2022-05-16T15:56:33-05:00 2021-06-30 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2020-07-01 450519724 MARYLAND EMERGENCY MEDICINE NETWORK INC MARY 6672142051 250 W PRATT STE 1320 BALTIMORE MD 21201 RHAMIN LIGON EXECUTIVE DIRECTOR 6672142051 2022-05-16 1 RHAMIN LIGON 999009999 JULIA FLANNERY CPA P00928918 4102469300 2022-05-16 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z RHAMIN LIGON 250 W PRATT STE 1320 BALTIMORE MD 21201 68662746 0 X WWW.MEMN.ORG X 2003 MD TO SUPPORT, COORDINATE, ENCOURAGE AND IMPLEMENT A STATEWIDE EMERGENCY MEDICINE NETWORK THAT WILL SERVE AS A NATIONAL MODEL FOR IMPROVING ACCESS TO EMERGENCY MEDICINE SERVICES THAT ARE PROVIDED BY BOARD-CERTIFIED PHYSICIANS AND EXPAND ACCESS TO THOSE IN NEED, TO THE POOR, TO THE UNDERINSURED AND MEDICALLY UNDERSERVED AREAS OF MARYLAND. 6 5 209 6 0 0 568146 1070320 69568025 67448975 0 0 13256 143451 70149427 68662746 1681186 1414390 0 0 42052490 40144416 0 0 0 26819629 25416472 70553305 66975278 -403878 1687468 19599957 21964029 9415647 8827438 10184310 13136591 X TO FURTHER AND PROMOTE, EXCLUSIVELY FOR CHARITABLE AND SCIENTIFIC PURPOSES, THE DEVELOPMENT, COORDINATION AND IMPLEMENTATION OF A STATE-WIDE EMERGENCY MEDICINE NETWORK TO ELEVATE THE STANDARD OF CARE PROVIDED BY EMERGENCY MEDICINE PHYSICIANS IN RURAL, URBAN AND HISTORICALLY UNDERSERVED AREAS ACROSS THE STATE OF MARYLAND. 0 0 24182364 27143868 PROVISION OF SERVICES AT THE LAUREL REGIONAL HOSPITAL, PRINCE GEORGE'S HOSPITAL CENTER AND BOWIE HEALTH CAMPUS. STAFF THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS AND PHYSICIAN ASSISTANTS. 19361069 5000 20939012 PROVISION OF SERVICES AT THE MEMORIAL HOSPITAL OF EASTON, DORCHESTER GENERAL HOSPITAL AND QUEEN ANNE'S EMERGENCY CENTER. STAFF THE EMERGENCY DEPARTMENTS AT ALL 3 HOSPITALS/CENTERS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS. 14960061 2900 17549577 PROVISION OF SERVICES AT UPPER CHESAPEAKE MEDICAL CENTER AND HARFORD MEMORIAL HOSPITAL. STAFF THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS AND PHYSICIAN ASSISTANTS. 2625052 1406490 1816518 2625052 1406490 1816518 61128546 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 1 1 0 0 0 1 25 0 1 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X ALAIN VIAUD 6672142051 250 W PRATT STE 1320 BALTIMORE MD 21201 RHAMIN LIGON EXECUTIVE DIRECTOR (BEG 1/1/21) 40.00 X X 81568 0 31133 WILLIAM ELLIOT TRUSTEE 1.00 X 0 0 0 JOHN ASHWORTH TRUSTEE 1.00 X 0 0 0 DEPRIEST WHYE TRUSTEE 1.00 X 0 0 0 MICHELE WINGATE TREASURER (THRU 5/31/21) 3.00 X X 0 0 0 ANTHONY LEHMAN CHAIRMAN 1.00 X X 0 0 0 WILLIAM TUCKER SECRETARY 3.00 X X 0 0 0 ALAIN VIAUD DIRECTOR OF FINANCE (BEG 4/26/21) 40.00 X 0 0 0 LAURA PIMENTEL MD PRESIDENT/CEO (THRU 12/31/20) 40.00 X 281588 0 23729 LARISTA TOOKS DIRECTOR OF FINANCE (THRU 12/31/20) 40.00 X 192690 0 21239 DOUGLAS MAYO DIRECTOR 40.00 X 466802 0 45397 MICHAEL ABRAHAM DIRECTOR 40.00 X 424840 0 57865 WALTER ATHA DIRECTOR 40.00 X 451465 0 25410 RAVIKIRAN CHERUKURI PHYSICIAN 40.00 X 390048 0 46260 FRANK CIOCCI PHYSICIAN 40.00 X 376942 0 42779 FENG XIAO PHYSICIAN 40.00 X 353868 0 43084 ERIC D KLOTZ PHYSICIAN 40.00 X 375972 0 44770 LAURENCE EDELMAN PHYSICIAN 40.00 X 383997 0 38254 3779780 0 419920 123 0 1 0 ENVISION PHYSICIAN SERVICES 1000 RIVER RD CONSHOHOCKEN PA 19428 PHYSICIAN BILLING 7748376 SCRIBEAMERICA PO BOX 417756 BOSTON MA 02241 LOCUM COVERAGE 4817191 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM COVERAGE 3952481 3 1070320 1070320 PATIENT REVENUE 621990 55169710 55169710 ADMINISTRATIVE SERVICE 621990 12279265 12279265 67448975 OTHER INCOME 900099 143451 143451 143451 68662746 67448975 0 143451 1414390 1414390 1898953 1343107 555846 32504874 31517625 987249 2111362 2008758 102604 1845748 1598943 246805 1783479 1678316 105163 18079 17091 988 146145 145398 747 960270 960270 271567 61988 209579 47798 47731 67 45037 45037 2399266 2346543 52723 BAD DEBT EXPENSE 18882813 18882813 BILLING 2180724 2180724 RECRUITMENT 68509 65843 2666 396264 396264 66975278 61128546 5846732 0 10366138 12631798 60000 40000 8787273 8979849 231773 199897 282912 170427 154773 112485 19599957 21964029 9415647 8827438 9415647 8827438 X 10184310 13136591 10184310 13136591 19599957 21964029 X 1687468 1264813 X 0 1 X 1 0 X 568146 1070321 1638467 83045565 79660362 77128989 69568025 67448975 376851916 83045565 79660362 77128989 70136171 68519296 378490383 0 0 0 378490383 22869 31100 2416 13256 143451 213092 83068434 79691462 77131405 70149427 68662747 378703475 0.99940 0.99900 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 282912 170427 112485 112485 X 69927559 1264813 1264813 68662746 0 68662746 66975278 0 66975278 0 66975278 PART X, LINE 2: THE COMPANY FOLLOWS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESS DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS. THE COMPANY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND STATE OF MARYLAND. AS OF AND FOR THE YEAR ENDED JUNE 30, 2021, THERE ARE NO MATERIAL UNRECOGNIZED/DERECOGNIZED TAX BENEFITS OR TAX PENALTIES OR INTEREST. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, LOCAL OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: INSURANCE RESERVE ADJUSTMENT 1,264,813. 1 UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES PA 250 W PRATT ST STE 1320 BALTIMORE MD 21201 521403415 501(C)(3) 1414390 0 SUPPORT RESEARCH PROGRAMS 1 0 PART I, LINE 2: THE GRANT IS GIVEN TO A RELATED ORGNAIZATION AND THE BOARD MONITORS THE FUNDS THROUGH THE RELATED ORGANIZATION. X X X 0 0 0 0 0 0 0 0 0 DOUGLAS MAYO DIRECTOR 416802 0 50000 0 0 0 21375 0 24022 0 512199 0 0 0 MICHAEL ABRAHAM DIRECTOR 374840 0 50000 0 0 0 21375 0 36490 0 482705 0 0 0 WALTER ATHA DIRECTOR 386465 0 65000 0 0 0 21375 0 4035 0 476875 0 0 0 RAVIKIRAN CHERUKURI PHYSICIAN 387548 0 2500 0 0 0 21375 0 24885 0 436308 0 0 0 LAURENCE EDELMAN PHYSICIAN 373997 0 10000 0 0 0 21375 0 16879 0 422251 0 0 0 ERIC D KLOTZ PHYSICIAN 370972 0 5000 0 0 0 21375 0 23395 0 420742 0 0 0 FRANK CIOCCI PHYSICIAN 374442 0 2500 0 0 0 21375 0 21404 0 419721 0 0 0 FENG XIAO PHYSICIAN 351368 0 2500 0 0 0 21375 0 21709 0 396952 0 0 0 LAURA PIMENTEL MD PRESIDENT/CEO (THRU 12/31/20) 281588 0 0 0 0 0 20719 0 3010 0 305317 0 0 0 LARISTA TOOKS DIRECTOR OF FINANCE (THRU 12/31/20) 192690 0 0 0 0 0 0 0 21239 0 213929 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS WILLIAM ELLIOTT, WILLIAM TUCKER, AND MICHELE WINGATE HAVE A BUSINESS RELATIONSHIP. ALL BOARD MEMBERS ARE PART OF UMMS AND/OR THE UM SCHOOL OF MEDICINE AND/OR UM FACULTY PHYSICIANS INC. FORM 990, PART VI, SECTION B, LINE 11B ALL MEMBERS OF THE GOVERNING BODY RECEIVE A COPY OF FROM 990 BY EMAIL AND AT THE BOARD MEETING PRECEDING THE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO DIRECTORS AND OFFICERS OF MEMN. A VOLUNTEER IS ALSO COVERED UNDER THIS POLICY IF THAT PERSON HAS BEEN GRANTED SIGNIFICANT INDEPENDENT DECISION MAKING AUTHORITY WITH RESPECT TO FINANCING OR OTHER RESOURCES OF MEMN. PERSONS COVERED UNDER THIS POLICY ARE HEREINAFTER REFERRED TO AS "INTERESTED PARTIES." WHENEVER THERE IS REASON TO BELIEVE THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS BETWEEN MEMN AND/OR AN INTERESTED PARTY, THE BOARD OF DIRECTORS SHALL DETERMINE THE APPROPRIATE ORGANIZATIONAL RESPONSE. WHERE THE ACTUAL OR POTENTIAL CONFLICT INVOLVES AN EMPLOYEE OF MEMN OTHER THAN THE CEO, THE CEO SHALL, IN THE FIRST INSTANCE, BE RESPONSIBLE FOR REVIEWING THE MATTER AND MAY TAKE APPROPRIATE ACTION AS NECESSARY TO PROTECT THE INTEREST OF MEMN. THE CEO SHALL REPORT TO THE CHAIRMAN THE RESULTS OF ANY REVIEW AND THE ACTION TAKEN. THE CHAIRMAN, IN CONSULTATION WITH THE AUDIT COMMITTEE, SHALL DETERMINE IF ANY FURTHER BOARD REVIEW OR ACTION IS REQUIRED. WHERE AN ACTUAL OR POTENTIAL CONFLICT EXISTS BETWEEN THE INTEREST OF MEMN AND AN INTERESTED PARTY WITH RESPECT TO A SPECIFIC PROPOSED ACTION OR TRANSACTION, MEMN SHALL REFRAIN FROM THE PROPOSED ACTION OR TRANSACTION UNTIL SUCH TIME AS THE PROPOSED ACTION OR TRANSACTION HAS BEEN APPROVED BY THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMN. AN INTERESTED PARTY WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED ACTION OR TRANSACTION FOR MEMN SHALL NOT PARTICIPATE IN ANY WAY IN, OR BE PRESENT DURING, THE DELIBERATIONS AND DECISION MAKING OF MEMN WITH RESPECT TO ANSWERING QUESTIONS OR PROVIDING MATERIAL FACTUAL INFORMATION ABOUT THE PROPOSED ACTION OR TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, A COMPENSATION COMMITTEE REVIEWS AND DOCUMENTS THE CURRENT MARKET, COMPENSATION SURVEYS AND AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE COMPENSATION FOR THE COMPANY'S EXECUTIVE LEADERSHIP. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: INSURANCE RESERVE ADJUSTMENT 1,264,813. EASTERN SHORE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522147800 EM PHYSICIAN SERVICE MD 21290959 5173434 MARYLAND EMERGENCY MEDICINE NETWORK INC UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 520608005 EM PHYSICIAN SERVICE MD 18018378 5643158 MARYLAND EMERGENCY MEDICINE NETWORK INC MARYLAND EMERGENCY MEDICINE NETWORK PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 352439501 EM PHYSICIAN SERVICE MD 27529492 6446499 MARYLAND EMERGENCY MEDICINE NETWORK INC EMERGENCY MEDICINE NETWORK MANAGEMENT LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522157140 EM SERVICE MANAGEMENT MD 638897 162130 MARYLAND EMERGENCY MEDICINE NETWORK INC MARYLAND EMERGENCY MEDICINE CRITICAL CARE LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 274549948 EM SERVICE WEBCAST MD 6674 9151 MARYLAND EMERGENCY MEDICINE NETWORK INC WASHINGTON COUNTY EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522095874 EM PHYSICIAN SERVICE MD 0 0 MARYLAND EMERGENCY MEDICINE NETWORK INC WEST BALTIMORE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522147801 EM PHYSICIAN SERVICE MD 725 0 MARYLAND EMERGENCY MEDICINE NETWORK INC MEMN HOSPITALISTS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 352647664 OBSERVATIONAL SERVICES MD 1177621 931886 MARYLAND EMERGENCY MEDICINE NETWORK INC UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES PA 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 521403415 ACADEMIC EM PROGRAM MD 501(C)(3) LINE 10 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 PART I: ON MARCH 22, 2021, THE COMPANY FILED ARTICLES OF CANCELLATION WITH THE STATE OF MARYLAND TO FORMALLY CLOSE WASHINGTON COUNTY EMERGENCY MEDICINE PHYSICIANS, LLC AND WEST BALTIMORE EMERGENCY MEDICINE PHYSICIANS, LLC.