2014-05-09T18:36:41-05:00 2013-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2012-07-01 521542230 HH Medstar Health Inc % MARC BERGER HHME 4107726719 5565 Sterrett Place 5th Floor Suite Columbia MD 21044 MARC R BERGER 4107726719 2014-05-08 true 7032868000 2012 2015-11-30 17:44:51Z Kenneth Samet 5565 Sterrett Place Columbia MD 21044 245899698 false X N/A X 1987 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 5 0 1341 0 0 0 0 5070 215333673 243014035 -157998 -31423 2302819 2871431 217478494 245859113 0 0 0 0 109486675 123160552 0 0 0 116359246 130533237 225845921 253693789 -8367427 -7834676 75764249 106543265 347066278 277463473 -271302029 -170920208 X THE MISSION OF MEDSTAR HEALTH, INC. (MEDSTAR), IS TO SERVE OUR PATIENTS, THOSE WHO CARE FOR THEM, AND OUR COMMUNITIES. FOR MORE INFORMATION, SEE SCHEDULE O. false false 237204020 243014035 HH MEDSTAR HEALTH, INC.'S SOLE PROGRAM SERVICE IS TO PROVIDE MANAGEMENT AND SUPPORT TO MEDSTAR HEALTH, INC. AND ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE FUNCTIONS INCLUDING FINANCIAL SERVICES AND INFORMATION SYSTEMS. 237204020 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 0 0 true 1341 true false false false false false false false false false false false X 5 0 false false false false true true true true true false false true true true true true true false X MARC BERGER 4107726719 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 X KENNETH A SAMET 1.0 39.0 X X 0 3794743 59637 MICHAEL J CURRAN 1.0 39.0 X X 0 2004430 32071 ERIC R WAGNER 1.0 39.0 X X 0 950704 40649 WILLIAM L THOMAS MD 1.0 39.0 X X 0 1696690 52066 STEPHEN RT EVANS MD 1.0 39.0 X X 0 776646 37309 KERRY PREWITT 40.0 0.0 X 596442 0 18804 JOHN MARTIN 40.0 0.0 X 607277 0 19884 JON HUPP 40.0 0.0 X 606137 0 19814 BERNARD WAGMAN 40.0 0.0 X 604611 0 8458 BENJAMIN LEE 40.0 0.0 X 594837 0 19884 3009304 9223213 308576 199 false true false DELL PEROT SYSTEMS 7489 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT CONSULTING 27844810 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 641412702 IT CONSULTING 13788308 DELOITTE CONSULTING LLP PO BOX 7247-6447 PHILADELPHIA PA 19170 CONSULTING SERVICES 3115041 ADVANCED COMPUTER CONCEPTS 7927 JONES BRANCH DRIVE SUITE 600 N MCLEAN VA 22102 IT CONSULTING 2948669 MAXIT HEALTHCARE LLC PO BOX 223866 PITTSBURGH PA 15251 IT CONSULTING 2458741 95 5070 5070 MANAGEMENT FEES 900099 174683772 174683772 NET PATIENT SERVICE REVENUE 900099 68330263 68330263 243014035 9162 9162 0 0 0 0 0 40585 -40585 -40585 -40585 0 0 0 0 MISCELLANEOUS REVENUE 900099 2871431 2871431 2871431 245859113 243014035 0 2840008 0 0 0 0 0 0 105198481 96113270 9085211 2009959 1666721 343238 9823293 9719638 103655 6128819 5931797 197022 822371 455663 366708 0 3200 3200 0 0 0 65322558 61845067 3477491 656973 645993 10980 1786120 1684813 101307 8116986 8116933 53 0 7853558 7008970 844588 842137 780817 61320 0 347135 277428 69707 11 11 0 0 3268050 3268050 1661038 777784 883254 MAINTENANCE CONTRACTS 28476879 28474507 2372 UTILITIES 5378665 5260605 118060 MED/SURG SUPPLIES 1489369 1171751 317618 DRUGS/PHARMACEUTICALS 1536934 1536934 2971253 2464068 507185 253693789 237204020 16489769 0 3294543 28336205 0 0 0 0 7223926 14506818 0 0 0 0 1978153 1960053 7990 8639605 7909816 1477472 51739355 4126877 50347998 47612478 0 0 0 0 0 0 4339092 969764 662731 3040870 75764249 106543265 62112846 79135323 0 0 4779624 4190789 0 0 0 0 0 0 0 0 0 0 280173808 194137361 347066278 277463473 X -271302029 -170920208 0 0 0 0 -271302029 -170920208 75764249 106543265 X -7834676 108216497 X false true X true false X X false false false BAY LIFE SERVICES 521496539 04 true 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 03 true 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 03 true 0 GS HOUSING INCORPORATED 521481656 04 true 0 GOOD SAMARITAN NURSING CENTER INCORPORATED 521672866 04 true 0 HARBOR HOSPITAL INC 520491660 03 true 0 MEDSTAR HEALTH INC 522087445 0 true 0 THE UNION MEMORIAL HOSPITAL 520591685 03 true 0 8 53926 53926 91530 61472 30058 299996 33926 266070 51293904 4031480 47262424 47612478 0 PENSION LIABILITY 158282466 INSURANCE 10663670 TAXES 7061695 OTHER LIABILITY 126047 INTERCOMPANY PAYABLES 17461184 STOCK OPTION PLAN 542299 194137361 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, 2013. false true false false false false false false false KENNETH A SAMET 0 1264204 0 1589134 0 941405 0 40108 0 19529 0 3854380 0 208524 MICHAEL J CURRAN 0 790433 0 783161 0 430836 0 12525 0 19546 0 2036501 0 51445 ERIC R WAGNER 0 476189 0 474515 0 0 0 22527 0 18122 0 991353 0 0 WILLIAM L THOMAS MD 0 521977 0 577311 0 597402 0 32965 0 19101 0 1748756 0 143158 STEPHEN RT EVANS MD 0 587529 0 189117 0 0 0 14327 0 22982 0 813955 0 0 KERRY PREWITT 256801 0 339641 0 0 0 6477 0 12327 0 615246 0 0 0 JOHN MARTIN 423060 0 184217 0 0 0 7350 0 12534 0 627161 0 0 0 JON HUPP 421920 0 184217 0 0 0 7350 0 12464 0 625951 0 0 0 BERNARD WAGMAN 424118 0 180493 0 0 0 7350 0 1108 0 613069 0 0 0 BENJAMIN LEE 415473 0 179364 0 0 0 7350 0 12534 0 614721 0 0 0 SUPPLEMENTAL RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B MSSRS. SAMET, CURRAN, AND THOMAS' OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $928,678, $430,836, AND $597,402 RESPECTIVELY, REPRESENTING THEIR BENEFITS RECEIVED FROM SUPPLEMENTAL RETIREMENT PLANS, WHICH WERE EARNED DURING THE PAST 24, 12, AND 18 YEARS OF SERVICE RESPECTIVELY. A PORTION OF THESE AMOUNTS, $208,524, $51,445, AND $143,158, RESPECTIVELY, WAS ALSO REPORTED ON FORM 990 IN PRIOR YEARS. ORGANIZATION'S MISSION PART III, LINE 1 MEDSTAR IS THE CONTROLLING ENTITY OF AN INTEGRATED HEALTH SERVICES ORGANIZATION (THE SYSTEM) OFFERING A WIDE VARIETY OF HEALTHCARE SERVICES TO RESIDENTS OF THE BALTIMORE-WASHINGTON, D.C. REGION (COMPRISING BALTIMORE CITY, ELEVEN COUNTIES IN MARYLAND, AND THE DISTRICT OF COLUMBIA). IT IS THE AREA'S LARGEST HEALTH SYSTEM AND ONE OF THE REGION'S LARGEST EMPLOYERS, WITH APPROXIMATELY 30,000 ASSOCIATES AND 6,000 AFFILIATED PHYSICIANS. THROUGH ITS HOSPITALS, OUTPATIENT FACILITIES, PHYSICIAN ORGANIZATIONS, AND OTHER HEALTH SERVICES AFFILIATES, THE SYSTEM OFFERS A BROAD CONTINUUM OF HEALTHCARE SERVICES INCLUDING ACUTE CARE (SECONDARY, TERTIARY AND QUATERNARY), PRIMARY CARE, EMERGENCY/URGENT CARE, REHABILITATION (HOSPITAL-BASED AND OUTPATIENT), POST ACUTE CARE, AMBULATORY SURGERY, HOME CARE, ADULT DAY CARE, HEALTH PROMOTION AND WELLNESS, AND MEDICAL RESEARCH AND EDUCATION. THE SYSTEM OPERATES THE LARGEST HOME HEALTH BUSINESS IN THE REGION WITH APPROXIMATELY 223,000 VISITS IN FISCAL 2013 AND MEDSTAR FAMILY CHOICE, A MEDICARE AND MEDICAID MANAGED CARE COMPANY, THAT COVERED OVER 44,100 LIVES AT JUNE 30, 2013. THE SYSTEM'S PHYSICIAN NETWORK INCLUDES APPROXIMATELY 1,300 FULL-TIME EQUIVALENT EMPLOYED PHYSICIANS. THE SYSTEM OFFERS SPECIALIZED SERVICES THAT INCLUDE CARDIAC SURGERY, NEUROLOGY, ORGAN TRANSPLANTATION, NEONATAL INTENSIVE CARE, CANCER CARE, SHOCK/TRAUMA, BURN CARE AND HAND SURGERY. MEDSTAR HEALTH RESEARCH INSTITUTE IS THE RESEARCH ARM FOR MEDSTAR, PROVIDING SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH PROGRAMS THAT COMPLEMENT THE KEY CLINICAL SERVICES AND TEACHING PROGRAMS IN ALL HOSPITALS IN THE SYSTEM. MEDSTAR HAS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY, TRAINING APPROXIMATELY 1,100 MEDICAL RESIDENTS ANNUALLY, AND IS THE MEDICAL EDUCATION AND CLINICAL PARTNER OF GEORGETOWN UNIVERSITY. MEDSTAR ESTABLISHED AN INNOVATION ALLIANCE WITH THE CLEVELAND CLINIC TO BENEFIT PATIENTS THROUGH COLLABORATION ON RESEARCH, CLINICAL INVESTIGATION AND COMMERCIALIZATION. IN FISCAL YEAR 2013, MEDSTAR HEALTH'S HOSPITALS HAD 150,681 INPATIENT ADMISSIONS, 2,418,522 OUTPATIENT VISITS, AND 551,292 EMERGENCY VISITS. APPROVAL OF DECISIONS OF THE 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 PART VI, LINE 12C POLICY 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) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO 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 POLICY 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 - NET ASSETS..................$ 44,979,236 ADDITIONAL MINIMUM PENSION LIABILITY...........$ 63,229,072 CONTRIBUTION FOR PROPERTY .....................$ 8,109 ============= TOTAL: $ 108,216,497 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. 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