2011-05-11T13:08:14-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 522218584 The MedStar-Georgetown Medical Center Inc MEDS 2027843000 Hospital Admin 1 Main Bldg 3800 Reservoir Road NW Washington DC 20007 Marc R Berger 4107726719 2011-05-09 true 7576167000 2009 2016-02-24 21:20:13Z RICHARD GOLDBERG HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 782512904 false X www.georgetownuniversityhospital.org X 2000 DC GEORGETOWN UNIVERSITY HOSPITAL'S MISSION IS TO PROVIDE PHYSICAL AND SPIRITUAL COMFORT TO OUR PATIENTS AND FAMILIES IN THE JESUIT TRADITION OF CURA PERSONALIS, CARING FOR THE WHOLE PERSON. 19 13 4413 0 330309 131762 878117 706008 696102280 738971154 268525 361657 34319815 42474085 731568737 782512904 0 0 0 0 366770718 377979081 0 0 0 331436908 359142782 698207626 737121863 33361111 45391041 257817492 294903262 147240996 163922156 110576496 130981106 As a proud member of MedStar Health, Georgetown University Hospital's mission is to provide physical and spiritual comfort to our patients and families in the Jesuit tradition of cura personalis, caring for the whole person. Georgetown University Hospital is an acute care teaching and research hospital located in Northwest Washington, D.C. Centers of excellence include cancer, neurosciences, gastroenterology, transplant and vascular diseases and the hospital is accredited as a Magnet hospital for nursing. In Fiscal Year 2010, Georgetown University Hospital had 16,549 inpatient admissions, an estimated 369,933 outpatient vists, and 34,001 emergency visits. false false 36782356 0 21794987 Georgetown University Hospital provided $36.8M health professions education in fiscal 2010. These services generally included physician and medical student training, as well as training for nurses, other healthcare professionals, and pastoral clinical care fellows. 1805157 0 0 Georgetown University Hospital provided $1.8M in charity care services in fiscal 2010. Charity care is provided pursuant to MedStar Health's Charity Care Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. 1366808 0 12150 Georgetown University Hospital provided $1.4M to support community health services in fiscal 2010. These services include community health education (support groups and self-help). Included are community based clinical services, such as screenings, free clinics, and health care support services which are driven by community needs and which operate at a loss. 563504487 717164017 603458808 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 4413 true true true false false false false false false false false false false false 19 13 false false false false true true true true true false false true true true true true true true true false DC X MARC BERGER 4107726719 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 JOY DRASS-MAXWELL 40.0 X X 595384 472984 53013 RICHARD GOLDBERG 40.0 X X 568326 0 47271 EDMUND B CRONIN JR 1.0 X X 0 0 0 JOSEPH S BRUNO 1.0 X X 0 0 0 KENNETH A SAMET 1.0 X 0 3637403 66085 JOHN PAHIRA 40.0 X 473390 0 37207 RUSSELL T WALL III 40.0 X 408284 0 35437 ANATOLY DRITSCHILO 40.0 X 39842 0 0 MARK ABBRUZZESE 1.0 X 0 0 0 NED BRODY 1.0 X 0 0 0 JAMES A D'ORTA 1.0 X 0 0 0 HOWARD J FEDEROFF 1.0 X 0 0 0 MORTON FUNGER 1.0 X 0 0 0 CHRISTOPHER KALHORN 1.0 X 0 0 0 JOHN S J LANGAN 1.0 X 0 0 0 STEPHEN RAY MITCHELL 1.0 X 0 0 0 FRANCIS X RIENZO 1.0 X 0 0 0 JOHN W ROLLINS JR 1.0 X 0 0 0 CAROL TAYLOR 1.0 X 0 0 0 PAUL WARDA 40.0 X 390286 0 30416 STEPHEN EVANS 40.0 X 573563 0 34850 JOYCE JOHNSON 40.0 X 452431 0 62487 MICHAEL SACHTLEBEN 40.0 X 333403 0 36249 LINDA WINGER 40.0 X 287781 0 38238 NADIM HADDAD 40.0 X 1128276 0 33483 LYNT JOHNSON 40.0 X 927083 0 38528 THOMAS FISHBEIN 40.0 X 862020 0 22820 FIRAS AL-KAWAS 40.0 X 816215 0 37633 JOHN KLIMKIEWICZ 40.0 X 782923 0 37750 8639207 4110387 611467 14 false true true SAMUEL A KROLL INC DBA KROLL CONST 10300 SOUTH DOLFIELD ROAD OWINGS MILL MD 21117 GENERAL CONTRACTING 5169633 SODEXO INC AFFILIATES PO BOX 536922 ATLANTA GA 303536922 FACILITIES MGMT 5151459 NURSEFINDERS PO BOX 910738 DALLAS TX 75391 MEDICAL STAFFING 2448256 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL STAFFING 2202777 STANDARD PARKING CORP 1790 PAYSPHERE CIRCLE CHICAGO IL 60674 PARKING SERVICES 1866824 5 706008 706008 NET PATIENT SERVICE REVENUE 900099 728724727 728724727 TRAINING TUITION 900099 10246427 10246427 738971154 343093 0 343093 0 0 3618632 3618632 3618632 3618632 209 18355 209 18355 18564 18564 0 0 0 RESIDENT SERVICE REVENUE 900099 14234826 14234826 MISCELLANEOUS 900099 11891287 11560978 330309 PHYSICIAN REVENUE 900099 4479976 4479976 8249364 5890453 2358911 38855453 782512904 775137387 330309 6339200 0 0 0 0 4863964 4136294 727670 0 317924012 270354580 47569432 9093770 7713768 1380002 26957652 22950673 4006979 19139683 16284130 2855553 34597281 34597281 2443488 2443488 0 0 0 0 57635736 48770722 8865014 2179918 113657 2066261 4765759 4977826 -212067 397619 45089 352530 0 6151994 3307560 2844434 1271341 1101419 169922 0 24240 24240 0 7649547 7649547 26730762 26730762 20087457 530838 19556619 18015255 56959865 56880843 79022 MEDICAL/SURGICAL SUPPLIES 41226713 41089662 137051 BAD DEBT 29563542 29563542 IMPLANTS/PROSTHESES 23931871 23931871 MISCELLANEOUS 22904878 18988195 3916683 20620771 18313590 2307181 737121863 603458808 133663055 0 1857550 2548883 71 71 102892696 133897423 11427119 10378882 1095665 1579418 288519415 144098903 139535217 144420512 1000000 0 9174 2078073 257817492 294903262 103413950 120507159 331524 -81121 43495522 43496118 147240996 163922156 X 110576496 130981106 110576496 130981106 257817492 294903262 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 113956229 54789451 59166778 555014 197401 357613 170425950 89026454 81399496 3582222 85597 3496625 144420512 0 PENSION LIABILITY 14323762 ADVANCED REVENUE PAYMENTS 2288 PATIENT SERVICE REFUNDS 3129300 CREDIT BALANCE REFUNDS 10908634 SALES TAXES PAYABLE 26420 SECURITY DEPOSITS 3148 WORKERS COMPENSATION FUNDS 4484423 SETTLEMENTS 3579773 REFUND 500 OTHER LIABILITIES 3493577 ASBESTOS ABATEMENT LIABILITY 3544293 43496118 FIN 48 AUDIT FOOTNOTE FORM 990 SCH. 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 4302161 0 4302161 0.00580 0 59190908 57570892 1620016 0.00220 0 0 0 0 0.00000 0 63493069 57570892 5922177 0.00800 42 49207 2196908 12150 2184758 0.00300 2 0 58577343 21794987 36782356 0.05000 0 0 0 0 0.00000 1 0 447045 0 447045 0.00060 32 1903 167334 4058 163276 0.00020 77 51110 61388630 21811195 39577435 0.05380 77 51110 124881699 79382087 45499612 0.06180 1 30 0 0 0 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 1 0 0 0 0 0 0 0 0 0.00000 0 0 0 0 0.00000 2 30 0 0 0 0.00000 true 10849820 0 116259778 132531427 -16271649 X true true DBA GEORGETOWN UNIVERSITY HOSPITAL

3800 RESERVOIR ROAD NW WASHINGTON DC 20007

X X X X X X Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable 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. This is a cost-to-ratio charge determined from our financial 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. Not Applicable The process in which it is decided which community needs will be addressed within the community benefits activities at GUH vary by department and area of focus. Departments tend to focus on issues related to their expertise and the need for this expertise within the community as identified by Catholic Charities and the DC Department of Health. Of these needs, examples include pediatric services, OB/GYN services, epilepsy, stroke, cancer, diabetes, and dietary. The organization informs and educates its patients who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy by implementing the following instructive measures: One of thse measures is posting a statement regarding financial assistance/charity care in admissions areas of the hospital. Another is upon admission and upon discharge, patients are provided with written materials regarding their financial assistance/charity care eligibility. In determining whether one is eligible, staff use methodology from our charity care policy. In addition, at GUH staff is also available to explain qualifications should the patient and/or person desire more information and/or if the patient and/or person requesting financial assistance does not qualify for charity care. Furthermore, staff at GUH will work with the patient and/or person to determine what other financial assistance options are available for that individual elsewhere and then assist with enrollment if needed. The organization serves the community of the greater Washington, DC area and beyond. The effectiveness of our major COmmunity Benefit program initiatives is measured in conjunction with the District of Columbia Department of Health's community health data. Another way we measure our effectiveness is by following up with those who attended and/or participated in our various community benefit activities. AN analysis may indicate a need to either continue a program or increase its outreach. Conversely, if a decline in numbers is determined, there may be a need for a program reduction or discontinuation and focus on designing programs where it is determined other needs exist. As a teaching hospital, GUH educates and mentors the next generation of health care professionals and leaders through resident, medical student, nursing and health technician education programs. At GUH our teaching goes beyond that of our staff. We educate our community as well through such events as community lectures. For example, in FY 10 GUH held free educational community lectures on the topics of Deep Brain Stimulation, Kidney Cancer, Pancreatic Cancer, Movement Disorders, Spasticity, Radiology, and Prostate Cancer. These lectures are well attended not only in the immediate Georgetown community but also by those residing in the greater Metropolitan Washington Area. Another way we teach and inform our community at GUH is through screenings, mailings, and educational fairs/expos. An example of this is our WUSA "Buddy Check 9" Program which focuses on breast cancer prevention providing educational kits to DC area women and local community groups. In addition, in FY 2010 GUH sent educational kits to members of our community on such topics as Prostate Cancer, Pancreatic Cancer, Dialysis, Cyberknife, Liver Transplant, Vascular Disease, Deep Brain Stimulation (DBS), and Colonoscopy information. Also, we held screenings on Prostate Cancer as well as participated in educational fairs/expos such as the Health and Resource Fair. The Pediatrics KIDS Mobile Medical Clinic (KMMC), provides comprehensive medical care to medically underserved areas throughout Washington DC. The KMMC delivers primary medical care to children including immunizations, sick visits, and psychiatric and specialty referrals. Some exmaples of KMMG community benefits in FY 10 include: Help the Homeless Walkathon, Health & Resource Fair, KMMC Healthcare on Wheels Health Fair, HSC Pediatric Center June Fair, and McHappy Day. As a proud member of MedStar Health, Georgetown University 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 Georgetown University 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. true X X X X X X false true false false false false false false false JOY DRASS-MAXWELL 292390 327234 302994 145750 0 0 17227 17227 9279 9280 621890 499491 0 0 RICHARD GOLDBERG 409232 0 159094 0 0 0 28778 0 18493 0 615597 0 0 0 KENNETH A SAMET 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 JOHN PAHIRA 310348 0 163042 0 0 0 28595 0 8612 0 510597 0 0 0 RUSSELL T WALL III 351084 0 57200 0 0 0 27488 0 7949 0 443721 0 0 0 PAUL WARDA 272037 0 118249 0 0 0 20859 0 9557 0 420702 0 0 0 STEPHEN EVANS 573563 0 0 0 0 0 22659 0 12191 0 608413 0 0 0 JOYCE JOHNSON 327709 0 124722 0 0 0 46005 0 16482 0 514918 0 0 0 MICHAEL SACHTLEBEN 237422 0 95981 0 0 0 23907 0 12342 0 369652 0 0 0 LINDA WINGER 220050 0 67731 0 0 0 27821 0 10417 0 326019 0 0 0 NADIM HADDAD 337940 0 790336 0 0 0 22659 0 10824 0 1161759 0 0 0 LYNT JOHNSON 582762 0 344321 0 0 0 27918 0 10610 0 965611 0 0 0 THOMAS FISHBEIN 682957 0 179063 0 0 0 20859 0 1961 0 884840 0 0 0 FIRAS AL-KAWAS 266193 0 550022 0 0 0 28393 0 9240 0 853848 0 0 0 JOHN KLIMKIEWICZ 420059 0 362864 0 0 0 27232 0 10518 0 820673 0 0 0 EXECUTIVE COMPENSATION PROCESS 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. COMPENSATION FOOTNOTE SECTION VII PART A Kenneth Samet Kenneth Samet's Other reportable compensation in Part II, Column (B) (iii) includes $1,278,236 representing Mr. Samet's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 21 years of service. This amount was not actually paid to Mr. Samet, but was reported as compensation under FICA tax-reporting rules, and this entire amount was also reported on Form 990 in prior years. FINANCIAL STATEMENT AVAILABILITY PART VI, SECTION C, QUESTION 19 MedStar Health posts its annual financial audit and quarterly financial reports to the Electronic Municipal Market Access (EMMA) system. The organization also mails its annual and quarterly disclosures to holders of the Company's publicly traded debt. The Company's governance documents and conflicts of interest policies are available upon request through its corporate (or as applicable entity) public information offices. CONFLICT OF INTEREST POLICY 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. 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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