2011-05-11T13:07:50-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 520646893 Montgomery General Hospital MONT 3017748640 18101 Prince Philip Drive Olney MD 20832 Marc R Berger 4107726719 2011-05-09 true Scott Sherman 7576167000 2009 2016-02-24 21:20:13Z PETER MONGE 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 138827758 false X www.montgomerygeneral.org X 2000 MD MONTGOMERY GENERAL HOSPITAL IS DEDICATED TO ENHANCING OUR COMMUNITY'S HEALTH AND WELL-BEING BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. 18 12 1375 300 624241 57402 0 0 129197703 136180638 1344368 724066 2190310 1793676 132732381 138698380 0 0 0 0 63924573 64512526 0 0 64217111 68958256 128141684 133470782 4590697 5227598 129692934 165724138 39720827 32262425 89972107 133461713 As a proud member of MedStar Health, Montgomery General Hospital's mission is to enhance our community's health and well-being by offering high quality, compassionate and personalized care. As Montgomery County's first acute-care hospital, Montgomery General Hospital is a community-based, 149-bed facility. After 90 years, the hospital remains true to its roots, offering a range of wellness programs and outpatient services in addition to inpatient treatment. In Fiscal Year 2010, Montgomery General Hospital had 10,520 inpatient admissions, an estimated 61,796 outpatient visits, and 35,600 emergency visits. false false 5897219 0 0 Montgomery General Hospital provided $5.9M in charity care services in fiscal year 2010. Charity care is provided pursuant to MedStar Health's Charity Care Policy to members of the community whose 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 and revenues represent direct payments from the state's charity care pool. Other charity care expenses are indirectly reimbursed via the state of Maryland's payment system. 2175024 0 0 Montgomery General Hospital provided $2.2M in subsidized (mission driven) health services in fiscal year 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 included the provision of psychiatric care services, emergency room services, and hospitalists. 1220119 0 33960 Montgomery General Hospital provided $1.2M in community health services in fiscal year 2010. These services include community health education (support groups and self help education), community based clinical services (screenings, free clinics, and mobile units), and health care support services. 74862062 84154424 true false 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 true false false true 0 0 true 1375 true true false false false false false false false false false false false 18 12 false false false false true true true true true false false true true true true true true true true true true MD X MARC BERGER 4107726719 5565 STERRETT PLACE 5TH FLOOR Columbia MD 21044 Peter W Monge 40.0 X X 597201 0 14521 Kevin Flannery 1.0 X X 0 0 0 Donald Sweeney 1.0 X X 0 0 0 Michael Kerr MD 1.0 X 0 0 0 Kevin McMahon MD 1.0 X 12431 0 0 Kenneth A Samet 1.0 X 0 3637403 66085 Joy Drass MD 1.0 X 0 1068368 53013 Amy Ampey MD 1.0 X 2500 0 0 Douglas Farquhar 1.0 X 0 0 0 John Ferguson 1.0 X 0 0 0 Sunny Banvard 1.0 X 0 0 0 Julie Bawa 1.0 X 0 0 0 Charles F Mess Sr MD 1.0 X 0 0 0 Bennett T Morrison MD 1.0 X 0 0 0 C Thompson Pardoe 1.0 X 0 0 0 Robert Sullivan 1.0 X 0 0 0 Ivonne Giuliana Centty 1.0 X 0 0 0 Shelia Woodard 1.0 X 0 0 0 John F Hogarty 40.0 X 549333 0 4306 Charles R Tuegel MD 1.0 X 0 0 0 David Havrilla 1.0 X 162212 162212 37940 Roger Leonard 40.0 X 284933 0 9927 Connie Stone 40.0 X 174932 0 9128 Kevin Mell 40.0 X 164986 0 11152 Harold Pickett 40.0 X 275503 0 5483 Jeanne O'Toole 40.0 X 148926 0 12483 Maria Elena Espina 40.0 X 144820 0 8018 Randall Bursaw 40.0 X 142163 0 10624 Owen Horn 40.0 X 135015 0 8919 2794955 4867983 251599 11 false true false MERIDIAN ANESTHESIA PRACTICE L 3801 INTERNATIONAL DR 300 SILVER SPRING MD 20906 Physicians 3751220 DELPHI HEALTHCARE PARTNERS 170 SOUTHPORT DR MORRISVILLE NC 27560 PHYSICIANS 1376673 MONTGOMERY MAGNETIC IMAGING PO BOX 64939 BALTIMORE MD 21264 MRI 903487 EMERGENCY MEDICINE ASSOCIATES 20010 CENTURY BLVD STE 200 GERMANTOWN MD 20874 PHYSICIANS 715970 INPATIENT SPECIALISTS PA 1201 SEVEN LOCKS RD STE 200 ROCKVILLE MD 20854 PHYSICIANS 657956 5 0 PATIENT SERVICE REVENUE 621300 132558297 132558297 PHYSICIAN BILLING REVENUE - ANESTHESIA 621110 3622341 3622341 136180638 789226 789226 0 0 304668 304668 304668 304668 64218 129378 -129378 64218 -65160 -65160 0 0 0 OTHER OPERATING REVENUE 621500 809931 809931 LAB REVENUE 900099 679077 54836 624241 1489008 138698380 136235474 624241 1838665 0 0 0 0 1820419 1195569 624850 0 0 51371084 34552037 16819047 0 2671363 0 2671363 0 4752144 0 4752144 0 3897516 0 3897516 0 0 110292 0 110292 0 87500 0 87500 0 0 0 0 18205517 5799576 12405941 0 827896 827896 0 0 0 354958 0 354958 0 32287 7761 24526 0 0 34779 9408 25371 0 368946 0 368946 0 0 7701788 7701788 2309256 2309256 MED/SURG SUPPLIES 22727750 22727750 0 0 BAD DEBT 5007266 5007266 0 0 MAINTENANCE 2934248 1215238 1719010 0 PROFESSIONAL FEES 2780725 2780725 0 0 OTHER EXPENSES 2751846 846152 1905694 0 2723202 1898 2721304 0 133470782 84154424 49316358 0 25276059 47205461 14080419 14622539 987868 761657 2457926 2504868 1028094 610837 150547400 72586310 64999828 77961090 18727322 20965797 106325 96364 2029093 995525 129692934 165724138 14932469 11232636 24788358 21029789 39720827 32262425 X 87940707 131430313 2031400 2031400 89972107 133461713 129692934 165724138 X false true true X false X 146581 146581 80862546 6896549 73965997 1575958 1575958 57502443 57502443 10459872 8187318 2272554 77961090 0 PENSION ASSET 7157391 OPTIMIM CHOICE IBNR 131960 ADVANCE MEDICAID 451483 ADVANCE CHAMPUS 1000 ADVANCE MD BS 197902 ADVANCE MDIPA 700183 ADVANCE BCNCA 1715700 ADVANCE KAISER 115944 ADVANCE AETNA 183757 ADVANCE CIGNA 157756 PATIENT CREDIT BALANCES 253031 SURGERY CENTER DEBT 297564 CTC DEBT 112252 MOB LIABILITY 7877865 OTHER LIABILITIES 2020695 INTERCO PAYABLES -368094 CAPITAL LEASE ST 23400 21029789 FIN 48 AUDIT REPORT 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 4600506 0 4600506 0.03450 0 0 0 0 0.00000 0 0 0 0 0.00000 0 4600506 0 4600506 0.03450 28 24808 1220119 33960 1186159 0.00890 4 738 460371 0 460371 0.00340 3 0 2175024 0 2175024 0.01630 0 0 0 0 0.00000 10 7508 219931 0 219931 0.00160 45 33054 4075445 33960 4041485 0.03020 45 33054 8675951 33960 8641991 0.06470 0 0 0 0 0.00000 0 0 0 0 0.00000 1 50 1997 0 1997 6 0 299344 0 299344 0.00220 0 0 0 0 0.00000 2 0 1745 0 1745 3 2 28626 0 28626 0.00020 0 0 0 0 0.00000 0 0 0 0 0.00000 12 52 331712 0 331712 0.00240 true 3780822 0 0 0 0 true true Montgomery General Hospital

18101 Prince Philip Drive Olney MD 20832

X X 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. Montgomery General Hospital's (MGH) key priorities are determined by the needs of the community it serves. An assortment of mechanisms is routinely implemented to assess and ensure the hospital is serving as the trusted leader in caring for people and advancing health. Strategic planning sessions, which include the executive team and management team, are designed to identify short- and long- term goals. Throughout this process, community needs, both current and projected, are incorporated into each aspect of the planning phase. The hospital also collaborates with key stakeholders. Partnerships with the local health department, non-profit organizations and local/regional coalitions allow hospital leaders to gain a greater level of insight on the structural and social conditions that impact health status. Many of the community benefit activities conducted last year were aligned with the Montgomery County Department of Health and Human Services Strategic Plan 2006-2011. In addition, as a MedStar member hospital, MGH participated in a systemwide, regional community needs assessment. Secondary data on disease prevalence, behavioral risk factors, and medical provider shortages were examined. Based on the assessment, heart disease and cancer were identified as the system's key priorities for community benefit investment. Many of MGH's activities in the past year were aligned with the prevention, detection, and treatment of these chronic disease conditions. MGH will provide access for urgent or emergent medically necessary health care services for free or at a reduced fee to all patients who meet the criteria. The determination of urgent or emergent medically necessary health care services is the sole discretion of MGH. Each applicant for financial assistance or reduced fee arrangements must meet criteria set by MGH. There are signs in English and Spanish at every registration point in the hospital regarding financial assistance. All registration staff have copies of the financial assistance application in English and Spanish to give to patients. Greeter desks also have copies of the financial assistance application in English and Spanish to give to patients. Billing and Customer Service also have copies of the financial assistance application in English to give to patients. The Financial Assistance policy is posted on the website. A financial assistance application is mailed within one-week to the homes of all self pay patients who were discharged from the emergency department. For all self pay patients who are inpatients, the Customer Service department has the patient speak with the internal Montgomery County Social worker to see if they qualify for medical assistance or if they can be assisted by an outside agency that specializes in obtaining medical assistance for hospital patients. If the patient does not meet criteria to apply for medical assistance the patient is referred to the Billing Department for payment or to obtain a financial assistance application. All inpatients also receive a discharge package/envelope. Within the envelope is a Patient Financial Services brochure which explains MGH's billing policies and financial assistance program. These brochures are housed in several areas of the hospital for patient's convenience. Montgomery County has experienced consistent population growth over the years. As of 2009, the county is comprised of 971,600 residents. The most recent estimate puts the average age in the county at 39. More than half of the population is female. Persons under 19 make up 26.4 % and persons 65 and older account for 12.5 %of the population. Montgomery County is racially diverse and very rich with culture. The county's racial breakdown is 61.2 percent Caucasian, 16.1 percent black or African American, and 13.3 percent Asian. Nearly 14.8 percent of the population is of Hispanic origin - making it the jurisdiction with the largest Hispanic community in the Washington/Baltimore region. According to the Montgomery County Department of Health and Human Services, poverty rates are highest among Hispanic families - 8.9%, followed by African American - 7.8%; Asians - 4.7%; and non-Hispanic whites - 1.7%. In 2008, there were 341,812 households in Montgomery County. Of the 341,812 households, 68 percent were families. That includes both married-couple families (53 percent) and other families (15 percent). Nonfamily households made up 32 percent of all households in the County. Most of the nonfamily households were people living alone, but some were comprised of persons who were not related to the head of household. The county continues to experience significant growth in its aging population. In 2000, 92,503 of its residents were 65 years of age or older. By 2005, there was a growth of nine percent and by the end of 2010, projections suggest a growth of 11%, compared to a baseline of 92,503 residents. In Montgomery County, 91 percent of residents 25 years and over have at least graduated from high school; 56 percent have a bachelor's degree or higher. Nine percent were dropouts, meaning they were not enrolled in school and had not graduated from high school. The private sector accounts for approximately 72 percent of employment in the county followed by the government, which employs roughly 21% of the working population. The remaining 7% are self-employed. As a community partner, the hospital engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. For example, the hospital provided free screenings for blood pressure, body fat/waist hip ratio, podiatry, sleep apnea, vision, cholesterol, bone density and oral health at the Annual Health Expo. Information on prevention, early detection, treatment, diagnosis and care for various diseases was also offered. Attendees enjoyed physician lectures by MGH medical staff, giveaways, and multiple interactive health booths. In 2010, 173 members of the community attended this event. Educating the community about cancer prevention and treatment is a priority at MGH. An oncology certified registered nurse is available to guide patients' families and physicians through the many facets of tests and treatments that often accompany a cancer diagnosis. This "Cancer Care Navigator" not only educates patients about cancer and treatments but provides emotional support and encouragement. A Community Outreach Specialist with a public health background plays an important role in our ability to provide education and support services to underserved/low-income communities. As a community partner, MGH is committed to meeting the needs of vulnerable populations by establishing strategic partnerships and alliances. A partnership with Proyecto Salud, a not-for-profit primary care clinic in Wheaton, is allowing low-income, uninsured, Spanish speaking residents to receive culturally sensitive healthcare services at a satellite site on the grounds of Montgomery General Hospital. Under the terms of the agreement, MHG provides Proyecto Salud with free space to provide patient care. The Hospital also provides partial support for operations and marketing. The clinic's services focus on primary adult healthcare including physical examinations, health counseling and education, and basic laboratory services. In addition, the clinic offers a seasonal flu clinic focused on prevention with vaccinations. Prescription medications are made available through the Montgomery Cares program. The clinic also provides referrals for county specialty services, STD, HIV programs, Women's Cancer Control Program, Family Planning and affordable alcohol treatment and rehabilitation. As a proud member of MedStar Health, Montgomery General 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 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. true X X X X X X true true false false false false false false false Peter W Monge 398086 0 196795 0 2320 0 4847 0 9674 0 611722 0 0 0 John F Hogarty 55489 0 24846 0 468998 0 3601 0 705 0 553639 0 0 0 Roger Leonard 201931 0 83002 0 0 0 804 0 9123 0 294860 0 0 0 Connie Stone 148562 0 26370 0 0 0 295 0 8833 0 184060 0 0 0 Kevin Mell 135704 0 29282 0 0 0 3500 0 7652 0 176138 0 0 0 Kenneth A Samet 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 Joy Drass MD 0 619624 0 448744 0 0 0 34454 0 18559 0 1121381 0 0 Harold Pickett 17082 0 2872 0 255549 0 5021 0 462 0 280986 0 0 0 Jeanne O'Toole 137797 0 11129 0 0 0 1986 0 10497 0 161409 0 0 0 Maria Elena Espina 139848 0 4972 0 0 0 1318 0 6700 0 152838 0 0 0 Randall Bursaw 141163 0 1000 0 0 0 414 0 10210 0 152787 0 0 0 David Havrilla 107668 107667 37262 37262 17282 17283 11154 11153 7816 7817 181182 181182 0 0 FORM 990 REVIEW PROCESS 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. 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). 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. FINANCIAL STATEMENT AVAILABILITY PART VI, SECTION B, LINE 19 MedStar Health posts its annual financial audit and quarterly financial reports to the Electronic Municipal Market Access (EMMA) system. The organization also mails its annual and quarterly disclosures to holders of the Company's publicly traded debt. The Company's governance documents and conflicts of interest policies are available upon request through its corporate (or as applicable entity) public information offices. COMPENSATION FOOTNOTE PART VII, SECTION 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 STATEMENTS AND REPORTING PART XI, QUESTION 2C MONTGOMERY GENERAL HOSPITAL IS PART OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. SEVERANCE FOOTNOTES PART II, COLUMN B III John Hogarty's Other reportable compensation in Part II, Column (B) (iii) includes $468,998 representing the amount of change of control payments received by Mr. Hogarty. Harold Pickett's Other reportable compensation in Part II, Column (B) (iii) includes $255,549 representing the amount of change of control payments received by Mr. Pickett. 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