributor (in excess of $5,000) that also provided services to MedStar Southern Maryland Hospital valued in excess of $100,000. Per MedStar's conflict of interest policy, these transactions are at arms-length for fair market value. X 1 29985 FMV false true false ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. DECISIONS OF GOVERNING BODY PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION 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. PROCESS FOR REVIEWING FORM 990 PART VI, LINE 11B 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, STRATEGIC PLANNING, 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. CONFLICT OF INTEREST POLICY PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER 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. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). DESCRIPTION OF EXECUTIVE COMPENSATION PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER 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. FINANCIAL STATEMENT AVAILABILITY PART VI, LINE 19 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. OTHER CHANGES IN NET ASSETS PART XI, LINE 9 EQUITY TRANSFERS..............................$(45,561,633) Income Tax Provision-Federal.................. $ 23,604 ------------- TOTAL $ (45,538,029) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:9124457 FORM 990 PART IX LINE 11G DESCRIPTION:SUBSIDY EXPENSE - INTERCOMPANY TOTAL FEES:8238728 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:3897548 FORM 990 PART IX LINE 11G DESCRIPTION:NON-PHYS INTERCO PURCH TOTAL FEES:2300385 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:1521186 FORM 990 PART IX LINE 11G DESCRIPTION:COMMERCIAL LAUNDRY TOTAL FEES:400386 FORM 990 PART IX LINE 11G DESCRIPTION:PROTECTION SERVICES TOTAL FEES:378430 FORM 990 PART IX LINE 11G DESCRIPTION:PRINTING SERVICES TOTAL FEES:317121 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:311351 FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT TRANSPORTATION TOTAL FEES:109174 FORM 990 PART IX 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