2021-05-17T13:19:55-05:00 2020-06-30 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2019-07-01 450519724 MARYLAND EMERGENCY MEDICINE NETWORK MARY 4103288025 250 W PRATT STE 1320 BALTIMORE MD 21201 RHAMIN LIGON EXECUTIVE DIRECTOR 4103288025 2021-05-17 1 JULIA FLANNERY CPA P00928918 4102469300 2021-05-17 2019 2022-09-23 18:48:47Z X LAURA PIMENTEL MD 250 W PRATT STE 1320 BALTIMORE MD 21201 70149427 0 X WWW.UMEM.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. 7 7 231 7 0 0 0 568146 77128989 69568025 0 0 2416 13256 77131405 70149427 1884302 1681186 0 0 40429968 42052490 0 0 0 34580094 26819629 76894364 70553305 237041 -403878 21740944 19599957 11152756 9415647 10588188 10184310 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 31546044 5000 35234216 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. 17436372 2750 18750405 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. 12707307 2900 13743341 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. 928885 1670536 1840063 928885 1670536 1840063 62618608 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 1 231 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X LARISTA TOOKS 4103288025 250 W PRATT STE 1320 BALTIMORE MD 21201 DOUGLAS MAYO DIRECTOR 40.00 X 437312 0 49777 RAVIKIRAN CHERUKURI PHYSICIAN 30.00 X 421470 0 49523 MICHAEL ABRAHAM DIRECTOR 40.00 X 412815 0 51343 WALTER ATHA DIRECTOR 40.00 X 422964 0 33739 TOMASZ OBRZUT PHYSICIAN 30.00 X 390125 0 43258 ESKINDER AFEWORK PHYSICIAN 30.00 X 382482 0 46717 SALVATORE VERTERAMO PHYSICIAN 30.00 X 380070 0 47306 ERIC D KLOTZ PHYSICIAN 30.00 X 387218 0 35419 ERIC MANIAGO DIRECTOR 40.00 X 386231 0 35128 LAURENCE EDELMAN DIRECTOR 40.00 X 384156 0 29700 GLENN HEBEL DIRECTOR 40.00 X 362670 0 41284 LOUISETTE VEGA DIRECTOR 40.00 X 374483 0 24803 JANE WANG DIRECTOR 40.00 X 358067 0 40023 MICHAEL GIORDANO DIRECTOR 40.00 X 340960 0 39279 STEVEN BENTMAN DIRECTOR 40.00 X 319414 0 43986 STEVEN WHITE DIRECTOR 40.00 X 323792 0 39273 MORGEN BERNIUS DIRECTOR 40.00 X 314090 0 47240 BRANDON COLE DIRECTOR 40.00 X 311395 0 29802 PAUL THOMAS LYONS DIRECTOR 40.00 X 304190 0 24438 LE LU DIRECTOR 40.00 X 282697 0 40777 LAURA PIMENTEL MD PRESIDENT/CEO 40.00 X 273503 0 22025 LARISTA TOOKS DIRECTOR OF FINANCE 40.00 X 203148 0 79916 SWATI SINGH DIRECTOR 40.00 X 250254 0 25724 WENDELL PIERSON DIRECTOR 40.00 X 224351 0 11204 WILLIAM ELLIOT TRUSTEE 1.00 X 0 0 0 CATHERINE MOCK 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 TRUSTEE 3.00 X 0 0 0 ANTHONY LEHMAN TRUSTEE 1.00 X 0 0 0 WILLIAM TUCKER TRUSTEE 3.00 X 0 0 0 8247857 0 931684 130 0 1 0 ENVISION PHYSICIAN SERVICES 7700 W SUNRISE BLVD PLANTATION FL 33322 PHYSICIAN BILLING 2930227 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM COVERAGE 1868251 SCRIBEAMERICA PO BOX 417756 BOSTON MA 02241 SCRIBE SERVICES 1384220 LOGIXHEALTH 8 OAK PARK DRIVE BEDFORD MA 01730 PHYSICIAN BILLING 611092 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 LOCUM COVERAGE 182343 6 568146 568146 PATIENT REVENUE 621990 58072848 58072848 ADMINISTRATIVE SERVICE 621990 11495177 11495177 69568025 OTHER INCOME 900099 13256 13256 13256 70149427 69568025 0 13256 1681186 1681186 4250096 3998173 251923 32619713 29932826 2686887 1817002 1777019 39983 1590870 1516608 74262 1774809 1729666 45143 17528 17528 95624 95624 2462912 2354357 108555 295965 295965 68151 51844 16307 37293 37293 2486396 2292153 194243 PROVISION FOR BAD DEBTS 17284776 17284776 BILLING 3823189 3823189 RECRUITMENT 115758 115758 132037 132037 70553305 62618608 7934697 0 12503491 10366138 60000 60000 8927419 8787273 193649 231773 280902 126129 56385 154773 21740944 19599957 11152756 9415647 11152756 9415647 X 10588188 10184310 10588188 10184310 21740944 19599957 -403878 0 X 0 1 X 1 0 X 568146 568146 83845378 83045565 79660362 77128989 69568025 393248319 83845378 83045565 79660362 77128989 70136171 393816465 0 0 0 393816465 309594 22869 31100 2416 13256 379235 84154972 83068434 79691462 77131405 70149427 394195700 0.99900 0.99910 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 280902 126129 154773 154773 X 52864651 -17284776 -17284776 70149427 0 70149427 53268529 0 53268529 17284776 17284776 70553305 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, 2020, 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 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -17,284,776. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 17,284,776. 1 UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES PA 250 W PRATT ST STE 1320 BALTIMORE MD 21201 521403415 501(C)(3) 1681186 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 X 0 0 0 0 0 0 0 0 0 DOUGLAS MAYO DIRECTOR 376437 0 60875 0 0 0 21000 0 28777 0 487089 0 0 0 RAVIKIRAN CHERUKURI PHYSICIAN 360752 0 60718 0 0 0 21000 0 28523 0 470993 0 0 0 MICHAEL ABRAHAM DIRECTOR 362815 0 50000 0 0 0 21000 0 30343 0 464158 0 0 0 WALTER ATHA DIRECTOR 390464 0 32500 0 0 0 21000 0 12739 0 456703 0 0 0 TOMASZ OBRZUT PHYSICIAN 329094 0 61031 0 0 0 21000 0 22258 0 433383 0 0 0 ESKINDER AFEWORK PHYSICIAN 339085 0 43397 0 0 0 21000 0 25717 0 429199 0 0 0 SALVATORE VERTERAMO PHYSICIAN 295772 0 84298 0 0 0 21000 0 26306 0 427376 0 0 0 ERIC D KLOTZ PHYSICIAN 330102 0 57116 0 0 0 11200 0 24219 0 422637 0 0 0 ERIC MANIAGO DIRECTOR 321015 0 65216 0 0 0 9800 0 25328 0 421359 0 0 0 LAURENCE EDELMAN DIRECTOR 346281 0 37875 0 0 0 21000 0 8700 0 413856 0 0 0 GLENN HEBEL DIRECTOR 319424 0 43246 0 0 0 18500 0 22784 0 403954 0 0 0 LOUISETTE VEGA DIRECTOR 302291 0 72192 0 0 0 21000 0 3803 0 399286 0 0 0 JANE WANG DIRECTOR 323729 0 34338 0 0 0 21000 0 19023 0 398090 0 0 0 MICHAEL GIORDANO DIRECTOR 314242 0 26718 0 0 0 21000 0 18279 0 380239 0 0 0 STEVEN BENTMAN DIRECTOR 282040 0 37374 0 0 0 21000 0 22986 0 363400 0 0 0 STEVEN WHITE DIRECTOR 308381 0 15411 0 0 0 21000 0 18273 0 363065 0 0 0 MORGEN BERNIUS DIRECTOR 263785 0 50305 0 0 0 21000 0 26240 0 361330 0 0 0 BRANDON COLE DIRECTOR 274542 0 36853 0 0 0 21000 0 8802 0 341197 0 0 0 PAUL THOMAS LYONS DIRECTOR 277601 0 26589 0 0 0 21000 0 3438 0 328628 0 0 0 LE LU DIRECTOR 262697 0 20000 0 0 0 21000 0 19777 0 323474 0 0 0 LAURA PIMENTEL MD PRESIDENT/CEO 253503 0 20000 0 0 0 20250 0 1775 0 295528 0 0 0 LARISTA TOOKS DIRECTOR OF FINANCE 203148 0 0 0 0 0 35889 0 44027 0 283064 0 0 0 SWATI SINGH DIRECTOR 215443 0 34811 0 0 0 10118 0 15606 0 275978 0 0 0 WENDELL PIERSON DIRECTOR 180208 0 44143 0 0 0 8890 0 2314 0 235555 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS WILLIAM ELLIOTT, WILLIAM TUCKER, AND MICHELE WINGATE HAVE A BUSINESS RELATIONSHIP. 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. \N\NAN 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). EASTERN SHORE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522147800 EM PHYSICIAN SERVICE MD 18929527 3324510 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 13994432 3493070 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 35379661 8002389 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 598304 468528 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 5744 10388 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 4307 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 0 119859 MARYLAND EMERGENCY MEDICINE NETWORK INC MEMN HOSPITALISTS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 352647664 OBSERVATIONAL SERVICES MD 1241759 828030 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