2015-05-06T15:12:45-05:00 2014-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2013-07-01 520608007 Franklin Square Hospital Center INC % JOEL BRYAN FRAN 4107726719 9000 FRANKLIN SQUARE DRIVE Suite BALTIMORE MD 21237 JOEL BRYAN VICE PRESIDENT/TREASURER 4107726721 2015-04-30 true MARGARET A BRADSHAW P00501222 4107726721 2013 2016-02-25 16:41:14Z MEDSTAR FRANKLIN SQUARE MEDICAL CTR Adrienne Kirby 9000 Franklin Square Drive Baltimore MD 21237 490374554 false X WWW.FRANKLINSQUARE.ORG X 1898 MD MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, A MEMBER OF MEDSTAR HEALTH, PROVIDES THE HIGHEST QUALITY HEALTHCARE AND EDUCATION TO OUR COMMUNITIES. 19 14 5230 445 0 1181245 855747 452184727 486241034 99356 104827 5390237 3172946 458855565 490374554 0 256148 0 0 242954088 253555494 0 0 0 211879258 214836479 454833346 468648121 4022219 21726433 295979507 293370243 78972768 65493897 217006739 227876346 X As a proud member of MedStar Health, MedStar Franklin Square Medical Center's (MedStar Franklin Square) mission is to provide safe, high quality care, excellent service, and education to improve the health of the community. MedStar Franklin Square is an acute-care teaching hospital located in eastern Baltimore County, Maryland. It is the largest community teaching hospital in Maryland and offers a full range of services for children and adults. A seven-story patient tower with 291 private patient rooms includes an emergency department which sees more patients annually than any other hospital in the state. The hospital's Weinberg Cancer Institute is a 64,000-square-foot facility providing cancer patients and their families with a broad range of oncology services, including screening, diagnosis and treatment. In fiscal year 2014, MedStar Franklin Square had 24,493 inpatient admissions, 288,996 outpatient visits, and 105,191 emergency department visits. false false 364531843 464276196 MEDSTAR FRANKLIN SQUARE MEDICAL CENTER'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF EASTERN BALTIMORE COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR FRANKLIN SQUARE INCURRED $63.6M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR FRANKLIN SQUARE OFFERS CLINICAL SERVICES IN MEDICINE, SURGERY, ONCOLOGY, OBSTETRICS AND GYNECOLOGY, CARDIOLOGY (INCLUDING ANGIOPLASTY), PEDIATRICS, AND PSYCHIATRY. MEDSTAR FRANKLIN SQUARE ATTAINED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) IN 2008 AND WAS REDESIGNATED IN 2013. IT IS RECOGNIZED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER. IN 2014, US NEWS AND WORLD REPORT RECOGNIZED MEDSTAR FRANKLIN SQUARE MEDICAL CENTER AS A HIGH PERFORMING HOSPITAL IN DIABETES AND ENDOCRINOLOGY, EAR, NOSE, AND THROAT, GASTROENTEROLOGY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND UROLOGY. THE HOSPITAL WAS ALSO NATIONALLY RANKED FOR GASTROENTEROLOGY & GI SURGERY SERVICES. 26879571 21964838 MEDSTAR FRANKLIN SQUARE MEDICAL CENTER PROVIDED $26.9M 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 INCLUDE OPERATION AND MANAGEMENT OF THE FAMILY HEALTH CENTER, HOMELESS HEALTH SERVICES, PRIMARY CARE SERVICES, HOSPITALISTS, AND EMERGENCY AND TRAUMA SERVICES. 13587834 MEDSTAR FRANKLIN SQUARE MEDICAL CENTER PROVIDED $13.6M 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. 404999248 true true 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 true false true false false false false false false false true false false false false true true true true false false true 0 0 true 5230 true false false false false false true true false false false false X 19 14 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 FLOOR COLUMBIA MD 21044 X MOHAMAD M ALABRASH MD DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM D MCLAUGHLIN DIRECTOR 1.0 0.0 X 0 0 0 KENNETH A SAMET director 1.0 39.0 X 0 3334799 61007 HATEM ABDO MD director 1.0 X 0 0 0 KHALID AL-TALIB MD DIRECTOR 1.0 0.0 X 0 0 0 GEORGE J JABAJI MD DIRECTOR 1.0 0.0 X 0 0 0 VINCENT MARTORANA DPM DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL D SUTER MD DIRECTOR 1.0 0.0 X 0 0 0 DEBRA B DOYLE DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL DIETRICH DIRECTOR 1.0 0.0 X 0 0 0 ELIZABETH S GLENN DIRECTOR 1.0 0.0 X 0 0 0 BISHOP CLIFFORD M JOHNSON JR DIRECTOR 1.0 0.0 X 0 0 0 COLLEEN LOPRESTO DIRECTOR 1.0 0.0 X 0 0 0 PATRICIA R NORMAN DIRECTOR 1.0 0.0 X 0 0 0 CHARLES PICCININI DIRECTOR 1.0 0.0 X 0 0 0 RICHARD W SINGLE SR ESQ DIRECTOR 1.0 0.0 X 0 0 0 THOMAS S WINTZ DIRECTOR 1.0 0.0 X 0 0 0 HOWARD L GOLDMAN MD DIRECTOR 1.0 0.0 X 0 0 0 JUDITH NEEDHAM DIRECTOR 1.0 0.0 X 0 0 0 SAMUEL MOSKOWITZ PRESIDENT/DIRECTOR 40.0 0.0 X X 670722 0 12826 Maryellen Goodell md DIRECTOR 40.0 0.0 X 247535 0 21853 Raymond A Naimoli director 1.0 0.0 X 0 0 0 ANTHONY SCLAMA vice president 40.0 0.0 X 551168 0 24113 ROBERT LALLY VICE PRESIDENT/CFO 40.0 0.0 X 326260 0 41520 LAWRENCE STRASSNER VICE PRESIDENT 40.0 0.0 X 346585 0 17301 Kamyun Auyeung CHIEF 40.0 0.0 X 408449 0 17011 Yvonne Ottaviano Physician Dir. Service Line 40.0 0.0 X 458897 0 28487 Albert Fleisher Medical Director 40.0 0.0 X 398821 0 22068 Jerold Fleishman physician 40.0 0.0 X 394583 0 22063 Samuel Smith Chairman, Obs & Gynecology 40.0 0.0 X 436846 0 30884 4239866 3334799 299133 262 false true false MORRISON MANAGEMENT SPECIALIST 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 Nutrition Services 4022464 CHESAPEAKE PERIOPERATIVE SVCS HERTZBACH COMPANY PA OWINGS MILLS MD 21117 Medical Services 3913804 PULMONARY CRITICAL CARE ASSOCIATE 400 REDLAND COURT OWINGS MILLS MD 211173292 Medical Services 1492392 CLINOVATIONS LLC 1325 G Street Northwest 900 WASHINGTON DC 20005 Consulting Services 1163261 SODEXO INC AFFILIATES 9801 Washingtonian Blvd GAITHERSBURG MD 20878 Food Services 1158401 17 855747 855747 NET PATIENT SERVICE REVENUE 621300 476855002 476855002 PHARMACY 900099 4228967 4228967 HEALTH EDUCATION 900099 52099 52099 MEANINGFUL USE INCOME 900099 5104966 5104966 486241034 45286 0 0 45286 0 0 457328 457328 0 457328 457328 49522 10019 49522 10019 59541 59541 0 0 0 REBATE INCOME 900099 1166623 1166623 PARKING LOT REVENUE 812930 71384 71384 NSABP REVENUE 900099 63850 63850 1413761 1413761 2715618 490374554 486241034 0 3277773 256148 256148 0 0 0 2297793 2093553 204240 0 208389858 189867056 18522802 4310966 3927784 383182 23937747 21810032 2127715 14619130 13023818 1595312 32955540 1453776 31501764 0 3500 2000 1500 0 0 0 0 36486555 33160154 3326401 1187731 19163 1168568 3165759 1946740 1219019 0 0 2166289 2095911 70378 730694 447875 282819 0 33421 27115 6306 9586457 9586457 0 24345447 24345447 9686475 9291051 395424 MEDICAL/SURGICAL SUPPLIES 57327568 57269245 58323 IMPLANTS/PROSTHESES 9783320 9783320 FOOD SERVICE 6392725 6056861 335864 UTILITIES 5838692 5317147 521545 15146306 13218595 1927711 468648121 404999248 63648873 0 7356 1007854 331710 306342 0 0 59303330 61237486 0 0 0 0 0 216417 6143560 6318926 1442961 1024624 482047308 261335885 227105996 220711423 0 0 882308 1638992 0 0 0 0 762286 908179 295979507 293370243 44721711 34324879 0 0 608849 462934 0 0 0 0 0 0 0 0 0 0 33642208 30706084 78972768 65493897 X 216724430 227513680 282309 357666 0 5000 217006739 227876346 295979507 293370243 X 21726433 59397 -10916223 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 386702 386702 165792534 85934276 79858258 2461131 1870908 590223 283346322 164865522 118480800 30060619 8665179 21395440 220711423 0 ADVANCES FROM 3RD PARTY PAYORS 13928690 INTERCOMPANY DUE TO/FROM 2851350 WORKERS COMPENSATION 5719225 STOCK OPTION PLAN 799854 OTHER LIABILITY 7406965 30706084 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 10426832 10426832 0.02230 10426832 10426832 0.02230 1549886 570849 979037 0.00210 13593334 5500 13587834 0.02900 26879571 21964838 4914733 0.01050 379067 379067 0.00080 58291 58291 0.00010 42460149 22541187 19918962 0.04250 52886981 22541187 30345794 0.06480 88538 30548 57990 0.00010 2227 2227 802 802 27370 27370 0.00010 14280 14280 133217 30548 102669 0.00020 true 17924316 true true 1 1 FRANKLIN SQUARE HOSPITAL CENTER 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 212373901 X X X X X X FAST TRACK ER FRANKLIN SQUARE HOSPITAL CENTER 1 true X X X X X X X X X 11 true false true X http://www.medstarfranklinsquare.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: Patricia Isennock, RN 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: Scott Krugman, MD 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. Name: Title: AFFLIATION HOSPITAL WITH HOSPITAL EMPLOYEE (i.e., board (yes/no) member, volun- teer, community advocate, staff Elise Andrews Program Manager, Community NO Local Management Partner Board Donna Bilz HEALTH Coordinator, Community NO Baltimore County Partner Department of Aging Gregory Branch Health Officer, Community NO Baltimore County Partner Department of Health Dan Coyne Officer, Community NO Baltimore County Partner Police Department Laura Culbertson Public Health Community NO Administration, Partner Baltimore County Department of Health Megan Doty Senior Public Staff YES Relations Specialist Uchenna Emeche Family Health Staff YES Center Physician Linda Frisch Director of Grant STAFF YES Development, MedStar Health Liz Glenn Board Member Board Member NO Susan Hahn Parent Support Services COMMUNITY NO Coordinator, Baltimore Partner County Public Schools Sharon Hoffman Early Childhood COMMUNITY NO Supervisor, Baltimore Partner County Public Schools Juanita Ignacio Director, Creative Kids COMMUNITY NO Partner Tricia Isennock Community Outreach Staff Yes Manager Terri Kingeter Sector Coordinator, COMMUNITY NO Baltimore County Partner Planning Office Scott Krugman Community Medicine Staff Yes Service Line Director Patricia Norman Board Member Staff Yes Sally Rixey Family Health Center, Staff Yes Chief of Family Practice 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 (YES/NO) Don Schwimm Acting Executive Community NO Director, Local Partner Management Board Bryan Sheppard Special Asst. to Community NO Kevin Kamenetz, Partner Baltimore County Executive Tobie-Lynn Smith Medical Director, Community NO Health Care for Partner the Homeless- Baltimore County Renee Youngfellow Division Chief, Community NO Clinical Services- Partner Center Based Services, Baltimore County Department of Health 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 FRANKLIN SQUARE MEDICAL CENTER (MEDSTAR FRANKLIN SQUARE) 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 14 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING COMMUNITY RESIDENTS, 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, 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 SOUTHEAST BALTIMORE COUNTY 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 HEART DISEASE, SUBSTANCE ABUSE, AND ASTHMA. THE HOSPITAL'S FY12 CHNA AND 3-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR FRANKLIN SQUARE'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2012. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR FRANKLIN SQUARE 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 LOCATED IN THE ROSEDALE SECTION OF EASTERN BALTIMORE COUNTY, MARYLAND, MEDSTAR FRANKLIN SQUARE'S COMMUNITY BENEFIT SERVICE AREA (CBSA) INCLUDES NEIGHBORHOODS IN SOUTHEASTERN BALTIMORE COUNTY AND ADJACENT TO THE CHESAPEAKE BAY INCLUDING OVERLEA (21206), EDGEMERE (21219), MIDDLE RIVER (21220), ESSEX (21221), DUNDALK (21222, 21224), ROSEDALE (21237), NOTTINGHAM (21236) AND PERRY HALL (21128). THIS REGION WAS SELECTED IN PART DUE TO MEDSTAR FRANKLIN SQUARE'S PRE-EXISTING PARTNERSHIP WITH THE BALTIMORE COUNTY SOUTHEAST AREA NETWORK (NETWORK) - A VOLUNTEER COMMUNITY ORGANIZATION THAT MONITORS AND WORKS TO IMPROVE THE HEALTH OF RESIDENTS IN THE SOUTHEASTERN PORTION OF BALTIMORE COUNTY. DEMOGRAPHIC THE MAJORITY (72.4 PERCENT) OF THE SOUTHEAST AREA'S POPULATION IS WHITE, COMPARED TO 74.4 PERCENT IN BALTIMORE COUNTY OVERALL AND 64.0 PERCENT IN MARYLAND. AFRICAN-AMERICANS ACCOUNT FOR 19.6 PERCENT OF THE SOUTHEAST AREA'S POPULATION, AS OPPOSED TO 19.9 PERCENT OF BALTIMORE COUNTY'S POPULATION AND 27.7 PERCENT OF MARYLAND'S POPULATION. THE REMAINING RACIAL/ETHNIC BREAKDOWN IS: 4.5 PERCENT HISPANIC, 2.7 PERCENT ASIAN/PACIFIC ISLANDERS AND 0.6 PERCENT AMERICAN INDIANS/ALASKAN NATIVES. IN THE SOUTHEAST AREA POPULATION, THE ESTIMATED PERCENTAGE OF ALL PEOPLE WHOSE INCOME WAS BELOW THE FEDERAL POVERTY LEVEL IS 11.4 PERCENT, COMPARED TO 8.2 PERCENT IN BALTIMORE COUNTY (AMERICAN COMMUNITY SURVEY, 2007-2011). FOUR OF THE ZIP CODES-21206, 21221, 21222, AND 21224-HAVE POVERTY RATES THAT ARE CONSIDERABLY HIGHER (11.0-19.2 PERCENT) THAN THE COUNTY AVERAGE. BASED ON RESULTS FROM MEDSTAR FRANKLIN SQUARE'S FY12 COMMUNITY HEALTH ASSESSMENT, PEDIATRIC ASTHMA, AWARENESS OF RESOURCES CONCERNING ALCOHOL AND SUBSTANCE ABUSE AND HEART HEALTH HAVE BEEN IDENTIFIED AS THE COMMUNITY HEALTH PRIORITIES. THE RATE OF ED VISITS FOR ASTHMA PER 10,000 POPULATION FOR BALTIMORE COUNTY (66.1) IS GREATER THAN THE STATE AVERAGE (MD SHIP, 2011) AND THE MARYLAND STATE HEALTH IMPROVEMENT PROCESS (MD SHIP) 2014 TARGET (59.1 AND 49.5, RESPECTIVELY). BALTIMORE COUNTY'S HEART DISEASE DEATH RATE (198.4 PER 100,000 POPULATION) IS HIGHER THAN THE NATIONAL AVERAGE OF 185.2. THE HEART DISEASE DEATH RATE PERCENTAGE IN THE SOUTHEAST AREA (25.9 PERCENT) IS ALSO HIGHER THAN THE NATIONAL AVERAGE (24.6 PERCENT). SMOKING CONTRIBUTES TO ASTHMA, HEART DISEASE AND CANCER. CANCER IS THE SECOND LEADING CAUSE OF DEATH IN THE UNITED STATES AND MARYLAND. THE SOUTHEAST AREA HAS A HIGHER CANCER DEATH RATE AS A PERCENTAGE OF ALL DEATHS (24.5 PERCENT) THAN EITHER BALTIMORE COUNTY (23.3 PERCENT) OR MARYLAND (23.7 PERCENT). THE PERCENTAGE OF ADULTS WHO CURRENTLY SMOKE IN BALTIMORE COUNTY (15.4 PERCENT) IS ABOVE THE 2014 MD SHIP TARGET (13.5 PERCENT). PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR FRANKLIN SQUARE ENGAGES IN A NUMBER OF COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. PRIORITY AREAS OF FOCUS, AS DETERMINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, ARE ASTHMA MANAGEMENT IN SCHOOLS, SENIOR HEART HEALTH AND TOBACCO RESOURCE AWARENESS. AS PART OF THE MEDSTAR FRANKLIN SQUARE CENTER FOR EXCELLENCE FOR PEDIATRIC ASTHMA CARE, THE COMMUNITY ASTHMA COMMITTEE WORKS WITH BALTIMORE COUNTY PUBLIC SCHOOLS (BCPS) TO IMPROVE ASTHMA MANAGEMENT DURING THE SCHOOL DAY. COLLABORATION WITH BCPS SCHOOL NURSES INCLUDE ASSISTING WITH SELF-MANAGEMENT PROGRAMS FOR ELEMENTARY STUDENTS, IMPLEMENTING PROVIDER COMMUNICATION IMPROVEMENT PROJECTS AND PROFESSIONAL EDUCATION SEMINARS. MEDSTAR FRANKLIN SQUARE'S CONTINUING COMMITMENT AS A MILLION HEARTS PARTNER IS DEMONSTRATED BY THE FACILITATION OF EVIDENCE BASED PROGRAMS, SUCH AS ACTIVE LIVING EVERY DAY (ALED), WHICH IS CONDUCTED AT BALTIMORE COUNTY DEPARTMENT OF AGING SENIOR CENTERS. MEDSTAR FRANKLIN SQUARE ADDRESSES A HIGH PREVALENCE OF PERSONS WHO SMOKE BY LINKING THEM TO SMOKING CESSATION PROGRAMS. COMMUNICATION VEHICLES INCLUDE FLYERS, POSTERS, BROCHURES AND HEALTH FAIR EXHIBITS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR FRANKLIN SQUARE 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 FRANKLIN SQUARE 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 FRANKLIN SQUARE MEDICAL CENTER IS FILED IN THE STATE OF MARYLAND. FRANKLIN SQUARE HOSPITAL FOUNDATION 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 522329546 501(C)(3) 256148 PROGRAM SUPPORT 1 X false true X X X X X X false 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 SAMUEL MOSKOWITZ PRESIDENT/DIRECTOR 458250 0 212472 0 0 0 0 0 12826 0 683548 0 0 0 Maryellen Goodell md DIRECTOR 247535 0 0 0 0 0 7500 0 14353 0 269388 0 0 0 Kamyun Auyeung CHIEF 408449 0 0 0 0 0 16294 0 717 0 425460 0 0 0 Yvonne Ottaviano Physician Dir. Service Line 458897 0 0 0 0 0 12194 0 16293 0 487384 0 0 0 Albert Fleisher Medical Director 398821 0 0 0 0 0 7500 0 14568 0 420889 0 0 0 Jerold Fleishman physician 394583 0 0 0 0 0 7500 0 14563 0 416646 0 0 0 Samuel Smith Chairman, Obs & Gynecology 436846 0 0 0 0 0 16312 0 14572 0 467730 0 0 0 LAWRENCE STRASSNER VICE PRESIDENT 267658 0 78927 0 0 0 10580 0 6721 0 363886 0 0 0 ANTHONY SCLAMA vice president 382743 0 168425 0 0 0 11570 0 12543 0 575281 0 0 0 ROBERT LALLY VICE PRESIDENT/CFO 250406 0 75854 0 0 0 27033 0 14487 0 367780 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICERS WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. MARYLAND KIDNEY GROUP LLC SEE PART V NEPHROLOGY SERVICES false central maryland neurological associates llc see part v neurological services false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV Dr. Khalid Al-Talib, a Board member at MedStar Franklin Square Medical Center, owns more than 5% of Maryland Kidney Group, LLC (MKG), which provides nephrology services to MedStar Franklin Square Medical Center. MKG's gross revenues received from the hospital for the year were $0.2 million. Dr. Hatem S. Abdo, a Board member at MedStar Franklin Square Medical Center, owns more than 5% of Central Maryland Neurological Associates, LLC (CMNA), which provides neurological on call and administrative services to MedStar Franklin Square Medical Center. CMNA's gross revenues received from the hospital for the year were $0.2 million. DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENTS PART III, lINE 4A MFSMC OFFERS CLINICAL SERVICES IN MEDICINE, SURGERY, ONCOLOGY, OBSTETRICS, CARDIOLOGY (INCLUDING ANGIOPLASTY), PEDIATRICS, GYNECOLOGY, AND PSYCHIATRY. MFSMC ATTAINED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) IN 2008 AND IS RECOGNIZED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER. IN 2014, US NEWS AND WORLD REPORT RECOGNIZED MFSMC AS A HIGH PERFORMING HOSPITAL IN CANCER, DIABETES AND ENDOCRINOLOGY, OTOLARYNGOLOGY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND UROLOGY. THE HOSPITAL IS ALSO NATIONALLY RANKED FOR GASTROENTEROLOGY AND GI SURGERY SERVICES. 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 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. 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