2017-05-10T22:14:38-05:00 2016-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2015-07-01 520491660 Harbor Hospital % JOEL BRYAN HARB 4107726721 3001 South Hanover Street Baltimore MD 212251233 JOEL BRYAN VP/TREASURER 4107726721 2017-05-08 true JG WHITE P01498698 7032868000 2017-05-05 2015 2021-01-29 14:40:06Z DENNIS PULLIN 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 209554952 false X WWW.HARBORHOSPITAL.ORG X 1903 MD HARBOR HOSPITAL IS COMMITTED TO QUALITY, CARING, AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES. 13 9 1478 57 1719514 -299142 1172075 1766505 197708177 199860286 137563 511003 8401935 7405919 207419750 209543713 0 0 0 0 97355048 97164754 0 0 2429 99167843 98464307 196522891 195629061 10896859 13914652 67207200 65446032 51137831 43903424 16069369 21542608 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR HARBOR HOSPITAL'S (MEDSTAR HARBOR) MISSION IS TO PROVIDE QUALITY, CARING AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES. MEDSTAR HARBOR IS LOCATED JUST SOUTH OF BALTIMORE'S INNER HARBOR, IN BALTIMORE CITY. IT IS AN ACUTE CARE HOSPITAL OFFERING CLINICAL SERVICES IN INTERNAL MEDICINE, SURGERY, CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPAEDICS AND PEDIATRICS. In fiscal year 2016, MedStar Harbor had 11,488 admissions and observations, and 170,153 outpatient visits including 56,461 emergency visits. false false 137681002 203442364 MEDSTAR HARBOR'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF SOUTHERN BALTIMORE CITY, SOUTHWESTERN BALTIMORE COUNTY AND NORTHERN ANNE ARUNDEL COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR HARBOR INCURRED $38.6M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. COLLABORATION WITH THE NATIONAL INSTITUTE ON AGING (ONE OF THE NATIONAL INSTITUTES OF HEALTH) MAKES MEDSTAR HARBOR THE HOME OF THE BALTIMORE LONGITUDINAL STUDY ON AGING, THE NATION'S LONGEST RUNNING STUDY OF AGING AND CONDITIONS AFFECTING THE ELDERLY. PAREXEL, AN INTERNATIONAL CLINICAL RESEARCH ORGANIZATION, HAS ITS PHARMACOLOGY RESEARCH UNIT LOCATED AT MEDSTAR HARBOR. IN 2016, MEDSTAR HARBOR WAS NAMED A TOP HOSPITAL IN MARYLAND AND THE BALTIMORE METROPOLITAN AREA IN THE LATEST RANKINGS BY U.S. NEWS & WORLD REPORT. THE HOSPITAL WAS SPECIFICALLY RECOGNIZED FOR PERFORMANCE IN SIX AREAS: GASTROENTEROLOGY AND GI SURGERY; GYNECOLOGY; ORTHOPAEDICS; PULMONOLOGY; CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD); AND HEART FAILURE. THE JOINT COMMISSION RECERTIFIED THE HOSPITAL FOR BOTH OUR PEDIATRIC ASTHMA CARE AND HEART FAILURE PROGRAMS. ADDITIONALLY, THE HOSPITAL RECEIVED THE 2016 NICHE SENIOR FRIENDLY AWARD AS A NURSES IMPROVING CARE FOR HEALTH-SYSTEM ELDERS (NICHE) DESIGNATED HOSPITAL. THE AMERICAN HEART ASSOCIATION AWARDED MEDSTAR HARBOR'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF STROKE CARE WITH THE GET WITH THE GUIDELINES -- GOLD PLUS QUALITY ACHIEVEMENT AWARD AND THE HOSPITAL WAS AGAIN HONORED BY PRACTICE GREENHEALTH WITH THE 2016 "PARTNER FOR CHANGE" AWARD FOR THE FIFTH TIME. 11375198 6093929 MedStar Harbor provided $11.4M in subsidized (mission driven) health services in fiscal year 2016. 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 hospitalists, womens and childrens services, and behavioral health. 8795664 7420 MedStar Harbor provided $8.8M in health professions education in fiscal year 2016. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions. 157851864 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 true false false false false false false true true true true false false true 0 0 true 1478 true true true false false false false false false false false false X 13 9 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 DENNIS W PULLIN PRESIDENT/DIRECTOR 40.0 1.0 X X 883967 0 18404 KENNETH A SAMET DIRECTOR 1.0 39.0 X 0 4872708 66397 ELMER SNYDER DIRECTOR (Until 8/15) 1.0 0.0 X 0 0 0 GEORGE WILLIAMSON MD DIRECTOR 1.0 0.0 X 0 0 0 LEIGH ANN CURL MD DIRECTOR 40.0 1.0 X 1041137 0 22816 ALEX F DIXON DIRECTOR (AS OF 5/16) 1.0 0.0 X 0 0 0 GREGORY GURFINCHEL MD DIRECTOR (UNTIL 10/15) 40.0 1.0 X 307525 0 19293 KAISER ROBERTSON MD DIRECTOR (UNTIL 10/15) 1.0 0.0 X 0 0 0 EDWARD P CAREY DIRECTOR (UNTIL 10/15) 1.0 0.0 X 0 0 0 PETER MACNAB DIRECTOR (UNTIL 10/15) 1.0 0.0 X 0 0 0 CHARLES F OBRECHT JR CHAIR 1.0 0.0 X 0 0 0 DAWN M GRETZ MD DIRECTOR 1.0 0.0 X 0 0 0 COURTNEY B WILSON DIRECTOR 1.0 0.0 X 0 0 0 VINCENT CONNELLY DIRECTOR 1.0 0.0 X 0 0 0 CARLOS D ZIGEL MD DIRECTOR 1.0 0.0 X 232023 0 14487 TIMOTHY BARNHILL DIRECTOR 1.0 0.0 X 0 0 0 THOMAS A GEDDES VICE CHAIR 1.0 0.0 X 0 0 0 SEN WILLIAM FERGUSON IV DIRECTOR (AS OF 5/16) 1.0 0.0 X 0 0 0 DAVID PITMAN VICE PRESIDENT/CFO 40.0 0.0 X 314801 0 19402 KEITH SHINER SECRETARY 1.0 40.0 X 0 210525 17268 LENORA ADDISON VICE PRESIDENT 40.0 0.0 X 287490 0 49880 JILL DONALDSON VICE PRESIDENT 40.0 0.0 X 281949 0 18671 JILL JOHNSON VICE PRESIDENT OF OPERATIONS 40.0 0.0 X 217314 0 2246 JOHN CARBONE MD PHYSICIAN 40.0 0.0 X 751276 0 27114 JAMES WOOD MD CHIEF 40.0 0.0 X 664389 0 18809 DENNIS STERN MD PHYSICIAN 40.0 0.0 X 534160 0 31416 CHUKA JENKINS MD PHYSICIAN 40.0 0.0 X 537047 0 25447 HOWARD POPKIN MD PHYSICIAN 40.0 0.0 X 481222 0 27858 6534300 5083233 379508 123 false true false CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 housekeeping svcs 3156230 MORRISON HEALTHCARE FOOD SERVICES 4721 MORRISON DRIVE MOBILE AL 36609 FOOD SERVICES 2163275 KIME GIPSON SUTULA MD 3001 S HANOVER ST STE 408 BROOKLYN MD 21225 Physican Services 888000 PULMONARY CRITICAL CARE 3333 N CALVERT ST 650 BALTIMORE MD 21218 physician services 597823 GHARIB HIGGINS BROWN RAZA MD PO BOX 79733 BALTIMORE MD 21279 Physican Services 274815 30 1183990 582515 1766505 NET PATIENT SERVICE REVENUE 621400 196374241 196374241 PHARMACY INCOME 900099 2451653 2451653 MEANINGFUL USE INCOME 900099 1034392 1034392 199860286 317392 317392 0 0 3140609 3140609 0 3140609 3140609 204850 11239 204850 -11239 193611 193611 0 0 0 OUTSIDE LAB REVENUE 621500 1719514 1719514 OPERATING EXPENSE RECOVERY 900099 1097008 1097008 REBATE INCOME 900099 476737 476737 972051 972051 4265310 209543713 199860286 1719514 6197408 0 0 0 0 3731405 3396829 334544 32 0 77315544 70383664 6931880 1279827 1162469 116671 687 9473903 8622856 849240 1807 5364075 4704335 659740 22551641 2446973 20104668 110 110 -147 -147 0 0 0 18932828 18357517 575311 358854 25512 333342 1165550 968615 196916 19 0 0 788837 1465231 -676394 235736 128297 107439 0 14465 12159 2306 1591892 1591892 0 7287433 4225308 3062125 5933716 4838135 1095581 MEDICAL/SURGICAL SUPPLIES 17771239 17606635 164604 IMPLANTS/PROSTHESES 6229119 6229119 MAINTENANCE 4400447 3916708 483739 UTILITIES 4287081 3832611 454470 6915506 5528928 1386694 -116 195629061 157851864 37774768 2429 2770 1000 0 0 66163 429290 25687810 24108963 0 0 0 0 0 0 2218450 2010123 283405 367154 190361558 155422674 37003366 34938884 0 0 560890 723521 0 0 0 0 1384346 2867097 67207200 65446032 16674866 15924415 43128 136299 655783 662509 0 0 0 0 0 0 0 0 0 0 33764054 27180201 51137831 43903424 X 15508478 20637939 560891 904669 0 0 16069369 21542608 67207200 65446032 X 13914652 -1506371 -6935042 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3415538 3415538 63235526 53805106 9430420 878427 329253 549174 118476964 98922790 19554174 4355103 2365525 1989578 34938884 0 GBR LIABILITY 10971218 ADVANCES FROM THIRD PARTIES 7630171 ASBESTOS ABATEMENT LIABILITY 5295510 WORKER'S COMPENSATION 1093246 CREDIT BALANCES PATIENT A/R 735572 STOCK OPTION PLAN 228676 OTHER LIABILITIES 1225808 27180201 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. true true X true X true X true true true false true true 2541631 2541631 0.01300 2541631 2541631 0.01300 2386352 1105184 1281168 0.00650 8795664 7420 8788244 0.04490 11375198 6093929 5281269 0.02700 64682 64682 0.00030 22621896 7206533 15415363 0.07870 25163527 7206533 17956994 0.09170 3500 3500 8421 8421 38989 38989 29886 29886 36433 36433 2163 2163 119392 119392 true 12303866 true true 1 1 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 X X X X HARBOR HOSPITAL INC 1 false false true X X X X X X X X X 14 true false false true X HTTP://WWW.MEDSTARHARBOR.ORG/ X true 14 true HTTP://WWW.MEDSTARHARBOR.ORG/ false true X 200. 400. X X X X X X true true X X X X true X HTTP://WWW.MEDSTARHARBOR.ORG/ X HTTP://WWW.MEDSTARHARBOR.ORG/ X HTTP://WWW.MEDSTARHARBOR.ORG X X X X X true X false 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: Leslie Hughan 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: Jill Johnson Advisory Task Force 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 WITH NAME OF ORGANIZATION HOSPITAL BRENT FLICKINGER DIRECTOR,OFFICE ASSESSMENT, BALTIMORE CITY PLANNING & RESPONSE DEPARTMENT OF PLANNING JOANNE ROBINSON CHAIRPERSON CHERRY HILL COMMUNITY ACTION CENTER MICHAEL MIDDLETON CHAIRPERSON CHERRY HILL COMMUNITY COALITION CATHY MCCLAIN EXECUTIVE DIRECTOR CHERRY HILL TRUST TRACEY GARRETT PRINCIPAL FRIENDSHIP ACADEMY AT CHERRY HILL ELEMENTARY/MIDDLE SCHOOL KERUNNE KETLOGETSWE, MD CARDIOLOGIST MEDSTAR HARBOR HOSPITAL NED CAREY CHAIRMAN, BOARD OF MARYLAND AVIATION DIRECTORS ADMINISTRATION DAVID HAGER, MD CHAIRMAN DEPT. OF MEDSTAR HARBOR HOSPITAL EMERGENCY MED. LUIS RIVERA- ENDOCRINOLOGIST MEDSTAR HARBOR HOSPITAL RAMIREZ, MD LESLIE HUGHAN MANAGER, COMMUNITY MEDSTAR HARBOR HOSPITAL RELATIONS CALVERT MOORE, SCHOOL HEALTH RESOURCE MEDSTAR HARBOR HOSPITAL DNP, RN, APHN-BC COORDINATOR JILL JOHNSON VICE PRESIDENT, OPERATIONS MEDSTAR HARBOR HOSPITAL ROBERT DART, MD PRIMARY CARE PHYSICIAN MEDSTAR HARBOR PRIMARY CARE 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. CHARITY CARE AT COST PART I, LINE 7A 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. UNREIMBURSED MEDICAID PART I, LINE 7B 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. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. BAD DEBT PART III, LINE 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. MEDICARE 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 FY15, MEDSTAR HARBOR HOSPITAL 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. THE HOSPITALS CHNA WAS LED BY AN ADVISORY TASK FORCE (ATF) COMPRISED OF A DIVERSE GROUP OF 16 INDIVIDUALS, INCLUDING HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, ATF MEMBERS DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. 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 BALTIMORE AND NORTHERN ANNE ARUNDEL COUNTY AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) A GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITIES FOR THE CBSA INCLUDE CHRONIC DISEASE (HEART DISEASE/STROKE, CANCER, DIABETES, AND OBESITY), AND CHILD AND FAMILY WELLNESS. THE HOSPITALS FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR HARBORS BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT WAS PUBLISHED ON THE HOSPITALS WEBSITE ON JUNE 30, 2015. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR HARBOR 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 WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH AND ITS HEALTHCARE FACILITIES WILL: * TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, WITH RESPECT AND WITH COMPASSION. * SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS AT OUR FACILITIES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE. * ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSIONS PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR PART OF ALL OF 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 WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENTS FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTHS FACILITIES ASSISTS 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). * ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. * PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE GUIDELINES. * PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF FACILITY CHARGES USING A SLIDING SCALE BASED ON PATIENT FAMILY INCOME AND FINANCIAL RESOURCES. * OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES. EACH FACILITY POSTS THE POLICY, INCLUDING A DESCRIPTION OF THE APPLICABLE COMMUNITIES IT SERVES, IN EACH MAJOR PATIENT REGISTRATION AREA AND IN ANY OTHER AREAS REQUIRED BY APPLICABLE REGULATIONS, COMMUNICATES THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND MAKES A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. ADDITIONALLY, THE MARYLAND PATIENT INFORMATION SHEET/MEDSTARS PATIENT INFORMATION SHEET IS PROVIDED TO INPATIENTS ON ADMISSION AND AT TIME OF FINAL ACCOUNT BILLING. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. THE CHARITY CARE, FINANCIAL ASSISTANCE, AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY ARE NOT AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: * COMPLETING FINANCIAL DISCLOSURE FORMS NECESSARY 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 FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENTS FINANCIAL SITUATION AND CONSTRAINTS. * COMPLETING APPROPRIATE APPLICATIONS FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS. THIS RESPONSIBILITY INCLUDES RESPONDING IN A TIMELY FASHION TO REQUESTS FOR DOCUMENTATION TO SUPPORT ELIGIBILITY. * 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 FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENTS 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. UNINSURED PATIENTS OF MEDSTAR HEALTHS FACILITIES MAY BE ELIGIBLE FOR CHARITY CARE OR SLIDING-SCALE FINANCIAL ASSISTANCE UNDER THIS POLICY. THE FINANCIAL COUNSELORS AND FINANCIAL SERVICES STAFF DETERMINE ELIGIBILITY FOR CHARITY CARE AND 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 HARBOR HOSPITALS CBSA INCLUDES ALL RESIDENTS OF ZIP CODE 21225, THE HOSPITALS HOME ZIP CODE. THE CBSA SPANS SOUTHERN BALTIMORE CITY AND NORTHERN ANNE ARUNDEL COUNTY, AND INCLUDES FOUR NEIGHBORHOODS: BROOKLYN, BROOKLYN PARK, CHERRY HILL AND PUMPHREY. IN PARTICULAR, THE HOSPITAL WILL FOCUS ON THE CHERRY HILL COMMUNITY. THIS AREA WAS SELECTED DUE TO ITS VERY HIGH POVERTY RATE AND ITS CLOSE PROXIMITY TO THE HOSPITAL, AS WELL AS THE OPPORTUNITY TO BUILD ON PRE-EXISTING PROGRAMS, SERVICES, AND PARTNERSHIPS. DEMOGRAPHIC: CHERRY HILL IS HISTORICALLY A BLACK/AFRICAN AMERICAN NEIGHBORHOOD, WITH ROOTS GOING BACK TO THE 17TH CENTURY. AFTER WORLD WAR II, MORE THAN 600 HOUSING UNITS WERE BUILT THERE BY THE UNITED STATES WAR HOUSING ADMINISTRATION, specifically for AFRICAN AMERICAN WAR WORKERS. SHORTLY AFTER THE WAR, THESE UNITS WERE MADE INTO LOW-INCOME HOUSING. ADDITIONAL LOW-INCOME HOUSING UNITS HAVE BEEN ADDED THROUGHOUT THE YEARS, MAKING CHERRY HILL ONE OF THE LARGEST HOUSING PROJECTS EAST OF CHICAGO. THE AMERICAN COMMUNITY SURVEY ESTIMATES THE POPULATION OF ZIP CODE 21225 AT 33,091. THE POPULATION IN CHERRY HILL IS 9,285, AND 95% OF CHERRY HILL RESIDENTS ARE BLACK/AFRICAN AMERICAN. APPROXIMATELY 52% OF CHERRY HILL HOUSEHOLDS WITH CHILDREN WERE HEADED BY A SINGLE PARENT, HIGHER THAN THE CITYWIDE PERCENTAGE OF 26%. TWENTY-SEVEN PERCENT OF CHERRY HILL RESIDENTS AGES 25 YEARS AND OLDER DO NOT HAVE A HIGH SCHOOL EDUCATION, WHILE LESS THAN 6.8% OF ADULTS 25 AND OLDER HAVE A BACHELORS DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME FOR CHERRY HILL IN IS $19,183, WHICH IS LESS THAN HALF OF THE MEDIAN HOUSEHOLD INCOME FOR THE ENTIRE CBSA ($37,291), AND APPROXIMATELY 47.5% OF CHERRY HILL FAMILIES LIVE IN POVERTY. IN TERMS OF HEALTH CARE, THE CHERRY HILL COMMUNITY HOUSES MHH, AS WELL AS A LOCAL BRANCH OF THE FAMILY HEALTH CENTERS OF BALTIMORE, WHICH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING HEALTH CARE SERVICES ON A SLIDING FEE SCALE. IN ADDITION, BALTIMORE CITY HEALTH DEPARTMENT PROGRAMS OPERATE CITY-WIDE, AND VARIOUS MOBILE SERVICES-SUCH AS A NEEDLE EXCHANGE PROGRAM, VIOLENCE PREVENTION, MATERNAL AND INFANT NURSING, LEAD POSITIONING AND ABATEMENT PROGRAMS AND OTHERS-IN THE CHERRY HILL AREA. ACCORDING TO THE CHERRY HILL HEALTH PROFILE, THE LIFE EXPECTANCY AT BIRTH OF A CHERRY HILL RESIDENT IS 67.8, AS COMPARED TO 74.1 IN BALTIMORE CITY AS A WHOLE AND 79.8 IN MARYLAND. THE MORTALITY RATE FROM CARDIOVASCULAR DISEASE IN BALTIMORE CITY IS 300.3 AND 217.1 FOR CANCER. STROKE, HIV/AIDS AND HOMICIDE ARE LESS COMMON BUT, WHEN COMBINED, CAUSE 20% OF DEATHS IN THIS AREA. HIGH RATES OF TYPE 2 DIABETES AND HEART DISEASE, INCLUDING STROKE, ALSO OCCUR IN THIS COMMUNITY. FOR A VARIETY OF REASONS, INCLUDING THE HIGH POVERTY RATE AND LOW RATE OF HEALTH CARE INSURANCE COVERAGE, MANY CHERRY HILL RESIDENTS OFTEN USE THE MEDSTAR HARBOR HOSPITAL EMERGENCY DEPARTMENT FOR PRIMARY CARE SERVICES. A STEADY DECREASE IS ANTICIPATED IN THIS AREA OVER THE NEXT FEW FISCAL YEARS AS PATIENTS BECOME INSURED THROUGH THE AFFORDABLE CARE ACT. DESPITE THE CONVENIENT NEIGHBORHOOD LOCATION OF A FQHC, MANY RESIDENTS DO NOT UTILIZE A PRIMARY CARE PHYSICIAN. TYPICALLY, A CHRONIC CONDITION, SUCH AS DIABETES OR HEART DISEASE, PRESENTS SEVERE ENOUGH SYMPTOMS TO WARRANT A TRIP TO THE EMERGENCY DEPARTMENT. IN MANY CASES, SEVERAL CO-MORBIDITIES ARE FOUND TO BE PRESENT AT THIS TIME. WITHOUT PRIMARY CARE FOLLOW-UP, HOWEVER, THESE CONDITIONS USUALLY CANNOT BE ADDRESSED FULLY IN THE TIME ALLOTTED FOR THE EMERGENT ISSUE. IN OTHER CASES, PATIENTS MAY HAVE SYMPTOMS OF A MUCH LESS SERIOUS ILLNESS-A SIMPLE COLD, FOR EXAMPLE-BUT, SINCE THEY DO NOT HAVE A PRIMARY HEALTH CARE PROVIDER, THEY ALSO VISIT THE EMERGENCY DEPARTMENT FOR THESE AILMENTS. AS A RESULT, MANY OF THEIR MOST BASIC HEALTH NEEDS OFTEN ARE NOT MET. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR HARBOR PROVIDED SERVICES TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN ONE OF THE MOST UNDERSERVED COMMUNITIES IN BALTIMORE CITY CHERRY HILL. PRIORITY AREAS OF FOCUS, AS DETERMINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, ARE CHRONIC DISEASE, SPECIFICALLY TARGETING HEART DISEASE/STROKE, CANCER, DIABETES, AND OBESITY; AND CHILD AND FAMILY WELLNESS. IN EFFORT TO REDUCE THE INCIDENCE, PREVALENCE AND RISK FACTORS CONTRIBUTING TO CHRONIC DISEASES, THE HOSPITAL WILL OFFER A WALKING PROGRAM THAT WILL FOCUS ON INCREASING PHYSICAL ACTIVITY. IN FY16 MEDSTAR HARBOR COLLABORATED WITH THE MEDSTAR VISITING NURSES ASSOCIATION TO PROVIDE FREE BLOOD PRESSURE AND DIABETES SCREENINGS IN COMMUNITY SETTINGS. PARTICIPANTS WITH ELEVATED BLOOD PRESSURE AND BLOOD/GLUCOSE LEVELS ARE NAVIGATED TO A PRIMARY CARE PROVIDER. MEDSTAR HARBOR ALSO OFFERS FREE AND LOW-COST COMMUNITY-BASED HEALTH EDUCATION LECTURES. LECTURES ARE ORGANIZED AND TAUGHT BY PHYSICIANS, NURSES, AND SPECIALIZED CONTENT EXPERTS; DISCUSSION TOPICS INCLUDE BUT ARE NOT LIMITED TO HEART HEALTH, DIABETES MANAGEMENT, AND CANCER PREVENTION. THE HOSPITAL ALSO WORKS TO ESTABLISH A COMMUNITY CANCER CENTER THAT PROVIDES SUPPORT, EDUCATION AND RESOURCES TO PATIENTS AND FAMILY MEMBERS EXPERIENCING CANCER. ADDITIONALLY, CANCER PROGRAMS WERE OFFERED. THE COLORECTAL CANCER PROGRAM SERVED NEARLY 300 PEOPLE AND THE BREAST & CERVICAL CANCER PROGRAM PROVIDED OUTREACH SERVICES TO MORE THAN 700 WOMEN. THROUGH ITS CHERRY HILL HEALTHY SCHOOLS HEALTHY FAMILIES PROGRAM, THE HOSPITAL ALSO PROVIDED A NURSE TO WORK CLOSELY WITH AT-RISK MIDDLE AND HIGH SCHOOL STUDENTS AT FOUR SCHOOLS. THE NURSE DEVELOPS LESSON PLANS AND TEACHES CLASSES THAT TARGET CHILDREN, PARENTS AND SCHOOL STAFF. SHE ALSO MANAGES RELATIONSHIPS WITH COMMUNITY PARTNERS AND SERVES AS A LIAISON BETWEEN THE HOSPITAL AND THE COMMUNITY. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR HARBOR 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 HARBOR WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTARS CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS 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 MEDSTAR HARBOR HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. X true true X X X X X X false false false false false false false false false DENNIS W PULLIN PRESIDENT/DIRECTOR 476223 0 407744 0 0 0 7800 0 10604 0 902371 0 0 0 KENNETH A SAMET DIRECTOR 0 1689763 0 3167094 0 15851 0 45721 0 20676 0 4939105 0 0 LEIGH ANN CURL MD DIRECTOR 923053 0 118084 0 0 0 7800 0 15016 0 1063953 0 0 0 GREGORY GURFINCHEL MD DIRECTOR (UNTIL 10/15) 274731 0 2500 0 30294 0 7634 0 11659 0 326818 0 0 0 CARLOS D ZIGEL MD DIRECTOR 222194 0 0 0 9829 0 8070 0 6417 0 246510 0 0 0 DAVID PITMAN VICE PRESIDENT/CFO 221653 0 93148 0 0 0 7800 0 11602 0 334203 0 0 0 LENORA ADDISON VICE PRESIDENT 224364 0 63126 0 0 0 48729 0 1151 0 337370 0 0 0 JOHN CARBONE MD PHYSICIAN 742461 0 8815 0 0 0 12024 0 15090 0 778390 0 0 0 JAMES WOOD MD CHIEF 607668 0 0 0 56721 0 7800 0 11009 0 683198 0 0 0 DENNIS STERN MD PHYSICIAN 384796 0 149364 0 0 0 16933 0 14483 0 565576 0 0 0 CHUKA JENKINS MD PHYSICIAN 429568 0 107479 0 0 0 10921 0 14526 0 562494 0 0 0 HOWARD POPKIN MD PHYSICIAN 385239 0 95983 0 0 0 17958 0 9900 0 509080 0 0 0 JILL DONALDSON VICE PRESIDENT 238780 0 43169 0 0 0 12599 0 6072 0 300620 0 0 0 KEITH SHINER SECRETARY 0 173185 0 37340 0 0 0 3030 0 14238 0 227793 0 0 JILL JOHNSON VICE PRESIDENT OF OPERATIONS 181229 0 36085 0 0 0 0 0 0 0 217314 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICERS WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. SCHEDULE J, PART III MR. SAMET'S BONUS AND INCENTIVE COMPENSATION IN PART II, COLUMN (B) (II) INCLUDES $878,413, REPRESENTING BENEFITS RECEIVED FROM EXECUTIVE RETIREMENT PLANS THAT ARE COMPRISED OF TARGET BENEFITS DETERMINED ANNUALLY BASED ON COMPENSATION AND YEARS OF SERVICE. MORRISON HEALTHCARE FOOD SERVICES SEE PART V 2163276 FOOD SERVICES false BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV, COLUMN (B) MORRISON HEALTHCARE FOOD SERVICES IS A SUBSTANTIAL CONTRIBUTOR THAT ALSO PROVIDED FOOD SERVICES TO THE HOSPITAL. PER THE CONFLICT OF INTEREST POLICY, ALL TRANSACTIONS BETWEEN THE HOSPITAL AND OUTSIDE VENDORS SHOULD BE AT ARMS-LENGTH FOR FAIR MARKET VALUE. 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. DESCRIPTION OF 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 ENFORCEMENT 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) 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). DESCRIPTION OF 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. OTHER CHANGES IN NET ASSETS PART XI, LINE 9 EQUITY TRANSFER- NET ASSETS.....................$ (11,562,738) UNDISTRIBUTED NET ASSETS - CONV.................$ 4,627,696 --------------- TOTAL $ (6,935,042) MEDSTAR HEALTH ANESTHESIA SERVICES C LLC 3001 South Hanover Street BALTIMORE MD 21225 205909818 HEALTH SVCS MD 3262969 316153 NA 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 Medstar Health Inc 10980 GRANTCHESTER WAY Columbia MD 21044 522087445 Medical Svcs MD 501(C)(3) 11C 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 501(C)(3) 3 NA true Medstar HEALTH Research Institute 108 Irving Street NW Washington DC 20010 526056274 Hospital DC 501(C)(3) 4 NA true The Medstar-Georgetown Medical Center I Hopsital Admin 1 Main Bldg Washington DC 20007 522218584 Hospital DC 501(C)(3) 3 NA true Washington Hospital Center Corporation 110 Irving Street NW Washington DC 20010 521272129 Hospital DC 501(C)(3) 3 NA true HH Medstar Health Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521542230 Medical Svcs MD 501(C)(3) 11C III NA true MEDSTAR AMBULATORY SERVICES INC 10980 GRANTCHESTER WAY Columbia MD 21044 521132992 ADMIN SVCS MD 501(C)(3) 11C III NA true Bay Life Services Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521496539 Mental Health MD 501(C)(3) 9 NA true MedStar Surgery Center Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521061679 Medical Svcs MD 501(C)(3) 9 NA true Church Home and Hospital of the City of 10980 GRANTCHESTER WAY Columbia MD 21044 520591600 Medical Fund MD 501(C)(3) 11A I NA true Franklin Square Hospital Center Foundati 9000 Franklin Square Drive Baltimore MD 21237 522329546 Foundation MD 501(C)(3) 7 NA true Good Samaritan Hospital Foundation Inc 5601 Loch Raven Blvd Baltimore MD 21239 522307122 Foundation MD 501(C)(3) 11a I NA true Good Samaritan Nursing Center Inc 5601 Loch Raven Blvd Baltimore MD 21239 521672866 Medical Svcs MD 501(C)(3) 9 NA true GS Housing Inc 5601 Loch Raven Blvd Baltimore MD 21239 521481656 Elder Housing MD 501(C)(3) 9 NA true GS Properties Inc 5601 Loch Raven Blvd Baltimore MD 21239 521429853 Admin Svcs MD 501(C)(3) 11a I NA true Harbor Hospital Foundation Inc 3001 South Hanover Street Baltimore MD 21225 521284532 Foundation MD 501(C)(3) 11A I NA true Medstar Health Infusion Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521980510 Medical Svcs MD 501(C)(3) 9 NA true Medstar Health Visiting Nurses Associati 4061 Powdermill Road Calverton MD 20705 530196597 Medical Svcs MD 501(C)(3) 9 NA true Medstar VNA Healthcare 4061 Powdermill Road Suite 210 Calverton MD 20705 521458516 Medical Svcs MD 501(C)(3) 9 NA true MGH Community Health Inc 18101 Prince Philip Drive Olney MD 20832 521372467 Medical Svcs MD 501(C)(3) 9 NA true MGH Health Foundation Inc 18101 Prince Philip Drive Olney MD 20832 521129959 Foundation MD 501(C)(3) 7 NA true MGH Health Services Inc 18101 Prince Philip Drive Olney MD 20832 521366812 Foundation MD 501(C)(3) 11B II NA true MGH Women's Board 18101 Prince Philip Drive Olney MD 20832 526039600 Foundation MD 501(C)(3) 11C III NA true National Rehabilitation Hospital 102 Irving Street NW Washington DC 20010 521369749 Hospital DC 501(C)(3) 3 NA true Regional Rehab at Olney Inc 18101 Prince Philip Drive Olney MD 20832 522310902 Medical Svcs MD 501(C)(3) 3 NA true Suburban NRH Medical Rehabilitation I 102 Irving Street NW Washington DC 20010 521931151 Medical Svcs DC 501(C)(3) 3 NA true The Thomas O'Neil Catholic Health Care F 5601 Loch Raven Blvd Baltimore MD 21239 521104382 Foundation MD 501(C)(3) 11D III NA true VNA Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521332411 Admin Svcs MD 501(C)(3) 11A I NA true WHC Foundation Inc 110 Irving Street NW Washington DC 20010 521791670 Foundation DC 501(C)(3) 7 NA true Woodbourne Woods Inc 5601 Loch Raven Blvd Baltimore MD 21239 522299070 Elder Housing MD 501(C)(3) 9 NA true Hospice of St Mary's Inc PO Box 527 Leonardtown MD 20650 522153926 Support Org MD 501(C)(3) 11A I NA true St Mary's Hospital of St Mary's County 25500 Point Lookout Road Leonardtown MD 20650 520619006 Hospital MD 501(C)(3) 3 NA true St Mary's Hospital Foundation Inc PO Box 527 Leonardtown MD 20650 521051368 Support Org MD 501(C)(3) 11A I NA true Medstar Southern MD Hospital Center 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) 3 NA true MEDSTAR HEALTH INC AND AFFILIATES 10980 GRANTCHESTER WAY COLUMBIA MD 21044 477454613 RET. 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