Form 990 for tax year 2022
Filed by THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC.
Totals
- Total revenue
- $288,020,735
- Total expenses
- $286,692,766
- Contributions and grants received
- $12,604,961
- Grants paid
- $110,126
- Program services expenses (Part IX)
- $237,109,734
- Management and general expenses
- $49,583,032
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $237,109,734
Program services were 82.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
BRADLEY CHAMBERS
PRESIDENT/DIRECTOR
- Total calculated
- $1,687,036
- From this org
- $815,018
- From related orgs
- $815,018
- Other
- $57,000
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $427,823 + $427,823 related
- Bonus
- $387,195 + $387,195 related
- Other
- $0
- Deferred
- $11,922 + $11,922 related
- Nontaxable benefits
- $16,578 + $16,578 related
- Filer's total
- $843,518 + $843,518 related
-
ELIAS K SHAYA MD
DIRECTOR
- Total calculated
- $475,219
- From this org
- $232,242
- From related orgs
- $232,242
- Other
- $10,735
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $220,992 + $220,992 related
- Bonus
- $11,250 + $11,250 related
- Other
- $0
- Deferred
- $9,405
- Nontaxable benefits
- $1,330
- Filer's total
- $242,977 + $232,242 related
-
SHAMS T QUAZI MD
DIRECTOR
- Total calculated
- $564,805
- From this org
- $267,589
- From related orgs
- $267,589
- Other
- $29,627
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $212,776 + $212,776 related
- Bonus
- $54,813 + $54,813 related
- Other
- $0
- Deferred
- $8,700
- Nontaxable benefits
- $20,927
- Filer's total
- $297,216 + $267,589 related
-
DANIEL P CAHILL
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
BISHOP DENIS J MADDEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
PAUL CONNELLY
DIRECTOR (AS OF 9/2022)
- Total calculated
- $0
- Hours/week
- 1
-
KATHLEEN DYER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SAMER S NAJJAR MD
DIRECTOR (AS OF 3/2023)
- Total calculated
- $723,916
- From this org
- $0
- From related orgs
- $694,323
- Other
- $29,593
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- $0 + $694,323 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $8,700 related
- Nontaxable benefits
- $0 + $20,893 related
- Filer's total
- $0 + $723,916 related
-
ANTHONY READ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
LEO E GALLAGHER JR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
VERONICA COOL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
KIM D SYDNOR PHD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
HOLLY TILFORD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MAHSA MOHEBTASH MD
DIRECTOR (AS OF 4/2023)
- Total calculated
- $710,129
- From this org
- $700,091
- From related orgs
- $0
- Other
- $10,038
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $463,781
- Bonus
- $236,310
- Other
- $0
- Deferred
- $8,700
- Nontaxable benefits
- $1,338
- Filer's total
- $710,129
-
DAWN M MOTOVIDLAK
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
MESFIN A LEMMA MD
DIRECTOR (UNTIL 3/2023)
- Total calculated
- $916,774
- From this org
- $0
- From related orgs
- $905,971
- Other
- $10,803
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $715,168 related
- Bonus
- $0 + $190,803 related
- Other
- $0
- Deferred
- $0 + $8,700 related
- Nontaxable benefits
- $0 + $2,103 related
- Filer's total
- $0 + $916,774 related
-
REBECCA E PEARCE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JEFFREY R ELKIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
PAUL SACK MD
DIRECTOR (AS OF 7/2022)
- Total calculated
- $353,829
- From this org
- $0
- From related orgs
- $320,518
- Other
- $33,311
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $296,854 related
- Bonus
- $0 + $23,664 related
- Other
- $0
- Deferred
- $0 + $8,700 related
- Nontaxable benefits
- $0 + $24,611 related
- Filer's total
- $0 + $353,829 related
-
JUDITH A FEUSTLE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
ZEENA DORAI MD
DIRECTOR
- Total calculated
- $1,389,254
- From this org
- $0
- From related orgs
- $1,370,476
- Other
- $18,778
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $1,206,461 related
- Bonus
- $0 + $89,015 related
- Other
- $0 + $75,000 related
- Deferred
- $0 + $8,700 related
- Nontaxable benefits
- $0 + $10,078 related
- Filer's total
- $0 + $1,389,254 related
-
DAVID ZACHARY MARTIN MD
DIRECTOR
- Total calculated
- $1,580,906
- From this org
- $1,550,974
- From related orgs
- $0
- Other
- $29,932
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $1,403,911
- Bonus
- $147,063
- Other
- $0
- Deferred
- $8,700
- Nontaxable benefits
- $21,232
- Filer's total
- $1,580,906
-
KENNETH A SAMET
DIRECTOR
- Total calculated
- $5,459,567
- From this org
- $0
- From related orgs
- $5,361,626
- Other
- $97,941
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $2,106,059 related
- Bonus
- $0 + $3,176,567 related
- Other
- $0 + $79,000 related
- Deferred
- $0 + $62,059 related
- Nontaxable benefits
- $0 + $35,882 related
- Filer's total
- $0 + $5,459,567 related
-
MICHAEL RANDOLPH MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DAVID NORRIS WILLIS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DEANA STOUT
TREASURER/CFO
- Total calculated
- $586,998
- From this org
- $535,082
- From related orgs
- $0
- Other
- $51,916
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $359,678
- Bonus
- $175,404
- Other
- $0
- Deferred
- $30,423
- Nontaxable benefits
- $21,493
- Filer's total
- $586,998
-
YOLANDA BROOKS
ASSISTANT SECRETARY
- Total calculated
- $91,482
- From this org
- $0
- From related orgs
- $82,606
- Other
- $8,876
- Hours/week
- 1 + 39 related
-
MICHAEL JACOBS MD
PHYSICIAN
- Total calculated
- $867,762
- From this org
- $831,274
- From related orgs
- $0
- Other
- $36,488
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $831,274
- Bonus
- $0
- Other
- $0
- Deferred
- $19,592
- Nontaxable benefits
- $16,896
- Filer's total
- $867,762
-
DIWAKAR PRADHAN MD
PHYSICIAN
- Total calculated
- $376,317
- From this org
- $357,879
- From related orgs
- $0
- Other
- $18,438
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $332,879
- Bonus
- $25,000
- Other
- $0
- Deferred
- $8,700
- Nontaxable benefits
- $9,738
- Filer's total
- $376,317
-
BERNARD RAVITZ MD
PHYSICIAN
- Total calculated
- $298,986
- From this org
- $289,005
- From related orgs
- $0
- Other
- $9,981
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $263,005
- Bonus
- $26,000
- Other
- $0
- Deferred
- $8,699
- Nontaxable benefits
- $1,282
- Filer's total
- $298,986
-
BRIAN CAWLEY
SENIOR VP, OPERATIONS
- Total calculated
- $399,446
- From this org
- $0
- From related orgs
- $369,601
- Other
- $29,845
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $298,861 related
- Bonus
- $0 + $70,740 related
- Other
- $0
- Deferred
- $0 + $8,700 related
- Nontaxable benefits
- $0 + $21,145 related
- Filer's total
- $0 + $399,446 related
-
LEILA IGNACIO-MACALE
CLINICAL DOCUMENTATION SPECIALIST
- Total calculated
- $293,158
- From this org
- $279,005
- From related orgs
- $0
- Other
- $14,153
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $278,772
- Bonus
- $233
- Other
- $0
- Deferred
- $13,076
- Nontaxable benefits
- $1,077
- Filer's total
- $293,158
-
GEORGE HENNAWI MD
FORMER DIRECTOR
- Total calculated
- $417,902
- From this org
- $384,577
- From related orgs
- $0
- Other
- $33,325
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $349,844
- Bonus
- $34,733
- Other
- $0
- Deferred
- $8,700
- Nontaxable benefits
- $24,625
- Filer's total
- $417,902
-
ESKANDAR YAZAJI MD
FORMER DIR., AND VP, MED. AFFAIRS
- Total calculated
- $417,628
- From this org
- $193,945
- From related orgs
- $193,945
- Other
- $29,738
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $186,179 + $186,179 related
- Bonus
- $7,766 + $7,766 related
- Other
- $0
- Deferred
- $8,700
- Nontaxable benefits
- $21,038
- Filer's total
- $223,683 + $193,945 related
-
STUART BELL MD
FORMER VP, MEDICAL AFFAIRS
- Total calculated
- $360,381
- From this org
- $0
- From related orgs
- $324,036
- Other
- $36,345
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $29,688 related
- Bonus
- $0 + $272,809 related
- Other
- $0 + $21,539 related
- Deferred
- $0 + $17,184 related
- Nontaxable benefits
- $0 + $19,161 related
- Filer's total
- $0 + $360,381 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Health or social club dues or initiation fees
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Form 990 of other organizations
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 1A
- HEALTH OR SOCIAL CLUB DUES: THE ORGANIZATION PAID BUSINESS CLUB DUES FOR TWO ASSOCIATES IN SENIOR MANAGEMENT THIS YEAR. PARTICIPATION IN THESE ACTIVITIES WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSE.
- SCHEDULE J, PART III
- DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A CASH LUMP-SUM PAYMENT OF $79,000, WHICH REPRESENTS THE ANNUAL PREMIUM FOR A SPLIT DOLLAR LIFE INSURANCE POLICY. DR. DORAI'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $75,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. BRADLEY CHAMBERS' COMPENSATION IS FOR SERVICES PROVIDED AS PRESIDENT TO BOTH MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL. DEANA STOUT'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO AT MEDSTAR HARBOR HOSPITAL, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL STUART BELL'S COMPENSATION IS FOR SERVICES PROVIDED AS VP MEDICAL AFFAIRS RESPECTIVELY, AT BOTH MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$45,626
SUPPORTIVE HOUSING INVESTMENT
-
$40,000
SPONSORSHIP: HEART WALK 2022
-
$22,000
CORPORATE INTERNSHIP PROGRAM
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
FRANKLIN SQUARE HOSPITAL CENTER INC
501(C)(3) · HOSPITAL · MD · controlled entity
-
501(C)(3) · HOSPITAL · MD · controlled entity
-
501(C)(3) · MEDICAL SVCS · MD
-
501(C)(3) · HOSPITAL · MD · controlled entity
-
501(C)(3) · HOSPITAL · MD · controlled entity
-
MEDSTAR HEALTH RESEARCH INSTITUTE
501(C)(3) · HOSPITAL · DC · controlled entity
-
THE MEDSTAR-GEORGETOWN MEDICAL CENTER I
501(C)(3) · HOSPITAL · DC · controlled entity
-
WASHINGTON HOSPITAL CENTER CORPORATION
501(C)(3) · HOSPITAL · DC · controlled entity
-
501(C)(3) · MEDICAL SVCS · MD · controlled entity
-
MEDSTAR AMBULATORY SERVICES INC
501(C)(3) · ADMIN SVCS · MD · controlled entity
-
501(C)(3) · MENTAL HEALTH · MD · controlled entity
-
CHURCH HOME AND HOSPITAL OF THE CITY OF
501(C)(3) · MEDICAL FUND · MD · controlled entity
-
GOOD SAMARITAN NURSING CENTER INC
501(C)(3) · MEDICAL SVCS · MD · controlled entity
-
501(C)(3) · ELDER HOUSING · MD · controlled entity
-
501(C)(3) · ADMIN SVCS · MD · controlled entity
-
MEDSTAR HEALTH VISITING NURSES ASSOCIATI
501(C)(3) · MEDICAL SVCS · MD · controlled entity
-
501(C)(3) · MEDICAL SVCS · MD · controlled entity
-
501(C)(3) · FOUNDATION · MD · controlled entity
-
NATIONAL REHABILITATION HOSPITAL
501(C)(3) · HOSPITAL · DC · controlled entity
-
NRH REGIONAL REHAB AT OLNEY INC
501(C)(3) · MEDICAL SVCS · MD · controlled entity
-
SUBURBAN NRH MEDICAL REHABILITATION I
501(C)(3) · MEDICAL SVCS · DC · controlled entity
-
THE THOMAS O'NEIL CATHOLIC HEALTH CARE F
501(C)(3) · FOUNDATION · MD · controlled entity
-
501(C)(3) · ADMIN SVCS · MD · controlled entity
-
501(C)(3) · ELDER HOUSING · MD · controlled entity
-
501(C)(3) · SUPPORT ORG · MD · controlled entity
-
ST MARY'S HOSPITAL OF ST MARY'S COUNTY
501(C)(3) · HOSPITAL · MD · controlled entity
-
MEDSTAR SOUTHERN MD HOSPITAL CENTER
501(C)(3) · HOSPITAL · MD · controlled entity
-
MEDSTAR HEALTH INC & AFFILIATES MASTER
501(C)(3) · RETIREMENT TR · MD · controlled entity
-
501(C)(3) · MEDICAL FUND · MD · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441289349300809
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