2016-05-11T22:09:49-05:00 2015-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2014-07-01 522087445 Medstar Health Inc % JOEL BRYAN MEDS 4107726721 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 Joel Bryan Vice President/Treasurer 4107726721 2016-04-26 true Margaret A Bradshaw P00501222 7032868000 2016-04-26 2014 2016-08-17 19:52:53Z KENNETH A SAMET 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 237822390 false X WWW.MEDSTARHEALTH.ORG X 1998 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 19 18 1013 19 38740 37740 5499556 478043 68375638 174633847 109711221 47984943 11729359 14725557 195315774 237822390 0 0 0 0 84354220 110329679 0 0 0 35641020 92526294 119995240 202855973 75320534 34966417 2176542391 2173531045 1596652258 1741205542 579890133 432325503 X THE MISSION OF MEDSTAR HEALTH, INC. (MEDSTAR) IS TO SERVE OUR PATIENTS, THOSE WHO CARE FOR THEM AND OUR COMMUNITIES. MEDSTAR IS THE CONTROLLING ENTITY OF AN INTEGRATED HEALTH SERVICES ORGANIZATION (THE SYSTEM) OFFERING A WIDE VARIETY OF HEALTHCARE SERVICES TO RESIDENTS OF MARYLAND AND THE WASHINGTON, D.C., REGION (COMPRISING BALTIMORE CITY, 11 COUNTIES IN MARYLAND, THE DISTRICT OF COLUMBIA, AND NORTHERN VIRGINIA). MEDSTAR HEALTH IS THE REGION'S LARGEST HEALTH SYSTEM AND ONE OF THE LARGEST EMPLOYERS IN MARYLAND AND WASHINGTON, D.C., WITH APPROXIMATELY 30,000 ASSOCIATES AND 6,000 AFFILIATED PHYSICIANS. THROUGH OUR HOSPITALS, OUTPATIENT FACILITIES, PHYSICIAN ORGANIZATIONS, AND OTHER HEALTH-RELATED ORGANIZATIONS, THE SYSTEM OFFERS A BROAD CONTINUUM OF HEALTHCARE SERVICES, INCLUDING PRIMARY CARE, ACUTE CARE (SECONDARY, TERTIARY AND QUATERNARY), EMERGENCY, TRAUMA AND URGENT CARE, ADULT BURN CARE, REHABILITATION (HOSPITAL-BASED AND OUTPATIENT), POST-ACUTE CARE, AMBULATORY SURGERY, HOME CARE, false false 202855973 0 174633847 AS THE PARENT COMPANY IN AN INTEGRATED HEALTHCARE SYSTEM, MEDSTAR HEALTH, INC. ESTABLISHES THE STRATEGIC DIRECTION FOR ITS AFFILIATED ENTITIES. MEDSTAR HEALTH'S SOLE PROGRAM SERVICE IS THE MANAGEMENT AND SUPPORT OF ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE FUNCTIONS IN THE FOLLOWING AREAS: QUALITY AND SAFETY, FINANCIAL SERVICES, HUMAN RESOURCE SERVICES, TREASURY SERVICES, INFORMATION SYSTEMS, LEGAL SERVICES, RISK MANAGEMENT, COMPLIANCE, PRIVACY, BUSINESS AND SYSTEM DEVELOPMENT, PLANNING, MARKETING, EXTERNAL AFFAIRS, PHILANTHROPY SERVICES, MANAGED CARE, INTERNAL AUDIT, COMMUNITY HEALTH, GRADUATE MEDICAL EDUCATION, AND ACADEMIC AFFAIRS. 202855973 true true false true false false false false false false true true false true true true false true false false true false false false false false false false false true true false false false false false false false true false false false false false false true true true true false false true 2080 0 true 1013 true true true true CJ false false false false false false false false false X 19 18 false false true false false false false true true false false true true true true true true true true false MD X JOEL BRYAN 4107726721 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 X CHANDRALEKHA BANERJEE MD DIRECTOR 1.0 0.0 X 0 0 0 ANDREW J BERRY DIRECTOR 1.0 0.0 X 0 0 0 CATHERINE MELOY DIRECTOR 1.0 0.0 X 0 0 0 ROBERTA LOKER DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM R ROBERTS DIRECTOR 1.0 0.0 X 0 0 0 HON TOGO D WEST JR DIRECTOR 1.0 0.0 X 0 0 0 MARC N DUBER DIRECTOR 1.0 0.0 X 0 0 0 MARK JENSEN DIRECTOR 1.0 0.0 X 0 0 0 DONOVAN DIETRICK MD DIRECTOR (UNTIL 10/2014) 1.0 39.0 X 0 274353 24364 BARBARA R HELLER DIRECTOR (UNTIL 10/2014) 1.0 0.0 X 0 0 0 WILLIAM J OETGEN JR MD DIRECTOR 1.0 0.0 X 0 0 0 SARA E WATKINS DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY J BUZZELLI DIRECTOR 1.0 0.0 X 0 0 0 JOHN J DEGIOIA PHD DIRECTOR 1.0 0.0 X 0 0 0 KENNETH A SAMET CEO AND PRESIDENT 40.0 0.0 X X 4325505 0 64424 WILLIAM COUPER DIRECTOR 1.0 0.0 X 0 0 0 ROSIE ALLEN-HERRING DIRECTOR (AS OF 11/2014) 1.0 0.0 X 0 0 0 THOMAS J BALTIMORE DIRECTOR (AS OF 2/2015) 1.0 0.0 X 0 0 0 CHRISTOPHER G KALHORN MD DIRECTOR (AS OF 11/2014) 1.0 0.0 X 0 0 0 VINCENT J MARTORANA MD DIRECTOR (AS OF 11/2014) 1.0 0.0 X 0 0 0 ALLEN J TAYLOR MD DIRECTOR (AS OF 11/2014) 1.0 0.0 X 0 0 0 MICHAEL CURRAN EVP & CFO 40.0 0.0 X 2565690 0 29762 STEPHEN EVANS EVP 40.0 0.0 X 1222825 0 43579 JOY DRASS EVP 40.0 0.0 X 1868488 0 44213 CARL SCHINDELAR EVP 40.0 0.0 X 1235229 0 53501 OLIVER JOHNSON EVP 40.0 0.0 X 1038924 0 28260 ERIC WAGNER EVP 40.0 0.0 X 1407235 0 45995 CHRISTINE SWEARINGEN EVP 40.0 0.0 X 841459 0 53766 MAUREEN MCCAUSLAND SVP 40.0 0.0 X 665171 0 31610 CATHERINE SZENCZY SVP 40.0 0.0 X 603826 0 11823 DAVID NOE VP 40.0 0.0 X 646712 0 31041 BRUCE BARTOO VP 40.0 0.0 X 590447 0 22530 EDWARD ROBINSON VP 40.0 0.0 X 622016 0 29305 SUSAN NELSON VP 40.0 0.0 X 572460 0 26791 DAVID MAYER VP 40.0 0.0 X 637630 0 23621 WILLIAM THOMAS FORMER OFFICER 0.0 0.0 X 320167 0 0 19163784 274353 564585 342 true true false ERNST YOUNG WACHOVIA BANK PO BOX 933515 ATLANTA GA 311933515 PROJECT MGMT SVCS 3342662 CERASOLI STAFFORD MEDIA MGMT 2251 SAN DIEGO DRIVE SUITE A130 SAN DIEGO CA 92110 PROFESSIONAL SVCS 2945630 KPMG LLP PO BOX 120002 DALLAS TX 753120940 Accounting Services 2119859 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 641412702 Medical Services 1846812 HEALTHY COMPANIES INTL HCI 2101 WILSON BLVD ARLINGTON VA 22201 CONSULTING SERVICES 1559420 75 74900 403143 478043 GREENSPRING FEE 900099 144037677 144037677 OTHER MANAGEMENT FEES 900099 16622641 16622641 NET PATIENT SERVICE REVENUE 621400 13973529 13973529 174633847 13153499 38740 13114759 0 0 0 0 0 34800401 31043 34800401 31043 34831444 34831444 0 0 0 REBATE INCOME 900099 2994202 2994202 Other Income/Loss 900099 11731355 11731355 14725557 237822390 174633847 38740 62671760 X 0 0 0 0 16478373 16478373 0 82192193 82192193 1170195 1170195 6863986 6863986 3624932 3624932 12953 12953 5693807 5693807 2379873 2379873 0 0 0 37478198 37478198 9753562 9753562 1435202 1435202 228 228 0 3832490 3832490 1383686 1383686 0 347123 347123 255572 255572 0 818483 818483 275441 275441 0 0 EARLY EXTINGUISHMENT OF DEBT 25187428 25187428 MAINTENANCE 984034 984034 MED /SURG SUPPLIES 870747 870747 MAINTENANCE CONTRACTS 691868 691868 1125599 1125599 202855973 202855973 0 0 0 0 378801824 311233317 0 0 4431758 9696650 0 0 0 0 0 0 230832 495715 1595317 2095563 26483258 10890880 12258741 15592378 0 0 1424980362 1548114471 0 0 114402599 135032599 239840958 151270352 2176542391 2173531045 177969549 212803427 0 0 12443833 2208943 1107374394 1197750639 0 0 0 0 0 0 0 129838825 298864482 198603708 1596652258 1741205542 X 577229555 429445071 2660578 2880432 0 0 579890133 432325503 2176542391 2173531045 X 34966417 -59436987 4225 -123098285 X false true X true false X X 23 BAY LIFE SERVICES INC 521496539 9 true 0 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 3 true 0 0 GOOD SAMARITAN NURSING CENTER INC 521672866 9 true 0 0 GS HOUSING INC 521481656 9 true 0 0 HARBOR HOSPITAL INC 520491660 3 true 0 0 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC 522218584 3 true 0 0 MEDSTAR HEALTH INFUSION INC 521980510 9 true 0 0 MEDSTAR HEALTH RESEARCH INSTITUTE INC 526056274 4 true 0 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC 530196597 9 true 0 0 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC 460726303 3 true 0 0 MEDSTAR SURGERY CENTER INC 521061679 9 true 0 0 MEDSTAR VNA HEALTHCARE INC 521458516 9 true 0 0 MGH COMMUNITY HEALTH INC 521372467 9 true 0 0 MGH HEALTH FOUNDATION INC 521129959 7 true 0 0 MONTGOMERY GENERAL HOSPITAL INC 520646893 3 true 0 0 NATIONAL REHABILITATION HOSPITAL INC 521369749 3 true 0 0 NRH REGIONAL REHAB AT OLNEY INC 522310902 3 true 0 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC 520619006 3 true 0 0 SUBURBANNRH MEDICAL REHABILITATION INC 521931151 3 true 0 0 THE UNION MEMORIAL HOSPITAL 520591685 3 true 0 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 3 true 0 0 WASHINGTON HOSPITAL CENTER CORPORATION 521272129 3 true 0 0 WOODBOURNE WOODS INC 522299070 9 true 0 0 23 0 0 true false false false false false false false false false false false false false false true true true X true true SCHEDULE A, PART I, LINE 11G AMOUNT OF SUPPORT SUPPORT IS PROVIDED TO MEDSTAR HEALTH'S SUPPORTED ORGANIZATIONS IN THE FORM OF EQUITY TRANSFERS. DUE TO THE FREQUENCY OF THESE TRANSFERS AND THE LARGE NUMBER OF SUPPORTED ORGANIZATIONS THAT MEDSTAR HEALTH, INC. SUPPORTS, THE TOTAL EQUITY TRANSFERS LISTED ON SCHEDULE O, PART XI, LINE 9 HAVE NOT BEEN BROKEN OUT FOR EACH SUPPORTED ORGANIZATION. OTHER SUPPORT THE EXPENSES INCURRED BY MEDSTAR HEALTH, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 THE OFFICERS/DIRECTORS OF THE SUPPORTED ORGANIZATIONS HAVE A CLOSE AND CONTINUOUS RELATIONSHIP WITH MEDSTAR HEALTH, INC., AND THUS A SIGNIFICANT VOICE. KEN SAMET, THE PRESIDENT/CEO OF MEDSTAR HEALTH, INC., SERVES ON THE BOARD OF DIRECTORS OF MANY OF MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS. BECAUSE OF THIS, THE SUPPORTED ORGANIZATIONS ARE ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF MEDSTAR HEALTH AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 3A MEDSTAR HEALTH, INC. HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS OR DIRECTORS OF EACH OF ITS SUPPORTED ORGANIZATIONS. MEDSTAR HEALTH, INC. IS THE SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. ONE OF ITS SUPPORTED ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE SUPPORTED ORGANIZATION'S GOVERNING BODY, BUT ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE BOARD OF MEDSTAR HEALTH, INC. SCHEDULE A, PART IV, SECTION E, LINE 3B AS A PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM, MEDSTAR HEALTH, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. THE BYLAWS OF THESE SUPPORTED ORGANIZATIONS ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETRS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 609522 609522 false Other Activities The expenses incurred by the organization for lobbying activities reflects the total expenditures for lobbying efforts on behalf of substantially all subsidiaries and affiliates. These expenses included a portion of the compensation expense for several employees in the government affairs department of the organization who are involved in lobbying activities as well as the amounts paid to outside advocacy and consulting groups for their lobbying activities on behalf of the organization. The lobbying work related to healthcare policy issues at the federal level as well as work in Maryland and the District of Columbia. Among the policy issues encompassed by the organization's lobbying efforts were health care coverage for the uninsured and under-insured, emergency preparedness, reimbursement policies, employment practices, health reform, and other key issues. 1164963 1164963 845262 203609 641653 5200236 3707148 1493088 10968707 6913797 4054910 8304090 66326 8237764 15592378 PNC POOL AND OTHER UNR. FUNDS 1029895716 F INVESTMENT IN AFFILIATES 448625967 F MARKETABLE INVESTMENTS 20035724 F BOARD DESIGNATED/OTHER RESTR. 49557064 F 1548114471 DEBT SERVICE L/T 29663284 DEFERRED TAX ASSET 18368055 DEFERRED FINANCING COST 10820607 DEFERRED COMPENSATION ASSET 28393920 OPTION IT ASSET 7824035 CASH SURRENDER VALUE - INS 2101582 INTERCOMPANY RECEIVABLES 51844824 OTHER ASSETS 2254045 151270352 0 PENSION LIABILITY L/T 117235251 PROFESSIONAL LIAB. IBNR 21296391 L/T LIABILITY - SWAP 13610265 DEFERRED COMPENSATION 28419901 STOCK OPTION PLAN 6817017 OTHER LIABILITIES 11224883 198603708 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, 2015. Central America and the Caribbean Investments 210220493 210220493 210220493 true false true false false false X true true X X X X X X true true false false false false false false false DONOVAN DIETRICK MD DIRECTOR (UNTIL 10/2014) 0 265353 0 9000 0 0 0 12647 0 11717 0 298717 0 0 KENNETH A SAMET CEO AND PRESIDENT 1526829 0 2783911 0 14765 0 43766 0 20658 0 4389929 0 0 0 MICHAEL CURRAN EVP & CFO 973420 0 1592270 0 0 0 7650 0 22112 0 2595452 0 0 0 WILLIAM THOMAS FORMER OFFICER 0 0 84017 0 236150 0 0 0 0 0 320167 0 0 0 STEPHEN EVANS EVP 616637 0 603188 0 3000 0 15342 0 28237 0 1266404 0 0 0 JOY DRASS EVP 907305 0 961183 0 0 0 27418 0 16795 0 1912701 0 0 0 CARL SCHINDELAR EVP 639238 0 595991 0 0 0 31127 0 22374 0 1288730 0 0 0 OLIVER JOHNSON EVP 510959 0 527965 0 0 0 7650 0 20610 0 1067184 0 0 0 ERIC WAGNER EVP 677895 0 729340 0 0 0 24382 0 21613 0 1453230 0 0 0 CHRISTINE SWEARINGEN EVP 418360 0 423099 0 0 0 36087 0 17679 0 895225 0 0 0 CATHERINE SZENCZY SVP 125233 0 155630 0 322963 0 7650 0 4173 0 615649 0 0 0 DAVID NOE VP 367565 0 279147 0 0 0 16033 0 15008 0 677753 0 0 0 BRUCE BARTOO VP 321349 0 269098 0 0 0 0 0 22530 0 612977 0 0 0 EDWARD ROBINSON VP 366619 0 255397 0 0 0 7650 0 21655 0 651321 0 0 0 SUSAN NELSON VP 337793 0 234667 0 0 0 7650 0 19141 0 599251 0 0 0 MAUREEN MCCAUSLAND SVP 363228 0 301943 0 0 0 7650 0 23960 0 696781 0 0 0 DAVID MAYER VP 419228 0 218402 0 0 0 0 0 23621 0 661251 0 0 0 SOCIAL CLUB DUES THE ORGANIZATION PAID SOCIAL CLUB DUES FOR THREE 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. SCHEDULE J, PART I, LINE 4B William Thomas Other reportable compensation in Part II, Column (B) (iii) includes $36,150 representing the amount of supplemental retirement benefit payments related to prior years of service. Catherine Szenczys Other reportable compensation in Part II, Column (B) (iii) includes $281,442 representing severance payments received by Ms. Szenczy. MSSRS. SAMET AND CURRAN'S BONUS AND INCENTIVE COMPENSATION IN PART II, COLUMN (B) (II) INCLUDES $620,610 AND $522,873 RESPECTIVELY, REPRESENTING BENEFITS RECEIVED FROM EXECUTIVE RETIREMENT PLANS THAT ARE COMPRISED OF TARGET BENEFITS DETERMINED ANNUALLY BASED ON COMPENSATION AND YEARS OF SERVICE. A Higher Educational Facilities Authority 520936091 574217MW2 2004-02-03 168903884 Advance refund bonds issued 2001 false false false B Higher Educational Facilities Authority 520936091 574217C60 2007-01-31 148551201 Construct FSH hospital patient tow true false false C District of Columbia 536001131 2548393Y7 2008-05-15 283137423 Current refund bonds issued 1998 true false false D Higher Educational Facilities Authority 520936091 574218DY6 2011-11-17 47805502 Current refund bank debt false false false A 165760000 0 168903884 12869427 0 166098335 2616729 0 0 0 0 0 2001 false true true true B 0 144983000 164008124 0 31362309 0 1806668 0 0 130839147 0 0 2010 false false true true C 33525000 111800000 283137423 0 0 283137423 0 0 0 0 0 0 1998 true false true true D 3275000 0 47805502 0 0 47171175 634327 0 0 0 0 0 2011 true false true true A 0 B false false false false 0.00000 0.00000 0.00000 false false false true C 0 D false true true true false 0.01200 0.00000 0.01200 false false false true A false true false false 0 false 0 true true B false true false false 0 true JP Morgan Chase Bank 2.6 true false true C false true true false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true Part II, Line 3, Column B: Amount over issue price is attributable to investment earnings. Part II, Line 6, Columns A, C & D: Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds. Part IV, Column C: no invested funds following issuance. Rebate letter received on July 9, 2014 Part IV, Line 2c, Column A: Rebate computed as of August 15, 2015. Part IV, Line 2c, Column B: REBATE COMPUTED AS OF MAY 15, 2015. Part IV, Line 2c, Columns C & D: Rebate computed as of July 1, 2015. Part II, Line 6, Columns A, B, C & D (SET 2): Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds. Part IV, Line 2c, Columns A, B, & C (SET 2): Rebate computed as of July 1, 2015. Part II, Line 6, Column B (SET 3): Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds. Part II, Column A (SET 3): Lines 3, 5, 10, and 12 include proceeds received at closing plus interest income and change in fair market value of the underlying assets, as recorded on the annual trust statements. A Higher Educational Facilities Authority 520936091 574218EA7 2011-11-17 20477518 Current refund bonds issued 1998 false false false B Higher Educational Facilities Authority 520936091 574218DV2 2011-11-17 15007204 Advance refund bonds issued 2002 false false false C Higher Educational Facilities Authority 520936091 574218DY6 2011-11-17 15206131 Current refund bonds issued 2009 false false false D Higher Educational Facilities Authority 520936091 2012-06-27 38620000 Current refund bonds issued 1998 false false false A 9440000 0 20477518 0 0 20235000 242518 0 0 0 0 0 1998 true false true true B 3075000 0 15007204 0 0 14826474 180830 0 0 0 0 0 2003 false true true true C 695000 0 15206131 0 0 15003891 202240 0 0 0 0 0 2010 true false true true D 0 0 38620000 0 0 38620000 0 0 0 0 0 0 1998 true false true true A 0 B 0 C false false false false 0.00000 0.00000 0.00000 false false false true D 0 A false true false false 0 false 0 false true B false true false false 0 false 0 true true C false true false false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true A Higher Educational Facilities Authority 520936091 574218NS8 2013-03-21 75951460 Hospital capital expenditures false false false B Higher Educational Facilities Authority 520936091 574218NU2 2013-03-21 52709030 Current refund bonds issued 1998 false false false C Higher Educational Facilities Authority 520936091 574218PJ6 2013-05-21 159366620 Acquisition of So. Maryland Hosp. false false false D Higher Educational Facilities Authority 520936091 574218VB6 2015-02-11 410753755 Current ref 2004 bonds, adv ref 19 false false false A 0 0 76051608 0 1961376 0 934175 0 0 25701437 0 47454620 false false false true B 0 0 52709030 0 0 52089134 619896 0 0 0 0 0 1998 true false true true C 0 0 159366620 0 0 0 1376620 0 0 157990000 0 0 2013 true false true true D 0 0 410753755 0 0 407902189 2851566 0 0 0 0 0 2010 true true true true A false false false false 0.00000 0.00000 0.00000 false false false true B 0 C false false false false 0.00000 0.00000 0.00000 false false false true D false true true true false 0.00700 0.00000 0.00700 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false A true B true C true D true CERASOLI STAFFORD MEDIA MANAGEMENT SEE PART V 14515966 PROFESSIONAL SERVICES false CERNER CORPORATION SEE PART V 243832 MEDICAL SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV CERASOLI STAFFORD MEDIA MANAGEMENT IS A SUBSTANTIAL CONTRIBUTOR THAT ALSO PROVIDED PROFESSIONAL SERVICES TO MEDSTAR HEALTH, INC. CERNER CORPORATION IS A SUBSTANTIAL CONTRIBUTOR THAT ALSO PROVIDED MEDICAL SERVICES TO MEDSTAR HEALTH, INC. PER THE CONFLICT OF INTEREST POLICY, ALL TRANSACTIONS BETWEEN MEDSTAR HEALTH, INC. AND OUTSIDE VENDORS SHOULD BE AT ARMS-LENGTH FOR FAIR MARKETE VALUE. SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS PART VI, LINE 4 THE ARTICLES OF INCORPORATION WERE AMENDED IN ORDER TO LIST, BY NAME, ALL OF THE SUPPORTED ORGANIZATIONS OF THE INTEGRATED HEALTH CARE SYSTEM. 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 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). EXECUTIVE COMPENSATION PROCESS 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 ADDITIONAL MINIMUM PENSION LIABILITY....................$ (62,439,651) EQUITY TRANSFERS - NET ASSETS...........................$ (60,914,640) TRNA - PLEDGE RECEIVABLE................................$ 256,006 ============ TOTAL $ (123,098,285) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:22237629 FORM 990 PART IX LINE 11G DESCRIPTION:MISC FIXED PURCH SRVCS TOTAL FEES:2488933 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:12551331 FORM 990 PART IX LINE 11G DESCRIPTION:COURIER SERVICES TOTAL FEES:68168 FORM 990 PART IX LINE 11G DESCRIPTION:DESIGN SERVICES TOTAL FEES:58510 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICE EXPENSE TOTAL FEES:38071 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MISCELLANEOUS SVCS TOTAL FEES:35556 MEDSTAR SPORTSHEALTH LLC 5565 Sterrett Place Columbia MD 21044 Healthcare MD 0 0 MEDSTHEALTH MEDSTAR LLC 5565 STERRET PLACE 5TH FLOOR COLUMBIA MD 21044 453113462 SUPPORT ORG MD 0 0 MEDSTHEALTH MEDSTAR SOUTHERN MD MANAGEMENT LLC 5565 STERRET PLACE 5TH FLOOR Columbia MD 21044 462700536 SUPPORT ORG MD 16426945 3563814 MEDSTHEALTH Church Home Corporation 5565 Sterrett Place 5th Floor Columbia MD 21044 237374724 Medical Fund MD 501(C)(3) PF NA true Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(C)(3) 3 NA true Harbor Hospital Inc 3001 South Hanover Street Baltimore MD 21225 520491660 Hospital MD 501(C)(3) 3 NA true Montgomery General Hospital 18101 Prince Philip Drive Olney MD 20832 520646893 Hospital MD 501(C)(3) 3 NA true The Good Samaritan Hospital of Maryland 5601 Loch Raven Blvd Baltimore MD 21239 520591607 Hospital MD 501(C)(3) 3 NA true The Union Memorial Hospital 201 East University Parkway Baltimore MD 21218 520591685 Hospital MD 501(C)(3) 3 NA true Medstar Health Research Institute 108 Irving Street NW Washington DC 20010 526056274 Hospital DC 501(C)(3) 4 NA true The Medstar-Georgetown Medical Center I Hopsital Admin 1 Main Bldg Washington DC 20007 522218584 Hospital DC 501(C)(3) 3 NA true Washington Hospital Center Corporation 110 Irving Street NW Washington DC 20010 521272129 Hospital DC 501(C)(3) 3 NA true HH Medstar Health Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521542230 Medical Svcs MD 501(C)(3) 11C III NA true MEDSTAR AMBULATORY SERVICES INC 5565 Sterrett Place 5th Floor Columbia MD 21044 521132992 ADMIN SVCS MD 501(C)(3) 11a I NA true Bay Life Services Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521496539 Mental Health MD 501(C)(3) 9 NA true MedStar Surgery Center Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521061679 Medical Svcs MD 501(C)(3) 9 NA true Church Home and Hospital of the City of 5565 Sterrett Place 5th Floor Columbia MD 21044 520591600 Hospital MD 501(C)(3) 11B II NA true Franklin Square Hospital Center Foundati 9000 Franklin Square Drive Baltimore MD 21237 522329546 Foundation MD 501(C)(3) 7 NA true Good Samaritan Hospital Foundation Inc 5601 Loch Raven Blvd Baltimore MD 21239 522307122 Foundation MD 501(C)(3) 11a I NA true Good Samaritan Nursing Center Inc 5601 Loch Raven Blvd Baltimore MD 21239 521672866 Medical Svcs MD 501(C)(3) 9 NA true GS Housing Inc 5601 Loch Raven Blvd Baltimore MD 21239 521481656 Elder Housing MD 501(C)(3) 9 NA true GS Properties Inc 5601 Loch Raven Blvd Baltimore MD 21239 521429853 Admin Svcs MD 501(C)(3) 11a I NA true Harbor Hospital Foundation Inc 3001 South Hanover Street Baltimore MD 21225 521284532 Foundation MD 501(C)(3) 11A I NA true Medstar Health Infusion Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521980510 Medical Svcs MD 501(C)(3) 9 NA true Medstar Health Visiting Nurses Associati 4061 Powdermill Road Calverton MD 20705 530196597 Medical Svcs MD 501(C)(3) 9 NA true Medstar VNA Healthcare 4061 Powdermill Road Suite 210 Calverton MD 20705 521458516 Medical Svcs MD 501(C)(3) 9 NA true MGH Community Health Inc 18101 Prince Philip Drive Olney MD 20832 521372467 Medical Svcs MD 501(C)(3) 9 NA true MGH Health Foundation Inc 18101 Prince Philip Drive Olney MD 20832 521129959 Foundation MD 501(C)(3) 7 NA true MGH Health Services Inc 18101 Prince Philip Drive Olney MD 20832 521366812 Foundation MD 501(C)(3) 11B II NA true MGH Women's Board 18101 Prince Philip Drive Olney MD 20832 526039600 Foundation MD 501(C)(3) 11B II NA true National Rehabilitation Hospital 102 Irving Street NW Washington DC 20010 521369749 Hospital DC 501(C)(3) 3 NA true Regional Rehab at Olney Inc 18101 Prince Philip Drive Olney MD 20832 522310902 Medical Svcs MD 501(C)(3) 3 NA true Suburban NRH Medical Rehabilitation I 102 Irving Street NW Washington DC 20010 521931151 Medical Svcs DC 501(C)(3) 3 NA true The Thomas O'Neil Catholic Health Care F 5601 Loch Raven Blvd Baltimore MD 21239 521104382 Foundation MD 501(C)(3) 11D III NA true VNA Inc 4061 POWDERMILL ROAD SUITE 21 CALVERTON MD 20705 521332411 ADMIN SVCS MD 501(C)(3) 11B II NA true WHC Foundation Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521791670 Admin Svcs MD 501(C)(3) 7 NA true Woodbourne Woods Inc 110 Irving Street NW Washington DC 20010 522299070 Foundation DC 501(C)(3) 9 NA true Hospice of St Mary's Inc 5601 Loch Raven Blvd Baltimore MD 21239 522153926 Elder Housing MD 501(C)(3) 11A I NA true St Mary's Hospital of St Mary's County 25500 Point Lookout Road Leonardtown MD 20650 520619006 Hospital MD 501(C)(3) 3 NA true St Mary's Hospital Foundation Inc PO Box 527 Leonardtown MD 20650 521051368 Support Org MD 501(C)(3) 11A I NA true MEDSTAR SOUTHERN MD HOSPITAL CENTER INC 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) 3 NA true MEDSTAR HEALTH INC AND AFFILIATES MASTER 5565 STERRETT PLACE COLUMBIA MD 21044 467454613 RETIREMENT TR MD 501(a) N/A NA true PHYSICIAN IMAGING OF WASHINGTON 6525 BELCREST ROAD SUITE G 50 Hyattsville MD 20782 562616090 LAB SERVICES MD NA false MedStar Pharmacies Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521513056 Drug Sales MD NA C Corp ExtenCare Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521556228 Medical ServiCES MD NA C Corp Helix Resources Management Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521913070 Admin ServiceS MD NA C Corp HelixCare Medical Group LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 521955580 Medical ServiCES MD NA C Corp HelixCare Properties LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 521966695 Medical ServiCES MD NA C Corp Parkway Ventures Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521893569 Holding CompaNY MD NA C Corp Physicians Administrative Services Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 237042074 Billing Services MD NA C Corp MedStar Family Choice Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521995521 Managed Care MD NA C Corp Medstar Enterprises Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522139841 Admin Services MD NA C Corp SiTeL Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 900753340 EDUCATIONAL SVCS MD NA C Corp Star Billing Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521850113 Billing Services MD NA C Corp Washington Risk Network Management Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522132677 Medical Services MD NA C Corp Washington Hospital Center Physician Hos 100 Irving Street NW Washington DC 20010 521931000 Medical Services MD NA C Corp Medstar Physician Partners Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522030809 Medical Services MD NA C Corp Franklin Square Drive Land Condo Associa 5565 Sterrett Place 5th Floor Columbia MD 21044 760756352 CONDO OWNER ASSOC MD NA C Corp MGH Diversified Services Inc 18101 Prince Philip Drive Olney MD 20832 521943602 MEDICAL SERVICES MD NA C Corp St Mary's Health Alliance Inc 25500 Point Lookout Road Leonardtown MD 20650 521930331 MEDICAL SERVICES MD NA C Corp Greenspring Financial Insurance Limited 23 LIME TREE BAY AVENUE PO BOX 1051 KY1-1102 GRAND CAYMAN CJ 980188617 Insurance CJ NA C Corp ST MARY'S CONDO ASSOCIATION 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 273377216 CONDOMINIUMS MD NA C CORP MEDSTAR HEALTH MASTER RETIREMENT TRUST 5565 STERRETT PLACE COLUMBIA MD 21044 999999999 INVESTMENTS CJ NA C CORP false true false false false false false false false false false true false false false true true false false FRANKLIN SQUARE HOSPITAL CENTER INC Q 4259044 FMV FRANKLIN SQUARE HOSPITAL FOUNDATION INC Q 144339 FMV THE MEDSTAR-GEORGETOWN MEDICAL CENTER Q 9755936 FMV THE MEDSTAR-GEORGETOWN MEDICAL CENTER P 857462 FMV THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC Q 2740764 FMV GOOD SAMARITAN HOSPITAL FOUNDATION P 65531 FMV GOOD SAMARITAN NURSING CENTER P 74525 FMV HARBOR HOSPITAL INC Q 1670449 FMV HH MEDSTAR HEALTH INC Q 13849447 FMV HH MEDSTAR HEALTH INC P 23219064 FMV MEDSTAR AMBULATORY SERVICES INC Q 889314 FMV MEDSTAR FAMILY CHOICE INC Q 293324 FMV MEDSTAR HEALTH VISITING NURSES ASSOCIATION Q 300197 FMV MEDSTAR PHARMACIES INC Q 66586 FMV MEDSTAR HEALTH RESEARCH INSTITUTE Q 825061 FMV MONTGOMERY GENERAL HOSPITAL Q 1491343 FMV PARKAY VENTURES INC Q 585264 FMV MedStar Southern Maryland Hospital Center Q 1056265 FMV ST Mary's Hospital of St Mary's County Q 820208 FMV The Union Memorial Hospital Q 5805197 FMV Washington Hospital Center Corporation Q 6477817 FMV