2026-05-11T07:04:47-05:00 2025-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2024-07-01 520491660 HARBOR HOSPITAL INC HARB 4107726721 3001 SOUTH HANOVER STREET BALTIMORE MD 212251233 ROSS DARROW VP, TREASURER & CIO 4107726721 2026-05-08 1 1 ISAAC IRBY P02444754 7032868000 2024 2025-03-06 01:10:19Z MEDSTAR HARBOR HOSPITAL JILL DONALDSON 3001 SOUTH HANOVER STREET BALTIMORE MD 212251233 220411136 0 X WWW.MEDSTARHARBOR.ORG X 1903 MD HARBOR HOSPITAL IS COMMITTED TO QUALITY, CARING, AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES. 14 8 1431 46 1326660 0 8145411 10831072 194804318 201954137 28097 92664 6873353 7533263 209851179 220411136 52175 34000 0 0 107812219 111093831 0 0 0 105899908 111534201 213764302 222662032 -3913123 -2250896 95165095 101446178 41111268 37630473 54053827 63815705 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR HARBOR HOSPITAL'S (MEDSTAR HARBOR) MISSION IS TO BE COMMITTED TO ALWAYS PROVIDING A QUALITY, CARING EXPERIENCE FOR OUR PATIENTS, OUR COMMUNITIES, AND THOSE WHO SERVE THEM. MEDSTAR HARBOR IS LOCATED JUST SOUTH OF BALTIMORE'S INNER HARBOR, IN BALTIMORE CITY. IT IS AN ACUTE CARE HOSPITAL OFFERING CLINICAL SERVICES IN BEHAVIORAL HEALTH, INTERNAL MEDICINE, SURGERY, CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, AND ORTHOPAEDICS.IN FISCAL YEAR 2025, MEDSTAR HARBOR HAD 7,706 INPATIENT ADMISSIONS AND 65,474 OUTPATIENT VISITS INCLUDING 40,711 EMERGENCY VISITS. 0 0 148178707 34000 188211679 SEE SCHEDULE OMEDSTAR HARBOR'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES, PRIMARILY TO THE COMMUNITIES OF SOUTHERN BALTIMORE CITY, SOUTHWESTERN BALTIMORE COUNTY AND NORTHERN ANNE ARUNDEL COUNTY, MARYLAND. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR HARBOR INCURRED $38.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. THE RELATIONSHIP WITH THE NATIONAL INSTITUTE ON AGING (ONE OF THE NATIONAL INSTITUTES OF HEALTH) MAKES MEDSTAR HARBOR THE HOME OF THE BALTIMORE LONGITUDINAL STUDY ON AGING, THE NATION'S LONGEST RUNNING STUDY OF AGING AND CONDITIONS AFFECTING THE ELDERLY.MEDSTAR HARBOR HOSPITAL IS MAGNET DESIGNATED BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) MAGNET RECOGNITION PROGRAM COMMISSION. THIS ACHIEVEMENT IS THE HIGHEST LEVEL OF RECOGNITION AN ORGANIZATION CAN OBTAIN FOR EXCELLENCE IN NURSING AND SIGNIFIES THAT OUR PATIENT CARE IS AMONG THE BEST IN THE COUNTRY. MEDSTAR HEALTH HAS SEVERAL MOBILE HEALTH UNITS SERVING THE BALTIMORE COMMUNITY. A PARTNERSHIP BETWEEN THE FOUR MEDSTAR HEALTH BALTIMORE REGION HOSPITALS, THESE MOBILE HEALTH CENTER VEHICLES PROVIDE CARE TO THE UNDERSERVED COMMUNITIES OF BALTIMORE. MEDSTAR HARBOR HOSPITAL EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL. MEDSTAR HARBOR HOSPITAL RECEIVED THE NURSES IMPROVING CARE FOR HEALTH-SYSTEM ELDERS (NICHE) SENIOR FRIENDLY AWARD, THE LEADING NURSE DRIVEN PROGRAM DESIGNED TO HELP HOSPITALS AND HEALTHCARE ORGANIZATIONS IMPROVE THE CARE OF OLDER ADULTS. MEDSTAR HARBOR HOSPITAL ACHIEVED GOLD PLUS RECOGNITION IN THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE PROGRAM, ALONG WITH THE TARGET STROKE HONOR ROLL ELITE PLUS AND TYPE 2 DIABETES HONOR ROLL. BALTIMORE MAGAZINE RECENTLY RECOGNIZED 83 MEDSTAR HEALTH PHYSICIANS AS "TOP DOCTORS, AND SIX MEDSTAR HARBOR HOSPITAL NURSES FOR EXCELLENCE IN NURSING. MEDSTAR HARBOR HOSPITAL HAS ACHIEVED MEMBER STATUS FOR THE MARYLAND GREEN REGISTRY AND RECEIVED THE TREE CAMPUS HEALTHCARE FACILITY AWARD FROM THE ARBOR DAY FOUNDATION. MEDSTAR HARBOR IS ALSO PARTNERING WITH THE SOUTH BALTIMORE GATEWAY PARTNERSHIP (SBGP), IN COLLABORATION WITH BALTIMORE CITY TO ADVANCE THE MULTI-YEAR REIMAGINE MIDDLE BRANCH WETLANDS PROJECT, BRINGING TOGETHER COMMUNITY MEMBERS, PUBLIC AGENCIES, BUSINESSES, AND PARTNERS AROUND A SHARED VISION AND INVESTMENT STRATEGY FOR SOUTH BALTIMORE. 25834923 13742458 MEDSTAR HARBOR PROVIDED $25.8M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2025. 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 INCLUDE WOMEN'S AND CHILDREN'S CARE AND BEHAVIORAL HEALTH. 10363416 MEDSTAR HARBOR PROVIDED $10.4M IN CHARITY CARE SERVICES IN FISCAL YEAR 2025. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE 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 MEDSTAR HARBOR'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. 184377046 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1431 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X ROSS DARROW 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 MEREDITH CHAIKEN DIRECTOR 1.00 0.00 X 0 0 0 MOHSEN GHARIB MD DIRECTOR 40.00 0.00 X 534175 0 26624 JAMES H FIELDS DIRECTOR 1.00 0.00 X 0 0 0 SWATA J GANDHI DIRECTOR 1.00 0.00 X 0 0 0 SAVAS KARAS VICE CHAIR 1.00 0.00 X X 0 0 0 DAWN M GRETZ DP DIRECTOR 1.00 0.00 X 0 0 0 SAMANTHA PRICE DIRECTOR 1.00 0.00 X 0 0 0 KERUNNE S KETLOGETSWE MD DIRECTOR 40.00 0.00 X 651878 0 11853 JILL DONALDSON DIRECTOR/PRESIDENT 40.00 0.00 X X 955033 0 46747 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 6456778 105996 VINCENT CONNELLY CHAIR 1.00 0.00 X X 0 0 0 DAVID D HAGER DIRECTOR 39.00 1.00 X 653153 0 35282 DAVID GHADISHA MD DIRECTOR 1.00 39.00 X 536436 0 34757 CARLOS ZIGEL MD DIRECTOR 1.00 0.00 X 0 0 0 DEANA STOUT CFO/TREASURER 10.00 30.00 X 144841 434523 59849 ANNETTE BRONER SECRETARY 1.00 39.00 X 0 318408 35808 KAREN ELLIOTT CNO 40.00 0.00 X 290046 0 22250 CHRIS MUSKELLY PROGRAM DIRECTOR 40.00 0.00 X 212102 0 22210 MATTHEW TROJANOWSKI VP OPERATIONS 40.00 0.00 X 244371 0 3811 NEPHTHALEE EDMOND DIR, PHARMACY 40.00 0.00 X 201233 0 22335 NANCY GONZALES REGISTERED NURSE 40.00 0.00 X 195813 0 9666 KEITH SHINER FORMER OFFICER 0.00 40.00 X 0 321564 34699 STUART LEVINE MD FORMER OFFICER 1.00 39.00 X 0 1737690 46210 4619081 9268963 518097 183 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 1915356 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 1356140 AMN LEADERSHIP SOLUTIONS 12400 HIGH BLUFF DR STE 500 SAN DIEGO CA 921303077 STAFFING SERVICES 661715 CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 ENVIRONMENTAL SERVICES 593711 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 591138 26 4546645 6284427 10831072 NET PATIENT SERVICE RE 621400 196515158 196515158 PHARMACY 621400 5438979 5438979 201954137 36367 36367 3297668 0 3297668 3297668 3297668 4407 51890 0 0 4407 51890 56297 56297 OPERATING EXPENSE RECO 900099 2120233 2120233 OUTSIDE LAB REVENUE 621500 1326660 1326660 REBATE INCOME 900099 312564 312564 476138 476138 4235595 220411136 201954137 1326660 6299267 X 30000 30000 4000 4000 3645741 3273553 372188 87349772 78436897 8912875 1099439 987256 112183 12539554 11246167 1293387 6459325 5814319 645006 22275768 42783 22232985 1325 1325 38403061 36871773 1531288 108497 9408 99089 -161767 1139396 -1301163 -137343 38738 -176081 143738 49814 93924 26223 16129 10094 1414116 1298471 115645 10442767 9590064 852703 5093681 4569777 523904 MED/SURG SUPPLIES 14385464 14248943 136521 MAINTENANCE 5620545 6023790 -403245 UTILITIES 5482526 5103150 379376 FOOD SERVICES/SUPPLIES 2074300 2063895 10405 6361300 3518723 2842577 222662032 184377046 38284986 0 7328 2850 647007 1424700 21232089 30160368 2379497 2098667 188301 360905 266775577 202022376 66311327 64753201 267275 316948 338639 0 3793632 2328539 95165095 101446178 10859875 10609820 10442241 9540347 19809152 17480306 41111268 37630473 X 53771496 63484491 282331 331214 54053827 63815705 95165095 101446178 X -2250896 28871 11983903 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16489 16489 0 PART II-B, LINE 1: THE EXPENSES INCURRED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES REFLECTS THE PORTION OF MEMBERSHIP DUES PAID TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) THAT WERE USED FOR LOBBYING PURPOSES. 3415538 3415538 100022502 73226195 26796307 9253219 2090901 7162318 145576615 122735737 22840878 8507703 3969543 4538160 64753201 ADVANCES FROM THIRD PARTIES 7167269 ASBESTOS ABATEMENT LIABILITY 4837347 CREDIT BALANCES PATIENT A/R 1000303 WORKERS COMPENSATION 1540688 OTHER SHORT TERM LIABILITIES 124978 INTERCOMPANY PAYABLES 2809721 17480306 X PART X, LINE 2: INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2025. 1 1 X 1 X 1 X 1 1 1 0 1 1 10363416 10363416 0.04650 10363416 10363416 0.04650 7777039 2705275 5071764 0.02280 3421189 3421189 0.01540 25834923 13742458 12092465 0.05430 195396 195396 0.00090 37228547 16447733 20780814 0.09340 47591963 16447733 31144230 0.13990 380 380 0.00000 34847 34847 0.00020 154147 154147 0.00070 189374 189374 0.00090 1 7050141 X 1 1 1 1 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 WWW.MEDSTARHARBOR.ORG STATE LICENSE NUMBER: 30064 X X X X HARBOR HOSPITAL INC 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X HTTP://WWW.MEDSTARHARBOR.ORG/ X 1 23 1 HTTP://WWW.MEDSTARHARBOR.ORG/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTP://WWW.MEDSTARHARBOR.ORG/ X HTTP://WWW.MEDSTARHARBOR.ORG/ X HTTP://WWW.MEDSTARHARBOR.ORG/ X X X X X X 1 X 0 X X X X 1 X 0 0 HARBOR HOSPITAL, INC. PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: BRONWEN HALL AND TRACY HOLCOMB, RNEXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: JILL DONALDSONADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : JASMIN KIMBLE TITLE/AFFILIATION : PLANNING SUPERVISOR NAME OF ORGANIZATION : BALTIMORE CITY PLANNING DEPT - SOUTHERN DISTRICTNAME : JILL BRADLEY PALMORE TITLE/AFFILIATION : COMMUNITY SCHOOL COORDINATORNAME OF ORGANIZATION : UNITED WAY CENTRAL MARYLANDNAME : MICHAEL MIDDLETONTITLE/AFFILIATION : PRESIDENTNAME OF ORGANIZATION : SB7 COALITIONNAME : OCTAVIA HIKETITLE/AFFILIATION : COMMUNITY SCHOOL COORDINATORNAME OF ORGANIZATION : CHERRY HILL ELEMENTARY/MIDDLE SCHOOLNAME : ZEEVELLE NOTTINGHAMTITLE/AFFILIATION : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : CHERRY HILL STRONGNAME : CRYSTAL BRANCHTITLE/AFFILIATION : TENANT COUNCIL PRESIDENTNAME OF ORGANIZATION : CHERRY HILL TENANT HOMESNAME : BILLY HUMPHREYTITLE/AFFILIATION : EXECUTIVE DIRECTORNAME OF ORGANIZATION : CITY OF REFUGE, BALTIMORENAME : MANDY MEMMELTITLE/AFFILIATION : EXECUTIVE DIRECTORNAME OF ORGANIZATION : DRINK AT THE WELLNAME : MEREDITH CHAIKENTITLE/AFFILIATION : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : GREATER BAYBROOK ALLIANCENAME : ELISE BOWMANTITLE/AFFILIATION : BALTIMORE CITY HEALTH DEPARTMENTNAME OF ORGANIZATION : BALTIMORE CITY HEALTH DEPARTMENTNAME : BRIAN GRAYTITLE/AFFILIATION : DIRECTOR OF CLINICAL OPERATIONSNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : DIANA C. QUINNTITLE/AFFILIATION : SENIOR DIRECTOR COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : ANANTHAKUMAR NUTHALAPATI, M.D.TITLE/AFFILIATION : VICE PRESIDENT, MEDICAL AFFAIRSNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : MATT TROJANOWSKITITLE/AFFILIATION : VICE PRESIDENT, OPERATIONSNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : ANTOINE LANGLEYTITLE/AFFILIATION : LEAD COMMUNITY HEALTH ADVOCATENAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : JILL DONALDSON TITLE/AFFILIATION : PRESIDENTNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : CHERICE MARROWTITLE/AFFILIATION : PROJECT MANAGERNAME OF ORGANIZATION : MEDSTAR HEALTH/BMORE FOR HEALTHY BABIESNAME : LUCAS CARLSON, M.D.TITLE/AFFILIATION : REGIONAL MEDICAL DIRECTOR, CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : NAISHA VINSON TITLE/AFFILIATION : DIRECTOR OF PHILANTHROPYNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : PHYLLIS GRAYTITLE/AFFILIATION : AVP CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : MARLA OROSTITLE/AFFILIATION : CEONAME OF ORGANIZATION : MOSAIC GROUPNAME : KIN LANETITLE/AFFILIATION : COMMUNITY MEMBERNAME OF ORGANIZATION : SWITCHING LANES/YOUTH RESILIENCY CHURCHNAME : MARCEE WHITETITLE/AFFILIATION : CHIEF MEDICAL OFFICERNAME OF ORGANIZATION : TOTAL HEALTH CARENAME : TRICIA ISENNOCKTITLE/AFFILIATION : COMMUNITY HEALTH ADVISORNAME OF ORGANIZATION : MEDSTAR HEALTH - BALTIMORENAME : TRACY HOLCOMBTITLE/AFFILIATION : RN PROGRAM MANAGERNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : MALLORY ZIMMERMANTITLE/AFFILIATION : ASSISTANT EXECUTIVE DIRECTORNAME OF ORGANIZATION : THE TRANSFORMATION CENTERNAME : MIKE GOITOMTITLE/AFFILIATION : COMMUNITY MEMBERNAME OF ORGANIZATION : BP GAS STATION - POTEE ST HOMELESS ENCAMPMENTNAME : SUSANNA VIZCARATITLE/AFFILIATION : PROJECT MANAGERNAME OF ORGANIZATION : CAREFIRSTNAME : RAQUEL LAMPTEYTITLE/AFFILIATION : SENIOR DIRECTOR OF COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : PHIL BLACKWELLTITLE/AFFILIATION : DIRECTORNAME OF ORGANIZATION : MIDDLE BRANCH REC AND WELLNESS CENTERNAME : SAMANTHA SAILSMANTITLE/AFFILIATION : DIRECTORNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : JAVON CAMPBELLTITLE/AFFILIATION : DIRECTOR OF NEIGHBORHOOD ZONENAME OF ORGANIZATION : UNITED WAYNAME : LORENDA CHARITYTITLE/AFFILIATION : COMMUNITY RELATIONS AND ENGAGEMENTNAME OF ORGANIZATION : MEDSTAR FAMILY CHOICE HARBOR HOSPITAL, INC. PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. CHARITY CARE AT COST PART I, LINE 7A: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 BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. UNREIMBURSED MEDICAID PART III, LINES 2 & 4:MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). 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. BAD DEBT PART III, LINES 2 & 4:MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). 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. MEDICARE PART III, LINE 8: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 BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO.PART III, LINE 9B:IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT PART VI, LINE 2:IN FY24, MEDSTAR HARBOR HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR HARBOR HOSPITAL'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2024, AND SERVED AS A GUIDE FOR PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027.THE CATEGORIES OF HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. A SMALL NUMBER OF STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. HEALTH PRIORITIES INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, BEHAVIORAL HEALTH, MATERNAL HEALTH), ACCESS TO CARE (COST OF HEALTH CARE, ACCESS TO HEALTH INSURANCE AND PROVIDERS AND TRANSPORTATION) AND SOCIAL DRIVERS OF HEALTH (HOUSING AND HOMELESSNESS, FOOD INSECURITY, POVERTY AND VIOLENCE). ALL OTHER PROGRAMMING WAS INTEGRATED AS PART OF THE HOSPITAL'S OVERALL COMMUNITY HEALTH PORTFOLIO. THESE ADDITIONAL PROGRAMS WERE CAPTURED IN THE INVENTORY FOR THE WHOLE PICTURE OF CONTRIBUTING TO THE HEALTH OF THE COMMUNITIES SERVED AS WELL AS SORTED FOR WHAT COUNTS AS COMMUNITY BENEFIT FOR REGULATORY REPORTING.THE HOSPITAL IDENTIFIED SOUTHERN BALTIMORE CITY AND NORTHERN ANNE ARUNDEL COUNTY AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA), WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODE 21225 AND 21226. THE HOSPITAL'S CBSA IS IDENTIFIED BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE ADVISORY TASK FORCE (ATF) INCLUDED A DIVERSE GROUP OF INDIVIDUALS, INCLUDING HOSPITAL LEADERS, GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS WHO ARE INSTRUMENTAL IN THE ENTIRE CHNA PROCESS.REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HEALTH HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES, AND SHARES BEST PRACTICES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3:AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY CRITERIA, AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH HOSPITALS AND HOSPITAL BASED-PHYSICIAN PRACTICES WILL:. TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT, AND COMPASSION. . SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS TO OUR MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE. . ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSION PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR THE CARE THEY RECEIVE. . BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.MEDSTAR HEALTH WILL NOT WITHHOLD FINANCIAL ASSISTANCE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE ON THE BASIS OF RACE, COLOR, RELIGION, ANCESTRY OR NATIONAL ORIGIN, SEX, AGE, MARITAL STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, GENETIC INFORMATION, OR ON THE BASIS OF DISABILITY. IN ADDITION, MEDSTAR HEALTH WILL NOT USE A PATIENT'S CITIZENSHIP OR IMMIGRATION STATUS AS AN ELIGIBILITY REQUIREMENT FOR FINANCIAL ASSISTANCE.IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL MAKE ELIGIBILITY DETERMINATIONS FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO RESIDE WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA. IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL:. DETERMINE WHETHER THE PATIENT HAS HEALTH INSURANCE. . DETERMINE WHETHER THE PATIENT IS PRESUMPTIVELY ELIGIBLE FOR FREE OR REDUCED-COST CARE. . DETERMINE WHETHER UNINSURED PATIENTS ARE ELIGIBLE FOR PUBLIC OR PRIVATE HEALTH INSURANCE.. TO THE EXTENT POSSIBLE, OFFER ASSISTANCE TO UNINSURED PATIENTS IF THE PATIENT CHOOSES TO APPLY FOR PUBLIC OR PRIVATE HEALTH INSURANCE. . TO THE EXTENT PRACTICABLE, DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR OTHER PUBLIC PROGRAMS THAT MAY ASSIST WITH HEALTH CARE COSTS.. USE INFORMATION IN THE POSSESSION OF THE HOSPITAL, IF AVAILABLE, TO DETERMINE WHETHER THE PATIENT IS QUALIFIED FOR FREE OR REDUCED-COST CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.MEDSTAR HEALTH WILL WIDELY PUBLICIZE THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY: . PROVIDING ACCESS TO THE MEDSTAR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND MEDSTAR PATIENT INFORMATION SHEET ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST BY MAIL AND WITHOUT CHARGE.. PROVIDING NOTIFICATION AND INFORMATION ABOUT THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:- OFFERING COPIES AS PART OF ALL REGISTRATION OR DISCHARGES PROCESSES, AND ANSWERING QUESTIONS ON HOW TO APPLY FOR ASSISTANCE. - PROVIDING WRITTEN NOTICES ON BILLING STATEMENTS. - DISPLAYING MEDSTAR FINANCIAL ASSISTANCE POLICY INFORMATION AT ALL HOSPITAL REGISTRATION POINTS, INCLUDING THE BUSINESS OFFICE, INFORMING PATIENTS OF THEIR RIGHTS TO APPLY FOR FINANCIAL ASSISTANCE AND WHO TO CONTACT AT THE HOSPITAL FOR ADDITIONAL INFORMATION. - TRANSLATING THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES THAT CONSTITUTE THE LESSER OF 1000 INDIVIDUALS OR 5% OF THE OVERALL POPULATION WITHIN THE CITY OR COUNTY IN WHICH THE HOSPITAL IS LOCATED AS MEASURED BY THE MOST RECENT CENSUS.. MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.. THE MEDSTAR HEALTH PATIENT INFORMATION SHEET SHALL BE PROVIDED TO THE PATIENT, THE PATIENT'S FAMILY, OR THE PATIENT'S AUTHORIZED REPRESENTATIVE: - BEFORE DISCHARGE;- WITH THE HOSPITAL BILL; - ON REQUEST; AND - IN EACH WRITTEN COMMUNICATION TO THE PATIENT REGARDING COLLECTION OF THE HOSPITAL BILL.MEDSTAR HEALTH WILL PROVIDE A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION. . THE FINAL ELIGIBILITY DETERMINATION WILL BE MADE AND COMMUNICATED TO THE PATIENT BASED ON RECEIPT AND REVIEW OF A COMPLETED APPLICATION. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. FINANCIAL ASSISTANCE AND PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH MEDSTAR HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. . MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. . PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR HOSPITAL PATIENT ADVOCATES OR CUSTOMER SERVICE REPRESENTATIVES ON A TIMELY BASIS AS THE PATIENT'S FINANCIAL CIRCUMSTANCES MAY CHANGE. . IT IS A PATIENT'S RESPONSIBILITY, DURING THEIR 12-MONTH ELIGIBILITY PERIOD, TO NOTIFY MEDSTAR HEALTH OF THEIR EXISTING HOUSEHOLD ELIGIBILITY FOR FREE CARE, REDUCED COST-CARE, AND/OR ELIGIBILITY UNDER FINANCIAL HARDSHIP PROVISIONS FOR MEDICALLY NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.. IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT, BILLING AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE AT 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4:THE COMMUNITY SERVICED BY MEDSTAR HARBOR HOSPITAL INCLUDES ZIP CODES 21225 AND 21226 . THE ZIP CODES SPAN SOUTHERN BALTIMORE CITY AND NORTHERN ANNE ARUNDEL COUNTY, AND INCLUDES THE NEIGHBORHOODS OF BROOKLYN, BROOKLYN PARK, CHERRY HILL AND CURTIS BAY. THERE ARE 17 HOSPITALS SERVING BALTIMORE CITY, AND 15 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY.ZIP CODE 21225 IS AN URBAN GEOGRAPHIC SERVICE AREA LOCATED IN BOTH BALTIMORE CITY AND ANNE ARUNDEL COUNTY. THE POPULATION IN ZIP CODE 21225 IS 34,138 AND THE MEDIAN HOUSEHOLD INCOME IS $50,069. BALTIMORE CITY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (15.3%), UNINSURED (5.9%) AND MEDICAID RECIPIENTS (49.8%).ZIP CODE 21226 IS AN URBAN GEOGRAPHIC SERVICE AREA LOCATED IN ANNE ARUNDEL COUNTY. THE POPULATION IS 3,211 AND THE MEDIAN HOUSEHOLD INCOME IS $79,712. THE CURTIS BAY COMMUNITY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (16%), UNINSURED (4.5%) AND MEDICAID RECIPIENTS (15.4%).ANNE ARUNDEL COUNTY HAS A HIGHER ADULT SMOKER (11%) AND ADULT OBESITY (36%) RATE COMPARED TO THE STATE (10% AND 34%). BALTIMORE CITY HAS A HIGHER ADULT OBESITY RATE (37%) IN COMPARISON TO STATE AND NATIONAL RATES (34%). ADDITIONALLY, THE COMMUNITY STRUGGLES WITH ADULT SMOKING (18%), DRUG OVERDOSE DEATHS (138 PER 100,000), UNEMPLOYMENT (4.3%), HOUSING COST BURDEN (21%), AND CHILDHOOD POVERTY (24%).FOR A VARIETY OF REASONS, INCLUDING THE HIGH POVERTY RATE AND LOW RATE OF HEALTH INSURANCE COVERAGE, MANY RESIDENTS OFTEN USE THE MEDSTAR HARBOR HOSPITAL EMERGENCY DEPARTMENT FOR PRIMARY CARE SERVICES. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5:AS A COMMUNITY PARTNER, MEDSTAR HARBOR HOSPITAL ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE CHNA, FALL UNDER THREE AREAS OF FOCUS INCLUDING HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DRIVERS OF HEALTH. PROGRAMS INCLUDE (BUT ARE NOT LIMITED TO):HEALTH AND WELLNESS MEDSTAR HARBOR HOSPITAL ADDRESSES HEALTH AND WELLNESS BY OFFERING A VARIETY OF PROGRAMS AND RESOURCES THAT SEEK TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT. MEDSTAR HARBOR HOSPITAL SERVES AS A HUB TO SCREEN INDIVIDUALS FOR BREAST, CERVICAL, AND COLON CANCER. A DISTINCTIVE ASPECT OF THIS PROGRAM IS THAT IT PROVIDES SCREENING TO INDIVIDUALS WITHOUT INSURANCE AND/OR DOCUMENTATION OF CITIZENSHIP. AS A RESULT, THE PROGRAM HAS BECOME A VITAL RESOURCE FOR THE HISPANIC/LATINO COMMUNITY, WITH MORE THAN 50% OF PARTICIPANTS IDENTIFYING AS HISPANIC/LATINO. MEDSTAR HARBOR HOSPITAL'S COMMUNITY-BASED EDUCATION COURSES, SUCH AS BLOOD PRESSURE SELF-MANAGEMENT AND SMOKING CESSATION PROGRAMS ARE OFFERED FOR FREE TO COMMUNITY MEMBERS. ADDITIONALLY, THE HOSPITAL PROVIDES HEALTH EDUCATION AT EVENTS SUCH AS COMMUNITY HEALTH FAIRS AND EMPLOYEE WELLNESS FAIRS.MEDSTAR HEALTH HAS BEEN RECOGNIZED AS A LEADER IN THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM IN MARYLAND. THE GOAL OF THE SBIRT PROGRAM IS TO IMPROVE THE IDENTIFICATION OF HIGH-RISK SUBSTANCE USE BEHAVIORS, ACCESS TO SUBSTANCE USE TREATMENT, AND EDUCATION. PARTICIPANTS ARE ASSESSED FOR RISKY SUBSTANCE USE BEHAVIOR USING STANDARDIZED SCREENING TOOLS. THOSE WHO SCREEN POSITIVE ARE CONNECTED TO PEER RECOVERY COACHES WHO CONDUCT A BRIEF INTERVENTION AND REFER THEM TO TREATMENT IF APPROPRIATE.ACCESS TO CAREMEDSTAR HARBOR HOSPITAL'S MOBILE HEALTH UNIT PROVIDES PRIMARY CARE SERVICES TO RESIDENTS. TARGETING VULNERABLE POPULATIONS, THE MOBILE HEALTH UNIT PROVIDES CARE TO ALL RESIDENTS WITHIN THE COMMUNITY, REGARDLESS OF INSURANCE OR CITIZENSHIP STATUS. MEDSTAR HARBOR HOSPITAL ALSO ADDRESSES ACCESS TO CARE BY HELPING TO REDUCE THE FINANCIAL BURDEN FOR PATIENTS AND THEIR FAMILIES. PATIENT FINANCIAL SERVICES PROVIDES FINANCIAL ASSISTANCE TO UNINSURED RESIDENTS WITHIN THE COMMUNITY BY ASSISTING WITH ENROLLMENT IN PUBLICLY FUNDED ENTITLEMENT PROGRAMS, REFERRING PATIENTS TO STATE OR FEDERAL INSURANCE EXCHANGE NAVIGATOR RESOURCES AND ASSISTING WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS.ADDITIONALLY, THE HOSPITAL SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED.SOCIAL DRIVERS OF HEALTHMEDSTAR HARBOR HOSPITAL IS COMMITTED TO ADDRESSING THE SOCIAL DRIVERS OF HEALTH IN THE COMMUNITY. COMMUNITY RESIDENTS ARE HIRED AND TRAINED AS COMMUNITY HEALTH ADVOCATES OR PEER RECOVERY COACHES TO EMPOWER INDIVIDUALS AND THEIR FAMILIES INTO BETTER ECONOMIC CONDITIONS. AS PART OF THEIR RESPONSIBILITIES, THE COMMUNITY HEALTH ADVOCATE CONDUCTS SOCIAL NEEDS SCREENINGS. SOCIAL NEEDS SCREENINGS IDENTIFY ISSUES SUCH AS FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. MEDSTAR HARBOR HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO ELIGIBLE RESIDENTS AND/OR FAMILIES WITH DEMONSTRATED FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES RESIDENTS TO ACCESS COMMUNITY RESOURCES AND ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS. FURTHER, MEDSTAR HARBOR HOSPITAL ADDRESSES FOOD INSECURITY THROUGH A FOOD PRESCRIPTION DELIVERY PROGRAM IN PARTNERSHIP WITH HUNGRY HARVEST. THIS TEMPORARY FOOD ASSISTANCE ALLOWS COMMUNITY HEALTH ADVOCATES TO IDENTIFY A LONG-TERM STRATEGY FOR FOOD ACCESS (E.G. MEALS ON WHEELS, ETC.). THE MEDSTAR HARBOR HOSPITAL FOOD RX PROGRAM PROVIDES PERSONALIZED NUTRITION COUNSELING, COOKING MATERIALS AND FRESH FOOD, AT NO COST TO ELIGIBLE PERSONS LIVING WITH DIABETES. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6:MEDSTAR HARBOR HOSPITAL IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, CAN EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HEALTH HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES SUPPORT THE HOSPITAL'S COMMUNITY HEALTH PLANNING EFFORTS TO ADDRESS THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MEDSTAR HARBOR HOSPITAL WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR HEALTH'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7:THE COMMUNITY BENEFIT REPORT FOR MEDSTAR HARBOR HOSPITAL IS FILED IN THE STATE OF MARYLAND. 0 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 15000 0 BALTIMORE HEART WALK/GRWL AND ES HW F25 BALTIMORE MD CITY OF BALTIMORE 100 NORTH HOLLIDAY STREET BALTIMORE MD 21202 743034389 N/A 15000 0 BALTIMORE NP PROGRAM 2 0 SCHEDULE I, PART I, LINE 2: OUR GRANT MONITORING PROCEDURE BRINGS TOGETHER ALL KEY PERSONNEL INVOLVED IN THE GRANT AT THE ONSET OF THE AWARD TO DISCUSS MANAGEMENT, RESPONSIBILITIES, BUDGETS, AND REPORTING. THIS INITIAL MEETING IS DOCUMENTED AND DISBURSED TO ALL INVOLVED. THE ACTUAL GRANT MONITORING IS DONE BY THE HOSPITAL DEPARTMENT IMPLEMENTING THE GRANT. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ENSURES THAT EACH GRANT HAS A COST CENTER AND/OR GRANT ACCOUNT SET UP BASED ON THE TERMS OF THE GRANT AWARD. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ALSO TRACKS AND REMINDS HOSPITAL DEPARTMENTS WHEN PROGRESS REPORTS ARE DUE THROUGHOUT THE LIFE OF THE GRANT. X 1 1 X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2415571 0 3962207 0 79000 0 68897 0 37099 0 6562774 0 0 STUART LEVINE MD FORMER OFFICER 0 641618 0 651072 0 445000 0 9750 0 36460 0 1783900 0 0 JILL DONALDSON DIRECTOR/PRESIDENT 505065 0 449968 0 0 0 19389 0 27358 0 1001780 0 0 0 DAVID D HAGER DIRECTOR 578153 0 75000 0 0 0 9900 0 25382 0 688435 0 0 0 KERUNNE S KETLOGETSWE MD DIRECTOR 464982 0 186896 0 0 0 9900 0 1953 0 663731 0 0 0 DEANA STOUT CFO/TREASURER 97353 292061 47488 142462 0 0 8462 25387 6500 19500 159803 479410 0 0 DAVID GHADISHA MD DIRECTOR 531436 0 5000 0 0 0 9477 0 25280 0 571193 0 0 0 MOHSEN GHARIB MD DIRECTOR 505910 0 28265 0 0 0 9900 0 16724 0 560799 0 0 0 KEITH SHINER FORMER OFFICER 0 261642 0 59922 0 0 0 9347 0 25352 0 356263 0 0 ANNETTE BRONER SECRETARY 0 254006 0 64402 0 0 0 10871 0 24937 0 354216 0 0 KAREN ELLIOTT CNO 231152 0 58894 0 0 0 2367 0 19883 0 312296 0 0 0 MATTHEW TROJANOWSKI VP OPERATIONS 195933 0 48438 0 0 0 2130 0 1681 0 248182 0 0 0 CHRIS MUSKELLY PROGRAM DIRECTOR 212102 0 0 0 0 0 11410 0 10800 0 234312 0 0 0 NEPHTHALEE EDMOND DIR, PHARMACY 188648 0 0 0 12585 0 1949 0 20386 0 223568 0 0 0 NANCY GONZALES REGISTERED NURSE 190486 0 5327 0 0 0 8583 0 1083 0 205479 0 0 0 PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES: THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER 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 PAYMENT OF $79,000, WHICH REPRESENTS THE PREMIUM PAYMENT OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. STUART LEVINE'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $445,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. ANNETTE BRONER'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO MEDSTAR ST. MARY'S HOSPITAL, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND MEDSTAR HARBOR HOSPITAL. DEANA STOUT'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO/TREASURER AT MEDSTAR HARBOR HOSPITAL, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B DESCRIPTION OF DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. FORM 990, PART VI, SECTION B, LINE 11B PROCESS FOR REVIEWING FORM 990 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY ENFORCEMENT 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) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO 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). FORM 990, PART VI, SECTION B, LINE 15 DESCRIPTION OF EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF 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. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-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. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 3,395,714. MANAGEMENT AND GENERAL EXPENSES 991,667. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,387,381. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 62,091. MANAGEMENT AND GENERAL EXPENSES 332,839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 394,930. TESTING & DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 664,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 664,230. LAB SERVICES: PROGRAM SERVICE EXPENSES 331,838. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 331,838. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 26,613,467. MANAGEMENT AND GENERAL EXPENSES 70,285. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,683,752. MISC FIXED PURCH SRVCS: PROGRAM SERVICE EXPENSES 244,589. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,589. CONSULTING FEES: PROGRAM SERVICE EXPENSES 38,277. MANAGEMENT AND GENERAL EXPENSES 177,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,955. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 5,188,728. MANAGEMENT AND GENERAL EXPENSES 291,658. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,480,386. FORM 990, PART XI, LINE 9: EQUITY TRANSFER-NET ASSETS 11,983,903. CHURCH HOME CORPORATION 10980 GRANTCHESTER WAY COLUMBIA MD 21044 237374724 MEDICAL FUND MD 501(C)(3) PF N/A 0 ST MARY'S HOSPITAL OF ST MARY'S COUNTY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 520619006 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 HOSPICE OF ST MARY'S INC PO BOX 527 LEONARDTOWN MD 20650 522153926 SUPPORT ORG MD 501(C)(3) LINE 12A, I N/A 0 WOODBOURNE WOODS INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 522299070 ELDER HOUSING MD 501(C)(3) LINE 10 N/A 0 VNA INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521332411 ADMIN SVCS MD 501(C)(3) LINE 12A, I N/A 0 SUBURBAN NRH MEDICAL REHABILITATION I 102 IRVING STREET NW WASHINGTON DC 20010 521931151 MEDICAL SVCS DC 501(C)(3) LINE 3 N/A 0 REGIONAL REHAB AT OLNEY INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 522310902 MEDICAL SVCS MD 501(C)(3) LINE 3 N/A 0 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 521369749 HOSPITAL DC 501(C)(3) LINE 3 N/A 0 MGH WOMEN'S BOARD 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 526039600 FOUNDATION MD 501(C)(3) LINE 12C, III-FI N/A 0 MEDSTAR VNA HEALTHCARE 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521458516 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 0 MEDSTAR HEALTH VISITING NURSES ASSOCIATI 4061 POWDERMILL ROAD CALVERTON MD 20705 530196597 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 0 GS PROPERTIES INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521429853 ADMIN SVCS MD 501(C)(3) LINE 12A, I N/A 0 MEDSTAR SOUTHERN MD HOSPITAL CENTER 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 GS HOUSING INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521481656 ELDER HOUSING MD 501(C)(3) LINE 10 N/A 0 CHURCH HOME AND HOSPITAL OF THE CITY OF 10980 GRANTCHESTER WAY COLUMBIA MD 21044 520591600 MEDICAL FUND MD 501(C)(3) LINE 12A, I N/A 0 BAY LIFE SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521496539 MENTAL HEALTH MD 501(C)(3) LINE 10 N/A 0 MEDSTAR AMBULATORY SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521132992 ADMIN SVCS MD 501(C)(3) LINE 12C, III-FI N/A 0 HH MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521542230 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 0 WASHINGTON HOSPITAL CENTER CORPORATION 110 IRVING STREET NW WASHINGTON DC 20010 521272129 HOSPITAL DC 501(C)(3) LINE 3 N/A 0 THE MEDSTAR-GEORGETOWN MEDICAL CENTER I HOPSITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 522218584 HOSPITAL DC 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 20010 526056274 HOSPITAL DC 501(C)(3) LINE 4 N/A 0 THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 520646893 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 0 FRANKLIN SQUARE HOSPITAL CENTER INC 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 520608007 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 GOOD SAMARITAN NURSING CENTER INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521672866 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 0 SIGNATURE BY MEDSTAR HEALTH LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 333437538 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 0 MEDSTAR SHAH MSO LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 462700536 MGMT SVCS MD N/A N/A 0 0 22590 SHADY COURT LLC 24035 THREE NOTCH ROAD HOLLYWOOD MD 20636 473361777 REAL ESTATE MD N/A N/A 0 0 24035 THREE NOTCH ROAD LLC 24035 THREE NOTCH ROAD HOLLYWOOD MD 20636 473375076 REAL ESTATE MD N/A N/A 0 0 37767 MARKET DRIVE LLC 37767 MARKET DRIVE CHARLOTTE HALL MD 20622 REAL ESTATE MD N/A N/A 0 0 26840 POINT LOOKOUT ROAD LLC 24035 THREE NOTCH ROAD HOLLYWOOD MD 20636 473393670 REAL ESTATE MD N/A N/A 0 0 MONTGOMERY COMMUNITY MRI LP 4110 ASPEN HILL ROAD ROCKVILLE MD 20853 521534253 MRI SCREENING MD N/A N/A 0 0 PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 522212036 PHYSIOTHERAPY PA N/A N/A 0 0 PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC 840 CRESCENT CENTRE DR FRANKLIN TN 37067 562616090 RADIOLOGY SVC TN N/A N/A 0 0 FRANKLIN IMAGING LLC 7253 AMBASSADOR RD BALTIMORE MD 21244 521588688 IMAGING MD N/A N/A 0 0 10 ST PATRICK'S DRIVE LLC 10 ST PATRICKS DRIVE WALDORF MD 20603 832261766 REAL ESTATE MD N/A N/A 0 0 MEDSTAR ENDOSCOPY CTR AT LUTHERVILLELLC 1300 BELLONA AVE LUTHERVILLE MD 21093 823193901 SURGERY MD N/A N/A 0 0 CAPITAL ENDOSCOPY LLC 6475 NEW HAMPSHIRE AVE HYATTSVILLE MD 20783 134244093 SURGERY MD N/A N/A 0 0 4240 ALTAMONT PLACE LLC 103 CENTENNIAL STREET SUITE K LA PLATA MD 20646 861202310 REAL ESTATE MD N/A N/A 0 0 MEDSTAR ENDOSCOPY CENTER-SILVER SPRING LLC 12002 VEIRS MILL ROAD SILVER SPRING MD 20906 872341245 SURGERY MD N/A N/A 0 0 MEDSTAR SURGERY CENTER 1 LLC 810 BESTGATE ROAD SUITE 300 ANNAPOLIS MD 21401 922094391 SURGERY MD N/A N/A 0 0 MEDSTAR SURGERY CENTER AT BRANDYWINE LLC 13950 BRANDYWINE ROAD BRANDYWINE MD 20613 820985178 SURGERY MD N/A N/A 0 0 MEDSTAR SURGERY CENTER AT TIMONIUM LLC 2118 GREENSPRING DRIVE STE 300 TIMONIUM MD 21093 821874292 SURGERY MD N/A N/A 0 0 MEDSTAR ENDOSCOPY CENTER VIRGINIA LLC 6862 ELM STREET SUITE 740 MCLEAN VA 22101 990594143 SURGERY VA N/A N/A 0 0 MEDSTAR PHARMACIES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521513056 DRUG SALES MD N/A C 0 EXTENCARE INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521556228 MEDICAL SVCS MD N/A C 0 HELIX RESOURCES MANAGEMENT INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521913070 ADMIN SVCS MD N/A C 0 HELIXCARE PROPERTIES LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521966695 MEDICAL SVCS MD N/A C 0 PARKWAY VENTURES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521893569 HOLDING CO. MD N/A C 0 PHYSICIANS ADMINISTRATIVE SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 237042074 BILLING SVCS MD N/A C 0 MEDSTAR FAMILY CHOICE INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521995521 MANAGED CARE MD N/A C 0 MEDSTAR ENTERPRISES INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522139841 ADMIN SERVICE MD N/A C 0 SITEL INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 900753340 EDUCATIONAL MD N/A C 0 STAR BILLING INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521850113 BILLING SVCS MD N/A C 0 WASHINGTON RISK NETWORK MANAGEMENT INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522132677 MEDICAL SVCS MD N/A C 0 WASHINGTON HOSPITAL CENTER PHYSICIAN HOS 100 IRVING STREET NW WASHINGTON DC 20010 521931000 MEDICAL SVCS DC N/A C 0 MEDSTAR PHYSICIAN PARTNERS INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522030801 MEDICAL SVCS MD N/A C 0 FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA 10980 GRANTCHESTER WAY COLUMBIA MD 21044 760756352 CONDOMINIUMS MD N/A C 0 MGH DIVERSIFIED SERVICES INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521943602 MEDICAL SVCS MD N/A C 0 ST MARY'S HEALTH ALLIANCE INC 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 521930331 MEDICAL SVCS MD N/A C 0 ST MARY'S CONDO ASSOCIATION 25500 POINT LOOKOUT RD LEONARDTOWN MD 20650 273377216 CONDOMINIUMS MD N/A C 0 GREENSPRING FINANCIAL INSURANCE LIMITED 878 WEST BAY RD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980188617 INSURANCE CJ N/A C 0 MEDSTAR HEALTH INC - INVESTMENT FUND I 103 SOUTH CHURCH ST GRAND CAYMAN CJ KY1-1002 981310273 INVESTMENTS CJ N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 1 0