2022-05-13T17:58:24-05:00 2021-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2020-07-01 521104382 THE THOMAS O'NEILL CATHOLIC HEALTH CARE FUND THOM 4107726721 5601 LOCH RAVEN BOULEVARD BALTIMORE MD 21239 JOEL BRYAN VP/TREASURER 4107726721 2022-05-11 1 JOEL BRYAN 999009999 ANDREW ROE P01876391 7032868000 2022-05-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRADLEY S CHAMBERS 5601 LOCH RAVEN BOULEVARD BALTIMORE MD 21239 5440304 0 X N/A X 1974 MD SEE SCHEDULE OTO SUPPORT CHARITABLE HEALTH CARE SERVICES FOR THE INDIGENT, AND THE EDUCATIONAL AND SCIENTIFIC NEEDS OF MEDSTAR GOOD SAMARITAN HOSPITAL AND THE GOOD SAMARITAN NURSING CENTER. 12 11 0 11 0 0 0 0 0 0 2821916 5440304 0 0 2821916 5440304 2385000 3331061 0 0 0 0 0 0 0 294781 293990 2679781 3625051 142135 1815253 66621223 82326239 1338030 368481 65283193 81957758 THE MISSION OF THE THOMAS O'NEILL CATHOLIC HEALTH CARE FUND IS TO SUPPORT CHARITABLE HEALTH CARE FOR THE INDIGENT, AND THE EDUCATIONAL AND SCIENTIFIC NEEDS OF MEDSTAR GOOD SAMARITAN HOSPITAL AND THE GOOD SAMARITAN NURSING CENTER. 0 0 3331061 3331061 AS A SUPPORTING ORGANIZATION, THE THOMAS O'NEILL CATHOLIC HEALTH CARE FUND'S (THE FUND) SOLE PROGRAM SERVICE IS TO PROVIDE MONETARY SUPPORT FOR ITS SUPPORTED ORGANIZATIONS, MEDSTAR GOOD SAMARITAN HOSPITAL (THE HOSPITAL) AND THE GOOD SAMARITAN NURSING CENTER. EACH YEAR THE FUND IS REQUIRED TO SPEND A MINIMUM OF 40% OF ITS INVESTMENT INCOME ON CHARITY CARE FOR THE BENEFIT OF HOSPITAL PATIENTS. DURING FISCAL 2021, $3,331,061 WAS PROVIDED BY THE FUND TO SUPPORT PROGRAMS IN AREAS INCLUDING CHARITY CARE, RESEARCH, PRIMARY CARE, TRANSPORTATION AND PARISH NURSE PROGRAMS. 3331061 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 BRADLEY S CHAMBERS DIRECTOR/PRESIDENT 1.00 39.00 X X 0 1283172 55017 CHARLES L BAUERMANN DIRECTOR 1.00 0.00 X 0 0 0 DAVID KINKOPF DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM MCCARTHY DIRECTOR 1.00 0.00 X 0 0 0 JAYNE H MCGEEHAN DIRECTOR 1.00 0.00 X 0 0 0 ANTHONY READ DIRECTOR 1.00 0.00 X 0 0 0 BISHOP ADAM J PARKER DIRECTOR 1.00 0.00 X 0 0 0 ARCHBISHOP WILLIAM E LORI CHAIRMAN 1.00 0.00 X X 0 0 0 SCOTT R SOMERVILLE DIRECTOR 1.00 0.00 X 0 0 0 BISHOP DENIS J MADDEN DIRECTOR 1.00 0.00 X 0 0 0 DANIEL P CAHILL DIRECTOR 1.00 0.00 X 0 0 0 MARK MCGLONE DIRECTOR 1.00 0.00 X 0 0 0 0 1283172 55017 0 0 1 0 0 1261986 1261986 4178318 0 4178318 4178318 4178318 5440304 0 0 5440304 3331061 3331061 20000 20000 273990 273990 3625051 3331061 293990 0 649493 426501 111876 90559 65859854 81809179 66621223 82326239 105848 81490 1232182 286991 1338030 368481 X 0 0 65283193 81957758 65283193 81957758 66621223 82326239 1815253 14860143 -831 0 X X 1 1 X 1 0 X X 2 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 3 1 3331061 0 GOOD SAMARITAN NURSING CENTER 521672866 10 1 0 0 2 3331061 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1374133 1261986 1374133 1261986 0 0 294694 293990 0 0 1079439 967996 64542397 74336344 2107367 1834523 0 0 66649764 76170867 0 0 0 66649764 76170867 999746 1142563 65650018 75028304 2297751 2625991 0 0 2297751 2625991 1079439 917523 2297751 2297751 0 2297751 3331061 0 0 0 0 0 3331061 0 2297751 0.000000000000 2297751 0 0 0 0 0 0 0 0 0 0 0 3331061 0 2297751 1033310 0 0 1033310 0 0 0 0 1033310 SCHEDULE A, PART I, LINE 12G OTHER SUPPORT THE EXPENSES INCURRED BY THE THOMAS O'NEILL CATHOLIC HEALTH CARE FUND THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT SERVICES TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 THE SUPPORTED ORGANZIATIONS OF THE THOMAS O'NEILL CATHOLIC HEALTH CARE FUND HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR. BRADLEY CHAMBERS, THE PRESIDENT OF THE TWO SUPPORTED ORGANIZATIONS, THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. AND GOOD SAMARITAN NURSING CENTER, SERVES ON THE BOARD OF DIRECTORS OF THE THOMAS O'NEILL CATHOLIC HEALTH CARE FUND. 0 DUE TO AFFILIATES 286991 286991 20300447 14860143 14860143 5440304 0 5440304 2678990 0 2678990 946061 946061 3625051 PART XII, LINE 4B - OTHER ADJUSTMENTS: ADDITIONAL PLEDGE PAYMENT OF $946,061 MADE IN FY21. 946,061. 1 GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 501(C)(3) 3003017 CHARITY CARE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 501(C)(3) 29388 PARISH NURSE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 501(C)(3) 186852 PRIMARY CARE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 501(C)(3) 111804 OTHER PROGRAMS 1 0 PART I, LINE 2: GRANT MONITORING AT THE ORGANIZATION'S ANNUAL BOARD MEETING, MEDSTAR GOOD SAMARITAN HOSPITAL (THE "HOSPITAL") MANAGEMENT PRESENTS THE HOSPITAL SPENDING ON COMMUNITY/CHARITABLE PROGRAMS. THE ORGANIZATION'S BOARD APPROVES THE TOTAL AMOUNT OF SUPPORT TO MEET ITS 40% CHARITY CARE TEST AND ITS 85% DISTRIBUTION TEST. THE BOARD ALSO DISCUSSES AND APPROVES THE TYPES OF PROGRAMS IT CHOOSES TO SUPPORT. HOWEVER, THE HOSPITAL IS RESPONSIBLE FOR ALLOCATING THE POOL OF APPROVED FUNDS TO THE VARIOUS PURPOSES. HOSPITAL MANAGEMENT REPORTS TO THE ORGANIZATION'S BOARD ANNUALLY THE AMOUNT THE HOSPITAL SPENT ON SUCH PROGRAMS AND THE AMOUNT CONTRIBUTED BY THE ORGANIZATION. ALL PROGRAMS SUPPORTED BY THE ORGANIZATION ARE CONSISTENT WITH ITS GOVERNING DOCUMENTS. X X X X X X 0 0 0 0 0 0 0 0 0 BRADLEY S CHAMBERS DIRECTOR/PRESIDENT 0 646636 0 636536 0 0 0 22287 0 32730 0 1338189 0 0 FORM 990, PART VI, SECTION A, LINE 7A ABILITY TO APPOINT GOVERNING BODY THE CORPORATION HAS NO MEMBERS AND DIRECTORS OF THE GOVERNING BODY SHALL BE APPOINTED BY THE ROMAN CATHOLIC ARCHBISHOP OF BALTIMORE, FOLLOWING CONSULTATION WITH THE NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS. HOWEVER, THE PRESIDENT OF THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC, A MARYLAND NONSTOCK CORPORATION THAT IS AN AFFILIATE OF MEDSTAR HEALTH, INC., SHALL SERVE AS AN EX OFFICIO DIRECTOR OF THE CORPORATION WITH VOTING RIGHTS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS OF 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, STRATEGIC PLANNING, 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 POLICY APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS AFFILIATES OR 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. FORM 990, PART VI, SECTION B, LINE 15 DESCRIPTION OF EXECUTIVE COMPENSATION PROCESS 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. 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 XII, LINE 2C FINANCIAL STATEMENTS AND REPORTING THE THOMAS O'NEILL CATHOLIC HEALTH CARE FUND IS AN AFILLIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) 12C III N/A 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) 3 N/A 0 GOOD SAMARITAN NURSING CENTER INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521672866 MEDICAL SVCS MD 501(C)(3) 10 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC B 3331061 FMV