2019-05-10T14:21:02-05:00 2018-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2017-07-01 460726303 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC % JOEL BRYAN MEDS 3018688000 7503 SURRATTS ROAD CLINTON MD 20735 JOEL BRYAN VP/Treasurer 4107726721 2019-05-09 true JG WHITE P01498698 7032868000 2019-05-09 167.68.102.5 54028020191305000014 2019-05-10 P B9AA5C9A3E62B8D0A34D74FE03EA5889BC6560F1 EB2737A96B8F377BD085BED9F3BA68158C374A96 2017 2019-02-21 02:37:17Z CHRISTINE WRAY 7503 Surratts Road Clinton MD 20735 237383321 false X N/A X 2012 MD MEDSTAR SOUTHERN MD HOSPITAL CENTER UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. 10 8 1255 106 0 85666 122113 271210 246456279 235639409 18495 62024 1535726 1410678 248132613 237383321 0 0 0 0 110605956 111365473 0 0 0 132835352 136147125 243441308 247512598 4691305 -10129277 128214654 121930477 36088333 32658534 92126321 89271943 X As a proud member of MedStar Health, MedStar Southern Maryland Hospital Centers (MedStar Southern Maryland) mission is to uphold its commitment to the community by continuously promoting, maintaining, and improving health through education and service while assuring fiscal integrity. MedStar Southern Maryland is located in southern Prince Georges County, Maryland. In fiscal year 2018, MSMHC had approximately 14,813 inpatient admissions and observation cases, and approximately 110,881 outpatient visits including 47,366 emergency visits. false false 157873639 235618780 MedStar Southern Marylands largest program is access to and the provision of acute hospital services to the communities of Prince Georges, Charles and Calvert County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Southern Maryland incurred $76.2M of management and general expenses in providing services to its communities. The hospital offers a full range of services and is known for its cardiovascular and orthopaedic programs. The hospital also has the Women & Newborns Center, which includes an obstetrics and gynecology program with a Level 2 special care nursery and private patient rooms. Other specialty services include an emergency department and critical care unit, breast health program, outpatient radiology, surgical center, sleep disorders lab, inpatient and outpatient behavioral health programs, rehabilitative medicine, and cancer treatment services. MedStar Southern Maryland is a Primary Stroke Center. 8589172 20629 MedStar Southern Maryland provided $8.6M in subsidized (mission driven) health services in fiscal year 2018. These critical services, which are driven by community needs, operate at a loss. They address priorities primarily through disease prevention and improvement of health status. Services provided include hospital outpatient services, womens and childrens services, neonatal services, and behavioral health. 4846442 MedStar Southern Maryland provided $4.8M in charity care services in fiscal year 2018. Charity care is provided pursuant to MedStar Healths Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Marylands unique payer system, the amount reported represents MedStar Southern Marylands charity care expense and revenues represent direct payments from the states charity care pool. Other charity care expenses are indirectly reimbursed via the state of Marylands payment system. 171309253 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 0 0 true 1255 true true true false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true true true true true false MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY Columbia MD 21044 X Kenneth A Samet DIRECTOR 1.0 39.0 X 0 6538888 82240 Christine r Wray PRESIDENT/DIRECTOR 20.0 20.0 X X 598576 598576 36278 Thomas K Huisman MD Director 1.0 0.0 X 0 0 0 Antonio Poag Director 1.0 0.0 X 0 0 0 John W Rollins Jr CHAIR 1.0 0.0 X 0 0 0 William Tanner MD DIRECTOR 1.0 0.0 X 0 0 0 TAMMY L JONES DIRECTOR 1.0 0.0 X 0 0 0 Hon MH Estepp DIRECTOR 1.0 0.0 X 0 0 0 Robert Chiaramonte MD DIRECTOR 1.0 0.0 X 0 0 0 Rosalind Bishop DIRECTOR 1.0 0.0 X 0 0 0 Oliver M Johnson II Secretary 1.0 39.0 X 0 1303607 38997 Dan Feeley Interim CFO 20.0 20.0 X 146445 146444 23804 Michael J Curran Treasurer 1.0 39.0 X 0 3461030 49106 Louis Mavromatis MD VP - IT 40.0 0.0 X 340335 0 27035 Patricia Scalfari CNO 40.0 0.0 X 295374 0 15774 Grant Mcclure VP, PROF SVCS & PLANT OPS 40.0 0.0 X 268326 0 12318 EMILY HALEY LEAD EMERGENCY MEDICINE PA 40.0 0.0 X 178393 0 20944 Marilyn Reyes BSN RN 40.0 0.0 X 176819 0 24768 2004268 12048545 331264 111 false true false AMN HEALTHCARE 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 8973297 DIAMOND HEALTHCARE PO BOX 85050 RICHMOND VA 23285 MEDICAL STAFFING 5468152 ROLYN COMPANIES INC 7 Crozerville Rd Suite C ASTON PA 19014 Facilities services 1503530 TOTAL RENAL CARE INC 2438 North Ponderosa Drive Suite C CAMARILLO CA 930102465 Medical services 1293201 GE HEALTHCARE PO BOX 640200 PITTSBURGH PA 15264 MEDICAL SERVICES 992465 29 192759 78451 1000 271210 PATIENT SERVICE REVENUE 621300 235394391 235394391 MEANINGFUL USE INCOME 900099 245018 245018 235639409 61920 61920 0 0 0 0 0 104 104 104 104 0 0 0 0 0 0 0 0 0 0 CAFETERIA SALES 900099 618216 618216 REBATE INCOME 900099 466000 466000 GIFT SHOP SALES 900099 215256 215256 111206 111206 1410678 237383321 235639409 0 1472702 X 0 0 0 0 775062 679688 95374 0 92416893 81308805 11108088 1188370 1020617 167753 11450107 9229719 2220388 5535041 4963888 571153 18162841 18162841 6750 6750 0 0 0 0 47967044 27945821 20021223 457378 457378 1649839 1259682 390157 0 0 0 181094 106116 74978 0 32864 1795 31069 6545865 6545865 0 11344607 3935207 7409400 2699443 636 2698807 MED/SURG SUPPLIES 22786257 22762649 23608 IMPLANTS/PROSTHESES 7397000 7397000 MAINTENANCE 6570430 4370912 2199518 UTILITIES 2846548 2387237 459311 7499165 3939481 3559684 247512598 171309253 76203345 0 39117 38644 0 0 415814 390218 29066851 26810949 0 0 0 0 0 0 3694857 3357679 1471940 896831 114747998 52527593 64251293 62220405 0 0 0 0 0 0 27805358 25821072 1469424 2394679 128214654 121930477 13325012 14155250 0 0 494659 1016653 0 0 0 0 0 0 0 0 0 0 22268662 17486631 36088333 32658534 X 92126321 89271943 0 0 0 0 92126321 89271943 128214654 121930477 X -10129277 -642 7275541 X false true X true false X 3140000 3140000 40660944 10742248 29918696 3764509 1082364 2682145 59224491 40626679 18597812 7958054 76302 7881752 62220405 0 ADVANCES 9751560 CREDIT BALANCES PATIENT AR 963576 GBR LIABILITY 947998 OTHER LIABILITIES 5823497 17486631 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, 2018. true true X true X true X true true true false true true 4846442 0 4846442 0.01960 4846442 0 4846442 0.01960 1268040 1268040 0.00510 2281642 2281642 0.00920 8589172 20629 8568543 0.03460 39418 39418 0.00020 12178272 20629 12157643 0.04910 17024714 20629 17004085 0.06870 28935 28935 0.00010 117744 117744 0.00050 146679 146679 0.00060 true 10871920 true true 1 1 MEDSTAR SOUTHERN MD HOSPITAL CENTER 7503 SURRATTS ROAD CLINTON MD 20735 X X X MEDSTAR SOUTHERN MD HOSPITAL CENTER 1 false false true X X X X X X X X X 17 true false false true X WWW.MEDSTARHEALTH.ORG/MSMHC X true 17 true WWW.MEDSTARHEALTH.ORG/MSMHC false true X 200. 400. X X X X X X true true X X X X true X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X X X X X X true X false X X X X true X false false CHNA INPUT PART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION. Name of Hospital Lead: VALARIE BARNES Executive Sponsor Role Description The Executive Sponsor serves as the conduit between the Advisory Task Force and the Senior Management Team. The sponsor is an active participant of the Advisory Task Force and he/she communicates the hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor:DR. CHILEDUM AHAGHOTU. Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. Name: TITLE/AFFILIATION NAME OF ORGANIZATION WITH HOSPITAL Beatrice Tignor, Municipal Liaison Office of the County Ed.D. Executive Carmen Spenser House of Delegates Maryland State Delegate Member Carolyn Lowe Coordinator District "V" Coffee Club Cheryl Brown Medical Wellness Union Bethal AME Church, Ministry Brandywine Chiledum Ahaghotu, Executive Sponsor, Vice MSMHC MD President of Medical Affairs Chrisie Mulcahey Executive Director Health Partners Christine R. Wray President MSMHC Gloria Brown- Director of Social Prince George's County Burnett Services Health Department John OBrien Director of Community New Beginnings Recovery Health Center Kevin Reed, MD Physician MSMHC, ED Mary Jobson-Oliver Stroke Coordinator MSMHC Octavia Peterson Community Health MSMHC Manager Pamela Creekmur Health Officer Prince George's County Health Department Ronnie Barnes-Bey Local Resident, Stroke Fort Washington, MD Survivor Tara Saggar, MD Physician MSMHC Valarie Barnes Director, Case MSMHC Management Veda Belton, RN Community Health Coalition of Metropolitan Coordinator Minister's Alliance Willie Hunt Reverend Coalition of Metropolitan Minister's Alliance IMPLEMENTATION STRATEGIES PART V, SECTION B, LINE 11 The implementation strategies serve as a roadmap for how community benefit resources will be allocated and deployed. MedStar's hospitals will be able to measure our contribution to improving the health of underserved and vulnerable populations in the regions we serve. Three-year implementation strategies with measurable objectives were developed for each hospital's community benefit service area - a specific community or target population of focus. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. The MedStar Health Corporate Community Health Department will provide system-wide coordination and oversight of community benefit programming. HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT. FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS.ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS. CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST PART I, LINE 7 MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES. BAD DEBT PART III, LINES 2 & 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. DEBT COLLECTION POLICY PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT PART VI, LINE 2 In FY18, MedStar Southern Maryland Hospital Center (MSMHC) conducted a Community Health Needs Assessment (CHNA) in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. An 18 member Advisory Task Force (ATF) led the MSMHC CHNA process. The ATF included a diverse group of individuals, including hospital leaders, grassroots activists, community residents, faith-based leaders, hospital representatives, public health leaders and other stakeholder organizations, such as representatives from local health departments. The ATF reviewed national, state, and local health and disparity data, public health priorities and community health improvement plans as well as county-level ZIP code and neighborhood level data (when available). Based on their findings, ATF members designed a CHNA survey tool consisting of open and closed-ended questions about healthcare access, health equity, health condition concerns, social determinants and community strengths and assets. Community members responded to the survey by attending a community input session or completing it online or via hardcopy. Based on the ATFs recommendation, the hospital identified Southern Prince Georges County as its Community Benefit Service Area (CBSA), which includes residents living in ZIP codes 20735 and 20747. The hospital selected this geographic area based on hospital utilization and secondary public health data as well as its proximity to the hospital. The ATF used population-level data, community health needs survey findings and feedback from community input sessions to create recommendations for the hospitals health priorities, potential implementation strategies, and to identify key partners. Based on the ATFs recommendation, the hospital health priorities for the CBSA include health and wellness (chronic disease prevention and management, behavioral health), access to care and services (mental health, linkage to resources and services, transportation) and social determinants of health (employment, housing). The hospitals FY18 CHNA and three-year Implementation Strategies were endorsed by MSMHC Board of Directors and approved by the MedStar Health Board of Directors. The document became available on the hospitals website on June 30, 2018. As a proud member of MedStar Health, representatives from MSMHC routinely participate in the MedStar Health community benefit workgroup. The workgroup is comprised of community health professionals who represent all ten MedStar hospitals. The team analyzes local and regional community health data, establishes system-wide community health programming performance and evaluation measures and shares best practices. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 As one of the regions leading not-for-profit healthcare systems, MedStar Health is committed to ensuring that uninsured patients and underinsured patients meeting medical hardship criteria within the communities we serve who lack financial resources have access to emergency and medically necessary hospital services. MedStar Health and its healthcare facilities will: * Treat all patients equitably, with dignity, respect, and compassion; * Serve the emergency health care needs of everyone who presents to our facilities regardless of a patient's ability to pay for care; * Assist those patients who are admitted through our admission process for non-urgent, medically necessary care who cannot pay for the care they receive; * Balance needed financial assistance for some patients with broader fiscal responsibilities in order to keep its hospitals' doors open for all who may need care in the community. In meeting its commitments, MedStar Healths facilities will work with their uninsured patients seeking emergency and medically necessary care to gain an understanding of each patients financial resources. Based on this information and eligibility determination, MedStar Health facilities will provide financial assistance to uninsured patients who reside within the communities we serve in one or more of the following ways: * Assist with enrollment in publicly-funded entitlement programs (e.g., Medicaid); * Refer patients to State or Federal Insurance Exchange Navigator resources; * Assist with consideration of funding that may be available from other charitable organizations; * Provide financial assistance according to applicable policy guidelines; * Provide financial assistance for payment of facility charges using a sliding-scale based on the patients household income and financial resources; * Offer periodic payment plans to assist patients with financing their healthcare services. Each facility publicizes the MedStar Financial Assistance Policy by: * Providing access to the MedStar Financial Assistance Policy, Financial Assistance Applications, and MedStar Patient Information Sheet on all hospital websites and patient portals; * Providing hard copies of the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and MedStar Patient Information Sheet to patients upon request; * Providing notification and information about the MedStar Financial Assistance Policy by offering copies as part of all registration or discharges processes, and answering questions on how to apply for assistance; * Providing written notices on billing statements; * Displaying MedStar Financial Assistance Policy information at all hospital registration points; * Translating the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and the MedStar Patient Information Sheet into primary languages of all significant populations with Limited English Proficiency. MedStar Health provides a financial assistance probable and likely eligibility determination to the patient within two business days from receipt of the initial financial assistance application. Final eligibility determinations are made and communicated to the patient based on receipt and review of a completed application. MedStar Health believes that its patients have personal responsibilities related to the financial aspects of their healthcare needs. Financial assistance and periodic payment plans available under this policy will not be available to those patients who fail to fulfill their responsibilities. For purposes of this policy, patient responsibilities include: * Complying with providing the necessary financial disclosure forms to evaluate their eligibility for publicly-funded healthcare programs, charity care programs, and other forms of financial assistance (these disclosure forms must be completed accurately, truthfully, and timely to allow MedStar Healths facilities to properly counsel patients concerning the availability of financial assistance); * Working with the facilitys Patient Advocates and Patient Financial Services staff to ensure there is a complete understanding of the patients financial situation and constraints; * Making applicable payments for services in a timely fashion, including any payments made pursuant to deferred and periodic payment schedules; * Providing updated financial information to the facilitys Patient Advocates or Customer Service Representatives on a timely basis as the patients financial circumstances may change. * It is the responsibility of the patient to inform the MedStar hospital of their existing eligibility under a medical hardship during the 12-month period. * In the event a patient fails to meet these responsibilities, MedStar reserves the right to pursue additional billing and collection efforts. In the event of non-payment billing, collection efforts are defined in the MedStar Billing and Collection Policy. A free copy is available on all hospital websites and patient portals or by calling customer service at 1-800-280-9006. Uninsured patients of MedStar Healths facilities may be eligible for full financial assistance or partial sliding-scale financial assistance under this policy. The Patient Advocate and Patient Financial Services staff will determine eligibility for full financial assistance and partial sliding-scale financial assistance based on review of income for the patient and their family (household), other financial resources available to the patients family, family size, and the extent of the medical costs to be incurred by the patient. COMMUNITY INFORMATION PART VI, LINE 4 Geographic: MedStar Southern Maryland Hospital Centers CBSA includes residents of southern Prince Georges County, specifically Clinton, Maryland (ZIP code 20735). The community was selected based its proximity to the hospital, and the availability of pre-existing programs and services. Prince Georges County was established in the 17th century and encompasses a mix of urban, suburban, and rural communities. The county is predominately African American with an increasing Hispanic, immigrant, and non-English speaking population. Minorities account for 90 percent of the countys population. Within the past decade, Charles County has become more diverse, with significant increases in the African American and Hispanic populations. The countys once rural geography is rapidly evolving into a more suburban area, with an increased presence of commercial and residential dwellings. MedStar Southern Maryland Hospital serves approximately 40% of Charles County residents. Demographics: There are 35,421 residents living in the CBSA. The majority of the CBSA population is Black/African American (80.8%), followed by White (11.3 %) and two or more races (2.5%). Approximately 5.2% of residents are of Hispanic origin. The vast majority of the residents (79.1 %) are over the age of 18 with the median age of 42. Only 30.2% of adults have a college degree in the CBSA, compared to 37.1% in Maryland. The unemployment rate in the CBSA is similar to that of the nation, at 8%, and lower than the county average. Of the employed population, 73.1% commute to work alone, 14.4% utilize public transportation (excluding taxicab) and 7.4% carpool. The median household income across the CBSA is $103,678, with a two person household average size. Faith based organizations have a prominent presence in the CBSA. There are approximately 19 faith-based organizations of various denominations located within the ZIP code. The Prince Georges County Health Department also has a strong presence in the community, offering a variety of free health services to its residents. Promotion of community health Part VI, line 5 A passion for helping others is the foundation of everything we do at MedStar Southern Maryland Hospital and extends from the care we provide at our Hospital to the Prince Georges County neighborhoods we serve through a broad spectrum of Community Benefit activities. This commitment to improving our community's health has been a crucial part of our mission in this second year of our implementation strategy plan. As a community partner, MedStar Southern Maryland engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. Priority areas of focus, as determined by the 2018 community health needs assessment are health and wellness with a primary focus on chronic disease prevention and management, access to care and services with a primary focus on mental health services, and social determinants. The hospital continues to collaborate with community-based organizations, senior centers, and assisted living facilities to support community health initiatives. MedStar Southern Maryland Hospital services are tailored to the specific needs of the community. Such services include: health education such as Living Well Self-Management, Aunt Bertha Resource Platform, Mindoula Health, Health Happy Hour, District 5 Coffee Club, annual food drives, Back to School drive, Toys for Santa, mobile integrated health, smoking cessation classes, cardiac and diabetes education, and risk assessments. Seasonal services may include flu immunizations. These services are provided free of charge, regardless of age, gender, ethnicity or economic status. Support groups provide educational and emotional support to individuals and families facing health challenges. Support groups focus on stroke, prostate cancer, breastfeeding, diabetes management, mental health, family mental health recovery and weight loss. Through a wide range of programs and services, we promote prevention and early detection of health problems and help people of all ages get the care they need by providing the following screenings; blood pressure and full lipid panel screenings, lung cancer screenings, and prostate cancer screenings. We are working closely with schools, community centers, homeless shelters, faith-based organizations, senior centers, local government and others with first-hand knowledge of community needs, providing support in ways that expand their capabilities and maximize the impact of our joint efforts. The daily Mall Walker program hosted at St. Charles Mall is designed to increase physical activity by providing participants with a safe and friendly environment for walking. Free blood pressure screenings are available five days a week. Once a month a healthcare professional facilitates seminar based on group interest. Topics focus on monthly health observances (i.e. Diabetes Awareness, Heart Health Month, etc.) provided free of charge, regardless of age, gender, ethnicity or economic status. Support groups provide educational and emotional support to individuals and families facing health challenges. Support groups focus on stroke, prostate cancer, breastfeeding, diabetes management, mental health, family mental health recovery and weight loss. MedStar Southern Maryland addresses the social determinants of health by offering Rx for Success which is an internship program for students attending high school in the service area. The program is structured to prepare students for health care-related collegiate studies and careers through an established pipeline internship program. We also continue to offer a minimum of two career fairs for the community. Preventative programs are also implemented and are free of charge to the community. The content and structure of the programs MedStar Southern Maryland Hospital provides focus on disease prevention and health maintenance. Screenings and health education have been incorporated to promote healthy lifestyles. Affiliated health care system Part VI, line 6 As a proud member of MedStar Health, MedStar Southern Maryland Hospital Center is able to expand its capacity to meet the needs of the community by partnering with other MedStar hospitals and associated entities. MedStar Health resources assist the hospital in community health planning to meet the needs of the uninsured and other vulnerable populations. Through its community health function, MedStar Health provides MedStar Southern Maryland Hospital Center with technical support to enhance community health programming and evaluation. MedStars corporate philanthropy division identifies public and private funding sources to ensure the availability of high quality health services, regardless of ability to pay. State filing of community benefit report Part VI, line 7 The community benefit report for MSMHC is filed in the state of Maryland. X X X X X X false false false false false false false false false Kenneth A Samet DIRECTOR 0 1818529 0 4346350 0 374009 0 49758 0 32482 0 6621128 0 0 Oliver M Johnson II Secretary 0 602822 0 700785 0 0 0 7950 0 31047 0 1342604 0 0 Louis Mavromatis MD VP - IT 269213 0 71122 0 0 0 7950 0 19085 0 367370 0 0 0 Patricia Scalfari CNO 239349 0 56025 0 0 0 7950 0 7824 0 311148 0 0 0 Dan Feeley Interim CFO 120225 120225 26220 26219 0 0 3975 3975 7927 7927 158347 158346 0 0 Christine r Wray PRESIDENT/DIRECTOR 274948 274948 261984 261984 61644 61644 3975 3975 14164 14164 616715 616715 0 0 Grant Mcclure VP, PROF SVCS & PLANT OPS 216791 0 51535 0 0 0 0 0 12318 0 280644 0 0 0 Michael J Curran Treasurer 0 1196061 0 2264969 0 0 0 14555 0 34551 0 3510136 0 0 EMILY HALEY LEAD EMERGENCY MEDICINE PA 175135 0 3258 0 0 0 4670 0 16274 0 199337 0 0 0 Marilyn Reyes BSN RN 169873 0 6946 0 0 0 4898 0 19870 0 201587 0 0 0 SCHEDULE J, PART III Mssrs. Samet and Curran's compensation in Part II, Column (B) includes $1,914,117 and $855,905 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. CHRISTINE WRAY'S COMPENSATION IS FOR SERVICES PROVIDED AS PRESIDENT TO BOTH MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND MEDSTAR ST. MARY'S HOSPITAL. DAN FEELEY'S COMPENSATION IS FOR SERVICES PROVIDED AS INTERIM CFO TO BOTH MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND MEDSTAR ST. MARY'S HOSPITAL. ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. DECISIONS OF GOVERNING BODY PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION 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. 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 POLICY PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS 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. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). DESCRIPTION OF EXECUTIVE COMPENSATION 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. OTHER CHANGES IN NET ASSETS PART XI, LINE 9 EQUITY TRANSFERS..............................7,275,541 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGEMENT FEE EXPENSE TOTAL FEES:17373308 FORM 990 PART IX LINE 11G DESCRIPTION:SUBSIDY EXPENSE - INTERCOMPANY TOTAL FEES:10862455 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SVCS TOTAL FEES:7439975 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SVCS TOTAL FEES:3432203 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICAN SERVICES TOTAL FEES:3318373 FORM 990 PART IX LINE 11G DESCRIPTION:NON-PHYS INTERCO PURCH SVCS TOTAL FEES:2100330 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:1109522 FORM 990 PART IX LINE 11G DESCRIPTION:COMMERCIAL LAUNDRY TOTAL FEES:519735 FORM 990 PART IX LINE 11G DESCRIPTION:COMPUTER SERVICES TOTAL FEES:377527 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES TOTAL FEES:332686 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION-VARIABLE TOTAL FEES:250316 FORM 990 PART IX LINE 11G DESCRIPTION:PRINTING SERVICES TOTAL FEES:212953 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:179665 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS FEES FOR SERVICE TOTAL FEES:457996 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 MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(c)(3) 12C III NA false 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 501(c)(3) 3 NA true THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 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