ST MARYS HOSPITAL OF ST MARYS COUNTY: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HOSPITAL OF ST MARYS COUNTY (EIN 52-0619006)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-11
- IRS object ID
- 201821319349303362
- Schema version
- 2016v3.1
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-11T13:33:14-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520619006 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARYS HOSPITAL OF ST MARYS COUNTY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOEL BRYAN | InCareOfNm |
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 3014756003 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25500 POINT LOOKOUT ROAD | AddressLine1Txt |
| City | LEONARDTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20650 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Person Title | VP/Treasurer | PersonTitleTxt |
| Phone | 4107726721 | PhoneNum |
| Signature | 2018-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JG WHITE | PreparerPersonNm |
| PTIN | P01498698 | PTIN |
| Phone | 7032868000 | PhoneNum |
| Preparation | 2018-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR ST MARY'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTINE WRAY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25500 POINT LOOKOUT ROAD | AddressLine1Txt |
| City | LEONARDTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20650 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $173,277,792 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYSHOSPITALMD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | MEDSTAR ST. MARY'S HOSPITAL UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1376 | TotalEmployeeCnt |
| Total Volunteers | 144 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,337,408 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,514,351 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $155,742,158 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $170,007,586 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$104,676 | PYInvestmentIncomeAmt |
| CY Investment Income | -$327,709 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,069,828 | PYOtherRevenueAmt |
| CY Other Revenue | $1,746,041 | CYOtherRevenueAmt |
| PY Total Revenue | $158,044,718 | PYTotalRevenueAmt |
| CY Total Revenue | $172,940,269 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,500,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $72,294,086 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $81,676,218 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $410 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $77,744,947 | PYOtherExpensesAmt |
| CY Other Expenses | $79,149,231 | CYOtherExpensesAmt |
| PY Total Expenses | $150,039,033 | PYTotalExpensesAmt |
| CY Total Expenses | $168,325,449 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,005,685 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,614,820 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,359,384 | TotalAssetsBOYAmt |
| Total Assets EOY | $114,106,366 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,709,478 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,399,672 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $94,649,906 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $95,706,694 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As a proud member of MedStar Health, MedStar St. Marys Hospitals (MedStar St. Marys) mission is to uphold its tradition of caring by continuously promoting, maintaining, and improving health through education and service while assuring quality care, patient safety and fiscal integrity. MedStar St. Marys is located in Leonardtown, Maryland, in the southern region. In fiscal year 2017, MSMH had 11,417 inpatient ADMISSIONS AND OBSERVATIONS, 181,111 outpatient visits, and 50,278 emergency visits. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $124,496,138 | ExpenseAmt |
| Revenue | $167,102,449 | RevenueAmt |
| Desc | MedStar St. Marys Hospitals largest program is access to and the provision of acute hospital services for communities of St. Marys County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar St. Marys incurred $56.8M of management and general expenses in providing services to its communities. MedStar St. Marys provides general, acute care services in medicine, surgery, obstetrics and gynecology, oncology, orthopaedics, pulmonary and cardiac rehabilitation, and psychiatry. The hospital offers kidney transplant services through the MedStar Georgetown Transplant Institute and orthopaedic services through the MedStar Orthopaedic Institute. It also provides hospice care and is partnered in a joint venture that provides home care. In addition to emergency room care, it operates an urgent care facility located 15 miles north of campus as well as on-campus and mobile community based health services. An outpatient pavilion includes cancer care and infusion services, imaging and womens health services, and community outreach and physician office space. Services also include a Center for Wound Healing. In Fiscal Year 2016, MedStar St. Mary's Hospital ranked #1 out of 44 hospitals in the State's Quality Based Reimbursement Program. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,194,934 | ExpenseAmt |
| Revenue | $2,905,137 | RevenueAmt |
| Desc | MedStar St. Marys provided $11.2M in subsidized (mission driven) health services in fiscal year 2017. 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 hospital outpatient services, womens and childrens services, behavioral health, and emergency and trauma services. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,467,970 | ExpenseAmt |
| Desc | MedStar St. Marys provided $2.5M in charity care services in fiscal year 2017. Charity care is provided pursuant to MedStar Healths Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Marylands unique payer system, the amount reported represents MedStar St. Marys charity care expense. Other charity care expenses are indirectly reimbursed via the state of Marylands payment system. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $138,159,042 | 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 | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 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 | false | 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 | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1376 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Phone | 4107726721 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10980 GRANTCHESTER WAY | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHRISTINE WRAY | |||||||||
| PRESIDENT/DIRECTOR | 20.0 | 20.0 | Yes (X) | Yes (X) | $628,133 | $628,133 | $31,675 | ||
| KENNETH A SAMET | |||||||||
| DIRECTOR | 1.0 | 39.0 | Yes (X) | $0 | $7,675,042 | $76,815 | |||
| John Harvey MD | |||||||||
| DIRECTOR | 1.0 | 39.0 | Yes (X) | $0 | $919,131 | $23,060 | |||
| AVANI SHAH MD | |||||||||
| DIRECTOR | 1.0 | 39.0 | Yes (X) | $0 | $550,004 | $14,678 | |||
| CONOR F LUNDERGRAN MD | |||||||||
| DIRECTOR | 1.0 | 39.0 | Yes (X) | $0 | $452,841 | $21,893 | |||
| BARBARA R THOMPSON | |||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JANE H SYPHER | |||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LEWIE ALDRIDGE JR | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DONALD CATHER JR | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARY LEIGH HARLESS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TRACY HARRIS PHD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| R TIMOTHY STORCH | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PATTY VERNON-RUSHER | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER BLAKE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINA L BROOM | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KRISHNA P JAYARAMAN MD | |||||||||
| DIRECTOR | 40.0 | 0.0 | Yes (X) | $167,859 | $0 | $0 | |||
| ANNA H CHOI MD | |||||||||
| DIRECTOR | 40.0 | 0.0 | Yes (X) | $470,897 | $0 | $22,364 | |||
| Stephen A Schmeiser | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Richard Braam | |||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | Yes (X) | $422,313 | $0 | $25,736 | |||
| Stephen Michaels | |||||||||
| SECRETARY | 1.0 | 39.0 | Yes (X) | $0 | $675,974 | $23,757 | |||
| Mark Whitten | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $569,479 | $0 | $14,356 | Yes (X) | |||
| AMIR KHAN | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $490,672 | $0 | $22,764 | Yes (X) | |||
| Bruce Gibson | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $499,731 | $0 | $23,057 | Yes (X) | |||
| Mehrdad Akhlaghi | |||||||||
| Internist | 40.0 | 0.0 | $305,343 | $0 | $17,440 | Yes (X) | |||
| Amanda Lakusta | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $259,676 | $0 | $152 | Yes (X) | |||
| MARYLOU WATSON | |||||||||
| Former VP Nursing | 0.0 | 0.0 | $120,551 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,934,654 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,901,125 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $317,747 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | 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 |
|---|---|---|---|---|---|
| AMN HEALTHCARE INC | |||||
| 12400 High Bluff Drive | SAN DIEGO | CA | 92130 | Staffing Services | $1,482,573 |
| CERNER HEALTH SERVICES INC | |||||
| 2525 Meridian Parkway Suites 100 | DURHAM | NC | 27713 | MEDICAL SERVICES | $1,049,912 |
| Diversified Clinical Services Inc | |||||
| PO Box 636981 | CINCINNATI | OH | 452636981 | Medical Services | $692,899 |
| MORRISON MANAGEMENT SPECIALIST | |||||
| 400 Northridge Road Suite 600 | ATLANTA | GA | 30350 | FOOD SERVICES | $679,601 |
| GE HEALTHCARE | |||||
| 80 SEAVIEW BLVD | PORT WASHINGTON | NY | 11050 | MEDICAL SERVICES | $581,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,054,138 | GovernmentGrantsAmt |
| All Other Contributions | $460,213 | AllOtherContributionsAmt |
| Noncash Contributions | $5,156 | NoncashContributionsAmt |
| Total Contributions | $1,514,351 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $168,756,075 | $168,756,075 |
| PHARMACY REVENUE | 621400 | $1,143,981 | $1,143,981 |
| MEANINGFUL USE REVENUE | 900099 | $48,806 | $48,806 |
| OTHER OPERATING REVENUE | 900099 | $58,724 | $58,724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $170,007,586 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,814 | TotalRevenueColumnAmt |
| Exclusion | $9,814 | 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 | $208,930 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $208,930 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $208,930 | TotalRevenueColumnAmt |
| Exclusion | $208,930 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $337,523 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$337,523 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$337,523 | TotalRevenueColumnAmt |
| Exclusion | -$337,523 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| HOSPICE SUBSIDY REVENUE | 900099 | $544,670 | $544,670 |
| REBATE INCOME | 900099 | $437,928 | $437,928 |
| GIFT SHOP AND VENDING INCOME | 900099 | $94,391 | $94,391 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $460,122 | TotalRevenueColumnAmt |
| Exclusion | $460,122 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,537,111 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $172,940,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,007,586 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,418,332 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500,000 | TotalAmt |
| Program Services | $7,500,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,753,141 | TotalAmt |
| Program Services | $1,650,756 | ProgramServicesAmt |
| Management And General | $102,385 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,551 | TotalAmt |
| Program Services | $114,096 | ProgramServicesAmt |
| Management And General | $6,455 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,824,426 | TotalAmt |
| Program Services | $63,246,491 | ProgramServicesAmt |
| Management And General | $3,577,935 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,980 | TotalAmt |
| Program Services | $68,451 | ProgramServicesAmt |
| Management And General | $16,529 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,412,317 | TotalAmt |
| Program Services | $6,841,391 | ProgramServicesAmt |
| Management And General | $1,570,926 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,480,803 | TotalAmt |
| Program Services | $4,214,545 | ProgramServicesAmt |
| Management And General | $266,258 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,462,415 | TotalAmt |
| Program Services | $199,794 | ProgramServicesAmt |
| Management And General | $14,262,621 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,557 | TotalAmt |
| Management And General | $13,557 | 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 | $13,216,350 | TotalAmt |
| Program Services | $12,539,802 | ProgramServicesAmt |
| Management And General | $676,548 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,430 | TotalAmt |
| Program Services | $27,314 | ProgramServicesAmt |
| Management And General | $450,116 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,104,194 | TotalAmt |
| Program Services | $1,755,253 | ProgramServicesAmt |
| Management And General | $348,941 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,694 | TotalAmt |
| Program Services | $627,744 | ProgramServicesAmt |
| Management And General | $144,950 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,647 | TotalAmt |
| Program Services | $274,880 | ProgramServicesAmt |
| Management And General | $285,767 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,463 | TotalAmt |
| Program Services | $303,399 | ProgramServicesAmt |
| Management And General | $37,022 | ManagementAndGeneralAmt |
| Fundraising | $42 | FundraisingAmt |
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 | $52,146 | TotalAmt |
| Program Services | $23,982 | ProgramServicesAmt |
| Management And General | $28,164 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,083 | TotalAmt |
| Program Services | $191 | ProgramServicesAmt |
| Management And General | $756,892 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,461,152 | TotalAmt |
| Program Services | $1,461,152 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,358,630 | TotalAmt |
| Program Services | $3,510,384 | ProgramServicesAmt |
| Management And General | $4,848,246 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $796,573 | TotalAmt |
| Program Services | $663,509 | ProgramServicesAmt |
| Management And General | $133,064 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED/SURG SUPPLIES | $6,906,085 | $6,906,085 | |
| IMPLANTS/PROSTHESES | $5,747,490 | $5,747,490 | |
| MAINTENANCE/REPAIRS | $2,750,877 | $2,399,531 | $351,346 |
| UTILITIES | $1,918,071 | $1,591,868 | $326,203 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,453,374 | TotalAmt |
| Program Services | $16,490,934 | ProgramServicesAmt |
| Management And General | $1,962,072 | ManagementAndGeneralAmt |
| Fundraising | $368 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,325,449 | TotalAmt |
| Program Services | $138,159,042 | ProgramServicesAmt |
| Management And General | $30,165,997 | ManagementAndGeneralAmt |
| Fundraising | $410 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,257,915 | BOYAmt |
| EOY | $982,831 | 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 | $52,822 | BOYAmt |
| EOY | $479,002 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,865,382 | BOYAmt |
| EOY | $21,090,043 | 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 | $90 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,410,224 | BOYAmt |
| EOY | $3,468,620 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,045 | BOYAmt |
| EOY | $2,893,072 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $154,605,949 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,681,987 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,044,538 | BOYAmt |
| EOY | $75,923,962 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,590,944 | BOYAmt |
| EOY | $756,524 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $10,646,424 | BOYAmt |
| EOY | $8,512,312 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,359,384 | BOYAmt |
| EOY | $114,106,366 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,836,389 | BOYAmt |
| EOY | $10,773,945 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,075 | BOYAmt |
| EOY | $245,516 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,843 | 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 | $11,692,171 | BOYAmt |
| EOY | $7,380,211 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,709,478 | BOYAmt |
| EOY | $18,399,672 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,549,906 | BOYAmt |
| EOY | $95,606,694 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | 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 | $94,649,906 | BOYAmt |
| EOY | $95,706,694 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,359,384 | BOYAmt |
| EOY | $114,106,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,614,820 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,558,032 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,723 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $92 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $112,815 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,689 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $34 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $112,723 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,651 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $38 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $112,689 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,554 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $97 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $112,651 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,352 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $202 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $112,554 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,732,797 | OtherCostOrOtherBasisAmt |
| Book Value | $5,732,797 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,887,141 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,896,621 | DepreciationAmt |
| Book Value | $53,990,520 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $625,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $402,550 | DepreciationAmt |
| Book Value | $222,966 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,181,716 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,567,230 | DepreciationAmt |
| Book Value | $13,614,486 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,178,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $815,586 | DepreciationAmt |
| Book Value | $2,363,193 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $75,923,962 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENTS IN CONSOLIDATED | $5,547,524 |
| INVESTMENTS IN UNCONSOLIDATED | $2,964,788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,512,312 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES | $4,295,791 |
| CREDIT BALANCES PATIENT A/R | $1,140,609 |
| OTHER SHORT TERM LIABILITIES | $774,042 |
| OTHER LONG TERM LIABILITIES | $780,455 |
| INTERCOMPANY PAYABLES | $389,314 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,380,211 | 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, 2017. ENDOWMENT FUNDS SCHEDULE D, PART V THE ENDOWMENT IS USED TO FUND THE NEEDS OF THE HOSPITAL. | 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 | false | ExpensesExceedBudgetInd |
| 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 | $2,467,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,467,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01470 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,467,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,467,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,242,093 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,042 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,223,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $198,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $198,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,194,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,905,137 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,289,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04920 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $668,207 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $528,315 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $139,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,303,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,452,494 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,851,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05850 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,771,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,452,494 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,319,260 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07320 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,416,736 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,416,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00840 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $763,155 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $763,155 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,711 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,711 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,888 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $493,219 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $493,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,727,709 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,727,709 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,314,070 | 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 | ST MARYS HOSPITAL OF ST MARYS COUNTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25500 POINT LOOKOUT ROAD | AddressLine1Txt |
| City | LEONARDTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20650 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARYS HOSPITAL OF ST MARYS COUNTY | 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 | 14 | 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.MEDSTARSTMARYS.ORG/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.medstarstmarys.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.MEDSTARSTMARYS.ORG/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.MEDSTARSTMARYS.ORG/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.MEDSTARSTMARYS.OR | 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: Lori Werrell 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: STEPHEN T. MICHAELS, M.D. 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 LORI WERRELL DIRECTOR, HEALTH CONNECTIONS MEDSTAR ST. MARY'S HOSPITAL MARY LEIGH BOARD MEMBER COMMUNITY HARLESS RIC BRAAM VICE PRESIDENT, CFO MEDSTAR ST. MARY'S HOSPITAL MEENAKSHI HEALTH OFFICER ST. MARY'S COUNTY BREWSTER HEALTH DEPARTMENT LORI JENNINGS DIRECTOR, AGING AND HUMAN ST. MARY'S County HARRIS SERVICES government colenthia executive director greater baden medical Malloy services Holly Meyers Director, Marketing and Public Medstar St. Mary's Relations Hospital steve michaels COO & Vice President, Medical MedStar St. Mary's affairs hospital KATHLEEN O'BREIN CEO WALDEN SIERRA, INC. FAHMI FAHMI PRIMARY CARE PHYSICIAN MEDSTAR ST. MARY'S HOSPITAL ella mae russell director, social services st. mary's county department of social services Nathaniel Project Director, MOTA Minority Outreach Scroggins Coalition and MOTA CONNOR Lundegrun PHYSICIAN, CHIEF OF STAFF MEDSTAR ST. MARY'S HOSPITAL Jane H. Sypher Board Member COMMUNITY MEMBER Barbara Thompson Board Member COMMUNITY MEMBER JENNA Mulliken HEALTH PLANNER ST. MARY'S COUNTY HEALTH DEPARTMENT Christine Wray President and Chief MedStar St. Mary's Executive OFFICER HOSPITAL TRACY HARRIS DEAN COLLEGE OF SOUTHERN MD, COLLEGE OF SOUTHERN MD BOARD MEMBER |
| 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 FY15, MedStar St. Marys Hospital conducted a Community Health Needs Assessment (CHNA) in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. The hospitals CHNA was led by 20 Advisory Task Force (ATF) members, which was comprised of a diverse group of individuals, including physicians, community residents, community leaders, and hospital representatives, The ATF reviewed quantitative and qualitative community health data, as well as local, regional and national health goals. Based on their findings, ATF members designed a survey to identify trends in how participants perceived the severity of key health issues in the following categories: wellness and prevention, access to care, quality of life, and environment. Community members responded to the survey by attending a community input session or completing it online or via hardcopy. Based on the ATFs recommendation, the hospital identified St. Marys County, with an emphasis on Lexington Park, as its Community Benefit Service Area (CBSA) a geography with a high density of low-income or vulnerable residents within close proximity of the hospital. Health priorities for the CBSA include chronic disease (heart disease/stroke, diabetes, obesity, and Alzheimers disease), substance abuse, access to care, and behavioral health. The hospitals FY15 CHNA and three-year Implementation Strategies were endorsed by MedStar St. Marys Board of Directors and approved by the MedStar Health Board of Directors. The document was published on the hospitals website on June 30, 2015. As a proud member of MedStar Health, representatives from MedStar St. Marys 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 within the communities we serve who lack financial resources have access to necessary hospital services. MedStar Health and its healthcare facilities will: * Treat all patients equitably, with dignity, with respect and with compassion. * Serve the emergency health care needs of everyone who presents at our facilities regardless of a patient's ability to pay for care. * Assist those patients who are admitted through our admissions process for non-urgent, medically necessary care who cannot pay for part of all of 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 work with their uninsured patients to gain an understanding of each patients financial resources prior to admission (for scheduled services) or prior to billing (for emergency services). Based on this information and patient eligibility, MedStar Healths facilities assists 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). * Assist with consideration of funding that may be available from other charitable organizations. * Provide charity care and financial assistance according to applicable guidelines. * Provide financial assistance for payment of facility charges using a sliding scale based on patient family income and financial resources. * Offer periodic payment plans to assist patients with financing their healthcare services. Each facility posts the policy, including a description of the applicable communities it serves, in each major patient registration area and in any other areas required by applicable regulations, communicates the information to patients as required by this policy and applicable regulations and makes a copy of the policy available to all patients. Additionally, the Maryland Patient Information Sheet/MedStars Patient Information Sheet is provided to inpatients on admission and at time of final account billing. MedStar Health believes that its patients have personal responsibilities related to the financial aspects of their healthcare needs. The charity care, financial assistance, and periodic payment plans available under this policy are not available to those patients who fail to fulfill their responsibilities. For purposes of this policy, patient responsibilities include: * Completing financial disclosure forms necessary 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 financial counselors and other financial services staff to ensure there is a complete understanding of the patients financial situation and constraints. * Completing appropriate applications for publicly-funded healthcare programs. This responsibility includes responding in a timely fashion to requests for documentation to support eligibility. * 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 financial counselors on a timely basis as the patients 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. Uninsured patients of MedStar Healths facilities may be eligible for charity care or sliding-scale financial assistance under this policy. The financial counselors and financial services staff determine eligibility for charity care and 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: St. Marys County is located on a peninsula in Southern Maryland with over 400 miles of shoreline on the Patuxent River, Potomac River and Chesapeake Bay. MedStar St. Marys Hospital, located in Leonardtown, Maryland, is the only acute care hospital in the county. The county is designated by the Bureau of Primary Care as a health professions shortage area for dental and mental health. The southern half of the county is designated as a primary care shortage area. The hospitals CBSA includes the 109,614 residents of St. Marys County, Maryland, with a focus on the Lexington Park community (ZIP code 20653). The Lexington Park community was selected due to a high density of low-income residents. Demographics: St. Marys County has a population of 109,614 citizens. St. Marys County is a state designated rural area with a diverse population. Farmers, waterman, high tech scientists, defense contractors/engineers and military members live alongside Amish and Mennonite communities, making the St. Marys County population unique. The residents of St. Marys County are majority White (81.9%), followed by Black/African American (14.2%), Hispanic (4.5%), Asian (2.6%), American Indian/Alaska Native (0.2%) and Native Hawaiian and other Pacific Islander (0.03%). St. Marys County has been the fastest growing county in Maryland within the past 10 years - with a population increase of 22% since 2000, and 4.3% growth in the last three years. The county also has the highest percentage of veterans in Maryland, one of the lowest median ages, and an emerging Hispanic population, all of which influence health and delivery of health services. Heart disease, cancer, lower respiratory illnesses, stroke and diabetes are the leading causes of death. Most residents (76.5%) work in the county. The high paying jobs associated with the Patuxent River Naval Air Station mask a growing underserved area located outside the base gates in the Lexington Park community (ZIP code 20653). With approximately 10.9% of the population living below the federal poverty level, Lexington Park has the greatest number of medically underserved citizens in the area. Approximately 11% (12, 642 residents) of the St. Marys population lives in the Lexington Park Census Designated Place (CDP), which is the single largest center of population in the county, with a disproportionate number living in poverty or near poverty levels. The largest number of minorities (32% Black/African American and 7.4% Hispanic) live within this census tract. The median annual family income for Lexington Park is $69,338, as compared to the median annual family income in St. Marys County of $86,987. Certain census tracts within the Lexington Park area have a high concentration of poverty, with one having a median annual family income as low as $42,766. Lexington Park has a lower per capita income and a higher unemployment rate than the rest of St. Marys County, a combination contributing to the countys health disparities. U.S. Census Bureau, 2011-2015 Quick Facts table 5-Year profile https://www.census.gov/quickfacts/fact/table/stmaryscountymaryland/PST0452 16 |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5 As a community partner, MedStar St. Marys engages in a number of activities to improve and promote the health and well-being of St. Marys County residents. Priority areas of focus, as determined by the community health needs assessment, are chronic disease, specifically targeting heart disease/stroke, diabetes, obesity, and Alzheimers disease; substance abuse, access to care, and behavioral health. To improve population health outcomes for St. Marys County, the hospital provided targeted chronic disease prevention and management programming. Programs include the National Diabetes Prevention Program, Chronic Disease Self Management Program ( Living Well with Chronic Conditions, Living Well with Diabetes, and Cancer; Thriving and Surviving), Walk with Ease and HEAL (Healthy Eating/Active Living) action team of the Healthy St Marys Partnership. Through its Get Connected Mobile Outreach Unit and Primary Care practice in Great Mills Maryland, MedStar St. Marys provided primary care and support services directly to the communities of underserved populations. Services include Psychiatry and Dental through expanded services established as part of the Health Enterprise Zone grant from the State of Maryland. Through MedStar St. Marys Health Connections program, residents of St. Marys County can take advantage of a variety of health promotion and health education services. Examples include evidence-based chronic disease programming, support groups, special events and screenings, flu clinics, and community coalitions. The hospital is the lead on the regions Health Enterprise Zone designation and grant funded project which ran through March of 2017. Plans to sustain key programs of the grant are in place. Continued programs in 2017 as a result of implementation of the CHNA included Alzeheimers disease and Parkinsons Disease Support groups, addition of Cancer specific CDSMP program, increased behavioral health diversion from the ER, operation of full service outpatient psychiatry, continuation of care coordination services for patients in the medical respite program, increased care coordination and other social determinant focused partnerships and support including the Community Alcohol Coalition and active participation with local authorities to combat the Opioid epidemic . There was an increased involvement in all of the teams of the Local Health Improvement Coalition (LHIC), the Healthy St Marys Partnership, as well as regional partnerships to achieve population and community health goals in the community. |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 6 As a proud member of MedStar Health, MedStar St. Marys is able to expand its capacity to meet the needs of the community by partnering with other MedStar hospitals and associated entities. MedStar Health resources assist the hospital in community health planning to meet the needs of the uninsured and other vulnerable populations. Through its community health function, MedStar Health provides MedStar St. Marys with technical support to enhance community health programming and evaluation. MedStars corporate philanthropy department identifies and seeks public and private funding sources to ensure the availability of high quality health services, regardless of ability to pay. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, LINE 7 The community benefit report for MedStar St. Marys Hospital is only filed in the state of Maryland. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MedStar Southern MD Hospital Center Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7503 SURRATTS ROAD | AddressLine1Txt |
| City | CLINTON | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20735 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 460726303 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $7,500,000 | CashGrantAmt |
| Purpose Of Grant | general support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Monitoring Funds | FormAndLineReferenceDesc |
| Explanation | We have an employee scholarship ("ES") program at St. Mary's Hospital. The emNloyee scholarships undergo a thorough review and approval phase dependent upon proper submissions by the requesting recipient. Any changes to the ES program must go through the president's office for approval. All applicants will be assigned a HRD associate that will receive and stamp applications when received. All applicants will be interviewed by HRD Department Leader of the Nursing Recruiter/HR Generalist for review of the application and agreement expectations. Applicants may be interviewed if needed by the selection committee. Within 10 days applicant is notified in writing of scholarship decision and the HRD associate will review with each recipient the requirements of the program. All invoices will be reviewed for required information and verification before processing, the payment is requested. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTINE WRAY | ||||||||||||||
| PRESIDENT/DIRECTOR | $221,401 | $221,401 | $252,190 | $252,189 | $154,542 | $154,543 | $3,423 | $3,422 | $12,415 | $12,415 | $643,971 | $643,970 | $0 | $0 |
| KENNETH A SAMET | ||||||||||||||
| DIRECTOR | $0 | $1,739,872 | $0 | $3,775,374 | $0 | $2,159,796 | $0 | $47,768 | $0 | $29,047 | $0 | $7,751,857 | $0 | $0 |
| John Harvey MD | ||||||||||||||
| DIRECTOR | $0 | $424,162 | $0 | $476,029 | $0 | $18,940 | $0 | $7,950 | $0 | $15,110 | $0 | $942,191 | $0 | $0 |
| AVANI SHAH MD | ||||||||||||||
| DIRECTOR | $0 | $209,440 | $0 | $335,837 | $0 | $4,727 | $0 | $7,158 | $0 | $7,520 | $0 | $564,682 | $0 | $0 |
| CONOR F LUNDERGRAN MD | ||||||||||||||
| DIRECTOR | $0 | $424,991 | $0 | $27,850 | $0 | $0 | $0 | $6,750 | $0 | $15,143 | $0 | $474,734 | $0 | $0 |
| KRISHNA P JAYARAMAN MD | ||||||||||||||
| DIRECTOR | $167,859 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $167,859 | $0 | $0 | $0 |
| ANNA H CHOI MD | ||||||||||||||
| DIRECTOR | $418,119 | $0 | $48,400 | $0 | $4,378 | $0 | $7,950 | $0 | $14,414 | $0 | $493,261 | $0 | $0 | $0 |
| Richard Braam | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $272,916 | $0 | $149,397 | $0 | $0 | $0 | $7,950 | $0 | $17,786 | $0 | $448,049 | $0 | $0 | $0 |
| Stephen Michaels | ||||||||||||||
| SECRETARY | $0 | $393,334 | $0 | $282,640 | $0 | $0 | $0 | $7,950 | $0 | $15,807 | $0 | $699,731 | $0 | $0 |
| MARYLOU WATSON | ||||||||||||||
| Former VP Nursing | $15,064 | $0 | $0 | $0 | $105,487 | $0 | $0 | $0 | $0 | $0 | $120,551 | $0 | $0 | $0 |
| Mark Whitten | ||||||||||||||
| PHYSICIAN | $569,479 | $0 | $0 | $0 | $0 | $0 | $7,950 | $0 | $6,406 | $0 | $583,835 | $0 | $0 | $0 |
| AMIR KHAN | ||||||||||||||
| PHYSICIAN | $470,672 | $0 | $20,000 | $0 | $0 | $0 | $7,950 | $0 | $14,814 | $0 | $513,436 | $0 | $0 | $0 |
| Bruce Gibson | ||||||||||||||
| PHYSICIAN | $463,112 | $0 | $36,619 | $0 | $0 | $0 | $7,950 | $0 | $15,107 | $0 | $522,788 | $0 | $0 | $0 |
| Mehrdad Akhlaghi | ||||||||||||||
| Internist | $277,843 | $0 | $27,500 | $0 | $0 | $0 | $7,950 | $0 | $9,490 | $0 | $322,783 | $0 | $0 | $0 |
| Amanda Lakusta | ||||||||||||||
| PHYSICIAN | $259,676 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $152 | $0 | $259,828 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III: | FormAndLineReferenceDesc |
| Explanation | Mr. Samet's compensation in Part II, Column (B) includes $3,752,690, 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. Marylou Watsons Other reportable compensation in Part II, Column (B) (iii) includes $105,487 representing severance payments received by Ms. Watson. Christine Wrays compensation is for services provided as President to both MedStar Southern Maryland Hospital Center and MedStar St. Marys Hospital. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 520936091 | BondIssuerEIN |
| Bond Issued | 2006-12-12 | BondIssuedDt |
| Issue Price | $8,309,151 | IssuePriceAmt |
| Purpose | EQUIPMENT LEASE | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $8,201,028 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $8,309,151 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $108,141 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $8,201,010 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BURCH OIL CO INC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $344,397 | TransactionAmt |
| Transaction | HEATING SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L, PART IV Burch Oil Co., Inc. is a substantial contributor that also provided heating services to the hospital. 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 (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION MEMBERS | PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. |
| DECISIONS OF GOVERNING BODY | PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. |
| PROCESS FOR REVIEWING FORM 990 | PART VI, LINE 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 | 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) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. |
| EXECUTIVE COMPENSATION PROCESS | PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. |
| FINANCIAL STATEMENT AVAILABILITY | PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. |
| OTHER CHANGES IN NET ASSETS | PART XI, LINE 9 EQUITY TRANSFERS...............................$(8,367,272) CONTRIBUTION FOR PROPERTY ACQUISITIONS.........$ 176,125 MINIMUM PENSION LIABILITY ADJUSTMENT...........$ 4,633,115 ============= TOTAL $(3,558,032) |
| FINANCIAL STATEMENTS AND REPORTING | PART XII, LINE 2 ST. MARYS HOSPITAL OF ST. MARYS COUNTY INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DRUGS & PHARMACEUTICALS TOTAL EXPENSES:9676777 PROGRAM SERVICES:9676777 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER MEDICAL SUPPLIES TOTAL EXPENSES:4397196 PROGRAM SERVICES:4397176 MANAGEMENT AND GENERAL:20 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER HOSPITAL SUPPLIES TOTAL EXPENSES:2001780 PROGRAM SERVICES:1718414 MANAGEMENT AND GENERAL:283128 FUNDRAISING:238 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DUES & LICENSES TOTAL EXPENSES:726499 PROGRAM SERVICES:400920 MANAGEMENT AND GENERAL:325579 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:RECRUITING- RETENTION TOTAL EXPENSES:202775 PROGRAM SERVICES:187991 MANAGEMENT AND GENERAL:14784 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER TOTAL EXPENSES:1448347 PROGRAM SERVICES:109656 MANAGEMENT AND GENERAL:1338561 FUNDRAISING:130 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHURCH HOME CORPORATION | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 237374724 | MEDICAL FUND | MD | 501(C)(3) | PF | NA | Yes (true) |
| FRANKLIN SQUARE HOSPITAL CENTER INC | ||||||||||
| 9000 FRANKLIN SQUARE DRIVE | BALTIMORE | MD | 21237 | 520608007 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| HARBOR HOSPITAL INC | ||||||||||
| 3001 SOUTH HANOVER STREET | BALTIMORE | MD | 21225 | 520491660 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 522087445 | MEDICAL SVCS | MD | 501(C)(3) | 12C III | NA | false |
| MONTGOMERY GENERAL HOSPITAL | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 520646893 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 520591607 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| THE UNION MEMORIAL HOSPITAL | ||||||||||
| 201 EAST UNIVERSITY PARKWAY | BALTIMORE | MD | 21218 | 520591685 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH RESEARCH INSTITUTE | ||||||||||
| 108 IRVING STREET NW | WASHINGTON | DC | 20010 | 526056274 | HOSPITAL | DC | 501(C)(3) | 4 | NA | Yes (true) |
| THE MEDSTAR-GEORGETOWN MEDICAL CENTER I | ||||||||||
| HOPSITAL ADMIN 1 MAIN BLDG | WASHINGTON | DC | 20007 | 522218584 | HOSPITAL | DC | 501(C)(3) | 3 | NA | Yes (true) |
| 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) | 12B II | NA | Yes (true) |
| FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI | ||||||||||
| 9000 FRANKLIN SQUARE DRIVE | BALTIMORE | MD | 21237 | 522329546 | FOUNDATION | MD | 501(C)(3) | 12A I | NA | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 522307122 | FOUNDATION | MD | 501(C)(3) | 12A I | NA | Yes (true) |
| GOOD SAMARITAN NURSING CENTER INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521672866 | MEDICAL SVCS | MD | 501(C)(3) | 10 | NA | Yes (true) |
| GS HOUSING INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521481656 | ELDER HOUSING | MD | 501(C)(3) | 10 | NA | Yes (true) |
| GS PROPERTIES INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521429853 | ADMIN SVCS | MD | 501(C)(3) | 12A I | NA | Yes (true) |
| HARBOR HOSPITAL FOUNDATION INC | ||||||||||
| 3001 SOUTH HANOVER STREET | BALTIMORE | MD | 21225 | 521284532 | FOUNDATION | MD | 501(C)(3) | 12A I | NA | Yes (true) |
| MEDSTAR HEALTH INFUSION INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521980510 | MEDICAL SVCS | MD | 501(C)(3) | 10 | NA | Yes (true) |
| MEDSTAR HEALTH VISITING NURSES ASSOCIATI | ||||||||||
| 4061 POWDERMILL ROAD | CALVERTON | MD | 20705 | 530196597 | MEDICAL SVCS | MD | 501(C)(3) | 10 | NA | Yes (true) |
| MEDSTAR VNA HEALTHCARE | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521458516 | MEDICAL SVCS | MD | 501(C)(3) | 10 | NA | Yes (true) |
| MGH COMMUNITY HEALTH INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521372467 | MEDICAL SVCS | MD | 501(C)(3) | 10 | NA | Yes (true) |
| MGH HEALTH FOUNDATION INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521129959 | FOUNDATION | MD | 501(C)(3) | 7 | NA | Yes (true) |
| MGH HEALTH SERVICES INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521366812 | FOUNDATION | MD | 501(C)(3) | 12B II | NA | Yes (true) |
| MGH WOMEN'S BOARD | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 526039600 | FOUNDATION | MD | 501(C)(3) | 12C III | NA | Yes (true) |
| NATIONAL REHABILITATION HOSPITAL | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521369749 | HOSPITAL | DC | 501(C)(3) | 3 | NA | Yes (true) |
| NRH REGIONAL REHAB AT OLNEY INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 522310902 | MEDICAL SVCS | MD | 501(C)(3) | 3 | NA | Yes (true) |
| SUBURBAN NRH MEDICAL REHABILITATION I | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931151 | MEDICAL SVCS | DC | 501(C)(3) | 3 | NA | Yes (true) |
| THE THOMAS O'NEIL CATHOLIC HEALTH CARE F | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521104382 | FOUNDATION | MD | 501(C)(3) | 12D III | NA | Yes (true) |
| VNA INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521332411 | ADMIN SVCS | MD | 501(C)(3) | 12B II | 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 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 INC | ||||||||||
| 7503 SURRATTS ROAD | CLINTON | MD | 20735 | 460726303 | HOSPITAL | MD | 501(C)(3) | 3 | NA | Yes (true) |
| MEDSTAR HEALTH INC AND AFFILIATES MASTER | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 467454613 | RET. TRUST | MD | 501(A) | N/A | NA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 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 | SURGERY CENTER | MD | NA | N/A | |
| MONTGOMERY COMMUNITY MAGNETIC RESONANCE | ||||||||
| 4110 ASPEN HILL ROAD SUITE 200 | ROCKVILLE | MD | 20853 | 841479788 | MRI SCREENING | MD | NA | N/A |
| PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC | ||||||||
| 4714 GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | 521534253 | PHYSIOTHERAPY | PA | NA | N/A |
| FRANKLIN SQUARE MEDICAL CENTERMERIDIAN | ||||||||
| 101 EAST STATE STREET | KENNETT SQUARE | PA | 19348 | 522212036 | NURSING HOME | PA | NA | N/A |
| PHYSICIAN IMAGING OF WASHINGTON | ||||||||
| 840 CRESCENT CENTRE DR STE 200 | FRANKLIN | TN | 37067 | 521734591 | RADIOLOGY SVCS | TN | NA | N/A |
| FRANKLIN IMAGING LLC | ||||||||
| 7253 AMBASSADOR RD | BALTIMORE | MD | 21244 | 562616090 | IMAGING | MD | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | CityForeignAddress/CityNm |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDSTAR PHARMACIES INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521513056 | DRUG SALES | MD | NA | C CORP | ||||||||||
| EXTENCARE INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521556228 | MEDICAL SERVICES | MD | NA | C CORP | ||||||||||
| HELIX RESOURCES MANAGEMENT INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521913070 | ADMIN SERVICES | MD | NA | C CORP | ||||||||||
| HELIXCARE MEDICAL GROUP LLC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521955580 | MEDICAL SERVICES | MD | NA | C CORP | ||||||||||
| HELIXCARE PROPERTIES LLC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521966695 | MEDICAL SERVICES | MD | NA | C CORP | ||||||||||
| PARKWAY VENTURES INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521893569 | HOLDING COMPANY | MD | NA | C CORP | ||||||||||
| PHYSICIANS ADMINISTRATIVE SERVICES INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 237042074 | BILLING SERVICES | MD | NA | C CORP | ||||||||||
| MEDSTAR FAMILY CHOICE INC | ||||||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521995521 | MANAGED CARE | MD | NA | C CORP | ||||||||||
| MEDSTAR ENTERPRISES INC | ||||||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522139841 | ADMIN 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 | $30,590 | $461,144 | 1.00000 | Yes (true) | ||||||
| GREENSPRING FINANCIAL INSURANCE LIMITED | ||||||||||||||||||
| 980188617 | INSURANCE | NA | C CORP | 23 LIME TREE BAY AVENUEPO BOX 1051 | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||||||
| ST MARY'S CONDO ASSOCIATION | ||||||||||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 273377216 | CONDOMINIUMS | MD | NA | C CORP | ||||||||||
| MEDSTAR HEALTH MASTER RETIREMENT TRUST | ||||||||||||||||||
| 999999999 | INVESTMENTS | NA | C CORP | 102 South Church St | CJ | KY1-1002 | CJ | Grand Cayman | ||||||||||
| MEDSTAR HEALTH INC - INVESTMENT FUND I | ||||||||||||||||||
| 981310273 | INVESTMENTS | NA | C CORP | 102 South Church St | CJ | KY1-1002 | CJ | Grand Cayman | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HH MedStar Health Inc | ||
| Q | $169,880 | FMV |
| MedStar Health Research Institute | ||
| Q | $1,810,678 | FMV |
| Washington Hospital Center Corporation | ||
| Q | $192,596 | FMV |
| Hospice of St Mary's Inc | ||
| R | $1,015,252 | FMV |
| St Mary's Hospital Foundation Inc | ||
| R | $142,628 | FMV |
| Hospice of St Mary's | ||
| Q | $544,670 | FMV |
| ST MARY'S HOSPITAL FOUNDATION INC | ||
| S | $186,538 | FMV |