2024-05-07T07:31:32-05:00 2023-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2022-07-01 521272129 WASHINGTON HOSPITAL CENTER CORPORATION WASH 2028777000 110 IRVING STREET NW WASHINGTON DC 20010 JOEL BRYAN VP/TREASURER/CIO 4107726721 2024-05-02 1 JOEL BRYAN 999009999 0 SHAWN HUTCHINSON P01048557 7032868000 2024-04-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEDSTAR WASHINGTON HOSPITAL CENTER GREGORY ARGYROS MD 110 IRVING STREET NW WASHINGTON DC 20010 1618029715 0 X WWW.WHCENTER.ORG X 1949 DC SEE SCHEDULE OMEDSTAR WASHINGTON HOSPITAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH THE HIGHEST QUALITY AND SAFEST CARE, AND THE BEST EXPERIENCE FOR OUR PATIENTS, THEIR FAMILIES, AND ONE ANOTHER. 17 11 6526 51 5514164 0 17569214 54749156 1664082931 1538641945 3241993 3804912 20006694 20833702 1704900832 1618029715 1433018 1375961 0 0 891079834 692642762 0 0 0 753426185 856304007 1645939037 1550322730 58961795 67706985 766468044 786655115 261424930 178155277 505043114 608499838 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR WASHINGTON HOSPITAL CENTER'S (MWHC) MISSION IS TO DELIVER EXCEPTIONAL PATIENT-FIRST HEALTH CARE AND AN EXCEPTIONAL PATIENT EXPERIENCE. MWHC IS RENOWNED FOR HANDLING THE REGION'S MOST COMPLEX CASES AND OFFERING INNOVATIVE, LIFE-SAVING CARE ACROSS DISCIPLINES. MWHC IS AN ACUTE CARE TEACHING AND RESEARCH HOSPITAL LOCATED IN NORTHWEST WASHINGTON, D.C. IT IS THE LARGEST PRIVATE HOSPITAL IN THE NATION'S CAPITAL AND AMONG THE 50 LARGEST HOSPITALS IN THE NATION. IN FISCAL YEAR 2023, MWHC HAD APPROXIMATELY 32,742 INPATIENT ADMISSIONS AND 443,477 OUTPATIENT VISITS, INCLUDING 76,464 EMERGENCY VISITS. 0 0 1063827717 1375961 1498788972 SEE SCHEDULE OMEDSTAR WASHINGTON HOSPITAL CENTER'S IS THE CITY'S LARGEST AND BUSIEST HOSPITAL, PROVIDING ACUTE CARE SERVICES TO THE COMMUNITIES OF NORTHEAST WASHINGTON, D.C. AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MWHC INCURRED $348.8M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. IT OFFERS PRIMARY, SECONDARY AND TERTIARY HEALTH SERVICES TO ADULT AND NEONATAL PATIENTS AND IS A MAJOR REFERRAL CENTER FOR THE MOST COMPLEX TERTIARY SERVICES. THE HOSPITAL IS ALSO HOME TO MEDSTAR, A NATIONALLY VERIFIED LEVEL I TRAUMA CENTER WITH A STATE-OF-THE-ART FLEET OF HELICOPTERS AND AMBULANCES AND OPERATES THE REGION'S ONLY ADULT BURN CENTER. MEDSTAR WASHINGTON HOSPITAL CENTER HAS CONSISTENTLY BEEN RECOGNIZED AS ONE OF THE NATION'S TOP 50 CARDIOVASCULAR CENTERS BY U.S. NEWS & WORLD REPORT. IT IS THE ONLY HOSPITAL IN THE WASHINGTON, D.C. REGION WITH A NATIONALLY RANKED CARDIOLOGY AND HEART SURGERY PROGRAM. IT WAS ALSO NAMED AS ONE OF THE BEST REGIONAL HOSPITALS AND ITS GASTROENTEROLOGY & GI SURGERY, AND GERIATRICS PROGRAMS WERE NAMED AS HIGH-PERFORMING SPECIALTIES. MEDSTAR WASHINGTON HOSPITAL CENTER'S CANCER INSTITUTE OFFERS CANCER TREATMENT, THERAPIES AND ACCESS TO CUTTING-EDGE CLINICAL TRIALS. IT ALSO OFFERS COMPREHENSIVE AMBULATORY CARE THROUGH A WIDE RANGE OF MEDICAL AND SURGICAL SPECIALTY OUTPATIENT CLINIC PROGRAMS. MEDSTAR WASHINGTON HOSPITAL CENTER OPERATES A COMPREHENSIVE STROKE CENTER AS WELL AS THE REGION'S ONLY JOINT COMMISSION-CERTIFIED CARDIAC VENTRICULAR ASSIST DEVICE PROGRAM. THE HOSPITAL IS KNOWN FOR INNOVATION AND IS OFTEN THE FIRST IN THE REGION TO UTILIZE NEW LIFESAVING EQUIPMENT AND PROCEDURES. 76480137 39742996 MEDSTAR WASHINGTON HOSPITAL CENTER PROVIDED $76.5M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2023. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 61224055 109977 MEDSTAR WASHINGTON HOSPITAL CENTER PROVIDED $61.2M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2023. 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 PROVIDED INCLUDE EMERGENCY AND TRAUMA, BURN UNIT, BEHAVIORAL HEALTH SERVICES AND OTHERS. 1201531909 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 6526 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 DC X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 ANTONIO POAG BOARD MEMBER (AS OF 4/6/23) 1.00 0.00 X 0 0 0 DAVID MOORE MD BOARD MEMBER 1.00 0.00 X 0 0 0 DORETHA F LEA BOARD MEMBER 1.00 0.00 X 0 0 0 GILLIAN SOUTHWELL MD BOARD MEMBER (AS OF 4/6/23) 1.00 0.00 X 396388 0 29207 GREGORY ARGYROS MD BOARD MEMBER/PRESIDENT 40.00 0.00 X X 1497780 0 46458 HAROLD ZIRKIN BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN A SARGENT BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN J GORMAN BOARD MEMBER 1.00 0.00 X 0 0 0 KENNETH A SAMET BOARD MEMBER 1.00 39.00 X 0 5361626 97941 KRISTEN M NELSON NP BOARD MEMBER 40.00 0.00 X 233561 0 32509 LISA M MASCOLO VICE CHAIR 1.00 0.00 X X 0 0 0 MARTIN W RODGERS BOARD MEMBER 1.00 0.00 X 0 0 0 MELISSA H FRIES MD BOARD MEMBER (UNTIL 10/31/22) 40.00 0.00 X 498838 0 10506 MICHELLE S LEE BOARD MEMBER 1.00 0.00 X 0 0 0 PAMELA D RANDOLPH JACKSON MD BOARD MEMBER 1.00 0.00 X 341100 0 28529 STANLEY CHIA MD BOARD MEMBER 40.00 0.00 X 898014 0 29871 STANLEY J GUTKOWSKI CHAIR 1.00 0.00 X X 0 0 0 WILLIAM M KELLY BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM GAYNE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 498567 29968 EMILY BRITON SR VICE PRESIDENT/COO 40.00 0.00 X 589848 0 33832 IRA RABIN MD VP, MEDICAL OPERATIONS 40.00 0.00 X 391038 0 16476 KAREN JEROME MD VP AND CHIEF QUALITY OFFICER 40.00 0.00 X 469277 0 25405 STUART SEIDES MD PHYSICIAN 40.00 0.00 X 838849 0 18475 TONYA WASHINGTON SR VICE PRESIDENT, CNO 40.00 0.00 X 501083 0 38485 6655776 5860193 437662 1449 0 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 27523946 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 13707586 DIAMOND HEALTHCARE OF NORTHERN VIRGINIA PO BOX 670755 DALLAS TX 752670755 MEDICAL STAFFING 10893614 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 PROFESSIONAL SERVICES 6799345 ACCUITY DELIVERY SYSTEMS LLC PO BOX 7247 MAIL CODE 7335 PHILADELPHIA PA 19170 CONSULTING & MEDICAL BILLING SERVICE 3921450 97 39946995 14802161 130153 54749156 NET PATIENT SERVICE RE 621400 1517594158 1517143078 451080 PHARMACY INCOME 621400 16737621 16737621 OTHER PHYSICIAN REV. 621400 3396232 3396232 CME AND MEANINGFUL USE 900099 913934 913934 1538641945 2761447 2761447 466718 0 466718 466718 466718 1043465 0 1043465 1043465 1043465 SALE OF STEAM 900099 5063084 5063084 PARKING 900099 4629332 4629332 REBATE INCOME 900099 2470346 2470346 8204222 8204222 20366984 1618029715 1538190865 5514164 19575530 X 1375961 1375961 4042761 3516185 526576 580851985 505204201 75647784 8076529 6971709 1104820 63140771 54894956 8245815 36530716 33391124 3139592 165958629 17984071 147974558 884960 -1000 885960 191297527 163489570 27807957 3915316 14090 3901226 9746240 9069073 677167 6025935 4983339 1042596 628649 478717 149932 835776 370152 465624 9959232 4593 9954639 41035102 22704578 18330524 22375843 1584395 20791448 MED/SURG SUPPLIES 228325756 228200211 125545 IMPLANTS/PROSTHESES 71709668 71709668 MAINTENANCE 39524940 33311653 6213287 UTILITIES 20878839 16292472 4586367 43201595 25982191 17219404 1550322730 1201531909 348790821 0 41062 49803 4010348 4392160 302265098 301879594 27983018 26535364 3496721 7998842 1182416625 894631897 272708118 287784728 134922294 143233554 21041385 14781070 766468044 786655115 114375093 100303535 5322432 7994779 141727405 69856963 261424930 178155277 X 480680112 583668530 24363002 24831308 505043114 608499838 766468044 786655115 X 67706985 6213793 29535946 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8522808 153581 8676389 9004069 -481261 8522808 8255702 100000 648367 9004069 8359531 5000 -108829 8255702 8024044 286500 48987 8359531 0.75000 0.15000 0.10000 0 0 534477158 383824728 150652430 2906468 2434241 472227 600386314 501991798 98394516 44646685 6381130 38265555 287784728 BOARD DESIGNATED INVESTMENTS 76732170 F OTHER LONG TERM INVESTMENTS 39847394 F TEMPORARILY RESTRICTED INVEST 12561007 F ENDOWMENT FUNDS 9684148 F JOINT VENTURES 4170633 F GIFT ANNUITIES 238202 F 143233554 INTERCOMPANY PAYABLES 36642030 CREDIT BALANCES PATIENT AR 14502369 WORKERS COMPENSATION LIABILITY 11984488 OPERATING LEASE LIABILITY 8595614 ASBESTOS ABATEMENT LIABILITY 6756988 SETTLEMENTS-MEDICARE -9347293 OTHER LIABILITIES 722767 69856963 X PART V, LINE 4: INTENDED USE FOR ENDOWMENT FUNDS THE ENDOWMENT FUNDS AT MEDSTAR WASHINGTON HOSPITAL CENTER COMPRISE MULTIPLE GIFTS AND BEQUESTS RECEIVED FROM VARIOUS DONORS OVER MANY YEARS. THE INCOME GENERATED FROM THE ENDOWMENTS IS USED TO PROVIDE SUPPORT AND FUNDING TO THE DELIVERY OF PATIENT CARE SERVICES AT THE HOSPITAL CENTER TO ITS PATIENTS. PART X, LINE 2: FIN 48 FOOTNOTE 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, 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 15626810 15626810 0.01010 320084841 333768958 0 0.00000 28341211 32360979 0 0.00000 364052862 366129937 15626810 0.01010 3693482 1073402 2620080 0.00170 76480137 39742996 36737141 0.02370 61224055 109977 61114078 0.03940 2665000 2665000 0.00170 58630 58630 0.00000 144121304 40926375 103194929 0.06650 508174166 407056312 118821739 0.07660 32084 32084 0.00000 233 233 0.00000 32317 32317 0.00000 1 40459215 345000408 409309851 -64309443 X 1 1 1 1 MEDSTAR WASHINGTON HOSPITAL CENTER 110 IRVING STREET NW WASHINGTON DC 20010 X X X X WASHINGTON HOSPITAL CENTER 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.MEDSTARWASHINGTON.ORG X 1 20 1 WWW.MEDSTARWASHINGTON.ORG 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.MEDSTARWASHINGTON.ORG X WWW.MEDSTARWASHINGTON.ORG X WWW.MEDSTARWASHINGTON.ORG X X X X X 1 X 0 X X X X 1 X 0 0 WASHINGTON HOSPITAL CENTER 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: ANDREA MIRANDAEXECUTIVE 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: JEFFREY DUBIN, M.D. ADVISORY 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: MIA AFOWERKTITLE: COMMUNITY HEALTH ADVOCATEORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: KISHA COPELAND TITLE: COMMUNITY HEALTH ADVOCATEORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: MARIANA JIMENEZ TITLE: COMMUNITY HEALTH PROGRAM SPECIALIST ORGANIZATION: DEPARTMENT OF HEALTH NAME: J.J. CURRENT TITLE: TRAUMA PREVENTION OUTREACH COORDINATOR ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTER NAME: ANGELA WHITETITLE: BURN TRAUMA EDUCATION COORDINATOR ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL BURN CENTERNAME: YVETTE DAVISTITLE: ANACOSTIA NEIGHBORHOOD LIBRARY BRANCH MANAGER ORGANIZATION: DC PUBLIC LIBRARYNAME: SHIRLEY DEWITT, RN, BSN, CLNC TITLE: DIRECTOR, AMBULATORY SURGICAL SERVICING NURSING ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: JEFF DUBIN, M.D., MBATITLE: SENIOR VICE PRESIDENT, MEDICAL AFFAIRS & CHIEF MEDICAL OFFICERORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: GREGORY PALMERTITLE: RE-ENGAGEMENT SPECIALIST ORGANIZATION: DC REENGAGEMENT CENTERNAME: LOURDES G. GRIFFINTITLE: AVP BEHAVIORAL HEALTHORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: ANDREA MIRANDA TITLE: COMMUNITY HEALTH OUTREACH MANAGER ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: MICHELLE MAGEE, M.D. TITLE: MEDICAL DIRECTOR ORGANIZATION: MEDSTAR DIABETES INSTITUTE NAME: TASHA B. MOSHES, MPA TITLE: PRESIDENT AND MANAGING PRINCIPALORGANIZATION: STRATEGIC MANAGEMENT SERVICES, LLC NAME: DAN SCHIFF TITLE: ASSISTANT DIRECTOR, INSTITUTIONAL DEVELOPMENT ORGANIZATION: MARTHA'S TABLE NAME: DAVID POMS, MPH TITLE: POLICY ANALYST ORGANIZATION: DC PRIMARY CARE ASSOCIATION NAME: MARTHA AWOKE TITLE: DIRECTOR CARE COORDINATION, UTILIZATION, POPULATION HEALTH; CLINICAL RESOURCE MANAGEMENT ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTER NAME: SHYMEE DAVIS, MA LN TITLE: NUTRITIONIST ORGANIZATION: WASHINGTON SENIOR WELLNESS CENTER NAME: MOSI TOMLINSON TITLE: DIRECTOR ORGANIZATION: WASHINGTON SENIOR WELLNESS CENTER NAME: KRISTY MCCARRON, MPH TITLE: ASSOCIATION DIRECTOR OF COMMUNITY HEALTH ORGANIZATION: YMCA OF METROPOLITAN WASHINGTON NAME: CARRIE STOLTZFUS, MPH TITLE: EXECUTIVE DIRECTOR ORGANIZATION: FOOD & FRIENDS NAME: MAKEDA VANDERPUIJE, MPH CPH TITLE: PUBLIC HEALTH ANALYST ORGANIZATION: OFFICE OF HEALTH EQUITY NAME: MARIAN PEELE TITLE: SENIOR DIRECTOR, SENIOR HUNGER STRATEGIES ORGANIZATION: CAPITAL AREA FOOD BANK NAME: MAGALI CEBALLOS TITLE: STRONG START EARLY INTERVENTION PROGRAM SUPERVISOR ORGANIZATION: MARY'S CENTER NAME: FESEHA WOLDU TITLE: VP POPULATION PROGRAMING, AND COMMUNITY AFFAIRS ORGANIZATION: MEDSTAR HEALTH, CORPORATE MANAGED CARE NAME: SARAH FAZACKERLYTITLE: EDUCATION COORDINATOR ORGANIZATION: HOYA CLINIC NAME: YAEL REICHLER TITLE: HEALTHY CORNERS PROGRAM MANAGER ORGANIZATION: D.C. CENTRAL KITCHEN NAME: AYANA BIAS TITLE: DIRECTOR OF COMMUNITY ADVOCACY & VOLUNTEER SERVICES ORGANIZATION: UNITED PLANNING ORGANIZATION NAME: LARA ADEWOYE TITLE: DIRECTOR OF CAREER ACADEMY ORGANIZATION: DCPS- EASTER HS WASHINGTON HOSPITAL CENTER 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 AND CERTAIN OTHER BENEFITS AT COST PART I, LINE 7MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES. BAD DEBT PART III, LINES 2 & 4MEDSTAR 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 8THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT. DEBT COLLECTION POLICY PART III, LINE 9IF 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 FY21, MEDSTAR WASHINGTON HOSPITAL CENTER (MWHC) 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 MWHC'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, 2021 AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024.THE CATEGORIES HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. TWO TO THREE STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. 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'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS BASED ON THE ADVISORY TASK FORCE (ATF) RECOMMENDATION. THE HOSPITAL IDENTIFIED DISTRICT OF COLUMBIA RESIDENTS LIVING IN ZIP CODES 20011, 20010 AND 20019. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE 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.HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, BEHAVIORAL HEALTH), ACCESS TO HEALTH CARE AND SERVICES (AFFORDABLE HEALTH CARE AND INSURANCE, TRANSPORTATION AND FEAR/MISTRUST OF PROVIDERS) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING AND FOOD INSECURITY). AS A PROUD MEMBER OF MEDSTAR HEALTH, 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 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 THE COMMUNITIES WE SERVE 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.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 THE COMMUNITIES THAT WE SERVE. 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. FINAL ELIGIBILITY DETERMINATIONS ARE 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 PERIODIC 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 MEDICAL 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:MWHC'S CBSA INCLUDES RESIDENTS IN ZIP CODES 20011, 20019, AND 20010. THIS GEOGRAPHIC AREA WAS SELECTED BASED ON THE HOSPITAL UTILIZATION AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL, COUPLED WITH AN OPPORTUNITY TO BUILD UPON LONGSTANDING PROGRAMS AND SERVICES. ZIP CODE 20011 IS AN URBAN GEOGRAPHIC SERVICE AREA WITHIN WARD 4 OF WASHINGTON DC. THERE ARE 65,715 PEOPLE AND THE MEDIAN HOUSEHOLD INCOME IS $88,546. THE COMMUNITY INCLUDES 25,335 HOUSEHOLDS WITH 8.08% FAMILIES LIVING BELOW POVERTY. ZIP CODE 20011 IS THE HOME OF 29,010 AFRICAN AMERICAN RESIDENTS, THE LARGEST REPRESENTED RACE IN THIS AREA FOLLOWED BY 26.4% OF HISPANIC/LATINO RESIDENTS. IN THE AREA OF HEALTH CARE ACCESS AND INSURANCE, 8.5% OF ADULTS DO NOT HAVE HEALTH INSURANCE COVERAGE. THERE ARE NO FULL-SERVICE HOSPITALS LOCATED IN THESE WARDS. REGARDING FOOD INSECURITY, 50% OF HOUSEHOLDS WITH CHILDREN RECEIVE SNAP BENEFITS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITYZIP CODE 20019 IS AN URBAN GEOGRAPHIC SERVICE AREA WITHIN WARD 7 OF WASHINGTON DC. THERE ARE 57,254 PEOPLE AND THE MEDIAN HOUSEHOLD INCOME IS $47,292. THE COMMUNITY INCLUDES 23,452 HOUSEHOLDS WITH 20.36% FAMILIES LIVING BELOW POVERTY. ZIP CODE 20019 IS THE HOME OF 50,390 (88%) AFRICAN AMERICAN RESIDENTS, THE LARGEST REPRESENTED RACE IN THIS AREA, FOLLOWED BY 5.45% HISPANIC/LATINO RESIDENTS. IN THE AREA OF HEALTH CARE ACCESS AND INSURANCE COVERAGE, 9.8% OF ADULTS DO NOT HAVE HEALTH INSURANCE COVERAGE. ALSO, THERE ARE NO FULL-SERVICE HOSPITALS LOCATED IN THIS COMMUNITY. REGARDING FOOD INSECURITY, 47.6% OF HOUSEHOLDS WITH CHILDREN RECEIVE SNAP BENEFITS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITYZIP CODE 20010 IS AN URBAN GEOGRAPHIC SERVICE AREA WITHIN WARD 1 OF WASHINGTON DC. THERE ARE 31,646 PEOPLE AND THE MEDIAN HOUSEHOLD INCOME IS $114,881. THE COMMUNITY INCLUDES 14,063 HOUSEHOLDS WITH 8.07% FAMILIES LIVING BELOW POVERTY. ZIP CODE 20010 IS THE HOME OF 13,674 (43.21%) WHITE RESIDENTS, 6,299 (19.9%) AFRICAN AMERICAN RESIDENTS AND 9,189 (29.04%) HISPANIC RESIDENTS. IN THE AREA OF HEALTH CARE ACCESS AND INSURANCE COVERAGE, 8.8% OF ADULTS DO NOT HAVE HEALTH INSURANCE COVERAGE. THERE ARE TWO FULL-SERVICE HOSPITALS IN WARD 1 AND 2 SPECIALTY HOSPITALS SERVICING THIS COMMUNITY. REGARDING FOOD INSECURITY, 47.4% OF HOUSEHOLDS WITH CHILDREN RECEIVE SNAP BENEFITS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5:AS A COMMUNITY PARTNER, MWHC ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING 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 DETERMINANTS OF HEALTH. PROGRAMS INCLUDE (BUT ARE NOT LIMITED TO):HEALTH AND WELLNESSEDUCATIONAL PROGRAMS ARE OFFERED WITH THE GOAL OF IMPROVING COMMUNITY HEALTH AND WELL-BEING. FOR EXAMPLE, THE LIVING WELL CHRONIC DISEASE PREVENTION AND MANAGEMENT IS A FREE SEVEN-WEEK HEALTH EDUCATION AND BEHAVIOR CHANGE PROGRAM FOCUSED ON CHRONIC DISEASE SELF-MANAGEMENT. THE PROGRAM IS DESIGNED FOR ADULTS LIVING WITH A CHRONIC CONDITION, SUCH AS HEART DISEASE, DIABETES, CANCER, DEPRESSION, CHRONIC PAIN, ARTHRITIS, LUNG DISEASE, MULTIPLE SCLEROSIS OR ANY CHRONIC HEALTH CONCERN. IN ADDITION, ADDITIONAL CLASSES ARE OFFERED SUCH AS DIABETES SELF-MANAGEMENT, SMOKING CESSATION, NUTRITION, AND WEIGHT MANAGEMENT CLASSES. THIS PROGRAM TRANSITIONED TO A VIRTUAL PLATFORM DUE TO COVID 19 SAFETY PRECAUTIONS BUT WILL RESUME TO BE IMPLEMENTED IN PERSON. ASK A HEALTHCARE PROFESSIONAL INITIATIVE COORDINATES HOSPITAL PHYSICIANS AND ALLIED HEALTH PROFESSIONALS ARE COMMITTED TO SHARING THEIR KNOWLEDGE ON VARIOUS TOPICS WITH MEMBERS OF THE COMMUNITY TO IMPROVE THEIR HEALTH. THE COMMUNITY HEALTH TEAM WORKS TO ARRANGE OPPORTUNITIES FOR OUR PROFESSIONALS TO SPEAK AT COMMUNITY SITES TO MEMBERS OF COMMUNITY. THIS PROGRAM IS PERFORMED IN BOTH VIRTUAL AND IN PERSON SETTING. COMMUNITY VIOLENCE INTERVENTION PROGRAM PROVIDES SERVICES TO INDIVIDUALS, AND THEIR FAMILIES, WHO HAVE EXPERIENCED A LIFE-THREATENING INTENTIONAL INJURY. THE PROGRAM ENGAGES WITH VICTIMS AND THEIR FAMILIES TO CREATE A SUPPORT SYSTEM THAT CAN LEAD TO LONG-TERM CHANGE. TEAM MEMBERS CONNECT PROGRAM PARTICIPANTS WITH GOVERNMENT AND COMMUNITY-BASED SERVICES TO PROMOTE HEALING, REDUCE REVICTIMIZATION, AND PREVENT FUTURE VIOLENCE.SUPPORT GROUPS ARE OFFERED TO COMMUNITY MEMBERS FOR A VARIETY OF TOPICS INCLUDING MENTAL HEALTH, PROSTATE CANCER, VISION LOSS, DIABETES, WEIGHT LOSS, CANCER, AND STROKE.ACCESS TO CAREPATIENT FINANCIAL SERVICES PROVIDES FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO RESIDE 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. THE HOSPITAL SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED. THE RYAN WHITE PROGRAM OFFERS FREE OF CHARGE SERVICES FOR INDIVIDUALS AND ELIGIBLE FAMILIES LIVING WITH HIV. SERVICES INCLUDE MEDICAL AND NON-MEDICAL CASE MANAGEMENT, HOME AND COMMUNITY HEALTH-BASED SERVICES, EARLY INTERVENTION SERVICES, HIV COUNSELING AND TESTING WITH SEX EDUCATION/RISK REDUCTION, DENTAL CARE, PSYCHOLOGICAL COUNSELING, TRANSITION FROM INPATIENT TO OUTPATIENT CARE AND FROM YOUTH TO ADULT CARE; REFERRALS TO CLINICAL TRIALS AND LINKAGE TO WOMEN'S HEALTH SERVICES, PEDIATRIC SERVICES, AND FAMILY SUPPORT SERVICES.SOCIAL DETERMINANTS OF HEALTHTHE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM IS PROVIDED TO SUPPORT SUBSTANCE ABUSE RECOVERY IN THE COMMUNITY AND PROMOTE ACCESS TO BEHAVIORAL HEALTH PROGRAMS. THIS PROGRAM INCLUDES THREE MAIN COMPONENTS: SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THOSE WHO SCREEN POSITIVE FOR HIGH-RISK BEHAVIORS ARE CONNECTED TO PEER RECOVERY COACHES WHO CONDUCT A BRIEF INTERVENTION AND REFER TO TREATMENT IF APPROPRIATE. OPIOID OVERDOSE SURVIVOR OUTREACH COACHES LINK COMMUNITY MEMBERS WITH A HISTORY OF SUBSTANCE ABUSE TREATMENT WITH THE RESOURCES THEY NEED TO PREVENT A FUTURE OVERDOSE.THE HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO PATIENTS AND/OR FAMILIES WITH FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES PATIENTS TO ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS.TRAINING PHYSICIANS IN THE COMMUNITY IS A TRAINING PROGRAM FOR FUTURE PHYSICIANS, NURSES AND OTHER CLINICAL LEADERS THAT PROVIDES TRAINING OPPORTUNITIES WITH EXPOSURE TO THE DIVERSE NEEDS OF THE POPULATIONS THEY WILL CARE FOR. EACH YEAR, 100 RESIDENT PHYSICIANS AT MWHC ARE TRAINED TO LEARN ABOUT HOW SOCIAL DETERMINANTS OF HEALTH PLAY A ROLE IN THE OVERALL WELLNESS OF THE PATIENT AND IMPACT THE CARE AND SERVICES PATIENTS NEED. COMMUNITY HEALTH WORKERS IMPROVE THE HEALTH OF THEIR COMMUNITIES BY EDUCATING OTHERS ON DISEASE AND INJURY PREVENTION AND LINKING COMMUNITY MEMBERS TO HEALTHCARE AND SOCIAL SERVICES, INCLUDING FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE.SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR 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. OUR COMMUNITY PARTNER, FIND HELP, PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS.THE HOSPITAL FOOD INSECURITY INITIATIVE LEAD BY THE CLINICAL RESOURCE MANAGEMENT DEPARTMENT ASSISTS RESIDENTS THAT IDENTIFY AS FOOD INSECURE BY PROVIDING A MEAL BOX -TO- GO. BOXES CONTAIN NON-PERISHABLE BREAKFAST, LUNCH AND DINNER ITEMS. ALL PARTICIPANTS REFERRED TO A COMMUNITY HEALTH ADVOCATE FOR ASSISTANCE WITH RESOURCES TO OBTAIN ADDITIONAL FOOD. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6:AS A PROUD MEMBER OF MEDSTAR HEALTH, MWHC IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MWHC WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'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 MWHC IS FILED IN THE DISTRICT OF COLUMBIA. 1 0 0 SCHOLARSHIPS 102 1375961 PART I, LINE 2: EACH YEAR, THE ORGANIZATION AWARDS SCHOLARSHIPS TO QUALIFIED INDIVIDUALS WISHING TO SEEK AN EDUCATION OR DEGREE IN THE HEALTHCARE FIELD. CLINICAL AND MEDICAL STAFF, NURSES AND PHYSICIANS ARE ESSENTIAL TO THE HOSPITAL'S GOAL TO PROVIDE HIGH QUALITY PATIENT CARE. SCHOLARSHIPS ARE AWARDED ON THE BASIS OF FINANCIAL NEED, ACADEMIC ACHIEVEMENT, AND THE GOAL OF PURSUING A HEALTHCARE CAREER. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET BOARD MEMBER 0 2106059 0 3176567 0 79000 0 62059 0 35882 0 5459567 0 0 GREGORY ARGYROS MD BOARD MEMBER/PRESIDENT 781210 0 716570 0 0 0 8700 0 37758 0 1544238 0 0 0 STANLEY CHIA MD BOARD MEMBER 770534 0 127480 0 0 0 8700 0 21171 0 927885 0 0 0 STUART SEIDES MD PHYSICIAN 738849 0 100000 0 0 0 8700 0 9775 0 857324 0 0 0 EMILY BRITON SR VICE PRESIDENT/COO 365211 0 224637 0 0 0 8700 0 25132 0 623680 0 0 0 TONYA WASHINGTON SR VICE PRESIDENT, CNO 314792 0 186291 0 0 0 17375 0 21110 0 539568 0 0 0 WILLIAM GAYNE CHIEF FINANCIAL OFFICER 0 331420 0 167147 0 0 0 8700 0 21268 0 528535 0 0 MELISSA H FRIES MD BOARD MEMBER (UNTIL 10/31/22) 431645 0 67193 0 0 0 8700 0 1806 0 509344 0 0 0 KAREN JEROME MD VP AND CHIEF QUALITY OFFICER 434277 0 35000 0 0 0 8700 0 16705 0 494682 0 0 0 GILLIAN SOUTHWELL MD BOARD MEMBER (AS OF 4/6/23) 391388 0 5000 0 0 0 8700 0 20507 0 425595 0 0 0 IRA RABIN MD VP, MEDICAL OPERATIONS 361038 0 30000 0 0 0 8700 0 7776 0 407514 0 0 0 PAMELA D RANDOLPH JACKSON MD BOARD MEMBER 321959 0 19141 0 0 0 8790 0 19739 0 369629 0 0 0 KRISTEN M NELSON NP BOARD MEMBER 228252 0 5309 0 0 0 13445 0 19064 0 266070 0 0 0 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. WILLIAM GAYNE'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR WASHINGTON HOSPITAL CENTER AND MEDSTAR HEALTH RESEARCH INSTITUTE. BIOTRONIK INC SEE PART V 2182411 MEDICAL DEVICES 0 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IVTHE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR WASHINGTON HOSPITAL CENTER VALUED IN EXCESS OF $100,000: BIOTRONIK, INC. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 3 130153 FMV 0 1 0 PART I, COLUMN (B) THIS COLUMN IS REPORTING THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. 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., 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 DECISION OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., 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 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 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 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 SERVICES: PROGRAM SERVICE EXPENSES 7,861,350. MANAGEMENT AND GENERAL EXPENSES 1,538,562. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,399,912. CONSULTING FEES: PROGRAM SERVICE EXPENSES 210,374. MANAGEMENT AND GENERAL EXPENSES 6,757,790. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,968,164. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 128,653,679. MANAGEMENT AND GENERAL EXPENSES 8,472,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,125,865. MISC FIXED PURCH SRVCS: PROGRAM SERVICE EXPENSES 12,728,028. MANAGEMENT AND GENERAL EXPENSES 6,241,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,969,309. PROFESSIONAL FEES-OTHER: PROGRAM SERVICE EXPENSES 172,683. MANAGEMENT AND GENERAL EXPENSES 75,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,683. LAB SERVICES: PROGRAM SERVICE EXPENSES 149,473. MANAGEMENT AND GENERAL EXPENSES 4,350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,823. TESTING & DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 2,254,931. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,254,931. MEDICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 1,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,300. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 38,912. MANAGEMENT AND GENERAL EXPENSES 84,471. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,383. MISC FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 11,418,840. MANAGEMENT AND GENERAL EXPENSES 4,634,317. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,053,157. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS - NET ASSETS 29,535,946. 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