efile Public Visual Render
ObjectId: 201521269349301772 - Submission: 2015-05-06
TIN: 52-1369749
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
See separate instructions.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
13
Open to Public Inspection
Name of the organization
National Rehabilitation Hospital
Employer identification number
52-1369749
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CHURCH HOME CORPORATION
5565 STERRETT PLACE 5TH FLOOR
COLUMBIA
,
MD
21044
23-7374724
MEDICAL FUND
MD
501(c)(3)
PF
NA
Yes
(2)
FRANKLIN SQUARE HOSPITAL CENTER INC
9000 FRANKLIN SQUARE DRIVE
BALTIMORE
,
MD
21237
52-0608007
HOSPITAL
MD
501(c)(3)
3
NA
Yes
(3)
HARBOR HOSPITAL INC
3001 SOUTH HANOVER STREET
BALTIMORE
,
MD
21225
52-0491660
HOSPITAL
MD
501(c)(3)
3
NA
Yes
(4)
MEDSTAR HEALTH INC
5565 STERRETT PLACE 5TH FLOOR
COLUMBIA
,
MD
21044
52-2087445
MEDICAL SVCS
MD
501(c)(3)
11B II
NA
No
(5)
MONTGOMERY GENERAL HOSPITAL
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-0646893
HOSPITAL
MD
501(c)(3)
3
NA
Yes
(6)
THE GOOD SAMARITAN HOSPITAL OF MARYLAND
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-0591607
HOSPITAL
MD
501(c)(3)
3
NA
Yes
(7)
THE UNION MEMORIAL HOSPITAL
201 EAST UNIVERSITY PARKWAY
BALTIMORE
,
MD
21218
52-0591685
HOSPITAL
MD
501(c)(3)
3
NA
Yes
(8)
MEDSTAR HEALTH RESEARCH INSTITUTE
108 IRVING STREET NW
WASHINGTON
,
DC
20010
52-6056274
HOSPITAL
DC
501(c)(3)
3
NA
Yes
(9)
THE MEDSTAR-GEORGETOWN MEDICAL CENTER I
HOPSITAL ADMIN 1 MAIN BLDG
WASHINGTON
,
DC
20007
52-2218584
HOSPITAL
DC
501(c)(3)
3
NA
Yes
(10)
WASHINGTON HOSPITAL CENTER CORPORATION
110 IRVING STREET NW
WASHINGTON
,
DC
20010
52-1272129
HOSPITAL
DC
501(c)(3)
3
NA
Yes
(11)
HH MEDSTAR HEALTH INC
5565 STERRETT PLACE 5TH FLOOR
COLUMBIA
,
MD
21044
52-1542230
MEDICAL SVCS
MD
501(c)(3)
11B II
NA
Yes
(12)
MEDSTAR AMBULATORY SERVICES INC
5565 STERRETT PLACE 5TH FLOOR
COLUMBIA
,
MD
21044
52-1132992
FOUNDATION
MD
501(c)(3)
11A I
NA
Yes
(13)
BAY LIFE SERVICES INC
5565 STERRETT PLACE 5TH FLOOR
COLUMBIA
,
MD
21044
52-1496539
MENTAL HEALTH
MD
501(c)(3)
9
NA
Yes
(14)
MEDSTAR SURGERY CENTER INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1061679
MEDICAL SVCS
MD
501(c)(3)
9
NA
Yes
(15)
CHURCH HOME AND HOSPITAL OF THE CITY OF
5565 STERRETT PLACE 5TH FLOOR
COLUMBIA
,
MD
21044
52-0591600
MEDICAL FUND
MD
501(c)(3)
11B II
NA
Yes
(16)
FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI
9000 FRANKLIN SQUARE DRIVE
BALTIMORE
,
MD
21237
52-2329546
FOUNDATION
MD
501(c)(3)
7
NA
Yes
(17)
GOOD SAMARITAN HOSPITAL FOUNDATION INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-2307122
FOUNDATION
MD
501(c)(3)
11A I
NA
Yes
(18)
GOOD SAMARITAN NURSING CENTER INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1672866
MEDICAL SVCS
MD
501(c)(3)
9
NA
Yes
(19)
GS HOUSING INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1481656
ELDER HOUSING
MD
501(c)(3)
9
NA
Yes
(20)
GS PROPERTIES INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1429853
ADMIN SVCS
MD
501(c)(3)
11A I
NA
Yes
(21)
HARBOR HOSPITAL FOUNDATION INC
3001 SOUTH HANOVER STREET
BALTIMORE
,
MD
21225
52-1284532
FOUNDATION
MD
501(c)(3)
11A I
NA
Yes
(22)
MEDSTAR HEALTH INFUSION INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1980510
MEDICAL SVCS
MD
501(c)(3)
9
NA
Yes
(23)
MEDSTAR HEALTH VISITING NURSES ASSOCIATI
4061 POWDERMILL ROAD
CALVERTON
,
MD
20705
53-0196597
MEDICAL SVCS
MD
501(c)(3)
9
NA
Yes
(24)
MEDSTAR VNA HEALTHCARE
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1458516
MEDICAL SVCS
MD
501(c)(3)
9
NA
Yes
(25)
MGH COMMUNITY HEALTH INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-1372467
MEDICAL SVCS
MD
501(c)(3)
9
NA
Yes
(26)
MGH HEALTH FOUNDATION INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-1129959
FOUNDATION
MD
501(c)(3)
7
NA
Yes
(27)
MGH HEALTH SERVICES INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-1366812
FOUNDATION
MD
501(c)(3)
11B II
NA
Yes
(28)
MGH WOMEN'S BOARD
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-6039600
FOUNDATION
MD
501(c)(3)
11A I
NA
Yes
(29)
REGIONAL REHAB AT OLNEY INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-2310902
MEDICAL SVCS
MD
501(c)(3)
3
NA
Yes
(30)
SUBURBAN NRH MEDICAL REHABILITATION I
102 IRVING STREET NW
WASHINGTON
,
DC
20010
52-1931151
MEDICAL SVCS
DC
501(c)(3)
3
NA
Yes
(31)
THE THOMAS O'NEIL CATHOLIC HEALTH CARE F
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1104382
FOUNDATION
MD
501(c)(3)
11D III NF
NA
Yes
(32)
UNION MEMORIAL HOSPITAL FOUNDATION INC
201 EAST UNIVERSITY PARKWAY
BALTIMORE
,
MD
21218
52-1446828
FOUNDATION
MD
501(c)(3)
11A I
NA
Yes
(33)
VNA INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1332411
ADMIN SVCS
MD
501(c)(3)
11A I
NA
Yes
(34)
WHC FOUNDATION INC
110 IRVING STREET NW
WASHINGTON
,
DC
20010
52-1791670
FOUNDATION
DC
501(c)(3)
11A I
NA
Yes
(35)
WOODBOURNE WOODS INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-2299070
ELDER HOUSING
MD
501(c)(3)
9
NA
Yes
(36)
HOSPICE OF ST MARY'S INC
PO BOX 527
LEONARDTOWN
,
MD
20650
52-2153926
SUPPORT ORG
MD
501(c)(3)
11A I
NA
Yes
(37)
ST MARY'S HOSPITAL OF ST MARY'S COUNTY
25500 POINT LOOKOUT ROAD
LEONARDTOWN
,
MD
20650
52-0619006
HOSPITAL
MD
501(c)(3)
3
NA
Yes
(38)
ST MARY'S HOSPITAL FOUNDATION INC
PO BOX 527
LEONARDTOWN
,
MD
20650
52-1051368
SUPPORT ORG
MD
501(c)(3)
11A I
NA
Yes
(39)
MEDSTAR SOUTHERN MD HOSPITAL CENTER INC
7503 SURRATTS ROAD
CLINTON
,
MD
20735
46-0726303
HOSPITAL
MD
501(C)(3)
3
NA
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Page 2
Schedule R (Form 990) 2013
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
Surgicenter at Pasadena LLC
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-2009504
Medical Servi
MD
NA
No
(2)
Physician Imaging of Washington Hospital
6525 Belcrest Road Suite G 50
Hyattsville
,
MD
20782
56-2616090
Lab Services
MD
NA
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
MedStar Pharmacies Inc
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-1513056
Drug Sales
MD
NA
C Corp
(2)
ExtenCare Inc
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-1556228
Medical Servi
MD
NA
C Corp
(3)
Helix Resources Management Inc
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-1913070
Admin Service
MD
NA
C Corp
(4)
HelixCare Medical Group LLC
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-1955580
Medical Servi
MD
NA
C Corp
(5)
HelixCare Properties LLC
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-1966695
Medical Servi
MD
NA
C Corp
(6)
Parkway Ventures Inc
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-1893569
Holding Compa
MD
NA
C Corp
(7)
Physicians Administrative Services Inc
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
23-7042074
Billing Servi
MD
NA
C Corp
(8)
MedStar Family Choice Inc
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
52-1995521
Managed Care
MD
NA
C Corp
(9)
Medstar Enterprises Inc
4061 Powdermill Road Suite 210
Calverton
,
MD
20705
52-2139841
Admin Service
MD
NA
C Corp
(10)
Star Billing Inc
4061 Powdermill Road Suite 210
Calverton
,
MD
20705
52-1850113
Billing Servi
MD
NA
C Corp
(11)
Washington Risk Network Management Inc
4061 Powdermill Road Suite 210
Calverton
,
MD
20705
52-2132677
Medical Servi
MD
NA
C Corp
(12)
Washington Hospital Center Physician Hos
100 Irving Street NW
Washington
,
DC
20010
52-1931000
Medical Servi
MD
NA
C Corp
(13)
Medstar Physician Partners Inc
4061 Powdermill Road Suite 210
Calverton
,
MD
20705
52-2030809
Medical Servi
MD
NA
C Corp
(14)
Franklin Square Drive Land Condo Associa
5565 Sterrett Place 5th Floor
Columbia
,
MD
21044
76-0756352
Condo Owner A
MD
NA
C Corp
(15)
MGH Diversified Services Inc
18101 Prince Philip Drive
Olney
,
MD
20832
52-1943602
Medical Servi
MD
NA
C Corp
(16)
St Mary's Health Alliance Inc
25500 Point Lookout Road
Leonardtown
,
MD
20650
52-1930331
Medical Servi
MD
NA
C Corp
(17)
Greenspring Financial Insurance Limited
23 LIME TREE BAY AVENUE
PO BOX 1051 KY1-1102
,
GRAND CAYMAN
CJ
98-0188617
Insurance
CJ
NA
C Corp
(18)
ST MARY'S CONDO ASSOCIATION
25500 POINT LOOKOUT RD
LEONARDTOWN
,
MD
20650
27-3377216
CONDOMINIUMS
MD
NA
C CORP
(19)
SiTeL Inc
5565 Sterrett Place
Columbia
,
MD
21044
90-0753340
EDUCATIONAL SVCS
MD
NA
C CORP
Schedule R (Form 990) 2013
Page 3
Schedule R (Form 990) 2013
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1a
No
b
Gift, grant, or capital contribution to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1b
No
c
Gift, grant, or capital contribution from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1c
No
d
Loans or loan guarantees to or for related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1d
No
e
Loans or loan guarantees by related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1e
No
f
Dividends from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1f
No
g
Sale of assets to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1g
No
h
Purchase of assets from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1h
No
i
Exchange of assets with related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1n
No
o
Sharing of paid employees with related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1o
No
p
Reimbursement paid to related organization(s) for expenses
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1q
Yes
r
Other transfer of cash or property to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1r
No
s
Other transfer of cash or property from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
SUBURBANNRH MEDICAL REHABILITATION INC
s
873,106
cash
Schedule R (Form 990) 2013
Page 4
Schedule R (Form 990) 2013
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2013
Page 5
Schedule R (Form 990) 2013
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2013
Additional Data
Software ID:
Software Version: