2017-05-10T22:14:37-05:00 2016-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2015-07-01 521542230 HH Medstar Health Inc % JOEL BRYAN HHME 4107726721 10980 Grantchester Way Columbia MD 21044 JOEL BRYAN VP/TREASURER 4017726721 2017-05-08 true JG WHITE P01498698 7032868000 2017-05-05 2015 2021-01-29 14:40:06Z X Kenneth Samet 10980 Grantchester Way Columbia MD 21044 445916431 false X N/A X 1987 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 4 0 2124 0 0 0 21853 451604004 436733965 -69586 0 2433688 9160613 453968106 445916431 0 0 0 0 196366991 277415855 0 0 0 291962352 207278126 488329343 484693981 -34361237 -38777550 119027554 142092689 345188187 440086474 -226160633 -297993785 X The mission of MedStar Health, Inc. (MedStar) is to serve our patients, those who care for them and our communities. MedStar 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 31,000 associates and approximately 6,400 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 surg false false 258605211 436733965 HH MEDSTAR HEALTH, INC.'S LARGEST PROGRAM SERVICE IS TO PROVIDE MANAGEMENT AND SUPPORT TO MEDSTAR HEALTH, INC. AND ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE FUNCTIONS INCLUDING FINANCIAL SERVICES AND INFORMATION SYSTEMS. HH MEDSTAR HEALTH, INC. PROVIDES PHYSICIAN SERVICES THROUGH ITS PHYSICIAN PRACTICES TO MEDSTAR HEALTH, INC. AND ITS AFFILIATED ENTITIES. THESE PHYSICIAN PRACTICES SERVE AS PHYSICIAN PRACTICES TO EACH OF THE HOSPITALS (WHICH ARE INCLUDED IN HH MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS) IN THE MEDSTAR HEALTH INTEGRATED HEALTH CARE SYSTEM. 258605211 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 180 0 true 2124 true false false false false false false false false false false false X 4 0 false false false false true true true true true false false true true true true true true true true false X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 X KENNETH A SAMET PRESIDENT/CEO 1.0 39.0 X X 0 4872708 66398 MICHAEL J CURRAN VP TREASURER/DIRECTOR 1.0 39.0 X X 0 2888562 25135 ERIC R WAGNER VICE PRESIDENT/DIRECTOR 1.0 39.0 X X 0 1435869 33924 STEPHEN RT EVANS MD DIRECTOR 1.0 39.0 X 0 1486697 44131 DAVID NOE VICE PRESIDENT 1.0 39.0 X 0 681225 31610 OLIVER JOHNSON VP/SECRETARY 1.0 39.0 X 0 1135073 18002 JON HUPP PHYSICIAN 40.0 0.0 X 607549 0 21432 BERNARD WAGMAN PHYSICIAN 40.0 0.0 X 588216 0 8742 BENJAMIN LEE PHYSICIAN 40.0 0.0 X 578972 0 21432 STEPHEN STANZIALE PHYSICIAN 40.0 0.0 X 590889 0 21432 BARBARA BEAN PHYSICIAN 40.0 0.0 X 577134 0 14335 WILLIAM L THOMAS MD FORMER OFFICER 0.0 0.0 X 0 270205 0 2942760 12770339 306573 609 true true false DELL MARKETING LP PO BOX 802816 CHICAGO IL 606802816 IT Services 33265145 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 641412702 Medical Services 24832024 TEK SYSTEMS 7437 Race Road HANOVER MD 21076 Staffing services 2837358 DECO RECOVERY MGMT 8201 Corporate Drive Suite 1020 LANDOVER MD 20785 Consulting Services 2296386 GOODELL DEVRIES LEECH DANN One South Street 20th Floor BALTIMORE MD 21202 Legal Services 2413903 115 21853 21853 MANAGEMENT FEES 900099 200473525 200473525 NET PATIENT SERVICE REVENUE 621400 232736248 232736248 MEANINGFUL USE INCOME 900099 1029455 1029455 PREMIUM REVENUE 900099 572073 572073 OTHER PHYSICIAN REVENUE 900099 1922664 1922664 436733965 0 0 0 591568 591568 0 591568 591568 0 0 0 0 REBATE INCOME 900099 63023 63023 MISCELLANEOUS REVENUE 900099 8506022 8506022 8569045 445916431 436733965 9160613 0 0 0 0 0 0 240201728 147425674 92776054 3972061 2855950 1116111 0 19471407 5084332 14387075 13770659 7110451 6660208 7904502 685828 7218674 54589 54589 0 0 0 0 66756592 42132941 24623651 1389944 376332 1013612 5135618 1526080 3609538 12070096 12070096 0 17252158 11076082 6176076 2131763 961078 1170685 0 76156 111913 -35757 667882 135240 532642 0 7406295 5528417 1877878 3956252 4036123 -79871 MAINTENANCE 45893261 2805185 43088076 MED/SURG SUPPLIES 21459099 20572797 886302 UTILITIES 8866005 2708862 6157143 FOOD SERVICES/SUPPLIES 204119 24757 179362 6053795 3447169 2606626 484693981 258605211 226088770 0 15624356 4232607 0 0 0 0 28002474 29044039 0 0 0 0 1375314 505254 1063990 1146118 10091180 18051693 102719847 15425154 60215696 87294693 0 0 0 0 0 0 2174116 1367149 480428 451136 119027554 142092689 123061798 132406318 0 0 3235257 2773335 0 0 0 0 0 0 0 0 0 0 218891132 304906821 345188187 440086474 X -226160633 -297993785 0 0 0 0 -226160633 -297993785 119027554 142092689 X -38777550 -33055602 X false true X true false X X 23 BAY LIFE SERVICES 521496539 9 true 0 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 3 true 0 0 GOOD SAMARITAN NURSING CENTER INCORPORATED 521672866 9 true 0 0 GS HOUSING INCORPORATED 521481656 9 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 9 true 0 0 MEDSTAR HEALTH RESEARCH INSTITUTE INC 526056274 4 true 0 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC 530196597 3 true 0 0 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC 460726303 3 true 0 0 MEDSTAR SURGERY CENTER INC 521061679 9 true 0 0 MEDSTAR VNA HEALTHCARE INC 521458516 9 true 0 0 MGH COMMUNITY HEALTH INC 521372467 9 true 0 0 MGH HEALTH FOUNDATION INC 521129959 7 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 9 true 0 0 23 0 0 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 11G OTHER SUPPORT THE EXPENSES INCURRED BY HH MEDSTAR HEALTH, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT SERVICES TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 THE OFFICERS/DIRECTORS OF THE SUPPORTED ORGANIZATIONS HAVE A CLOSE AND CONTINUOUS RELATIONSHIP WITH HH MEDSTAR HEALTH, INC., AND THUS A SIGNIFICANT VOICE. KEN SAMET, THE PRESIDENT/CEO OF HH MEDSTAR HEALTH, INC., SERVES ON THE BOARD OF DIRECTORS OF MANY OF HH MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS. BECAUSE OF THIS, THE SUPPORTED ORGANIZATIONS ARE ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF HH MEDSTAR HEALTH AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 2A SUBSTANTIALLY ALL OF THE ACTIVITIES OF HH MEDSTAR HEALTH, INC. DIRECTLY FURTHER THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS LISTED. HH MEDSTAR HEALTH, INC. PROVIDES ADMINISTRATIVE AND MANAGEMENT SERVICES TO ITS SUPPORTED ORGANIZATIONS TO PROMOTE AN INTEGRATED HEALTH CARE SYSTEM. HH MEDSTAR HEALTH, INC. ALSO DIRECTLY FURTHERS THE EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS BY PROVIDING PHYSICIAN SERVICES THROUGH ITS PHYSICIAN PRACTICES. HH MEDSTAR HEALTH, INC. IS RESPONSIVE TO ITS SUPPORTED ORGANIZATIONS WHEN PROVIDING THESE SERVICES. SUBSTANTIALLY ALL OF THE STAFFING AND FINANCIAL RESOURCES OF HH MEDSTAR HEALTH, INC. WERE DEDICATED TO ACTIVITIES THAT DIRECTLY FURTHER THE EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 2B HH MEDSTAR HEALTH, INC. PROVIDED ADMINISTRATIVE AND MANAGEMENT SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS INCLUDING FINANCIAL SERVICES AND INFORMATION SYSTEMS SERVICES. IF NOT FOR THE EXISTENCE OF HH MEDSTAR HEALTH, INC., THESE SUPPORTED ORGANIZATIONS WOULD PERFORM THESE SERVICES THEMSELVES. HOWEVER, IT IS MORE EFFICIENT TO PERFORM ALL OF THESE SERVICES AT THE SAME ORGANIZATION RATHER THAN AT 23 SEPARATE ORGANIZATIONS (THE SUPPORTED ORGANIZATIONS). HH MEDSTAR HEALTH, INC. PROVIDES PHYSICIAN SERVICES THROUGH BEING THE SOLE MEMBER OF A NUMBER OF SINGLE-MEMBER LLC PHYSICIAN PRACTICES. THESE PHYSICIAN PRACTICES SERVE AS PHYSICIAN PRACTICES TO EACH OF THE HOSPITALS (WHICH ARE INCLUDED IN HH MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS) IN THE MEDSTAR HEALTH INTEGRATED HEALTH CARE SYSTEM. IF NOT FOR THE EXISTENCE OF HH MEDSTAR HEALTH, INC., ITS SUPPORTED ORGANIZATIONS COULD OWN THESE PHYSICIAN PRACTICES THEMSELVES. HOWEVER, IT IS MORE EFFICIENT TO PERFORM THESE PHYSICIAN SERVICES UNDERNEATH A SINGLE ORGANIZATION'S OWNERSHIP (HH MEDSTAR HEALTH, INC.) RATHER THAN AT MULTIPLE SEPARATE ORGANIZATIONS (THE SUPPORTED ORGANIZATIONS). OWNERSHIP (HH MEDSTAR HEALTH, INC.) RATHER THAN AT MULTIPLE SEPARATE ORGANIZATIONS (THE SUPPORTED ORGANIZATIONS). 0 184726 184726 0 3692833 500780 3192053 0 4218424 1919910 2298514 0 18965454 3863663 15101791 0 75658410 9140801 66517609 87294693 0 PENSION LIABILITY 265237993 TAXES 18491165 OTHER LIABILITIES 708573 INTERCOMPANY PAYABLES 20154290 STOCK OPTION PLAN 314800 304906821 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, 2016. X X X X X X false false false false false false false false false KENNETH A SAMET PRESIDENT/CEO 0 1689763 0 3167094 0 15851 0 45721 0 20677 0 4939106 0 0 MICHAEL J CURRAN VP TREASURER/DIRECTOR 0 1111909 0 1776653 0 0 0 13792 0 11343 0 2913697 0 0 ERIC R WAGNER VICE PRESIDENT/DIRECTOR 0 723583 0 712286 0 0 0 25369 0 8555 0 1469793 0 0 WILLIAM L THOMAS MD FORMER OFFICER 0 0 0 28339 0 241866 0 0 0 0 0 270205 0 0 STEPHEN RT EVANS MD DIRECTOR 0 765387 0 711810 0 9500 0 15876 0 28255 0 1530828 0 0 JON HUPP PHYSICIAN 417854 0 170583 0 19112 0 7800 0 13632 0 628981 0 0 0 BERNARD WAGMAN PHYSICIAN 424678 0 150005 0 13533 0 7800 0 942 0 596958 0 0 0 BENJAMIN LEE PHYSICIAN 418835 0 148296 0 11841 0 7800 0 13632 0 600404 0 0 0 STEPHEN STANZIALE PHYSICIAN 416560 0 162862 0 11467 0 7800 0 13632 0 612321 0 0 0 DAVID NOE VICE PRESIDENT 0 393722 0 287503 0 0 0 16602 0 15008 0 712835 0 0 OLIVER JOHNSON VP/SECRETARY 0 560663 0 574410 0 0 0 7800 0 10202 0 1153075 0 0 BARBARA BEAN PHYSICIAN 428461 0 142534 0 6139 0 7800 0 6535 0 591469 0 0 0 SCHEDULE J, PART III Mssrs. Samet and Curran's Bonus and Incentive Compensation in Part II, Column (B) (ii) includes $878,413 and $624,568 respectively, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service. 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. APPROVAL OF DECISIONS OF THE 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 PART VI, LINE 12C POLICY 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) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO 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). EXECUTIVE COMPENSATION POLICY 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 - NET ASSETS..................$ 89,457,594 ADDITIONAL MINIMUM PENSION LIABILITY...........$ (122,513,196) ============= TOTAL: $(33,055,602) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:45894784 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICE FEES TOTAL FEES:627712 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:693611 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY SERVICES TOTAL FEES:143274 FORM 990 PART IX LINE 11G DESCRIPTION:COMMERCIAL LAUNDRY TOTAL FEES:157174 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:646093 FORM 990 PART IX LINE 11G DESCRIPTION:HOUSEKEEPING SERVICES TOTAL FEES:247449 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING-CONTRACT SERVICE TOTAL FEES:137027 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION-FIXED TOTAL FEES:790062 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:7585738 FORM 990 PART IX LINE 11G DESCRIPTION:INTERPRETER TOTAL FEES:127138 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES-INTERCO TOTAL FEES:1336837 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGEMENT FEE EXPENSE TOTAL FEES:1543593 FORM 990 PART IX LINE 11G DESCRIPTION:ADVOCACY FEES TOTAL FEES:2671806 FORM 990 PART IX LINE 11G DESCRIPTION:PRINTING SERVICES TOTAL FEES:156963 FORM 990 PART IX LINE 11G DESCRIPTION:COURIER SERVICES TOTAL FEES:300621 FORM 990 PART IX LINE 11G DESCRIPTION:BACKGROUND INVESTIGATION TOTAL FEES:157836 FORM 990 PART IX LINE 11G DESCRIPTION:COMPUTER SERVICES TOTAL FEES:2441268 FORM 990 PART IX LINE 11G DESCRIPTION:BANK FEES TOTAL FEES:782520 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MISCELLANEOUS SERVICES TOTAL FEES:315086 MEDSTAR CONNECT LLC 10980 GRANTCHESTER WAY Columbia MD 21044 271831497 MED INF SVCS MD 421519 25941 NA MEDSTAR MEDICAL GROUP LLC 10980 GRANTCHESTER WAY Columbia MD 21044 274234575 MEDICAL SVCS MD 1705 -506480 NA CARDIOLOGY ASSOCIATES LLC 10980 GRANTCHESTER WAY Columbia MD 21044 274234724 MEDICAL SVCS MD 41101639 8417241 NA Chesapeake Cardiovascular AssociatesLLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 274465955 MEDICAL SVCS MD 14990634 3900220 NA MMG MMP LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 274234575 MEDICAL SVCS MD 67384719 16031956 NA MMG GeorgetoWn Family Practice LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 452660572 MEDICAL SVCS MD 1718050 900494 NA MEDSTAR SOUTHERN MARYLAND PHYSICIANS LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 460773035 MEDICAL MGMT MD 23488155 4485974 NA MMG RADIOLOGY LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 464003552 MEDICAL MGMT MD 22210981 2952289 NA MEDSTAR FSMC PHYSICIANS LLC 10980 GRANTCHESTER WAY Columbia MD 21044 464207755 MEDICAL MGMT MD 0 0 NA MEDSTAR GSH PHYSICIANS LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 464217508 MEDICAL MGMT MD 0 0 NA MEDSTAR HARBOR HOSPITAL PHYSICIANS LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 464228016 MEDICAL MGMT MD 0 0 NA MEDSTAR UMH PHYSICIANS LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 464237992 MEDICAL MGMT MD 0 0 NA MEDSTAR SHAH MEDICAL GROUP LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 462691028 MEDICAL MGMT MD 74492112 36950979 NA MedStar Accountable Care LLC 10980 GRANTCHESTER WAY Columbia MD 21044 474607024 ACCOUNT. 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