2015-05-11T07:25:32-05:00 2014-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2013-07-01 522087445 Medstar Health Inc % JOEL BRYAN MEDS 4107726719 5565 STERRETT PLACE 5TH FLOOR Suite COLUMBIA MD 21044 Joel Bryan Vice President/Treasurer 4107726721 2015-04-30 true Margaret A Bradshaw P00501222 4107726721 2013 2016-02-25 16:41:14Z KENNETH A SAMET 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 195315774 false X WWW.MEDSTARHEALTH.ORG X 1998 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 16 14 337 276 111202 110202 297201 5499556 38513193 68375638 57084387 109711221 2560881 11729359 98455662 195315774 0 0 0 0 50496067 84354220 0 0 0 45881762 35641020 96377829 119995240 2077833 75320534 1908887923 2176542391 1553531705 1596652258 355356218 579890133 X The mission of MedStar Health, Inc. (MedStar), a Maryland non-stock membership corporation, 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), po false false 119995240 0 68375638 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. 119995240 true true false true false false false false false false true true false true true true false true false false false false false false false false false false false true true false false false false false false false false false true false false false false true true true true false false true 1961 0 true 337 true true true true CJ false false false false false false false false false X 16 14 true false false 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 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 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 EDWARD S CIVERA CHAIR 1.0 0.0 X 0 0 0 BARBARA R HELLER DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM J OETGEN JR 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 WILLIAM COUPER DIRECTOR 1.0 0.0 X 0 0 0 DONOVAN DIETRICK DIRECTOR 1.0 39.0 X 0 266342 23731 KENNETH A SAMET ceo & PRESIDENT 40.0 0.0 X X 3334799 0 61007 John Kirpatrick Director 1.0 0.0 X 0 0 0 Michael Curran EVP & CFO 40.0 0.0 X 1839532 0 33533 Stephen Evans EVP 40.0 0.0 X 914704 0 41300 Joy Drass EVP 40.0 X 1613176 0 42101 Carl Schindelar EVP 40.0 X 1055835 0 49352 Oliver Johnson EVP 40.0 0.0 X 906460 0 26644 Eric Wagner EVP 40.0 0.0 X 1397969 0 43246 Christine Swearingen EVP 40.0 0.0 X 789503 0 51187 Catherine Szenczy SVP 40.0 0.0 X 699344 0 23209 David Noe VP 40.0 0.0 X 587585 0 29812 Bruce Bartoo VP 40.0 0.0 X 512552 0 20458 Edward Robinson VP 40.0 0.0 X 534126 0 26945 Susan Nelson VP 40.0 0.0 X 519115 0 24789 Maureen McCausland SVP 40.0 0.0 X 612067 0 30312 DAVID MAYER VP 40.0 0.0 X 577099 0 12637 William Thomas FORMER OFFICER 40.0 0.0 X 310921 0 7629 16204787 266342 547892 16 true true false CERASOLI STAFFORD MEDIA MGMT 2251 San Diego Avenue Suite A-130 SAN DIEGO CA 92110 Media Mgmt Services 3803034 KPMG LLP DEPT 0939 PO BOX 120001 DALLAS TX 753120939 ACCOUNTING SERVICES 2506961 VENABLE LLP PO BOX 62727 BALTIMORE MD 212642727 Legal Services 2295404 ERNST YOUNG PO BOX 933515 ATLANTA GA 311933515 project mgmt svcs 2192153 HEALTHY COMPANIES INTL HCI 2101 Wilson Boulevard suite 1002 ARLINGTON VA 22201 Consulting Services 1644085 29 199910 5299646 5499556 GREENSPRING FEE 900099 50885922 50885922 OTHER MANAGEMENT FEES 900099 17489716 17489716 68375638 51431693 111202 51320491 0 0 0 0 0 58279528 58279528 58279528 58279528 0 0 0 0 REBATE INCOME 900099 2515472 2515472 OTHER INCOME/LOSS 900099 9213887 9213887 11729359 195315774 68375638 111202 121329378 X 0 0 0 0 13557780 13557780 0 58770922 58770922 1375202 1375202 7645554 7645554 3004762 3004762 -7872181 -7872181 7536826 7536826 2104455 2104455 0 0 0 26955048 26955048 5399468 5399468 1706237 1706237 57334 57334 0 3266612 3266612 1011072 1011072 0 162912 162912 192773 192773 0 1071448 1071448 320420 320420 MAINTENANCE CONTRACTS 718230 718230 MED/SURG SUPPLIES 553614 553614 MAINTENANCE 537863 537863 UTILITIES 435499 435499 0 0 -8516610 -8516610 119995240 119995240 0 0 0 0 292876449 378801824 0 0 3810261 4431758 0 0 0 0 0 0 275078 230832 2102942 1595317 22100154 9841264 21522819 12258890 0 0 1296330427 1424980362 0 0 114402599 114402599 177567348 239840809 1908887923 2176542391 77084201 177969549 0 0 321498 12443833 1256265619 1107374394 0 0 0 0 0 0 0 0 219860387 298864482 1553531705 1596652258 X 352352261 577229555 3003957 2660578 0 0 355356218 579890133 1908887923 2176542391 X 75320534 22214396 126998985 X false true X true false X X false false false THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 03 true 0 THE UNION MEMORIAL HOSPITAL 520591685 03 true 0 MEDSTAR-GEORGETOWN MEDICAL CENTER INC 522218584 03 true 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 03 true 0 HARBOR HOSPITAL INC 520491660 03 true 0 WASHINGTON HOSPITAL CENTER CORPORATION 521272129 03 true 0 NATIONAL REHABILITATION HOSPITAL INC 521369749 03 true 0 MEDSTAR HEALTH RESEARCH INSTITUTE INC 526056274 04 true 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC 530196597 04 true 0 MONTGOMERY GENERAL HOSPITAL INC 520646893 03 true 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC 520619006 03 true 0 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC 460726303 03 true 0 12 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 728825 728825 false Other Activities Part IV, Supplemental Information 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. 6212198 6212198 845262 155225 690037 4934712 3471242 1463470 8128483 6159327 1969156 1979499 55470 1924029 12258890 PNC POOL AND OTHER UNR. FUNDS 843827716 F INVESTMENT IN AFFILIATES 467935759 F MARKETABLE INVESTMENTS 61610000 F BOARD DESIGNATED/OTHER RESTR. 51606887 F 1424980362 DEBT SERVICE L/T 57195039 DEFERRED TAX ASSET 24783148 DEFERRED FINANCING COST 13108440 DEFERRED COMPENSATION ASSET 21742434 OPTION IT ASSET 8083975 CASH SURRENDER VALUE - INS 1973714 INTERCOMPANY RECEIVABLES 96171941 OTHER ASSETS 16782118 239840809 0 PENSION LIABILITY L/T 87395591 PROFESSIONAL LIAB. IBNR 21296391 L/T LIABILITY - SWAP 14704718 DEFERRED COMPENSATION 21776210 STOCK OPTION PLAN 7002528 WORKERS COMP 1247616 OTHER LIABILITIES 15602603 LOANS PAYABLE L/T 129838825 298864482 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, 2014. X false true X X X X X X false false false false false false false false false DONOVAN DIETRICK DIRECTOR 0 266342 0 0 0 0 0 12259 0 11472 0 290073 0 0 KENNETH A SAMET ceo & PRESIDENT 1447427 0 1873804 0 13568 0 41896 0 19111 0 3395806 0 0 0 Michael Curran EVP & CFO 921169 0 918363 0 0 0 12934 0 20599 0 1873065 0 0 0 William Thomas FORMER OFFICER 24246 0 257378 0 29297 0 7500 0 129 0 318550 0 0 0 Stephen Evans EVP 513174 0 401530 0 0 0 14825 0 26475 0 956004 0 0 0 Joy Drass EVP 831446 0 781730 0 0 0 26326 0 15775 0 1655277 0 0 0 Carl Schindelar EVP 627404 0 428431 0 0 0 29859 0 19493 0 1105187 0 0 0 Oliver Johnson EVP 476224 0 430236 0 0 0 7500 0 19144 0 933104 0 0 0 Eric Wagner EVP 751715 0 646254 0 0 0 23435 0 19811 0 1441215 0 0 0 Christine Swearingen EVP 407233 0 382270 0 0 0 34583 0 16604 0 840690 0 0 0 Catherine Szenczy SVP 399348 0 299996 0 0 0 7500 0 15709 0 722553 0 0 0 David Noe VP 356818 0 230767 0 0 0 15453 0 14359 0 617397 0 0 0 Bruce Bartoo VP 314880 0 197672 0 0 0 0 0 20458 0 533010 0 0 0 Edward Robinson VP 343669 0 190457 0 0 0 7066 0 19879 0 561071 0 0 0 Susan Nelson VP 324288 0 194827 0 0 0 7500 0 17289 0 543904 0 0 0 Maureen McCausland SVP 346579 0 265488 0 0 0 7500 0 22812 0 642379 0 0 0 DAVID MAYER VP 402958 0 174141 0 0 0 0 0 12637 0 589736 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR TWO 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. A MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES 520936091 574217MW2 2004-02-03 168903884 Advance refund bonds issued 2001 false false false B MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES 520936091 574217C60 2007-01-31 148551201 Construct FSH hospital patient tow false false false C MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES 536001131 2548393Y7 2008-05-15 283137423 Current refund bonds issued 1998 false false false D MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES 520936091 574218DY6 2011-11-17 47805502 Current refund bank debt false false false A 18915000 0 168903884 12869427 0 166098335 2616729 0 0 0 0 0 2001 false true true true B 0 0 164008124 0 31362309 0 1806668 0 0 130839147 0 0 2010 false false true true C 30475000 0 283137423 0 0 283137423 0 0 0 0 0 0 1998 true false true true D 2125000 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 0.00000 0.00000 0.00000 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 July 14, 2014 Part IV, Line 2c, Column B: Rebate computed as of July 8, 2014 Part IV, Line 2c, Columns C & D: Rebate computed as of July 9, 2014 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 9, 2014 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 MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES 520936091 574218EA7 2011-11-17 20477518 Current refund bonds issued 1998 false false false B MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES 520936091 574218DV2 2011-11-17 15007304 Current refund bonds issued 2002 false false false C Maryland Health and Higher Educational Facilities 520936091 574218DY6 2011-11-17 15206131 Current refund bonds issued 2009 false false false D Maryland Health and Higher Educational Facilities 520936091 2012-06-27 38620000 Current refund bonds issued 1998 false false false A 4645000 0 20477518 0 0 20235000 242518 0 0 0 0 0 1998 true false true true B 2005000 0 15007304 0 0 14826474 180830 0 0 0 0 0 2003 false true true true C 405000 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 0.00000 0.00000 0.00000 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 Maryland Health and Higher Educational Facilities 520936091 574218NS8 2013-03-21 75951460 Hospital capital expenditures false false false B Maryland Health and Higher Education Facilities 520936091 574218NU2 2013-03-21 52709030 Current refund bonds issued in 199 false false false C Maryland Health and Higher Educational Facilities 520936091 574218PJ6 2013-05-21 159366620 Acquisition of So. Maryland Hosp. 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 A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B 0 C false false false false 0.00000 0.00000 0.00000 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 A true B true C true SURGICAL ADVISORY GROUP LLC SEE PART V CONSULTING SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV DR. JOHN KIRKPATRICK, A BOARD MEMBER OF MEDSTAR HEALTH IN FISCAL YEAR 2014, OWNS MORE THAN 5% OF THE SURGICAL ADVISORY GROUP, LLC (SAG), WHICH PROVIDES CONSULTING SERVICES TO MEDSTAR HEALTH. SAG'S GROSS REVENUES RECEIVED FROM MEDSTAR HEALTH FOR THE YEAR WAS $0.2 MILLION. FAMILY/BUSINESS RELATIONSHIP PART VI, LINE 2 KENNETH SAMET AND MARC DUBER, BOARD MEMBERS OF MEDSTAR HEALTH, BOTH SERVE ON THE BOARD OF AN UNRELATED CORPORATION. THE UNRELATED CORPORATION DOES NOT TRANSACT ANY BUSINESS WITH MEDSTAR HEALTH. 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....................$ 8,488,514 EQUITY TRANSFERS - NET ASSETS...........................$ 122,529,664 TRNA - PLEDGE RECEIVABLE................................$ (396,700) RELATED ENTITY'S EXP/REV................................$ (3,622,493) ============ TOTAL $ 126,998,985 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:16265572 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:9683525 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICE FEES TOTAL FEES:126823 FORM 990 PART IX LINE 11G DESCRIPTION:ASSEMBLY REPRESENTATION TOTAL FEES:258099 FORM 990 PART IX LINE 11G DESCRIPTION:PRINTING SERVICES TOTAL FEES:150327 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:268082 FORM 990 PART IX LINE 11G DESCRIPTION:ALL OTHER TOTAL FEES:202620 MEDSTAR SPORTSHEALTH LLC 5565 Sterrett Place Columbia MD 21044 Healthcare MD 0 MEDSTHEALTH MEDSTAR LLC 5565 STERRET PLACE 5TH FLOOR COLUMBIA MD 21044 453113462 SUPPORT ORG MD 0 MEDSTHEALTH MEDSTAR SOUTHERN MD MANAGEMENT LLC 5565 STERRET PLACE 5TH FLOOR Columbia MD 21044 462700536 SUPPORT ORG MD 18043664 19749571 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) 3 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) 11b II NA true MEDSTAR AMBULATORY SERVICES INC 5565 Sterrett Place 5th Floor Columbia MD 21044 521132992 Foundation 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 Medical Fund 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) 11a I 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 Union Memorial Hospital Foundation Inc 201 East University 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