MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC (EIN 46-0726303)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-06
- IRS object ID
- 201511269349301771
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-06T15:32:10-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1676 International Drive | AddressLine1 |
| City | McLean | City |
| State | VA | State |
| ZIP Code | 22102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460726303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR SOUTHERN MD HOSPITAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOEL BRYAN | InCareOfNm |
| Business Name Control | MEDS | BusinessNameControlTxt |
| Phone | 3018688000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7503 SURRATTS ROAD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | CLINTON | City |
| State | MD | State |
| ZIP Code | 20735 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joel Bryan | PersonNm |
| Person Title | Vice President/Treasurer | PersonTitleTxt |
| Phone | 4107726721 | PhoneNum |
| Signature | 2015-04-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Margaret A Bradshaw | PreparerPersonNm |
| PTIN | P00501222 | PTIN |
| Phone | 4107726721 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael J Chiaramonte | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7503 Surratts Road | AddressLine1 |
| City | Clinton | City |
| State | MD | State |
| ZIP Code | 20735 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $213,884,566 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | MEDSTAR SOUTHERN MD HOSPITAL CENTER UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 1759 | TotalEmployeeCnt |
| Total Volunteers | 66 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $94,533 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $119,582,097 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $212,576,821 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,918 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,888 | CYInvestmentIncomeAmt |
| PY Other Revenue | $645,997 | PYOtherRevenueAmt |
| CY Other Revenue | $1,190,324 | CYOtherRevenueAmt |
| PY Total Revenue | $120,243,012 | PYTotalRevenueAmt |
| CY Total Revenue | $213,884,566 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,730,203 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $106,879,552 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $61,920,600 | PYOtherExpensesAmt |
| CY Other Expenses | $96,666,698 | CYOtherExpensesAmt |
| PY Total Expenses | $126,650,803 | PYTotalExpensesAmt |
| CY Total Expenses | $203,546,250 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,407,791 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,338,316 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $139,355,996 | TotalAssetsBOYAmt |
| Total Assets EOY | $178,459,823 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $63,015,706 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $91,776,999 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $76,340,290 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $86,682,824 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER'S (MEDSTAR SOUTHERN MARYLAND) MISSION IS TO UPHOLD ITS COMMITMENT TO THE COMMUNITY BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING FISCAL INTEGRITY. MEDSTAR SOUTHERN MARYLAND IS LOCATED IN SOUTHERN PRINCE GEORGE'S COUNTY, MARYLAND. IN FISCAL YEAR 2014, MSMHC HAD 14,655 INPATIENT ADMISSIONS, 85,180 OUTPATIENT VISITS, AND 59,775 EMERGENCY VISITS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $165,231,948 | ExpenseAmt |
| Revenue | $212,576,821 | RevenueAmt |
| Desc | MedStar Southern Maryland Hospital Center's largest program is access to and the provision of acute hospital services to the communities of Prince George's, Charles and Calvert County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Southern Maryland incurred $31.6M of management and general expenses in providing services to its communities. The hospital offers a full range of services and is known for its cardiovascular and orthopaedic programs. The hospital also has a Newborn Center, which includes an obstetrics and gynecology program with private rooms; it is the Southern Maryland region's only Level 2 special care nursery. Other specialty services include an emergency department and critical care unit, breast health program, outpatient radiology, surgical center, sleep disorders lab, inpatient and outpatient behavioral health programs, asthma and allergy center, rehabilitative medicine, and cancer treatment services. MedStar Southern Maryland has an accredited Chest Pain Center and a Primary Stroke Center. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,717,847 | ExpenseAmt |
| Desc | MedStar Southern Maryland Hospital Center provided $3.7M in charity care services in fiscal year 2014. Charity care is provided pursuant to MedStar Health's Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Maryland's unique payer system, the amount reported represents MSMHC's charity care expense and revenues represent direct payments from the state's charity care pool. Other charity care expenses are indirectly reimbursed via the state of Maryland's payment system. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,949,003 | ExpenseAmt |
| Desc | MedStar Southern Maryland Hospital Center provided $2.9M in health professions education in fiscal year 2014. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $171,898,798 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 748 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1759 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Phone | 4107726721 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5565 STERRETT PLACE 5TH FLOOR | AddressLine1 |
| City | Columbia | City |
| State | MD | State |
| ZIP Code | 21044 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Kenneth A Samet | |||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $3,334,799 | $61,007 | |||
| M Joy Drass MD | |||||||||
| Director/Vice Chair | 1.0 | 39.0 | Yes (X) | $0 | $1,613,176 | $42,101 | |||
| Maureen P McCausland | |||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $612,067 | $30,312 | |||
| Oliver M Johnson II | |||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $906,460 | $26,644 | |||
| Stephen RT Evans MD | |||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $914,704 | $41,300 | |||
| Michael J Curran | |||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $1,839,532 | $33,533 | |||
| Edward S Civera | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| John R Kirkpatrick MD | |||||||||
| Director | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| William J Oetgen Jr | |||||||||
| Director | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| William R Roberts | |||||||||
| Director | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael J Chiaramonte | |||||||||
| President/Director | 40.0 | Yes (X) | $1,115,659 | $0 | $10,395 | Yes (X) | |||
| CHARLES STEWART | |||||||||
| VICE PRESIDENT AND CFO | 40.0 | $550,000 | $0 | $20,519 | Yes (X) | ||||
| Scott Eleff | |||||||||
| PHYSICIAN | 40.0 | $535,019 | $0 | $28,124 | Yes (X) | ||||
| Louis Mavromatis | |||||||||
| PHYSICIAN | 40.0 | $308,164 | $0 | $26,590 | Yes (X) | ||||
| Ashok Roy | |||||||||
| PHYSICIAN | 40.0 | $266,878 | $0 | $21,983 | Yes (X) | ||||
| Patricia Scalfari | |||||||||
| PHYSICIAN | 40.0 | $258,535 | $0 | $16,831 | Yes (X) | ||||
| Jane Raymond | |||||||||
| PHYSICIAN | 40.0 | $252,843 | $0 | $25,916 | Yes (X) | ||||
| JAMES SUMNER | |||||||||
| FORMER OFFICER | 40.0 | $280,297 | $0 | $7,500 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,567,395 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,220,738 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $392,755 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Benefit Administrators | |||||
| 9999 Brewster Lane Ste 100 | POWELL | OH | 43065 | Benefit Services | $6,689,120 |
| GE Medical Systems | |||||
| 3000 Grandview Blvd | WAUKESHA | WI | 53188 | medical services | $1,911,186 |
| Fastaff LLC | |||||
| 6399 S Fiddlers Green Circle Ste | GREENWOOD VILLAGE | CO | 80111 | staffing services | $1,662,424 |
| Nurse Finders | |||||
| 8701 Georgia Ave | SILVER SPRING | MD | 20910 | staffing services | $1,430,590 |
| Colony South Hotel | |||||
| 7401 Surratts Rd | CLINTON | MD | 20735 | catering/conf svcs | $1,273,803 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $94,533 | AllOtherContributionsAmt |
| Total Contributions | $94,533 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $212,576,821 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $212,576,821 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $212,576,821 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,958 | TotalRevenueColumnAmt |
| Exclusion | $21,958 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $930 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $930 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $930 | TotalRevenueColumnAmt |
| Exclusion | $930 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 900099 | $409,402 | $409,402 |
| TELEPHONE | 900099 | $307,383 | $307,383 |
| GIFT SHOP SALES | 900099 | $257,393 | $257,393 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $216,146 | TotalRevenueColumnAmt |
| Exclusion | $216,146 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,190,324 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $213,884,566 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $212,576,821 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,213,212 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,126,054 | TotalAmt |
| Program Services | $927,707 | ProgramServicesAmt |
| Management And General | $198,347 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,612,582 | TotalAmt |
| Program Services | $73,831,323 | ProgramServicesAmt |
| Management And General | $15,781,259 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,541,320 | TotalAmt |
| Program Services | $7,821,851 | ProgramServicesAmt |
| Management And General | $1,719,469 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,599,596 | TotalAmt |
| Program Services | $5,410,349 | ProgramServicesAmt |
| Management And General | $1,189,247 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,627 | TotalAmt |
| Management And General | $93,627 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,225 | TotalAmt |
| Program Services | $207,250 | ProgramServicesAmt |
| Management And General | $173,975 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,914,672 | TotalAmt |
| Program Services | $20,356,906 | ProgramServicesAmt |
| Management And General | $3,557,766 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,364 | TotalAmt |
| Management And General | $535,364 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,406,565 | TotalAmt |
| Program Services | $1,848,615 | ProgramServicesAmt |
| Management And General | $557,950 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,721,101 | TotalAmt |
| Management And General | $2,721,101 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,832 | TotalAmt |
| Program Services | $356,255 | ProgramServicesAmt |
| Management And General | $224,577 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,880 | TotalAmt |
| Program Services | $41,444 | ProgramServicesAmt |
| Management And General | $15,436 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,770,623 | TotalAmt |
| Program Services | $7,770,623 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,303,638 | TotalAmt |
| Program Services | $11,303,638 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,162,017 | TotalAmt |
| Program Services | $3,947,359 | ProgramServicesAmt |
| Management And General | $214,658 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED /SURG SUPPLIES | $21,709,260 | $21,495,544 | $213,716 |
| DRUGS/PHARMACEUTICALS | $6,810,531 | $6,792,878 | $17,653 |
| IMPLANTS/PROSTHESES | $5,248,755 | $5,248,755 | |
| Utilities | $2,246,027 | $1,994,760 | $251,267 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,725,581 | TotalAmt |
| Program Services | $2,543,541 | ProgramServicesAmt |
| Management And General | $4,182,040 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,546,250 | TotalAmt |
| Program Services | $171,898,798 | ProgramServicesAmt |
| Management And General | $31,647,452 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,658,141 | BOYAmt |
| EOY | $41,061,103 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,970,776 | BOYAmt |
| EOY | $36,484,195 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,102,583 | BOYAmt |
| EOY | $4,147,353 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,418,314 | BOYAmt |
| EOY | $2,060,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $76,064,110 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,081,336 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,782,889 | BOYAmt |
| EOY | $60,982,774 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,742,500 | BOYAmt |
| EOY | $33,758,215 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,680,793 | BOYAmt |
| EOY | -$34,313 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,355,996 | BOYAmt |
| EOY | $178,459,823 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,775,237 | BOYAmt |
| EOY | $3,590,502 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,240,469 | BOYAmt |
| EOY | $88,186,497 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,015,706 | BOYAmt |
| EOY | $91,776,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,340,290 | BOYAmt |
| EOY | $86,682,824 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,340,290 | BOYAmt |
| EOY | $86,682,824 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,355,996 | BOYAmt |
| EOY | $178,459,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,338,316 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4,218 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,250,000 | OtherCostOrOtherBasisAmt |
| Book Value | $6,250,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,100,914 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,529,776 | DepreciationAmt |
| Book Value | $27,571,138 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,804,216 | OtherCostOrOtherBasisAmt |
| Depreciation | $218,711 | DepreciationAmt |
| Book Value | $2,585,505 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,538,277 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,332,849 | DepreciationAmt |
| Book Value | $22,205,428 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,370,703 | OtherCostOrOtherBasisAmt |
| Book Value | $2,370,703 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $60,982,774 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $54,123,973 |
| ACCRUED SALARIES, WAGES & BENEFITS | $7,333,185 |
| AMOUNTS DUE TO THIRD PARTY PAYORS | $9,799,888 |
| OTHER LIABILITIES | $16,929,451 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $88,186,497 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | 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, 2014. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,717,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,717,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01830 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,717,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,717,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01830 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,070,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,034 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,069,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,949,003 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,949,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01450 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,065,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,920,354 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,145,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,900 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,139,593 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,921,388 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,218,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,857,440 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,921,388 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,936,052 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04880 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,439 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,439 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,761 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,387 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $133,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,032,345 | BadDebtExpenseAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR SOUTHERN MD HOSPITAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7503 SURRATTS ROAD | AddressLine1 |
| City | CLINTON | City |
| State | MD | State |
| ZIP Code | 20735 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR SOUTHERN MD HOSPITAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MEDSTARHEALTH.ORG/MSMHC | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST | PART I, LINE 7 MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES. BAD DEBT PART III, 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 THE AMOUNT REPORTED ON PART III, LINE 6 WAS DETERMINED USING THE COST DATA FROM THE FY 2012 MEDICARE COST REPORT. DEBT COLLECTION POLICY PART III, LINE 9 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. CHNA INPUT Part V, Section B, Line 3 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: Danielle A. Grimes, Community Liaison 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: Richard Ardery, VP of Marketing, Philanthropy and Community Relations 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: AFFLIATION HOSPITAL WITH HOSPITAL EMPLOYEE (i.e., board (yes/no) member,volun- teer, community advocate,staff) Pamela Creekmur Health Officer Prince George's NO County Health Department Ernest Carter Deputy Health Prince George's NO Officer COUNTY HEALTH Department Rev. Dr. Harry Reverend Union BethelA.M.E NO Seawright CHURCH, BRANDYWINE, MD Beatrice Municipal Liaison Office to the NO Tignor, Ed.D County Executive Tara Saggar MD Physician MSMHC YES Anoop Kumar MD Physician Medical Emergency NO Professionals Carolyn Lowe Coordinator District V NO Coffee Club Rose Dodson Community Outreach MSMHC YES Manager Janice Wilson CHAIRMAN OF THE BAORD SOUTHERN MD NO BLACK CHAMBER OF COMMERCE MELONY GRIFFITH VP OF GOVERNMENT AND GREATER BADEN NO EXTERNAL AFFAIRS MEDICAL SERVICES REV. WILLIE HUNT REVEREND COALITION OF NO METROPOLITAN MINISTER'S ALLIANCE DIANE WILSON LOCAL RESIDENT CLINTON, MD NO (STROKE SURVIVOR) RONNIE BARNESBEY LOCAL RESIDENT FORT, WASHINGTON, MD(STROKE SURVIVOR)NO VEDA BELTON, RN COMMUNITY HEALTH COALITION OF NO COORDINATOR METROPOLITAN MINISTER'S ALLIANCE DIANE PROCTOR CIVIC LEADER GS PROCTOR AND NO ASSOCIATES LINDA GOTTFRIED DIRECTOR OF MSMHC YES PHILANTHROPY |
| NEEDS ASSESSMENT | PART V, SECTION B, LINE 7 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. PART VI, LINE 2 In FY13, MedStar Southern Maryland Hospital Center 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 hospital's CHNA was led by seven Advisory Task Force (ATF) members, which was comprised of a diverse group of individuals, including grassroots activists, community residents, hospital representatives, and public health leaders. The ATF reviewed quantitative and qualitative community health data, as well as local, regional, and national health goals. Based on their findings, the ATF 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 ATF's recommendation, the hospital identified Clinton, Md., (ZIP code 20735) 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 obesity, hypertension, and diabetes prevention efforts. The hospital's FY13 CHNA and 3-year Implementation Strategy was endorsed by MedStar Southern Maryland's Board of Directors and approved by the MedStar Health Board of Directors. The document became available on the hospital's official website on June 30, 2013. As a proud member of MedStar Health, representatives from MedStar Southern Maryland Hospital Center 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 REGION'S 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 OR 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 HEALTH'S FACILITIES WILL WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTH'S FACILITIES WILL ASSIST 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 ENROLLMENT IN PUBLICLY-FUNDED PROGRAMS FOR THE UNINSURED (E.G., D.C. HEALTHCARE ALLIANCE). " 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 MEDSTAR HEALTH FACILITY (IN COOPERATION AND CONSULTATION WITH THE FINANCE DIVISION OF MEDSTAR HEALTH) WILL SPECIFY THE COMMUNITIES IT SERVES BASED ON THE GEOGRAPHIC AREAS IT HAS SERVED HISTORICALLY FOR THE PURPOSE OF IMPLEMENTING THIS POLICY. EACH FACILITY WILL POST 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, WILL COMMUNICATE THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND WILL MAKE A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. 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 WILL NOT BE 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 HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. " WORKING WITH THE FACILITY'S FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S 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 FACILITY'S FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENT'S CIRCUMSTANCES MAY CHANGE. |
| COMMUNITY INFORMATION | PART VI, LINE 4 PRINCE GEORGE'S COUNTY PRINCE GEORGE'S COUNTY WAS ESTABLISHED IN THE 17TH CENTURY AND ENCOMPASSES A MIX OF URBAN, SUBURBAN, AND RURAL COMMUNITIES. THE COUNTY IS PREDOMINATELY AFRICAN AMERICAN WITH AN INCREASING HISPANIC, IMMIGRANT, AND NON-ENGLISH SPEAKING POPULATION. MINORITIES ACCOUNT FOR 79 PERCENT OF THE COUNTY'S POPULATION. A LARGE RANGE OF HEALTH ISSUES SIGNIFICANTLY AFFECT THE RESIDENTS OF PRINCE GEORGE'S COUNTY. THE LEADING CAUSE OF DEATH IS CARDIOVASCULAR DISEASE, CURRENTLY AFFECTING 28 PERCENT OF RESIDENTS. THE COUNTY'S AGE-ADJUSTED DEATH RATE FROM CARDIOVASCULAR DISEASE IS 280.4 PER 100,000 POPULATION-SIGNIFICANTLY HIGHER THAN MARYLAND'S RATE OF 252.8 PER 100,000 POPULATION (DHMH VITAL STATISTICS ADMINISTRATION AND FAMILY HEALTH ADMINISTRATION). ACCORDING TO THE 2012 COUNTY HEALTH RANKINGS, 16 PERCENT OF ADULTS IN PRINCE GEORGE'S COUNTY, AGES 19 AND OLDER, SMOKE, WHICH CAN ALSO HAVE A NEGATIVE EFFECT ON CARDIAC HEALTH OUTCOMES. OBESITY IS ALSO A SIGNIFICANT ISSUE AMONG RESIDENTS. ACCORDING TO THE 2010 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM DATA, 70 PERCENT OF RESIDENTS ARE OVERWEIGHT OR OBESE; THE HIGHEST IN THE STATE AND NATION. DIABETES, TOBACCO USE AND OTHER CARDIOVASCULAR DISEASE-RELATED RISK FACTORS ARE ALSO PREVALENT AMONG THE POPULATION. THE AGE-ADJUSTED DEATH RATE FOR DIABETES IN THE COUNTY (AFRICAN AMERICAN: 47.1 PER 100,000 POPULATION AFRICAN AMERICAN; WHITE: 21.9 PER 100,000 POPULATION) IS NOTABLY HIGHER THAN MARYLAND (AFRICAN AMERICAN: 34.3 PER 100,000 POPULATION; WHITE: 21.7 PER 100,000 POPULATION). DESPITE THE HIGH DEMAND FOR HEALTHCARE IN THE COMMUNITY, PRINCE GEORGE'S COUNTY IS EXPERIENCING A SHORTAGE OF PRIMARY CARE PHYSICIANS AND SPECIALISTS. THE MAJORITY ARE CONCENTRATED IN MORE AFFLUENT AREAS OF THE COUNTY, LIMITING ACCESS IN LOWER INCOME COMMUNITIES. ACCESS TO EMERGENCY CARE IS ADEQUATE-PRINCE GEORGE'S COUNTY HOUSES SEVERAL HOSPITALS SERVING ITS RESIDENTS. HEALTHCARE FOR UNINSURED AND UNDERINSURED RESIDENTS IS LIMITED-FEW RESOURCES ARE AVAILABLE TO SERVE THESE POPULATIONS. CHARLES COUNTY WITHIN THE PAST DECADE, CHARLES COUNTY HAS BECOME MORE DIVERSE, WITH SIGNIFICANT INCREASES IN THE AFRICAN AMERICAN AND HISPANIC POPULATIONS. THE COUNTY'S ONCE RURAL GEOGRAPHY IS RAPIDLY EVOLVING INTO A MORE SUBURBAN AREA, WITH AN INCREASED PRESENCE OF COMMERCIAL AND RESIDENTIAL DWELLINGS. HEALTH ISSUES IN CHARLES COUNTY ARE CONSISTENT WITH THOSE IDENTIFIED IN PRINCE GEORGE'S. OBESITY, DIABETES, TOBACCO USE, AND OTHER RISK FACTORS RELATED TO CARDIOVASCULAR DISEASE ARE COMMON AMONG CHARLES COUNTY RESIDENTS. OF THE ADULT POPULATION, 70.6 PERCENT ARE OVERWEIGHT, COMPARED TO 29.4 PERCENT OF PERSONS OF A HEALTHY WEIGHT (MD BRFSS, 2010). THE AGE-ADJUSTED DEATH RATE FOR DIABETES IN THE COUNTY IS 34.1 PER 100,000 POPULATION (MD VITAL STATISTICS REPORT, 2009). THE HIGH PREVALENCE OF OBESITY IS A CONTRIBUTING FACTOR TO CHARLES COUNTY'S HIGH DIABETES DEATH RATE. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN CHARLES COUNTY. THE AGE-ADJUSTED DEATH RATE FROM HEART DISEASE IS 228.5 PER 100,000 (MD VITAL STATISTICS REPORT, 2009). OBESITY AND DIABETES ARE TWO LEADING CONTRIBUTING FACTORS TO HEART DISEASE INCIDENCE. |
| Promotion of community health | Part VI, line 5 AS A COMMUNITY PARTNER, MEDSTAR SOUTHERN MARYLAND ENGAGES IN A NUMBER OF COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. THE COMMUNITY OUTREACH DEPARTMENT PARTICIPATES IN LOCAL COMMUNITY HEALTH EVENTS AND HOSTS FREE HEALTH EXPOS, SCREENINGS, AND EDUCATIONAL SEMINARS AND PROGRAMS. THE HOSPITAL PARTNERS WITH LOCAL FAITH-BASED ORGANIZATIONS, SENIOR CENTERS, AND ASSISTED LIVING FACILITIES TO SUPPORT COMMUNITY HEALTH INITIATIVES. THE SERVICES OFFERED ARE TAILORED TO THE SPECIFIC NEEDS OF THE COMMUNITY. SUCH SERVICES MAY INCLUDE: HEALTH EDUCATION, BLOOD PRESSURE AND FULL LIPID PANEL SCREENINGS, AND CARDIAC AND DIABETES RISK ASSESSMENTS. SEASONAL SERVICES MAY ALSO INCLUDE FLU IMMUNIZATIONS. SERVICES ARE PROVIDED FREE OF CHARGE, REGARDLESS OF AGE, GENDER, ETHNICITY OR ECONOMIC STATUS. SUPPORT GROUPS ARE OFFERED TO PROVIDE EDUCATIONAL AND EMOTIONAL SUPPORT TO INDIVIDUALS AND FAMILIES FACING HEALTH CHALLENGES SUCH AS STROKE, PROSTATE CANCER, DIABETES, MENTAL HEALTH AND LUPUS. THE COMMUNITY OUTREACH DEPARTMENT ALSO OFFERS A DAILY MALL WALKER PROGRAM FOR SENIOR CITIZENS. THE PROGRAM IS DESIGNED TO ENCOURAGE INCREASED PHYSICAL ACTIVITY BY PROVIDING PARTICIPANTS WITH A SAFE AND FRIENDLY ENVIRONMENT TO GET ACTIVE. FREE BLOOD PRESSURE SCREENINGS ARE ALSO AVAILABLE FIVE DAYS A WEEK. ONCE A MONTH, A HEALTH PROFESSIONAL FACILITATES AN EDUCATIONAL SEMINAR FOR MALL WALKERS. TOPICS ARE BASED UPON THE INTERESTS OF THE GROUP. PREVENTATIVE PROGRAMS ARE IMPLEMENTED BY THE HOSPITAL AND ARE AVAILABLE FREE OF CHARGE TO THE COMMUNITY. THE CONTENT AND STRUCTURE OF THE PROGRAMS FOCUS ON DISEASE PREVENTION AND HEALTH MAINTENANCE. SCREENINGS AND HEALTH EDUCATION ARE INCORPORATED TO PROMOTE HEALTHY LIFESTYLES. THE DAILY MALL WALKER PROGRAM IS DESIGNED TO INCREASE PHYSICAL ACTIVITY BY PROVIDING PARTICIPANTS WITH A SAFE AND FRIENDLY ENVIRONMENT. FREE BLOOD PRESSURE SCREENINGS ARE ALSO AVAILABLE FIVE DAYS A WEEK. ONCE A MONTH, A HEALTH PROFESSIONAL FACILITATES AN EDUCATIONAL SEMINAR FOR MALL WALKERS. TOPICS ARE BASED UPON THE INTERESTS OF THE GROUP. THE HOSPITAL HOSTS AN ANNUAL FREE HEART AND DIABETES HEALTH EXPO. COMMUNITY MEMBERS ARE PROVIDED WITH FREE SCREENINGS, HEALTH EDUCATION, AND HEALTHY COOKING AND FITNESS DEMONSTRATIONS. AVAILABLE FOR CHILDREN IS THE TEDDY BEAR ER CLINIC. THE CLINIC WAS DESIGNED TO ENGAGE CHILDREN IN THINKING ABOUT THEIR HEALTH AND THE ROLE OF HOSPITALS IN THEIR COMMUNITY. |
| Affiliated health care system | Part VI, line 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DIVISION IDENTIFIES PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. |
| State filing of community benefit report | Part VI, line 7 THE COMMUNITY BENEFIT REPORT FOR MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER IS ONLY FILED IN THE STATE OF MARYLAND. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kenneth A Samet | ||||||||||||||
| Director | $0 | $1,447,427 | $0 | $1,873,804 | $0 | $13,568 | $0 | $41,896 | $0 | $19,111 | $0 | $3,395,806 | $0 | $0 |
| M Joy Drass MD | ||||||||||||||
| Director/Vice Chair | $0 | $831,446 | $0 | $781,730 | $0 | $0 | $0 | $26,326 | $0 | $15,775 | $0 | $1,655,277 | $0 | $0 |
| Maureen P McCausland | ||||||||||||||
| Director | $0 | $346,579 | $0 | $265,488 | $0 | $0 | $0 | $7,500 | $0 | $22,812 | $0 | $642,379 | $0 | $0 |
| Oliver M Johnson II | ||||||||||||||
| Director | $0 | $476,224 | $0 | $430,236 | $0 | $0 | $0 | $7,500 | $0 | $19,144 | $0 | $933,104 | $0 | $0 |
| Stephen RT Evans MD | ||||||||||||||
| Director | $0 | $513,174 | $0 | $401,530 | $0 | $0 | $0 | $14,825 | $0 | $26,475 | $0 | $956,004 | $0 | $0 |
| Michael J Curran | ||||||||||||||
| Director | $0 | $921,169 | $0 | $918,363 | $0 | $0 | $0 | $12,934 | $0 | $20,599 | $0 | $1,873,065 | $0 | $0 |
| Michael J Chiaramonte | ||||||||||||||
| President/Director | $608,659 | $0 | $507,000 | $0 | $0 | $0 | $0 | $0 | $10,395 | $0 | $1,126,054 | $0 | $0 | $0 |
| Scott Eleff | ||||||||||||||
| PHYSICIAN | $535,019 | $0 | $0 | $0 | $0 | $0 | $22,986 | $0 | $5,138 | $0 | $563,143 | $0 | $0 | $0 |
| Louis Mavromatis | ||||||||||||||
| PHYSICIAN | $275,539 | $0 | $32,625 | $0 | $0 | $0 | $23,000 | $0 | $3,590 | $0 | $334,754 | $0 | $0 | $0 |
| Ashok Roy | ||||||||||||||
| PHYSICIAN | $266,878 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $4,483 | $0 | $288,861 | $0 | $0 | $0 |
| Patricia Scalfari | ||||||||||||||
| PHYSICIAN | $220,535 | $0 | $38,000 | $0 | $0 | $0 | $15,595 | $0 | $1,236 | $0 | $275,366 | $0 | $0 | $0 |
| CHARLES STEWART | ||||||||||||||
| VICE PRESIDENT AND CFO | $385,214 | $0 | $162,500 | $0 | $2,286 | $0 | $7,500 | $0 | $13,019 | $0 | $570,519 | $0 | $0 | $0 |
| Jane Raymond | ||||||||||||||
| PHYSICIAN | $252,843 | $0 | $0 | $0 | $0 | $0 | $22,984 | $0 | $2,932 | $0 | $278,759 | $0 | $0 | $0 |
| JAMES SUMNER | ||||||||||||||
| FORMER OFFICER | $278,275 | $0 | $0 | $0 | $2,022 | $0 | $7,500 | $0 | $0 | $0 | $287,797 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Colony South Hotel Conf CtR | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OFFICER & DIRECTOR | RelationshipDescriptionTxt |
| Transaction | SPECIAL EVENT SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Business Transactions Involving Interested Persons | FormAndLineReferenceDesc |
| Explanation | Schedule L, Part IV Michael J. Chiaramonte, an Officer and Board member of MedStar Southern Maryland Hospital Center in fiscal year 2014, owns more than 5% of Colony South Hotel and Conference Center (CSHCC), which provides catering, banquet, meeting, and event space to MedStar Southern Maryland Hospital Center. CSHCC's gross revenues received from the hospital for the year were $0.8 million. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DESCRIPTION OF MEMBERS | PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. |
| DECISIONS OF GOVERNING BODY | PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. |
| PROCESS FOR REVIEWING FORM 990 | PART VI, LINE 11A THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. |
| CONFLICT OF INTEREST POLICY | PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). |
| DESCRIPTION OF EXECUTIVE COMPENSATION | PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. |
| FINANCIAL STATEMENT AVAILABILITY | PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. |
| OTHER CHANGES IN NET ASSETS | PART XI, LINE 9 EQUITY TRANSFERS ...................................$4,218. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:AGENCY TOTAL FEES:4838313 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CATERING TOTAL FEES:526091 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION SERVICES TOTAL FEES:340939 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LABORATORY SERVICES TOTAL FEES:2560087 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER TOTAL FEES:594410 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN PAYMENTS TOTAL FEES:4063438 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:POSTAGE AND SHIPPING TOTAL FEES:657438 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8156875 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SHARED SERVICES TOTAL FEES:1102206 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:1074875 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHURCH HOME CORPORATION | ||||||||||
| 5565 STERRETT PLACE 5TH FLOOR | COLUMBIA | MD | 21044 | 237374724 | MEDICAL FUND | MD | 501(c)(3) | PF | NA | Yes (true) |
| FRANKLIN SQUARE HOSPITAL CENTER INC | ||||||||||
| 9000 FRANKLIN SQUARE DRIVE | BALTIMORE | MD | 21237 | 520608007 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| HARBOR HOSPITAL INC | ||||||||||
| 3001 SOUTH HANOVER STREET | BALTIMORE | MD | 21225 | 520491660 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH INC | ||||||||||
| 5565 STERRETT PLACE 5TH FLOOR | COLUMBIA | MD | 21044 | 522087445 | MEDICAL SVCS | MD | 501(c)(3) | 11b II | NA | false |
| MONTGOMERY GENERAL HOSPITAL | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 520646893 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 520591607 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| THE UNION MEMORIAL HOSPITAL | ||||||||||
| 201 EAST UNIVERSITY PARKWAY | BALTIMORE | MD | 21218 | 520591685 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH RESEARCH INSTITUTE | ||||||||||
| 108 IRVING STREET NW | WASHINGTON | DC | 20010 | 526056274 | HOSPITAL | DC | 501(c)(3) | 3 | NA | Yes (true) |
| THE MEDSTAR-GEORGETOWN MEDICAL CENTER I | ||||||||||
| HOPSITAL ADMIN 1 MAIN BLDG | WASHINGTON | DC | 20007 | 522218584 | HOSPITAL | DC | 501(c)(3) | 3 | NA | Yes (true) |
| HH MEDSTAR HEALTH INC | ||||||||||
| 5565 STERRETT PLACE 5TH FLOOR | COLUMBIA | MD | 21044 | 521542230 | MEDICAL SVCS | MD | 501(c)(3) | 11b II | NA | Yes (true) |
| MEDSTAR AMBULATORY SERVICES INC | ||||||||||
| 5565 STERRETT PLACE 5TH FLOOR | COLUMBIA | MD | 21044 | 521132992 | FOUNDATION | MD | 501(c)(3) | 11a I | NA | Yes (true) |
| BAY LIFE SERVICES INC | ||||||||||
| 5565 STERRETT PLACE 5TH FLOOR | COLUMBIA | MD | 21044 | 521496539 | MENTAL HEALTH | MD | 501(c)(3) | 9 | NA | Yes (true) |
| MEDSTAR SURGERY CENTER INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521061679 | MEDICAL SVCS | MD | 501(c)(3) | 9 | NA | Yes (true) |
| CHURCH HOME AND HOSPITAL OF THE CITY OF | ||||||||||
| 5565 STERRETT PLACE 5TH FLOOR | COLUMBIA | MD | 21044 | 520591600 | MEDICAL FUND | MD | 501(c)(3) | 11B II | NA | Yes (true) |
| FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI | ||||||||||
| 9000 FRANKLIN SQUARE DRIVE | BALTIMORE | MD | 21237 | 522329546 | FOUNDATION | MD | 501(c)(3) | 7 | NA | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 522307122 | FOUNDATION | MD | 501(c)(3) | 11a I | NA | Yes (true) |
| GOOD SAMARITAN NURSING CENTER INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521672866 | MEDICAL SVCS | MD | 501(c)(3) | 9 | NA | Yes (true) |
| GS HOUSING INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521481656 | ELDER HOUSING | MD | 501(c)(3) | 9 | NA | Yes (true) |
| GS PROPERTIES INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521429853 | ADMIN SVCS | MD | 501(c)(3) | 11a I | NA | Yes (true) |
| HARBOR HOSPITAL FOUNDATION INC | ||||||||||
| 3001 SOUTH HANOVER STREET | BALTIMORE | MD | 21225 | 521284532 | FOUNDATION | MD | 501(c)(3) | 11a I | NA | Yes (true) |
| MEDSTAR HEALTH INFUSION INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521980510 | MEDICAL SVCS | MD | 501(c)(3) | 9 | NA | Yes (true) |
| MEDSTAR HEALTH VISITING NURSES ASSOCIATI | ||||||||||
| 4061 POWDERMILL ROAD | CALVERTON | MD | 20705 | 530196597 | MEDICAL SVCS | MD | 501(c)(3) | 9 | NA | Yes (true) |
| MEDSTAR VNA HEALTHCARE | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521458516 | MEDICAL SVCS | MD | 501(c)(3) | 9 | NA | Yes (true) |
| MGH COMMUNITY HEALTH INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521372467 | MEDICAL SVCS | MD | 501(c)(3) | 9 | NA | Yes (true) |
| MGH HEALTH FOUNDATION INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521129959 | FOUNDATION | MD | 501(c)(3) | 7 | NA | Yes (true) |
| MGH HEALTH SERVICES INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521366812 | FOUNDATION | MD | 501(c)(3) | 11B II | NA | Yes (true) |
| MGH WOMEN'S BOARD | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 526039600 | FOUNDATION | MD | 501(c)(3) | 11a I | NA | Yes (true) |
| NATIONAL REHABILITATION HOSPITAL | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521369749 | HOSPITAL | DC | 501(c)(3) | 3 | NA | Yes (true) |
| REGIONAL REHAB AT OLNEY INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 522310902 | MEDICAL SVCS | MD | 501(c)(3) | 3 | NA | Yes (true) |
| SUBURBAN NRH MEDICAL REHABILITATION I | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931151 | MEDICAL SVCS | DC | 501(c)(3) | 3 | NA | Yes (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 | Yes (true) |
| UNION MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 201 EAST UNIVERSITY PARKWAY | BALTIMORE | MD | 21218 | 521446828 | FOUNDATION | MD | 501(c)(3) | 11a I | NA | Yes (true) |
| VNA INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521332411 | ADMIN SVCS | MD | 501(c)(3) | 11a I | NA | Yes (true) |
| WHC FOUNDATION INC | ||||||||||
| 110 IRVING STREET NW | WASHINGTON | DC | 20010 | 521791670 | FOUNDATION | DC | 501(c)(3) | 11a I | NA | Yes (true) |
| WOODBOURNE WOODS INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 522299070 | ELDER HOUSING | MD | 501(c)(3) | 9 | NA | Yes (true) |
| HOSPICE OF ST MARY'S INC | ||||||||||
| PO BOX 527 | LEONARDTOWN | MD | 20650 | 522153926 | SUPPORT ORG | MD | 501(c)(3) | 11A I | NA | Yes (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 | Yes (true) |
| ST MARY'S HOSPITAL FOUNDATION INC | ||||||||||
| PO BOX 527 | LEONARDTOWN | MD | 20650 | 521051368 | SUPPORT ORG | MD | 501(c)(3) | 11A I | NA | Yes (true) |
| WASHINGTON HOSPITAL CENTER CORPORATION | ||||||||||
| 110 IRVING STREET NW | WASHINGTON | DC | 20010 | 521272129 | HOSPITAL | DC | 501(c)(3) | 3 | NA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| Surgicenter at Pasadena LLC | |||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 522009504 | Medical Servi | MD | NA |
| Physician Imaging of Washington Hospital | |||||||
| 6525 Belcrest Road Suite G 50 | Hyattsville | MD | 20782 | 562616090 | Lab Services | MD | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDSTAR PHARMACIES INC | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521513056 | Drug Sales | MD | NA | C Corp | |||||
| ExtenCare Inc | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521556228 | Medical Servi | MD | NA | C Corp | |||||
| Helix Resources Management Inc | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521913070 | Admin Service | MD | NA | C Corp | |||||
| HelixCare Medical Group LLC | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521955580 | Medical Servi | MD | NA | C Corp | |||||
| HelixCare Properties LLC | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521966695 | Medical Servi | MD | NA | C Corp | |||||
| Parkway Ventures Inc | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521893569 | Holding Compa | MD | NA | C Corp | |||||
| Physicians Administrative Services Inc | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 237042074 | Billing Servi | MD | NA | C Corp | |||||
| MedStar Family Choice Inc | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521995521 | Managed Care | MD | NA | C Corp | |||||
| Medstar Enterprises Inc | |||||||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 522139841 | Admin Service | MD | NA | C Corp | |||||
| Sitel Inc | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 900753340 | Educational Svcs | MD | NA | C Corp | |||||
| Star Billing Inc | |||||||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521850113 | Billing Servi | MD | NA | C Corp | |||||
| Washington Risk Network Management Inc | |||||||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 522132677 | Medical Servi | MD | NA | C Corp | |||||
| Washington Hospital Center Physician Hos | |||||||||||||
| 100 Irving Street NW | Washington | DC | 20010 | 521931000 | Medical Servi | MD | NA | C Corp | |||||
| Medstar Physician Partners Inc | |||||||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 522030809 | Medical Servi | MD | NA | C Corp | |||||
| Franklin Square Drive Land Condo Associa | |||||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 760756352 | Condo Owner A | MD | NA | C Corp | |||||
| MGH Diversified Services Inc | |||||||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 521943602 | Medical Servi | MD | NA | C Corp | |||||
| St Mary's Health Alliance Inc | |||||||||||||
| 25500 Point Lookout Road | Leonardtown | MD | 20650 | 521930331 | Medical Servi | MD | NA | C Corp | |||||
| Greenspring Financial Insurance Limited | |||||||||||||
| 980188617 | Insurance | NA | C Corp | 23 LIME TREE BAY AVENUE PO BOX 1051 | KY1-1102 | GRAND CAYMAN | CJ | CJ | |||||
| ST MARY'S CONDO ASSOCIATION | |||||||||||||
| 25500 POINT LOOKOUT RD | LEONARDTOWN | MD | 20650 | 273377216 | CONDOMINIUMS | MD | NA | C CORP | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |