2017-05-10T22:14:38-05:00 2016-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2015-07-01 460726303 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC % JOEL BRYAN MEDS 3018688000 7503 SURRATTS ROAD CLINTON MD 20735 JOEL BRYAN VP/TREASURER 4107726721 2017-05-08 true JG WHITE P01498698 7032868000 2017-05-05 2015 2021-01-29 14:40:06Z CHRISTINE WRAY 7503 Surratts Road Clinton MD 20735 235877716 false X N/A X 2012 MD MEDSTAR SOUTHERN MD HOSPITAL CENTER UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. 9 5 1845 134 0 140026 80974 224007441 233924791 43043 48269 1928336 1811568 226118846 235865602 0 0 0 0 109500146 103086819 0 0 145 124126263 139236368 233626409 242323187 -7507563 -6457585 180721525 134949359 44789530 42415275 135931995 92534084 X As a proud member of MedStar Health, MedStar Southern Maryland Hospital Centers mission a community hospital is to seek to prevent illness and promote health through education and screening. Our goal is to assist the residents of Southern Maryland in achieving the highest possible level of physical and mental health, thereby improving the quality of life in our community. false false 153231266 232645935 MEDSTAR SOUTHERN MARYLAND'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF PRINCE GEORGE'S, CHARLES AND CALVERT COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR SOUTHERN MARYLAND INCURRED $91.4M 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, OUTPATIENT RADIOLOGY, SURGICAL CENTER, SLEEP DISORDERS LAB, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS, REHABILITATIVE MEDICINE, AND CANCER TREATMENT SERVICES. MEDSTAR SOUTHERN MARYLAND IS A PRIMARY STROKE CENTER. 3823302 1278856 MEDSTAR SOUTHERN MARYLAND PROVIDED $3.8M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2016. 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 WERE RELATED TO CONTINUING CARE PROGRAM SUBSIDIES. 2968494 0 0 MEDSTAR SOUTHERN MARYLAND PROVIDED $3.0M IN CHARITY CARE SERVICES IN FISCAL YEAR 2016. 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. 160023062 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 false false false false false true true true false false true 0 0 true 1845 true false false false false false false false false false false X 9 5 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 4872708 66397 Christine r Wray PRESIDENT/DIRECTOR 40.0 0.0 X X 952087 0 18246 Thomas K Huisman MD Director 1.0 0.0 X 0 0 0 Antonio Poag Director 1.0 0.0 X 0 0 0 John W Rollins Jr CHAIR 1.0 0.0 X 0 0 0 Frederick P Beavers MD Director 40.0 0.0 X 450305 0 9320 William Tanner DIRECTOR 40.0 0.0 X 201094 0 7729 TAMMY L JONES DIRECTOR 1.0 0.0 X 0 0 0 Hon MH Estepp DIRECTOR 1.0 0.0 X 0 0 0 Oliver M Johnson II Secretary 1.0 39.0 X 0 1135073 18002 Michael J Curran Treasurer 1.0 39.0 X 0 2888562 25134 Dan Feeley CFO 40.0 0.0 X 285326 0 21148 Scott Eleff MD PHYSICIAN 40.0 0.0 X 333918 0 14408 Louis Mavromatis MD VP - IT 40.0 0.0 X 344402 0 24235 Patricia Scalfari CNO 40.0 0.0 X 272013 0 14669 Paul Zeller VP, HUMAN RESOURCES 40.0 0.0 X 249225 0 16831 Richard Ardery VP, Marketing & COMM RELATIONS 40.0 0.0 X 237425 0 7413 Michael J Chiaramonte FORMER PRESIDENT 40.0 0.0 X 636548 0 0 3962343 8896343 243532 85 true true false NURSEFINDERS PO Box 910738 DALLAS TX 75391 Staffing Services 3375434 ERNST YOUNG 621 East Pratt Street BALTIMORE MD 21202 PROJECT MGMT SVCS 1814375 GE HEALTHCARE 4330 East-West Highway Suite 220 BETHESDA MD 20814 Medical Services 830230 SYSCO EASTERN MARYLAND 33239 Costen Road POCOMOKE MD 21851 Food Services 741163 UP-TO-DATE LAUNDRY INC 1221 Desoto Rd BALTIMORE MD 212233211 Laundry services 343341 58 80974 80974 PATIENT SERVICE REVENUE 621300 231789799 231789799 MEANINGFUL USE INCOME 900099 2134992 2134992 233924791 60383 60383 0 0 0 0 0 12114 -12114 -12114 -12114 0 0 0 REBATE INCOME 900099 659516 659516 CAFETERIA SALES 900099 528454 528454 GIFT SHOP SALES 900099 256211 256211 367387 367387 1811568 235865602 233924791 1859837 X 0 0 0 0 1945255 1622476 322779 0 84095162 72192737 11902425 0 990937 990937 9751398 172382 9579016 6304067 5374050 930017 12263264 467099 11796165 2219 2219 83734 83734 0 0 0 52857028 31832631 21024378 19 279587 -4267 283854 1975063 1187667 787396 0 0 190564 107155 83409 65657 47570 18087 0 15339 11224 4115 6166345 6166345 0 12042608 2956351 9086142 115 4730792 4730792 MED/SURG SUPPLIES 27376233 28926835 -1550602 IMPLANTS/PROSTHESES 5672764 5672764 MAINTENANCE 4987047 3096237 1890810 UTILITIES 2749243 2256637 492606 7778881 4103514 3675356 11 242323187 160023062 82299980 145 49603933 718622 0 0 21133 31298 29957331 31181793 0 0 0 0 0 0 3521468 3257164 1457581 1408016 100153585 34173275 62642919 65980310 0 0 0 0 0 0 31773929 29789643 1743231 2582513 180721525 134949359 16503061 17979876 0 0 780972 682687 0 0 0 0 0 0 0 0 0 0 27505497 23752712 44789530 42415275 X 135931995 92534084 0 0 0 0 135931995 92534084 180721525 134949359 X -6457585 -36940326 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3140000 3140000 38343287 6068884 32274403 3685455 612993 3072462 51657570 27444532 24213038 3327273 46866 3280407 65980310 0 GBR LIABILITY 12247556 ADVANCES 9906203 CREDIT BALANCES PATIENT AR 1394576 UCC POOL LIABILITY 156576 OTHER LIABILITIES 47801 23752712 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, 2016. true true X true X true X true true true false true true 2968494 2968494 0.01230 2968494 2968494 0.01230 1771499 1771499 0.00730 1931065 1931065 0.00800 3823302 1278856 2544446 0.01050 20800 20800 0.00010 7546666 1278856 6267810 0.02590 10515160 1278856 9236304 0.03820 58504 58504 0.00020 1472763 1472763 0.00610 1531267 1531267 0.00630 true 13509148 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 14 true false false true X WWW.MEDSTARHEALTH.ORG/MSMHC X true 14 true WWW.MEDSTARHEALTH.ORG/MSMHC false false true X 200. 400. X 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 true X false 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: OCTAVIA PETERSON 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: YVETTE JOHNSON-THREAT, 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. 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 PAMELA CREEKMUR HEALTH OFFICER PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT ERNEST CARTER DEPUTY HEALTH PRINCE GEORGE'S COUNTY OFFICER HEALTH DEPARTMENT REV. DR. HARRY REVEREND UNION BETHEL A.M.E. SEAWRIGHT CHURCH, BRANDYWINE, MD BEATRICE TIGNOR, MUNICIPAL LIAISON OFFICE TO THE COUNTY ed. d executive TARA SAGGAR, MD PHYSICIAN MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER ANOOP KUMAR, MD PHYSICIAN MEDICAL EMERGENCY PROFS. CAROLYN LOWE COORDINATOR DISTRICT V COFFEE CLUB ROSE DODSON COMMUNITY OUTREACH MEDSTAR SOUTHERN MDHC NURSE LPN JANICE WILSON CHAIRMAN OF THE BOARD SOUTHERN MARYLAND BLACK CHAMBER OF COMMERCE MELONY GRIFFITH VP OF GOV'T AND GREATER BADEN MEDICAL EXTERNAL AFFAIRS SERVICES REV. WILLIE HUNT REVEREND COALITION OF METRO - POLITAN MINISTER'S ALLIANCE DIANE WILSON LOCAL RESIDENT CLINTON, MD (STROKE SURVIVOR) RONNIE BARNES-BEY LOCAL RESIDENT FORT WASHINGTON, MD (STROKE SURVIVOR) VEDA BELTON, RN COMMUNITY HEALTH COALITION OF METRO COORDINATOR MINISTER'S ALLIANCE DIANE PROCTOR CIVIC LEADER GS PROCTOR & ASSOCIATES ANDREW LEE, MD PHYSICIAN MEDSTAR PHYSICIAN PARTNERS AT MITCHELLVILLE CHERYL D. BROWN MEDICAL & WELLNESS UNION BETHEL A.M.E. MINISTRY COORDINATOR CHURCH, BRANDYWINE, MD SUSAN TOPPING MD REGIONAL DIRECTOR CAPITAL AREA FOOD BANK MARY JOBSON-OLIVER STROKE PROGRAM MEDSTAR SOUTHERN MARYLAND COORDINATOR HOSPITAL CENTER ETHEL SHEPHARD- EXECUTIVE DIRECTOR BETHEL HOUSE, INC. POWELL 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. 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, LINE 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 FY15, MedStar Southern Maryland Hospital Center 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 22 Advisory Task Force (ATF) members, which was comprised of a diverse group of individuals, including grassroots activists, community residents, hospital representatives, and public health leaders. The ATF reviewed quantitative and qualitative community health data, as well as local, regional, and national health goals. Based on their findings, the ATF 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 Clinton, Md., (ZIP code 20735) 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). The hospitals FY15 CHNA and three-year Implementation Strategy was endorsed by MedStar Southern Marylands Board of Directors and approved by the MedStar Health Board of Directors. The document became available on the hospitals official website on June 30, 2015. As a proud member of MedStar Health, representatives from MedStar Southern Maryland Hospital Center 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. MedStar Health and its healthcare facilities will: * Treat all patients equitably, with dignity, with 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 hospitals' doors open for all who may need care in the community. In meeting its commitments, MedStar Healths facilities works 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 publicly-funded entitlement programs (e.g., Medicaid). * Assist with enrollment in publicly-funded programs for the uninsured (e.g., D.C. Healthcare Alliance). * 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 MedStar Health facility (in cooperation and consultation with the finance division of MedStar Health) specifies the communities it serves based on the geographic areas it has served historically for the purpose of implementing this policy. 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. 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 COMMUNITY INFORMATION PART VI, LINE 4 Geographic: MedStar Southern Maryland Hospital Centers CBSA includes residents of southern Prince Georges County, specifically Clinton, Maryland (ZIP code 20735). The community was selected based its proximity to the hospital, and the availability of pre-existing programs and services. 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. Minorities account for 90 percent of the countys population. Within the past decade, Charles County has become more diverse, with significant increases in the African American and Hispanic populations. The countys once rural geography is rapidly evolving into a more suburban area, with an increased presence of commercial and residential dwellings. MedStar Southern Maryland Hospital serves approximately 40% of Charles County residents. Demographic: There are 38,237 residents living in the CBSA. The majority of the CBSA population is Black/African American (83.5 %), followed by White (10.1 %) and two or more races (2.3%). Approximately 6% of residents are of Hispanic origin. The vast majority of the residents (77.5 %) are over the age of 18 with the median age of 42. More than 91.8% of adults have a high school diploma or a higher level of education. The unemployment rate in the CBSA is similar to that of the nation, at 8%, and lower than the county average. Of the employed population, 72.1% commute to work alone, 15.6% utilize public transportation (excluding taxicab) and 8.1% carpool. The median household income across the CBSA is $113,380, with a two person household average size. Faith based organizations have a prominent presence in the CBSA. There are approximately 14 faith-based organizations of various denominations located within the ZIP code. The Prince Georges County Health Department also has a strong presence in the community, offering a variety of free health services to its residents. Promotion of community health Part VI, line 5 A passion for helping others is the foundation of everything we do at Medstar Southern Maryland Hospital and extends from the care we provide at our Hospital to the Prince Georges County neighborhoods we serve through a broad spectrum of Community Benefit activities. This commitment to improving our community's health has been a crucial part of our mission in this first year of our implementation strategy plan. As a community partner, MedStar Southern Maryland 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/stroke, diabetes, and obesity. The hospital continues to collaborate with local faith-based organizations, senior centers, and assisted living facilities to support community health initiatives. MedStar Southern Maryland Hospital services are tailored to the specific needs of the community. Such services include: health education, blood pressure and full lipid panel screenings, and cardiac and diabetes risk assessments. Seasonal services include flu immunizations. These services are provided free of charge, regardless of age, gender, ethnicity or economic status. Support groups provide educational and emotional support to individuals and families facing health challenges such as stroke, prostate cancer, diabetes, mental health and lupus. Through a wide range of programs and services, we promote prevention and early detection of health problems and help people of all ages get the care they need. We are working closely with schools, community centers, homeless shelters, places of worship, senior centers, local government and others with first-hand knowledge of community needs, providing support in ways that expand their capabilities and maximize the impact of our joint efforts. The daily mall walker program is designed to increase physical activity by providing participants with a safe and friendly environment. Free blood pressure screenings are available five days a week. Once a month, a health professional facilitates an educational seminar for mall walkers. Topics are based upon the interests of the group. Preventative programs are also implemented and are free of charge to the community. The content and structure of the programs MedStar Southern Maryland Hospital provides focus on disease prevention and health maintenance. Screenings and health education have been incorporated to promote healthy lifestyles. Affiliated health care system Part VI, line 6 As a proud member of MedStar Health, MedStar Southern Maryland Hospital Center 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 MedStar Southern Maryland Hospital Center with technical support to enhance community health programming and evaluation. MedStars corporate philanthropy division identifies 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 Southern Maryland Hospital Center is only filed in the state of Maryland. X X X X X X true false false false false false false false Kenneth A Samet DIRECTOR 0 1689763 0 3167094 0 15851 0 45721 0 20676 0 4939105 0 0 Oliver M Johnson II Secretary 0 560663 0 574410 0 0 0 7800 0 10202 0 1153075 0 0 Michael J Curran Treasurer 0 1111909 0 1776653 0 0 0 13791 0 11343 0 2913696 0 0 Michael J Chiaramonte FORMER PRESIDENT 13453 0 0 0 623095 0 0 0 0 0 636548 0 0 0 Scott Eleff MD PHYSICIAN 208288 0 0 0 125630 0 7800 0 6608 0 348326 0 0 0 Louis Mavromatis MD VP - IT 289192 0 55210 0 0 0 7800 0 16435 0 368637 0 0 0 Patricia Scalfari CNO 229877 0 42136 0 0 0 7797 0 6872 0 286682 0 0 0 Dan Feeley CFO 239755 0 45571 0 0 0 7800 0 13348 0 306474 0 0 0 Christine r Wray PRESIDENT/DIRECTOR 510845 0 441242 0 0 0 7800 0 10446 0 970333 0 0 0 Frederick P Beavers MD Director 356582 0 93723 0 0 0 7800 0 1520 0 459625 0 0 0 William Tanner DIRECTOR 150796 0 45247 0 5051 0 0 0 7729 0 208823 0 0 0 Paul Zeller VP, HUMAN RESOURCES 210934 0 38291 0 0 0 0 0 16831 0 266056 0 0 0 Richard Ardery VP, Marketing & COMM RELATIONS 136311 0 29144 0 71970 0 6308 0 1105 0 244838 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS Richard Arderys Other reportable compensation in Part II, Column (B) (iii) includes $58,881 representing severance payments received by Mr. Ardery. Michael Chiaramontes Other reportable compensation in Part II, Column (B) (iii) includes $623,095 representing severance payments received by Mr. Chiaramonte. SCHEDULE J, PART III Mssrs. Samet and Curran's Bonus and Incentive Compensation in Part II, Column (B) (ii) includes $878,413 and $624,568 respectively, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service. Christine Wrays compensation is for services provided as President to both MedStar Southern Maryland Hospital Center and MedStar St. Marys Hospital. Up-to-Date Inc SEE PART V 343341 Laundry Services false HKSPC SEE PART V 282242 Architectural Services false Up-to-date Laundry SEE PART V 599338 Laundry Services false Business Transactions Involving Interested Persons Schedule L, Part V Up-to-Date, Inc. is a substantial contributor that also provided laundry services to the hospital. HKS, PC is a substantial contributor that also provided architectural services to the hospital.Up-to-date Laundry is a substantial contributor that also provided laundry services to the hospital. Per the conflict of interest policy, all transactions between the hospital and outside vendors should be at arms-length for fair market value. 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..............................(36,940,326) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SVCS TOTAL FEES:687837 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICAN SERVICES TOTAL FEES:19181948 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:1127354 FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT TRANSPORTATION TOTAL FEES:128579 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SERVIC TOTAL FEES:12057966 FORM 990 PART IX LINE 11G DESCRIPTION:COMPUTER SERVICES TOTAL FEES:243172 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:1503400 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION-VARIABLE TOTAL FEES:355909 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:206757 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGEMENT FEE EXPENSE TOTAL FEES:16857837 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS FEES FOR SERVICE TOTAL FEES:506269 CHURCH HOME CORPORATION 10980 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