2011-05-11T13:09:43-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 520619006 St Marys Hospital of St Marys County Inc STMA 3014756003 25500 Point Lookout Road Leonardtown MD 20650 Marc R Berger 4107726719 2011-05-09 true Scott Sherman 7576167000 2009 2016-02-24 21:20:13Z Christine Wray 25500 Point Lookout Road Leonardtown MD 20650 117655399 false X N/A X 1912 MD As a proud member of MedStar Health, St. Mary's Hospital upholds its tradition of caring by continuously promoting, maintaining and improving health through education and service. 17 11 1371 135 0 1437558 544184 114490165 114637481 690395 138889 2049454 2334845 118667572 117655399 236355 310392 0 0 60891332 59153929 0 0 0 52865356 55536737 113993043 115001058 4674529 2654341 137028349 143597571 64114520 62640230 72913829 80957341 As a proud member of MedStar Health, St. Mary's Hospital upholds its tradition of caring by continuously promoting, maintaining and improving health through education and service while assuring fiscal integrity. Nestled in the waterside community of Leonardtown, Maryland, St. Mary's Hospital is a 96-bed, full-service hospital, delivering state-of-the-art emergency, acute inpatient and outpatient care. For the third consecutive year, the hospital was the recipient of the Delmarva Foundation Medicare Excellence Award for Quality Improvement. Centers of Excellence include behavioral health, diabetes management, emergency/urgent care, hospice, oncology, orthopedics, radiology, community wellness and women's services. With innovative technology and a dedication to excellence, staff is committed to providing quality medical care with a compassionate touch. In Fiscal Year 2010, St. Mary's Hospital had 10,264 inpatient admissions, an estimated 83,172 outpatient visits, and 50,499 emergency vis false false 3924500 0 0 St. Mary's Hospital provided $3.9M in charity care services in fiscal year 2010. Charity care is provided pursuant to MedStar Health's Charity Care Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Maryland's unique payer system, the amount reported represents the hospital's charity care expense. Other charity care expenses are indirectly reimbursed via the state of Maryland's payment system. 2154071 0 0 St. Mary's Hospital provided $2.2M in subsidized (mission driven) health services in fiscal 2010. 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 provide include mobile primary care services and emergency and trauma services. 1191896 0 0 ST. MARY's HOSPITAL PROVIDED $1.2M IN COMMUNITY BUILDING ACTIVITIES In fiscal year 2010. These services include programs that support community health leadership development, emergency preparedness, and coalition building. 94131515 310392 116329394 101401982 true true false false false false false false true true false true false false false false false false false false true false true true true false false false false false false false false false false true false false false false true true false false true 108 0 true 1371 true false false false false false false true true false false false false 17 11 false false false false true true true true true false false true true true true true true true true true true X ST MARYS HOSPITAL 3014756003 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 Christine Wray 40.0 X X 357465 0 40759 Lewie Aldridge Jr 1.0 X X 0 0 0 Linda Dudderar 1.0 X X 0 0 0 R Timothy Storch 1.0 X X 0 0 0 Barbara Thompson 1.0 X X 0 0 0 Donald Sirk 40.0 X 126568 0 6250 Cynthia Daly 1.0 X 139062 0 0 Harold Lee 1.0 X 10800 0 0 Anthony Branch 1.0 X 0 0 0 Donald Cather Jr 1.0 X 0 0 0 Mary Harless 1.0 X 0 0 0 John McAllister 1.0 X 0 0 0 Karen Owens 1.0 X 0 0 0 Jane Sypher 1.0 X 0 0 0 Patty Vernon Rusher 1.0 X 0 0 0 KENNETH A SAMET 1.0 X 0 3637403 66085 Richard Braam 40.0 X 205644 0 19006 Marylou Watson 40.0 X 231404 0 15601 Joan Gelrud 40.0 X 195506 0 27620 Mark Boucot 40.0 X 150177 0 15448 Robert Konkol 40.0 X 289445 0 9907 Patricia Gurny 40.0 X 273750 0 133 Yahia Tagouri 40.0 X 259624 0 11927 Mehrdad Akhlaghi 40.0 X 243476 0 3258 Anthony Thomas 40.0 X X 231414 0 3667 Paul Barber Jr 1.0 X 191869 0 133 2906204 3637403 219794 13 true true false WM Davis Inc PO Box 1210 LEONARDTOWN MD 20650 construction 3483155 Cerner Corporation PO Box 412702 2800 Rockcreek Park KANSAS CITY MO 64141 computer software 2966930 goodman associates 912 Commerce Road ANNAPOLIS MD 21401 architect 822375 comphealth PO Box 972651 DALLAS TX 753972651 hospitalist 744398 physician management ltd 3 bethesda metro suite 630 BETHESDA MD 20814 professional fees 519816 5 544184 139105 544184 NET PATIENT SERVICE REVENUE 900099 110713003 110713003 CHARITY CARE 900099 3924478 3924478 114637481 138889 138889 0 0 127178 0 127178 127178 127178 0 0 0 0 OTHER MISCELLANEOUS REVENUE 1481396 1481396 CAFETERIA 587944 587944 PHARMACY 138327 138327 2207667 117655399 116845148 266067 0 310392 310392 0 0 1538331 1255493 282838 0 47946115 44060847 3885268 1145873 1069038 76835 4973882 4049212 924670 3549728 3190446 359282 1132840 1021930 110910 147723 79102 68621 140223 140223 0 0 0 75381 2246 73135 361410 39648 321762 721922 615956 105966 259277 138650 120627 0 0 196500 172527 23973 0 0 1267450 1267450 0 7392749 5045499 2347250 956509 956509 SUPPLIES 17435614 17117227 318387 PURCHASED SERVICES 6827777 5376976 1450801 BAD DEBTS 5568011 5415534 152477 PROFESSIONAL FEES 2943849 2943849 0 CONTRACT SERVICES 2421575 2253244 168331 7687927 6287657 1400270 115001058 101401982 13599076 0 2238685 24231925 14233742 17178138 890759 1064879 2477822 2603143 802046 1123069 123479902 47872711 76937785 75607191 20604765 2304526 18842745 19484700 137028349 143597571 15901616 11050257 32900415 36897302 6197846 0 9114643 14692671 64114520 62640230 X 71974800 77363854 839029 3493487 100000 100000 72913829 80957341 137028349 143597571 X false true true X false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 3921323 3921323 71219293 16637926 54581367 48339286 31234785 17104501 0 0 75607191 RESTRICTED ASSETS 12750458 INVESTMENT IN JOINT VENTURES 5460469 DEFERRED FINANCING COSTS 706112 MISCELLANEOUS RECEIVABLES 567661 19484700 0 OTHER LIABILITIES 8939733 PENSION LIABILITY 2941627 ADVANCES FROM THIRD PARTY PAYEE 2811311 14692671 FIN 48 Audit Report Footnote Schedule D, Part X, FIN 48 Audit Report Footnote THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT 109 (FIN 48). true true X true X true X true true true false true true 0 2994138 0 2994138 0.02600 0 0 0 0 0.00000 0 0 0 0 0.00000 0 2994138 0 2994138 0.02600 49 17796 657778 48079 609699 0.00540 6 174 167169 0 167169 0.00150 2 0 3448247 0 3448247 0.03000 0 0 0 0 0.00000 11 176 87815 0 87815 0.00080 68 18146 4361009 48079 4312930 0.03770 68 18146 7355147 48079 7307068 0.06370 0 0 0 0 0.00000 2 0 14257 0 14257 0.00010 1 0 20622 0 20622 0.00020 0 0 0 0 0.00000 2 0 8869 0 8869 0.00010 9 0 33577 0 33577 0.00030 5 0 37329 0 37329 0.00030 9 60 1061683 0 1061683 0.00940 0 0 0 0 0.00000 28 60 1176337 0 1176337 0.01040 true 4237248 0 0 0 0 true true ST MARYS HOSPITAL OF ST MARYS COUNTY

25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650

X X X 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. 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 deivered 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 in zero. 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. 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 Hospital 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. Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the national. 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. The needs of the St. Mary's community are determined by a variety local and national data sources. Local sources include the Maryland Rural Health Plan, which is issued by the Maryland Department of Health and Human Hygiene. As an active player in the community, St. Mary's Hospital's staff participates on several community advisory committees. For example, the hospital sponsors its own St. Mary's County Health Advisory Board, which is comprised of hospital staff and professionals from the St. Mary's County Health Department. Other local committees include the Human Services Council and the Tri-County Council Veteran's Administration Subcommittee. National data sources that help assess the needs of the community include the United States Census Bureau, County Health Rankings and the Dartmouth Atlas. Findings from local and national data sources are critical components that drive St. Mary's Hospital's community benefit agenda. St. Mary's Hospital provides financial aid for hospital care that is determined to be medically necessary by the hospital. In determining eligibility for financial aid options, the hospital will consider the patients' income, the amount of the bill, and the ability to pay. A "Reduced Charge" program exists for patients whose religious beliefs prohibit participation from free or partial payment programs. At the time of admission, the registration clerk determines if the patient has insurance coverage. As deemed necessary, patient accounting representatives will initiate the financial aid application process. During the process, staff educate patients on various options, which include Health Share, a county based charity care program; the Reduction Program, which is specifically designed for the Amish and Mennonite populations; or entitlement programs in which they may qualify. Special arrangements are made for patients who are unable to pay and are not qualified program options. St. Mary's Hospital is located in Leonardtown, Maryland and is part of St. Mary's County, which has the second fastest growth rate in Maryland. In 2009, the United States Census Bureau estimated the population of St. Mary's County to be 102,999. This represents a 19.4% increase from 2000. St. Mary's County covers an area of 361.25 square miles, which calculates to 238.8 persons per square mile. Caucasians represent 80% of the population; African Americans - 15% and other minorities - 5%. 85% of adults are high school graduates; 22% of adults have bachelor's degrees or higher. While the median household income is $77,703, 7.4% of the population is living in poverty. Unique to St. Mary's County are sizeable Amish and Mennonite communities. Members of the community are scaling back on medical care due to unemployment as well as being underinsured or uninsured. These persons are skipping doctor's appointments, going without necessary prescription medications, and postponing or entirely skipping diagnostic testing. St. Mary's Hospital is the only acute care hospital in the County. The facility plays a vital role in the healthcare of the community and its visitors. As a community partner, the Hospital engages in a number of activities to improve and promote the health and well-being of St. Mary's county residents. St. Mary's county does not have a community health center to address the primary care needs of its low-income, uninsured populations. Through its Get Connected Mobile Outreach Unit, the hospital is able to bring healthcare directly into a community of need. The center is equipped with two exam rooms, a wheelchair lift and a cardiac monitor. Providers include a registered nurse, a volunteer physician and other St. Mary's Hospital associates. In addition to primary care services, patients are able to get flu shots and laboratory testing. Due to its rural location, the county has a shortage of physician specialists. In order to meet the diverse health needs of its residents, subsidies are paid to physicians who provide on-call services for the hospital's Emergency Department as well as those who specialize in orthopaedics, obstetrics and gynecology, general surgery, cardiology, otolaryngology, gastroenterology, and urology. Through its Health Connection program, residents of the St. Mary's County community can take advantage of a variety of health promotion and health education services and activities. Examples include blood drives, exercise classes and free health screenings though an "Ask the Nurse" program. As a proud member of MedStar Health, St. Mary's Hospital is able to expand its capacity to meet the needs of the community by partnering with other MedStar Health hospitals. One example includes the rotation of specialists and medical students, who are able to fill service gaps in the rural community. MedStar Health resources also assist the hospital in strategic planning to meet the needs of the growing population as well as the needs of those who are uninsured/underinsured. MD false Scholarships to Cedarville University 2 13025 Invoice Scholarships to College of Southern Maryland 43 141540 Invoice Scholarships to East Carolina University 2 9059 Invoice Scholarship to Florida Institute of Tech 1 6577 Invoice Scholarship to Lebanon Valley College 1 20585 Invoice Scholarship to Liberty University 1 6600 Invoice Scholarships to PG Community College 2 6213 Invoice Scholarships to Salisbury University 4 22000 Invoice Scholarships to Stevenson Univesity 2 8800 Invoice Scholarships to Towson University 4 17600 Invoice Scholarship to Univ of Delaware 1 8800 Invoice Scholarship to Univ of MD School of Pharmacy 1 15000 Invoice Scholarship to Walden University 1 8800 Invoice Scholarships to West Virginia University 2 6600 Invoice Monitoring Funds We have an employee scholarship ("ES") program at St. Mary's Hospital. The employee scholarships undergo a thorough review and approval phase dependent upon proper submissions by the requesting recipient. Any changes to the ES program must go through the president's office for approval. All applicants will be assigned a HRD associate that will receive and stamp applications when received. All applicants will be interviewed by HRD Department Leader of the Nursing Recruiter/HR Generalist for review of the application and agreement expectations. Applicants may be interviewed if needed by the selection committee. Within 10 days applicant is notified in writing of scholarship decision and the HRD associate will review with each recipient the requirements of the program. All invoices will be reviewed for required information and verification before processing, the payment is requested. true X X X X X X false true false false false false false false false Christine Wray 296558 0 60907 0 0 0 40626 0 133 0 398224 0 0 0 Richard Braam 191464 0 14180 0 0 0 12272 0 6734 0 224650 0 0 0 Marylou Watson 197962 0 33442 0 0 0 15468 0 133 0 247005 0 0 0 Joan Gelrud 157035 0 38471 0 0 0 15974 0 11646 0 223126 0 0 0 Mark Boucot 140651 0 9526 0 0 0 10500 0 4948 0 165625 0 0 0 Robert Konkol 246945 0 42500 0 0 0 6703 0 3204 0 299352 0 0 0 Patricia Gurny 260000 0 13750 0 0 0 0 0 133 0 273883 0 0 0 Yahia Tagouri 236900 0 22724 0 0 0 6680 0 5247 0 271551 0 0 0 Mehrdad Akhlaghi 197651 0 45825 0 0 0 0 0 3258 0 246734 0 0 0 Anthony Thomas 151278 0 80136 0 0 0 0 0 3667 0 235081 0 0 0 Paul Barber Jr 157771 0 34098 0 0 0 0 0 133 0 192002 0 0 0 KENNETH A SAMET 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 Maryland Health & Higher Educational Fac Authority 520936091 574216LR6 2006-02-01 16000000 Construction Hosp Annex and Hosp R false false Maryland Health & Higher Educational Fac Authority 520936091 2006-12-12 8309151 equipment lease false false 16000000 586872 8481281 233000 6698847 2011 false false false true 8309151 108141 false false false false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true false false false false false false false false false false false false false PROCESS FOR REVIEWING FORM 990 Part VI, Section B, Line 11A The process for reviewing the Form 990 included education and transparency. Senior financial executives, working with independent outside experts, thoroughly reviewed the revised Form 990 and accompanying instructions and provided education sessions on the revised Form to the organization's governing body and its senior officers. In addition, separate education sessions were provided to the following committees of organization's governing body: Finance, Audit, Governance, Strategic Planning, and Executive Compensation. This education process took place over several months. Following these education sessions, the governing body was provided a copy of the Form 990 in its final form and was encouraged to provide any input or comments relating to the Form 990 prior to its filing. CONFLICT OF INTEREST POLICY PART VI, SECTION B, QUESTION 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. FINANCIAL STATEMENT AVAILABILITY PART VI, SECTION C, QUESTION 19 MedStar Health posts its annual financial audit and quarterly financial reports to the Electronic Municipal Market Access (EMMA) system. The organization also 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. EXECUTIVE COMPENSATION PROCESS Form 990 - Part VI, Section B, Question 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 STATEMENTS AND REPORTING Part XI, Question 2C St. Marys Hospital of St. Marys County Inc. IS AN AFILLIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. Compensation Footnotes Part VII, Section A Kenneth Samet Kenneth Samet's Other reportable compensation in Part II, Column (B) (iii) includes $1,278,236 representing Mr. Samet's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 21 years of service. This amount was not actually paid to Mr. Samet, but was reported as compensation under FICA tax-reporting rules, and this entire amount was also reported on Form 990 in prior years. 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