MEDSTAR AMBULATORY SERVICES INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MEDSTAR AMBULATORY SERVICES INC (EIN 52-1132992)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202241339349309679
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T17:54:08-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8350 BROAD STREET SUITE 900 | AddressLine1Txt |
| City | MCLEAN | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521132992 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR AMBULATORY SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDS | BusinessNameControlTxt |
| Phone | 4107726721 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10980 GRANTCHESTER WAY 6TH FLOOR | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Person Title | VP/TREASURER | PersonTitleTxt |
| Phone | 4107726721 | PhoneNum |
| Signature | 2022-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOEL | PersonFirstNm |
| Person Last | BRYAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDREW ROE | PreparerPersonNm |
| PTIN | P01876391 | PTIN |
| Phone | 7032868000 | PhoneNum |
| Preparation | 2022-05-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT GILBERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10980 GRANTCHESTER WAY 6TH FLOOR | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,068,997 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OMEDSTAR AMBULATORY SERVICES, INC. IS OPERATED FOR THE PURPOSE OF SUPPORTING AND ENCOURAGING QUALITY HEALTH CARE AND RELATED SERVICES TO THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 274 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $165,302 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,918,553 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,712,104 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,624,726 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,157 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,306 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,520,463 | PYOtherRevenueAmt |
| CY Other Revenue | $2,523,412 | CYOtherRevenueAmt |
| PY Total Revenue | $18,402,026 | PYTotalRevenueAmt |
| CY Total Revenue | $22,068,997 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,945,753 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,891,583 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,348,754 | PYOtherExpensesAmt |
| CY Other Expenses | $26,011,530 | CYOtherExpensesAmt |
| PY Total Expenses | $35,294,507 | PYTotalExpensesAmt |
| CY Total Expenses | $36,903,113 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$16,892,481 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,834,116 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $176,288,758 | TotalAssetsBOYAmt |
| Total Assets EOY | $191,556,915 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,116,652 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $83,440,255 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $85,172,106 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $108,116,660 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,651,227 | ExpenseAmt |
| Revenue | $17,624,726 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $13,651,227 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 274 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOEL BRYAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4107726721 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10980 GRANTCHESTER WAY 6TH FL | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ERIC R WAGNER | ||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $2,644,594 | $72,545 | ||
| ROBERT GILBERT | ||||||||
| PRESIDENT | 40.00 | 0.00 | $906,122 | $0 | $41,068 | Yes (X) | ||
| MARK MEGINNIS | ||||||||
| VICE PRESIDENT/TREASURER | 20.00 | 20.00 | $225,470 | $225,470 | $55,667 | Yes (X) | ||
| RODERICK T CHEN | ||||||||
| SECRETARY | 1.00 | 39.00 | $0 | $424,233 | $29,010 | Yes (X) | ||
| JERRY CREIGHTON | ||||||||
| ASST VICE PRESIDENT OPS & | 40.00 | 0.00 | $166,356 | $0 | $23,704 | Yes (X) | ||
| JASON MUELLER | ||||||||
| AVP, FACILITY DEVELOPMENT | 40.00 | 0.00 | $247,656 | $0 | $8,578 | Yes (X) | ||
| BRIAN FISHER | ||||||||
| DIRECTOR OF FINANCIAL SERV | 40.00 | 0.00 | $168,029 | $0 | $25,028 | Yes (X) | ||
| THERESA SCOLARO | ||||||||
| AVP PT EXPER & ASSOC COMM | 40.00 | 0.00 | $161,965 | $0 | $24,239 | Yes (X) | ||
| ANDREW CANNING | ||||||||
| ASSISTANT VP, OPERATIONS | 40.00 | 0.00 | $164,578 | $0 | $13,383 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,040,176 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,294,297 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $293,222 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ROLYN COMPANIES INC | |||||
| 5706 FREDERICK AVE | ROCKVILLE | MD | 20852 | FACILITIES SERVICES | $665,422 |
| QUADRANT INC | |||||
| 1881 CAMPUS COMMONS DR300 | RESTON | VA | 20191 | STAFFING SERVICES | $494,773 |
| SMITHGROUP INC | |||||
| 5910 N CENTRAL EXPY 1765 | DALLAS | TX | 75206 | PROFESSIONAL SERVICES | $466,535 |
| AMERICAN WELL CORPORATION | |||||
| 75 STATE STREET 26TH FLOOR | BOSTON | MA | 02109 | PROFESSIONAL SERVICES | $457,602 |
| GOOGLE INC | |||||
| 1600 AMPHITHEATRE PARKWAY | MOUNTAIN VIEW | CA | 94043 | ADVERTISING SERVICES | $195,257 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,891,069 | GovernmentGrantsAmt |
| All Other Contributions | $27,484 | AllOtherContributionsAmt |
| Total Contributions | $1,918,553 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $9,197,124 | $9,197,124 |
| RENTAL INCOME | 900099 | $6,403,030 | $6,403,030 |
| SESSION REVENUE | 900099 | $2,024,572 | $2,024,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,624,726 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,033 | TotalRevenueColumnAmt |
| Exclusion | $1,033 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,273 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,273 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,273 | TotalRevenueColumnAmt |
| Exclusion | $1,273 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REIMBURSED COST | 900099 | $1,091,451 | $1,091,451 |
| EQUITY IN SURGERY CENTERS | 900099 | $536,224 | $536,224 |
| REBATE INCOME | 900099 | $172,917 | $172,917 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $722,820 | TotalRevenueColumnAmt |
| Exclusion | $722,820 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,523,412 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,068,997 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,624,726 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,525,718 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,228,326 | TotalAmt |
| Program Services | $682,231 | ProgramServicesAmt |
| Management And General | $546,095 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,532,188 | TotalAmt |
| Program Services | $2,670,925 | ProgramServicesAmt |
| Management And General | $1,861,263 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,200 | TotalAmt |
| Program Services | $27,600 | ProgramServicesAmt |
| Management And General | $197,600 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,536,648 | TotalAmt |
| Program Services | $561,477 | ProgramServicesAmt |
| Management And General | $2,975,171 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,369,221 | TotalAmt |
| Program Services | $229,590 | ProgramServicesAmt |
| Management And General | $1,139,631 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,797,849 | TotalAmt |
| Program Services | $530,114 | ProgramServicesAmt |
| Management And General | $5,267,735 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74 | TotalAmt |
| Management And General | $74 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,660 | TotalAmt |
| Management And General | $73,660 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,741,038 | TotalAmt |
| Program Services | $770,184 | ProgramServicesAmt |
| Management And General | $1,970,854 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $672,404 | TotalAmt |
| Program Services | $564 | ProgramServicesAmt |
| Management And General | $671,840 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$20,060,418 | TotalAmt |
| Program Services | $2,202,512 | ProgramServicesAmt |
| Management And General | -$22,262,930 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,433,130 | TotalAmt |
| Management And General | $17,433,130 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,225 | TotalAmt |
| Program Services | $74,667 | ProgramServicesAmt |
| Management And General | $441,558 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,513 | TotalAmt |
| Management And General | $1,513 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,469,717 | TotalAmt |
| Program Services | -$329 | ProgramServicesAmt |
| Management And General | $2,470,046 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,571,047 | TotalAmt |
| Program Services | $845,574 | ProgramServicesAmt |
| Management And General | $7,725,473 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,150 | TotalAmt |
| Program Services | $63,858 | ProgramServicesAmt |
| Management And General | $32,292 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL/SURGICAL SUPPLI | $3,377,502 | $3,232,201 | $145,301 |
| UTILITIES | $2,109,695 | $24,390 | $2,085,305 |
| MAINTENANCE | $587,804 | $504,548 | $83,256 |
| IMPLANTS/PROSTHESES | $539,364 | $539,364 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,084,776 | TotalAmt |
| Program Services | $691,757 | ProgramServicesAmt |
| Management And General | $393,019 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,903,113 | TotalAmt |
| Program Services | $13,651,227 | ProgramServicesAmt |
| Management And General | $23,251,886 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,101 | BOYAmt |
| EOY | $2,100 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,981,254 | BOYAmt |
| EOY | $15,903,821 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,998 | BOYAmt |
| EOY | $738,073 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,044 | BOYAmt |
| EOY | $677,149 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $120,001,363 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $51,009,242 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,322,151 | BOYAmt |
| EOY | $68,992,121 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,066,937 | BOYAmt |
| EOY | $40,483,147 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $791,408 | BOYAmt |
| EOY | $773,696 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,760,865 | BOYAmt |
| EOY | $63,986,808 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,288,758 | BOYAmt |
| EOY | $191,556,915 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,336,928 | BOYAmt |
| EOY | $4,945,021 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,871 | BOYAmt |
| EOY | $215,351 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,458,034 | BOYAmt |
| EOY | $222,436 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,102,819 | BOYAmt |
| EOY | $78,057,447 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,116,652 | BOYAmt |
| EOY | $83,440,255 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,111,257 | BOYAmt |
| EOY | $108,070,646 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,849 | BOYAmt |
| EOY | $46,014 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,172,106 | BOYAmt |
| EOY | $108,116,660 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,288,758 | BOYAmt |
| EOY | $191,556,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,834,116 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $14,587 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $37,764,083 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 13 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (13 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| BAY LIFE SERVICES INC | ||||
| 521496539 | 10 | Yes (1) | $0 | $0 |
| FRANKLIN SQUARE HOSPITAL CENTER INC | ||||
| 520608007 | 3 | Yes (1) | $0 | $0 |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC | ||||
| 520591607 | 3 | Yes (1) | $0 | $0 |
| HARBOR HOSPITAL INC | ||||
| 520491660 | 3 | Yes (1) | $0 | $0 |
| THE UNION MEMORIAL HOSPITAL INC | ||||
| 520591685 | 3 | Yes (1) | $0 | $0 |
| THE MEDSTAR-GEORGETOWN MEDICAL CENTER | ||||
| 522218584 | 3 | Yes (1) | $0 | $0 |
| MEDSTAR SOUTHERN MD HOSPITAL CENTER | ||||
| 460726303 | 3 | Yes (1) | $0 | $0 |
| MEDSTAR SURGERY CENTER | ||||
| 521061679 | 10 | Yes (1) | $0 | $0 |
| MONTGOMERY GENERAL HOSPITAL | ||||
| 520646893 | 3 | Yes (1) | $0 | $0 |
| NATIONAL REHABILITATION HOSPITAL | ||||
| 521369749 | 3 | Yes (1) | $0 | $0 |
| ST MARY'S HOSPITAL OF ST MARY'S COUNTY | ||||
| 520619006 | 3 | Yes (1) | $0 | $0 |
| WASHINGTON HOSPITAL CENTER CORPORATION | ||||
| 521272129 | 3 | Yes (1) | $0 | $0 |
| GOOD SAMARITAN NURSING CENTER | ||||
| 521672866 | 10 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 13 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Test | Yes (X) | ActivitiesTestInd |
| Activities Further Exempt Prps | Yes (1) | ActivitiesFurtherExemptPrpsInd |
| Activities Engaged Org Invlmnt | Yes (1) | ActivitiesEngagedOrgInvlmntInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. ERIC WAGNER, 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 13 SEPARATE ORGANIZATIONS (THE SUPPORTED ORGANIZATIONS). |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,553,946 | OtherCostOrOtherBasisAmt |
| Book Value | $11,553,946 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,374,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,158,101 | DepreciationAmt |
| Book Value | $13,216,118 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,343,815 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,588,031 | DepreciationAmt |
| Book Value | $34,755,784 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,886,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,566,435 | DepreciationAmt |
| Book Value | $4,320,473 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,842,475 | OtherCostOrOtherBasisAmt |
| Depreciation | $696,675 | DepreciationAmt |
| Book Value | $5,145,800 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $68,992,121 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | JOINT VENTURES | Desc |
| Book Value | $40,483,147 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $40,483,147 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE ROU ASSET | $63,585,371 |
| INTERCOMPANY RECEIVABLES | $158,381 |
| OTHER ASSETS | $243,056 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $63,986,808 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $74,153,182 |
| CAPITAL LEASE LIABILITY L/T | $3,544,903 |
| DEFERRED INCOME L/T | $312,428 |
| SECURITY DEPOSITS | $46,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $78,057,447 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2021. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC R WAGNER | ||||||||||||||
| DIRECTOR | $0 | $884,459 | $0 | $1,026,933 | $0 | $733,202 | $0 | $30,973 | $0 | $41,572 | $0 | $2,717,139 | $0 | $0 |
| ROBERT GILBERT | ||||||||||||||
| PRESIDENT | $464,514 | $0 | $441,403 | $0 | $205 | $0 | $8,550 | $0 | $32,518 | $0 | $947,190 | $0 | $0 | $0 |
| MARK MEGINNIS | ||||||||||||||
| VICE PRESIDENT/TREASURER | $150,115 | $150,115 | $75,355 | $75,355 | $0 | $0 | $31,449 | $0 | $24,218 | $0 | $281,137 | $225,470 | $0 | $0 |
| RODERICK T CHEN | ||||||||||||||
| SECRETARY | $0 | $283,708 | $0 | $140,525 | $0 | $0 | $0 | $8,550 | $0 | $20,460 | $0 | $453,243 | $0 | $0 |
| JASON MUELLER | ||||||||||||||
| AVP, FACILITY DEVELOPMENT | $195,358 | $0 | $52,298 | $0 | $0 | $0 | $7,511 | $0 | $1,067 | $0 | $256,234 | $0 | $0 | $0 |
| BRIAN FISHER | ||||||||||||||
| DIRECTOR OF FINANCIAL SERV | $167,669 | $0 | $360 | $0 | $0 | $0 | $9,670 | $0 | $15,358 | $0 | $193,057 | $0 | $0 | $0 |
| JERRY CREIGHTON | ||||||||||||||
| ASST VICE PRESIDENT OPS & | $158,116 | $0 | $8,240 | $0 | $0 | $0 | $5,103 | $0 | $18,601 | $0 | $190,060 | $0 | $0 | $0 |
| THERESA SCOLARO | ||||||||||||||
| AVP PT EXPER & ASSOC COMM | $150,005 | $0 | $11,960 | $0 | $0 | $0 | $4,550 | $0 | $19,689 | $0 | $186,204 | $0 | $0 | $0 |
| ANDREW CANNING | ||||||||||||||
| ASSISTANT VP, OPERATIONS | $164,218 | $0 | $360 | $0 | $0 | $0 | $4,989 | $0 | $8,394 | $0 | $177,961 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | MR. WAGNER'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $733,202 WHICH REPRESENTS THE EXERCISED VALUE OF OPTION PLAN SHARES, BASED ON DEFERRED COMPENSATION EARNED APPROXIMATELY 20 YEARS AGO AND INVESTMENT RETURNS ON THIS COMPENSATION EARNED OVER THIS PERIOD OF TIME. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 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. |
| 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: | EQUITY TRANSFER 35,933,133. DISTRIBUTIONS-GEN PTR/MAJ INT 1,830,950. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR SURGERY CENTER AT LAFAYETTE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10980 GRANTCHESTER WAY | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 812557673 | EIN |
| Primary Activities | SURGERY | PrimaryActivitiesTxt |
| Legal Domicile State | DC | LegalDomicileStateCd |
| Total Income | $9,065,123 | TotalIncomeAmt |
| End Of Year Assets | $3,378,977 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAS | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHURCH HOME CORPORATION | ||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 237374724 | MEDICAL FUND | MD | 501(C)(3) | PF | N/A | Yes (1) |
| FRANKLIN SQUARE HOSPITAL CENTER INC | ||||||||||
| 9000 FRANKLIN SQUARE DRIVE | BALTIMORE | MD | 21237 | 520608007 | HOSPITAL | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| HARBOR HOSPITAL INC | ||||||||||
| 3001 SOUTH HANOVER STREET | BALTIMORE | MD | 21225 | 520491660 | HOSPITAL | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| MEDSTAR HEALTH INC | ||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 522087445 | MEDICAL SVCS | MD | 501(C)(3) | 12C III | N/A | 0 |
| MONTGOMERY GENERAL HOSPITAL | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 520646893 | HOSPITAL | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 520591607 | HOSPITAL | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| THE UNION MEMORIAL HOSPITAL | ||||||||||
| 201 EAST UNIVERSITY PARKWAY | BALTIMORE | MD | 21218 | 520591685 | HOSPITAL | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| MEDSTAR HEALTH RESEARCH INSTITUTE | ||||||||||
| 108 IRVING STREET NW | WASHINGTON | DC | 20010 | 526056274 | HOSPITAL | DC | 501(C)(3) | 4 | N/A | Yes (1) |
| THE MEDSTAR-GEORGETOWN MEDICAL CENTER I | ||||||||||
| HOPSITAL ADMIN 1 MAIN BLDG | WASHINGTON | DC | 20007 | 522218584 | HOSPITAL | DC | 501(C)(3) | 3 | N/A | Yes (1) |
| WASHINGTON HOSPITAL CENTER CORPORATION | ||||||||||
| 110 IRVING STREET NW | WASHINGTON | DC | 20010 | 521272129 | HOSPITAL | DC | 501(C)(3) | 3 | N/A | Yes (1) |
| HH MEDSTAR HEALTH INC | ||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521542230 | MEDICAL SVCS | MD | 501(C)(3) | 12C III | N/A | Yes (1) |
| BAY LIFE SERVICES INC | ||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521496539 | MENTAL HEALTH | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| MEDSTAR SURGERY CENTER INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521061679 | MEDICAL SVCS | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| CHURCH HOME AND HOSPITAL OF THE CITY OF | ||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 520591600 | MEDICAL FUND | MD | 501(C)(3) | 12A I | N/A | Yes (1) |
| GOOD SAMARITAN NURSING CENTER INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521672866 | MEDICAL SVCS | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| GS HOUSING INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521481656 | ELDER HOUSING | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| GS PROPERTIES INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521429853 | ADMIN SVCS | MD | 501(C)(3) | 12A I | N/A | Yes (1) |
| MEDSTAR HEALTH INFUSION INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521980510 | MEDICAL SVCS | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| MEDSTAR HEALTH VISITING NURSES ASSOCIATI | ||||||||||
| 4061 POWDERMILL ROAD | CALVERTON | MD | 20705 | 530196597 | MEDICAL SVCS | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| MEDSTAR VNA HEALTHCARE | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521458516 | MEDICAL SVCS | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| MGH COMMUNITY HEALTH INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521372467 | MEDICAL SVCS | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| MGH HEALTH SERVICES INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521366812 | FOUNDATION | MD | 501(C)(3) | 12B II | N/A | Yes (1) |
| MGH WOMEN'S BOARD | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 526039600 | FOUNDATION | MD | 501(C)(3) | 12C III | N/A | Yes (1) |
| NATIONAL REHABILITATION HOSPITAL | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521369749 | HOSPITAL | DC | 501(C)(3) | 3 | N/A | Yes (1) |
| NRH REGIONAL REHAB AT OLNEY | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 522310902 | MEDICAL SVCS | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| SUBURBAN NRH MEDICAL REHABILITATION I | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931151 | MEDICAL SVCS | DC | 501(C)(3) | 3 | N/A | Yes (1) |
| THE THOMAS O'NEIL CATHOLIC HEALTH CARE F | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521104382 | FOUNDATION | MD | 501(C)(3) | 12D III | N/A | Yes (1) |
| VNA INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521332411 | ADMIN SVCS | MD | 501(C)(3) | 12A I | N/A | Yes (1) |
| WOODBOURNE WOODS INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 522299070 | ELDER HOUSING | MD | 501(C)(3) | 10 | N/A | Yes (1) |
| HOSPICE OF ST MARY'S INC | ||||||||||
| PO BOX 527 | LEONARDTOWN | MD | 20650 | 522153926 | SUPPORT ORG | MD | 501(C)(3) | 12A I | N/A | Yes (1) |
| ST MARY'S HOSPITAL OF ST MARY'S COUNTY | ||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 520619006 | HOSPITAL | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| MEDSTAR SOUTHERN MD HOSPITAL CENTER INC | ||||||||||
| 7503 SURRATTS ROAD | CLINTON | MD | 20735 | 460726303 | HOSPITAL | MD | 501(C)(3) | 3 | N/A | Yes (1) |
| MEDSTAR HEALTH INC AND AFFILIATES MASTER | ||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 467454613 | RET. TRUST | MD | 501(A) | N/A | N/A | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDSTAR SHAH MSO LLC | ||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 462700536 | MGMT SVCS | MD | N/A | N/A | 0 | 0 | ||||
| 22590 SHADY COURT LLC | ||||||||||||||
| 24035 THREE NOTCH ROAD | HOLLYWOOD | MD | 20636 | 473361777 | REAL ESTATE | MD | RELATED | 0 | Yes (1) | AMBULATORY SVCS | $216,060 | $2,795,906 | 0.50000 | |
| 24035 THREE NOTCH ROAD LLC | ||||||||||||||
| 24035 THREE NOTCH ROAD | HOLLYWOOD | MD | 20636 | 473375076 | REAL ESTATE | MD | RELATED | 0 | Yes (1) | AMBULATORY SVCS | $509,169 | $6,448,865 | 0.50000 | |
| 37767 MARKET DRIVE LLC | ||||||||||||||
| 37767 MARKET DRIVE | CHARLOTTE HALL | MD | 20622 | REAL ESTATE | MD | RELATED | 0 | Yes (1) | AMBULATORY SVCS | -$20,148 | $1,363,066 | 0.50000 | ||
| 26840 POINT LOOKOUT ROAD LLC | ||||||||||||||
| 24035 THREE NOTCH ROAD | HOLLYWOOD | MD | 20636 | 473393670 | REAL ESTATE | MD | RELATED | 0 | Yes (1) | AMBULATORY SVCS | $44,128 | $559,135 | 0.50000 | |
| MONTGOMERY COMMUNITY MAGNETIC RESONANCE | ||||||||||||||
| 4110 ASPEN HILL RD | ROCKVILLE | MD | 20853 | 521534253 | MRI SCREENING | MD | N/A | N/A | 0 | 0 | ||||
| PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC | ||||||||||||||
| 4714 GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | 522212036 | PHYSIOTHERAPY | PA | N/A | N/A | 0 | 0 | ||||
| PHYSICIAN IMAGING OF WASHINGTON | ||||||||||||||
| 840 CRESCENT CENTRE DR | FRANKLIN | TN | 37067 | 562616090 | RADIOLOGY SVC | TN | RELATED | 0 | Yes (1) | AMBULATORY SVCS | -$1,726,886 | $9,965,235 | 0.80000 | |
| FRANKLIN IMAGING LLC | ||||||||||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 521588688 | IMAGING | MD | N/A | N/A | 0 | 0 | ||||
| MEDSTAR HEALTHSURGCENTER DEVELOPMENT JV | ||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 821073412 | SURGERY | MD | RELATED | 0 | 0 | AMBULATORY SVCS | $1,520,257 | $188,312 | 0.51000 | |
| 10 ST PATRICK'S DRIVE LLC | ||||||||||||||
| 10 ST PATRICKS DRIVE | WALDORF | MD | 20603 | 832261766 | REAL ESTATE | MD | RELATED | 0 | Yes (1) | AMBULATORY SVCS | -$607,420 | $2,232,580 | 0.50000 | |
| MEDSTAR ENDOSCOPY CENTER AT LUTHERVILLE | ||||||||||||||
| 1300A BELLONA AVE | LUTHERVILLE | MD | 21093 | 823193901 | SURGERY | MD | RELATED | 0 | Yes (1) | AMBULATORY SVCS | $247,370 | $1,015,339 | 0.51000 | |
| CAPITAL ENDOSCOPY LLC | ||||||||||||||
| 6475 NEW HAMPSHIRE AVE | HYATTSVILLE | MD | 20783 | 134244093 | SURGERY | MD | RELATED | 0 | 0 | AMBULATORY SVCS | $713,187 | $337,084 | 0.51000 | |
| GREATER CHESAPEAKE SURGERY CENTER LLC | ||||||||||||||
| 1212 YORK ROAD | LUTHERVILLE | MD | 21093 | 841479788 | SURGERY | MD | RELATED | 0 | 0 | AMBULATORY SVCS | 0.51000 | |||
| NRH CPT REGIONAL REHAB LLC | ||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 522107062 | REHAB SERVICES | MD | N/A | N/A | 0 | 0 | ||||
| 4240 ALTAMONT PLACE LLC | ||||||||||||||
| 103 CENTENNIAL STREET SUITE K | LA PLATA | MD | 20646 | 861202310 | REAL ESTATE | MD | Yes (1) | Yes (1) | AMBULATORY SVCS | 0.50000 | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDSTAR PHARMACIES INC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521513056 | DRUG SALES | MD | N/A | C | 0 | |||||
| EXTENCARE INC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521556228 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| HELIX RESOURCES MANAGEMENT INC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521913070 | ADMIN SERVICE | MD | N/A | C | 0 | |||||
| HELIXCARE MEDICAL GROUP LLC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521955580 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| HELIXCARE PROPERTIES LLC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521966695 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| PARKWAY VENTURES INC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521893569 | HOLDING COMPANY | MD | N/A | C | 0 | |||||
| PHYSICIANS ADMINISTRATIVE SERVICES INC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 237042074 | BILLING SERVICE | MD | N/A | C | 0 | |||||
| MEDSTAR FAMILY CHOICE INC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 521995521 | MANAGED CARE | MD | N/A | C | 0 | |||||
| MEDSTAR ENTERPRISES INC | ||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522139841 | ADMIN SERVICE | MD | N/A | C | 0 | |||||
| SITEL INC | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 900753340 | EDUCATIONAL SVC | MD | N/A | C | 0 | |||||
| STAR BILLING INC | ||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521850113 | BILLING SERVICE | MD | N/A | C | 0 | |||||
| WASHINGTON RISK NETWORK MANAGEMENT INC | ||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522132677 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| WASHINGTON HOSPITAL CENTER PHYSICIAN HOS | ||||||||||||||
| 100 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931000 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| MEDSTAR PHYSICIAN PARTNERS INC | ||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522030809 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA | ||||||||||||||
| 10980 GRANTCHESTER WAY 6TH FLOOR | COLUMBIA | MD | 21044 | 760756352 | CONDO OWNER ASSOC | MD | N/A | C | 0 | |||||
| MGH DIVERSIFIED SERVICES INC | ||||||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521943602 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| ST MARY'S HEALTH ALLIANCE INC | ||||||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 521930331 | MEDICAL SERVICE | MD | N/A | C | 0 | |||||
| GREENSPRING FINANCIAL INSURANCE LIMITED | ||||||||||||||
| 980188617 | INSURANCE | N/A | C | 0 | 878 WEST BAY RD PO BOX 1159 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| ST MARY'S CONDO ASSOCIATION | ||||||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 273377216 | CONDOMINIUMS | MD | N/A | C | 0 | |||||
| MEDSTAR HEALTH MASTER RETIREMENT TRUST | ||||||||||||||
| 981371657 | INVESTMENTS | N/A | C | 0 | 103 SOUTH CHURCH ST | GRAND CAYMAN | CJ | KY1-1002 | CJ | |||||
| MEDSTAR HEALTH INC - INVESTMENT FUND I | ||||||||||||||
| 981310273 | INVESTMENTS | N/A | C | 0 | 103 SOUTH CHURCH ST | GRAND CAYMAN | CJ | KY1-1002 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HH MEDSTAR HEALTH | ||
| P | $16,103,668 | FMV |
| FRANKLIN SQUARE HOSPITAL CENTER INC | ||
| Q | $1,712,004 | FMV |
| THE UNION MEMORIAL HOSPITAL | ||
| Q | $2,486,176 | FMV |
| HARBOR HOSPITAL INC | ||
| Q | $1,061,093 | FMV |
| WASHINGTON HOSPITAL CENTER CORPORATION | ||
| Q | $2,286,017 | FMV |
| NATIONAL REHABILITATION HOSPITAL | ||
| Q | $2,274,236 | FMV |
| MONTGOMERY GENERAL HOSPITAL | ||
| Q | $1,858,490 | FMV |
| MEDSTAR SOUTHERN MD HOSPITAL CENTER INC | ||
| Q | $58,072 | FMV |