MONTGOMERY GENERAL HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MONTGOMERY GENERAL HOSPITAL INC (EIN 52-0646893)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-07
- IRS object ID
- 202131279349300618
- Schema version
- 2019v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-07T13:30:58-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520646893 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY GENERAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOEL BRYAN | InCareOfNm |
| Business Name Control | MONT | BusinessNameControlTxt |
| Phone | 3017748640 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 PRINCE PHILIP DRIVE | AddressLine1Txt |
| City | OLNEY | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20832 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Person Title | VP/TREASURER | PersonTitleTxt |
| Phone | 4107726721 | PhoneNum |
| Signature | 2021-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JG WHITE | PreparerPersonNm |
| PTIN | P01498698 | PTIN |
| Phone | 7032868000 | PhoneNum |
| Preparation | 2021-05-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR MONTGOMERY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS SENKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 PRINCE PHILIP DRIVE | AddressLine1Txt |
| City | OLNEY | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20832 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $175,793,430 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MONTGOMERYGENERAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | MEDSTAR MONTGOMERY MEDICAL CENTER IS DEDICATED TO ENHANCING OUR COMMUNITY'S HEALTH BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1202 | TotalEmployeeCnt |
| Total Volunteers | 276 | TotalVolunteersCnt |
| Total Gross UBI | $1,254,319 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,572,403 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,942,874 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $166,628,151 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $168,650,796 | CYProgramServiceRevenueAmt |
| PY Investment Income | $74,464 | PYInvestmentIncomeAmt |
| CY Investment Income | $142,862 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,695,052 | PYOtherRevenueAmt |
| CY Other Revenue | $2,056,898 | CYOtherRevenueAmt |
| PY Total Revenue | $171,970,070 | PYTotalRevenueAmt |
| CY Total Revenue | $175,793,430 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $55,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $40,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $84,271,748 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $89,158,151 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $80,560,766 | PYOtherExpensesAmt |
| CY Other Expenses | $82,475,596 | CYOtherExpensesAmt |
| PY Total Expenses | $164,887,514 | PYTotalExpensesAmt |
| CY Total Expenses | $171,673,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,082,556 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,119,683 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $111,286,595 | TotalAssetsBOYAmt |
| Total Assets EOY | $107,956,332 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,984,715 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $59,795,169 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,301,880 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $48,161,163 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As a proud member of MedStar Health, MedStar Montgomery Medical Centers (MedStar Montgomery) mission is to enhance our communitys health and well-being by offering high quality, compassionate and personalized care. MedStar Montgomery is located in Olney, in northeastern Montgomery County, Maryland, a suburb of Washington, D.C. After over 90 years, the hospital remains true to its roots, offering a wide range of wellness programs and outpatient services in addition to inpatient treatment. In fiscal year 2020, MedStar Montgomery had approximately 5,956 inpatient admissions and approximately 90,080 outpatient visits and 29,344 emergency visits. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $112,761,046 | ExpenseAmt |
| Revenue | $159,846,871 | RevenueAmt |
| Desc | MedStar Montgomerys largest program is access to and the provision of acute hospital services to the communities of northeastern Montgomery County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Montgomery incurred $41.3M of management and general expenses in providing services to its communities. The acute care hospital offers a cardiac and vascular program, general surgery, orthopedics, cancer care, and obstetrics. With the addition of specialists from MedStar Georgetown University Hospital and MedStar Washington Hospital Center, MedStar Montgomery brings specialty care closer to its patients. MedStar Montgomery also offers inpatient and outpatient mental health services. MedStar Montgomery includes an emergency department with a dedicated Pediatric Center, a Fast-Track unit and a separate unit for crisis evaluation. As one of the largest healthcare systems in Maryland and the Washington, D.C., region, MedStar Health and its affiliated entities cared for one in four COVID-19 patients in the region since March 2020. Operating as One MedStar and aligning with guidance from the Centers for Disease Control and Prevention (CDC) and local Departments of Health, MedStar Healths COVID-19 preparations and response were guided by two critical drivers: providing a safe care environment for patients and associates and ensuring operational continuity to fulfill our core mission of caring for our communities. These efforts included adding hospital beds in preparation for patient surges; balancing hospital admissions by using urgent care sites as frontline providers and facilitating telehealth interactions for virtual care and referrals; utilizing home health services to transition care from inpatient settings, ambulatory facilities, and a convention center field hospital; and standing up more than 40 COVID-19 testing locations. Underlying these actions is MedStar Healths commitment to the highest levels of quality and safety, reflected by the systemwide implementation of universal face masking for patients and associates, and acquisition of Personal Protective Equipment at usage levels 10 times normal use. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,160,083 | ExpenseAmt |
| Revenue | $7,654,608 | RevenueAmt |
| Desc | MedStar Montgomery provided $11.2M in subsidized (mission driven) health services in fiscal year 2020. These critical services, which are driven by community needs, operate at a loss. They address priorities primarily through disease prevention and improvement of health status. Services provided include palliative care, womens and childrens services, and continuing care. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,002,037 | ExpenseAmt |
| Desc | MedStar Montgomery provided $3.0M in charity care services in fiscal year 2020. Charity care is provided pursuant to MedStar Healths Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Marylands unique payer system, the amount reported represents MedStar Montgomerys charity care expense and revenues represent direct payments from the states charity care pool. Other charity care expenses are indirectly reimbursed via the state of Marylands payment system. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $126,923,166 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1202 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Phone | 4107726721 | PhoneNum |
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) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| KENNETH A SAMET | |||||||||
| DIRECTOR | 1.0 | 39.0 | Yes (X) | $0 | $7,598,800 | $90,696 | |||
| FREDERICK FINELLI | |||||||||
| VP, MEDICAL AFFAIRS | 40.0 | 0.0 | $806,857 | $0 | $37,492 | Yes (X) | |||
| THOMAS SENKER | |||||||||
| HOSPITAL PRESIDENT & SVP MSH | 40.0 | 0.0 | Yes (X) | $742,211 | $0 | $43,808 | Yes (X) | ||
| Sujithra Jayaraj MD | |||||||||
| director | 40.0 | 0.0 | Yes (X) | $480,236 | $0 | $34,154 | |||
| David Havrilla | |||||||||
| CFO/TREASURER | 20.0 | 20.0 | $212,335 | $212,336 | $36,843 | Yes (X) | |||
| Connie Stone | |||||||||
| VP, Patient Care Services | 40.0 | 0.0 | $286,443 | $0 | $17,227 | Yes (X) | |||
| Nathaniel Barbo | |||||||||
| AVP, Professional Services | 40.0 | 0.0 | $204,964 | $0 | $17,223 | Yes (X) | |||
| Derek Prochnicki | |||||||||
| REGISTERED NURSE | 40.0 | 0.0 | $187,636 | $0 | $17,621 | Yes (X) | |||
| Kevin Mell | |||||||||
| FORMER VP, OPERATIONS | 0.0 | 40.0 | $0 | $174,757 | $15,370 | Yes (X) | |||
| DENISE Kingsbury | |||||||||
| SR DIR, CLIN SUPPORT SERVICES | 40.0 | 0.0 | $181,760 | $0 | $6,119 | Yes (X) | |||
| CAROLINA CHAVARRIA | |||||||||
| SECRETARY | 40.0 | 0.0 | $80,432 | $0 | $27,374 | Yes (X) | |||
| JOSEPH BELL | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD WEINSTEIN MD | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN FERGUSON | |||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WENDY WALKER DVM | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BONIFANT | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KATHERINE W FARQUHAR PHD | |||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD KURNOT | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Steven Shimoura MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Ana Maldonado MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Alok Mathur MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Richard Hoffman | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Gary Fernandes | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH ELLINGHAUS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK KOZAM MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KAREN NORDSTROM | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Neil R Ohora DPM | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,182,874 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,985,893 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $343,927 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC AFFILIATES | |||||
| 9801 WASHINGTONIAN BLVD | GAITHERSBURG | MD | 20878 | Food/Facilities Mgmt | $1,545,019 |
| COMMUNITY RADIOLOGY ASSOCIATES INC | |||||
| 10215 Fernwood Rd 620 | BETHESDA | MD | 20817 | Medical services | $939,636 |
| ROLYN COMPANIES INC | |||||
| 5706 FREDERICK AVE | ROCKVILLE | MD | 20852 | Facilities services | $937,253 |
| AMN HEALTHCARE INC | |||||
| 2735 Collection Center Dr | CHICAGO | IL | 60693 | Staffing Services | $629,533 |
| EMERGENCY MEDICINE ASSOCIATES | |||||
| 20010 CENTURY BLVD STE 200 | GERMANTOWN | MD | 20877 | Medical Services | $566,324 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $255,000 | RelatedOrganizationsAmt |
| Government Grants | $3,727,891 | GovernmentGrantsAmt |
| All Other Contributions | $959,983 | AllOtherContributionsAmt |
| Noncash Contributions | $67,394 | NoncashContributionsAmt |
| Total Contributions | $4,942,874 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | $167,488,579 | $167,488,579 | |
| PHARMACY REVENUE | 900099 | $1,149,317 | $1,149,317 | |
| PHYSICIAN BILLING REVENUE | 621110 | $12,900 | $12,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $168,650,796 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,486 | TotalRevenueColumnAmt |
| Exclusion | $65,486 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $618,182 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $618,182 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $618,182 | TotalRevenueColumnAmt |
| Exclusion | $618,182 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $77,376 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $77,376 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,376 | TotalRevenueColumnAmt |
| Exclusion | $77,376 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| REBATE INCOME | 900099 | $317,660 | $317,660 | |
| EQUITY INTEREST IN AFFILIATES | 900099 | $106,286 | $106,286 | |
| OTHER REVENUE | 900099 | $1,014,770 | $909,768 | $105,002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,438,716 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175,793,430 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $167,501,479 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,254,319 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,094,758 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,000 | TotalAmt |
| Program Services | $40,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,638,973 | TotalAmt |
| Program Services | $1,420,754 | ProgramServicesAmt |
| Management And General | $218,219 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,605,059 | TotalAmt |
| Program Services | $64,022,413 | ProgramServicesAmt |
| Management And General | $9,582,646 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,009,689 | TotalAmt |
| Program Services | $822,869 | ProgramServicesAmt |
| Management And General | $186,820 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,493,674 | TotalAmt |
| Program Services | $7,055,646 | ProgramServicesAmt |
| Management And General | $1,438,028 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,410,756 | TotalAmt |
| Program Services | $3,833,950 | ProgramServicesAmt |
| Management And General | $576,806 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,340,198 | TotalAmt |
| Management And General | $18,340,198 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,649 | TotalAmt |
| Management And General | $7,649 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,193,485 | TotalAmt |
| Program Services | $13,500,246 | ProgramServicesAmt |
| Management And General | $1,693,239 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $762,827 | TotalAmt |
| Program Services | $17,014 | ProgramServicesAmt |
| Management And General | $745,813 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,045 | TotalAmt |
| Program Services | $704,450 | ProgramServicesAmt |
| Management And General | -$241,405 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,891 | TotalAmt |
| Program Services | $982,361 | ProgramServicesAmt |
| Management And General | -$388,470 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,522 | TotalAmt |
| Program Services | $18,011 | ProgramServicesAmt |
| Management And General | $10,511 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,439 | TotalAmt |
| Program Services | $14,544 | ProgramServicesAmt |
| Management And General | $27,895 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,077,478 | TotalAmt |
| Management And General | $1,077,478 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,034,577 | TotalAmt |
| Program Services | $5,479,848 | ProgramServicesAmt |
| Management And General | $5,554,729 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,909,032 | TotalAmt |
| Program Services | $61,509 | ProgramServicesAmt |
| Management And General | $1,847,523 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED/SURG SUPPLIES | $17,137,238 | $17,187,913 | -$50,675 |
| MAINTENANCE | $5,635,030 | $4,270,752 | $1,364,278 |
| IMPLANTS/PROSTHESES | $3,607,279 | $3,607,279 | |
| UTILITIES | $2,364,619 | $2,178,875 | $185,744 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,278,287 | TotalAmt |
| Program Services | $1,704,732 | ProgramServicesAmt |
| Management And General | $2,573,555 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,673,747 | TotalAmt |
| Program Services | $126,923,166 | ProgramServicesAmt |
| Management And General | $44,750,581 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,114 | BOYAmt |
| EOY | $379,650 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,955,227 | BOYAmt |
| EOY | $23,017,512 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,370,961 | BOYAmt |
| EOY | $3,591,147 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $905,580 | BOYAmt |
| EOY | $680,685 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $232,373,532 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $154,929,125 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,932,555 | BOYAmt |
| EOY | $77,444,407 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,789,106 | BOYAmt |
| EOY | $2,842,931 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,286,595 | BOYAmt |
| EOY | $107,956,332 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,607,220 | BOYAmt |
| EOY | $10,606,655 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,186,481 | BOYAmt |
| EOY | $2,992,228 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,191,014 | BOYAmt |
| EOY | $46,196,286 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,984,715 | BOYAmt |
| EOY | $59,795,169 | 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 | $81,301,880 | BOYAmt |
| EOY | $48,161,163 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,301,880 | BOYAmt |
| EOY | $48,161,163 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,286,595 | BOYAmt |
| EOY | $107,956,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,119,683 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$61,389 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$37,199,011 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $146,581 | OtherCostOrOtherBasisAmt |
| Book Value | $146,581 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,043,162 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,142,830 | DepreciationAmt |
| Book Value | $51,900,332 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,730,140 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,642,199 | DepreciationAmt |
| Book Value | $87,941 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,904,441 | OtherCostOrOtherBasisAmt |
| Depreciation | $86,996,946 | DepreciationAmt |
| Book Value | $20,907,495 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,549,208 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,147,150 | DepreciationAmt |
| Book Value | $4,402,058 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $77,444,407 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES | $38,289,450 |
| OPERATING LEASE LIABILITIES | $5,392,918 |
| WORKERS COMPENSATION | $990,514 |
| CREDIT BALANCES PATIENT AR | $626,147 |
| GBR LIABILITY | $334,646 |
| UCC POOL LIABILITY | $260,728 |
| OTHER LIABILITIES | $301,883 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $46,196,286 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | SCHEDULE D, PART X INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN 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, 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,002,037 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,002,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01750 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,002,037 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,002,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,054,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,065 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,037,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $242,215 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $242,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,160,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,654,608 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,505,475 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,521 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $134,521 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,591,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,671,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,919,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,593,222 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,671,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,921,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04610 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,302 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,302 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,386 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,175 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,863 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,109,428 | BadDebtExpenseAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY GENERAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 PRINCE PHILIP DRIVE | AddressLine1Txt |
| City | OLNEY | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20832 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.MEDSTARMONTGOMERY.ORG/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.MEDSTARMONTGOMERY.ORG/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.MEDSTARMONTGOMERY.ORG/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.MEDSTARMONTGOMERY.ORG/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.MEDSTARMONTGOMERY | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHNA INPUT PART V, SECTION B, LINE 5 | HOSPITAL LEAD ROLE DESCRIPTION The Community Health Needs Assessment (CHNA) Hospital Lead serves as the coordinator of all aspects of the community health assessment process. He/she helps establish and coordinate the activities of the Advisory Task Force. The Lead also helps produce the hospital's Community Health Needs Assessment and Implementation Strategy. He/she works collaboratively with representatives from the Corporate Community Health Department and Georgetown University. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: Dairy Marroquin AND DIANA SALADINI Executive Sponsor Role Description The Executive Sponsor serves as the conduit between the Advisory Task Force and the Senior Management Team. The sponsor is an active participant of the Advisory Task Force and he/she communicates the hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: FREDERICK FINELLI, MD Advisory Task Force Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation.Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. Name: Title/AFFILIATION NAME OF ORGANIZATION WITH HOSPITAL Amy Shields Wilson Vice President of MINDOULA HEALTH Operations Dairy Marroquin (Lead) Community Outreach MMMC Coordinator Deb Otani Cancer Nurse Navigator MMMC Debbie Ellinghaus Managing Director Olney Theatre Diana Saladini Director, Population MMMC Health Edith Williams Community Member Millian United Methodist Church Frederick Finelli, MD Executive Sponsor MMMC VP Medical Affairs Jaqueline Hubbard Health Center Director Holy Cross HealthCenter- -Williams Aspen Hill Joe Podson Executive Director Homecrest House Karen Thompkins Sr. Planning Specialist Healthy Montgomery/ Montgomery County Health Department Lynda Suh Director, Quality & Risk MMMC Marsha Batista Resident Counselor III Housing Opportunities Commission Mary Jane Joseph Project Manager Primary Care Coalition Sharon Riser Case Manager Emergency MMMC Department Susan Montgomery Director of Social Leisure World Senior Services Community Thomas Brunetto (OHFL) Chair Olney Home for Life |
| implementation strategies | Part V, Section B, Line 11 The implementation strategies serve as a roadmap for how community benefit resources will be allocated and deployed. MedStar's hospitals will be able to measure our contribution to improving the health of underserved and vulnerable populations in the regions we serve. Three-year implementation strategies with measurable objectives were developed for each hospital's community benefit service area - a specific community or target population of focus. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. The MedStar Health Corporate Community Health Department will provide system-wide coordination and oversight of community benefit programming.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHARITY CARE AT COST | PART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. |
| UNREIMBURSED MEDICAID | PART I, LINE 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. |
| BAD DEBT | PART III, LINES 2 & 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. |
| MEDICARE | PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. |
| NEEDS ASSESSMENT | PART VI, LINE 2 In FY18, MedStar Montgomery Medical Center (MMMC) conducted a Community Health Needs Assessment (CHNA) in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. The hospitals FY18 CHNA and three-year Implementation Strategies were endorsed by MMMCs Board of Directors and approved by the MedStar Health Board of Directors. The document became available on the hospitals website on June 30, 2018. During FY19, key revisions were made across MedStar Health to more effectively impact the communities served throughout Maryland and Washington, DC. Several internal meetings were convened with leadership from each MedStar Health Hospital to review current practices and strategies. As a result of these meetings, the approach to the current CHNA for the remainder of the three-year cycle (FY19-FY21) was revised. A key revision to the CHNA is a greater focus on hospital area strategies that are most appropriate for the local communities served. The number of strategies each hospital is accountable for executing was reduced to encourage more meaningful reach within key areas contrasted with broader reach with reduced impact. Using the standard categories, Health and Wellness, Access to Care and Social Determinants of Health to determine what to prioritize for the CHNA IRS requirements, each hospital agreed to select two to three strategies as priorities that have size and scale impact and measurable outcomes. All other programming was integrated as part of the hospitals overall community health portfolio. These additional programs were captured in the inventory for the whole picture of contributing to the health of the communities served as well as sorted for what counts as community benefit for regulatory reporting. The hospitals Community Benefit Service Area (CBSA) remains the same, based on the Advisory Task Force (ATF) recommendation. The hospital identified Aspen Hill, Bel Pre and Rockville as its CBSA, which includes all residents living in ZIP code 20906 and 20853. The hospital selected this geographic area based on hospital utilization data and secondary public health data as well as its proximity to the hospital. The ATF included a diverse group of individuals, including hospital leaders, grassroots activists, community residents, faith-based leaders, hospital representatives, public health leaders and other stakeholder organizations, such as representatives from local health departments. MMMCs health priorities for the CBSA include health and wellness (chronic disease prevention and management, behavioral health) and social determinants of health (social needs screening and referrals). As a proud member of MedStar Health, representatives from MMMC routinely participate in the MedStar Health community health workgroup. The workgroup is comprised of community health professionals who represent all ten MedStar hospitals. The team analyzes local and regional community health data, establishes system-wide community health programming performance and evaluation measures and shares best practices. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 As one of the regions leading not-for-profit healthcare systems, MedStar Health is committed to ensuring that uninsured patients; underinsured patients meeting medical hardship criteria; and patients determined eligible for presumptive eligibility within the communities we serve who lack financial resources have access to emergency and medically necessary hospital services. MedStar hospitals and hospital based-physician practices will: . Treat all patients equitably, with dignity, respect, and compassion. . Serve the emergency health care needs of everyone who presents to our MedStar hospitals and hospital-based physician practices regardless of a patient's ability to pay for care. . Assist those patients who are admitted through our admission process for non-urgent, medically necessary care who cannot pay for the care they receive. . Balance needed financial assistance for some patients with broader fiscal responsibilities in order to keep its hospitals' doors open for all who may need care in the community. In meeting its commitments, MedStar hospitals and hospital-based physician practices will work with their uninsured patients seeking emergency and medically necessary care to gain an understanding of each patients financial resources. Based on this information and eligibility determination, MedStar hospitals and hospital-based physician practices will provide financial assistance to uninsured patients who reside within the communities we serve in one or more of the following ways: . Assist with enrollment in publicly-funded entitlement programs (e.g., Medicaid). . Refer patients to State or Federal Insurance Exchange Navigator resources. . Assist with consideration of funding that may be available from other charitable organizations. . Provide financial assistance according to applicable policy guidelines . Provide financial assistance for payment of MedStar hospital and hospital-based physician practice charges using a sliding-scale based on the patients household income and financial resources. . Offer periodic payment plans to assist patients with financing their healthcare services. MedStar Health will widely publicize the MedStar Financial Assistance Policy by: . Providing access to the MedStar Financial Assistance Policy, Financial Assistance Applications, and MedStar Patient Information Sheet on all hospital websites and patient portals. . Providing hard copies of the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and MedStar Patient Information Sheet to patients upon request. . Providing hard copies of the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and MedStar Patient Information Sheet to patients upon request by mail and without charge. . Providing notification and information about the MedStar Financial Assistance Policy by: . Offering copies as part of all registration or discharges processes, and answering questions on how to apply for assistance. . Providing written notices on billing statements. . Displaying MedStar Financial Assistance Policy information at all hospital registration points. . Translating the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and the Medstar Patient Information Sheet into primary languages of all significant populations with Limited English Proficiency. . MedStar Health will provide public notices yearly in local newspapers serving all hospital target populations. MedStar Health provides a financial assistance probable and likely eligibility determination to the patient within two business days from receipt of the initial financial assistance application. Final eligibility determinations are made and communicated to the patient based on receipt and review of a completed application. MedStar Health believes that its patients have personal responsibilities related to the financial aspects of their healthcare needs. Financial assistance and periodic payment plans available under this policy will not be available to those patients who fail to fulfill their responsibilities. For purposes of this policy, patient responsibilities include: . Comply with providing the necessary financial disclosure forms to evaluate their eligibility for publicly-funded healthcare programs, charity care programs, and other forms of financial assistance. These disclosure forms must be completed accurately, truthfully, and timely to allow MedStar Healths facilities to properly counsel patients concerning the availability of financial assistance. . Working with MedStar hospital Patient Advocates and Patient Financial Services staff to ensure there is a complete understanding of the patients financial situation and constraints. . Making applicable payments for services in a timely fashion, including any payments made pursuant to deferred and periodic payment schedules. . Providing updated financial information to MedStar hospital Patient Advocates or Customer Service Representatives on a timely basis as the patients financial circumstances may change. . It is a patients responsibility, during their 12-month eligibility period, to notify MedStar Health of their existing household eligibility for free care, reduced cost-care, and/or eligibility under medical hardship provisions for medical necessary care received during the 12-month eligibility period. . In the event a patient fails to meet these responsibilities, MedStar reserves the right to pursue additional billing and collection efforts. In the event of non-payment billing, and collection efforts are defined in the MedStar Billing and Collection Policy. A free copy is available on all hospital websites and patient portals via the following URL: www.medstarhealth.org/FinancialAssistance , or by call customer service at 1-800-280-9006. Uninsured patients of MedStar Healths facilities may be eligible for full financial assistance or partial sliding-scale financial assistance under this policy. The Patient Advocate and Patient Financial Services staff will determine eligibility for full financial assistance and partial sliding-scale financial assistance based on review of income for the patient and their family (household), other financial resources available to the patients family, family size, and the extent of the medical costs to be incurred by the patient. |
| COMMUNITY INFORMATION | PART VI, LINE 4 GEOGRAPHIC: MMMCs CBSA includes residents in the Aspen Hill/Bel Pre/Rockville neighborhoods of Montgomery County, Maryland (ZIP codes 20906 and 20853). This geographic area was selected based on hospital utilization and secondary public health data, as well as its proximity to the hospital, coupled with a high density of low-income residents, underserved seniors and an ethnically diverse population. Demographics: According to the Census Bureau, the Aspen Hill/Bel Pre area encompassed by ZIP code 20906 has 48,759 residents. Over 12.8% of residents are age 65 and older, compared to 16.1% of Montgomery County. The population is racially diverse, with 43.1% White, 20.3% Black/African American, 9.6% Asian, while 33.8% are of Hispanic origin. Relative to Montgomery County, there is a larger proportion of Black/African American and Hispanic residents. The median income in the CBSA ($83,876) is lower than the countywide median ($106,287) and a higher proportion of families in Aspen Hill/Bel Pre live in poverty 10.6% compared to 6.9% in Montgomery County. The Rockville area encompassed by ZIP code 20853 has 68,079 residents. Over 15.6% of residents are age 65 and older, compared to 16.1% of Montgomery County. The population is racially diverse, with 56.5% White, 11.2% Black/African American, 20.4% Asian, while 15.9% are of Hispanic origin. |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5 As a community partner, MMMC engages in several community benefit activities to improve and promote the health and wellbeing of the community. Priority areas, as determined by the 2018 CHNA, fall under three areas of focus including health and wellness, access to care, and social determinants of health. Programs include (but are not limited to): Health and Wellness Senior Wellness programs focus on chronic disease prevention and management among high-risk populations. Exercise is a key factor in managing chronic illnesses and improving quality of life. Community members aged 65 and can participate in free physical fitness classes such as Senior Strength and Balance, Tai-Chi for Health, and Senior Flow Yoga to increase flexibility, balance, coordination and cardiovascular endurance. Educational Programs are offered with the goal of improving community health and well-being. For example, the Living Well Chronic Disease Prevention and Management is a free seven-week health education and behavior change program focused on chronic disease self-management. The program is designed for adults living with a chronic condition, such as heart disease, diabetes, cancer, depression, chronic pain, arthritis, lung disease, multiple sclerosis or any chronic health concern. In addition, additional classes are offered such as Diabetes Self-Management, smoking cessation, nutrition, and weight management classes. Support groups are offered to community members for a variety of topics including mental health, smoking cessation, diabetes, weight management, breastfeeding and postpartum. Staff participate in community health events such as health fairs, festivals and expositions where screenings are performed, and health information is shared. Outreach is also provided in-person and virtually, hospital staff share their knowledge with the community through engaging interviews, seminars, blogs and videos. Access to Care MMMC is committed to meeting the needs of vulnerable populations by establishing strategic partnerships and alliances with safety-net clinics. The hospital continues to provide financial support to Holy Cross Health Center- Aspen Hill, which enables the clinic to treat low-income, uninsured, ethnically diverse residents at free or low cost. The hospital also provides in-kind space for day-to-day operation of Proyecto Saluds clinical space. With a focus on persons who speak Spanish as a primary language, services include physical examinations, health counseling, education, and laboratory services. In addition, Proyecto Salud offers a seasonal flu clinic. Prescription medications are made available through the Montgomery Cares program. The clinic also provides referrals for county specialty services, sexually transmitted infections and Human Immunodeficiency Virus (HIV) programs, Womens Cancer Control Program, Family Planning, and alcohol treatment and rehabilitation. The Screening, Brief Intervention, and Referral to Treatment (SBIRT) Program is provided to support substance abuse recovery in the community and promote access to behavioral health programs. This program includes three main components: screening, brief intervention, and referral to treatment. Those who screen positive for high-risk behaviors are connected to peer recovery coaches who conduct a brief intervention and refer to treatment if appropriate. Mindoula Behavioral Health Program was also implemented to improve access to mental health services and reduce ED utilization among behavioral health. Mindoula offers 30 days of virtually or in-person post-discharge case management services to the first thirty patients with a diagnosis of depression, schizophrenia and and/or Bipolar disorder. Staff works directly with hospital Social Work team to develop discharge and treatment plans, as well as provide patient education and coaching. In addition, Mindoula provides periodic health checks that track patients adherence to plans and identify red flags. In partnership with MedStar Pharmacy, MedStar Montgomery is dedicated to supporting access to proper Medication Adherence services by partnering with Giant Pharmacy to provide discounted medications to patients who cannot afford the cost during hours MedStar Outpatient Pharmacy is not open. This ensures that patients get their prescriptions in a timely manner. MedStar Montgomery also partners with Family and Nursing Care for proper in-home medication administration, in order to decrease drug interactions, adverse effects and non-compliance of discharged patients. Patient Financial Services provides financial assistance to uninsured patients who reside within the community by assisting with enrollment in publicly-funded entitlement programs, referring patients to State or Federal Insurance Exchange navigator resources and assisting with consideration of funding that may be available from other charitable organizations. Social Determinants of Health In support of social determinants of health priorities and in partnership with Nexus Montgomery the Wellness and Independence for Seniors at Home (WISH Program) was established to offer free health and wellness support programs to help maintain the health of the 65 and older community by connecting residents to resources that allow them to remain independent and in their own homes. A WISH coach visits the client in their home and helps them develop a personalized plan to maintain their health and independence. The coach coordinates healthcare and support services based on the client's unique situation. Social Needs Screenings are provided to screen for food and housing insecurity, and barriers related to transportation, employment, and utilities. Identified needs are addressed by connecting the participant to social services and other resources in the community. Our community partner, Aunt Bertha, provides an online platform that allows staff to track and manage referrals with local nonprofit groups. Our hospital partners with Uber Health to promote access to care for vulnerable populations. Through this partnership, rides are provided to patients and/or families with financial need. The transportation assistance enables patients to attend necessary appointments with their health care providers. MedStar Montgomery Medical Center has been one of the primary sponsors of Olney Home For Life (OHFL) for several years. Initially founded to address the transportation needs of local seniors, the organization now offers a range of services. From transportation to friendly calls, OHFL has enhanced the quality of life for seniors by helping them maintain their mobility, health, and social connections. Services are provided at no cost by community members, both seniors and others who volunteer their help. Through the support of OHFL, MedStar Montgomery is able to provide patients in need with a free alternative to costly transportation options, ensuring that they attend all follow-up treatments and appointments. Rx for Success provides robust student internship experiences for high-risk youth attending a high school, located in our CBSA. This eight-week summer internship connects the course curriculum with tangible onsite experience. This allows students to demonstrate skill development and experience working in the medical field. Disaster Readiness The hospital strengthened the community health resilience by improving the ability of the community to withstand and recover from coronavirus, a public health emergency that surfaced in March 2020. Leadership participated in community-wide task forces and staff implemented programs associated with addressing health needs arising from coronavirus. |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 6 As a proud member of MedStar Health, MMMC is able to expand its capacity to meet the needs of the community by partnering with other MedStar hospitals and associated entities. MedStar Health resources assist the hospital in community health planning to meet the needs of the uninsured and other vulnerable populations. Through its community health function, MedStar Health provides MMMC with technical support to enhance community health programming and evaluation. MedStars corporate philanthropy department identifies and seeks public and private funding sources to ensure the availability of high quality health services, regardless of ability to pay. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, LINE 7 The community benefit report for MMMC is filed in the state of Maryland. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY CROSS HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 forest Glen Rd | AddressLine1Txt |
| City | Silver Spring | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20910 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 520738041 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $40,000 | CashGrantAmt |
| Purpose Of Grant | Clinic | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | Our grant monitoring procedure brings together all key personnel involved in the grant at the onset of the award to discuss management, responsibilities, budgets, and reporting. This initial meeting is documented and disbursed to all involved. The actual grant monitoring is done by the hospital department implementing the grant. MedStar Corporate's Grants and Philanthropy Department ensures that each grant has a cost center and/or grant account set up based on the terms of the grant award. MedStar Corporate's Grants and Philanthropy Department also tracks and reminds hospital departments when progress reports are due througout the life of the grant. | 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH A SAMET | ||||||||||||||
| DIRECTOR | $0 | $1,965,427 | $0 | $5,633,373 | $0 | $0 | $0 | $54,494 | $0 | $36,202 | $0 | $7,689,496 | $0 | $0 |
| Connie Stone | ||||||||||||||
| VP, Patient Care Services | $228,175 | $0 | $58,243 | $0 | $25 | $0 | $5,850 | $0 | $11,377 | $0 | $303,670 | $0 | $0 | $0 |
| David Havrilla | ||||||||||||||
| CFO/TREASURER | $144,693 | $144,694 | $62,841 | $62,842 | $4,801 | $4,800 | $8,319 | $8,318 | $10,103 | $10,103 | $230,757 | $230,757 | $0 | $0 |
| Kevin Mell | ||||||||||||||
| FORMER VP, OPERATIONS | $0 | $171,180 | $0 | $3,577 | $0 | $0 | $0 | $5,335 | $0 | $10,035 | $0 | $190,127 | $0 | $0 |
| DENISE Kingsbury | ||||||||||||||
| SR DIR, CLIN SUPPORT SERVICES | $181,735 | $0 | $0 | $0 | $25 | $0 | $5,453 | $0 | $666 | $0 | $187,879 | $0 | $0 | $0 |
| FREDERICK FINELLI | ||||||||||||||
| VP, MEDICAL AFFAIRS | $546,583 | $0 | $260,274 | $0 | $0 | $0 | $8,400 | $0 | $29,092 | $0 | $844,349 | $0 | $0 | $0 |
| THOMAS SENKER | ||||||||||||||
| HOSPITAL PRESIDENT & SVP MSH | $390,201 | $0 | $352,010 | $0 | $0 | $0 | $8,400 | $0 | $35,408 | $0 | $786,019 | $0 | $0 | $0 |
| Sujithra Jayaraj MD | ||||||||||||||
| director | $372,575 | $0 | $107,661 | $0 | $0 | $0 | $8,400 | $0 | $25,754 | $0 | $514,390 | $0 | $0 | $0 |
| Nathaniel Barbo | ||||||||||||||
| AVP, Professional Services | $189,939 | $0 | $15,000 | $0 | $25 | $0 | $6,184 | $0 | $11,039 | $0 | $222,187 | $0 | $0 | $0 |
| Derek Prochnicki | ||||||||||||||
| REGISTERED NURSE | $187,246 | $0 | $365 | $0 | $25 | $0 | $3,500 | $0 | $14,121 | $0 | $205,257 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | Mr. Samet's compensation in Part II, Column (B) includes $2,636,097 representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service and long-term retention arrangements. David Havrillas compensation is for services provided as CFO to MedStar Montgomery Medical Center, MedStar St. Marys Hospital, and MedStar Southern Maryland Hospital Center. | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $67,394 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION MEMBERS | PART VI, LINE 6 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. |
| DESCRIPTION OF MEMBERS | PART VI, LINES 7A 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. DECISIONS OF GOVERNING BODY PART VI, LINES 7B 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 REVIEW PROCESS | PART VI, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. |
| CONFLICT OF INTEREST POLICY | Part VI, Line 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO 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). |
| EXECUTIVE COMPENSATION PROCESS | PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERSAND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM,OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE ("TAX-EXEMPT HEALTHCARE ORGANIZATIONS"). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. |
| FINANCIAL STATEMENT AVAILABILITY | PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. |
| OTHER CHANGES IN NET ASSETS | PART XI, LINE 9 Net Equity Transfer .......................... $(37,199,011) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR HEALTH ANESTHESIA SERVICES E LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 PRINCE PHILIP DRIVE | AddressLine1Txt |
| City | OLNEY | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20832 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262918268 | EIN |
| Primary Activities | HEALTH SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $31,811 | TotalIncomeAmt |
| End Of Year Assets | $771 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MGH | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHURCH HOME CORPORATION | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 237374724 | MEDICAL FUND | MD | 501(c)(3) | PF | NA | Yes (true) |
| FRANKLIN SQUARE HOSPITAL CENTER INC | ||||||||||
| 9000 FRANKLIN SQUARE DRIVE | BALTIMORE | MD | 21237 | 520608007 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| HARBOR HOSPITAL INC | ||||||||||
| 3001 SOUTH HANOVER STREET | BALTIMORE | MD | 21225 | 520491660 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 522087445 | MEDICAL SVCS | MD | 501(c)(3) | 12C III | NA | false |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 520591607 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| THE UNION MEMORIAL HOSPITAL | ||||||||||
| 201 EAST UNIVERSITY PARKWAY | BALTIMORE | MD | 21218 | 520591685 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH RESEARCH INSTITUTE | ||||||||||
| 108 IRVING STREET NW | WASHINGTON | DC | 20010 | 526056274 | HOSPITAL | DC | 501(c)(3) | 4 | NA | Yes (true) |
| THE MEDSTAR-GEORGETOWN MEDICAL CENTER I | ||||||||||
| HOPSITAL ADMIN 1 MAIN BLDG | WASHINGTON | DC | 20007 | 522218584 | HOSPITAL | DC | 501(c)(3) | 3 | NA | Yes (true) |
| WASHINGTON HOSPITAL CENTER CORPORATION | ||||||||||
| 110 IRVING STREET NW | WASHINGTON | DC | 20010 | 521272129 | HOSPITAL | DC | 501(c)(3) | 3 | NA | Yes (true) |
| HH MEDSTAR HEALTH INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521542230 | MEDICAL SVCS | MD | 501(c)(3) | 12C III | NA | Yes (true) |
| MEDSTAR AMBULATORY SERVICES INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521132992 | ADMIN SVCS | MD | 501(c)(3) | 12C III | NA | Yes (true) |
| BAY LIFE SERVICES INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521496539 | MENTAL HEALTH | MD | 501(c)(3) | 10 | NA | Yes (true) |
| MEDSTAR SURGERY CENTER INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521061679 | MEDICAL SVCS | MD | 501(c)(3) | 10 | NA | Yes (true) |
| CHURCH HOME AND HOSPITAL OF THE CITY OF | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 520591600 | MEDICAL FUND | MD | 501(c)(3) | 12A I | NA | Yes (true) |
| GOOD SAMARITAN NURSING CENTER INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521672866 | MEDICAL SVCS | MD | 501(c)(3) | 10 | NA | Yes (true) |
| GS HOUSING INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521481656 | ELDER HOUSING | MD | 501(c)(3) | 10 | NA | Yes (true) |
| GS PROPERTIES INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521429853 | ADMIN SVCS | MD | 501(c)(3) | 12a I | NA | Yes (true) |
| MEDSTAR HEALTH INFUSION INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521980510 | MEDICAL SVCS | MD | 501(c)(3) | 10 | NA | Yes (true) |
| MEDSTAR HEALTH VISITING NURSES ASSOCIATI | ||||||||||
| 4061 POWDERMILL ROAD | CALVERTON | MD | 20705 | 530196597 | MEDICAL SVCS | MD | 501(c)(3) | 10 | NA | Yes (true) |
| MEDSTAR VNA HEALTHCARE | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521458516 | MEDICAL SVCS | MD | 501(c)(3) | 10 | NA | Yes (true) |
| MGH COMMUNITY HEALTH INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521372467 | MEDICAL SVCS | MD | 501(c)(3) | 10 | NA | Yes (true) |
| MGH HEALTH SERVICES INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521366812 | FOUNDATION | MD | 501(c)(3) | 12B II | NA | Yes (true) |
| MGH WOMEN'S BOARD | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 526039600 | FOUNDATION | MD | 501(c)(3) | 12C III | NA | Yes (true) |
| NATIONAL REHABILITATION HOSPITAL | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521369749 | HOSPITAL | DC | 501(c)(3) | 3 | NA | Yes (true) |
| REGIONAL REHAB AT OLNEY INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 522310902 | MEDICAL SVCS | MD | 501(c)(3) | 3 | NA | Yes (true) |
| SUBURBAN NRH MEDICAL REHABILITATION I | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931151 | MEDICAL SVCS | DC | 501(c)(3) | 3 | NA | Yes (true) |
| THE THOMAS O'NEIL CATHOLIC HEALTH CARE F | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521104382 | FOUNDATION | MD | 501(c)(3) | 12D III | NA | Yes (true) |
| VNA INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521332411 | ADMIN SVCS | MD | 501(c)(3) | 12A I | NA | Yes (true) |
| WOODBOURNE WOODS INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 522299070 | ELDER HOUSING | MD | 501(c)(3) | 10 | NA | Yes (true) |
| HOSPICE OF ST MARY'S INC | ||||||||||
| PO BOX 527 | LEONARDTOWN | MD | 20650 | 522153926 | SUPPORT ORG | MD | 501(c)(3) | 12A I | NA | Yes (true) |
| ST MARY'S HOSPITAL OF ST MARY'S COUNTY | ||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 520619006 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| MEDSTAR SOUTHERN MD HOSPITAL CENTER | ||||||||||
| 7503 SURRATTS ROAD | CLINTON | MD | 20735 | 460726303 | HOSPITAL | MD | 501(c)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH INC AND AFFILIATES | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 467454613 | RETIREMENT TR | MD | 501(a) | N/A | NA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| MEDSTAR SHAH MSO LLC | ||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 462700536 | MGMT SVCS | MD | NA | N/A |
| 22590 SHADY COURT LLC | ||||||||
| 24035 Three Notch Road | Hollywood | MD | 20636 | 473361777 | REAL ESTATE | MD | NA | N/A |
| 24035 THREE NOTCH ROAD LLC | ||||||||
| 24035 THREE NOTCH ROAD | HOLLYWOOD | MD | 20636 | 473375076 | REAL ESTATE | MD | NA | N/A |
| 37767 MARKET DRIVE LLC | ||||||||
| 37767 MARKET DRIVE | CHARLOTTE HALL | MD | 20622 | REAL ESTATE | MD | NA | N/A | |
| 26840 POINT LOOKOUT ROAD LLC | ||||||||
| 24035 Three Notch Road | Hollywood | MD | 20636 | 473393670 | REAL ESTATE | MD | NA | N/A |
| 10 St Patrick's Drive LLC | ||||||||
| 10 St Patricks Drive | Waldorf | MD | 20603 | 832261766 | REAL ESTATE | MD | NA | N/A |
| Montgomery Community MRI LP | ||||||||
| 4110 Aspen Hill Rd | ROCKVILLE | MD | 20853 | 521534253 | MRI SCREENING | MD | NA | N/A |
| PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC | ||||||||
| 4714 GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | 522212036 | PHYSIOTHERAPY | PA | NA | N/A |
| PHYSICIAN IMAGING OF WASHINGTON | ||||||||
| 840 Crescent Centre Dr | FRANKLIN | TN | 37067 | 562616090 | RADIOLOGY SVC | TN | NA | N/A |
| FRANKLIN IMAGING LLC | ||||||||
| 7253 AMBASSADOR RD | BALTIMORE | MD | 21244 | 521588688 | IMAGING | MD | NA | N/A |
| MedStar HealthSurgcenter Development JV | ||||||||
| 10980 Grantchester Way | Columbia | MD | 21044 | 821073412 | Surgery | MD | NA | N/A |
| MedStar Endoscopy Ctr at LuthervilleLLC | ||||||||
| 1300 Bellona Ave | Lutherville | MD | 21093 | 823193901 | Surgery | MD | NA | N/A |
| Capital Endoscopy LLC | ||||||||
| 6475 New Hampshire Ave | Hyattsville | MD | 20783 | 134244093 | Surgery | MD | NA | N/A |
| Greater Chesapeake Surgery Center LLC | ||||||||
| 1212 York Road | Lutherville | MD | 21093 | 841479788 | Surgery | MD | NA | N/A |
| NRH CPT Regional Rehab LLC | ||||||||
| 10980 Grantchester Way | Columbia | MD | 21044 | 522107062 | Rehab Services | MD | NA | N/A |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | CityForeignAddress/CityNm | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDSTAR PHARMACIES INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521513056 | DRUG SALES | MD | NA | C CORP | ||||||||||
| EXTENCARE INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521556228 | MEDICAL SVCS | MD | NA | C CORP | ||||||||||
| HELIX RESOURCES MANAGEMENT INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521913070 | ADMIN SVCS | MD | NA | C CORP | ||||||||||
| HELIXCARE MEDICAL GROUP LLC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521955580 | MEDICAL SVCS | MD | NA | C CORP | ||||||||||
| HELIXCARE PROPERTIES LLC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521966695 | MEDICAL SVCS | MD | NA | C CORP | ||||||||||
| PARKWAY VENTURES INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521893569 | HOLDING CO. | MD | NA | C CORP | ||||||||||
| PHYSICIANS ADMINISTRATIVE SERVICES INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 237042074 | BILLING SVCS | MD | NA | C CORP | ||||||||||
| MEDSTAR FAMILY CHOICE INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521995521 | MANAGED CARE | MD | NA | C CORP | ||||||||||
| MEDSTAR ENTERPRISES INC | ||||||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522139841 | ADMIN SERVICE | MD | NA | C CORP | ||||||||||
| SITEL INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | columbia | MD | 21044 | 900753340 | EDUCATIONAL | MD | NA | C CORP | ||||||||||
| STAR BILLING INC | ||||||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521850113 | BILLING SVCS | MD | NA | C CORP | ||||||||||
| WASHINGTON RISK NETWORK MANAGEMENT INC | ||||||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522132677 | MEDICAL SVCS | MD | NA | C CORP | ||||||||||
| WASHINGTON HOSPITAL CENTER PHYSICIAN HOS | ||||||||||||||||||
| 100 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931000 | MEDICAL SVCS | MD | NA | C CORP | ||||||||||
| MEDSTAR PHYSICIAN PARTNERS INC | ||||||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522030809 | MEDICAL SVCS | MD | NA | C CORP | ||||||||||
| FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 760756352 | CONDOMINIUM | MD | NA | C CORP | ||||||||||
| MGH DIVERSIFIED SERVICES INC | ||||||||||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521943602 | MEDICAL SVCS | MD | NA | C CORP | $610,246 | $11,437,404 | 1.00000 | Yes (true) | ||||||
| ST MARY'S HEALTH ALLIANCE INC | ||||||||||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 521930331 | MEDICAL SVCS | MD | NA | C CORP | ||||||||||
| GREENSPRING FINANCIAL INSURANCE LIMITED | ||||||||||||||||||
| 980188617 | INSURANCE | MD | NA | C CORP | 878 West Bay Rd PO Box 1159 | GRAND CAYMAN | CJ | KY1-1102 | ||||||||||
| ST MARY'S CONDO ASSOCIATION | ||||||||||||||||||
| 25500 POINT LOOKOUT RD | LEONARDTOWN | MD | 20650 | 273377216 | CONDOMINIUMS | MD | NA | C CORP | ||||||||||
| MEDSTAR HEALTH MASTER RETIREMENT TRUST | ||||||||||||||||||
| 981371657 | INVESTMENTS | NA | C CORP | 103 SOUTH CHURCH ST | CJ | KY1-1002 | GRAND CAYMAN | CJ | ||||||||||
| MEDSTAR HEALTH INC - INVESTMENT FUND I | ||||||||||||||||||
| 981310273 | investments | na | c corp | 103 SOUTH CHURCH ST | CJ | KY1-1002 | GRAND CAYMAN | CJ | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MedStar Health Inc | ||
| P | $254,009 | FMV |
| MGH Women's Board | ||
| C | $255,000 | FMV |
| REGIONAL REHABITAT AT OLNEY INC | ||
| S | $494,480 | FMV |