2018-05-11T08:19:28-05:00 2017-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2016-07-01 520608007 Franklin Square Hospital Center INC % JOEL BRYAN FRAN 4107726721 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 JOEL BRYAN VP/Treasurer 2018-05-10 true JG White P01498698 7032868000 2018-05-10 2016 2022-09-23 18:48:47Z MEDSTAR FRANKLIN SQUARE MEDICAL CTR SAMUEL MOSKOWITZ 9000 Franklin Square Drive Baltimore MD 21237 530202842 false X WWW.FRANKLINSQUARE.ORG X 1898 MD MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, A MEMBER OF MEDSTAR HEALTH, PROVIDES THE HIGHEST QUALITY HEALTHCARE AND EDUCATION TO OUR COMMUNITIES. 20 15 4000 254 0 0 359096 852434 514057815 523888363 89715 129443 4719927 5332602 519226553 530202842 0 0 0 0 273772628 278444049 0 0 0 234576452 230097964 508349080 508542013 10877473 21660829 279791288 272369760 67365183 59002151 212426105 213367609 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR FRANKLIN SQUARE MEDICAL CENTERS (MEDSTAR FRANKLIN SQUARE) MISSION IS TO PROVIDE SAFE, HIGH QUALITY CARE, EXCELLENT SERVICE, AND EDUCATION TO IMPROVE THE HEALTH OF THE COMMUNITY. MEDSTAR FRANKLIN SQUARE IS AN ACUTE-CARE TEACHING HOSPITAL LOCATED IN EASTERN BALTIMORE COUNTY, MARYLAND. IT IS THE LARGEST COMMUNITY TEACHING HOSPITAL IN MARYLAND AND OFFERS A FULL RANGE OF SERVICES FOR CHILDREN AND ADULTS. A SEVEN-STORY PATIENT TOWER WITH 291 PRIVATE PATIENT ROOMS INCLUDES AN EMERGENCY DEPARTMENT WHICH IS ONE OF THE BUSIEST IN THE STATE OF MARYLAND. THE HOSPITALS WEINBERG CANCER INSTITUTE IS A 64,000-SQUARE-FOOT FACILITY PROVIDING CANCER PATIENTS AND THEIR FAMILIES WITH A BROAD RANGE OF ONCOLOGY SERVICES, INCLUDING SCREENING, DIAGNOSIS AND TREATMENT. IN FISCAL YEAR 2017, MEDSTAR FRANKLIN SQUARE HAD 32,761 inpatient admissions and observations, 414,746 OUTPATIENT VISITS, AND 87,317 EMERGENCY DEPARTMENT VISITS. false false 376960808 509249197 MEDSTAR FRANKLIN SQUARES LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF EASTERN BALTIMORE COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR FRANKLIN SQUARE INCURRED $112.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR FRANKLIN SQUARE OFFERS CLINICAL SERVICES IN MEDICINE, SURGERY, ONCOLOGY, OBSTETRICS AND GYNECOLOGY, CARDIOLOGY (INCLUDING ANGIOPLASTY), PEDIATRICS, AND PSYCHIATRY. THE HOSPITAL IS ALSO ACCREDITED BY THE JOINT COMMISSION AND CERTIFIED AS A PRIMARY STROKE CENTER. MEDSTAR FRANKLIN SQUARE HAS EARNED SOME OF THE NATION'S MOST PRESTIGIOUS QUALITY AWARDS AND RECOGNITIONS, INCLUDING MAGNET DESIGNATION FOR EXCELLENCE IN NURSING, THE DELMARVA FOUNDATION AWARD FOR QUALITY EXCELLENCE, AND BABY FRIENDLY DESIGNATION. MEDSTAR FRANKLIN SQUARE WAS LISTED BY CONSUMER REPORTS AS ONE OF THE TOP 32 HOSPITALS NATIONWIDE AND THE ONLY MARYLAND HOSPITAL RECOGNIZED FOR EFFORTS TO REDUCE CENTRAL LINE INFECTIONS. IN 2017, MEDSTAR FRANKLIN SQUARE RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS GET WITH THE GUIDELINES-STROKE GOLD PLUS ACHIEVEMENT AWARD, A NATIONAL RECOGNITION ENDORSING THE HOSPITALS CONTINUED COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR STROKE PATIENTS. IN 2017, U.S.NEWS & WORLD REPORT RANKED MEDSTAR Franklin SQUARE #8 REGIONALLY IN ITS ANNUAL "BEST HOSPITALS" LISTING. MEDSTAR FRANKLIN SQUARE ALSO RECEIVED THE 2017 WOMENS CHOICE AWARDS AS BEING ONE OF AMERICAS BEST FOR FIVE SERVICES INCLUDING: AWARDBARIATRIC SURGERY, BREAST CENTER, CANCER CARE, OBSTETRICS AND PATIENT SAFETY. THE DESIGNATIONS THE ONLY AWARD THAT USES EVIDENCE BASED-DATA TO IDENTIFY THE COUNTRYS BEST HEALTHCARE INSTITUTIONS BASED ON ROBUST CRITERIA THAT CONSIDER FEMALE PATIENT SATISFACTION, CLINICAL EXCELLENCE AND WHAT WOMEN SAY THEY WANT FROM A HOSPITAL SATISFACTION, CLINICAL EXCELLENCE AND WHAT WOMEN SAT THEY WANT FROM A HOSPITAL. 20994888 14639166 MedStar Franklin Square provided $21.0M in subsidized (mission driven) health services in fiscal year 2017. 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 include hospitalists, outpatient primary care, womens and childrens health, and palliative care. 20894226 MedStar Franklin Square provided $20.9M in health professions education in fiscal year 2017. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions. 418849922 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 false false true true false false false true true true true false false true 3 0 true 4000 true false false false false false false false false false false X 20 15 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 MOHAMAD M ALABRASH MD DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM D MCLAUGHLIN VICE CHAIR 1.0 0.0 X 0 0 0 KENNETH A SAMET DIRECTOR 1.0 39.0 X 0 7675042 76815 HATEM ABDO MD DIRECTOR 40.0 0.0 X 959801 0 14764 KHALID AL-TALIB MD DIRECTOR 1.0 0.0 X 0 0 0 RAYMOND A NAIMOLI DIRECTOR 1.0 0.0 X 0 0 0 SAVITHA SHIVANANDA MD DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL D SUTER MD CHAIR 1.0 0.0 X 0 0 0 L CONTENT MCLAUGHLIN DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL DIETRICH CHAIR (UNTIL 10/2016) 1.0 0.0 X 0 0 0 ELIZABETH S GLENN DIRECTOR 1.0 0.0 X 0 0 0 BISHOP CLIFFORD M JOHNSON JR DIRECTOR 1.0 0.0 X 0 0 0 COLLEEN LOPRESTO DIRECTOR 1.0 0.0 X 0 0 0 PATRICIA R NORMAN DIRECTOR (UNTIL 10/2016) 1.0 0.0 X 0 0 0 CHARLES PICCININI DIRECTOR 1.0 0.0 X 0 0 0 HOWARD L GOLDMAN MD DIRECTOR 1.0 0.0 X 0 0 0 JUDITH NEEDHAM Esq DIRECTOR 1.0 0.0 X 0 0 0 SAMUEL MOSKOWITZ PRESIDENT/DIRECTOR 40.0 0.0 X X 1034991 0 34612 MARYELLEN GOODELL MD DIRECTOR 40.0 0.0 X 282512 0 25305 Denise M Matricciani director 1.0 0.0 X 0 0 0 Carol L Nicolette director 1.0 0.0 X 0 0 0 Eric C Washington director 1.0 0.0 X 0 0 0 ROBERT LALLY VICE PRESIDENT/CFO 20.0 20.0 X 197734 197734 45361 keith shiner secretary 40.0 0.0 X 0 221478 21050 LAWRENCE STRASSNER Vice President 40.0 0.0 X 440553 0 19438 DAVID GOLD MD Physician 40.0 0.0 X 771713 0 14973 MICHAEL DVORKIN MD Physician 40.0 0.0 X 673895 0 22905 ALBERT Aboulafia MD Medical Director 40.0 0.0 X 658316 0 19775 david cohen MD ORTHOPEDIC SURGEON 40.0 0.0 X 567390 0 22832 Louis Chang PHYSICIAN 40.0 0.0 X 846475 0 6554 ANTHONY SCLAMA MD FORMER VICE PRESIDENT 0.0 0.0 X 429500 0 0 6862880 8094254 324384 340 true true false MORRISON MANAGEMENT SPECIALIST 4721 MORRISON DRIVE MOBILE AL 36609 FOOD SERVICES 6074393 INTEGRITY LOCUMS LLC 9785 South Maroon Circle Suite G10 DENVER CO 80112 STAFFING SERVICES 1657968 TOWNE PARK LTD One Park Place Suite 200 ANNAPOLIS MD 21401 PARKING SERVICES 1363651 PULMONARY CRITICAL CARE 400 REDLAND COURT OWINGS MILLS MD 211173292 MEDICAL SERVICES 1331000 GALLAGHER BASSETT SERVICES 1900 N Alafaya Trail 900 ORLANDO FL 32826 consulting fees 1238744 52 397248 455186 375939 852434 NET PATIENT SERVICE REVENUE 621300 516415020 516415020 PHARMACY 900099 6085524 6085524 MEANINGFUL USE REVENUE 900099 1354286 1354286 OTHER HEALTH REVENUE 900099 33533 33533 523888363 91139 91139 0 0 527215 527215 0 527215 527215 31154 7150 31154 7150 38304 38304 0 0 0 0 0 0 0 0 0 0 REBATE INCOME 900099 919850 919850 PARKING AND VALET REVENUE 812930 554690 554690 MFS CANCER INFUSION INTERCO REVENUE 900099 1375709 1375709 1955138 1955138 4805387 530202842 523888363 0 5462045 0 0 0 0 3055071 2786416 268655 429500 391731 37769 231894903 211502669 20392234 3604981 3287968 317013 25241567 23021890 2219677 14218027 12915958 1302069 48513867 3472 48510395 0 52268 51750 518 0 0 0 0 31873277 23503947 8369330 619420 1648 617772 4493696 3357994 1135702 0 0 1534360 1414521 119839 395133 327004 68129 0 157772 146965 10807 7824476 7824476 0 22525545 22525545 9300003 8916786 383217 MEDICAL/SURGICAL SUPPLIES 57145682 57643797 -498115 IMPLANTS/PROSTHESES 12690048 12690048 MAINTENANCE 7265894 7204571 61323 FOOD SERVICE 6605654 6257654 348000 19100869 13073112 6027757 508542013 418849922 89692091 0 1008354 1009234 2684 5415 0 0 59830663 56873856 0 0 0 0 122417 75417 7248419 8429974 957134 831187 500421543 299112691 203613219 201308852 0 0 1627002 2985563 0 0 0 0 5381396 850262 279791288 272369760 38091153 32384163 0 0 3586149 2429539 0 0 0 0 0 0 0 0 0 0 25687881 24188449 67365183 59002151 X 212008227 212783389 395578 547166 22300 37054 212426105 213367609 279791288 272369760 X 21660829 163909 -20883234 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 386702 386702 182369309 102819435 79549874 2771269 2240543 530726 283981871 184270989 99710882 30912392 9781724 21130668 201308852 0 ADVANCES FROM 3RD PARTY PAYORS 13517923 WORKERS COMPENSATION 4735973 CREDIT BALANCES PATIENT AR 2359796 STOCK OPTION PLAN 756019 GBR LIABILITY 562148 INTERCOMPANY PAYABLES 366347 SHORT TERM LIABILITIES 478147 LONG TERM LIABILITIES 1412096 24188449 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, 2017. true true X true X true X true true true true 5192404 5192404 0.01020 5192404 5192404 0.01020 1571355 128337 1443018 0.00280 20894226 20894226 0.04110 20994888 14639166 6355722 0.01250 52021 52021 0.00010 43512490 14767503 28744987 0.05650 48704894 14767503 33937391 0.06670 50596 50596 0.00010 26784 26784 0.00010 56536 56536 0.00010 133916 133916 0.00030 true 20984472 true true 1 1 FRANKLIN SQUARE HOSPITAL CENTER 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 212373901 X X X X X X FAST TRACK ER FRANKLIN SQUARE HOSPITAL CENTER 1 false false true X X X X X X X X X 14 true false false true X HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG/ X true 14 true HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG/ false true X 200. 400. X X X X X X true true X X X X true X HTTP://WWW.MEDSTARFRANKLINSQUARE. X HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG X WWW.MEDSTARFRANKLINSQUARE.OR 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: Patricia Isennock, RN 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: STUART LEVINE, M.D. 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. Name Title/Affiliation Name of Organization with Hospital Elise Andrews Program Manager Baltimore County Local Management Board Donna Bilz Healthscope Director Baltimore County Department of Aging Gregory Branch County Health Officer Baltimore County Department of Health Laura Culbertson Public Health Baltimore County Administrator Department of Health Kelly Welch Senior Public MedStar Franklin Relations Specialist Square Medical Center Uchenna Emeche, MD Family Health Center MedStar Franklin Square Physician Medical Center Linda Frisch Director of Grant MedStar Health Development Liz Glenn Board Member MedStar Franklin Square Medical Center DAWN HALEY Helper Judy Center, Hawthorne Elementary School Susan Hahn Parent Support Baltimore County Public Services Coordinator Schools Faith Healy Substitute Teacher Baltimore County Public Schools Juanita Ignacio Director Creative Kids Tricia Isennock Director of MedStar Franklin Square Population Health Medical Center Katherine Jacobson, Family Medicine Faculty MedStar Franklin Square MD Medical Center Family Health Center Erin Johnson Parent Service Mars Estates Elementary Coordinator School Terri Kingeter Sector Coordinator Baltimore County Planning Office Scott Krugman, MD Chairman of MedStar Franklin Square Pediatrics Medical Center Pam Newland Manager Henderson-Webb, Inc NONA Novello, MD ASSOCIATE VP OF MedStar Franklin Square MEDICAL AFFAIRS Medical Center Sally Rixey, MD CHIEF OF FAMILY MEDICINE MedStar Franklin Square DUAL TRAINING PROGRAM Medical Center Kimberly Roberts Director Young Parent Support Center Don Schlimm Acting Executive Baltimore County Local Director Management Board Bryan Sheppard Special Asst. to Baltimore County Kevin Kamenetz Executive Tobie-Lynn Smith, Medical Director Healthcare for the MD Homeless - Baltimore County Rene Youngfellow Division Chief, Baltimore County Clinical Services- Department of Health Center Based Services Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. 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. CHARITY CARE AT COST PART I, LINE 7A 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. UNREIMBURSED MEDICAID PART I, LINE 7B 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. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. BAD DEBT PART III, LINE 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. MEDICARE 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 FY15, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER (MEDSTAR FRANKLIN SQUARE) 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 CHNA WAS LED BY 20 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING COMMUNITY RESIDENTS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, ATF MEMBERS DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. COMMUNITY MEMBERS RESPONDED TO THE SURVEY BY ATTENDING A COMMUNITY INPUT SESSION OR COMPLETING IT ONLINE OR VIA HARDCOPY. BASED ON THE ATFS RECOMMENDATION, THE HOSPITAL IDENTIFIED SOUTHEAST BALTIMORE COUNTY AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITIES FOR THE CBSA INCLUDE CHRONIC DISEASE (HEART DISEASE/STROKE, DIABETES, AND OBESITY), BIRTH OUTCOMES, AND ACCESS TO MAINSTREAM RESOURCES. THE HOSPITALS FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR FRANKLIN SQUARES BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITALS WEBSITE ON JUNE 30, 2015. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR FRANKLIN SQUARE ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT 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 WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO NECESSARY HOSPITAL SERVICES.1 MEDSTAR HEALTH AND ITS HEALTHCARE FACILITIES WILL: . TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, WITTH RESPECT AND WITH COMPASSION. . SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS AT OUR FACILITIES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE. . ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSIONS PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR PART OF ALL OF THE CARE THEY RECEIVE. . BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITAL'S DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY. IN MEETING ITS COMMITMENTS, MEDSTAR HEALTHS FACILITIES WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENTS FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTHS FACILITIES ASSISTS UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITIES WE SERVE IN ONE OR MORE OF THE FOLLOWING WAYS: . ASSIST WITH ENROLLMENT IN PUBLICITY-FUNDED ENTITLEMENT PROGRAMS (E.G., MEDICAID). . ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. . PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE GUIDELINES. . PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF FACILITY CHARGES USING A SLIDING SCALE BASED ON PATIENT FAMILY INCOME AND FINANCIAL RESOURCES. . OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES. EACH FACILITY POSTS THE POLICY, INCLUDING A DESCRIPTION OF THE APPLICABLE COMMUNITIES IT SERVES, IN EACH MAJOR PATIENT REGISTRATION AREA AND IN ANY OTHER AREAS REQUIRED BY APPLICABLE REGULATIONS, COMMUNICATES THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND MAKES A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. ADDITIONALLY, THE MARYLAND PATIENT INFORMATION SHEET/MEDSTARS PATIENT INFORMATION SHEET IS PROVIDED TO INPATIENTS ON ADMISSION AND AT TIME OF FINAL ACCOUNT BILLING. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. THE CHARITY CARE, FINANCIAL ASSISTANCE, AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY ARE NOT AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLETING FINANCIAL DISCLOSURE FORMS NECESSARY 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 THE FACILITYS FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENTS FINANCIAL SITUATION AND CONSTRAINTS. . COMPLETING APPROPRIATE APPLICATIONS FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS. THIS RESPONSIBILITY INCLUDES RESPONDING IN A TIMELY FASHION TO REQUESTS FOR DOCUMENTATION TO SUPPORT ELIGIBILITY. . 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 THE FACILITYS FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENTS CIRCUMSTANCES MAY CHANGE . IT IS THE RESPONSIBILITY OF THE PATIENT TO INFORM THE MEDSTAR HOSPITAL OF THEIR EXISTING ELIGIBILITY UNDER A MEDICAL HARDSHIP DURING THE 12-MONTH PERIOD. UNINSURED PATIENTS OF MEDSTAR HEALTHS FACILITIES MAY BE ELIGIBLE FOR CHARITY CARE OR SLIDING-SCALE FINANCIAL ASSISTANCE UNDER THIS POLICY. THE FINANCIAL COUNSELORS AND FINANCIAL SERVICES STAFF DETERMINE ELIGIBILITY FOR CHARITY CARE AND 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: MEDSTAR FRANKLIN SQUARE MEDICAL CENTERS CBSA INCLUDES RESIDENTS IN ZIP CODES 21206, 21219, 21220, 21221, 21222, AND 21224. THIS REGION WAS SELECTED DUE TO THE HOSPITALS PRE-EXISTING PARTNERSHIP WITH THE BALTIMORE COUNTY SOUTHEAST AREA NETWORK A VOLUNTEER COMMUNITY ORGANIZATION THAT MONITORS AND WORKS TO IMPROVE THE HEALTH OF RESIDENTS IN THE SOUTHEASTERN PORTION OF BALTIMORE COUNTY. DEMOGRAPHICS: THE TOTAL POPULATION OF THE SIX ZIP CODES THAT MAKE UP THE HOSPITALS CBSA IS 244,132. THE MAJORITY OF THE POPULATION IS WHITE (60%), FOLLOWED BY BLACK/AFRICAN AMERICAN (14%), TWO OR MORE RACES (2.2%), ASIAN (1.7%), AND AMERICAN INDIAN/ALASKAN NATIVE. THE MEDIAN AGE RANGE IS FROM 32 TO 41 YEARS. THE WEIGHTED AVERAGE ANNUAL HOUSEHOLD INCOME IN SOUTHEAST BALTIMORE COUNTY RANGES FROM $48,390 TO $58,738, AS COMPARED TO $67,095 IN BALTIMORE COUNTY AS A WHOLE. ZIP CODE 21221 SERVES AS THE CBSA FOR BIRTH OUTCOMES. THE PRIMARY TARGET POPULATION WITHIN 21221 IS CHARACTERIZED BY 72% OF WOMEN WHO GAVE BIRTH IN THE PAST 12 MONTHS BEING ELIGIBLE FOR MEDICAID ACCORDING TO MARYLAND ELIGIBILITY REQUIREMENTS (U.S. CENSUS, ACS, 2012; CMS). THE ESTIMATED PERCENTAGE OF RESIDENTS IN ZIP CODE 21221 THAT ARE BELOW THE POVERTY LEVEL IS 9.3% COMPARED TO 6.3% FOR BALTIMORE COUNTY (2010-2014 AMERICAN COMMUNITY SURVEY). OF THE POPULATION THAT IS BELOW THE POVERTY LEVEL, 52% OF WOMEN WHO HAD A BIRTH IN THE PAST 12 MONTHS ARE ELIGIBLE FOR MEDICAID, RESULTING IN THE DEMONSTRATION OF AN UNDERSERVED POPULATION PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5: AS A COMMUNITY PARTNER, MEDSTAR FRANKLIN SQUARE ENGAGES IN A NUMBER OF COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. PRIORITY AREAS OF FOCUS, AS DETERMINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, ARE CHRONIC DISEASE, SPECIFICALLY TARGETING HEART DISEASE, SUPPORT OF HEALTHY BIRTH OUTCOMES, AND ACCESS TO MAINSTREAM RESOURCES FOR MEDICAID AND SELF-PAY PATIENTS. IN EFFORTS TO PROMOTE OPTIMAL HEALTH IN SOUTHEAST BALTIMORE COUNTY, MEDSTAR FRANKLIN SQUARE WILL CONTINUE ITS COMMITMENT AS A MILLION HEARTS PARTNER THROUGH THE FACILITATION OF EVIDENCE-BASED PROGRAMS, SUCH AS STOP SMOKING TODAY!, STANFORD CHRONIC DISEASE SELF-MANAGEMENT EDUCATION AND CDC NATIONAL DIABETES PREVENTION PROGRAM. MEDSTAR FRANKLIN SQUARE PLANS TO ADDRESS HIGH INFANT MORTALITY RATES THROUGH THE HEALTHY BABIES COLLABORATIVE, AS WELL AS WORK TO INCREASE ACCESS TO MAINSTREAM RESOURCES BY ASSESSING MEDICAID AND SELF-PAY POPULATION MAINSTREAM RESOURCE NEEDS THROUGH SURVEYS AND DATA ANALYSIS. ADDITIONALLY, THE HOSPITAL WILL CONTINUE TO WORK TOWARDS DEFINING RESOURCE PROGRAM ELIGIBILITY, AND WILL CONTINUE TO ASSIST IN PROGRAM ENROLLMENT. A MAINSTREAM RESOURCE EVENT IN MEDSTAR FRANKLINS CBSA IS PLANNED FOR FY18. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6: AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR FRANKLIN SQUARE IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY COLLABORATING 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 MEDSTAR FRANKLIN SQUARE 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 MEDSTAR FRANKLIN SQUARE MEDICAL CENTER IS FILED IN THE STATE OF MARYLAND. X true true X X X X X X true false false false false false false false false KENNETH A SAMET DIRECTOR 0 1739872 0 3775374 0 2159796 0 47768 0 29047 0 7751857 0 0 HATEM ABDO MD DIRECTOR 959801 0 0 0 0 0 0 0 14764 0 974565 0 0 0 SAMUEL MOSKOWITZ PRESIDENT/DIRECTOR 536837 0 498154 0 0 0 7950 0 26662 0 1069603 0 0 0 MARYELLEN GOODELL MD DIRECTOR 262512 0 20000 0 0 0 7950 0 17355 0 307817 0 0 0 DAVID GOLD MD Physician 627637 0 135351 0 8725 0 7950 0 7023 0 786686 0 0 0 MICHAEL DVORKIN MD Physician 641618 0 23552 0 8725 0 7950 0 14955 0 696800 0 0 0 ALBERT Aboulafia MD Medical Director 592283 0 66033 0 0 0 4846 0 14929 0 678091 0 0 0 LAWRENCE STRASSNER Vice President 294910 0 145643 0 0 0 11515 0 7923 0 459991 0 0 0 ANTHONY SCLAMA MD FORMER VICE PRESIDENT 13375 0 0 0 416125 0 0 0 0 0 429500 0 0 0 ROBERT LALLY VICE PRESIDENT/CFO 135700 135700 62034 62034 0 0 15281 15281 7400 7399 220415 220414 0 0 david cohen MD ORTHOPEDIC SURGEON 508248 0 50598 0 8544 0 7950 0 14882 0 590222 0 0 0 keith shiner secretary 0 176214 0 45264 0 0 0 6588 0 14462 0 242528 0 0 Louis Chang PHYSICIAN 726293 0 120182 0 0 0 0 0 6554 0 853029 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICERS WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. THE AMOUNT OF DUES PAID WAS INCLUDED IN THE OFFICER'S W-2. SCHEDULE J, PART I, LINE 4A Anthony Sclamas Other reportable compensation in Part II, Column (B) (iii) includes $416,125 representing severance payments received by DR. Sclama. SCHEDULE J, PART III Mr. Samet's compensation in Part II, Column (B) includes $3,752,690, 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. Robert Lallys compensation is for services provided as CFO to both MedStar Franklin Square and MedStar Harbor Hospital. MARYLAND KIDNEY GROUP LLC SEE PART V 100000 NEPHROLOGY SERVICES false WEBBMASON SEE PART V 264298 MARKETING STRATEGY SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV Dr. Khalid Al-Talib, a Board member at MedStar Franklin Square Medical Center, owns more than 35% of Maryland Kidney Group, LLC (MKG), which provides nephrology services to MedStar Franklin Square Medical Center. MKG's gross revenues received from the hospital for the year were $0.1 million. Webb/Mason is a substantial contributor that also provided marketing strategies services to the hospital. Per MedStars conflict of interest policy, these transactions are at arms-length for fair market value. X 4 375939 FMV false true false DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENTS PART III, lINE 4A MFSMC OFFERS CLINICAL SERVICES IN MEDICINE, SURGERY, ONCOLOGY, OBSTETRICS, CARDIOLOGY (INCLUDING ANGIOPLASTY), PEDIATRICS, GYNECOLOGY, AND PSYCHIATRY. MFSMC ATTAINED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) IN 2008 AND IS RECOGNIZED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER. IN 2014, US NEWS AND WORLD REPORT RECOGNIZED MFSMC AS A HIGH PERFORMING HOSPITAL IN CANCER, DIABETES AND ENDOCRINOLOGY, OTOLARYNGOLOGY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND UROLOGY. THE HOSPITAL IS ALSO NATIONALLY RANKED FOR GASTROENTEROLOGY AND GI SURGERY SERVICES. 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. GOVERNANCE. PROCESS FOR REVIEWING FORM 990 PART VI, LINE 11A 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 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. 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