2016-05-16T16:46:56-05:00 2015-06-30 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2014-07-01 450519724 MARYLAND EMERGENCY MEDICINE NETWORK MARY 4103288025 110 SOUTH PACA STREET 6TH FLOOR BALTIMORE MD 21201 DR BRIAN BROWNE PRESIDENT 4103288025 2016-05-16 1 JULIA FLANNERY CPA P00928918 4102469300 2014 2016-08-17 19:52:53Z DR BRIAN BROWNE 110 SOUTH PACA STREET 6TH FLOOR BALTIMORE MD 21201 80232797 0 X WWW.UMEM.ORG X 2003 MD TO SUPPORT, COORDINATE, ENCOURAGE AND IMPLEMENT A STATEWIDE EMERGENCY MEDICINE NETWORK THAT WILL SERVE AS A NATIONAL MODEL FOR IMPROVING ACCESS TO EMERGENCY MEDICINE SERVICES THAT ARE PROVIDED BY BOARD-CERTIFIED PHYSICIANS AND EXPAND ACCESS TO THOSE IN NEED, TO THE POOR, TO THE UNDERINSURED AND MEDICALLY UNDERSERVED AREAS OF MARYLAND. 9 8 270 8 0 0 0 0 89026407 80221638 2212 0 44577 11159 89073196 80232797 1000000 785000 0 0 39036606 42435480 0 0 0 46978015 35186265 87014621 78406745 2058575 1826052 16565248 19494956 9868223 10971879 6697025 8523077 X TO FURTHER AND PROMOTE, EXCLUSIVELY FOR CHARITABLE AND SCIENTIFIC PURPOSES, THE DEVELOPMENT, COORDINATION AND IMPLEMENTATION OF A STATE-WIDE EMERGENCY MEDICINE NETWORK TO ELEVATE THE STANDARD OF CARE PROVIDED BY EMERGENCY MEDICINE PHYSICIANS IN RURAL, URBAN AND HISTORICALLY UNDERSERVED AREAS ACROSS THE STATE OF MARYLAND. 0 0 34014254 37498703 PROVISION OF SERVICES AT THE LAUREL REGIONAL HOSPITAL, PRINCE GEORGE'S HOSPITAL CENTER AND BOWIE HEALTH CAMPUS. STAFF THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS AND PHYSICIAN ASSISTANTS. 20251687 22980621 PROVISION OF SERVICES AT UPPER CHESAPEAKE MEDICAL CENTER AND HARFORD MEMORIAL HOSPITAL. STAFF THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS AND PHYSICIAN ASSISTANTS. 16640284 17950872 PROVISION OF SERVICES AT THE MEMORIAL HOSPITAL OF EASTON, DORCHESTER GENERAL HOSPITAL AND QUEEN ANNE'S EMERGENCY CENTER. STAFF THE EMERGENCY DEPARTMENTS AT ALL 3 HOSPITALS/CENTERS, 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGH QUALITY EMERGENCY MEDICINE PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS. 4761922 785000 1791442 OTHER 4761922 785000 1791442 75668147 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 16 0 1 270 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DR BRIAN BROWNE 4103288025 110 SOUTH PACA STREET 6TH FLOOR BALTIMORE MD 21201 DR BRIAN J BROWNE MD PRESIDENT/TRUSTEE 1.00 40.00 X X 0 326456 62687 DR LARRY WEISS MD TRUSTEE 1.00 X 0 0 0 CATHERINE MOCK TRUSTEE 1.00 X 0 0 0 RICHARD DICK VAN GELDER TRUSTEE 1.00 X 0 0 0 DEPRIEST WHYE MD JD TRUSTEE 1.00 X 0 0 0 FRAN HUTCHINSON TRUSTEE 1.00 X 0 0 0 JERRY CARR TRUSTEE 1.00 X 0 0 0 ANTHONY LEHMAN MD TRUSTEE 1.00 X 0 0 0 WILLIAM E TUCKER MBA CPA TRUSTEE 1.00 X 0 0 0 LAURA PIMENTEL CHIEF MEDICAL OFFICER 40.00 X 237527 0 24481 DANIEL GRIFFITH DIRECTOR OF FINANCE 24.00 16.00 X 136283 78619 10657 WALTER ATHA DIRECTOR 40.00 X 380012 0 40365 FERMIN BARRUETO DIRECTOR 40.00 X 448752 0 44702 STEVEN BENTMAN DIRECTOR 40.00 X 281175 0 44603 KIMMIE CASS DIRECTOR 40.00 X 228703 0 38766 TIMOTHY CHIZMAR DIRECTOR 40.00 X 273501 0 36619 FRANK CIOCCI DIRECTOR 40.00 X 395763 0 41722 BRANDON COLE DIRECTOR 40.00 X 278383 0 29624 DEBORAH DAVIS DIRECTOR 40.00 X 396189 0 44580 MICHAEL GIORDANO DIRECTOR 40.00 X 250612 0 39157 MICHAEL JOYCE DIRECTOR 40.00 X 383997 0 30523 THOMAS LYONS DIRECTOR 40.00 X 293790 0 19659 DOUGLAS MAYO DIRECTOR 40.00 X 393211 0 42347 HECTOR RIVERA DIRECTOR 40.00 X 315554 0 41766 LOU VEGA DIRECTOR 40.00 X 282444 0 28226 JANE WANG DIRECTOR 40.00 X 340336 0 41592 ESKINDER AFEWORK PHYSICIAN 30.00 X 383015 0 44015 ABDULAZIZ ALBURAIH PHYSICIAN 30.00 X 340195 0 21679 RAVIKIRAN CHERUKURI PHYSICIAN 30.00 X 366429 0 43740 LAURENCE EDELMAN PHYSICIAN 30.00 X 346142 0 29940 ERIC MANIAGO PHYSICIAN 30.00 X 328025 0 29848 7080038 405075 831298 181 0 1 0 REIMBURSEMENT TECHNOLOGIES INC 1000 RIVE ROAD SUITE 100 CONSHOHOCKEN PA 19428 PHYSICIAN BILLING 4339103 ESSIA HEALTH 21700 OXNARD STREET SUITE 620 WOODLAND CA 91367 SCRIBE SERVICES 737123 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM SERVICES 360467 LINDE HEALTHCARE STAFFING PO BOX 915241 DALLAS TX 75391 LOCUM SERVICES 257697 FORERUN INC 200 WEST STREET WALTHAM MA 02451 CLINICAL DOCUMENTATION 252344 11 PATIENT REVENUE 621990 72038343 72038343 ADMINISTRATIVE SERVICE 621990 8183295 8183295 80221638 OTHER INCOME 900099 11159 11159 11159 80232797 80221638 0 11159 785000 785000 5477275 5255366 221909 31236847 30148124 1088723 2074934 1986473 88461 1681125 1475499 205626 1965299 1860423 104876 233846 233846 56141 56141 5142488 5114135 28353 357594 357594 36348 27767 8581 644242 642761 1481 84650 84650 3383001 3222079 160922 PROVISION FOR BAD DEBTS 22601329 22601329 OVERHEAD 2345975 2318375 27600 RECRUITMENT/RELOCATION 233117 230816 2301 EMPLOYEE RELATIONS 63694 63694 3840 3840 78406745 75668147 2738598 0 8201558 10541913 61500 61500 7914343 8675101 387847 216442 6110 6110 0 0 16565248 19494956 7668620 9983108 2199603 988771 9868223 10971879 X 6697025 8523077 6697025 8523077 16565248 19494956 1826052 0 X 0 1 X 1 0 X 23685249 26690121 47343170 89026407 80221638 266966585 23685249 26690121 47343170 89026407 80221638 266966585 0 0 0 266966585 992 693 13001 2212 16898 992 693 13001 2212 16898 44577 11159 55736 23686241 26690814 47356171 89073196 80232797 267039219 0.99970 0.99970 0.00010 0.00010 X 6110 6110 0 0 X 57631468 -22601329 -22601329 80232797 0 80232797 55805416 0 55805416 22601329 22601329 78406745 PART X, LINE 2: THE COMPANY FOLLOWS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESS DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. THE COMPANY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND STATE OF MARYLAND. AS OF AND FOR THE YEAR ENDED JUNE 30, 2015, THERE ARE NO MATERIAL UNRECOGNIZED/DERECOGNIZED TAX BENEFITS OR TAX PENALTIES OR INTEREST. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL (STATE, LOCAL, OR NON- U.S.) INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -22,601,329. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 22,601,329. 1 UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES PA 110 SOUTH PACA STREET 6TH FLOOR SUITE 200 BALTIMORE MD 21201 521403415 501(C)(3) 785000 RESEARCH AND MEDICAL STUDENT SUPPORT 1 0 PART I, LINE 2: THE GRANT IS GIVEN TO A RELATED ORGNAIZATION AND THE BOARD MONITORS THE FUNDS THROUGH THE RELATED ORGANIZATION. X X X X 0 0 0 0 0 0 0 0 0 DR BRIAN J BROWNE MD PRESIDENT/TRUSTEE 0 254806 0 71650 0 0 0 20505 0 42182 0 389143 0 0 LAURA PIMENTEL CHIEF MEDICAL OFFICER 181730 0 55797 0 0 0 17692 0 6789 0 262008 0 0 0 DANIEL GRIFFITH DIRECTOR OF FINANCE 107283 78619 29000 0 0 0 10185 0 472 0 146940 78619 0 0 WALTER ATHA DIRECTOR 335012 0 45000 0 0 0 18000 0 22365 0 420377 0 0 0 FERMIN BARRUETO DIRECTOR 416321 0 32431 0 0 0 19500 0 25202 0 493454 0 0 0 STEVEN BENTMAN DIRECTOR 214998 0 66177 0 0 0 19500 0 25103 0 325778 0 0 0 KIMMIE CASS DIRECTOR 194813 0 33890 0 0 0 17540 0 21226 0 267469 0 0 0 TIMOTHY CHIZMAR DIRECTOR 237997 0 35504 0 0 0 19500 0 17119 0 310120 0 0 0 FRANK CIOCCI DIRECTOR 292773 0 102990 0 0 0 19500 0 22222 0 437485 0 0 0 BRANDON COLE DIRECTOR 228026 0 50357 0 0 0 19500 0 10124 0 308007 0 0 0 DEBORAH DAVIS DIRECTOR 284949 0 111240 0 0 0 19500 0 25080 0 440769 0 0 0 MICHAEL GIORDANO DIRECTOR 196619 0 53993 0 0 0 19043 0 20114 0 289769 0 0 0 MICHAEL JOYCE DIRECTOR 320774 0 63223 0 0 0 9100 0 21423 0 414520 0 0 0 THOMAS LYONS DIRECTOR 241776 0 52014 0 0 0 9100 0 10559 0 313449 0 0 0 DOUGLAS MAYO DIRECTOR 328435 0 64776 0 0 0 19500 0 22847 0 435558 0 0 0 HECTOR RIVERA DIRECTOR 230325 0 85229 0 0 0 23816 0 17950 0 357320 0 0 0 LOU VEGA DIRECTOR 233184 0 49260 0 0 0 9100 0 19126 0 310670 0 0 0 JANE WANG DIRECTOR 257736 0 82600 0 0 0 19500 0 22092 0 381928 0 0 0 ESKINDER AFEWORK PHYSICIAN 250743 0 132272 0 0 0 19500 0 24515 0 427030 0 0 0 ABDULAZIZ ALBURAIH PHYSICIAN 267288 0 72907 0 0 0 19136 0 2543 0 361874 0 0 0 RAVIKIRAN CHERUKURI PHYSICIAN 288613 0 77816 0 0 0 19500 0 24240 0 410169 0 0 0 LAURENCE EDELMAN PHYSICIAN 281886 0 64256 0 0 0 19500 0 10440 0 376082 0 0 0 ERIC MANIAGO PHYSICIAN 275828 0 52197 0 0 0 9100 0 20748 0 357873 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 ALL MEMBERS OF THE GOVERNING BODY RECEIVE A COPY OF FROM 990 BY EMAIL AND AT THE BOARD MEETING PRECEDING THE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO DIRECTORS AND OFFICERS OF MEMN. A VOLUNTEER IS ALSO COVERED UNDER THIS POLICY IF THAT PERSON HAS BEEN GRANTED SIGNIFICANT INDEPENDENT DECISION MAKING AUTHORITY WITH RESPECT TO FINANCING OR OTHER RESOURCES OF MEMN. PERSONS COVERED UNDER THIS POLICY ARE HEREINAFTER REFERRED TO AS "INTERESTED PARTIES." WHENEVER THERE IS REASON TO BELIEVE THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS BETWEEN MEMN AND/OR AN INTERESTED PARTY, THE BOARD OF DIRECTORS SHALL DETERMINE THE APPROPRIATE ORGANIZATIONAL RESPONSE. WHERE THE ACTUAL OR POTENTIAL CONFLICT INVOLVES AN EMPLOYEE OF MEMN OTHER THAN THE CEO, THE CEO SHALL, IN THE FIRST INSTANCE, BE RESPONSIBLE FOR REVIEWING THE MATTER AND MAY TAKE APPROPRIATE ACTION AS NECESSARY TO PROTECT THE INTEREST OF MEMN. THE CEO SHALL REPORT TO THE CHAIRMAN THE RESULTS OF ANY REVIEW AND THE ACTION TAKEN. THE CHAIRMAN, IN CONSULTATION WITH THE AUDIT COMMITTEE, SHALL DETERMINE IF ANY FURTHER BOARD REVIEW OR ACTION IS REQUIRED. WHERE AN ACTUAL OR POTENTIAL CONFLICT EXISTS BETWEEN THE INTEREST OF MEMN AND AN INTERESTED PARTY WITH RESPECT TO A SPECIFIC PROPOSED ACTION OR TRANSACTION, MEMN SHALL REFRAIN FROM THE PROPOSED ACTION OR TRANSACTION UNTIL SUCH TIME AS THE PROPOSED ACTION OR TRANSACTION HAS BEEN APPROVED BY THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMN. AN INTERESTED PARTY WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED ACTION OR TRANSACTION FOR MEMN SHALL NOT PARTICIPATE IN ANY WAY IN, OR BE PRESENT DURING, THE DELIBERATIONS AND DECISION MAKING OF MEMN WITH RESPECT TO ANSWERING QUESTIONS OR PROVIDING MATERIAL FACTUAL INFORMATION ABOUT THE PROPOSED ACTION OR TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, A COMPENSATION COMMITTEE REVIEWS AND DOCUMENTS THE CURRENT MARKET, COMPENSATION SURVEYS AND AN INDEPENDANT COMPENSATION CONSULTANT TO DETERMINE COMPENSATION FOR THE COMPANY'S EXECUTIVE LEADERSHIP. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABE TO THE PUBLIC UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). EASTERN SHORE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522147800 EM PHYSICIAN SERVICE MD 17950872 3130408 MARYLAND EMERGENCY MEDICINE NETWORK INC UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 520608005 EM PHYSICIAN SERVICE MD 22980621 4629521 MARYLAND EMERGENCY MEDICINE NETWORK INC MARYLAND EMERGENCY MEDICINE NETWORK PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 352439501 EM PHYSICIAN SERVICE MD 37498703 7029117 MARYLAND EMERGENCY MEDICINE NETWORK INC EMERGENCY MEDICINE NETWORK MANAGEMENT LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522157140 EM SERVICE MANAGEMENT MD 304436 160650 MARYLAND EMERGENCY MEDICINE NETWORK INC MARYLAND EMERGENCY MEDICINE CRITICAL CARE LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 274549948 EM SERVICE WEBCAST MD 11159 4220 MARYLAND EMERGENCY MEDICINE NETWORK INC WASHINGTON COUNTY EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522095874 EM PHYSICIAN SERVICE MD 663 5633 MARYLAND EMERGENCY MEDICINE NETWORK INC WEST BALTIMORE EMERGENCY MEDICINE PHYSICIANS LLC 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 522147801 EM PHYSICIAN SERVICE MD 1486343 427940 MARYLAND EMERGENCY MEDICINE NETWORK INC UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES PA 110 SOUTH PACA ST 6TH FLR STE 200 BALTIMORE MD 21201 521403415 ACADEMIC EM PROGRAM MD 501(C)(3) LINE 9 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0