HARBOR HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: HARBOR HOSPITAL INC (EIN 52-0491660)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-10
IRS object ID: 201941309349304264
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 I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-10T13:38:50-05:00	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	520491660	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Harbor Hospital	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3001 South Hanover Street	AddressLine1Txt
City	Baltimore	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	212251233	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	54028020191305000002	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-10	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	893849FABD6336F4344459B959A46D52C5224664	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	DENNIS PULLIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3001 SOUTH HANOVER STREET	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21225	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$203,461,249	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HARBORHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	HARBOR HOSPITAL IS COMMITTED TO QUALITY, CARING, AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1078	TotalEmployeeCnt
Total Volunteers	24	TotalVolunteersCnt
Total Gross UBI	$1,580,380	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$36,524	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,668,383	PYContributionsGrantsAmt
CY Contributions Grants	$2,294,937	CYContributionsGrantsAmt
PY Program Service Revenue	$198,679,661	PYProgramServiceRevenueAmt
CY Program Service Revenue	$193,030,717	CYProgramServiceRevenueAmt
PY Investment Income	$165,152	PYInvestmentIncomeAmt
CY Investment Income	$231,194	CYInvestmentIncomeAmt
PY Other Revenue	$8,404,972	PYOtherRevenueAmt
CY Other Revenue	$7,904,401	CYOtherRevenueAmt
PY Total Revenue	$208,918,168	PYTotalRevenueAmt
CY Total Revenue	$203,461,249	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$34,182	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$103,691,829	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$100,236,378	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$88,960,904	PYOtherExpensesAmt
CY Other Expenses	$88,766,939	CYOtherExpensesAmt
PY Total Expenses	$192,652,733	PYTotalExpensesAmt
CY Total Expenses	$189,037,499	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,265,435	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,423,750	CYRevenuesLessExpensesAmt
Total Assets BOY	$76,115,174	TotalAssetsBOYAmt
Total Assets EOY	$75,765,206	TotalAssetsEOYAmt
Total Liabilities BOY	$38,742,336	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$35,257,246	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$37,372,838	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$40,507,960	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As a proud member of MedStar Health, MedStar Harbor Hospitals (MedStar Harbor) mission is to provide quality, caring and service for our patients and our communities. MedStar Harbor is located just south of Baltimores Inner Harbor, in Baltimore City. It is an acute care hospital offering clinical services in internal medicine, surgery, cardiology, obstetrics and gynecology, oncology, orthopaedics and pediatrics. In fiscal year 2018, MedStar Harbor had approximately 10,752 inpatient admissions and observation cases, and approximately 148,120 outpatient visits including 49,176 emergency visits	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$123,305,377	ExpenseAmt
Revenue	$185,299,095	RevenueAmt
Desc	MedStar Harbors largest program is access to and the provision of acute hospital services to the communities of southern Baltimore City, southwestern Baltimore County and northern Anne Arundel County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Harbor incurred $41.6M of management and general expenses in providing services to its communities. Collaboration with the National Institute on Aging (one of the National Institutes of Health) makes MedStar Harbor the home of the Baltimore Longitudinal Study on Aging, the nations longest running study of aging and conditions affecting the elderly. MedStar Harbor Hospital was named a top hospital in Maryland and the Baltimore metropolitan area in the latest rankings by U.S. News & World Report. The Hospital was specifically recognized for high performance in COPD, Gastroenterology, Gynecology, Heart Failure, Orthopaedics, and Pulmonology. MedStar Harbor was once again recognized as a Gold Level Recipient of the American Heart Associations Fit-Friendly Worksites Recognition program, which is a catalyst for positive change and worksites throughout the nation. MedStar Harbor received the Joint Commissions Gold Seal of Approval for Behavioral Health Care Accreditation by demonstrating continuous compliance with its performance standards re-certifications. The Hospital also earned the Joint Commissions Gold Seal of Approval for Stroke Care and Spine Surgery, with no recommendation for improvement. MedStar Harbor received the Nurses Improving Care for Health-system Elders (NICHE) Senior Friendly Award, the leading nurse driven program designed to help hospitals and healthcare organizations improve the care of older adults. The American Heart Association awarded MedStar Harbors commitment and success in implementing a higher standard of stroke care with the Gold Plus Quality Achievement Award and once again the Hospital was honored BY PRACTICE GREENHEALTH WITH THE "PARTNER FOR CHANGE" AWARD.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$13,875,337	ExpenseAmt
Revenue	$7,729,672	RevenueAmt
Desc	MedStar Harbor provided $13.9M in subsidized (mission driven) health services in fiscal year 2018. These critical services, which are driven by community needs, operate at a loss. They address priorities primarily through disease prevention and improvement of health status. Services provided include hospitalists, womens and childrens services, behavioral health, palliative care, and surgical PAs.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$10,299,691	ExpenseAmt
Revenue	$1,950	RevenueAmt
Desc	MedStar Harbor provided $10.3M 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	$147,480,405	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	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1078	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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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 (28 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
KENNETH A SAMET
DIRECTOR	1.0	39.0	Yes (X)	$0	$6,538,888	$82,240
LEIGH ANN CURL MD
DIRECTOR	40.0	0.0	Yes (X)	$1,174,103	$0	$23,454
CHARLES F OBRECHT JR
VICE CHAIR (UNTIL 9/17)	1.0	0.0	Yes (X)	$0	$0	$0
DAWN M GRETZ MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
COURTNEY B WILSON
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
VINCENT CONNELLY
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CARLOS D ZIGEL MD
DIRECTOR	40.0	0.0	Yes (X)	$206,549	$0	$25,425
TIMOTHY BARNHILL
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SEN WILLIAM FERGUSON IV
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DENNIS W PULLIN
PRESIDENT/director(UNTIL 9/17)	40.0	0.0	Yes (X)	$710,060	$0	$31,421	Yes (X)
Thomas A Geddes
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Stuart Levine MD
PRESIDENT/DIRECTOR	40.0	0.0	Yes (X)	$471,517	$237,530	$24,922	Yes (X)
Robert Yacynych MD
DIRECTOR	40.0	0.0	Yes (X)	$345,995	$0	$24,185
James H Fields
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Erika Brockman
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Swata J GANDHI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Fateh Hraky MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Rebecca S Zukowski PHD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
KEITH SHINER
SECRETARY	1.0	39.0		$0	$232,987	$22,769	Yes (X)
Robert Lally
TREASURER	20.0	20.0		$206,600	$206,601	$47,022	Yes (X)
LENORA ADDISON
VICE PRESIDENT	40.0	0.0		$304,535	$0	$54,564		Yes (X)
JILL JOHNSON
VICE PRESIDENT OF OPERATIONS	40.0	0.0		$257,753	$0	$25,227		Yes (X)
JOHN CARBONE MD
PHYSICIAN	40.0	0.0		$716,443	$0	$28,049			Yes (X)
CHUKA JENKINS MD
PHYSICIAN	40.0	0.0		$556,494	$0	$29,400			Yes (X)
Tariq Nayfeh
PHYSICIAN	40.0	0.0		$533,771	$0	$22,866			Yes (X)
Milford Marchant
PHYSICIAN	40.0	0.0		$483,513	$0	$15,220			Yes (X)
David Ghadisha
PHYSICIAN	40.0	0.0		$427,289	$0	$24,403			Yes (X)
JILL DONALDSON
FORMER VICE PRESIDENT	40.0	0.0		$301,197	$0	$23,006				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,695,819	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,216,006	TotReportableCompRltdOrgAmt
Total Other Compensation	$504,173	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	217	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
MORRISON MANAGEMENT SPECIALIST
4721 MORRISON DRIVE	MOBILE	AL	36609	Food services	$3,089,357
CROTHALL SVCS GROUP
1500 Liberty Ridge Drive Suite 210	WAYNE	PA	19087	environmental svcs	$1,349,953
PULMONARY CRITICAL CARE
PO BOX 79733	OWINGS MILLS	MD	211173292	MEDICAL SERVICES	$598,750
UP-TO-DATE LAUNDRY
1221 Desoto Rd	BALTIMORE	MD	212233211	LAUNDRY SERVICES	$478,660
STAFF CARE INC
5001 Statesman Drive	IRVING	TX	75063	Staffing services	$442,382

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,895,039	GovernmentGrantsAmt
All Other Contributions	$399,898	AllOtherContributionsAmt
Noncash Contributions	$1,500	NoncashContributionsAmt
Total Contributions	$2,294,937	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621400	$189,771,966	$189,771,966
PHARMACY INCOME	900099	$3,111,754	$3,111,754
MEANINGFUL USE INCOME	900099	$146,997	$146,997

Field	Value	IRS element (for citing)
Total Program Service Revenue	$193,030,717	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$195,062	TotalRevenueColumnAmt
Exclusion	$195,062	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	$2,807,500	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,807,500	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,807,500	TotalRevenueColumnAmt
Exclusion	$2,807,500	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$32,387	SecuritiesAmt
Other	$3,745	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$32,387	SecuritiesAmt
Other	$3,745	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,132	TotalRevenueColumnAmt
Exclusion	$36,132	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	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OUTSIDE LAB REVENUE	621500	$1,580,380	$1,580,380
OPERATING EXPENSE RECOVERY	900099	$1,284,582		$1,284,582
REBATE INCOME	900099	$336,789		$336,789

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,895,150	TotalRevenueColumnAmt
Exclusion	$1,895,150	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,096,901	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$203,461,249	TotalRevenueColumnAmt
Related Or Exempt Func Income	$193,030,717	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,580,380	UnrelatedBusinessRevenueAmt
Exclusion	$6,555,215	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,500	TotalAmt
Program Services	$1,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$32,682	TotalAmt
Program Services	$32,682	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,909,821	TotalAmt
Program Services	$3,599,431	ProgramServicesAmt
Management And General	$310,390	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$324,203	TotalAmt
Program Services	$298,464	ProgramServicesAmt
Management And General	$25,739	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$79,824,478	TotalAmt
Program Services	$73,490,178	ProgramServicesAmt
Management And General	$6,334,300	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,203,025	TotalAmt
Program Services	$1,106,868	ProgramServicesAmt
Management And General	$96,157	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,007,895	TotalAmt
Program Services	$9,207,967	ProgramServicesAmt
Management And General	$799,928	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,966,956	TotalAmt
Program Services	$4,398,055	ProgramServicesAmt
Management And General	$568,901	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$23,688,201	TotalAmt
Program Services	$2,912	ProgramServicesAmt
Management And General	$23,685,289	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,093	TotalAmt
Management And General	$6,093	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	$16,843,621	TotalAmt
Program Services	$16,271,683	ProgramServicesAmt
Management And General	$571,938	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$159,624	TotalAmt
Program Services	$18,950	ProgramServicesAmt
Management And General	$140,674	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,032,030	TotalAmt
Program Services	$1,308,873	ProgramServicesAmt
Management And General	-$276,843	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	$306,669	TotalAmt
Program Services	$923,152	ProgramServicesAmt
Management And General	-$616,483	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$184,933	TotalAmt
Program Services	$105,371	ProgramServicesAmt
Management And General	$79,562	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	$50,079	TotalAmt
Program Services	$33,834	ProgramServicesAmt
Management And General	$16,245	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,647,422	TotalAmt
Management And General	$1,647,422	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,875,069	TotalAmt
Program Services	$4,408,578	ProgramServicesAmt
Management And General	$3,466,491	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,486,952	TotalAmt
Program Services	$2,597,138	ProgramServicesAmt
Management And General	$889,814	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLIES	$14,721,122	$14,831,555	-$110,433
IMPLANTS/PROSTHESES	$2,211,219	$2,210,954	$265
MAINTENANCE	$5,011,805	$4,588,386	$423,419
UTILITIES	$4,042,046	$3,695,546	$346,500

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,500,054	TotalAmt
Program Services	$4,348,328	ProgramServicesAmt
Management And General	$3,151,726	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$189,037,499	TotalAmt
Program Services	$147,480,405	ProgramServicesAmt
Management And General	$41,557,094	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,383	BOYAmt
EOY	$2,855	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	$300,856	BOYAmt
EOY	$695,154	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,628,001	BOYAmt
EOY	$19,725,854	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	$2,686,163	BOYAmt
EOY	$2,349,290	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$585,075	BOYAmt
EOY	$322,086	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$208,371,789	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$160,658,250	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$46,658,580	BOYAmt
EOY	$47,713,539	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,341,332	BOYAmt
EOY	$2,298,557	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	$1,910,784	BOYAmt
EOY	$2,657,871	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,115,174	BOYAmt
EOY	$75,765,206	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,104,435	BOYAmt
EOY	$12,160,508	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$228,841	BOYAmt
EOY	$49,488	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$470,879	BOYAmt
EOY	$1,102,027	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	$24,938,181	BOYAmt
EOY	$21,945,223	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,742,336	BOYAmt
EOY	$35,257,246	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,154,712	BOYAmt
EOY	$39,418,461	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,218,126	BOYAmt
EOY	$1,089,499	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	$37,372,838	BOYAmt
EOY	$40,507,960	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$76,115,174	BOYAmt
EOY	$75,765,206	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,423,750	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$65,837	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,354,465	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,415,538	OtherCostOrOtherBasisAmt
Book Value	$3,415,538	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,060,064	OtherCostOrOtherBasisAmt
Depreciation	$56,497,444	DepreciationAmt
Book Value	$17,562,620	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$930,560	OtherCostOrOtherBasisAmt
Depreciation	$506,676	DepreciationAmt
Book Value	$423,884	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,893,491	OtherCostOrOtherBasisAmt
Depreciation	$101,144,754	DepreciationAmt
Book Value	$21,748,737	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,072,136	OtherCostOrOtherBasisAmt
Depreciation	$2,509,376	DepreciationAmt
Book Value	$4,562,760	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$47,713,539	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ADVANCES FROM THIRD PARTIES	$6,975,586
OTHER SHORT TERM LIABILITIES	$6,620,923
ASBESTOS ABATEMENT LIABILITY	$5,276,381
CREDIT BALANCES PATIENT A/R	$1,001,334
WORKER'S COMPENSATION	$894,194
GBR LIABILITY	$520,473
STOCK OPTION PLAN	$260,550
OTHER LONG TERM LIABILITIES	$395,782

Field	Value	IRS element (for citing)
Total Liability	$21,945,223	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48 FOOTNOTE	FormAndLineReferenceDesc
Explanation	SCHEDULE D, PART X INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 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	$2,956,753	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,956,753	NetCommunityBenefitExpnsAmt
Total Expense	0.01560	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,956,753	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,956,753	NetCommunityBenefitExpnsAmt
Total Expense	0.01560	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,890,742	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,085,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,805,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,299,691	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,297,741	NetCommunityBenefitExpnsAmt
Total Expense	0.05450	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,875,337	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,729,672	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,145,665	NetCommunityBenefitExpnsAmt
Total Expense	0.03250	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,482	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,482	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,115,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,816,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,298,504	NetCommunityBenefitExpnsAmt
Total Expense	0.09690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,072,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,816,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,255,257	NetCommunityBenefitExpnsAmt
Total Expense	0.11250	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,063	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,063	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,471	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,471	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,834	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,386	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,646	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,646	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$78,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,512,473	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	HARBOR HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3001 SOUTH HANOVER STREET	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21225	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	HARBOR HOSPITAL INC	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	HTTP://WWW.MEDSTARHARBOR.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	HTTP://WWW.MEDSTARHARBOR.ORG/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.MEDSTARHARBOR.ORG/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.MEDSTARHARBOR.ORG/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.MEDSTARHARBOR.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 and Georgetown University. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: RYAN MORAN 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: Jill Johnson AND STUART LEVINE, MD Advisory Task Force Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. NAME TITLE/AFFILIATION WITH NAME OF ORGANIZATION HOSPITAL Andrea Mayer Community Partner Concerned Citizens of Brooklyn Anta Kah, NP Primary Care Center MHH AZ Snyder Director, Office of AA County Health Dept Assessment and Planning Brad Rogers Executive Director, South Baltimore Gateway Community Partner Partnership Cara Miller RN Emergency Department MHH Carlos Zigel, MD Board Member MHH David Hager, MD Emergency Department MHH Deborah Green Community Partner Cherry Hill / CHDC Elias Shaya, MD Behavioral Health MHH Eric Jackson Community Partner Black Yield Institute Faith Cunningham Community Partner Cherry Hill / CHDC Fer Eren, MD Physician Advisor MHH George Buntin Community Partner Friendship Academy at Cherry Hill Greg Sileo Assistant Commissioner of Baltimore City Health Chronic Disease Prevention Dept. Jan Eveland Steering Committee Greater Baybrook Alliance Jill Johnson Executive Sponsor MHH VP Ops Management, Internal Steering Committee Joan Dolina Community Partner United Way of Central Maryland Kelly Oglesbee Community School Ben Franklin Center for Coordinator, Community Community Schools Partner Kerunne Cardiology MHH Ketlegetwe, MD Kimberly Mays Community Partner American Heart Association Leah Nugent Community Partner Chesapeake Conservation Corps Luis Rivera- Diabetes MHH Ramirez, MD Meleny Thomas Manager, Community Partner Rediscovery Me ClubHouse Meredith Chaiken Executive Director Greater Baybrook Alliance Michael Dorsey FQHC Family Health Centers of Baltimore Michael Executive Director Cherry Hill Development Middleton Community Partner Corporation Miriam Alvarex Outreach Coordinator, Behavioral Health System- Community Partner Baltimore Natalie McCabe Manager, Community Partner Cherry Hill Community Action Center Sara Roberson Outreach Coordinator, Pauls Place Community Partner Steve Sobelman Community Partner Community Mental Health Stuart Levine, Executive Sponsor MHH M.D. President and Chief Medical Officer Timothy Saunders Manager MFSMC/MHH Case Management Wael Bitar, MD Womens Health MHH

IMPLEMENTATION STRATEGIES

Part V, Section B, Line 11 The implementation strategies serve as a roadmap for how community benefit resources will be allocated and deployed. MedStar's hospitals will be able to measure our contribution to improving the health of underserved and vulnerable populations in the regions we serve. Three-year implementation strategies with measurable objectives were developed for each hospital's community benefit service area - a specific community or target population of focus. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. The MedStar Health Corporate Community Health Department will provide system-wide coordination and oversight of community benefit programming. HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT. FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS.

Supplemental Information Detail SupplementalInformationDetail (10 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 Harbor Hospital (MHH) 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 33 member Advisory Task Force (ATF) led the MHH 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 Southern Baltimore City and Northern Anne Arundel County as its Community Benefit Service Area (CBSA), which includes all residents living in ZIP code 21225. The hospital selected this geographic area based on hospital utilization data and secondary public health data as well as its high poverty rate and proximity to the hospital. 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, linkage to resources and services, transportation) and social determinants of health (employment, food access and insecurity, housing). The hospital's FY18 CHNA and three-year Implementation Strategies were endorsed by MHH 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 MHH 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: MedStar Harbor Hospital's community benefit service area (CBSA) includes all residents of the hospital's zip code, 21225. This area covers Southern Baltimore City and Northern Anne Arundel County, and includes four neighborhoods: Brooklyn, Brooklyn Park, Cherry Hill, and Pumphrey. The geographic areas was selected based on hospital utilization data by zip code, as well as secondary public health data as well as it high poverty rate and proximity to the hospital. Demographics: Cherry Hill is historically a Black/African American neighborhood, with roots going back to the 17th century. After World War II, more than 600 housing units were built there by the United States War Housing Administration, specifically for African American war workers. Shortly after the war, these units were made into low-income housing. Additional low-income housing units have been added throughout the years, making Cherry Hill one of the largest housing projects east of Chicago. 90.3% of Cherry Hill residents are Black/African American. 60.3% of Cherry Hill residents age 25 years and older have a high school education or less. The median household income for Cherry Hill in is $22,659, compared to $37,992 for the entire CBSA and approximately 57.2% of Cherry Hill families live in poverty. In terms of health care, the Cherry Hill community houses MHH, as well as a local branch of the Family Health Centers of Baltimore, which is a Federally Qualified Health Center (FQHC) providing health care services on a sliding fee scale. In addition, Baltimore City Health Department programs operate city-wide, and various mobile services - such as a needle exchange program, violence prevention, maternal and infant nursing, lead poisoning and abatement programs and others - in the Cherry Hill area According to the Cherry Hill Health Profile, the life expectancy at birth of a Cherry Hill resident is 69.5, compared to 73.6 in Baltimore City. The all cause mortality rate In Cherry Hill is 124.6; the all cause mortality rate in Baltimore City is 99.5. High rates of type 2 diabetes and heart disease, including stroke, occur in this community. For a variety of reasons, including the high poverty rate and low rate of health care insurance coverage, many Cherry Hill residents often use the MedStar Harbor Hospital emergency department for primary care services. A steady decrease is anticipated in this area over the next few fiscal years as patients become insured through the Affordable Care Act. Despite the convenient neighborhood location of a FQHC, many residents do not utilize a primary care physician. Typically, a chronic condition, such as diabetes or heart disease, presents severe enough symptoms to warrant a trip to the emergency department. In many cases, several co-morbidities are found to be present at this time. Without primary care follow-up, however, these conditions usually cannot be addressed fully in the time allotted for the emergent issue. In other cases, patients may have symptoms of a much less serious illness - a simple cold, for example - but, since they do not have a primary health care provider, they also visit the emergency department for these ailments. As a result, many of their most basic health needs often are not met.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 As a community partner, MHH 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 FY18 CHNA, are behavioral health services (substance use and mental health), chronic disease management, transportation access to medical services, access to healthy food, 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 National Alliance on Mental Illness classes geared to parents and caregivers of children and adolescents who have been diagnosed with a mental health condition. * Host an annual Mental Health forum in partnership with National Alliance on Mental Illness * 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 * Provide access to affordable healthy food to patients and communities by leveraging partners with expertise in food access and delivery
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6 As a proud member of MedStar Health, MHH 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 MHH 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 MHH is filed in the state of Maryland.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	18	RecipientCnt
Cash Grant	$32,682	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 1	FormAndLineReferenceDesc
Explanation	HARBOR HOSPITAL HAS A NURSING SCHOLARSHIP PROGRAM (NSP) TO SUPPORT ITS CERTIFIED NURSING ASSISTANT (CNA) EMPLOYEES TO PURSUE A NURSING DEGREE. THE NSP HAS ESTABLISHED ELIGIBILITY CRITERIA, AN APPLICATION PROCESS, CONTINUED PRORAM PARTICIPATION REQUIREMENTS, AND A SELECTION PROCESS. THROUGH THE CONTINUED PROGRAM PARTICIPATION REQUIREMENTS, HARBOR HOSPITAL ENSURES THAT THE RECIPIENTS REMAIN ELIGIBLE EACH SEMESTER TO CONTINUE RECEIVING A SCHOLARSHIP.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH A SAMET
DIRECTOR	$0	$1,818,529	$0	$4,346,350	$0	$374,009	$0	$49,758	$0	$32,482	$0	$6,621,128	$0	$0
LEIGH ANN CURL MD
DIRECTOR	$1,081,445	$0	$92,658	$0	$0	$0	$7,950	$0	$15,504	$0	$1,197,557	$0	$0	$0
CARLOS D ZIGEL MD
DIRECTOR	$206,549	$0	$0	$0	$0	$0	$9,664	$0	$15,761	$0	$231,974	$0	$0	$0
LENORA ADDISON
VICE PRESIDENT	$230,020	$0	$74,515	$0	$0	$0	$53,074	$0	$1,490	$0	$359,099	$0	$0	$0
JOHN CARBONE MD
PHYSICIAN	$716,443	$0	$0	$0	$0	$0	$12,629	$0	$15,420	$0	$744,492	$0	$0	$0
CHUKA JENKINS MD
PHYSICIAN	$493,110	$0	$63,384	$0	$0	$0	$14,478	$0	$14,922	$0	$585,894	$0	$0	$0
JILL DONALDSON
FORMER VICE PRESIDENT	$244,591	$0	$56,606	$0	$0	$0	$14,674	$0	$8,332	$0	$324,203	$0	$0	$0
DENNIS W PULLIN
PRESIDENT/director(UNTIL 9/17)	$351,853	$0	$284,072	$0	$74,135	$0	$7,950	$0	$23,471	$0	$741,481	$0	$0	$0
KEITH SHINER
SECRETARY	$0	$183,505	$0	$49,482	$0	$0	$0	$6,922	$0	$15,847	$0	$255,756	$0	$0
JILL JOHNSON
VICE PRESIDENT OF OPERATIONS	$204,289	$0	$53,464	$0	$0	$0	$7,465	$0	$17,762	$0	$282,980	$0	$0	$0
Robert Lally
TREASURER	$139,836	$139,837	$66,764	$66,764	$0	$0	$15,846	$15,846	$7,666	$7,665	$230,112	$230,112	$0	$0
Tariq Nayfeh
PHYSICIAN	$519,072	$0	$14,699	$0	$0	$0	$7,950	$0	$14,916	$0	$556,637	$0	$0	$0
Milford Marchant
PHYSICIAN	$466,556	$0	$16,957	$0	$0	$0	$0	$0	$15,220	$0	$498,733	$0	$0	$0
Stuart Levine MD
PRESIDENT/DIRECTOR	$285,681	$143,914	$185,836	$93,616	$0	$0	$8,100	$0	$16,822	$0	$496,439	$237,530	$0	$0
Robert Yacynych MD
DIRECTOR	$345,995	$0	$0	$0	$0	$0	$8,100	$0	$16,085	$0	$370,180	$0	$0	$0
David Ghadisha
PHYSICIAN	$427,289	$0	$0	$0	$0	$0	$7,950	$0	$16,453	$0	$451,692	$0	$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 1A THE ORGANIZATION PAID BUSINESS CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICERS 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. Robert Lallys compensation is for services provided as CFO to both MedStar Franklin Square and MedStar Harbor Hospital.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SHADE CONSTRUCTION	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$253,971	TransactionAmt
Transaction	CONSTRUCTION SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV, COLUMN (B) Shade Construction is a substantial contributor (in excess of $5,000) that also provided services to MedStar Harbor Hospital valued at $253,971. PER THE CONFLICT OF INTEREST POLICY, ALL TRANSACTIONS BETWEEN THE HOSPITAL AND OUTSIDE VENDORS SHOULD BE AT ARMS-LENGTH FOR FAIR MARKET VALUE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION MEMBERS	PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., 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.
DESCRIPTION OF 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 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST POLICY ENFORCEMENT	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.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 9 EQUITY TRANSFER- NET ASSETS.....................$ (11,354,465)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEDSTAR HEALTH ANESTHESIA SERVICES C LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3001 South Hanover Street	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21225	ZIPCd

Field	Value	IRS element (for citing)
EIN	205909818	EIN
Primary Activities	HEALTH SVCS	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Total Income	$2,421,387	TotalIncomeAmt
End Of Year Assets	-$1,026	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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)
Medstar Health Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	522087445	Medical Svcs	MD	501(C)(3)	12C III	NA	false
Montgomery General Hospital
18101 Prince Philip Drive	Olney	MD	20832	520646893	Hospital	MD	501(C)(3)	3	NA	Yes (true)
The Good Samaritan Hospital of Maryland
5601 Loch Raven Blvd	Baltimore	MD	21239	520591607	Hospital	MD	501(C)(3)	3	NA	Yes (true)
The Union Memorial Hospital
201 East University Parkway	Baltimore	MD	21218	520591685	Hospital	MD	501(C)(3)	3	NA	Yes (true)
Medstar HEALTH Research Institute
108 Irving Street NW	Washington	DC	20010	526056274	Hospital	DC	501(C)(3)	4	NA	Yes (true)
The Medstar-Georgetown Medical Center I
Hopsital Admin 1 Main Bldg	Washington	DC	20007	522218584	Hospital	DC	501(C)(3)	3	NA	Yes (true)
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)	7	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)
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 IIII	NA	Yes (true)
VNA Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	521332411	Admin Svcs	MD	501(C)(3)	12A I	NA	Yes (true)
WHC Foundation Inc
110 Irving Street NW	Washington	DC	20010	521791670	Foundation	DC	501(C)(3)	7	NA	Yes (true)
Woodbourne Woods Inc
5601 Loch Raven Blvd	Baltimore	MD	21239	522299070	Elder Housing	MD	501(C)(3)	10	NA	Yes (true)
Hospice of St Mary's Inc
PO Box 527	Leonardtown	MD	20650	522153926	Support Org	MD	501(C)(3)	12A I	NA	Yes (true)
St Mary's Hospital of St Mary's County
25500 Point Lookout Road	Leonardtown	MD	20650	520619006	Hospital	MD	501(C)(3)	3	NA	Yes (true)
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 AND AFFILIATES
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	477454613	RET. TRUST	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 Devel
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 SERVI	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 SERVICES	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 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
				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	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MedStar Health Research Institute
Q	$482,052	FMV
Franklin Square Hospital Center Inc
Q	$72,283	FMV
MEDSTAR HEALTH INC
P	$1,347,236	FMV