2011-05-11T13:04:50-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 520591607 The Good Samaritan Hospital of Maryland Inc GOOD 4107726719 5601 Loch Raven Blvd Baltimore MD 21239 Marc R Berger 4107726719 2011-05-09 true 7576167000 2009 2016-02-24 21:20:13Z Jeffrey Matton 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 322265659 false X www.goodsam-md.org X 1920 MD WE ARE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO DELIVER IDEAL HEALTH EXPERIENCES 22 16 2454 203 133500 0 1569696 2612530 313276737 314274704 -3737094 1787172 3362398 3591253 314471737 322265659 0 0 0 0 146380377 148823417 0 0 0 161552640 162991951 307933017 311815368 6538720 10450291 156498075 164718200 52305256 53243823 104192819 111474377 As a proud member of MedStar Health, Good Samaritan Hospital's mission is to be good Samaritans, guided by catholic tradition and trusted to deliver ideal health experiences. Good Samaritan Hospital is a specialty facility and comprehensive care community hospital, known for excellence in orthopedics, rheumatology, nephrology, physical and rehabilitation medicine and burn reconstruction. Good Samaritan opened a full service emergency department in 1990, and since then it has consistently been one of the fastest growing hospitals in Maryland. It was recently named as a top 50 hospital in gastroenterology, orthopaedics, and geriatrics by US News and World Report. In 2010, the hospital was also the recipient of the Delmarva Foundation's Quality Excellence Award. In Fiscal Year 2010, Good Samaritan Hospital had 17,093 inpatient admissions, an estimated 314,076 outpatient visits, and 58,583 emergency visits. false false 22993452 17747494 Good Samaritan Hospital provided $23.0M 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 provided include women's health services, hospitalists, psychiatry, urology, emergency department coverage, outpatient renal care, and certain sub-acute program subsidies. 7243431 2085889 Good Samaritan Hospital provided $7.2M in health professions education in fiscal 2010. These services include training for physicians, medical students, and nurses. Among these programs may be residencies, internships, clerkships, and fellowships. 3200000 Good Samaritan Hospital provided $3.2M 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 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. Other charity care expenses are indirectly reimbursed via the state of Maryland's payment system. 234946229 296510010 268383112 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 true false false false false false false true true false false false true 0 0 true 2454 true true true false false false false false false false false false false 22 16 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 PL 5TH FLR COLUMBIA MD 21044 LAWRENCE BECK 40.0 X X 886860 0 55178 WILMOT C BALL JR MD 1.0 X X 0 0 0 ANTHONY READ 1.0 X X 0 0 0 Howard S Freeland MD 40.0 X 0 292523 23701 Davis M Hahn MD 40.0 X 0 251579 12852 Jeremy P Weiner MD 40.0 X 50000 0 0 Kenneth A Samet 1.0 X 0 3637403 66085 Carl Schindelar 1.0 X 0 891604 97373 CHARLES L BAUERMANN 1.0 X 0 0 0 LAWRENCE M JOHNSON 1.0 X 0 0 0 JEFFREY R DONNELLY 1.0 X 0 0 0 JAYNE H MCGEEHAN 1.0 X 0 0 0 T EDGIE RUSSELL 1.0 X 0 0 0 JAMES SMOLEV MD 1.0 X 0 0 0 KENNETH L THOMPSON 1.0 X 0 0 0 SHELDON M GLUSMAN 1.0 X 0 0 0 W KENNETH GUE 1.0 X 0 0 0 Denis J Madden 1.0 X 0 0 0 ALLAN NOONAN 1.0 X 0 0 0 REV P M SMITH 1.0 X 0 0 0 JOHN C SMYTH 1.0 X 0 0 0 KATHLEEN J WHITING 1.0 X 0 0 0 MARTIN BINSTOCK MD 40.0 X 421826 0 49766 JEFFREY MATTON 40.0 X 321893 0 40926 DEANA STOUT 40.0 X 280008 0 46002 Thomas Senker 40.0 X 232595 0 13951 Shirley Roth 40.0 X 200079 0 25871 Michael Jacobs 40.0 X 776108 0 32375 DALE BUCHBINDER MD 40.0 X 687657 0 9791 David Coll 40.0 X 547735 0 14122 ROBERT BRESLIN 40.0 X 427990 0 10499 ROBERT SPENCE MD 40.0 X 338014 0 11345 5170765 5073109 509837 11 false true false MARCH WESTIN MARYLAND 2313 MARYLAND AVENUE BALTIMORE MD 21218 CONSTRUCTION CONTRAC 3256816 UNIVERSITY OF MARYLAND 22 S GREENE ST BALTIMORE MD 21201 MEDICAL SERVICES 3050390 SHRADER ELECTIC CO 2824 LOCH RAVEN ROAD BALTIMORE MD 21218 ELECTRICAL CONTRACTO 2014761 HUNT VALLEY ANES ASSOC PA PO BOX 20284 TOWSON MD 21284 MEDICAL SERVICES 1851773 DRS HAHN PADGETT 5601 LOCH RAVEN BOULEVARD BALTIMORE MD 21239 MEDICAL SERVICES 1800000 6 2404000 208530 2612530 NET PATIENT SERVICE REVENUE 621400 314194337 314194337 LAB REVENUE 621500 80367 80367 314274704 748961 748961 0 0 466101 466101 466101 466101 982041 56170 982041 56170 1038211 1038211 0 0 0 MISCELLANEOUS INCOME 900099 1535611 53133 1482478 REBATE INCOME 900099 799342 799342 CHILD DAY CARE 900099 266552 266552 523647 120533 403114 3125152 322265659 315114212 133500 4405417 0 0 0 0 2738071 2458854 279217 0 118082912 106034942 12047970 3123801 2819191 304610 16088070 14466459 1621611 8790563 7632667 1157896 18154612 18154612 115484 115484 0 0 0 0 41145684 40089263 1056421 1712315 68860 1643455 2204003 1658347 545656 171130 59542 111588 0 1825224 725570 1099654 375141 344750 30391 0 48784 39530 9254 3095209 3095209 0 11557650 11557650 3319823 3319823 DRUGS/PHARMACEUTICALS 17196267 17172450 23817 0 MEDICAL/SURGICAL SUPPLIES 17054028 17021676 32352 0 IMPLANTS/ PROSTHESIS 14021850 14021850 0 0 BAD DEBT 12130974 12130974 0 0 MAINTENANCE/CLEANING 3711005 3532100 178905 0 15152768 13453228 1699540 0 311815368 268383112 43432256 0 3550 3550 34036564 32984626 2575731 2557352 33274 319904 221984200 140603856 76432237 81380344 100000 101000 43316719 47371424 156498075 164718200 28072183 27288238 131341 170506 24101732 25785079 52305256 53243823 X 67940169 70252332 36252650 41222045 104192819 111474377 156498075 164718200 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60392302 26656566 33735736 949054 838117 110937 132060890 94030282 38030608 28562014 19058952 9503062 81380343 OTHER ASSETS 4658533 OTHER RECEIVABLES 1622826 CATHOLIC HEALTH CARE FUND 41090065 47371424 0 ADVANCES FROM 3RD PARTY PAYORS 6094811 INTERCOMPANY PAYABLES -175 WORKERS COMP LIAB 1911537 DEFERRED COMP 457E 1082275 STOCK OPTION PLAN 2380524 REFUNDS 2176925 OTHER LIABILITIES 9741606 ASBESTOS ABATEMENT LIABILITY 2397576 25785079 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 3736340 0 3736340 0.01200 0 0 0 0 0.00000 0 0 0 0 0.00000 0 3736340 0 3736340 0.01200 60 116157 1588045 150953 1437092 0.00460 11 462 7243431 0 7243431 0.02320 10 16403 22993452 17747494 5245958 0.01680 1 0 1356 0 1356 6 450 80541 0 80541 0.00030 88 133472 31906825 17898447 14008378 0.04490 88 133472 35643165 17898447 17744718 0.05690 0 0 0 0 0.00000 0 0 0 0 0.00000 1 0 29508 0 29508 0.00010 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 1 0 38456 0 38456 0.00010 1 7 4475 0 4475 0 0 0 0 0.00000 3 7 72439 0 72439 0.00020 true 7379843 0 0 0 0 true true Main Hospital Building

5601 Loch Raven Blvd Baltimore MD 21239

X X X O'Neill Building

5601 Loch Raven Blvd Baltimore MD 21239

X X X X Russell Morgan Building

5601 Loch Raven Blvd Baltimore MD 21239

X Walker Building

5601 Loch Raven Blvd Baltimore MD 21239

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. The needs of the community are assessed by information provided by the Baltimore City and County Health Departments, and also information gathered from community partners such as local schools, the Northeast Development Alliance (NEDA), a community development corporation with the goal of fostering a healthy and vibrant environment for residents in the northern neighborhoods of Baltimore City and the Northeast Community Organization (NECO), a partner in (NEDA). Meetings are held bi-monthly with NEDA and bi-annually with NECO. In an effort to identify and address the needs of the community, Good Samaritan has ongoing relations with the Baltimore City Health Department. The hospital also uses statistical data from various reports issued by the Baltimore City Health Department, such the "Neighborhood Health Profiles," and "Baltimore City Cardiovascular Health Statistics." In FY 10 MedStar Health also conducted and released a regional community needs assessment, which included Good Samaritan's service area. The Vice President of Planning from Good Samaritan participated in this community assessment process. Heart disease, cancer, stroke, and diabetes are among the leading causes of death in the local community. Based on information from the above resources, many of the hospital's Community Benefit initiatives have been developed to target the aging population, the uninsured and elementary school children, with the focus on disease prevention programs (stroke, heart disease, diabetes, and obesity), chronic disease management and programs to improve quality of life. In April 2010, Good Samaritan held meetings with several local elementary schools to uncover needs and identify ways to form closer partnerships, with the goal of assisting schools to promote health and wellness activities. As a result of these meetings, Good Samaritan is in the process of establishing new school health education programs that will be implemented in FY11. The Community Benefit initiatives are decided upon through our strategic and annual planning processes. The strategic planning process occurs on a three-year cycle and is led by a Board committee comprised of Board members, physicians and executive staff. The priorities are reviewed annually and incorporated into the annual operating plan. The annual planning process involves the Board, physician and administrative leadership. All admitting registrars have been specifically trained to offer the appropriate referrals for persons needing financial help. Registrars have also been trained to listen for clues that may indicate a person needs financial assistance. Referral to the hospital's financial counselor and a patient advocate are available for those needing help. Patients are also informed of and given a packet from MedStar Health financial services which includes a Maryland State Uniform Financial Assistance Application. At each registration desk, in the emergency room area, and at various other locations there are large signs posted in English and Spanish informing patients of government financial assistance programs. Good Samaritan Hospital's primary service area includes the Northeast section of Baltimore City and is comprised of the following neighborhoods; Chinquapin Park/Belvedere, Greater Govans, Hamilton, Harford/Echodale, Lauraville, Loch Raven, and Northwood. The hospital also serves parts of Towson and Parkville located in Baltimore County. Statistics provided by Thomson Reuters Market Expert Database, show the base population of these areas is approximately 414,200 and has a diverse population consisting of Caucasians (41.9%), African Americans (50.9%), Hispanic/Latinos (2.1%), Asian/Pacific Islanders (3.1%), and Others (1.9%). The population served by the hospital is primarily adults. Approximately 77% of the community's residents are over 18 years old with 14.7% of the population over 65 years of age. The average annual income of this community is approximately $48,544 with 75.6% of the adult population having less than a four year college degree. According to new Census Bureau estimates, 19.2 % of residents in Baltimore City live in poverty; the average for Maryland is 8.2%. Average life expectancy for these areas is 74.4 years while the greater Baltimore City area is 70.9 years. The percentage of Medicaid and uninsured that Good Samaritan served are as follows: Medicaid 13.6% - uninsured 5.5%. Chronic Disease Self-Management Program This six-week (15 hour) program, taught by Good Samaritan community outreach nurses, is offered several times throughout the year to people who suffer from chronic diseases. This program is also taken to local senior resident buildings in order to provide this service to those who are shut-in. The program was developed at the Stanford Patient Education Research Center and is conducted in partnership with the Baltimore County Department of Aging and the Baltimore City Office of Aging. The goal of this program is to empower individuals to manage chronic illnesses such as heart disease, diabetes, hypertension and arthritis. Evaluations are given at the end of the six-weeks to each participant. In FY 10, four sessions of this program were offered with a total 36 participants attending. Approximately 85% of participants have noted in the evaluation that they are "very likely or likely" to use the strategies to manage their chronic illness that were presented in the program. Follow up calls were made six weeks after completion of the program and approximately 80 % of participants state that they are using the information they acquired from the program to manage their chronic disease. They rate the program as being very successful. Blood Pressure Screening Program Good Samaritan's Community Outreach and Parish Nurse Program partner with many churches and community organizations such as senior centers and senior housing to offer free blood pressure screening on a monthly basis. Hypertension is a disease that usually has no symptoms and greatly increases the risk of heart attack and stroke. The goal is to raise awareness, educate, and identify people who have high blood pressure. In FY10, 1,300 people were screened for hypertension and approximately 50% of those screened had blood pressure readings over the normal range. Participants were advised to take urgent action if needed or were given educational literature on hypertension and stroke. For participants that did not have a primary care physician due to lack of insurance or other reasons, names and phone numbers of physicians were offered as well as Good Samaritan Hospital's Primary Care Center where the uninsured can gain access to health care. Baltimore City Parochial School Vision and Hearing Screening Program In response to a request from the Baltimore city parochial schools, Good Samaritan Hospital works with Loyola College and another local hospital to conduct vision and hearing screenings for grade school children. Good Samaritan and Loyola College's Speech and Hearing Department screen children in grades Pre-K through 8 at four local parochial schools on a yearly basis. Unidentified, untreated problems with vision and hearing in children can lead to loss of vision and hearing, learning difficulties and delayed sensory, motor, cognitive, and social-emotional development. In FY10 approximately 435 children were screened for vision and hearing problems with 66 identified as needing follow-up (45 for vision and 21 for hearing). Letters were sent to parents as well as the school principals informing them of the results. Approximately 10% of the parents replied back to the community outreach department saying that they were planning to have further evaluation done by either their pediatrician or a specialist. Each school was notified of the parental responses and encouraged to do further follow-up on children whose parents did not respond. CARES - Food Pantry Christmas Project CARES (Civic and Religious Emergency Services) is a food pantry and emergency financial assistance center located in the back of St. Mary of the Assumption Catholic Church. CARES responds to more than 5,000 visits annually from community members seeking food, advocacy, and emergency financial assistance for utility bills, eviction prevention and prescriptions. CARES achieves this objective by pooling the food and financial resources donated by not only the GEDCO (Govans Ecumenical Development Organization) Member Organizations, but with the assistance of numerous other interested individuals, schools, corporations, government agencies and community groups. This approach allows CARES to respond in a timely and coordinated fashion to people in need of immediate assistance. In December 2009, Good Samaritan Hospital donated over 100 large holiday food bags to the pantry, which was distributed to needy families during the holiday season. The community outreach department also supports the organization during the year by providing blood pressures screening and nutritional education talks to those coming into the center for services. The Good Health Center The Good Health Center provides an array of free and low-cost diagnostic screenings, educational seminars and preventive medicine services for the community. Located on the hospital's campus, the Good Health Center is a comprehensive health enhancement facility that offers a proactive approach to improving well-being. A primary goal of the Center is to empower people to take control and address their health issues. Services provided by the Good Health Center include, exercise, nutrition, a diabetes support group, a comprehensive health screening program and other wellness programs. Good Samaritan Hospital's commitment to the community is demonstrated through a variety of subsidized health services. These include, but are not limited to: a)Primary Care Subsidies, including Diabetes - These are clinic-based physician practices that provide primary health care services. Most of the patients are from the local community and are low-income families. These services are provided at a loss; 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. b)OB and Pediatric Subsidies, including Breast Surgery - These represent physician practices providing health care services for obstetrics, gynecology, and pediatrics where a negative margin is generated. A large number of our patients receiving these services are from minority and low-income families. Prenatal care is provided and OB/GYN and pediatric coverage is provided 24 hours/day. 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. c)Psychiatric/Behavioral Health Subsidies - The overall cost of 24/7 Psychiatry physician coverage is disproportionate to the total collections from the patients seen by these physicians during off hours. Many of these patients are uninsured. Our hospital absorbs the cost 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. The community needs are being met and commitment to patients is exhibited by providing these services. As a proud member of MedStar Health, Good Samaritan 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 false true false false false false false false false LAWRENCE BECK 395889 0 285044 0 205927 0 34355 0 20823 0 942038 0 205927 0 Howard S Freeland MD 0 248770 0 43753 0 0 0 12254 0 11547 0 316324 0 0 Davis M Hahn MD 0 251579 0 0 0 0 0 12716 0 136 0 264431 0 0 Kenneth A Samet 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 Carl Schindelar 0 515114 0 376490 0 0 0 76800 0 20573 0 988977 0 0 MARTIN BINSTOCK MD 303285 0 118541 0 0 0 28188 0 21578 0 471592 0 0 0 JEFFREY MATTON 230748 0 91145 0 0 0 24655 0 16271 0 362819 0 0 0 Michael Jacobs 776108 0 0 0 0 0 18423 0 13952 0 808483 0 0 0 DEANA STOUT 197652 0 82356 0 0 0 30292 0 15710 0 326010 0 0 0 DALE BUCHBINDER MD 647657 0 40000 0 0 0 0 0 9791 0 697448 0 0 0 David Coll 540235 0 7500 0 0 0 0 0 14122 0 561857 0 0 0 ROBERT BRESLIN 427990 0 0 0 0 0 0 0 10499 0 438489 0 0 0 ROBERT SPENCE MD 338014 0 0 0 0 0 0 0 11345 0 349359 0 0 0 Thomas Senker 184153 0 48442 0 0 0 0 0 13951 0 246546 0 0 0 Shirley Roth 168134 0 31945 0 0 0 10202 0 15669 0 225950 0 0 0 SHELDON GLUSMAN DIRECTOR 683670 LAB SERVICES false DAVIS HAHN DIRECTOR 1800000 MEDICAL SERVICES false JEREMY WEINER DIRECTOR 914495 SURGICAL SERVICES false DESCRIPTION OF EXECUTIVE COMPENSATION PROCESS PART VI, SECTION B 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. COMPENSATION FOOTNOTES PART VII, SECTION A Lawrence Beck Lawrence Beck's Other reportable compensation in Part II, Column (B)(iii) includes $205,927 representing the amount of supplemental retirement benefit payments relating to prior years of service. 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 STATEMENTS AND REPORTING PART XI, QUESTION 2C THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. IS AN AFILLIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. 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 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. SOCIAL CLUB DUES SCHEDULE J, PART I, QUESTION 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV, QUESTION B Dr. Sheldon Glusman owns more than 5% of Pathology Associates Lab (PAL), which provides services to Good Samaritan Hospital. PAL's gross revenues received from the hospital for lab services for the year were $683,670. Dr. Davis Hahn is an officer of Drs. Hahn & Padgett, P.C. (PC), which provides healthcare services to Good Samaritan Hospital. PC's gross revenues from the hospital for services for the year were $1,800,000. Dr. Jeremy Weiner owns more than 5% of GS Surgical Services, LLC (GSS), which provides services to Good Samaritan Hospital. GSS's gross revenues from the hospital for surgical services for the year were $914,495. ANESTHESIA SERVICES A LLC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 205909017 HEALTHCARE MD 7779195 1254457 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 Medstar Health Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 522087445 Medical Svcs MD 501(c)(3) 11b II NA Montgomery General Hospital 18101 Prince Philip Drive Olney MD 20832 520646893 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 110 Irving Street NW Washington DC 20010 521272129 Hospital DC 501(c)(3) 3 NA HH Medstar Health Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521542230 Medical Svcs MD 501(c)(3) 11b II NA Bay Development Corp 5565 Sterrett Place 5th Floor Columbia MD 21044 521132992 Foundation MD 501(c)(3) 11a I NA Bay Life Services Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521496539 Mental Health MD 501(c)(3) 9 NA MedStar Surgery Center Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521061679 Medical Svcs MD 501(c)(3) 9 NA Church Home and Hospital of the City of 5565 Sterrett Place 5th Floor Columbia MD 21044 520591600 Hospital MD 501(c)(3) 3 NA Foundation for Georgetown University Hos Hopsital Admin 1 Main Bldg Washington DC 20007 522339873 Foundation DC 501(c)(3) 11a I NA Franklin Square Hospital Center Foundati 9000 Franklin Square Drive Baltimore MD 21237 522329546 Foundation MD 501(c)(3) 11a I NA Good Samaritan Hospital Foundation Inc 5601 Loch Raven Blvd Baltimore MD 21239 522307122 Foundation MD 501(c)(3) 11a I NA Good Samaritan Nursing Center Inc 5601 Loch Raven Blvd Baltimore MD 21239 521672866 Medical Svcs MD 501(c)(3) 9 NA GS Housing Inc 5601 Loch Raven Blvd Baltimore MD 21239 521481656 Elder Housing MD 501(c)(3) 9 NA GS Properties Inc 5601 Loch Raven Blvd Baltimore MD 21239 521429853 Admin Svcs MD 501(c)(3) 11a I NA Harbor Hospital Foundation Inc 3001 South Hanover Street Baltimore MD 21225 521284532 Foundation MD 501(c)(3) 11a I NA Medstar Health Infusion Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521980510 Medical Svcs MD 501(c)(3) 9 NA Medstar Health Visiting Nurses Associati 4061 Powdermill Road Calverton MD 20705 530196597 Medical Svcs MD 501(c)(3) 9 NA Medstar Long Term Care Corporation 4061 Powdermill Road Suite 210 Calverton MD 20705 521489097 Hospital MD 501(c)(3) 3 NA Medstar VNA Healthcare 4061 Powdermill Road Suite 210 Calverton MD 20705 521458516 Medical Svcs MD 501(c)(3) 9 NA MGH Community Health Inc 18101 Prince Philip Drive Olney MD 20832 521372467 Medical Svcs MD 501(c)(3) 9 NA MGH Health Foundation Inc 18101 Prince Philip Drive Olney MD 20832 521129959 Foundation MD 501(c)(3) 7 NA MGH Health Services Inc 18101 Prince Philip Drive Olney MD 20832 521366812 Foundation MD 501(c)(3) 11a I NA MGH Women's Board 18101 Prince Philip Drive Olney MD 20832 526039600 Foundation MD 501(c)(3) 11a I NA National Rehabilitation Hospital 102 Irving Street NW Washington DC 20010 521369749 Hospital DC 501(c)(3) 3 NA Regional Rehab at Olney Inc 18101 Prince Philip Drive Olney MD 20832 522310902 Medical Svcs MD 501(c)(3) 3 NA Suburban NRH Medical Rehabilitation I 102 Irving Street NW Washington DC 20010 521931151 Medical Svcs DC 501(c)(3) 3 NA The Thomas O'Neil Catholic Health Care F 5601 Loch Raven Blvd Baltimore MD 21239 521104382 Foundation MD 501(c)(3) 11a I NA Union Memorial Hospital Foundation Inc 201 East University Parkway Baltimore MD 21218 521446828 Foundation MD 501(c)(3) 11a I NA VNA Foundation 4061 Powdermill Road Suite 210 Calverton MD 20705 521331981 Foundation MD 501(c)(3) 11a I NA VNA Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521332411 Admin Svcs MD 501(c)(3) 11a I NA WHC Foundation Inc 110 Irving Street NW Washington DC 20010 521791670 Foundation DC 501(c)(3) 11a I NA Woodbourne Woods Inc 5601 Loch Raven Blvd Baltimore MD 21239 522299070 Elder Housing MD 501(c)(3) 9 NA Self Insurance Trust of Washington Hospi 110 Irving Street NW Washington DC 20010 521128332 Self Insuranc DC 501(c)(3) 11a I NA Hospice of St Mary's Inc PO Box 527 Leonardtown MD 20650 522153926 Support Org MD 501(c)(3) 11b II NA St Mary's Hospital of St Mary's County 25500 Point Lookout Road Leonardtown MD 20650 520619006 Hospital MD 501(c)(3) 3 NA St Mary's Hospital Foundation Inc PO Box 527 Leonardtown MD 20650 521051368 Support Org MD 501(c)(3) 11d III NA Surgicenter at Pasadena LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 522009504 Medical Services MD NA RELATED false false SJMC-RA LLC 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 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