2012-05-10T11:48:16-05:00 2011-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235102674 990 2010-07-01 520491660 Harbor Hospital Inc HARB 4107726719 3001 South Hanover Street Baltimore MD 212251233 Marc R Berger 4107726719 2012-05-07 true 7576167000 2010 2016-02-24 21:20:13Z MedStar Harbor Hospital DENNIS PULLIN 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 207297380 false X WWW.HARBORHOSPITAL.ORG X 1903 MD HARBOR HOSPITAL IS COMMITTED TO QUALITY, CARING, AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES. 11 7 1647 60 1286739 -664782 659912 1757664 193859189 198108016 77055 94042 9618002 7337658 204214158 207297380 0 0 0 0 97464946 96020370 0 0 0 99423113 101873238 196888059 197893608 7326099 9403772 58734808 59525889 38913180 38200888 19821628 21325001 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 (MHH) IS LOCATED JUST SOUTH OF BALTIMORE'S INNER HARBOR, IN BALTIMORE CITY. MHH IS A GENERAL, ACUTE CARE HOSPITAL. IN FISCAL YEAR 2011, MHH HAD 12,232 INPATIENT ADMISSIONS, 86,649 OUTPATIENT VISITS, AND 59,077 EMERGENCY VISITS. false false 148955602 0 191387377 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, MHH INCURRED $30.1M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MHH'S CLINICAL SERVICE AREAS INCLUDE MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPEDICS AND PEDIATRICS. FOR MORE INFORMATION, SEE SCHEDULE O. 10437571 0 6720639 MEDSTAR HARBOR HOSPITAL PROVIDED $10.4M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2011. 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. 7468371 0 0 MEDSTAR HARBOR HOSPITAL PROVIDED $7.5M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2011. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 0 0 166861544 true true 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 1647 true true true false false false false false false false false false X 11 7 false false false 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 Gregory H Barnhill 1.0 X 0 0 0 Tanesha Boldin 1.0 X 0 0 0 Edward P Carey 1.0 X 0 0 0 Gregory Gurfinchel MD 1.0 X 89796 0 7133 Peter Macnab 1.0 X 0 0 0 Charles F Obrecht Jr 1.0 X 0 0 0 Prafullkumar G Patel MD 1.0 X 3750 0 0 Kaiser Robertson MD 1.0 X 0 0 0 Kenneth A Samet 1.0 X 0 3125094 132265 Patrick W Turner 1.0 X 0 0 0 DENNIS W PULLIN 40.0 X X 580940 0 28620 DAVID PITMAN 40.0 X 248413 0 24570 DELLA GLODEK 40.0 X 109449 0 22062 ALLAN BIRENBERG 40.0 X 370086 0 17012 LENORA ADDISON 40.0 X 228642 0 34455 LEIGH ANN CURL MD 40.0 X 551947 0 20475 JAMES WOOD MD 40.0 X 547750 0 20545 DENNIS STERN MD 40.0 X 569619 0 21954 JOHN CARBONE MD 40.0 X 663285 0 20113 CHUKA JENKINS 40.0 X 554969 0 19997 JOSEPH M ODDIS 1.0 X 186616 0 4054 FER EREN 1.0 X 101319 0 13686 NANCY BUTLER 1.0 X 131965 0 5833 CARLOS ZIGEL 1.0 X 127527 0 6160 5066073 3125094 398934 72 true true false HARBORVIEW ANESTHESIA ASSOCIATES 4419 SOUTH MEADOW COURT ELLICOTT CITY MD 21042 MEDICAL SERVICES 4551076 MORRISON MANAGEMENT SPECIALIST 4721 MORRISON DRIVE MOBILE AL 36609 FOOD SVC PROVIDER 3025129 CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 FACILITIES MGMT 2176514 NIGHTINGALE HEALTHNET CORP PO BOX 55811 BOSTON MA 022055811 MEDICAL BILLING SVCS 1063876 KIME GIPSON SUTULA MD 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 MEDICAL SERVICES 864770 23 966757 790907 1757664 NET PATIENT SERVICE REVENUE 900099 195646232 195646232 PHARMACY 900099 2461784 2461784 198108016 84141 84141 0 0 2967431 2967431 2967431 2967431 9901 9901 9901 0 9901 0 0 0 OUTSIDE LAB REVENUE 621500 1286739 1286739 OPERATING EXPENSE RECOVERY 900099 705094 705094 REBATE INCOME 900099 522195 522195 1856199 1856199 4370227 207297380 198108016 1286739 6144961 0 0 0 0 1861785 1663380 198405 0 77615690 69365005 8250685 1758905 1565168 193737 9407484 8371280 1036204 5376506 4791548 584958 14626346 10861 14615485 160691 160691 0 0 0 0 15936988 15936988 836316 1232 835084 1852073 1459539 392534 40400 29250 11150 0 461916 461916 242957 130608 112349 0 6820 6312 508 2361349 2361349 0 7909077 7909077 4120157 1771196 2348961 0 MEDCIAL/SURGICAL SUPPLIES 12279670 12251304 28366 BAD DEBT 10630868 10630868 IMPLANTS/PROSTHESES 8677236 8677222 14 DRUGS/PHARMACEUTICALS 6574349 6559691 14658 UTILITIES 4351376 3948225 403151 10804649 8959525 1845124 197893608 166861544 31032064 0 2995 2995 36271 214130 18043337 20700322 2547413 2182468 278957 795683 177440458 144908272 35085758 32532186 92376 75838 2647701 3022267 58734808 59525889 20566919 20776221 110521 63784 174093 14099 18061647 17346784 38913180 38200888 X 19729252 21249163 92376 75838 19821628 21325001 58734808 59525889 X 9403772 -7900399 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3415538 3415538 56611327 50166873 6444454 590910 310316 280594 113952302 92728459 21223843 2870381 1702624 1167757 32532186 INTERCOMPANY RECEIVABLES 420152 OPTION IT ASSET 209383 OTHER RECEIVABLES 2392732 3022267 0 OTHER LIABILITIES 5819517 ASBESTOS ABATEMENT LIABILITY 4911017 ADVANCES FROM 3RD PARTY PAYORS 4847663 CREDIT BALANCE REFUNDS 687728 WORKERS COMPENSATION LIABILITY 900366 STOCK OPTION PLAN 171244 SECURITY DEPOSIT 9249 17346784 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 TH 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, 2011. true true X true X true X true true true false true true 5045845 0 5045845 0.02690 0 0 0 0.00000 0 0 0 0.00000 5045845 0 5045845 0.02690 1722479 1335 1721144 0.00920 7468371 0 7468371 0.03990 10437571 6720639 3716932 0.01980 0 0 0 0.00000 46524 0 46524 0.00020 19674945 6721974 12952971 0.06910 24720790 6721974 17998816 0.09600 228410 0 228410 0.00120 29452 0 29452 0.00020 257862 0 257862 0.00140 true 6867541 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 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 VI, LINE 2 AS A COMMUNITY PARTNER, MEDSTAR HARBOR HOSPITAL (MHH) WORKS COLLABORATIVELY WITH LOCAL PARTNERS TO IDENTIFY KEY HEALTH NEEDS. PARTNERS INCLUDE, BUT ARE NOT LIMITED TO: THE BALTIMORE CITY AND ANNE ARUNDEL COUNTY DEPARTMENTS OF HEALTH, NOT-FOR-PROFIT AND SOCIAL SERVICE AGENCIES, SCHOOLS AND UNIVERSITIES, FAITH BASED ORGANIZATIONS AND COMMUNITY BASED COALITIONS. LOCAL, STATE AND NATIONAL HEALTH GOALS ARE ALSO USED TO ASSESS THE NEEDS OF THE COMMUNITY. IN ADDITION, HOSPITAL SERVICE UTILIZATION PATTERNS, SUCH AS THE CAUSES OF EMERGENCY ROOM VISITS AND INPATIENT ADMISSIONS HELP DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MHH ALSO 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 OR 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 ENROLLMENT IN PUBLICLY-FUNDED PROGRAMS FOR THE UNINSURED (E.G., D.C. HEALTHCARE ALLIANCE). " 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 MEDSTAR HEALTH FACILITY (IN COOPERATION AND CONSULTATION WITH THE FINANCE DIVISION OF MEDSTAR HEALTH) WILL SPECIFY THE COMMUNITIES IT SERVES BASED ON THE GEOGRAPHIC AREAS IT HAS SERVED HISTORICALLY FOR THE PURPOSE OF IMPLEMENTING THIS POLICY. 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. 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. 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. STATISTICS GATHERED IN THE 2000 CENSUS INDICATED THAT CHERRY HILL'S POPULATION FELL BY NEARLY 30 PERCENT BETWEEN 1990 AND 2000. ALSO IN 2000, MORE THAN 96% OF CHERRY HILL RESIDENTS WERE AFRICAN-AMERICANS, AS COMPARED WITH 64.3% OF BALTIMORE AS A WHOLE. APPROXIMATELY 70% OF HOUSEHOLDS WERE FAMILIES, WITH 58% OF FAMILIES WITH CHILDREN HEADED BY A SINGLE PARENT - HIGHER THAN THE CITYWIDE PERCENTAGE OF 23.3%. FEMALE-HEADED FAMILIES WITH CHILDREN REPRESENT 54% OF TOTAL NEIGHBORHOOD FAMILIES. THIRTY-FIVE PERCENT OF CHERRY HILL RESIDENTS AGES 25 TO 64 DO NOT HAVE A HIGH SCHOOL EDUCATION, WHILE 24% HAVE HAD SOME COLLEGE EDUCATION. THE MEDIAN HOUSEHOLD INCOME FOR CHERRY HILL IN 2000 WAS $17,464, AMONG THE LOWEST OF BALTIMORE NEIGHBORHOODS. NEARLY 92% OF FAMILIES IN THE NEIGHBORHOOD, EXCLUDING MARRIED COUPLE FAMILIES, EARN BELOW THE MARYLAND SELF SUFFICIENCY WAGE STANDARD. ACCORDING TO THE CHERRY HILL HEALTH PROFILE, PUBLISHED BY THE BALTIMORE CITY HEALTH DEPARTMENT IN PARTNERSHIP WITH THE JOHNS HOPKINS SCHOOL OF PUBLIC HEALTH IN OCTOBER 2008, THE LIFE EXPECTANCY AT BIRTH OF A CHERRY HILL RESIDENT WAS 65.0, COMPARED TO 70.9 IN BALTIMORE CITY AND 78.1 IN THE UNITED STATES. HEART DISEASE ACCOUNTS FOR 23% OF ALL DEATHS, AND CANCER ACCOUNTS FOR 20 PERCENT. STROKE, HIV/AIDS AND HOMICIDE ARE LESS COMMON BUT, WHEN COMBINED, CAUSE 18%OF DEATHS IN THIS AREA. HIGH RATES OF TYPE II DIABETES AND HEART DISEASE, INCLUDING STROKE, ALSO OCCUR IN THIS COMMUNITY. FOR A VARIETY OF REASONS, INCLUDING THE HIGH POVERTY RATE AND LOW RATE OF HEALTH CARE INSURANCE COVERAGE, MANY CHERRY HILL RESIDENTS DEMONSTRATE POOR PREVENTATIVE HEALTH CARE PRACTICES, AND OFTEN USE THE MEDSTAR HARBOR HOSPITAL EMERGENCY DEPARTMENT AS A PRIMARY CARE FACILITY. " SOUTH BALTIMORE AND FEDERAL HILL-ZIP CODE 21230 THESE AREAS OF BALTIMORE CITY ARE HOME TO A VARIETY OF POPULATIONS WITH DIFFERENT HEALTH CARE NEEDS. ONCE AGAIN, HEART DISEASE AND CANCER ARE THE TWO MOST COMMON CAUSES OF DEATH, AT 29% AND 22%, 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% 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%AFRICAN-AMERICAN POPULATION AND A 69% CAUCASIAN POPULATION; IN CHERRY HILL THE PERCENTAGES ARE 97% AND 1%, RESPECTIVELY, WHILE IN SOUTH BALTIMORE THEY ARE VIRTUALLY REVERSED AT 2% AND 95%, 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% OF FAMILIES EARNING LESS THAN $25,000 ANNUALLY, AS COMPARED TO 43% 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% AND 22% 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 2000 U.S. CENSUS, OF THE POPULATION AGES 16 YEARS AND OLDER IN THE COUNTY, MORE THAN 71% ARE EMPLOYED. THE MEDIAN INCOME FOR THE COUNTY IN 2009 WAS $79,843, WITH 13.9% OF HOUSEHOLDS EARNING LESS THAN $25,000 PER YEAR. HOWEVER, THE PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LINE IN THE COUNTY WAS 6.8, VERSUS 9.2% 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 ACTUALLY THE NUMBER ONE CAUSE OF DEATH, FOLLOWED BY CANCER, UNINTENTIONAL INJURIES AND STROKE. ANNE ARUNDEL COUNTY IS TWELFTH IN THE STATE FOR CANCER DEATHS OVERALL. FROM 1998 TO 2002, THE INCIDENCE OF LUNG CANCER DEATHS, AGE ADJUSTED PER 100,000 PERSONS WAS 74.4 IN ANNE ARUNDEL COUNTY, VS. 68 IN THE STATE. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR HARBOR HOSPITAL ENGAGES IN A NUMBER OF ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. THE HOSPITAL PROVIDES HEALTH NAVIGATION SERVICES AND BLOOD PRESSURE SCREENINGS AT THE ANNE ARUNDEL COUNTY HOMELESS RESOURCE FAIR. THE HOSPITAL'S WORK WITH A TEEN PREGNANCY PREVENTION WORKGROUP OFFERS JOB SHADOWING AND MENTORING OPPORTUNITIES FOR LOCAL AT-RISK YOUTH. MEDSTAR HARBOR 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, THESE WOMEN WOULD NOT HAVE ACCESS TO THESE POTENTIALLY LIFE-SAVING SCREENINGS. OTHER FREE AND LOW-COST SCREENINGS PROVIDED INCLUDE THOSE FOR PROSTATE CANCER, LOW-COST LUNG CT SCANS, CHOLESTEROL, BONE DENSITY AND HEARING. HARBOR FAMILY CARE: HARBOR FAMILY CARE IS A CLINIC-BASED PHYSICIAN PRACTICE THAT PROVIDES PRIMARY HEALTH CARE SERVICES TO LOCAL LOW-INCOME FAMILIES. THE PRACTICE ADDRESSES A COMMUNITY NEED AND SUPPORTS THE HOSPITAL'S MISSION. WOMEN'S AND CHILDREN'S SERVICES: PHYSICIAN PRACTICES PROVIDE 24-HOUR OBSTETRICS AND GYNECOLOGY HEALTH CARE SERVICES, INCLUDING PRENATAL CARE, GENERATING A NEGATIVE MARGIN. A LARGE NUMBER 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: MEDSTAR HARBOR 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 HOSPITAL 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 MHH WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DIVISION IDENTIFIES 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 HARBOR HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. X X X X X X true true false false false false false false false Kenneth A Samet 0 1180163 0 1354791 0 590140 0 112797 0 19468 0 3257359 0 0 JOSEPH M ODDIS 0 0 0 0 186616 0 4054 0 0 0 190670 0 0 0 DAVID PITMAN 171737 0 76676 0 0 0 12250 0 12320 0 272983 0 0 0 DENNIS W PULLIN 376571 0 204369 0 0 0 11150 0 17470 0 609560 0 0 0 LENORA ADDISON 174806 0 53836 0 0 0 32069 0 2386 0 263097 0 0 0 LEIGH ANN CURL MD 551947 0 0 0 0 0 12250 0 8225 0 572422 0 0 0 JAMES WOOD MD 547750 0 0 0 0 0 4219 0 16326 0 568295 0 0 0 DENNIS STERN MD 330106 0 239513 0 0 0 7156 0 14798 0 591573 0 0 0 JOHN CARBONE MD 663285 0 0 0 0 0 3326 0 16787 0 683398 0 0 0 CHUKA JENKINS 368620 0 186349 0 0 0 4639 0 15358 0 574966 0 0 0 ALLAN BIRENBERG 270246 0 99840 0 0 0 4661 0 12351 0 387098 0 0 0 FER EREN 101319 0 0 0 0 0 10721 0 2965 0 115005 0 0 0 NANCY BUTLER 131965 0 0 0 0 0 5833 0 0 0 137798 0 0 0 CARLOS ZIGEL 127527 0 0 0 0 0 6160 0 0 0 133687 0 0 0 SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A NANCY BUTLER NANCY BUTLER'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $94,990 REPRESENTING THE AMOUNT OF SEVERANCE PAYMENTS RECEIVED BY MS. BUTLER. JOSEPH ODDIS JOSEPH ODDIS' OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $186,616 REPRESENTING THE AMOUNT OF SEVERANCE PAYMENTS RECEIVED BY MR. ODDIS. SUPPLIMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B KENNETH SAMET KENNETH SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $568,506 REPRESENTING MR. SAMET'S ACCRUED BENEFIT IN A SUPPLEMENTAL RETIREMENT PLAN, WHICH WAS EARNED DURING THE PAST 22 YEARS OF SERVICE. THIS AMOUNT WAS NOT ACTUALLY PAID TO MR. SAMET, BUT WAS REPORTED AS COMPENSATION UNDER FICA TAX-REPORTING RULES. HARBORVIEW ANESTHESIA ASSOCIATES SEE PART V 5386140 ANESTHESIA SERVICES false BUSINESS TRANSACTION INVOLVING INTERESTED PERSON SCHEDULE L, PART IV, COLUMN (B) DR. ALLAN BIRENBERG, VICE PRESIDENT OF MEDICAL AFFAIRS AT HARBOR HOSPITAL, OWNS MORE THAN 5% OF HARBORVIEW ANESTHESIA ASSOCIATES (HAA), WHICH PROVIDES SERVICES TO HARBOR HOSPITAL. HAA'S GROSS REVENUES RECEIVED FROM THE HOSPITAL FOR THE YEAR WAS APPROXIMATELY $5.4 MILLION. EXEMPT PURPOSE ACHIEVEMENTS PART III, LINE 4A COLLABORATION WITH THE NATIONAL INSTITUTE ON AGING (ONE OF THE NATIONAL INSTITUTES OF HEALTH) MAKES MHH THE HOME OF THE BALTIMORE LONGITUDINAL STUDY ON AGING, THE NATION'S LONGEST RUNNING STUDY OF AGING AND CONDITIONS AFFECTING THE ELDERLY. MHH IS RECOGNIZED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER AND FOR THE SIXTH YEAR THE HOSPITAL WAS A RECIPIENT OF THE DELMARVA FOUNDATION MEDICARE EXCELLENCE AWARD FOR QUALITY IMPROVEMENT. 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) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). 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. 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