2012-05-10T11:48:16-05:00 2011-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235102674 990 2010-07-01 522218584 MedStar-Georgetown Medical Center Inc MEDS 2027843000 Hospital Admin 1 Main Bldg 3800 Reservoir Road NW Washington DC 20007 Marc R Berger 4107726719 2012-05-07 true 7576167000 2010 2016-02-24 21:20:13Z MedStar Georgetown University Hospit RICHARD GOLDBERG HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 809094681 false X www.georgetownuniversityhospital.org X 2000 DC MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL'S MISSION IS TO PROVIDE PHYSICAL AND SPIRITUAL COMFORT TO OUR PATIENTS AND FAMILIES IN THE JESUIT TRADITION OF CURA PERSONALIS, CARING FOR THE WHOLE PERSON. 22 16 5176 40 617641 263637 706008 547670 738971154 789491033 361657 11583 42474085 19044395 782512904 809094681 0 0 0 0 377979081 391591300 0 0 545281 359142782 373789396 737121863 765380696 45391041 43713985 294903262 299536652 163922156 155140205 130981106 144396447 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL'S MISSION IS TO PROVIDE PHYSICAL AND SPIRITUAL COMFORT TO OUR PATIENTS AND THEIR FAMILIES IN THE JESUIT TRADITION OF CURA PERSONALIS, CARING FOR THE WHOLE PERSON. MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL (MGUH) IS AN ACUTE CARE TEACHING AND RESEARCH HOSPITAL LOCATED IN NORTHWEST WASHINGTON, D.C. IN FISCAL YEAR 2011, MGUH HAD 15,965 INPATIENT ADMISSIONS, 400,121 OUTPATIENT VISITS, AND 34,381 EMERGENCY VISITS. false false 547941228 0 735312865 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL'S LARGEST PROGRAM IS THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF THE NORTHWEST WASHINGTON, D.C. AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MGUH INCURRED $145.4M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MGUH'S CENTERS OF EXCELLENCE INCLUDE CANCER, NEUROSCIENCES, GASTROENTEROLOGY, AND TRANSPLANT SERVICES. MGUH HAS ONE OF THE HIGHEST VOLUME AND MOST REPUTABLE TRANSPLANT PROGRAMS IN THE UNITED STATES. FOR MORE INFORMATION, SEE SCHEDULE O. 62107068 0 21810425 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $62.1M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2011. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 5363781 0 0 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $5.4M IN CHARITY CARE SERVICES IN FISCAL YEAR 2011. 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. 615412077 true true 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 0 0 true 5176 true true true false false false false false false false false false X 22 16 false false false false true true true true true false false true true true true true true true true false DC X MARC BERGER 4107726719 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 X JOY DRASS MAXWELL MD 1.0 X 0 1247987 35303 RICHARD GOLDBERG MD 40.0 X X 748794 0 29731 S JOSEPH BRUNO 1.0 X X 0 0 0 KENNETH A SAMET 1.0 X 0 3125094 132265 JOHN PAHIRA MD 40.0 X 482545 0 19284 RUSSELL T WALL III MD 40.0 X 428250 0 17370 MARK ABBRUZZESE MD 1.0 X 0 0 0 NED BRODY 1.0 X 0 0 0 HOWARD J FEDEROFF MD PHD 1.0 X 0 0 0 MORTON FUNGER 1.0 X 0 0 0 CHRISTOPHER KALHORN MD 40.0 X 499478 0 18060 JOHN LANGAN SJ 1.0 X 0 0 0 STEPHEN RAY MITCHELL MD 1.0 X 0 0 0 FRANCIS X RIENZO 1.0 X 0 0 0 JOHN W ROLLINS JR 1.0 X 0 0 0 KEVIN P CHAVOUS 1.0 X 0 0 0 JAMES J CROMWELL 1.0 X 0 0 0 JOHN K DELANEY 1.0 X 0 0 0 WARREN E HALLE 1.0 X 0 0 0 JEANNE RUESCH 1.0 X 0 0 0 JUDSON W STARR 1.0 X 0 0 0 WEDELIN A WHITE 1.0 X 0 0 0 PAUL WARDA 40.0 X 402950 0 11703 STEPHEN EVANS 40.0 X 748983 0 20914 JOYCE JOHNSON 40.0 X 964634 0 34946 MICHAEL SACHTLEBEN 40.0 X 396945 0 19040 LINDA WINGER 40.0 X 297518 0 18095 IVICA DUCIC 40.0 X 779016 0 16761 THOMAS FISHBEIN 40.0 X 955445 0 9264 NADIM HADDAD 40.0 X 1173128 0 16931 LYNT JOHNSON 40.0 X 756608 0 22247 JOHN KLIMKIEWICZ 40.0 X 921484 0 20491 ANATOLY DRITSCHILO 1.0 X 466266 0 22173 10022044 4373081 464578 536 true true false NURSEFINDERS PO BOX 910738 DALLAS TX 75391 MEDICAL STAFFING 10755117 CORBETT CONSTRUCTION 2810 DORR AVENUE FAIRFAX VA 22031 CONSTRUCTION 5823171 SODEXO INC AFFILIATES PO BOX 536922 ATLANTA GA 303536922 FACILITIES MGMT 4666576 MORRISON MANAGEMENT SPECIALIST 4721 MORRISON DRIVE MOBILE AL 36609 FOOD SVC PROVIDER 4140161 QUEST DIAGNOSTICS 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 606932436 LABORATORY SERVICES 3223733 52 266488 281182 547670 NET PATIENT SERVICE REVENUE 900099 757123290 757123290 RESIDENT SERVICE REVENUE 900099 13489241 13489241 TRAINING TUITION 900099 12802936 12802936 PHYSICIAN REVENUE 900099 3213501 3213501 PHARMACY 900099 2707679 2707679 154386 154386 789491033 750 750 0 0 3833446 3833446 3833446 3833446 10833 10833 10833 10833 0 0 0 PARKING INCOME 900099 2420438 2420438 REBATE INCOME 900099 2045149 2045149 PET SCAN REVENUE 900099 383344 383344 10362018 617641 9744377 15210949 809094681 789491033 617641 18438337 0 0 0 0 5159240 4138345 1016422 4473 0 331816797 271466684 60045893 304220 8650584 8650584 27843034 10644907 17198127 18121645 18100678 20967 34887598 34887598 894849 894849 0 0 0 0 59049197 58894830 154367 1498215 164630 1333585 17745857 16834365 907650 3842 570843 55676 515167 0 7071823 3253881 3817942 1367986 1188903 177243 1840 0 8212 8212 7647299 7647299 0 27737561 27737561 16405098 9863112 6541986 DRUGS/PHARMACEUTICALS 54411224 54324395 86829 MED /SURG SUPPLIES 43142689 43097214 45475 BAD DEBT 36791028 36791028 IMPLANTS/PROSTHESES 27757599 27757599 MAINTENANCE CONTRACTS 4756478 4552026 204452 32045840 18890732 13099536 55572 765380696 615412077 149423338 545281 2548883 3141365 71 0 731282 133897423 132855479 10378882 8618679 1579418 1187361 310729027 167354259 144420512 143374768 7426731 2078073 2200987 294903262 299536652 120507159 115951669 -81121 -871692 43496118 40060228 163922156 155140205 X 130981106 144396447 130981106 144396447 294903262 299536652 X 43713985 -30298644 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 115810927 61238636 54572291 653084 299530 353554 183486827 105713348 77773479 10778189 102745 10675444 143374768 0 PENSION LIABILITY 10562491 WORKERS COMPENSATION FUNDS 3800356 ASBESTOS ABATEMENT LIABILITY 2672347 CREDIT BALANCES PATIENT A/R 15798962 PENDING PFS REFUNDS 3808544 OTHER LIABILITIES 3417528 40060228 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 TH 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, 2011. true true X true X true X true true true false true true 5363781 0 5363781 0.00740 64741011 68947188 -4206177 0.00580 0 0 0 0.00000 70104792 68947188 1157604 0.00160 868482 350 868132 0.00120 62107068 21810425 40296643 0.05530 46735 0 46735 0.00010 323509 0 323509 0.00040 99852 0 99852 0.00010 63445646 21810775 41634871 0.05710 133550438 90757963 42792475 0.05870 29452 0 29452 29452 0 29452 true 11957084 0 114241983 133432051 -19190068 true true 1 1 DBA GEORGETOWN UNIVERSITY HOSPITAL

3800 RESERVOIR ROAD NW WASHINGTON DC 20007

X X X X X X DBA GEORGETOWN UNIVERSITY HOSPITAL 1 PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE OF $36,791,028 HAS BEEN REMOVED FROM TOTAL EXPENSE TO CALCULATE THE PERCENTAGES IN COLUMN (F). BAD DEBT PART III, LINE 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND HFMA 15. AMOUNTS THAT ARE NOT EXPECTED TO BE COLLECTED, FOR PATIENTS QUALIFYING UNDER MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY, ARE WRITTEN OFF TO CHARITY CARE AND REPORTED AS A REDUCTION TO REVENUE. BAD DEBT EXPENSE RESULTS FROM MANAGEMENT'S INABILITY TO COLLECT REVENUES THAT MEET THE GAAP CRITERIA FOR REVENUE RECOGNITION. BAD DEBT REPRESENTS AN OPERATING EXPENSE AND IS REFLECTED AS A SEPARATE LINE ITEM ON THE ORGANIZATION'S STATEMENT OF OPERATIONS. 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 THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT DEBT COLLECTION POLICY PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT PART VI, LINE 2 AS A COMMUNITY PARTNER, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL (MGUH) WORKS COLLABORATIVELY WITH LOCAL PARTNERS TO IDENTIFY KEY HEALTH NEEDS. PARTNERS INCLUDE, BUT ARE NOT LIMITED TO: THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH, NOT-FOR-PROFIT AND SOCIAL SERVICE AGENCIES, SCHOOLS AND UNIVERSITIES, FAITH BASED ORGANIZATIONS AND COMMUNITY BASED COALITIONS. LOCAL, STATE AND NATIONAL HEALTH GOALS ARE ALSO USED TO ASSESS THE NEEDS OF THE COMMUNITY. IN ADDITION, HOSPITAL SERVICE UTILIZATION PATTERNS, SUCH AS THE CAUSES OF EMERGENCY ROOM VISITS AND INPATIENT ADMISSIONS HELP DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MGUH ALSO PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL NINE MEDSTAR HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED PATIENTS WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH AND ITS HEALTHCARE FACILITIES WILL: " TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, WITH RESPECT AND WITH COMPASSION. " SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS AT OUR FACILITIES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE. " ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSIONS PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. " BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY. IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH'S FACILITIES WILL WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTH'S FACILITIES WILL ASSIST UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITIES WE SERVE IN ONE OR MORE OF THE FOLLOWING WAYS: " ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED ENTITLEMENT PROGRAMS (E.G., MEDICAID). " ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED PROGRAMS FOR THE UNINSURED (E.G., D.C. HEALTHCARE ALLIANCE). " ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. " PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE GUIDELINES. " PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF FACILITY CHARGES USING A SLIDING SCALE BASED ON PATIENT FAMILY INCOME AND FINANCIAL RESOURCES. " OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES. EACH MEDSTAR HEALTH FACILITY (IN COOPERATION AND CONSULTATION WITH THE FINANCE DIVISION OF MEDSTAR HEALTH) WILL SPECIFY THE COMMUNITIES IT SERVES BASED ON THE GEOGRAPHIC AREAS IT HAS SERVED HISTORICALLY FOR THE PURPOSE OF IMPLEMENTING THIS POLICY. EACH FACILITY WILL POST THE POLICY, INCLUDING A DESCRIPTION OF THE APPLICABLE COMMUNITIES IT SERVES, IN EACH MAJOR PATIENT REGISTRATION AREA AND IN ANY OTHER AREAS REQUIRED BY APPLICABLE REGULATIONS, WILL COMMUNICATE THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND WILL MAKE A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. THE CHARITY CARE, FINANCIAL ASSISTANCE, AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: " COMPLETING FINANCIAL DISCLOSURE FORMS NECESSARY TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. " WORKING WITH THE FACILITY'S FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. " COMPLETING APPROPRIATE APPLICATIONS FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS. THIS RESPONSIBILITY INCLUDES RESPONDING IN A TIMELY FASHION TO REQUESTS FOR DOCUMENTATION TO SUPPORT ELIGIBILITY. " MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. " PROVIDING UPDATED FINANCIAL INFORMATION TO THE FACILITY'S FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENT'S CIRCUMSTANCES MAY CHANGE. COMMUNITY INFORMATION PART VI, LINE 4 GEOGRAPHIC: LOCATED ON THE GEORGETOWN UNIVERSITY CAMPUS IN NORTHWEST WASHINGTON, DC, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE DISTRICT OF COLUMBIA AND THE GREATER WASHINGTON DC METROPOLITAN AREA. SIGNIFICANT DEMOGRAPHIC CHARACTERISTICS RELEVANT TO THE NEEDS THE HOSPITAL SEEKS TO MEET: ALTHOUGH MGUH DRAWS PATIENTS FROM THE GREATER WASHINGTON METRO REGION, IT IS HOUSED IN WARD 3 OF THE DISTRICT OF COLUMBIA. SEVENTY-EIGHT PERCENT (78%) OF THE POPULATION IN WARD 3 IS WHITE; 8.2% ASIAN; 7.5% HISPANIC; AND 5.6% AFRICAN AMERICAN. THE POVERTY RATE IS 6.9%. BASED ON GUH INPATIENT DATA, 2.3% ARE UNINSURED AND 13.6% HAVE MEDICAID; 2.5% OF OUTPATIENTS ARE UNINSURED AND 7.9% RECEIVE MEDICAID. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 MGUH ADVANCES THE HEALTH OF THE COMMUNITY BY OFFERING FREE COMMUNITY LECTURES, FREE HEALTH SCREENINGS, AND PROVIDING STAFF TIME AT COMMUNITY HEALTH EVENTS. THE HOSPITAL ALSO PARTNERS WITH THE GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE TO PROVIDE MEDICAL CARE TO FAMILIES WHO RESIDE IN A HOMELESS SHELTER IN THE DISTRICT OF COLUMBIA. SERVICES INCLUDE SICK CARE, PHYSICALS, FLU, VACCINES, SCREENINGS, TESTS FOR SEXUALLY TRANSMITTED INFECTIONS, PRESCRIPTION REFILLS AND REFERRALS TO SOCIAL SERVICES. THE HOSPITAL ALSO OPERATES A PEDIATRIC MOBILE CLINIC THAT VISITS THE MOST DISENFRANCHISED COMMUNITIES IN THE DISTRICT OF COLUMBIA. THE MOBILE CLINIC TRAVELS TO SEVEN PUBLIC HOUSING COMMUNITIES, TWO PUBLIC HIGH SCHOOLS AND AN EMERGENCY FAMILY SHELTER. SERVICES ARE PROVIDED FREE OF CHARGE AND INCLUDE WELL PATIENT CHECKUPS, IMMUNIZATIONS, OPHTHALMOLOGY EXAMS, AND REFERRALS TO SPECIALISTS. AN ON-CALL PEDIATRICIAN IS AVAILABLE TO THIS POPULATION 24 HOURS A DAY, SEVEN DAYS PER WEEK. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL 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 GEORGETOWN UNIVERSITY HOSPITAL WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DIVISION IDENTIFIES PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 THE COMMUNITY BENEFIT REPORT FOR GEORGETOWN UNIVERSITY HOSPITAL IS ONLY FILED IN THE DISTRICT OF COLUMBIA. X X X X X X true true false false false false false false false JOY DRASS MAXWELL MD 0 681636 0 566351 0 0 0 16263 0 19040 0 1283290 0 0 RICHARD GOLDBERG MD 470819 0 277975 0 0 0 10303 0 19428 0 778525 0 0 0 KENNETH A SAMET 0 1180163 0 1354791 0 590140 0 112797 0 19468 0 3257359 0 0 JOHN PAHIRA MD 311595 0 170950 0 0 0 10110 0 9174 0 501829 0 0 0 RUSSELL T WALL III MD 365059 0 63191 0 0 0 8948 0 8422 0 445620 0 0 0 CHRISTOPHER KALHORN MD 441861 0 57617 0 0 0 5826 0 12234 0 517538 0 0 0 PAUL WARDA 276451 0 126499 0 0 0 4438 0 7265 0 414653 0 0 0 STEPHEN EVANS 590422 0 158561 0 0 0 6328 0 14586 0 769897 0 0 0 JOYCE JOHNSON 169314 0 0 0 795320 0 28391 0 6555 0 999580 0 0 0 MICHAEL SACHTLEBEN 270437 0 126508 0 0 0 7766 0 11274 0 415985 0 0 0 LINDA WINGER 221360 0 76158 0 0 0 11203 0 6892 0 315613 0 0 0 IVICA DUCIC 493393 0 285623 0 0 0 5373 0 11388 0 795777 0 0 0 THOMAS FISHBEIN 851442 0 104003 0 0 0 4438 0 4826 0 964709 0 0 0 NADIM HADDAD 337865 0 835263 0 0 0 6328 0 10603 0 1190059 0 0 0 LYNT JOHNSON 593962 0 162646 0 0 0 9400 0 12847 0 778855 0 0 0 JOHN KLIMKIEWICZ 416484 0 505000 0 0 0 8680 0 11811 0 941975 0 0 0 ANATOLY DRITSCHILO 466266 0 0 0 0 0 12099 0 10074 0 488439 0 0 0 OTHER REPORTABLE COMPENSATION SCHEDULE J, PART I, LINE 4A AND 4B JOYCE JOHNSON JOYCE JOHNSON'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $679,320 REPRESENTING THE AMOUNT OF SEVERANCE PAYMENTS RECEIVED BY MS. JOHNSON. KENNETH SAMET KENNETH SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $568,506 REPRESENTING MR. SAMET'S ACCRUED BENEFIT IN A SUPPLEMENTAL RETIREMENT PLAN, WHICH WAS EARNED DURING THE PAST 22 YEARS OF SERVICE. THIS AMOUNT WAS NOT ACTUALLY PAID TO MR. SAMET, BUT WAS REPORTED AS COMPENSATION UNDER FICA TAX-REPORTING RULES. EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A MGUH'S NEUROSCIENCES PROGRAM IS RECOGNIZED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION AND IS A NATIONAL PARKINSON FOUNDATION CENTER OF EXCELLENCE FOR PARKINSON'S DISEASE AND OTHER MOVEMENT DISORDERS. MGUH'S LOMBARDI COMPREHENSIVE CANCER CENTER IS ONE OF ONLY 40 CENTERS IN THE U.S., AND THE ONLY ONE IN WASHINGTON, D.C., DESIGNATED BY THE NATIONAL CANCER INSTITUTE AS A COMPREHENSIVE CANCER CENTER. MGUH WAS THE FIRST AND REMAINS THE ONLY HOSPITAL IN WASHINGTON, D.C. TO ATTAIN MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). ORGANIZATION MEMBERS FORM 990, 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 FORM 990, 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 FORM 990, 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 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 FORM 990, PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. EXECUTIVE COMPENSATION PROCESS FORM 990, 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 FORM 990, 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 FORM 990, PART XI, LINE 5 EQUITY TRANSFER - NET ASSETS........................$ (38,471,689) UNREALIZED GAIN ON INVESTMENTS....................... 15,032 NET TRANSFER OF ASSETS FROM FOUNDATION LIQUIDATION... 8,158,013 ============ TOTAL (30,298,644) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOY DRASS MAXWELL MD TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KENNETH A SAMET TITLE:DIRECTOR HOURS:40 MGMC LLC 3800 Reservoir Road NW Washington DC 20007 522228444 Hospital DC 169112062 21729887 NA Church Home Corporation 5565 Sterrett Place 5th Floor Columbia MD 21044 237374724 Medical Fund MD 501(c)(3) PF NA Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(c)(3) 3 NA Harbor Hospital Inc 3001 South Hanover Street Baltimore MD 21225 520491660 Hospital MD 501(c)(3) 3 NA Medstar Health Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 522087445 Medical Svcs MD 501(c)(3) 11b II NA Montgomery General Hospital 18101 Prince Philip Drive Olney MD 20832 520646893 Hospital MD 501(c)(3) 3 NA The Good Samaritan Hospital of Maryland 5601 Loch Raven Blvd Baltimore MD 21239 520591607 Hospital MD 501(c)(3) 3 NA The Union Memorial Hospital 201 East University Parkway Baltimore MD 21218 520591685 Hospital MD 501(c)(3) 3 NA Medstar Research Institute 108 Irving Street NW Washington DC 20010 526056274 Hospital DC 501(c)(3) 3 NA Washington Hospital Center Corporation 110 Irving Street NW Washington DC 20010 521272129 Hospital DC 501(c)(3) 3 NA HH Medstar Health Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521542230 Medical Svcs MD 501(c)(3) 11b II NA Bay Development Corp 5565 Sterrett Place 5th Floor Columbia MD 21044 521132992 Foundation MD 501(c)(3) 11a I NA Bay Life Services Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521496539 Mental Health MD 501(c)(3) 9 NA MedStar Surgery Center Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521061679 Medical Svcs MD 501(c)(3) 9 NA Church Home and Hospital of the City of 5565 Sterrett Place 5th Floor Columbia MD 21044 520591600 Hospital MD 501(c)(3) 3 NA Foundation for Georgetown University Hos Hopsital Admin 1 Main Bldg Washington DC 20007 522339873 Foundation DC 501(c)(3) 11a I NA Franklin Square Hospital Center Foundati 9000 Franklin Square Drive Baltimore MD 21237 522329546 Foundation MD 501(c)(3) 11a I NA Good Samaritan Hospital Foundation Inc 5601 Loch Raven Blvd Baltimore MD 21239 522307122 Foundation MD 501(c)(3) 11a I NA Good Samaritan Nursing Center Inc 5601 Loch Raven Blvd Baltimore MD 21239 521672866 Medical Svcs MD 501(c)(3) 9 NA GS Housing Inc 5601 Loch Raven Blvd Baltimore MD 21239 521481656 Elder Housing MD 501(c)(3) 9 NA GS Properties Inc 5601 Loch Raven Blvd Baltimore MD 21239 521429853 Admin Svcs MD 501(c)(3) 11a I NA Harbor Hospital Foundation Inc 3001 South Hanover Street Baltimore MD 21225 521284532 Foundation MD 501(c)(3) 11a I NA Medstar Health Infusion Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521980510 Medical Svcs MD 501(c)(3) 9 NA Medstar Health Visiting Nurses Associati 4061 Powdermill Road Calverton MD 20705 530196597 Medical Svcs MD 501(c)(3) 9 NA Medstar Long Term Care Corporation 4061 Powdermill Road Suite 210 Calverton MD 20705 521489097 Hospital MD 501(c)(3) 3 NA Medstar VNA Healthcare 4061 Powdermill Road Suite 210 Calverton MD 20705 521458516 Medical Svcs MD 501(c)(3) 9 NA MGH Community Health Inc 18101 Prince Philip Drive Olney MD 20832 521372467 Medical Svcs MD 501(c)(3) 9 NA MGH Health Foundation Inc 18101 Prince Philip Drive Olney MD 20832 521129959 Foundation MD 501(c)(3) 7 NA MGH Health Services Inc 18101 Prince Philip Drive Olney MD 20832 521366812 Foundation MD 501(c)(3) 11a I NA MGH Women's Board 18101 Prince Philip Drive Olney MD 20832 526039600 Foundation MD 501(c)(3) 11a I NA National Rehabilitation Hospital 102 Irving Street NW Washington DC 20010 521369749 Hospital DC 501(c)(3) 3 NA Regional Rehab at Olney Inc 18101 Prince Philip Drive Olney MD 20832 522310902 Medical Svcs MD 501(c)(3) 3 NA Suburban NRH Medical Rehabilitation I 102 Irving Street NW Washington DC 20010 521931151 Medical Svcs DC 501(c)(3) 3 NA The Thomas O'Neil Catholic Health Care F 5601 Loch Raven Blvd Baltimore MD 21239 521104382 Foundation MD 501(c)(3) 11a I NA Union Memorial Hospital Foundation Inc 201 East University Parkway Baltimore MD 21218 521446828 Foundation MD 501(c)(3) 11a I NA VNA Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521332411 Admin Svcs MD 501(c)(3) 11a I NA WHC Foundation Inc 110 Irving Street NW Washington DC 20010 521791670 Foundation DC 501(c)(3) 11a I NA Woodbourne Woods Inc 5601 Loch Raven Blvd Baltimore MD 21239 522299070 Elder Housing MD 501(c)(3) 9 NA Hospice of St Mary's Inc PO Box 527 Leonardtown MD 20650 522153926 Support Org MD 501(c)(3) 11b II NA St Mary's Hospital of St Mary's County 25500 Point Lookout Road Leonardtown MD 20650 520619006 Hospital MD 501(c)(3) 3 NA St Mary's Hospital Foundation Inc PO Box 527 Leonardtown MD 20650 521051368 Support Org MD 501(c)(3) 11d III NA Surgicenter at Pasadena LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 522009504 Medical Servi MD NA false SJMC-RA LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 753160895 Radiation The MD NA false Physician Imaging of Washington Hospital 6525 Belcrest Road Suite G 50 Hyattsville MD 20782 562616090 Lab Services MD NA false MedStar Pharmacies Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521513056 Drug Sales MD NA C Corp ExtenCare Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521556228 Medical Servi MD NA C Corp Helix Resources Management Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521913070 Admin Service MD NA C Corp HelixCare Medical Group LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 521955580 Medical Servi MD NA C Corp HelixCare Properties LLC 5565 Sterrett Place 5th Floor Columbia MD 21044 521966695 Medical Servi MD NA C Corp Parkway Ventures Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521893569 Holding Compa MD NA C Corp Physicians Administrative Services Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 237042074 Billing Servi MD NA C Corp MedStar Family Choice Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 521995521 Managed Care MD NA C Corp Medstar Enterprises Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522139841 Admin Service MD NA C Corp Nascott Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521693808 Medical Servi MD NA C Corp Star Billing Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 521850113 Billing Servi MD NA C Corp Washington Risk Network Management Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522132677 Medical Servi MD NA C Corp Washington Hospital Center Physician Hos 100 Irving Street NW Washington DC 20010 521931000 Medical Servi MD NA C Corp Medstar Physician Partners Inc 4061 Powdermill Road Suite 210 Calverton MD 20705 522030809 Medical Servi MD NA C Corp NRH Ambulatory Services Inc 102 Irving Street NW Washington DC 20010 521930165 Rehab Service MD NA C Corp Franklin Square Drive Land Condo Associa 5565 Sterrett Place 5th Floor Columbia MD 21044 760756352 Condo Owner A MD NA C Corp MGH Diversified Services Inc 18101 Prince Philip Drive Olney MD 20832 521943602 Medical Servi MD NA C Corp St Mary's Health Alliance Inc 25500 Point Lookout Road Leonardtown MD 20650 521930331 Medical Servi MD NA C Corp Greenspring Financial Insurance Limited 23 LIME TREE BAY AVENUE PO BOX 1051 GRAND CAYMAN CJ 980188617 Insurance CJ NA C Corp false false true false false false false false false false false false false false true true false false HH MEDSTAR HEALTH INC P 1146139 FOUNDATION FOR GEORGETOWN UNIVERSITY HOSPITAL C 8158013