efile Public Visual Render
ObjectId: 202241339349310084 - Submission: 2022-05-13
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.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
20
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
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
23-7374724
MEDICAL FUND
MD
501(C)(3)
PF
N/A
Yes
(2)
FRANKLIN SQUARE HOSPITAL CENTER INC
9000 FRANKLIN SQUARE DRIVE
BALTIMORE
,
MD
21237
52-0608007
HOSPITAL
MD
501(C)(3)
LINE 3
N/A
Yes
(3)
HARBOR HOSPITAL INC
3001 SOUTH HANOVER STREET
BALTIMORE
,
MD
21225
52-0491660
HOSPITAL
MD
501(C)(3)
LINE 3
N/A
Yes
(4)
MEDSTAR HEALTH INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-2087445
MEDICAL SVCS
MD
501(C)(3)
LINE 12C, III-FI
N/A
No
(5)
MONTGOMERY GENERAL HOSPITAL
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-0646893
HOSPITAL
MD
501(C)(3)
LINE 3
N/A
Yes
(6)
THE GOOD SAMARITAN HOSPITAL OF MARYLAND
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-0591607
HOSPITAL
MD
501(C)(3)
LINE 3
N/A
Yes
(7)
THE UNION MEMORIAL HOSPITAL
201 EAST UNIVERSITY PARKWAY
BALTIMORE
,
MD
21218
52-0591685
HOSPITAL
MD
501(C)(3)
LINE 3
N/A
Yes
(8)
MEDSTAR HEALTH RESEARCH INSTITUTE
108 IRVING STREET NW
WASHINGTON
,
DC
20010
52-6056274
HOSPITAL
DC
501(C)(3)
LINE 4
N/A
Yes
(9)
THE MEDSTAR-GEORGETOWN MEDICAL CENTER I
HOPSITAL ADMIN 1 MAIN BLDG
WASHINGTON
,
DC
20007
52-2218584
HOSPITAL
DC
501(C)(3)
LINE 3
N/A
Yes
(10)
WASHINGTON HOSPITAL CENTER CORPORATION
110 IRVING STREET NW
WASHINGTON
,
DC
20010
52-1272129
HOSPITAL
DC
501(C)(3)
LINE 3
N/A
Yes
(11)
HH MEDSTAR HEALTH INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1542230
MEDICAL SVCS
MD
501(C)(3)
LINE 12C, III-FI
N/A
Yes
(12)
MEDSTAR AMBULATORY SERVICES INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1132992
ADMIN SVCS
MD
501(C)(3)
LINE 12C, III-FI
N/A
Yes
(13)
BAY LIFE SERVICES INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1496539
MENTAL HEALTH
MD
501(C)(3)
LINE 10
N/A
Yes
(14)
MEDSTAR SURGERY CENTER INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1061679
MEDICAL SVCS
MD
501(C)(3)
LINE 10
N/A
Yes
(15)
CHURCH HOME AND HOSPITAL OF THE CITY OF
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-0591600
MEDICAL FUND
MD
501(C)(3)
LINE 12A, I
N/A
Yes
(16)
GOOD SAMARITAN NURSING CENTER INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1672866
MEDICAL SVCS
MD
501(C)(3)
LINE 10
N/A
Yes
(17)
GS HOUSING INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1481656
ELDER HOUSING
MD
501(C)(3)
LINE 10
N/A
Yes
(18)
GS PROPERTIES INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1429853
ADMIN SVCS
MD
501(C)(3)
LINE 12A, I
N/A
Yes
(19)
MEDSTAR HEALTH INFUSION INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1980510
MEDICAL SVCS
MD
501(C)(3)
LINE 10
N/A
Yes
(20)
MEDSTAR HEALTH VISITING NURSES ASSOCIATI
4061 POWDERMILL ROAD
CALVERTON
,
MD
20705
53-0196597
MEDICAL SVCS
MD
501(C)(3)
LINE 10
N/A
Yes
(21)
MEDSTAR VNA HEALTHCARE
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1458516
MEDICAL SVCS
MD
501(C)(3)
LINE 10
N/A
Yes
(22)
MGH COMMUNITY HEALTH INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-1372467
MEDICAL SVCS
MD
501(C)(3)
LINE 10
N/A
Yes
(23)
MGH HEALTH SERVICES INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-1366812
FOUNDATION
MD
501(C)(3)
LINE 12B, II
N/A
Yes
(24)
MGH WOMEN'S BOARD
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-6039600
FOUNDATION
MD
501(C)(3)
LINE 12C, III-FI
N/A
Yes
(25)
REGIONAL REHAB AT OLNEY INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-2310902
MEDICAL SVCS
MD
501(C)(3)
LINE 3
N/A
Yes
(26)
SUBURBAN NRH MEDICAL REHABILITATION I
102 IRVING STREET NW
WASHINGTON
,
DC
20010
52-1931151
MEDICAL SVCS
DC
501(C)(3)
LINE 3
N/A
Yes
(27)
THE THOMAS O'NEIL CATHOLIC HEALTH CARE F
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-1104382
FOUNDATION
MD
501(C)(3)
LINE 12D, III-O
N/A
Yes
(28)
VNA INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1332411
ADMIN SVCS
MD
501(C)(3)
LINE 12A, I
N/A
Yes
(29)
WOODBOURNE WOODS INC
5601 LOCH RAVEN BLVD
BALTIMORE
,
MD
21239
52-2299070
ELDER HOUSING
MD
501(C)(3)
LINE 10
N/A
Yes
(30)
HOSPICE OF ST MARY'S INC
PO BOX 527
LEONARDTOWN
,
MD
20650
52-2153926
SUPPORT ORG
MD
501(C)(3)
LINE 12A, I
N/A
Yes
(31)
ST MARY'S HOSPITAL OF ST MARY'S COUNTY
25500 POINT LOOKOUT ROAD
LEONARDTOWN
,
MD
20650
52-0619006
HOSPITAL
MD
501(C)(3)
LINE 3
N/A
Yes
(32)
MEDSTAR SOUTHERN MD HOSPITAL CENTER INC
7503 SURRATTS ROAD
CLINTON
,
MD
20735
46-0726303
HOSPITAL
MD
501(C)(3)
LINE 3
N/A
Yes
(33)
MEDSTAR HEALTH INC AND AFFILIATES MASTER
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
46-7454613
RET. TRUST
MD
501(A)
N/A
N/A
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Page 2
Schedule R (Form 990) 2020
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)
MEDSTAR SHAH MSO LLC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
46-2700536
MGMT SVCS
MD
N/A
N/A
No
No
(2)
22590 SHADY COURT LLC
24035 THREE NOTCH ROAD
HOLLYWOOD
,
MD
20636
47-3361777
REAL ESTATE
MD
N/A
N/A
No
No
(3)
24035 THREE NOTCH ROAD LLC
24035 THREE NOTCH ROAD
HOLLYWOOD
,
MD
20636
47-3375076
REAL ESTATE
MD
N/A
N/A
No
No
(4)
37767 MARKET DRIVE LLC
37767 MARKET DRIVE
CHARLOTTE HALL
,
MD
20622
REAL ESTATE
MD
N/A
N/A
No
No
(5)
26840 POINT LOOKOUT ROAD LLC
24035 THREE NOTCH ROAD
HOLLYWOOD
,
MD
20636
47-3393670
REAL ESTATE
MD
N/A
N/A
No
No
(6)
MONTGOMERY COMMUNITY MRI LP
4110 ASPEN HILL RD
ROCKVILLE
,
MD
20853
52-1534253
MRI SCREENING
MD
N/A
N/A
No
No
(7)
PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC
4714 GETTYSBURG ROAD
MECHANICSBURG
,
PA
17055
52-2212036
PHYSIOTHERAPY
PA
N/A
N/A
No
No
(8)
PHYSICIAN IMAGING OF WASHINGTON
840 CRESCENT CENTRE DR
FRANKLIN
,
TN
37067
56-2616090
RADIOLOGY SVC
TN
N/A
N/A
No
No
(9)
FRANKLIN IMAGING LLC
7253 AMBASSADOR RD
BALTIMORE
,
MD
21244
52-1588688
IMAGING
MD
N/A
N/A
No
No
(10)
MEDSTAR HEALTHSURGCENTER DEVELOPMENT JV
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
82-1073412
SURGERY
MD
N/A
N/A
No
No
(11)
10 ST PATRICK'S DRIVE LLC
10 ST PATRICKS DRIVE
WALDORF
,
MD
20603
83-2261766
REAL ESTATE
MD
N/A
N/A
No
No
(12)
MEDSTAR ENDOSCOPY CTR AT LUTHERVILLE L
1300 BELLONA AVE
LUTHERVILLE
,
MD
21093
82-3193901
SURGERY
MD
N/A
N/A
No
No
(13)
CAPITAL ENDOSCOPY LLC
6475 NEW HAMPSHIRE AVE
HYATTSVILLE
,
MD
20783
13-4244093
SURGERY
MD
N/A
N/A
No
No
(14)
GREATER CHESAPEAKE SURGERY CENTER LLC
1212 YORK ROAD
LUTHERVILLE
,
MD
21093
84-1479788
SURGERY
MD
N/A
N/A
No
No
(15)
NRH CPT REGIONAL REHAB LLC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-2107062
REHAB SERVICES
MD
N/A
N/A
No
No
(16)
4240 ALTAMONT PLACE LLC
103 CENTENNIAL STREET SUITE K
LA PLATA
,
MD
20646
86-1202310
REAL ESTATE
MD
N/A
N/A
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
,
MD
21044
52-1513056
DRUG SALES
MD
N/A
C
No
(2)
EXTENCARE INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1556228
MEDICAL SCVS
MD
N/A
C
No
(3)
HELIX RESOURCES MANAGEMENT INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1913070
ADMIN SCVS
MD
N/A
C
No
(4)
HELIXCARE MEDICAL GROUP LLC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1955580
MEDICAL SCVS
MD
N/A
C
No
(5)
HELIXCARE PROPERTIES LLC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1966695
MEDICAL SCVS
MD
N/A
C
No
(6)
PARKWAY VENTURES INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1893569
HOLDING CO.
MD
N/A
C
No
(7)
PHYSICIANS ADMINISTRATIVE SERVICES INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
23-7042074
BILLING SCVS
MD
N/A
C
No
(8)
MEDSTAR FAMILY CHOICE INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
52-1995521
MANAGED CARE
MD
N/A
C
No
(9)
MEDSTAR ENTERPRISES INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-2139841
ADMIN SCVS
MD
N/A
C
No
(10)
STAR BILLING INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-1850113
BILLING SCVS
MD
N/A
C
No
(11)
WASHINGTON RISK NETWORK MANAGEMENT INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-2132677
MEDICAL SCVS
MD
N/A
C
No
(12)
WASHINGTON HOSPITAL CENTER PHYSICIAN HOS
100 IRVING STREET NW
WASHINGTON
,
DC
20010
52-1931000
MEDICAL SCVS
MD
N/A
C
No
(13)
MEDSTAR PHYSICIAN PARTNERS INC
4061 POWDERMILL ROAD SUITE 210
CALVERTON
,
MD
20705
52-2030809
MEDICAL SCVS
MD
N/A
C
No
(14)
FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
76-0756352
CONDOMINIUMS
MD
N/A
C
No
(15)
MGH DIVERSIFIED SERVICES INC
18101 PRINCE PHILIP DRIVE
OLNEY
,
MD
20832
52-1943602
MEDICAL SCVS
MD
N/A
C
No
(16)
ST MARY'S HEALTH ALLIANCE INC
25500 POINT LOOKOUT ROAD
LEONARDTOWN
,
MD
20650
52-1930331
MEDICAL SCVS
MD
N/A
C
No
(17)
ST MARY'S CONDO ASSOCIATION
25500 POINT LOOKOUT RD
LEONARDTOWN
,
MD
20650
27-3377216
CONDOMINIUMS
MD
N/A
C
No
(18)
SITEL INC
10980 GRANTCHESTER WAY
COLUMBIA
,
MD
21044
90-0753340
EDUCATIONAL
MD
N/A
C
No
(19)
GREENSPRING FINANCIAL INSURANCE LIMITED
878 WEST BAY RD PO BOX 1159
GRAND CAYMAN
KY1-1102
CJ
98-0188617
INSURANCE
CJ
N/A
C
No
(20)
MEDSTAR HEALTH MASTER RETIREMENT TRUST
103 SOUTH CHURCH ST
GRAND CAYMAN
KY1-1002
CJ
98-1371657
INVESTMENTS
CJ
N/A
C
No
(21)
MEDSTAR HEALTH INC - INVESTMENT FUND I
103 SOUTH CHURCH ST
GRAND CAYMAN
KY1-1002
CJ
98-1310273
INVESTMENTS
CJ
N/A
C
No
Schedule R (Form 990) 2020
Page 3
Schedule R (Form 990) 2020
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)
HH MEDSTAR HEALTH
P
43,882,170
FMV
(2)
FRANKLIN SQUARE HOSPITAL CENTER INC
P
1,179,169
FMV
(3)
THE UNION MEMORIAL HOSPITAL
Q
757,904
FMV
(4)
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC
Q
3,144,710
FMV
(5)
HARBOR HOSPITAL INC
Q
141,711
FMV
(6)
WASHINGTON HOSPITAL CENTER CORPORATION
Q
10,533,172
FMV
(7)
THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC
P
1,365,755
FMV
(8)
MONTGOMERY GENERAL HOSPITAL
Q
6,542,897
FMV
(9)
MEDSTAR AMBULATORY SERVICES INC
P
2,274,236
FMV
(10)
MEDSTAR HEALTH RESEARCH INSTITUTE
Q
277,606
FMV
(11)
BAY LIFE SERVICES
P
232,012
FMV
Schedule R (Form 990) 2020
Page 4
Schedule R (Form 990) 2020
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) 2020
Page 5
Schedule R (Form 990) 2020
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) 2020
Additional Data
Software ID:
Software Version: