2017-05-10T22:16:59-05:00 2016-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2015-07-01 522087445 Medstar Health Inc % JOEL BRYAN MEDS 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 JOEL BRYAN VP/TREASURER 4107726721 2017-05-08 true JG WHITE P01498698 7032868000 2017-05-05 2015 2021-01-29 14:40:06Z X KENNETH A SAMET 10980 GRANTCHESTER WAY COLUMBIA MD 21044 202160994 false X WWW.MEDSTARHEALTH.ORG X 1998 MD PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM. 18 17 840 18 71017 69847 478043 1127832 174633847 180408259 47984943 17960697 14725557 2664206 237822390 202160994 0 0 0 0 110329679 105904265 0 1395584 1395584 92526294 65633952 202855973 172933801 34966417 29227193 2173531045 2174672346 1741205542 1892137236 432325503 282535110 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 171538217 180408259 AS THE PARENT COMPANY IN AN INTEGRATED HEALTHCARE SYSTEM, MEDSTAR HEALTH, INC. ESTABLISHES THE STRATEGIC DIRECTION FOR ITS AFFILIATED ENTITIES. MEDSTAR HEALTHS SOLE PROGRAM SERVICE IS THE MANAGEMENT AND SUPPORT OF ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE FUNCTIONS IN THE FOLLOWING AREAS: QUALITY AND SAFETY, FINANCIAL SERVICES, HUMAN RESOURCE SERVICES, TREASURY SERVICES, INFORMATION SYSTEMS, LEGAL SERVICES, RISK MANAGEMENT, COMPLIANCE, PRIVACY, BUSINESS AND SYSTEM DEVELOPMENT, PLANNING, MARKETING, EXTERNAL AFFAIRS, PHILANTHROPY SERVICES, MANAGED CARE, INTERNAL AUDIT, COMMUNITY HEALTH, GRADUATE MEDICAL EDUCATION, AND ACADEMIC AFFAIRS. 171538217 true true false true false false false false false false true true false false true true false true false false true false false true false false false false false true true false false false false false false false true false false false false false false true true true true false false true 2418 0 true 840 true true true true CJ false false false false false false false false false X 18 17 false false false false false false false 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 CHANDRALEKHA BANERJEE MD DIRECTOR (UNTIL 10/15) 1.0 0.0 X 0 0 0 ANDREW J BERRY DIRECTOR (UNTIL 10/15) 1.0 0.0 X 0 0 0 CATHERINE MELOY DIRECTOR (UNTIL 10/15) 1.0 0.0 X 0 0 0 ROBERTA LOKER DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM R ROBERTS DIRECTOR 1.0 0.0 X 0 0 0 HON TOGO D WEST JR DIRECTOR 1.0 0.0 X 0 0 0 MARC N DUBER DIRECTOR 1.0 0.0 X 0 0 0 MARK JENSEN DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM J OETGEN JR MD DIRECTOR 1.0 0.0 X 0 0 0 SARA E WATKINS DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY J BUZZELLI DIRECTOR 1.0 0.0 X 0 0 0 JOHN J DEGIOIA PHD DIRECTOR 1.0 0.0 X 0 0 0 KENNETH A SAMET CEO AND PRESIDENT 40.0 0.0 X X 4872708 0 66397 WILLIAM COUPER DIRECTOR 1.0 0.0 X 0 0 0 ROSIE ALLEN-HERRING DIRECTOR 1.0 0.0 X 0 0 0 THOMAS J BALTIMORE DIRECTOR 1.0 0.0 X 0 0 0 CHRISTOPHER G KALHORN MD DIRECTOR 1.0 0.0 X 0 0 0 VINCENT J MARTORANA MD DIRECTOR 1.0 0.0 X 0 0 0 ALLEN J TAYLOR MD DIRECTOR 1.0 0.0 X 0 0 0 James A DOrta MD DIRECTOR (AS OF 1/2016) 1.0 0.0 X 0 0 0 Robert Bobby Ourisman DIRECTOR (AS OF 11/2015) 1.0 0.0 X 0 0 0 MICHAEL J CURRAN EVP, CFO & TREASURER 40.0 0.0 X 2888562 0 25134 STEPHEN EVANS EVP 40.0 0.0 X 1486697 0 44131 JOY DRASS EVP 40.0 0.0 X 3200323 0 37497 CARL SCHINDELAR EVP 40.0 0.0 X 1036218 0 8631 OLIVER M JOHNSON EVP & SECRETARY 40.0 0.0 X 1135073 0 18002 ERIC WAGNER EVP 40.0 0.0 X 1435869 0 33924 CHRISTINE SWEARINGEN EVP 40.0 0.0 X 912050 0 45138 MAUREEN MCCAUSLAND SVP 40.0 0.0 X 689889 0 23302 John Mclendon SVP 40.0 0.0 X 613753 0 20084 DAVID NOE VP 40.0 0.0 X 681225 0 31610 MARK SMITH VP 40.0 0.0 X 833340 0 32439 SUSAN NELSON VP 40.0 0.0 X 683009 0 26959 DAVID MAYER VP 40.0 0.0 X 747082 0 23621 EDWARD ROBINSON VP 40.0 0.0 X 641138 0 29473 WILLIAM THOMAS FORMER OFFICER 0.0 0.0 X 270205 0 0 CATHERINE SZENCZY SVP 0.0 0.0 X 373360 0 0 22500501 0 466342 217 true true false PRICEWATERHOUSE COOPERS LLP 300 Madison Avenue NEW YORK NY 10017 AUDIT/ACCOUNTING SVC 12080023 ERNST YOUNG PO BOX 933515 ATLANTA GA 311933515 PROJECT MGMT SVCS 7558877 CERASOLI STAFFORD MEDIA MGMT 2251 SAN DIEGO DRIVE SUITE A130 SAN DIEGO CA 92110 PROFESSIONAL SVCS 5241817 HEALTHY COMPANIES INTL HCI 2101 WILSON BLVD ARLINGTON VA 22201 CONSULTING SERVICES 2196403 KPMG LLP PO BOX 120002 DALLAS TX 753120940 ACCOUNTING SERVICES 2179277 75 1019863 107969 1127832 GREENSPRING FEE 900099 150137235 150137235 OTHER MANAGEMENT FEES 900099 16857837 16857837 NET PATIENT SERVICE REVENUE 621400 13413187 13413187 180408259 9534238 71017 9463221 0 0 0 0 0 8426172 287 8426172 287 8426459 8426459 0 0 0 REBATE INCOME 900099 2790697 2790697 OTHER INCOME/LOSS 900099 -126491 -126491 2664206 202160994 180408259 71017 20553886 X 0 0 0 0 18350480 18350480 0 68115652 68115652 0 1202115 1202115 14079058 14079058 4156960 4156960 0 8562999 8562999 1832878 1832878 0 1395584 1395584 0 39979298 39979298 8539748 8539748 2038228 2038228 0 0 4410998 4410998 1817463 1817463 0 392880 392880 1772684 1772684 0 1038785 1038785 56676 56676 MAINTENANCE 1466516 1466516 MED /SURG SUPPLIES 892666 892666 UTILITIES 638720 638720 FOOD SERVICES/SUPPLIES 522609 522609 -8329196 -8329196 172933801 171538217 0 1395584 311233317 395756224 75085572 121521077 0 0 9696650 13071528 0 0 0 0 0 0 495715 155631 2095563 2395801 36648736 12375687 15592378 24273049 0 0 1473028899 1393309846 0 0 135032599 133802599 151270352 90386591 2173531045 2174672346 212803427 234888512 0 0 2208943 288608 1197750639 1174084275 0 0 0 0 0 0 129838825 129838825 198603708 353037016 1741205542 1892137236 X 429445071 279704248 2880432 2830862 0 0 432325503 282535110 2173531045 2174672346 X 29227193 -64753840 -114263746 X false true X true false X X 23 BAY LIFE SERVICES INC 521496539 9 true 0 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 3 true 0 0 GOOD SAMARITAN NURSING CENTER INC 521672866 9 true 0 0 GS HOUSING INC 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 9 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 AMOUNT OF SUPPORT SUPPORT IS PROVIDED TO MEDSTAR HEALTH'S SUPPORTED ORGANIZATIONS IN THE FORM OF EQUITY TRANSFERS. DUE TO THE FREQUENCY OF THESE TRANSFERS AND THE LARGE NUMBER OF SUPPORTED ORGANIZATIONS THAT MEDSTAR HEALTH, INC. SUPPORTS, THE TOTAL EQUITY TRANSFERS LISTED ON SCHEDULE O, PART XI, LINE 9 HAVE NOT BEEN BROKEN OUT FOR EACH SUPPORTED ORGANIZATION. OTHER SUPPORT THE EXPENSES INCURRED BY MEDSTAR HEALTH, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 THE OFFICERS/DIRECTORS OF THE SUPPORTED ORGANIZATIONS HAVE A CLOSE AND CONTINUOUS RELATIONSHIP WITH MEDSTAR HEALTH, INC., AND THUS A SIGNIFICANT VOICE. KEN SAMET, THE PRESIDENT/CEO OF MEDSTAR HEALTH, INC., SERVES ON THE BOARD OF DIRECTORS OF MANY OF MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS. BECAUSE OF THIS, THE SUPPORTED ORGANIZATIONS ARE ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF MEDSTAR HEALTH AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 3A MEDSTAR HEALTH, INC. HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS OR DIRECTORS OF EACH OF ITS SUPPORTED ORGANIZATIONS. MEDSTAR HEALTH, INC. IS THE SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. ONE OF ITS SUPPORTED ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE SUPPORTED ORGANIZATION'S GOVERNING BODY, BUT ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE BOARD OF MEDSTAR HEALTH, INC. SCHEDULE A, PART IV, SECTION E, LINE 3B AS A PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM, MEDSTAR HEALTH, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. THE BYLAWS OF THESE SUPPORTED ORGANIZATIONS ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 790782 790782 false Other Activities The expenses incurred by the organization for lobbying activities reflects the total expenditures for lobbying efforts on behalf of substantially all subsidiaries and affiliates. These expenses included a portion of the compensation expense for several employees in the government affairs department of the organization who are involved in lobbying activities as well as the amounts paid to outside advocacy and consulting groups for their lobbying activities on behalf of the organization. The lobbying work related to healthcare policy issues at the federal level as well as work in Maryland and the District of Columbia. Among the policy issues encompassed by the organization's lobbying efforts were health care coverage for the uninsured and under-insured, emergency preparedness, reimbursement policies, employment practices, health reform, and other key issues. 1164963 1164963 1164183 472836 691347 5436533 4158227 1278306 14305268 7605246 6700022 14577789 139378 14438411 24273049 PNC POOL AND OTHER UNR. FUNDS 899240080 F INVESTMENT IN AFFILIATES 446833190 F BOARD DESIGNATED/OTHER RESTR. 47236576 F 1393309846 0 PENSION LIABILITY L/T 227472301 PROFESSIONAL LIAB. IBNR 21310038 L/T LIABILITY - SWAP 15089427 DEFERRED COMPENSATION 34997404 STOCK OPTION PLAN 6255208 OTHER LIABILITIES 7687184 INTERCOMPANY PAYABLES 38976739 WORKERS COMPENSATION 1248715 353037016 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. Central America and the Caribbean Investments 204588092 204588092 204588092 true false true false true false X true DIFFSTRAT COMPANIES INC 3349 SOUTHGATE COURT SW CEDAR RAPIDS IA 524045424 CONSULTING false 304806 ECHO COMMUNICATE INC 6100 SEAFORTH STREET BALTIMORE MD 21224 DIRECT MAIL VENDOR false 217580 THOMPSON ASSOCIATES 112 WESTWOOD PLACE SUITE 250 BRENTWOOD TN 37027 CONSULTING false 149729 ORR ASSOCIATES INC 2801 M STREET NW WASHINGTON DC 20007 CONSULTING false 141372 BLACKBAUD PO BOX 930256 ATLANTA GA 311930256 SOFTWARE false 128177 MCALLISTER QUINN LLC 1030 15TH STREET NW SUITE 590 WEST WASHINGTON DC 20005 GRANTS CONSULTING false 104300 MERKLE RESPONSE MGMT GROUP 100 JAMISON COURT HAGERSTOWN MD 21740 GIFT PROCESSING false 81713 WEALTH ENGINE INC PO BOX 674398 DETROIT MI 482674398 WEALTH SCREENING false 73200 BOB CARTER COMPANIES LLC 400 MADISON DRIVE SUITE 204 SARASOTA FL 34236 CONSULTING false 36021 ELLIOTT S OSHRY 6639 AYLESBORO AVENUE PITTSBURGH PA 15217 CONSULTING false 28304 1396484 MD SCHEDULE G, PART I The professional fundraising expenses incurred at MedStar Health, Inc. are for the use and benefit of each hospital and Foundation in the MedStar System. X X true true X X X X X X true false false false false false false false false KENNETH A SAMET CEO AND PRESIDENT 1689763 0 3167094 0 15851 0 45721 0 20676 0 4939105 0 0 0 MICHAEL J CURRAN EVP, CFO & TREASURER 1111909 0 1776653 0 0 0 13791 0 11343 0 2913696 0 0 0 WILLIAM THOMAS FORMER OFFICER 0 0 28339 0 241866 0 0 0 0 0 270205 0 0 0 STEPHEN EVANS EVP 765387 0 711810 0 9500 0 15876 0 28255 0 1530828 0 0 0 JOY DRASS EVP 1106293 0 1094030 0 1000000 0 28556 0 8941 0 3237820 0 0 0 CARL SCHINDELAR EVP 203782 0 246621 0 585815 0 7800 0 831 0 1044849 0 0 0 OLIVER M JOHNSON EVP & SECRETARY 560663 0 574410 0 0 0 7800 0 10202 0 1153075 0 0 0 ERIC WAGNER EVP 723583 0 712286 0 0 0 25369 0 8555 0 1469793 0 0 0 CHRISTINE SWEARINGEN EVP 445699 0 466351 0 0 0 37659 0 7479 0 957188 0 0 0 CATHERINE SZENCZY SVP 0 0 57081 0 316279 0 0 0 0 0 373360 0 0 0 DAVID NOE VP 393722 0 287503 0 0 0 16602 0 15008 0 712835 0 0 0 MARK SMITH VP 342575 0 102263 0 388502 0 25445 0 6994 0 865779 0 0 0 SUSAN NELSON VP 382907 0 300102 0 0 0 7800 0 19159 0 709968 0 0 0 MAUREEN MCCAUSLAND SVP 399451 0 290438 0 0 0 7800 0 15502 0 713191 0 0 0 DAVID MAYER VP 456291 0 290791 0 0 0 0 0 23621 0 770703 0 0 0 John Mclendon SVP 396004 0 181596 0 36153 0 0 0 20084 0 633837 0 0 0 EDWARD ROBINSON VP 393159 0 247979 0 0 0 7800 0 21673 0 670611 0 0 0 SCHEDULE J, PART I, LINE 1 SOCIAL CLUB DUES THE ORGANIZATION PAID SOCIAL CLUB DUES FOR TWO 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. HOUSING ALLOWANCE THE ORGANIZATION PAID A HOUSING STIPEND TO ONE OF ITS KEY EMPLOYEES FOR 6 MONTHS OF THE YEAR. SCHEDULE J, PART I, LINE 4A Catherine Szenczys Other reportable compensation in Part II, Column (B) (iii) includes $311,846 representing severance payments received by Ms. Szenczy. Carl Schindelar's other reportable compensation in Part II, column (b)(iii) includes $478,933 representing severance payments received by Mr. Schindelar . 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. A DISTRICT OF COLUMBIA 536001131 2548393Y7 2008-05-15 283137426 CURRENT REFUND BONDS ISSUED 1998 true false false B Higher Educational Facilities Authority 520936091 574218DY6 2011-11-17 47805502 CURRENT REFUND BANK DEBT false false false C Higher Educational Facilities Authority 520936091 574218EA7 2011-11-17 20477518 CURRENT REFUND BONDS ISSUED 1998 false false false A 0 111800000 283137423 0 0 283137423 0 0 0 0 0 0 1998 true false true true B 4485000 0 47805502 0 0 47171175 634327 0 0 0 0 0 2011 true false true true C 14290000 0 20477518 0 0 20235000 242518 0 0 0 0 0 1998 true false true true A 0 B false true true true false 0.01070 0.01070 true C 0 A false true true false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true A true B true C true Part II, Line 3, Column B: Amount over issue price is attributable to investment earnings. PART II, LINE 6, COLUMNS A, B, C, & D (SET 1): AMOUNT SHOWN IS TOTAL SALE PROCEEDS DEPOSITED TO ESCROW OR OTHERWISE USED TO REPAY REFUNDED BONDS. PART IV, LINE 2C, COLUMNS A, B, C, & D (SET 1): REBATE COMPUTED AS OF JULY 1, 2016. Part II, Line 6, COLUMNS A & B (SET 2): Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds. PART IV, LINE 2C, COLUMN A (SET 2): REBATE COMPUTED AS OF JULY 1, 2016. PART II, LINE 6, COLUMN D (SET 2): AMOUNT SHOWN IS TOTAL SALE PROCEEDS DEPOSITED TO ESCROW OR OTHERWISE USED TO REPAY REFUNDED BONDS. PART II, COLUMN C (SET 2): LINES 3, 5, 10, AND 12 INCLUDE PROCEEDS RECEIVED AT CLOSING PLUS INTEREST INCOME AND CHANGE IN FAIR MARKET VALUE OF THE UNDERLYING ASSETS, AS RECORDED ON THE ANNUAL TRUST STATEMENTS. A Higher Educational Facilities Authority 520936091 574218DY6 2011-11-17 15206131 CURRENT REFUND BONDS ISSUED 2009 false false false B Higher Educational Facilities Authority 520936091 999999999 2012-06-27 38620000 CURRENT REFUND BONDS ISSUED 1998 false false false C Higher Educational Facilities Authority 520936091 574218NS8 2013-03-21 75951460 HOSPITAL CAPITAL EXPENDITURES false false false D Higher Educational Facilities Authority 520936091 574218NU2 2013-03-21 52709030 CURRENT REFUND BONDS ISSUED 1998 false false false A 1000000 0 15206131 0 0 15003891 202240 0 0 0 0 0 1998 true false true true B 0 0 38620000 0 0 38620000 0 0 0 0 0 0 2011 true false true true C 0 0 76051608 0 5244775 0 0 0 0 63546006 0 6431646 false false false true D 0 0 52709030 0 0 52089134 619896 0 0 0 0 0 1998 true false true true A false false false false 0 false false false true B 0 C false false false false 0.00000 0.00000 false false false true D 0 A false true false false 0 false 0 false true B false true true false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true A Higher Educational Facilities Authority 520936091 574218PJ6 2013-05-21 159366620 ACQUISITION OF SOUTHER MARYLAND HO false false false B Higher Educational Facilities Authority 520936091 574218VB6 2015-02-11 410753755 CURRENT REFUND BONDS ISSUED 2004, false false false A 0 0 159366620 0 0 0 1376620 0 0 157990000 0 0 2013 true false true true B 0 0 410753755 0 0 407902189 2851566 0 0 0 0 0 2010 true true true true A false false false false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00700 0.00700 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true CERASOLI STAFFORD MEDIA MANAGEMENT SEE PART V 5241817 PROFESSIONAL SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV Cerasoli Stafford media management is a substantial contributor that also provided professional services to MedStar Health, Inc. Per MedStar Health's conflict of interest policy, all transactions between MedStar Health, Inc. and outside vendors are at arms-length for fair market value. PROCESS FOR REVIEWING FORM 990 PART VI, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. CONFLICT OF INTEREST PART VI, LINE 12C APPOINTMENT OF 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). 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 ADDITIONAL MINIMUM PENSION LIABILITY...........$ (126,137,050) EQUITY TRANSFERS - NET ASSETS..................$ 11,873,304 ============ TOTAL $ (114,263,746) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:21369898 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:14397569 FORM 990 PART IX LINE 11G DESCRIPTION:MISC FIXED PURCH SRVCS TOTAL FEES:1555358 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:610795 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES-OTHER TOTAL FEES:436626 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:423881 FORM 990 PART IX LINE 11G DESCRIPTION:PRINTING SERVICES TOTAL FEES:270194 FORM 990 PART IX LINE 11G DESCRIPTION:TESTING & DIAGNOSTIC SERVICES TOTAL FEES:232140 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICE FEES TOTAL FEES:230278 FORM 990 PART IX LINE 11G DESCRIPTION:DESIGN SERVICES TOTAL FEES:105079 FORM 990 PART IX LINE 11G DESCRIPTION:MISC FEES FOR SERVICES TOTAL FEES:347480 MEDSTAR SPORTSHEALTH LLC 10980 GRANTCHESTER WAY Columbia MD 21044 Healthcare MD 0 0 MEDSTHEALTH MEDSTAR LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 453113462 SUPPORT ORG MD 0 0 MEDSTHEALTH MEDSTAR SOUTHERN MD MANAGEMENT LLC 10980 GRANTCHESTER WAY Columbia MD 21044 462700536 SUPPORT ORG MD 16859300 0 MEDSTHEALTH Church Home Corporation 10980 GRANTCHESTER WAY Columbia MD 21044 237374724 Medical Fund MD 501(C)(3) PF NA true Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(C)(3) 3 NA true Harbor Hospital Inc 3001 South Hanover Street Baltimore MD 21225 520491660 Hospital MD 501(C)(3) 3 NA true Montgomery General Hospital 18101 Prince Philip Drive Olney MD 20832 520646893 Hospital MD 501(C)(3) 3 NA true The Good Samaritan Hospital of Maryland 5601 Loch Raven Blvd Baltimore MD 21239 520591607 Hospital MD 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) 11A I 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 NRH 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 NF NA true VNA Inc 4061 POWDERMILL ROAD SUITE 21 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 SUPPORTNG 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 INC 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) 3 NA true MEDSTAR HEALTH INC AND AFFILIATES MASTER 10980 GRANTCHESTER WAY COLUMBIA MD 21044 467454613 RETIREMENT TR MD 501(a) N/A NA true PHYSICIAN IMAGING OF WASHINGTON 6525 BELCREST ROAD SUITE G 50 Hyattsville MD 20782 562616090 LAB SERVICES MD NA false MedStar Pharmacies Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521513056 Drug Sales MD NA C Corp ExtenCare Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521556228 Medical Services MD NA C Corp Helix Resources Management Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521913070 Admin Services MD NA C Corp HelixCare Medical Group LLC 10980 GRANTCHESTER WAY Columbia MD 21044 521955580 Medical Services MD NA C Corp HelixCare Properties LLC 10980 GRANTCHESTER WAY Columbia MD 21044 521966695 Medical Services MD NA C Corp Parkway Ventures Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521893569 Holding Company MD NA C Corp Physicians Administrative Services Inc 10980 GRANTCHESTER WAY Columbia MD 21044 237042074 Billing Services MD NA C Corp MedStar Family Choice Inc 10980 GRANTCHESTER WAY Columbia MD 21044 521995521 Managed Care MD NA C Corp Medstar Enterprises Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522139841 Admin Services MD NA C Corp SiTeL Inc 10980 GRANTCHESTER WAY Columbia MD 21044 900753340 EDUCATIONAL SVCS MD NA C Corp Star Billing Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521850113 Billing Services MD NA C Corp Washington Risk Network Management Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522132677 Medical Services MD NA C Corp Washington Hospital Center Physician Hos 100 Irving Street NW Washington DC 20010 521931000 Medical Services MD NA C Corp Medstar Physician Partners Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522030809 Medical Services MD NA C Corp Franklin Square Drive Land Condo Associa 10980 GRANTCHESTER WAY Columbia MD 21044 760756352 CONDO OWNER ASSOC MD NA C Corp MGH Diversified Services Inc 18101 Prince Philip Drive Olney MD 20832 521943602 MEDICAL Services MD NA C Corp St Mary's Health Alliance Inc 25500 Point Lookout Road Leonardtown MD 20650 521930331 MEDICAL Services MD NA C Corp Greenspring Financial Insurance Limited 23 LIME TREE BAY AVENUE PO BOX 1051 KY1-1102 GRAND CAYMAN CJ 980188617 Insurance CJ NA C Corp ST MARY'S CONDO ASSOCIATION 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 273377216 CONDOMINIUMS MD NA C CORP MEDSTAR HEALTH INC - INVESTMENT FUND I 102 South Church St Grand Cayman CJ KY1-1002 981310273 INVESTMENTS CJ NA C CORP MEDSTAR HEALTH MASTER RETIREMENT TRUST 102 South Church St Grand Cayman CJ KY1-1002 999999999 INVESTMENTS CJ NA C CORP false true false false false false false false false false false true false false false true true false false FRANKLIN SQUARE HOSPITAL CENTER INC Q 2985093 FMV THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC Q 2296445 FMV Good Samaritan Nursing Center INC Q 4485205 FMV HARBOR HOSPITAL INC Q 1561413 FMV HelixCare Medical GROUP LLC Q 599002 FMV HH MedStar HEALTH INC Q 21149552 FMV MedStar Ambulatory Services INC Q 917539 FMV MedStar Family Choice INC Q 275050 FMV THE MedStar-Georgetown Medical Center INC Q 4052620 FMV MedStar Health Infusion INC Q 57994 FMV MedStar Health Research Institute Q 31889871 FMV MedStar Pharmacies INC Q 108880 FMV MedStar Health Visiting Nurse Association Q 484734 FMV MONTGOMERY GENERAL HOSPITAL Q 1629034 FMV NATIONAL REHABILITATION HOSPITAL INC Q 88890 FMV PARKWAY VENTURES INC Q 561012 FMV MEDSTAR SOUTHERN MD HOSPITAL CENTER INC Q 1247592 FMV ST MARY'S HOSPITAL OF ST MARY'S COUNTY Q 1236453 FMV THE Union Memorial Hospital Q 2003458 FMV WASHINGTON HOSPITAL CENTER CORPORATION Q 18949846 FMV WASHINGTON HOSPITAL CENTER PHYSICIAN HOSPITAL P 6545057 FMV