2011-05-11T13:07:02-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 520491660 Harbor Hospital Inc HARB 4107726719 3001 South Hanover Street Baltimore MD 212251233 Marc R Berger 4107726719 2011-05-09 true 7576167000 2009 2016-02-24 21:20:13Z DENNIS PULLIN 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 204216187 false X WWW.HARBORHOSPITAL.ORG X 1903 MD Harbor Hospital is committed to quality, caring, and service for our patients and our communities. 15 9 1411 80 1504969 -808716 709492 659912 203669506 193859189 126827 77055 9181434 9618002 213687259 204214158 0 0 0 0 100955315 97464946 0 0 0 105715140 99423113 206670455 196888059 7016804 7326099 60014010 58734808 35005289 38913180 25008721 19821628 As a proud member of MedStar Health, Harbor Hospital is committed to quality, caring and service for our patients and our communities. Now serving Baltimore City, and Anne Arundel, Baltimore and Howard counties, Harbor Hospital was first established in 1903 to serve the waterfront community in Baltimore. It has been the recipient of the Delmarva Foundation's highest honor, the Quality Excellence Award in 2001, 2006, 2007, and 2008. Harbor Hospital's specialty areas include orthopedics, women's services, cancer care, diabetes care, fetal assessment, cardio-pulmonary rehabilitation and treatment of chronic lung conditions. In Fiscal Year 2010, Harbor Hospital had 14,509 inpatient admissions, an estimated 88,017 outpatient visits, and 58,553 emergency visits. false false 9054992 0 5762114 Harbor Hospital provided $9.1M subsidized (mission driven) health services in fiscal 2010. 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. 6893884 0 0 Harbor Hospital provided $6.9M health professions education in fiscal 2010. These services generally included physician and medical student training, and training for nurses and other healthcare professionals. 4188713 0 902250 Harbor Hospital provided $4.2M charity care services in fiscal 2010. Charity care is provided pursuant to MedStar Health's Charity Care 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 the hospital's charity care expense and revenues represent direct payments from the state's charity care pool. Other charity care expenses are indirectly reimbursed via the state of Maryland's payment system. 144980866 184301171 165118455 true true false false false false false false false true false true false false false false false false false false true false false true false false false false false false false true false false false false true true false false false true 0 0 true 1411 true true true false false false false false false false false 15 9 false false false false false 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 CARLOS ZIGEL MD 40.0 X 120657 0 8897 FERIDUN EREN MD 40.0 X 86686 0 1321 KENNETH A SAMET 1.0 X 0 3637403 66085 KAISER J ROBERTSON 1.0 X 750 0 0 DENNIS W PULLIN 1.0 X X 296591 212721 27419 EDWARD P CAREY 1.0 X 0 0 0 GREGORY GURFINCHEL MD 1.0 X 0 0 0 GREGORY H BARNHILL 1.0 X 0 0 0 TIMOTHY E STANSBURY 1.0 X 0 0 0 PETER MCNAB 1.0 X 0 0 0 CHARLES F OBRECHT 1.0 X 0 0 0 DAVID PITMAN 40.0 X 264844 0 22336 DELLA GLODEK 40.0 X 107154 0 28969 ALLAN BIRENBERG 40.0 X 318845 0 29942 LENORA ADDISON 40.0 X 227337 0 66591 NANCY BUTLER 40.0 X 207863 0 54633 JOHN CARBONE MD 40.0 X 644197 0 34269 HOWARD POPKIN MD 40.0 X 551625 0 44175 LEIGH-ANN CURL MD 40.0 X 550935 0 18542 JAMES WOOD MD 40.0 X 546095 0 36702 DENNIS STERN MD 40.0 X 538823 0 39894 JOSEPH M ODDIS 40.0 X 586732 0 27334 5049134 3850124 507109 13 true true false HARBORVIEW ANESTHESIA ASSOC 4419 SOUTH MEADOW COURT ELLICOTT CITY MD 21042 Medical Services 5233679 CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 Facilities Mgmt 2200168 NIGHTINGALE HEALTHNET CORP PO BOX 55811 BOSTON MA 022055811 Medical Billing Srvs 861227 KIME GIPSON SUTULA MD 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 Medical Services 811468 MET ELECTRICAL TESTING CO INC PO BOX 75401 BALTIMORE MD 21275 Facilities Elct Srvs 556023 5 544891 115021 659912 NET PATIENT SERVICE REVENUE 900099 193859189 193859189 193859189 79084 79084 0 0 2923095 2923095 2923095 2923095 2029 -2029 -2029 -2029 0 0 0 PHARMACY 900099 2385754 2385754 OPERATNG RECOVERY 900099 655634 655634 REBATE INCOME 900099 460805 460805 3192714 1562897 1504969 124848 6694907 204214158 195422086 1504969 6627191 0 0 0 0 1543961 1370654 173307 0 78940663 70079728 8860935 2049370 1819332 230038 9299062 8255261 1043801 5631890 4862687 769203 13481438 12597 13468841 72158 72158 0 0 0 0 17292442 17213882 78560 779016 779016 1928377 1474465 453912 30707 17267 13440 0 591311 662454 -71143 194454 120770 73684 0 8894 4762 4132 2372520 2372520 0 7860066 7860066 3982065 169645 3812420 MEDCIAL/SURGICAL SUPPLIES 12947877 12885432 62445 BAD DEBT 8639543 8639543 IMPLANTS/PROSTHESES 7471260 7471260 DRUGS/PHARMACEUTICALS 6454697 6444767 9930 UTILITIES 4838484 4355342 483142 10477804 9026021 1451783 196888059 165118455 31769604 0 2845 2995 17052033 18043337 2523039 2547413 726198 278957 178160503 143074745 35534498 35085758 104266 92376 4071131 2683972 60014010 58734808 18648586 20566919 57704 110521 16298999 18235740 35005289 38913180 X 24904455 19729252 104266 92376 25008721 19821628 60014010 58734808 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3415538 3415538 30250297 23341018 6909279 26939779 26901439 38340 114688673 91199346 23489327 2866216 1632942 1233274 35085758 0 OTHER LIABILITIES 6978290 ASBESTOS ABATEMENT LIABILITY 4798174 ADVANCES FROM 3RD PARTY PAYORS 4513042 CREDIT BALANCE REFUNDS 937449 WORKERS COMPENSATION LIABILITY 586243 PATIENT SERVICE REFUNDS 242049 STOCK OPTION PLAN 171244 SECURITY DEPOSIT 9249 18235740 SCHEDULE D, PART XIV, FIN 48 AUDIT REPORT FOOTNOTE SCHEDULE D, PART XIV THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT 109 (FIN 48). true true X true X true X true true true false true true 0 4194918 0 4194918 0.02130 0 0 0 0 0.00000 0 0 0 0 0.00000 0 4194918 0 4194918 0.02130 68 557191 1774850 2200 1772650 0.00900 2 264 6893884 0 6893884 0.03500 6 38278 9054992 5762114 3292878 0.01670 0 0 0 0 0.00000 17 1410 62161 0 62161 0.00030 93 597143 17785887 5764314 12021573 0.06100 93 597143 21980805 5764314 16216491 0.08230 0 0 0 0 0.00000 0 0 0 0 0.00000 2 58 142417 0 142417 0.00070 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 2 25 40483 0 40483 0.00020 1 0 6075 0 6075 0 0 0 0 0.00000 5 83 188975 0 188975 0.00090 true 5780353 0 0 0 0 X true true HARBOR HOSPITAL INC

3001 SOUTH HANOVER STREET BALTIMORE MD 21225

X X X X 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. 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 deivered 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 in zero. 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. 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 Hospital 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. Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the national. 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. Harbor Hospital's key priorities are determined by the needs of the community it serves. An assortment of mechanisms are routinely implemented to assess and ensure the hospital is serving as the trusted leader in caring for people and advancing health. Strategic planning sessions, which include the executive team and management team, are designed to identify short- and long- term goals. Throughout this process, clinical and operational goals are addressed at various levels. Community needs, both current and projected, are incorporated into each aspect of the planning phase. The community relations team, physicians and nurses undergo a semi-annual planning process. One of the purposes of the planning process is to explore community health needs, interests and trends. The Assistant Vice President of Community Relations, a member of the executive team, is instrumental in ensuring community issues remain on the hospital's goal-setting agenda. The community relations team also works closely with: the hospital's planning team, clinical specialists who focus on the community, and a parish nurse. The team also collaborates with and obtains feedback from local health departments: Baltimore City, Anne Arundel County and Baltimore County. Working in conjunction with local health departments helps the hospital with the collection of an assortment of secondary data, which are critical in effectively and efficiently assessing community health needs and identifying potential opportunities to address those needs. During the course of the year, the community relation's team collected primary data by issuing and collecting surveys to better explore the socio-ecological barriers that impede health behavior. Findings from the surveys allowed the Hospital to implement more strategic and targeted community health programming. Harbor Hospital's Charity Care Policy is posted in the admissions and emergency department areas. During the admissions process, if a patient is listed as "self-pay," patient advocates advise them of the availability of various payment options. Patients are screened for Medical Assistance and charity care eligibility, and the patient advocates work with them to complete the appropriate financial assistance application(s). In addition, because Harbor Hospital has physician partners and practices located throughout the Baltimore area, physicians' offices often refer patients to the patient advocates for their assistance with this process. Harbor Hospital serves a diverse population which is predominately comprised of four distinct communities: Cherry Hill, South Baltimore/Federal Hill, Brooklyn/Curtis Bay/Hawkins Point, and Anne Arundel County. Cherry Hill Cherry Hill is an historically African-American neighborhood, with roots going back to the 17th century. After World War II, more than 600 housing units were built there 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. Thirty-five percent of Cherry Hill residents ages 25 to 64 do not have a high school education, while 24 percent have had some college education. The median household income for Cherry Hill in 2000 was $17,464, among the lowest of Baltimore neighborhoods. In fact, nearly 92 percent of families in the neighborhood, excluding married couple families, earn below the Maryland Self Sufficiency wage standard. The life expectancy of a Cherry Hill resident is 65.0, as compared to 70.9 in Baltimore City as a whole and 78.1 in the United States. Heart disease accounts for 23 percent of all deaths, and cancer accounts for 20 percent. Stroke, HIV/AIDS and homicide are less common but-when combined-cause 18 percent of deaths in this area. South Baltimore South Baltimore's median household income is $39,354, higher than the overall Baltimore City household income of $30,078. More than 30 percent of families in South Baltimore earn less than $25,000 per year. The median household income in South Baltimore is $51,615. Heart disease and cancer are the two most common causes of death. Brooklyn/Curtis Bay/Hawkins Point This racially diverse community is comprised of a 24 percent African-American population and a 69 percent white population. The 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 and 22 percent of deaths respectively. Anne Arundel County One of Harbor Hospital's largest communities is Anne Arundel County. According to the 2000 U.S. Census, of the population ages 16 years and older in the county, more than 71 percent are employed. The median income for the county in 2004 was $66,087, with 13.9 percent of households earning less than $25,000 per year. However, the percentage of people living below the poverty line in the County was 6.5, 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 include cancer and heart disease followed by stroke, chronic lower respiratory disease and diabetes. As a community partner, the hospital engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. For example, the hospital provides health navigation services and blood pressure screenings at the Anne Arundel County Homeless Resource Fair. A partnership with a local environmental organization has been established to help clean up litter in a highly polluted area. In addition, the hospital's work with a Teen Pregnancy Prevention Workgroup offers job shadowing and mentoring opportunities for local at-risk youth. An example of how the community at large benefits from its services, includes the 757 uninsured and underinsured women, primarily from Baltimore City, who received free mammograms, breast exams, and Pap tests last year through the Breast and Cervical Cancer program. Without programs like this, these women would not have access to this potentially life-saving screening. Other free and low-cost screenings provided include those for prostate cancer (20 men screened), low-cost lung CT scans, cholesterol (31 screened), bone density (15 screened) and hearing (13 screened). Harbor Family Care: Harbor Family Care is a clinic-based physician practice that provides primary health care services. Most of the patients are from the local community and are low-income families. This service generates a negative margin. However, the practice addresses a community need and supports the hospital's mission of commitment to patients, communities, physicians and employees. Providing this service allows the local community access to health care services, and therefore more preventive measures and an improvement of the patients' health status are achieved. Women's and Children's Services: Physician practices provide health care services for obstetrics and gynecology. A negative margin is generated. A large number of patients receiving these services are from minority and low-income families. Prenatal care is provided. OB/GYN coverage is provided 24 hours. Preventive measures and improvement of the patient's health status are achieved. 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 health care services for pediatrics. A negative margin is generated. A large number of the patients receiving these services are from minority and low-income families. Preventive measures and improvement of the patient's health status are achieved. The services address a community need for children's services for lower income and minority families. Psychiatric Services: Harbor Hospital absorbs the costs of providing psychiatric supervision for the Emergency Department on a 24-7 basis. If these services were not provided, the patient would be transported to another facility to receive these services. As a proud member of MedStar Health, Harbor Hospital is able to expand its capacity to meet the needs of the community by partnering with other MedStar Hospitals and associated entities. For example, MedStar Health resources assist the hospital in strategic planning to meet the needs of the under/uninsured. Through its community health function, MedStar Health provides the hospital with technical support to enhance community health programming. MedStar's corporate philanthropy division offers resources and technical support in securing philanthropic investors to ensure health services are available to all patients, regardless of ability to pay. MD true X X X X X X true true false false false false false false false JOSEPH M ODDIS 205798 0 136500 0 244434 0 18964 0 8370 0 614066 0 0 0 KENNETH A SAMET 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 DAVID PITMAN 196955 0 67889 0 0 0 9219 0 13117 0 287180 0 0 0 DENNIS W PULLIN 175510 173528 121081 39193 0 0 5300 5300 8410 8409 310301 226430 0 0 ALLAN BIRENBERG 268845 0 50000 0 0 0 16163 0 13779 0 348787 0 0 0 LENORA ADDISON 173501 0 53836 0 0 0 60306 0 6285 0 293928 0 0 0 NANCY BUTLER 164084 0 43779 0 0 0 37154 0 17479 0 262496 0 0 0 JOHN CARBONE MD 619197 0 25000 0 0 0 20106 0 14163 0 678466 0 0 0 HOWARD POPKIN MD 325041 0 226584 0 0 0 29381 0 14794 0 595800 0 0 0 LEIGH-ANN CURL MD 550935 0 0 0 0 0 11500 0 7042 0 569477 0 0 0 JAMES WOOD MD 546095 0 0 0 0 0 22580 0 14122 0 582797 0 0 0 DENNIS STERN MD 324572 0 214251 0 0 0 26075 0 13819 0 578717 0 0 0 Allan birenberg SEE SCHEDULE O 5233679 ANESTHESIA SERVICES false Description of Executive Compensation Process Part VI, Section B, Question 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. Compensation Footnotes Form 990, Part VII, Line 4 Joseph Oddis Joseph Oddis' Other reportable compensation in Part II, Column (B) (iii) includes $182,847 representing the amount of severance payments received by Mr. Oddis. Kenneth Samet Kenneth Samet's Other reportable compensation in Part II, Column (B) (iii) includes $1,278,236 representing Mr. Samet's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 21 years of service. This amount was not actually paid to Mr. Samet, but was reported as compensation under FICA tax-reporting rules, and this entire amount was also reported on Form 990 in prior years. Financial Statement Availability PART VI, SECTION C, QUESTION 19 MedStar Health posts its annual financial audit and quarterly financial reports to the Electronic Municipal Market Access (EMMA) system. The organization also 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. Conflict of Interest Policy Enforcement FORM 990, PART VI, SECTION B, QUESTION 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). Process for Reviewing Form 990 Part VI, Section B, Question 11A The process for reviewing the Form 990 included education and transparency. Senior financial executives, working with independent outside experts, thoroughly reviewed the revised Form 990 and accompanying instructions and provided education sessions on the revised Form to the organization's governing body and its senior officers. In addition, separate education sessions were provided to the following committees of organization's governing body: Finance, Audit, Governance, Strategic Planning, and Executive Compensation. This education process took place over several months. Following these education sessions, the governing body was provided a copy of the Form 990 in its final form and was encouraged to provide any input or comments relating to the Form 990 prior to its filing. Business Transaction Involving Interested Person Schedule L, Part IV, Question (b) Dr. Allan Birenberg owns more than 5% of Harborview Anesthesia Associates (HAA), which provides services to Harbor Hospital. HAA's gross revenues received from the hospital for anesthesia services for the year were $5,233,679. 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Rehab Services MD NA C Corp Franklin Square Drive Land Condo Associa 5565 Sterrett Place 5th Floor Columbia MD 21044 760756352 Condo Owner Assoc MD NA C Corp MGH Diversified Services Inc 18101 Prince Philip Drive Olney MD 20832 521943602 Medical Services MD NA C Corp St Mary's Health Alliance Inc 25500 Point Lookout Road Leonardtown MD 20650 521930331 Medical Services MD NA C Corp Greenspring Financial Insurance Limited 980188617 Insurance NA C Corp false false false false false false false false false false false false false false false false false false