2015-05-15T10:40:12-05:00 2014-06-30 420714325 MCGLADREY LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2013-07-01 450519724 MARYLAND EMERGENCY MEDICINE NETWORK INC MARY 4103288025 110 SOUTH PACA STREET 6TH FLOOR BALTIMORE MD 21201 DR BRIAN BROWNE PRESIDENT 4103288025 2015-05-14 1 JULIA FLANNERY CPA P00928918 4102469300 2013 2016-03-07 17:11:31Z DR BRIAN BROWNE 110 SOUTH PACA STREET 6TH FLOOR BALTIMORE MD 21201 89073196 0 X WWW.UMEM.ORG X 2003 MD TO SUPPORT, COORDINATE, ENCOURAGE AND IMPLEMENT A STATEWIDE EMERGENCY MEDICINE NETWORK THAT WILL SERVE AS A NATIONAL MODEL FOR IMPROVING ACCESS TO EMERGENCY MEDICINE SERVICES THAT ARE PROVIDED BY BOARD-CERTIFIED PHYSICIANS AND EXPAND ACCESS TO THOSE IN NEED, TO THE POOR, TO THE UNDERINSURED AND MEDICALLY UNDERSERVED AREAS OF MARYLAND. 7 6 281 6 0 0 0 0 47343170 89026407 13001 2212 0 44577 47356171 89073196 19004 1000000 0 0 35610805 39036606 0 0 0 11593337 46978015 47223146 87014621 133025 2058575 11844210 16565248 7205179 9868223 4639031 6697025 X TO FURTHER AND PROMOTE, EXCLUSIVELY FOR CHARITABLE AND SCIENTIFIC PURPOSES, THE DEVELOPMENT, COORDINATION AND IMPLEMENTATION OF A STATE-WIDE EMERGENCY MEDICINE NETWORK TO ELEVATE THE STANDARD OF CARE PROVIDED BY EMERGENCY MEDICINE PHYSICIANS IN RURAL, URBAN AND HISTORICALLY UNDERSERVED AREAS ACROSS THE STATE OF MARYLAND. 0 0 38462631 41764492 PROVISION OF SERVICES AT THE LAUREL REGIONAL HOSPITAL, PRINCE GEORGE'S HOSPITAL CENTER AND BOWIE HEALTH CAMPUS. STAFF THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS AND PHYSICIAN ASSISTANTS. 24491372 27418312 PROVISION OF SERVICES AT UPPER CHESAPEAKE MEDICAL CENTER AND HARFORD MEMORIAL HOSPITAL. STAFF THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS AND PHYSICIAN ASSISTANTS. 17428407 19651262 PROVISION OF SERVICES AT THE MEMORIAL HOSPITAL OF EASTON, DORCHESTER GENERAL HOSPITAL AND QUEEN ANNE'S EMERGENCY CENTER. STAFF THE EMERGENCY DEPARTMENTS AT ALL 3 HOSPITALS/CENTERS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS. 3537571 1000000 192341 OTHER 3537571 1000000 192341 83919981 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 23 0 1 281 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DR BRIAN BROWNE 4103288025 110 SOUTH PACA STREET 6TH FLOOR BALTIMORE MD 21201 DR BRIAN J BROWNE MD PRESIDENT/TRUSTEE 1.00 40.00 X X 0 278831 66808 DR LARRY WEISS MD TRUSTEE 1.00 X 0 0 0 DAVID M SHEEHAN TRUSTEE 1.00 X 0 0 0 CATHERINE MOCK TRUSTEE 1.00 X 0 0 0 ANTHONY LEHMAN MD TRUSTEE 1.00 X 0 0 0 WILLIAM E TUCKER MBA CPA TRUSTEE 1.00 X 0 0 0 JEROME D CARR JD TRUSTEE 1.00 X 0 0 0 LAURA PIMENTEL CHIEF MEDICAL OFFICER 40.00 X 217782 0 18049 DANIEL GRIFFITH DIRECTOR OF FINANCE 24.00 16.00 X 119038 79358 38737 MICHAEL D JOYCE DIRECTOR 40.00 X 431229 0 30852 DEBORAH DAVIS DIRECTOR 40.00 X 397479 0 45959 FERMIN BARRUETO JR DIRECTOR 40.00 X 385921 0 46687 DOUGLAS MAYO DIRECTOR 40.00 X 383744 0 42321 FRANK CIOCCI DIRECTOR 40.00 X 388599 0 43574 JANE WANG DIRECTOR 40.00 X 377813 0 42303 HECTOR RIVERA DIRECTOR 40.00 X 347145 0 35712 PAUL THOMAS LYONS DIRECTOR 40.00 X 272443 0 18422 LOUISETTE VEGA DIRECTOR 40.00 X 249177 0 36580 STEVEN BENTMAN DIRECTOR 40.00 X 262622 0 46897 BRANDON COLE DIRECTOR 40.00 X 260400 0 29432 MICHAEL GIORDANO DIRECTOR 40.00 X 254067 0 37215 TIMOTHY CHIZMAR DIRECTOR 40.00 X 231864 0 34609 KIMMIE CASS DIRECTOR 40.00 X 228861 0 38754 RAVIKIRAN CHERUKURI PHYSICIAN 30.00 X 377030 0 41786 SALVATORE VERTERAMO PHYSICIAN 30.00 X 349997 0 31586 ESKINDER AFEWORK PHYSICIAN 30.00 X 364731 0 47850 ALCHRISTIAN VILLARUZ PHYSICIAN 30.00 X 343388 0 29432 NORBERT STRAUB PHYSICIAN 30.00 X 340302 0 42412 6583632 358189 845977 124 0 1 0 REIMBURSEMENT TECHNOLOGIES INC 1000 RIVE ROAD SUITE 100 CONSHOHOCKEN PA 19428 PHYSICIAN BILLING 3879241 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM SERVICES 476143 ESSIA HEALTH 21700 OXNARD STREET SUITE 620 WOODLAND CA 91367 SCRIBE SERVICES 322345 COMPHEALTH PO BOX 972651 DALLAS TX 75397 LOCUM SERVICES 270743 SCRIBES STAT INC 6420 SW MACADAM AVENUE 160 PORTLAND OR 97239 SCRIBE SERVICES 258997 11 PATIENT REVENUE 621990 80585459 80585459 ADMINISTRATIVE SERVICE 621990 8440948 8440948 89026407 2212 2212 OTHER INCOME 900099 44577 44577 44577 89073196 89026407 0 46789 1000000 1000000 5760043 5567618 192425 28055521 26662659 1392862 1791171 1688399 102772 1661285 1451788 209497 1768586 1652426 116160 132100 132100 39254 39254 5639 5639 5076992 5045080 31912 357497 357497 123975 27442 96533 584654 582434 2220 108278 108278 3302985 3141163 161822 PROVISION FOR BAD DEBTS 35597965 35597965 OVERHEAD 1170037 1122785 47252 RECRUITMENT/RELOCATION 387230 380222 7008 EMPLOYEE RELATIONS 67557 67557 23852 23852 87014621 83919981 3094640 0 3527747 8201558 264240 61500 7315037 7914343 380722 387847 6110 6110 0 0 356464 0 11844210 16565248 4907706 7668620 2297473 2199603 7205179 9868223 X 4639031 6697025 4639031 6697025 11844210 16565248 2058575 -581 0 X 0 1 X 1 0 X 20404929 23685249 26690121 47343170 89026407 207149876 20404929 23685249 26690121 47343170 89026407 207149876 0 0 0 207149876 5936 992 693 13001 2212 22834 5936 992 693 13001 2212 22834 44577 44577 20410865 23686241 26690814 47356171 89073196 207217287 0.99970 0.99970 0.00010 0.00030 X 6110 6110 0 0 X 53475231 -35597965 -35597965 89073196 0 89073196 51416656 0 51416656 35597965 35597965 87014621 PART X, LINE 2: THE COMPANY FOLLOWS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESS DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. THE COMPANY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND STATE OF MARYLAND. AS OF AND FOR THE YEAR ENDED JUNE 30, 2014, THERE ARE NO MATERIAL UNRECOGNIZED/DERECOGNIZED TAX BENEFITS OR TAX PENALTIES OR INTEREST. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL (STATE, LOCAL, OR NON- U.S.) INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -35,597,965. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 35,597,965. EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES EDUCATION CLASS 95893 0 0 0 0 0 0 95893 0 95893 0 0 0 0 0 0 1 UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES PA 110 SOUTH PACA STREET 6TH FLOOR SUITE 200 BALTIMORE MD 21201 521403415 501(C)(3) 1000000 RESEARCH 1 0 PART I, LINE 2: THE GRANT IS GIVEN TO A RELATED ORGNAIZATION AND THE BOARD MONITORS THE FUNDS THROUGH THE RELATED ORGANIZATION. X X X X 0 0 0 0 0 0 0 0 0 DR BRIAN J BROWNE MD PRESIDENT/TRUSTEE 0 210381 0 68450 0 0 0 1833 0 64975 0 345639 0 0 LAURA PIMENTEL CHIEF MEDICAL OFFICER 154041 0 63741 0 0 0 11304 0 6745 0 235831 0 0 0 DANIEL GRIFFITH DIRECTOR OF FINANCE 102238 68158 16800 11200 0 0 8809 5872 14434 9622 142281 94852 0 0 MICHAEL D JOYCE DIRECTOR 363157 0 68072 0 0 0 8925 0 21927 0 462081 0 0 0 DEBORAH DAVIS DIRECTOR 315393 0 82086 0 0 0 19125 0 26834 0 443438 0 0 0 FERMIN BARRUETO JR DIRECTOR 326823 0 59098 0 0 0 19125 0 27562 0 432608 0 0 0 DOUGLAS MAYO DIRECTOR 290179 0 93565 0 0 0 19125 0 23196 0 426065 0 0 0 FRANK CIOCCI DIRECTOR 309158 0 79441 0 0 0 19125 0 24449 0 432173 0 0 0 JANE WANG DIRECTOR 305054 0 72759 0 0 0 19125 0 23178 0 420116 0 0 0 HECTOR RIVERA DIRECTOR 275160 0 71985 0 0 0 19125 0 16587 0 382857 0 0 0 PAUL THOMAS LYONS DIRECTOR 221350 0 51093 0 0 0 8331 0 10091 0 290865 0 0 0 LOUISETTE VEGA DIRECTOR 196661 0 52516 0 0 0 8925 0 27655 0 285757 0 0 0 STEVEN BENTMAN DIRECTOR 188444 0 74178 0 0 0 19125 0 27772 0 309519 0 0 0 BRANDON COLE DIRECTOR 201878 0 58522 0 0 0 19125 0 10307 0 289832 0 0 0 MICHAEL GIORDANO DIRECTOR 200074 0 53993 0 0 0 19004 0 18211 0 291282 0 0 0 TIMOTHY CHIZMAR DIRECTOR 196360 0 35504 0 0 0 17628 0 16981 0 266473 0 0 0 KIMMIE CASS DIRECTOR 194971 0 33890 0 0 0 17672 0 21082 0 267615 0 0 0 RAVIKIRAN CHERUKURI PHYSICIAN 304395 0 72635 0 0 0 19125 0 22661 0 418816 0 0 0 SALVATORE VERTERAMO PHYSICIAN 245790 0 104207 0 0 0 8925 0 22661 0 381583 0 0 0 ESKINDER AFEWORK PHYSICIAN 232459 0 132272 0 0 0 21121 0 26729 0 412581 0 0 0 ALCHRISTIAN VILLARUZ PHYSICIAN 244595 0 98793 0 0 0 19125 0 10307 0 372820 0 0 0 NORBERT STRAUB PHYSICIAN 259296 0 81006 0 0 0 19125 0 23287 0 382714 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 ALL MEMBERS OF THE GOVERNING BODY RECEIVE A COPY OF FROM 990 BY EMAIL AND AT THE BOARD MEETING PRECEDING THE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO DIRECTORS AND OFFICERS OF MEMN. A VOLUNTEER IS ALSO COVERED UNDER THIS POLICY IF THAT PERSON HAS BEEN GRANTED SIGNIFICANT INDEPENDENT DECISION MAKING AUTHORITY WITH RESPECT TO FINANCING OR OTHER RESOURCES OF MEMN. PERSONS COVERED UNDER THIS POLICY ARE HEREINAFTER REFERRED TO AS "INTERESTED PARTIES." WHENEVER THERE IS REASON TO BELIEVE THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS BETWEEN MEMN AND/OR AN INTERESTED PARTY, THE BOARD OF DIRECTORS SHALL DETERMINE THE APPROPRIATE ORGANIZATIONAL RESPONSE. WHERE THE ACTUAL OR POTENTIAL CONFLICT INVOLVES AN EMPLOYEE OF MEMN OTHER THAN THE CEO, THE CEO SHALL, IN THE FIRST INSTANCE, BE RESPONSIBLE FOR REVIEWING THE MATTER AND MAY TAKE APPROPRIATE ACTION AS NECESSARY TO PROTECT THE INTEREST OF MEMN. THE CEO SHALL REPORT TO THE CHAIRMAN THE RESULTS OF ANY REVIEW AND THE ACTION TAKEN. THE CHAIRMAN, IN CONSULTATION WITH THE AUDIT COMMITTEE, SHALL DETERMINE IF ANY FURTHER BOARD REVIEW OR ACTION IS REQUIRED. WHERE AN ACTUAL OR POTENTIAL CONFLICT EXISTS BETWEEN THE INTEREST OF MEMN AND AN INTERESTED PARTY WITH RESPECT TO A SPECIFIC PROPOSED ACTION OR TRANSACTION, MEMN SHALL REFRAIN FROM THE PROPOSED ACTION OR TRANSACTION UNTIL SUCH TIME AS THE PROPOSED ACTION OR TRANSACTION HAS BEEN APPROVED BY THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMN. AN INTERESTED PARTY WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED ACTION OR TRANSACTION FOR MEMN SHALL NOT PARTICIPATE IN ANY WAY IN, OR BE PRESENT DURING, THE DELIBERATIONS AND DECISION MAKING OF MEMN WITH RESPECT TO ANSWERING QUESTIONS OR PROVIDING MATERIAL FACTUAL INFORMATION ABOUT THE PROPOSED ACTION OR TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, A COMPENSATION COMMITTEE REVIEWS AND DOCUMENTS THE CURRENT MARKET, COMPENSATION SURVEYS AND AN INDEPENDANT COMPENSATION CONSULTANT TO DETERMINE COMPENSATION FOR THE COMPANY'S EXECUTIVE LEADERSHIP. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABE TO THE PUBLIC UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). EASTERN SHORE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522147800 EM PHYSICIAN SERVICE MD 18725016 2257811 MARYLAND EMERGENCY MEDICINE NETWORK INC UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 520608005 EM PHYSICIAN SERVICE MD 27418313 5617710 MARYLAND EMERGENCY MEDICINE NETWORK INC MARYLAND EMERGENCY MEDICINE NETWORK PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 352439501 EM PHYSICIAN SERVICE MD 41766034 6818800 MARYLAND EMERGENCY MEDICINE NETWORK INC EMERGENCY MEDICINE NETWORK MANAGEMENT LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522157140 EM SERVICE MANAGEMENT MD 0 536192 MARYLAND EMERGENCY MEDICINE NETWORK INC MARYLAND EMERGENCY MEDICINE CRITICAL CARE LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 274549948 EM SERVICE WEBCAST MD 13680 3013 MARYLAND EMERGENCY MEDICINE NETWORK INC WASHINGTON COUNTY EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522095874 EM PHYSICIAN SERVICE MD 0 5888 MARYLAND EMERGENCY MEDICINE NETWORK INC WEST BALTIMORE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522147801 EM PHYSICIAN SERVICE MD 1119256 489649 MARYLAND EMERGENCY MEDICINE NETWORK INC UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES PA 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 521403415 ACADEMIC EM PROGRAM MD 501(C)(3) LINE 9 MARYLAND EMERGENCY MEDICINE NETWORK INC 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0