WASHINGTON HOSPITAL CENTER CORPORATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: WASHINGTON HOSPITAL CENTER CORPORATION (EIN 52-1272129)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-10
IRS object ID: 202001929349302775
Schema version: 2018v3.3
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	2020-07-10T19:29:30-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	521272129	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HOSPITAL CENTER CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOEL BRYAN	InCareOfNm
Business Name Control	WASH	BusinessNameControlTxt
Phone	2028777000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 Irving Street NW	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Person Title	VP/Treasurer	PersonTitleTxt
Phone	4107726721	PhoneNum
Signature	2020-07-10	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	2020-06-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.206.0.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	54028020201925000037	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-10	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	688C73B9FCEBE9AFE0A32025D7BE739684424422	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EB2737A96B8F377BD085BED9F3BA68158C374A96	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MEDSTAR WASHINGTON HOSPITAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	GREGORY ARGYROS MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 IRVING STREET NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,389,317,321	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.whcenter.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	DC	LegalDomicileStateCd
Activity Or Mission	MWHC IS DEDICATED TO PROVIDING THE REGION WITH THE HIGHEST QUALITY AND LATEST MEDICAL ADVANCES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6873	TotalEmployeeCnt
Total Volunteers	181	TotalVolunteersCnt
Total Gross UBI	$5,657,505	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,313,318	PYContributionsGrantsAmt
CY Contributions Grants	$11,791,663	CYContributionsGrantsAmt
PY Program Service Revenue	$1,347,623,161	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,356,108,600	CYProgramServiceRevenueAmt
PY Investment Income	$3,577,042	PYInvestmentIncomeAmt
CY Investment Income	$2,114,194	CYInvestmentIncomeAmt
PY Other Revenue	$17,403,154	PYOtherRevenueAmt
CY Other Revenue	$19,294,989	CYOtherRevenueAmt
PY Total Revenue	$1,376,916,675	PYTotalRevenueAmt
CY Total Revenue	$1,389,309,446	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,644,100	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$680,691,072	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$686,884,312	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$605,529,384	PYOtherExpensesAmt
CY Other Expenses	$636,578,109	CYOtherExpensesAmt
PY Total Expenses	$1,286,220,456	PYTotalExpensesAmt
CY Total Expenses	$1,325,106,521	CYTotalExpensesAmt
PY Revenues Less Expenses	$90,696,219	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$64,202,925	CYRevenuesLessExpensesAmt
Total Assets BOY	$588,527,346	TotalAssetsBOYAmt
Total Assets EOY	$604,785,376	TotalAssetsEOYAmt
Total Liabilities BOY	$182,756,365	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$197,405,752	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$405,770,981	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$407,379,624	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR WASHINGTON HOSPITAL CENTERS (MWHC) MISSION IS TO DELIVER EXCEPTIONAL PATIENT FIRST HEALTH CARE TO THE REGION WITH THE HIGHEST QUALITY AND LATEST MEDICAL ADVANCES THOUGH EXCELLENCE IN PATIENT CARE, EDUCATION AND RESEARCH. MWHC IS AN ACUTE CARE TEACHING AND RESEARCH HOSPITAL LOCATED IN NORTHWEST WASHINGTON, D.C. IT IS THE LARGEST PRIVATE HOSPITAL IN THE NATIONS CAPITAL AND AMONG THE 50 LARGEST HOSPITALS IN THE NATION. IN fiscal year 2019, MWHC had approximately 37,223 inpatient admissions and approximately 570,789 outpatient visits including approximately 93,826 emergency visits.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$910,405,974	ExpenseAmt
Grant	$1,644,100	GrantAmt
Revenue	$1,289,510,524	RevenueAmt
Desc	MedStar Washington Hospital Centers is the citys largest and busiest hospital, providing acute care services to the communities of northeast Washington, D.C. and the surrounding areas. In addition to the program service expenses listed above, MWHC incurred $297.0M of management and general expenses in providing services to its communities. It offers primary, secondary and tertiary health services to adult and neonatal patients. It is a major referral center for the most complex tertiary services and operates the regions only adult burn center. MedStar Heart & Vascular Institute, headquartered at MWHC, is a national leader in the research, diagnosis and treatment of cardiovascular disease. In 2013, MedStar Heart & Vascular Institute formed a first-of-its-kind clinical and research alliance with the Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic. MWHCs organ transplantation capabilities include heart transplants. Its cancer center offers cancer treatment, therapies and access to cutting-edge clinical trials. The hospital operates the largest, private, hospital-based ground and air ambulance shock-trauma service in the region. It also offers comprehensive ambulatory care through a wide range of medical and surgical specialty outpatient clinic programs. MWHC operates the regions only Joint Commission-certified Comprehensive Stroke Center and Cardiac Ventricular Assist Device Program. In fiscal year 2015, U.S. News & World Report recognized MWHCs cardiology and heart surgery program as one of the nations best; MWHC is the only hospital in the Washington metropolitan area to earn a national ranking for heart care.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$63,311,720	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$27,887,002	RevenueAmt
Desc	MedStar Washington Hospital Center provided $63.3M in health professions education in fiscal year 2019. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$54,857,243	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$37,724,350	RevenueAmt
Desc	MedStar Washington Hospital Center provided $54.9M in subsidized (mission driven) health services in fiscal year 2019. These critical services, which are driven by community needs, operate at a loss. They address priorities primarily through disease prevention and improvement of health status. Services provided include outpatient primary care, trauma, cancer, diabetes and stroke treatment, psychiatry, and cardiology.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,028,574,937	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	6873	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	DC	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 (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CARMELLA COLE MD
Board Member	40.0	0.0	Yes (X)	$302,403	$0	$32,172
KENNETH A SAMET
BOARD MEMBER	1.0	39.0	Yes (X)	$0	$6,910,499	$87,839	Yes (X)
JOHN A SARGENT
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
STANLEY J GUTKOWSKI
BOARD MEMBER/Treasurer	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
N WILLIAM JARVIS
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
WILLIAM M KELLY
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ARTHUR N WEST MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
DORETHA F LEA
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
Harold Zirkin
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
Pamela Randolph Jackson MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
Melissa H Fries
BOARD MEMBER	40.0	0.0	Yes (X)	$535,685	$0	$10,248
Gregory Argyros MD
BOARD MEMBER/PRESIDENT	40.0	0.0	Yes (X)	$1,017,293	$0	$21,430	Yes (X)
John J Gorman
BOARD MEMBER (AS OF 9/18)	1.0	0.0	Yes (X)	$0	$0	$0
Martin W Rodgers
BOARD MEMBER (AS OF 4/19)	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM GAYNE
CHIEF FINANCIAL OFFICER	20.0	20.0		$230,874	$230,873	$30,254	Yes (X)
CATHERINE MONGE
SVP OF OPERATIONS	40.0	0.0		$454,604	$0	$25,631		Yes (X)
Robert Ross
COO	40.0	0.0		$280,139	$0	$18,763		Yes (X)
JOHN SULLIVAN
FORMER PRESIDENT	40.0	0.0		$1,337,529	$0	$18,126			Yes (X)
AMMAR BAFI
PHYSICIAN	40.0	0.0		$1,374,615	$0	$25,667			Yes (X)
EDWARD WOO
Section Director	40.0	0.0		$1,508,024	$0	$30,542			Yes (X)
Ezequiel Molina
PHYSICIAN	40.0	0.0		$1,364,144	$0	$25,631			Yes (X)
Vinod Thourani
PHYSICIAN	40.0	0.0		$1,519,326	$0	$23,243			Yes (X)
SANDRA M SWAIN
FORMER OFFICER	40.0	0.0		$550,544	$0	$10,158				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,475,180	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,141,372	TotReportableCompRltdOrgAmt
Total Other Compensation	$359,704	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1136	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
DIAMOND HEALTHCARE
PO BOX 85050	RICHMOND	VA	23285	MEDICAL STAFFING	$14,712,693
AMN HEALTHCARE INC
2735 COLLECTION CENTER DR	CHICAGO	IL	60693	STAFFING SERVICES	$12,856,922
MORRISON MANAGEMENT SPECIALIST
4721 MORRISON DRIVE SUITE 300	MOBILE	AL	36609	FOOD SERVICES	$6,009,123
METRO AVIATION
PO BOX 7008	SHREVEPORT	LA	71137	CONSULTING SERVICES	$5,656,965
TOTAL RENAL CARE INC
5615 Old National Hwy	ATLANTA	GA	30349	Medical services	$4,322,754

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	99	CntrctRcvdGreaterThan100KCnt
Government Grants	$5,078,492	GovernmentGrantsAmt
All Other Contributions	$6,713,171	AllOtherContributionsAmt
Noncash Contributions	$798,109	NoncashContributionsAmt
Total Contributions	$11,791,663	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621400	$1,339,335,562	$1,339,335,562
PHARMACY INCOME	900099	$12,878,674	$11,891,950	$986,724
OTHER PHYSICIAN REVENUE	621400	$3,154,393	$3,154,393
MEANINGFUL USE INCOME	900099	$739,971	$739,971

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,356,108,600	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,352,432	TotalRevenueColumnAmt
Exclusion	$1,352,432	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	$512,238	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$512,238	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$512,238	TotalRevenueColumnAmt
Exclusion	$512,238	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$769,637	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$7,875	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$769,637	SecuritiesAmt
Other	-$7,875	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$761,762	TotalRevenueColumnAmt
Exclusion	$761,762	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
PARKING	900099	$5,175,319	$5,175,319
SALE OF STEAM	900099	$4,575,956		$4,575,956
REBATE INCOME	900099	$3,199,840	$3,199,840

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,831,636	TotalRevenueColumnAmt
Unrelated Business Revenue	$94,825	UnrelatedBusinessRevenueAmt
Exclusion	$5,736,811	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,782,751	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,389,309,446	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,355,121,876	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,657,505	UnrelatedBusinessRevenueAmt
Exclusion	$16,738,402	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,644,100	TotalAmt
Program Services	$1,644,100	ProgramServicesAmt

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	$2,899,974	TotalAmt
Program Services	$2,603,017	ProgramServicesAmt
Management And General	$296,957	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$560,702	TotalAmt
Program Services	$503,285	ProgramServicesAmt
Management And General	$57,417	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$575,516,940	TotalAmt
Program Services	$516,579,583	ProgramServicesAmt
Management And General	$58,937,357	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,957,711	TotalAmt
Program Services	$6,247,206	ProgramServicesAmt
Management And General	$710,505	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$66,080,095	TotalAmt
Program Services	$59,332,150	ProgramServicesAmt
Management And General	$6,747,945	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$34,868,890	TotalAmt
Program Services	$31,126,658	ProgramServicesAmt
Management And General	$3,742,232	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$144,021,553	TotalAmt
Program Services	$18,603,844	ProgramServicesAmt
Management And General	$125,417,709	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$564,040	TotalAmt
Program Services	$111,871	ProgramServicesAmt
Management And General	$452,169	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	$82,996,206	TotalAmt
Program Services	$59,499,881	ProgramServicesAmt
Management And General	$23,496,325	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,987,726	TotalAmt
Program Services	$320,777	ProgramServicesAmt
Management And General	$3,666,949	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,907,306	TotalAmt
Program Services	$13,298,447	ProgramServicesAmt
Management And General	$608,859	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,796	TotalAmt
Program Services	$1,796	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,343,954	TotalAmt
Program Services	$5,957,972	ProgramServicesAmt
Management And General	$1,385,982	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,738,531	TotalAmt
Program Services	$1,849,675	ProgramServicesAmt
Management And General	$888,856	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	$915,531	TotalAmt
Program Services	$829,685	ProgramServicesAmt
Management And General	$85,846	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,314,089	TotalAmt
Management And General	$10,314,089	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,487,934	TotalAmt
Program Services	$19,271,528	ProgramServicesAmt
Management And General	$19,216,406	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,586,246	TotalAmt
Program Services	$443,740	ProgramServicesAmt
Management And General	$13,142,506	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MED/SURG SUPPLIES	$174,849,391	$174,621,569	$227,822
IMPLANTS/PROSTHESES	$61,987,977	$61,987,977
MAINTENANCE	$23,806,304	$19,048,335	$4,757,969
UTILITIES	$17,416,243	$14,015,559	$3,400,684

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,653,282	TotalAmt
Program Services	$20,676,282	ProgramServicesAmt
Management And General	$18,977,000	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,325,106,521	TotalAmt
Program Services	$1,028,574,937	ProgramServicesAmt
Management And General	$296,531,584	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$30,000	BOYAmt
EOY	$29,999	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	$7,691,536	BOYAmt
EOY	$9,537,853	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$199,406,271	BOYAmt
EOY	$205,083,947	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	$19,739,183	BOYAmt
EOY	$20,974,468	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,900,069	BOYAmt
EOY	$3,179,258	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$975,232,198	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$729,819,719	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$240,894,219	BOYAmt
EOY	$245,412,479	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	$117,100,386	BOYAmt
EOY	$119,900,881	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	$765,682	BOYAmt
EOY	$666,491	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$588,527,346	BOYAmt
EOY	$604,785,376	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$76,599,916	BOYAmt
EOY	$87,656,461	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	$2,074,504	BOYAmt
EOY	$2,207,944	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	$104,081,945	BOYAmt
EOY	$107,541,347	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$182,756,365	BOYAmt
EOY	$197,405,752	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$381,136,767	BOYAmt
EOY	$379,214,730	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,610,170	BOYAmt
EOY	$19,805,363	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,024,044	BOYAmt
EOY	$8,359,531	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$405,770,981	BOYAmt
EOY	$407,379,624	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$588,527,346	BOYAmt
EOY	$604,785,376	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$64,202,925	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$545,769	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$63,140,051	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,024,044	BeginningYearBalanceAmt
Contributions	$286,500	ContributionsAmt
Investment Earnings Or Losses	$48,987	InvestmentEarningsOrLossesAmt
End Year Balance	$8,359,531	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,647,125	BeginningYearBalanceAmt
Contributions	$25,000	ContributionsAmt
Investment Earnings Or Losses	$351,919	InvestmentEarningsOrLossesAmt
End Year Balance	$8,024,044	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,186,744	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$460,381	InvestmentEarningsOrLossesAmt
End Year Balance	$7,647,125	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,594,568	BeginningYearBalanceAmt
Contributions	$900,146	ContributionsAmt
Investment Earnings Or Losses	-$307,970	InvestmentEarningsOrLossesAmt
End Year Balance	$7,186,744	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,467,180	BeginningYearBalanceAmt
Contributions	$3,468	ContributionsAmt
Investment Earnings Or Losses	$123,920	InvestmentEarningsOrLossesAmt
End Year Balance	$6,594,568	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Land		LandGrp

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$463,739,135	OtherCostOrOtherBasisAmt
Depreciation	$337,365,149	DepreciationAmt
Book Value	$126,373,986	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,755,077	OtherCostOrOtherBasisAmt
Depreciation	$2,842,717	DepreciationAmt
Book Value	$912,360	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$482,738,467	OtherCostOrOtherBasisAmt
Depreciation	$384,684,832	DepreciationAmt
Book Value	$98,053,635	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,999,519	OtherCostOrOtherBasisAmt
Depreciation	$4,927,021	DepreciationAmt
Book Value	$20,072,498	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$245,412,479	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BOARD DESIGNATED INVESTMENTS	$58,055,019	F
OTHER LONG TERM INVESTMENTS	$39,847,394	F
ENDOWMENT FUNDS	$8,361,139	F
TEMPORARILY RESTRICTED INVEST	$10,563,028	F
JOINT VENTURES	$2,791,646	F
GIFT ANNUITIES	$282,655	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$119,900,881	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$39,909,450
SETTLEMENTS - MEDICARE	$24,065,290
WORKERS COMPENSATION LIABILITY	$12,155,019
CREDIT BALANCES PATIENT AR	$10,982,904
ASBESTOS ABATEMENT LIABILITY	$7,437,038
PENDING REFUNDS	$2,830,831
OTHER SHORT TERM LIABILITIES	$1,126,186
OTHER LONG TERM LIABILITIES	$9,034,629

Field	Value	IRS element (for citing)
Total Liability	$107,541,347	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

INTENDED USE FOR ENDOWMENT FUNDS

SCHEDULE D, PART V The endowment funds at MedStar Washington Hospital Center comprise multiple gifts and bequests received from various donors over many years. The income generated from the endowments is used to provide support and funding to the delivery of patient care services at the Hospital Center to its patients.

FIN 48 FOOTNOTE

SCHEDULE D, PART X, LINE 2 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, 2019.

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	$8,381,073	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,381,073	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$230,048,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$215,553,805	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,494,923	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,992,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,187,376	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$805,036	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$258,422,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$234,741,181	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,681,032	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,704,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$215,514	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,488,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,311,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,887,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,424,718	NetCommunityBenefitExpnsAmt
Total Expense	0.02700	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,857,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,724,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,132,893	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,951,327	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,951,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,744	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,744	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$122,856,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,826,866	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,029,439	NetCommunityBenefitExpnsAmt
Total Expense	0.04300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$381,278,518	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,568,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,710,471	NetCommunityBenefitExpnsAmt
Total Expense	0.06100	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,386	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,267	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,653	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,653	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$62,914,415	BadDebtExpenseAmt
Reimbursed By Medicare	$348,028,767	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$386,099,713	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$38,070,946	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
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	WASHINGTON HOSPITAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 IRVING STREET NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	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	WASHINGTON HOSPITAL CENTER	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.medstarwashington.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.medstarwashington.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.medstarwashington.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.medstarwashington.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.medstarwashington.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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

CHNA INPUT

PART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION The Community Health Needs Assessment (CHNA) Hospital Lead serves as the coordinator of all aspects of the community health assessment process. He/she helps establish and coordinate the activities of the Advisory Task Force. The Lead also helps produce the 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: LINDSAY ARRINGTON 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: JEFFREY DUBIN, 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 hospitals 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 Organization Donna JEFFREY DUBIN, Executive Sponsor MD Chief Medical Officer & SVP, MWHC Medical Affairs C. Anneta Arno, Director, Office of Health DC Department of PHD, MPH Equity Health Lindsay Arrington Manager, Commmunity Health MWHC Outreach Dianne Barnes Commissioner ANC Richard Benson, Associate Medical Director MWHC MD Stroke Center Lisa Boyle, MD Executive Sponsor MGUH Vice President, Medical Affairs Shirley DeWitt, RN Coordinator MWHC RN Geri Feaster- Community Member Israel Baptist Bethea Church Sara Field, LICSW Oncology Representation, MGUH MGUH Melissa Fries, MD Section Director, Obstetrics MWHC and Gynecology, Board Member Natalie Lima- Garcia, RNC, BSN, Outpatient Pediatrics MedStar Georgetown MPH Tenleytown Medical Group Brie Garner Cancer Patient Navigator Bread for the City Khaleelah Hardie Community Health Hospital Lead MGUH Beverly John Community Member The Talking Drum,Inc. Joan Joyce Community Health Hospital Lead, MNRN Director, Therapeutic Recreation & Community Outreach Michelle Magee, Director, MedStar Diabetes MGUH MD Institute Catherine Meloy MGUH Board Member, President and Goodwill of Greater CEO Washington Edward Morris, MD Physician, Cardiology MWHC Representation Joanne Odom, Program Administrator, Community MGUH LICSW Pediatrics, Primary Care Representation Sullivan Robinson Executive Director Leadership Council for Healthy Communities Michelle Roett, Professor and Chair, Department MGUH MD of Family Medicine Kassie Savoy Assistant Director, Physician MWHC Performance Improvement & Population Health Jennifer Sheehy Community Representative Community Member Jacqueline Watson,MNRN Board Member, DO, MBA Chief of Staff, Office of the DC Department of Director Health Deliya Wesley Health Equity Scientist MedStar Health Research Institute and MedStar Institute for Innovation Arthur West President, Medical & Dental Staff MWHC Curtis Whitehair,Executive Sponsor MNRN MD Interim Vice President, Medical Affairs

IMPLEMENTATION STRATEGIES

PART V, SECTION B, LINE 11 THE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING. HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT. FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS.

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST	PART I, LINE 7 MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES. 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 THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT.
DEBT COLLECTION POLICY	PART III, LINE 9 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 Washington Hospital Center (MWHC) 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 MWHCs 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 District of Columbia Wards 7 and 8 as its CBSA, which includes all residents living in ZIP codes 20011, 20019 and 20020. 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. MWHCs health priorities for the CBSA include health and wellness (chronic disease prevention and management) and social determinants of health (social needs screening). As a proud member of MedStar Health, representatives from MWHC 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 and underinsured patients meeting medical hardship criteria within the communities we serve who lack financial resources have access to emergency and medically necessary hospital services. MedStar Health and its healthcare facilities will: * Treat all patients equitably, with dignity, respect, and compassion; * Serve the emergency health care needs of everyone who presents to our facilities 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 Healths facilities 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 Health facilities 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 facility 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. Each facility publicizes 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 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 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: * Complying 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 the facilitys 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 the facilitys Patient Advocates or Customer Service Representatives on a timely basis as the patients financial circumstances may change. * It is the responsibility of the patient to inform the MedStar hospital of their existing eligibility under a medical hardship during the 12-month 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 or by calling 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: MWHCs CBSA includes adults age 18 or older who reside in ZIP codes 20011, 20019, and 20020 (with emphasis on Wards 7 and 8) in the District of Columbia. This geographic area was selected based on the hospital utilization and secondary public health data as well as its proximity to the hospital, coupled with an opportunity to build upon longstanding programs and services. Demographics: ZIP code 20011 is the home of approximately 68,982 residents; 78.3% are adults age 18 and older, the concentration of adults older than 65 is 15%, higher than the citywide average of 12.3%. The majority of residents are Black/African American (53.2%). Twenty-two percent are White, and 28.7% identify as Hispanic/Latino. The average household income in ZIP code 20011 is $110,459 compared to the city average $127,452. The percent of adults (25 years and older) with a high school diploma or higher education (85.5%) is less than the city average (90.3%). The rate of unemployment for persons 16 years and older is 7.25% compared to the city rate of 7.29%, and the percentage of families living in poverty is 9.08% as compared to 13.8% for the entire city. Ward 7 is the home of approximately 81,602 residents; 73.2% are adults age 18 and older, the concentration of adults older than 65 in Ward 7 is identical to the citywide average of 12.3%. The majority of residents are Black/African American (92.4%). Two percent are White, and 3.78% are Hispanic/Latino. The average household income in Ward 7 ($58,222) is less than the city average ($127,452). The percent of adults 25 years and older with a high school diploma or higher education (83.9%) is less than the city average (90.3%). The rate of unemployment for persons 16 years and older is 7.29% for the city and 16.3% for Ward 7, and the percentage of families living in poverty in Ward 7 is 25.7% as compared to 13.8% for the entire city. Ward 8 is the home of approximately 80,085 residents; 71% are adults age 18 and older, the concentration of adults older than 65 is slightly lower in Ward 8 (10%) compared to the citywide average of 12.3%. The majority of residents are Black/African American (92.1%). Four percent are White, and 2.8% are Hispanic/Latino. The average household income in Ward 8 ($54,950) is less than the city average ($127,452). The percent of adults 25 years and older with a high school diploma or higher education (84.5%) is less than the city average (90.3%). The rate of unemployment is 7.29% for the city and 18.5% for Ward 8, and the percentage of families living in poverty in Ward 8 is 31.2% as compared to 13.8% for the entire city.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5: As a community partner, MWHC engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. Priority areas of focus, as determined by the 2018 CHNA, are health and wellness, access to care and social determinants of health. Chronic Disease Prevention and Management no cost programs are offered to support healthy lifestyle changes for community members, programs include: * Living Well Chronic Disease Self-management program in partnership with DC Health. In FY19, MWHC conducted six Living Well classes reaching a total of 104 community members. Of the completers, 66% reported having increased self-confidence in their ability to manage their health and nearly 100% reported feeling more confident with their chronic disease than they did before participating in the workshop. * Injury and Violence Prevention Education- In FY19 a total of 3,862 participants were reached by the Injury and Violence prevention initiative which included the following community education activities: "Stop the Bleed" Emergency Bleed Control, Brain and Spinal Cord Injury Prevention presentations, Driver/Vehicle Safety classes, Senior Exercise classes, fall prevention presentations, bike safety/helmet fittings and injury prevention outreach activities. * Ask a Healthcare Professional Initiative, hospital physicians and allied health professionals are committed to sharing their knowledge on various topics with members of the community to improve their health. In FY19, 499 community members were served by the Ask a Healthcare Professional Initiative. * Screening, Brief Intervention, and Referral (SBIRT) is conducted in the emergency department. Peer Recovery Coaches are integral to hospital care teams to assist with improving access to substance use treatment and social service linkage, and support community education efforts. Through the SBIRT Program, a total of 4,138 patients were screened for substance use in FY19. * Health education and screenings are provided across MWHC CBSA to support ongoing community health needs. Social Needs Screening Focused on Food Insecurity- In FY19, pregnant women with a positive score for food insecurity on their social needs screening received assistance completing WIC applications and were provided with Giant Food gift cards totaling over $5,000 in grocery gift cards distributed.
Affiliated Health Care System	PART VI, LINE 6: As a proud member of MedStar Health, MWHC 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 MWHC 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 MWHC is filed in the state of Maryland.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	100	RecipientCnt
Cash Grant	$1,644,100	CashGrantAmt

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 throughout the life of the grant.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	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 (13 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
CARMELLA COLE MD
Board Member	$302,403	$0	$0	$0	$0	$0	$23,424	$0	$8,748	$0	$334,575	$0	$0	$0
SANDRA M SWAIN
FORMER OFFICER	$500,544	$0	$50,000	$0	$0	$0	$8,250	$0	$1,908	$0	$560,702	$0	$0	$0
KENNETH A SAMET
BOARD MEMBER	$0	$1,887,489	$0	$5,002,733	$0	$20,277	$0	$52,149	$0	$35,690	$0	$6,998,338	$0	$0
JOHN SULLIVAN
FORMER PRESIDENT	$417,102	$0	$484,934	$0	$435,493	$0	$8,250	$0	$9,876	$0	$1,355,655	$0	$0	$0
WILLIAM GAYNE
CHIEF FINANCIAL OFFICER	$153,005	$153,004	$77,869	$77,869	$0	$0	$4,125	$4,125	$11,002	$11,002	$246,001	$246,000	$0	$0
CATHERINE MONGE
SVP OF OPERATIONS	$297,868	$0	$156,736	$0	$0	$0	$8,250	$0	$17,381	$0	$480,235	$0	$0	$0
AMMAR BAFI
PHYSICIAN	$782,139	$0	$592,476	$0	$0	$0	$8,250	$0	$17,417	$0	$1,400,282	$0	$0	$0
EDWARD WOO
Section Director	$1,193,432	$0	$314,592	$0	$0	$0	$8,250	$0	$22,292	$0	$1,538,566	$0	$0	$0
Robert Ross
COO	$217,791	$0	$0	$0	$62,348	$0	$8,250	$0	$10,513	$0	$298,902	$0	$0	$0
Melissa H Fries
BOARD MEMBER	$376,551	$0	$25,000	$0	$134,134	$0	$8,250	$0	$1,998	$0	$545,933	$0	$0	$0
Ezequiel Molina
PHYSICIAN	$506,964	$0	$857,180	$0	$0	$0	$8,250	$0	$17,381	$0	$1,389,775	$0	$0	$0
Vinod Thourani
PHYSICIAN	$1,197,656	$0	$311,967	$0	$9,703	$0	$3,988	$0	$19,255	$0	$1,542,569	$0	$0	$0
Gregory Argyros MD
BOARD MEMBER/PRESIDENT	$580,741	$0	$436,552	$0	$0	$0	$8,250	$0	$13,180	$0	$1,038,723	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART III	FormAndLineReferenceDesc
Explanation	Mr. Samet's compensation in Part II, Column (B) includes $1,950,307 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. William Gaynes compensation is for services provided as CFO to both MedStar Washington Hospital Center and MedStar Health Research Institute. John Sullivans Other reportable compensation in Part II, Column (B) (iii) includes $377,570 representing severance payments received by Mr. Sullivan.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Diamond Healthcare
SEE PART V	$15,094,009	medical services	false
WL Gore Associates
SEE PART V	$4,488,677	manufacturing services	false
AmeriPark
SEE PART V	$1,172,736	parking services	false
International Limousine Sevice Inc
SEE PART V	$2,856,763	transport services	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	The following were substantial contributors (in excess of $5,000) that also provided services to MedStar Washington Hospital Center valued in excess of $100,000: Diamond Healthcare, W.L. Gore & Associates, Ameripark, and International Limousine Service, Inc. 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	8	ContributionCnt
Noncash Contributions Rpt F990	$798,109	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION MEMBERS	PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, 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.
DECISION OF GOVERNING BODY	PART VI, 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 11 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST POLICY	PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC).
EXECUTIVE COMPENSATION PROCESS	PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE ("TAX-EXEMPT HEALTHCARE ORGANIZATIONS"). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.
FINANCIAL STATEMENT AVAILABILITY	PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.................(63,139,051) INCOME TAX PROVISION .........................($1,000) ================ TOTAL ($63,140,051)

Schedule R IRS990ScheduleR

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)
THE UNION MEMORIAL HOSPITAL
201 EAST UNIVERSITY PARKWAY	BALTIMORE	MD	21218	520591685	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
MEDSTAR HEALTH RESEARCH INSTITUTE
108 IRVING STREET NW	WASHINGTON	DC	20010	526056274	HOSPITAL	DC	501(c)(3)	4	NA	Yes (true)
THE MEDSTAR-GEORGETOWN MEDICAL CENTER I
HOPSITAL ADMIN 1 MAIN BLDG	WASHINGTON	DC	20007	522218584	HOSPITAL	DC	501(c)(3)	3	NA	Yes (true)
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	HOSPITAL	MD	501(c)(3)	12A I	NA	Yes (true)
GOOD SAMARITAN NURSING CENTER INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521672866	MEDICAL SVCS	MD	501(c)(3)	10	NA	Yes (true)
GS HOUSING INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521481656	ELDER HOUSING	MD	501(c)(3)	10	NA	Yes (true)
GS PROPERTIES INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521429853	ADMIN SVCS	MD	501(c)(3)	12a I	NA	Yes (true)
MEDSTAR HEALTH INFUSION INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521980510	MEDICAL SVCS	MD	501(c)(3)	10	NA	Yes (true)
MEDSTAR HEALTH VISITING NURSES ASSOCIATI
4061 POWDERMILL ROAD	CALVERTON	MD	20705	530196597	MEDICAL SVCS	MD	501(c)(3)	10	NA	Yes (true)
MEDSTAR VNA HEALTHCARE
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521458516	MEDICAL SVCS	MD	501(c)(3)	10	NA	Yes (true)
MGH COMMUNITY HEALTH INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521372467	MEDICAL SVCS	MD	501(c)(3)	10	NA	Yes (true)
MGH HEALTH SERVICES INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521366812	FOUNDATION	MD	501(c)(3)	12B II	NA	Yes (true)
MGH WOMEN'S BOARD
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	526039600	FOUNDATION	MD	501(c)(3)	12C III	NA	Yes (true)
NATIONAL REHABILITATION HOSPITAL
102 IRVING STREET NW	WASHINGTON	DC	20010	521369749	HOSPITAL	DC	501(c)(3)	3	NA	Yes (true)
REGIONAL REHAB AT OLNEY INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	522310902	MEDICAL SVCS	MD	501(c)(3)	3	NA	Yes (true)
SUBURBAN NRH MEDICAL REHABILITATION I
102 IRVING STREET NW	WASHINGTON	DC	20010	521931151	MEDICAL SVCS	DC	501(c)(3)	3	NA	Yes (true)
THE THOMAS O'NEIL CATHOLIC HEALTH CARE F
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521104382	FOUNDATION	MD	501(c)(3)	12D III	NA	Yes (true)
VNA INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521332411	ADMIN SVCS	MD	501(c)(3)	I2 A 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 (13 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
22590 SHADY COURT	CALIFORNIA	MD	20619		REAL ESTATE	MD	NA	N/A
24035 THREE NOTCH ROAD LLC
24035 THREE NOTCH ROAD	HOLLYWOOD	MD	20636		REAL ESTATE	MD	NA	N/A
37767 MARKET DRIVE LLC
37767 MARKET DRIVE	Leonardtown	MD	20650		REAL ESTATE	MD	NA	N/A
26840 POINT LOOKOUT ROAD LLC
26840 POINT LOOKOUT ROAD	Charlotte Hall	MD	20622		REAL ESTATE	MD	NA	N/A
Montgomery Community MRI LP
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
FRANKLIN SQUARE MEDICAL CENTERMERIDIAN
101 EAST STATE STREET	KENNETT SQUARE	PA	19348	521734591	NURSING HOME	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
10980 Grantchester Way	Columbia	MD	21044	821073412	SURGERY	MD	NA	N/A
10 St Patrick's Drive LLC
10 St Patricks Drive	Waldorf	MD	20603	832261766	real estate	MD	NA	N/A
MedStar Endoscopy Ctr at LuthervilleLLC
1300 Bellona Ave	Lutherville	MD	21093	823193901	Surgery	MD	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	CityForeignAddress/CityNm
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	$0	$155,081	1.00000	false
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	$0	$0	1.00000	false
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522132677	Medical SVCS	MD	NA	C Corp	$0	$16,547	1.00000	false
Washington Hospital Center Physician Hos
100 Irving Street NW	Washington	DC	20010	521931000	Medical SVCS	MD	NA	C Corp	$19,091,540	$25,465,822	1.00000	false
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522030809	Medical SVCS	MD	NA	C Corp	$0	$853,367	1.00000	false
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		NA	C Corp					23 LIME TREE BAY AVENUE PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
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	CJ	Grand Cayman
MEDSTAR HEALTH INC - INVESTMENT FUND I
				981310273	INVESTMENTS		NA	C CORP					103 SOUTH CHURCH ST		CJ	KY1-1002	CJ	Grand Cayman

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	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MedStar Health Inc
P	$8,261,191	FMV
MedStar Health Research Institute
P	$132,596	FMV
The Union Memorial Hospital Inc
P	$313,368	FMV
MedStar Southern MD Hospital Center Inc
Q	$568,604	FMV