2012-05-10T11:48:18-05:00 2011-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235102674 990 2010-07-01 520591607 The Good Samaritan Hospital of Maryland Inc GOOD 4107726719 5601 LOCH RAVEN BLVD Baltimore MD 21239 Marc R Berger 4107726719 2012-05-07 true 7576167000 2010 2016-02-24 21:20:13Z MedStar Good Samaritan Hospital Jeffrey Matton 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 331915553 false X www.goodsam-md.org X 1920 MD WE ARE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO DELIVER IDEAL HEALTH EXPERIENCES. 20 14 2743 14 133764 0 2612530 183784 314274704 322067211 1787172 5927773 3591253 3736785 322265659 331915553 0 0 0 0 148823417 151644605 0 0 0 162991951 166224197 311815368 317868802 10450291 14046751 164718200 173434761 53243823 57296176 111474377 116138585 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GOOD SAMARITAN HOSPITAL'S MISSION IS TO BE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO DELIVER IDEAL HEALTH EXPERIENCES. MEDSTAR GOOD SAMARITAN HOSPITAL (MGSH), LOCATED IN NORTHEAST BALTIMORE CITY, MARYLAND, IS A SPECIALTY FACILITY AND COMPREHENSIVE CARE COMMUNITY HOSPITAL. IT PROVIDES SENIOR LIVING SERVICES THROUGH THE GOOD SAMARITAN NURSING CENTER AND TWO SENIOR HOUSING COMPLEXES LOCATED ON ITS 43-ACRE CAMPUS. IN FISCAL YEAR 2011, GOOD SAMARITAN HOSPITAL HAD 15,310 INPATIENT ADMISSIONS, 336,157 OUTPATIENT VISITS, AND 59,321 EMERGENCY VISITS. false false 241789683 0 322348584 MEDSTAR GOOD SAMARITAN HOSPITAL'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF NORTHEASTERN BALTIMORE CITY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MGSH INCURRED $45.1M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MGSH IS KNOWN FOR EXCELLENCE IN ORTHOPEDICS, RHEUMATOLOGY, NEPHROLOGY, PHYSICAL AND REHABILITATION MEDICINE, AND BURN RECONSTRUCTION. FOR MORE INFORMATION, SEE SCHEDULE O. 22697193 0 17619599 MEDSTAR GOOD SAMARITAN HOSPITAL PROVIDED $22.7M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL 2011. THESE CRITICAL SERVICES, WHICH ARE DRIVEN BY COMMUNITY NEEDS, OPERATE AT A LOSS. THEY ADDRESS PRIORITIES PRIMARILY THROUGH DISEASE PREVENTION AND IMPROVEMENT OF HEALTH STATUS. SERVICES PROVIDED INCLUDE WOMEN'S HEALTH SERVICES, HOSPITALISTS, PSYCHIATRY, UROLOGY, EMERGENCY DEPARTMENT COVERAGE, OUTPATIENT RENAL CARE, AND CERTAIN SUB-ACUTE PROGRAM SUBSIDIES. 8238884 0 0 MEDSTAR GOOD SAMARITAN HOSPITAL PROVIDED $8.2M 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. 272725760 true true false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false true false false false false false false true true true true false false true 0 0 true 2743 true true true false false false false false false false false false X 20 14 false false false false true true true true true false false true true true true true true true true false MD X MARC BERGER 4107726719 5565 STERRETT PL 5TH FLR COLUMBIA MD 21044 X DAVIS M HAHN MD 40.0 X X 0 149098 136 HOWARD S FREELAND MD 40.0 X X 10000 273517 11382 JEFFREY A MATTON 40.0 X X 502001 0 23357 JEREMY P WEINER MD 40.0 X X 50000 0 0 WILMOT C BALL JR MD 1.0 X 0 0 0 CHARLES L BAUERMANN 1.0 X 0 0 0 JEFFREY R DONNELLY 1.0 X 0 0 0 SHELDON M GLUSMAN MD 1.0 X 0 0 0 CHRISTOPHER HELMRATH 1.0 X 0 0 0 LAWRENCE M JOHNSON 1.0 X 0 0 0 DENIS J MADDEN 1.0 X 0 0 0 JAYNE H MCGEEHAN 1.0 X 0 0 0 ALLAN NOONAN MD 1.0 X 0 0 0 ANTHONY READ 1.0 X 0 0 0 T EDGIE RUSSELL III 1.0 X 0 0 0 KENNETH A SAMET 1.0 X 0 3125094 132265 PM SMITH 1.0 X 0 0 0 JOHN C SMYTH 1.0 X 0 0 0 KATHLEEN J WHITING 1.0 X 0 0 0 CARL J SCHINDELAR 1.0 X 0 1060335 38378 DEANA STOUT 40.0 X 285737 0 27635 MARTIN BINSTOCK MD 40.0 X 423026 0 28697 SHIRLEY ROTH 40.0 X 203772 0 22257 THOMAS SENKER 40.0 X 209879 0 15278 DALE BUCHBINDER MD 40.0 X 677657 0 25651 DAVID COLL MD 40.0 X 545535 0 25861 MICHAEL JACOBS MD 40.0 X 795826 0 18303 ROBERT SPENCE MD 40.0 X 337814 0 24542 ROBERT BRESLIN MD 40.0 X 494360 0 12891 LAWRENCE BECK 40.0 X 325813 0 0 4861420 4608044 406633 140 true true false HUNT VALLEY ANESTHESIA ASSOC PA PO BOX 20284 TOWSON MD 21284 MEDICAL SERVICES 8437819 MORRISON MANAGEMENT SPECIALIST 4721 MORRISON DRIVE MOBILE AL 36609 FOOD SVC PROVIDER 3687878 UNIVERSITY OF MARYLAND 22 S GREENE STREET BALTIMORE MD 21201 MEDICAL SERVICES 3050585 DRS HAHN PADGETT 5601 LOCH RAVEN BOULEVARD BALTIMORE MD 21239 MEDICAL SERVICES 1800000 MARCH WESTIN MARYLAND 2313 MARYLAND AVENUE BALTIMORE MD 21218 CONSTRUCTION 1700466 28 183784 183784 NET PATIENT SERVICE REVENUE 621400 321988288 321988288 LAB REVENUE 621500 78923 78923 322067211 843606 843606 0 0 473526 473526 473526 473526 5081346 2821 5081346 2821 5084167 5084167 0 0 0 REBATE INCOME 900099 903540 903540 CHILD DAY CARE 900099 321445 321445 MEALS ON WHEELS 900099 148161 148161 1890113 54841 1835272 3263259 331915553 321988288 133764 9609717 0 0 0 0 2455827 2195426 260401 0 120802895 108016407 12786488 3003224 2672869 330355 16794381 14952793 1841588 8588278 7794486 793792 19247529 0 19247529 211572 0 211572 0 0 0 0 44194811 43139790 1055021 1638751 78358 1560393 9064932 8319291 745641 189427 75058 114369 0 1941996 647598 1294398 388300 359700 28600 0 22884 15048 7836 3082068 3082068 0 12460255 12460255 2909261 1387 2907874 MEDICAL/SURGICAL SUPPLIES 17044340 17008592 35748 DRUGS/PHARMACEUTICALS 16797830 16795937 1893 IMPLANTS/ PROSTHESES 13770554 13770554 BAD DEBT 11707919 11707919 FOOD SERVICE 4830986 4648101 182885 6720782 4984123 1736659 317868802 272725760 45143042 0 3550 3600 32984626 41031218 2557352 2841010 319904 874518 218211884 142491784 81380344 75720100 101000 126795 47371424 52837520 164718200 173434761 27288238 30675592 170506 103476 25785079 26517108 53243823 57296176 X 70252332 66847243 41222045 49291342 111474377 116138585 164718200 173434761 X 14046751 -9382543 X X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61041734 29554408 31487326 754949 404558 350391 131819108 95973693 35845415 24596093 16559125 8036968 75720100 CATHOLIC HEALTH CARE FUND 49164548 OPTION IT ASSET 2866312 OTHER ASSETS 806660 52837520 0 ADVANCES FROM 3RD PARTY PAYORS 6307511 ASBESTOS ABATEMENT LIABILITY 2511869 STOCK OPTION PLAN 2380524 WORKERS COMP 2228580 CREDIT BALANCE PATIENT A/R 1587854 DEFERRED COMPENSATION LIABILITY 781662 INTERCOMPANY PAYABLE 225024 OTHER LIABILITIES 10494084 26517108 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 4815367 0 4815367 0.01570 0 0 0 0.00000 0 0 0 0.00000 4815367 0 4815367 0.01570 1551567 118030 1433537 0.00470 8238884 0 8238884 0.02690 22697193 17619599 5077594 0.01660 775 0 775 0.00000 23674 0 23674 0.00010 32512093 17737629 14774464 0.04830 37327460 17737629 19589831 0.06400 42360 0 42360 0.00010 29452 0 29452 0.00010 2956 0 2956 74768 0 74768 0.00020 true 7294034 0 0 0 0 X true true 1 1 Main Hospital Building

5601 Loch Raven Blvd Baltimore MD 21239

X X X Main Hospital Building 1 1 Transitional Care at Good Samaritan

5601 Loch Raven Blvd Baltimore MD 21239

Comprehensive Care Facility CHARITY CARE AT COST PART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. UNREIMBURSED MEDICAID PART I, LINE 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. HEALTH PROFESSIONS EDUCATION PART I, LINE 7F MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN(F) BAD DEBT EXPENSE OF $11,707,919 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 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. NEEDS ASSESSMENT PART VI, LINE 2 AS A COMMUNITY PARTNER, MEDSTAR GOOD SAMARITAN HOSPITAL (MGSH) WORKS COLLABORATIVELY WITH LOCAL PARTNERS TO IDENTIFY KEY HEALTH NEEDS. PARTNERS INCLUDE, BUT ARE NOT LIMITED TO: THE BALTIMORE CITY 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 MGSH 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. THE COMMUNITY BENEFIT REPORT FOR MEDSTAR GOOD SAMARITAN HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. 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: MEDSTAR GOOD SAMARITAN HOSPITAL IS LOCATED IN THE NORTHEASTERN SECTION OF BALTIMORE CITY AND SERVES THE FOLLOWING COMMUNITIES: CHINQUAPIN PARK/BELVEDERE, GREATER GOVANS, HAMILTON, HARFORD/ECHODALE, LAURAVILLE, LOCH RAVEN VILLAGE, AND NORTHWOOD. THE HOSPITAL ALSO SERVES PARTS OF TOWSON AND PARKVILLE LOCATED IN BALTIMORE COUNTY. THE COMMUNITIES ARE COMPRISED OF MODERATELY PRICED TOWNHOMES AND SOME SMALL SINGLE FAMILY HOMES WHICH ARE CONVENIENTLY LOCATED NEAR SHOPPING CENTERS, COLLEGES, SCHOOLS AND CHURCHES. MOST NEIGHBORHOODS HAVE COMMUNITY ASSOCIATIONS THAT WORK TOGETHER TO PLAN NEIGHBORHOOD ACTIVITIES AND WELCOME NEW RESIDENTS. ONE OF THE COMMUNITIES SERVED IS GREATER GOVANS, ORIGINALLY CALLED GOVANSTOWN, NAMED AFTER WILLIAM GOVANE. GOVANE RECEIVED A TRACT OF LAND FROM FREDERICK CALVERT, THE 6TH LORD BALTIMORE, IN THE MID-SEVENTEENTH HUNDREDS. GOVANS HAS ALWAYS BEEN ASSOCIATED WITH YORK ROAD, FIRST AS AN INDIAN TRAIL, AND THEN AS AN IMPORTANT COMMERCIAL ROAD AND TURNPIKE LINKING THE RICH FARMLANDS OF BALTIMORE COUNTY AND PENNSYLVANIA WITH BALTIMORE CITY AND THE PORT OF BALTIMORE. DEMOGRAPHICS: THE BASE POPULATION OF THE COMMUNITY BENEFIT SERVICE AREA (CBSA) IS APPROXIMATELY 445,926; IT IS RACIALLY/ETHNICALLY DIVERSE, WITH 45.2% CAUCASIANS, 46.9% AFRICAN AMERICANS, 2.2% HISPANIC/LATINOS, 3.6% ASIAN/PACIFIC ISLANDERS, AND 2.0% OTHER. APPROXIMATELY 77.0% OF THE COMMUNITY'S RESIDENTS ARE OVER 18 YEARS OF AGE, WITH 14.1% OF THE POPULATION OVER THE AGE OF 65. ADDITIONALLY, 69.0% OF THE ADULT POPULATION HAS LESS THAN A FOUR YEAR COLLEGE DEGREE. IN BALTIMORE CITY, INDIVIDUALS RESIDING IN COMMUNITIES WITH THE HIGHEST INCOME OUTLIVE THOSE LIVING IN COMMUNITIES WITH THE LOWEST INCOME BY AN AVERAGE OF 10 YEARS, THOUGH IN SOME NEIGHBORHOODS THE DISPARITY IS AS HIGH AS 20 YEARS. SIMILARLY, IN COMMUNITIES WHERE INDIVIDUALS ATTAIN THE HIGHEST LEVELS OF EDUCATION, THE AVERAGE LIFE EXPECTANCY IS 9 YEARS GREATER. APPROXIMATELY, 20.9% OF RESIDENTS IN BALTIMORE CITY LIVE IN POVERTY AND 8.3% IN BALTIMORE COUNTY. THE UNINSURED POPULATION IN THE CITY IS ROUGHLY 13.0-15.0%. AVERAGE LIFE EXPECTANCY FOR BALTIMORE CITY IS 70.9 YEARS. THE AVERAGE ANNUAL INCOME OF THIS COMMUNITY IS APPROXIMATELY $48,544, AND ROUGHLY 30% OF HOUSEHOLDS LIVE BELOW THE FEDERAL POVERTY LINE. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 CHRONIC DISEASE SELF-MANAGEMENT PROGRAM THIS SIX-WEEK (15 HOUR) PROGRAM, TAUGHT BY MGSH COMMUNITY OUTREACH NURSES, IS OFFERED SEVERAL TIMES THROUGHOUT THE YEAR TO PEOPLE WHO SUFFER FROM CHRONIC DISEASES. THIS PROGRAM IS ALSO TAKEN TO LOCAL SENIOR RESIDENT BUILDINGS IN ORDER TO PROVIDE THIS SERVICE TO THOSE WHO ARE UNABLE TO TRAVEL. THE PROGRAM WAS DEVELOPED AT THE STANFORD PATIENT EDUCATION RESEARCH CENTER AND IS CONDUCTED IN PARTNERSHIP WITH THE BALTIMORE COUNTY DEPARTMENT OF AGING AND THE BALTIMORE CITY OFFICE OF AGING. THE GOAL OF THIS PROGRAM IS TO EMPOWER INDIVIDUALS TO MANAGE CHRONIC ILLNESSES SUCH AS HEART DISEASE, DIABETES, HYPERTENSION AND ARTHRITIS. EVALUATIONS ARE GIVEN AT THE END OF THE SIX-WEEKS TO EACH PARTICIPANT. BLOOD PRESSURE SCREENING PROGRAM MGSH'S COMMUNITY OUTREACH AND PARISH NURSE PROGRAM PARTNER WITH MANY CHURCHES AND COMMUNITY ORGANIZATIONS SUCH AS SENIOR CENTERS AND SENIOR HOUSING TO OFFER FREE BLOOD PRESSURE SCREENING ON A MONTHLY BASIS. HYPERTENSION IS A DISEASE THAT USUALLY HAS NO SYMPTOMS AND GREATLY INCREASES THE RISK OF HEART ATTACK AND STROKE. THE GOAL IS TO RAISE AWARENESS, EDUCATE, AND IDENTIFY PEOPLE WHO HAVE HIGH BLOOD PRESSURE. BALTIMORE CITY PAROCHIAL SCHOOL VISION AND HEARING SCREENING PROGRAM IN RESPONSE TO A REQUEST FROM THE BALTIMORE CITY PAROCHIAL SCHOOLS, MGSH WORKS WITH LOYOLA COLLEGE AND ANOTHER LOCAL HOSPITAL TO CONDUCT VISION AND HEARING SCREENINGS FOR GRADE SCHOOL CHILDREN. MGSH AND LOYOLA COLLEGE'S SPEECH AND HEARING DEPARTMENT SCREEN CHILDREN IN GRADES PRE-K THROUGH 8 AT FOUR LOCAL PAROCHIAL SCHOOLS ON A YEARLY BASIS. UNIDENTIFIED, UNTREATED PROBLEMS WITH VISION AND HEARING IN CHILDREN CAN LEAD TO LOSS OF VISION AND HEARING, LEARNING DIFFICULTIES AND DELAYED SENSORY, MOTOR, COGNITIVE, AND SOCIAL-EMOTIONAL DEVELOPMENT. CARES - FOOD PANTRY CHRISTMAS PROJECT CARES (CIVIC AND RELIGIOUS EMERGENCY SERVICES) IS A FOOD PANTRY AND EMERGENCY FINANCIAL ASSISTANCE CENTER LOCATED IN THE BACK OF ST. MARY OF THE ASSUMPTION CATHOLIC CHURCH. CARES RESPONDS TO MORE THAN 5,000 VISITS ANNUALLY FROM COMMUNITY MEMBERS SEEKING FOOD, ADVOCACY, AND EMERGENCY FINANCIAL ASSISTANCE FOR UTILITY BILLS, EVICTION PREVENTION AND PRESCRIPTIONS. CARES ACHIEVES THIS OBJECTIVE BY POOLING THE FOOD AND FINANCIAL RESOURCES DONATED BY NOT ONLY THE GEDCO (GOVANS ECUMENICAL DEVELOPMENT ORGANIZATION) MEMBER ORGANIZATIONS, BUT WITH THE ASSISTANCE OF NUMEROUS OTHER INTERESTED INDIVIDUALS, SCHOOLS, CORPORATIONS, GOVERNMENT AGENCIES AND COMMUNITY GROUPS. THIS APPROACH ALLOWS CARES TO RESPOND IN A TIMELY AND COORDINATED FASHION TO PEOPLE IN NEED OF IMMEDIATE ASSISTANCE. THE COMMUNITY OUTREACH DEPARTMENT ALSO SUPPORTS THE ORGANIZATION DURING THE YEAR BY PROVIDING BLOOD PRESSURES SCREENING AND NUTRITIONAL EDUCATION TALKS TO THOSE COMING INTO THE CENTER FOR SERVICES. THE GOOD HEALTH CENTER THE GOOD HEALTH CENTER PROVIDES AN ARRAY OF FREE AND LOW-COST DIAGNOSTIC SCREENINGS, EDUCATIONAL SEMINARS AND PREVENTIVE MEDICINE SERVICES FOR THE COMMUNITY. LOCATED ON THE HOSPITAL'S CAMPUS, THE GOOD HEALTH CENTER IS A COMPREHENSIVE HEALTH ENHANCEMENT FACILITY THAT OFFERS A PROACTIVE APPROACH TO IMPROVING WELL-BEING. A PRIMARY GOAL OF THE CENTER IS TO EMPOWER PEOPLE TO TAKE CONTROL AND ADDRESS THEIR HEALTH ISSUES. SERVICES PROVIDED BY THE GOOD HEALTH CENTER INCLUDE, EXERCISE, NUTRITION, A DIABETES SUPPORT GROUP, A COMPREHENSIVE HEALTH SCREENING PROGRAM AND OTHER WELLNESS PROGRAMS. MEDSTAR GOOD SAMARITAN HOSPITAL'S COMMITMENT TO THE COMMUNITY IS ALSO DEMONSTRATE THROUGH A VARIETY OF SUBSIDIZED HEALTH SERVICES. THESE INCLUDE, BUT ARE NOT LIMITED TO: a) PRIMARY CARE SUBSIDIES, INCLUDING DIABETES - THESE ARE CLINIC-BASED PHYSICIAN PRACTICES THAT PROVIDE PRIMARY HEALTH CARE SERVICES. MOST OF THE PATIENTS ARE FROM THE LOCAL COMMUNITY AND ARE LOW-INCOME FAMILIES. THIS SERVICE GENERATES A NEGATIVE MARGIN; HOWEVER, THE PRACTICE ADDRESSES A COMMUNITY NEED AND SUPPORTS THE HOSPITAL'S MISSION OF COMMITMENT TO PATIENTS, COMMUNITIES, PHYSICIANS AND EMPLOYEES. PROVIDING THIS SERVICE ALLOWS THE LOCAL COMMUNITY ACCESS TO HEALTH CARE SERVICES, AND THEREFORE MORE PREVENTIVE MEASURES AND AN IMPROVEMENT OF THE PATIENTS' HEALTH STATUS ARE ACHIEVED. b) OBSTETRIC AND PEDIATRIC SUBSIDIES, INCLUDING BREAST SURGERY - THESE REPRESENT PHYSICIAN PRACTICES PROVIDING HEALTH CARE SERVICES FOR OBSTETRICS, GYNECOLOGY, AND PEDIATRICS WHERE A NEGATIVE MARGIN IS GENERATED. A LARGE NUMBER OF OUR PATIENTS RECEIVING THESE SERVICES ARE FROM MINORITY AND LOW-INCOME FAMILIES. PRENATAL CARE IS PROVIDED AND OB/GYN AND PEDIATRIC COVERAGE IS PROVIDED 24 HOURS/DAY. PREVENTIVE MEASURES AND IMPROVEMENT OF THE PATIENT'S HEALTH STATUS ARE ACHIEVED. THE SERVICES ADDRESS A COMMUNITY NEED FOR WOMEN'S HEALTH AND CHILDREN'S SERVICES FOR LOWER INCOME AND MINORITY FAMILIES. c) PSYCHIATRIC/BEHAVIORAL HEALTH SUBSIDIES - THE OVERALL COST OF 24/7 PSYCHIATRY PHYSICIAN COVERAGE IS DISPROPORTIONATE TO THE TOTAL COLLECTIONS FROM THE PATIENTS SEEN BY THESE PHYSICIANS DURING OFF HOURS. MANY OF THESE PATIENTS ARE UNINSURED. OUR HOSPITAL ABSORBS THE COST OF PROVIDING PSYCHIATRIC SUPERVISION FOR THE EMERGENCY DEPARTMENT ON A 24/7 BASIS. IF THESE SERVICES WERE NOT PROVIDED, THE PATIENT WOULD BE TRANSPORTED TO ANOTHER FACILITY TO RECEIVE THESE SERVICES. THE COMMUNITY NEEDS ARE BEING MET AND COMMITMENT TO PATIENTS IS EXHIBITED BY PROVIDING THESE SERVICES. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GOOD SAMARITAN 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 MGSH 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 MEDSTAR GOOD SAMARITAN HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. X X X X X X false true false false false false false false false DALE BUCHBINDER MD 647657 0 30000 0 0 0 8781 0 16870 0 703308 0 0 0 DAVID COLL MD 545535 0 0 0 0 0 9535 0 16326 0 571396 0 0 0 DEANA STOUT 198091 0 87646 0 0 0 12096 0 15539 0 313372 0 0 0 HOWARD S FREELAND MD 10000 246675 0 26842 0 0 0 0 0 11382 10000 284899 0 0 JEFFREY A MATTON 326256 0 175745 0 0 0 6811 0 16546 0 525358 0 0 0 LAWRENCE BECK 14778 0 81332 0 229703 0 0 0 0 0 325813 0 0 0 MARTIN BINSTOCK MD 299847 0 123179 0 0 0 8658 0 20039 0 451723 0 0 0 MICHAEL JACOBS MD 795826 0 0 0 0 0 615 0 17688 0 814129 0 0 0 ROBERT SPENCE MD 337814 0 0 0 0 0 12250 0 12292 0 362356 0 0 0 ROBERT BRESLIN MD 446460 0 47900 0 0 0 0 0 12891 0 507251 0 0 0 SHIRLEY ROTH 169400 0 34372 0 0 0 10202 0 12055 0 226029 0 0 0 THOMAS SENKER 173203 0 36676 0 0 0 0 0 15278 0 225157 0 0 0 KENNETH A SAMET 0 1180163 0 1354791 0 590140 0 112797 0 19468 0 3257359 0 0 CARL J SCHINDELAR 0 577942 0 482393 0 0 0 19315 0 19063 0 1098713 0 0 OTHER REPORTABLE COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 4B 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. LAWRENCE BECK LAWRENCE BECK'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $211,995 REPRESENTING THE AMOUNT OF SUPPLEMENTAL RETIREMENT BENEFIT PAYMENTS RELATING TO PRIOR YEARS OF SERVICE. DRS HAHN PADGETT PC DIRECTOR 1650000 MEDICAL SERVICES false GS SURGICAL SERVICES LLC DIRECTOR 984833 SURGICAL SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV DR. DAVIS HAHN, A BOARD MEMBER AT GOOD SAMARITAN HOSPITAL, IS AN OFFICER OF DRS. HAHN & PADGETT, P.C. (PC), WHICH PROVIDES ONCOLOGY SERVICES TO GOOD SAMARITAN HOSPITAL. PC'S GROSS REVENUES RECEIVED FROM THE HOSPITAL FOR THE YEAR WAS APPROXIMATELY $1.7 MILLION. DR. JEREMY WEINER, A BOARD MEMBER AT GOOD SAMARITAN HOSPITAL, OWNS MORE THAN 5% OF GS SURGICAL SERVICES, LLC (GSS), WHICH PROVIDES MEDICAL AND SURGICAL SERVICES TO GOOD SAMARITAN HOSPITAL. GSS'S GROSS REVENUES RECEIVED FROM THE HOSPITAL FOR THE YEAR WAS APPROXIMATELY $1.0 MILLION. EXEMPT PURPOSE ACHIEVEMENTS PART III, LINE 4A IN ADDITION TO GENERAL ADULT ACUTE CARE SERVICES, MGSH HAS A COMPREHENSIVE INPATIENT REHABILITATION UNIT AND A SUB-ACUTE CARE UNIT. IT OFFERS COMMUNITY-BASED HEALTH SERVICES THROUGH THE GOOD HEALTH CENTER. MGSH IS RECOGNIZED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER. US NEWS AND WORLD REPORT RECOGNIZED MGSH AS A HIGH PERFORMING HOSPITAL IN CANCER, DIABETES/ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRICS, NEPHROLOGY/NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND UROLOGY. THE HOSPITAL IS A THREE-TIME RECIPIENT OF THE DELMARVA FOUNDATION MEDICARE EXCELLENCE AWARD FOR QUALITY IMPROVEMENT. MGSH WAS ALSO RECOGNIZED FOR THE SEVENTH CONSECUTIVE YEAR BY HEALTHGRADES AS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE, AND WAS RECOGNIZED BY HEALTHGRADES AS ONE OF THE NATION'S 50 BEST HOSPITALS IN 2011. ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. DECISIONS OF GOVERNING BODY PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. PROCESS FOR REVIEWING FORM 990 PART VI, LINE 11A THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. CONFLICT OF INTEREST POLICY PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) 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 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. FINANCIAL STATEMENTS AND REPORTING PART XII, LINE 2C THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. IS AN AFILLIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. 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