2013-07-17T12:04:55-07:00 2012-06-30 990 2011-07-01 521638026 DOCTORS HOSPITAL INC DOCT 3015528028 8118 Good Luck Road Lanham MD 207062418 Camille Bash 3015528028 2013-05-15 2011 2016-02-24 21:20:13Z Doctors Community Hospital Camille R Bash 8118 Good Luck Road Lanham MD 20706 193485835 0 X dchweb.org X 1990 MD Provide healthcare services to the community 8 7 0 165 0 0 0 0 195150179 190779020 7815370 146776 8157798 2560039 211123347 193485835 0 0 0 0 92389001 88377868 0 0 4175545 102134558 102629679 194523559 191007547 16599788 2478288 250742233 258735866 202073176 210454146 48669057 48281720 Provide healthcare services to the citizens of Prince Georges County and the surrounding community 0 0 138474896 0 193485835 Provide healthcare to the citizens of Prince George's County 0 0 0 138474896 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 94 0 1 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X Doctors Hospital Inc 3015528087 8118 Good Luck Road Lanham MD 207062418 X Charlene Dukes Phd 1 X 0 0 0 Robert Bonaventure 1 X 0 0 0 Rakesh Arora MD 1 X 0 0 0 Rene LaVigne 1 X 0 0 0 Robert Depew 1 X 0 0 0 Joanne Goldsmith 1 X 0 0 0 Charles Dukes 1 X 0 0 0 Richard J Ham 1 X 0 0 0 Regina E Robinson 40 X X 57114 0 0 Philip B Down 40 X X X 1097433 0 0 Dennis P Scanlon 40 X X X 307240 0 0 Gabriel Jaffe MD 24 X X X 244627 0 0 Paul R Grenaldo 40 X X X 266788 0 0 Charlene B Lundgren 40 X X 176973 0 0 Scott Gregerson 40 X 247584 0 0 Paula L Bruening 40 X X 252068 0 0 Robyn Webb-Williams 40 X X 31738 0 0 Alan H Johnson 40 X 182615 0 0 Chester A DiLallo 40 X 183297 0 0 Salim Jarawan 40 X 183257 0 0 Camille Bash 40 X 163325 0 0 Karl Finley 40 X X 176730 0 0 Thomas J Crowley 40 X 105415 0 0 3676204 0 0 114 1 1 0 Accounts Clearing House LLC P O Box 2373 Glen Burnie MD 21060 Collection Agency 623477 Up To Date Laundry 1221 Desoto Road Baltimore MD 21223 laundry 559149 Benologic 2118 GREENSPRING DRIVE TIMONIUM MD 21093 Human Resources and Benefits Consultant 449242 RADIATION MANAGEMENT ASSOCIATION 10210 GREENBELT ROAD LANHAM MD 20706 RADIOLOGY SERVICES 542993 MEDICAL INFORMATION TECHNOLOGY MEDITECH CIRLCE WESTWOOD MA 02090 COMPUTER SERVICES 406825 30 0 NET PATIENT SERVICE REVENUE 622000 186290140 186290140 0 0 INVESTMENT INCOME FROM SUBSIDIARY 621000 4458536 4458536 0 0 ASSETS RELEASED FROM RESTRICTIONS 900099 344 344 0 0 30000 30000 0 0 190779020 46615 46615 0 0 0 0 0 0 2560039 2560039 0 0 0 0 0 100161 0 0 0 100161 100161 100161 0 0 0 193485835 193485835 0 0 74768683 53833452 20935231 523690 377057 146633 7519020 5413694 2105326 5566475 4007862 1558613 24508294 17645972 6862322 332947 239722 93225 298147 214666 83481 620326 446635 173691 1131105 814396 316709 481165 346439 134726 133887 96399 37488 187528 135020 52508 8101614 5833162 2268452 8757881 6305675 2452206 2568748 1849498 719250 SUPPLIES 30684296 22092693 8591603 UNCOMPENSATED CARE 14128046 14128046 0 0 RENTALS AND RENTAL EQUIPMENT 2613061 1881404 731657 0 REPAIRS AND MAINTENANCE 3488289 2511568 976721 0 4594345 301536 117264 4175545 191007547 138474896 48357106 4175545 24000 24000 24926706 21571161 0 0 21973438 25276267 0 0 8654492 9703705 3351016 3613413 1224155 1839563 212296535 93385721 120375865 118910814 13269293 13382249 10088944 15143546 46854324 49271148 250742233 258735866 38748190 40198434 153952896 150656089 9372090 19599623 202073176 210454146 X 48666861 47279868 2196 1001852 0 0 48669057 48281720 250742233 258735866 X 2478288 -2865625 X 0 1 1 X 0 X 9590618 0 9590618 116527765 0 39246075 77281690 0 0 0 0 77425912 0 54139646 23286266 8752240 0 0 8752240 118910814 Investments Other Securities 13382249 F 13382249 Investments in Doctors Reginal Cancer Center 2648170 F Investment in Sleep Services of America 701540 F Due To DCH 11793836 F 15143546 Investments held by Trustee 24873121 Deferred Financing Costs 2317213 Goodwill 1062531 Other Assets 21018283 49271148 OTHER NONCURRENT LIABILITIES 12023967 PENSION OBLIGATION 7575656 19599623 193485835 191007547 2478288 0 0 0 0 0 0 2478288 193485835 0 0 0 0 0 193485835 0 0 0 193485835 191007547 0 0 0 0 0 191007547 0 0 0 191007547 SchD_P10_S00_L02 Schedule D, Part X, Line 2 n/a 1 1 1 X 1 X 1 1 1 0 1 1 6081983 5200856 881127 0.00004 0 0 6081983 5200856 881127 0.00004 0 6679 372955 18550 354405 0.00002 0 3004 2572405 0 2572405 0.00013 0 0 227816 0 227816 0.00001 0 9810 266921 0 266921 0.00001 0 19493 3440097 18550 3421547 0.00017 0 19493 9522080 5219406 4302674 0.00021 869 65918 65918 0.00001 3161 622778 622778 0.00001 0 19411 19411 0 550 1730 1730 0.0 0 4580 709837 0 709837 0.00002 1 14128046 2949975 90774696 85328215 5446481 X 1 1 1 1 Doctors Hospital Inc

8118 Good Luck Road Lanham MD 20706

X X Doctors Hospital Inc 1 SchH_P01_S00_L03c Schedule H, Part I, Line 3c DCH uses FPG SchH_P01_S00_L07 Schedule H, Part I, Line 7 With the all-payer system in Maryland, the mark-up is small and we determined that our excess of revenue over expennse is 2 percent. All payers pay charges therefore our cost is 98 percent. SchH_P01_S00_L07g Schedule H, Part I, Line 7g N/A SchH_P02_S00_L00 Schedule H, Part II By providing educational programs to inform the community of services available at the Hospital to improve their health. SchH_P02_S00_L10 Schedule H, Part II, Line 10 By providing educaiton programs to inform the community of services availabel at the Hospital, we intent to improve health and keep patients healthy at home. SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 A patient is classified as a charity patient by reference to certain established policies of the Hospital. These policies define charity services as those services for which no payment is anticipated. In assessing a patient's ability to pay, the Hospital utilizes the generally recognized poverty income levels in the local community, but also includes certain cases where incurred charges are significant when compared to income. Charity care provided in 2012 and 2011, measured at established rates, was $2,949,975 and $2,128,738 respectively. These charges are excluded from consolidated net patient service revenue. The cost of providing this care is included in consolidated operating expenses. SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 Net patient service revenue and net patient accounts receivable are reported at estimated net realizable amounts from patients, third party payers, and others for services rendered. Discounts ranging from 2.25% to 6% of Hospital charges are given to Medicare, Medicaid, and certain approved commercial health insurance providers and health maintenance organizations. In addition, these payers routinely review patient billings and deny payments for certain charges that they deem medically unnecessary or performed without appropriate pre-authorization. Discounts and denials are recorded as reductions of net patient service revenue. Accounts receivable from these third-party payers have been adjusted to reflect the difference between charges and the estimated reimbursable amounts. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b The Maryland Health Services Cost Review Commission has established guidelines for all Hospitals, to follow as it relates to qualifying for charity care or financial assistance. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 We complete market surveys to determinethe health care of the community and their needs. We review transfers to other healthcare organizations to see the changing needs of the citizens we serve. We discuss with our Medical Staff who are treating patients before they are admitted to our facility for their assessment. SchH_P06_S00_L03 Schedule H, Part VI, Line 3 We advertize our charity care policy in the local newspapters and have brochures at admission and discharge informing patients of our policy. We have signs around the Hospital. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 Doctors Community Hospital (the Hospital) is a not-for-profit, non-stock corporation that operates an acute care general hospital facility licensed for 195 beds. The Hospital serves the health care needs of the residents of Prince George's County, the District of Columbia, and the greater Washington, D.C. metropolitan area. The hospital, which is one and one-half miles from the Baltimore-Washington Parkway and 495, is focused on meeting the health care needs of Prince George's County and the region. SchH_P06_S00_L05 Schedule H, Part VI, Line 5 The Hospital holds serveral health fairs during the year with the largest fair being the Women's Health Fair. The attendence has grown over the years with last year we had over 400 participants. The educatioal sessions held are outstanding and provide guidance for the women in the area in many avenues of healthcare. SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Doctors Community Hospital currently operates 219 licensed medical/surgical beds, admit 12,000 patients annually, and employs 1,500 individuals. Our medical staff is comprised of more than 600 physicians. The hospital offers a broad range of inpatient and outpatient services, a number of specialty and subspecialty services, and a full range of ancillary and support services. The Board of Directors are citizens of the community who provide leadership to management to meet the needs of the community. Any surplus funds are used to improve the physical plant and purchase new state of the art equipment to provide a better service to our community. SchH_P06_S00_L07 Schedule H, Part VI, Line 7 State of Maryland X X X X X X 0 0 0 0 0 0 0 1 0 Philip B Down 690995 0 400563 0 5875 0 8350 0 37688 0 1143471 0 0 0 Paula L Bruening 206923 0 25000 0 20145 0 34922 0 4905 0 291895 0 0 0 Thomas J Crowley 7256 0 96763 0 1395 0 3400 0 0 0 108814 0 0 0 Scott Gregerson 175435 0 50000 0 22149 0 3400 0 4011 0 254995 0 0 0 Paul R Grenaldo 249338 0 17450 0 0 0 3400 0 11395 0 281583 0 0 0 Gabriel Jaffe MD 204627 0 40000 0 0 0 8350 0 1301 0 254278 0 0 0 Charlene B Lundgren 169573 0 7400 0 0 0 18862 0 4924 0 200759 0 0 0 Dennis P Scanlon 277513 0 27150 0 2576 0 107380 0 7219 0 421838 0 0 0 Robyn Webb-Williams 31738 0 0 0 0 0 0 0 1755 0 33493 0 0 0 Regina E Robinson 57411 0 0 0 0 0 0 0 120 0 57531 0 0 0 Alan H Johnson 172615 0 10000 0 0 0 3480 0 3336 0 189431 0 0 0 Chester A DiLallo 183297 0 0 0 0 0 0 0 348 0 183645 0 0 0 Salim Jarawan 183257 0 0 0 0 0 2726 0 120 0 186103 0 0 Camille Bash 163325 0 0 0 0 0 3064 0 188 0 166577 0 0 0 Karl Finley 128687 0 0 0 48042 0 0 0 120 0 176849 0 0 0 SchJ_P01_S00_L07 Schedule J, Part I, Line 7 The Organization maintains an incentive compensation program that pays variable compensation based on the satisfaction by the Organization and the executive, if and to the extent satisfied, of pre-established quality of care, program, financial and similar goals established at the beginning of the year prior to payment. Maryland Health and Higher Educational Facilities Authority Series 2010 520936091 5742176W0 2010-05-05 9095000 See Schedule O 0 0 0 Maryland Health and Higher Educational Facilities Authority 520936091 5742176Y6 2010-05-05 68245000 See Schedule O 0 0 0 Maryland Health and Higher Educational Facilities Authority 520936091 5742176U4 2010-05-05 5330000 See Schedule O 0 0 0 Maryland Health and Higher Educational Facilities Authority 520936091 5742158H5 2006-12-15 14085000 See Schedule O 0 0 0 0 0 85570000 5015802 0 59160000 1366000 0 0 0 0 0 2015 0 0 1 1 0 0 85570000 5015802 0 59160000 1366000 0 0 0 0 0 2015 0 0 1 1 0 0 85570000 5015802 0 59160000 1366000 0 0 0 0 0 2015 0 0 1 1 0 0 88405881 5906114 0 0 1204404 0 0 0 0 0 2012 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X SchK_P01_S00_L00f Schedule K, Part I, Column f On May 15, 2010, the Hospital issued $82,670,000 principal amount of Revenue Bonds, Series 2010 (Series 2010 Bonds). The proceeds of this issue were used to retire the Revenue Bonds, Series 2008 and to finance the costs of renovation and equipment purchases. Funds will be used to renovate the Surgical Suites. On January 4, 2007, the Hospital issued $77,685,000 principal amount of Revenue Bonds, Series 2007A (Series 2007 Bonds). The proceeds of this issue were used to retire certain existing bonds, pooled loans, and to finance the costs of renovation and equipment purchases. The Hospital is required to maintain certain debt ratios as defined by the Agreement. In the opinion of the management, the Hospital has complied with the required covenants for 2012 and 2011. Maryland Health and Higher Educational Facilities Authority 520936091 5742158J1 2006-12-15 21890000 See Schedule O 0 0 0 Maryland Health and Higher Educational Facilities Authority 520936091 5742158K8 2006-12-15 30795000 See Schedule O 0 0 0 Maryland Health and Higher Educational Facilities Authority 520936091 5742158L6 2006-12-15 10915000 See Schedule O 0 1 0 0 0 88405881 5906114 0 0 0 0 0 0 0 0 2012 0 0 1 1 0 0 88405881 5906114 0 0 0 0 0 0 0 0 2012 0 0 1 1 0 0 88405881 5906114 0 0 0 0 0 0 0 0 2012 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Philip B Down Jr Adult Son of Phillip B Down, President 157168 Lease management and LLC business lines fiscal analyses. His total compensation includes W-2 from 2011, which was market driven. In 2012, Mr. Down Jr. left employment and is a consultant for lease arrangements. 0 Robert Bonaventure Board Member 275013 The total fees paid were determined based on a bidding process and were to cover Security Services at the Hospital. Mr. Bonaventure abstains from voting with regard to this service and is not a member of the Organization's Compensation Committee. 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b 990 is reviewed by an consultant, the CEO, and members of the Board of Directors that are present. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Each Board member and Officer of the Organization is required to complete a written Conflict of Interest Statement annually which are reviewed by the President. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The Organization's Board has adopted a Compensation Policy ("the Policy") for covered individuals. Pursuant to the Policy, a Compensation Committee of independent directors was established to review the compensation of all employees specified as having a substantial influence over the organization and who receive remuneration from the Organization, including, among others, the Organization's President and Chief Executive Officer and the Organization's Chief Financial Officer and Vice President of Finance. The Compensation Committee is advised by an independent compensation consultant, which opines to the Compensation Committee that the level of compensation paid and the process by which compensation is established meet applicable IRS reasonableness and 'safe harbor' standards. The outside compensation consultant provides data of compensation provided at similar organizations to ensure that the Organization does not compensate in excess of market norms. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 These documents are available upon requests. We also file thes documents with the State of Maryland Health Services Cost Review Commission. F990_P11_S00_L05 Form 990, Part XI, Line 5 NET ASSET TRANSFER FROM FOUNDATION- $128,506 --------------------------------------------------- KOMAN RESTRICTED GRANT RECEIVED- $1,000,000 ---------------------------------------------------- NET ASSETS RELEASED FROM RESTRICTIONS - $344 --------------------------------------------------- PENSION RELATED CHANGES OTHER THAN NET PERIODIC - ($3,993,787) Doctors Community Hospital Foundation Inc 8118 Good Luck Road Lanham MD 20706 521712338 To raise funds for Doctors Hospital Inc Capital needs MD 501 (c) (3) 501 (c) (3) N/A Spine Team of Maryland LLC 8118 Good Luck Road Lanham MD 20706 272049767 spine care services to Prince George's Residents MD 501 (c) (3) N/A Sleep Center 8118 Good Luck Road Lanham MD 20706 521953798 Sleep services for residents of Prince George's County MD N/A Related 60 60 0 0 0.6 Doctors Regional Cancer Center 8116 Good Luck Road Lanham MD 20706 208889327 Cancer treatments for Prince George's Residents MD N/A Related 60 60 1 0.6 Doctors Community Health Ventures Inc 8118 Good Luck Road Lanham MD 20706 521884380 Wholly owned for profit entity of Doctors Hospital Inc MD N/A C 1 1 0 0 1 0 0 0 1 1 0 0 0 1 0 0 1 1 1