SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
The Good Samaritan Hospital of Maryland Inc
 
Employer identification number

52-0591607
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

(1) MEDSTAR HEALTH ANESTHESIA SERVICES A LLC
5601 LOCH RAVEN BLVD
BALTIMORE,MD21239
20-5909017
HEALTHCARE MD 5,545,345 648,630 N/A










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
10980 GRANTCHESTER WAY

Columbia,MD21044
23-7374724
Medical Fund MD 501(C)(3) PF NA
 
Yes
 
(2)Franklin Square Hospital Center Inc
9000 Franklin Square Drive

Baltimore,MD21237
52-0608007
Hospital MD 501(C)(3) 3 NA
 
Yes
 
(3)Harbor Hospital Inc
3001 South Hanover Street

Baltimore,MD21225
52-0491660
Hospital MD 501(C)(3) 3 NA
 
Yes
 
(4)Medstar Health Inc
10980 GRANTCHESTER WAY

Columbia,MD21044
52-2087445
Medical Svcs MD 501(C)(3) 11C III NA
 
 
No
(5)Montgomery General Hospital
18101 Prince Philip Drive

Olney,MD20832
52-0646893
Hospital MD 501(C)(3) 3 NA
 
Yes
 
(6)The Union Memorial Hospital
201 East University Parkway

Baltimore,MD21218
52-0591685
Hospital MD 501(C)(3) 3 NA
 
Yes
 
(7)Medstar health Research Institute
108 Irving Street NW

Washington,DC20010
52-6056274
Hospital DC 501(C)(3) 4 NA
 
Yes
 
(8)The Medstar-Georgetown Medical Center I
Hopsital Admin 1 Main Bldg

Washington,DC20007
52-2218584
Hospital DC 501(C)(3) 3 NA
 
Yes
 
(9)Washington Hospital Center Corporation
110 Irving Street NW

Washington,DC20010
52-1272129
Hospital DC 501(C)(3) 3 NA
 
Yes
 
(10)HH Medstar Health Inc
10980 GRANTCHESTER WAY

Columbia,MD21044
52-1542230
Medical Svcs MD 501(C)(3) 11C III NA
 
Yes
 
(11)MEDSTAR AMBULATORY SERVICES INC
10980 GRANTCHESTER WAY

Columbia,MD21044
52-1132992
ADMIN SVCS MD 501(C)(3) 11C III NA
 
Yes
 
(12)Bay Life Services Inc
10980 GRANTCHESTER WAY

Columbia,MD21044
52-1496539
Mental Health MD 501(C)(3) 9 NA
 
Yes
 
(13)MedStar Surgery Center Inc
4061 Powdermill Road Suite 210

Calverton,MD20705
52-1061679
Medical Svcs MD 501(C)(3) 9 NA
 
Yes
 
(14)Church Home and Hospital of the City of
10980 GRANTCHESTER WAY

Columbia,MD21044
52-0591600
medical fund MD 501(C)(3) 11A I NA
 
Yes
 
(15)Franklin Square Hospital Center Foundati
9000 Franklin Square Drive

Baltimore,MD21237
52-2329546
Foundation MD 501(C)(3) 11A I NA
 
Yes
 
(16)Good Samaritan Hospital Foundation Inc
5601 Loch Raven Blvd

Baltimore,MD21239
52-2307122
Foundation MD 501(C)(3) 11a I NA
 
Yes
 
(17)Good Samaritan Nursing Center Inc
5601 Loch Raven Blvd

Baltimore,MD21239
52-1672866
Medical Svcs MD 501(C)(3) 9 NA
 
Yes
 
(18)GS Housing Inc
5601 Loch Raven Blvd

Baltimore,MD21239
52-1481656
Elder Housing MD 501(C)(3) 9 NA
 
Yes
 
(19)GS Properties Inc
5601 Loch Raven Blvd

Baltimore,MD21239
52-1429853
Admin Svcs MD 501(C)(3) 11a I NA
 
Yes
 
(20)Harbor Hospital Foundation Inc
3001 South Hanover Street

Baltimore,MD21225
52-1284532
Foundation MD 501(C)(3) 11A I NA
 
Yes
 
(21)Medstar Health Infusion Inc
4061 Powdermill Road Suite 210

Calverton,MD20705
52-1980510
Medical Svcs MD 501(C)(3) 9 NA
 
Yes
 
(22)Medstar Health Visiting Nurses Associati
4061 Powdermill Road

Calverton,MD20705
53-0196597
Medical Svcs MD 501(C)(3) 9 NA
 
Yes
 
(23)Medstar VNA Healthcare
4061 Powdermill Road Suite 210

Calverton,MD20705
52-1458516
Medical Svcs MD 501(C)(3) 9 NA
 
Yes
 
(24)MGH Community Health Inc
18101 Prince Philip Drive

Olney,MD20832
52-1372467
Medical Svcs MD 501(C)(3) 9 NA
 
Yes
 
(25)MGH Health Foundation Inc
18101 Prince Philip Drive

Olney,MD20832
52-1129959
Foundation MD 501(C)(3) 7 NA
 
Yes
 
(26)MGH Health Services Inc
18101 Prince Philip Drive

Olney,MD20832
52-1366812
Foundation MD 501(C)(3) 11B II NA
 
Yes
 
(27)MGH Women's Board
18101 Prince Philip Drive

Olney,MD20832
52-6039600
Foundation MD 501(C)(3) 11C III NA
 
Yes
 
(28)National Rehabilitation Hospital
102 Irving Street NW

Washington,DC20010
52-1369749
Hospital DC 501(C)(3) 3 NA
 
Yes
 
(29)NRH REGIONAL REHAB at Olney Inc
18101 Prince Philip Drive

Olney,MD20832
52-2310902
Medical Svcs MD 501(C)(3) 3 NA
 
Yes
 
(30)Suburban NRH Medical Rehabilitation I
102 Irving Street NW

Washington,DC20010
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,MD21239
52-1104382
Foundation MD 501(C)(3) 11D III NA
 
Yes
 
(32)VNA Inc
4061 POWDERMILL ROAD SUITE 21

CALVERTON,MD20705
52-1332411
ADMIN SVCS MD 501(C)(3) 11A I na
 
Yes
 
(33)WHC Foundation Inc
110 Irving Street NW

Washington,DC20010
52-1791670
FOUNDATION MD 501(C)(3) 7 NA
 
Yes
 
(34)Woodbourne Woods Inc
5601 Loch Raven Blvd

Baltimore,MD21239
52-2299070
ELDER HOUSING DC 501(C)(3) 9 NA
 
Yes
 
(35)Hospice of St Mary's Inc
PB Box 527

Leonardtown,MD20650
52-2153926
SUPPORT ORG MD 501(C)(3) 11A I NA
 
Yes
 
(36)St Mary's Hospital of St Mary's County
25500 POINT LOOKOUT ROAD

LEONARDTOWN,MD20650
52-0619006
HOSPITAL MD 501(C)(3) 3 NA
 
Yes
 
(37)St Mary's Hospital Foundation Inc
PO Box 527

Leonardtown,MD20650
52-1051368
Support Org MD 501(C)(3) 11A I NA
 
Yes
 
(38)MEDSTAR SOUTHERN MD HOSPITAL CENTER
7503 SURRATTS ROAD

CLINTON,MD20735
46-0726303
HOSPITAL MD 501(C)(3) 3 NA
 
Yes
 
(39)MEDSTAR HEALTH INC & AFFILIATES MASTER
10980 GRANTCHESTER WAY

COLUMBIA,MD21044
46-7454613
RETIREMENT TR MD 501(a) N/A NA
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Page 2
Schedule R (Form 990) 2015
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) Physician Imaging of Washington Hospital

6525 Belcrest Road Suite G 50
Hyattsville,MD20782
56-2616090
LAB SERVICES MD NA
 
RELATED       No     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

10980 GRANTCHESTER WAY
Columbia,MD21044
52-1513056
Drug Sales MD NA
 
C Corp          
(2) ExtenCare Inc

10980 GRANTCHESTER WAY
Columbia,MD21044
52-1556228
MEDICAL SERVICES MD NA
 
C Corp          
(3) Helix Resources Management Inc

10980 GRANTCHESTER WAY
Columbia,MD21044
52-1913070
Admin ServiceS MD NA
 
C Corp          
(4) HelixCare Medical Group LLC

10980 GRANTCHESTER WAY
Columbia,MD21044
52-1955580
MEDICAL SERVICES MD NA
 
C Corp          
(5) HelixCare Properties LLC

10980 GRANTCHESTER WAY
Columbia,MD21044
52-1966695
MEDICAL SERVICES MD NA
 
C Corp          
(6) Parkway Ventures Inc

10980 GRANTCHESTER WAY
Columbia,MD21044
52-1893569
Holding CompaNY MD NA
 
C Corp          
(7) Physicians Administrative Services Inc

10980 GRANTCHESTER WAY
Columbia,MD21044
23-7042074
Billing ServiCES MD NA
 
C Corp          
(8) MedStar Family Choice Inc

10980 GRANTCHESTER WAY
Columbia,MD21044
52-1995521
Managed Care MD NA
 
C Corp          
(9) Medstar Enterprises Inc

4061 Powdermill Road Suite 210
Calverton,MD20705
52-2139841
Admin ServiceS MD NA
 
C Corp          
(10) SITEL INC

10980 GRANTCHESTER WAY
COLUMBIA,MD21044
90-0753340
EDUCATIONAL Svcs MD NA
 
C Corp          
(11) Star Billing Inc

4061 Powdermill Road Suite 210
Calverton,MD20705
52-1850113
Billing ServiCES MD NA
 
C Corp          
(12) Washington Risk Network Management Inc

4061 Powdermill Road Suite 210
Calverton,MD20705
52-2132677
MEDICAL SERVICES MD NA
 
C Corp          
(13) Washington Hospital Center Physician Hos

100 Irving Street NW
Washington,DC20010
52-1931000
MEDICAL SERVICES MD NA
 
C Corp          
(14) Medstar Physician Partners Inc

4061 Powdermill Road Suite 210
Calverton,MD20705
52-2030809
MEDICAL SERVICES MD NA
 
C Corp          
(15) Franklin Square Drive Land Condo Associa

10980 GRANTCHESTER WAY
Columbia,MD21044
76-0756352
Condo Owner ASSOC MD NA
 
C Corp          
(16) MGH Diversified Services Inc

18101 Prince Philip Drive
Olney,MD20832
52-1943602
MEDICAL SERVICES MD NA
 
C Corp          
(17) St Mary's Health Alliance Inc

25500 Point Lookout Road
Leonardtown,MD20650
52-1930331
MEDICAL SERVICES MD NA
 
C Corp          
(18) Greenspring Financial Insurance Limited

23 LIME TREE BAY AVENUE PO BOX 1051
KY1-1102,GRAND CAYMAN  
CJ
98-0188617
Insurance CJ NA
 
C Corp          
(19) ST MARY'S CONDO ASSOCIATION

25500 POINT LOOKOUT RD
LEONARDTOWN,MD20650
27-3377216
CONDOMINIUMS MD NA
 
C CORP          
(20) MEDSTAR HEALTH MASTER RETIREMENT TRUST I

102 SOUTH CHURCH ST
GRAND CAYMAN   KY1-1002
CJ
99-9999999
INVESTMENTS CJ NA
 
C CORP          
(21) MEDSTAR HEALTH INC - INVESTMENT FUND I

102 SOUTH CHURCH ST
GRAND CAYMAN   KY1-1002
CJ
98-1310273
INVESTMENTS CJ NA
 
C CORP          
Schedule R (Form 990) 2015
Page 3
Schedule R (Form 990) 2015
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
Yes
 
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) Church Home&Hosp of the city of baltimoreInc

P 451,335 FMV
(2) MedStar Health Inc

P 2,296,445 FMV
(3) MedStar Health Research Institute

P 479,185 FMV
(4) Washington Hospital Center Corporation

P 978,001 FMV


Schedule R (Form 990) 2015
Page 4
Schedule R (Form 990) 2015
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) 2015
Page 5
Schedule R (Form 990) 2015
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) 2015

Additional Data


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