FURP.ORG / PUBLIC DATA EXPLORER

WOODBOURNE WOODS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WOODBOURNE WOODS INC (EIN 52-2299070)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-07
IRS object ID
202131279349300938
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-07T13:30:58-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18350 Broad Street Suite 900AddressLine1Txt
CityMcLeanCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN522299070EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Woodbourne Woods IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOEL BRYANInCareOfNm
Business Name ControlWOODBusinessNameControlTxt
Phone4107726721PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 Loch Raven BlvdAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOEL BRYANPersonNm
Person TitleVP/TREASURERPersonTitleTxt
Phone4107726721PhoneNum
Signature2021-04-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJG WHITEPreparerPersonNm
PTINP01498698PTIN
Phone7032868000PhoneNum
Preparation2021-05-02PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPamela OakeyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15601 Loch Raven BlvdAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,044,106GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MEDSTARHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionWOODBOURNE WOODS, INC. IS ORGANIZED AND OPERATED TO PROVIDE LOW INCOME HOUSING FOR THE POOR AND ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$752,494PYContributionsGrantsAmt
CY Contributions Grants$743,662CYContributionsGrantsAmt
PY Program Service Revenue$298,153PYProgramServiceRevenueAmt
CY Program Service Revenue$295,833CYProgramServiceRevenueAmt
PY Investment Income$5,849PYInvestmentIncomeAmt
CY Investment Income$3,089CYInvestmentIncomeAmt
PY Other Revenue$1,856PYOtherRevenueAmt
CY Other Revenue$1,522CYOtherRevenueAmt
PY Total Revenue$1,058,352PYTotalRevenueAmt
CY Total Revenue$1,044,106CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$302,588PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$301,726CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$763,956PYOtherExpensesAmt
CY Other Expenses$825,707CYOtherExpensesAmt
PY Total Expenses$1,066,544PYTotalExpensesAmt
CY Total Expenses$1,127,433CYTotalExpensesAmt
PY Revenues Less Expenses-$8,192PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$83,327CYRevenuesLessExpensesAmt
Total Assets BOY$4,738,726TotalAssetsBOYAmt
Total Assets EOY$4,602,594TotalAssetsEOYAmt
Total Liabilities BOY$5,975,157TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,922,352TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,236,431NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,319,758NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWOODBOURNE WOODS, INC. IS ORGANIZED AND OPERATED TO PROVIDE LOW INCOME HOUSING FOR THE POOR AND ELDERLY. THE ORGANIZATION OPERATES A 71-UNIT, RENT-SUBSIDIZED APARTMENT FACILITY FOR INDIVIDUALS WHO ARE AT LEAST 62 YEARS OF AGE, HANDICAPPED OR DISABLED. ALL RESIDENTS MUST MEET DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT INCOME LIMITS, AND ARE OBLIGATED TO PAY ONLY A PERCENTAGE OF THEIR ADJUSTED GROSS INCOME FOR RENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,035,939ExpenseAmt
Revenue$295,833RevenueAmt
DescWOODBOURNE WOODS, INC. WAS FORMED TO SERVE SENIOR CITIZENS WHO HAVE LOW INCOME AND WHO ARE IN NEED OF SECURE, AFFORDABLE HOUSING THROUGH ITS DEVELOPMENT OF A 71-UNIT APARTMENT COMPLEX. OTHER SUPPORT SERVICES OFFERED INCLUDE HOUSEKEEPING, SOCIAL SERVICES, TRANSPORTATION, COUNSELING, AND SOCIAL ACTIVITIES.Desc
Total Program Service Expenses$1,035,939TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOEL BRYANPersonNm
Phone4107726721PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110980 GRANTCHESTER WAYAddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationMDStateAbbreviationCd
ZIP21044ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BRADLEY CHAMBERS
DIRECTOR1.039.0Yes (X)$0$1,190,620$57,979
DEANA STOUT
TREASURER1.039.0$0$524,376$53,349Yes (X)
PAMELA OAKEY
PRESIDENT20.020.0$53,215$53,216$16,668Yes (X)
FR LARRY JOHNSON
DIRECTOR/SECRETARY1.01.0Yes (X)$0$0$0Yes (X)
ALLAN NOONAN MD
CHAIRMAN1.01.0Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$53,215TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,768,212TotReportableCompRltdOrgAmt
Total Other Compensation$127,996TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$743,662GovernmentGrantsAmt
Total Contributions$743,662TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTAL OF LOW INCOME HOUSINGDesc
Business531110BusinessCd
Total Revenue Column$295,833TotalRevenueColumnAmt
Related Or Exempt Func Income$295,833RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$295,833TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,089TotalRevenueColumnAmt
Exclusion$3,089ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLAUNDRY, CLEANING, VENDINGDesc
Business812300BusinessCd
Total Revenue Column$1,522TotalRevenueColumnAmt
Exclusion$1,522ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,522OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,044,106TotalRevenueColumnAmt
Related Or Exempt Func Income$295,833RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,611ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$61,549TotalAmt
Program Services$61,549ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$168,379TotalAmt
Program Services$168,379ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$44,494TotalAmt
Program Services$44,494ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$27,304TotalAmt
Program Services$27,304ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$50,700TotalAmt
Management And General$50,700ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$174TotalAmt
Management And General$174ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,678TotalAmt
Management And General$14,678ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,748TotalAmt
Management And General$25,748ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$194TotalAmt
Management And General$194ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$335TotalAmt
Program Services$335ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$174,735TotalAmt
Program Services$174,735ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,274TotalAmt
Program Services$2,274ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
REPAIRS & MAINTENANCE$321,696$321,696
UTILITIES$125,703$125,703
TAXES$109,470$109,470

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,127,433TotalAmt
Program Services$1,035,939ProgramServicesAmt
Management And General$91,494ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$127,106BOYAmt
EOY$10,527EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,227BOYAmt
EOY$31,257EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$740BOYAmt
EOY$2,763EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,238BOYAmt
EOY$2,309EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,638,853LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,647,887LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,165,701BOYAmt
EOY$3,990,966EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$411,714BOYAmt
EOY$564,772EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,738,726BOYAmt
EOY$4,602,594EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$52,685BOYAmt
EOY$38,316EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,806,000BOYAmt
EOY$5,806,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,472BOYAmt
EOY$78,036EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,975,157BOYAmt
EOY$5,922,352EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,236,431BOYAmt
EOY-$1,319,758EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,236,431BOYAmt
EOY-$1,319,758EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,738,726BOYAmt
EOY$4,602,594EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$83,327ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$542,938CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$613,373CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$719,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$752,494CurrentTaxYearMinus1YearAmt
Current Tax Year$743,662CurrentTaxYearAmt
Total$3,371,670TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$296,347CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$291,545CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$296,729CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$298,153CurrentTaxYearMinus1YearAmt
Current Tax Year$295,833CurrentTaxYearAmt
Total$1,478,607TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$839,285CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$904,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,015,932CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,050,647CurrentTaxYearMinus1YearAmt
Current Tax Year$1,039,495CurrentTaxYearAmt
Total$4,850,277TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,850,277PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,306CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,799CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,288CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,849CurrentTaxYearMinus1YearAmt
Current Tax Year$3,089CurrentTaxYearAmt
Total$22,331TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,306CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,799CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,288CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,849CurrentTaxYearMinus1YearAmt
Current Tax Year$3,089CurrentTaxYearAmt
Total$22,331TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,131CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,258CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,856CurrentTaxYearMinus1YearAmt
Current Tax Year$1,522CurrentTaxYearAmt
Total$11,651TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$851,475CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$910,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,019,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,058,352CurrentTaxYearMinus1YearAmt
Current Tax Year$1,044,106CurrentTaxYearAmt
Total$4,884,259TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99304PublicSupportCY509Pct
Public Support PY5090.99320PublicSupportPY509Pct
Investment Income CY0.00457InvestmentIncomeCYPct
Investment Income PY0.00420InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$500,000OtherCostOrOtherBasisAmt
Book Value$500,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,093,146OtherCostOrOtherBasisAmt
Depreciation$2,621,042DepreciationAmt
Book Value$3,472,104BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,856OtherCostOrOtherBasisAmt
Depreciation$3,856DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,851OtherCostOrOtherBasisAmt
Depreciation$22,989DepreciationAmt
Book Value$18,862BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,990,966TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescREPLACEMENT RESERVEDesc
Book Value$564,772BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$564,772TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$49,517
SECURITY DEPOSITS$27,277
PREPAID RENTS$1,242
FieldValueIRS element (for citing)
Total Liability$78,036TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,044,106TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,044,106RevenueSubtotalAmt
Total Revenue Per Form990$1,044,106TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,127,433TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,127,433ExpensesSubtotalAmt
Total Expenses Per Form990$1,127,433TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 FOOTNOTEFormAndLineReferenceDesc
ExplanationSCHEDULE 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, 2020.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEANA STOUT
TREASURER$0$312,633$0$142,233$0$69,510$0$27,165$0$26,184$0$577,725$0$0
BRADLEY CHAMBERS
DIRECTOR$0$637,316$0$553,304$0$0$0$21,483$0$36,496$0$1,248,599$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Church Home Corporation
10980 GRANTCHESTER WAYColumbiaMD21044237374724Medical FundMD501(C)(3)PFNAYes (true)
Franklin Square Hospital Center Inc
9000 Franklin Square DriveBaltimoreMD21237520608007HospitalMD501(C)(3)3NAYes (true)
Harbor Hospital Inc
3001 South Hanover StreetBaltimoreMD21225520491660HospitalMD501(C)(3)3NAYes (true)
Medstar Health Inc
10980 GRANTCHESTER WAYColumbiaMD21044522087445Medical SvcsMD501(C)(3)12C IIINAfalse
Montgomery General Hospital
18101 Prince Philip DriveOlneyMD20832520646893HospitalMD501(C)(3)3NAYes (true)
The Good Samaritan Hospital of Maryland
5601 Loch Raven BlvdBaltimoreMD21239520591607HospitalMD501(C)(3)3NAYes (true)
The Union Memorial Hospital
201 East University ParkwayBaltimoreMD21218520591685HospitalMD501(C)(3)3NAYes (true)
Medstar Health Research Institute
108 Irving Street NWWashingtonDC20010526056274HospitalDC501(C)(3)4NAYes (true)
The Medstar-Georgetown Medical Center I
Hopsital Admin 1 Main BldgWashingtonDC20007522218584HospitalDC501(C)(3)3NAYes (true)
Washington Hospital Center Corporation
110 Irving Street NWWashingtonDC20010521272129HospitalDC501(C)(3)3NAYes (true)
HH Medstar Health Inc
10980 GRANTCHESTER WAYColumbiaMD21044521542230Medical SvcsMD501(C)(3)12C IIINAYes (true)
MEDSTAR AMBULATORY SERVICES INC
10980 GRANTCHESTER WAYColumbiaMD21044521132992ADMIN SVCSMD501(C)(3)12C IIINAYes (true)
Bay Life Services Inc
10980 GRANTCHESTER WAYColumbiaMD21044521496539Mental HealthMD501(C)(3)10NAYes (true)
MedStar Surgery Center Inc
4061 Powdermill Road Suite 210CalvertonMD20705521061679Medical SvcsMD501(C)(3)10NAYes (true)
Church Home and Hospital of the City of
10980 GRANTCHESTER WAYColumbiaMD21044520591600Medical FundMD501(C)(3)12A INAYes (true)
Good Samaritan Nursing Center Inc
5601 Loch Raven BlvdBaltimoreMD21239521672866Medical SvcsMD501(C)(3)10NAYes (true)
GS Housing Inc
5601 Loch Raven BlvdBaltimoreMD21239521481656Elder HousingMD501(C)(3)10NAYes (true)
GS Properties Inc
5601 Loch Raven BlvdBaltimoreMD21239521429853Admin SvcsMD501(C)(3)12a INAYes (true)
Medstar Health Infusion Inc
4061 Powdermill Road Suite 210CalvertonMD20705521980510Medical SvcsMD501(C)(3)10NAYes (true)
Medstar Health Visiting Nurses Associati
4061 Powdermill RoadCalvertonMD20705530196597Medical SvcsMD501(C)(3)10NAYes (true)
Medstar VNA Healthcare
4061 Powdermill Road Suite 210CalvertonMD20705521458516Medical SvcsMD501(C)(3)10NAYes (true)
MGH Community Health Inc
18101 Prince Philip DriveOlneyMD20832521372467Medical SvcsMD501(C)(3)10NAYes (true)
MGH Health Services Inc
18101 Prince Philip DriveOlneyMD20832521366812FoundationMD501(C)(3)12B IINAYes (true)
MGH Women's Board
18101 Prince Philip DriveOlneyMD20832526039600FoundationMD501(C)(3)12C IIINAYes (true)
National Rehabilitation Hospital
102 Irving Street NWWashingtonDC20010521369749HospitalDC501(C)(3)3NAYes (true)
NRH REGIONAL REHAB AT OLNEY
18101 Prince Philip DriveOlneyMD20832522310902Medical SvcsMD501(C)(3)3NAYes (true)
Suburban NRH Medical Rehabilitation I
102 Irving Street NWWashingtonDC20010521931151Medical SvcsDC501(C)(3)3NAYes (true)
The Thomas O'Neil Catholic Health Care F
5601 Loch Raven BlvdBaltimoreMD21239521104382FoundationMD501(C)(3)12D III NFNAYes (true)
VNA Inc
4061 Powdermill Road Suite 210CalvertonMD20705521332411Admin SvcsMD501(C)(3)12A INAYes (true)
HOSPICE OF ST MARY'S INC
PO BOX 527LEONARDTOWNMD20650522153926SUPPORT ORGMD501(C)(3)12A INAYes (true)
ST MARY'S HOSPITAL OF ST MARY'S COUNTY
25500 POINT LOOKOUT ROADLEONARDTOWNMD20650520619006HOSPITALMD501(C)(3)3NAYes (true)
MEDSTAR SOUTHERN MD HOSPITAL CENTER INC
7503 SURRATTS ROADCLINTONMD20735460726303HOSPITALMD501(C)(3)3NAYes (true)
MEDSTAR HEALTH INC AND AFFILIATES MASTER
10980 GRANTCHESTER WAYCOLUMBIAMD21044467454613RET. TRUSTMD501(A)N/ANAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtGeneral Or Managing PartnerGeneralOrManagingPartnerInd
MEDSTAR SHAH MSO LLC
10980 GRANTCHESTER WAYCOLUMBIAMD21044462700536MGMT SVCSMDNAN/A
22590 SHADY COURT LLC
24035 Three Notch RoadHollywoodMD20636473361777REAL ESTATEMDNAN/AYes (true)
24035 THREE NOTCH ROAD LLC
24035 THREE NOTCH ROADHOLLYWOODMD20636473375076REAL ESTATEMDNAN/A
37767 MARKET DRIVE LLC
37767 MARKET DRIVECharlotte HallMD20622REAL ESTATEMDNAN/A
26840 POINT LOOKOUT ROAD LLC
24035 Three Notch RoadHollywodMD20636473393670REAL ESTATEMDNAN/A
MONTGOMERY COMMUNITY MRI LP 52
4110 ASPEN HILL ROADROCKVILLEMD20853521534253MRI SCREENINGMDNAN/A
PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC
4714 GETTYSBURG ROADMECHANICSBURGPA17055522212036PHYSIOTHERAPYPANAN/A
PHYSICIAN IMAGING OF WASHINGTON
840 CRESCENT CENTRE DRFRANKLINTN37067562616090RADIOLOGY SVCTNNAN/A
FRANKLIN IMAGING LLC
7253 AMBASSADOR RDBALTIMOREMD21244521588688IMAGINGMDNAN/A
MEDSTAR HEALTHSURGCENTER DEVELOPMENT
10980 Grantchester WayColumbiaMD21044821073412SURGERYMDNAN/A
10 St Patrick's Drive LLC
10 St Patricks DriveWaldorfMD20603832261766REAL ESTATEMDNAN/A
MEDSTAR ENDOSCOPY CTR AT LUTHERVILLE LL
1300 Bellona AveLuthervilleMD21093823193901SURGERYMDNAN/A
Capital Endoscopy LLC
6475 New Hampshire AveHyatsvilleMD20783134244093SURGERYMDNAN/A
Greater Chesapeake Surgery Center LLC
1212 York RoadLuthervilleMD21093841479788SurgeryMDNAN/A
NRH CPT Regional Rehab LLC
10980 Grantchester WayColumbiaMD21044522107062Rehab ServicesMDNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
MedStar Pharmacies Inc
10980 GRANTCHESTER WAYColumbiaMD21044521513056Drug SalesMDNAC Corp
ExtenCare Inc
10980 GRANTCHESTER WAYColumbiaMD21044521556228MEDICAL SVCSMDNAC Corp
Helix Resources Management Inc
10980 GRANTCHESTER WAYColumbiaMD21044521913070ADMIN SERVICEMDNAC Corp
HelixCare Medical Group LLC
10980 GRANTCHESTER WAYColumbiaMD21044521955580MEDICAL SVCSMDNAC Corp
HelixCare Properties LLC
10980 GRANTCHESTER WAYColumbiaMD21044521966695MEDICAL SVCSMDNAC Corp
Parkway Ventures Inc
10980 GRANTCHESTER WAYColumbiaMD21044521893569Holding Co.MDNAC Corp
Physicians Administrative Services Inc
10980 GRANTCHESTER WAYColumbiaMD21044237042074BILLING SVCSMDNAC Corp
MedStar Family Choice Inc
10980 GRANTCHESTER WAYColumbiaMD21044521995521Managed CareMDNAC Corp
Medstar Enterprises Inc
4061 Powdermill Road Suite 210CalvertonMD20705522139841Admin ServiceMDNAC Corp
SiTeL Inc
10980 GRANTCHESTER WAYColumbiaMD21044900753340EDUCATIONALMDNAC Corp
Star Billing Inc
4061 Powdermill Road Suite 210CalvertonMD20705521850113Billing SvcsMDNAC Corp
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210CalvertonMD20705522132677MEDICAL SVCSMDNAC Corp
Washington Hospital Center Physician Hos
100 Irving Street NWWashingtonDC20010521931000MEDICAL SVCSMDNAC Corp
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210CalvertonMD20705522030809MEDICAL SVCSMDNAC Corp
Franklin Square Drive Land Condo Associa
10980 GRANTCHESTER WAYColumbiaMD21044760756352CondominiumsMDNAC Corp
MGH Diversified Services Inc
18101 Prince Philip DriveOlneyMD20832521943602MEDICAL SVCSMDNAC Corp
Greenspring Financial Insurance Limited
980188617InsuranceNAC Corp878 WEST BAY RD PO BOX 1159Grand CaymanCJKY1-1102CJ
ST MARY'S HEALTH ALLIANCE INC
25500 POINT LOOKOUT ROADLEONARDTOWNMD20650521930331MEDICAL SVCSMDNAC CORP
St Mary's Condo Association
25500 Point Lookout RoadLeonardtownMD20650273377216CondominiumsMDNAC CORP
MEDSTAR HEALTH MASTER RETIREMENT TRUST
981371657INVESTMENTSNAC CORP103 SOUTH CHURCH STGrand CaymanCJKY1-1002CJ
MEDSTAR HEALTH INC - INVESTMENT FUND I
981310273INVESTMENTSNAC CORP103 SOUTH CHURCH STGrand CaymanCJKY1-1002CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd