UNION MEMORIAL HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: UNION MEMORIAL HOSPITAL (EIN 52-0591685)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-07
IRS object ID: 202141279349301884
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-07T15:40:14-05:00	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	520591685	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Union Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOEL BRYAN	InCareOfNm
Business Name Control	UNIO	BusinessNameControlTxt
Phone	4107726721	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	201 EAST UNIVERSITY PARKWAY	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21218	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 UNION MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	BRADLEY CHAMBERS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	201 EAST UNIVERSITY PARKWAY	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21218	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$446,099,551	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNIONMEMORIAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1854	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO BE A COMPREHENSIVE HOSPITAL WITH REGIONAL SPECIALTY SERVICES OF DISTINCTION AND QUALITY COMMUNITY SERVICES, ALL ENHANCED BY CLINICAL EDUCATION & RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2271	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$401,343	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,650,542	PYContributionsGrantsAmt
CY Contributions Grants	$11,691,859	CYContributionsGrantsAmt
PY Program Service Revenue	$431,281,657	PYProgramServiceRevenueAmt
CY Program Service Revenue	$428,328,778	CYProgramServiceRevenueAmt
PY Investment Income	$1,704,120	PYInvestmentIncomeAmt
CY Investment Income	$3,032,945	CYInvestmentIncomeAmt
PY Other Revenue	$4,516,586	PYOtherRevenueAmt
CY Other Revenue	$3,045,969	CYOtherRevenueAmt
PY Total Revenue	$440,152,905	PYTotalRevenueAmt
CY Total Revenue	$446,099,551	CYTotalRevenueAmt
PY Grants And Similar Paid	$35,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$87,474	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$229,139,288	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$228,042,405	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$219,180,133	PYOtherExpensesAmt
CY Other Expenses	$202,477,406	CYOtherExpensesAmt
PY Total Expenses	$448,354,421	PYTotalExpensesAmt
CY Total Expenses	$430,607,285	CYTotalExpensesAmt
PY Revenues Less Expenses	-$8,201,516	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,492,266	CYRevenuesLessExpensesAmt
Total Assets BOY	$223,991,566	TotalAssetsBOYAmt
Total Assets EOY	$247,110,659	TotalAssetsEOYAmt
Total Liabilities BOY	$54,014,682	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$146,442,271	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$169,976,884	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$100,668,388	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As a proud member of MedStar Health, MedStar Union Memorial Hospital's (MedStar Union Memorial) mission is to be a comprehensive hospital with regional specialty services of distinction and quality community services, all enhanced by clinical education and research. MedStar Union Memorial is an acute care hospital located in the north-central section of Baltimore City, Maryland. In fiscal year 2020, MedStar Union Memorial had approximately 9,409 inpatient admissions and approximately 247,648 outpatient visits including 43,325 emergency visits.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$317,912,375	ExpenseAmt
Grant	$87,474	GrantAmt
Revenue	$428,005,798	RevenueAmt
Desc	MedStar Union Memorial largest program is access to and the provision of acute hospital services to the communities of northern Baltimore City, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Union Memorial incurred $81.2M of management and general expenses in providing services to its communities. MedStar Union Memorial is a cardiac regional treatment center and is aligned with the Cleveland Clinic through MedStar Heart & Vascular Institute to share best practices and improve care for heart patients. MedStar Union Memorial's Curtis National Hand Center is designated as the Hand and Upper Extremity Trauma Center for the state of Maryland by the Maryland Institute of Emergency Medical Systems - the only such center in the U.S. to earn this distinction. MedStar Union Memorial has one of the most comprehensive orthopedic and sports medicine programs in the region. Its program is Joint Commission (TJC) certified in Hip and Knee Replacement Surgery and was the first program in the region to be TJC certified in Shoulder Replacement Surgery, Spine Surgery and Palliative Care. MedStar Union Memorial received HealthGrades 2019 America's 100 Best Hospitals for Orthopedic Surgery Award for superior clinical outcomes in back and neck surgery, spinal fusion, hip fracture treatment, hip replacement, and total knee replacement and the 2019 America's 100 Best Hospitals for Spine Surgery Award for superior clinical outcomes in back and neck surgeries and spinal fusion procedures. MedStar Union Memorial has been recognized by U.S. News & World Report as one of the best hospitals in the Baltimore region for heart bypass, knee replacement, and orthopedics. MedStar Union Memorial has the unique distinction of having its own biomechanics research facility and surgical skills training lab. In addition, the hospital is recognized by TJC as an Advanced Primary Stroke Center. MedStar Union Memorial was also recognized by Practice Greenhealth Environmental Excellence in 2019 for its ongoing commitment to improving its environmental performance and pride in realizing a top standard of excellence in sustainability. 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	$26,219,947	ExpenseAmt
Desc	MedStar Union Memorial provided $26.2M in health professions education in fiscal year 2020. This category includes training in graduate medical education, education for physicians, medical students, nurses, and other health professions.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,158,175	ExpenseAmt
Desc	MedStar Union Memorial provided $8.2M in charity care in fiscal year 2020. Charity care is provided pursuant to MedStar Health's Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Maryland's unique payer system, the amount reported represents MedStar Union Memorial's charity care expense. Other charity care expenses are indirectly reimbursed via the state of Maryland's payment system.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$352,290,497	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	Yes (true)	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	Yes (true)	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	2271	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	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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 (34 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	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KENNETH A Samet
DIRECTOR	1.0	39.0	Yes (X)	$0	$7,598,800	$90,696
HENRY BOUCHER MD
Physician	40.0	0.0		$1,419,790	$0	$35,516	Yes (X)
ZEENA DORAI MD
DIRECTOR	40.0	0.0	Yes (X)	$1,435,361	$0	$19,242
Paul Tortolani MD
Physician	40.0	0.0		$1,347,615	$0	$34,677	Yes (X)
FRANK EBERT MD
Physician	40.0	0.0		$1,313,288	$0	$39,855	Yes (X)
John Wang
Chief of Cardiac Cath Lab	40.0	0.0		$1,296,729	$0	$34,794	Yes (X)
BRADLEY Chambers
PRESIDENT/DIRECTOR	20.0	20.0	Yes (X)	$595,310	$595,310	$57,979		Yes (X)
Jacob Wisbeck
PHYSICIAN	40.0	0.0		$1,183,190	$0	$28,534	Yes (X)
STUART BELL
VP, Medical Affairs	20.0	20.0		$418,074	$418,074	$31,117			Yes (X)
MICHAEL FIOCCO MD
DIRECTOR	40.0	0.0	Yes (X)	$830,512	$0	$34,495
GEORGE D BITTAR MD
DIRECTOR	20.0	20.0	Yes (X)	$317,095	$317,094	$28,534
Deana Stout
CHIEF FINANCIAL OFFICER	20.0	20.0		$262,188	$262,188	$53,349		Yes (X)
Mesfin A Lemma
Director	40.0	0.0	Yes (X)	$559,024	$0	$10,885
Neil Macdonald
VP, OPERATIONS	20.0	20.0		$199,787	$199,788	$62,324			Yes (X)
Eskander Yazaji
DIRECTOR	40.0	0.0	Yes (X)	$359,304	$0	$34,150
Christopher D KEARNEY MD
DIRECTOR (Until 1/20)	1.0	39.0	Yes (X)	$0	$332,495	$14,002
Peter J SLOANE MD
Director	20.0	20.0	Yes (X)	$76,267	$76,266	$10,605
JOSEPH SMITH
FORMER OFFICER	0.0	0.0		$138,371	$0	$0				Yes (X)
Michael Randolph MD
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
SAVAS J KARAS
Director	1.0	0.0	Yes (X)	$0	$0	$0
David NORRIS Willis
Director	1.0	0.0	Yes (X)	$0	$0	$0
Rebecca E Pearce
Director	1.0	0.0	Yes (X)	$0	$0	$0
JEFFREY R ELKIN
Director	1.0	0.0	Yes (X)	$0	$0	$0
Eileen Auen
Director	1.0	0.0	Yes (X)	$0	$0	$0
NATHAN J BIEL
Director	1.0	0.0	Yes (X)	$0	$0	$0
Nancy Perry
Director (UNTIL 10/19)	1.0	0.0	Yes (X)	$0	$0	$0
JOHN A WOLF
DIRECTOR (UNTIL 10/19)	1.0	0.0	Yes (X)	$0	$0	$0
CHRISTOPHER P GIBSON
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
PETER R FENWICK
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DAWN M MOTOVIDLAK
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
JAMES R PAQUETTE
Director	1.0	0.0	Yes (X)	$0	$0	$0
Judith A Feustle
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Kathleen Dyer
Director	1.0	0.0	Yes (X)	$0	$0	$0
Ellen R Fish
Director	1.0	0.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,751,905	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,800,015	TotReportableCompRltdOrgAmt
Total Other Compensation	$620,754	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	328	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
AMN HEALTHCARE INC
2735 Collection Center Dr	CHICAGO	IL	60693	Staffing services	$6,679,780
CT ASSIST LLC
PO Box 524	PHILIPPI	WV	21218	Staffing services	$3,864,851
SODEXO INC AFFILIATES
9801 WASHINGTONIAN BLVD	GAITHERSBURG	MD	20878	Food&Facilities Mgmt	$1,798,106
STANDARD PARKING CORP
900 North Michigan Avenue SUITE 160	CHICAGO	IL	60611	Parking services	$1,322,297
ROLYN COMPANIES INC
5706 Frederick Ave	ROCKVILLE	MD	20852	Facilities services	$949,159

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Government Grants	$9,902,370	GovernmentGrantsAmt
All Other Contributions	$1,789,489	AllOtherContributionsAmt
Noncash Contributions	$71,808	NoncashContributionsAmt
Total Contributions	$11,691,859	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621400	$420,602,426	$420,602,426
PHARMACY	900099	$7,299,191	$7,299,191
OUTPATIENT LAB	621400	$322,980		$322,980
MEANINGFUL USE INCOME	900099	$104,181	$104,181

Field	Value	IRS element (for citing)
Total Program Service Revenue	$428,328,778	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$921,140	TotalRevenueColumnAmt
Exclusion	$921,140	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	$551,151	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$551,151	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$551,151	TotalRevenueColumnAmt
Exclusion	$551,151	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,095,886	SecuritiesAmt
Other	$15,919	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,095,886	SecuritiesAmt
Other	$15,919	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,111,805	TotalRevenueColumnAmt
Exclusion	$2,111,805	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	$1,067,459	$1,067,459
PARKING LOT REVENUE	900099	$506,980	$428,617	$78,363
EXPENSE RECOVERY	900099	$287,544	$287,544

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$632,835	TotalRevenueColumnAmt
Exclusion	$632,835	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,494,818	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$446,099,551	TotalRevenueColumnAmt
Related Or Exempt Func Income	$428,005,798	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$401,343	UnrelatedBusinessRevenueAmt
Exclusion	$6,000,551	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$87,474	TotalAmt
Program Services	$87,474	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	$5,273,646	TotalAmt
Program Services	$4,920,732	ProgramServicesAmt
Management And General	$352,914	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$138,371	TotalAmt
Program Services	$129,418	ProgramServicesAmt
Management And General	$8,953	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$189,394,403	TotalAmt
Program Services	$177,140,187	ProgramServicesAmt
Management And General	$12,254,216	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,554,921	TotalAmt
Program Services	$2,349,235	ProgramServicesAmt
Management And General	$205,686	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,321,218	TotalAmt
Program Services	$17,929,379	ProgramServicesAmt
Management And General	$2,391,839	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,359,846	TotalAmt
Program Services	$9,693,216	ProgramServicesAmt
Management And General	$666,630	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$42,137,525	TotalAmt
Program Services	$874,725	ProgramServicesAmt
Management And General	$41,262,800	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,603	TotalAmt
Management And General	$7,603	ManagementAndGeneralAmt

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	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,991,964	TotalAmt
Program Services	$28,928,480	ProgramServicesAmt
Management And General	$3,063,484	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$345,710	TotalAmt
Program Services	$92,875	ProgramServicesAmt
Management And General	$252,835	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,267,858	TotalAmt
Program Services	$3,056,605	ProgramServicesAmt
Management And General	$211,253	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	$2,596,540	TotalAmt
Program Services	$2,683,373	ProgramServicesAmt
Management And General	-$86,833	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$609,116	TotalAmt
Program Services	$547,951	ProgramServicesAmt
Management And General	$61,165	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	$190,652	TotalAmt
Program Services	$171,721	ProgramServicesAmt
Management And General	$18,931	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,587,580	TotalAmt
Management And General	$2,587,580	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,643,611	TotalAmt
Program Services	$9,935,149	ProgramServicesAmt
Management And General	$6,708,462	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,284,155	TotalAmt
Program Services	$6,197,808	ProgramServicesAmt
Management And General	$86,347	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL / SURGICAL SUPPLIES	$44,202,834	$44,461,063	-$258,229
IMPLANTS/PROSTHESES	$27,963,766	$27,963,766
MAINTENANCE	$8,424,338	$8,054,443	$369,895
UTILITIES	$4,354,409	$3,914,282	$440,127

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,869,745	TotalAmt
Program Services	$3,158,615	ProgramServicesAmt
Management And General	$7,711,130	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$430,607,285	TotalAmt
Program Services	$352,290,497	ProgramServicesAmt
Management And General	$78,316,788	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,414	BOYAmt
EOY	$31,285	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,762,547	BOYAmt
EOY	$1,844,850	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$45,059,634	BOYAmt
EOY	$59,416,316	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	$6,739,762	BOYAmt
EOY	$7,076,843	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$699,918	BOYAmt
EOY	$785,634	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$402,567,267	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$301,390,902	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,927,291	BOYAmt
EOY	$101,176,365	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	$68,977,606	BOYAmt
EOY	$67,425,054	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	$3,813,394	BOYAmt
EOY	$9,354,312	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$223,991,566	BOYAmt
EOY	$247,110,659	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,170,444	BOYAmt
EOY	$29,687,714	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	$3,393,476	BOYAmt
EOY	$3,375,213	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	$18,450,762	BOYAmt
EOY	$113,379,344	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,014,682	BOYAmt
EOY	$146,442,271	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	$132,973,095	BOYAmt
EOY	$65,676,028	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,003,789	BOYAmt
EOY	$34,992,360	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$169,976,884	BOYAmt
EOY	$100,668,388	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$223,991,566	BOYAmt
EOY	$247,110,659	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$15,492,266	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,261,357	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$82,539,405	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	$1,925,817	OtherCostOrOtherBasisAmt
Book Value	$1,925,817	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$155,765,026	OtherCostOrOtherBasisAmt
Depreciation	$116,154,837	DepreciationAmt
Book Value	$39,610,189	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,228,445	OtherCostOrOtherBasisAmt
Depreciation	$1,971,337	DepreciationAmt
Book Value	$257,108	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$235,381,665	OtherCostOrOtherBasisAmt
Depreciation	$181,685,483	DepreciationAmt
Book Value	$53,696,182	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,266,314	OtherCostOrOtherBasisAmt
Depreciation	$1,579,245	DepreciationAmt
Book Value	$5,687,069	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$101,176,365	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BOARD DESIGNATED	$34,011,236	F
RESTRICTED INVESTMENT FUNDS	$33,413,818	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$67,425,054	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ADVANCE FROM THIRD PARTIES	$96,007,463
OPERATING LEASE LIABILITY	$9,498,910
CREDIT BALANCE PATIENT A/R	$4,046,620
WORKERS COMPENSATION	$1,993,984
DEFERRED INCOME	$724,073
PENDING PFS REFUNDS	$723,626
OTHER LIABILITIES	$384,668

Field	Value	IRS element (for citing)
Total Liability	$113,379,344	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	$8,158,175	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,158,175	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,158,175	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,158,175	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,912,164	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,860,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,219,947	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,219,947	NetCommunityBenefitExpnsAmt
Total Expense	0.06090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,648,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,067,948	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,580,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,409,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,203	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,381,812	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,308	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$81,308	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,271,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,146,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,124,053	NetCommunityBenefitExpnsAmt
Total Expense	0.07920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,429,222	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,146,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,282,228	NetCommunityBenefitExpnsAmt
Total Expense	0.09820	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,712	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,712	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

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	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,628	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$84,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,676	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$183,676	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,042,496	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	UNION MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	201 EAST UNIVERSITY PARKWAY	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21218	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNION MEMORIAL 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	WWW.MEDSTARUNIONMEMORIAL.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	WWW. MEDSTARUNIONMEMORIAL.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
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	WWW. MEDSTARUNIONMEMORIAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW. MEDSTARUNIONMEMORIAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MEDSTARUNIONMEMORIAL.ORG	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

Field	Value	IRS element (for citing)
Form And Line Reference	CHNA INPUT	FormAndLineReferenceDesc
Explanation	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 hospitals 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: Deborah Bena 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 hospitals clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: Brad Chambers and Stuart Bell, 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 WITH NAME OF ORGANIZATION HOSPITAL AARON KAUFMAN COMMUNITY LEADER CENTRAL BALTIMORE PARTNERSHIP ALLAN NOONAN,MD BOARD MEMBER MGSH BERNIE PHYSICIAN ADVISOR MGSH RAVITZ,MD BRAD CHAMBERS EXECUTIVE SPONSOR MGSH, MUMH PRESIDENT CARMEL ROQUES CEO KESWICK - MARYLAND DANA FRANK,MD CHAIRMAN, MEDICINE MGSH, MUMH DAWN MOTOVIDLAK BOARD MEMBER MUMH DEBORAH DIRECTOR, MARKETING AND MGSH BANGLEDORF COMMUNICATIONS DEBORAH BENA COMMUNITY HEALTH AND MGSH, MUMH MINISTRY COORDINATOR EMILIE GILDE FORMER DIRECTOR, TOBACCO BALTIMORE CITY HEALTH USE/CVD/DIABETES/CANCER DEPARTMENT PREVENTION EVANGELINE COMMUNITY REPRESENTATIVE ST. MATTHEW'S CHURCH WAIHENYA GEORGE FARLEY AVP, MISSION INTEGRATION MGSH KEN WALSCH ASSISTANT VICE PRESIDENT, MGSH QUALITY, SAFETY, RISK MANAGEMENT KERRY MARTINEZ DIRECTOR SHEPHERD'S JOY WELLNESS KIM SYDNOR,PHD DEAN MORGAN STATE UNIVERSITY KIMBERLY MAYS SR. DIRECTOR, MULTICULTURAL AMERICAN HEART AFFAIRS ASSOCIATION LISA GHINGER EXECUTIVE DIRECTOR HAMPDEN FAMILY CENTER MARK FLETCHER COMMUNITY LEADER BALTIMORE CITY EMS MARTIN VICE PRESIDENT, MEDICAL MGSH BINSTOCK, MD AFFAIRS MELVIN WILSON EXECUTIVE DIRECTOR TURNAROUND TUESDAY NICHOLE BATTLE CEO GEDCO NILESH CHIEF HEALTH OFFICER HEALTHCARE FOR HOMELESS KALYANARAMAN PAT JONES DIRECTOR, IMMIGRATION ST. MATTHEW'S CHURCH OUTREACH SERVICE CENTER PEGGY THOMAS COMMUNITY REPRESENTATIVE COMMUNITY RESIDENT RANDOLPH ROWEL ASSOCIATE PROFESSOR, MORGAN STATE UNIVERSITY CHAIR OF DEPARTMENT OF BEHAVIORAL HEALTH SCIENCES RITU PRASAD,MD PHYSICIAN ADVISOR MUMH RYAN MORAN DIRECTOR, COMMUNITY HEALTH MGSH, MHH, MUMH SAVAS KARAS BOARD MEMBER MUMH SHEILA WILLIAMS COMMUNITY REPRESENTATIVE HUBER MEMORIAL CHURCH SHELY CHOO SENIOR MEDICAL ADVISOR BALTIMORE CITY HEALTH DEPARTMENT SONIA FIERRO- COMMUNITY LEADER SPANISH SPEAKING HEALTH LUPERINI LEADERS OF MARYLAND SONYA GRAY BOARD MEMBER MGSH STUART BELL,MD EXECUTIVE SPONSOR MUMH VP MEDICAL AFFAIRS TRACY HOLCOMB RN, CDE SHEPHERD'S CLINIC 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 HOSPITAL 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.	ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (9 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 Union Memorial Hospital 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 MedStar Union Memorial Hospitals 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 North Central Baltimore City as its CBSA, which includes all residents living in ZIP codes 21211, 21213 and 21218. 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. MedStar Union Memorial Hospitals health priorities for the CBSA include health and wellness (chronic disease prevention and management, behavioral health) and social determinants of health (social needs screenings, Baltimore JOBS). As a proud member of MedStar Health, representatives from MedStar Union Memorial Hospital 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: MedStar Union Memorial Hospitals CBSA includes residents in the ZIP codes of 21211, 21213 and 21218. 21211 includes the neighborhoods of Medfield, Hampden, Woodberry and Remington, all four located in the northwest section of Baltimore City. Hampden was originally settled as a residential community for workers at the mills that had sprung up along the Jones Falls. Many of the workers came from Kentucky, West Virginia, and western Pennsylvania, due to the abundance of jobs the mills provided. This influx cemented the image of the neighborhood for the decades that followed as working-class. 21213 is the Belair Edison neighborhood, located along Harford and Bel Air Roads, above Sinclair Lane, bounded on its eastern and northern side by Herring Run Park. It is a predominantly residential neighborhood with houses that range from lower income to middle class. Waverly, within 21218, is a neighborhood in the north central area of Baltimore City located to the north of the adjacent same neighborhood called Better Waverly and west of Ednor Gardens-Lakeside, north and east of Charles Village. This geographic area was selected based on hospital utilization and secondary data, as well as its close proximity to the hospital and opportunities to build on pre-existing programs, services and partnerships. Demographics: The total population of 21211 is 16,859 with 77% of its residents are white. The median household income is 58,210, poverty rate is 10.1%, uninsured over the age of 18 is 7%, and single parent households are 32.1%. According the 2017 Baltimore City Neighborhood Health Profile Report, the life expectancy is 75.5, with heart disease and cancer being the leading causes of death. The total population of 21213 is 30,200 with 88.8% of its residents African American. The median household income is 38,906, poverty rate is 29.1%, uninsured over the age of 18 is 13.9% and single parent households are 73.2%. According the 2017 Baltimore City Neighborhood Health Profile Report, the life expectancy is 72, compared to the average of 73.6 for Baltimore City, with heart disease and cancer being the leading causes of death. The total population of Waverly located in 21218 is 7,796 with 76% of its residents being African American. The median household income is 32,625, poverty rate is 23%, uninsured over the age of 18 is 14%, and single parent households are 63%. According the 2017 Baltimore City Neighborhood Health Profile Report, the life expectancy is 72, compared to the average of 73.6 for Baltimore City, with heart disease and cancer being the leading causes of death.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 As a community partner, MedStar Union Memorial Hospital 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): Access to Care The priority area is addressing access to behavioral health services, including mental health and substance use treatment. In FY20, 39,549 patients were screened for substance use in the emergency department through the Screening, Brief Intervention, and Referral to Treatment (SBIRT) program. An enhancement of SBIRT includes the Opioid Overdose Survivor Outreach Program (OSOP). OSOP links community members with a history of substance abuse treatment with the resources they need to prevent a future overdose. MedStar Union Memorial is also a founding and current partner of Shepherds Clinic, a free clinic for underinsured and uninsured residents of the hospitals primary and CBSA. Staff are provided to support clinic operations, including a provider, wellness director, and administrative personnel. Patients are seen through medical personnel provided by the hospitals while also able to take advantage of wellness program offerings at Joy Wellness Center. MedStar Union Memorial also addresses access to care by helping to reduce the financial burden for patients and their families. 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. Health and Wellness MedStar Union Memorial Hospital addresses health and wellness by offering a variety of programs and resources that seek to address chronic disease prevention and management. MedStar Union Memorial Hospitals community-based education courses are offered to support healthy lifestyle changes for community members. Programs include the Centers for Disease Control led Diabetes Prevention Program, diabetes self-management education, flu vaccination clinics, yoga services, senior physical fitness, and smoking cessation. Staff participate in community health events such as health fairs, festivals and expositions where screenings are performed, and health information is shared. Social Determinants of Health MedStar Union Memorial Hospitals other priority is addressing the social determinants of health of the community. Community residents surrounding the hospital have been trained and hired as either a community health advocate or peer recovery coach as part of the Population Health Workforce Development program. These positions serve to empower individuals and their families into better economic conditions. As part of their responsibilities, the community health advocate roles conduct social needs screenings. 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. Of those screened, patients reported food insecurity (59%); transportation barriers (50%); need for employment assistance (13%); need for utility assistance (16%); need for housing assistance (25%); and financial strain (63%). MedStar Union Memorial Hospital has a partnership with Uber to address transportation barriers to access medical services. 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. Further, MedStar Union Memorial Hospital addresses food insecurity by enrolling patients into a food prescription delivery program through its partner Hungry Harvest. This temporary source of food assistance allows community health advocates to address a long-term strategy for food access (e.g. Meals on Wheels, etc.). MedStar Union Memorial Hospital also provides pathways for healthcare careers for the youth in its surrounding community. Rx for Success provides robust student internship experiences for high-risk youth. 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. Other partnerships to expose community members to workforce development include partnerships with Cristo Rey and Project SEARCH. 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, MedStar Union Memorial Hospital 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 MedStar Union Memorial Hospital 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 MedStar Union Memorial Hospital 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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
YEAR UP
45 Milk Street	Boston	MA	02109	043534407	501(C)(3)	$48,724	Internship Seat
AMERICAN HEART ASSOCIATION
7272 Greenville Avenue	Dallas	TX	75231	135613797	501(C)(3)	$30,000	SPONSORSHIP
WAVERLY MAIN STREET
3302-B Greenmount Ave	Baltimore	MD	21218	800562379	501(C)(3)	$8,750	CHARITABLE SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	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)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (18 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
Peter J SLOANE MD
Director	$76,267	$76,266	$0	$0	$0	$0	$4,886	$4,887	$416	$416	$81,569	$81,569	$0	$0
MICHAEL FIOCCO MD
DIRECTOR	$705,512	$0	$125,000	$0	$0	$0	$8,400	$0	$26,095	$0	$865,007	$0	$0	$0
Paul Tortolani MD
Physician	$1,089,089	$0	$258,526	$0	$0	$0	$8,400	$0	$26,277	$0	$1,382,292	$0	$0	$0
Christopher D KEARNEY MD
DIRECTOR (Until 1/20)	$0	$303,895	$0	$28,600	$0	$0	$0	$12,970	$0	$1,032	$0	$346,497	$0	$0
FRANK EBERT MD
Physician	$1,313,288	$0	$0	$0	$0	$0	$16,282	$0	$23,573	$0	$1,353,143	$0	$0	$0
HENRY BOUCHER MD
Physician	$1,200,780	$0	$219,010	$0	$0	$0	$9,211	$0	$26,305	$0	$1,455,306	$0	$0	$0
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
BRADLEY Chambers
PRESIDENT/DIRECTOR	$318,658	$318,658	$276,652	$276,652	$0	$0	$10,741	$10,742	$18,248	$18,248	$624,299	$624,300	$0	$0
JOSEPH SMITH
FORMER OFFICER	$2	$0	$0	$0	$138,369	$0	$0	$0	$0	$0	$138,371	$0	$0	$0
STUART BELL
VP, Medical Affairs	$261,206	$261,206	$156,868	$156,868	$0	$0	$4,200	$4,200	$11,359	$11,358	$433,633	$433,632	$0	$0
Mesfin A Lemma
Director	$559,024	$0	$0	$0	$0	$0	$8,400	$0	$2,485	$0	$569,909	$0	$0	$0
GEORGE D BITTAR MD
DIRECTOR	$218,085	$218,084	$99,010	$99,010	$0	$0	$4,200	$4,200	$10,067	$10,067	$331,362	$331,361	$0	$0
Eskander Yazaji
DIRECTOR	$345,054	$0	$14,250	$0	$0	$0	$8,400	$0	$25,750	$0	$393,454	$0	$0	$0
Neil Macdonald
VP, OPERATIONS	$159,971	$159,971	$39,816	$39,817	$0	$0	$20,078	$20,077	$11,084	$11,084	$230,949	$230,949	$0	$0
Deana Stout
CHIEF FINANCIAL OFFICER	$156,317	$156,316	$71,116	$71,117	$34,755	$34,755	$13,582	$13,583	$13,092	$13,092	$288,862	$288,863	$0	$0
ZEENA DORAI MD
DIRECTOR	$841,729	$0	$575,293	$0	$18,339	$0	$8,400	$0	$10,842	$0	$1,454,603	$0	$0	$0
John Wang
Chief of Cardiac Cath Lab	$1,178,229	$0	$118,500	$0	$0	$0	$8,400	$0	$26,394	$0	$1,331,523	$0	$0	$0
Jacob Wisbeck
PHYSICIAN	$850,720	$0	$332,470	$0	$0	$0	$9,107	$0	$19,427	$0	$1,211,724	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SOCIAL CLUB DUES

SCHEDULE J, PART I, LINE 1 THE ORGANIZATION PAID BUSINESS CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES.

SUPPLEMENTAL RETIREMENT PLAN

SCHEDULE J, PART III 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. Bradley Chambers' compensation is for services provided as President to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Deana Stout's compensation is for services provided as CFO to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Stuart Bell and Neil MacDonald'S compensation is for services provided as VP Medical Affairs and VP Operations, respectively, at both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
WHITING-TURNER CONTRACTING COMPANY
See Part V	$1,578,586	CONSTRUCTION	false
Smith Nephew
See Part V	$517,350	MEDICAL EQUIPMENT SERVICES	false
Bioventus
See Part V	$110,691	Orthobiologic Services	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV The following is a substantial contributor (in excess of $5,000) that also provided services to MedStar Union Memorial Hospital valued in excess of $100,000: Whiting-Turner Contracting Company, Smith & Nephew and Bioventus. Per MedStars conflict of interest policy, these transactions are at arms-length for fair market value.	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	4	ContributionCnt
Noncash Contributions Rpt F990	$71,808	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 (8 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, LINE 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 VII, LINE 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.
PROCESS FOR REVIEWING FORM 990	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) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED.
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, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE ("TAX-EXEMPT HEALTHCARE ORGANIZATIONS"). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.
FINANCIAL STATEMENTS 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.
FINANCIAL STATEMENTS AND REPORTING	PART XII, LINE 2C THE UNION MEMORIAL HOSPITAL IS PART OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.............. $(82,556,272) INCOME TAX PROVISION....................... $ 16,867 -------------- TOTAL...................................... $(82,539,405)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEDSTAR HEALTH ANESTHESIA SERVICES D LLC
201 EAST UNIVERSITY PARKWAY	BALTIMORE	MD	21218	205909921	HEALTH SVCS	MS	$0	$0	NA
BALTIMOREWASHINGTON PATHOLOGY GROUP LLC
201 EAST UNIVERSITY PARKWAY	BALTIMORE	MD	21218	522242146	HEALTH SVCS	MD	$0	$0	NA
UNION MEMORIAL IMAGING LLC
201 EAST UNIVERSITY PARKWAY	BALTIMORE	MD	21218	272549579	HEALTH SVCS	MD	$0	$300	NA

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
MONTGOMERY GENERAL HOSPITAL
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	520646893	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
THE GOOD SAMARITAN HOSPITAL OF MARYLAND
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	520591607	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)
NRH 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 MASTER
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	467454613	RET. TRUST	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 Dr	Waldorf	MD	20603	832261766	REAL ESTATE	MD	NA	N/A
MONTGOMERY COMMUNITY MAGNETIC RESONANCE
4110 ASPEN HILL ROAD	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	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	CONDOMINIUMS	MD	NA	C CORP
MGH DIVERSIFIED SERVICES INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521943602	MEDICAL SVCS	MD	NA	C CORP
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 ASSN
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	false	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	Yes (true)	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDSTAR HEALTH INC
Q	$727,427	FMV
FRANKLIN SQUARE HOSPITAL CENTER INC
P	$4,280,084	FMV