STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC (EIN 52-0591607)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-10
IRS object ID
202031929349302183
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-10T19:29:30-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18350 Broad Street Suite 900AddressLine1Txt
CityMcLeanCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591607EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Good Samaritan Hospital of Maryland IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOEL BRYANInCareOfNm
Business Name ControlGOODBusinessNameControlTxt
Phone4107726721PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 LOCH RAVEN BLVDAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOEL BRYANPersonNm
Person TitleVP/TreasurerPersonTitleTxt
Phone4107726721PhoneNum
Signature2020-07-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJG WHITEPreparerPersonNm
PTINP01498698PTIN
Phone7032868000PhoneNum
Preparation2020-06-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.206.0.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id54028020201925000038FederalOriginalSubmissionId
Federal Original Submission Id2020-07-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF4A606E80CAA15027AB020C83C7B277129705CD7AtSubmissionCreationDeviceId
At Submission Filing Device IdEB2737A96B8F377BD085BED9F3BA68158C374A96AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRADLEY CHAMBERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 LOCH RAVEN BLVDAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$252,640,482GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.goodsam-md.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionWE ARE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO TRADITION AND TRUSTED TO DELIVER IDEAL HEALTHCARE EXPERIENCES FOR THE PATIENTS WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1989TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$147,054TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,207,562PYContributionsGrantsAmt
CY Contributions Grants$3,971,980CYContributionsGrantsAmt
PY Program Service Revenue$271,059,633PYProgramServiceRevenueAmt
CY Program Service Revenue$245,602,394CYProgramServiceRevenueAmt
PY Investment Income$187,320PYInvestmentIncomeAmt
CY Investment Income$133,154CYInvestmentIncomeAmt
PY Other Revenue$5,043,838PYOtherRevenueAmt
CY Other Revenue$2,932,954CYOtherRevenueAmt
PY Total Revenue$280,498,353PYTotalRevenueAmt
CY Total Revenue$252,640,482CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$138,876,874PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$141,766,758CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$123,285,544PYOtherExpensesAmt
CY Other Expenses$120,565,289CYOtherExpensesAmt
PY Total Expenses$262,162,418PYTotalExpensesAmt
CY Total Expenses$262,352,547CYTotalExpensesAmt
PY Revenues Less Expenses$18,335,935PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,712,065CYRevenuesLessExpensesAmt
Total Assets BOY$168,684,419TotalAssetsBOYAmt
Total Assets EOY$181,866,248TotalAssetsEOYAmt
Total Liabilities BOY$35,137,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,824,783TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$133,546,584NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$150,041,465NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs a proud member of MedStar Health, MedStar Good Samaritan Hospitals (MedStar Good Samaritan) mission is to be Good Samaritans, guided by catholic tradition and trusted to deliver ideal health experiences. MedStar Good Samaritan, located in northeast Baltimore City, Maryland, is known for its specialties in nephrology and physical medicine and rehabilitation programs. In addition to General Adult Acute care services, Medstar Good Samaritan has a comprehensive impatient rehabilitation unit. Through MGSHs Center for Successful Aging, integrated care is provided to patients who experience age-related health conditions. In fiscal year 2019, MedStar Good Samaritan had 8,418 inpatient admissions and 226,687 outpatient visits including 46,717 emergency visits.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$185,369,810ExpenseAmt
Grant$20,500GrantAmt
Revenue$245,601,994RevenueAmt
DescMedStar Good Samaritans largest program is access to and the provision of acute hospital services to the communities of northeastern Baltimore City, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Good Samaritan incurred $61.2M of management and general expenses in providing services to its communities. MedStar Good Samaritan is a Joint Commission accredited acute care community hospital located in the northeast section of Baltimore City, Maryland. The hospital offers clinical services in general medicine and surgery and has specialty services in cancer care through the MedStar Health Cancer Network, diabetes care, and emergency medicine. MedStar Good Samaritan is also nationally known for geriatrics through the Center for Successful Aging, a model of care that helps patients with complex medical and socialconcerns as well as their caregivers. The hospital provides community-based health and wellness services through the Good Health Center, and wound care through the Center for Wound Healing, Hyperbaric Medicine, and Limb Salvage in partnership with MedStar Georgetown University Hospital. MedStar Good Samaritan is known for its high-quality Inpatient Rehabilitation program. Today, the program has moved into a new, $17.5 million, state-of-the-art Inpatient Rehabilitation Center, offering 60,000 square feet of medical care and therapy. The Inpatient Rehabilitation program, which is accredited by the Commission on Accreditation of Rehabilitation Facilities, serves patients from within Central Maryland. The Stroke Program has received accreditation as a Primary Stroke Center from the State of Maryland and received the American Heart Association/American Stroke Associations Get With The Guidelines Stroke Gold Plus Quality Achievement Award. MedStar Good Samaritan has been awarded the 5 Star rating, the highest possible, by CMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,343,039ExpenseAmt
Grant$0GrantAmt
Revenue$400RevenueAmt
DescMedStar Good Samaritan provided $10.3M 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

FieldValueIRS element (for citing)
Expense$5,479,139ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescMedStar Good Samaritan provided $5.5M in charity care services in fiscal year 2019. Charity care is provided pursuant to MedStar Healths Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Marylands unique payer system, the amount reported represents MedStar Good Samaritans charity care expense and revenues represent direct payments from the states charity care pool. Other charity care expenses are indirectly reimbursed via the state of Marylands payment system.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$201,191,988TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1989EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOEL BRYANPersonNm
Phone4107726721PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110980 GRANTCHESTER WAYAddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationMDStateAbbreviationCd
ZIP21044ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL P CAHILL
VICE CHAIR1.00.0Yes (X)$0$0$0
MOIRA P LARSEN MD
BOARD MEMBER20.020.0Yes (X)$234,823$234,823$25,427
KENNETH A SAMET
BOARD MEMBER1.039.0Yes (X)$0$6,910,499$87,839
HOWARD S FREELAND MD
BOARD MEMBER1.039.0Yes (X)$1,750$249,578$24,578
LUIS GIMENEZ MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
KAY G BEE
BOARD MEMBER1.00.0Yes (X)$0$0$0
SONYA H GRAY
BOARD MEMBER1.00.0Yes (X)$0$0$0
Bishop Denis J Madden
BOARD MEMBER (until 10/18)1.00.0Yes (X)$0$0$0
JOHN C SMYTH
CHAIR1.00.0Yes (X)$0$0$0
KATHLEEN J WHITING
BOARD MEMBER (Until 10/18)1.00.0Yes (X)$0$0$0
DAVID WEISMAN DO
BOARD MEMBER40.00.0Yes (X)$218,063$0$31,261
ELIAS SHAYA MD
BOARD MEMBER40.00.0Yes (X)$429,170$0$9,956
BRADLEY CHAMBERS
President/BOARD MEMBER20.020.0Yes (X)$594,727$594,727$53,584Yes (X)
ANTHONY READ
BOARD MEMBER1.00.0Yes (X)$0$0$0
Anthony DAgostino
BOARD MEMBER1.00.0Yes (X)$0$0$0
Kevin E Wesner
BOARD MEMBER (Until 9/18)1.00.0Yes (X)$0$0$0
Holly A Tilford
BOARD MEMBER1.00.0Yes (X)$0$0$0
David Zachary Martin MD
board member (As of 4/19)40.00.0Yes (X)$435,836$0$20,578
Herbert R Hansen Jr
board member1.00.0Yes (X)$0$0$0
Kim D Sydnor PhD
board member1.00.0Yes (X)$0$0$0
George Hennawi MD
Board Member (As of 2/19)40.00.0Yes (X)$257,295$0$17,581
Sylvia Hickey
BOARD MEMBER (As of 9/18)1.00.0Yes (X)$0$0$0
Leo E Gallagher Jr
Board Member1.00.0Yes (X)$0$0$0
Rev PM Smith
Board Member (Until 10/18)1.00.0Yes (X)$0$0$0
DEANA STOUT
CHIEF FINANCIAL OFFICER20.020.0$231,137$231,137$47,914Yes (X)
LINDA HEATH
SECRETARY1.039.0$0$91,552$30,556Yes (X)
Neil MacDonald
VP, Operations20.020.0$194,849$194,849$57,568Yes (X)
Stuart Bell
VP, Medical Affairs20.020.0$402,510$402,510$28,189Yes (X)
MICHAEL JACOBS MD
PHYSICIAN40.00.0$830,301$0$25,263Yes (X)
Margie Banzuelo-Rio
PHYSICIAN40.00.0$484,149$0$26,663Yes (X)
MARTIN BINSTOCK
VP MEDICAL AFFAIRS40.00.0$605,903$0$20,578Yes (X)
Shams Quazi
Physician40.00.0$425,130$0$26,056Yes (X)
CARMEN PICHARD-ENCINA
PHYSICIAN40.00.0$495,249$0$23,675Yes (X)
Jeffrey Matton
Former President0.040.0$0$1,117,691$53,751Yes (X)
Thomas Senker
Former Secretary0.040.0$0$695,907$39,764Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,840,892TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,723,273TotReportableCompRltdOrgAmt
Total Other Compensation$650,781TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K299IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON HEALTHCARE FOOD SERVICES
PO BOX 20284TOWSONMD21284Food services$3,332,138
HUNT VALLEY ANES ASSOC PA
PO BOX 20284TOWSONMD21284Medical services$3,199,210
AMN HEALTHCARE INC
4721 MORRISON DRIVEMOBILEAL36609Staffing services$2,124,150
ROLYN COMPANIES INC
1500 Liberty Ridge DriveSTE 210WAYNEPA19087Facilities services$846,821
HEALOGICS WOUND CARE HYPERBARIC S
1700 New York Ave NW 100WASHINGTONDC20006Medical services$802,784
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Related Organizations$2,385,000RelatedOrganizationsAmt
Government Grants$182,599GovernmentGrantsAmt
All Other Contributions$1,404,381AllOtherContributionsAmt
Noncash Contributions$3,642NoncashContributionsAmt
Total Contributions$3,971,980TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$237,740,127$237,740,127
PHARMACY INCOME900099$7,852,909$7,852,909
MEANINGFUL USE INCOME900099$9,358$9,358
FieldValueIRS element (for citing)
Total Program Service Revenue$245,602,394TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,703TotalRevenueColumnAmt
Exclusion$54,703ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$588,405RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$588,405RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$588,405TotalRevenueColumnAmt
Exclusion$588,405ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$40,279SecuritiesAmt
Other$38,172OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$40,279SecuritiesAmt
Other$38,172OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,451TotalRevenueColumnAmt
Exclusion$78,451ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
REBATE INCOME900099$476,261$476,261
CHILD DAY CARE900099$565,212$565,212
REFERRAL LAB INCOME900099$147,054$147,054

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,156,022TotalRevenueColumnAmt
Exclusion$1,156,022ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,344,549OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$252,640,482TotalRevenueColumnAmt
Related Or Exempt Func Income$245,602,394RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$147,054UnrelatedBusinessRevenueAmt
Exclusion$2,919,054ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,500TotalAmt
Program Services$20,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,174,230TotalAmt
Program Services$2,938,555ProgramServicesAmt
Management And General$235,675ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$113,952,221TotalAmt
Program Services$105,238,605ProgramServicesAmt
Management And General$8,713,616ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,565,728TotalAmt
Program Services$1,447,495ProgramServicesAmt
Management And General$118,233ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,600,830TotalAmt
Program Services$15,039,725ProgramServicesAmt
Management And General$561,105ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,473,749TotalAmt
Program Services$6,846,786ProgramServicesAmt
Management And General$626,963ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$33,670,927TotalAmt
Program Services$143ProgramServicesAmt
Management And General$33,670,784ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,408TotalAmt
Management And General$12,408ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,000TotalAmt
Management And General$7,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,162,648TotalAmt
Program Services$19,059,049ProgramServicesAmt
Management And General$4,103,599ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$401,793TotalAmt
Program Services$11,610ProgramServicesAmt
Management And General$390,183ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,100,172TotalAmt
Program Services$1,370,259ProgramServicesAmt
Management And General$729,913ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,286,272TotalAmt
Program Services$1,143,633ProgramServicesAmt
Management And General$142,639ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$171,350TotalAmt
Program Services$151,169ProgramServicesAmt
Management And General$20,181ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$90,570TotalAmt
Program Services$87,106ProgramServicesAmt
Management And General$3,464ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,128,539TotalAmt
Management And General$2,128,539ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,112,170TotalAmt
Program Services$7,676,442ProgramServicesAmt
Management And General$4,435,728ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,791,937TotalAmt
Program Services$2,721,051ProgramServicesAmt
Management And General$70,886ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED/SURG SUPPLIES$22,900,344$22,980,141-$79,797
MAINTENANCE$5,515,889$5,091,318$424,571
UTILITIES$3,428,014$3,195,635$232,379
FOOD SERVICES/SUPPLIES$2,401,273$2,277,368$123,905

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,383,983TotalAmt
Program Services$3,895,398ProgramServicesAmt
Management And General$4,488,585ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$262,352,547TotalAmt
Program Services$201,191,988ProgramServicesAmt
Management And General$61,160,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,180BOYAmt
EOY$19,766EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,854,036BOYAmt
EOY$28,321,583EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,179,786BOYAmt
EOY$2,813,347EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$383,644BOYAmt
EOY$322,264EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$267,908,678LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$189,560,490LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$65,769,460BOYAmt
EOY$78,348,188EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,229,820BOYAmt
EOY$4,654,465EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$64,263,493BOYAmt
EOY$67,386,635EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$168,684,419BOYAmt
EOY$181,866,248EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,853,739BOYAmt
EOY$16,912,544EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,323,311BOYAmt
EOY$1,913,623EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,960,785BOYAmt
EOY$12,998,616EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,137,835BOYAmt
EOY$31,824,783EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,282,953BOYAmt
EOY$76,580,789EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$70,263,631BOYAmt
EOY$73,460,676EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$133,546,584BOYAmt
EOY$150,041,465EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$168,684,419BOYAmt
EOY$181,866,248EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,712,065ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$50,304NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$26,156,642OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$81,333,369OtherCostOrOtherBasisAmt
Depreciation$53,915,601DepreciationAmt
Book Value$27,417,768BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,406,447OtherCostOrOtherBasisAmt
Depreciation$825,660DepreciationAmt
Book Value$580,787BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$165,457,684OtherCostOrOtherBasisAmt
Depreciation$131,986,356DepreciationAmt
Book Value$33,471,328BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,711,178OtherCostOrOtherBasisAmt
Depreciation$2,832,873DepreciationAmt
Book Value$16,878,305BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$78,348,188TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$1,716,189
OPTION IT ASSET$700,922
OTHER ASSETS$64,969,524
FieldValueIRS element (for citing)
Total Book Value Other Assets$67,386,635TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ADVANCES FROM 3RD PARTY PAYORS$5,969,442
ASBESTOS ABATEMENT LIABILITY$2,769,370
WORKERS COMPENSATION$1,941,172
CREDIT BALANCE PATIENT A/R$859,771
STOCK OPTION PLAN$637,730
DEFERRED TIA$448,593
OTHER LIABILITIES$372,538
FieldValueIRS element (for citing)
Total Liability$12,998,616TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 FOOTNOTEFormAndLineReferenceDesc
ExplanationPART 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,479,139TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,479,139NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,479,139TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,479,139NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,094,071TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$324,242DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,769,829NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,343,039TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$400DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,342,639NetCommunityBenefitExpnsAmt
Total Expense0.03940TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,622,764TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,837,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,785,171NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,451TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,451NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,093,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,162,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,931,090NetCommunityBenefitExpnsAmt
Total Expense0.05310TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,572,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,162,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,410,229NetCommunityBenefitExpnsAmt
Total Expense0.07400TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,100NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$947,230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$590,098DirectOffsettingRevenueAmt
Net Community Benefit Expns$357,132NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,386TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,386NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,359TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,359NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$995,075TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$590,098DirectOffsettingRevenueAmt
Net Community Benefit Expns$404,977NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,954,634BadDebtExpenseAmt
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN HOSPITAL OF MARYLANDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 LOCH RAVEN BLVDAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN HOSPITAL OF MARYLANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted17CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MEDSTARGOODSAM.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MEDSTARGOODSAM.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MEDSTARGOODSAM.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MEDSTARGOODSAM.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MEDSTARGOODSAM.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHNA INPUTPART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION The Community Health Needs Assessment (CHNA) Hospital Lead serves as the coordinator of all aspects of the community health assessment process. He/she helps establish and coordinate the activities of the Advisory Task Force. The Lead also helps produce the hospital's Community Health Needs Assessment and Implementation Strategy. He/she works collaboratively with representatives from the Corporate Community Health Department on all Schedule Hs. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: Deborah Bena Executive Sponsor Role Description The Executive Sponsor serves as the conduit between the Advisory Task Force and the Senior Management Team. The sponsor is an active participant of the Advisory Task Force and he/she communicates the hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: Bradley Chambers AND MARTIN BINSTOCK, MD Advisory Task Force Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. Name: Title/Affiliation with Hospital: Name of Organization Aaron Kaufman Community Leader Central Baltimore Partnership Allan Noonan, MD Board Member MGSH Bernie Ravitz,MD Physician Advisor MGSH Brad Chambers Executive Sponsor MGSH, MUMH President Carmel Roques CEO Keswick - Maryland Dana Frank, MD Chairman, Medicine MGSH, MUMH Dawn Motovidlak Board Member MUMH Deborah Director, Marketing and MGSH Bangledorf Communications Deborah Bena Community Health and MGSH, MUMH Ministry Coordinator Emilie Gilde Former Director, Tobacco Baltimore City Health Use/CVD/Diabetes/Cancer Department Prevention Evangeline Community Representative St. Matthew's Church Waihenya George Farley AVP, Mission Integration MGSH Ken Walsch Assistant Vice President, MGSH Quality, Safety, Risk Management Kerry Martinez Director Shepherd's Joy Wellness Kim Sydnor, PhD Dean Morgan State University Kimberly Mays Sr. Director, Multicultural American Heart Affairs Association Lisa Ghinger Executive Director Hampden Family Center Mark Fletcher Community Leader Baltimore City EMS Martin Binstock, Executive Sponsor MGSH MD Vice President, Medical Affairs Melvin Wilson Executive Director Turnaround Tuesday Nichole Battle CEO GEDCO Nilesh Chief Health Officer Healthcare for Homeless Kalyanaraman Pat Jones Director, Immigration St. Matthew's Church Outreach Service Center Peggy Thomas Community Representative Community Resident Randolph Rowel Associate Professor, Chair of Morgan State University Department of Behavioral Health Sciences Ritu Prasad, MD Physician Advisor MUMH Ryan Moran Director, Community Health MGSH, MHH, MUMH Savas Karas Board Member MUMH Sheila Williams Community Representative Huber Memorial Church Shely Choo Senior Medical Advisor Baltimore City Health Department Sonia Fierro- Community Leader Spanish Speaking Health Luperini Leaders of Maryland Sonya Gray Board Member MGSH Stu Bell, MD Vice President, Medical MUMH Affairs Tracy Holcomb RN, CDE Shepherd's Clinic
IMPLEMENTATION STRATEGYPART 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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHARITY CARE AT COSTPART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
UNREIMBURSED MEDICAIDPART I, LINE 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.
BAD DEBTPART III, LINES 2 & 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT.
NEEDS ASSESSMENTPART VI, LINE 2 In FY18, MedStar Good Samaritan Hospital (MGSH) 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 MGSHs 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 Govans as its CBSA, which includes all residents living in ZIP codes 21206 and 21239. 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. MGSHs health priorities for the CBSA include health and wellness (chronic disease prevention and management, behavioral health) and social determinants of health (social needs screenings, Baltimore JOBS). As a proud member of MedStar Health, representatives from MGSH 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 ASSISTANCEPART 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 INFORMATIONPART VI, LINE 4 Geographic: MGSHs CBSA includes residents in the ZIP codes of 21239 and 21206. Both areas are primarily located in the northeast section of Baltimore City with some portions in Baltimore County, just over the city line, and can be classified as middle class to lower income areas compared to others in Maryland. This geographic area was selected based on hospital utilization and secondary data, as well as its proximity to the hospital and opportunities to build on pre-existing programs, services and partnerships. Demographics: 21239 consists of several small neighborhoods including Loch Raven Village and Northwood. The total population is 27,099 with 90% of its residents African American and a median age of 36. The median household income is 47,058, poverty rate is 11.9%, uninsured over the age of 18 is 9%, and single parent households are 65%. According the 2017 Baltimore City Neighborhood Health Profile Report, the life expectancy is 75.7, higher than the average of Baltimore Citys 73.6, with heart disease and cancer being the leading causes of death. A large portion of 21206 is in the Baltimore City neighborhood of Cedonia/Frankford which is a predominantly middle class to lower income residential area. The total population is 23,701 with 76.3% of its residents African American and a median age of 35. According the 2017 Baltimore City Neighborhood Health Profile Report, the median household income is 39,306, poverty rate is 23.7%, uninsured over the age of 18 is 12.5%, single parent households are 61.5%., the life expectancy is 72.4, compared to 73.6 in Baltimore City with heart disease and cancer being the leading causes of death.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5 As a community partner, MGSH engages in several 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 (Chronic Disease Prevention and Management, Behavioral Health) and Social Determinants of Health. To address health and wellness, MGSH provided a variety of programs in partnership with local community centers and churches, serving a total of 971 people. Programs conducted in FY19 include Diabetes Prevention Program), Living Well Chronic Disease Self-Management Program Fitness Programs, Community Free Flu Shot Clinics, and Smoking Cessation Program. Support Groups through the hospital also include diabetes, stroke, aphasia, and caregivers are provided as safe havens for continued support and wellbeing. To address behavioral health, MGSH screened 42,264 patients for substance use in the emergency department through MedStars SBIRT program (Screening, Brief Intervention and Referral to Treatment).. 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 Opioid Overdose Survivors Outreach Program (OSOP), MGSH sends peer recovery coaches in the field to see recent overdose survivors and link them to treatment services, naloxone trainings and provide a consistent point of contact should someone wish to enter care. Additionally, in partnership with community organizations such as the Baltimore City Health Department and Mosaic Community Services, the hospital offers no cost education courses on mental health awareness and naloxone administration. MGSH addresses the social determinants of health of the community with the Baltimore JOBS Program. MGSH hires and trains Community Health Advocates and Peer Recovery Coaches from the CBSA as part of the Population Health Workforce Development program. These positions serve to empower individuals and their families into better economic conditions. As part of the community health advocates responsibilities, social needs screenings and support linkages to social need services are done as part of care delivery and chronic disease self-management programming. 401 social needs screens were completed in FY19.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6 As a proud member of MedStar Health, MGSH 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 MGSH 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 REPORTPART VI, LINE 7 The community benefit report for MGSH is filed in the state of Maryland.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CRISTO REY JESUIT HIGH SCHOOLBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 South Chester StreetAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21231ZIPCd
FieldValueIRS element (for citing)
Recipient EIN205300491RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$20,500CashGrantAmt
Purpose Of GrantCharitable supportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationOur 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

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MOIRA P LARSEN MD
BOARD MEMBER$209,777$209,778$24,230$24,230$816$815$4,125$4,125$8,589$8,588$247,537$247,536$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
HOWARD S FREELAND MD
BOARD MEMBER$1,750$238,158$0$11,420$0$0$0$7,675$0$16,903$1,750$274,156$0$0
DAVID WEISMAN DO
BOARD MEMBER$193,802$0$24,261$0$0$0$10,112$0$21,149$0$249,324$0$0$0
ELIAS SHAYA MD
BOARD MEMBER$404,170$0$25,000$0$0$0$8,830$0$1,126$0$439,126$0$0$0
MICHAEL JACOBS MD
PHYSICIAN$830,301$0$0$0$0$0$8,250$0$17,013$0$855,564$0$0$0
DEANA STOUT
CHIEF FINANCIAL OFFICER$151,774$151,774$70,875$70,875$8,488$8,488$13,061$13,061$10,896$10,896$255,094$255,094$0$0
BRADLEY CHAMBERS
President/BOARD MEMBER$309,102$309,102$285,625$285,625$0$0$10,355$10,355$16,437$16,437$621,519$621,519$0$0
David Zachary Martin MD
board member (As of 4/19)$403,519$0$0$0$32,317$0$0$0$20,578$0$456,414$0$0$0
George Hennawi MD
Board Member (As of 2/19)$233,895$0$23,400$0$0$0$0$0$17,581$0$274,876$0$0$0
Margie Banzuelo-Rio
PHYSICIAN$473,149$0$11,000$0$0$0$8,250$0$18,413$0$510,812$0$0$0
MARTIN BINSTOCK
VP MEDICAL AFFAIRS$209,633$0$149,979$0$246,291$0$8,250$0$12,328$0$626,481$0$0$0
Shams Quazi
Physician$375,130$0$50,000$0$0$0$8,250$0$17,806$0$451,186$0$0$0
CARMEN PICHARD-ENCINA
PHYSICIAN$495,249$0$0$0$0$0$8,250$0$15,425$0$518,924$0$0$0
Jeffrey Matton
Former President$0$562,364$0$555,327$0$0$0$18,313$0$35,438$0$1,171,442$0$0
Thomas Senker
Former Secretary$0$375,878$0$320,029$0$0$0$8,250$0$31,514$0$735,671$0$0
Neil MacDonald
VP, Operations$153,431$153,431$41,418$41,418$0$0$19,246$19,247$9,538$9,537$223,633$223,633$0$0
Stuart Bell
VP, Medical Affairs$247,440$247,441$155,070$155,069$0$0$4,125$4,125$9,969$9,970$416,604$416,605$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSOCIAL CLUB DUESFormAndLineReferenceDesc
ExplanationSCHEDULE J, PART I, LINE 1 THE ORGANIZATION PAID BUSINESS CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. SCHEDULE J, PART III 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. Bradley Chambers compensation is for services provided as President to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Deana Stouts compensation is for services provided as CFO to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. SCHEDULE J, PART I, LINE 4A Martin Binstocks Other reportable compensation in Part II, Column (B) (iii) includes $187,050 representing severance payments received by Mr. Binstock.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
WEBBMASON
SEE PART V$136,039MARKETING STRATEGIES SERVICESfalse
Whiting-Turner Contracting Company
SEE PART V$8,594,850MARKETING STRATEGIES SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV The following were substantial contributors (in excess of $5,000) that also provided services to MedStar Good Samaritan valued in excess of $100,000: Whiting-Turner Contracting Company and WebbMason. Per MedStars conflict of interest policy, these transactions are at arms-length for fair market value.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION MEMBERSPART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION.
DESCRIPTION OF MEMBERSPART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC.
DECISIONS OF GOVERNING BODYPART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, 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 990PART VI, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST POLICYPART 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).
DESCRIPTION OF EXECUTIVE COMPENSATION PROCESSPART 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 AVAILABILITYPART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES.
FINANCIAL STATEMENTS AND REPORTINGPART XII, LINE 2C THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD.
OTHER CHANGES IN NET ASSETSPART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.....................$ 23,639,019 O'NEILL EQUITY....................................$ 2,517,623 ------------- TOTAL OTHER CHANGES IN NET ASSETS.................$ 26,156,642

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDSTAR HEALTH ANESTHESIA SERVICES A LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 LOCH RAVEN BLVDAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
EIN205909017EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Total Income$92,594TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Church Home Corporation
10980 GRANTCHESTER WAYColumbiaMD21044237374724Medical FundMD501(C)(3)PFNAYes (true)
Franklin Square Hospital Center Inc
9000 Franklin Square DriveBaltimoreMD21237520608007HospitalMD501(C)(3)3NAYes (true)
Harbor Hospital Inc
3001 South Hanover StreetBaltimoreMD21225520491660HospitalMD501(C)(3)3NAYes (true)
Medstar Health Inc
10980 GRANTCHESTER WAYColumbiaMD21044522087445Medical SvcsMD501(C)(3)12C IIINAfalse
Montgomery General Hospital
18101 Prince Philip DriveOlneyMD20832520646893HospitalMD501(C)(3)3NAYes (true)
The Union Memorial Hospital
201 East University ParkwayBaltimoreMD21218520591685HospitalMD501(C)(3)3NAYes (true)
Medstar health Research Institute
108 Irving Street NWWashingtonDC20010526056274HospitalDC501(C)(3)4NAYes (true)
The Medstar-Georgetown Medical Center I
Hopsital Admin 1 Main BldgWashingtonDC20007522218584HospitalDC501(C)(3)3NAYes (true)
Washington Hospital Center Corporation
110 Irving Street NWWashingtonDC20010521272129HospitalDC501(C)(3)3NAYes (true)
HH Medstar Health Inc
10980 GRANTCHESTER WAYColumbiaMD21044521542230Medical SvcsMD501(C)(3)12C IIINAYes (true)
MEDSTAR AMBULATORY SERVICES INC
10980 GRANTCHESTER WAYColumbiaMD21044521132992ADMIN SVCSMD501(C)(3)12C IIINAYes (true)
Bay Life Services Inc
10980 GRANTCHESTER WAYColumbiaMD21044521496539Mental HealthMD501(C)(3)10NAYes (true)
MedStar Surgery Center Inc
4061 Powdermill Road Suite 210CalvertonMD20705521061679Medical SvcsMD501(C)(3)10NAYes (true)
Church Home and Hospital of the City of
10980 GRANTCHESTER WAYColumbiaMD21044520591600medical fundMD501(C)(3)12A INAYes (true)
Good Samaritan Nursing Center Inc
5601 Loch Raven BlvdBaltimoreMD21239521672866Medical SvcsMD501(C)(3)10NAYes (true)
GS Housing Inc
5601 Loch Raven BlvdBaltimoreMD21239521481656Elder HousingMD501(C)(3)10NAYes (true)
GS Properties Inc
5601 Loch Raven BlvdBaltimoreMD21239521429853Admin SvcsMD501(C)(3)12a INAYes (true)
Medstar Health Infusion Inc
4061 Powdermill Road Suite 210CalvertonMD20705521980510Medical SvcsMD501(C)(3)10NAYes (true)
Medstar Health Visiting Nurses Associati
4061 Powdermill RoadCalvertonMD20705530196597Medical SvcsMD501(C)(3)10NAYes (true)
Medstar VNA Healthcare
4061 Powdermill Road Suite 210CalvertonMD20705521458516Medical SvcsMD501(C)(3)10NAYes (true)
MGH Community Health Inc
18101 Prince Philip DriveOlneyMD20832521372467Medical SvcsMD501(C)(3)10NAYes (true)
MGH Health Services Inc
18101 Prince Philip DriveOlneyMD20832521366812FoundationMD501(C)(3)12B IINAYes (true)
MGH Women's Board
18101 Prince Philip DriveOlneyMD20832526039600FoundationMD501(C)(3)12C IIINAYes (true)
National Rehabilitation Hospital
102 Irving Street NWWashingtonDC20010521369749HospitalDC501(C)(3)3NAYes (true)
NRH REGIONAL REHAB at Olney Inc
18101 Prince Philip DriveOlneyMD20832522310902Medical SvcsMD501(C)(3)3NAYes (true)
Suburban NRH Medical Rehabilitation I
102 Irving Street NWWashingtonDC20010521931151Medical SvcsDC501(C)(3)3NAYes (true)
The Thomas O'Neil Catholic Health Care F
5601 Loch Raven BlvdBaltimoreMD21239521104382FoundationMD501(C)(3)12D IIINAYes (true)
VNA Inc
4061 POWDERMILL ROAD SUITE 21CALVERTONMD20705521332411ADMIN SVCSMD501(C)(3)12A InaYes (true)
Woodbourne Woods Inc
5601 Loch Raven BlvdBaltimoreMD21239522299070ELDER HOUSINGDC501(C)(3)10NAYes (true)
Hospice of St Mary's Inc
PB Box 527LeonardtownMD20650522153926SUPPORT ORGMD501(C)(3)12A INAYes (true)
St Mary's Hospital of St Mary's County
25500 POINT LOOKOUT ROADLEONARDTOWNMD20650520619006HOSPITALMD501(C)(3)3NAYes (true)
MEDSTAR SOUTHERN MD HOSPITAL CENTER
7503 SURRATTS ROADCLINTONMD20735460726303HOSPITALMD501(C)(3)3NAYes (true)
MEDSTAR HEALTH INC & AFFILIATES MASTER
10980 GRANTCHESTER WAYCOLUMBIAMD21044467454613RETIREMENT TRMD501(a)N/ANAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
MEDSTAR SHAH MSO LLC
10980 GRANTCHESTER WAYCOLUMBIAMD21044462700536MGMT SVCSMDNAN/A
22590 SHADY COURT LLC
22590 SHADY COURTCALIFORNIAMD20619REAL ESTATEMDNAN/A
24035 THREE NOTCH ROAD LLC
24035 THREE NOTCH ROAD LLCHOLLYWOODMD20636REAL ESTATEMDNAN/A
37767 MARKET DRIVE LLC
37767 MARKET DRIVE LLCCHARLOTTE HALLMD20622REAL ESTATEMDNAN/A
26840 POINT LOOKOUT ROAD LLC
26840 POINT LOOKOUT ROADLEONARDTOWNMD20650REAL ESTATEMDNAN/A
MONTGOMERY COMMUNITY MAGNETIC RESONANCE
4110 ASPEN HILL ROAD SUITE 200ROCKVILLEMD20853521534253MRI SCREENINGMDNAN/A
PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC
4714 GETTYSBURG ROADMECHANICSBURGPA17055522212036PHYSIOTHERAPYPANAN/A
FRANKLIN SQUARE MEDICAL CENTERMERIDIAN
101 EAST STATE STREETKENNETT SQUAREPA19348521734591NURSING HOMEPANAN/A
PHYSICIAN IMAGING OF WASHINGTON
840 CRESCENT CENTRE DR STE 200FRANKLINTN37067562616090RADIOLOGY SVCTNNAN/A
FRANKLIN IMAGING LLC
7253 AMBASSADOR RDBALTIMOREMD21244521588688IMAGINGMDNAN/A
MedStar HealthSurgcenter Development JV
10980 Grantchester WayColumbiaMD21044821073412SURGERYMDNAN/A
10 St Patrick's Drive LLC
10 St Patricks DriveWaldorfMD20603832261766REAL ESTATEMDNAN/A
MedStar Endoscopy Ctr at Lutherville LL
1300 Bellona AveLuthervilleMD21093823193901SURGERYMDNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
MedStar Pharmacies Inc
10980 GRANTCHESTER WAYColumbiaMD21044521513056Drug SalesMDNAC Corp
ExtenCare Inc
10980 GRANTCHESTER WAYColumbiaMD21044521556228MEDICAL SVCSMDNAC Corp
Helix Resources Management Inc
10980 GRANTCHESTER WAYColumbiaMD21044521913070Admin SVCSMDNAC Corp
HelixCare Medical Group LLC
10980 GRANTCHESTER WAYColumbiaMD21044521955580MEDICAL SVCSMDNAC Corp
HelixCare Properties LLC
10980 GRANTCHESTER WAYColumbiaMD21044521966695MEDICAL SVCSMDNAC Corp
Parkway Ventures Inc
10980 GRANTCHESTER WAYColumbiaMD21044521893569Holding Co.MDNAC Corp
Physicians Administrative Services Inc
10980 GRANTCHESTER WAYColumbiaMD21044237042074BILLING SVCSMDNAC Corp
MedStar Family Choice Inc
10980 GRANTCHESTER WAYColumbiaMD21044521995521Managed CareMDNAC Corp
Medstar Enterprises Inc
4061 Powdermill Road Suite 210CalvertonMD20705522139841Admin ServiceMDNAC Corp
SITEL INC
10980 GRANTCHESTER WAYCOLUMBIAMD21044900753340EDUCATIONALMDNAC Corp
Star Billing Inc
4061 Powdermill Road Suite 210CalvertonMD20705521850113BILLING SVCSMDNAC Corp
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210CalvertonMD20705522132677MEDICAL SVCSMDNAC Corp
Washington Hospital Center Physician Hos
100 Irving Street NWWashingtonDC20010521931000MEDICAL SVCSMDNAC Corp
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210CalvertonMD20705522030809MEDICAL SVCSMDNAC Corp
Franklin Square Drive Land Condo Associa
10980 GRANTCHESTER WAYColumbiaMD21044760756352CONDOMINIUMSMDNAC Corp
MGH Diversified Services Inc
18101 Prince Philip DriveOlneyMD20832521943602MEDICAL SCVSMDNAC Corp
St Mary's Health Alliance Inc
25500 Point Lookout RoadLeonardtownMD20650521930331MEDICAL SCVSMDNAC Corp
Greenspring Financial Insurance Limited
980188617InsuranceNAC Corp23 LIME TREE BAY AVENUE PO BOX 1051KYCJKY1-1102CJ
ST MARY'S CONDO ASSOCIATION
25500 POINT LOOKOUT RDLEONARDTOWNMD20650273377216CONDOMINIUMSMDNAC CORP
MEDSTAR HEALTH MASTER RETIREMENT TRUST I
981371657INVESTMENTSNAC CORP103 SOUTH CHURCH STGRAND CAYMANCJKY1-1002CJ
MEDSTAR HEALTH INC - INVESTMENT FUND I
981310273INVESTMENTSNAC CORP103 SOUTH CHURCH STGRAND CAYMANCJKY1-1002CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FRANKLIN SQUARE HOSPITAL CENTER INC
Q$3,582,411FMV
THOMAS O'NEILL CATHOLIC HEALTH CARE FUND
C$2,385,000FMV
THOMAS O'NEILL CATHOLIC HEALTH CARE FUND
S$1,900,000FMV