MONTGOMERY GENERAL HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MONTGOMERY GENERAL HOSPITAL INC (EIN 52-0646893)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-10
IRS object ID: 201731309349301638
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-10T22:14:40-05:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520646893	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTGOMERY GENERAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOEL BRYAN	InCareOfNm
Business Name Control	MONT	BusinessNameControlTxt
Phone	3017748640	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18101 PRINCE PHILIP DRIVE	AddressLine1Txt
City	OLNEY	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20832	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Person Title	VP/TREASURER	PersonTitleTxt
Phone	3017748640	PhoneNum
Signature	2017-05-08	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	2017-05-05	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MEDSTAR MONTGOMERY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	THOMAS SENKER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18101 PRINCE PHILIP DRIVE	AddressLine1Txt
City	OLNEY	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20832	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$160,908,930	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MONTGOMERYGENERAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	MEDSTAR MONTGOMERY MEDICAL CENTER IS DEDICATED TO ENHANCING OUR COMMUNITY'S HEALTH BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1344	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$131,393	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$63,783	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$536,081	CYContributionsGrantsAmt
PY Program Service Revenue	$155,713,415	PYProgramServiceRevenueAmt
CY Program Service Revenue	$156,526,369	CYProgramServiceRevenueAmt
PY Investment Income	$15,238	PYInvestmentIncomeAmt
CY Investment Income	-$63,593	CYInvestmentIncomeAmt
PY Other Revenue	$3,328,730	PYOtherRevenueAmt
CY Other Revenue	$3,835,933	CYOtherRevenueAmt
PY Total Revenue	$159,057,383	PYTotalRevenueAmt
CY Total Revenue	$160,834,790	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,459,778	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$70,010,969	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$82,501,167	PYOtherExpensesAmt
CY Other Expenses	$81,788,775	CYOtherExpensesAmt
PY Total Expenses	$151,960,945	PYTotalExpensesAmt
CY Total Expenses	$151,799,744	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,096,438	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,035,046	CYRevenuesLessExpensesAmt
Total Assets BOY	$127,577,040	TotalAssetsBOYAmt
Total Assets EOY	$110,000,271	TotalAssetsEOYAmt
Total Liabilities BOY	$32,580,500	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$30,016,405	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$94,996,540	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$79,983,866	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR MONTGOMERY MEDICAL CENTER'S (MEDSTAR MONTGOMERY) MISSION IS TO ENHANCE OUR COMMUNITY'S HEALTH AND WELL-BEING BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. MEDSTAR MONTGOMERY IS LOCATED IN OLNEY, IN NORTHEASTERN MONTGOMERY COUNTY, MARYLAND, A SUBURB OF WASHINGTON, D.C. AFTER OVER 90 YEARS, THE HOSPITAL REMAINS TRUE TO ITS ROOTS, OFFERING A WIDE RANGE OF WELLNESS PROGRAMS AND OUTPATIENT SERVICES IN ADDITION TO INPATIENT TREATMENT. IN FISCAL YEAR 2016, MEDSTAR MONTGOMERY HAD 10,750 ADMISSIONS AND OBSERVATIONS, AND 75,678 OUTPATIENT VISITS INCLUDING 37,702 EMERGENCY VISITS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$107,853,583	ExpenseAmt
Revenue	$154,953,799	RevenueAmt
Desc	MEDSTAR MONTGOMERYS LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF NORTHEASTERN MONTGOMERY COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR MONTGOMERY INCURRED $42.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. THE ACUTE CARE HOSPITAL OFFERS A CARDIAC AND VASCULAR PROGRAM, GENERAL SURGERY, ORTHOPEDICS, CANCER CARE, AND OBSTETRICS. WITH THE ADDITION OF SPECIALISTS FROM MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL AND MEDSTAR WASHINGTON HOSPITAL CENTER, MEDSTAR MONTGOMERY BRINGS SPECIALTY CARE CLOSER TO ITS PATIENTS. MEDSTAR MONTGOMERY ALSO OFFERS INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES. MEDSTAR MONTGOMERY INCLUDES AN EMERGENCY DEPARTMENT WITH A DEDICATED PEDIATRIC CENTER, A FAST-TRACK UNIT AND A SEPARATE UNIT FOR CRISIS EVALUATION. IT IS A CERTIFIED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERS, AND RECOGNIZED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. FOR THE FIFTH CONSECUTIVE YEAR, MEDSTAR MONTGOMERY WAS THE RECIPIENT OF THE DELMARVA FOUNDATION FOR MEDICAL CARES EXCELLENCE AWARD FOR QUALITY IMPROVEMENT IN HOSPITALS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,640,785	ExpenseAmt
Revenue	$1,572,570	RevenueAmt
Desc	MEDSTAR MONTGOMERY PROVIDED $4.6M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2016. 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 WOMENS AND CHILDRENS SERVICES, CONTINUING CARE AND BEHAVIORAL HEALTH.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,103,062	ExpenseAmt
Desc	MEDSTAR MONTGOMERY PROVIDED $2.1M IN CHARITY CARE SERVICES IN FISCAL YEAR 2016. 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 MONTGOMERYS CHARITY CARE EXPENSE AND REVENUES REPRESENT DIRECT PAYMENTS FROM THE STATES CHARITY CARE POOL. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLANDS PAYMENT SYSTEM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$114,597,430	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1344	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
PETER W MONGE
DIRECTOR	40.0	0.0	Yes (X)	$895,938	$0	$24,063
JOSEPH BELL
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
KENNETH A SAMET
DIRECTOR	1.0	39.0	Yes (X)	$0	$4,872,708	$66,397	Yes (X)
AMY AMPEY MD
DIRECTOR ((UNTIL 1/16))	40.0	0.0	Yes (X)	$358,907	$0	$218
RICHARD WEINSTEIN MD
Director	1.0	0.0	Yes (X)	$40,000	$0	$0
JOHN FERGUSON
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
WENDY WALKER DVM
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
JAMES A BONIFANT
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
KATHERINE W FARQUHAR PHD
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD KURNOT MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CYNTHIA CHROSNIAK MD
DIRECTOR	1.0	0.0	Yes (X)	$45,700	$0	$0
Carole Derrick
director	1.0	0.0	Yes (X)	$0	$0	$0
Daniel J Schrider
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Steven M Shimoura MD
DIRECTOR	1.0	0.0	Yes (X)	$26,100	$0	$0
Ana E Maldonado
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Alok N Mathur
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
THOMAS J SENKER
PRESIDENT/DIRECTOR	40.0	0.0	Yes (X)	$428,137	$0	$21,263	Yes (X)
Richard M Hoffman
director	1.0	0.0	Yes (X)	$0	$0	$0
Sujithra Jayaraj MD
director	1.0	0.0	Yes (X)	$350,557	$0	$22,050
David Havrilla
CFO/Treasurer	40.0	0.0		$393,305	$0	$28,213	Yes (X)
DENISE SCHMIDT
SECRETARY	40.0	0.0		$83,141	$0	$14,298	Yes (X)
Kevin Mell
VP, OPERATIONS	40.0	0.0		$246,694	$0	$16,351		Yes (X)
Vivian Hsia
VP, HUMAN RESOURCES	40.0	0.0		$185,960	$0	$12,956			Yes (X)
Owen Horne
NETWORK MANAGER	40.0	0.0		$165,984	$0	$20,022			Yes (X)
Melissa Yeager
VP, MKTNG, PLANNING, BUS DEV	40.0	0.0		$191,185	$0	$19,071			Yes (X)
Connie Stone
VP, Patient Care Services	40.0	0.0		$261,308	$0	$14,620			Yes (X)
FREDERICK FINELLI
VP, MEDICAL AFFAIRS	40.0	0.0		$698,425	$0	$24,310			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,371,341	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,872,708	TotReportableCompRltdOrgAmt
Total Other Compensation	$283,832	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	68	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
MERIDIAN ANESTHESIA PRACTICE
PO BOX 400	OLNEY	MD	208300400	Physican Services	$4,535,390
Sodexo Inc
PO Box 536922	ATLANTA	GA	30353	PROFESSIONAL SVCS	$1,155,466
CERNER HEALTH SERVICES INC
2800 Rockcreek Parkway	NORTH KANSAS CITY	MO	64117	Medical Services	$1,032,859
NURSEFINDERS
PO BOX 910739	DALLAS	TX	753910739	Staffing Services	$950,123
EMERGENCY MEDICINE ASSOCIATES
20010 CENTURY BLVD STE 200	GERMANTOWN	MD	20877	Medical Services	$539,786

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$536,081	AllOtherContributionsAmt
Total Contributions	$536,081	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621300	$155,661,544	$155,661,544
MEANINGFUL USE INCOME	621110	$814,325	$814,325
PHYSICIAN BILLING REVENUE	900099	$47,850	$47,850
OTHER PROGRAM SERVICE REVENUE	900099	$2,650	$2,650

Field	Value	IRS element (for citing)
Total Program Service Revenue	$156,526,369	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,547	TotalRevenueColumnAmt
Exclusion	$10,547	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	$1,036,908	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,036,908	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,036,908	TotalRevenueColumnAmt
Exclusion	$1,036,908	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$74,140	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$74,140	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$74,140	TotalRevenueColumnAmt
Exclusion	-$74,140	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
REBATE INCOME	525990	$478,945	$478,945
EQUITY INTEREST IN AFFILIATES	900099	$455,497	$455,497
TELEPHONE REVENUE	900099	$91,501		$91,501

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,773,082	TotalRevenueColumnAmt
Unrelated Business Revenue	$39,892	UnrelatedBusinessRevenueAmt
Exclusion	$1,733,190	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,799,025	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$160,834,790	TotalRevenueColumnAmt
Related Or Exempt Func Income	$156,526,369	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$131,393	UnrelatedBusinessRevenueAmt
Exclusion	$3,640,947	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	$0	TotalAmt

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	$3,993,599	TotalAmt
Program Services	$3,268,611	ProgramServicesAmt
Management And General	$724,988	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$55,067,328	TotalAmt
Program Services	$45,070,547	ProgramServicesAmt
Management And General	$9,996,781	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$622,093	TotalAmt
Program Services	$509,159	ProgramServicesAmt
Management And General	$112,934	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,887,611	TotalAmt
Program Services	$4,818,789	ProgramServicesAmt
Management And General	$1,068,822	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,440,338	TotalAmt
Program Services	$3,476,294	ProgramServicesAmt
Management And General	$964,044	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,386,135	TotalAmt
Management And General	$9,386,135	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	-$24,295	TotalAmt
Management And General	-$24,295	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	$17,557,272	TotalAmt
Program Services	$15,701,725	ProgramServicesAmt
Management And General	$1,855,547	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$597,479	TotalAmt
Program Services	$5,589	ProgramServicesAmt
Management And General	$591,890	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$636,089	TotalAmt
Program Services	$537,043	ProgramServicesAmt
Management And General	$99,046	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$971,317	TotalAmt
Program Services	$615,028	ProgramServicesAmt
Management And General	$356,289	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$51,544	TotalAmt
Program Services	$20,610	ProgramServicesAmt
Management And General	$30,934	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$103,374	TotalAmt
Program Services	$22,827	ProgramServicesAmt
Management And General	$80,547	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,323,098	TotalAmt
Management And General	$1,323,098	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,750,393	TotalAmt
Program Services	$6,876,227	ProgramServicesAmt
Management And General	$3,874,166	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,341,717	TotalAmt
Management And General	$1,341,717	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MED/SURG SUPPLIES	$22,072,158	$21,997,543	$74,615
MAINTENANCE	$5,703,511	$2,888,395	$2,815,116
IMPLANTS/PROSTHESES	$4,834,181	$4,833,196	$985
UTILITIES	$2,634,675	$2,381,496	$253,179

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,850,127	TotalAmt
Program Services	$1,574,351	ProgramServicesAmt
Management And General	$2,275,776	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$151,799,744	TotalAmt
Program Services	$114,597,430	ProgramServicesAmt
Management And General	$37,202,314	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,029	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,313,262	BOYAmt
EOY	$2,613,546	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,746,849	BOYAmt
EOY	$16,234,772	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,361,747	BOYAmt
EOY	$2,723,231	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,087,790	BOYAmt
EOY	$1,189,277	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$204,233,298	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$119,262,171	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$91,845,855	BOYAmt
EOY	$84,971,127	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$221,537	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	$0	BOYAmt
EOY	$2,246,289	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$127,577,040	BOYAmt
EOY	$110,000,271	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,711,000	BOYAmt
EOY	$12,042,687	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	$187,694	BOYAmt
EOY	$3,096,088	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,681,806	BOYAmt
EOY	$14,877,630	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,580,500	BOYAmt
EOY	$30,016,405	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$94,996,540	BOYAmt
EOY	$79,983,866	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$94,996,540	BOYAmt
EOY	$79,983,866	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$127,577,040	BOYAmt
EOY	$110,000,271	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,035,046	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,004	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$24,045,716	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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 Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$146,581	OtherCostOrOtherBasisAmt
Book Value	$146,581	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,543,047	OtherCostOrOtherBasisAmt
Depreciation	$45,728,654	DepreciationAmt
Book Value	$58,814,393	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,655,912	OtherCostOrOtherBasisAmt
Depreciation	$2,104,313	DepreciationAmt
Book Value	$551,599	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,309,985	OtherCostOrOtherBasisAmt
Depreciation	$62,647,401	DepreciationAmt
Book Value	$19,662,584	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,577,773	OtherCostOrOtherBasisAmt
Depreciation	$8,781,803	DepreciationAmt
Book Value	$5,795,970	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$84,971,127	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
MOB LIABILITY	$7,877,865
ADVANCE HEALTH INSURANCE	$3,776,380
GBR LIABILITY	$370,276
WORKERS COMPENSATION	$1,111,395
CREDIT BALANCES PATIENT AR	$510,094
OTHER LIABILITIES	$1,231,620

Field	Value	IRS element (for citing)
Total Liability	$14,877,630	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, 2016.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,103,062	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,103,062	NetCommunityBenefitExpnsAmt
Total Expense	0.01390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,103,062	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,103,062	NetCommunityBenefitExpnsAmt
Total Expense	0.01390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,281,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,106	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,249,673	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,276	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,276	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,640,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,572,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,068,215	NetCommunityBenefitExpnsAmt
Total Expense	0.02020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,368	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,083,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,604,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,478,532	NetCommunityBenefitExpnsAmt
Total Expense	0.02950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,186,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,604,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,581,594	NetCommunityBenefitExpnsAmt
Total Expense	0.04340	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,557	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,174	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,174	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,386	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,710	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,710	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,827	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$103,827	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,525,011	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	MONTGOMERY GENERAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18101 PRINCE PHILIP DRIVE	AddressLine1Txt
City	OLNEY	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20832	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	MONTGOMERY GENERAL HOSPITAL	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
Information Gaps	Yes (X)	InformationGapsInd
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.MEDSTARMONTGOMERY.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.MEDSTARMONTGOMERY.ORG/	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.MEDSTARMONTGOMERY.ORG/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.MEDSTARMONTGOMERY.ORG/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.MEDSTARMONTGOMERY	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
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: Dairy Marroquin 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: Nikki Yeager 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 NAME OF ORGANIZATION WITH HOSPITAL Dairy Marroquin Coordinator MedStar Montgomery Community Outreach Hospital Gina Cook Manager, Planning, MedStar Montgomery Marketing and Community Hospital Health Nikki Yeager VP, Business, Marketing MedStar Montgomery and Community benefit Hospital Debra Otani Navigator,Cancer Center MedStar Montgomery Hospital Kate Davis Director, Operations MedStar Montgomery Innovation Hospital Anna Laughren Manager, Crisis MedStar Montgomery Evaluation Unit Hospital Robert Larkin, MD Physician, Emergency MGMT EMERGENCY DEPARTMENT ASSOCIATIONS, MedStar Montgomery Hospital Morton Albert, MD Physician Emergency MGM Psychiatry Dept. ASSOCIATIONS, MedStar Montgomery Hospital Ana Alvarez Member Representative Leisure World Medical Center Mary Jane Joseph COMMUNITY MEMBER PRIMARY CARE COALITION Jon Hulsizer Member Representative Olney Chamber of Commerce Marsha Batista Resident Services Public Housing Counselor Program Matt Quinn Member Representative Greater Olney Civic Association Keith Gibb President Brooke Grove Retirement Home

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.

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, LINE 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 FY16, MEDSTAR MONTGOMERY MEDICAL CENTER (MEDSTAR MONTGOMERY) 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 14 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. 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 ASPEN HILL AND BEL PRE 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 CANCER). THE HOSPITALS FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR MONGOMERYS 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 MONTGOMERY 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 WILL NOT BE 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: MEDSTAR MONTGOMERY MEDICAL CENTERS CBSA INCLUDES RESIDENTS IN THE ASPEN HILL/BEL PRE NEIGHBORHOOD (ZIP CODE 20906). THIS CBSA WAS SELECTED DUE TO ITS PROXIMITY TO THE HOSPITAL, COUPLED WITH A HIGH DENSITY OF LOW-INCOME RESIDENTS, UNDERSERVED SENIORS AND AN ETHNICALLY DIVERSE POPULATION. ASPEN HILL IS LARGELY RESIDENTIAL BUT PLAGUED BY DEMOGRAPHICALLY ISOLATED NEIGHBORHOODS: SENIOR HOUSING, MULTI-DWELLING/APARTMENTS, AND PRIVATE HOMES. EACH NEIGHBORHOOD TENDS TO HOUSE PERSONS OF DIFFERENT SOCIO-ECONOMIC STATUS THAT IS DIRECTLY LINKED TO KEY DETERMINANTS OF POPULATION HEALTH. DEMOGRAPHICS: THE AREA ENCOMPASSED BY ZIP CODE 20906 HAS 68,733 RESIDENTS. OVER 19% OF RESIDENTS ARE AGE 65 AND OLDER, COMPARED TO 12.9% OF MONTGOMERY COUNTY. THE POPULATION IS RACIALLY DIVERSE, WITH 36.9% WHITE, 27.4% BLACK/AFRICAN AMERICAN, 11.1% ASIAN, WHILE 30.7% ARE OF HISPANIC ORIGIN. RELATIVE TO MONTGOMERY COUNTY, THERE ARE A LARGER PROPORTION OF BLACK/AFRICAN AMERICAN AND HISPANIC RESIDENTS. THE MEDIAN INCOME IN THE CBSA $73,284 IS LOWER THAN THE COUNTYWIDE MEDIAN $98,704, AND A HIGHER PROPORTION OF RESIDENTS IN ASPEN HILL/BEL PRE LIVE IN POVERTY 7.5% COMPARED TO 4.5% IN MONTGOMERY COUNTY. BLACKS/AFRICAN AMERICANS, MALES AND OLDER ADULTS HAVE THE HIGHEST PREVALENCE OF HEART DISEASE, CHOLESTEROL AND HIGH BLOOD PRESSURE IN MONTGOMERY COUNTY. AS THE ASPEN HILL/BEL PRE POPULATION IS DISPROPORTIONATELY COMPRISED OF BLACKS/AFRICAN AMERICANS AND OLDER ADULTS, IT REPRESENTS A HIGH-RISK AREA WHERE CHRONIC DISEASE PREVENTION AND EDUCATION CAN HAVE THE GREATEST IMPACT.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR MONTGOMERY ENGAGES IN A NUMBER OF ACTIVITIES TO PROMOTE AND IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY. THE PRIORITY AREAS OF FOCUS, AS DETERMINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CHRONIC DISEASE, SPECIFICALLY TARGETING HEART DISEASE/STROKE, DIABETES, OBESITY AND CANCER. IN EFFORT TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION AND MANAGEMENT, THE HOSPITALS COMMUNITY OUTREACH EFFORTS ARE FOCUSED ON INITIATIVES THAT ADDRESS AND MINIMIZE HEALTH DISPARITIES THROUGH INCREASED AWARENESS OF SYMPTOMS AND PREVENTION, UTILIZING COMMUNITY EDUCATION, SCREENING AND PHYSICAL ACTIVITY PROGRAMS, AND ALSO HELPING INDIVIDUALS TAKE STEPS TO REDUCE THOSE RISKS BY CONNECTING THEM TO APPROPRIATE CARE WHEN FOLLOW UP CARE IS NECESSARY. IN FY16 MEDSTAR MONTGOMERY OFFERED AN ACCESS TO CARE/HEART HEALTH PROGRAM WITH A SPECIAL FOCUS ON SCREENING MINORITY POPULATIONS, INCLUDING ASIAN, AFRICAN AMERICAN AND HISPANIC COMMUNITIES, FOR RISK FACTORS LINKED TO HEART DISEASE, DIABETES AND OBESITY. SCREENINGS AND EDUCATION INCLUDED, CHECKING PARTICIPANTS BLOOD PRESSURE, CHOLESTEROL, AND GLUCOSE LEVELS, AS WELL AS COUNSELING THEM ON WAYS TO BRING THOSE NUMBERS DOWN THROUGH HEALTHY LIFESTYLE HABITS. THE PROGRAM ALSO FOCUSED ON UNCOVERING INDIVIDUALS WHO ARE UNINSURED AND DONT REALIZE THEYRE AT RISK; DURING THE SCREENING PROCESS, PARTICIPANTS WERE ASKED A SERIES OF QUESTIONS RELATED TO THEIR HEALTH INSURANCE AND PRIMARY CARE PROVIDER, IF FOUND TO BE UNINSURED PARTICIPANTS WERE DIRECTLY CONNECTED AND REFERRED TO ONE OF OUR PARTNERED SAFETY-NET CLINICS. ADDITIONALLY, MEDSTAR MONTGOMERY CONTINUED TO COORDINATE ITS ESTABLISHED EMERGENCY DEPARTMENT (ED) - PRIMARY CARE (PC) CONNECT INITIATIVE, A COORDINATED REFERRAL PROGRAM FOCUSING ON CONNECTING UNINSURED AND UNDERSERVED SELF-PAY PATIENTS TO PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT PROGRAMS. DURING FY16 BILINGUAL POPULATION HEALTH NAVIGATORS PROVIDED REAL TIME NAVIGATION DURING ED VISITS, WORKING WITH PATIENTS TO ASSIST THEM IN SCHEDULING APPOINTMENTS AT LOCAL SAFETY-NET CLINICS, AND EDUCATING THEM ON WAYS TO ACCESS CARE IN A NON-EMERGENCY SETTINGS. SENIOR EXERCISE PROGRAMS WERE ALSO OFFERED DURING THIS YEAR. THIS INITIATIVE FOCUSED ON PROVIDING FREE WEEKLY EXERCISE CLASSES FOR PERSONS, 55 AND UP, COMPOSED OF LOW-IMPACT AEROBICS MOVEMENTS, CONCENTRATING ON IMPROVING CARDIOVASCULAR HEALTH, WEIGHT LOSS, STRENGTH, BALANCE AND FLEXIBILITY. MEDSTAR MONTGOMERY IS ALSO COMMITTED TO MEETING THE NEEDS OF VULNERABLE POPULATIONS BY ESTABLISHING STRATEGIC PARTNERSHIPS AND ALLIANCES. IN FY16 THE HOSPITAL CONTINUED TO PROVIDE FINANCIAL SUPPORT TO HOLY CROSS HEALTH CENTER: ASPEN HILL, WHICH ENABLES THE CLINIC TO TREAT LOW-INCOME, UNINSURED, ETHNICALLY DIVERSE RESIDENTS AT FREE OR LOW COST. THE HOSPITAL ALSO PROVIDES IN-KIND SPACE FOR DAY-TO-DAY OPERATION OF PROYECTO SALUDS CLINICAL SPACE. WITH A FOCUS ON PERSONS WHO SPEAK SPANISH AS A PRIMARY LANGUAGE, SERVICES INCLUDE PHYSICAL EXAMINATIONS, HEALTH COUNSELING, EDUCATION, AND LABORATORY SERVICES. IN ADDITION, PROYECTO SALUD OFFERS A SEASONAL FLU CLINIC. PRESCRIPTION MEDICATIONS ARE MADE AVAILABLE THROUGH THE MONTGOMERY CARES PROGRAM. THE CLINIC ALSO PROVIDES REFERRALS FOR COUNTY SPECIALTY SERVICES, SEXUALLY TRANSMITTED INFECTIONS AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) PROGRAMS, WOMENS CANCER CONTROL PROGRAM, FAMILY PLANNING, AND ALCOHOL TREATMENT AND REHABILITATION.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR MONTGOMERY 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 MONTGOMERY WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S 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 MONTGOMERY MEDICAL CENTER IS ONLY FILED IN THE STATE OF MARYLAND.

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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
PETER W MONGE
DIRECTOR	$463,738	$0	$429,880	$0	$2,320	$0	$12,377	$0	$11,686	$0	$920,001	$0	$0	$0
KENNETH A SAMET
DIRECTOR	$0	$1,689,763	$0	$3,167,094	$0	$15,851	$0	$45,721	$0	$20,676	$0	$4,939,105	$0	$0
AMY AMPEY MD
DIRECTOR ((UNTIL 1/16))	$286,583	$0	$36,722	$0	$35,602	$0	$0	$0	$218	$0	$359,125	$0	$0	$0
Vivian Hsia
VP, HUMAN RESOURCES	$156,611	$0	$29,349	$0	$0	$0	$6,417	$0	$6,539	$0	$198,916	$0	$0	$0
Owen Horne
NETWORK MANAGER	$165,209	$0	$750	$0	$25	$0	$6,235	$0	$13,787	$0	$186,006	$0	$0	$0
Melissa Yeager
VP, MKTNG, PLANNING, BUS DEV	$158,137	$0	$33,048	$0	$0	$0	$5,691	$0	$13,380	$0	$210,256	$0	$0	$0
Connie Stone
VP, Patient Care Services	$203,294	$0	$58,014	$0	$0	$0	$7,633	$0	$6,987	$0	$275,928	$0	$0	$0
David Havrilla
CFO/Treasurer	$292,223	$0	$101,082	$0	$0	$0	$14,576	$0	$13,637	$0	$421,518	$0	$0	$0
Kevin Mell
VP, OPERATIONS	$195,593	$0	$51,101	$0	$0	$0	$10,247	$0	$6,104	$0	$263,045	$0	$0	$0
FREDERICK FINELLI
VP, MEDICAL AFFAIRS	$502,732	$0	$195,693	$0	$0	$0	$7,800	$0	$16,510	$0	$722,735	$0	$0	$0
THOMAS J SENKER
PRESIDENT/DIRECTOR	$232,741	$0	$87,477	$0	$107,919	$0	$7,800	$0	$13,463	$0	$449,400	$0	$0	$0
Sujithra Jayaraj MD
director	$318,594	$0	$31,888	$0	$75	$0	$7,950	$0	$14,100	$0	$372,607	$0	$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 bonus and incentive compensation in Part II, Column (B) (ii) includes $878,413, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 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, LINES 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, LINES 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.
FORM 990 REVIEW PROCESS	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) 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).
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 Net Equity Transfer .............................$ (24,045,716)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:6948621
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:5095883
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEE-NON MD TOTAL FEES:109806
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES-OTHER TOTAL FEES:3270060
FORM 990 PART IX LINE 11G	DESCRIPTION:LAB SERVICES TOTAL FEES:485733
FORM 990 PART IX LINE 11G	DESCRIPTION:COMMERCIAL LAUNDRY TOTAL FEES:256975
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING SERVICE EXPENSE TOTAL FEES:220340
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:686740
FORM 990 PART IX LINE 11G	DESCRIPTION:CLEANING-CONTRACT SERVICE TOTAL FEES:156810
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:118104
FORM 990 PART IX LINE 11G	DESCRIPTION:MISCELLANEOUS FEES FOR SERVICE TOTAL FEES:208200

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18101 PRINCE PHILIP DRIVE	AddressLine1Txt
City	OLNEY	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20832	ZIPCd

Field	Value	IRS element (for citing)
EIN	262918268	EIN
Primary Activities	HEALTH SVCS	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Total Income	$4,124,598	TotalIncomeAmt
End Of Year Assets	$315,118	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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)	11C III	NA	false
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)	11C III	NA	Yes (true)
MEDSTAR AMBULATORY SERVICES INC
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	521132992	ADMIN SVCS	MD	501(c)(3)	11C III	NA	Yes (true)
BAY LIFE SERVICES INC
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	521496539	MENTAL HEALTH	MD	501(c)(3)	9	NA	Yes (true)
MEDSTAR SURGERY CENTER INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521061679	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
CHURCH HOME AND HOSPITAL OF THE CITY OF
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	520591600	MEDICAL FUND	MD	501(c)(3)	11A I	NA	Yes (true)
FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI
9000 FRANKLIN SQUARE DRIVE	BALTIMORE	MD	21237	522329546	FOUNDATION	MD	501(c)(3)	11A I	NA	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	522307122	FOUNDATION	MD	501(c)(3)	11a I	NA	Yes (true)
GOOD SAMARITAN NURSING CENTER INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521672866	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
GS HOUSING INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521481656	ELDER HOUSING	MD	501(c)(3)	9	NA	Yes (true)
GS PROPERTIES INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521429853	ADMIN SVCS	MD	501(c)(3)	11a I	NA	Yes (true)
HARBOR HOSPITAL FOUNDATION INC
3001 SOUTH HANOVER STREET	BALTIMORE	MD	21225	521284532	FOUNDATION	MD	501(c)(3)	11A I	NA	Yes (true)
MEDSTAR HEALTH INFUSION INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521980510	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
MEDSTAR HEALTH VISITING NURSES ASSOCIATI
4061 POWDERMILL ROAD	CALVERTON	MD	20705	530196597	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
MEDSTAR VNA HEALTHCARE
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521458516	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
MGH COMMUNITY HEALTH INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521372467	MEDICAL SVCS	MD	501(c)(3)	9	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)	11B II	NA	Yes (true)
MGH WOMEN'S BOARD
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	526039600	FOUNDATION	MD	501(c)(3)	11C III	NA	Yes (true)
NATIONAL REHABILITATION HOSPITAL
102 IRVING STREET NW	WASHINGTON	DC	20010	521369749	HOSPITAL	DC	501(c)(3)	3	NA	Yes (true)
REGIONAL REHAB AT OLNEY INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	522310902	MEDICAL SVCS	MD	501(c)(3)	3	NA	Yes (true)
SUBURBAN NRH MEDICAL REHABILITATION I
102 IRVING STREET NW	WASHINGTON	DC	20010	521931151	MEDICAL SVCS	DC	501(c)(3)	3	NA	Yes (true)
THE THOMAS O'NEIL CATHOLIC HEALTH CARE F
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521104382	FOUNDATION	MD	501(c)(3)	11D III	NA	Yes (true)
VNA INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521332411	ADMIN SVCS	MD	501(c)(3)	11A I	NA	Yes (true)
WHC FOUNDATION INC
110 IRVING STREET NW	WASHINGTON	DC	20010	521791670	FOUNDATION	DC	501(c)(3)	7	NA	Yes (true)
WOODBOURNE WOODS INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	522299070	ELDER HOUSING	MD	501(c)(3)	9	NA	Yes (true)
HOSPICE OF ST MARY'S INC
PO BOX 527	LEONARDTOWN	MD	20650	522153926	SUPPORT ORG	MD	501(c)(3)	11A I	NA	Yes (true)
ST MARY'S HOSPITAL OF ST MARY'S COUNTY
25500 POINT LOOKOUT ROAD	LEONARDTOWN	MD	20650	520619006	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
ST MARY'S HOSPITAL FOUNDATION INC
PO BOX 527	LEONARDTOWN	MD	20650	521051368	SUPPORT ORG	MD	501(c)(3)	11A I	NA	Yes (true)
MEDSTAR SOUTHERN MD HOSPITAL CENTER
7503 SURRATTS ROAD	CLINTON	MD	20735	460726303	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
MEDSTAR HEALTH INC AND AFFILIATES
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	467454613	RETIREMENT TR	MD	501(a)	N/A	NA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PHYSICIAN IMAGING OF WASHINGTON HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6525 BELCREST ROAD SUITE G 50	AddressLine1Txt
City	HYATTSVILLE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20782	ZIPCd

Field	Value	IRS element (for citing)
EIN	562616090	EIN
Primary Activities	LAB SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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
GREENSPRING FINANCIAL INSURANCE LIMITED
				980188617	INSURANCE	MD	NA	C CORP	23 LIME TREE BAY AVENUE	PO BOX 1051 KY1-1102	GRAND CAYMAN	CJ
ST MARY'S CONDO ASSOCIATION
25500 POINT LOOKOUT RD	LEONARDTOWN	MD	20650	273377216	CONDOMINIUMS	MD	NA	C CORP
MEDSTAR HEALTH MASTER RETIREMENT TRUST
				999999999	INVESTMENTS		NA	C CORP	102 SOUTH CHURCH ST	GRAND CAYMAN		CJ	KY1-1002	CJ
MEDSTAR HEALTH INC - INVESTMENT FUND I
				981310273	investments		na	c corp	102 SOUTH CHURCH ST	GRAND CAYMAN		CJ	KY1-1002	CJ

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 (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
The MedStar-Georgetown Medical Center Inc
P	$1,230,267	FMV
MedStar Health Inc
P	$1,629,034	FMV
MedStar Health Research Institute
P	$863,686	FMV
MGH HEALTH FOUDNATION INC
s	$400,000	fmv