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THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC (EIN 52-0591607)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201841319349301214
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T08:19:28-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11676 INTERNATIONAL DRIVEAddressLine1Txt
CityMcLeanCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591607EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOEL BRYANPersonNm
Person TitleVP/TreasurerPersonTitleTxt
Phone4107726721PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJG WHITEPreparerPersonNm
PTINP01498698PTIN
Phone7032868000PhoneNum
Preparation2018-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRADLEY CHAMBERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 LOCH RAVEN BLVDAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$304,578,129GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.goodsam-md.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionWE ARE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO TRADITION AND TRUSTED TO DELIVER IDEAL HEALTHCARE EXPERIENCES FOR THE PATIENTS WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1906TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$160,922TotalGrossUBIAmt
PY Contributions Grants$3,058,718PYContributionsGrantsAmt
CY Contributions Grants$8,877,130CYContributionsGrantsAmt
PY Program Service Revenue$308,986,480PYProgramServiceRevenueAmt
CY Program Service Revenue$293,106,645CYProgramServiceRevenueAmt
PY Investment Income$86,197PYInvestmentIncomeAmt
CY Investment Income$85,722CYInvestmentIncomeAmt
PY Other Revenue$3,287,167PYOtherRevenueAmt
CY Other Revenue$2,508,632CYOtherRevenueAmt
PY Total Revenue$315,418,562PYTotalRevenueAmt
CY Total Revenue$304,578,129CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$157,053,747PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$152,162,034CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$150,501,269PYOtherExpensesAmt
CY Other Expenses$134,882,158CYOtherExpensesAmt
PY Total Expenses$307,555,016PYTotalExpensesAmt
CY Total Expenses$287,044,192CYTotalExpensesAmt
PY Revenues Less Expenses$7,863,546PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,533,937CYRevenuesLessExpensesAmt
Total Assets BOY$166,104,776TotalAssetsBOYAmt
Total Assets EOY$171,590,429TotalAssetsEOYAmt
Total Liabilities BOY$50,399,432TotalLiabilitiesBOYAmt
Total Liabilities EOY$44,142,984TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$115,705,344NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$127,447,445NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GOOD SAMARITAN HOSPITALS (MEDSTAR GOOD SAMARITAN) MISSION IS TO BE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO DELIVER IDEAL HEALTH EXPERIENCES. MEDSTAR GOOD SAMARITAN, LOCATED IN NORTHEAST BALTIMORE CITY, MARYLAND, IS KNOWN FOR ITS SPECIALTIES IN ORTHOPAEDICS, RHEUMATOLOGY, NEPHROLOGY, AND PHYSICAL MEDICINE AND REHABILITATION PROGRAMS. IN ADDITION TO GENERAL ADULT ACUTE CARE SERVICES, MEDSTAR GOOD SAMARITAN HAS A COMPREHENSIVE INPATIENT REHABILITATION UNIT AND A SUB-ACUTE CARE UNIT. THROUGH MGSHS CENTER FOR SUCCESSFUL AGING, INTEGRATED CARE IS PROVIDED TO PATIENTS WHO EXPERIENCE AGE-RELATED HEALTH CONDITIONS. IN FISCAL YEAR 2017, MEDSTAR GOOD SAMARITAN HAD 13,604 INPATIENT ADMISSIONS AND OBSERVATIONS, 311,452 OUTPATIENT VISITS, AND 51,967 EMERGENCY VISITS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$199,378,013ExpenseAmt
Grant$0GrantAmt
Revenue$289,814,086RevenueAmt
DescMEDSTAR GOOD SAMARITANS LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF NORTHEASTERN BALTIMORE CITY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR GOOD SAMARITAN INCURRED $86.6M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. IT ALSO OFFERS COMMUNITY-BASED HEALTH SERVICES THROUGH THE GOOD HEALTH CENTER AND PROVIDES SENIOR LIVING SERVICES THROUGH THE GOOD SAMARITAN NURSING CENTER AND TWO SENIOR HOUSING COMPLEXES LOCATED ON ITS 43-ACRE CAMPUS. MEDSTAR GOOD SAMARITANS STROKE CARE PROGRAM HAS RECEIVED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR PRIMARY STROKE CENTERS. MEDSTAR GOOD SAMARITAN HAS RECEIVED THE BRONZE PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN STROKE ASSOCIATION FOR ITS EXCEPTIONAL CARE FOR STROKE PATIENTS. THE STROKE CENTER AT MEDSTAR GOOD SAMARITAN HOSPITAL HAS RECEIVED BOTH THE HONORED BRONZE AWARD AND SILVER PLUS AWARD FROM THE AMERICAN HEART ASSOCIATION FOR THE OUTSTANDING WORK OF THE CENTER AS WELL AS ITS PREVENTIVE AND COMMUNITY EDUCATION PROGRAMS. PRACTICE GREENHEALTH AWARDED MEDSTAR GOOD SAMARITAN HOSPITAL THE GREENHEALTH EMERALD AWARD, WHICH IS GIVEN TO HEALTHCARE FACILITIES THAT HAVE ACHIEVED IMPROVEMENTS IN MERCURY ELIMINATION, WASTE REDUCTION, RECYCLING, AND SOURCE REDUCTION PROGRAMS. WINNING FACILITIES ARE FURTHER ALONG THE PATH TO SUSTAINABILITY AND SHOW LEADERSHIP IN THE LOCAL COMMUNITY AND IN THE HEALTHCARE SECTOR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,251,420ExpenseAmt
Grant$0GrantAmt
Revenue$3,292,559RevenueAmt
DescMEDSTAR GOOD SAMARITAN PROVIDED $8.2M 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 HOSPITALISTS, OUTPATIENT RENAL DIALYSIS SERVICES, AND CONTINUING CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,605,111ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescMedStar Good Samaritan provided $8.6M in health professions education in fiscal year 2017. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$216,234,544TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1906EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOEL BRYANPersonNm
Phone4107726721PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL P CAHILL
VICE CHAIR1.00.0Yes (X)$0$0$0
MOIRA P LARSEN MD
BOARD MEMBER40.00.0Yes (X)$206,449$223,367$5,634
KENNETH A SAMET
BOARD MEMBER1.039.0Yes (X)$0$7,675,042$76,815
BERNARD H RAVITZ MD
BOARD MEMBER40.00.0Yes (X)$279,116$0$5,418
HOWARD S FREELAND MD
BOARD MEMBER40.00.0Yes (X)$88,570$262,012$19,744
LUIS GIMENEZ MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
KAY G BEE
BOARD MEMBER1.00.0Yes (X)$0$0$0
SONYA H GRAY
BOARD MEMBER1.00.0Yes (X)$0$0$0
Most Rev Denis J Madden
BOARD MEMBER1.00.0Yes (X)$0$0$0
ALLAN NOONAN MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
REV PM SMITH
BOARD MEMBER1.00.0Yes (X)$0$0$0
JOHN C SMYTH
CHAIR1.00.0Yes (X)$0$0$0
KATHLEEN J WHITING
BOARD MEMBER1.00.0Yes (X)$0$0$0
DAVID WEISMAN DO
BOARD MEMBER40.00.0Yes (X)$228,674$0$23,295
MONS ADAM J PARKER
BOARD MEMBER1.00.0Yes (X)$0$0$0
ELIAS SHAYA MD
BOARD MEMBER40.00.0Yes (X)$344,684$0$9,381
MICHAEL JACOBS MD
BOARD MEMBER40.00.0Yes (X)$803,049$0$19,994
BRADLEY CHAMBERS
President/BOARD MEMBER20.020.0Yes (X)$559,725$559,724$42,754Yes (X)
ANTHONY READ
BOARD MEMBER1.00.0Yes (X)$0$0$0
Anthony DAgostino
BOARD MEMBER (AS OF 3/2017)1.00.0Yes (X)$0$0$0
Kevin E Wesner
BOARD MEMBER (AS OF 9/2016)1.00.0Yes (X)$0$0$0
Holly A Tilford
BOARD MEMBER (AS OF 9/2016)1.00.0Yes (X)$0$0$0
DEANA STOUT
CHIEF FINANCIAL OFFICER20.020.0$207,095$207,095$38,987Yes (X)
STEPHEN KOENIGSBERG
vice president20.020.0$124,086$124,086$22,342Yes (X)
SHARON BOTTCHER
CHIEF NURSING OFFICER20.020.0$172,915$172,915$15,647Yes (X)
MARTIN BINSTOCK
VP MEDICAL AFFAIRS40.00.0$611,308$0$34,970Yes (X)
ROBERT PEROUTKA MD
PHYSICIAN40.00.0$667,861$0$18,938Yes (X)
DALE BUCHBINDER MD
MED dir of vascular SURGERY40.00.0$635,025$0$19,886Yes (X)
MESFIN LEMMA MD
PHYSICIAN40.00.0$739,694$0$1,869Yes (X)
Carmen Pichard-Encina
PHYSICIAN40.00.0$514,613$0$11,411Yes (X)
JEFFREY A MATTON
former PRESIDENT0.040.0$0$1,005,282$38,648Yes (X)
THOMAS SENKER
FORMER SECRETARY40.00.0$523,370$0$30,735Yes (X)
JENNIFER WILKERSON
FORMER OFFICER40.00.0$278,011$0$21,042Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,984,245TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,229,523TotReportableCompRltdOrgAmt
Total Other Compensation$457,510TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K158IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HUNT VALLEY ANES ASSOC PA
PO BOX 20284TOWSONMD21284Medical Services$6,190,000
MORRISON HEALTHCARE FOOD SERVICES
4721 MORRISON DRIVEMOBILEAL36609food services$3,900,384
JOHNS HOPKINS UNIVERSITY
12529 COLLECTIONS CENTER DRIVECHICAGOIL60693PROFESSIONAL SVCS$3,454,492
UNIVERSITY OF MARYLAND
110 S PACA STREETBALTIMOREMD21201PROFESSIONAL SVCS$1,828,818
AMN HEALTHCARE INC
200 John James Audubon PkwyBUFFALONY14228STAFFING SERVICES$1,180,420
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Government Grants$270,835GovernmentGrantsAmt
All Other Contributions$8,606,295AllOtherContributionsAmt
Noncash Contributions$39,561NoncashContributionsAmt
Total Contributions$8,877,130TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$284,568,577$284,568,577
PHARMACY INCOME900099$7,767,174$7,767,174
MEANINGFUL USE INCOME900099$688,743$688,743
OTHER HEALTH REVENUE900099$82,151$82,151
FieldValueIRS element (for citing)
Total Program Service Revenue$293,106,645TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,750TotalRevenueColumnAmt
Exclusion$47,750ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$372,227RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$372,227RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$372,227TotalRevenueColumnAmt
Exclusion$372,227ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,674SecuritiesAmt
Other$6,298OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$31,674SecuritiesAmt
Other$6,298OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,972TotalRevenueColumnAmt
Exclusion$37,972ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
REBATE INCOME900099$624,905$624,905
CHILD DAY CARE900099$552,938$552,938
REFERRAL LAB INCOME900099$160,922$160,922

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$797,640TotalRevenueColumnAmt
Exclusion$797,640ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,136,405OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$304,578,129TotalRevenueColumnAmt
Related Or Exempt Func Income$293,106,645RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$160,922UnrelatedBusinessRevenueAmt
Exclusion$2,433,432ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,132,317TotalAmt
Program Services$2,824,320ProgramServicesAmt
Management And General$307,997ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$123,972,588TotalAmt
Program Services$111,782,516ProgramServicesAmt
Management And General$12,190,072ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,182,152TotalAmt
Program Services$1,967,584ProgramServicesAmt
Management And General$214,568ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,942,341TotalAmt
Program Services$13,473,079ProgramServicesAmt
Management And General$1,469,262ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,932,636TotalAmt
Program Services$6,954,614ProgramServicesAmt
Management And General$978,022ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$33,945,523TotalAmt
Management And General$33,945,523ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$68,500TotalAmt
Program Services$68,500ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,812,432TotalAmt
Program Services$17,976,502ProgramServicesAmt
Management And General$8,835,930ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$329,958TotalAmt
Program Services$16,787ProgramServicesAmt
Management And General$313,171ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,505,134TotalAmt
Program Services$1,517,318ProgramServicesAmt
Management And General$987,816ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,235,182TotalAmt
Program Services$988,339ProgramServicesAmt
Management And General$246,843ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$203,884TotalAmt
Program Services$178,488ProgramServicesAmt
Management And General$25,396ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$93,988TotalAmt
Program Services$86,665ProgramServicesAmt
Management And General$7,323ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,115,674TotalAmt
Management And General$2,115,674ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,367,652TotalAmt
Program Services$7,180,188ProgramServicesAmt
Management And General$5,187,464ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,463,768TotalAmt
Program Services$1,749,863ProgramServicesAmt
Management And General$1,713,905ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED/SURG SUPPLIES$28,594,756$28,734,801-$140,045
MAINTENANCE$6,352,691$5,838,755$513,936
FOOD SERVICES/SUPPLIES$3,932,467$3,805,840$126,627
UTILITIES$3,824,418$3,585,839$238,579

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,036,131TotalAmt
Program Services$7,504,546ProgramServicesAmt
Management And General$1,531,585ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$287,044,192TotalAmt
Program Services$216,234,544ProgramServicesAmt
Management And General$70,809,648ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,275BOYAmt
EOY$4,177EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,022,913BOYAmt
EOY$39,229,016EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,078,022BOYAmt
EOY$3,222,797EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$496,350BOYAmt
EOY$439,091EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$241,686,845LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$176,190,535LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,112,888BOYAmt
EOY$65,496,310EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,070,454BOYAmt
EOY$3,210,333EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$56,319,874BOYAmt
EOY$59,988,705EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$166,104,776BOYAmt
EOY$171,590,429EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,142,517BOYAmt
EOY$19,219,425EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$262,555BOYAmt
EOY$940,698EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,994,360BOYAmt
EOY$23,982,861EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,399,432BOYAmt
EOY$44,142,984EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$59,668,725BOYAmt
EOY$60,727,518EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,036,619BOYAmt
EOY$66,719,927EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$115,705,344BOYAmt
EOY$127,447,445EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$166,104,776BOYAmt
EOY$171,590,429EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,533,937ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$176,553NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,968,389OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,356,036OtherCostOrOtherBasisAmt
Depreciation$47,851,007DepreciationAmt
Book Value$25,505,029BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,089,361OtherCostOrOtherBasisAmt
Depreciation$673,943DepreciationAmt
Book Value$415,418BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,541,827OtherCostOrOtherBasisAmt
Depreciation$125,006,660DepreciationAmt
Book Value$35,535,167BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,699,621OtherCostOrOtherBasisAmt
Depreciation$2,658,925DepreciationAmt
Book Value$4,040,696BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$65,496,310TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OPTION IT ASSET$723,690
EQUITY IN THOMAS O'NEILL$59,261,734
OTHER ASSETS$3,281
FieldValueIRS element (for citing)
Total Book Value Other Assets$59,988,705TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ADVANCES FROM 3RD PARTY PAYORS$6,698,602
ASBESTOS ABATEMENT LIABILITY$3,051,522
WORKERS COMPENSATION$2,797,259
CREDIT BALANCE PATIENT A/R$1,107,665
STOCK OPTION PLAN$652,579
INTERCOMPANY PAYABLES$610,565
OTHER LIABILITIES$9,064,669
FieldValueIRS element (for citing)
Total Liability$23,982,861TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 FOOTNOTEFormAndLineReferenceDesc
ExplanationPART X, LINE 2 INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2017.ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,823,677TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,823,677NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,823,677TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,823,677NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,092,104TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,855DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,056,249NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,605,111TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,605,111NetCommunityBenefitExpnsAmt
Total Expense0.03000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,251,420TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,292,559DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,958,861NetCommunityBenefitExpnsAmt
Total Expense0.01730TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,915TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,915NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,977,550TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,328,414DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,649,136NetCommunityBenefitExpnsAmt
Total Expense0.05110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,801,227TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,328,414DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,472,813NetCommunityBenefitExpnsAmt
Total Expense0.06440TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$902,538TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$552,938DirectOffsettingRevenueAmt
Net Community Benefit Expns$349,600NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,016TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,016NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$932,940TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$552,938DirectOffsettingRevenueAmt
Net Community Benefit Expns$380,002NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$11,512,102BadDebtExpenseAmt
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN HOSPITAL OF MARYLANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MEDSTARGOODSAM.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MEDSTARGOODSAM.ORGStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MEDSTARGOODSAM.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MEDSTARGOODSAM.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MEDSTARGOODSAM.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHNA INPUTPART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION The Community Health Needs Assessment (CHNA) Hospital Lead serves as the coordinator of all aspects of the community health assessment process. He/she helps establish and coordinate the activities of the Advisory Task Force. The Lead also helps produce the hospital's Community Health Needs Assessment and Implementation Strategy. He/she works collaboratively with representatives from the Corporate Community Health Department on all Schedule Hs. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: Deborah Bena Executive Sponsor Role Description The Executive Sponsor serves as the conduit between the Advisory Task Force and the Senior Management Team. The sponsor is an active participant of the Advisory Task Force and he/she communicates the hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: Bradley Chambers Advisory Task Force Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. Name: Title/Affiliation with Hospital: Name of Organization Deborah Bena Health Ministries Coordinator MedStar Good Samaritan Hospital Allan Noonan, MD Chair MedStar Good Samaritan Hospital Board Sonya Gray Board Member MedStar Good Samaritan Hospital Board David Weisman, MD Physician MedStar Good Samaritan Hospital Michelle Zikusoka,Physician MedStar Good MD Samaritan Hospital Bernadette Krol, Registered Nurse MedStar Good RN Samaritan Hospital Moira Larsen, MD Physician and Board Member MedStar Good Samaritan Hospital Rachel V. Neill Resident Govans Ecumenical Corporation (GEDCO) - CARES PROGRAM Patricia Stabile Program Director HARBEL Prevention and recovery Center Randolph Rowel, Chair $ Associate Professor Department of PhD Behavioral health Sciences, Morgan state university
IMPLEMENTATION STRATEGYPART V, SECTION B, LINE 11 THE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING. HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT. FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITALS STRENGTHS.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Transitional Care at Good Samaritan
5601 Loch Raven BlvdBaltimoreMD21239Comprehensive Care Facility
ManorCare
6600 Ridge RdBaltimoreMD21239Renal Dialysis facility
Lorien Frankford
5009 Frankford AveBaltimoreMD21206Renal Dialysis facility

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHARITY CARE AT COSTPART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
UNREIMBURSED MEDICAIDPART I, LINE 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.
BAD DEBTPART III, LINES 2 & 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT.
NEEDS ASSESSMENTPART VI, LINE 2 IN FY15, MEDSTAR GOOD SAMARITAN 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 15 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, THE ATF 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 GOVANS AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) 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, AND OBESITY). THE HOSPITALS FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR GOOD SAMARITANS 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 GOOD SAMARITAN 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 ASSISTANCEPART 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.1 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 INFORMATIONPART VI, LINE 4 GEOGRAPHIC: MEDSTAR GOOD SAMARITAN HOSPITALS CBSA INCLUDES RESIDENTS IN ZIP CODE 21212, THE GOVANS AREA OF BALTIMORE. WHILE THE PRIMARY FOCUS FOR TARGETED PROGRAMMING WILL BE IN THIS NEIGHBORHOOD, MGSH ALSO PROVIDES SERVICES TO INDIVIDUALS IN NEED IN THE HOSPITALS PRIMARY SERVICE AREA, WHICH INCLUDES ZIP CODES 21234, 21239, 21206, AND 21214. THE CBSA WAS SELECTED DUE TO ITS CLOSE PROXIMITY TO THE HOSPITAL, COUPLED WITH A HIGH DENSITY OF RESIDENTS WITH LOW INCOMES. THE GOVANS NEIGHBORHOOD IS LOCATED IN NORTH CENTRAL BALTIMORE CITY, APPROXIMATELY TWO MILES FROM GOOD SAMARITAN HOSPITAL. THE NEIGHBORHOOD FEATURES MANY DIFFERENT HOUSING TYPES, BUSINESSES, CHURCHES, A CHARTER SCHOOL AND A NEIGHBORHOOD PARK. GOVANS HAS ALWAYS BEEN ASSOCIATED WITH YORK ROAD, FIRST AS AN INDIAN TRAIL, AND THEN AS AN IMPORTANT COMMERCIAL ROAD AND TURNPIKE LINKING THE PORT OF BALTIMORE TO PENNSYLVANIA. DEMOGRAPHICS: ACCORDING TO STATISTICS FROM THE BALTIMORE CITY 2017 NEIGHBORHOODS HEALTH PROFILE, THE TOTAL POPULATION IN GOVANS (ZIP CODE 21212) IS 10,762, THE MAJORITY OF WHICH IS AFRICAN AMERICAN (90.4%). WHITES ACCOUNT FOR 6.4% OF THE POPULATION, AND 2.6% OF THE POPULATION SELF-REPORTS AS TWO OR MORE RACES. SLIGHTLY MORE THAN ONE PERCENT (2.3%) OF THE POPULATION IS OF HISPANIC OR LATINO ORIGIN. MEDIAN HOUSEHOLD INCOME IN THE GOVANS AREA IS 36,531 WHILE BALTIMORE CITY REPORTS A MEDIAN INCOME OF 41,819. DATA ALSO SHOWS THAT THE PERCENTAGE OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE IN GOVANS IS 30.5% AND IN BALTIMORE CITY IS 28.8%. LIFE EXPECTANCY IN GOVANS IS 73.3 (DEATHS PER 10,000 RESIDENTS) JUST SLIGHTLY LOWER THAN THE BALTIMORE CITY AT 73.6. GOVANS IS CONSIDERED A FOOD DESERT-DATA SHOWS THE PERCENTAGE of land area that is covered by a food desert IS 36.2% AS COMPARED TO BALTIMORE CITY OVERALL AT 11.4%.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR GOOD SAMARITAN HOSPITAL (MGSH) ENGAGES IN A NUMBER OF COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THE PRIORITY AREA OF FOCUS, AS DETERMINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CHRONIC DISEASE, SPECIFICALLY TARGETING HEART DISEASE, DIABETES, AND OBESITY. IN FY17, MEDSTAR GOOD SAMARITAN CONTINUED COMMUNITY PARTNERSHIPS WITH ORGANIZATIONS, SUCH AS SENIOR CENTERS, CHURCHES AND SENIOR HOUSING TO PROVIDE HEALTH EDUCATION CLASSES, AS WELL AS EXERCISE AND WEIGHT LOSS programs. the stanford university's evidenced-based "living well programs" were conducted at various locations in fy17 to meet the needs OF THOSE WITH GENERAL CHRONIC CONDITIONS AS WELL AS DIABETES. APPROXIMATELY 35 PEOPLE PARTICIPATED IN THESE PROGRAMS. FITNESS PROGRAMS WERE HELD WEEKLY AT THE SENIOR NETWORK OF NORTH BALTIMORE, A CLOSE COMMUNITY PARTNER LOCATED IN GOVANS. CLASSES FOCUSED ON AEROBIC/CARDIO EXERCISE, STRENGTH TRAINING AND STRETCHING. APPROXIMATELY 90 PEOPLE PARTICIPATED IN THE FITNESS PROGRAMS IN FY17. TO ADDRESS DIABETES prevention, MGSH conducted two "national diabetes prevention programs". renamed "life balance/weight management program". the two cohorts had a TOTAL OF 38 PARTICIPANTS THAT STARTED AND 24 THAT COMPLETED ONE YEAR LATER.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GOOD SAMARITAN IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MEDSTAR GOOD SAMARITAN WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTARS CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY.
STATE FILING OF COMMUNITY BENEFIT REPORTPART VI, LINE 7 THE COMMUNITY BENEFIT REPORT FOR MEDSTAR GOOD SAMARITAN HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MOIRA P LARSEN MD
BOARD MEMBER$202,830$185,867$3,619$37,500$0$0$0$4,715$0$919$206,449$229,001$0$0
JEFFREY A MATTON
former PRESIDENT$0$530,063$0$475,219$0$0$0$17,077$0$21,571$0$1,043,930$0$0
KENNETH A SAMET
BOARD MEMBER$0$1,739,872$0$3,775,374$0$2,159,796$0$47,768$0$29,047$0$7,751,857$0$0
BERNARD H RAVITZ MD
BOARD MEMBER$256,116$0$23,000$0$0$0$4,280$0$1,138$0$284,534$0$0$0
HOWARD S FREELAND MD
BOARD MEMBER$88,570$240,211$0$21,801$0$0$0$7,950$0$11,794$88,570$281,756$0$0
DAVID WEISMAN DO
BOARD MEMBER$209,961$0$18,713$0$0$0$8,831$0$14,464$0$251,969$0$0$0
ELIAS SHAYA MD
BOARD MEMBER$289,684$0$55,000$0$0$0$8,476$0$905$0$354,065$0$0$0
MICHAEL JACOBS MD
BOARD MEMBER$803,049$0$0$0$0$0$7,950$0$12,044$0$823,043$0$0$0
THOMAS SENKER
FORMER SECRETARY$324,602$0$198,768$0$0$0$7,950$0$22,785$0$554,105$0$0$0
MARTIN BINSTOCK
VP MEDICAL AFFAIRS$372,320$0$238,988$0$0$0$19,553$0$15,417$0$646,278$0$0$0
DEANA STOUT
CHIEF FINANCIAL OFFICER$139,773$139,773$67,322$67,322$0$0$12,080$12,080$7,414$7,413$226,589$226,588$0$0
ROBERT PEROUTKA MD
PHYSICIAN$410,751$0$257,110$0$0$0$4,109$0$14,829$0$686,799$0$0$0
DALE BUCHBINDER MD
MED dir of vascular SURGERY$610,025$0$25,000$0$0$0$7,950$0$11,936$0$654,911$0$0$0
MESFIN LEMMA MD
PHYSICIAN$511,324$0$228,370$0$0$0$875$0$994$0$741,563$0$0$0
JENNIFER WILKERSON
FORMER OFFICER$223,234$0$54,777$0$0$0$6,080$0$14,962$0$299,053$0$0$0
BRADLEY CHAMBERS
President/BOARD MEMBER$290,743$290,742$268,982$268,982$0$0$9,625$9,626$11,752$11,751$581,102$581,101$0$0
STEPHEN KOENIGSBERG
vice president$101,977$101,977$22,109$22,109$0$0$5,378$5,379$5,793$5,792$135,257$135,257$0$0
SHARON BOTTCHER
CHIEF NURSING OFFICER$137,436$137,436$35,479$35,479$0$0$7,382$7,382$442$441$180,739$180,738$0$0
Carmen Pichard-Encina
PHYSICIAN$426,871$0$87,742$0$0$0$0$0$11,411$0$526,024$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSOCIAL CLUB DUESFormAndLineReferenceDesc
ExplanationSCHEDULE J, PART I, LINE 1 THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. THE AMOUNT OF DUES PAID WAS INCLUDED IN THE OFFICER'S W-2. SCHEDULE J, PART III 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. Bradley Chambers compensation is for services provided as President to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Deana Stouts compensation is for services provided as CFO to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Stephen Koenigsbergs compensation is for services provided as a Key Employee to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Sharon Bottchers compensation is for services provided as a Key Employee to both MedStar Good Samaritan Hospital and MedStar Union Memorial HospitalExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MORRISON HEALTHCARE FOOD SERVICES
SEE PART V$3,736,903FOOD SERVICESfalse
WEBBMASON
SEE PART V$280,404MARKETING STRATEGIES SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV MORRISON HEALTHCARE FOOD SERVICES IS A SUBSTANTIAL CONTRIBUTOR THAT ALSO PROVIDED FOOD SERVICES TO THE GOOD SAMARITAN HOSPITAL, INC. Webb/Mason is a substantial contributor that also provided marketing strategies 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 M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp

Securities Miscellaneous SecuritiesMiscellaneousGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$39,561NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION MEMBERSPART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION.
DESCRIPTION OF MEMBERSPART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC.
DECISIONS OF GOVERNING BODYPART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE.
PROCESS FOR REVIEWING FORM 990PART VI, LINE 11A THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST POLICYPART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC).
DESCRIPTION OF EXECUTIVE COMPENSATION PROCESSPART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.
FINANCIAL STATEMENT AVAILABILITYPART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES.
FINANCIAL STATEMENTS AND REPORTINGPART XII, LINE 2C THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD.
OTHER CHANGES IN NET ASSETSPART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.....................$(10,614,625) O'NEILL EQUITY.....................................$ 4,646,237 ------------- TOTAL OTHER CHANGES IN NET ASSETS.................$ (5,968,388)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 LOCH RAVEN BLVDAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
EIN205909017EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Total Income$3,936,702TotalIncomeAmt
End Of Year Assets$254,042EndOfYearAssetsAmt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Church Home Corporation
10980 GRANTCHESTER WAYColumbiaMD21044237374724Medical FundMD501(C)(3)PFNAYes (true)
Franklin Square Hospital Center Inc
9000 Franklin Square DriveBaltimoreMD21237520608007HospitalMD501(C)(3)3NAYes (true)
Harbor Hospital Inc
3001 South Hanover StreetBaltimoreMD21225520491660HospitalMD501(C)(3)3NAYes (true)
Medstar Health Inc
10980 GRANTCHESTER WAYColumbiaMD21044522087445Medical SvcsMD501(C)(3)12C IIINAfalse
Montgomery General Hospital
18101 Prince Philip DriveOlneyMD20832520646893HospitalMD501(C)(3)3NAYes (true)
The Union Memorial Hospital
201 East University ParkwayBaltimoreMD21218520591685HospitalMD501(C)(3)3NAYes (true)
Medstar health Research Institute
108 Irving Street NWWashingtonDC20010526056274HospitalDC501(C)(3)4NAYes (true)
The Medstar-Georgetown Medical Center I
Hopsital Admin 1 Main BldgWashingtonDC20007522218584HospitalDC501(C)(3)3NAYes (true)
Washington Hospital Center Corporation
110 Irving Street NWWashingtonDC20010521272129HospitalDC501(C)(3)3NAYes (true)
HH Medstar Health Inc
10980 GRANTCHESTER WAYColumbiaMD21044521542230Medical SvcsMD501(C)(3)12C IIINAYes (true)
MEDSTAR AMBULATORY SERVICES INC
10980 GRANTCHESTER WAYColumbiaMD21044521132992ADMIN SVCSMD501(C)(3)12C IIINAYes (true)
Bay Life Services Inc
10980 GRANTCHESTER WAYColumbiaMD21044521496539Mental HealthMD501(C)(3)10NAYes (true)
MedStar Surgery Center Inc
4061 Powdermill Road Suite 210CalvertonMD20705521061679Medical SvcsMD501(C)(3)10NAYes (true)
Church Home and Hospital of the City of
10980 GRANTCHESTER WAYColumbiaMD21044520591600medical fundMD501(C)(3)12A INAYes (true)
Franklin Square Hospital Center Foundati
9000 Franklin Square DriveBaltimoreMD21237522329546FoundationMD501(C)(3)12A INAYes (true)
Good Samaritan Hospital Foundation Inc
5601 Loch Raven BlvdBaltimoreMD21239522307122FoundationMD501(C)(3)12a INAYes (true)
Good Samaritan Nursing Center Inc
5601 Loch Raven BlvdBaltimoreMD21239521672866Medical SvcsMD501(C)(3)10NAYes (true)
GS Housing Inc
5601 Loch Raven BlvdBaltimoreMD21239521481656Elder HousingMD501(C)(3)10NAYes (true)
GS Properties Inc
5601 Loch Raven BlvdBaltimoreMD21239521429853Admin SvcsMD501(C)(3)12a INAYes (true)
Harbor Hospital Foundation Inc
3001 South Hanover StreetBaltimoreMD21225521284532FoundationMD501(C)(3)12A INAYes (true)
Medstar Health Infusion Inc
4061 Powdermill Road Suite 210CalvertonMD20705521980510Medical SvcsMD501(C)(3)10NAYes (true)
Medstar Health Visiting Nurses Associati
4061 Powdermill RoadCalvertonMD20705530196597Medical SvcsMD501(C)(3)10NAYes (true)
Medstar VNA Healthcare
4061 Powdermill Road Suite 210CalvertonMD20705521458516Medical SvcsMD501(C)(3)10NAYes (true)
MGH Community Health Inc
18101 Prince Philip DriveOlneyMD20832521372467Medical SvcsMD501(C)(3)10NAYes (true)
MGH Health Foundation Inc
18101 Prince Philip DriveOlneyMD20832521129959FoundationMD501(C)(3)7NAYes (true)
MGH Health Services Inc
18101 Prince Philip DriveOlneyMD20832521366812FoundationMD501(C)(3)12B IINAYes (true)
MGH Women's Board
18101 Prince Philip DriveOlneyMD20832526039600FoundationMD501(C)(3)12C IIINAYes (true)
National Rehabilitation Hospital
102 Irving Street NWWashingtonDC20010521369749HospitalDC501(C)(3)3NAYes (true)
NRH REGIONAL REHAB at Olney Inc
18101 Prince Philip DriveOlneyMD20832522310902Medical SvcsMD501(C)(3)3NAYes (true)
Suburban NRH Medical Rehabilitation I
102 Irving Street NWWashingtonDC20010521931151Medical SvcsDC501(C)(3)3NAYes (true)
The Thomas O'Neil Catholic Health Care F
5601 Loch Raven BlvdBaltimoreMD21239521104382FoundationMD501(C)(3)12D IIINAYes (true)
VNA Inc
4061 POWDERMILL ROAD SUITE 21CALVERTONMD20705521332411ADMIN SVCSMD501(C)(3)12A InaYes (true)
WHC Foundation Inc
110 Irving Street NWWashingtonDC20010521791670FOUNDATIONMD501(C)(3)7NAYes (true)
Woodbourne Woods Inc
5601 Loch Raven BlvdBaltimoreMD21239522299070ELDER HOUSINGDC501(C)(3)10NAYes (true)
Hospice of St Mary's Inc
PB Box 527LeonardtownMD20650522153926SUPPORT ORGMD501(C)(3)12A INAYes (true)
St Mary's Hospital of St Mary's County
25500 POINT LOOKOUT ROADLEONARDTOWNMD20650520619006HOSPITALMD501(C)(3)3NAYes (true)
St Mary's Hospital Foundation Inc
PO Box 527LeonardtownMD20650521051368Support OrgMD501(C)(3)12A INAYes (true)
MEDSTAR SOUTHERN MD HOSPITAL CENTER
7503 SURRATTS ROADCLINTONMD20735460726303HOSPITALMD501(C)(3)3NAYes (true)
MEDSTAR HEALTH INC & AFFILIATES MASTER
10980 GRANTCHESTER WAYCOLUMBIAMD21044467454613RETIREMENT TRMD501(a)N/ANAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
MEDSTAR SHAH MSO LLC
10980 GRANTCHESTER WAYCOLUMBIAMD21044462700536MGMT SVCSMDNAN/A
22590 SHADY COURT LLC
22590 SHADY COURTCALIFORNIAMD20619REAL ESTATEMDNAN/A
24035 THREE NOTCH ROAD LLC
24035 THREE NOTCH ROAD LLCHOLLYWOODMD20636REAL ESTATEMDNAN/A
37767 MARKET DRIVE LLC
37767 MARKET DRIVE LLCCHARLOTTE HALLMD20622REAL ESTATEMDNAN/A
26840 POINT LOOKOUT ROAD LLC
26840 POINT LOOKOUT ROADLEONARDTOWNMD20650REAL ESTATEMDNAN/A
GREATER CHESAPEAKE SURGERY CENTER LLC
1212 YORK ROAD STE B100LUTHERVILLEMD21093SURGERY CENTERMDNAN/A
MONTGOMERY COMMUNITY MAGNETIC RESONANCE
4110 ASPEN HILL ROAD SUITE 200ROCKVILLEMD20853841479788MRI SCREENINGMDNAN/A
PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC
4714 GETTYSBURG ROADMECHANICSBURGPA17055521534253PHYSIOTHERAPYPANAN/A
FRANKLIN SQUARE MEDICAL CENTERMERIDIAN
101 EAST STATE STREETKENNETT SQUAREPA19348522212036NURSING HOMEPANAN/A
PHYSICIAN IMAGING OF WASHINGTON
840 CRESCENT CENTRE DR STE 200FRANKLINTN37067521734591RADIOLOGY SVCSTNNAN/A
FRANKLIN IMAGING LLC
7253 AMBASSADOR RDBALTIMOREMD21244562616090IMAGINGMDNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdForeign PostalForeignAddress/ForeignPostalCd
MedStar Pharmacies Inc
10980 GRANTCHESTER WAYColumbiaMD21044521513056Drug SalesMDNAC Corp
ExtenCare Inc
10980 GRANTCHESTER WAYColumbiaMD21044521556228MEDICAL SERVICESMDNAC Corp
Helix Resources Management Inc
10980 GRANTCHESTER WAYColumbiaMD21044521913070Admin ServiceMDNAC Corp
HelixCare Medical Group LLC
10980 GRANTCHESTER WAYColumbiaMD21044521955580MEDICAL SERVICESMDNAC Corp
HelixCare Properties LLC
10980 GRANTCHESTER WAYColumbiaMD21044521966695MEDICAL SERVICESMDNAC Corp
Parkway Ventures Inc
10980 GRANTCHESTER WAYColumbiaMD21044521893569Holding CompaNYMDNAC Corp
Physicians Administrative Services Inc
10980 GRANTCHESTER WAYColumbiaMD21044237042074Billing ServiCESMDNAC Corp
MedStar Family Choice Inc
10980 GRANTCHESTER WAYColumbiaMD21044521995521Managed CareMDNAC Corp
Medstar Enterprises Inc
4061 Powdermill Road Suite 210CalvertonMD20705522139841Admin ServiceMDNAC Corp
SITEL INC
10980 GRANTCHESTER WAYCOLUMBIAMD21044900753340EDUCATIONAL SVCSMDNAC Corp
Star Billing Inc
4061 Powdermill Road Suite 210CalvertonMD20705521850113Billing ServiCESMDNAC Corp
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210CalvertonMD20705522132677MEDICAL SERVICESMDNAC Corp
Washington Hospital Center Physician Hos
100 Irving Street NWWashingtonDC20010521931000MEDICAL SERVICESMDNAC Corp
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210CalvertonMD20705522030809MEDICAL SERVICESMDNAC Corp
Franklin Square Drive Land Condo Associa
10980 GRANTCHESTER WAYColumbiaMD21044760756352Condo Owner ASSOCMDNAC Corp
MGH Diversified Services Inc
18101 Prince Philip DriveOlneyMD20832521943602MEDICAL SERVICESMDNAC Corp
St Mary's Health Alliance Inc
25500 Point Lookout RoadLeonardtownMD20650521930331MEDICAL SERVICESMDNAC Corp
Greenspring Financial Insurance Limited
980188617InsuranceNAC Corp23 LIME TREE BAY AVENUE PO BOX 1051KYGRAND CAYMANCJCJ
ST MARY'S CONDO ASSOCIATION
25500 POINT LOOKOUT RDLEONARDTOWNMD20650273377216CONDOMINIUMSMDNAC CORP
MEDSTAR HEALTH MASTER RETIREMENT TRUST I
999999999INVESTMENTSNAC CORP102 SOUTH CHURCH STGRAND CAYMANCJCJKY1-1002
MEDSTAR HEALTH INC - INVESTMENT FUND I
981310273INVESTMENTSNAC CORP102 SOUTH CHURCH STGRAND CAYMANCJCJKY1-1002
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Church Home&Hosp of the city of baltimoreInc
Q$451,335FMV
MedStar Health Research Institute
Q$1,089,925FMV
Washington Hospital Center Corporation
Q$977,778FMV