MONTGOMERY GENERAL HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MONTGOMERY GENERAL HOSPITAL INC (EIN 52-0646893)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-11
- IRS object ID
- 201141319349302059
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-11T13:07:50-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 440 Monticello Ave Suite 1900 | AddressLine1 |
| City | Norfolk | City |
| State | VA | State |
| ZIP Code | 235103310 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520646893 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montgomery General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MONT | NameControl |
| Phone | 3017748640 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 Prince Philip Drive | AddressLine1 |
| City | Olney | City |
| State | MD | State |
| ZIP Code | 20832 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Marc R Berger | Name |
| Title | AVP, Taxation/Financial Compliance | Title |
| Phone | 4107726719 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Scott Sherman | Name |
| Phone | 7576167000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PETER MONGE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 PRINCE PHILIP DRIVE | AddressLine1 |
| City | OLNEY | City |
| State | MD | State |
| ZIP Code | 20832 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 138827758 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.montgomerygeneral.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | MD | StateLegalDomicile |
| Activity Or Mission Description | MONTGOMERY GENERAL HOSPITAL IS DEDICATED TO ENHANCING OUR COMMUNITY'S HEALTH AND WELL-BEING BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1375 | TotalNbrEmployees |
| Total Nbr Volunteers | 300 | TotalNbrVolunteers |
| Total Gross UBI | 624241 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 57402 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 129197703 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 136180638 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1344368 | InvestmentIncomePriorYear |
| Investment Income Current Year | 724066 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2190310 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1793676 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 132732381 | TotalRevenuePriorYear |
| Total Revenue Current Year | 138698380 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 63924573 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 64512526 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 64217111 | OtherExpensePriorYear |
| Other Expenses Current Year | 68958256 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 128141684 | TotalExpensesPriorYear |
| Total Expenses Current Year | 133470782 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4590697 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5227598 | RevenuesLessExpensesCY |
| Total Assets BOY | 129692934 | TotalAssetsBOY |
| Total Assets EOY | 165724138 | TotalAssetsEOY |
| Total Liabilities BOY | 39720827 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 32262425 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 89972107 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 133461713 | NetAssetsOrFundBalancesEOY |
| Mission Description | As a proud member of MedStar Health, Montgomery General Hospital's mission is to enhance our community's health and well-being by offering high quality, compassionate and personalized care. As Montgomery County's first acute-care hospital, Montgomery General Hospital is a community-based, 149-bed facility. After 90 years, the hospital remains true to its roots, offering a range of wellness programs and outpatient services in addition to inpatient treatment. In Fiscal Year 2010, Montgomery General Hospital had 10,520 inpatient admissions, an estimated 61,796 outpatient visits, and 35,600 emergency visits. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5897219 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Montgomery General Hospital provided $5.9M in charity care services in fiscal year 2010. Charity care is provided pursuant to MedStar Health's Charity Care Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Maryland's unique payer system, the amount reported represents the hospital's charity care expense and revenues represent direct payments from the state's charity care pool. Other charity care expenses are indirectly reimbursed via the state of Maryland's payment system. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2175024 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Montgomery General Hospital provided $2.2M in subsidized (mission driven) health services in fiscal year 2010. 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 included the provision of psychiatric care services, emergency room services, and hospitalists. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1220119 | Expense |
| Grants | 0 | Grants |
| Revenue | 33960 | Revenue |
| Description | Montgomery General Hospital provided $1.2M in community health services in fiscal year 2010. These services include community health education (support groups and self help education), community based clinical services (screenings, free clinics, and mobile units), and health care support services. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 74862062 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 84154424 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1375 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARC BERGER | NamePerson |
| Telephone Number | 4107726719 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5565 STERRETT PLACE 5TH FLOOR | AddressLine1 |
| City | Columbia | City |
| State | MD | State |
| ZIP Code | 21044 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Peter W Monge | ||||||||
| President | 40.0 | X | X | 597201 | 0 | 14521 | ||
| Kevin Flannery | ||||||||
| Vice Chairman | 1.0 | X | X | 0 | 0 | 0 | ||
| Donald Sweeney | ||||||||
| Chairman | 1.0 | X | X | 0 | 0 | 0 | ||
| Michael Kerr MD | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Kevin McMahon MD | ||||||||
| Director | 1.0 | X | 12431 | 0 | 0 | |||
| Kenneth A Samet | ||||||||
| Director | 1.0 | X | 0 | 3637403 | 66085 | |||
| Joy Drass MD | ||||||||
| Director | 1.0 | X | 0 | 1068368 | 53013 | |||
| Amy Ampey MD | ||||||||
| Director | 1.0 | X | 2500 | 0 | 0 | |||
| Douglas Farquhar | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| John Ferguson | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Sunny Banvard | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Julie Bawa | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Charles F Mess Sr MD | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Bennett T Morrison MD | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| C Thompson Pardoe | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Robert Sullivan | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Ivonne Giuliana Centty | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Shelia Woodard | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| John F Hogarty | ||||||||
| SR VP & CFO | 40.0 | X | 549333 | 0 | 4306 | |||
| Charles R Tuegel MD | ||||||||
| Secretary/Treasurer | 1.0 | X | 0 | 0 | 0 | |||
| David Havrilla | ||||||||
| Assistant Treasurer | 1.0 | X | 162212 | 162212 | 37940 | |||
| Roger Leonard | ||||||||
| VP Medical Staff | 40.0 | 284933 | 0 | 9927 | X | |||
| Connie Stone | ||||||||
| VP, Patient Care Services | 40.0 | 174932 | 0 | 9128 | X | |||
| Kevin Mell | ||||||||
| VP, Human Resources | 40.0 | 164986 | 0 | 11152 | X | |||
| Harold Pickett | ||||||||
| Vice President | 40.0 | 275503 | 0 | 5483 | X | |||
| Jeanne O'Toole | ||||||||
| Controller | 40.0 | 148926 | 0 | 12483 | X | |||
| Maria Elena Espina | ||||||||
| Physican Assistants Director | 40.0 | 144820 | 0 | 8018 | X | |||
| Randall Bursaw | ||||||||
| Supervisor, Nuclear Medicine | 40.0 | 142163 | 0 | 10624 | X | |||
| Owen Horn | ||||||||
| Network Operations Manager | 40.0 | 135015 | 0 | 8919 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2794955 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4867983 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 251599 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MERIDIAN ANESTHESIA PRACTICE L | |||||
| 3801 INTERNATIONAL DR 300 | SILVER SPRING | MD | 20906 | Physicians | 3751220 |
| DELPHI HEALTHCARE PARTNERS | |||||
| 170 SOUTHPORT DR | MORRISVILLE | NC | 27560 | PHYSICIANS | 1376673 |
| MONTGOMERY MAGNETIC IMAGING | |||||
| PO BOX 64939 | BALTIMORE | MD | 21264 | MRI | 903487 |
| EMERGENCY MEDICINE ASSOCIATES | |||||
| 20010 CENTURY BLVD STE 200 | GERMANTOWN | MD | 20874 | PHYSICIANS | 715970 |
| INPATIENT SPECIALISTS PA | |||||
| 1201 SEVEN LOCKS RD STE 200 | ROCKVILLE | MD | 20854 | PHYSICIANS | 657956 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | 132558297 | 132558297 |
| PHYSICIAN BILLING REVENUE - ANESTHESIA | 621110 | 3622341 | 3622341 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 136180638 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 789226 | TotalRevenueColumn |
| Exclusion | $789,226 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 304668 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 304668 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 304668 | TotalRevenueColumn |
| Exclusion | $304,668 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 64218 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 129378 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -129378 | Securities |
| Other | 64218 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -65160 | TotalRevenueColumn |
| Exclusion | -$65,160 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| OTHER OPERATING REVENUE | 621500 | 809931 | $809,931 | ||
| LAB REVENUE | 900099 | 679077 | 54836 | 624241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1489008 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 138698380 | TotalRevenueColumn |
| Related Or Exempt Function Income | 136235474 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 624241 | UnrelatedBusinessRevenue |
| Exclusion | $1,838,665 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1820419 | Total |
| Program Services | 1195569 | ProgramServices |
| Management And General | 624850 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51371084 | Total |
| Program Services | 34552037 | ProgramServices |
| Management And General | 16819047 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2671363 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2671363 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4752144 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 4752144 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3897516 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 3897516 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110292 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 110292 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87500 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 87500 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18205517 | Total |
| Program Services | 5799576 | ProgramServices |
| Management And General | 12405941 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 827896 | Total |
| Management And General | 827896 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 354958 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 354958 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32287 | Total |
| Program Services | 7761 | ProgramServices |
| Management And General | 24526 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34779 | Total |
| Program Services | 9408 | ProgramServices |
| Management And General | 25371 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 368946 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 368946 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7701788 | Total |
| Program Services | 7701788 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2309256 | Total |
| Program Services | 2309256 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MED/SURG SUPPLIES | 22727750 | 22727750 | 0 | 0 |
| BAD DEBT | 5007266 | 5007266 | 0 | 0 |
| MAINTENANCE | 2934248 | 1215238 | 1719010 | 0 |
| PROFESSIONAL FEES | 2780725 | 2780725 | 0 | 0 |
| OTHER EXPENSES | 2751846 | 846152 | 1905694 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2723202 | Total |
| Program Services | 1898 | ProgramServices |
| Management And General | 2721304 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133470782 | Total |
| Program Services | 84154424 | ProgramServices |
| Management And General | 49316358 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25276059 | BOY |
| EOY | 47205461 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14080419 | BOY |
| EOY | 14622539 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 987868 | BOY |
| EOY | 761657 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2457926 | BOY |
| EOY | 2504868 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1028094 | BOY |
| EOY | 610837 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 150547400 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 72586310 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64999828 | BOY |
| EOY | 77961090 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18727322 | BOY |
| EOY | 20965797 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106325 | BOY |
| EOY | 96364 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2029093 | BOY |
| EOY | 995525 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129692934 | BOY |
| EOY | 165724138 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14932469 | BOY |
| EOY | 11232636 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24788358 | BOY |
| EOY | 21029789 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39720827 | BOY |
| EOY | 32262425 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87940707 | BOY |
| EOY | 131430313 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2031400 | BOY |
| EOY | 2031400 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89972107 | BOY |
| EOY | 133461713 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129692934 | BOY |
| EOY | 165724138 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146581 | OtherCostOrOtherBasis |
| Book Value | 146581 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80862546 | OtherCostOrOtherBasis |
| Depreciation | 6896549 | Depreciation |
| Book Value | 73965997 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1575958 | OtherCostOrOtherBasis |
| Book Value | 1575958 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 57502443 | OtherCostOrOtherBasis |
| Depreciation | 57502443 | Depreciation |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10459872 | OtherCostOrOtherBasis |
| Depreciation | 8187318 | Depreciation |
| Book Value | 2272554 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 77961090 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (17 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION ASSET | $7,157,391 |
| OPTIMIM CHOICE IBNR | $131,960 |
| ADVANCE MEDICAID | $451,483 |
| ADVANCE CHAMPUS | $1,000 |
| ADVANCE MD BS | $197,902 |
| ADVANCE MDIPA | $700,183 |
| ADVANCE BCNCA | $1,715,700 |
| ADVANCE KAISER | $115,944 |
| ADVANCE AETNA | $183,757 |
| ADVANCE CIGNA | $157,756 |
| PATIENT CREDIT BALANCES | $253,031 |
| SURGERY CENTER DEBT | $297,564 |
| CTC DEBT | $112,252 |
| MOB LIABILITY | $7,877,865 |
| OTHER LIABILITIES | $2,020,695 |
| INTERCO PAYABLES | -$368,094 |
| CAPITAL LEASE ST | $23,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 21029789 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 AUDIT REPORT FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PART XIV | ReturnReference |
| Explanation | THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT 109 (FIN 48). | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 4600506 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4600506 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03450 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 4600506 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4600506 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03450 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 28 | NumberOfActivitiesOrPrograms |
| Persons Served | 24808 | PersonsServed |
| Total Community Benefit Expense | 1220119 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33960 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1186159 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 738 | PersonsServed |
| Total Community Benefit Expense | 460371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 460371 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 2175024 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2175024 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01630 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 7508 | PersonsServed |
| Total Community Benefit Expense | 219931 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 219931 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 45 | NumberOfActivitiesOrPrograms |
| Persons Served | 33054 | PersonsServed |
| Total Community Benefit Expense | 4075445 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33960 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4041485 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 45 | NumberOfActivitiesOrPrograms |
| Persons Served | 33054 | PersonsServed |
| Total Community Benefit Expense | 8675951 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33960 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8641991 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06470 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 50 | PersonsServed |
| Total Community Building Expense | 1997 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1997 | NetCommunityBuildingExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 299344 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 299344 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1745 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1745 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 2 | PersonsServed |
| Total Community Building Expense | 28626 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 28626 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 52 | PersonsServed |
| Total Community Building Expense | 331712 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 331712 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,780,822 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 0 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 0 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 0 | MedicareSurplusOrShortfall |
| Costing Methodology Used | CostingMethodologyUsed | |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montgomery General Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 Prince Philip Drive | AddressLine1 |
| City | Olney | City |
| State | MD | State |
| ZIP Code | 20832 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | 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. | BadDebtFootnote |
| Shortfall As Community Benefit | 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 deivered 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 in zero. | ShortfallAsCommunityBenefit |
| General Explanation | 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. | GeneralExplanation |
| General Explanation | 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 Hospital to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system. | GeneralExplanation |
| General Explanation | Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the national. 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. | GeneralExplanation |
| Needs Assessment | Montgomery General Hospital's (MGH) key priorities are determined by the needs of the community it serves. An assortment of mechanisms is routinely implemented to assess and ensure the hospital is serving as the trusted leader in caring for people and advancing health. Strategic planning sessions, which include the executive team and management team, are designed to identify short- and long- term goals. Throughout this process, community needs, both current and projected, are incorporated into each aspect of the planning phase. The hospital also collaborates with key stakeholders. Partnerships with the local health department, non-profit organizations and local/regional coalitions allow hospital leaders to gain a greater level of insight on the structural and social conditions that impact health status. Many of the community benefit activities conducted last year were aligned with the Montgomery County Department of Health and Human Services Strategic Plan 2006-2011. In addition, as a MedStar member hospital, MGH participated in a systemwide, regional community needs assessment. Secondary data on disease prevalence, behavioral risk factors, and medical provider shortages were examined. Based on the assessment, heart disease and cancer were identified as the system's key priorities for community benefit investment. Many of MGH's activities in the past year were aligned with the prevention, detection, and treatment of these chronic disease conditions. | NeedsAssessment |
| Patient Education Assistance | MGH will provide access for urgent or emergent medically necessary health care services for free or at a reduced fee to all patients who meet the criteria. The determination of urgent or emergent medically necessary health care services is the sole discretion of MGH. Each applicant for financial assistance or reduced fee arrangements must meet criteria set by MGH. There are signs in English and Spanish at every registration point in the hospital regarding financial assistance. All registration staff have copies of the financial assistance application in English and Spanish to give to patients. Greeter desks also have copies of the financial assistance application in English and Spanish to give to patients. Billing and Customer Service also have copies of the financial assistance application in English to give to patients. The Financial Assistance policy is posted on the website. A financial assistance application is mailed within one-week to the homes of all self pay patients who were discharged from the emergency department. For all self pay patients who are inpatients, the Customer Service department has the patient speak with the internal Montgomery County Social worker to see if they qualify for medical assistance or if they can be assisted by an outside agency that specializes in obtaining medical assistance for hospital patients. If the patient does not meet criteria to apply for medical assistance the patient is referred to the Billing Department for payment or to obtain a financial assistance application. All inpatients also receive a discharge package/envelope. Within the envelope is a Patient Financial Services brochure which explains MGH's billing policies and financial assistance program. These brochures are housed in several areas of the hospital for patient's convenience. | PatientEducationAssistance |
| Community Information | Montgomery County has experienced consistent population growth over the years. As of 2009, the county is comprised of 971,600 residents. The most recent estimate puts the average age in the county at 39. More than half of the population is female. Persons under 19 make up 26.4 % and persons 65 and older account for 12.5 %of the population. Montgomery County is racially diverse and very rich with culture. The county's racial breakdown is 61.2 percent Caucasian, 16.1 percent black or African American, and 13.3 percent Asian. Nearly 14.8 percent of the population is of Hispanic origin - making it the jurisdiction with the largest Hispanic community in the Washington/Baltimore region. According to the Montgomery County Department of Health and Human Services, poverty rates are highest among Hispanic families - 8.9%, followed by African American - 7.8%; Asians - 4.7%; and non-Hispanic whites - 1.7%. In 2008, there were 341,812 households in Montgomery County. Of the 341,812 households, 68 percent were families. That includes both married-couple families (53 percent) and other families (15 percent). Nonfamily households made up 32 percent of all households in the County. Most of the nonfamily households were people living alone, but some were comprised of persons who were not related to the head of household. The county continues to experience significant growth in its aging population. In 2000, 92,503 of its residents were 65 years of age or older. By 2005, there was a growth of nine percent and by the end of 2010, projections suggest a growth of 11%, compared to a baseline of 92,503 residents. In Montgomery County, 91 percent of residents 25 years and over have at least graduated from high school; 56 percent have a bachelor's degree or higher. Nine percent were dropouts, meaning they were not enrolled in school and had not graduated from high school. The private sector accounts for approximately 72 percent of employment in the county followed by the government, which employs roughly 21% of the working population. The remaining 7% are self-employed. | CommunityInformation |
| Community Building Activities | As a community partner, the hospital engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. For example, the hospital provided free screenings for blood pressure, body fat/waist hip ratio, podiatry, sleep apnea, vision, cholesterol, bone density and oral health at the Annual Health Expo. Information on prevention, early detection, treatment, diagnosis and care for various diseases was also offered. Attendees enjoyed physician lectures by MGH medical staff, giveaways, and multiple interactive health booths. In 2010, 173 members of the community attended this event. Educating the community about cancer prevention and treatment is a priority at MGH. An oncology certified registered nurse is available to guide patients' families and physicians through the many facets of tests and treatments that often accompany a cancer diagnosis. This "Cancer Care Navigator" not only educates patients about cancer and treatments but provides emotional support and encouragement. A Community Outreach Specialist with a public health background plays an important role in our ability to provide education and support services to underserved/low-income communities. | CommunityBuildingActivities |
| Other Information | As a community partner, MGH is committed to meeting the needs of vulnerable populations by establishing strategic partnerships and alliances. A partnership with Proyecto Salud, a not-for-profit primary care clinic in Wheaton, is allowing low-income, uninsured, Spanish speaking residents to receive culturally sensitive healthcare services at a satellite site on the grounds of Montgomery General Hospital. Under the terms of the agreement, MHG provides Proyecto Salud with free space to provide patient care. The Hospital also provides partial support for operations and marketing. The clinic's services focus on primary adult healthcare including physical examinations, health counseling and education, and basic laboratory services. In addition, the clinic offers a seasonal flu clinic focused on prevention with vaccinations. Prescription medications are made available through the Montgomery Cares program. The clinic also provides referrals for county specialty services, STD, HIV programs, Women's Cancer Control Program, Family Planning and affordable alcohol treatment and rehabilitation. | OtherInformation |
| Affiliated Health Care System | As a proud member of MedStar Health, Montgomery General Hospital is able to expand its capacity to meet the needs of the community by partnering with other MedStar Hospitals and associated entities. For example, MedStar Health resources assist the hospital in strategic planning to meet the needs of the under/uninsured. Through its community health function, MedStar Health provides the hospital with technical support to enhance community health programming. MedStar's corporate philanthropy division offers resources and technical support in securing philanthropic investors to ensure health services are available to all patients, regardless of ability to pay. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Peter W Monge | |||||||||||||
| 398086 | 0 | 196795 | 0 | 2320 | 0 | 4847 | 0 | 9674 | 0 | 611722 | 0 | 0 | 0 |
| John F Hogarty | |||||||||||||
| 55489 | 0 | 24846 | 0 | 468998 | 0 | 3601 | 0 | 705 | 0 | 553639 | 0 | 0 | 0 |
| Roger Leonard | |||||||||||||
| 201931 | 0 | 83002 | 0 | 0 | 0 | 804 | 0 | 9123 | 0 | 294860 | 0 | 0 | 0 |
| Connie Stone | |||||||||||||
| 148562 | 0 | 26370 | 0 | 0 | 0 | 295 | 0 | 8833 | 0 | 184060 | 0 | 0 | 0 |
| Kevin Mell | |||||||||||||
| 135704 | 0 | 29282 | 0 | 0 | 0 | 3500 | 0 | 7652 | 0 | 176138 | 0 | 0 | 0 |
| Kenneth A Samet | |||||||||||||
| 0 | 1163764 | 0 | 1175787 | 0 | 1297852 | 0 | 47263 | 0 | 18822 | 0 | 3703488 | 0 | 1743040 |
| Joy Drass MD | |||||||||||||
| 0 | 619624 | 0 | 448744 | 0 | 0 | 0 | 34454 | 0 | 18559 | 0 | 1121381 | 0 | 0 |
| Harold Pickett | |||||||||||||
| 17082 | 0 | 2872 | 0 | 255549 | 0 | 5021 | 0 | 462 | 0 | 280986 | 0 | 0 | 0 |
| Jeanne O'Toole | |||||||||||||
| 137797 | 0 | 11129 | 0 | 0 | 0 | 1986 | 0 | 10497 | 0 | 161409 | 0 | 0 | 0 |
| Maria Elena Espina | |||||||||||||
| 139848 | 0 | 4972 | 0 | 0 | 0 | 1318 | 0 | 6700 | 0 | 152838 | 0 | 0 | 0 |
| Randall Bursaw | |||||||||||||
| 141163 | 0 | 1000 | 0 | 0 | 0 | 414 | 0 | 10210 | 0 | 152787 | 0 | 0 | 0 |
| David Havrilla | |||||||||||||
| 107668 | 107667 | 37262 | 37262 | 17282 | 17283 | 11154 | 11153 | 7816 | 7817 | 181182 | 181182 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 REVIEW PROCESS | PART VI, SECTION B, LINE 11A | THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED THE REVISED FORM 990 AND ACCOMPANYING INSTRUCTIONS AND PROVIDED EDUCATION SESSIONS ON THE REVISED FORM TO THE ORGANIZATION'S GOVERNING BODY AND ITS SENIOR OFFICERS. IN ADDITION, SEPARATE EDUCATION SESSIONS WERE PROVIDED TO THE FOLLOWING COMMITTEES OF ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. THIS EDUCATION PROCESS TOOK PLACE OVER SEVERAL MONTHS. FOLLOWING THESE EDUCATION SESSIONS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND WAS ENCOURAGED TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. |
| CONFLICT OF INTEREST POLICY | PART VI, SECTION B, QUESTION 12C | APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). |
| EXECUTIVE COMPENSATION PROCESS | PART VI, SECTION B, QUESTION 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, SECTION B, LINE 19 | MedStar Health posts its annual financial audit and quarterly financial reports to the Electronic Municipal Market Access (EMMA) system. The organization also 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. |
| COMPENSATION FOOTNOTE | PART VII, SECTION A | Kenneth Samet Kenneth Samet's Other reportable compensation in Part II, Column (B) (iii) includes $1,278,236 representing Mr. Samet's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 21 years of service. This amount was not actually paid to Mr. Samet, but was reported as compensation under FICA tax-reporting rules, and this entire amount was also reported on Form 990 in prior years. |
| FINANCIAL STATEMENTS AND REPORTING | PART XI, QUESTION 2C | MONTGOMERY GENERAL HOSPITAL IS PART OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. |
| SEVERANCE FOOTNOTES | PART II, COLUMN B III | John Hogarty's Other reportable compensation in Part II, Column (B) (iii) includes $468,998 representing the amount of change of control payments received by Mr. Hogarty. Harold Pickett's Other reportable compensation in Part II, Column (B) (iii) includes $255,549 representing the amount of change of control payments received by Mr. Pickett. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Medstar Health Anesthesia Services E LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 Prince Philip Drive | AddressLine1 |
| City | Olney | City |
| State | MD | State |
| ZIP Code | 20832 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262918268 | EIN |
| Primary Activities | Health SVCS | PrimaryActivities |
| Legal Domicile State | MD | LegalDomicileState |
| Total Income | 3622341 | TotalIncome |
| EOY Assets | 309672 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | na | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (42 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Church Home Corporation | |||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 237374724 | Medical Fund | MD | 501(c)(3) | PF | NA |
| Franklin Square Hospital Center Inc | |||||||||
| 9000 Franklin Square Drive | Baltimore | MD | 21237 | 520608007 | Hospital | MD | 501(c)(3) | 3 | NA |
| Harbor Hospital Inc | |||||||||
| 3001 South Hanover Street | Baltimore | MD | 21225 | 520491660 | Hospital | MD | 501(c)(3) | 3 | NA |
| Medstar Health Inc | |||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 522087445 | Medical Svcs | MD | 501(c)(3) | 11b II | NA |
| The Good Samaritan Hospital of Maryland | |||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 520591607 | Hospital | MD | 501(c)(3) | 3 | NA |
| The Union Memorial Hospital | |||||||||
| 201 East University Parkway | Baltimore | MD | 21218 | 520591685 | Hospital | MD | 501(c)(3) | 3 | NA |
| Medstar Research Institute | |||||||||
| 108 Irving Street NW | Washington | DC | 20010 | 526056274 | Hospital | DC | 501(c)(3) | 3 | NA |
| The Medstar-Georgetown Medical Center I | |||||||||
| Hopsital Admin 1 Main Bldg | Washington | DC | 20007 | 522218584 | Hospital | DC | 501(c)(3) | 3 | NA |
| Washington Hospital Center Corporation | |||||||||
| 110 Irving Street NW | Washington | DC | 20010 | 521272129 | Hospital | DC | 501(c)(3) | 3 | NA |
| HH Medstar Health Inc | |||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521542230 | Medical Svcs | MD | 501(c)(3) | 11b II | NA |
| Bay Development Corp | |||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521132992 | Foundation | MD | 501(c)(3) | 11a I | NA |
| Bay Life Services Inc | |||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 521496539 | Mental Health | MD | 501(c)(3) | 9 | NA |
| MedStar Surgery Center Inc | |||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521061679 | Medical Svcs | MD | 501(c)(3) | 9 | NA |
| Church Home and Hospital of the City of | |||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 520591600 | Hospital | MD | 501(c)(3) | 3 | NA |
| Foundation for Georgetown University Hos | |||||||||
| Hopsital Admin 1 Main Bldg | Washington | DC | 20007 | 522339873 | Foundation | DC | 501(c)(3) | 11a I | NA |
| Franklin Square Hospital Center Foundati | |||||||||
| 9000 Franklin Square Drive | Baltimore | MD | 21237 | 522329546 | Foundation | MD | 501(c)(3) | 11a I | NA |
| Good Samaritan Hospital Foundation Inc | |||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 522307122 | Foundation | MD | 501(c)(3) | 11a I | NA |
| Good Samaritan Nursing Center Inc | |||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 521672866 | Medical Svcs | MD | 501(c)(3) | 9 | NA |
| GS Housing Inc | |||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 521481656 | Elder Housing | MD | 501(c)(3) | 9 | NA |
| GS Properties Inc | |||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 521429853 | Admin Svcs | MD | 501(c)(3) | 11a I | NA |
| Harbor Hospital Foundation Inc | |||||||||
| 3001 South Hanover Street | Baltimore | MD | 21225 | 521284532 | Foundation | MD | 501(c)(3) | 11a I | NA |
| Medstar Health Infusion Inc | |||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521980510 | Medical Svcs | MD | 501(c)(3) | 9 | NA |
| Medstar Health Visiting Nurses Associati | |||||||||
| 4061 Powdermill Road | Calverton | MD | 20705 | 530196597 | Medical Svcs | MD | 501(c)(3) | 9 | NA |
| Medstar Long Term Care Corporation | |||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521489097 | Hospital | MD | 501(c)(3) | 3 | NA |
| Medstar VNA Healthcare | |||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521458516 | Medical Svcs | MD | 501(c)(3) | 9 | NA |
| MGH Community Health Inc | |||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 521372467 | Medical Svcs | MD | 501(c)(3) | 9 | NA |
| MGH Health Foundation Inc | |||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 521129959 | Foundation | MD | 501(c)(3) | 7 | NA |
| MGH Health Services Inc | |||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 521366812 | Foundation | MD | 501(c)(3) | 11a I | NA |
| MGH Women's Board | |||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 526039600 | Foundation | MD | 501(c)(3) | 11a I | NA |
| National Rehabilitation Hospital | |||||||||
| 102 Irving Street NW | Washington | DC | 20010 | 521369749 | Hospital | DC | 501(c)(3) | 3 | NA |
| Regional Rehab at Olney Inc | |||||||||
| 18101 Prince Philip Drive | Olney | MD | 20832 | 522310902 | Medical Svcs | MD | 501(c)(3) | 3 | NA |
| Suburban NRH Medical Rehabilitation I | |||||||||
| 102 Irving Street NW | Washington | DC | 20010 | 521931151 | Medical Svcs | DC | 501(c)(3) | 3 | NA |
| The Thomas O'Neil Catholic Health Care F | |||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 521104382 | Foundation | MD | 501(c)(3) | 11a I | NA |
| Union Memorial Hospital Foundation Inc | |||||||||
| 201 East University Parkway | Baltimore | MD | 21218 | 521446828 | Foundation | MD | 501(c)(3) | 11a I | NA |
| VNA Foundation | |||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521331981 | Foundation | MD | 501(c)(3) | 11a I | NA |
| VNA Inc | |||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521332411 | Admin Svcs | MD | 501(c)(3) | 11a I | NA |
| WHC Foundation Inc | |||||||||
| 110 Irving Street NW | Washington | DC | 20010 | 521791670 | Foundation | DC | 501(c)(3) | 11a I | NA |
| Woodbourne Woods Inc | |||||||||
| 5601 Loch Raven Blvd | Baltimore | MD | 21239 | 522299070 | Elder Housing | MD | 501(c)(3) | 9 | NA |
| Self Insurance Trust of Washington Hospi | |||||||||
| 110 Irving Street NW | Washington | DC | 20010 | 521128332 | Self Insuranc | DC | 501(c)(3) | 11a I | NA |
| Hospice of St Mary's Inc | |||||||||
| PO Box 527 | Leonardtown | MD | 20650 | 522153926 | Support Org | MD | 501(c)(3) | 11b II | NA |
| St Mary's Hospital of St Mary's County | |||||||||
| 25500 Point Lookout Road | Leonardtown | MD | 20650 | 520619006 | Hospital | MD | 501(c)(3) | 3 | NA |
| St Mary's Hospital Foundation Inc | |||||||||
| PO Box 527 | Leonardtown | MD | 20650 | 521051368 | Support Org | MD | 501(c)(3) | 11d III | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| Surgicenter at Pasadena LLC | ||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 522009504 | Medical Services | MD | NA | Related | false | false |
| SJMC-RA LLC | ||||||||||
| 5565 Sterrett Place 5th Floor | Columbia | MD | 21044 | 753160895 | Radiation Therapy | MD | NA | Related | false | false |
| Physician Imaging of Washington Hospital | ||||||||||
| 6525 Belcrest Road Suite G 50 | Hyattsville | MD | 20782 | 562616090 | Lab Services | MD | NA | Related | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| 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 | 521702572 | 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 |
| Nascott Inc | ||||||||
| 4061 Powdermill Road Suite 210 | Calverton | MD | 20705 | 521693808 | Medical Services | 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 |
| NRH Ambulatory Services Inc | ||||||||
| 102 Irving Street NW | Washington | DC | 20010 | 521930165 | Rehab 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 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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