2011-05-11T13:07:26-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 522087445 MedStar Health Inc MEDS 4107726719 5565 Sterrett Place 5th Floor Columbia MD 21044 Marc R Berger 4107726719 2011-05-09 true 7576167000 2009 2016-02-24 21:20:13Z KENNETH A SAMET 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 36279469 false X www.medstarhealth.org X 1998 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 20 15 209 0 0 -55174 218572 1025744 16911641 18850931 -36345385 11822623 1366125 1372231 -17849047 33071529 0 0 0 0 37096428 36315938 0 0 0 25998742 22262881 63095170 58578819 -80944217 -25507290 1394857412 1362506894 1280928859 1297723562 113928553 64783332 The mission of MedStar Health is to serve our patients, those who care for them, and our communities. MedStar Health is a regional healthcare system that operates nine hospitals, providing healthcare services in Maryland and the Washington, D.C. region. It is the area's largest health system and one of its largest employers, with more than 26,000 associates and 5,300 affiliated physicians. Areas of clinical excellence include cardiology, cardiac surgery, oncology services, transplant services, rehabilitation, neurosciences, sports health, orthopedic surgery, women's services and emergency and trauma services. MedStar Health's comprehensive services include primary, urgent and subacute care, medical education and research. Other health-related services include assisted living, home health and long-term care. MedStar Health also operates nursing homes, senior housing, rehabilitation, ambulatory centers and a physician network. In fiscal year 2010, MedStar Health's hospitals had 161,890 i false false 58578819 16756919 As the parent company in an integrated healthcare system, MedStar Health, Inc.'s sole program service is the management and support of its affiliated entities. The program service expenses incurred by the organization relate to corporate service functions in the following areas: financial services, human resource services, treasury services, information systems, legal services, risk management, compliance, privacy, business and system development, planning, marketing, community health, external affairs, philanthropy services, managed care, internal audit, graduate medical education and academic affairs. 58578819 true true false true false false false false false true false true false false false false false false false false false false false true true false false false false false false false false false true false false false false true true true false false true 239 0 true 209 true true true false false false false false false false false false 20 15 true false false false false true false 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 KENNETH A SAMET 40.0 X X 3637403 0 66085 JOHN J KIRKPATRICK MD 1.0 X 0 357962 32672 DONOVAN DIETRICK MD 1.0 X 0 262587 43207 CHANDRALEKHA BANERJEE MD 1.0 X 0 0 0 ANDREW BERRY 1.0 X 0 0 0 EDWARD J BRODY 1.0 X 0 0 0 EDWARD S CIVERA 1.0 X 0 0 0 F DONALD COONEY MD 1.0 X 0 0 0 JOHN J DEGIOIA 1.0 X 0 0 0 STEPHEN D HARLAN 1.0 X 0 0 0 BARBARA R HELLER 1.0 X 0 0 0 ROBERTA LOKER 1.0 X 0 0 0 CATHERINE A MELOY 1.0 X 0 0 0 CHARLES T NASON 1.0 X 0 0 0 WILLIAM J OETGEN JR MD 1.0 X 0 0 0 WILLIAM R ROBERTS 1.0 X 0 0 0 STUART F SEIDES MD 1.0 X 0 0 0 SARA E WATKINS 1.0 X 0 0 0 TOGO D WEST JR 1.0 X 0 0 0 E F SHAW WILGIS MD 1.0 X 0 0 0 WILLIAM L THOMAS MD 40.0 X 2350033 0 117047 MICHAEL J CURRAN 40.0 X 1716602 0 39701 CHRISTINE M SWEARINGEN 40.0 X 852800 0 58212 ERIC WAGNER 40.0 X 735495 0 49491 MICHAEL ROGERS 40.0 X 682198 0 28670 ELIZABETH SIMPSON 40.0 X 493196 0 37354 JOY DRASS 40.0 X 472984 595384 53013 CARL SCHINDELAR 40.0 X 404393 487211 97373 Oliver M Johnson II 40.0 X 0 0 0 CATHERINE SZENCZY 40.0 X 660012 0 24160 STEVEN COHEN 40.0 X 591554 0 86323 DAVID NOE 40.0 X 454032 0 37517 STEPHEN NEITZ 40.0 X 428090 0 51804 JOEL BRYAN 40.0 X 397060 0 37450 LARRY SMITH 40.0 X 369785 0 42220 SUSAN NELSON 40.0 X 353072 0 16128 JOHN P MCDANIEL 1.0 X 1527876 0 0 ROBERT J RYAN 1.0 X 469953 0 93267 16596538 1703144 1011694 18 true true false MARSH MCLENNAN INC PO BOX 14834 14834 COLLECTIONS CTR CHICAGO IL 60693 Consulting 6114492 GOODELL DEVRIES LEECH DANN ONE SOUTH STREET 20th Floor BALTIMORE MD 21202 Legal Services 2993112 HOGAN LOVELLS US LLP 111 SOUTH CALVERT STREET Suite 160 BALTIMORE MD 21202 LEGAL SERVICES 1639996 NASH ASSOCIATES LLC CROMWELL CENTER 809 GLEN EAGLES CO TOWSON MD 21286 LEGAL SERVICES 1516630 ARMSTRONG DONOHUE CEPPOS VAUGHAN 204 MONROE STREET ROCKVILLE MD 20850 Legal Services 1397408 5 1025744 1025744 NET PATIENT SERVICE REVENUE 900099 -3860140 -3860140 GREENSPRING FEE 900099 21958016 21958016 PHARMACY 900099 753055 753055 18850931 15030563 15030563 0 0 3207940 -3207940 -3207940 -3207940 0 0 0 BAD DEBT RECOVERY 900099 1070283 1070283 MISC. REVENUE 900099 301948 301948 1372231 33071529 18850931 13194854 0 0 0 0 13179407 13179407 0 0 0 13696241 13696241 3272127 3272127 4925804 4925804 1242359 1242359 0 765339 765339 1678014 1678014 0 0 0 7991992 7991992 1250877 1250877 350098 350098 160476 160476 0 1546568 1546568 462356 462356 0 69916 69916 1184456 1184456 0 892591 892591 54645 54645 MISCELLANEOUS 4008494 4008494 DEFERRED TAXES 1364944 1364944 UTILITIES 218590 218590 MAINTENANCE & CLEANING 148827 148827 FOOD SERVICE 114698 114698 58578819 58578819 0 0 486220895 398150486 1921255 511404 21580 21580 435310 951400 19836570 15741774 4635344 4094796 750021719 870092603 151601309 88684625 1394857412 1362506894 44796180 52807181 425651 709817 1061328282 1008917844 174378746 235288720 1280928859 1297723562 X 112133061 63057754 1795492 1725578 113928553 64783332 1394857412 1362506894 X false true true X false X X false false false THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 03 true true true 0 THE UNION MEMORIAL HOSPITAL 520591685 03 true true true 0 MEDSTAR-GEORGETOWN MEDICAL CENTER INC 522218584 03 true true true 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 03 true true true 0 HARBOR HOSPITAL CENTER INC 520491660 03 true true true 0 WASHINGTON HOSPITAL CENTER CORPORATION 521272129 03 true true true 0 NATIONAL REHABILITATION HOSPITAL 521369749 03 true true true 0 MEDSTAR RESEARCH INSTITUTE 526056274 04 true true true 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATION 530196597 09 true true true 0 MONTGOMERY GENERAL HOSPITAL 520646893 03 true true true 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY 520619006 03 true true true 0 11 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 986045 986045 Other Activities Part IV, Supplemental Information The expenses incurred by the organization for lobbying activities reflects the total expenditures for lobbying efforts on behalf of all subsidiaries and affiliates. These expenses included a portion of the compensation expense for several employees in the government affairs department of the organization who are involved in lobbying activities as well as the amounts paid to outside advocacy and consulting groups for their lobbying activities on behalf of the organization. The lobbying work related to healthcare policy issues at the federal level as well as work in Maryland and the District of Columbia. Among the policy issues encompassed by the organization's lobbying efforts were health care coverage for the uninsured and under-insured, emergency preparedness, reimbursement policies, employment practices, health reform, and other key issues. 0 1164963 1164963 0 20952 6406 14546 0 3301066 2182804 1118262 0 13555858 12014378 1541480 0 1793731 1538186 255545 4094796 HELIX POOLED INVESTMENT FUND 508109339 F INVESTMENT IN AFFILIATES 353081122 F OTHER UNRESTRICTED INVESTMENTS 8902142 F 870092603 OTHER ASSETS 31874265 DEFERRED TAX ASSET 21139416 DEFERRED FINANCING COSTS 13032641 OPTION IT ASSET 8837479 DEBT-SERVICES MHHEFA 4586074 CASH SURRENDER VALUE OF INS 3304483 DEFERRED COMPENSATION ASSET 3082049 DEFERRED ASSET - CURRENT 2828218 88684625 0 DEFERRED COMP AND PENSION 187619251 OTHER LIABILITIES 46670464 WORKERS COMPENSATION 957336 INTERCOMPANY PAYABLES 41669 235288720 FIN 48 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. X true true X X X X X X true true false false false false false false false KENNETH A SAMET 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 0 WILLIAM L THOMAS MD 580829 0 487538 0 1281666 0 97126 0 19921 0 2467080 0 1191808 0 MICHAEL J CURRAN 694680 0 665336 0 356586 0 22334 0 17367 0 1756303 0 119836 0 JOHN P MCDANIEL 0 0 834796 0 693080 0 0 0 0 0 1527876 0 0 0 CHRISTINE M SWEARINGEN 370019 0 256209 0 226572 0 41247 0 16965 0 911012 0 0 0 ERIC WAGNER 432713 0 302782 0 0 0 32076 0 17415 0 784986 0 0 0 MICHAEL ROGERS 334924 0 125000 0 222274 0 20584 0 8086 0 710868 0 154119 0 CATHERINE SZENCZY 387168 0 272844 0 0 0 11500 0 12660 0 684172 0 0 0 STEVEN COHEN 337255 0 254069 0 230 0 67896 0 18427 0 677877 0 0 0 ELIZABETH SIMPSON 329707 0 163489 0 0 0 21840 0 15514 0 530550 0 0 0 JOY DRASS 327234 292390 145750 302994 0 0 17227 17227 9280 9279 499491 621890 0 0 ROBERT J RYAN 401339 0 65358 0 3256 0 83097 0 10170 0 563220 0 0 0 DAVID NOE 309656 0 114855 0 29521 0 26453 0 11064 0 491549 0 0 0 STEPHEN NEITZ 240079 0 131042 0 56969 0 37622 0 14182 0 479894 0 0 0 CARL SCHINDELAR 281215 233899 123178 253312 0 0 38400 38400 10287 10286 453080 535897 0 0 JOEL BRYAN 278811 0 118249 0 0 0 22369 0 15081 0 434510 0 0 0 LARRY SMITH 267429 0 102356 0 0 0 23851 0 18369 0 412005 0 0 0 SUSAN NELSON 245315 0 107757 0 0 0 11500 0 4628 0 369200 0 0 0 JOHN J KIRKPATRICK MD 0 91295 0 0 0 266667 0 27688 0 4984 0 390634 0 0 DONOVAN DIETRICK MD 0 257407 0 5180 0 0 0 29438 0 13769 0 305794 0 0 MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AU 520936091 574217MW2 2004-02-03 168903885 ADVANCE REFUND BONDS ISSUED 2001 false false MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AU 520936091 574217C60 2007-01-31 148551201 CONSTRUCT FRANKLIN SQ HOSPITAL TWR false false DISTRICT OF COLUMBIA 536001131 2548393Y7 2008-05-15 283137423 CURRENT REFUND BONDS ISSUED 1998 false false 168903885 188821 166098335 2616729 0 0 false true true true 148551201 0 0 0 1801484 0 146749717 2010 false false true true 283137423 0 283137423 0 0 0 0 true false true true false false false false true 0.00000 0.00000 0.00000 true true false false false false false false false false false false false false true false false false false JOHN J DEGIOIA PHD SEE SCHEDULE O 24840582 VARIOUS SERVICES false WILLIAM R ROBERTS SEE SCHEDULE O 4400000 TELECOMMUNICATION SERVICES false 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 and RETIREMENT PLAN PARTICIPATION Part VII, Section A and SCHEDULE J, QUESTION 4B 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. Michael Curran Michael Curran's Other reportable compensation in Part II, Column (B) (iii) includes $356,586 representing Mr. Curran's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 9 years of service. This amount was not actually paid to Mr. Curran, but was reported as compensation under FICA tax-reporting rules, and $119,836 was also reported on Form 990 in prior years. William Thomas William Thomas' Other reportable compensation in Part II, Column (B) (iii) includes $1,281,666 representing Dr. Thomas' accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 15 years of service. This amount was not actually paid to Dr. Thomas, but was reported as compensation under FICA tax-reporting rules, and $1,191,808 was also reported on Form 990 in prior years. Michael Rogers Michael Rogers' Other reportable compensation in Part II, Column (B) (iii) includes $167,300 representing Mr. Rogers' accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 7 years of service. Of this amount, $154,119 was also reported on Form 990 in prior years. John McDaniel John McDaniel's Other reportable compensation in Part II, Column (B) (iii) includes $693,080 representing the amount of supplemental retirement benefit payments which were earned over 20 years of service. Christine Swearingen Christine Swearingen's Other reportable compensation in Part II, Column (B) (iii) includes $226,572 representing the amount of a supplemental retirement benefit payment which was earned over the last 13 years of service. Stephen Neitz Stephen Neitz's Other reportable compensation in Part II, Column (B) (iii) includes $54,984 representing the amount of severance payments received by Mr. Neitz. Conflict of Interest Part VI, Section B, 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). 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. Social Club Dues Schedule J, Question 1a The organization paid social club dues for three of its officers during this year. Participation in these activities by the officers was for business purposes, and helped the organization further its exempt purposes. 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 (MedStar Health, Inc.) and its senior officers. In addition, separate education sessions were provided, and relevant sections of the Form 990 were reviewed, with the following committees of the organization's governing body: Finance, Audit, Governance, Strategic Planning, and Executive Compensation. This education process and review took place over several months. Following these sessions, 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. FAMILY/BUSINESS RELATIONSHIP PART VI, LINE 2 Kenneth Samet and Edward Civera both serve on the Board of an unrelated corporation. The unrelated corporation does not transact any business with MedStar Health. BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV John J. DeGioia, Ph.D., a Board member of MedStar Health, is President and CEO of Georgetown University. Since June 2000, Georgetown University and MedStar Health, Inc. have maintained a clinical partnership agreement whereby MedStar Health owns and operates Georgetown University Hospital's clinical enterprise, which purchases various services stemming from Georgetown University as part of this affiliation. Georgetown University was reimbursed approximately $24.8 million during the year largely for expenses incurred in providing these services to MedStar Health and its affiliated business. William R. Roberts is President of Verizon of Maryland. MedStar Health and its affiliated businesses spent approximately $4.4 million on telecommunications services provided by Verizon in fiscal 2009. MEDSTAR SPORTSHEALTH LLC Healthcare MD 139860 0 MEDSTAR HEAL Church Home Corporation 5565 Sterrett Place 5th Floor Columbia MD 21044 237374724 Medical Fund MD 501(c)(3) PF NA Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(c)(3) 3 NA Harbor Hospital Inc 3001 South Hanover Street Baltimore MD 21225 520491660 Hospital MD 501(c)(3) 3 NA Montgomery General Hospital 18101 Prince Philip Drive Olney MD 20832 520646893 Hospital MD 501(c)(3) 3 NA The Good Samaritan Hospital of Maryland 5601 Loch Raven Blvd Baltimore MD 21239 520591607 Hospital MD 501(c)(3) 3 NA The Union Memorial Hospital 201 East University Parkway Baltimore MD 21218 520591685 Hospital MD 501(c)(3) 3 NA Medstar Research Institute 108 Irving Street NW Washington DC 20010 526056274 Hospital DC 501(c)(3) 3 NA The Medstar-Georgetown Medical Center I Hopsital Admin 1 Main Bldg Washington DC 20007 522218584 Hospital DC 501(c)(3) 3 NA Washington Hospital Center Corporation 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5565 Sterrett Place 5th Floor Columbia MD 21044 753160895 Radiation Therapy MD NA Related false false Physician Imaging of Washington Hospital 6525 Belcrest Road Suite G 50 Hyattsville MD 20782 562616090 Lab Services MD NA Related false false MedStar Pharmacies Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521513056 Drug Sales MD NA C Corp ExtenCare Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521556228 Medical Services MD NA C Corp Helix Resources Management Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521913070 Admin Services MD NA C Corp HelixCare Medical Group LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 521955580 Medical Services MD NA C Corp HelixCare Properties LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 521966695 Medical Services MD NA C Corp Parkway Ventures Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521702572 Holding Company MD NA C Corp Physicians Administrative Services Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 237042074 Billing Services MD NA C Corp MedStar Family Choice Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521995521 Managed Care MD NA C Corp Medstar Enterprises Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522139841 Admin Services MD NA C Corp Nascott Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521693808 Medical Services MD NA C Corp Star Billing Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521850113 Billing Services MD NA C Corp Washington Risk Network Management Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522132677 Medical Services MD NA C Corp Washington Hospital Center Physician Hos 100 Irving Street NW Washington DC 20010 521931000 Medical Services MD NA C Corp Medstar Physician Partners Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522030809 Medical Services MD NA C Corp NRH Ambulatory Services Inc 102 Irving Street NW Washington DC 20010 521930165 Rehab Services MD NA C Corp Franklin Square Drive Land Condo Associa 5565 Sterrett Place 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