FRANKLIN SQUARE HOSPITAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: FRANKLIN SQUARE HOSPITAL CENTER INC (EIN 52-0608007)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-10
IRS object ID: 201731309349304123
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-10T22:14:38-05:00	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	520608007	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Franklin Square Hospital Center INC	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 FRANKLIN SQUARE DRIVE	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21237	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Person Title	VP/Treasurer	PersonTitleTxt
Phone	4107726721	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 FRANKLIN SQUARE MEDICAL CTR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	SAMUEL MOSKOWITZ	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 Franklin Square Drive	AddressLine1Txt
City	Baltimore	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21237	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$519,226,553	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FRANKLINSQUARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1898	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, A MEMBER OF MEDSTAR HEALTH, PROVIDES THE HIGHEST QUALITY HEALTHCARE AND EDUCATION TO OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	3955	TotalEmployeeCnt
Total Volunteers	340	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$424,389	PYContributionsGrantsAmt
CY Contributions Grants	$359,096	CYContributionsGrantsAmt
PY Program Service Revenue	$500,388,097	PYProgramServiceRevenueAmt
CY Program Service Revenue	$514,057,815	CYProgramServiceRevenueAmt
PY Investment Income	$178,697	PYInvestmentIncomeAmt
CY Investment Income	$89,715	CYInvestmentIncomeAmt
PY Other Revenue	$4,306,338	PYOtherRevenueAmt
CY Other Revenue	$4,719,927	CYOtherRevenueAmt
PY Total Revenue	$505,297,521	PYTotalRevenueAmt
CY Total Revenue	$519,226,553	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	$260,717,508	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$273,772,628	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$226,553,245	PYOtherExpensesAmt
CY Other Expenses	$234,576,452	CYOtherExpensesAmt
PY Total Expenses	$487,270,753	PYTotalExpensesAmt
CY Total Expenses	$508,349,080	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,026,768	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,877,473	CYRevenuesLessExpensesAmt
Total Assets BOY	$284,098,304	TotalAssetsBOYAmt
Total Assets EOY	$279,791,288	TotalAssetsEOYAmt
Total Liabilities BOY	$70,739,554	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$67,365,183	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$213,358,750	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$212,426,105	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As a proud member of MedStar Health, MedStar Franklin Square Medical Centers (MedStar Franklin Square) mission is to provide safe, high quality care, excellent service, and education to improve the health of the community. MedStar Franklin Square is an acute-care teaching hospital located in eastern Baltimore County, Maryland. It is the largest community teaching hospital in Maryland and offers a full range of services for children and adults. A seven-story patient tower with 291 private patient rooms includes an emergency department which sees more patients annually than any other hospital in the state. The hospitals Weinberg Cancer Institute is a 64,000-square-foot facility providing cancer patients and their families with a broad range of oncology services, including screening, diagnosis and treatment. In fiscal year 2016, MedStar Franklin Square had 33,944 admissions AND OBSERVATIONS, AND 447,944 outpatient visits INCLUDING 93,812 emergency department visits.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$377,625,050	ExpenseAmt
Revenue	$484,982,469	RevenueAmt
Desc	MedStar Franklin Square's largest program is access to and the provision of acute hospital services to the communities of eastern Baltimore County, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Franklin Square incurred $76.0M of management and general expenses in providing services to its communities. MedStar Franklin Square offers clinical services in medicine, surgery, oncology, obstetrics and gynecology, cardiology (including angioplasty), pediatrics, and psychiatry. The hospital is also accredited by the Joint Commission and certified as a Primary Stroke Center. MedStar Franklin Square has earned some of the nation's most prestigious quality awards and recognitions including Magnet Designation for excellence in nursing, the Delmarva Foundation Award for Quality Excellence and Baby Friendly designation. In 2016, U.S. News & World Report ranked MedStar Franklin Square Medical Center #8 regionally and was ranked High Performing in Diabetes and Endocrinology and Neuro and Neurosurgery. MedStar Franklin Square Medical Center received the 2016 Women's Choice Award for being one of America's Best Hospitals for Bariatric Surgery. The designation is the only award that uses evidence based-data to identify the country's best healthcare institutions based on robust criteria that consider female patient satisfaction and clinical excellence. The Breast Center at MedStar Franklin Square Medical Center was named a recipient of the Women's Choice Award as one of America's Best Breast Centers which acknowledges MedStar Franklin Square Medical Center's ongoing commitment to providing the best possible care to patients with breast cancer.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$37,176,184	ExpenseAmt
Revenue	$29,075,346	RevenueAmt
Desc	MedStar Franklin Square provided $37.2M 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 include hospitalists, outpatient primary care, womens health, and palliative care.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$17,630,804	ExpenseAmt
Desc	MedStar Franklin Square provided $17.6M in health professions education in fiscal year 2016. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$432,432,038	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	Yes (true)	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	3955	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Phone	4107726721	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10980 GRANTCHESTER WAY	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21044	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MOHAMAD M ALABRASH MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM D MCLAUGHLIN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
KENNETH A SAMET
DIRECTOR	40.0	0.0	Yes (X)	$0	$4,872,708	$66,397
HATEM ABDO MD
DIRECTOR	40.0	0.0	Yes (X)	$471,846	$0	$5,101
KHALID AL-TALIB MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
RAYMOND A NAIMOLI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SAVITHA SHIVANANDA MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL D SUTER MD
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
L CONTENT MCLAUGHLIN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL DIETRICH
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
ELIZABETH S GLENN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
BISHOP CLIFFORD M JOHNSON JR
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
COLLEEN LOPRESTO
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
PATRICIA R NORMAN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES PICCININI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
THOMAS S WINTZ
DIRECTOR (UNTIL 11/2015)	1.0	0.0	Yes (X)	$0	$0	$0
HOWARD L GOLDMAN MD
DIRECTOR	1.0	0.0	Yes (X)	$32,084	$0	$0
JUDITH NEEDHAM
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SAMUEL MOSKOWITZ
PRESIDENT/DIRECTOR	40.0	0.0	Yes (X)	$965,002	$0	$30,053	Yes (X)
MARYELLEN GOODELL MD
DIRECTOR	40.0	0.0	Yes (X)	$283,683	$0	$25,024
Denise M Matricciani
director (UNTIL 5/2016)	1.0	0.0	Yes (X)	$0	$0	$0
Carol L Nicolette
director	1.0	0.0	Yes (X)	$0	$0	$0
Eric C Washington
director (UNTIL 5/2016)	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT LALLY
Vice President/CFO	40.0	0.0		$389,851	$0	$44,174	Yes (X)
keith shiner
secretary	40.0	0.0		$0	$210,525	$17,268	Yes (X)
LAWRENCE STRASSNER
Vice President	40.0	0.0		$414,808	$0	$18,051		Yes (X)
DAVID GOLD MD
Physician	40.0	0.0		$809,806	$0	$7,422			Yes (X)
MICHAEL DVORKIN MD
Physician	40.0	0.0		$651,850	$0	$15,693			Yes (X)
ALBERT Aboulafia MD
Medical Director	40.0	0.0		$726,061	$0	$16,029			Yes (X)
ALBERT FLEISHER MD
medical director	40.0	0.0		$641,486	$0	$22,746			Yes (X)
david cohen MD
ORTHOPEDIC SURGEON	40.0	0.0		$621,132	$0	$15,986			Yes (X)
ANTHONY SCLAMA MD
FORMER VICE PRESIDENT	40.0	0.0		$702,235	$0	$18,682				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,709,844	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,083,233	TotReportableCompRltdOrgAmt
Total Other Compensation	$302,626	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	342	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MORRISON MANAGEMENT SPECIALIST
4721 MORRISON DRIVE	MOBILE	AL	36609	FOOD SERVICES	$5,749,418
GALLAGHER BASSETT SERVICES
1900 N Alafaya Trail 900	ORLANDO	FL	32826	consulting fees	$3,028,359
sodexo
PO BOX 536922	ATLANTA	GA	303536922	HOUSEKEEPING SVCS	$2,231,873
PULMONARY CRITICAL CARE
400 REDLAND COURT	OWINGS MILLS	MD	211173292	PHYSICIAN Services	$1,418,000
SLEEP SERVICES OF AMERICA
PO BOX 198320	ATLANTA	GA	30384	Medical Services	$892,010

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$14,272	FederatedCampaignsAmt
Government Grants	$120,300	GovernmentGrantsAmt
All Other Contributions	$224,524	AllOtherContributionsAmt
Total Contributions	$359,096	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$506,174,769	$506,174,769
PHARMACY	900099	$6,093,852	$6,093,852
MEANINGFUL USE REVENUE	900099	$1,737,034	$1,737,034
HEALTH EDUCATION	900099	$52,160	$52,160

Field	Value	IRS element (for citing)
Total Program Service Revenue	$514,057,815	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,812	TotalRevenueColumnAmt
Exclusion	$63,812	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	$672,696	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$672,696	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$672,696	TotalRevenueColumnAmt
Exclusion	$672,696	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,123	SecuritiesAmt
Other	$22,780	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,123	SecuritiesAmt
Other	$22,780	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,903	TotalRevenueColumnAmt
Exclusion	$25,903	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
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
REBATE INCOME	900099	$1,189,087	$1,189,087
PARKING LOT REVENUE	812930	$534,437	$534,437
PAYOR INCENTIVE REVENUE	900099	$41,081	$41,081

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,282,626	TotalRevenueColumnAmt
Exclusion	$2,282,626	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,047,231	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$519,226,553	TotalRevenueColumnAmt
Related Or Exempt Func Income	$514,057,815	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,809,642	ExclusionAmt

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	$2,620,511	TotalAmt
Program Services	$2,402,171	ProgramServicesAmt
Management And General	$218,340	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	$226,074,714	TotalAmt
Program Services	$207,238,294	ProgramServicesAmt
Management And General	$18,836,420	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,713,778	TotalAmt
Program Services	$3,404,348	ProgramServicesAmt
Management And General	$309,430	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,434,308	TotalAmt
Program Services	$24,231,816	ProgramServicesAmt
Management And General	$2,202,492	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,929,317	TotalAmt
Program Services	$13,624,698	ProgramServicesAmt
Management And General	$1,304,619	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$41,587,875	TotalAmt
Management And General	$41,587,875	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$15,218	TotalAmt
Program Services	$15,108	ProgramServicesAmt
Management And General	$110	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	$43,781,325	TotalAmt
Program Services	$39,384,569	ProgramServicesAmt
Management And General	$4,396,756	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$855,470	TotalAmt
Program Services	$23,740	ProgramServicesAmt
Management And General	$831,730	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,896,995	TotalAmt
Program Services	$1,680,227	ProgramServicesAmt
Management And General	$1,216,768	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	$2,612,081	TotalAmt
Program Services	$2,551,781	ProgramServicesAmt
Management And General	$60,300	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$441,125	TotalAmt
Program Services	$368,702	ProgramServicesAmt
Management And General	$72,423	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	$103,141	TotalAmt
Program Services	$94,301	ProgramServicesAmt
Management And General	$8,840	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,671,475	TotalAmt
Program Services	$7,671,475	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,855,023	TotalAmt
Program Services	$22,855,023	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,058,734	TotalAmt
Program Services	$12,677,348	ProgramServicesAmt
Management And General	$381,386	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLIES	$56,900,586	$56,358,920	$541,666
IMPLANTS/PROSTHESES	$9,527,899	$9,527,899
MAINTENANCE	$8,873,631	$8,735,899	$137,732
FOOD SERVICE	$6,690,125	$6,298,843	$391,282

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,705,749	TotalAmt
Program Services	$13,286,876	ProgramServicesAmt
Management And General	$3,418,873	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$508,349,080	TotalAmt
Program Services	$432,432,038	ProgramServicesAmt
Management And General	$75,917,042	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,008,254	BOYAmt
EOY	$1,008,354	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,154	BOYAmt
EOY	$2,684	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	$60,051,097	BOYAmt
EOY	$59,830,663	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	$169,417	BOYAmt
EOY	$122,417	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,831,308	BOYAmt
EOY	$7,248,419	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,157,521	BOYAmt
EOY	$957,134	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$494,105,109	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$290,491,890	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$211,187,629	BOYAmt
EOY	$203,613,219	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,763,278	BOYAmt
EOY	$1,627,002	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	$921,646	BOYAmt
EOY	$5,381,396	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$284,098,304	BOYAmt
EOY	$279,791,288	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,040,415	BOYAmt
EOY	$38,091,153	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	$849,638	BOYAmt
EOY	$3,586,149	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	$33,849,501	BOYAmt
EOY	$25,687,881	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,739,554	BOYAmt
EOY	$67,365,183	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$212,870,024	BOYAmt
EOY	$212,008,227	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$473,726	BOYAmt
EOY	$395,578	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,000	BOYAmt
EOY	$22,300	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$213,358,750	BOYAmt
EOY	$212,426,105	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$284,098,304	BOYAmt
EOY	$279,791,288	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,877,473	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$108,025	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,702,093	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	$386,702	OtherCostOrOtherBasisAmt
Book Value	$386,702	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$179,251,884	OtherCostOrOtherBasisAmt
Depreciation	$96,944,831	DepreciationAmt
Book Value	$82,307,053	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,630,001	OtherCostOrOtherBasisAmt
Depreciation	$2,078,559	DepreciationAmt
Book Value	$551,442	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$281,839,768	OtherCostOrOtherBasisAmt
Depreciation	$182,559,936	DepreciationAmt
Book Value	$99,279,832	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,996,754	OtherCostOrOtherBasisAmt
Depreciation	$8,908,564	DepreciationAmt
Book Value	$21,088,190	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$203,613,219	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ADVANCES FROM 3RD PARTY PAYORS	$14,576,894
WORKERS COMPENSATION	$5,709,931
CREDIT BALANCES PATIENT AR	$1,577,641
STOCK OPTION PLAN	$786,331
UCC POOL LIABILITY	$269,671
OTHER LIABILITIES	$2,767,413

Field	Value	IRS element (for citing)
Total Liability	$25,687,881	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
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	$5,174,968	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,174,968	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,174,968	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,174,968	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,087,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$979,630	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,630,804	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,630,804	NetCommunityBenefitExpnsAmt
Total Expense	0.03470	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,176,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,075,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,100,838	NetCommunityBenefitExpnsAmt
Total Expense	0.01590	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,930,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,183,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,746,797	NetCommunityBenefitExpnsAmt
Total Expense	0.05260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,105,492	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,183,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,921,765	NetCommunityBenefitExpnsAmt
Total Expense	0.06280	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,569	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,055	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,088	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,088	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$152,712	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$25,940,725	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	FRANKLIN SQUARE HOSPITAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 FRANKLIN SQUARE DRIVE	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	212373901	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd
Other	FAST TRACK ER	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FRANKLIN SQUARE HOSPITAL CENTER	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.MEDSTARFRANKLINSQUARE.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.MEDSTARFRANKLINSQUARE.ORG/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.MEDSTARFRANKLINSQUARE.	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MEDSTARFRANKLINSQUARE.OR	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
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: Patricia Isennock, RN 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: STUART LEVINE, M.D. 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. Name Title/Affiliation Name of Organization with Hospital Elise Andrews Program Manager Baltimore County Local Management Board Donna Bilz Healthscope Director Baltimore County Department of Aging Gregory Branch County Health Officer Baltimore County Department of Health Laura Culbertson Public Health Baltimore County Administrator Department of Health Kelly Welch Senior Public MedStar Franklin Relations Specialist Square Medical Center Uchenna Emeche, MD Family Health Center MedStar Franklin Square Physician Medical Center Linda Frisch Director of Grant MedStar Health Development Liz Glenn Board Member MedStar Franklin Square Medical Center Dawn Haley Helper Judy Center, Hawthorne Elementary School Susan Hahn Parent Support Baltimore County Public Services Coordinator Schools Faith Healy Substitute Teacher Baltimore County Public Schools Juanita Ignacio Director Creative Kids Tricia Isennock Popular Health MedStar Franklin Square Administrative Director Medical Center Katherine Jacobson, Family Medicine Faculty MedStar Franklin Square MD Medical Center Family Health Center Erin Johnson Parent Service Mars Estates Elementary Coordinator School Terri Kingeter Sector Coordinator Baltimore County Planning Office Scott Krugman, MD Community Medicine MedStar Franklin Square Service Line Director Medical Center Pam Newland Manager Henderson-Webb, Inc Mini Novello, MD Population Health MedStar Franklin Square Medical Director Medical Center Sally Rixey, MD Family Health Center MedStar Franklin Square Chief of Family Practice Medical Center Kimberly Roberts Director Young Parent Support Center Don Schlimm Acting Executive Baltimore County Local Director Management Board Bryan Sheppard Special Asst. to Baltimore County Kevin Kamenetz Executive Tobie-Lynn Smith, Medical Director Healthcare for the MD Homeless - Baltimore County Rene Youngfellow Division Chief, Baltimore County Clinical Services- Department of Health Center Based Services Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants.

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 FY15, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER (MEDSTAR FRANKLIN SQUARE) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITALS CHNA WAS LED BY 20 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING COMMUNITY RESIDENTS, 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, 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 SOUTHEAST BALTIMORE COUNTY 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), BIRTH OUTCOMES, AND ACCESS TO MAINSTREAM RESOURCES. THE HOSPITALS FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR FRANKLIN SQUARES BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITALS WEBSITE ON JUNE 30, 2015. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR FRANKLIN SQUARE 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, WITTH 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 HOSPITAL'S 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 PUBLICITY-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 PUBLICITY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURES FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH THE FACILITY'S FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S 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 FACILITY'S FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENT'S 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 FRANKLIN SQUARE MEDICAL CENTERS CBSA INCLUDES RESIDENTS IN ZIP CODES 21206, 21219, 21220, 21221, 21222, AND 21224. THIS REGION WAS SELECTED DUE TO THE HOSPITALS PRE-EXISTING PARTNERSHIP WITH THE BALTIMORE COUNTY SOUTHEAST AREA NETWORK A VOLUNTEER COMMUNITY ORGANIZATION THAT MONITORS AND WORKS TO IMPROVE THE HEALTH OF RESIDENTS IN THE SOUTHEASTERN PORTION OF BALTIMORE COUNTY. DEMOGRAPHICS: THE TOTAL POPULATION OF THE SIX ZIP CODES THAT MAKE UP THE HOSPITALS CBSA IS 244,132. THE MAJORITY OF THE POPULATION IS WHITE (60%), FOLLOWED BY BLACK/AFRICAN AMERICAN (14%), TWO OR MORE RACES (2.2%), ASIAN (1.7%), AND AMERICAN INDIAN/ALASKAN NATIVE. THE MEDIAN AGE RANGE IS FROM 32 TO 41 YEARS. THE WEIGHTED AVERAGE ANNUAL HOUSEHOLD INCOME IN SOUTHEAST BALTIMORE COUNTY RANGES FROM $48,390 TO $58,738, AS COMPARED TO $66,486 IN BALTIMORE COUNTY AS A WHOLE. ZIP CODE 21221 SERVES AS THE CBSA FOR BIRTH OUTCOMES. THE PRIMARY TARGET POPULATION WITHIN 21221 IS CHARACTERIZED BY 72% OF WOMEN WHO GAVE BIRTH IN THE PAST 12 MONTHS BEING ELIGIBLE FOR MEDICAID ACCORDING TO MARYLAND ELIGIBILITY REQUIREMENTS (U.S. CENSUS, ACS, 2012; CMS). THE ESTIMATED PERCENTAGE OF RESIDENTS IN ZIP CODE 21221 THAT ARE BELOW THE POVERTY LEVEL IS 9.3% COMPARED TO 6.2% FOR BALTIMORE COUNTY (2010-2014 AMERICAN COMMUNITY SURVEY). OF THE POPULATION THAT IS BELOW THE POVERTY LEVEL, 52% OF WOMEN WHO HAD A BIRTH IN THE PAST 12 MONTHS ARE ELIGIBLE FOR MEDICAID, RESULTING IN THE DEMONSTRATION OF AN UNDERSERVED POPULATION.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5: As a community partner, MedStar Franklin Square engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. Priority areas of focus, as determined by the community health needs assessment, are chronic disease, specifically targeting heart disease, support of healthy birth outcomes, and access to mainstream resources for Medicaid and self-pay patients. In efforts to promote optimal health in Southeast Baltimore County, MedStar Franklin Square will continue its commitment as a Million Hearts partner through the facilitation of evidence-based programs, such as Stop Smoking Today!, Stanford Chronic Disease Self-Management Education and CDC National Diabetes Prevention Program. MedStar Franklin Square plans to address high infant mortality rates through the Healthy Babies Collaborative, as well as work to increase access to mainstream resources by assessing Medicaid and self-pay population mainstream resource needs through surveys and data analysis. Additionally, the hospital will continue to work towards defining resource program eligibility, and will continue to assist in program enrollment.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6: AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR FRANKLIN SQUARE IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY COLLABORATING 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 FRANKLIN SQUARE WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTARS CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY.
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7: THE COMMUNITY BENEFIT REPORT FOR MEDSTAR FRANKLIN SQUARE MEDICAL CENTER IS FILED IN THE STATE OF MARYLAND.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH A SAMET
DIRECTOR	$0	$1,689,763	$0	$3,167,094	$0	$15,851	$0	$45,721	$0	$20,676	$0	$4,939,105	$0	$0
HATEM ABDO MD
DIRECTOR	$471,846	$0	$0	$0	$0	$0	$0	$0	$5,101	$0	$476,947	$0	$0	$0
SAMUEL MOSKOWITZ
PRESIDENT/DIRECTOR	$526,944	$0	$436,835	$0	$1,223	$0	$7,800	$0	$22,253	$0	$995,055	$0	$0	$0
MARYELLEN GOODELL MD
DIRECTOR	$255,683	$0	$28,000	$0	$0	$0	$7,800	$0	$17,224	$0	$308,707	$0	$0	$0
DAVID GOLD MD
Physician	$658,113	$0	$126,654	$0	$25,039	$0	$0	$0	$7,422	$0	$817,228	$0	$0	$0
MICHAEL DVORKIN MD
Physician	$624,311	$0	$2,500	$0	$25,039	$0	$0	$0	$15,693	$0	$667,543	$0	$0	$0
ALBERT Aboulafia MD
Medical Director	$601,216	$0	$124,845	$0	$0	$0	$0	$0	$16,029	$0	$742,090	$0	$0	$0
LAWRENCE STRASSNER
Vice President	$293,121	$0	$121,687	$0	$0	$0	$11,195	$0	$6,856	$0	$432,859	$0	$0	$0
ANTHONY SCLAMA MD
FORMER VICE PRESIDENT	$394,938	$0	$220,271	$0	$87,026	$0	$7,800	$0	$10,882	$0	$720,917	$0	$0	$0
ROBERT LALLY
Vice President/CFO	$273,035	$0	$114,758	$0	$2,058	$0	$29,335	$0	$14,839	$0	$434,025	$0	$0	$0
ALBERT FLEISHER MD
medical director	$497,412	$0	$144,074	$0	$0	$0	$7,800	$0	$14,946	$0	$664,232	$0	$0	$0
david cohen MD
ORTHOPEDIC SURGEON	$529,415	$0	$67,239	$0	$24,478	$0	$0	$0	$15,986	$0	$637,118	$0	$0	$0
keith shiner
secretary	$0	$173,185	$0	$37,340	$0	$0	$0	$3,030	$0	$14,238	$0	$227,793	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SOCIAL CLUB DUES	SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICERS WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES.
SCHEDULE J, PART I, LINE 4A	Anthony Sclamas Other reportable compensation in Part II, Column (B) (iii) includes $32,009 representing severance payments received by Mr. Sclama.
SCHEDULE J, PART III	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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	MARYLAND KIDNEY GROUP LLC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	NEPHROLOGY SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV Dr. Khalid Al-Talib, a Board member at MedStar Franklin Square Medical Center, owns more than 35% of Maryland Kidney Group, LLC (MKG), which provides nephrology services to MedStar Franklin Square Medical Center. MKG's gross revenues received from the hospital for the year were $0.2 million.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENTS	PART III, lINE 4A MFSMC OFFERS CLINICAL SERVICES IN MEDICINE, SURGERY, ONCOLOGY, OBSTETRICS, CARDIOLOGY (INCLUDING ANGIOPLASTY), PEDIATRICS, GYNECOLOGY, AND PSYCHIATRY. MFSMC ATTAINED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) IN 2008 AND IS RECOGNIZED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER. IN 2014, US NEWS AND WORLD REPORT RECOGNIZED MFSMC AS A HIGH PERFORMING HOSPITAL IN CANCER, DIABETES AND ENDOCRINOLOGY, OTOLARYNGOLOGY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND UROLOGY. THE HOSPITAL IS ALSO NATIONALLY RANKED FOR GASTROENTEROLOGY AND GI SURGERY SERVICES. BUSINESS AND FAMILY RELATIONSHIPS PART VI, LINE 2 CONTENT MCLAUGHLIN PROVIDES ESTATE PLANNING SERVICES FOR RAY NAIMOLI. THIS RELATIONSHIP IS NOT RELATED TO ANY BUSINESS TRANSACTIONS WITH MEDSTAR FRANKLIN SQUARE MEDICAL CENTER. CONTENT MCLAUGHLIN PROVIDES ESTATE PLANNING SERVICES FOR DAN MCLAUGHLIN. THIS RELATIONSHIP IS NOT RELATED TO ANY BUSINESS TRANSATIONS WITH MEDSTAR FRANKLIN SQUARE MEDICAL CENTER. ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. DECISIONS OF GOVERNING BODY PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. GOVERNANCE.
PROCESS FOR REVIEWING FORM 990	PART VI, LINE 11A THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST POLICY	PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. 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	PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.
FINANCIAL STATEMENT AVAILABILITY	PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 9 EQUITY TRANSFERS ...................................$(11,688,347) TRANSEFR OF EQUITY TO FOUNDATION..................... $(13,746) ------------- TOTAL $(11,702,093)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Medstar Health Anesthesia Services B LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 Franklin Square Drive	AddressLine1Txt
City	Baltimore	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21237	ZIPCd

Field	Value	IRS element (for citing)
EIN	205909703	EIN
Primary Activities	Health Svcs	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	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)
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
MONTGOMERY GENERAL HOSPITAL
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	520646893	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
THE GOOD SAMARITAN HOSPITAL OF MARYLAND
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	520591607	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
THE UNION MEMORIAL HOSPITAL
201 EAST UNIVERSITY PARKWAY	BALTIMORE	MD	21218	520591685	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
MEDSTAR HEALTH RESEARCH INSTITUTE
108 IRVING STREET NW	WASHINGTON	DC	20010	526056274	HOSPITAL	DC	501(c)(3)	4	NA	Yes (true)
THE MEDSTAR-GEORGETOWN MEDICAL CENTER I
HOPSITAL ADMIN 1 MAIN BLDG	WASHINGTON	DC	20007	522218584	HOSPITAL	DC	501(c)(3)	3	NA	Yes (true)
WASHINGTON HOSPITAL CENTER CORPORATION
110 IRVING STREET NW	WASHINGTON	DC	20010	521272129	HOSPITAL	DC	501(c)(3)	3	NA	Yes (true)
HH MEDSTAR HEALTH INC
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	521542230	MEDICAL SVCS	MD	501(c)(3)	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)
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)
FRANKLIN SQUARE HOSPITAL CENTER FDN
9000 FRANKLIN SQUARE DRIVE	BALTIMORE	MD	21237	522329546	FOUNDATION	MD	501(c)(3)	7	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 MASTER
10980 GRANTCHESTER WAY	COLUMBIA	MD	21044	467454613	RET. TRUST	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	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd
MedStar Pharmacies Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521513056	Drug Sales	MD	NA	C Corp
ExtenCare Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521556228	Medical Services	MD	NA	C Corp
Helix Resources Management Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521913070	Admin Services	MD	NA	C Corp
HelixCare Medical Group LLC
10980 GRANTCHESTER WAY	Columbia	MD	21044	521955580	Medical Services	MD	NA	C Corp
HelixCare Properties LLC
10980 GRANTCHESTER WAY	Columbia	MD	21044	521966695	Medical Services	MD	NA	C Corp
Parkway Ventures Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521893569	Holding Company	MD	NA	C Corp
Physicians Administrative Services Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	237042074	Billing Services	MD	NA	C Corp
MedStar Family Choice Inc
10980 GRANTCHESTER WAY	Columbia	MD	21044	521995521	Managed Care	MD	NA	C Corp
Medstar Enterprises Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522139841	Admin Services	MD	NA	C Corp
Sitel Inc
10980 GRANTCHESTER WAY	columbia	MD	21044	900753340	educational sVCS	MD	NA	C Corp
Star Billing Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	521850113	Billing Services	MD	NA	C Corp
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522132677	Medical Services	MD	NA	C Corp
Washington Hospital Center Physician Hos
100 Irving Street NW	Washington	DC	20010	521931000	Medical Services	MD	NA	C Corp
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522030809	Medical Services	MD	NA	C Corp
Franklin Square Drive Land Condo Associa
10980 GRANTCHESTER WAY	Columbia	MD	21044	760756352	Condo Owner Assoc	MD	NA	C Corp
MGH Diversified Services Inc
18101 Prince Philip Drive	Olney	MD	20832	521943602	Medical Services	MD	NA	C Corp
St Mary's Health Alliance Inc
25500 Point Lookout Road	Leonardtown	MD	20650	521930331	Medical Services	MD	NA	C Corp
Greenspring Financial Insurance Limited
				980188617	Insurance		NA	C Corp	23 Lime Tree Bay Avenue PO Box 1051	KY1-1102 Grand Cayman	CJ	CJ
St Mary's Condo Asssociation
25500 POINT LOOKOUT RD	LEONARDTOWN	MD	20650	273377216	CONDOMINIUMS	MD	NA	C CORP
MEDSTAR HEALTH MASTER RETIREMENT TRUST
				999999999	INVESTMENTS		NA	C CORP	102 South Church St	Grand Cayman	CJ	CJ	KY1-1002
MEDSTAR HEALTH INC - INVESTMENT FUND I
				981310273	INVESTMENTS		NA	C CORP	102 South Church St	Grand Cayman	CJ	CJ	KY1-1002

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HH MEDSTAR HEALTH INC
P	$90,100	FMV
MEDSTAR HEALTH INC
P	$2,985,093	FMV
MEDSTAR HEALTH RESEARCH INSTITUTE
P	$3,642,298	FMV
WASHINGTON HOSPITAL CENTER CORPORATION
P	$1,433,052	FMV