WASHINGTON HOSPITAL CENTER CORPORATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: WASHINGTON HOSPITAL CENTER CORPORATION (EIN 52-1272129)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-11
IRS object ID: 201631329349303763
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-11T15:52:38-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 International Drive	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	521272129	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HOSPITAL CENTER CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOEL BRYAN	InCareOfNm
Business Name Control	WASH	BusinessNameControlTxt
Phone	2028777000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 Irving Street NW	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Person Title	VICE PRESIDENT/TREASURER	PersonTitleTxt
Phone	4107726721	PhoneNum
Signature	2016-04-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARGARET A BRADSHAW	PreparerPersonNm
PTIN	P00501222	PTIN
Phone	7032868000	PhoneNum
Preparation	2016-04-26	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MEDSTAR WASHINGTON HOSPITAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	John Sullivan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 IRVING STREET NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,176,787,919	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.whcenter.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	DC	LegalDomicileStateCd
Activity Or Mission	MWHC IS DEDICATED TO PROVIDING THE REGION WITH THE HIGHEST QUALITY AND LATEST MEDICAL ADVANCES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	7227	TotalEmployeeCnt
Total Volunteers	213	TotalVolunteersCnt
Total Gross UBI	$5,484,516	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,486,325	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,928,034	PYContributionsGrantsAmt
CY Contributions Grants	$21,674,943	CYContributionsGrantsAmt
PY Program Service Revenue	$1,080,729,073	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,136,924,407	CYProgramServiceRevenueAmt
PY Investment Income	$4,795,964	PYInvestmentIncomeAmt
CY Investment Income	$4,654,265	CYInvestmentIncomeAmt
PY Other Revenue	$12,256,185	PYOtherRevenueAmt
CY Other Revenue	$13,460,004	CYOtherRevenueAmt
PY Total Revenue	$1,107,709,256	PYTotalRevenueAmt
CY Total Revenue	$1,176,713,619	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$583,100,334	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$599,575,631	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$501,774,083	PYOtherExpensesAmt
CY Other Expenses	$539,117,403	CYOtherExpensesAmt
PY Total Expenses	$1,084,874,417	PYTotalExpensesAmt
CY Total Expenses	$1,138,693,034	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,834,839	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,020,585	CYRevenuesLessExpensesAmt
Total Assets BOY	$559,734,611	TotalAssetsBOYAmt
Total Assets EOY	$553,794,757	TotalAssetsEOYAmt
Total Liabilities BOY	$238,399,733	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$270,969,849	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$321,334,878	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$282,824,908	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As a proud member of MedStar Health, MedStar Washington Hospital Center's (MWHC) mission is to deliver exceptional patient first health care to the region with the highest quality and latest medical advances though excellence in patient care, education and research. MWHC is an acute care teaching and research hospital located in northwest Washington, D.C. It is the largest private hospital in the nation's capital and among the 50 largest hospitals in the nation. In fiscal year 2015, MWHC had 38,156 inpatient admissions, and 547,166 outpatient visits including 87,009 emergency visits.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$788,236,555	ExpenseAmt
Revenue	$1,097,383,158	RevenueAmt
Desc	MedStar Washington Hospital Center's is the city's largest and busiest hospital, providing acute care services to the communities of northeast Washington, D.C. and the surrounding areas. In addition to the program service expenses listed above, MWHC incurred $272.0M of management and general expenses in providing services to its communities. It offers primary, secondary and tertiary health services to adult and neonatal patients. It is a major referral center for the most complex tertiary services and operates the region's only adult burn center. MedStar Heart & Vascular Institute, headquartered at MWHC, is a national leader in the research, diagnosis and treatment of cardiovascular disease. In 2013, MedStar Heart & Vascular Institute formed a first-of-its-kind clinical and research alliance with the Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic. MWHC's organ transplantation capabilities include heart, pancreas and kidney transplants. Its cancer center offers cancer treatment, therapies and access to cutting-edge clinical trials. The hospital operates the largest, private, hospital-based ground and air ambulance shock-trauma service in the region. It also offers comprehensive ambulatory care through a wide range of medical and surgical specialty outpatient clinic programs. MWHC operates the region's only Joint Commission-certified Comprehensive Stroke Center and Cardiac Ventricular Assist Device Program. In fiscal year 2015, U.S. News & World Report recognized MWHC's cardiology and heart surgery program as one of the nation's best; MWHC is the only hospital in the Washington metropolitan area to earn a national ranking for heart care.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$51,985,403	ExpenseAmt
Revenue	$22,749,865	RevenueAmt
Desc	MedStar Washington Hospital Center provided $52.0 M in health professions education in fiscal year 2015. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$26,428,424	ExpenseAmt
Revenue	$16,023,097	RevenueAmt
Desc	MedStar Washington Hospital Center provided $26.4M in subsidized (mission driven) health services in fiscal year 2015. These critical services, which are driven by community needs, operate at a loss. They address priorities primarily through disease prevention and improvement of health status. Services provided include outpatient primary care, emergency department coverage, cancer, diabetes and stroke treatment, and cardiology.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$866,650,382	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7227	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5565 STERRETT PLACE 5TH FLOOR	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21044	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CARMELLA A COLE MD
BOARD MEMBER	40.0	0.0	Yes (X)	$310,866	$0	$26,584
ARTHUR ST ANDRE MD
BOARD MEMBER (UNTIL 10/2014)	40.0	0.0	Yes (X)	$468,875	$0	$38,797
SANDRA M SWAIN MD
BOARD MEMBER	40.0	0.0	Yes (X)	$606,934	$0	$9,127
BENJAMIN I LEE MD
BOARD MEMBER	40.0	0.0	Yes (X)	$555,087	$0	$21,264
ELIZABETH ROSS MD
BOARD MEMBER (UNTIL 10/2014)	40.0	0.0	Yes (X)	$281,944	$0	$10,319
JAMES D MURPHY JR
BOARD MEMBER	40.0	0.0	Yes (X)	$0	$0	$0
KENNETH A SAMET
BOARD MEMBER	1.0	39.0	Yes (X)	$0	$4,325,505	$64,424
JOHN SULLIVAN
BOARD MEMBER/PRESIDENT	40.0	0.0	Yes (X)	$1,334,742	$0	$21,127	Yes (X)
MICHEAL C PISTOLE MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
ROBIN B MARTIN
BOARD MEMBER (UNTIL 10/2014)	1.0	0.0	Yes (X)	$0	$0	$0
DAVID S BENDER
BOARD MEMBER (UNTIL 08/2014)	1.0	0.0	Yes (X)	$0	$0	$0
THERESA M DUPART
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
ERIC W PRICE
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0
JOHN A SARGENT
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
STANLEY J GUTKOWSKI
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
N WILLIAM JARVIS
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM M KELLY
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
LEILA M JACKSON BATTIES
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
LINDA TAYLOR
SECRETARY	40.0	0.0		$112,853	$0	$14,338	Yes (X)
BILL GAYNE
CHIEF FINANCIAL OFFICER	1.0	39.0		$0	$102,779	$2,545	Yes (X)
CATHERINE MONGE
SENIOR VP OF OPERATIONS	40.0	0.0		$393,384	$0	$21,433		Yes (X)
PRAFUL RAMINENI
PHYSICIAN	40.0	0.0		$1,753,198	$0	$22,274			Yes (X)
AMMAR BAFI
PHYSICIAN	40.0	0.0		$1,503,604	$0	$19,519			Yes (X)
STEVEN BOYCE
PHYSICIAN	40.0	0.0		$1,241,311	$0	$18,333			Yes (X)
PAUL CORSO
SECTION DIRECTOR	40.0	0.0		$1,004,812	$0	$18,612			Yes (X)
JOHN RICOTTA MD
PHYSICIAN	40.0	0.0		$946,142	$0	$8,988			Yes (X)
HARRISON RIDER
FORMER OFFICER	0.0	0.0		$0	$152,937	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,513,752	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,581,221	TotReportableCompRltdOrgAmt
Total Other Compensation	$317,684	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1227	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DIAMOND HLTHCR OF NORTHERN VA
FEDERAL RESERVE BANK BLDG PO BOX 8	RICHMOND	VA	23285	MEDICAL STAFFING	$11,988,834
US NURSING
6399 S FIDDLERS GREEN CIRCLE	GREENWOOD VILLAGE	CO	80111	Staffing Services	$8,799,932
MORRISON MANAGEMENT SPECIALIST
4721 MORRISON DRIVE SUITE 300	MOBILE	AL	36609	FOOD SERVICES	$7,639,288
NURSEFINDERS
PO BOX 910739	DALLAS	TX	753910739	Staffing Services	$5,842,558
METRO AVIATION
PO BOX 7008	SHREVEPORT	LA	71137	Professional service	$4,673,680

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	178	CntrctRcvdGreaterThan100KCnt
Fundraising	$142,160	FundraisingAmt
Government Grants	$6,368,513	GovernmentGrantsAmt
All Other Contributions	$15,164,270	AllOtherContributionsAmt
Noncash Contributions	$1,412,413	NoncashContributionsAmt
Total Contributions	$21,674,943	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621400	$1,122,794,320	$1,122,794,320
PHARMACY	900099	$6,636,022	$5,867,735	$768,287
MEANINGFUL USE INCOME	900099	$7,494,065	$7,494,065

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,136,924,407	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,445,039	TotalRevenueColumnAmt
Exclusion	$1,445,039	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$409,423	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$409,423	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$409,423	TotalRevenueColumnAmt
Exclusion	$409,423	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$126,306	SecuritiesAmt
Other	$3,082,920	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$126,306	SecuritiesAmt
Other	$3,082,920	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,209,226	TotalRevenueColumnAmt
Exclusion	$3,209,226	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$69,615	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$211,775	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$74,300	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,685	TotalRevenueColumnAmt
Exclusion	-$4,685	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Sale of Steam	900099	$4,579,695	$4,579,695
Parking	900099	$4,975,742		$4,975,742
Rebate Income	900099	$3,909,987		$3,909,987

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$410,158	TotalRevenueColumnAmt
Unrelated Business Revenue	$136,534	UnrelatedBusinessRevenueAmt
Exclusion	-$546,692	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,055,266	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,176,713,619	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,136,156,120	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,484,516	UnrelatedBusinessRevenueAmt
Exclusion	$13,398,040	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,346,122	TotalAmt
Program Services	$3,861,844	ProgramServicesAmt
Management And General	$484,278	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$4,767,453	TotalAmt
Program Services	$4,236,227	ProgramServicesAmt
Management And General	$531,226	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$504,182,229	TotalAmt
Program Services	$448,002,374	ProgramServicesAmt
Management And General	$56,179,855	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$52,053,336	TotalAmt
Program Services	$46,253,154	ProgramServicesAmt
Management And General	$5,800,182	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$34,226,491	TotalAmt
Program Services	$29,618,555	ProgramServicesAmt
Management And General	$4,607,936	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$111,644,700	TotalAmt
Program Services	$21,094,773	ProgramServicesAmt
Management And General	$90,549,927	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$104,136	TotalAmt
Program Services	$79,379	ProgramServicesAmt
Management And General	$24,757	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$33,000	TotalAmt
Program Services	$32,400	ProgramServicesAmt
Management And General	$600	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$65,108,131	TotalAmt
Program Services	$38,840,148	ProgramServicesAmt
Management And General	$26,267,983	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,447,029	TotalAmt
Program Services	$174,032	ProgramServicesAmt
Management And General	$5,272,997	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,970,327	TotalAmt
Program Services	$9,175,330	ProgramServicesAmt
Management And General	$794,997	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	-$13,565	TotalAmt
Management And General	-$13,565	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,594,871	TotalAmt
Program Services	$5,319,847	ProgramServicesAmt
Management And General	$1,275,024	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,805,342	TotalAmt
Program Services	$1,842,704	ProgramServicesAmt
Management And General	$962,638	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$635,561	TotalAmt
Program Services	$531,682	ProgramServicesAmt
Management And General	$103,879	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,933,761	TotalAmt
Management And General	$9,933,761	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$40,493,175	TotalAmt
Program Services	$22,276,961	ProgramServicesAmt
Management And General	$18,216,214	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$23,896,071	TotalAmt
Program Services	$540,223	ProgramServicesAmt
Management And General	$23,355,848	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Med /Surg Supplies	$137,610,540	$137,139,920	$470,620
Implants/Prostheses	$46,004,797	$45,998,297	$6,500
Food Services	$6,939,587	$5,910,382	$1,029,205
Maintenance Contracts	$9,436,570	$7,994,355	$1,442,215

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$62,473,370	TotalAmt
Program Services	$37,727,795	ProgramServicesAmt
Management And General	$24,745,575	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,138,693,034	TotalAmt
Program Services	$866,650,382	ProgramServicesAmt
Management And General	$272,042,652	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$318,471	BOYAmt
EOY	$257,174	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$139,379,627	BOYAmt
EOY	$130,055,480	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,109,088	BOYAmt
EOY	$16,033,184	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,218,239	BOYAmt
EOY	$3,123,681	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$824,060,007	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$598,764,752	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$216,032,493	BOYAmt
EOY	$225,295,255	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$31,735,901	BOYAmt
EOY	$109,156,995	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$153,940,792	BOYAmt
EOY	$69,872,988	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$559,734,611	BOYAmt
EOY	$553,794,757	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,368,651	BOYAmt
EOY	$83,502,920	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,757,113	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$169,031,082	BOYAmt
EOY	$184,709,816	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$238,399,733	BOYAmt
EOY	$270,969,849	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$304,911,895	BOYAmt
EOY	$259,970,704	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,955,802	BOYAmt
EOY	$16,259,635	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,467,181	BOYAmt
EOY	$6,594,569	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$321,334,878	BOYAmt
EOY	$282,824,908	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$559,734,611	BOYAmt
EOY	$553,794,757	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,020,585	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,752,984	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$72,777,571	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$398,496,300	OtherCostOrOtherBasisAmt
Depreciation	$287,489,664	DepreciationAmt
Book Value	$111,006,636	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,583,854	OtherCostOrOtherBasisAmt
Depreciation	$2,996,764	DepreciationAmt
Book Value	$1,587,090	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$384,760,595	OtherCostOrOtherBasisAmt
Depreciation	$304,524,179	DepreciationAmt
Book Value	$80,236,416	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,219,258	OtherCostOrOtherBasisAmt
Depreciation	$3,754,145	DepreciationAmt
Book Value	$32,465,113	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$225,295,255	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BOARD DESIGNATED INVESTMENTS	$53,837,141	F
OTHER LONG TERM INVESTMENTS	$39,847,394	F
ENDOWMENT FUNDS	$6,594,568	F
TEMPORARILY RESTRICTED INVEST	$4,630,149	F
JOINT VENTURES	$3,089,207	F
GIFT ANNUITIES	$1,158,536	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$109,156,995	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$55,327,890
OTHER RECEIVABLES	$12,860,449
OTHER ASSETS	$1,684,649

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$69,872,988	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PROF LIABILITY IBNR - SELF INS	$84,964,838
SETTLEMENTS - MEDICARE	$21,357,909
PENSION LIABILITY	$19,930,024
CREDIT BALANCES PATIENT AR	$14,381,403
WORKERS COMPENSATION LIABILITY	$13,186,084
ASBESTOS ABATEMENT LIABILITY	$7,333,819
CASH VALUE LIFE INSURANCE	$1,034,038
OTHER LIABILITIES	$22,521,701

Field	Value	IRS element (for citing)
Total Liability	$184,709,816	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48 FOOTNOTE	FormAndLineReferenceDesc
Explanation	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, 2015.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF CLASSIC	Event1Nm
Gross Receipts Event1	$211,775	GrossReceiptsEvent1Amt
Charitable Contri Event1	$142,160	CharitableContriEvent1Amt
Gross Revenue Event1	$69,615	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$74,300	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$211,775	GrossReceiptsTotalAmt
Charitable Contributions Tot	$142,160	CharitableContributionsTotAmt
Gross Revenue Total Events	$69,615	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$74,300	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$74,300	DirectExpenseSummaryEventsAmt
Net Income Summary	-$4,685	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,936,582	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,936,582	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$206,650,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,353,356	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,297,158	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,632,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,521,714	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,110,380	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$221,219,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$185,875,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,344,120	NetCommunityBenefitExpnsAmt
Total Expense	0.03100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,439,688	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,439,688	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,494,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,749,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,744,753	NetCommunityBenefitExpnsAmt
Total Expense	0.02530	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,428,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,023,097	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,405,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,298,658	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,298,658	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,386	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,365	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,715,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,798,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,916,791	NetCommunityBenefitExpnsAmt
Total Expense	0.03770	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$302,934,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$224,673,418	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,260,911	NetCommunityBenefitExpnsAmt
Total Expense	0.06870	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,613	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,613	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,317	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,317	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,930	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,930	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$71,030,281	BadDebtExpenseAmt
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HOSPITAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 IRVING STREET NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HOSPITAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.medstarwashington.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.medstarwashington.org	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.medstarwashington.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.medstarwashington.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.medstarwashington.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST	PART I, LINE 7 MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES. BAD DEBT PART III, LINE 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO.
DEBT COLLECTION POLICY	PART III, LINE 9 IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. CHNA INPUT Part V, Section B, Line 5 Hospital Lead Role Description The Community Health Needs Assessment (CHNA) Hospital Lead serves as the coordinator of all aspects of the community health assessment process. He/she helps establish and coordinate the activities of the Advisory Task Force. The Lead also helps produce the hospital's Community Health Needs Assessment and Implementation Strategy. He/she works collaboratively with representatives from the Corporate Community Health Department and Georgetown University. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: Phronie Jackson Executive Sponsor Role Description The Executive Sponsor serves as the conduit between the Advisory Task Force and the Senior Management Team. The sponsor is an active participant of the Advisory Task Force and he/she communicates the hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: James Hill Advisory Task Force Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. NAME: Title/ AFFILIATION with Name of Organization HOSPITAL Phronie Jackson, Community Health Outreach MedStar Washington MPH Manager, Community Relations Hospital Center James P. Hill Senior Vice President, MedStar Washington Administrative Services Hospital Center Mary Farmer Allen ANC Commissioner Ward 5C 06 C. Dianne Barnes ANC Commissioner Ward 5C 07 Richard T. Associate Director, MedStar Washington Benson,MD Stroke Center Hospital Center Natasha Bonhomme Member Genetic Alliance Tasha Cornish Health Navigator for the Hair,MedStar Health Heart and Health Program Jenna Crawley Jenna Crawley Medical MedStar Washington House Call /program Hospital Center Craig DeAtley, Director, Institute for MedStar Washington PA-C Public Health Emergency Hospital Center Readiness Shirley DeWitt, Neuroscience Institute MedStar Washington RN, BSN, CLNC Coordinator Hospital Center Vivian Grayton Director Seabury Ward 5 Aging Services Indira Henard Director of Advocacy DC Rape Crisis Center Khay Bullock Manager, Community Relations MedStar Washington Henry Hospital Center Cleopatra Jones Executive Director Neighbors of Seaton Community Empowerment Place Ward 5 Specialist Grace Lewis President North Michigan Civic Association Julie Murphy Member Hubbard Place Locke John J. Lynch, MD Co Chair Medical Director, DC Cancer Consortium Center for Ethics Medstar Washington Hospital Center Marshall Phillips Minister Commissioner Greater Mount Calvary Holy Church Ward 5C 08 Edgewood Community Michael C.Pistole Physician MedStar Washington MD Hospital Center Paula Reichel DC Regional Director Capital Area Food Bank Roland Roebuck Past President Community AARP for the District Activist of Columbia Ward 5 Pauline Schneider Senior Counselor Ballard Spahr, LLP Douglass Sloan Vice President, Vice- Chair DC NAACP ANC 4B Carolyn Steptoe Former Commissioner ANC Ward 5 Romaine Thomas Community Outreach Specialist Office of Aging, Aging and Disability Resource Government of the Center District of Columbia Tina Thompson Commissioner Emeritus ANC 4D 03
IMPLEMENTATION STRATEGIES	PART V, SECTION B, LINE 8 The implementation strategies serve as a roadmap for how community benefit resources will be allocated and deployed. MedStar's hospitals will be able to measure our contribution to improving the health of underserved and vulnerable populations in the regions we serve. Three-year implementation strategies with measurable objectives were developed for each hospital's community benefit service area - a specific community or target population of focus. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. The MedStar Health Corporate Community Health Department will provide system-wide coordination and oversight of community benefit programming. NEEDS ASSESSMENT PART VI, LINE 2: IN FY15, MEDSTAR WASHINGTON HOSPITAL CENTER (THE HOSPITAL CENTER) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA WAS LED BY 26 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES AND PUBLIC HEALTH EXPERTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, THE ATF DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. COMMUNITY MEMBERS RESPONDED TO THE SURVEY BY ATTENDING A COMMUNITY INPUT SESSION OR COMPLETING IT ONLINE OR VIA HARDCOPY. BASED ON THE ATF'S RECOMMENDATION, THE HOSPITAL IDENTIFIED WARDS 5, 7 AND 8 OF THE DISTRICT OF COLUMBIA AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) - A GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITIES FOR THE CBSA INCLUDE CHRONIC DISEASE (HEART DISEASE/STROKE, CANCER, DIABETES, AND OBESITY), AND TEEN BIRTHS AND CHILD DEVELOPMENT. THE HOSPITAL'S FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGY WAS ENDORSED BY THE HOSPITAL CENTER'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S OFFICIAL WEBSITE ON JUNE 30, 2015. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM THE HOSPITAL CENTER ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3: AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED PATIENTS WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH AND ITS HEALTHCARE FACILITIES WILL: * TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, WITH RESPECT AND WITH COMPASSION. * SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS AT OUR FACILITIES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE. * ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSIONS PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR PART OF ALL OF THE CARE THEY RECEIVE. * BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY. IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH'S FACILITIES WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTH'S FACILITIES ASSISTS UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITIES WE SERVE IN ONE OR MORE OF THE FOLLOWING WAYS: * ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED ENTITLEMENT PROGRAMS (E.G., MEDICAID). * ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED PROGRAMS FOR THE UNINSURED (E.G., D.C. HEALTHCARE ALLIANCE). * ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. * PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE GUIDELINES. * PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF FACILITY CHARGES USING A SLIDING SCALE BASED ON PATIENT FAMILY INCOME AND FINANCIAL RESOURCES. * OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES. EACH MEDSTAR HEALTH FACILITY (IN COOPERATION AND CONSULTATION WITH THE FINANCE DIVISION OF MEDSTAR HEALTH) SPECIFIES THE COMMUNITIES IT SERVES BASED ON THE GEOGRAPHIC AREAS IT HAS SERVED HISTORICALLY FOR THE PURPOSE OF IMPLEMENTING THIS POLICY. EACH FACILITY POSTS THE POLICY, INCLUDING A DESCRIPTION OF THE APPLICABLE COMMUNITIES IT SERVES, IN EACH MAJOR PATIENT REGISTRATION AREA AND IN ANY OTHER AREAS REQUIRED BY APPLICABLE REGULATIONS, COMMUNICATES THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND MAKES A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. THE CHARITY CARE, FINANCIAL ASSISTANCE, AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY ARE NOT AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: * COMPLETING FINANCIAL DISCLOSURE FORMS NECESSARY TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. * WORKING WITH THE FACILITY'S FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. * COMPLETING APPROPRIATE APPLICATIONS FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS. THIS RESPONSIBILITY INCLUDES RESPONDING IN A TIMELY FASHION TO REQUESTS FOR DOCUMENTATION TO SUPPORT ELIGIBILITY. * MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. * PROVIDING UPDATED FINANCIAL INFORMATION TO THE FACILITY'S FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENT'S CIRCUMSTANCES MAY CHANGE.
COMMUNITY INFORMATION	PART VI, LINE 4 GEOGRAPHIC: MEDSTAR WASHINGTON HOSPITAL CENTER'S CBSA INCLUDES ADULTS AGE 18 OR OLDER WHO RESIDE IN WARDS 5, 7, AND 8 OF THE DISTRICT OF COLUMBIA. WARD 5 WAS SELECTED DUE TO ITS CLOSE PROXIMITY TO THE HOSPITAL, COUPLED WITH AN OPPORTUNITY TO BUILD UPON PRE-EXISTING AND PRIOR PROGRAMS AND SERVICES IN WARD 5. WARDS 7 AND 8 WERE SELECTED, BECAUSE THE MAJORITY OF THE RESIDENTS OF THOSE WARDS ARE CONSIDERED UNDERSERVED AND MADE UP MORE THAN 11,970 VISITS TO MWHC INPATIENT, OBSERVATION, OUTPATIENT AND EMERGENCY ROOM FROM JULY 1, 2013 TO JUNE 30, 2014. DEMOGRAPHICS: WARD 5, THE FOCAL POINT OF THE CBSA, IS LOCATED IN THE NORTHEASTERN QUADRANT OF THE DISTRICT OF COLUMBIA. IT IS THE HOME OF APPROXIMATELY 79,342 RESIDENTS; 82% ARE ADULTS AGE 18 AND OLDER, THE CONCENTRATION OF ADULTS OLDER THAN 65 IS HIGH IN WARD 5 (15%) COMPARED TO THE CITYWIDE AVERAGE OF 11%. THE MAJORITY OF RESIDENTS ARE BLACK/AFRICAN AMERICAN (75%). SEVENTEEN PERCENT ARE WHITE, AND 7% ARE HISPANIC. THE AVERAGE HOUSEHOLD INCOME IN WARD 5 ($68,269) IS LESS THAN THE CITY AVERAGE ($101,076). THE PERCENT OF ADULTS WITH A HIGH SCHOOL DIPLOMA OR HIGHER EDUCATION (33%) IS LESS THAN THE CITY AVERAGE (52%). THE RATE OF UNEMPLOYMENT IS 7% FOR THE CITY AND 11% FOR WARD 5, AND THE PERCENTAGE OF FAMILIES LIVING IN POVERTY IN WARD 5 IS 17% AS COMPARED TO 15% FOR THE ENTIRE CITY. WARDS 7 AND 8, LOCATED EAST OF THE ANACOSTIA RIVER IN SOUTHEAST WASHINGTON, D.C., ARE ALSO INCLUDED IN THE CBSA FOR MWHC. EDUCATIONAL ATTAINMENT, UNEMPLOYMENT, POVERTY, AND INCOME AS LESS FAVORABLE IN WARDS 7 AND 8 COMPARED TO WARD 5 AND THE DISTRICT OF COLUMBIA AS A WHOLE. ADDITIONALLY, WARDS 7, AND 8 ALSO HAVE A PREDOMINATE POPULATION OF BLACK/AFRICAN AMERICAN RESIDENTS. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5: AS A COMMUNITY PARTNER, MEDSTAR WASHINGTON HOSPITAL CENTER ENGAGES IN A NUMBER OF COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. PRIORITY AREAS OF FOCUS, AS DETERMINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, ARE CHRONIC DISEASE, SPECIFICALLY TARGETING HEART DISEASE/STROKE, CANCER, DIABETES, AND OBESITY; AND TEEN BIRTHS AND CHILD DEVELOPMENT. EXAMPLES OF ACTIVITIES THAT WILL PROMOTE OPTIMAL HEALTH IN WARDS 5, 7 AND 8 INCLUDE, BUT WILL NOT BE LIMITED TO WEEKLY AEROBICS CLASSES, MONTHLY CANCER SUPPORT GROUPS, BLOOD PRESSURE MANAGEMENT, AND DIABETES PREVENTION PROGRAMS. THE HOSPITAL CENTER'S LIFESTYLE BALANCE WEIGHT MANAGEMENT PROGRAM WILL PROVIDE DIABETES PREVENTION EDUCATION TO AT RISK POPULATIONS TO HELP PARTICIPANTS DEVELOP LIFELONG SKILLS FOR HEALTHY LIVING. THROUGH THE HOSPITAL'S PARTNERSHIP WITH THE D.C. DEPARTMENT OF HEALTH, THE HOSPITAL WILL PARTICIPATE IN THE MILLION HEARTS STATE LEARNING COLLABORATIVE. MILLION HEARTS IS A NATIONAL INITIATIVE TO PREVENT 1 MILLION HEART ATTACKS AND STROKES BY 2017. MEDSTAR WASHINGTON HOSPITAL CENTER'S SPEAKERS BUREAU WILL PROVIDE PHYSICIANS, NURSES AND OTHER CLINICIANS TO PROVIDE HEALTH EDUCATION ON VARIETY OF HEALTH IN THE COMMUNITY. ADDITIONALLY, THE HOSPITAL WILL CONTINUE TO COLLABORATE WITH TEEN ALLIANCE FOR PREPARED PARENTING WHOSE MISSION IS TO PREVENT SUBSEQUENT CASES OF TEEN PREGNANCY.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6: AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR WASHINGTON HOSPITAL CENTER IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES THE HOSPITAL CENTER WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DIVISION IDENTIFIES PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY.
State filing of community benefit report	PART VI, LINE 7: THE COMMUNITY BENEFIT REPORT FOR MEDSTAR WASHINGTON HOSPITAL CENTER IS ONLY FILED IN THE DISTRICT OF COLUMBIA

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CARMELLA A COLE MD
BOARD MEMBER	$301,866	$0	$9,000	$0	$0	$0	$20,514	$0	$6,070	$0	$337,450	$0	$0	$0
ARTHUR ST ANDRE MD
BOARD MEMBER (UNTIL 10/2014)	$306,552	$0	$162,323	$0	$0	$0	$27,418	$0	$11,379	$0	$507,672	$0	$0	$0
SANDRA M SWAIN MD
BOARD MEMBER	$471,934	$0	$135,000	$0	$0	$0	$7,650	$0	$1,477	$0	$616,061	$0	$0	$0
BENJAMIN I LEE MD
BOARD MEMBER	$403,730	$0	$139,231	$0	$12,126	$0	$7,650	$0	$13,614	$0	$576,351	$0	$0	$0
ELIZABETH ROSS MD
BOARD MEMBER (UNTIL 10/2014)	$272,967	$0	$0	$0	$8,977	$0	$0	$0	$10,319	$0	$292,263	$0	$0	$0
KENNETH A SAMET
BOARD MEMBER	$0	$1,526,829	$0	$2,783,911	$0	$14,765	$0	$43,766	$0	$20,658	$0	$4,389,929	$0	$0
JOHN SULLIVAN
BOARD MEMBER/PRESIDENT	$710,398	$0	$624,344	$0	$0	$0	$7,650	$0	$13,477	$0	$1,355,869	$0	$0	$0
CATHERINE MONGE
SENIOR VP OF OPERATIONS	$269,511	$0	$123,873	$0	$0	$0	$7,650	$0	$13,783	$0	$414,817	$0	$0	$0
PRAFUL RAMINENI
PHYSICIAN	$293,195	$0	$1,460,003	$0	$0	$0	$7,650	$0	$14,624	$0	$1,775,472	$0	$0	$0
AMMAR BAFI
PHYSICIAN	$782,577	$0	$721,027	$0	$0	$0	$7,650	$0	$11,869	$0	$1,523,123	$0	$0	$0
STEVEN BOYCE
PHYSICIAN	$710,941	$0	$530,370	$0	$0	$0	$3,299	$0	$15,034	$0	$1,259,644	$0	$0	$0
PAUL CORSO
SECTION DIRECTOR	$629,808	$0	$375,004	$0	$0	$0	$7,650	$0	$10,962	$0	$1,023,424	$0	$0	$0
JOHN RICOTTA MD
PHYSICIAN	$843,642	$0	$102,500	$0	$0	$0	$7,650	$0	$1,338	$0	$955,130	$0	$0	$0
HARRISON RIDER
FORMER OFFICER	$0	$0	$0	$0	$0	$152,937	$0	$0	$0	$0	$0	$152,937	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	HARRISON RIDER'S (retired) OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $152,937 REPRESENTING THE AMOUNT OF SUPPLEMENTAL RETIREMENT BENEFIT PAYMENTS RELATED TO PRIOR YEARS OF SERVICE Mr. Samet's bonus and incentive compensation in Part II, Column (B) (ii) includes $620,610, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$1,412,413	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION MEMBERS	PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC.
DECISION OF GOVERNING BODY	PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE.
PROCESS FOR REVIEWING FORM 990	PART VI, LINE 11 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST POLICY	PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC).
EXECUTIVE COMPENSATION PROCESS	PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE ("TAX-EXEMPT HEALTHCARE ORGANIZATIONS"). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.
FINANCIAL STATEMENT AVAILABILITY	PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.................(72,800,415) WHCF BEGINNING NET ASSETS..........................31,040 EXPENSE TRANSFER TO AFFILIATE......................(8,196) ---------------- (72,777,571)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Physician Imaging of Washington Hosp Ctr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Seven Locks Road	AddressLine1Txt
City	Rockville	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20854	ZIPCd

Field	Value	IRS element (for citing)
EIN	562616090	EIN
Primary Activities	HEALTH SVCS	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Total Income	$1,363,233	TotalIncomeAmt
End Of Year Assets	$956,446	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHURCH HOME CORPORATION
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	237374724	MEDICAL FUND	MD	501(c)(3)	PF	NA	Yes (true)
FRANKLIN SQUARE HOSPITAL CENTER INC
9000 FRANKLIN SQUARE DRIVE	BALTIMORE	MD	21237	520608007	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
HARBOR HOSPITAL INC
3001 SOUTH HANOVER STREET	BALTIMORE	MD	21225	520491660	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
MEDSTAR HEALTH INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	522087445	MEDICAL SVCS	MD	501(c)(3)	11C III	NA	false
MONTGOMERY GENERAL HOSPITAL
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	520646893	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
THE GOOD SAMARITAN HOSPITAL OF MARYLAND
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	520591607	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
THE UNION MEMORIAL HOSPITAL
201 EAST UNIVERSITY PARKWAY	BALTIMORE	MD	21218	520591685	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
MEDSTAR HEALTH RESEARCH INSTITUTE
108 IRVING STREET NW	WASHINGTON	DC	20010	526056274	HOSPITAL	DC	501(c)(3)	4	NA	Yes (true)
THE MEDSTAR-GEORGETOWN MEDICAL CENTER I
HOPSITAL ADMIN 1 MAIN BLDG	WASHINGTON	DC	20007	522218584	HOSPITAL	DC	501(c)(3)	3	NA	Yes (true)
HH MEDSTAR HEALTH INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521542230	MEDICAL SVCS	MD	501(c)(3)	11C III	NA	Yes (true)
MEDSTAR AMBULATORY SERVICES INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521132992	ADMIN SVCS	MD	501(c)(3)	11B II	NA	Yes (true)
BAY LIFE SERVICES INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521496539	MENTAL HEALTH	MD	501(c)(3)	9	NA	Yes (true)
MEDSTAR SURGERY CENTER INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521061679	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
CHURCH HOME AND HOSPITAL OF THE CITY OF
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	520591600	HOSPITAL	MD	501(c)(3)	11B II	NA	Yes (true)
FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI
9000 FRANKLIN SQUARE DRIVE	BALTIMORE	MD	21237	522329546	FOUNDATION	MD	501(c)(3)	7	NA	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	522307122	FOUNDATION	MD	501(c)(3)	11a I	NA	Yes (true)
GOOD SAMARITAN NURSING CENTER INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521672866	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
GS HOUSING INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521481656	ELDER HOUSING	MD	501(c)(3)	9	NA	Yes (true)
GS PROPERTIES INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521429853	ADMIN SVCS	MD	501(c)(3)	11a I	NA	Yes (true)
HARBOR HOSPITAL FOUNDATION INC
3001 SOUTH HANOVER STREET	BALTIMORE	MD	21225	521284532	FOUNDATION	MD	501(c)(3)	11A I	NA	Yes (true)
MEDSTAR HEALTH INFUSION INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521980510	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
MEDSTAR HEALTH VISITING NURSES ASSOCIATI
4061 POWDERMILL ROAD	CALVERTON	MD	20705	530196597	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
MEDSTAR VNA HEALTHCARE
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521458516	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
MGH COMMUNITY HEALTH INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521372467	MEDICAL SVCS	MD	501(c)(3)	9	NA	Yes (true)
MGH HEALTH FOUNDATION INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521129959	FOUNDATION	MD	501(c)(3)	7	NA	Yes (true)
MGH HEALTH SERVICES INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521366812	FOUNDATION	MD	501(c)(3)	11B II	NA	Yes (true)
MGH WOMEN'S BOARD
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	526039600	FOUNDATION	MD	501(c)(3)	11B II	NA	Yes (true)
NATIONAL REHABILITATION HOSPITAL
102 IRVING STREET NW	WASHINGTON	DC	20010	521369749	HOSPITAL	DC	501(c)(3)	3	NA	Yes (true)
REGIONAL REHAB AT OLNEY INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	522310902	MEDICAL SVCS	MD	501(c)(3)	3	NA	Yes (true)
SUBURBAN NRH MEDICAL REHABILITATION I
102 IRVING STREET NW	WASHINGTON	DC	20010	521931151	MEDICAL SVCS	DC	501(c)(3)	3	NA	Yes (true)
THE THOMAS O'NEIL CATHOLIC HEALTH CARE F
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521104382	FOUNDATION	MD	501(c)(3)	11D III	NA	Yes (true)
VNA INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521332411	ADMIN SVCS	MD	501(c)(3)	11B II	NA	Yes (true)
WHC FOUNDATION INC
110 IRVING STREET NW	WASHINGTON	DC	20010	521791670	FOUNDATION	DC	501(c)(3)	7	NA	Yes (true)
WOODBOURNE WOODS INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	522299070	ELDER HOUSING	MD	501(c)(3)	9	NA	Yes (true)
HOSPICE OF ST MARY'S INC
PO BOX 527	LEONARDTOWN	MD	20650	522153926	SUPPORT ORG	MD	501(c)(3)	11A I	NA	Yes (true)
ST MARY'S HOSPITAL OF ST MARY'S COUNTY
25500 POINT LOOKOUT ROAD	LEONARDTOWN	MD	20650	520619006	HOSPITAL	MD	501(c)(3)	3	NA	Yes (true)
ST MARY'S HOSPITAL FOUNDATION INC
PO BOX 527	LEONARDTOWN	MD	20650	521051368	SUPPORT ORG	MD	501(c)(3)	11A I	NA	Yes (true)
MEDSTAR SOUTHERN MD HOSPITAL CENTER
7503 SURRATTS ROAD	CLINTON	MD	20735	460726303	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
MEDSTAR HEALTH INC AND AFFILIATES MASTER
5565 STERRETT PLACE	COLUMBIA	MD	21044	467454613	RET. TRUST	MD	501(A)	N/A	NA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Disproportionate Allocations	false	DisproportionateAllocationsInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MedStar Pharmacies Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521513056	Drug Sales	MD	NA	C Corp
ExtenCare Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521556228	Medical ServiCES	MD	NA	C Corp
Helix Resources Management Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521913070	Admin ServiCES	MD	NA	C Corp
HelixCare Medical Group LLC
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521955580	Medical ServiCES	MD	NA	C Corp
HelixCare Properties LLC
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521966695	Medical ServiCES	MD	NA	C Corp
Parkway Ventures Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521893569	Holding CompaNY	MD	NA	C Corp
Physicians Administrative Services Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	237042074	Billing ServiCES	MD	NA	C Corp
MedStar Family Choice Inc
5565 Sterrett Place 5th Floor	Columbia	MD	21044	521995521	Managed Care	MD	NA	C Corp
Medstar Enterprises Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522139841	Admin ServiCES	MD	NA	C Corp
SiTeL Inc
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	900753340	EDUCATIONAL SVCS	MD	NA	C Corp
Star Billing Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	521850113	Billing ServiCES	MD	NA	C Corp
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522132677	Medical ServiCES	MD	NA	C Corp
Washington Hospital Center Physician Hos
100 Irving Street NW	Washington	DC	20010	521931000	Medical ServiCES	MD	NA	C Corp
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210	Calverton	MD	20705	522030809	Medical ServiCES	MD	NA	C Corp
Franklin Square Drive Land Condo Associa
5565 Sterrett Place 5th Floor	Columbia	MD	21044	760756352	Condo Owner ASSOC	MD	NA	C Corp
MGH Diversified Services Inc
18101 Prince Philip Drive	Olney	MD	20832	521943602	Medical ServiCES	MD	NA	C Corp
St Mary's Health Alliance Inc
25500 Point Lookout Road	Leonardtown	MD	20650	521930331	Medical ServiCES	MD	NA	C Corp
Greenspring Financial Insurance Limited
				980188617	Insurance		NA	C Corp	23 LIME TREE BAY AVENUE	PO BOX 1051 KY1-1102	GRAND CAYMAN	CJ	CJ
ST MARY'S CONDO ASSN
25500 POINT LOOKOUT RD	LEONARDTOWN	MD	20650	273377216	CONDOMINIUMS	MD	NA	C CORP
MEDSTAR HEALTH MASTER RETIREMENT TRUST
5565 STERRETT PLACE	COLUMBIA	MD	21044	999999999	INVESTMENTS		NA	C CORP					CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FRANKLIN SQUARE HOSPITAL CENTER
P	$1,040,402	FMV
THE MEDSTAR-GEORGETOWN MEDICAL CENTER
P	$2,730,728	FMV
HARBOR HOSPITAL
P	$430,307	FMV
HH MEDSTAR HEALTH INC
P	$1,979,801	FMV
MEDSTAR HEALTH RESEARCH INSTITUTE
P	$92,829	FMV
THE UNION MEMORIAL HOSPITAL
P	$541,649	FMV
EXTENCARE INC
Q	$97,634	FMV
HH MEDSTAR HEALTH INC
Q	$5,423,545	FMV
MEDSTAR AMBULATORY SERVICES INC
Q	$114,147	FMV