Medstar Health Inc.

“Process for reviewing form 990 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 appointment of directors to the medstar health, inc. Board (and its subsidiaries) require all nominated directors to disclose the existence of (or potential existence of) any transactions or relationships that would create a conflict of interest prior to their appointment or election. Each director is also required to complete an annual questionnaire to disclose conflicts and has an affirmative duty to report obligations if they arise during the board year. Such disclosures (if any) are reviewed by the governance committee of the medstar health, inc. Board of directors which determines how the conflict 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. In the case of directors, such disclosures (if any) are reviewed by the governance committee of the medstar health, inc. Board of directors which determines how the matter should be resolved. In the case of officers and senior managers, the conflicts are reviewed by the appropriate senior executive or manager. Any conflicts by the ceo are reviewed by the medstar health, inc. Board of directors. In addition, officers and directors of maryland hospitals and nursing centers are required to annually disclose additional information relating to conflicts of interest and such disclosures are reported to the maryland health services cost review commission (hscrc).”

“Executive compensation process the executive compensation committee of the board of directors of medstar health, inc. (the "committee") has oversight of 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 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.”

“Compensation from related organization one of the directors listed on part vii, section a receives compensation from georgetown university, a related organization. Please see the 2020 form 990 for georgetown university for additional information.”

“. Medstar health, inc. (medstar health) is the parent and controlling entity for a $7.3 billion, not-for-profit health system dedicated to caring for people in maryland and the washington, d.c., region (comprising baltimore city, eleven counties in maryland, the district of columbia, and northern virginia). Through the combination of academic medicine, research and innovation across a comprehensive spectrum of clinical services, medstar health's more than 32,100 associates and 4,000 affiliated physicians serve more than 1,350,000 patients and families annually. Through medstar health hospitals, outpatient facilities, physician practices, and other health-related entities, patients and families have access to a broad continuum of services including: acute, trauma & surgery, adult burn care, ambulatory & urgent care, clinical research & innovation, emergency services, health & wellness screenings, home health & hospice, managed care, medical education, medical transportation, nursing home & senior living support, palliative care, pharmacy, physical therapy & rehabilitation, primary, specialty & surgical care, radiation & infusion therapy, and telehealth. . As the medical education and clinical partners of georgetown university, medstar health has one of the largest medical education programs in the country with more than 1,100 medical residents/fellows and trains more than 600 nursing residents annually. . Medstar health offers a multitude of specialty services, leading the market across our strategic focus areas in heart & vascular, neurosciences, transplant, orthopaedics, gastroenterology, and cancer care. Additional specialty services include hand surgery, minimally invasive surgery, neonatal intensive care, shock/trauma, burn care, stroke care, behavioral health, rehabilitation, and women's health. . Medstar health research institute, the research arm for medstar health, ranks in the top 20% of recipients of research funding from the federal government (approximately 1,000 open clinical research studies and more than $50 million in external funding), and provides scientific, administrative, and regulatory support for research programs that complement the key clinical services and teaching programs in all hospitals across the system. . In fiscal year 2022, medstar health hospitals had approximately 118,500 inpatient admissions and 6,014,300 outpatient visits that included approximately 418,000 emergency department visits. . Operating medstar health home care, the largest home care services provider in the region, approximately 338,000 visits were completed in fiscal year 2022. . Medstar family choice, the system's medicaid managed care company, enrolled approximately 179,200 members living in maryland and washington, d.c. As of june 30, 2022. . Since march 2020, medstar health has cared for 1 in 4 covid-19 patients in the region. Operating as one medstar and aligning with guidance from the centers for disease control and prevention (cdc) and local departments of health, medstar health covid-19 preparations and response continue to be guided by three critical drivers: provide a safe care environment for patients and associates; mitigate community spread of covid-19; and ensure operational continuity to fulfill our core mission of caring for our communities. . These efforts have evolved and transitioned in multiple ways throughout the duration of the covid-19 pandemic, leading to a number of integrated care approaches in place today: utilization of medstar health urgent care, medstar evisit and our digital capabilities to create access, testing sites, telehealth for primary care and follow-up visits; expanded management of care continuum needs for patients through medstar health home care; execution of innovative laboratory approaches integrated with occupational health to better support associates managing through covid-19 exposures; deployment of community mobile units and clinics for covid-19 vaccinations/boosters; increased”

“Purchased professional service: program service expenses 17,372,467. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,372,467. Consulting fees: program service expenses 7,764,380. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,764,380. Subsidy expense - intercompany: program service expenses 8,050,064. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,050,064. Misc fixed purch srvcs: program service expenses 1,233,527. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,233,527. Lab services: program service expenses 731,102. Management and general expenses 0. Fundraising expenses 0. Total expenses 731,102. Testing & diagnostic services: program service expenses 224,214. Management and general expenses 0. Fundraising expenses 0. Total expenses 224,214. Medical service fees: program service expenses 92,576. Management and general expenses 0. Fundraising expenses 0. Total expenses 92,576. Printing services: program service expenses 38,085. Management and general expenses 0. Fundraising expenses 0. Total expenses 38,085. Misc fees for services: program service expenses 795,451. Management and general expenses 0. Fundraising expenses 0. Total expenses 795,451.”

“Equity transfers -762,451,579. Add'l min pen liab 40,557,575. Income tax provision -2,581,869.”