MEDSTAR HEALTH INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MEDSTAR HEALTH INC (EIN 52-2087445)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-11
IRS object ID: 201541319349300509
Schema version: 2013v4.0
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 C
Schedule D
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-11T07:25:32-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 International Drive	AddressLine1
City	McLean	City
State	VA	State
ZIP Code	22102	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	522087445	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Medstar Health Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% JOEL BRYAN	InCareOfNm
Business Name Control	MEDS	BusinessNameControlTxt
Phone	4107726719	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5565 STERRETT PLACE 5TH FLOOR	AddressLine1
Address Line2	Suite	AddressLine2
City	COLUMBIA	City
State	MD	State
ZIP Code	21044	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Joel Bryan	PersonNm
Person Title	Vice President/Treasurer	PersonTitleTxt
Phone	4107726721	PhoneNum
Signature	2015-04-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Margaret A Bradshaw	PreparerPersonNm
PTIN	P00501222	PTIN
Phone	4107726721	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KENNETH A SAMET	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5565 STERRETT PLACE 5TH FLOOR	AddressLine1
City	COLUMBIA	City
State	MD	State
ZIP Code	21044	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$195,315,774	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MEDSTARHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	PLAN, DEVELOP, COORDINATE, DIRECT AND MANAGE AN INTEGRATED HEALTHCARE SYSTEM.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	337	TotalEmployeeCnt
Total Volunteers	276	TotalVolunteersCnt
Total Gross UBI	$111,202	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$110,202	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$297,201	PYContributionsGrantsAmt
CY Contributions Grants	$5,499,556	CYContributionsGrantsAmt
PY Program Service Revenue	$38,513,193	PYProgramServiceRevenueAmt
CY Program Service Revenue	$68,375,638	CYProgramServiceRevenueAmt
PY Investment Income	$57,084,387	PYInvestmentIncomeAmt
CY Investment Income	$109,711,221	CYInvestmentIncomeAmt
PY Other Revenue	$2,560,881	PYOtherRevenueAmt
CY Other Revenue	$11,729,359	CYOtherRevenueAmt
PY Total Revenue	$98,455,662	PYTotalRevenueAmt
CY Total Revenue	$195,315,774	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	$50,496,067	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$84,354,220	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$45,881,762	PYOtherExpensesAmt
CY Other Expenses	$35,641,020	CYOtherExpensesAmt
PY Total Expenses	$96,377,829	PYTotalExpensesAmt
CY Total Expenses	$119,995,240	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,077,833	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$75,320,534	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,908,887,923	TotalAssetsBOYAmt
Total Assets EOY	$2,176,542,391	TotalAssetsEOYAmt
Total Liabilities BOY	$1,553,531,705	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,596,652,258	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$355,356,218	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$579,890,133	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of MedStar Health, Inc. (MedStar), a Maryland non-stock membership corporation, is to serve our patients, those who care for them and our communities. MedStar is the controlling entity of an integrated health services organization (the System) offering a wide variety of healthcare services to residents of Maryland and the Washington, D.C., region (comprising Baltimore City, 11 counties in Maryland, the District of Columbia, and northern Virginia). MedStar Health is the region's largest health system and one of the largest employers in Maryland and Washington, D.C., with approximately 30,000 associates and 6,000 affiliated physicians. Through our hospitals, outpatient facilities, physician organizations, and other health-related organizations, the System offers a broad continuum of healthcare services, including primary care, acute care (secondary, tertiary and quaternary), emergency, trauma and urgent care, adult burn care, rehabilitation (hospital-based and outpatient), po	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$119,995,240	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$68,375,638	RevenueAmt
Desc	As the parent company in an integrated healthcare system, MedStar Health, Inc. establishes the strategic direction for its affiliated entities. MedStar Health's sole program service is the management and support of its affiliated entities. The program service expenses incurred by the organization relate to corporate service functions in the following areas: quality and safety, financial services, human resource services, treasury services, information systems, legal services, risk management, compliance, privacy, business and system development, planning, marketing, external affairs, philanthropy services, managed care, internal audit, community health, graduate medical education, and academic affairs.	Desc
Total Program Service Expenses	$119,995,240	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	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	1961	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	337	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	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
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
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	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	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	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	5565 STERRETT PLACE 5TH FLOOR	AddressLine1
City	COLUMBIA	City
State	MD	State
ZIP Code	21044	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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
CHANDRALEKHA BANERJEE
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ANDREW J BERRY
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CATHERINE MELOY
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ROBERTA LOKER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM R ROBERTS
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
TOGO D WEST JR
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MARC N DUBER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MARK JENSEN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
EDWARD S CIVERA
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
BARBARA R HELLER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM J OETGEN JR
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SARA E WATKINS
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ANTHONY J BUZZELLI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
JOHN J DEGIOIA PHD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM COUPER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DONOVAN DIETRICK
DIRECTOR	1.0	39.0	Yes (X)	$0	$266,342	$23,731
KENNETH A SAMET
ceo & PRESIDENT	40.0	0.0	Yes (X)	$3,334,799	$0	$61,007	Yes (X)
John Kirpatrick
Director	1.0	0.0	Yes (X)	$0	$0	$0
Michael Curran
EVP & CFO	40.0	0.0		$1,839,532	$0	$33,533	Yes (X)
Stephen Evans
EVP	40.0	0.0		$914,704	$0	$41,300	Yes (X)
Joy Drass
EVP	40.0			$1,613,176	$0	$42,101	Yes (X)
Carl Schindelar
EVP	40.0			$1,055,835	$0	$49,352	Yes (X)
Oliver Johnson
EVP	40.0	0.0		$906,460	$0	$26,644	Yes (X)
Eric Wagner
EVP	40.0	0.0		$1,397,969	$0	$43,246	Yes (X)
Christine Swearingen
EVP	40.0	0.0		$789,503	$0	$51,187	Yes (X)
Catherine Szenczy
SVP	40.0	0.0		$699,344	$0	$23,209		Yes (X)
David Noe
VP	40.0	0.0		$587,585	$0	$29,812			Yes (X)
Bruce Bartoo
VP	40.0	0.0		$512,552	$0	$20,458			Yes (X)
Edward Robinson
VP	40.0	0.0		$534,126	$0	$26,945			Yes (X)
Susan Nelson
VP	40.0	0.0		$519,115	$0	$24,789			Yes (X)
Maureen McCausland
SVP	40.0	0.0		$612,067	$0	$30,312	Yes (X)
DAVID MAYER
VP	40.0	0.0		$577,099	$0	$12,637			Yes (X)
William Thomas
FORMER OFFICER	40.0	0.0		$310,921	$0	$7,629				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,204,787	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$266,342	TotReportableCompRltdOrgAmt
Total Other Compensation	$547,892	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
CERASOLI STAFFORD MEDIA MGMT
2251 San Diego Avenue Suite A-130	SAN DIEGO	CA	92110	Media Mgmt Services	$3,803,034
KPMG LLP
DEPT 0939 PO BOX 120001	DALLAS	TX	753120939	ACCOUNTING SERVICES	$2,506,961
VENABLE LLP
PO BOX 62727	BALTIMORE	MD	212642727	Legal Services	$2,295,404
ERNST YOUNG
PO BOX 933515	ATLANTA	GA	311933515	project mgmt svcs	$2,192,153
HEALTHY COMPANIES INTL HCI
2101 Wilson Boulevard suite 1002	ARLINGTON	VA	22201	Consulting Services	$1,644,085

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Government Grants	$199,910	GovernmentGrantsAmt
All Other Contributions	$5,299,646	AllOtherContributionsAmt
Total Contributions	$5,499,556	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GREENSPRING FEE	900099	$50,885,922	$50,885,922
OTHER MANAGEMENT FEES	900099	$17,489,716	$17,489,716

Field	Value	IRS element (for citing)
Total Program Service Revenue	$68,375,638	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,431,693	TotalRevenueColumnAmt
Unrelated Business Revenue	$111,202	UnrelatedBusinessRevenueAmt
Exclusion	$51,320,491	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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$58,279,528	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$58,279,528	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,279,528	TotalRevenueColumnAmt
Exclusion	$58,279,528	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 (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
REBATE INCOME	900099	$2,515,472	$2,515,472
OTHER INCOME/LOSS	900099	$9,213,887	$9,213,887

Field	Value	IRS element (for citing)
Other Revenue Total	$11,729,359	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$195,315,774	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,375,638	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$111,202	UnrelatedBusinessRevenueAmt
Exclusion	$121,329,378	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	$13,557,780	TotalAmt
Program Services	$13,557,780	ProgramServicesAmt

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	$58,770,922	TotalAmt
Program Services	$58,770,922	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,375,202	TotalAmt
Program Services	$1,375,202	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,645,554	TotalAmt
Program Services	$7,645,554	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,004,762	TotalAmt
Program Services	$3,004,762	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	-$7,872,181	TotalAmt
Program Services	-$7,872,181	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,536,826	TotalAmt
Program Services	$7,536,826	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,104,455	TotalAmt
Program Services	$2,104,455	ProgramServicesAmt

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	$26,955,048	TotalAmt
Program Services	$26,955,048	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,399,468	TotalAmt
Program Services	$5,399,468	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,706,237	TotalAmt
Program Services	$1,706,237	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$57,334	TotalAmt
Program Services	$57,334	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,266,612	TotalAmt
Program Services	$3,266,612	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,011,072	TotalAmt
Program Services	$1,011,072	ProgramServicesAmt

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	$162,912	TotalAmt
Program Services	$162,912	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$192,773	TotalAmt
Program Services	$192,773	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,071,448	TotalAmt
Program Services	$1,071,448	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$320,420	TotalAmt
Program Services	$320,420	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MAINTENANCE CONTRACTS	$718,230	$718,230
MED/SURG SUPPLIES	$553,614	$553,614
MAINTENANCE	$537,863	$537,863
UTILITIES	$435,499	$435,499	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$8,516,610	TotalAmt
Program Services	-$8,516,610	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$119,995,240	TotalAmt
Program Services	$119,995,240	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$292,876,449	BOYAmt
EOY	$378,801,824	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	$3,810,261	BOYAmt
EOY	$4,431,758	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	$275,078	BOYAmt
EOY	$230,832	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,102,942	BOYAmt
EOY	$1,595,317	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$22,100,154	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,841,264	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,522,819	BOYAmt
EOY	$12,258,890	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	$1,296,330,427	BOYAmt
EOY	$1,424,980,362	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	$114,402,599	BOYAmt
EOY	$114,402,599	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$177,567,348	BOYAmt
EOY	$239,840,809	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,908,887,923	BOYAmt
EOY	$2,176,542,391	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$77,084,201	BOYAmt
EOY	$177,969,549	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	$321,498	BOYAmt
EOY	$12,443,833	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,256,265,619	BOYAmt
EOY	$1,107,374,394	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	$219,860,387	BOYAmt
EOY	$298,864,482	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,553,531,705	BOYAmt
EOY	$1,596,652,258	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$352,352,261	BOYAmt
EOY	$577,229,555	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,003,957	BOYAmt
EOY	$2,660,578	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	$355,356,218	BOYAmt
EOY	$579,890,133	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,908,887,923	BOYAmt
EOY	$2,176,542,391	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$75,320,534	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$22,214,396	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$126,998,985	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)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (12 entries)

EINEIN	Organization TypeOrganizationTypeDesc	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC
520591607	03	Yes (true)	$0
THE UNION MEMORIAL HOSPITAL
520591685	03	Yes (true)	$0
MEDSTAR-GEORGETOWN MEDICAL CENTER INC
522218584	03	Yes (true)	$0
FRANKLIN SQUARE HOSPITAL CENTER INC
520608007	03	Yes (true)	$0
HARBOR HOSPITAL INC
520491660	03	Yes (true)	$0
WASHINGTON HOSPITAL CENTER CORPORATION
521272129	03	Yes (true)	$0
NATIONAL REHABILITATION HOSPITAL INC
521369749	03	Yes (true)	$0
MEDSTAR HEALTH RESEARCH INSTITUTE INC
526056274	04	Yes (true)	$0
MEDSTAR HEALTH VISITING NURSES ASSOCIATION INC
530196597	04	Yes (true)	$0
MONTGOMERY GENERAL HOSPITAL INC
520646893	03	Yes (true)	$0
ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC
520619006	03	Yes (true)	$0
MEDSTAR SOUTHERN MD HOSPITAL CENTER INC
460726303	03	Yes (true)	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	12	SupportedOrganizationsTotalCnt

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$728,825	OtherActivitiesAmt
Total Lobbying Expenditures	$728,825	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Other Activities	FormAndLineReferenceDesc
Explanation	Part IV, Supplemental Information The expenses incurred by the organization for lobbying activities reflects the total expenditures for lobbying efforts on behalf of substantially all subsidiaries and affiliates. These expenses included a portion of the compensation expense for several employees in the government affairs department of the organization who are involved in lobbying activities as well as the amounts paid to outside advocacy and consulting groups for their lobbying activities on behalf of the organization. The lobbying work related to healthcare policy issues at the federal level as well as work in Maryland and the District of Columbia. Among the policy issues encompassed by the organization's lobbying efforts were health care coverage for the uninsured and under-insured, emergency preparedness, reimbursement policies, employment practices, health reform, and other key issues.	ExplanationTxt

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	$6,212,198	OtherCostOrOtherBasisAmt
Book Value	$6,212,198	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$845,262	OtherCostOrOtherBasisAmt
Depreciation	$155,225	DepreciationAmt
Book Value	$690,037	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,934,712	OtherCostOrOtherBasisAmt
Depreciation	$3,471,242	DepreciationAmt
Book Value	$1,463,470	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,128,483	OtherCostOrOtherBasisAmt
Depreciation	$6,159,327	DepreciationAmt
Book Value	$1,969,156	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,979,499	OtherCostOrOtherBasisAmt
Depreciation	$55,470	DepreciationAmt
Book Value	$1,924,029	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$12,258,890	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PNC POOL AND OTHER UNR. FUNDS	$843,827,716	F
INVESTMENT IN AFFILIATES	$467,935,759	F
MARKETABLE INVESTMENTS	$61,610,000	F
BOARD DESIGNATED/OTHER RESTR.	$51,606,887	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,424,980,362	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DEBT SERVICE L/T	$57,195,039
DEFERRED TAX ASSET	$24,783,148
DEFERRED FINANCING COST	$13,108,440
DEFERRED COMPENSATION ASSET	$21,742,434
OPTION IT ASSET	$8,083,975
CASH SURRENDER VALUE - INS	$1,973,714
INTERCOMPANY RECEIVABLES	$96,171,941
OTHER ASSETS	$16,782,118

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$239,840,809	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PENSION LIABILITY L/T	$87,395,591
PROFESSIONAL LIAB. IBNR	$21,296,391
L/T LIABILITY - SWAP	$14,704,718
DEFERRED COMPENSATION	$21,776,210
STOCK OPTION PLAN	$7,002,528
WORKERS COMP	$1,247,616
OTHER LIABILITIES	$15,602,603
LOANS PAYABLE L/T	$129,838,825

Field	Value	IRS element (for citing)
Total Liability	$298,864,482	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, 2014.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
DONOVAN DIETRICK
DIRECTOR	$0	$266,342	$0	$0	$0	$0	$0	$12,259	$0	$11,472	$0	$290,073	$0	$0
KENNETH A SAMET
ceo & PRESIDENT	$1,447,427	$0	$1,873,804	$0	$13,568	$0	$41,896	$0	$19,111	$0	$3,395,806	$0	$0	$0
Michael Curran
EVP & CFO	$921,169	$0	$918,363	$0	$0	$0	$12,934	$0	$20,599	$0	$1,873,065	$0	$0	$0
William Thomas
FORMER OFFICER	$24,246	$0	$257,378	$0	$29,297	$0	$7,500	$0	$129	$0	$318,550	$0	$0	$0
Stephen Evans
EVP	$513,174	$0	$401,530	$0	$0	$0	$14,825	$0	$26,475	$0	$956,004	$0	$0	$0
Joy Drass
EVP	$831,446	$0	$781,730	$0	$0	$0	$26,326	$0	$15,775	$0	$1,655,277	$0	$0	$0
Carl Schindelar
EVP	$627,404	$0	$428,431	$0	$0	$0	$29,859	$0	$19,493	$0	$1,105,187	$0	$0	$0
Oliver Johnson
EVP	$476,224	$0	$430,236	$0	$0	$0	$7,500	$0	$19,144	$0	$933,104	$0	$0	$0
Eric Wagner
EVP	$751,715	$0	$646,254	$0	$0	$0	$23,435	$0	$19,811	$0	$1,441,215	$0	$0	$0
Christine Swearingen
EVP	$407,233	$0	$382,270	$0	$0	$0	$34,583	$0	$16,604	$0	$840,690	$0	$0	$0
Catherine Szenczy
SVP	$399,348	$0	$299,996	$0	$0	$0	$7,500	$0	$15,709	$0	$722,553	$0	$0	$0
David Noe
VP	$356,818	$0	$230,767	$0	$0	$0	$15,453	$0	$14,359	$0	$617,397	$0	$0	$0
Bruce Bartoo
VP	$314,880	$0	$197,672	$0	$0	$0	$0	$0	$20,458	$0	$533,010	$0	$0	$0
Edward Robinson
VP	$343,669	$0	$190,457	$0	$0	$0	$7,066	$0	$19,879	$0	$561,071	$0	$0	$0
Susan Nelson
VP	$324,288	$0	$194,827	$0	$0	$0	$7,500	$0	$17,289	$0	$543,904	$0	$0	$0
Maureen McCausland
SVP	$346,579	$0	$265,488	$0	$0	$0	$7,500	$0	$22,812	$0	$642,379	$0	$0	$0
DAVID MAYER
VP	$402,958	$0	$174,141	$0	$0	$0	$0	$0	$12,637	$0	$589,736	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SOCIAL CLUB DUES	FormAndLineReferenceDesc
Explanation	SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR TWO 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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES
A	520936091	574217MW2	2004-02-03	$168,903,884	Advance refund bonds issued 2001	false	false	false
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES
B	520936091	574217C60	2007-01-31	$148,551,201	Construct FSH hospital patient tow	false	false	false
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES
C	536001131	2548393Y7	2008-05-15	$283,137,423	Current refund bonds issued 1998	false	false	false
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES
D	520936091	574218DY6	2011-11-17	$47,805,502	Current refund bank debt	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$18,915,000	$0	$168,903,884	$12,869,427	$0	$166,098,335	$2,616,729	$0	$0	$0	$0	$0	2001	false	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$164,008,124	$0	$31,362,309	$0	$1,806,668	$0	$0	$130,839,147	$0	$0	2010	false	false	Yes (true)	Yes (true)
C	$30,475,000	$0	$283,137,423	$0	$0	$283,137,423	$0	$0	$0	$0	$0	$0	1998	Yes (true)	false	Yes (true)	Yes (true)
D	$2,125,000	$0	$47,805,502	$0	$0	$47,171,175	$634,327	$0	$0	$0	$0	$0	2011	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	0
B	0.00000	false	false	false	false	0.00000	0.00000	false	false	false	Yes (true)
C	0.00000					0.00000	0.00000
D	0.01200	false	Yes (true)	Yes (true)	false	0.00000	0.01200	false	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
0
A	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	jp morgan chase bank	false	Yes (true)	2.6	Yes (true)
0
C	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 3, Column B:	Amount over issue price is attributable to investment earnings.
Part II, Line 6, Columns A, C & D:	Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds.
Part IV, Column C:	no invested funds following issuance. Rebate letter received on July 9, 2014
Part IV, Line 2c, Column A:	Rebate computed as of July 14, 2014
Part IV, Line 2c, Column B:	Rebate computed as of July 8, 2014
Part IV, Line 2c, Columns C & D:	Rebate computed as of July 9, 2014
Part II, Line 6, Columns A, B, C & D (SET 2):	Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds.
Part IV, Line 2c, Columns A, B, & C (SET 2):	Rebate computed as of July 9, 2014
Part II, Line 6, Column B (SET 3):	Amount shown is total sale proceeds deposited to escrow or otherwise used to repay refunded bonds.
Part II, Column A (SET 3):	Lines 3, 5, 10, and 12 include proceeds received at closing plus interest income and change in fair market value of the underlying assets, as recorded on the annual trust statements.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES
A	520936091	574218EA7	2011-11-17	$20,477,518	Current refund bonds issued 1998	false	false	false
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES
B	520936091	574218DV2	2011-11-17	$15,007,304	Current refund bonds issued 2002	false	false	false
Maryland Health and Higher Educational Facilities
C	520936091	574218DY6	2011-11-17	$15,206,131	Current refund bonds issued 2009	false	false	false
Maryland Health and Higher Educational Facilities
D	520936091		2012-06-27	$38,620,000	Current refund bonds issued 1998	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,645,000	$0	$20,477,518	$0	$0	$20,235,000	$242,518	$0	$0	$0	$0	$0	1998	Yes (true)	false	Yes (true)	Yes (true)
B	$2,005,000	$0	$15,007,304	$0	$0	$14,826,474	$180,830	$0	$0	$0	$0	$0	2003	false	Yes (true)	Yes (true)	Yes (true)
C	$405,000	$0	$15,206,131	$0	$0	$15,003,891	$202,240	$0	$0	$0	$0	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$38,620,000	$0	$0	$38,620,000	$0	$0	$0	$0	$0	$0	1998	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0.00000	0.00000	0.00000
B	0
C	0.00000	0.00000	0.00000	false	false	false	false	false	false	false	Yes (true)
D	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
C	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Maryland Health and Higher Educational Facilities
A	520936091	574218NS8	2013-03-21	$75,951,460	Hospital capital expenditures	false	false	false
Maryland Health and Higher Education Facilities
B	520936091	574218NU2	2013-03-21	$52,709,030	Current refund bonds issued in 199	false	false	false
Maryland Health and Higher Educational Facilities
C	520936091	574218PJ6	2013-05-21	$159,366,620	Acquisition of So. Maryland Hosp.	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$76,051,608	$0	$1,961,376	$0	$934,175	$0	$0	$25,701,437	$0	$47,454,620	false	false	false	Yes (true)
B	$0	$0	$52,709,030	$0	$0	$52,089,134	$619,896	$0	$0	$0	$0	$0	Yes (true)	false	Yes (true)	Yes (true)	1998
C	$0	$0	$159,366,620	$0	$0	$0	$1,376,620	$0	$0	$157,990,000	$0	$0	Yes (true)	false	Yes (true)	Yes (true)	2013

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)
B					0
C	false	false	false	false	0.00000	0.00000	0.00000	false	false		false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Exception To RebateExceptionToRebateInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SURGICAL ADVISORY GROUP LLC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	CONSULTING 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. JOHN KIRKPATRICK, A BOARD MEMBER OF MEDSTAR HEALTH IN FISCAL YEAR 2014, OWNS MORE THAN 5% OF THE SURGICAL ADVISORY GROUP, LLC (SAG), WHICH PROVIDES CONSULTING SERVICES TO MEDSTAR HEALTH. SAG'S GROSS REVENUES RECEIVED FROM MEDSTAR HEALTH FOR THE YEAR WAS $0.2 MILLION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FAMILY/BUSINESS RELATIONSHIP	PART VI, LINE 2 KENNETH SAMET AND MARC DUBER, BOARD MEMBERS OF MEDSTAR HEALTH, BOTH SERVE ON THE BOARD OF AN UNRELATED CORPORATION. THE UNRELATED CORPORATION DOES NOT TRANSACT ANY BUSINESS WITH MEDSTAR HEALTH.
PROCESS FOR REVIEWING FORM 990	PART VI, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST	PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. 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 ADDITIONAL MINIMUM PENSION LIABILITY....................$ 8,488,514 EQUITY TRANSFERS - NET ASSETS...........................$ 122,529,664 TRNA - PLEDGE RECEIVABLE................................$ (396,700) RELATED ENTITY'S EXP/REV................................$ (3,622,493) ============ TOTAL $ 126,998,985
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:16265572
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED PROFESSIONAL SERVICE TOTAL FEES:9683525
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICE FEES TOTAL FEES:126823
FORM 990 PART IX LINE 11G	DESCRIPTION:ASSEMBLY REPRESENTATION TOTAL FEES:258099
FORM 990 PART IX LINE 11G	DESCRIPTION:PRINTING SERVICES TOTAL FEES:150327
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:268082
FORM 990 PART IX LINE 11G	DESCRIPTION:ALL OTHER TOTAL FEES:202620

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	EINEIN	Total IncomeTotalIncomeAmt
MEDSTAR SPORTSHEALTH LLC
5565 Sterrett Place	Columbia	MD	21044	Healthcare	MD	$0	MEDSTHEALTH
MEDSTAR LLC
5565 STERRET PLACE 5TH FLOOR	COLUMBIA	MD	21044	SUPPORT ORG	MD	$0	MEDSTHEALTH	453113462
MEDSTAR SOUTHERN MD MANAGEMENT LLC
5565 STERRET PLACE 5TH FLOOR	Columbia	MD	21044	SUPPORT ORG	MD	$19,749,571	MEDSTHEALTH	462700536	$18,043,664

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
Church Home Corporation
5565 Sterrett Place 5th Floor	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)
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)	3	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
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521542230	Medical Svcs	MD	501(C)(3)	11b II	NA	Yes (true)
MEDSTAR AMBULATORY SERVICES INC
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521132992	Foundation	MD	501(C)(3)	11a I	NA	Yes (true)
Bay Life Services Inc
5565 Sterrett Place 5th Floor	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
5565 Sterrett Place 5th Floor	Columbia	MD	21044	520591600	Medical Fund	MD	501(C)(3)	11B II	NA	Yes (true)
Franklin Square Hospital Center Foundati
9000 Franklin Square Drive	Baltimore	MD	21237	522329546	Foundation	MD	501(C)(3)	7	NA	Yes (true)
Good Samaritan Hospital Foundation Inc
5601 Loch Raven Blvd	Baltimore	MD	21239	522307122	Foundation	MD	501(C)(3)	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)	11a I	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)
Union Memorial Hospital Foundation Inc
201 East University Parkway	Baltimore	MD	21218	521446828	Foundation	MD	501(C)(3)	11a I	NA	Yes (true)
VNA Inc
4061 POWDERMILL ROAD SUITE 21	CALVERTON	MD	20705	521332411	ADMIN SVCS	MD	501(C)(3)	11A I	NA	Yes (true)
WHC Foundation Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	521791670	Admin Svcs	MD	501(C)(3)	11a I	NA	Yes (true)
Woodbourne Woods Inc
110 Irving Street NW	Washington	DC	20010	522299070	Foundation	DC	501(C)(3)	9	NA	Yes (true)
Hospice of St Mary's Inc
5601 Loch Raven Blvd	Baltimore	MD	21239	522153926	Elder Housing	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 INC
7503 SURRATTS ROAD	CLINTON	MD	20735	460726303	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Surgicenter at Pasadena LLC
5565 Sterrett Place 5th Floor	Columbia	MD	21044	522009504	Medical ServiCES	MD	NA
Physician Imaging of Washington Hospital
6525 Belcrest Road Suite G 50	Hyattsville	MD	20782	562616090	Lab Services	MD	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MedStar Pharmacies Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521513056	Drug Sales	MD	NA	C Corp
ExtenCare Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521556228	Medical ServiCES	MD	NA	C Corp
Helix Resources Management Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521913070	Admin Service	MD	NA	C Corp
HelixCare Medical Group LLC
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521955580	Medical ServiCES	MD	NA	C Corp
HelixCare Properties LLC
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521966695	Medical ServiCES	MD	NA	C Corp
Parkway Ventures Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521893569	Holding CompaNY	MD	NA	C Corp
Physicians Administrative Services Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	237042074	Billing ServiCES	MD	NA	C Corp
MedStar Family Choice Inc
5565 Sterrett Place 5th Floor	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
5565 Sterrett Place 5th Floor	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
5565 Sterrett Place 5th Floor	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 ASSOCIATION
25500 POINT LOOKOUT ROAD	LEONARDTOWN	MD	20650	273377216	CONDOMINIUMS	MD	NA	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	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	false	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 (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HH Medstar Health Inc
q	$21,889,144	fmv
Franklin Square Hospital Foundation
p	$139,902	fmv
Good Samaritan Hospital Foundation
q	$71,465	fmv
The Medstar-Georgetown Medical Center
p	$4,003,814	fmv
Franklin Square Hospital Center
p	$63,910	fmv
The Union Memorial Hospital
p	$3,704,291	fmv
Harbor Hospital
q	$207,084	fmv
Washington Hospital Center Corporation
q	$2,819,329	fmv
Medstar Health Research Institute
q	$67,292	fmv
Good Samaritan Nursing Center
q	$132,004	fmv
Church Home Corporation
p	$600,000	fmv
Surgicenter at Pasadena LLC
q	$608,791	fmv
Medstar Health Visiting Nurse Association
q	$411,435	fmv
MedStar Family Choice Inc
p	$211,466	fmv