2021-05-07T13:30:57-05:00 2020-06-30 KPMG LLP 8350 Broad Street Suite 900 McLean VA 22102 990 2019-07-01 522087445 Medstar Health Inc % JOEL BRYAN MEDS 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 JOEL BRYAN VP/Treasurer 4107726721 2021-05-05 true JG WHITE P01498698 7032868000 2021-05-02 2019 2022-09-23 18:48:47Z KENNETH A SAMET 10980 GRANTCHESTER WAY COLUMBIA MD 21044 275646260 false X WWW.MEDSTARHEALTH.ORG X 1998 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 19 14 1127 0 122866 136740 1540791 4795141 248199565 193880222 38517800 65161153 13428383 11297129 301686539 275133645 12913515 13337678 0 0 172409033 179689045 2502915 2223602 2223602 73399035 76892537 261224498 272142862 40462041 2990783 3005315672 4670764797 2386838162 3609084303 618477510 1061680494 X SEE SCHEDULE O false false 269919260 13337678 193880222 AS THE PARENT COMPANY IN AN INTEGRATED HEALTHCARE SYSTEM, MEDSTAR HEALTH, INC. ESTABLISHES THE STRATEGIC DIRECTION FOR ITS AFFILIATED ENTITIES. MEDSTAR HEALTHS SOLE PROGRAM SERVICE IS THE MANAGEMENT AND SUPPORT OF ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE FUNCTIONS IN THE FOLLOWING AREAS: QUALITY AND SAFETY, FINANCIAL SERVICES, HUMAN RESOURCE SERVICES, TREASURY SERVICES, INFORMATION SYSTEMS, LEGAL SERVICES, RISK MANAGEMENT, COMPLIANCE, PRIVACY, BUSINESS AND SYSTEM DEVELOPMENT, DIGITAL PLATFORM DEVELOPMENT, PLANNING, MARKETING, EXTERNAL AFFAIRS, PHILANTHROPY SERVICES, MANAGED CARE, INTERNAL AUDIT, COMMUNITY HEALTH, GRADUATE MEDICAL EDUCATION, AND ACADEMIC AFFAIRS. 269919260 true true false true false false false false false false true true false true true true false true false false true false false true false false false true false true true false false false false false false false true false false true false false false true true true true false false true 2195 0 true 1127 true true true true CJ false false false false false false false false true false X 19 14 false false false false false false false true true false false true true true true true true true true true true MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 X KENNETH A SAMET CEO AND PRESIDENT 40.0 0.0 X X 7598800 0 90696 MICHAEL J CURRAN EVP & CAO 40.0 0.0 X 5461848 0 59849 JOY Drass-Maxwell EVP 40.0 0.0 X 3412113 0 71524 STEPHEN EVANS EVP 40.0 0.0 X 2055324 0 63088 ERIC WAGNER EVP 40.0 0.0 X 1806130 0 73860 SUSAN NELSON EVP & CFO 40.0 0.0 X 1591355 0 46293 OLIVER M JOHNSON EVP 40.0 0.0 X 1482853 0 48704 Leigh Ann Curl MD DIRECTOR 1.0 39.0 X 0 1400764 34713 Jeffrey Matton SVP 40.0 0.0 X 1127005 0 54530 Loretta Walker SVP 40.0 0.0 X 1016510 0 37316 BRUCE BARTOO SVP 40.0 0.0 X 962182 0 38351 MARK SMITH VP 40.0 0.0 X 915160 0 55193 Kevin Kowalski SVP 40.0 0.0 X 894064 0 33987 CHRISTOPHER G KALHORN MD DIRECTOR 40.0 0.0 X 792387 0 43530 MAUREEN MCCAUSLAND SVP 40.0 0.0 X 718725 0 19354 ALLEN J TAYLOR MD DIRECTOR 40.0 0.0 X 695218 0 11082 CARL SCHINDELAR Former EVP 0.0 0.0 X 296321 0 0 WILLIAM R ROBERTS DIRECTOR (UNTIL 10/19) 1.0 0.0 X 0 0 0 MARC N DUBER DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM J OETGEN JR MD DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY J BUZZELLI DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM COUPER Chair 1.0 0.0 X 0 0 0 ROSIE ALLEN-HERRING Vice Chair 1.0 0.0 X 0 0 0 Thomas P Joyce Jr DIRECTOR 1.0 0.0 X 0 0 0 VINCENT J MARTORANA DPM DIRECTOR 1.0 0.0 X 0 0 0 JOHN J DEGIOIA PHD DIRECTOR 1.0 0.0 X 0 0 0 MARK JENSEN DIRECTOR 1.0 0.0 X 0 0 0 James A DOrta MD DIRECTOR 1.0 0.0 X 0 0 0 Robert Ourisman DIRECTOR 1.0 0.0 X 0 0 0 Rev Dr Gwendolyn E Boyd Director (As of 11/19) 1.0 0.0 X 0 0 0 Gary H Tabach DIRECTOR (As of 11/19) 1.0 0.0 X 0 0 0 EBEN D FINNEY III DIRECTOR 1.0 0.0 X 0 0 0 Gregory S Proctor DIRECTOR 1.0 0.0 X 0 0 0 30825995 1400764 782070 444 true true false CBRE INC 1700 MACARTHUR BLVD MAHWAH NJ 07430 FACILITIES MGMT 28972874 CROTHALL SVCS GROUP 230 S BROAD ST STE 425 PHILADELPHIA PA 19102 ENVIRONMENTAL SCVS 16521827 UP TO DATE LAUNDRY INC 1221 DESOTO RD BALTIMORE MD 212233211 Laundry services 7898238 CERASOLI STAFFORD MEDIA MGMT 2251 SAN DIEGO AVENUE SUITE A130c SAN DIEGO CA 92110 Professional service 4081449 KPMG LLP 8350 BROAD STREET STE 900 MCLEAN VA 22102 PROFESSIONAL SERVICE 2970143 102 650000 4145141 71303 4795141 GREENSPRING FEE 900099 227637486 227637486 HEALTH EDUCATION 900099 177954 177954 OTHER HEALTH REVENUE 900099 -33935218 -33935218 193880222 26657156 122866 26534290 0 0 0 0 0 39016612 512615 39016612 -512615 38503997 38503997 0 0 0 0 0 0 0 0 0 REBATE INCOME 900099 3349703 3349703 OTHER INCOME/LOSS 900099 7947426 7947426 11297129 275133645 193880222 122866 76335416 X 13337678 13337678 0 0 0 26142733 26142733 296321 296321 129466811 129466811 2016547 2016547 15769274 15769274 5997359 5997359 193 193 5164790 5164790 2084260 2084260 292506 292506 2223602 2223602 4173654 4173654 29177895 29177895 12397189 12397189 10836888 10836888 0 0 7076085 7076085 1180315 1180315 0 217613 217613 7924404 7924404 0 4913093 4913093 61290 61290 EARLY EXTINGUISHMENT OF DEBT 3842187 3842187 MAINTENANCE 2746361 2746361 FOOD SERVICES/SUPPLIES 456016 456016 UTILITIES 447607 447607 -16099809 -16099809 272142862 269919260 0 2223602 359939354 1812051692 188200814 442768236 0 0 16066667 12576184 0 0 0 0 0 0 161127 5814919 2492346 9263817 49937291 24302908 30787033 25634383 0 0 1726868363 1717887331 0 0 275503787 274747212 405296181 370021023 3005315672 4670764797 304843458 315545152 0 0 785074 85817348 1484506973 1763263247 0 0 0 0 0 0 151138825 824578825 445563832 619879731 2386838162 3609084303 X 617049893 1057077693 1427617 4602801 618477510 1061680494 3005315672 4670764797 X 2990783 -40150176 480362377 X false true X true false X X 23 GEORGETOWN UNIVERSITY 530196603 2 true 13337678 0 BAY LIFE SERVICES INC 521496539 10 true 0 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 3 true 0 0 GOOD SAMARITAN NURSING CENTER INC 521672866 10 true 0 0 GS HOUSING INC 521481656 10 true 0 0 HARBOR HOSPITAL INC 520491660 3 true 0 0 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC 522218584 3 true 0 0 MEDSTAR HEALTH INFUSION INC 521980510 10 true 0 0 MEDSTAR HEALTH RESEARCH INSTITUTE INC 526056274 4 true 0 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC 530196597 10 true 0 0 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC 460726303 3 true 0 0 MEDSTAR SURGERY CENTER INC 521061679 10 true 0 0 MEDSTAR VNA HEALTHCARE INC 521458516 10 true 0 0 MGH COMMUNITY HEALTH INC 521372467 10 true 0 0 MONTGOMERY GENERAL HOSPITAL INC 520646893 3 true 0 0 NATIONAL REHABILITATION HOSPITAL INC 521369749 3 true 0 0 NRH REGIONAL REHAB AT OLNEY INC 522310902 3 true 0 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC 520619006 3 true 0 0 SUBURBANNRH MEDICAL REHABILITATION INC 521931151 3 true 0 0 THE UNION MEMORIAL HOSPITAL 520591685 3 true 0 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 3 true 0 0 WASHINGTON HOSPITAL CENTER CORPORATION 521272129 3 true 0 0 WOODBOURNE WOODS INC 522299070 10 true 0 0 23 13337678 true false false false false false false false false false false false false false false true true true X true true 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. MEDSTAR HEALTH, INC. IS THE SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS, WITH THE EXCEPTION OF GEORGETOWN UNIVERSITY. 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 false true false false false false false false true 944828 944828 false 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 1119406 586548 532858 17984509 6308385 11676124 22454728 16856329 5598399 7213685 551646 6662039 25634383 PNC POOL AND OTHER UNR. FUNDS 1203180666 F INVESTMENT IN AFFILIATES 446876367 F BOARD DESIGNATED/OTHER RESTR. 67830298 F 1717887331 CONSTRUCTION FUND 213500875 DEFERRED COMPENSATION ASSET 90461136 OPERATING LEASE ASSET 55536855 OPTION IT ASSET 3180328 ESCROW/LT DEPOSITS 2601322 CASH SURRENDER VALUE - INS 1500000 WORKERS COMP FUNDS 1327362 OTHER ASSETS 1913145 370021023 0 PENSION LIABILITY L/T 324904091 GU 2017 APA LT LIABILITY 106807207 DEFERRED COMPENSATION 91710648 OPERATING LEASE LIABILITY 65380436 PROFESSIONAL LIAB. IBNR 18569628 L/T LIABILITY - SWAP 7624698 STOCK OPTION PLAN 2889612 OTHER LIABILITIES 1993411 619879731 X FIN 48 FOOTNOTE SCHEDULE D, PART X 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, 2020. Central America and the Caribbean Investments 252349152 252349152 252349152 true false true true true false X X X X X X true Bob Carter Companies LLC 400 Madison Drive Suite 204 Sarasota FL 34236 CONSULTING false 40839 Di Vito Consulting PO Box 57996 Sherman Oaks CA 91413 CONSULTING false 50000 Diffstrat Companies Inc 3349 Southgate Court SW Cedar Rapids IA 52404 EDUCATIONAL CONSULTANT false 503000 Gobel Group 200 Old Forge Lane Suite 202 Kennett Square PA 19348 CONSULTING false 201417 Kelley McGeehan McGeehan Research L 2313 Spring Lake Drive Timonium MD 21093 Prospect Researcher false 61100 Leonardtown Grants LLC 21390 Little Saint Annes Lane Leonardtown MD 20650 Grants Consultant false 7453643 720381 McAllister Quinn LLC 1030 15th Street NW Suite 590 West Washington DC 20005 GRANTS CONSULTANT false 439658 164273 Ronni Cranwell 5 West Linden Street Alexandria VA 22301 CONSULTING false 79275 Thompson Associates 112 Westwood Place Suite 250 Brentwood TN 37027 ESTATE PLNG CONSULTANT false 198000 Whisnant Strategies 4511 47 Street NW Washington DC 20016 CONSULTING false 62400 7893301 2080685 DC MD SCHEDULE G, PART I THE PROFESSIONAL FUNDRAISING EXPENSES INCURRED AT MEDSTAR HEALTH, INC. ARE FOR THE USE AND BENEFIT OF EACH HOSPITAL AND FOUNDATION IN THE MEDSTAR SYSTEM. true GEORGETOWN UNIVERSITY 37TH AND O STREETS NW WASHINGTON DC 20057 530196603 501(C)(3) 13337678 Supporting the School of Medicine 1 0 Schedule I, Part I, Line 2 Our 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 X true true X X X X X X true false false false false false false false false KENNETH A SAMET CEO AND PRESIDENT 1965427 0 5633373 0 0 0 54494 0 36202 0 7689496 0 0 0 CHRISTOPHER G KALHORN MD DIRECTOR 792312 0 0 0 75 0 17439 0 26091 0 835917 0 0 0 ALLEN J TAYLOR MD DIRECTOR 695218 0 0 0 0 0 8400 0 2682 0 706300 0 0 0 MICHAEL J CURRAN EVP & CAO 1270082 0 2991766 0 1200000 0 15682 0 44167 0 5521697 0 0 0 STEPHEN EVANS EVP 956648 0 1098676 0 0 0 18217 0 44871 0 2118412 0 0 0 JOY Drass-Maxwell EVP 1305222 0 1514299 0 592592 0 33629 0 37895 0 3483637 0 0 0 CARL SCHINDELAR Former EVP 0 0 0 0 296321 0 0 0 0 0 296321 0 0 0 OLIVER M JOHNSON EVP 691708 0 791145 0 0 0 8400 0 40304 0 1531557 0 0 0 ERIC WAGNER EVP 871589 0 934541 0 0 0 29755 0 44105 0 1879990 0 0 0 BRUCE BARTOO SVP 373640 0 338542 0 250000 0 0 0 38351 0 1000533 0 0 0 MARK SMITH VP 802126 0 113034 0 0 0 29848 0 25345 0 970353 0 0 0 SUSAN NELSON EVP & CFO 762453 0 828902 0 0 0 8400 0 37893 0 1637648 0 0 0 MAUREEN MCCAUSLAND SVP 222840 0 233403 0 262482 0 8400 0 10954 0 738079 0 0 0 Kevin Kowalski SVP 470165 0 423899 0 0 0 7214 0 26773 0 928051 0 0 0 Jeffrey Matton SVP 579298 0 547707 0 0 0 18966 0 35564 0 1181535 0 0 0 Loretta Walker SVP 600019 0 416491 0 0 0 8400 0 28916 0 1053826 0 0 0 Leigh Ann Curl MD DIRECTOR 0 1174353 0 226411 0 0 0 8400 0 26313 0 1435477 0 0 SCHEDULE J, PART I, LINE 1 SOCIAL CLUB DUES THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS AND TWO OF ITS KEY EMPLOYEES DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICERS WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. FOR THESE INDIVIDUALS, MEDSTAR HEALTH PROVIDED THEM A GROSSED-UP ANNUAL EXECUTIVE BENEFIT ALLOCATION FOR SOCIAL CLUB DUES. SCHEDULE J, PART I, LINE 4A Maureen McCauslands Other reportable compensation in Part II, Column (B) (iii) includes $214,396 representing severance payments received by Ms. McCausland. SCHEDULE J, PART III Mssrs. Samet and Curran's compensation in Part II, Column (B) includes $2,636,097 and $1,486,505 respectively, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service and long-term retention arrangements. A DISTRICT OF COLUMBIA 536001131 2548393Y7 2008-05-15 283137426 District of Columbia true false false B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218DY6 2011-11-17 47805502 CURRENT REFUND BANK DEBT false false false C MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 571518DV2 2011-11-17 15007204 ADVANCE REFUND BOND ISSUED 2002 false false false D MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218DY6 2011-11-17 15206131 CURRENT REFUND BOND ISSUED 2009 false false false A 70425000 111800000 283137423 0 0 0 0 0 0 0 283137423 0 1998 true false true true B 10015000 0 47805502 0 0 0 634328 0 0 0 47171175 0 2011 true false true true C 9275000 0 15007304 0 0 0 180830 0 0 0 14826474 0 2003 false true true true D 2380000 0 15206131 0 0 0 202240 0 0 0 15003890 0 2010 true false true true A 0 B false true true true false 0.01150 0.01150 false false false true C 0 D false true true true false 0.00050 0.00050 false false false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true Part IV, Line 2C, Columns B, C, & D (Set 1): Rebate computations as of July 15, 2019. A MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 999999999 2012-06-27 38620000 CURRENT REFUND BOND ISSUED 1998 false false false B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574128NS8 2013-03-21 75951460 HOSPITAL CAPITAL EXPENDITURES false false false C MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218NU2 2013-03-21 52709030 CURRENT REFUND BOND ISSUED 1998 false false false D MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218PJ6 2013-05-21 159366620 ACQUISITION OF SOUTHERN MD HOSP false false false A 18070000 0 38620000 0 0 0 0 0 0 0 38620000 0 1998 true false true true B 5180000 0 76180248 0 5244775 0 934175 0 0 69986735 0 0 2017 false false true true C 0 0 52709030 0 0 0 619896 0 0 0 52089133 0 1998 true false true true D 0 0 159366620 0 0 0 1376620 0 0 157990000 0 0 2013 true false true true A 0 B false false false false 0.00210 0.00210 false false false true C 0 D false false false false 0 false false false true A false false true false false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true 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 IV, Line 2C, Columns B, C, and D (Set 2): Rebate computations as of July 15, 2019. A MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 574218VB6 2015-02-11 410753755 REFUND BOND ISSUED 98, 04, 07 false false false B MD HIGHER EDUCATIONAL FACILITIES AUTH 520936091 5742182R3 2017-06-29 427566974 SURG PAVILION AND HOSP EXPENSE false false false A 20520000 0 410753755 0 0 0 2851566 0 0 0 407902189 0 2010 true true true true B 0 0 442674860 0 48973061 0 3438818 0 0 158020323 0 232242658 false false false true A false true true true false 0.00800 0.00800 false false false true B false false false false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true Part II, Column B (Set 3): Lines 3, 5, 10, and 12 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 IV, Line 2C, Columns A (Set 3): Rebate computations as of July 15, 2019. Rolyn Companies Inc SEE PART V 188479 CONSTRUCTION SERVICES false SUBSTANTIAL CONTRIBUTOR SEE PART V 725041 EMPLOYMENT SERVICES false SUBSTANTIAL CONTRIBUTOR SEE PART V 603786 EMPLOYMENT SERVICES false Trion Group SEE PART V 10078284 CONSULTING SERVICES false SUBSTANTIAL CONTRIBUTOR SEE PART V 238279 EMPLOYMENT SERVICES false Dentons US LLP SEE PART V 295263 LEGAL SERVICES false Ernst Young LLC SEE PART V 1074498 CONSULTING SERVICES false Jackson Lewis PC SEE PART V 1668597 LEGAL SERVICES false Littler Mendelson SEE PART V 206130 LEGAL SERVICES false Venable LLP SEE PART V 254935 LEGAL SERVICES false Trans Time Express SEE PART V 201251 COURIER SERVICES false KPMG SEE PART V 2291181 CONSULTING SERVICES false SUBSTANTIAL CONTRIBUTOR SEE PART V 710061 EMPLOYMENT SERVICES false SUBSTANTIAL CONTRIBUTOR SEE PART V 320632 EMPLOYMENT SERVICES false SUBSTANTIAL CONTRIBUTOR SEE PART V 414134 EMPLOYMENT SERVICES false Up-To-Date Laundry Inc SEE PART V 7788874 LAUNDRY SERVICES false SUBSTANTIAL CONTRIBUTOR SEE PART V 210948 EMPLOYMENT SERVICES false Acme Paper Supply Co Inc SEE PART V 225562 PACKAGING SERVICES false SCHEDULE L, PART IV The following were substantial contributors (in excess of $5,000) that also provided services to MedStar Health, Inc. valued in excess of $100,000: Rolyn Companies, Inc., Trion Group, Dentons US LLP, Ernst & Young, LLC, Jackson Lewis P.C., Littler Mendelson, Venable, LLP, Trans Time Express, KPMG LLP, Up-to-Date Laundry, Inc., Acme Paper & Supply Co., Inc., and seven substantial contributors, who are also employees, were compensated in excess of $100k. Per Medstar's conflict of interest policy, these transactions are at arms-length for fair market value. X 5 71303 FMV false true false FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION The mission of MedStar Health, Inc. (MedStar Health), a Maryland corporation, is to serve our patients, those who care for them and our communities. MedStar Health is the controlling entity of an integrated health services organization (the System) offering a wide variety of healthcare services to residents of Maryland and the Washington, D.C., region (comprising Baltimore City, eleven counties in Maryland, the District of Columbia, and northern Virginia). MedStar Health is the regions largest health system and one of the largest employers in Maryland and Washington, D.C., with approximately 31,500 associates and 4,200 affiliated physicians. Through our hospitals, outpatient facilities, physician organizations, and other health-related organizations, the System offers a broad continuum of healthcare services, including primary care, acute care (secondary, tertiary and quaternary), emergency, trauma and urgent care, adult burn care, rehabilitation (hospital-based and outpatient), post-acute care, ambulatory surgery, home care, health promotion and wellness, and medical research and education. The Systems physician network includes approximately 2,400 employed physicians. The System offers specialized services that include cancer care, cardiac disease treatment (including heart transplantation), hand surgery, minimally invasive surgery, neurosciences, multi-organ transplantation, neonatal intensive care, orthopaedics, shock/trauma, burn care, and stroke care. MedStar Health Research Institute is the research arm for MedStar Health, providing scientific, administrative, and regulatory support for research programs that complement the key clinical services and teaching programs in all hospitals across the System. MedStar Health has one of the largest graduate medical education programs in the country, training approximately 1,100 medical residents and fellows annually, and is the medical education and clinical partner of Georgetown University. The System operates the largest home health business in the region with approximately 346,900 visits in fiscal year 2020. MedStar Family Choice, a Medicaid managed care company, had approximately 94,200 covered lives as of June 30, 2020. In fiscal year 2020, MedStar Health hospitals had approximately 121,400 inpatient admissions and observation cases, and approximately 4,700,200 outpatient visits including approximately 421,000 emergency visits. As one of the largest healthcare systems in Maryland and the Washington, D.C., region, MedStar Health and its affiliated entities cared for one in four COVID-19 patients in the region since March 2020. Operating as One MedStar and aligning with guidance from the Centers for Disease Control and Prevention (CDC) and local Departments of Health, MedStar Healths COVID-19 preparations and response were guided by two critical drivers: providing a safe care environment for patients and associates and ensuring operational continuity to fulfill our core mission of caring for our communities. These efforts included adding hospital beds in preparation for patient surges; balancing hospital admissions by using urgent care sites as frontline providers and facilitating telehealth interactions for virtual care and referrals; utilizing home health services to transition care from inpatient settings, ambulatory facilities, and a convention center field hospital; and standing up more than 40 COVID-19 testing locations. Underlying these actions is MedStar Healths commitment to the highest levels of quality and safety, reflected by the systemwide implementation of universal face masking for patients and associates, and acquisition of Personal Protective Equipment at usage levels 10 times normal use. PROCESS FOR REVIEWING FORM 990 PART VI, LINE 11B 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. CONFLICT OF INTEREST PART VI, LINE 12C 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). EXECUTIVE COMPENSATION PROCESS PART VI, LINE 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, LINE 19 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. COMPENSATION FROM RELATED ORGANIZATION PART VII, SECTION A ONE OF THE DIRECTORS LISTED ON PART VII, SECTION A RECEIVES COMPENSATION FROM GEORGETOWN UNIVERSITY, A RELATED ORGANIZATION. PLEASE SEE THE 2019 FORM 990 FOR GEORGETOWN UNIVERSITY FOR ADDITIONAL INFORMATION. OTHER CHANGES IN NET ASSETS PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS..................$ 635,924,675 ADDITIONAL MIN PENSION LIABILITIES.............$ (155,537,798) INCOME TAX PROVISION...........................$ (24,500) ============= TOTAL $ 480,362,377 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:13920534 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:8162010 FORM 990 PART IX LINE 11G DESCRIPTION:SUBSIDY EXPENSE - INTERCOMPANY TOTAL FEES:4000833 FORM 990 PART IX LINE 11G DESCRIPTION:MISC FIXED PURCH SRVCS TOTAL FEES:922228 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:585363 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES-OTHER TOTAL FEES:454692 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:292830 FORM 990 PART IX LINE 11G DESCRIPTION:TESTING & DIAGNOSTIC SERVICES TOTAL FEES:157651 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICE FEES TOTAL FEES:129936 FORM 990 PART IX LINE 11G DESCRIPTION:PRINTING SERVICES TOTAL FEES:49347 FORM 990 PART IX LINE 11G DESCRIPTION:MISC FEES FOR SERVICES TOTAL FEES:502471 MEDSTAR SPORTSHEALTH LLC 10980 GRANTCHESTER WAY Columbia MD 21044 Healthcare MD 0 0 MEDSTHEALTH MEDSTAR LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 453113462 SUPPORT ORG MD 0 0 MEDSTHEALTH MEDSTAR SOUTHERN MD MANAGEMENT LLC 10980 GRANTCHESTER WAY Columbia MD 21044 462700536 SUPPORT ORG MD 0 0 MEDSTHEALTH Church Home Corporation 10980 GRANTCHESTER WAY Columbia MD 21044 237374724 Medical Fund MD 501(C)(3) PF NA true Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(C)(3) 3 NA true Harbor Hospital Inc 3001 South Hanover Street Baltimore MD 21225 520491660 Hospital MD 501(C)(3) 3 NA true Montgomery General Hospital 18101 Prince Philip Drive Olney MD 20832 520646893 Hospital MD 501(C)(3) 3 NA true The Good Samaritan Hospital of Maryland 5601 Loch Raven Blvd Baltimore MD 21239 520591607 Hospital MD 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MD NA C Corp Physicians Administrative Services Inc 10980 GRANTCHESTER WAY Columbia MD 21044 237042074 Billing SVCS MD NA C Corp MedStar Family Choice Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521995521 Managed Care MD NA C Corp Medstar Enterprises Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522139841 Admin SERVICE MD NA C Corp SiTeL Inc 10980 GRANTCHESTER WAY Columbia MD 21044 900753340 EDUCATIONAL MD MEDSTAR HEALTH C Corp 0 0 1.00000 true Star Billing Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521850113 Billing SVCS MD NA C Corp Washington Risk Network Management Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522132677 Medical SVCS MD NA C Corp Washington Hospital Center Physician Hos 100 Irving Street NW Washington DC 20010 521931000 Medical SVCS MD NA C Corp Medstar Physician Partners Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522030809 Medical SVCS MD NA C Corp Franklin Square Drive Land Condo Associa 10980 GRANTCHESTER WAY Columbia MD 21044 760756352 CONDOMINIUMS MD NA C Corp MGH Diversified Services Inc 18101 Prince Philip Drive Olney MD 20832 521943602 MEDICAL SVCS MD NA C Corp St Mary's Health Alliance Inc 25500 Point Lookout Road Leonardtown MD 20650 521930331 MEDICAL SVCS MD NA C Corp Greenspring Financial Insurance Limited 878 West Bay Rd PO Box 1159 GRAND CAYMAN CJ KY1-1102 980188617 Insurance CJ MEDSTAR HEALTH C Corp 0 0 1.00000 true ST MARY'S CONDO ASSOCIATION 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 273377216 CONDOMINIUMS MD NA C CORP MEDSTAR HEALTH INC - INVESTMENT FUND I 103 SOUTH CHURCH ST Grand Cayman CJ KY1-1002 981310273 INVESTMENTS CJ MEDSTAR HEALTH C CORP 0 0 1.00000 true MEDSTAR HEALTH MASTER RETIREMENT TRUST 103 SOUTH CHURCH ST Grand Cayman CJ KY1-1002 981371657 INVESTMENTS CJ NA C CORP false false false false false false false false false false false true false false false true true true true CHURCH HOME & HSPTL OF THE CITY OF BALTIMORE Q 6336065 FMV Church Home Corporation S 2043997 FMV HH MedStar Inc Q 1500000 FMV HH MedStar Inc P 1500000 FMV ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC Q 326113 FMV Bay Life Services Inc P 122542 FMV FRANKLIN SQUARE HOSPITAL CENTER INC Q 16424885 FMV THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC P 10607526 FMV THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC P 1867397 FMV HARBOR HOSPITAL INC P 629472 FMV MedStar Health Research Institute P 113400 FMV MONTGOMERY GENERAL HOSPITAL Q 254009 FMV NATIONAL REHABILITATION HOSPITAL Q 271885 FMV MedStar Southern MD Hospital Center Inc Q 439902 FMV THE UNION MEMORIAL HOSPITAL P 727427 FMV WASHINGTON HOSPITAL CENTER CORPORATION P 299007 FMV MEDSTAR FAMILY CHOICE P 150401 FMV