MEDSTAR HEALTH INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MEDSTAR HEALTH INC (EIN 52-2087445)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-13
IRS object ID: 202041959349300009
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-13T07:14:01-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8350 Broad Street Suite 900	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	522087445	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Medstar Health Inc	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10980 GRANTCHESTER WAY	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21044	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Person Title	VP/Treasurer	PersonTitleTxt
Phone	4107726721	PhoneNum
Signature	2020-07-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JG WHITE	PreparerPersonNm
PTIN	P01498698	PTIN
Phone	7032868000	PhoneNum
Preparation	2020-06-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
Federal Original Submission Id	54028020201955000001	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	2AF01D0DA837293D70C1EC03EC0713F2596E91D3	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EB2737A96B8F377BD085BED9F3BA68158C374A96	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KENNETH A SAMET	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10980 GRANTCHESTER WAY	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21044	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$301,686,539	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MEDSTARHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1153	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$132,166	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$115,725	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$505,991	PYContributionsGrantsAmt
CY Contributions Grants	$1,540,791	CYContributionsGrantsAmt
PY Program Service Revenue	$238,479,603	PYProgramServiceRevenueAmt
CY Program Service Revenue	$248,199,565	CYProgramServiceRevenueAmt
PY Investment Income	$51,728,720	PYInvestmentIncomeAmt
CY Investment Income	$38,517,800	CYInvestmentIncomeAmt
PY Other Revenue	$1,909,979	PYOtherRevenueAmt
CY Other Revenue	$13,428,383	CYOtherRevenueAmt
PY Total Revenue	$292,624,293	PYTotalRevenueAmt
CY Total Revenue	$301,686,539	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,710,804	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$12,913,515	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$147,089,860	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$172,409,033	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,963,159	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$2,502,915	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,502,915	CYTotalFundraisingExpenseAmt
PY Other Expenses	$116,574,006	PYOtherExpensesAmt
CY Other Expenses	$73,399,035	CYOtherExpensesAmt
PY Total Expenses	$278,337,829	PYTotalExpensesAmt
CY Total Expenses	$261,224,498	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,286,464	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$40,462,041	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,974,268,762	TotalAssetsBOYAmt
Total Assets EOY	$3,005,315,672	TotalAssetsEOYAmt
Total Liabilities BOY	$2,272,549,412	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,386,838,162	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$701,719,350	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$618,477,510	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$258,721,583	ExpenseAmt
Revenue	$248,199,565	RevenueAmt
Desc	AS THE PARENT COMPANY IN AN INTEGRATED HEALTHCARE SYSTEM, MEDSTAR HEALTH, INC. ESTABLISHES THE STRATEGIC DIRECTION FOR ITS AFFILIATED ENTITIES. MEDSTAR HEALTHS SOLE PROGRAM SERVICE IS THE MANAGEMENT AND SUPPORT OF ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE FUNCTIONS IN THE FOLLOWING AREAS: QUALITY AND SAFETY, FINANCIAL SERVICES, HUMAN RESOURCE SERVICES, TREASURY SERVICES, INFORMATION SYSTEMS, LEGAL SERVICES, RISK MANAGEMENT, COMPLIANCE, PRIVACY, BUSINESS AND SYSTEM DEVELOPMENT, PLANNING, MARKETING, EXTERNAL AFFAIRS, PHILANTHROPY SERVICES, MANAGED CARE, INTERNAL AUDIT, COMMUNITY HEALTH, GRADUATE MEDICAL EDUCATION, AND ACADEMIC AFFAIRS.	Desc
Total Program Service Expenses	$258,721,583	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (true)	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	2355	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1153	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Phone	4107726721	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10980 GRANTCHESTER WAY	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21044	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERTA LOKER
DIRECTOR (UNTIL 10/18)	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM R ROBERTS
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MARC N DUBER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MARK JENSEN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM J OETGEN JR MD
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
ANTHONY J BUZZELLI
Vice Chair	1.0	0.0	Yes (X)	$0	$0	$0
JOHN J DEGIOIA PHD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
KENNETH A SAMET
CEO AND PRESIDENT	40.0	0.0	Yes (X)	$6,910,499	$0	$87,839	Yes (X)
WILLIAM COUPER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ROSIE ALLEN-HERRING
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHRISTOPHER G KALHORN MD
DIRECTOR	1.0	39.0	Yes (X)	$0	$695,349	$38,650
VINCENT J MARTORANA DPM
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ALLEN J TAYLOR MD
DIRECTOR	1.0	39.0	Yes (X)	$0	$639,660	$9,763
James A DOrta MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Robert Ourisman
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
EBEN D FINNEY III
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Leigh Ann Curl MD
Director (As of 11/18)	1.0	39.0	Yes (X)	$0	$1,150,498	$30,218
Thomas P Joyce Jr
Director (As of 11/18)	1.0	0.0	Yes (X)	$0	$0	$0
Gregory S Proctor
DIRECTOR (As of 11/18)	1.0	0.0	Yes (X)	$0	$0	$0
OLIVER M JOHNSON
EVP	40.0	0.0		$1,375,882	$0	$45,038	Yes (X)
SUSAN NELSON
EVP & CFO	40.0	0.0		$1,419,868	$0	$42,003	Yes (X)
MICHAEL J CURRAN
EVP & CAO	40.0	0.0		$3,744,887	$0	$55,996		Yes (X)
STEPHEN EVANS
EVP	40.0	0.0		$1,984,186	$0	$63,783		Yes (X)
JOY Drass-Maxwell
EVP	40.0	0.0		$2,800,646	$0	$67,709		Yes (X)
ERIC WAGNER
EVP	40.0	0.0		$1,709,104	$0	$69,496		Yes (X)
MAUREEN MCCAUSLAND
SVP	40.0	0.0		$793,772	$0	$39,187		Yes (X)
MARK SMITH
VP	40.0	0.0		$888,218	$0	$39,684			Yes (X)
DAVID MAYER
EVP	40.0	0.0		$848,876	$0	$32,583			Yes (X)
Jeffrey Matton
SVP	40.0	0.0		$1,117,691	$0	$53,751			Yes (X)
Loretta Walker
SVP	40.0	0.0		$1,024,954	$0	$29,643			Yes (X)
Debra Kuchka-Craig
SVP	40.0	0.0		$778,045	$0	$42,745			Yes (X)
CARL SCHINDELAR
Former EVP	0.0	0.0		$338,063	$0	$0				Yes (X)
DAVID NOE
FORMER EVP	0.0	0.0		$1,103,551	$0	$635				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$26,838,242	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,485,507	TotReportableCompRltdOrgAmt
Total Other Compensation	$748,723	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	318	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CBRE INC
1700 MACARTHUR BLVD	MAHWAH	NJ	07430	FACILITIES MGMT	$28,331,662
CROTHALL SVCS GROUP
230 S BROAD ST STE 425	PHILADELPHIA	PA	19102	ENVIRONMENTAL SCVS	$17,659,048
CERASOLI STAFFORD MEDIA MGMT
2251 SAN DIEGO AVENUE SUITE A130c	SAN DIEGO	CA	92110	Professional service	$3,416,744
ERNST YOUNG
PO BOX 933515	ATLANTA	GA	311933515	Professional Service	$3,232,503
KPMG LLP
8350 BROAD STREET STE 900	MCLEAN	VA	22102	PROFESSIONAL SERVICE	$2,014,767

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	118	CntrctRcvdGreaterThan100KCnt
Government Grants	$98,310	GovernmentGrantsAmt
All Other Contributions	$1,442,481	AllOtherContributionsAmt
Noncash Contributions	$5,044	NoncashContributionsAmt
Total Contributions	$1,540,791	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GREENSPRING FEE	900099	$223,387,757	$223,387,757
OTHER MANAGEMENT FEES	900099	$17,353,992	$17,353,992
OTHER HEALTH REVENUE	900099	$7,457,816	$7,457,816

Field	Value	IRS element (for citing)
Total Program Service Revenue	$248,199,565	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,185,470	TotalRevenueColumnAmt
Unrelated Business Revenue	$132,166	UnrelatedBusinessRevenueAmt
Exclusion	$27,053,304	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,332,330	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,332,330	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,332,330	TotalRevenueColumnAmt
Exclusion	$11,332,330	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
REBATE INCOME	900099	$2,555,178	$2,555,178
OTHER INCOME/LOSS	900099	$10,873,205	$10,873,205

Field	Value	IRS element (for citing)
Other Revenue Total	$13,428,383	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$301,686,539	TotalRevenueColumnAmt
Related Or Exempt Func Income	$248,199,565	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$132,166	UnrelatedBusinessRevenueAmt
Exclusion	$51,814,017	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$12,913,515	TotalAmt
Program Services	$12,913,515	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$21,209,895	TotalAmt
Program Services	$21,209,895	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$338,063	TotalAmt
Program Services	$338,063	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$126,689,306	TotalAmt
Program Services	$126,689,306	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,201,026	TotalAmt
Program Services	$2,201,026	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,223,638	TotalAmt
Program Services	$16,223,638	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,747,105	TotalAmt
Program Services	$5,747,105	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$107	TotalAmt
Program Services	$107	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,541,424	TotalAmt
Program Services	$5,541,424	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,108,725	TotalAmt
Program Services	$2,108,725	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$112,390	TotalAmt
Program Services	$112,390	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$2,502,915	TotalAmt
Fundraising	$2,502,915	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,185,129	TotalAmt
Program Services	$3,185,129	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,208,873	TotalAmt
Program Services	$36,208,873	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$14,239,323	TotalAmt
Program Services	$14,239,323	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,774,141	TotalAmt
Program Services	$8,774,141	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	-$2,096	TotalAmt
Program Services	-$2,096	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,896,309	TotalAmt
Program Services	$6,896,309	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,612,969	TotalAmt
Program Services	$1,612,969	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$279,088	TotalAmt
Program Services	$279,088	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,002,701	TotalAmt
Program Services	$2,002,701	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,949,732	TotalAmt
Program Services	$5,949,732	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$81,200	TotalAmt
Program Services	$81,200	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MAINTENANCE	$1,729,725	$1,729,725
MED / SURG SUPPLIES	$2,220,557	$2,220,557
UTILITIES	$423,309	$423,309
FOOD SERVICES/SUPPLIES	$513,173	$513,173

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$18,477,744	TotalAmt
Program Services	-$18,477,744	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$261,224,498	TotalAmt
Program Services	$258,721,583	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$2,502,915	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$476,720,851	BOYAmt
EOY	$359,939,354	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$162,206,893	BOYAmt
EOY	$188,200,814	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,327,207	BOYAmt
EOY	$16,066,667	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$182,117	BOYAmt
EOY	$161,127	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,281,502	BOYAmt
EOY	$2,492,346	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$51,385,634	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,598,601	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$27,226,383	BOYAmt
EOY	$30,787,033	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,597,325,758	BOYAmt
EOY	$1,726,868,363	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$266,595,319	BOYAmt
EOY	$275,503,787	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$428,402,732	BOYAmt
EOY	$405,296,181	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,974,268,762	BOYAmt
EOY	$3,005,315,672	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$249,361,118	BOYAmt
EOY	$304,843,458	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$372,147	BOYAmt
EOY	$785,074	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,538,343,948	BOYAmt
EOY	$1,484,506,973	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$130,588,825	BOYAmt
EOY	$151,138,825	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$353,883,374	BOYAmt
EOY	$445,563,832	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,272,549,412	BOYAmt
EOY	$2,386,838,162	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$698,732,821	BOYAmt
EOY	$617,049,893	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,986,529	BOYAmt
EOY	$1,427,617	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$701,719,350	BOYAmt
EOY	$618,477,510	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,974,268,762	BOYAmt
EOY	$3,005,315,672	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$40,462,041	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,538,222	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$133,242,103	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	23	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (23 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
GEORGETOWN UNIVERSITY
530196603	2	Yes (true)	$12,913,515	$0
BAY LIFE SERVICES INC
521496539	10	Yes (true)	$0	$0
FRANKLIN SQUARE HOSPITAL CENTER INC
520608007	3	Yes (true)	$0	$0
GOOD SAMARITAN NURSING CENTER INC
521672866	10	Yes (true)	$0	$0
GS HOUSING INC
521481656	10	Yes (true)	$0	$0
HARBOR HOSPITAL INC
520491660	3	Yes (true)	$0	$0
THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC
522218584	3	Yes (true)	$0	$0
MEDSTAR HEALTH INFUSION INC
521980510	10	Yes (true)	$0	$0
MEDSTAR HEALTH RESEARCH INSTITUTE INC
526056274	4	Yes (true)	$0	$0
MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC
530196597	10	Yes (true)	$0	$0
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC
460726303	3	Yes (true)	$0	$0
MEDSTAR SURGERY CENTER INC
521061679	10	Yes (true)	$0	$0
MEDSTAR VNA HEALTHCARE INC
521458516	10	Yes (true)	$0	$0
MGH COMMUNITY HEALTH INC
521372467	10	Yes (true)	$0	$0
MONTGOMERY GENERAL HOSPITAL INC
520646893	3	Yes (true)	$0	$0
NATIONAL REHABILITATION HOSPITAL INC
521369749	3	Yes (true)	$0	$0
NRH REGIONAL REHAB AT OLNEY INC
522310902	3	Yes (true)	$0	$0
ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC
520619006	3	Yes (true)	$0	$0
SUBURBANNRH MEDICAL REHABILITATION INC
521931151	3	Yes (true)	$0	$0
THE UNION MEMORIAL HOSPITAL
520591685	3	Yes (true)	$0	$0
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC
520591607	3	Yes (true)	$0	$0
WASHINGTON HOSPITAL CENTER CORPORATION
521272129	3	Yes (true)	$0	$0
WOODBOURNE WOODS INC
522299070	10	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	23	SupportedOrganizationsTotalCnt
Support Sum	$12,913,515	SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (true)	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART I, LINE 12G	AMOUNT OF SUPPORT SUPPORT IS PROVIDED TO MEDSTAR HEALTH, INC.'S SUPPORTED ORGANIZATIONS IN THE FORM OF EQUITY TRANSFERS. DUE TO THE FREQUENCY OF THESE TRANSFERS AND THE LARGE NUMBER OF SUPPORTED ORGANIZATIONS THAT MEDSTAR HEALTH, INC. SUPPORTS, THE TOTAL EQUITY TRANSFERS LISTED ON SCHEDULE O, PART XI, LINE 9 HAVE NOT BEEN BROKEN OUT FOR EACH SUPPORTED ORGANIZATION. OTHER SUPPORT THE EXPENSES INCURRED BY MEDSTAR HEALTH, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION A, LINE 5A GEORGETOWN UNIVERSITY (EIN: 53-0196603) WAS ADDED AS A SUPPORTED ORGANIZATION OF MEDSTAR HEALTH, INC. FOR THE YEAR ENDED JUNE 30, 2019. GEORGETOWN UNIVERSITY ("GU") BECAME A SUPPORTED ORGANIZATION SO THAT MEDSTAR HEALTH COULD PROVIDE SUPPORT TO GU AS PART OF THE MEDSTAR HEALTH STRATEGIC AFFILIATION BETWEEN THE MEDSTAR-GEORGETOWN MEDICAL CENTER AND GU. TO ACCOMPLISH THIS CHANGE, GU WAS ADDED TO MEDSTAR HEALTH INC.'S ARTICLES OF INCORPORATION AS A SUPPORTED ORGANIZATION UNDER EXHIBIT 1 PRIOR TO JUNE 30, 2019.
SCHEDULE A, PART IV, SECTION D, LINE 3	THE OFFICERS/DIRECTORS OF THE SUPPORTED ORGANIZATIONS HAVE A CLOSE AND CONTINUOUS RELATIONSHIP WITH MEDSTAR HEALTH, INC., AND THUS A SIGNIFICANT VOICE. KEN SAMET, THE PRESIDENT/CEO OF MEDSTAR HEALTH, INC., SERVES ON THE BOARD OF DIRECTORS OF MANY OF MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS. BECAUSE OF THIS, THE SUPPORTED ORGANIZATIONS ARE ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF MEDSTAR HEALTH AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS.
SCHEDULE A, PART IV, SECTION E, LINE 3A	MEDSTAR HEALTH, INC. HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS OR DIRECTORS OF EACH OF ITS SUPPORTED ORGANIZATIONS. MEDSTAR HEALTH, INC. IS THE SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS, WITH THE EXCEPTION OF GEORGETOWN UNIVERSITY. ONE OF ITS SUPPORTED ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE SUPPORTED ORGANIZATION'S GOVERNING BODY, BUT ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE BOARD OF MEDSTAR HEALTH, INC.
SCHEDULE A, PART IV, SECTION E, LINE 3B	AS A PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM, MEDSTAR HEALTH, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. THE BYLAWS OF THESE SUPPORTED ORGANIZATIONS 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.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$817,144	OtherActivitiesAmt
Total Lobbying Expenditures	$817,144	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Other Activities	FormAndLineReferenceDesc
Explanation	THE EXPENSES INCURRED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES REFLECTS THE TOTAL EXPENDITURES FOR LOBBYING EFFORTS ON BEHALF OF SUBSTANTIALLY ALL SUBSIDIARIES AND AFFILIATES. THESE EXPENSES INCLUDED A PORTION OF THE COMPENSATION EXPENSE FOR SEVERAL EMPLOYEES IN THE GOVERNMENT AFFAIRS DEPARTMENT OF THE ORGANIZATION WHO ARE INVOLVED IN LOBBYING ACTIVITIES AS WELL AS THE AMOUNTS PAID TO OUTSIDE ADVOCACY AND CONSULTING GROUPS FOR THEIR LOBBYING ACTIVITIES ON BEHALF OF THE ORGANIZATION. THE LOBBYING WORK RELATED TO HEALTHCARE POLICY ISSUES AT THE FEDERAL LEVEL AS WELL AS WORK IN MARYLAND AND THE DISTRICT OF COLUMBIA. AMONG THE POLICY ISSUES ENCOMPASSED BY THE ORGANIZATION'S LOBBYING EFFORTS WERE HEALTH CARE COVERAGE FOR THE UNINSURED AND UNDER-INSURED, EMERGENCY PREPAREDNESS, REIMBURSEMENT POLICIES, EMPLOYMENT PRACTICES, HEALTH REFORM, AND OTHER KEY ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,164,963	OtherCostOrOtherBasisAmt
Book Value	$1,164,963	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,056,791	OtherCostOrOtherBasisAmt
Depreciation	$525,404	DepreciationAmt
Book Value	$531,387	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,983,650	OtherCostOrOtherBasisAmt
Depreciation	$4,611,826	DepreciationAmt
Book Value	$13,371,824	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,293,088	OtherCostOrOtherBasisAmt
Depreciation	$14,983,380	DepreciationAmt
Book Value	$7,309,708	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,887,142	OtherCostOrOtherBasisAmt
Depreciation	$477,991	DepreciationAmt
Book Value	$8,409,151	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$30,787,033	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PNC POOL AND OTHER UNR. FUNDS	$1,198,011,822	F
INVESTMENT IN AFFILIATES	$446,876,367	F
BOARD DESIGNATED/OTHER RESTR.	$81,980,174	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,726,868,363	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DEBT SERVICE L/T	$315,919,136
DEFERRED COMPENSATION ASSET	$73,884,011
OPTION IT ASSET	$7,499,521
CASH SURRENDER VALUE - INS	$1,285,937
OTHER ASSETS	$2,900,887
ESCROW/LT DEPOSITS	$2,806,689
WORKERS COMP FUNDS	$1,000,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$405,296,181	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PENSION LIABILITY L/T	$200,112,693
GU 2017 APA LT LIABILITY	$111,691,726
DEFERRED COMPENSATION	$82,084,690
INTERCOMPANY PAYABLES	$19,373,522
PROFESSIONAL LIAB. IBNR	$15,511,351
L/T LIABILITY - SWAP	$6,989,923
STOCK OPTION PLAN	$6,766,561
OTHER LIABILITIES	$3,033,366

Field	Value	IRS element (for citing)
Total Liability	$445,563,832	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48 FOOTNOTE	FormAndLineReferenceDesc
Explanation	SCHEDULE D, PART X INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2019.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$243,124,512	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$243,124,512	SubtotalSpentAmt
Total Spent	$243,124,512	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Retained By ContractorRetainedByContractorAmt	Gross ReceiptsGrossReceiptsAmt
Diffstrat Companies Inc
3349 Southgate Court SW	Cedar Rapids	DE	52404	EDUCATIONAL CONSULTANT	false	$638,175
Leonardtown Grants LLC
21390 Little Saint Annes Lane	Leonardtown	MD	20650	GRANTS CONSULTANT	false	$519,500	$11,865,000
Gobel Group Communications LLC
200 Old Forge Lane Suite 202	Kennett Square	PA	19348	CONSULTING	false	$326,119
McAllister Quinn LLC
1030 15th Street NW Suite 590 West	Washington	DC	20005	GRANTS CONSULTANT	false	$219,030	$517,000
Thompson Associates
112 Westwood Place Suite 250	Brentwood	TN	37027	ESTATE PLNG CONSULTANT	false	$198,000
Bob Carter Companies LLC
400 Madison Drive Suite 204	Sarasota	FL	34236	CONSULTING	false	$75,002
Chris Stacey
4507 Q Street NW	Washington	DC	20007	CONSULTING	false	$72,800
Chesapeake Medical Communications L
5708 Willowton Avenue	Baltimore	MD	21239	GRANTS CONSULTANT	false	$44,531	$1,750,000
Di Vito Consulting
PO Box 57996	Sherman Oak	CA	91413	Consulting	false	$41,400
Echo Communicate Inc ECHO EFFECT LL
6100 Seaforth Stree	Baltimore	MD	21224	DIR. MAIL CONSULTANT	false	$36,522	$243,920

Field	Value	IRS element (for citing)
Total Gross Receipts	$14,375,920	TotalGrossReceiptsAmt
Total Retained By Contractors	$2,171,079	TotalRetainedByContractorsAmt
Licensed States	MD	LicensedStatesCd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART I	FormAndLineReferenceDesc
Explanation	THE PROFESSIONAL FUNDRAISING EXPENSES INCURRED AT MEDSTAR HEALTH, INC. ARE FOR THE USE AND BENEFIT OF EACH HOSPITAL AND FOUNDATION IN THE MEDSTAR SYSTEM.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEORGETOWN UNIVERSITY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	37TH AND O STREETS NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20057	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	530196603	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$12,913,515	CashGrantAmt
Purpose Of Grant	Supporting the School of Medicine	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	Our grant monitoring procedure brings together all key personnel involved in the grant at the onset of the award to discuss management, responsibilities, budgets, and reporting. This initial meeting is documented and disbursed to all involved. The actual grant monitoring is done by the hospital department implementing the grant. MedStar Corporate's Grants and Philanthropy Department ensures that each grant has a cost center and/or grant account set up based on the terms of the grant award. MedStar Corporate's Grants and Philanthropy Department also tracks and reminds hospital departments when progress reports are due througout the life of the grant.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH A SAMET
CEO AND PRESIDENT	$1,887,489	$0	$5,002,733	$0	$20,277	$0	$52,149	$0	$35,690	$0	$6,998,338	$0	$0	$0
CHRISTOPHER G KALHORN MD
DIRECTOR	$0	$695,274	$0	$0	$0	$75	$0	$16,668	$0	$21,982	$0	$733,999	$0	$0
ALLEN J TAYLOR MD
DIRECTOR	$0	$589,660	$0	$50,000	$0	$0	$0	$8,250	$0	$1,513	$0	$649,423	$0	$0
MICHAEL J CURRAN
EVP & CAO	$1,233,051	$0	$2,511,836	$0	$0	$0	$15,186	$0	$40,810	$0	$3,800,883	$0	$0	$0
STEPHEN EVANS
EVP	$902,374	$0	$1,081,812	$0	$0	$0	$17,599	$0	$46,184	$0	$2,047,969	$0	$0	$0
JOY Drass-Maxwell
EVP	$1,267,090	$0	$1,533,556	$0	$0	$0	$32,278	$0	$35,431	$0	$2,868,355	$0	$0	$0
CARL SCHINDELAR
Former EVP	$0	$0	$0	$0	$338,063	$0	$0	$0	$0	$0	$338,063	$0	$0	$0
OLIVER M JOHNSON
EVP	$638,424	$0	$737,458	$0	$0	$0	$8,250	$0	$36,788	$0	$1,420,920	$0	$0	$0
ERIC WAGNER
EVP	$845,754	$0	$863,350	$0	$0	$0	$28,588	$0	$40,908	$0	$1,778,600	$0	$0	$0
DAVID NOE
FORMER EVP	$8,288	$0	$103,079	$0	$992,184	$0	$0	$0	$635	$0	$1,104,186	$0	$0	$0
MARK SMITH
VP	$778,548	$0	$109,670	$0	$0	$0	$28,677	$0	$11,007	$0	$927,902	$0	$0	$0
SUSAN NELSON
EVP & CFO	$677,220	$0	$742,648	$0	$0	$0	$8,250	$0	$33,753	$0	$1,461,871	$0	$0	$0
MAUREEN MCCAUSLAND
SVP	$422,868	$0	$370,904	$0	$0	$0	$8,250	$0	$30,937	$0	$832,959	$0	$0	$0
DAVID MAYER
EVP	$483,575	$0	$365,301	$0	$0	$0	$0	$0	$32,583	$0	$881,459	$0	$0	$0
Jeffrey Matton
SVP	$562,364	$0	$555,327	$0	$0	$0	$18,313	$0	$35,438	$0	$1,171,442	$0	$0	$0
Loretta Walker
SVP	$585,052	$0	$439,902	$0	$0	$0	$3,440	$0	$26,203	$0	$1,054,597	$0	$0	$0
Leigh Ann Curl MD
Director (As of 11/18)	$0	$1,150,498	$0	$0	$0	$0	$0	$8,250	$0	$21,968	$0	$1,180,716	$0	$0
Debra Kuchka-Craig
SVP	$402,294	$0	$375,751	$0	$0	$0	$20,150	$0	$22,595	$0	$820,790	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1	SOCIAL CLUB DUES THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS AND TWO OF ITS KEY EMPLOYEES DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICERS WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. FOR THESE INDIVIDUALS, MEDSTAR HEALTH PROVIDED THEM A GROSSED-UP ANNUAL EXECUTIVE BENEFIT ALLOCATION FOR SOCIAL CLUB DUES.
SCHEDULE J, PART I, LINE 4A	David Noes Other reportable compensation in Part II, Column (B) (iii) includes $422,688 representing severance payments received by Mr. Noe.
SCHEDULE J, PART III	Mssrs. Samet and Curran's compensation in Part II, Column (B) includes $1,950,307 and $986,203 respectively, 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
District of Columbia
A	536001131	2548393Y7	2008-05-15	$283,137,426	District of Columbia	Yes (true)	false	false
MD HIGHER EDUCATIONAL FACILITIES AUTH
B	520936091	574218DY6	2011-11-17	$47,805,502	CURRENT REFUND BANK DEBT	false	false	false
MD HIGHER EDUCATIONAL FACILITIES AUTH
C	520936091	571518DV2	2011-11-17	$15,007,204	ADVANCE REFUND BOND ISSUED 2002	false	false	false
MD HIGHER EDUCATIONAL FACILITIES AUTH
D	520936091	574218DY6	2011-11-17	$15,206,131	CURRENT REFUND BOND ISSUED 2009	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$63,000,000	$111,800,000	$283,137,423	$0	$0	$283,137,423	$0	$0	$0	$0	$0	$0	1998	Yes (true)	false	Yes (true)	Yes (true)
B	$8,520,000	$0	$47,805,502	$0	$0	$47,171,175	$634,328	$0	$0	$0	$0	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
C	$7,910,000	$0	$15,007,304	$0	$0	$14,826,474	$180,830	$0	$0	$0	$0	$0	2003	false	Yes (true)	Yes (true)	Yes (true)
D	$2,010,000	$0	$15,206,131	$0	$0	$15,003,890	$202,240	$0	$0	$0	$0	$0	2010	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0
B	0.01940	false	Yes (true)	Yes (true)	Yes (true)	false	0.01940	false	false	false	Yes (true)
C	0
D	0.01940	false	false	false		false	0.01940	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 6, Columns A, B, C, & D (Set 1):	Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds.
Part IV, Line 2C, Columns B, C, & D (Set 1):	Rebate computations as of August 6, 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MD HIGHER EDUCATIONAL FACILITIES AUTH
A	520936091	999999999	2012-06-27	$38,620,000	CURRENT REFUND BOND ISSUED 1998	false	false	false
MD HIGHER EDUCATIONAL FACILITIES AUTH
B	520936091	574128NS8	2013-03-21	$75,951,460	HOSPITAL CAPITAL EXPENDITURES	false	false	false
MD HIGHER EDUCATIONAL FACILITIES AUTH
C	520936091	574218NU2	2013-03-21	$52,709,030	CURRENT REFUND BOND ISSUED 1998	false	false	false
MD HIGHER EDUCATIONAL FACILITIES AUTH
D	520936091	574218PJ6	2013-05-21	$159,366,620	ACQUISITION OF SOUTHERN MD HOSP	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,810,000	$0	$38,620,000	$0	$0	$38,620,000	$0	$0	$0	$0	$0	$0	1998	Yes (true)	false	Yes (true)	Yes (true)
B	$5,180,000	$0	$76,180,248	$0	$5,244,775	$0	$934,175	$0	$0	$69,986,735	$0	$0	2017	false	false	Yes (true)	Yes (true)
C	$0	$0	$52,709,030	$0	$0	$52,089,133	$619,896	$0	$0	$0	$0	$0	1998	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$159,366,620	$0	$0	$0	$1,376,620	$0	$0	$157,990,000	$0	$0	2013	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0
B	0.00160	false	false	false	false	0.00160	false	false	false	Yes (true)
C	0
D	0	false	false	false	false		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	No Rebate DueNoRebateDueInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)
0
D	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 6, Columns A and C (Set 2):	Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds.
Part II, Column B (Set 2): Lines 3, 5, and 10:	include proceeds received at closing plus interest income and change in fair market value of the underlying assets, as recorded on annual trust statements.
Part IV, Line 2C, Columns B and C (Set 2):	Rebate computations as of August 6, 2018.
Part IV, Line 2C, Column D (Set 2):	Rebate computations as of August 6, 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MD HIGHER EDUCATIONAL FACILITIES AUTH
A	520936091	574218VB6	2015-02-11	$410,753,755	REFUND BOND ISSUED 98, 04, 07	false	false	false
MD HIGHER EDUCATIONAL FACILITIES AUTH
B	520936091	5742182R3	2017-06-29	$427,566,974	SURG PAVILION AND HOSP EXPENSE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$12,495,000	$0	$410,753,755	$0	$0	$407,902,189	$2,851,566	$0	$0	$0	$0	$0	2010	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$437,194,967	$0	$33,345,337	$0	$3,438,818	$0	$0	$50,823,542	$0	$349,587,251		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00700	0.00700	false	false	false	Yes (true)
B	false	false	false		false	0		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II, Column B (Set 3):	FormAndLineReferenceDesc
Explanation	Lines 3, 5, 10, and 12 include proceeds received at closing plus interest income and change in fair market value of the underlying assets, as recorded on annual trust statements.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Monumental Sports and Entertainment
See Part V	$3,039,821	ENTERTAINMENT SERVICES	false
AMN Healthcare
See Part V	$495,611	STAFFING SERVICES	false
Trion Group
See Part V	$10,969,638	CONSULTING SERVICES	false
CerasoliStafford Media Management
See Part V	$3,328,356	MARKETING STRATEGIES SERVICES	false
Ernst Young LLC
See Part V	$2,224,168	CONSULTING SERVICES	false
Jackson Lewis PC
See Part V	$1,882,653	LEGAL SERVICES	false
Venable LLP
See Part V	$309,624	LEGAL SERVICES	false
KPMG LLP
See Part V	$2,486,898	CONSULTING SERVICES	false
Substantial Contributor
See Part V	$701,313	Employment Services	false
Substantial Contributor
See Part V	$677,435	Employment Services	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Business Transactions Involving Interested Persons	FormAndLineReferenceDesc
Explanation	Schedule L, Part IV THE FOLLOWING WERE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR HEALTH, INC. VALUED IN EXCESS OF $100,000: MONUMENTAL SPORTS AND ENTERTAINMENT, AMN HEALTHCARE, TRION GROUP, CERASOLISTAFFORD MEDIA MANAGEMENT, ERNST & YOUNG, LLC, JACKSON LEWIS P.C., VENABLE, LLP, KPMG LLP, AND TWO SUBSTANTIAL CONTRIBUTORS WHO ARE ALSO EMPLOYEES WERE COMPENSATED IN EXCESS OF $100K. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION	The mission of MedStar Health, Inc. (MedStar), a Maryland non-stock membership corporation, is to serve our patients, those who care for them and our communities. MedStar is the controlling entity of an integrated health services organization (the System) offering a wide variety of healthcare services to residents of Maryland and the Washington, D.C., region (comprising Baltimore City, 11 counties in Maryland, the District of Columbia, and northern Virginia). MedStar Health is the regions largest health system and one of the largest employers in Maryland and Washington, D.C., with approximately 30,000 associates and 4,300 affiliated physicians. Through our hospitals, outpatient facilities, physician organizations, and other health-related organizations, the System offers a broad continuum of healthcare services, including primary care, acute care (secondary, tertiary and quaternary), emergency, trauma and urgent care, adult burn care, rehabilitation (hospital-based and outpatient), post-acute care, ambulatory surgery, home care, health promotion and wellness, and medical research and education. The System operates the largest home health business in the region with approximately 320,500 visits in fiscal year 2019. MedStar Family Choice, a Medicare and Medicaid managed care company covered approximately 91,300 lives as of June 30, 2019. The Systems physician network includes approximately 2,200 employed physicians. The System offers specialized services that include cancer care, cardiac disease treatment (including heart transplantation), hand surgery, minimally invasive surgery, neurosciences, multi-organ transplantation, neonatal intensive care, orthopaedics, shock/trauma, burn care, and stroke care. MedStar Health Research Institute is the research arm for MedStar, providing scientific, administrative, and regulatory support for research programs that complement the key clinical services and teaching programs in all hospitals across the System. MedStar has one of the largest graduate medical education programs in the country, training approximately 1,100 medical residents and fellows annually, and is the medical education and clinical partner of Georgetown University. In fiscal year 2019, MedStar hospitals had approximately 169,300 inpatient admissions and observation cases and approximately 5,065,000 outpatient visits including 478,800 emergency visits. CHANGE TO GOVERNING DOCUMENTS PART VI, LINE 4 AN ADDITIONAL ORGANIZATION WAS ADDED TO MEDSTAR HEALTH'S ARTICLES OF INCORPORATION AS A SUPPORTED ORGANIZATION UNDER EXHIBIT 1. MEDSTAR HEALTH AMENDED ITS ARTICLES PRIOR TO JUNE 30, 2019 TO MAKE THIS ADDITION. PROCESS FOR REVIEWING FORM 990 PART VI, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST	PART VI, LINE 12C APPOINTMENT OF DIRECTORS TO THE MEDSTAR HEALTH, INC. BOARD (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTIONS OR RELATIONSHIPS THAT WOULD CREATE A CONFLICT OF INTEREST PRIOR TO THEIR APPOINTMENT OR ELECTION. EACH DIRECTOR IS ALSO REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE TO DISCLOSE CONFLICTS AND HAS AN AFFIRMATIVE DUTY TO REPORT OBLIGATIONS IF THEY ARISE DURING THE BOARD YEAR. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS WHICH DETERMINES HOW THE CONFLICT 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. IN THE CASE OF DIRECTORS, SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN THE CASE OF OFFICERS AND SENIOR MANAGERS, THE CONFLICTS ARE REVIEWED BY THE APPROPRIATE SENIOR EXECUTIVE OR MANAGER. ANY CONFLICTS BY THE CEO ARE REVIEWED BY THE MEDSTAR HEALTH, INC. BOARD OF DIRECTORS. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC).
EXECUTIVE COMPENSATION PROCESS	PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM,OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.
FINANCIAL STATEMENT AVAILABILITY	PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. COMPENSATION FROM RELATED ORGANIZATION PART VII, SECTION A ONE OF THE DIRECTORS LISTED ON PART VII, SECTION A RECEIVES COMPENSATION FROM GEORGETOWN UNIVERSITY, A RELATED ORGANIZATION. PLEASE SEE THE 2018 FORM 990 FOR GEORGETOWN UNIVERSITY FOR ADDITIONAL INFORMATION.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.................. $ (40,747,981) ADDITIONAL MIN PENSION LIABILITIES.................$ (92,494,122) ============= TOTAL $ (133,242,103)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:22313449
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:8441967
FORM 990 PART IX LINE 11G	DESCRIPTION:SUBSIDY EXPENSE - INTERCOMPANY TOTAL FEES:1309404
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC FIXED PURCH SRVCS TOTAL FEES:1237165
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES-OTHER TOTAL FEES:322521
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:771824
FORM 990 PART IX LINE 11G	DESCRIPTION:LAB SERVICES TOTAL FEES:424172
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICE FEES TOTAL FEES:180786
FORM 990 PART IX LINE 11G	DESCRIPTION:PRINTING SERVICES TOTAL FEES:343755
FORM 990 PART IX LINE 11G	DESCRIPTION:TESTING & DIAGNOSTIC SERVICES TOTAL FEES:159320
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC FEES FOR SERVICES TOTAL FEES:704510

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
MEDSTAR SPORTSHEALTH LLC
10980 GRANTCHESTER WAY	Columbia	MD	21044	Healthcare	MD	$0	$0	MEDSTHEALTH
MEDSTAR LLC
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	SUPPORT ORG	MD	$0	$0	MEDSTHEALTH	453113462
MEDSTAR SOUTHERN MD MANAGEMENT LLC
10980 GRANTCHESTER WAY	Columbia	MD	21044	SUPPORT ORG	MD	$17,353,992	$0	MEDSTHEALTH	462700536

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Church Home Corporation
10980 GRANTCHESTER WAY	Columbia	MD	21044	237374724	Medical Fund	MD	501(C)(3)	PF	NA	Yes (true)
Franklin Square Hospital Center Inc
9000 Franklin Square Drive	Baltimore	MD	21237	520608007	Hospital	MD	501(C)(3)	3	NA	Yes (true)
Harbor Hospital Inc
3001 South Hanover Street	Baltimore	MD	21225	520491660	Hospital	MD	501(C)(3)	3	NA	Yes (true)
Montgomery General Hospital
18101 Prince Philip Drive	Olney	MD	20832	520646893	Hospital	MD	501(C)(3)	3	NA	Yes (true)
The Good Samaritan Hospital of Maryland
5601 Loch Raven Blvd	Baltimore	MD	21239	520591607	Hospital	MD	501(C)(3)	3	NA	Yes (true)
The Union Memorial Hospital
201 East University Parkway	Baltimore	MD	21218	520591685	Hospital	MD	501(C)(3)	3	NA	Yes (true)
Medstar Health Research Institute
108 Irving Street NW	Washington	DC	20010	526056274	Hospital	DC	501(C)(3)	4	NA	Yes (true)
The Medstar-Georgetown Medical Center I
Hopsital Admin 1 Main Bldg	Washington	DC	20007	522218584	Hospital	DC	501(C)(3)	3	NA	Yes (true)
Washington Hospital Center Corporation
110 Irving Street NW	Washington	DC	20010	521272129	Hospital	DC	501(C)(3)	3	NA	Yes (true)
HH Medstar Health Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521542230	Medical Svcs	MD	501(C)(3)	12C III	NA	Yes (true)
MEDSTAR AMBULATORY SERVICES INC
10980 GRANTCHESTER WAY	Columbia	MD	21044	521132992	ADMIN SVCS	MD	501(C)(3)	12C III	NA	Yes (true)
Bay Life Services Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521496539	Mental Health	MD	501(C)(3)	10	NA	Yes (true)
MedStar Surgery Center Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	521061679	Medical Svcs	MD	501(C)(3)	10	NA	Yes (true)
Church Home and Hospital of the City of
10980 GRANTCHESTER WAY	Columbia	MD	21044	520591600	Medical Fund	MD	501(C)(3)	12A I	NA	Yes (true)
Good Samaritan Nursing Center Inc
5601 Loch Raven Blvd	Baltimore	MD	21239	521672866	Medical Svcs	MD	501(C)(3)	10	NA	Yes (true)
GS Housing Inc
5601 Loch Raven Blvd	Baltimore	MD	21239	521481656	Elder Housing	MD	501(C)(3)	10	NA	Yes (true)
GS Properties Inc
5601 Loch Raven Blvd	Baltimore	MD	21239	521429853	Admin Svcs	MD	501(C)(3)	12a I	NA	Yes (true)
Medstar Health Infusion Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	521980510	Medical Svcs	MD	501(C)(3)	10	NA	Yes (true)
Medstar Health Visiting Nurses Associati
4061 Powdermill Road	Calverton	MD	20705	530196597	Medical Svcs	MD	501(C)(3)	10	NA	Yes (true)
Medstar VNA Healthcare
4061 Powdermill Road Suite 210	Calverton	MD	20705	521458516	Medical Svcs	MD	501(C)(3)	10	NA	Yes (true)
MGH Community Health Inc
18101 Prince Philip Drive	Olney	MD	20832	521372467	Medical Svcs	MD	501(C)(3)	10	NA	Yes (true)
MGH Health Services Inc
18101 Prince Philip Drive	Olney	MD	20832	521366812	Foundation	MD	501(C)(3)	12B II	NA	Yes (true)
MGH Women's Board
18101 Prince Philip Drive	Olney	MD	20832	526039600	Foundation	MD	501(C)(3)	12C III	NA	Yes (true)
National Rehabilitation Hospital
102 Irving Street NW	Washington	DC	20010	521369749	Hospital	DC	501(C)(3)	3	NA	Yes (true)
NRH Regional Rehab at Olney Inc
18101 Prince Philip Drive	Olney	MD	20832	522310902	Medical Svcs	MD	501(C)(3)	3	NA	Yes (true)
Suburban NRH Medical Rehabilitation I
102 Irving Street NW	Washington	DC	20010	521931151	Medical Svcs	DC	501(C)(3)	3	NA	Yes (true)
The Thomas O'Neil Catholic Health Care F
5601 Loch Raven Blvd	Baltimore	MD	21239	521104382	Foundation	MD	501(C)(3)	12D III	NA	Yes (true)
VNA Inc
4061 POWDERMILL ROAD SUITE 21	CALVERTON	MD	20705	521332411	ADMIN SVCS	MD	501(C)(3)	12A I	NA	Yes (true)
Woodbourne Woods Inc
5601 Loch Raven Blvd	Baltimore	MD	21239	522299070	ELDER HOUSING	MD	501(C)(3)	10	NA	Yes (true)
Hospice of St Mary's Inc
PO Box 527	Leonardtown	MD	20650	522153926	SUPPORTNG ORG	MD	501(C)(3)	12A I	NA	Yes (true)
St Mary's Hospital of St Mary's County
25500 Point Lookout Road	Leonardtown	MD	20650	520619006	Hospital	MD	501(C)(3)	3	NA	Yes (true)
MEDSTAR SOUTHERN MD HOSPITAL CENTER INC
7503 SURRATTS ROAD	CLINTON	MD	20735	460726303	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
MEDSTAR HEALTH INC AND AFFILIATES MASTER
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	467454613	RETIREMENT TR	MD	501(a)	N/A	NA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
MEDSTAR SHAH MSO
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	462700536	MGMT SVCS	MD	NA	N/A
22590 SHADY COURT LLC
22590 SHADY COURT	CALIFORNIA	MD	20619		REAL ESTATE	MD	NA	N/A
24035 THREE NOTCH ROAD LLC
24035 THREE NOTCH ROAD LLC	HOLLYWOOD	MD	20636		REAL ESTATE	MD	NA	N/A
37767 MARKET DRIVE LLC
37767 MARKET DRIVE LLC	CHARLOTTE HALL	MD	20622		REAL ESTATE	MD	NA	N/A
26840 POINT LOOKOUT ROAD LLC
26840 POINT LOOKOUT ROAD	LEONARDTOWN	MD	20650		REAL ESTATE	MD	NA	N/A
MONTGOMERY COMMUNITY MAGNETIC RESONANCE
4110 ASPEN HILL ROAD SUITE 200	ROCKVILLE	MD	20853	841479788	MRI SCREENING	MD	NA	N/A
PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC
4714 GETTYSBURG ROAD	MECHANICSBURG	PA	17055	521534253	PHYSIOTHERAPY	PA	NA	N/A
FRANKLIN SQUARE MEDICAL CENTERMERIDIAN
101 EAST STATE STREET	KENNETT SQUARE	PA	19348	522212036	NURSING HOME	PA	NA	N/A
PHYSICIAN IMAGING OF WASHINGTON
840 CRESCENT CENTRE DR STE 200	FRANKLIN	TN	37067	521734591	RADIOLOGY SVC	TN	NA	N/A
FRANKLIN IMAGING LLC
7253 AMBASSADOR RD	BALTIMORE	MD	21244	521588688	IMAGING	MD	NA	N/A
10 St Patrick's Drive LLC
10 St Patricks Drive	Waldorf	MD	20603	832261766	REAL ESTATE	MD	NA	N/A
MedStar HealthSurgcenter Development
10980 Grantchester Way	Columbia	MD	21044	821073412	SURGERY	MD	NA	N/A
MEDSTAR ENDOSCOPY CTR AT LUTHERVILLE MD
1300 BELLONA AVE	LUTHERVILLE	MD	21093	823193901	SURGERY	MD	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	CityForeignAddress/CityNm
MedStar Pharmacies Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521513056	Drug Sales	MD	NA	C Corp
ExtenCare Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521556228	MEDICAL SVCS	MD	NA	C Corp
Helix Resources Management Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521913070	ADMIN SVCS	MD	NA	C Corp
HelixCare Medical Group LLC
10980 GRANTCHESTER WAY	Columbia	MD	21044	521955580	Medical SVCS	MD	NA	C Corp
HelixCare Properties LLC
10980 GRANTCHESTER WAY	Columbia	MD	21044	521966695	Medical SVCS	MD	NA	C Corp
Parkway Ventures Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521893569	Holding Co.	MD	NA	C Corp
Physicians Administrative Services Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	237042074	Billing SVCS	MD	NA	C Corp
MedStar Family Choice Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521995521	Managed Care	MD	NA	C Corp
Medstar Enterprises Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522139841	Admin SERVICE	MD	NA	C Corp
SiTeL Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	900753340	EDUCATIONAL	MD	MEDSTAR HEALTH	C Corp	$0	$0	1.00000	Yes (true)
Star Billing Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	521850113	Billing SVCS	MD	NA	C Corp
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522132677	Medical SVCS	MD	NA	C Corp
Washington Hospital Center Physician Hos
100 Irving Street NW	Washington	DC	20010	521931000	Medical SVCS	MD	NA	C Corp
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522030809	Medical SVCS	MD	NA	C Corp
Franklin Square Drive Land Condo Associa
10980 GRANTCHESTER WAY	Columbia	MD	21044	760756352	CONDOMINIUMS	MD	NA	C Corp
MGH Diversified Services Inc
18101 Prince Philip Drive	Olney	MD	20832	521943602	MEDICAL SVCS	MD	NA	C Corp
St Mary's Health Alliance Inc
25500 Point Lookout Road	Leonardtown	MD	20650	521930331	MEDICAL SVCS	MD	NA	C Corp
Greenspring Financial Insurance Limited
				980188617	Insurance		MEDSTAR HEALTH	C Corp	$0	$0	1.00000	Yes (true)	23 LIME TREE BAY AVENUE PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
ST MARY'S CONDO ASSOCIATION
25500 POINT LOOKOUT ROAD	LEONARDTOWN	MD	20650	273377216	CONDOMINIUMS	MD	NA	C CORP
MEDSTAR HEALTH INC - INVESTMENT FUND I
				981310273	INVESTMENTS		MEDSTAR HEALTH	C CORP	$0	$0	1.00000	Yes (true)	103 SOUTH CHURCH ST		CJ	KY1-1002	CJ	Grand Cayman
MEDSTAR HEALTH MASTER RETIREMENT TRUST
				981371657	INVESTMENTS		NA	C CORP					103 SOUTH CHURCH ST		CJ	KY1-1002	CJ	Grand Cayman

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHURCH HOME & HSPTL OF THE CITY OF BALTIMORE
Q	$3,075,100	FMV
Church Home Corporation
P	$482,727	FMV
HH MedStar Inc
Q	$4,147,665	FMV
HH MedStar Inc
P	$32,306,708	FMV
Hospice of St Mary's
Q	$269,209	FMV
MedStar Ambulatory Services Inc
Q	$451,711	FMV
FRANKLIN SQUARE HOSPITAL CENTER INC
P	$16,452,631	FMV
THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC
Q	$11,937,072	FMV
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC
Q	$2,881,842	FMV
HARBOR HOSPITAL INC
Q	$1,976,708	FMV
MedStar Health Research Institute
Q	$433,429	FMV
MedStar Montgomery Medical Center
Q	$649,932	FMV
NATIONAL REHABILITATION HOSPITAL
Q	$714,736	FMV
MedStar Southern MD Hospital Center Inc
Q	$1,389,059	FMV
THE UNION MEMORIAL HOSPITAL
Q	$2,384,739	FMV
WASHINGTON HOSPITAL CENTER CORPORATION
Q	$8,261,191	FMV
VNA Inc
Q	$73,251	FMV
MEDSTAR HEALTH RESEARCH INSTITUTE
R	$10,136,890	FMV