2014-05-08T15:42:58-05:00 2013-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2012-07-01 520619006 ST MARYS HOSPITAL OF ST MARYS COUNTY INC % MARC BERGER STMA 3014756003 25500 POINT LOOKOUT ROAD Suite LEONARDTOWN MD 20650 Marc R Berger 4107726719 2014-05-08 true 7032868000 2012 2015-11-30 17:44:51Z MedStar St Mary's Hospital CHRISTINE WRAY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 135834935 false X WWW.STMARYSHOSPITALMD.ORG X 1912 MD AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR ST. MARY'S HOSPITAL UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. 21 17 1315 17 0 0 521104 1299576 136184752 132527634 71691 52722 -115152 1955003 136662395 135834935 0 0 0 0 62939991 67346254 0 0 0 64405495 55852198 127345486 123198452 9316909 12636483 154491599 130625509 31194276 20626874 123297323 109998635 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR ST. MARY'S HOSPITAL'S (MSMH) MISSION IS TO UPHOLD ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING QUALITY CARE, PATIENT SAFETY AND FISCAL INTEGRITY. MSMH IS LOCATED IN LEONARDTOWN, MD, IN SOUTHERN MARYLAND. IN FISCAL YEAR 2013, MSMH HAD 8,591 INPATIENT ADMISSIONS, 101,104 OUTPATIENT VISITS, AND 56,482 EMERGENCY VISITS. false false 100122252 0 132527634 MEDSTAR ST. MARY'S HOSPITAL'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF ST. MARY'S COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MSMH INCURRED $15.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MSMH PROVIDES GENERAL, ACUTE CARE SERVICES IN MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPAEDICS, PULMONARY AND CARDIAC REHABILITATION, AND PSYCHIATRY.FOR MORE INFORMATION, SEE SCHEDULE O. 4685695 0 0 MEDSTAR ST. MARY'S HOSPITAL PROVIDED $4.7M IN CHARITY CARE SERVICES IN FISCAL YEAR 2013. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOME IS BELOW CERTAIN THRESHOLDS AND FOR WHICH THE HOSPITAL IS NOT COMPENSATED. UNDER MARYLAND'S UNIQUE PAYER SYSTEM, THE AMOUNT REPORTED REPRESENTS MSMH'S CHARITY CARE EXPENSE. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. 3065186 0 0 MEDSTAR ST. MARY'S HOSPITAL PROVIDED $3.1M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2013. 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 INCLUDE MOBILE PRIMARY CARE SERVICES AND EMERGENCY AND TRAUMA SERVICES. 107873133 true true false false false false false false false false true false false true true true false true false false false false false false true false true true false false true true false false false false false false false false false true false false false false false true true true false false true 175 0 true 1315 true false false false false false false false false false false X 21 17 false false false false true true true true true false false true true true true true true true true true true MD X MARC BERGER 4107726719 5565 STERRETT PLACE 5TH FL COLUMBIA MD 21044 X AVANI D SHAH MD 1.0 X 0 0 0 CHRISTINE WRAY 39.0 1.0 X X 680571 0 24336 KENNETH A SAMET 1.0 39.0 X 0 3794743 59637 HAROLD LEE MD 3.0 X 0 0 0 BARBARA R THOMPSON 1.0 X 0 0 0 JANE H SYPHER 1.0 X 0 0 0 LEWIE ALDRIDGE JR 1.0 X 0 0 0 PAUL M BARBER 3.0 X 74601 0 0 ANTHONY V BRANCH 1.0 X 0 0 0 DONALD CATHER JR 1.0 X 0 0 0 LINDA DUDDERAR 1.0 X 0 0 0 MARY LEIGH HARLESS 1.0 X 0 0 0 JOHN MCALLISTER 1.0 X 0 0 0 KAREN OWENS 1.0 X 0 0 0 DONALD SIRK 40.0 X 198694 0 533 R TIMOTHY STORCH 1.0 X 0 0 0 PATTY VERNON RUSHER 1.0 X 0 0 0 JENNIFER BLAKE 1.0 X 0 0 0 CHRISTINA L BROOM 1.0 X 0 0 0 MELANIE L GUERRERO MD 1.0 X 0 0 0 KRISHNA P JAYARAMAN MD 1.0 X 0 0 0 RICHARD BRAAM 39.0 1.0 X 326551 0 23157 STEPHEN MICHAELS 40.0 X 394669 0 12516 JOAN GELRUD 40.0 X 250776 0 22140 MARK BOUCOT 40.0 X 210423 0 15393 MARYLOU WATSON 40.0 X 240955 0 23317 AMIR KHAN MD 40.0 X 542236 0 12335 PATRICIA GURNY MD 40.0 X 308560 0 9365 ROBERT KONKOL MD 40.0 X 430745 0 9657 MARK WHITTEN 40.0 X 522928 0 8017 BRUCE GIBSON 40.0 X 385716 0 12248 4567425 3794743 232651 63 false true false NURSEFINDERS PO BOX 910738 DALLAS TX 753910738 Contract Tech/Nurse 958662 KIWI-TEK LLC PO BOX 1627 INDIANAPOLIS IN 462061627 HIM-SCANNING OF MED. 521224 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 OUTSIDE LAB. TESTING 423210 MARC RAPHAELSON MD PA 224-D CORNWALL STREET NW LEESBURG VA 20176 Neurology SERVICES 351875 CHESAPEAKE DOCUMENT SERVICE 24 INDUSTRIAL PARK DR SUITE 3 WALDORF MD 20604 SCANNING 287379 6 16350 1283226 6375 1299576 NET PATIENT SERVICE REVENUE 900099 130862196 130862196 OTHER OPERATING REVENUE 900099 1665438 1665438 132527634 52722 0 52722 0 0 92063 92063 0 92063 92063 0 1680 16350 0 1680 1680 0 0 EQUITY IN EARNINGS OF AFFILIATES 900099 397383 397383 ASSETS RELEASED FROM RESTRICTION 900099 -231124 -231124 OTHER NONOPERATING INCOME 900099 1262001 1262001 433000 433000 1861260 135834935 132527634 0 2007725 0 0 0 0 2498632 2292245 206387 0 54965326 50424711 4540615 372249 341498 30751 5507415 5052456 454959 4002632 3671981 330651 0 95923 15000 80923 28452 0 28452 0 0 0 0 448495 62027 386468 1254227 1096159 158068 3111329 2616738 494591 0 0 153392 112334 41058 0 0 1247351 0 1247351 0 8265495 4364760 3900735 1031673 903875 127798 SUPPLIES 20320782 20083863 236919 0 PURCHASED SERVICES 6753738 5038849 1714889 CONTRACTED SERVICES 4215228 4215228 0 POOLED/CORPORATE SHARED SVCS 2268447 0 2268447 6657666 7581409 -923743 123198452 107873133 15325319 0 44901919 19613502 0 0 0 0 20598037 20790528 0 0 0 0 376521 2965085 2594447 2581118 670396 1041253 138224329 66039913 74914486 72184416 5381826 1513774 0 0 0 0 0 0 5053967 9935833 154491599 130625509 8924909 9116099 0 0 0 0 2399187 1246628 0 0 0 0 0 0 0 0 19870180 10264147 31194276 20626874 X 121807656 109184485 1389667 714150 100000 100000 123297323 109998635 154491599 130625509 X 12636483 -6470 -25928701 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3921323 3921323 79558934 23890638 55668296 52920815 41881737 11039078 1823257 267538 1555719 72184416 INVESTMENTS IN CONSOLIDATED 5121061 RESTRICTED ASSETS 0 INVESTMENTS IN UNCONSOLIDATED 2690599 DEFERRED FINANCING COSTS 36775 INTERCOMPANY RECEIVABLES 2059362 OTHER CURRENT ASSETS 28036 9935833 0 AMOUNTS DUE TO THIRD-PARTY PAY 4366596 LIABILITY FOR SELF INSURANCE C 11902 ACCRUED PENSION LIABILITY 159095 RAC LIABILITY 995545 OTHER LIABILITIES 4731009 10264147 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. Golf Classic 18030 16350 1680 0 0 18030 16350 1680 0 0 1680 true true X true X true X true true true false true true 4685695 0 4685695 0.03800 0 0 0 0.00000 0 0 0 0.00000 4685695 0 4685695 0.03800 952303 46802 906481 0.00690 236789 0 236789 0.00200 3065186 0 3065186 0.02500 93650 0 93650 0.00100 4347928 46802 4302106 0.03490 9033623 46802 8987801 0.07290 3836 3836 12542 12542 33925 33925 0.00030 799117 799117 0.00640 849420 849420 0.00670 true 8037127 true true 1 1 ST MARYS HOSPITAL OF ST MARYS COUNTY

25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650

X X X ST MARYS HOSPITAL OF ST MARYS COUNTY true X X X X X X X X X 11 true false true X X X X X X X X X X false false true true 200. true 400. true X X X X X X true true true false true X false false CHARITY CARE AT COST PART I, LINE 7A 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. UNREIMBURSED MEDICAID PART I, LINE 7B 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. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. HEALTH PROFESSIONS EDUCATION PART I, LINE 7F 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. PERCENT OF TOTAL EXPENSE PART I, LINE 7 COLUMN (F) BAD DEBT EXPENSE OF $8,037,127 HAS BEEN REMOVED FROM TOTAL EXPENSE TO CALCULATE THE PERCENTAGES IN COLUMN (F). 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. MEDICARE 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. NEEDS ASSESSMENT Part V, Section B, Line 7 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. PART VI, LINE 2 IN FY12, MEDSTAR ST. MARY'S HOSPITAL 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 HOSPITAL'S CHNA WAS LED BY 18 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING PHYSICIANS, COMMUNITY RESIDENTS, COMMUNITY LEADERS, AND HOSPITAL REPRESENTATIVES, THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, ATF MEMBERS 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 ATF'S RECOMMENDATION, THE HOSPITAL IDENTIFIED ST. MARY'S COUNTY, WITH AN EMPHASIS ON LEXINGTON PARK, AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) - A GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITIES FOR THE CBSA INCLUDE OBESITY (HEART DISEASE, DIABETES, STROKE AND OTHER CHRONIC CONDITIONS IMPACTED BY OBESITY) SUBSTANCE ABUSE, AND ACCESS TO CARE. THE HOSPITAL'S FY12 CHNA AND 3-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR ST. MARY'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT WAS PUBLISHED ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2012. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR ST. MARY'S 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 REGION'S 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 HEALTH'S FACILITIES WILL WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTH'S FACILITIES WILL ASSIST 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 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 FACILITY WILL POST 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, WILL COMMUNICATE THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND WILL MAKE A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. ADDITIONALLY, THE MARYLAND PATIENT INFORMATION SHEET/MEDSTAR'S PATIENT INFORMATION SHEET WILL BE PROVIDED TO INPATIENTS ON ADMISSION AND AT TIME OF FINAL ACCOUNT BILLING. 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 WILL NOT BE 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 HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. " WORKING WITH THE FACILITY'S FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S 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 FACILITY'S FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENT'S CIRCUMSTANCES MAY CHANGE. " IT IS THE RESPONSIBILITY OF THE PATIENT TO INFORM THE MEDSTAR HOSPITAL OF THEIR EXISTING ELIGIBILITY UNDER A MEDICAL HARDSHIP DURING THE 12 MONTH PERIOD. UNINSURED PATIENTS OF MEDSTAR HEALTH'S FACILITIES MAY BE ELIGIBLE FOR CHARITY CARE OR SLIDING-SCALE FINANCIAL ASSISTANCE UNDER THIS POLICY. THE FINANCIAL COUNSELORS AND FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR CHARITY CARE AND SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4 GEOGRAPHIC ST. MARY'S COUNTY IS LOCATED ON A PENINSULA IN SOUTHERN MARYLAND WITH OVER 400 MILES OF SHORELINE ON THE PATUXENT RIVER, POTOMAC RIVER AND CHESAPEAKE BAY. MEDSTAR ST. MARY'S HOSPITAL, LOCATED IN LEONARDTOWN, MARYLAND, IS THE ONLY ACUTE CARE HOSPITAL IN THE COUNTY. THE COUNTY IS DESIGNATED BY THE BUREAU OF PRIMARY CARE AS A HEALTH PROFESSIONS SHORTAGE AREA FOR DENTAL AND MENTAL HEALTH. THE SOUTHERN HALF OF THE COUNTY IS DESIGNATED AS A PRIMARY CARE SHORTAGE AREA. DEMOGRAPHIC WITH A POPULATION OF OVER 108,987 RESIDENTS (2012 U.S. CENSUS ESTIMATE), ST. MARY'S COUNTY IS A FEDERALLY DESIGNATED RURAL AREA WITH A DIVERSE POPULATION. FARMERS, WATERMAN, HIGH TECH SCIENTISTS, DEFENSE CONTRACTORS/ENGINEERS AND MILITARY MEMBERS LIVE ALONGSIDE AMISH AND MENNONITE COMMUNITIES, MAKING THE ST. MARY'S COUNTY POPULATION UNIQUE. THE RESIDENTS OF ST. MARY'S COUNTY ARE MAJORITY CAUCASIAN (79.5%), FOLLOWED BY AFRICAN AMERICAN (14.3%), HISPANIC OR LATINO ORIGIN (4.3%), ASIAN (2.7%), AMERICAN INDIAN AND NATIVE ALASKAN (0.4%) AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER (0.1%). ST. MARY'S COUNTY HAS BEEN THE FASTEST GROWING COUNTY IN MARYLAND WITHIN THE PAST 10 YEARS - WITH A POPULATION INCREASE OF 22% SINCE 2000. THE COUNTY ALSO HAS THE HIGHEST PERCENTAGE OF VETERANS IN MARYLAND, ONE OF THE LOWEST MEDIAN AGES, AND AN EMERGING POPULATION THAT IS INCREASINGLY HISPANIC, ALL OF WHICH IMPACT HEALTH AND DELIVERY OF HEALTH SERVICES. HEART DISEASE, CANCER, LOWER RESPIRATORY ILLNESSES, STROKES, AND DIABETES ARE THE LEADING CAUSES OF DEATH. MOST RESIDENTS (76.5%) WORK IN THE COUNTY. THE HIGH PAYING JOBS ASSOCIATED WITH THE PATUXENT RIVER NAVAL AIR STATION MASK A GROWING UNDERSERVED AREA LOCATED OUTSIDE THE BASE GATES IN THE LEXINGTON PARK COMMUNITY (ZIP CODE 20653). WITH APPROXIMATELY 18.6% OF THE POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL, LEXINGTON PARK HAS THE GREATEST NUMBER OF MEDICALLY UNDERSERVED CITIZENS. APPROXIMATELY 11% (11,626 RESIDENTS) OF THE ST. MARY'S POPULATION LIVE IN THE LEXINGTON PARK CENSUS DESIGNATED PLACE (CDP), WHICH IS THE SINGLE LARGEST CENTER OF POPULATION IN THE COUNTY, WITH A DISPROPORTIONATE NUMBER LIVING IN POVERTY OR NEAR POVERTY LEVELS. THE LARGEST NUMBER OF MINORITIES (32% AFRICAN AMERICAN AND 7.4% HISPANIC) LIVE WITHIN THIS CENSUS TRACT. THE MEDIAN ANNUAL FAMILY INCOME FOR LEXINGTON PARK IS $64,173 IN COMPARISON TO ST. MARY'S COUNTY MEDIAN ANNUAL FAMILY INCOME WHICH IS $82,529. CERTAIN CENSUS TRACTS WITHIN THE LEXINGTON PARK AREA HAVE A HIGH CONCENTRATION OF POVERTY, WITH ONE HAVING A MEDIAN ANNUAL FAMILY INCOME AS LOW AS $42,766. LEXINGTON PARK HAS A LOWER PER CAPITA INCOME AND A HIGHER UNEMPLOYMENT RATE THAN THE REST OF ST. MARY'S COUNTY, A COMBINATION CONTRIBUTING TO THE COUNTY'S HEALTH DISPARITIES. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR ST. MARY'S ENGAGES IN A NUMBER OF ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF ST. MARY'S COUNTY RESIDENTS. THROUGH ITS GET CONNECTED MOBILE OUTREACH UNIT, MEDSTAR ST. MARY'S IS ABLE TO BRING PRIMARY CARE AND SUPPORT SERVICES DIRECTLY TO THE COMMUNITIES OF UNDERSERVED POPULATIONS. THE CENTER IS EQUIPPED WITH TWO EXAM ROOMS, A WHEELCHAIR LIFT, AND A CARDIAC MONITOR. PROVIDERS INCLUDE A REGISTERED NURSE, A VOLUNTEER PHYSICIAN AND OTHER MEDSTAR ST. MARY'S HOSPITAL ASSOCIATES. IN ADDITION TO PRIMARY CARE SERVICES, PATIENTS ARE ABLE TO GET FLU SHOTS AND LABORATORY TESTING. DUE TO ITS RURAL LOCATION, THE COUNTY HAS A SHORTAGE OF PHYSICIAN SPECIALISTS. IN ORDER TO MEET THE DIVERSE HEALTH NEEDS OF ITS RESIDENTS, SUBSIDIES ARE PAID TO PHYSICIANS WHO PROVIDE ON-CALL SERVICES FOR THE HOSPITAL'S EMERGENCY DEPARTMENT, AS WELL AS THOSE WHO SPECIALIZE IN ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, CARDIOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, AND UROLOGY. THROUGH ITS HEALTH CONNECTION PROGRAM, RESIDENTS OF THE ST. MARY'S COUNTY COMMUNITY CAN TAKE ADVANTAGE OF A VARIETY OF HEALTH PROMOTION AND HEALTH EDUCATION SERVICES AND ACTIVITIES. EXAMPLES INCLUDE BLOOD DRIVES, EXERCISE CLASSES AND FREE HEALTH SCREENINGS THOUGH AN "ASK THE NURSE" PROGRAM. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR ST. MARY'S 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 ST. MARY'S WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS 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 ST. MARY'S HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. X X X X X X false true false false false false false false false CHRISTINE WRAY 368253 0 312318 0 0 0 7350 0 16986 0 704907 0 0 0 KENNETH A SAMET 0 1264204 0 1589134 0 941405 0 40108 0 19529 0 3854380 0 208524 DONALD SIRK 188194 0 10500 0 0 0 0 0 533 0 199227 0 0 0 RICHARD BRAAM 228126 0 98425 0 0 0 7350 0 15807 0 349708 0 0 0 JOAN GELRUD 202167 0 48609 0 0 0 7240 0 14900 0 272916 0 0 0 MARK BOUCOT 167004 0 43419 0 0 0 1210 0 14183 0 225816 0 0 0 MARYLOU WATSON 202446 0 38509 0 0 0 7447 0 15870 0 264272 0 0 0 AMIR KHAN MD 489702 0 52534 0 0 0 0 0 12335 0 554571 0 0 0 PATRICIA GURNY MD 289815 0 18745 0 0 0 0 0 9365 0 317925 0 0 0 ROBERT KONKOL MD 280821 0 149924 0 0 0 0 0 9657 0 440402 0 0 0 STEPHEN MICHAELS 269456 0 125213 0 0 0 0 0 12516 0 407185 0 0 0 MARK WHITTEN 522928 0 0 0 0 0 0 0 8017 0 530945 0 0 0 BRUCE GIBSON 320576 0 65140 0 0 0 0 0 12248 0 397964 0 0 0 SUPPLEMENTAL NON-QULAIFED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B KENNETH SAMET KENNETH SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $928,678 REPRESENTING HIS BENEFIT RECEIVED FROM A SUPPLEMENTAL RETIREMENT PLAN, WHICH WAS EARNED DURING THE PAST 24 YEARS OF SERVICE. A PORTION OF THIS AMOUNT, $208,524 WAS ALSO REPORTED ON FORM 990 IN PRIOR YEARS. A MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES 520936091 2006-12-12 8309151 EQUIPMENT LEASE false false false A 4287010 0 8309151 0 0 0 108141 0 0 8201010 0 0 2007 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true A false false false false 0 false 0 false true A true JAYARAMAN MEDICAL ASSOCIATES LLC SEE SCHEDULE L, PART IV 179739 ER DEPT & ON CALL UROLOGY SVCS BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV DR. KRISHNA JAYARAMAN, A BOARD MEMBER AT MEDSTAR ST. MARY'S HOSPITAL, OWNS MORE THAN 5% OF JAYARAMAN MEDICAL ASSOCIATES, LLC (JMA), WHICH PROVIDES EMERGENCY DEPARTMENT AND ON CALL UROLOGY SERVICES TO MEDSTAR ST. MARY'S HOSPITAL. JMA'S GROSS REVENUES RECEIVED FROM THE HOSPITAL FOR THE YEAR WERE $0.2 MILLION. EXEMPT PURPOSE ACHIEVEMENTS PART III, LINE 4A THE HOSPITAL NOW OFFERS KIDNEY TRANSPLANT SERVICES THROUGH THE MEDSTAR GEORGETOWN TRANSPLANT INSTITUTE AND ORTHOPAEDIC SERVICES THROUGH THE MEDSTAR GEORGETOWN ORTHOPAEDIC INSTITUTE. IT ALSO PROVIDES HOSPICE CARE AND IS PARTNERED IN A JOINT VENTURE THAT PROVIDES HOME CARE. IN ADDITION TO EMERGENCY ROOM CARE, IT OPERATES AN URGENT CARE FACILITY LOCATED 15 MILES NORTH OF CAMPUS AS WELL AS ON-CAMPUS AND MOBILE COMMUNITY BASED HEALTH SERVICES. IN MAY 2011, MSMH OPENED A 2-STORY OUTPATIENT PAVILION THAT INCLUDES CANCER CARE AND INFUSION SERVICES, OUTPATIENT IMAGING AND WOMEN'S HEALTH SERVICES, AND COMMUNITY OUTREACH AND PHYSICIAN OFFICE SPACE AND IN DECEMBER 2012, IT OPENED THE MEDSTAR CENTER FOR WOUND HEALING. FOR THE SIXTH CONSECUTIVE YEAR, MSMH WAS THE RECIPIENT OF THE 2013 DELMARVA FOUNDATION FOR MEDICAL CARE'S EXCELLENCE AWARD FOR QUALITY IMPROVEMENT IN HOSPITALS. ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEPMT 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 11A 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. 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 EQUITY TRANSFERS........................................$ (30,954,091) CONTRIBUTIONS FOR PROPERTY ACQUISITIONS.................$ 231,124 MINIMUM PENSION LIABILITY ADJUSTMENT ...................$ 4,794,265 ============= TOTAL ..................................................$ (25,928,701) FINANCIAL STATEMENTS AND REPORTING PART XII, LINE 2 ST. MARYS HOSPITAL OF ST. MARYS COUNTY INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. 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 MEDSTAR HEALTH INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) 11B II NA false 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 HOSPITAL MD 501(C)(3) 3 NA true FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 522329546 FOUNDATION MD 501(C)(3) 11A I 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) 11A I 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) 11A I NA true UNION MEMORIAL HOSPITAL FOUNDATION INC 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 521446828 FOUNDATION MD 501(C)(3) 11A I NA true VNA INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521332411 ADMIN SVCS MD 501(C)(3) 11A I NA true WHC FOUNDATION INC 110 IRVING STREET NW WASHINGTON DC 20010 521791670 FOUNDATION DC 501(C)(3) 11A I NA true WOODBOURNE WOODS INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 522299070 ELDER HOUSING MD 501(C)(3) 9 NA true HOSPICE OF ST MARY'S INC PO BOX 527 LEONARDTOWN MD 20650 522153926 SUPPORT ORG MD 501(C)(3) 11B II NA true ST MARY'S HOSPITAL FOUNDATION INC PO BOX 527 LEONARDTOWN MD 20650 521051368 SUPPORT ORG MD 501(C)(3) 11D III NA true MEDSTAR SOUTHERN MD HOSPITAL CENTER INC 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) 3 NA true SURGICENTER AT PASADENA LLC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 522009504 MEDICAL SERVICES MD NA false SJMC-RA LLC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 753160895 RADIATION THE MD NA false PHYSICIAN IMAGING OF WASHINGTON HOSPITAL 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 SERVI MD NA C CORP HELIX RESOURCES MANAGEMENT INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 521913070 ADMIN SERVICE MD NA C CORP HELIXCARE MEDICAL GROUP LLC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 521955580 MEDICAL SERVI MD NA C CORP HELIXCARE PROPERTIES LLC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 521966695 MEDICAL SERVI MD NA C CORP PARKWAY VENTURES INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 521893569 HOLDING COMPA MD NA C CORP PHYSICIANS ADMINISTRATIVE SERVICES INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 237042074 BILLING SERVI 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 SERVICE MD NA C CORP NASCOTT INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521693808 MEDICAL SERVI MD NA C CORP STAR BILLING INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521850113 BILLING SERVI MD NA C CORP WASHINGTON RISK NETWORK MANAGEMENT INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522132677 MEDICAL SERVI MD NA C CORP WASHINGTON HOSPITAL CENTER PHYSICIAN HOS 100 IRVING STREET NW WASHINGTON DC 20010 521931000 MEDICAL SERVI MD NA C CORP MEDSTAR PHYSICIAN PARTNERS INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522030809 MEDICAL SERVI MD NA C CORP FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 760756352 CONDO OWNER A MD NA C CORP MGH DIVERSIFIED SERVICES INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521943602 MEDICAL SERVI MD NA C CORP ST MARY'S HEALTH ALLIANCE INC 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 521930331 MEDICAL SERVI MD NA C CORP GREENSPRING FINANCIAL INSURANCE LIMITED 23 LIME TREE BAY AVENUEPO BOX 1051 GRAND CAYMAN CJ KY1-1102 980188617 INSURANCE CJ NA C CORP ST MARY'S CONDO ASSOCIATION 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 273377216 CONDOMINIUMS MD NA C CORP false false false false false false false false false false false false false false false true true false false MEDSTAR HEALTH INC P 2059362 CASH