2015-05-06T15:32:10-05:00 2014-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2013-07-01 520646893 Montgomery General Hospital INC % JOEL BRYAN MONT 3017748640 18101 PRINCE PHILIP DRIVE Suite OLNEY MD 20832 Joel Bryan Vice President/Treasurer 4107726721 2015-04-30 true Margaret A Bradshaw P00501222 4107726721 2013 2016-02-25 16:41:14Z MEDSTAR MONTGOMERY MEDICAL CENTER PETER MONGE 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 148729217 false X WWW.MONTGOMERYGENERAL.ORG X 2000 MD MEDSTAR MONTGOMERY MEDICAL CENTER IS DEDICATED TO ENHANCING OUR COMMUNITY'S HEALTH BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. 18 16 1156 245 141171 -42385 0 0 150253062 145827727 182944 13122 5462883 2888368 155898889 148729217 0 0 0 0 69796647 67246301 0 0 0 78834948 74409333 148631595 141655634 7267294 7073583 136893886 145739697 39108310 39049033 97785576 106690664 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR MONTGOMERY MEDICAL CENTER'S (MEDSTAR MONTGOMERY) MISSION IS TO ENHANCE OUR COMMUNITY'S HEALTH AND WELL-BEING BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. MEDSTAR MONTGOMERY IS LOCATED IN OLNEY, IN NORTHEASTERN MONTGOMERY COUNTY, MARYLAND, A SUBURB OF WASHINGTON, D.C. AFTER OVER 90 YEARS, THE HOSPITAL REMAINS TRUE TO ITS ROOTS, OFFERING A WIDE RANGE OF WELLNESS PROGRAMS AND OUTPATIENT SERVICES IN ADDITION TO INPATIENT TREATMENT. IN FISCAL YEAR 2014, MEDSTAR MONTGOMERY HAD 9,040 INPATIENT ADMISSIONS, 40,186 OUTPATIENT VISITS, AND 37,798 EMERGENCY VISITS. false false 135084928 0 145787100 MedStar Montgomery Medical Center's largest program is access to and the provision of acute hospital services to the communities of northeastern Montgomery County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Montgomery incurred $17.1M of management and general expenses in providing services to its communities. The acute care hospital offers a cardiac and vascular program, general surgery, orthopedics, cancer care, and obstetrics. With the addition of specialists from MedStar Georgetown University Hospital and MedStar Washington Hospital Center, MedStar Montgomery brings specialty care closer to its patients. MedStar Montgomery also offers outpatient mental health services, home health and private duty nursing services. MedStar Montgomery includes an emergency department with a dedicated Pediatric Center, a Fast-Track unit and a separate unit for crisis evaluation. It is a certified Chest Pain Center by the Society of Chest Pain Centers, and recognized by The Joint Commission as a Primary Stroke Center. MedStar Montgomery offers an ADA-certified Diabetes and Nutrition Center, a Mental Health Center and private duty nursing services. For the fifth consecutive year, MedStar Montgomery was the recipient of the 2014 Delmarva Foundation for Medical Care's Excellence Award for Quality Improvement in Hospitals. 4299359 MedStar Montgomery Medical Center provided $4.3M 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 MedStar Montgomery'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. 2271347 MedStar Montgomery Medical Center provided $4.3M in subsidized (mission driven) health services in fiscal year 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 expanded emergency room subsidies, behavioral services, and women's and children's services subsidies. 141655634 true false false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 96 0 true 1156 true true true false false false false false false false false false X 18 16 false false false false true true true true true false false true true true true true true true true true true MD X JOEL BRYAN 4107726721 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 X JOSEPH BELL DIRECTOR 1.0 0.0 X 0 0 0 DEE HAWKINS DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL K KERR MD DIRECTOR 1.0 0.0 X 60000 0 0 KENNETH A SAMET DIRECTOR 1.0 39.0 X 0 3334799 61007 AMY AMPEY MD DIRECTOR 1.0 0.0 X 0 0 0 CHARLES F MESS SR MD DIRECTOR 1.0 0.0 X 0 0 0 BENNETT MORRISON MD DIRECTOR 40.0 0.0 X 129948 0 2530 RICHARD WEINSTEIN MD Director 1.0 0.0 X 16350 0 0 KEVIN FLANNERY Director 1.0 0.0 X 0 0 0 SHEILA WOODARD DIRECTOR 1.0 0.0 X 0 0 0 IVONNE GIULIANA CENTTY DDS DIRECTOR 1.0 0.0 X 0 0 0 JOHN FERGUSON DIRECTOR 1.0 0.0 X 0 0 0 FADIA KINKEL DIRECTOR 1.0 0.0 X 0 0 0 WENDY WALKER DVM DIRECTOR 1.0 0.0 X 0 0 0 JAMES A BONIFANT DIRECTOR 1.0 0.0 X 0 0 0 KATHERINE W FARQUHAR PHD DIRECTOR 1.0 0.0 X 0 0 0 RICHARD KURNOT MD DIRECTOR 1.0 0.0 X 0 0 0 CYNTHIA CHROSNIAK MD DIRECTOR 1.0 0.0 X 41400 0 0 Peter Monge PRESIDENT 39.0 1.0 X X 789812 0 19285 David Havrilla CFO/Treasurer 40.0 0.0 X 325449 0 30996 DENISE SCHMIDT SECRETARY 40.0 X 0 0 0 Roger Leonard VP, Medical Affairs 40.0 0.0 X 361497 0 871 Connie Stone VP, Patient Care Services 40.0 0.0 X 240634 0 19495 Kevin Mell VP, OPERATIONS 40.0 X 226109 19158 FREDERICK FINELLI VP, MEDICAL AFFAIRS 40.0 X 576139 0 21776 Vivian Hsia VP, HUMAN RESOURCES 40.0 0.0 X 161166 0 961 Owen Horne NETWORK MANAGER 40.0 0.0 X 148190 0 1028 Randall Bursaw SUPERVISOR, NUCLEAR MEDICINE 40.0 0.0 X 145938 0 5118 Jeanne O'Toole DIR. FIN. SERVICES/CONTROLLER 40.0 0.0 X 143899 0 1619 Melissa Yeager VP, MKTNG, PLANNING, BUS DEV 40.0 0.0 X 172939 0 16582 3539470 3334799 200426 66 false true false MERIDIAN ANESTHESIA PRACTICE L PO BOX 400 OLNEY MD 208300400 MEDICAL SERVICES 5316543 DELPHI OF TEAM HEALTH PO BOX 634850 CINCINNATI OH 452634850 MEDICAL SERVICES 1201037 COMMUNITY RADIOLOGY ASSOC 10373-A REISTERSTOWN RD OWINGS MILLS MD 21117 MEDICAL SERVICES 890394 INPATIENT SPECIALISTS PA 1201 SEVEN LOCKS RD STE 200 ROCKVILLE MD 20854 MEDICAL SERVICES 690647 EMERGENCY MEDICINE ASSOCIATES 20010 CENTURY BLVD STE 200 GERMANTOWN MD 20874 MEDICAL SERVICES 549863 10 0 Patient Service Revenue 621300 137198802 137198802 Physician billing revenue 621110 8437689 8437689 Lab Revenue 900099 91543 50916 40627 Other Program Service Revenue 900099 99693 99693 145827727 12897 12897 0 0 371511 371511 0 371511 371511 225 225 225 225 0 0 0 REBATE INCOME 900099 367630 367630 TELEPHONE REVENUE 900099 153317 100544 52773 EQUITY INTEREST IN AFFILIATES 900099 135549 135549 1860361 1860361 2516857 148729217 145787100 141171 2800946 0 0 0 0 2002875 2002875 0 54907894 54907894 820521 820521 5431992 5431992 4083019 4083019 0 10621 10621 0 0 0 0 0 28393883 28393883 355473 355473 0 0 0 741405 741405 23739 23739 0 54301 54301 2190100 2190100 0 9633425 9633425 1025777 1025777 SUPPLIES 26195157 26195157 UTILITIES (INCL TELEPHONE) 2775475 2775475 EQUIP. RENTAL & MAINTENANCE 787282 787282 Recruitment 149009 149009 2073686 2073686 141655634 141655634 0 0 0 0 30065044 35140183 0 0 15512512 17573967 0 0 0 0 0 0 2404441 2325518 1040319 1478172 188142582 99064773 87671498 89077809 0 0 117313 144048 0 0 0 0 82759 0 136893886 145739697 14841024 16370413 0 0 72433 280984 0 0 0 0 0 0 0 0 0 0 24194853 22397636 39108310 39049033 X 97785576 106690664 0 0 0 0 97785576 106690664 136893886 145739697 X 7073583 2248 1829257 X false true X true false X 146581 146581 99087500 33854896 65232604 2773284 1909660 863624 74492645 57233137 17259508 11642572 6067080 5575492 89077809 0 DUE TO RELATED ORGANIZATION 8510889 MOB LIABILITY 7877865 ADVANCE HEALTH INSURANCE 4255719 PATIENT CREDIT BALANCES 273399 OPTIMUM CHOICE IBNR 131960 OTHER LIABILITIES 1347804 22397636 X FIN 48 FOOTNOTE SCHEDULE D, PART X INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2014. true true X true X true X true true true false true true 4299359 4299359 0.03040 4299359 4299359 0.03040 1612295 18830 1593465 0.01120 65718 65718 0.00050 2271347 2271347 0.01600 206970 206970 0.00150 105803 105803 0.00070 4262133 18830 4243303 0.02990 8561492 18830 8542662 0.06030 81008 81008 0.00060 2487 2487 26385 26385 0.00020 502 502 110382 110382 0.00080 true 4630844 true true 1 1 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 X X X MONTGOMERY GENERAL HOSPITAL true X X X X X X X X X 11 true false true X http://www.medstarmontgomery.org/ X X X X X X X X X false false true true 200. true 400. true X X X X X X true true X X X X true false true X false false 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: Dairy Marroquin & Gina Cook 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: Nikki Yeager 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) Dairy Marroquin Community Outreach STAFF YES Coordinator Gina Cook Manager, Planning STAFF YES and Community Health Nikki Yeager VP, Business, Marketing Staff Yes and Community benefit Debra Otani Cancer Center Navigator Staff YES Kate Davis Director, Operations Staff YES Innovation Anna Laughren Performace Improvement Staff YES Coordinator Dr. Robert Larkin Physician Staff YES emergency Dept. Dr. Morton Albert Physician STAFF YES Psychiatry Dept. Ana Alvarez Member Representative, Volunteer NO Leisure World Medical Center Mary Jane Joseph Program Manager COMMUNITY NO ADVOCATE Jon Hulsizer Member Representative, COMMUNITY NO Olney Chamber of ADVOCATE Commerce Marsha Batista Resident Services COMMUNITY NO Counselor, Public ADVOCATE Housing Program Matt Quinn Member Representative, COMMUNITY NO Greater Olney Civic ADVOCATE Association Keith Gibb President , Brooke Grove community no Retirement Home advocate Thomas Brunetto Member Representative, COMMUNITY NO Olney Home for Life ADVOCATE Mary Radles School Principal, COMMUNITY NO St. Peter's School ADVOCATE Olney Margaret Simons Community Member Volunteer NO 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 MONTGOMERY MEDICAL CENTER (MEDSTAR MONTGOMERY) 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 NINE ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, ATF MEMBERS DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. COMMUNITY MEMBERS RESPONDED TO THE SURVEY BY ATTENDING A COMMUNITY INPUT SESSION OR COMPLETING IT ONLINE OR VIA HARDCOPY. BASED ON THE ATF'S RECOMMENDATION, THE HOSPITAL IDENTIFIED ASPEN HILL AND BEL PRE 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. HEART DISEASE WAS CHOSEN AS THE HEALTH PRIORITY FOR THE CBSA. THE HOSPITAL'S FY12 CHNA AND 3-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR MONGOMERY'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 MONTGOMERY 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 MEDSTAR MONTGOMERY IS LOCATED IN OLNEY, MARYLAND, IN THE NORTH-EASTERN CORNER OF MONTGOMERY COUNTY. THE HOSPITAL HAS BEEN A CORNERSTONE OF THE COMMUNITY, WITH A LONG AND RICH HISTORY DEDICATED TO SERVING MONTGOMERY COUNTY RESIDENTS AND THE SURROUNDING COUNTIES. AS PART OF THIS COMMITMENT, THE HOSPITAL IS DEVELOPING PROGRAMS AND EVALUATING INITIATIVES AIMED TO ADDRESS AND MINIMIZE DISPARITIES IN HEALTH STATUS. THE COMMUNITY BENEFIT SERVICE AREA (CBSA), ZIP CODE 20906, SITS ON ROUTE 97, WHICH IS A MAIN THOROUGHFARE THAT ALLOWS TRAFFIC TO FLOW FROM WASHINGTON, DC THROUGH MONTGOMERY COUNTY TO HOWARD COUNTY. IT IS COMPOSED OF SEVERAL NEIGHBORHOODS INCLUDING ASPEN HILL, BEL PRE, LEISURE WORLD, LAYHILL, AND PARTS OF GLENMONT. THIS AREA IS A PRIMARY COMMUTER ROUTE WITH HEAVY VOLUMES OF TRAFFIC FROM OUTSIDE OF ASPEN HILL MOVING SOUTHBOUND AND WESTBOUND INTO DC AND MARYLAND. GLENMONT IS THE LAST STOP FOR THE WASHINGTON METRO AND HAS HIGH VOLUMES OF PEDESTRIAN AND VEHICULAR TRAFFIC. THIS CBSA WAS SELECTED DUE TO ITS PROXIMITY TO THE HOSPITAL, COUPLED WITH A HIGH DENSITY OF LOW-INCOME RESIDENTS, UNDERSERVED SENIORS AND AN ETHNICALLY DIVERSE POPULATION. A SPECIAL FOCUS IS ON PERSONS AGED 50 AND OLDER HAVING RISK FACTORS THAT ARE LINKED TO HEART DISEASE. ASPEN HILL IS LARGELY RESIDENTIAL BUT PLAGUED BY DEMOGRAPHICALLY ISOLATED NEIGHBORHOODS: SENIOR HOUSING, MULTI-DWELLING/APARTMENTS, AND PRIVATE HOMES. EACH NEIGHBORHOOD TENDS TO HOUSE PERSONS OF DIFFERENT SOCIO-ECONOMIC STATUS WHICH IS DIRECTLY LINKED TO KEY DETERMINANTS OF POPULATION HEALTH. ASPEN HILL IS AN AGING COMMERCIAL AREA THAT HAS SEEN A DECLINE IN ITS ECONOMIC VITALITY. IN THE 1980'S, ASPEN HILL WAS HOME TO THE LARGEST EMPLOYER IN THE COUNTY WITH 5,000 EMPLOYEES. UPON THEIR DEPARTURE, COMMERCIAL BUSINESSES LOST THEIR MAIN CUSTOMER BASE AND A 250,000 SQUARE FOOT VACANT SITE REMAINS. THE DETERIORATING BUILDING AND UNUSED PARKING LOT HAS CREATED A NEGATIVE RIPPLE EFFECT AMONG COMMERCIAL PROPERTIES AND THE RESIDENTIAL CHARACTER OF THE AREA. RESIDENTS AND LOCAL BUSINESS OWNERS ARE ADVOCATING FOR CHANGE THAT WILL INCREASE COMMERCE AND REVITALIZE THE LOCAL RETAIL MARKET. DEMOGRAPHIC MEDSTAR MONTGOMERY'S CBSA HAS 66,091 RESIDENTS, OVER 40% OF WHOM ARE AGE 54 OR OLDER. IT IS ALSO HOME TO LEISURE WORLD, A SELF-CONTAINED COMMUNITY FOR RETIRED OR SEMI-RETIRED PERSONS OVER THE AGE OF 52. ACCORDING TO MARYLAND'S DEPARTMENT OF HEALTH AND MENTAL HYGIENE, THE LEADING CAUSE OF DEATH FOR BOTH MALES AND FEMALES IN MONTGOMERY COUNTY IS CARDIOVASCULAR DISEASE (2010). MEDSTAR MONTGOMERY SELECTED THIS AREA AS THE CBSA FOR SEVERAL REASONS. FIRST, AFRICAN AMERICAN AND ASIAN MALE POPULATIONS IN THE AREA HAVE THE HIGHEST PREVALENCE OF HEART DISEASE, CHOLESTEROL AND HIGH BLOOD PRESSURE IN MONTGOMERY COUNTY (MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM). SINCE NEARLY 38% OF THE ASPEN HILL/BEL PRE POPULATION CONSISTS OF THESE TWO GROUPS, IT IS A HIGH RISK AREA WHERE CARDIOVASCULAR HEALTH EDUCATION CAN HAVE THE GREATEST IMPACT. SECOND, THE HOSPITAL USED THE CATHOLIC HEALTHCARE WEST'S COMMUNITY NEEDS INDEX (CNI), WHICH MEASURES THE SEVERITY OF HEALTH DISPARITIES BASED ON FIVE HEALTHCARE ACCESS BARRIERS: INCOME, CULTURE/LANGUAGE, EDUCATION, INSURANCE, AND HOUSING. ACCORDING TO THE CNI SCORING METHODOLOGY, A SCORE OF 1.0 INDICATES A ZIP CODE WITH THE LOWEST SOCIO-ECONOMIC BARRIERS, WHILE A SCORE OF 5.0 REPRESENTS A ZIP CODE WITH THE MOST SOCIO-ECONOMIC BARRIERS. ZIP CODE 20906 SCORED 3.4 OUT OF 5 INDICATING PERVASIVE SOCIOECONOMIC DISPARITIES IN ACCESS TO HEALTHCARE SERVICES. THE MEDIAN SCORE FOR MONTGOMERY COUNTY WAS 2.1. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR MONTGOMERY ENGAGES IN A NUMBER OF ACTIVITIES TO PROMOTE AND IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY. EDUCATING THE COMMUNITY ABOUT CANCER PREVENTION AND ENCOURAGING HEALTHY BEHAVIORS IS A PRIORITY AT MEDSTAR MONTGOMERY. A COMMUNITY OUTREACH SPECIALIST WITH A PUBLIC HEALTH BACKGROUND PLAYS AN IMPORTANT ROLE BY PROVIDING EDUCATION AND SUPPORT SERVICES TO UNDERSERVED/LOW-INCOME INDIVIDUALS. MEDSTAR MONTGOMERY IS COMMITTED TO MEETING THE NEEDS OF VULNERABLE POPULATIONS BY ESTABLISHING STRATEGIC PARTNERSHIPS AND ALLIANCES. THE HOSPITAL PROVIDES FINANCIAL SUPPORT TO PROYECTO SALUD AND HOLY CROSS HEALTH CENTER: ASPEN HILL, WHICH ENABLES THESE CLINICS TO TREAT LOW-INCOME, UNINSURED, ETHNICALLY DIVERSE RESIDENTS AT FREE OR LOW COST. THE HOSPITAL ALSO PROVIDES IN-KIND SPACE FOR DAY-TO-DAY OPERATION OF PROYECTO SALUD'S CLINICAL SPACE. WITH A FOCUS ON PERSONS WHO SPEAK SPANISH AS A PRIMARY LANGUAGE, SERVICES INCLUDE PHYSICAL EXAMINATIONS, HEALTH COUNSELING, EDUCATION, AND LABORATORY SERVICES. IN ADDITION, PROYECTO SALUD OFFERS A SEASONAL FLU CLINIC. PRESCRIPTION MEDICATIONS ARE MADE AVAILABLE THROUGH THE MONTGOMERY CARES PROGRAM. THE CLINIC ALSO PROVIDES REFERRALS FOR COUNTY SPECIALTY SERVICES, SEXUALLY TRANSMITTED INFECTIONS AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) PROGRAMS, WOMEN'S CANCER CONTROL PROGRAM, FAMILY PLANNING, AND ALCOHOL TREATMENT AND REHABILITATION. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR MONTGOMERY 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 MONTGOMERY 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 MONTGOMERY MEDICAL CENTER IS ONLY FILED IN THE STATE OF MARYLAND. X X X X X X true false false false false false false false false KENNETH A SAMET DIRECTOR 0 1447427 0 1873804 0 13568 0 41896 0 19111 0 3395806 0 0 Vivian Hsia VP, HUMAN RESOURCES 161166 0 0 0 0 0 961 0 0 0 162127 0 0 0 Randall Bursaw SUPERVISOR, NUCLEAR MEDICINE 145938 0 0 0 0 0 5118 0 0 0 151056 0 0 0 Melissa Yeager VP, MKTNG, PLANNING, BUS DEV 143034 0 29905 0 0 0 5182 0 11400 0 189521 0 0 0 Roger Leonard VP, Medical Affairs 11847 0 33908 0 315742 0 655 0 216 0 362368 0 0 0 Connie Stone VP, Patient Care Services 226338 0 14296 0 0 0 7375 0 12120 0 260129 0 0 0 Peter Monge PRESIDENT 434255 0 353237 0 2320 0 3950 0 15335 0 809097 0 0 0 David Havrilla CFO/Treasurer 288122 0 37327 0 0 0 13646 0 17350 0 356445 0 0 0 Kevin Mell VP, OPERATIONS 212308 13801 9512 9646 245267 FREDERICK FINELLI VP, MEDICAL AFFAIRS 461249 0 114890 0 0 0 7500 0 14276 0 597915 0 0 0 SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS ROGER LEONARD ROGER LEONARD'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $265,056 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY DR. LEONARD. 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, LINES 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, LINES 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. FORM 990 REVIEW PROCESS 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). EXECUTIVE COMPENSATION PROCESS PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE ("TAX-EXEMPT HEALTHCARE ORGANIZATIONS"). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FINANCIAL STATEMENT AVAILABILITY PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES OTHER CHANGES IN NET ASSETS PART XI, LINE 9 MRI JV partnership distribution...........................$ 788,635 TRNA released from restriction(capital)...................$ 130,631 Interco transactions......................................$ 909,991 ----------- total $1,829,257 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8107297 FORM 990 PART IX LINE 11G DESCRIPTION:POOLED COSTS CO 05, 901, & 902 TOTAL FEES:1134401 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACT - BIOMED TOTAL FEES:798810 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:741160 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACTS SOFTWARE TOTAL FEES:1847902 FORM 990 PART IX LINE 11G DESCRIPTION:SHARED SERVICES TOTAL FEES:3143962 FORM 990 PART IX LINE 11G DESCRIPTION:SIEMENS CONTRACT TOTAL FEES:1185609 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:3960584 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:4416652 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES ON CALL TOTAL FEES:439613 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES GUH TOTAL FEES:444024 FORM 990 PART IX LINE 11G DESCRIPTION:REFERENCE LAB TOTAL FEES:479364 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:1694505 MEDSTAR HEALTH ANESTHESIA SERVICES E LLC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 262918268 HEALTH SVCS MD 8437689 323022 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 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(c)(3) 3 NA true MEDSTAR HEALTH INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 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