2015-05-06T15:32:10-05:00 2014-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2013-07-01 520591607 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC % JOEL BRYAN GOOD 4107726719 5601 LOCH RAVEN BLVD Suite Baltimore MD 21239 Joel Bryan Vice President/Treasurer 4107726721 2015-04-30 true Margaret A Bradshaw P00501222 4107726721 2013 2016-02-25 16:41:14Z MEDSTAR GOOD SAMARITAN HOSPITAL Jeffrey Matton 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 318385443 false X www.goodsam-md.org X 1920 MD WE ARE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO DELIVER IDEAL HEALTH EXPERIENCES. 23 15 2658 140 168172 419802 493970 296320895 309961225 3004907 4442981 10905676 3487267 310651280 318385443 0 0 0 0 159989920 152920843 0 0 0 154257025 156017497 314246945 308938340 -3595665 9447103 172368181 189638382 50472722 47522422 121895459 142115960 X As a proud member of MedStar Health, MedStar Good Samaritan Hospital's (MedStar Good Samaritan) mission is to be Good Samaritans, guided by catholic tradition and trusted to deliver ideal health experiences. MedStar Good Samaritan, located in northeast Baltimore City, Maryland, is known for its specialties in orthopaedics, rheumatology, nephrology, and physical medicine and rehabilitation programs. In addition to general adult acute care services, MedStar Good Samaritan has a comprehensive inpatient rehabilitation unit and a sub-acute care unit. Through MGSH's Center for Successful Aging, integrated care is provided to patients who experience age-related health conditions. In fiscal year 2014, MedStar Good Samaritan had 11,759 inpatient admissions, 316,816 outpatient visits, and 57,700 emergency visits. false false 224546141 0 286468353 MedStar Good Samaritan Hospital's largest program is access to and the provision of acute hospital services to the communities of northeastern Baltimore City, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Good Samaritan incurred $46.9M of management and general expenses in providing services to its communities. It also offers community-based health services through the Good Health Center and provides senior living services through the Good Samaritan Nursing Center and two senior housing complexes located on its 43-acre campus. MedStar Good Samaritan is recognized by The Joint Commission as an Advanced Primary Stroke Center and certified in Joint Replacement of the Hip and Knee. In 2014, US News and World Report recognized MedStar Good Samaritan as a top Baltimore regional hospital that is high performing in eight specialties: diabetes and endocrinology, gastroenterology and GI surgery, geriatrics, nephrology, orthopaedics, neurology and neurosurgery, pulmonology, and urology. 29122684 0 23492872 MedStar Good Samaritan Hospital provided $29.1M in subsidized (mission driven) health services in fiscal 2014. These critical services, which are driven by community needs, operate at a loss. They address priorities primarily through disease prevention and improvement of health status. Services provided include women's health services, hospitalists, psychiatry, urology, emergency department coverage, outpatient renal care, and certain sub-acute program subsidies. 8172088 0 0 MEDSTAR GOOD SAMARITAN HOSPITAL PROVIDED $8.2M 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. 261840913 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false true false false false false true true true false false false true 0 0 true 2658 true true true false false false false false false false false false X 23 15 false false false false true true true true true false false true true true true true true true true false MD X JOEL BRYAN 4107726721 5565 STERRETT PLACE 5TH FLROOR COLUMBIA MD 21044 X DANIEL P CAHILL Board Member 1.0 X 0 0 0 MOIRA P LARSEN BOARD MEMBER 1.0 X 45136 0 226 JEFFREY A MATTON PRESIDENT/BOARD MEMBER 40.0 X X 710465 0 32396 KENNETH A SAMET BOARD MEMBER 1.0 39.0 X 0 3334799 61007 WILMOT C BALL JR MD BOARD MEMBER 1.0 X 0 0 0 LUIS GIMENEZ MD BOARD MEMBER 1.0 X 0 0 0 DAVIS M HAHN MD BOARD MEMBER 1.0 X 0 0 0 JEREMY P WEINER MD BOARD MEMBER 1.0 X 0 0 0 ANTHONY READ BOARD CHAIR 1.0 X 0 0 0 CHARLES L BAUERMANN BOARD MEMBER 1.0 X 0 0 0 KAY G BEE BOARD MEMBER 1.0 X 0 0 0 JEFFREY R DONNELLY BOARD MEMBER 1.0 X 0 0 0 SONYA H GRAY BOARD MEMBER 1.0 X 0 0 0 REV DENIS J MADDEN BOARD MEMBER 1.0 X 0 0 0 DR ALLAN NOONAN BOARD MEMBER 1.0 X 0 0 0 T EDGIE RUSSELL BOARD MEMBER 1.0 X 0 0 0 REV PM SMITH BOARD MEMBER 1.0 X 0 0 0 JOHN C SMYTH BOARD MEMBER 1.0 X 0 0 0 KATHLEEN J WHITING BOARD MEMBER 1.0 X 0 0 0 ELIAS SHAYA MEDICAL DIRECTOR 40.0 1.0 X 352055 0 8858 DAVID WEISMAN PRESIDENT/BOARD MEMBER 40.0 1.0 X 183918 0 21572 CHRISTOPHER T HELMRATH BOARD MEMBER 1.0 X 0 0 0 REV LAWRENCE M JOHNSON BOARD MEMBER 1.0 X 0 0 0 MSGR ADAM J PARKER BOARD MEMBER 1.0 X 0 0 0 THOMAS L OWSLEY BOARD MEMBER 1.0 X 0 0 0 CAROL J PACIONE BOARD MEMBER 1.0 X 0 0 0 THOMAS SENKER VICE PRESIDENT 40.0 X 210934 0 21236 MARTIN BINSTOCK VICE PRESIDENT 40.0 X 469821 0 29898 DEANA STOUT VICE PRESIDENT 40.0 X 291184 0 35908 Shirley Roth CHIEF NURSING OFFICER 40.0 X 214901 0 21043 Michael Jacobs PHYSICIAN 40.0 X 796776 0 23522 David Coll PHYSICIAN 40.0 X 559963 0 21795 Robert Breslin PHYSICIAN 40.0 X 542907 0 18832 Dale Buchbinder CHIEF 40.0 X 679876 0 19236 Kapil Simlote PHYSICIAN 40.0 X 516261 0 14262 JENNIFER WILKERSON FORMER OFFICER 0.0 X 162722 0 16918 Lawrence Beck Former Officer 0.0 X 193534 0 0 5930453 3334799 346709 119 true true false HUNT VALLEY ANES ASSOC PA PO BOX 20284 TOWSON MD 21284 MEDICAL SERVICES 8316000 JOHNS HOPKINS UNIVERSITY 3910 Keswick Road BALTIMORE MD 21218 PROFESSIONAL SVCS 7494312 MORRISON MANAGEMENT SPECIALIST 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 Nutrition Services 4098120 UNIVERSITY OF MARYLAND 2119 Main Administration Building COLLEGE PARK MD 20742 PROFESSIONAL SVCS 3463858 GS SURGICAL SERVICES LLC 5601 Loch Raven Boulevard BALTIMORE MD 21239 Physican Services 1035252 18 51384 442586 493970 NET PATIENT SERVICE REVENUE 621400 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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. true true X true X true X true true true false true true 5686617 5686617 0.01840 5686617 5686617 0.01840 1157460 47889 1109571 0.00360 8172088 8172088 0.02650 29122684 23492872 5629812 0.01820 35686 2000 33686 0.00010 38487918 23542761 14945157 0.04840 44174535 23542761 20631774 0.06680 708936 358944 349992 0.00110 26385 26385 0.00010 14462 14462 0.00010 749783 358944 390839 0.00130 true 11707414 true true 1 1 MAIN HOSPITAL BUILDING 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 X X X X MAIN HOSPITAL BUILDING 1 true X X X X X X X X X 11 true false true X www.medstargoodsam.org X X X X X X X X X true false true true 200. true 400. true X X X X X X true true X X X X X true false true X false false 1 Transitional Care at Good Samaritan 5601 Loch Raven Blvd Baltimore MD 21239 Comprehensive Care Facility CHARITY CARE AT COST PART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. UNREIMBURSED MEDICAID PART I, LINE 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. HEALTH PROFESSIONS EDUCATION PART I, LINE 7F MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. BAD DEBT PART III, LINE 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE MEDICARE PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. 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: Deborah Bena, Mitch Herbert 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: Jeff Matton 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) Mitchell Herbert Regional Director, STAFF YES Strategic and business planning Deborah Bena HEALTH MINISTRIES STAFF YES COORDINATOR Jeffrey Matton PRESIDENT STAFF YES ALLAN NOONAN BOARD chair BOARD MEMBER no/ board SONYA GRAY BOARD MEMBER BOARD MEMBER NO/ BOARD CAROL PACIONE PASTORAL LIFE DIRECTOR, COMMUNITY NO ST. PIUS CHURCH ADVOCATE DAVID WEISMAN, MD Physician Staff YES Michelle Zikusoka, MD Physician STAFF YES Andrew Dziuban Director of Philanthropy STAFF YES Bernadette Krol, RN Registered Nurse Staff YES Moira Larsen, MD Physician STAFF YES Rachel V. Neill Govans Ecumenical COMMUNITY NO Development Corporation ADVOCATE (GEDCO) - CARES Program Loretha Myers President, Loch Raven COMMUNITY NO Improvement Association, ADVOCATE Northeast Community association Patricia Stabile Program Director, HARBEL community no Prevention and Recovery advocate CENTER Randolph Rowel, PHD CHAIR AND ASSOCIATE COMMUNITY NO PROFESSOR, DEPARTMENT OF ADVOCATE BEHAVIOURAL HEALTH SCIENCES, MORGAN STATE university 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 FY12, MEDSTAR GOOD SAMARITAN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA WAS LED BY 11 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, 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 GOVANS AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) - GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITIES FOR THE CBSA INCLUDE HEART DISEASE AND DIABETES. THE HOSPITAL'S FY12 CHNA AND 3-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR GOOD SAMARITAN'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT WAS PUBLISHED ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2012. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR GOOD SAMARITAN 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 OF ALL OF THE CARE THEY RECEIVE. " BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY. IN MEETING ITS COMMITMENTS, MEDSTAR 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 CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. " PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE GUIDELINES. " PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF FACILITY CHARGES USING A SLIDING SCALE BASED ON PATIENT FAMILY INCOME AND FINANCIAL RESOURCES. " OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES. EACH FACILITY 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. ADDITIONALLY, THE MARYLAND PATIENT INFORMATION SHEET/MEDSTAR'S PATIENT INFORMATION SHEET WILL BE PROVIDED TO INPATIENTS ON ADMISSION AND AT TIME OF FINAL ACCOUNT BILLING. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. THE CHARITY CARE, FINANCIAL ASSISTANCE, AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY 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. " IT IS THE RESPONSIBILITY OF THE PATIENT TO INFORM THE MEDSTAR HOSPITAL OF THEIR EXISTING ELIGIBILITY UNDER A MEDICAL HARDSHIP DURING THE 12 MONTH PERIOD. UNINSURED PATIENTS OF MEDSTAR HEALTH'S FACILITIES MAY BE ELIGIBLE FOR CHARITY CARE OR SLIDING-SCALE FINANCIAL ASSISTANCE UNDER THIS POLICY. THE FINANCIAL COUNSELORS AND FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR CHARITY CARE AND SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4 GEOGRAPHIC THE GOVANS NEIGHBORHOOD IS LOCATED IN NORTH CENTRAL BALTIMORE CITY, APPROXIMATELY TWO MILES FROM MEDSTAR GOOD SAMARITAN. THE NEIGHBORHOOD FEATURES MANY DIFFERENT HOUSING TYPES, BUSINESSES, CHURCHES, A CHARTER SCHOOL AND A NEIGHBORHOOD PARK. GOVANS HAS ALWAYS BEEN ASSOCIATED WITH YORK ROAD, FIRST AS AN INDIAN TRAIL, AND THEN AS AN IMPORTANT COMMERCIAL ROAD AND TURNPIKE LINKING THE PORT OF BALTIMORE TO PENNSYLVANIA. DEMOGRAPHICS: ACCORDING TO STATISTICS FROM THE BALTIMORE CITY 2011 NEIGHBORHOOD HEALTH PROFILE, THE TOTAL POPULATION IN GOVANS IS JUST OVER 10,000 AND THE MAJORITY OF RESIDENTS ARE AFRICAN AMERICAN (91.3%). CAUCASIANS MAKE UP 5.7% OF THE POPULATION, 0.5% IS ASIAN, 1.3% IS HISPANIC, AND 2.5% IS TWO OR MORE RACES OR OTHER. ADULTS OVER THE AGE OF 18 YEARS OLD MAKE UP THREE-QUARTERS (75.6%) OF THE POPULATION, WITH SENIORS OVER AGE 65 YEARS AT 12.8%. CHILDREN UNDER THE AGE OF 18 ACCOUNT FOR 24.4% OF THE GOVANS POPULATION. THE MEDIAN ANNUAL HOUSEHOLD INCOME IS $37,000, ABOUT THE SAME AS BALTIMORE CITY, WHILE UNEMPLOYMENT IS 14.9%, HIGHER THAN THE BALTIMORE CITY AVERAGE (11.0%). JUST OVER ONE-QUARTER (26.9%) OF HOUSEHOLDS ARE HEADED BY A SINGLE-PARENT. THE POVERTY RATE IS 11.6%, SLIGHTLY LESS THAN BALTIMORE CITY (15.7%). IN 2011, APPROXIMATELY 1,400 FAMILIES IN THE GOVANS AREA RECEIVED ASSISTANCE FROM CARES, A COMBINATION FOOD PANTRY AND EMERGENCY FINANCIAL ASSISTANCE CENTER. OVER TWO-THIRDS (62.2%) OF RESIDENTS OVER 25 YEARS OF AGE HAVE ATTAINED HIGH SCHOOL AS THE HIGHEST LEVEL OF EDUCATION. LIFE EXPECTANCY IS 73.9, JUST LONGER THAN THAT OF BALTIMORE CITY (71.8). THE LEADING CAUSES OF DEATH ARE HEART DISEASE (24.9 PER 10,000), CANCER (19.5 PER 10,000), HIV/AIDS (4.9 PER 10,000), STROKE (4.2 PER 10,000), AND DIABETES (2.6 PER 10,000). PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR GOOD SAMARITAN ENGAGES IN A NUMBER OF COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THE HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS, SUCH AS SENIOR CENTERS, CHURCHES AND SENIOR HOUSING TO PROVIDE HEALTH EDUCATION CLASSES, EXERCISE AND WEIGHT LOSS PROGRAMS AND BLOOD PRESSURE SCREENINGS. DIABETES EDUCATION AND HEART HEALTH CLASSES ARE HELD AT VARIOUS LOCATIONS IN THE GOVANS AREA OF BALTIMORE CITY. SITES INCLUDE CARES, A FOOD PANTRY AND FINANCIAL ASSISTANCE CENTER, A LOCAL SENIOR CENTER AND A LOCAL CHURCH. THE LIFE BALANCE / WEIGHT MANAGEMENT PROGRAM, AN EVIDENCED BASED PROGRAM TO PREVENT TYPE 2 DIABETES, IS HELD WEEKLY AT A SENIOR CENTER. BLOOD PRESSURE SCREENINGS ARE HELD AT VARIOUS LOCATIONS IN THE NORTHEAST AREA OF BALTIMORE AND PERSONS IDENTIFIED WITH HIGH BLOOD PRESSURE ARE REFERRED TO THEIR PRIMARY CARE PROVIDER AND THOSE WITHOUT INSURANCE ARE NAVIGATED TO A SAFETY NET PROVIDER. THE KNOW STROKE PROGRAM IS A ONE HOUR LECTURE ON STROKE PREVENTION PRESENTED BY A SPEECH PATHOLOGIST FROM THE MEDSTAR GOOD SAMARITAN REHABILITATION DEPARTMENT. THE PROGRAM IS PRESENTED IN SENIOR CENTERS AND LIBRARIES. TOPICS INCLUDE RISK FACTORS, SIGNS AND SYMPTOMS, TREATMENTS, AND LIFESTYLE CHOICES RELATED TO STROKE PREVENTION. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 As a proud member of MedStar Health, MedStar Good Samaritan 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 Good Samaritan with technical support to enhance community health programming and evaluation. MedStar's corporate philanthropy department identifies and seeks public and private funding sources to ensure the availability of high quality health services, regardless of ability to pay. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 The community benefit report for MedStar Good Samaritan Hospital is only filed in the state of Maryland. X X X X X X false true false false false false false false false JEFFREY A MATTON PRESIDENT/BOARD MEMBER 446411 0 264054 0 0 0 15384 0 17012 0 742861 0 0 0 KENNETH A SAMET BOARD MEMBER 0 1447427 0 1873804 0 13568 0 41896 0 19111 0 3395806 0 0 ELIAS SHAYA MEDICAL DIRECTOR 352055 0 0 0 0 0 7955 0 903 0 360913 0 0 0 DAVID WEISMAN PRESIDENT/BOARD MEMBER 170036 0 13882 0 0 0 7483 0 14089 0 205490 0 0 0 Michael Jacobs PHYSICIAN 796776 0 0 0 0 0 8738 0 14784 0 820298 0 0 0 David Coll PHYSICIAN 559963 0 0 0 0 0 7500 0 14295 0 581758 0 0 0 Robert Breslin PHYSICIAN 542907 0 0 0 0 0 7500 0 11332 0 561739 0 0 0 Dale Buchbinder CHIEF 630876 0 49000 0 0 0 7500 0 11736 0 699112 0 0 0 Kapil Simlote PHYSICIAN 516261 0 0 0 0 0 7500 0 6762 0 530523 0 0 0 THOMAS SENKER VICE PRESIDENT 189934 0 21000 0 0 0 6939 0 14297 0 232170 0 0 0 Shirley Roth CHIEF NURSING OFFICER 196901 0 18000 0 0 0 6930 0 14113 0 235944 0 0 0 MARTIN BINSTOCK VICE PRESIDENT 328992 0 140829 0 0 0 17523 0 12375 0 499719 0 0 0 DEANA STOUT VICE PRESIDENT 224944 0 66240 0 0 0 21503 0 14405 0 327092 0 0 0 Lawrence Beck Former Officer 0 0 0 0 193534 0 0 0 0 0 193534 0 0 0 JENNIFER WILKERSON FORMER OFFICER 126122 0 36600 0 0 0 5020 0 11898 0 179640 0 0 0 OTHER REPORTABLE COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 4B LAWRENCE BECK LAWRENCE BECK'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $193,534 REPRESENTING THE AMOUNT OF SUPPLEMENTAL RETIREMENT BENEFIT PAYMENTS RELATING TO PRIOR YEARS OF SERVICE. DRS HAHN PADGETT PC SEE PART V ONCOLOGY SERVICES false GS SURGICAL SERVICES LLC SEE PART V SURGICAL SERVICES false Pathology Associates LaboratorieS SEE PART V Lab Services false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV Dr. Jeremy Weiner, a Board member at MedStar Good Samaritan Hospital, owns more than 5% of GS Surgical Services, LLC (GSS), which provides medical and surgical services to MedStar Good Samaritan Hospital. GSS's gross revenues received from the hospital for the year was $1.0 million. Dr. Davis Hahn, a Board member at MedStar Good Samaritan Hospital, owns more than 5% of Drs. Hahn & Padgett, P.C. (HP), which provides oncology services to MedStar Good Samaritan Hospital. HP's gross revenues received from the hospital for the year was $1.0 million. Dr. Moira Larsen, a Board member at MedStar Good Samaritan Hospital, owns more than 5% of Pathology Associates Laboratories, PC (PAL), which provides lab services to MedStar Good Samaritan Hospital. PAL's gross revenues received from the hospital for the year was $0.7 million. ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. 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) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). DESCRIPTION OF EXECUTIVE COMPENSATION PROCESS PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. 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. FINANCIAL STATEMENTS AND REPORTING PART XII, LINE 2C THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. IS AN AFILLIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. OTHER CHANGES IN NET ASSETS PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.....................$ 3,726,485. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICAN SERVICES FIXED TOTAL FEES:26906678 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES-OTHER TOTAL FEES:5112283 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:2962192 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:2379071 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY SERVICES TOTAL FEES:1022539 FORM 990 PART IX LINE 11G DESCRIPTION:BLOOD BANK FEES TOTAL FEES:1105900 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICE EXPENSE TOTAL FEES:1747432 FORM 990 PART IX LINE 11G DESCRIPTION:ALL OTHER TOTAL FEES:2371401 MEDSTAR HEALTH ANESTHESIA SERVICES A LLC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 205909017 HEALTHCARE MD 7236083 1489963 NA Church Home Corporation 5565 Sterrett Place 5th Floor Columbia MD 21044 237374724 Medical Fund MD 501(C)(3) PF NA true Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(C)(3) 3 NA true 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