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        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PART X</ReturnReference>
        <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 TH 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, 2011.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>8676956</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8676956</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00820</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <NetCommunityBenefitExpense>7091372</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00670</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>6497898</TotalCommunityBenefitExpense>
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        <PercentOfTotalExpense>0.00230</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
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        <DirectOffsettingRevenue>175250596</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>18180089</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01720</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>2911802</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2911802</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
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      <HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>51853902</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04890</PercentOfTotalExpense>
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        <TotalCommunityBenefitExpense>2111173</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>300</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2110873</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>131164</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>131164</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>266788</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
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      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>77995470</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>20720941</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>57274529</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05400</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <NetCommunityBenefitExpense>75454618</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07120</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>9948</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>9948</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>44720</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>44720</NetCommunityBuildingExpense>
      </CommunitySupport>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>744</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>744</NetCommunityBuildingExpense>
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      <HealthImprovementAdvocacy>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>45651</NetCommunityBuildingExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <TotalCommunityBuildingExpense>101063</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>101063</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>26968460</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>307398128</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>315588636</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-8190508</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>WASHINGTON HOSPITAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>110 Irving Street NW</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20010</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>WASHINGTON HOSPITAL CENTER</BusinessNameLine1>
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      <Form990ScheduleHPartVI>
        <Identifier>CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST</Identifier>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>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. PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE OF $85,074,006 HAS BEEN REMOVED FROM TOTAL EXPENSE TO CALCULATE THE PERCENTAGES IN COLUMN (F). BAD DEBT PART III, LINE 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND HFMA 15. AMOUNTS THAT ARE NOT EXPECTED TO BE COLLECTED, FOR PATIENTS QUALIFYING UNDER MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY, ARE WRITTEN OFF TO CHARITY CARE AND REPORTED AS A REDUCTION TO REVENUE. BAD DEBT EXPENSE RESULTS FROM MANAGEMENT'S INABILITY TO COLLECT REVENUES THAT MEET THE GAAP CRITERIA FOR REVENUE RECOGNITION. BAD DEBT REPRESENTS AN OPERATING EXPENSE AND IS REFLECTED AS A SEPARATE LINE ITEM ON THE ORGANIZATION'S STATEMENT OF OPERATIONS. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE</Identifier>
        <ReturnReference>PART III, LINE 8</ReturnReference>
        <Explanation>THE AMOUNT REPORTED ON PART III, LINE 6 WAS DETERMINED USING THE COST DATA FROM THE FY 2009 MEDICARE COST REPORT. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>AS A COMMUNITY PARTNER, MEDSTAR WASHINGTON HOSPITAL CENTER (MWHC) WORKS COLLABORATIVELY WITH LOCAL PARTNERS TO IDENTIFY KEY HEALTH NEEDS. PARTNERS INCLUDE, BUT ARE NOT LIMITED TO THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH, THE DISTRICT OF COLUMBIA CANCER CONSORTIUM, CITY AND REGIONAL COALITIONS, AND NOT-FOR-PROFIT SOCIAL SERVICE AGENCIES. IN ADDITION, HOSPITAL UTILIZATION TRENDS, SUCH AS CAUSES OF EMERGENCY ROOM VISITS AND INPATIENT ADMISSIONS HELP DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. COMMUNITY HEALTH NEEDS ARE ALSO ASSESSED THROUGH PERIODIC UPDATES OF MWHC'S STRATEGIC PLAN, WHICH FOCUSES ON PROGRAM AND SERVICE NEEDS OF THE COMMUNITY; A COMMUNITY NEEDS ASSESSMENT CONDUCTED BY THE COMMUNITY RELATIONS DEPARTMENT THAT FOCUSES ON THE HEALTH, SOCIAL AND ECONOMIC NEEDS OF THE HOSPITAL'S CORE SERVICE AREA; FEED-BACK FROM COMMUNITY PARTNERS THAT INCLUDE COMMUNITY RELATIONS COUNCIL MEMBERS, A YOUTH MENTORING ADVISORY COUNCIL, AND ELECTED OFFICIALS, INCLUDING LOCAL ADVISORY NEIGHBORHOOD COMMISSIONERS. CITY AND NATIONAL HEALTH GOALS ARE USED TO ASSESS HEALTH NEEDS, WHICH INFORM COMMUNITY BASED PROGRAMMING. PROGRAMS ARE TARGETED TO A PRIMARY SERVICE AREA, CONSISTING OF FIVE ZIP CODES IMMEDIATELY ADJACENT TO THE HOSPITAL. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MWHC ALSO PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL NINE 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI, LINE 3</ReturnReference>
        <Explanation>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 OR 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 WILL 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 WILL ASSIST 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) WILL SPECIFY THE COMMUNITIES IT SERVES BASED ON THE GEOGRAPHIC AREAS IT HAS SERVED HISTORICALLY FOR THE PURPOSE OF IMPLEMENTING THIS POLICY. EACH FACILITY WILL POST 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, WILL COMMUNICATE THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND WILL MAKE 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 WILL NOT BE 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI, LINE 4</ReturnReference>
        <Explanation>MEDSTAR WASHINGTON HOSPITAL CENTER'S PRIMARY SERVICE AREA FOR COMMUNITY BENEFIT ACTIVITIES INCLUDES ZIP CODES 20001, 20002, 20009, 20010 AND 20011. THIS PRIMARY SERVICE AREA IS DESCRIBED AS AN INTERCITY URBAN ENVIRONMENT WITH A DIVERSE POPULATION CONSISTING OF AFRICAN AMERICANS (51.8%), CAUCASIANS (30.4%), OTHER (27.5%), AND ASIANS (3.8%). STATISTICS SHOW THAT THE MEDIAN HOUSEHOLD INCOMES IN THE ZIP CODES THAT CONSTITUTE THE PRIMARY SERVICE AREA ARE $42,517 FOR 20001; $51,423 FOR 20002; $64,651 FOR 20009; $46,958 FOR 20010 AND $57,344 FOR 20011. APPROXIMATELY 22.7% OF THE PRIMARY SERVICE AREA POPULATION IS UNDER OR UNINSURED. THE EDGEWOOD NEIGHBORHOOD IS A HISTORIC HILLTOP NEIGHBORHOOD THAT ENJOYS BOTH MODERN CONVENIENCES AND ITS LINKS TO THE PAST, INCLUDING DECO APARTMENTS, DC VERNACULAR ROW HOMES, A COMMERCIAL DISTRICT WITH LOCAL AND NATIONAL RETAILER'S SERVICES AND ALONG THE HISTORIC METROPOLITAN BRANCH RAIL LINE TODAY IS A METRO STATION AND A NEW BIKING AND WALKING TRAIL. THE BLOOMINGDALE NEIGHBORHOOD IS A SMALL RESIDENTIAL NEIGHBORHOOD IN THE NORTHWEST AREA OF THE DISTRICT WITH RESIDENTS, YOUNG PROFESSIONALS AND THEIR FAMILIES. BROOKLAND HAS DEVELOPED INTO A NEIGHBORHOOD FAIRLY INTEGRATED AMONG ECONOMIC CLASSES, RACES AND HAS A SMALL THRIVING BUSINESS COMMUNITY, INCLUDING PROMINENT COMMUNITY DIVERSITY. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 MEDSTAR WASHINGTON HOSPITAL CENTER CONTRIBUTES TO THE HEALTH OF THE COMMUNITY THROUGH A VARIETY OF COMMUNITY BASED PROGRAMS AND SERVICES. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO: CANCER SUPPORT GROUPS, AEROBICS CLASSES, WALKING PROGRAMS, AND ROUTINE BLOOD PRESSURE AND DIABETES SCREENING SERVICES. MWHC'S MEDICAL HOUSE CALL PROGRAM PROVIDES PRIMARY CARE AND SUPPORT SERVICES TO A GROWING AGING POPULATION AND THE TEEN ALLIANCE FOR PREPARED PARENTING'S MISSION IS TO PREVENT SUBSEQUENT CASES OF TEEN PREGNANCY. THROUGH ITS PARTNERSHIP WITH THE AMERICAN ASSOCIATION OF RETIRED PERSONS, CLASSES ARE OFFERED TO PROMOTE SAFE DRIVING HABITS AMONG SENIOR CITIZENS. IN PARTNERSHIP WITH THE WASHINGTON NATIONAL EYE CARE CENTER, MWHC SERVES AS THE REGION'S LEADING EYE CARE REFERRAL CENTER FOR PERSONS WHO ARE UNINSURED. MOBILE HEALTH SERVICES THAT TARGET CHILD BEARING WOMEN AND THEIR CHILDREN ARE AVAILABLE THROUGH THE MAMA BABY BUS, WHICH OFFERS PRENATAL COUNSELING, PREGNANCY TESTING, CONTRACEPTIVE COUNSELING, AND CHILD HEALTH SERVICES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>PART VI, LINE 6</ReturnReference>
        <Explanation>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 MWHC 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.</Explanation>
      </Form990ScheduleHPartVI>
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        <NamePerson>JOHN RICOTTA MD</NamePerson>
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        <NamePerson>LISA M BOYLE MD FACS</NamePerson>
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        <NamePerson>KENNETH A SAMET</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>TEMPORARY HOUSING ALLOWANCE AND GROSS-UP PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>ONE OFFICER OF THE ORGANIZATION, JOHN SULLIVAN, RECEIVED A REIMBUSEMENT PAYMENT RELATED TO TEMPORARY HOUSING EXPENSES INCURRED WHILE RELOCATING TO HIS NEW POSITION WITH THE ORGANIZATION. THE REIMBURSEMENT PAYMENT WAS GROSSED-UP FOR INCOME TAX PURPOSES. THE TOTAL AMOUNT OF THE PAYMENTS RECEIVED WAS TREATED AS TAXABLE COMPENSATION. OTHER REPORTABLE COMPENSATION SCHEDULE J, PART , LINES 4A AND 4B JAMES CALDAS JAMES CALDAS' OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $292,651 REPRESENTING THE AMOUNT OF SEVERANCE PAYMENTS RECEIVED BY MR. CALDAS. KENNETH SAMET KENNETH SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $568,506 REPRESENTING MR. SAMET'S ACCRUED BENEFIT IN A SUPPLEMENTAL RETIREMENT PLAN, WHICH WAS EARNED DURING THE PAST 22 YEARS OF SERVICE. THIS AMOUNT WAS NOT ACTUALLY PAID TO MR. SAMET, BUT WAS REPORTED AS COMPENSATION UNDER FICA TAX-REPORTING RULES. HARRISON RIDER HARRISON RIDER'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $143,394 REPRESENTING THE AMOUNT OF SUPPLEMENTAL RETIREMENT BENEFIT PAYMENTS RELATING TO PRIOR YEARS OF SERVICE. IN ADDITION, PART II, COLUMN (B)(III) INCLUDES $275,561 RELATING TO INCOME REALIZED IN THE CURRENT YEAR FROM A DISTRIBUTION TO MR. RIDER FROM A NONQUALIFIED DEFERRED COMPENSATION PLAN.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>EXEMPT PURPOSE ACHIEVEMENTS</Identifier>
        <ReturnReference>PART III, LINE 4A</ReturnReference>
        <Explanation>ITS INTEGRATED CARDIOVASCULAR CARE PROGRAM, KNOWN AS MEDSTAR HEART INSTITUTE, OPERATES ONE OF THE LARGEST HEART SURGERY PROGRAMS IN THE REGION, ONE OF THE LARGEST INTERVENTIONAL CARDIOLOGY PROGRAMS NATIONWIDE AND A HEART TRANSPLANTATION PROGRAM. AS PART OF THE GEORGETOWN TRANSPLANT INSTITUTE, ITS ORGAN TRANSPLANTATION CAPABILITIES INCLUDE KIDNEY AND PANCREAS TRANSPLANTS. AS PART OF THE MEDSTAR CANCER NETWORK, ITS CANCER CENTER OFFERS THE LATEST IN CANCER TREATMENT, THERAPIES AND ACCESS TO CLINICAL TRIALS. MWHC IS ACCREDITED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER AND AS THE ONLY CARDIAC ADVANCED VENTRICULAR ASSIST DEVICE PROGRAM IN WASHINGTON, D.C. US NEWS AND WORLD REPORT RECOGNIZED MWHC AS THE #1 HOSPITAL IN THE D.C. METROPOLITAN AREA, AND AS ONE OF THE NATION'S TOP 50 HOSPITALS IN HEART AND HEART SURGERY, DIABETES AND ENDOCRINOLOGY, GERIATRICS AND GYNECOLOGY. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF MEMBERS</Identifier>
        <ReturnReference>PART VI, LINE 7A</ReturnReference>
        <Explanation>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 &amp; CEO OF MEDSTAR HEALTH, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISION OF GOVERNING BODY</Identifier>
        <ReturnReference>PART VI, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR REVIEWING FORM 990</Identifier>
        <ReturnReference>PART VI, LINE 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, LINE 12C</ReturnReference>
        <Explanation>APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXECUTIVE COMPENSATION PROCESS</Identifier>
        <ReturnReference>PART VI, LINE 15</ReturnReference>
        <Explanation>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 &amp; YOUNG LLP ("E&amp;Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&amp;Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&amp;Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&amp;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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FINANCIAL STATEMENT AVAILABILITY</Identifier>
        <ReturnReference>PART VI, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>PART XI, LINE 5</ReturnReference>
        <Explanation>EQUITY TRANSFERS - NET ASSETS.................$15,693,499 UNREALIZED GAIN ON INVESTMENTS..................5,201,710 PRIOR PERIOD ADJUSTMENT........................(2,965,215) ============= TOTAL LINE 5..................................$17,929,994</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FINANCIAL STATEMENTS AND REPORTING</Identifier>
        <ReturnReference>PART XII, LINE 2</ReturnReference>
        <Explanation>WASHINGTON HOSPITAL CENTER CORPORATION IS PART OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KENNETH A SAMET TITLE:BOARD MEMBER HOURS:40</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <AddressUS>
          <AddressLine1>5565 Sterrett Place 5th Floor</AddressLine1>
          <City>Columbia</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
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        <EIN>237374724</EIN>
        <PrimaryActivities>Medical Fund</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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          <AddressLine1>9000 Franklin Square Drive</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21237</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
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          <AddressLine1>3001 South Hanover Street</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
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