2013-05-10T09:17:33-05:00 2012-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235102674 990 2011-07-01 520491660 Harbor Hospital Inc % MARC BERGER HARB 4107726719 3001 South Hanover Street Baltimore MD 212251233 Marc R Berger 4107726719 2013-05-08 true 7576167000 2011 2016-02-25 16:41:14Z MEDSTAR HARBOR HOSPITAL DENNIS PULLIN 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 214520196 false X WWW.HARBORHOSPITAL.ORG X 1903 MD HARBOR HOSPITAL IS COMMITTED TO QUALITY, CARING, AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES. 12 7 1656 75 2321670 -317212 1757664 1184728 198108016 204676288 94042 78024 7337658 8581156 207297380 214520196 0 0 0 0 96020370 99402406 0 0 0 101873238 116495554 197893608 215897960 9403772 -1377764 59525889 62059909 38200888 45511111 21325001 16548798 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR HARBOR HOSPITAL'S MISSION IS TO PROVIDE QUALITY, CARING AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES. MEDSTAR HARBOR HOSPITAL (MEDSTAR HARBOR) IS LOCATED JUST SOUTH OF BALTIMORE'S INNER HARBOR, IN BALTIMORE CITY. MEDSTAR HARBOR IS A GENERAL, ACUTE CARE HOSPITAL. IN FISCAL YEAR 2012, MEDSTAR HARBOR HAD 11,535 INPATIENT ADMISSIONS, 124,603 OUTPATIENT VISITS, AND 57,915 EMERGENCY VISITS. false false 157243117 0 197938570 MEDSTAR HARBOR HOSPITAL'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF SOUTHERN BALTIMORE CITY, SOUTHWESTERN BALTIMORE COUNTY AND NORTHERN ANNE ARUNDEL COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR HARBOR INCURRED $38.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR HARBOR'S CLINICAL SERVICE AREAS INCLUDE MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPEDICS AND PEDIATRICS. FOR MORE INFORMATION, SEE SCHEDULE O. 11191982 0 6737718 MEDSTAR HARBOR HOSPITAL PROVIDED $11.2M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2012. 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 THE OPERATION OF THE HARBOR FAMILY CARE FACILITY, WOMEN'S AND CHILDREN'S SERVICES, PSYCHIATRY, HOSPITALISTS, AND EMERGENCY DEPARTMENT ON-CALL SERVICES. 9163902 0 0 MEDSTAR HARBOR HOSPITAL PROVIDED $9.2M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2012. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 0 0 0 177599001 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false true false false false false true true true true false false true 0 0 true 1656 true true true false false false false false false false false false X 12 7 false false true false true true true true true false false true true true true true true true true false MD X MARC BERGER 4107726719 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 X PRAFULLKUMAR G PATEL MD 1.0 X 3750 0 0 DENNIS W PULLIN 40.0 X X 582828 0 24229 KENNETH A SAMET 1.0 X 0 6126151 183379 LEIGH ANN CURL MD 40.0 X 671944 0 15444 GREGORY GURFINCHEL MD 1.0 X 86144 0 9647 KAISER ROBERTSON MD 1.0 X 0 0 0 EDWARD P CAREY 1.0 X 0 0 0 PETER MACNAB 1.0 X 0 0 0 GREGORY H BARNHILL 1.0 X 0 0 0 TANESHA BOLDIN 1.0 X 0 0 0 CHARLES F OBRECHT JR 1.0 X 0 0 0 PATRICK W TURNER 1.0 X 0 0 0 DAVID PITMAN 40.0 X 244302 0 23717 ALLAN BIRENBERG MD 40.0 X 380426 0 16273 DELLA GLODEK 40.0 X 112524 0 26579 LENORA ADDISON 40.0 X 233661 0 46712 JILL DONALDSON 40.0 X 226886 0 12973 JOHN CARBONE MD 40.0 X 715243 0 19001 JAMES WOOD MD 40.0 X 642393 0 19895 CHUKA JENKINS MD 40.0 X 550024 0 20198 DENNIS STERN MD 40.0 X 519246 0 22778 HOWARD POPKIN MD 40.0 X 478129 0 23621 CARLOS ZIGEL MD 1.0 X 107986 0 12934 FER EREN MD 1.0 X 144413 0 14290 5699899 6126151 491670 111 true true false MORRISON MANAGEMENT SPECIALIST 4721 MORRISON DRIVE MOBILE AL 36609 FOOD SVC PROVIDER 2730423 CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 FACILITIES MGMT 2379321 KIME GIPSON SUTULA MD 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 MEDICAL SERVICES 813735 GHARIB HIGGINS BROWN RAZA MD PO BOX 791038 BALTIMORE MD 212791038 MEDICAL SERVICES 543842 CENTER RADIOLOGY PC DEPT 680 WASHINGTON DC 200420680 MEDICAL SERVICES 439100 22 1048530 136198 1184728 NET PATIENT SERVICE REVENUE 900099 202370296 202370296 PHARMACY 900099 2305992 2305992 204676288 72690 72690 0 0 2935204 2935204 2935204 2935204 5334 5334 5334 0 5334 0 0 0 OPERATING EXPENSE RECOVERY 900099 935785 935785 REBATE INCOME 900099 568174 568174 OUTSIDE LAB REVENUE 621500 2321670 2321670 1820323 1820323 5645952 214520196 204676288 2321670 6337510 0 0 0 0 2478180 2202074 276106 0 79581491 70708793 8872698 1852307 1648260 204047 9810179 8729515 1080664 5680249 4924554 755695 14665897 913 14664984 6 6 0 0 0 0 21130063 21600802 -470739 796303 6119 790184 1742351 1312446 429905 52319 33795 18524 0 529471 1183194 -653723 222835 126358 96477 0 8979 2869 6110 2295685 2295685 0 7455777 7455777 12239187 2120572 10118615 0 MEDCIAL/SURGICAL SUPPLIES 12018369 11958779 59590 BAD DEBT 10663881 10663881 0 IMPLANTS/PROSTHESES 11463079 11463079 0 DRUGS/PHARMACEUTICALS 6083204 6071947 11257 15128148 13089589 2038559 215897960 177599001 38298959 0 2995 2995 0 0 214130 481389 20700322 24750425 0 0 0 0 0 0 2182468 2188465 795683 915321 178478546 146258655 32532186 32219891 0 0 75838 21938 0 0 0 0 3022267 1479485 59525889 62059909 20776221 21707998 63784 109156 14099 2340306 0 0 0 0 0 0 0 0 0 0 17346784 21353651 38200888 45511111 X 21249163 16526860 75838 21938 0 0 21325001 16548798 59525889 62059909 X -1377764 -3398439 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3415538 3415538 56810929 50795636 6015293 1004382 209003 795379 114304851 93414041 20890810 2942846 1839975 1102871 32219891 0 OTHER LIABILITIES 7916703 ASBESTOS ABATEMENT LIABILITY 4994512 ADVANCES FROM 3RD PARTY PAYORS 5837326 CREDIT BALANCE REFUNDS 1233811 WORKERS COMPENSATION LIABILITY 1153073 STOCK OPTION PLAN 208977 SECURITY DEPOSIT 9249 21353651 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, 2012. true true X true X true X true true true false true true 5150266 0 5150266 0.02390 0 0 0 0.00000 0 0 0 0.00000 5150266 0 5150266 0.02390 69 321386 2274041 36067 2237974 0.01040 2 262 9163902 0 9163902 0.04240 6 46426 11191982 6737718 4454264 0.02060 0 0 0 0.00000 15 565 28830 0 28830 0.00010 92 368639 22658755 6773785 15884970 0.07350 92 368639 27809021 6773785 21035236 0.09740 3 545 56102 0 56102 0.00030 2 50 29985 0 29985 0.00010 1 282 0 282 6 595 86369 0 86369 0.00040 true 10663881 0 0 0 0 X true true 1 1 HARBOR HOSPITAL INC

3001 SOUTH HANOVER STREET BALTIMORE MD 21225

X X X X HARBOR HOSPITAL INC 1 true X X X X X X X X X 12 true false true X X X X X X X X X X false true true 200. true 400. true X X X X X X true true X X X X 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 $10,630,868 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 GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND HFMA 15. AMOUNTS THAT ARE NOT EXPECTED TO BE COLLECTED, FOR PATIENTS QUALIFYING UNDER MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY, ARE WRITTEN OFF TO CHARITY CARE AND REPORTED AS A REDUCTION TO REVENUE. BAD DEBT EXPENSE RESULTS FROM MANAGEMENT'S INABILITY TO COLLECT REVENUES THAT MEET THE GAAP CRITERIA FOR REVENUE RECOGNITION. BAD DEBT REPRESENTS AN OPERATING EXPENSE AND IS REFLECTED AS A SEPARATE LINE ITEM ON THE ORGANIZATION'S STATEMENT OF OPERATIONS. 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 HARBOR 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 AN ADVISORY TASK FORCE (ATF) COMPRISED OF A DIVERSE GROUP OF 13 INDIVIDUALS, INCLUDING HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. 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 THE CHERRY HILL AND BROOKLYN PARK NEIGHBORHOODS 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 HEART DISEASE AND DIABETES. THE HOSPITAL'S FY12 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR HARBOR'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 HARBOR ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL NINE 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 " CHERRY HILL-ZIP CODE 21225 CHERRY HILL IS A HISTORICALLY AFRICAN-AMERICAN NEIGHBORHOOD, WITH ROOTS GOING BACK TO THE 17TH CENTURY. AFTER WORLD WAR II, MORE THAN 600 HOUSING UNITS WERE BUILT BY THE UNITED STATES WAR HOUSING ADMINISTRATION SPECIFICALLY FOR AFRICAN-AMERICAN WAR WORKERS. SHORTLY AFTER THE WAR, THESE UNITS WERE MADE INTO LOW-INCOME HOUSING. ADDITIONAL LOW-INCOME HOUSING UNITS HAVE BEEN ADDED THROUGHOUT THE YEARS, MAKING CHERRY HILL ONE OF THE LARGEST HOUSING PROJECTS EAST OF CHICAGO. ACCORDING TO THE UNITED STATES CENSUS, CHERRY HILL'S POPULATION DECREASED BY NEARLY 30 PERCENT BETWEEN 1990 AND 2000. THE 2008 CHERRY HILL HEALTH PROFILE, PUBLISHED BY THE BALTIMORE CITY HEALTH DEPARTMENT IN PARTNERSHIP WITH THE JOHNS HOPKINS SCHOOL OF PUBLIC HEALTH, INDICATES THAT 97 PERCENT OF CHERRY HILL RESIDENTS WERE AFRICAN-AMERICANS, AS COMPARED WITH 64 PERCENT OF BALTIMORE CITY AS A WHOLE. ADDITIONALLY, 67 PERCENT OF HOUSEHOLDS HAVE AN ANNUAL INCOME LESS THAN $25,000 AND 41 PERCENT OF RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO 43 PERCENT AND 29 PERCENT, RESPECTIVELY, OF BALTIMORE CITY RESIDENTS. THE LIFE EXPECTANCY AT BIRTH OF A CHERRY HILL RESIDENT IS 65 YEARS, COMPARED TO 70.9 YEARS IN BALTIMORE CITY AND 78.1 YEARS IN THE UNITED STATES. HEART DISEASE ACCOUNTS FOR 23 PERCENT OF ALL DEATHS, AND CANCER ACCOUNTS FOR 20 PERCENT. STROKE, HIV/AIDS AND HOMICIDE COMBINED ARE THE CAUSES OF 18 PERCENT OF DEATHS IN THIS AREA. HIGH RATES OF TYPE 2 DIABETES AND HEART DISEASE, INCLUDING STROKE, ALSO OCCUR IN THIS COMMUNITY. " SOUTH BALTIMORE AND FEDERAL HILL-ZIP CODE 21230 THESE AREAS OF BALTIMORE CITY ARE HOME TO A VARIETY OF POPULATIONS WITH DIFFERENT HEALTHCARE NEEDS. HEART DISEASE AND CANCER ARE THE TWO MOST COMMON CAUSES OF DEATH, AT 29 PERCENT AND 22 PERCENT, RESPECTIVELY. HOWEVER, THIS AREA ENJOYS A LONGER LIFE EXPECTANCY THAN CHERRY HILL, AT 73.4 YEARS FOR SOUTH BALTIMORE AND 78.6 FOR FEDERAL HILL. SOUTH BALTIMORE'S MEDIAN HOUSEHOLD INCOME IS $39,354, HIGHER THAN THE OVERALL BALTIMORE CITY HOUSEHOLD INCOME OF $30,078. NONETHELESS, MORE THAN 30 PERCENT OF FAMILIES IN SOUTH BALTIMORE EARN LESS THAN $25,000 PER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE FEDERAL HILL AND INNER HARBOR AREAS-WHICH ARE GROUPED TOGETHER AS ONE NEIGHBORHOOD BY THE BALTIMORE CITY DEPARTMENT OF HEALTH AND THE OFFICE OF PLANNING IS $51,615. " BROOKLYN/CURTIS BAY/HAWKINS POINT-ZIP CODES 21225 AND 21226 THIS NEIGHBORHOOD IS MORE RACIALLY DIVERSE THAN EITHER SOUTH BALTIMORE OR CHERRY HILL, WITH A 24 PERCENT AFRICAN-AMERICAN POPULATION AND A 69 PERCENT CAUCASIAN POPULATION; IN CHERRY HILL THE PERCENTAGES ARE 97 PERCENT AND 1 PERCENT, RESPECTIVELY, WHILE IN SOUTH BALTIMORE THEY ARE VIRTUALLY REVERSED AT 2 PERCENT AND 95 PERCENT, RESPECTIVELY. THIS AREA CONTAINS A LARGE NUMBER OF CHEMICAL PLANTS AND OTHER INDUSTRIAL SITES, INCLUDING SEVERAL SUPERFUND-QUALIFIED LOCATIONS. THE POVERTY LEVEL IN THIS COMMUNITY IS SLIGHTLY HIGHER THAN THAT OF BALTIMORE CITY, WITH 48 PERCENT OF FAMILIES EARNING LESS THAN $25,000 ANNUALLY, AS COMPARED TO 43 PERCENT OF ALL BALTIMORE FAMILIES. THE LIFE EXPECTANCY HERE IS 69.3 YEARS. HEART DISEASE AND CANCER, ONCE AGAIN, RATE HIGHEST IN TERMS OF CAUSES OF DEATH AND YEARS OF POTENTIAL LIFE LOST, CAUSING 28 PERCENT AND 22 PERCENT OF DEATHS, RESPECTIVELY. " ANNE ARUNDEL COUNTY-ESPECIALLY ZIP CODE 21061 ONE OF MEDSTAR HARBOR HOSPITAL'S LARGEST COMMUNITIES IS ANNE ARUNDEL COUNTY, PARTICULARLY THE NORTHERN AND WESTERN PORTIONS ENCOMPASSING BROOKLYN PARK, LINTHICUM, GLEN BURNIE, PASADENA AND SEVERN. ACCORDING TO THE 2010 U.S. CENSUS, THE MEDIAN INCOME FOR THE COUNTY IS $82,386. HOWEVER, THE PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LINE IN THE COUNTY WAS 5.3 VS. 8.6 PERCENT FOR THE STATE OF MARYLAND. ACCORDING TO ESTIMATES BY THE COUNTY'S DEPARTMENT OF HEALTH, THERE ARE MORE THAN 3,000 HOMELESS PERSONS CURRENTLY LIVING IN ANNE ARUNDEL COUNTY. THE LEADING CAUSES OF DEATH FOR ALL RACES IN ANNE ARUNDEL COUNTY ARE CANCER, HEART DISEASE, STROKE, CHRONIC LOWER RESPIRATORY DISEASE AND DIABETES. AFRICAN-AMERICANS AND ASIANS IN THE COUNTY SHOW A HIGHER RATE OF DEATH FROM DIABETES AND UNINTENTIONAL INJURIES THAN CAUCASIANS. FOR HISPANICS, HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH, FOLLOWED BY CANCER, UNINTENTIONAL INJURIES AND STROKE. FROM 2007 TO 2009, THE INCIDENCE OF CANCER DEATHS-AGE ADJUSTED PER 100,000 PERSONS-WAS 195.2 IN ANNE ARUNDEL COUNTY, VS. 177.7 IN THE STATE. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR HARBOR ENGAGES IN A NUMBER OF ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THROUGH THE HOSPITAL'S PARISH NURSE PROGRAM, MEDSTAR HARBOR PROVIDES FREE BLOOD PRESSURE SCREENINGS TO THE MEMBERS OF SEVERAL AREA CHURCHES AND SENIOR CENTERS. THE HOSPITAL PROVIDES HEALTH EDUCATION TO CHILDREN AND PARENTS THROUGH THE HEALTHY SCHOOLS HEALTHY FAMILIES PROGRAM. THIS PROGRAM ADDRESSES HEALTHY EATING, PERSONAL HYGIENE, HAND HYGIENE, ANGER MANAGEMENT, STD PREVENTION AND MEDICATION SAFETY. MEDSTAR HARBOR ALSO PROVIDES HEALTH NAVIGATION SERVICES AND BLOOD PRESSURE SCREENINGS AT COMMUNITY EVENTS AND HEALTH FAIRS. IN ADDITION, THE HOSPITAL OFFERS MANY FREE HEALTH SEMINARS AND SCREENINGS ON A RANGE OF TOPICS, INCLUDING HEART HEALTH, DIABETES PREVENTION, CANCER SCREENING, HEALTHY EATING AND GENERAL WELL-BEING. THE HOSPITAL OFFERS FREE MAMMOGRAMS, BREAST EXAMS, AND PAP TESTS TO UNINSURED AND UNDERINSURED WOMEN WHO RESIDE IN BALTIMORE CITY THROUGH THE BREAST AND CERVICAL CANCER PROGRAM. WITHOUT THIS PROGRAM, PATIENTS WOULD NOT HAVE ACCESS TO THESE POTENTIALLY LIFE-SAVING SCREENINGS. SIMILARLY, MEDSTAR HARBOR OFFERS FREE COLONOSCOPIES TO BALTIMORE CITY RESIDENTS AGE 50 AND OLDER WHO ARE UNINSURED OR UNDERINSURED. WOMEN'S AND CHILDREN'S SERVICES: PHYSICIAN PRACTICES PROVIDE 24-HOUR OBSTETRICS AND GYNECOLOGY HEALTHCARE SERVICES, INCLUDING PRENATAL CARE, GENERATING A NEGATIVE MARGIN. A SIGNIFICANT PERCENTAGE OF PATIENTS RECEIVING THESE SERVICES ARE FROM MINORITY AND LOW-INCOME FAMILIES. THE SERVICES ADDRESS A COMMUNITY NEED FOR WOMEN'S HEALTH AND CHILDREN'S SERVICES FOR LOWER INCOME AND MINORITY FAMILIES. PEDIATRIC SERVICES: PHYSICIAN PRACTICES PROVIDE 24-HOUR PEDIATRIC HEALTH CARE SERVICES, GENERATING A NEGATIVE MARGIN. A LARGE NUMBER OF THE PATIENTS RECEIVING THESE SERVICES ARE FROM MINORITY AND LOW-INCOME FAMILIES. THE SERVICES ADDRESS A COMMUNITY NEED FOR CHILDREN'S SERVICES FOR LOWER INCOME AND MINORITY FAMILIES. PSYCHIATRIC SERVICES: THE HOSPITAL ABSORBS THE COSTS OF PROVIDING PSYCHIATRIC SUPERVISION FOR THE EMERGENCY DEPARTMENT ON A 24/7 BASIS. IF THESE SERVICES WERE NOT PROVIDED, PATIENTS WOULD BE TRANSPORTED TO ANOTHER FACILITY TO RECEIVE THESE SERVICES. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR HARBOR 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 HARBOR 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 HARBOR HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. X X X X X X false true false false false false false false false DENNIS W PULLIN 377037 0 205791 0 0 0 6500 0 17729 0 607057 0 0 0 KENNETH A SAMET 0 1166887 0 1481670 0 3477594 0 163987 0 19392 0 6309530 0 0 LEIGH ANN CURL MD 671944 0 0 0 0 0 0 0 15444 0 687388 0 0 0 JOHN CARBONE MD 715243 0 0 0 0 0 3492 0 15509 0 734244 0 0 0 JAMES WOOD MD 642393 0 0 0 0 0 4430 0 15465 0 662288 0 0 0 CHUKA JENKINS MD 373408 0 176616 0 0 0 4871 0 15327 0 570222 0 0 0 DENNIS STERN MD 331822 0 187424 0 0 0 7514 0 15264 0 542024 0 0 0 DAVID PITMAN 175827 0 68475 0 0 0 7350 0 16367 0 268019 0 0 0 ALLAN BIRENBERG MD 272845 0 107581 0 0 0 0 0 16273 0 396699 0 0 0 LENORA ADDISON 179205 0 54456 0 0 0 40569 0 6143 0 280373 0 0 0 CARLOS ZIGEL MD 107986 0 0 0 0 0 4890 0 8044 0 120920 0 0 0 FER EREN MD 144413 0 0 0 0 0 6265 0 8025 0 158703 0 0 0 HOWARD POPKIN MD 328428 0 149701 0 0 0 8357 0 15264 0 501750 0 0 0 JILL DONALDSON 185257 41629 0 0 0 4779 0 8194 0 239859 0 0 0 SUPPLIMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B KENNETH SAMET MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $3,465,504 REPRESENTING HIS ACCRUED BENEFIT IN A SUPPLEMENTAL RETIREMENT PLAN, WHICH WAS EARNED DURING THE PAST 23 YEARS OF SERVICE. THIS AMOUNT WAS NOT ACTUALLY PAID DURING THIS REPORTING PERIOD, BUT WAS REPORTED AS COMPENSATION UNDER FICA TAX-REPORTING RULES. HARBORVIEW ANESTHESIA ASSOCIATES SEE PART V 5281477 ANESTHESIA SERVICES false BUSINESS TRANSACTION INVOLVING INTERESTED PERSON SCHEDULE L, PART IV, COLUMN (B) DR. ALLAN BIRENBERG, VICE PRESIDENT OF MEDICAL AFFAIRS AT MEDSTAR HARBOR HOSPITAL, OWNS MORE THAN 5% OF HARBORVIEW ANESTHESIA ASSOCIATES (HAA), WHICH PROVIDES SERVICES TO MEDSTAR HARBOR HOSPITAL. HAA'S GROSS REVENUES RECEIVED FROM THE HOSPITAL FOR THE YEAR WAS $5.3 MILLION. EXEMPT PURPOSE ACHIEVEMENTS PART III, LINE 4A COLLABORATION WITH THE NATIONAL INSTITUTE ON AGING (ONE OF THE NATIONAL INSTITUTES OF HEALTH) MAKES MEDSTAR HARBOR THE HOME OF THE BALTIMORE LONGITUDINAL STUDY ON AGING, THE NATION'S LONGEST RUNNING STUDY OF AGING AND CONDITIONS AFFECTING THE ELDERLY. MEDSTAR HARBOR IS RECOGNIZED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER AND FOR THE SEVENTH YEAR THE HOSPITAL WAS A RECIPIENT OF THE DELMARVA FOUNDATION FOR MEDICAL CARE'S QUALITY EXCELLENCE AWARD FOR QUALITY IMPROVEMENT IN HOSPITALS. BYLAWS REVISIONS - 2012 - MEDSTAR HEALTH, INC. AND AFFILIATED HOSPITALS PART VI, LINE 4 DURING THE FISCAL YEAR ENDING JUNE 30, 2012, MEDSTAR HEALTH, INC., A MARYLAND NON-STOCK CORPORATION ("MEDSTAR") REVIEWED ITS BYLAWS AND THE BYLAWS OF NINE MEDSTAR-AFFILIATED HOSPITALS, INCLUDING FRANKLIN SQUARE HOSPITAL CENTER, INC., HARBOR HOSPITAL, INC., MEDSTAR-GEORGETOWN MEDICAL CENTER, INC., MONTGOMERY GENERAL HOSPITAL, INC., NATIONAL REHABILITATION HOSPITAL, INC., ST. MARY'S HOSPITAL OF ST. MARY'S COUNTY, INC., THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC., THE UNION MEMORIAL HOSPITAL AND WASHINGTON HOSPITAL CENTER CORPORATION (COLLECTIVELY THE "HOSPITALS"). THE REVISED BYLAWS OF MEDSTAR AND THE HOSPITALS WERE DEVELOPED USING A COMMON TEMPLATE BASED ON THE EXISTING MEDSTAR BYLAWS. THE BOARD OF DIRECTORS OF MEDSTAR AND THE BOARD OF DIRECTORS OF EACH HOSPITAL VOTED AND APPROVED THE CHANGES TO THEIR BYLAWS. A SUMMARY OF THE CHANGES TO THE BYLAWS OF MEDSTAR AND THE HOSPITALS IS SET FORTH BELOW. THE BYLAWS CHANGES: (A) CONFORM PROVISIONS TO MARYLAND, DELAWARE AND DISTRICT OF COLUMBIA LAW, AS APPLICABLE, IN MANY CASES TO GIVE GREATER FLEXIBILITY TO MEDSTAR AND THE BOARD OF DIRECTORS OF EACH HOSPITAL); (B) CONFORM PROVISIONS TO MAXIMIZE UNIFORMITY AMONG THE HOSPITAL BYLAWS (TO THE EXTENT POSSIBLE); (C) REFLECT RECENT DEVELOPMENTS IN CORPORATE/HOSPITAL GOVERNANCE; (D) CLARIFY CERTAIN CORPORATE PROCEDURES; AND (E) CONFORM LANGUAGE AND STYLE. 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. DESCRIPTION OF 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 ENFORCEMENT 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) 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). DESCRIPTION OF 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 5 EQUITY TRANSFER- NET ASSETS.....................$ (3,394,780) UNREALIZED LOSS ON INVESTMENTS.................... (3,659) ============ TOTAL $ (3,398,439) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KENNETH A SAMET TITLE:DIRECTOR HOURS:40 MEDSTAR HEALTH ANESTHESIA SERVICES C LLC 3001 South Hanover Street BALTIMORE MD 21225 205909818 HEALTH SVCS MD 5227978 741556 NA 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 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 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 Bay Development Corp 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 of St Mary's County 25500 Point Lookout Road Leonardtown MD 20650 520619006 Hospital MD 501(C)(3) 3 NA true St Mary's Hospital Foundation Inc PO Box 527 Leonardtown MD 20650 521051368 Support Org MD 501(C)(3) 11d III NA true Surgicenter at Pasadena LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 522009504 MEDICAL SERVI MD NA RELATED false false SJMC-RA LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 753160895 RADIATION THE MD NA 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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 NRH Ambulatory Services Inc 102 Irving Street NW Washington DC 20010 521930165 REHAB SERVICE 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 AVENUE PO BOX 1051 KY1-1002 GRAND CAYMAN CJ 980188617 Insurance CJ NA C Corp false false false false false false false false false false false false false false true true false false HH Medstar Health Inc O 378241 FMV Franklin Square Hospital Center P 65419 FMV