2011-05-11T13:04:13-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 520608007 Franklin Square Hospital Center Inc FRAN 4107726719 9000 Franklin Square Drive Baltimore MD 21237 Marc R Berger 4107726719 2011-05-09 true Scott Sherman 7576167000 2009 2016-02-24 21:20:13Z Adrienne Kirby 9000 Franklin Square Drive Baltimore MD 21237 439408108 false X www.franklinsquare.org X 1898 MD FRANKLIN SQUARE HOSPITAL CENTER, INC., A MEMBER OF MEDSTAR HEALTH, PROVIDES THE HIGHEST QUALITY HEALTHCARE AND EDUCATION TO OUR COMMUNITIES. 19 16 3346 402 0 2021646 4212704 423003016 428134103 -59936 143132 6698181 6863857 431662907 439353796 0 0 0 0 204133645 206636133 0 0 0 207904353 201552463 412037998 408188596 19624909 31165200 214913635 279516026 71423389 72667918 143490246 206848108 AS A PROUD MEMBER OF MEDSTAR HEALTH, FRANKLIN SQUARE HOSPITAL PROVIDES SAFE, HIGH QUALITY CARE, EXCELLENT SERVICE, AND EDUCATION TO IMPROVE THE HEALTH OF THE COMMUNITY. FOUNDED IN 1898, AND NOW LOCATED IN THE WHITE MARSH AREA OF NORTHEASTERN BALTIMORE COUNTY, FRANKLIN SQUARE HOSPITAL IS AN ACUTE-CARE TEACHING HOSPITAL OFFERING A FULL RANGE OF SERVICES FOR CHILDREN AND ADULTS. PRIMARY SERVICE LINES INCLUDE MEDICINE, ONCOLOGY, SURGICAL SERVICES, WOMEN AND CHILDREN'S CARE, BEHAVIORAL HEALTH AND COMMUNITY-BASED MEDICINE. IN FISCAL YEAR 2010, THE HOSPITAL HAD 30,143 INPATIENT ADMISSIONS, AN ESTIMATED 194,923 OUTPATIENT VISITS, AND 103,592 EMERGENCY VISITS. false false 16393151 12146750 FRANKLIN SQUARE HOSPITAL PROVIDED $16.4M IN 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 INCLUDE OPERATION AND MANAGEMENT OF THE FAMILY HEALTH CENTER, CERTAIN PRIMARY CARE SERVICES, HOSPITALISTS, AND EMERGENCY TRAUMA SERVICES. 14562485 10075 FRANKLIN SQUARE HOSPITAL PROVIDED $14.6M IN HEALTH PROFESSIONS EDUCATION IN FISCAL 2010. THIS CATEGORY INCLUDES TRAINING FOR PHYSICIANS, MEDICAL STUDENTS, AND NURSES. RESIDENCIES, INTERNSHIPS, CLERKSHIPS, AND FELLOWSHIPS ARE ALSO QUALIFYING PROGRAMS. 8924317 0 FRANKLIN SQUARE HOSPITAL PROVIDED $8.9M IN CHARITY CARE SERVICES IN FISCAL YEAR 2010. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S CHARITY CARE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOMES ARE 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. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. 315091781 0 354971734 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 false false false false false true true false false false true 0 0 true 3346 true false false false false false false false false false false false false 19 16 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 CARL J SCHINDELAR 40.0 X X 487211 404393 97373 DEBRA B DOYLE 1.0 X X 0 0 0 KENNETH SAMET 1.0 X 0 3637403 66085 HATEM ABDO 1.0 X 0 0 0 KHALID AL-TALIB 1.0 X 0 0 0 ROBERT G DAVEY 1.0 X 0 0 0 MICHAEL L DIETRICH 1.0 X 0 0 0 JOHN B FRANZONE 1.0 X 0 0 0 GEORGE J JABAJI 1.0 X 24902 0 0 VINCENT MARTORANA 1.0 X 0 0 0 JEANNE M MURPHY 1.0 X 0 0 0 PATRICIA R NORMAN 1.0 X 0 0 0 DENNIS F RASMUSSEN 1.0 X 0 0 0 RICHARD W SINGLE SR 1.0 X 0 0 0 MICHAEL D SUTER 1.0 X 0 0 0 DEBORAH M TURNER 1.0 X 0 0 0 THOMAS S WINTZ 1.0 X 0 0 0 SCOTT G BARHIGHT 40.0 X X 0 0 0 JOHN GONTRUM 1.0 X X 0 0 0 ANTHONY SCLAMA 40.0 X 504781 0 44762 ROBERT LALLY 40.0 X 406098 0 53833 ADRIENNE KIRBY 40.0 X 0 0 0 GLENN VISBEEN 40.0 X 307024 0 15140 LAWRENCE STRASSNER 40.0 X 209681 0 25207 WILLIAM MCGUIRE 40.0 X 485320 0 25909 WILLIAM WATERFIELD 40.0 X 421336 0 34779 YVONNE OTTAVIANO 40.0 X 402687 0 35930 SAMUEL SMITH 40.0 X 400360 0 40866 DANIEL PICARD 40.0 X 386240 0 41285 4035640 4041796 481169 273 false true false BOVIS LEND LEASE ONE PRESERVE PARKWAY SUITE 700 ROCKVILLE MD 20852 CONSTRUCTION MGMT 57162051 CHESAPEAKE PERIOPERATIVE SERVICES PO BOX 17568 BALTIMORE MD 21298 MEDICAL SERVICES 9324000 SHADE CONSTRUCTION CO INC 1730 EAST JOPPA ROAD BALTIMORE MD 21234 CONSTRUCTION MGMT 2026640 CHESAPEAKE MEDICAL STAFFING 2401 YORK ROAD ATTENTION JEFF MCC TIMONIUM MD 21093 MEDICAL STAFFING 1165260 SLEEP SERVICES OF AMERICA 890 AIRPORT PARK ROAD GLEN BURNIE MD 21061 MEDICAL SERVICES 1144786 5 4212704 4212704 NET PATIENT SERVICE REVENUE 621300 428134103 428134103 428134103 192932 192932 0 0 345159 345159 345159 345159 4512 54312 -49800 -49800 -49800 0 0 0 PHARMACY 900099 3943506 3943506 REBATE 900099 1197142 1197142 PARKING LOT REVENUE 812930 193903 193903 1184147 1010914 173233 6518698 439353796 434479568 661524 0 0 0 0 2555503 2300753 254750 0 166630543 150019676 16610867 4485104 4037998 447106 20929271 18842899 2086372 12035712 10628877 1406835 24607867 24607867 86662 86662 0 0 0 0 38614788 36755138 1859650 1679711 263794 1415917 3376494 2238815 1137679 50854 44935 5919 0 1616002 1625604 -9602 663393 495821 167572 0 143433 129459 13974 4490474 4490474 0 14656923 14656923 10543102 10261667 281435 DRUGS/PHARMACY 28783599 28729051 54548 MEDICAL/SURGICAL SUPPLIES 23961750 23904985 56765 BAD DEBTS 17951015 17951015 IMPLANTS/PROST. 8789087 8789087 MAINTENANCE AND CLEANING 5426675 5216147 210528 16110634 13588616 2522018 408188596 354971734 53216862 0 6378 6378 406918 774224 41911033 46884632 4912487 5840785 1172796 715281 421178752 199330619 162414807 221848133 380492 1026012 3708724 2420581 214913635 279516026 44702010 42259717 59722 87303 26661657 30320898 71423389 72667918 X 141979754 206422096 1510492 426012 143490246 206848108 214913635 279516026 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 386702 386702 87728193 65380664 22347529 4230080 3392952 837128 174506922 125747494 48759428 154326855 4809509 149517346 221848133 0 ADVANCES FROM 3RD PARTY PAYORS 10616532 OTHER LIABILITIES 14001674 WORKERS COMPENSATION 5000974 ASBESTOS ABATEMENT LIABILITY 260933 STOCK OPTION PLAN 440785 30320898 FIN 48 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 6095309 0 6095309 0.01490 0 0 0 0 0.00000 0 0 0 0 0.00000 0 6095309 0 6095309 0.01490 172 310894 2045708 46362 1999346 0.00490 15 1312 14562485 0 14562485 0.03570 5 405 16393151 12146750 4246401 0.01040 2 0 474814 62925 411889 0.00100 36 326 328947 0 328947 0.00080 230 312937 33805105 12256037 21549068 0.05280 230 312937 39900414 12256037 27644377 0.06770 0 0 0 0 0.00000 0 0 0 0 0.00000 7 381 183437 4200 179237 0.00040 0 0 0 0 0.00000 1 41 2196 0 2196 1 40 542 0 542 8 162 44722 0 44722 0.00010 1 100 692 0 692 1 400 1531 0 1531 19 1124 233120 4200 228920 0.00050 true 11171285 0 0 0 0 true true FRANKLIN SQUARE HOSPITAL CENTER

9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 212373901

X X X X X X FAST TRACK ER 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. In 2007, Franklin Square led, and financially supported, the Southeast Area Network of providers in conducting a community needs assessment of the health and well-being in the southeastern portion of Baltimore County. The purpose of this project was threefold: (1) assess current health and well-being in the southeast area; (2) identify discrepancies in service needs and outcomes among area residents; and (3) devise a strategic plan for correcting these discrepancies. Four critical needs were identified for the Franklin Square services area: cardiovascular disease management and prevention, domestic violence, cancer and access to care for underserved populations. In April 2008, Franklin Square published an action plan for developing coordinated and collaborative efforts and investing in economic and social resources in ways that improve the health and well-being for all of southeast Baltimore County's residents. Assessment of resources which are currently available to meet the action plan were identified in FY2009 by a collaboration of professional networks, county agencies and community organizations. Planning action items and seeking funding are FY2011 goals for the Network. Franklin Square participates on the MedStar Health Community Advisory Board to study demographics, assess community health disparities, inventory resources and establish community benefit goals for both the Hospital and MedStar Health. Franklin Square's Charity Care Policy, including a description of the applicable communities it serves, is posted in each major patient registration area and in any other areas required by applicable regulations. Franklin Square communicates the information to patients as required by this policy and applicable regulations. Copies of the policy are available for all patients. Franklin Square's financial services staff works with uninsured and underinsured patients to understand each patient's financial situation prior to admission (for scheduled services) or prior to billing (for emergency services). Uninsured patients may be eligible for charity care or sliding-scale financial assistance. The financial counselors and financial services staff will determine eligibility for charity care and sliding scale financial assistance based on income, family size, and the extent of medical costs. Located in the Rosedale section of Eastern Baltimore County, Maryland, Franklin Square Hospital Center's primary service area includes sixteen zip codes from eastern Baltimore City thru eastern Baltimore County and extending up to southern Harford County, adjacent to the Chesapeake Bay. This area has a large base population of approximately 524,000, and is projected to grow by 2.6% in the next five years, to about 538,000. The service area has become a much more diverse community over the past few decades. The area, particularly eastern Baltimore City and eastern Baltimore County, can be described as blue-collar, high-school educated, and economically depressed; with a diverse population consisting of Caucasians (71.8%), African-Americans (20.3%), Asian/Pacific Islanders (2.5%), Hispanics/Latinos (3.1%), and Others (2.3%). Thirty-seven percent of the population is either very young or senior with 24% children under eighteen years old and 13% over 65 years old. Poverty is a significant problem in Eastern Baltimore County. Statistics show that 48% of the residents have a high school or lower level of education. Statistics also show that the median household income in the Essex / Middle River / Dundalk area of $47,949 is much lower than the county average of $65,531. The number of individuals who are uninsured or under insured in the hospital's catchment area is estimated to be 38% and growing. This is a direct result of the decline in manufacturing industries in the region, which are being reduced or declaring bankruptcy. Currently, the largest employer in the area is the Hospital. The increasing number of families and individuals with either no health insurance or severely curbed health insurance represents a serious concern for the healthcare community and government agencies. 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. In January 2008, Franklin Square, in partnership with Baltimore County and Healthcare for the Homeless in Baltimore City, established a new primary care access point for homeless persons in Baltimore County. The Hospital provides the primary healthcare staff, in-kind support in technical assistance, information technology, finance/budget/billing, and public relations and marketing. Franklin Square also provides write offs for labs and specialty services. Adult and youth tobacco use rates are high in Maryland and in the Hospital's service area, contributing to significant morbidity and mortality. In 1997, Franklin Square began offering community tobacco prevention programs. In 2000, Franklin Square began a multifaceted approach to tobacco prevention based on community data. The targeted populations include elementary, middle, and high school children as well as adults. Intervention programs tailored to the audience's educational level occur at health fairs and presentations. Each year, Franklin Square Hospital evaluates over 300 children who have been suspected of being abused. Children in Eastern Baltimore County are almost 50% more likely as children in the rest of the county to be abuse victims. In 2000, after reviewing cases of children who were injured and treated in the Emergency Department (ED), it appeared that many were not receiving complete evaluations and cases of child abuse were possibly being missed. Additionally, in a two-year period from 1998-2000, five children who were born at Franklin Square returned severely injured from Abusive Head Trauma (AHT). In response to the increased incidence of abuse, the Department of Pediatrics developed a comprehensive approach to diagnose and prevent child abuse. The Franklin Square Hospital Child Protection Team (CPT) began to function in November 2000. The leaders of the CPT are a Social Worker Coordinator, the Medical Director, and on-call social work and medical staff. The team provides 24/7 coverage to the Hospital and evaluates any child who is suspected of being physically or sexually abused. This service has proven to be a significant contribution to the community - impacting thousands of parents and children. As a proud member of MedStar Health, Franklin Square 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 Franklin Square 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 false true false false false false false false false CARL J SCHINDELAR 233899 281215 253312 123178 0 0 38400 38400 10286 10287 535897 453080 0 0 KENNETH SAMET 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 ANTHONY SCLAMA 367127 0 137654 0 0 0 21964 0 22798 0 549543 0 0 0 ROBERT LALLY 234629 0 98430 0 73039 0 35641 0 18192 0 459931 0 0 0 GLENN VISBEEN 230519 0 76505 0 0 0 0 0 15140 0 322164 0 0 0 LAWRENCE STRASSNER 173959 0 35722 0 0 0 16417 0 8790 0 234888 0 0 0 WILLIAM MCGUIRE 430969 0 54351 0 0 0 24181 0 1728 0 511229 0 0 0 WILLIAM WATERFIELD 373708 0 47628 0 0 0 23415 0 11364 0 456115 0 0 0 YVONNE OTTAVIANO 350500 0 52187 0 0 0 21914 0 14016 0 438617 0 0 0 SAMUEL SMITH 368766 0 31594 0 0 0 26843 0 14023 0 441226 0 0 0 DANIEL PICARD 373700 0 12540 0 0 0 29931 0 11354 0 427525 0 0 0 DESCRIPTION OF EXECUTIVE COMPENSATION FORM 990 - 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. 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. COMPENSATION FOOTNOTE Form 990, Part VII, Line 4 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. CONFLICT OF INTEREST POLICY 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, LINE 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. 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