2025-05-06T15:15:10-05:00 2024-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-07-01 522087445 MEDSTAR HEALTH INC MEDS 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 JOEL BRYAN VP/TREASURER/CIO 4107726721 2025-05-06 1 0 RAYMOND LY P01205643 7032868000 2023 2025-03-06 01:10:19Z KENNETH A SAMET 10980 GRANTCHESTER WAY COLUMBIA MD 21044 363603125 0 X WWW.MEDSTARHEALTH.ORG X 1998 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 19 15 891 0 889 0 42752842 5315609 261430561 271502992 53597492 77472526 8871148 9311998 366652043 363603125 14349221 14419384 0 0 183637739 183862001 2794660 2018708 2018708 98103175 98123326 298884795 298423419 67767248 65179706 3203474364 3406041925 2719862512 2670927095 483611852 735114830 X SEE SCHEDULE O 0 0 296404711 14419384 271502992 SEE SCHEDULE OAS THE PARENT COMPANY IN AN INTEGRATED HEALTHCARE SYSTEM, MEDSTAR HEALTH, INC. ESTABLISHES THE STRATEGIC DIRECTION FOR ITS AFFILIATED ENTITIES. MEDSTAR HEALTH'S SOLE PROGRAM SERVICE IS THE MANAGEMENT AND SUPPORT OF ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE DEPARTMENTS AND FUNCTIONS FOR: ACADEMIC AFFAIRS, BUSINESS DEVELOPMENT, COMMUNITY HEALTH, COMPLIANCE, DIGITAL PLATFORM DEVELOPMENT, FINANCE, GOVERNMENT AFFAIRS, GRADUATE MEDICAL EDUCATION, HUMAN RESOURCES, INFORMATION SERVICES, INTERNAL AUDIT, LEGAL, MANAGED CARE, PHILANTHROPY, PRIVACY, QUALITY & SAFETY, RISK MANAGEMENT, STRATEGIC PLANNING & MARKETING, AND TREASURY. 296404711 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1852 0 1 891 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 19 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 X KENNETH A SAMET CEO AND PRESIDENT 29.00 11.00 X X 7083748 0 106087 LEIGH ANN CURL MD DIRECTOR 1.00 39.00 X 0 1537722 32687 CHRISTOPHER G KALHORN MD DIRECTOR 1.00 39.00 X 0 1167921 32270 ALLEN J TAYLOR MD DIRECTOR 1.00 39.00 X 0 831757 11307 ANTHONY J BUZZELLI DIRECTOR 1.00 0.00 X 0 0 0 THOMAS P JOYCE JR DIRECTOR 1.00 0.00 X 0 0 0 VINCENT J MARTORANA DPM DIRECTOR 1.00 0.00 X 0 0 0 JOHN J DEGIOIA PHD DIRECTOR 1.00 0.00 X 0 0 0 JAMES A DORTA MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT OURISMAN DIRECTOR 1.00 0.00 X 0 0 0 REV DR GWENDOLYN E BOYD DIRECTOR 1.00 0.00 X 0 0 0 GARY H TABACH VICE CHAIR 1.00 0.00 X X 0 0 0 EBEN D FINNEY III DIRECTOR 1.00 0.00 X 0 0 0 GREGORY S PROCTOR DIRECTOR 1.00 0.00 X 0 0 0 ADAEZE ENEKWECHI PHD MPP DIRECTOR 1.00 0.00 X 0 0 0 TAMLA OLIVIER DIRECTOR 1.00 0.00 X 0 0 0 ROSIE ALLEN-HERRING CHAIR 1.00 0.00 X X 0 0 0 WILLIAM MATT KELLY DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL RANDOLPH MD DIRECTOR 1.00 0.00 X 0 0 0 SUSAN NELSON EVP & CFO 38.00 2.00 X 2207257 0 45509 OLIVER M JOHNSON II EVP 35.00 5.00 X 2040968 0 43213 STEPHEN EVANS MD EVP 38.00 2.00 X 2826175 0 63500 M JOY DRASS MD EVP 39.00 1.00 X 4328131 0 69388 ERIC WAGNER EVP 33.00 7.00 X 2029086 0 26463 LORETTA WALKER SVP 40.00 0.00 X 1643431 0 48275 SUSAN ECKERT SVP & CHIEF NURSING OFFICE 40.00 0.00 X 1381768 0 58073 MICHAEL SACHTLEBEN SVP & COO, WASHINGTON REGION 40.00 0.00 X 1941891 0 59112 DAVID H SONG MD VP OF MEDICAL AFFAIRS & CMO 40.00 0.00 X 1921856 0 33078 BRADLEY CHAMBERS SVP & COO, BALITMORE REGION 40.00 0.00 X 1681164 0 59767 MICHAEL J CURRAN FORMER EVP & CAO 39.00 1.00 X 621601 0 10769 29707076 3537400 699498 407 1 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD & FACILITIES MANAGEMENT 27751394 CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 ENVIRONMENTAL SERVICES 15410632 UP TO DATE LAUNDRY INC 5521 RESEARCH PARK DRIVE CATONSVILLE MD 21228 LAUNDRY SERVICES 8812980 DELOITTE CONSULTING LLP 30 ROCKEFELLER PLAZA NEW YORK NY 10112 PROFESSIONAL SERVICES 4634829 JONES LANG LASALLE AMERICAS 95661 TREASURY CENTER DR CHICAGO IL 606945661 PROFESSIONAL SERVICES 4107304 79 4566561 749048 5315609 GREENSPRING FEE 900099 246074785 246074785 OTHER HEALTH REVENUE 900099 24999904 24999904 HEALTH EDUCATION 900099 428303 428303 271502992 43564227 889 43563338 33908299 0 33908299 33908299 33908299 REBATE INCOME 900099 4830540 4830540 OTHER INCOME/LOSS 900099 4481458 4481458 9311998 363603125 271502992 889 86783635 X 14419384 14419384 20869525 20869525 632370 632370 147810317 147810317 2638098 2638098 4285465 4285465 7626226 7626226 8714077 8714077 2262484 2262484 408565 408565 2018708 2018708 31120219 31120219 16382633 16382633 9380446 9380446 9842699 9842699 686983 686983 191910 191910 7196258 7196258 3618585 3618585 1479500 1479500 MAINTENANCE 5943592 5943592 UTILITIES 1480747 1480747 FOOD SERVICES/SUPPLIES 242953 242953 BAD DEBT 3500 3500 -831825 -831825 298423419 296404711 0 2018708 433724655 412593145 161650844 166562624 22139397 36993041 6167102 4884739 5192445 6118254 65711280 34169031 21584755 31542249 2086492676 2223932028 264513924 261036847 202008566 262378998 3203474364 3406041925 426631064 458395634 814593 969258 1669713145 1631799254 130588825 130588825 492114885 449174124 2719862512 2670927095 X 478578747 730541330 5033105 4573500 483611852 735114830 3203474364 3406041925 X 65179706 202951326 -16628054 X 0 1 X 1 1 1 X X 16 GEORGETOWN UNIVERSITY 530196603 2 1 14419384 0 BAY LIFE SERVICES INC 521496539 10 1 0 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 3 1 0 0 GOOD SAMARITAN NURSING CENTER INC 521672866 10 1 0 0 GS HOUSING INC 521481656 10 1 0 0 HARBOR HOSPITAL INC 520491660 3 1 0 0 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC 522218584 3 1 0 0 MEDSTAR HEALTH RESEARCH INSTITUTE INC 526056274 4 1 0 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC 530196597 10 1 0 0 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC 460726303 3 1 0 0 MEDSTAR VNA HEALTHCARE INC 521458516 10 1 0 0 MONTGOMERY GENERAL HOSPITAL INC 520646893 3 1 0 0 NATIONAL REHABILITATION HOSPITAL INC 521369749 3 1 0 0 NRH REGIONAL REHAB AT OLNEY INC 522310902 3 1 0 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC 520619006 3 1 0 0 SUBURBANNRH MEDICAL REHABILITATION INC 521931151 3 1 0 0 THE UNION MEMORIAL HOSPITAL 520591685 3 1 0 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 3 1 0 0 WASHINGTON HOSPITAL CENTER CORPORATION 521272129 3 1 0 0 WOODBOURNE WOODS INC 522299070 10 1 0 0 16 14419384 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART I, LINE 12G AMOUNT OF SUPPORT SUPPORT IS PROVIDED TO MEDSTAR HEALTH, INC.'S SUPPORTED ORGANIZATIONS IN THE FORM OF EQUITY TRANSFERS. DUE TO THE FREQUENCY OF THESE TRANSFERS AND THE LARGE NUMBER OF SUPPORTED ORGANIZATIONS THAT MEDSTAR HEALTH, INC. SUPPORTS, THE TOTAL EQUITY TRANSFERS LISTED ON SCHEDULE O, PART XI, LINE 9 HAVE NOT BEEN BROKEN OUT FOR EACH SUPPORTED ORGANIZATION. OTHER SUPPORT THE EXPENSES INCURRED BY MEDSTAR HEALTH, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 THE OFFICERS/DIRECTORS OF THE SUPPORTED ORGANIZATIONS HAVE A CLOSE AND CONTINUOUS RELATIONSHIP WITH MEDSTAR HEALTH, INC., AND THUS A SIGNIFICANT VOICE. KEN SAMET, THE PRESIDENT/CEO OF MEDSTAR HEALTH, INC., SERVES ON THE BOARD OF DIRECTORS OF MANY OF MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS. BECAUSE OF THIS, THE SUPPORTED ORGANIZATIONS ARE ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF MEDSTAR HEALTH AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 3A MEDSTAR HEALTH, INC. HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS OR DIRECTORS OF EACH OF ITS SUPPORTED ORGANIZATIONS WITH THE EXCEPTION OF GEORGETOWN UNIVERSITY, GS HOUSING, INC., WOODBOURNE WOODS, INC., AND SUBURBAN/NRH MEDICAL REHABILITATION, INC. ONE OF ITS SUPPORTED ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE SUPPORTED ORGANIZATION'S GOVERNING BODY, BUT ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE BOARD OF MEDSTAR HEALTH, INC. SCHEDULE A, PART IV, SECTION E, LINE 3B AS A PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM, MEDSTAR HEALTH, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. THE BYLAWS OF THESE SUPPORTED ORGANIZATIONS ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 679009 679009 0 PART II-B, LINE 1: OTHER ACTIVITIES THE EXPENSES INCURRED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES REFLECTS THE TOTAL EXPENDITURES FOR LOBBYING EFFORTS ON BEHALF OF SUBSTANTIALLY ALL SUBSIDIARIES AND AFFILIATES. THESE EXPENSES INCLUDED A PORTION OF THE COMPENSATION EXPENSE FOR SEVERAL EMPLOYEES IN THE GOVERNMENT AFFAIRS DEPARTMENT OF THE ORGANIZATION WHO ARE INVOLVED IN LOBBYING ACTIVITIES AS WELL AS THE AMOUNTS PAID TO OUTSIDE ADVOCACY AND CONSULTING GROUPS FOR THEIR LOBBYING ACTIVITIES ON BEHALF OF THE ORGANIZATION. THE LOBBYING WORK RELATED TO HEALTHCARE POLICY ISSUES AT THE FEDERAL LEVEL AS WELL AS WORK IN MARYLAND AND THE DISTRICT OF COLUMBIA. AMONG THE POLICY ISSUES ENCOMPASSED BY THE ORGANIZATION'S LOBBYING EFFORTS WERE HEALTH CARE COVERAGE FOR THE UNINSURED AND UNDER-INSURED, EMERGENCY PREPAREDNESS, REIMBURSEMENT POLICIES, EMPLOYMENT PRACTICES, HEALTH REFORM, AND OTHER KEY ISSUES. 1164963 1164963 1786948 969682 817266 18218629 11621952 6596677 24388121 21000777 3387344 20152619 576620 19575999 31542249 PNC POOL AND OTHER UNR. FUNDS 1730530348 F INVESTMENT IN AFFILIATES 438776367 F BOARD DESIGNATED/OTHER RESTR. 54625313 F 2223932028 DEFERRED COMPENSATION ASSET 205988594 OPERATING LEASE ASSET 47106836 ESCROW/LT DEPOSITS 4407616 CASH SURRENDER VALUE - INS 1500000 WORKERS COMP FUNDS 1532189 OTHER ASSETS 1843751 COI DEBT SERVICE FUND 12 262378998 PENSION LIABILITY 17152020 GU 2017 APA LT LIABILITY 84927194 DEFERRED COMPENSATION 207084621 OPERATING LEASE LIABILITY 54493933 PROFESSIONAL LIAB. IBNR 23450352 L/T LIABILITY - SWAP 235970 OTHER LIABILITIES 61830034 449174124 X PART X, LINE 2: FIN 48 FOOTNOTE INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 299490628 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS 1266803 0 0 0 0 0 0 300757431 0 300757431 1 0 1 1 1 0 X X X X X 1 LEONARDTOWN GRANTS DBA AMPLIFY PHILANTHROPY PO BOX 651 LEONARDTOWN MD 20650 GRANTS CONSULTANT 0 12965943 869136 12096807 THORN RUN PARTNERS LLC 100 M STREET SE SUITE 750 WASHINGTON DC 20003 GRANTS CONSULTANT 0 7667873 240900 7426973 SHEILA M WELLS DBA WELLS PHILANTHROPY 702 THRONWOOD COURT TOWSON MD 21286 GRANTS CONSULTANT 0 3709114 227605 3481509 CHESAPEAKE MEDICAL COMMUNICATIONS LLC MONICA MCCANN PO BOX 1393 ABINGDON MD 210096393 GRANTS CONSULTANT 0 1420136 45600 1374536 LISA RAYMOND 3901 FESSENDEN ST NW WASHINGTON DC 20016 GRANTS CONSULTANT 0 261747 204000 57747 DIFFSTRAT COMPANIES INC 3950 RIVER RIDGE DRIVE NESTE A CEDAR RAPIDS IA 52402 EDUCATIONAL SESSIONS AT ENTITES FOR PHILANTHROPY STAFF, PHYS 0 0 35000 -35000 DEBBI KING 1706 SOUTH MAIN STREET MT AIRY MD 21771 RE DATA MANAGEMENT & VARIOUS PHILANTHROPY PROJECTS 0 0 33609 -33609 MPK&D 3114 HARFOD ROAD HYDES MD 21082 PHILANTHROPY WRITER AND DESIGNER 0 0 229721 -229721 WHISNANT STRATEGIES 4511 47 STREET NW WASHINGTON DC 20016 PHILANTHROPY CONSULTANT 0 0 57200 -57200 WEST WING WRITERS 1150 CONNECTICUT AVE NW SUITE 505 WASHINGTON DC 20036 PHILANTHROPY WRITER AND DESIGNER 0 0 57937 -57937 26024813 2000708 24024105 DC MD SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE PROFESSIONAL FUNDRAISING EXPENSES INCURRED AT MEDSTAR HEALTH, INC. ARE FOR THE USE AND BENEFIT OF EACH HOSPITAL IN THE MEDSTAR SYSTEM. 1 GEORGETOWN UNIVERSITY 37TH AND O STREETS NW WASHINGTON DC 20057 530196603 501(C)(3) 14419384 0 SUPPORTING THE SCHOOL OF MEDICINE 1 0 PART I, LINE 2: MEDSTAR'S GRANT MONITORING PROCEDURE BRINGS TOGETHER ALL KEY PERSONNEL INVOLVED IN THE GRANT AT THE ONSET OF THE AWARD TO DISCUSS MANAGEMENT, RESPONSIBILITIES, BUDGETS, AND REPORTING. THIS INITIAL MEETING IS DOCUMENTED AND DISBURSED TO ALL INVOLVED. THE ACTUAL GRANT MONITORING IS DONE BY THE HOSPITAL DEPARTMENT IMPLEMENTING THE GRANT. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ENSURES THAT EACH GRANT HAS A COST CENTER AND/OR GRANT ACCOUNT SET UP BASED ON THE TERMS OF THE GRANT AWARD. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ALSO TRACKS AND REMINDS HOSPITAL DEPARTMENTS WHEN PROGRESS REPORTS ARE DUE THROUGOUT THE LIFE OF THE GRANT. X 1 1 X X X X X X 1 0 0 0 0 0 0 0 0 KENNETH A SAMET CEO AND PRESIDENT 2308151 0 3403165 0 1372432 0 68539 0 37548 0 7189835 0 0 0 M JOY DRASS MD EVP 1560255 0 1752876 0 1015000 0 41656 0 27732 0 4397519 0 0 0 STEPHEN EVANS MD EVP 1332096 0 1494079 0 0 0 21798 0 41702 0 2889675 0 0 0 SUSAN NELSON EVP & CFO 1033926 0 1173331 0 0 0 9150 0 36359 0 2252766 0 0 0 OLIVER M JOHNSON II EVP 950707 0 1090261 0 0 0 9150 0 34063 0 2084181 0 0 0 ERIC WAGNER EVP 514910 0 958232 0 555944 0 9150 0 17313 0 2055549 0 0 0 MICHAEL SACHTLEBEN SVP & COO, WASHINGTON REGION 994316 0 947575 0 0 0 24673 0 34439 0 2001003 0 0 0 DAVID H SONG MD VP OF MEDICAL AFFAIRS & CMO 1651964 0 269892 0 0 0 9150 0 23928 0 1954934 0 0 0 BRADLEY CHAMBERS SVP & COO, BALITMORE REGION 884291 0 796873 0 0 0 25052 0 34715 0 1740931 0 0 0 LORETTA WALKER SVP 774170 0 869261 0 0 0 9150 0 39125 0 1691706 0 0 0 LEIGH ANN CURL MD DIRECTOR 0 1156253 0 381469 0 0 0 9150 0 23537 0 1570409 0 0 SUSAN ECKERT SVP & CHIEF NURSING OFFICE 480808 0 475690 0 425270 0 41316 0 16757 0 1439841 0 0 0 CHRISTOPHER G KALHORN MD DIRECTOR 0 1010654 0 157267 0 0 0 9150 0 23120 0 1200191 0 0 ALLEN J TAYLOR MD DIRECTOR 0 730657 0 101100 0 0 0 9150 0 2157 0 843064 0 0 MICHAEL J CURRAN FORMER EVP & CAO 393240 0 228361 0 0 0 0 0 10769 0 632370 0 0 0 SCHEDULE J, PART I, LINE 1A SOCIAL CLUB DUES 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. SCHEDULE J, PART III DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A PAYMENT OF $1,372,432, WHICH REPRESENTS THE CASH VALUE OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. ERIC WAGNER'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $429,576 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MR.WAGNER. JOY DRASS' OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $1,015,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. SUSAN ECKERT'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $355,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. A DISTRICT OF COLUMBIA 536001131 2548393Y7 2008-05-15 283137423 CURRENT REFUND BOND ISSUED 1998 1 0 0 B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218DY6 2011-11-17 47805502 CURRENT REFUND BANK DEBT 1 0 0 C MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 571518DV2 2011-11-17 15007204 ADVANCE REFUND BOND ISSUED 2002 0 0 0 D MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218DY6 2011-11-17 15206131 CURRENT REFUND BOND ISSUED 2009 1 0 0 A 87525000 111800000 283137423 283137423 1998 1 0 1 1 B 16785000 29625000 47805502 634328 47171175 2011 1 0 1 1 C 13790000 15007304 180830 14826474 2003 0 1 1 1 D 4065000 10430000 15206131 202240 15003890 2010 1 0 1 1 B 0 1 1 1 0 0.01180 0.01180 0 0 1 D 0 1 1 1 0 0.00050 0.00050 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART II, COLUMN B (SET 2): LINES 3, 5, AND 10: INCLUDE PROCEEDS RECEIVED AT CLOSING PLUS INTEREST INCOME AND CHANGE IN FAIR MARKET VALUE OF THE UNDERLYING ASSETS, AS RECORDED ON ANNUAL TRUST STATEMENTS. PART II, COLUMN B (SET 3): LINES 3, 5, AND 10: INCLUDE PROCEEDS RECEIVED AT CLOSING PLUS INTEREST INCOME AND CHANGE IN FAIR MARKET VALUE OF THE UNDERLYING ASSETS, AS RECORDED ON ANNUAL TRUST STATEMENTS. A MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 999999999 2012-06-27 38620000 CURRENT REFUND BOND ISSUED 1998 0 0 0 B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574128NS8 2013-03-21 75951460 HOSPITAL CAPITAL EXPENDITURES 0 0 0 C MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218NU2 2013-03-21 52709030 CURRENT REFUND BOND ISSUED 1998 0 0 0 D MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218PJ6 2013-05-21 159366620 ACQUISITION OF SOUTHERN MD HOSP 0 0 0 A 38620000 38620000 38620000 1998 1 0 1 1 B 5180000 76180248 5244775 934175 69986735 2017 0 0 1 1 C 6890000 52709030 619896 52089133 1998 1 0 1 1 D 159366620 1376620 157990000 2013 1 0 1 1 B 0 0 0 0 0.00200 0.00200 0 0 1 D 0 0 0 0 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218VB6 2015-02-11 410753755 REFUND BOND ISSUED 98, 04, 07 0 0 0 B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 5742182R3 2017-06-29 427566974 SURG PAVILION AND HOSP EXPENSE 0 0 0 A 56455000 410753755 2851566 407902189 2010 1 1 1 1 B 445016442 67737451 3438818 373840174 2023 0 0 0 1 A 0 1 1 1 0 0.00790 0.00790 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 CERASOLI STAFFORD LLC DBA CSB IMPACT SEE PART V 3400152 MARKETING AND MEDIA MANAGEMENT 0 IRONMARK SEE PART V 151583 MARKETING SERVICES 0 CROTHALL HEALTHCARE INC SEE PART V 14731937 ENVIRONMENTAL SERVICES 0 JACKSON LEWIS PC SEE PART V 1222901 LEGAL SERVICES 0 APPLE SIGNS INC SEE PART V 272124 SIGNAGE PRODUCTS 0 VENABLE LLP SEE PART V 859590 LEGAL SERVICES 0 SCHEDULE L, PART IV THE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR HEALTH, INC. VALUED IN EXCESS OF $100,000: CERASOLI STAFFORD LLC, IRONMARK, CROTHALL HEALTHCARE, INC., JACKSON LEWIS P.C., APPLE SIGNS, INC., VENABLE, LLP, AND INDIVIDUAL SUBSTANTIAL CONTRIBUTORS. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION . MEDSTAR HEALTH, INC. (MEDSTAR HEALTH) IS THE PARENT AND CONTROLLING ENTITY FOR AN $8.3 BILLION, NOT-FOR-PROFIT HEALTH SYSTEM DEDICATED TO CARING FOR PEOPLE IN MARYLAND AND THE WASHINGTON, D.C., REGION (COMPRISING BALTIMORE CITY; 12 COUNTIES IN MARYLAND; THE DISTRICT OF COLUMBIA; AND 12 COUNTIES IN NORTHERN VIRGINIA). THROUGH THE COMBINATION OF ACADEMIC MEDICINE, RESEARCH AND INNOVATION ACROSS A COMPREHENSIVE SPECTRUM OF CLINICAL SERVICES, MEDSTAR HEALTH'S MORE THAN 35,000 ASSOCIATES AND 4,000 AFFILIATED PHYSICIANS SERVE APPROXIMATELY 1,360,000 PATIENTS AND FAMILIES ANNUALLY. THROUGH MEDSTAR HEALTH HOSPITALS, OUTPATIENT FACILITIES, PHYSICIAN PRACTICES AND OTHER HEALTH-RELATED ENTITIES, PATIENTS AND FAMILIES HAVE ACCESS TO A BROAD CONTINUUM OF SERVICES INCLUDING: ACUTE, TRAUMA & SURGERY, ADULT BURN CARE, AMBULATORY & URGENT CARE, CLINICAL RESEARCH & INNOVATION, EMERGENCY SERVICES, HEALTH & WELLNESS SCREENINGS, HOME HEALTH, MANAGED CARE, MEDICAL EDUCATION, MEDICAL TRANSPORTATION, SKILLED NURSING FACILITY & SENIOR LIVING, PALLIATIVE CARE, PHARMACY, PHYSICAL THERAPY & REHABILITATION, PRIMARY, SPECIALTY & SURGICAL CARE, RADIATION & INFUSION THERAPY, AND TELEHEALTH. . AS THE MEDICAL EDUCATION AND CLINICAL PARTNER OF GEORGETOWN UNIVERSITY, MEDSTAR HEALTH HAS ONE OF THE LARGEST MEDICAL EDUCATION PROGRAMS IN THE COUNTRY WITH MORE THAN 1,100 MEDICAL RESIDENTS/FELLOWS AND TRAINS MORE THAN 1,015 NURSING RESIDENTS ANNUALLY. . MEDSTAR HEALTH OFFERS A MULTITUDE OF SPECIALTY SERVICES, LEADING THE MARKET ACROSS ITS STRATEGIC FOCUS AREAS IN HEART & VASCULAR, NEUROSCIENCES, TRANSPLANT, ORTHOPAEDICS, AND GASTROENTEROLOGY. ADDITIONAL SPECIALTY SERVICES INCLUDE PHYSICAL THERAPY & REHABILITATION, WOMEN'S HEALTH, BEHAVIORAL HEALTH, UROLOGY, DERMATOLOGY, DIABETES & ENDOCRINOLOGY, PRIMARY CARE, BARIATRICS, SPORTS MEDICINE, AND PLASTIC SURGERY. . MEDSTAR HEALTH RESEARCH INSTITUTE, THE RESEARCH ARM OF MEDSTAR HEALTH, RANKS IN THE TOP 20% OF RECIPIENTS OF RESEARCH FUNDING FROM THE FEDERAL GOVERNMENT (WITH APPROXIMATELY 1,000 OPEN CLINICAL RESEARCH STUDIES AND MORE THAN $70 MILLION IN EXTERNAL FUNDING), AND PROVIDES SCIENTIFIC, ADMINISTRATIVE AND REGULATORY SUPPORT FOR RESEARCH PROGRAMS THAT COMPLEMENT THE KEY CLINICAL SERVICES AND TEACHING PROGRAMS ACROSS MEDSTAR HEALTH. . IN FISCAL YEAR 2024, MEDSTAR HEALTH HOSPITALS HAD APPROXIMATELY 118,900 INPATIENT ADMISSIONS AND 6.1 MILLION OUTPATIENT VISITS THAT INCLUDED NEARLY 428,300 EMERGENCY DEPARTMENT VISITS. . OPERATING MEDSTAR HEALTH HOME CARE, THE LARGEST PROVIDER OF HOME CARE SERVICES ACROSS MARYLAND, WASHINGTON, D.C., AND NORTHERN VIRGINIA, APPROXIMATELY 315,400 VISITS WERE COMPLETED IN FISCAL YEAR 2024. . MEDSTAR FAMILY CHOICE, THE SYSTEM'S MEDICAID MANAGED CARE COMPANY, ENROLLED APPROXIMATELY 157,000 MEMBERS LIVING IN MARYLAND AND WASHINGTON, D.C., AS OF JUNE 30, 2024. . EXPANDED TELEHEALTH SERVICES, SUCH AS REMOTE PATIENT MONITORING, VIDEO AND PHONE PATIENT VISITS AND E-CONSULTATIONS, CONDUCTING MORE THAN 457,100 TELEHEALTH ENCOUNTERS IN FISCAL YEAR 2024. . AMERICAN NURSES CREDENTIALING CENTER (ANCC) RECOGNIZES MEDSTAR HEALTH HOSPITALS FOR NURSING EXCELLENCE WITH MAGNET AND PATHWAY TO EXCELLENCE DESIGNATIONS: - MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL ACHIEVED MAGNET STATUS FIVE TIMES IN A ROW WITH MEDSTAR FRANKLIN SQUARE MEDICAL CENTER FOLLOWING CLOSELY, ACHIEVING MAGNET STATUS FOUR TIMES IN A ROW. - MEDSTAR HARBOR HOSPITAL, MEDSTAR MONTGOMERY MEDICAL CENTER AND MEDSTAR ST. MARY'S HOSPITAL RECEIVED THEIR FIRST MAGNET DESIGNATION IN 2024. - ONLY 249 OF 6,093 U.S. HOSPITALS HAVE PATHWAY TO EXCELLENCE DESIGNATIONS AND INCLUDE MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND MEDSTAR WASHINGTON HOSPITAL CENTER. MEDSTAR WASHINGTON HOSPITAL CENTER IS THE FIRST ACUTE CARE HOSPITAL IN WASHINGTON, D.C., TO ACHIEVE THIS RECOGNITION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS FOR REVIEWING FORM 990 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST APPOINTMENT OF DIRECTORS TO THE MEDSTAR HEALTH, INC. BOARD (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTIONS OR RELATIONSHIPS THAT WOULD CREATE A CONFLICT OF INTEREST PRIOR TO THEIR APPOINTMENT OR ELECTION. EACH DIRECTOR IS ALSO REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE TO DISCLOSE CONFLICTS AND HAS AN AFFIRMATIVE DUTY TO REPORT OBLIGATIONS IF THEY ARISE DURING THE BOARD YEAR. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS WHICH DETERMINES HOW THE CONFLICT 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. IN THE CASE OF DIRECTORS, SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN THE CASE OF OFFICERS AND SENIOR MANAGERS, THE CONFLICTS ARE REVIEWED BY THE APPROPRIATE SENIOR EXECUTIVE OR MANAGER. ANY CONFLICTS BY THE CEO ARE REVIEWED BY THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF 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. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-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. PART VII, SECTION A COMPENSATION FROM RELATED ORGANIZATION ONE OF THE DIRECTORS LISTED ON PART VII, SECTION A RECEIVES COMPENSATION FROM GEORGETOWN UNIVERSITY, A RELATED ORGANIZATION. PLEASE SEE THE MOST RECENT FORM 990 FOR GEORGETOWN UNIVERSITY FOR ADDITIONAL INFORMATION. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 16,296,089. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,296,089. CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,446,593. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,446,593. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 5,264,927. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,264,927. MISC FIXED PURCH SRVCS: PROGRAM SERVICE EXPENSES 2,012,203. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,012,203. PROFESSIONAL FEES-OTHER: PROGRAM SERVICE EXPENSES 197,955. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,955. LAB SERVICES: PROGRAM SERVICE EXPENSES 263,614. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,614. TESTING & DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 202,256. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,256. MEDICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 159,218. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,218. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 137,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,239. MISC FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,140,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,140,125. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS -64,776,578. ADD'L MIN PEN LIAB 48,148,524. 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