2011-05-11T13:10:24-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 521272129 Washington Hospital Center Corporation WASH 2028777000 110 Irving Street NW Washington DC 20010 Marc R Berger 4107726719 2011-05-09 true 7576167000 2009 2016-02-24 21:20:13Z John Sullivan 110 IRVING STREET NW WASHINGTON DC 20010 1122120340 false X www.whcenter.org X 1949 DC WHC IS DEDICATED TO DELIVERING EXCEPTIONAL PATIENT FIRST HEALTH CARE. WE PROVIDE THE REGION WITH THE HIGHEST QUALITY AND LATEST MEDICAL ADVANCES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, AND RESEARCH. 28 18 6453 250 6096816 -2378948 7943472 14068022 1068799723 1086923092 -2314985 1623385 21977435 19346535 1096405645 1121961034 0 0 0 0 546670781 572253771 0 0 0 528203811 546092573 1074874592 1118346344 21531053 3614690 396046406 397473607 181959122 188204518 214087284 209269089 As a proud member of MedStar Health, Washington Hospital Center's mission is to deliver exceptional patient first health care to the region with the highest quality and latest medical advances through excellence in patient care, education and research. Located in Northwest Washington, D.C., Washington Hospital Center is the largest private hospital in the nation's capital. Among its services, the Washington Heart and Vascular Services is a national leader in research, diagnosis and treatment of cardiovascular disease, the neurosciences program offers a full range of surgical and minimally-invasive treatments, and the Washington Cancer Institute provides the latest cancer treatments and therapies. Washington Hospital Center also operates the area's only adult burn center and the region's premier shock trauma and surgical critical care center. In Fiscal Year 2010, Washington Hospital Center had 41,224 inpatient admissions, an estimated 414,857 outpatient visits, and 83,396 emergency visi false false 38473740 0 18446491 Washington Hospital Center provided $38.5M in health professions education in fiscal year 2010. These services include physician and medical student training, as well as training for other healthcare professionals. 5647716 0 0 Washington Hospital Center provided $5.6M 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. 2665091 0 79528 Washington Hospital Center provided $2.7M in community health services in fiscal year 2010. These services include community health education (support groups and self help), community based clinical services (screenings, free clinics, and mobile units), and health care support services. 875162331 921948878 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 false true false false false true 0 0 true 6453 true true true false false false false false false false false false false false 28 18 true false false false true true true false false false true true true true true true true true true true DC X WASHINGTON HOSP CENTER CORP 2028776174 110 IRVING STREET NW WASHINGTON DC 20010 MARC N DUBER 1.0 X X 0 0 0 JOHN SULLIVAN 1.0 X X 0 0 0 Dennis R Wrasse 1.0 X X 0 0 0 LISA M BOYLE MD 40.0 X 546859 0 25872 ARTHUR ST ANDRE MD 40.0 X 393232 0 40107 MICHAEL PISTOLE MD 1.0 X 32000 0 0 KENNETH A SAMET 1.0 X 0 3637403 66085 SANDRA SWAIN MD 1.0 X 489480 0 12034 David C Grant Jr MD 1.0 X 0 0 0 Neal M Kurzrok 1.0 X 0 0 0 Patricia A McGuire 1.0 X 0 0 0 Elizabeth Ross MD 1.0 X 0 0 0 Carol R Joynt 1.0 X 0 0 0 Benjamin I Lee MD 1.0 X 0 0 0 Richard A Weiss 1.0 X 0 0 0 Robin B Martin 1.0 X 0 0 0 James D Murphy 1.0 X 0 0 0 CHARLES A BOWSHER 1.0 X 0 0 0 THERESA M DUPART 1.0 X 0 0 0 WILLIAM H EDWARDS 1.0 X 0 0 0 Janis Orlowski MD 40.0 X 580723 0 39657 DAN MACKSOOD 40.0 X 263276 0 12918 LINDA TAYLOR 40.0 X 107193 0 14930 Eric W Price 1.0 X 0 0 0 Harrison J Rider III 40.0 X 492678 3006663 67344 Dennis Pullin 40.0 X 212721 296591 27419 JOHN RICOTTA MD 40.0 X 843225 0 2072 MARION JORDAN MD 40.0 X 832136 0 33171 JAMES JENG MD 40.0 X 774743 0 28155 EDWARD PLATIA MD 40.0 X 720187 0 35338 WILLIAM FROHNA MD 40.0 X 714447 0 48287 James Caldas 40.0 X 633966 0 26754 SANDRA MARSHALL 40.0 X 124745 0 20370 7761611 6940657 500513 1131 true true false DIAMOND HEALTHCARE OF NORTHERN VA FEDERAL RESERVE BANK BLDG PO BOX 8 RICHMOND VA 23261 MEDICAL STAFFING 9917978 TWIN CONTRACTING CORP 5700 H GENERAL WASHINGTON DRIVE ALEXANDRIA VA 22312 CONSTRUCTION 5352712 AIM HEALTHCARE SERVICES PO BOX 292377 NASHVILLE TN 37229 MEDICAL BILLING 3993175 REIMBURSEMENT TECHNOLOGIES INC 1000 RIVER ROAD SUITE 100 CONSHOHOCKEN PA 19428 MEDICAL BILLING 3915298 PROGRESSIVE NURSING STAFFERS 5531 HEMPSTEAD WAY SUITE B SPRINGFIELD VA 22151 MEDICAL STAFFING 3359166 62 9927308 4140714 14068022 PATIENT SERVICE REVENUE 900099 1086923092 1086923092 1086923092 1623385 1623385 0 0 1210018 159306 1050712 1050712 1050712 0 0 0 0 MISC. 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RESTRICTED 3318603 F L/T ENDOWMENT FUNDS 5246722 F FUNDED DEPRECIATION 768990 F GRANTS 1432486 F GIFT ANNUITIES 87170 F 48469220 0 LIAB FOR SELF-INSUR CLAIMS 6053047 OTHER LIABILITIES 17117698 PATIENT SERVICE REFUNDS 20262927 PENSION LIABILITY 35679697 DUE TO AFFILIATES 17714 WKRS CMP- SELF INS TRUST FUND 0 79131083 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 (FIN 48). true true X true X true X true true true false true true 0 6593149 0 6593149 0.00590 0 156727778 147504803 9222975 0.00820 0 24605397 17128548 7476849 0.00670 0 187926324 164633351 23292973 0.02080 57 107899 3076726 79528 2997198 0.00270 8 413 57005121 18446491 38558630 0.03450 2 6765 113805 25000 88805 0.00010 1 0 123896 0 123896 0.00010 12 5711 266345 112860 153485 0.00010 80 120788 60585893 18663879 41922014 0.03750 80 120788 248512217 183297230 65214987 0.05830 0 0 0 0 0 0 0 0 8 25131 75280 0 75280 0.00010 0 0 0 0 1 57 619 0 619 0 0 0 0 2 110 45790 0 45790 1 4 28413 0 28413 0 0 0 0 12 25302 150102 0 150102 0.00010 true 28628765 0 322155246 330150793 -7995547 X true true WASHINGTON HOSPITAL CENTER

110 Irving Street NW Washington DC 20010

X X X X Medicare Cost Report data as well as Cost-to-Charge ratio were used to calculate figures reported (where applicable). The cost-to-charge ratio was deriveD from Worksheet 2 Ratio of Patient Care Cost-to-Charges. 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. The amount reported on Part III, Line 6 was determined using the cost data from the FY 2009 Medicare Cost Report. If it is determined that a patient may potentially qualify for a charitable/financial program, a hold is placed on the account to prevent it from being reported as bad debt until program approvals have been obtained. If it is approved, the account is documented and the necessary adjustments are made to close the account. Washington Hospital Center, a 926-bed acute care teaching and research hospital based in Northwest Washington, D.C. is one of the largest and most experienced hospitals in the mid-Atlantic region. No other medical facility can match the comprehensive medical care that Washington Hospital Center provides to thousands of patients each day. Its legacy as an innovative teaching and acute care medical institution ensures patients have access to the latest imaging and minimally invasive technologies, and to clinical research trials well before other facilities in the region. In addition, the Hospital Center operates one of the busiest cardiac catheterication and electrophysiology programs in the country. As one of the largest kidney transplant programs on the East Coast, patient outcomes consistently exceed the national average. Washington Hospital Center is also home to MedSTAR Trauma Center and Transport Services and is the region's only adult burn facility. The hospital is renowned for handling the region's toughest medical cases and has earned a reputation as the medical center other hospitals send their most complex cases. The needs of the community are assessed through periodic updates of the Hospital's strategic plan that focuses on program and service needs of the community, a community needs assessment conducted by the COmmunity Relations department that focuses on the health, social and economic needs of the hospital's core service area that consist of the zip code areas immediately adjacent to the Hospital, through our Community HealthLinks Newsletter Reader Survey and by working closely with community partners, Advisory Neighborhood Commissioners, local D.C. Public schools and community residents. Based on the results of these evaluations, we have developed community programs to strengthen the connections within our community by providing relevant information about important health issues and hospital programs/services. Whenever possible, Washington Hospital Center's Financial COunselors work with uninsured patients to determine eligibility for financial assistance. This service includes assessment of eligibility for state or federal assistance programs, hospital assistance programs and payment arrangements. Financial assistance is provided to patients based on income, family size, and assets. Our policy and financial assistance contact information is posted in the admissions areas, emergency department, outpatient registration, clinic areas and on our website. The brochure (Your Hospital Bill- Important Information from Patient Financial Clearance) is made available in registration and waiting areas in English and Spanish. Washington Hospital Center's Core Service area for community relations activities includes zip codes 20001, 20002, 20009, 20010, 20011 and extending throughout the Metropolitan area. This service area is described as an Intercity Urban Environment with a diverse population consisting of African Americans (53.9%), Caucasians (22.8%), Hispanics (16.6%), Asians (3.6%), and Other (3%). Statistics shows that the median household incomes in these service areas are $59,373 for 2001; $52,880 for 2002; $47,584 for 2009; $44,681 for 2010 and $39,172 for 2011. The number of individuals who are uninsured or underinsured in the hospital's core service area is estimated to be 17.9% and growing. The Hospital Center also is involved with building support systems for community members and the city as a whole. In FY 2010, funding was provided to support the Youth Mentoring Program, Medical House Call Program, Low Vision Support Group, participation in community advisory committees and community health advocacy. Washington Hospital Center, a valued member of MedStar Health, is dedicated to delivering exceptional PATIENT FIRST health care through excellence in patient care, education and research. Our professional team provides and array of community-based outreach and support programs to our neighbors by touching the lives of area teens, elderly and families in need of a helping hand. As a proud member of MedStar Health, Washington Hospital Center 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 philantropy division offers resources and technical support in securing philanthropic investors to ensure health services are available to all patients, regardless of ability to pay. true X X X X X X true true false false false false false false false James Caldas 295869 0 0 0 338097 0 20224 0 6530 0 660720 0 0 0 Janis Orlowski MD 457953 0 122770 0 0 0 20859 0 18798 0 620380 0 0 0 DAN MACKSOOD 209461 0 53815 0 0 0 5461 0 7457 0 276194 0 0 0 SANDRA MARSHALL 124745 0 0 0 0 0 16191 0 4179 0 145115 0 0 0 LISA M BOYLE MD 235514 0 311345 0 0 0 24565 0 1307 0 572731 0 0 0 ARTHUR ST ANDRE MD 248287 0 144945 0 0 0 34454 0 5653 0 433339 0 0 0 KENNETH A SAMET 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 SANDRA SWAIN MD 436980 0 52500 0 0 0 10300 0 1734 0 501514 0 0 0 JOHN RICOTTA MD 743225 0 100000 0 0 0 0 0 2072 0 845297 0 0 0 MARION JORDAN MD 180968 0 651168 0 0 0 28048 0 5123 0 865307 0 0 0 JAMES JENG MD 123575 0 651168 0 0 0 17073 0 11082 0 802898 0 0 0 EDWARD PLATIA MD 113967 0 606220 0 0 0 27073 0 8265 0 755525 0 0 0 WILLIAM FROHNA MD 530905 0 0 0 183542 0 33877 0 14410 0 762734 0 0 0 Harrison J Rider III 356280 188519 136398 277103 0 2541041 23751 23749 9922 9922 526351 3040334 0 2541041 Dennis Pullin 173528 175510 39193 121081 0 0 5300 5300 8409 8410 226430 310301 0 0 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. 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. Process for Reviewing Form 990 Part VI, Section B, Question 11 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. COMPENSATION FOOTNOTES PART VII, SECTION A James Caldas James Caldas' Other reportable compensation in Part II, Column (B) (iii) includes $338,097 representing the amount of severance payments received by Mr. Caldas. 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. Harrison Rider Harrison Rider's Other reportable compensation in Part II, Column (B) (iii) includes $2,541,041 representing Mr. Rider's accumulated entire accrued benefit in a supplemental retirement plan, which was earned over the past 20 years of service. This amount was not actually paid to Mr. Rider, but was reported as compensation under FICA tax-reporting rules. This entire amount was also reported as compensation to Mr. Rider 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. FINANCIAL STATEMENTS AND REPORTING PART XI, QUESTION 2C WASHINGTON HOSPITAL CENTER CORPORATION is part of the MedStar Health, Inc. audit and subject to oversight by the Audit Committee of the MedStar Board. FAMILY/BUSINESS RELATIONSHIP PART VI, LINE 2 Kenneth Samet and Marc Duber both serve on the Board of an unrelated corporation. The unrelated corporation does not transact any business with Washington Hospital Center. 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