THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC (EIN 52-0591607)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-10
- IRS object ID
- 201901309349304265
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-10T13:27:47-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 1676 INTERNATIONAL DRIVE | AddressLine1Txt |
| City | McLean | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520591607 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Good Samaritan Hospital of Maryland Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOEL BRYAN | InCareOfNm |
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 4107726721 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5601 LOCH RAVEN BLVD | AddressLine1Txt |
| City | Baltimore | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21239 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Person Title | VP/Treasurer | PersonTitleTxt |
| Phone | 4107726721 | PhoneNum |
| Signature | 2019-05-09 | 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 | 2019-05-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.102.5 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 54028020191305000003 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-10 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 10E350CB4544110E48AF6BF87AFDA83D31FAC73D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EB2737A96B8F377BD085BED9F3BA68158C374A96 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRADLEY CHAMBERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5601 LOCH RAVEN BLVD | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21239 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $280,505,103 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.goodsam-md.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | WE 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 Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1751 | TotalEmployeeCnt |
| Total Volunteers | 88 | TotalVolunteersCnt |
| Total Gross UBI | $134,788 | TotalGrossUBIAmt |
| PY Contributions Grants | $8,877,130 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,207,562 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $293,106,645 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $271,059,633 | CYProgramServiceRevenueAmt |
| PY Investment Income | $85,722 | PYInvestmentIncomeAmt |
| CY Investment Income | $187,320 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,508,632 | PYOtherRevenueAmt |
| CY Other Revenue | $5,043,838 | CYOtherRevenueAmt |
| PY Total Revenue | $304,578,129 | PYTotalRevenueAmt |
| CY Total Revenue | $280,498,353 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $152,162,034 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $138,876,874 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $134,882,158 | PYOtherExpensesAmt |
| CY Other Expenses | $123,285,544 | CYOtherExpensesAmt |
| PY Total Expenses | $287,044,192 | PYTotalExpensesAmt |
| CY Total Expenses | $262,162,418 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,533,937 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,335,935 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $171,590,429 | TotalAssetsBOYAmt |
| Total Assets EOY | $168,684,419 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,142,984 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,137,835 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $127,447,445 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $133,546,584 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As 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 orthopaedics, rheumatology, nephrology, and physical medicine and rehabilitation programs. In addition to general adult acute care services, MedStar Good Samaritan has a comprehensive inpatient rehabilitation unit and a sub-acute care unit. Through MGSHs Center for Successful Aging, integrated care is provided to patients who experience age-related health conditions. In fiscal year 2018, MedStar Good Samaritan had approximately 13,181 inpatient admissions and observation cases, and approximately 279,309 outpatient visits including 48,268 emergency visits. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $185,786,872 | ExpenseAmt |
| Revenue | $271,059,633 | RevenueAmt |
| Desc | MedStar 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 $63.8M of management and general expenses in providing services to its communities. It also offers community-based health services through the Good Health Center and two senior housing complexes located on its 43-acre campus. MedStar Good Samaritans stroke care program has received the Gold Seal of Approval from the Joint Commission for Primary Stroke Centers. MedStar Good Samaritan has received the Bronze Performance Achievement award from the American Stroke Association for its exceptional care for stroke patients. The Stroke Center at MedStar Good Samaritan Hospital has received both the honored Bronze Award and Silver Plus Award from the American Heart Association for the outstanding work of the center as well as its preventive and community education programs. Practice Greenhealth awarded MedStar Good Samaritan Hospital the Greenhealth Emerald Award, which is given to healthcare facilities that have achieved improvements in mercury elimination, waste reduction, recycling, and source reduction programs. Winning facilities are further along the path to sustainability and show leadership in the local community and in the healthcare sector. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,556,183 | ExpenseAmt |
| Desc | MedStar Good Samaritan provided $4.6M in charity care services in fiscal year 2018. 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 |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,011,301 | ExpenseAmt |
| Desc | MedStar Good Samaritan provided $8M in health professions education in fiscal year 2018. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $198,354,356 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | 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 | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1751 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Phone | 4107726721 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10980 GRANTCHESTER WAY | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL P CAHILL | ||||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| MOIRA P LARSEN MD | ||||||||||
| BOARD MEMBER | 40.0 | 0.0 | Yes (X) | $0 | $453,087 | $20,800 | ||||
| KENNETH A SAMET | ||||||||||
| BOARD MEMBER | 1.0 | 39.0 | Yes (X) | $0 | $6,538,888 | $82,240 | ||||
| HOWARD S FREELAND MD | ||||||||||
| BOARD MEMBER | 40.0 | 0.0 | Yes (X) | $14,164 | $269,412 | $20,457 | ||||
| LUIS GIMENEZ MD | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| KAY G BEE | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SONYA H GRAY | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Most Rev Denis J Madden | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ALLAN NOONAN MD | ||||||||||
| BOARD MEMBER(UNTIL 10/2017) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| REV PM SMITH | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN C SMYTH | ||||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| KATHLEEN J WHITING | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID WEISMAN DO | ||||||||||
| BOARD MEMBER | 40.0 | 0.0 | Yes (X) | $217,781 | $0 | $25,048 | ||||
| ELIAS SHAYA MD | ||||||||||
| BOARD MEMBER | 40.0 | 0.0 | Yes (X) | $432,582 | $0 | $1,682 | ||||
| MICHAEL JACOBS MD | ||||||||||
| BOARD MEMBER (UNTIL 10/2017) | 40.0 | 0.0 | Yes (X) | $830,520 | $0 | $20,332 | ||||
| BRADLEY CHAMBERS | ||||||||||
| President/BOARD MEMBER | 20.0 | 20.0 | Yes (X) | $579,804 | $579,803 | $49,452 | Yes (X) | |||
| ANTHONY READ | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Anthony DAgostino | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Kevin E Wesner | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Holly A Tilford | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| David Zachary Martin MD | ||||||||||
| board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Leo Gallagher | ||||||||||
| board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Herbert Hansen | ||||||||||
| board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Kim Dobson Sydnor | ||||||||||
| board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DEANA STOUT | ||||||||||
| CHIEF FINANCIAL OFFICER | 20.0 | 20.0 | $221,253 | $221,251 | $40,368 | Yes (X) | ||||
| STEPHEN KOENIGSBERG | ||||||||||
| vice president | 20.0 | 20.0 | $129,762 | $129,763 | $14,700 | Yes (X) | ||||
| ROBERT PEROUTKA MD | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,521,029 | $0 | $15,023 | Yes (X) | ||||
| DALE BUCHBINDER MD | ||||||||||
| MED dir of vascular SURGERY | 40.0 | 0.0 | $957,357 | $0 | $15,550 | Yes (X) | ||||
| Carmen Pichard-Encina | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $511,024 | $0 | $18,076 | Yes (X) | ||||
| Steven Kulik | ||||||||||
| Physician | 40.0 | 0.0 | $946,512 | $0 | $12,738 | Yes (X) | ||||
| Dana Frank | ||||||||||
| Physician | 24.0 | 16.0 | $257,987 | $171,992 | $20,153 | Yes (X) | ||||
| JEFFREY A MATTON | ||||||||||
| former PRESIDENT | 0.0 | 40.0 | $0 | $1,026,237 | $41,727 | Yes (X) | ||||
| THOMAS SENKER | ||||||||||
| FORMER SECRETARY | 0.0 | 40.0 | $0 | $572,153 | $33,717 | Yes (X) | ||||
| JENNIFER WILKERSON | ||||||||||
| FORMER OFFICER | 40.0 | 0.0 | $289,347 | $0 | $25,048 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,909,122 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,962,586 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $457,111 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 254 | 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 |
|---|---|---|---|---|---|
| HUNT VALLEY ANES ASSOC PA | |||||
| PO BOX 20284 | TOWSON | MD | 21284 | MEDICAL SERVICES | $5,565,664 |
| MORRISON HEALTHCARE FOOD SERVICES | |||||
| PO BOX 20284 | TOWSON | MD | 21284 | FOOD SERVICES | $3,558,878 |
| AMN HEALTHCARE INC | |||||
| 4721 MORRISON DRIVE | MOBILE | AL | 36609 | STAFFING SERVICES | $2,298,903 |
| CROTHALL SVCS GROUP | |||||
| 1500 Liberty Ridge DriveSuite 210 | WAYNE | PA | 19087 | Environmental SVCS | $1,463,563 |
| SMITHGROUP JJR INC | |||||
| 1700 New York Ave NW 100 | WASHINGTON | DC | 20006 | PROFESSIONAL SVCS | $992,257 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $302,279 | GovernmentGrantsAmt |
| All Other Contributions | $3,905,283 | AllOtherContributionsAmt |
| Noncash Contributions | $52,118 | NoncashContributionsAmt |
| Total Contributions | $4,207,562 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $263,004,444 | $263,004,444 |
| PHARMACY INCOME | 900099 | $8,031,439 | $8,031,439 |
| MEANINGFUL USE INCOME | 900099 | $19,467 | $19,467 |
| OTHER HEALTH REVENUE | 900099 | $4,283 | $4,283 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $271,059,633 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,781 | TotalRevenueColumnAmt |
| Exclusion | $119,781 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $656,486 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $656,486 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $656,486 | TotalRevenueColumnAmt |
| Exclusion | $656,486 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $74,289 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,750 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $74,289 | SecuritiesAmt |
| Other | -$6,750 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,539 | TotalRevenueColumnAmt |
| Exclusion | $67,539 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| REBATE INCOME | 900099 | $607,868 | $607,868 | |
| CHILD DAY CARE | 900099 | $590,098 | $590,098 | |
| REFERRAL LAB INCOME | 900099 | $134,788 | $134,788 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,054,598 | TotalRevenueColumnAmt |
| Exclusion | $3,054,598 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,387,352 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $280,498,353 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $271,059,633 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $134,788 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,096,370 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | 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 | $2,545,646 | TotalAmt |
| Program Services | $2,302,853 | ProgramServicesAmt |
| Management And General | $242,793 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,657 | TotalAmt |
| Program Services | $313,435 | ProgramServicesAmt |
| Management And General | $34,222 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,792,590 | TotalAmt |
| Program Services | $101,568,662 | ProgramServicesAmt |
| Management And General | $10,223,928 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,866,781 | TotalAmt |
| Program Services | $1,696,058 | ProgramServicesAmt |
| Management And General | $170,723 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,795,998 | TotalAmt |
| Program Services | $12,209,773 | ProgramServicesAmt |
| Management And General | $2,586,225 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,528,202 | TotalAmt |
| Program Services | $6,850,921 | ProgramServicesAmt |
| Management And General | $677,281 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,267,692 | TotalAmt |
| Program Services | $75 | ProgramServicesAmt |
| Management And General | $33,267,617 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676 | TotalAmt |
| Management And General | $676 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,516,176 | TotalAmt |
| Program Services | $20,003,282 | ProgramServicesAmt |
| Management And General | $3,512,894 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,426 | TotalAmt |
| Program Services | $3,879 | ProgramServicesAmt |
| Management And General | $357,547 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,161,718 | TotalAmt |
| Program Services | $1,357,400 | ProgramServicesAmt |
| Management And General | $804,318 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,245,154 | TotalAmt |
| Program Services | $1,008,446 | ProgramServicesAmt |
| Management And General | $236,708 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,886 | TotalAmt |
| Program Services | $164,220 | ProgramServicesAmt |
| Management And General | $32,666 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,335 | TotalAmt |
| Program Services | $64,038 | ProgramServicesAmt |
| Management And General | $14,297 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,151,058 | TotalAmt |
| Management And General | $2,151,058 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,150,914 | TotalAmt |
| Program Services | $7,100,699 | ProgramServicesAmt |
| Management And General | $5,050,215 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,957,291 | TotalAmt |
| Program Services | $2,889,158 | ProgramServicesAmt |
| Management And General | $68,133 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED/SURG SUPPLIES | $25,744,896 | $25,874,148 | -$129,252 |
| MAINTENANCE | $5,467,575 | $4,982,101 | $485,474 |
| FOOD SERVICES/SUPPLIES | $3,692,975 | $3,583,066 | $109,909 |
| UTILITIES | $3,574,128 | $3,361,546 | $212,582 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,718,644 | TotalAmt |
| Program Services | $3,020,596 | ProgramServicesAmt |
| Management And General | $3,698,048 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,162,418 | TotalAmt |
| Program Services | $198,354,356 | ProgramServicesAmt |
| Management And General | $63,808,062 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,177 | BOYAmt |
| EOY | $4,180 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,229,016 | BOYAmt |
| EOY | $30,854,036 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,222,797 | BOYAmt |
| EOY | $3,179,786 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,091 | BOYAmt |
| EOY | $383,644 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $250,390,521 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $184,621,061 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,496,310 | BOYAmt |
| EOY | $65,769,460 | 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 | $3,210,333 | BOYAmt |
| EOY | $4,229,820 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,988,705 | BOYAmt |
| EOY | $64,263,493 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,590,429 | BOYAmt |
| EOY | $168,684,419 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,219,425 | BOYAmt |
| EOY | $17,853,739 | 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 | $940,698 | BOYAmt |
| EOY | $1,323,311 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,982,861 | BOYAmt |
| EOY | $15,960,785 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,142,984 | BOYAmt |
| EOY | $35,137,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,727,518 | BOYAmt |
| EOY | $63,282,953 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,719,927 | BOYAmt |
| EOY | $70,263,631 | 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 | $127,447,445 | BOYAmt |
| EOY | $133,546,584 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,590,429 | BOYAmt |
| EOY | $168,684,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,335,935 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $165,545 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$12,402,341 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,295,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,480,929 | DepreciationAmt |
| Book Value | $24,814,475 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,088,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $749,834 | DepreciationAmt |
| Book Value | $338,640 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $163,009,291 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,703,292 | DepreciationAmt |
| Book Value | $32,305,999 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,997,352 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,687,006 | DepreciationAmt |
| Book Value | $8,310,346 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $65,769,460 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $1,026,502 |
| OPTION IT ASSET | $785,089 |
| OTHER ASSETS | $62,451,902 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $64,263,493 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES FROM 3RD PARTY PAYORS | $7,202,785 |
| ASBESTOS ABATEMENT LIABILITY | $2,579,165 |
| WORKERS COMPENSATION | $2,743,756 |
| GBR LIABILITY | $1,103,621 |
| CREDIT BALANCE PATIENT A/R | $965,331 |
| STOCK OPTION PLAN | $713,979 |
| INTERCOMPANY PAYABLES | $0 |
| OTHER LIABILITIES | $652,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,960,785 | 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 | PART X, LINE 2 INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2018. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,556,183 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,556,183 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,556,183 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,556,183 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,646,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $131,635 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,515,018 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,011,301 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,011,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,350,650 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,980,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,370,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00900 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,898 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,898 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,049,502 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,112,275 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,937,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04560 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,605,685 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,112,275 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,493,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06300 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $976,173 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $590,098 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $386,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,386 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,542 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,542 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,054,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $590,098 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $464,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,009,232 | BadDebtExpenseAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPITAL OF MARYLAND | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5601 LOCH RAVEN BLVD | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21239 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPITAL OF MARYLAND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MEDSTARGOODSAM.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MEDSTARGOODSAM.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MEDSTARGOODSAM.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MEDSTARGOODSAM.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MEDSTARGOODSAM.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHNA INPUT | PART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION The Community Health Needs Assessment (CHNA) Hospital Lead serves as the coordinator of all aspects of the community health assessment process. He/she helps establish and coordinate the activities of the Advisory Task Force. The Lead also helps produce the 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 STRATEGY | PART V, SECTION B, LINE 11 THE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING. HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT. FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Transitional Care at Good Samaritan | ||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | Comprehensive Care Facility |
| ManorCare | ||||
| 6600 Ridge Rd | Baltimore | MD | 21239 | Renal Dialysis facility |
| Lorien Frankford | ||||
| 5009 Frankford Ave | Baltimore | MD | 21206 | Renal Dialysis facility |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHARITY CARE AT COST | PART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. |
| UNREIMBURSED MEDICAID | PART I, LINE 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. |
| BAD DEBT | PART III, LINES 2 & 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. |
| NEEDS ASSESSMENT | PART VI, LINE 2 In FY18, MedStar 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. A 34 member Advisory Task Force (ATF) led the MGSH CHNA process. 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. The ATF reviewed national, state, and local health and disparity data, public health priorities and community health improvement plans as well as county-level ZIP code and neighborhood level data (when available). Based on their findings, ATF members designed a CHNA survey tool consisting of open and closed-ended questions about healthcare access, health equity, health condition concerns, social determinants and community strengths and assets. Community members responded to the survey by attending a community input session or completing it online or via hardcopy. Based on the ATF's recommendation, the hospital identified Govans as its Community Benefit Service Area (CBSA), which includes residents living in ZIP codes 21206 and 21239. The hospital selected this geographic area based on hospital patient utilization and secondary public health data as well as its close proximity to the hospital, coupled with a high density of residents with low incomes. The ATF used population-level data, community health needs survey findings and feedback from community input sessions to create recommendations for the hospital's health priorities, potential implementation strategies, and to identify key partners. Based on the ATF's recommendation, the hospital health priorities for the CBSA include health and wellness (chronic disease prevention and management, behavioral health), access to care and services (mental health services, linkage to resources and services, transportation) and social determinants of health (employment, neighborhood violence and street safety, housing). The hospital's FY18 CHNA and three-year Implementation Strategies were endorsed by MGSH Board of Directors and approved by the MedStar Health Board of Directors. The document became available on the hospital's website on June 30, 2018. As a proud member of MedStar Health, representatives from MGSH routinely participate in the MedStar Health community benefit workgroup. The workgroup is comprised of community health professionals who represent all ten MedStar hospitals. The team analyzes local and regional community health data, establishes system-wide community health programming performance and evaluation measures and shares best practices. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 As one of the regions leading not-for-profit healthcare systems, MedStar Health is committed to ensuring that uninsured patients and underinsured patients meeting medical hardship criteria within the communities we serve who lack financial resources have access to emergency and medically necessary hospital services. MedStar Health and its healthcare facilities will: * Treat all patients equitably, with dignity, respect, and compassion; * Serve the emergency health care needs of everyone who presents to our facilities regardless of a patient's ability to pay for care; * Assist those patients who are admitted through our admission process for non-urgent, medically necessary care who cannot pay for the care they receive; * Balance needed financial assistance for some patients with broader fiscal responsibilities in order to keep its hospitals' doors open for all who may need care in the community. In meeting its commitments, MedStar Healths facilities will work with their uninsured patients seeking emergency and medically necessary care to gain an understanding of each patients financial resources. Based on this information and eligibility determination, MedStar Health facilities will provide financial assistance to uninsured patients who reside within the communities we serve in one or more of the following ways: * Assist with enrollment in publicly-funded entitlement programs (e.g., Medicaid); * Refer patients to State or Federal Insurance Exchange Navigator resources; * Assist with consideration of funding that may be available from other charitable organizations; * Provide financial assistance according to applicable policy guidelines; * Provide financial assistance for payment of facility charges using a sliding-scale based on the patients household income and financial resources; * Offer periodic payment plans to assist patients with financing their healthcare services. Each facility publicizes the MedStar Financial Assistance Policy by: * Providing access to the MedStar Financial Assistance Policy, Financial Assistance Applications, and MedStar Patient Information Sheet on all hospital websites and patient portals; * Providing hard copies of the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and MedStar Patient Information Sheet to patients upon request; * Providing notification and information about the MedStar Financial Assistance Policy by offering copies as part of all registration or discharges processes, and answering questions on how to apply for assistance; * Providing written notices on billing statements; * Displaying MedStar Financial Assistance Policy information at all hospital registration points; * Translating the MedStar Financial Assistance Policy, MedStar Uniform Financial Assistance Application, and the Medstar Patient Information Sheet into primary languages of all significant populations with Limited English Proficiency. MedStar Health provides a financial assistance probable and likely eligibility determination to the patient within two business days from receipt of the initial financial assistance application. Final eligibility determinations are made and communicated to the patient based on receipt and review of a completed application. MedStar Health believes that its patients have personal responsibilities related to the financial aspects of their healthcare needs. Financial assistance and periodic payment plans available under this policy will not be available to those patients who fail to fulfill their responsibilities. For purposes of this policy, patient responsibilities include: * Complying with providing the necessary financial disclosure forms to evaluate their eligibility for publicly-funded healthcare programs, charity care programs, and other forms of financial assistance (these disclosure forms must be completed accurately, truthfully, and timely to allow MedStar Healths facilities to properly counsel patients concerning the availability of financial assistance); * Working with the facilitys Patient Advocates and Patient Financial Services staff to ensure there is a complete understanding of the patients financial situation and constraints; * Making applicable payments for services in a timely fashion, including any payments made pursuant to deferred and periodic payment schedules; * Providing updated financial information to the facilitys Patient Advocates or Customer Service Representatives on a timely basis as the patients financial circumstances may change. * It is the responsibility of the patient to inform the MedStar hospital of their existing eligibility under a medical hardship during the 12-month period. * In the event a patient fails to meet these responsibilities, MedStar reserves the right to pursue additional billing and collection efforts. In the event of non-payment billing, and collection efforts are defined in the MedStar Billing and Collection Policy. A free copy is available on all hospital websites and patient portals or by calling customer service at 1-800-280-9006. Uninsured patients of MedStar Healths facilities may be eligible for full financial assistance or partial sliding-scale financial assistance under this policy. The Patient Advocate and Patient Financial Services staff will determine eligibility for full financial assistance and partial sliding-scale financial assistance based on review of income for the patient and their family (household), other financial resources available to the patients family, family size, and the extent of the medical costs to be incurred by the patient. |
| COMMUNITY INFORMATION | PART VI, LINE 4 Geographic: COMMUNITY BENEFIT SERVICE AREA (CBSA): GOVANS AREA MedStar Good Samaritan Hospitals CBSA includes residents in zip codes 21206 and 21239. This geographic area was selected based on hospital utilization and secondary public health data as well as its close proximity to the hospital, coupled with a high density of residents with low incomes. COMMUNITY Demographics: According to statistics from the Baltimore City 2017 Neighborhoods Health Profile, the total population in Govans (ZIP code 21212) is 10,762, the majority of which is African American (90.4%). Whites account for 6.4% of the population, and 2.6% of the population self-reports as two or more races. Slightly more than one percent (2.3%) of the population is of Hispanic or Latino origin. Median household income in the Govans area is 36,531 while Baltimore City reports a median income of 41,819. Data also shows that the percentage of households with incomes below the federal poverty guideline in Govans is 30.5% and in Baltimore City is 28.8%. Life expectancy in Govans is 73.3 (deaths per 10,000 residents) just slightly lower than the Baltimore City at 73.6. Govans is considered a food dessert-data shows the percentage of land area that is covered by a food desserts is 36.2% as compared to baltimore city overall 11.4%. |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5 As a community partner, MUMH engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. Priority areas of focus, as determined by the 2018 CHNA, are behavioral health services (substance use and mental health), chronic disease management, neighborhood safety, access to medical services, and job opportunities. For behavioral health services, the following implementation strategies have been developed: * Provide Screening, Brief Intervention, and Referral to Treatment (SBIRT) program and peer recovery coaches * Offer naloxone training to community * Develop and implement opioid survivor outreach program to provide support and resources to opioid survivors that visit hospital-based emergency departments * Provide mental health services as part of the primary care model For chronic disease management, the following implementation strategies have been developed: * Conduct Living Well Chronic Disease Self-Management Courses * Conduct Diabetes Prevention Programs * Conduct Smoking Cessation Programs * Conduct Cancer Screening programs For those areas related to the social determinants of health, the following implementation strategies have been developed: * Launch a uniform social needs screening tool to connect patients with resources related to transportation, food access, employment opportunities, etc. * Hire individuals from underserved communities as community health advocates and peer recovery coaches * Prepare local underserved students for health care related studies and careers * Leverage partnership with UBER for transportation to medical related services |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GOOD SAMARITAN IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MEDSTAR GOOD SAMARITAN WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTARS CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, LINE 7 THE COMMUNITY BENEFIT REPORT FOR MEDSTAR GOOD SAMARITAN HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MOIRA P LARSEN MD | ||||||||||||||
| BOARD MEMBER | $0 | $399,077 | $0 | $54,010 | $0 | $0 | $0 | $7,950 | $0 | $12,850 | $0 | $473,887 | $0 | $0 |
| JEFFREY A MATTON | ||||||||||||||
| former PRESIDENT | $0 | $545,554 | $0 | $480,683 | $0 | $0 | $0 | $17,533 | $0 | $24,194 | $0 | $1,067,964 | $0 | $0 |
| KENNETH A SAMET | ||||||||||||||
| BOARD MEMBER | $0 | $1,818,529 | $0 | $4,346,350 | $0 | $374,009 | $0 | $49,758 | $0 | $32,482 | $0 | $6,621,128 | $0 | $0 |
| HOWARD S FREELAND MD | ||||||||||||||
| BOARD MEMBER | $14,164 | $248,484 | $0 | $20,928 | $0 | $0 | $7,950 | $0 | $12,507 | $0 | $34,621 | $269,412 | $0 | $0 |
| DAVID WEISMAN DO | ||||||||||||||
| BOARD MEMBER | $193,993 | $0 | $23,788 | $0 | $0 | $0 | $10,240 | $0 | $14,808 | $0 | $242,829 | $0 | $0 | $0 |
| ELIAS SHAYA MD | ||||||||||||||
| BOARD MEMBER | $386,582 | $0 | $46,000 | $0 | $0 | $0 | $553 | $0 | $1,129 | $0 | $434,264 | $0 | $0 | $0 |
| MICHAEL JACOBS MD | ||||||||||||||
| BOARD MEMBER (UNTIL 10/2017) | $829,520 | $0 | $1,000 | $0 | $0 | $0 | $7,950 | $0 | $12,382 | $0 | $850,852 | $0 | $0 | $0 |
| THOMAS SENKER | ||||||||||||||
| FORMER SECRETARY | $0 | $352,462 | $0 | $219,691 | $0 | $0 | $0 | $7,950 | $0 | $25,767 | $0 | $605,870 | $0 | $0 |
| DEANA STOUT | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $147,210 | $147,209 | $74,043 | $74,042 | $0 | $0 | $12,485 | $12,485 | $7,700 | $7,699 | $241,438 | $241,435 | $0 | $0 |
| ROBERT PEROUTKA MD | ||||||||||||||
| PHYSICIAN | $212,267 | $0 | $221,920 | $0 | $1,086,842 | $0 | $7,950 | $0 | $7,073 | $0 | $1,536,052 | $0 | $0 | $0 |
| DALE BUCHBINDER MD | ||||||||||||||
| MED dir of vascular SURGERY | $429,095 | $0 | $0 | $0 | $528,262 | $0 | $7,950 | $0 | $7,600 | $0 | $972,907 | $0 | $0 | $0 |
| JENNIFER WILKERSON | ||||||||||||||
| FORMER OFFICER | $230,842 | $0 | $58,505 | $0 | $0 | $0 | $6,149 | $0 | $18,899 | $0 | $314,395 | $0 | $0 | $0 |
| BRADLEY CHAMBERS | ||||||||||||||
| President/BOARD MEMBER | $299,821 | $299,820 | $279,983 | $279,983 | $0 | $0 | $9,908 | $9,908 | $14,818 | $14,818 | $604,530 | $604,529 | $0 | $0 |
| STEPHEN KOENIGSBERG | ||||||||||||||
| vice president | $57,592 | $57,591 | $17,458 | $17,459 | $54,712 | $54,713 | $3,826 | $3,826 | $3,524 | $3,524 | $137,112 | $137,113 | $0 | $0 |
| Carmen Pichard-Encina | ||||||||||||||
| PHYSICIAN | $486,024 | $0 | $25,000 | $0 | $0 | $0 | $6,250 | $0 | $11,826 | $0 | $529,100 | $0 | $0 | $0 |
| Steven Kulik | ||||||||||||||
| Physician | $139,857 | $0 | $80,000 | $0 | $726,655 | $0 | $0 | $0 | $12,738 | $0 | $959,250 | $0 | $0 | $0 |
| Dana Frank | ||||||||||||||
| Physician | $226,753 | $151,169 | $31,234 | $20,823 | $0 | $0 | $4,770 | $3,180 | $7,322 | $4,881 | $270,079 | $180,053 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SOCIAL CLUB DUES | FormAndLineReferenceDesc |
| Explanation | SCHEDULE J, PART I, LINE 1 THE ORGANIZATION PAID BUSINESS CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. SCHEDULE J, PART III Mr. Samet's compensation in Part II, Column (B) includes $1,914,117, 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. Stephen Koenigsbergs compensation is for services provided as a Key Employee to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. DANA FRANK'S COMPENSATION IS FOR SERVICES PROVIDED AS A PHYSICIAN TO BOTH MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL. SCHEDULE J, PART I, LINE 4A Dale Buchbinders Other reportable compensation in Part II, Column (B) (iii) includes $470,629 representing severance payments received by Mr. Buchbinder. Stephen Koenigsbergs Other reportable compensation in Part II, Column (B) (iii) includes $101,370 representing severance payments received by Mr. Koenigsberg. Steven Kuliks Other reportable compensation in Part II, Column (B) (iii) includes $692,809 representing severance payments received by Mr. Kulik. Robert Peroutkas Other reportable compensation in Part II, Column (B) (iii) includes $1,035,765 representing severance payments received by Mr. Peroutka. Peroutka. Robert Peroutkas Other reportable compensation in Part II, Column (B) (iii) includes $1,035,765 representing severance payments received by Mr. Peroutka. | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp |
Securities Miscellaneous SecuritiesMiscellaneousGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $52,118 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION MEMBERS | PART 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 MEMBERS | PART 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 BODY | PART 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 990 | PART VI, LINE 11A THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. |
| CONFLICT OF INTEREST POLICY | PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). |
| DESCRIPTION OF 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. |
| FINANCIAL STATEMENTS AND REPORTING | PART 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 ASSETS | PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.....................$(33,934,752) O'NEILL EQUITY....................................$ 3,186,912 Accumulated Net assets............................$ 18,345,499 ------------- TOTAL OTHER CHANGES IN NET ASSETS.................$ (12,402,341) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR HEALTH ANESTHESIA SERVICES A LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5601 LOCH RAVEN BLVD | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21239 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205909017 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $2,473,700 | TotalIncomeAmt |
| End Of Year Assets | $223,660 | EndOfYearAssetsAmt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Church Home Corporation | ||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 237374724 | Medical Fund | MD | 501(C)(3) | PF | NA | Yes (true) |
| Franklin Square Hospital Center Inc | ||||||||||
| 9000 Franklin Square Drive | Baltimore | MD | 21237 | 520608007 | Hospital | MD | 501(C)(3) | 3 | NA | Yes (true) |
| Harbor Hospital Inc | ||||||||||
| 3001 South Hanover Street | Baltimore | MD | 21225 | 520491660 | Hospital | MD | 501(C)(3) | 3 | NA | Yes (true) |
| Medstar Health Inc | ||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 522087445 | Medical Svcs | MD | 501(C)(3) | 12C III | NA | false |
| Montgomery General Hospital | ||||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 520646893 | Hospital | MD | 501(C)(3) | 3 | NA | Yes (true) |
| The 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) |
| Franklin Square Hospital Center Foundati | ||||||||||
| 9000 Franklin Square Drive | Baltimore | MD | 21237 | 522329546 | Foundation | MD | 501(C)(3) | 12A I | NA | Yes (true) |
| Good Samaritan Hospital Foundation Inc | ||||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 522307122 | Foundation | 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 Foundation Inc | ||||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 521129959 | Foundation | MD | 501(C)(3) | 7 | 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) |
| WHC Foundation Inc | ||||||||||
| 110 Irving Street NW | Washington | DC | 20010 | 521791670 | FOUNDATION | MD | 501(C)(3) | 7 | NA | Yes (true) |
| Woodbourne Woods Inc | ||||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 522299070 | ELDER HOUSING | DC | 501(C)(3) | 10 | NA | Yes (true) |
| Hospice of St Mary's Inc | ||||||||||
| PB Box 527 | Leonardtown | MD | 20650 | 522153926 | SUPPORT ORG | MD | 501(C)(3) | 12A I | NA | Yes (true) |
| St Mary's Hospital of St Mary's County | ||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 520619006 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| St Mary's Hospital Foundation Inc | ||||||||||
| PO Box 527 | Leonardtown | MD | 20650 | 521051368 | Support Org | MD | 501(C)(3) | 12A I | NA | Yes (true) |
| MEDSTAR SOUTHERN MD HOSPITAL CENTER | ||||||||||
| 7503 SURRATTS ROAD | CLINTON | MD | 20735 | 460726303 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH INC & 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 (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| MEDSTAR SHAH MSO LLC | ||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 462700536 | MGMT SVCS | MD | NA | N/A |
| 22590 SHADY COURT LLC | ||||||||
| 22590 SHADY COURT | CALIFORNIA | MD | 20619 | REAL ESTATE | MD | NA | N/A | |
| 24035 THREE NOTCH ROAD LLC | ||||||||
| 24035 THREE NOTCH ROAD 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 | |
| GREATER CHESAPEAKE SURGERY CENTER LLC | ||||||||
| 1212 YORK ROAD STE B100 | LUTHERVILLE | MD | 21093 | 841479788 | SURGERY CENTE | MD | NA | N/A |
| MONTGOMERY COMMUNITY MAGNETIC RESONANCE | ||||||||
| 4110 ASPEN HILL ROAD SUITE 200 | ROCKVILLE | MD | 20853 | 521534253 | MRI SCREENING | MD | NA | N/A |
| PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC | ||||||||
| 4714 GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | 522212036 | PHYSIOTHERAPY | PA | NA | N/A |
| FRANKLIN SQUARE MEDICAL CENTERMERIDIAN | ||||||||
| 101 EAST STATE STREET | KENNETT SQUARE | PA | 19348 | 521734591 | NURSING HOME | PA | NA | N/A |
| PHYSICIAN IMAGING OF WASHINGTON | ||||||||
| 840 CRESCENT CENTRE DR STE 200 | FRANKLIN | TN | 37067 | 562616090 | RADIOLOGY SVC | TN | NA | N/A |
| FRANKLIN IMAGING LLC | ||||||||
| 7253 AMBASSADOR RD | BALTIMORE | MD | 21244 | 521588688 | IMAGING | MD | NA | N/A |
| MedStar HealthSurgcenter Development JV | ||||||||
| 10980 Grantchester Way | Columbia | MD | 21044 | 821073412 | SURGERY | MD | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 SERVICES | MD | NA | C Corp | ||||||
| Helix Resources Management Inc | ||||||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 521913070 | Admin Services | MD | NA | C Corp | ||||||
| HelixCare Medical Group LLC | ||||||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 521955580 | MEDICAL SERVICES | MD | NA | C Corp | ||||||
| HelixCare Properties LLC | ||||||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 521966695 | MEDICAL SERVICES | MD | NA | C Corp | ||||||
| Parkway Ventures Inc | ||||||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 521893569 | Holding Company | MD | NA | C Corp | ||||||
| Physicians Administrative Services Inc | ||||||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 237042074 | BILLING SERVICES | 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 SVCS | MD | NA | C Corp | ||||||
| Star Billing Inc | ||||||||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521850113 | BILLING SERVICES | MD | NA | C Corp | ||||||
| Washington Risk Network Management Inc | ||||||||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 522132677 | MEDICAL SERVICES | MD | NA | C Corp | ||||||
| Washington Hospital Center Physician Hos | ||||||||||||||
| 100 Irving Street NW | Washington | DC | 20010 | 521931000 | MEDICAL SERVICES | MD | NA | C Corp | ||||||
| Medstar Physician Partners Inc | ||||||||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 522030809 | MEDICAL SERVICES | MD | NA | C Corp | ||||||
| Franklin Square Drive Land Condo Associa | ||||||||||||||
| 10980 GRANTCHESTER WAY | Columbia | MD | 21044 | 760756352 | CONDO OWNER ASSOC | MD | NA | C Corp | ||||||
| MGH Diversified Services Inc | ||||||||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 521943602 | MEDICAL SERVICES | MD | NA | C Corp | ||||||
| St Mary's Health Alliance Inc | ||||||||||||||
| 25500 Point Lookout Road | Leonardtown | MD | 20650 | 521930331 | MEDICAL SERVICES | MD | NA | C Corp | ||||||
| Greenspring Financial Insurance Limited | ||||||||||||||
| 980188617 | Insurance | NA | C Corp | 23 LIME TREE BAY AVENUE PO BOX 1051 | KY | GRAND CAYMAN | CJ | CJ | ||||||
| ST MARY'S CONDO ASSOCIATION | ||||||||||||||
| 25500 POINT LOOKOUT RD | LEONARDTOWN | MD | 20650 | 273377216 | CONDOMINIUMS | MD | NA | C CORP | ||||||
| MEDSTAR HEALTH MASTER RETIREMENT TRUST I | ||||||||||||||
| 999999999 | INVESTMENTS | NA | C CORP | 102 SOUTH CHURCH ST | GRAND CAYMAN | CJ | CJ | KY1-1002 | ||||||
| MEDSTAR HEALTH INC - INVESTMENT FUND I | ||||||||||||||
| 981310273 | INVESTMENTS | NA | C CORP | 102 SOUTH CHURCH ST | GRAND CAYMAN | CJ | CJ | KY1-1002 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MedStar Health Inc | ||
| P | $1,014,445 | FMV |
| MedStar Health Research Institute Inc | ||
| P | $610,740 | FMV |