FURP.ORG / PUBLIC DATA EXPLORER

WOODBOURNE WOODS INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WOODBOURNE WOODS INC (EIN 52-2299070)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-10
IRS object ID
202011929349302181
Schema version
2018v3.3
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)
Return2020-07-10T19:29:30-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

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
Signature2020-07-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJG WHITEPreparerPersonNm
PTINP01498698PTIN
Phone7032868000PhoneNum
Preparation2020-06-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.207.253.96IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id54028020201925000039FederalOriginalSubmissionId
Federal Original Submission Id2020-07-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id362C7D6F7D6D849F3FC918BEDCF1497F17FB9565AtSubmissionCreationDeviceId
At Submission Filing Device IdAEAFF7DE538DED8A661B0A12C2E85688A8918EF8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$1,058,352GrossReceiptsAmt
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 Body2VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$719,203PYContributionsGrantsAmt
CY Contributions Grants$752,494CYContributionsGrantsAmt
PY Program Service Revenue$296,729PYProgramServiceRevenueAmt
CY Program Service Revenue$298,153CYProgramServiceRevenueAmt
PY Investment Income$2,288PYInvestmentIncomeAmt
CY Investment Income$5,849CYInvestmentIncomeAmt
PY Other Revenue$1,258PYOtherRevenueAmt
CY Other Revenue$1,856CYOtherRevenueAmt
PY Total Revenue$1,019,478PYTotalRevenueAmt
CY Total Revenue$1,058,352CYTotalRevenueAmt
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$287,527PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$302,588CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$708,966PYOtherExpensesAmt
CY Other Expenses$763,956CYOtherExpensesAmt
PY Total Expenses$996,493PYTotalExpensesAmt
CY Total Expenses$1,066,544CYTotalExpensesAmt
PY Revenues Less Expenses$22,985PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,192CYRevenuesLessExpensesAmt
Total Assets BOY$4,700,717TotalAssetsBOYAmt
Total Assets EOY$4,738,726TotalAssetsEOYAmt
Total Liabilities BOY$5,928,956TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,975,157TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,228,239NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,236,431NetAssetsOrFundBalancesEOYAmt
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$969,313ExpenseAmt
Revenue$298,153RevenueAmt
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$969,313TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl 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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
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 Members2GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
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 (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRADLEY CHAMBERS
DIRECTOR1.039.0Yes (X)$0$1,189,454$53,584
ALLAN NOONAN MD
CHAIRMAN1.01.0Yes (X)$0$0$0Yes (X)
FR LARRY JOHNSON
SECRETARY1.01.0$0$0$0Yes (X)
DEANA STOUT
TREASURER1.039.0$0$462,274$47,914Yes (X)
PAMELA OAKEY
PRESIDENT20.020.0$50,505$50,505$18,976Yes (X)
Jeffrey Matton
Former Officer0.040.0$0$1,117,691$53,751Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$50,505TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,819,924TotReportableCompRltdOrgAmt
Total Other Compensation$174,225TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$752,494GovernmentGrantsAmt
Total Contributions$752,494TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTAL OF LOW INCOME HOUSINGDesc
Business531110BusinessCd
Total Revenue Column$298,153TotalRevenueColumnAmt
Related Or Exempt Func Income$298,153RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$298,153TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,849TotalRevenueColumnAmt
Exclusion$5,849ExclusionAmt

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$1,856TotalRevenueColumnAmt
Exclusion$1,856ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,856OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,058,352TotalRevenueColumnAmt
Related Or Exempt Func Income$298,153RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,705ExclusionAmt

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$59,992TotalAmt
Program Services$59,992ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$175,534TotalAmt
Program Services$175,534ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,891TotalAmt
Program Services$40,891ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,171TotalAmt
Program Services$26,171ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$51,007TotalAmt
Management And General$51,007ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99TotalAmt
Management And General$99ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,278TotalAmt
Management And General$14,278ManagementAndGeneralAmt

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$350TotalAmt
Management And General$350ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,396TotalAmt
Management And General$27,396ManagementAndGeneralAmt

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$4,101TotalAmt
Management And General$4,101ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$178,229TotalAmt
Program Services$178,229ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,662TotalAmt
Program Services$2,662ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
REPAIRS & MAINTENANCE$302,598$302,598
TAXES$107,108$107,108
UTILITIES$76,128$76,128

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,066,544TotalAmt
Program Services$969,313ProgramServicesAmt
Management And General$97,231ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$76,488BOYAmt
EOY$127,106EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,196BOYAmt
EOY$31,227EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$188BOYAmt
EOY$740EOYAmt

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$2,149BOYAmt
EOY$2,238EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,638,853LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,473,152LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,326,093BOYAmt
EOY$4,165,701EOYAmt

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$264,603BOYAmt
EOY$411,714EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,700,717BOYAmt
EOY$4,738,726EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$46,199BOYAmt
EOY$52,685EOYAmt

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$76,757BOYAmt
EOY$116,472EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,928,956BOYAmt
EOY$5,975,157EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,228,239BOYAmt
EOY-$1,236,431EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,228,239BOYAmt
EOY-$1,236,431EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,700,717BOYAmt
EOY$4,738,726EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$8,192ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
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$505,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$542,938CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$613,373CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$719,203CurrentTaxYearMinus1YearAmt
Current Tax Year$752,494CurrentTaxYearAmt
Total$3,133,523TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$297,670CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$296,347CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$291,545CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$296,729CurrentTaxYearMinus1YearAmt
Current Tax Year$298,153CurrentTaxYearAmt
Total$1,480,444TotalAmt

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$803,185CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$839,285CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$904,918CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,015,932CurrentTaxYearMinus1YearAmt
Current Tax Year$1,050,647CurrentTaxYearAmt
Total$4,613,967TotalAmt

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$4,613,967PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,306CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,288CurrentTaxYearMinus1YearAmt
Current Tax Year$5,849CurrentTaxYearAmt
Total$19,586TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,306CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,288CurrentTaxYearMinus1YearAmt
Current Tax Year$5,849CurrentTaxYearAmt
Total$19,586TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,836CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,884CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,258CurrentTaxYearMinus1YearAmt
Current Tax Year$1,856CurrentTaxYearAmt
Total$11,965TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$805,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$851,475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$910,848CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,019,478CurrentTaxYearMinus1YearAmt
Current Tax Year$1,058,352CurrentTaxYearAmt
Total$4,645,518TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99321PublicSupportCY509Pct
Public Support PY5090.99410PublicSupportPY509Pct
Investment Income CY0.00422InvestmentIncomeCYPct
Investment Income PY0.00321InvestmentIncomePYPct
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$5,831,011OtherCostOrOtherBasisAmt
Depreciation$2,309,810DepreciationAmt
Book Value$3,541,201BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$262,135OtherCostOrOtherBasisAmt
Depreciation$140,533DepreciationAmt
Book Value$121,602BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,707OtherCostOrOtherBasisAmt
Depreciation$22,809DepreciationAmt
Book Value$2,898BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,165,701TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescREPLACEMENT RESERVEDesc
Book Value$411,714BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$411,714TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$88,049
SECURITY DEPOSITS$28,249
PREPAID RENTS$174
FieldValueIRS element (for citing)
Total Liability$116,472TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,058,352TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,058,352RevenueSubtotalAmt
Total Revenue Per Form990$1,058,352TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,066,544TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,066,544ExpensesSubtotalAmt
Total Expenses Per Form990$1,066,544TotalExpensesPerForm990Amt

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, 2019.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 (3 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$303,548$0$141,750$0$16,976$0$26,121$0$21,793$0$510,188$0$0
BRADLEY CHAMBERS
DIRECTOR$0$618,205$0$571,249$0$0$0$20,710$0$32,874$0$1,243,038$0$0
Jeffrey Matton
Former Officer$0$562,364$0$555,327$0$0$0$18,313$0$35,438$0$1,171,442$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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.
FINANCIAL STATEMENTS AND REPORTINGPART XII, LINE 2C WOODBOURNE WOODS, INCORPORATED IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD.

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 (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
MEDSTAR SHAH MSO LLC
10980 GRANTCHESTER WAYCOLUMBIAMD21044462700536MGMT SVCSMDNAN/A
22590 SHADY COURT LLC
22590 SHADY COURTCALIFORNIAMD20619REAL ESTATEMDNAN/A
24035 THREE NOTCH ROAD LLC
24035 THREE NOTCH ROADHOLLYWOODMD20636REAL ESTATEMDNAN/A
37767 MARKET DRIVE LLC
37767 MARKET DRIVELeonardtownMD20650REAL ESTATEMDNAN/A
26840 POINT LOOKOUT ROAD LLC
26840 POINT LOOKOUT ROADCharlotte HallMD20622REAL ESTATEMDNAN/A
MONTGOMERY COMMUNITY MAGNETIC RESONANCE
4110 ASPEN HILL ROADROCKVILLEMD20853521534253MRI SCREENINGMDNAN/A
PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC
4714 GETTYSBURG ROADMECHANICSBURGPA17055522212036PHYSIOTHERAPYPANAN/A
FRANKLIN SQUARE MEDICAL CENTERMERIDIAN
101 EAST STATE STREETKENNETT SQUAREPA19348521734591NURSING HOMEPANAN/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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdForeign PostalForeignAddress/ForeignPostalCd
MedStar Pharmacies Inc
10980 GRANTCHESTER WAYColumbiaMD21044521513056Drug SalesMDNAC Corp
ExtenCare Inc
10980 GRANTCHESTER WAYColumbiaMD21044521556228MEDICAL 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
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MEDSTAR HEALTH MASTER RETIREMENT TRUST
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MEDSTAR HEALTH INC - INVESTMENT FUND I
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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 SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd