2026-05-08T15:28:24-05:00 2025-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2024-07-01 521132992 MEDSTAR AMBULATORY SERVICES INC MEDS 4107726721 10980 GRANTCHESTER WAY 6TH FLOOR COLUMBIA MD 21044 ROSS DARROW VP, TREASURER & CIO 4107726721 2026-05-08 1 0 ISAAC IRBY P02444754 7032868000 2024 2025-03-06 01:10:19Z ART K SIVASLIAN 10980 GRANTCHESTER WAY 6TH FLOOR COLUMBIA MD 21044 29900467 0 X N/A X 1969 MD SEE SCHEDULE OMEDSTAR AMBULATORY SERVICES, INC. IS OPERATED FOR THE PURPOSE OF SUPPORTING AND ENCOURAGING QUALITY HEALTH CARE AND RELATED SERVICES TO THE COMMUNITY. 1 0 355 0 0 0 5390 4131 20454912 26096424 26333 17069 3254878 3782843 23741513 29900467 0 0 0 0 16532913 18080275 0 0 0 27974014 28053397 44506927 46133672 -20765414 -16233205 163538532 155370128 55450152 53011777 108088380 102358351 MEDSTAR AMBULATORY SERVICES, INC. (FKA BAY DEVELOPMENT CORPORATION) IS OPERATED FOR THE PURPOSE OF SUPPORTING AND ENCOURAGING QUALITY HEALTH CARE AND RELATED SERVICES TO THE COMMUNITY. 0 0 18692324 26096424 MEDSTAR AMBULATORY SERVICES, INC. (FKA BAY DEVELOPMENT CORPORATION) IS OPERATED FOR THE PURPOSE OF SUPPORTING AND ENCOURAGING QUALITY HEALTH CARE AND RELATED SERVICES TO THE COMMUNITY. IN ADDITION, THE CORPORATION OWNS AND LEASES SEVERAL BUILDINGS WHICH BENEFIT THE MEDICAL COMMUNITY ASSOCIATED WITH MEDSTAR HEALTH. THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. 18692324 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 355 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X ROSS DARROW 4107726721 10980 GRANTCHESTER WAY 6TH FL COLUMBIA MD 21044 M JOY DRASS MD DIRECTOR 1.00 39.00 X 0 3588849 71629 ART K SIVASLIAN PRESIDENT 40.00 0.00 X 919691 0 46664 MARK MEGINNIS VICE PRESIDENT/TREASURER 1.00 39.00 X 265713 265713 54916 RODERICK T CHEN SECRETARY 1.00 39.00 X 0 540332 35553 DEBORA PURVIS VP, SURGICAL SERVICES 40.00 0.00 X 266147 0 32156 ANDREW CANNING VP, OPERATIONS 40.00 0.00 X 263565 0 17976 SAUMIL MODI ASSISTANT VP, OPERATIONS 40.00 0.00 X 253860 0 25680 THERESA SCOLARO AVP PT EXPER & ASSOC COMM 40.00 0.00 X 200423 0 29261 BETH CHAPMAN AVP, SURGICAL SERVICES 40.00 0.00 X 176828 0 5158 2346227 4394894 318993 38 0 1 0 GOOGLE INC PO BOX 883654 LOS ANGELES CA 900883654 ADVERTISING SERVICES 690115 CUSHMAN & WAKEFIELD US INC 225 WEST WACKER DRIVE SUITE 3000 CHICAGO IL 60606 PROFESSIONAL SERVICES 403378 ACM SERVICES INC 2022 PARKLAWN DR ROCKVILLE MD 20852 REMEDIATION SERVICES 258899 PIONEER LLC 12505 PARK POTOMAC AVENUE 410 POTOMAC MD 20854 COMMERCIAL CLEANING SRVCS 246888 QUADRANT INC 12849 GALVESTON COURT MANASSAS VA 20112 STAFFING SERVICES 234069 13 4131 4131 NET PATIENT SERVICE RE 621400 13978421 13978421 RENTAL INCOME 900099 8824114 8824114 SESSION REVENUE 900099 3293889 3293889 26096424 15539 15539 1530 0 1530 1530 1530 REIMBURSED COST 900099 1537478 1537478 REBATE INCOME 900099 152091 152091 2093274 2093274 3782843 29900467 26096424 0 3799912 1259526 686132 573394 9409719 5266470 4143249 353865 52921 300944 4814204 1473094 3341110 2242961 712182 1530779 8072290 511322 7560968 1158 15450 -14292 3106835 902027 2204808 2431 2431 -22467945 2452432 -24920377 18340759 18340759 803297 173334 629963 6878 1725 5153 2679073 -3609 2682682 7320253 326324 6993929 153641 46767 106874 MED/SURG SUPPLIES 4712662 4617288 95374 UTILITIES 3305784 86587 3219197 MAINTENANCE 932611 967985 -35374 IMPLANTS/PROSTHESES 20092 21012 -920 1063578 382881 680697 46133672 18692324 27441348 0 2100 2100 5491165 5341379 1175892 1486563 730030 989793 136604614 76525774 67559927 60078840 47257000 47093829 720558 702845 40601860 39674779 163538532 155370128 4626863 15928449 383227 384705 337224 383725 50102838 36314898 55450152 53011777 X 108021555 102287445 66825 70906 108088380 102358351 163538532 155370128 X -16233205 9552 10493624 X 0 1 X 1 1 1 X X 12 BAY LIFE SERVICES INC 521496539 10 1 0 0 FRANKLIN SQUARE HOSPITAL CENTER INC 520608007 3 1 0 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC 520591607 3 1 0 0 HARBOR HOSPITAL INC 520491660 3 1 0 0 THE UNION MEMORIAL HOSPITAL INC 520591685 3 1 0 0 THE MEDSTAR-GEORGETOWN MEDICAL CENTER 522218584 3 1 0 0 MEDSTAR SOUTHERN MD HOSPITAL CENTER 460726303 3 1 0 0 MONTGOMERY GENERAL HOSPITAL 520646893 3 1 0 0 NATIONAL REHABILITATION HOSPITAL 521369749 3 1 0 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY 520619006 3 1 0 0 WASHINGTON HOSPITAL CENTER CORPORATION 521272129 3 1 0 0 GOOD SAMARITAN NURSING CENTER 521672866 10 1 0 0 12 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART I, LINE 12G: OTHER SUPPORT THE EXPENSES INCURRED BY MEDSTAR AMBULATORY SERVICES, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3: THE OFFICERS/DIRECTORS OF THE SUPPORTED ORAGNIZATIONS HAVE A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH MEDSTAR AMBULATORY SERVICES, INC. AND THUS A SIGNIFICANT VOICE. M. JOY DRASS, M.D., AN EXECUTIVE VICE PRESIDENT OF MEDSTAR HEALTH, INC., SERVES ON THE BOARD OF DIRECTORS OF MEDSTAR AMBULATORY SERVICES, INC. AND BAY LIFE SERVICES, INC. BECAUSE OF THIS, THE SUPPORTED ORGANIZATIONS ARE ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF MEDSTAR AMBULATORY SERVICES, INC. AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 2A: SUBSTANTIALLY ALL THE ACTIVITIES OF MEDSTAR AMBULATORY SERVICES, INC. DIRECTLY FURTHER THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS LISTED. MEDSTAR AMBULATORY SERVICES, INC. PROVIDES MANAGEMENT AND OTHER SUPPORTING SERVICES TO ITS SUPPORTED ORGANIZATIONS TO PROMOTE AN INTEGRATED HEALTH SYSTEM. MEDSTAR AMBULATORY SERVICES, INC. ALSO DIRECTLY FURTHERS THE EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS BY LEASING MEDICAL BUILDINGS TO OTHER MEDSTAR HEALTH ENTITIES. MEDSTAR AMBULATORY SERVICES, INC. IS RESPONSIVE TO ITS SUPPORTED ORGANIZATIONS WHEN PROVIDING THESE SERVICES. SUBSTANTIALLY ALL OF THE STAFFING AND FINANCIAL RESOURCES OF MEDSTAR AMBULATORY SERVICES, INC. WERE DEDICATED TO ACTIVITIES THAT DIRECTLY FURTHER THE EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 2B: MEDSTAR AMBULATORY SERVICES, INC. PROVIDED MANAGEMENT AND SUPPORTING SERVICES TO ITS SUPPORTED ORGANIZATIONS. IT ALSO OWNED AND LEASED MEDICAL BUILDINGS TO ITS SUPPORTED ORGANIZATIONS. IF NOT FOR THE EXISTENCE OF MEDSTAR AMBULATORY SERVICES, INC., THESE SUPPORTED ORGANIZATIONS WOULD PERFORM THESE SERVICES AND OWN THE REAL ESTATE THEMSELVES. HOWEVER, IT IS MORE EFFICIENT TO PERFORM ALL OF THESE SERVICES AT THE SAME ORGANIZATION RATHER THAN AT 12 SEPARATE ORGANIZATIONS (THE SUPPORTED ORGANIZATIONS). 11553946 11553946 41938028 16752930 25185098 66691848 47580945 19110903 14162687 11380654 2782033 2258105 811245 1446860 60078840 JOINT VENTURES 47093829 F 47093829 OPERATING LEASE ROU ASSET 39372838 WORKERS COMP FUNDS 175505 INTERCOMPANY RECEIVABLES 119357 OTHER ASSETS 7079 39674779 OTHER LIABILITIES 33924038 CAPITAL LEASE LIABILITY L/T 2271876 SECURITY DEPOSITS 118984 36314898 X PART X, LINE 2: FIN 48 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 THE 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, 2025. X X X X X X 0 0 0 0 0 0 0 0 0 M JOY DRASS MD DIRECTOR 0 1637304 0 1951545 0 0 0 42192 0 29437 0 3660478 0 0 ART K SIVASLIAN PRESIDENT 516022 0 403669 0 0 0 9900 0 36764 0 966355 0 0 0 MARK MEGINNIS VICE PRESIDENT/TREASURER 177940 177940 87773 87773 0 0 18867 18867 8591 8591 293171 293171 0 0 RODERICK T CHEN SECRETARY 0 362980 0 177352 0 0 0 9900 0 25653 0 575885 0 0 DEBORA PURVIS VP, SURGICAL SERVICES 230926 0 35221 0 0 0 7090 0 25066 0 298303 0 0 0 ANDREW CANNING VP, OPERATIONS 229230 0 34335 0 0 0 7008 0 10968 0 281541 0 0 0 SAUMIL MODI ASSISTANT VP, OPERATIONS 219524 0 34336 0 0 0 6151 0 19529 0 279540 0 0 0 THERESA SCOLARO AVP PT EXPER & ASSOC COMM 173559 0 26864 0 0 0 4550 0 24711 0 229684 0 0 0 BETH CHAPMAN AVP, SURGICAL SERVICES 176828 0 0 0 0 0 4397 0 761 0 181986 0 0 0 SCHEDULE J, PART III: DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MARK MEGINNIS' COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO MEDSTAR NATIONAL REHABILITATION HOSPITAL, MEDSTAR URGENT CARE, AND NUMEROUS MEDSTAR HEALTH AMBULATORY BUSINESSES. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., 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. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., 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. FORM 990, PART VI, SECTION B, LINE 11B 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, 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. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY ENFORCEMENT 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). FORM 990, PART VI, SECTION B, LINE 15 DESCRIPTION OF EXECUTIVE COMPENSATION PROCESS 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. FORM 990, PART VI, SECTION C, LINE 19 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. FORM 990, PART XI, LINE 9: DISTRIBUTIONS-GEN PTR/MAJ INT 6,723,801. EQUITY TRANSFER 3,771,110. INCOME TAX PROVISION -1,287. 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