2025-05-09T13:50:00-05:00 2024-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-07-01 520619006 ST MARYS HOSPITAL OF ST MARYS COUNTY INC STMA 3014756003 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 JOEL BRYAN VP/TREASURER/CIO 4107726721 2025-05-09 1 0 RAYMOND LY P01205643 7032868000 2023 2025-03-06 01:10:19Z MEDSTAR ST MARY'S HOSPITAL MIMI NOVELLO 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 205470714 0 X WWW.STMARYSHOSPITALMD.ORG X 1912 MD SEE SCHEDULE OMEDSTAR ST. MARY'S HOSPITAL UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. 14 7 1371 29 0 0 2328531 2287582 198722277 197543401 37523 51439 4967238 5427610 206055569 205310032 91133 51038 0 0 109189037 93322641 4448 0 0 92078421 105398065 201363039 198771744 4692530 6538288 136029917 146335098 22730303 19601560 113299614 126733538 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR ST. MARY'S HOSPITAL'S (MEDSTAR ST. MARY'S) MISSION IS TO UPHOLD ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING QUALITY CARE, PATIENT SAFETY AND FISCAL INTEGRITY. MEDSTAR ST. MARY'S IS LOCATED IN LEONARDTOWN, MARYLAND, IN THE SOUTHERN REGION. IN FISCAL YEAR 2024, MSMH HAD 6,901 INPATIENT ADMISSIONS AND 110,600 OUTPATIENT VISITS INCLUDING 42,666 EMERGENCY VISITS. 0 0 128857689 51038 187310532 SEE SCHEDULE OMEDSTAR ST. MARY'S HOSPITAL'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES FOR COMMUNITIES OF ST. MARY'S COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR ST. MARY'S INCURRED $46.9M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR ST. MARY'S PROVIDES GENERAL, ACUTE CARE SERVICES IN MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPAEDICS, PULMONARY AND CARDIAC REHABILITATION, AND PSYCHIATRY. IT ALSO PROVIDES EMERGENCY DEPARTMENT CARE. ALSO INCLUDED IN OUR RANGE OF SERVICES IS HOSPICE CARE AND A JOINT VENTURE THAT PROVIDES HOME CARE SERVICES WITH 2 OTHER LOCAL HOSPITALS IN ADJACENT COUNTIES. AN OUTPATIENT PAVILION INCLUDES CANCER CARE AND INFUSION SERVICES, AND IMAGING. SERVICES ALSO INCLUDE A CENTER FOR WOUND HEALING.MEDSTAR ST. MARY'S HOSPITAL IS A MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) ACCREDITED PRIMARY STROKE CENTER. IT HAS A CANCER CENTER THAT HAS COMMISSION ON CANCER CERTIFICATION, IS A CERTIFIED BABY FRIENDLY HOSPITAL AND IS A MAGNET FACILITY. 18511982 10232869 MEDSTAR ST. MARY'S PROVIDED $18.5M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2024. 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 MEDICINE, WOMEN'S AND CHILDREN'S HEALTH, AND BEHAVIORAL HEALTH. 4452862 MEDSTAR ST. MARY'S PROVIDED $4.5M IN CHARITY CARE SERVICES IN FISCAL YEAR 2024. 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 ST. MARY'S CHARITY CARE EXPENSE. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. 151822533 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 1371 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 JENNIFER L BLAKE CHAIR 1.00 0.00 X X 0 0 0 BONNIE BOWES DIRECTOR (UNTIL 12/2023) 1.00 0.00 X 0 0 0 GLEN IVES DIRECTOR 1.00 0.00 X 0 0 0 SONYA POLLACK DIRECTOR 1.00 0.00 X 0 0 0 ANNA CHOI MD DIRECTOR (UNTIL 10/2023) 40.00 0.00 X 531695 0 27395 KAREN T GARNER DIRECTOR 1.00 0.00 X 0 0 0 JOHN HARVEY MD DIRECTOR 40.00 0.00 X 632677 0 32190 JAMES DAMALOUJI MD DIRECTOR 40.00 0.00 X 403708 0 25473 TARA SAGGAR MD DIRECTOR 40.00 0.00 X 476598 0 32730 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 7083748 106087 STEPHEN A SCHMEISER DIRECTOR 1.00 0.00 X 0 0 0 YAHIA TAGOURI MD DIRECTOR 40.00 0.00 X 529318 0 29971 VINCE WHITTLES VICE CHAIR 1.00 0.00 X X 0 0 0 MIMI NOVELLO MD PRESIDENT/DIRECTOR 40.00 0.00 X X 955238 0 11521 KATHERINE KOCH DIRECTOR 1.00 0.00 X 0 0 0 ANNE BANFIELD DIRECTOR 40.00 0.00 X 708957 0 9362 MICHAEL MEISEL CFO/TREASURER (UNTIL 08/2023) 1.00 39.00 X 0 413879 30252 ANNETTE BRONER SECRETARY 1.00 39.00 X 0 297348 31248 PURVI JANI CFO/TREASURER 1.00 39.00 X 0 320315 18969 JOHN GREELY VP OF OPERATIONS 40.00 0.00 X 288554 0 31483 DAWN YEITRAKIS CNO 40.00 0.00 X 287305 0 19517 HEATHER SWAN-JONES REGISTERED NURSE 40.00 0.00 X 240575 0 24776 MARY IBEGBU DIRECTOR OF PHARMACY 40.00 0.00 X 226616 0 23700 LORI WERRELL AVP, CARE TRANSFORMATION 40.00 0.00 X 222644 0 7520 DAVID HAVRILLLA FORMER CFO 0.00 40.00 X 0 424997 27650 DANIEL FEELEY FORMER CFO 0.00 40.00 X 0 354417 32365 ROBERT LALLY FORMER CFO 0.00 40.00 X 0 213730 0 STEPHEN MICHAELS MD FORMER SECRETARY 0.00 40.00 X 0 1030317 28508 5503885 10138751 550717 155 1 1 0 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 2798518 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 2168634 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 2098507 DIVERSIFIED CLINICAL SERVICES 28525 NETWORK PLACE CHICAGO IL 606731285 MEDICAL SERVICES 913218 FRESENIUS MEDICAL CARE 16343 COLLECTION CENTER DRIVE CHICAGO IL 60693 MEDICAL SERVICES 729430 32 60115 1466125 761342 28076 2287582 NET PATIENT SERVICE RE 621400 197564358 197564358 OTHER HEALTH REVENUE 621400 18402 18402 PHARMACY REVENUE 621400 -39359 -39359 197543401 49428 49428 417272 0 417272 417272 417272 228 1783 0 0 228 1783 2011 2011 343627 60115 160682 182945 182945 EQUITY IN SUBSIDIARIES 900099 1834669 1834669 REBATE INCOME 900099 377222 377222 2615502 2615502 4827393 205310032 197543401 0 5479049 X 51038 51038 4406834 3912763 494071 73737746 65530030 8207716 1174631 1030998 143633 8647975 7503428 1144547 5355455 4715862 639593 21217425 21217425 22100301 19067865 3032436 243910 -2491 246401 1087160 969118 118042 714530 593626 120904 189216 186964 2252 35590 34840 750 590257 590257 10905950 4301305 6604645 2139436 -55204 2194640 MED/SURG SUPPLIES 28143040 28213918 -70878 IMPLANTS/PROSTHESES 4675407 4675407 MAINTENANCE 4601469 4466257 135212 UTILITIES 2729196 2499049 230147 6025178 4127760 1897418 198771744 151822533 46949211 0 636559 704235 378781 388933 21408366 24406748 3885637 4291334 16590221 21425783 163672208 88320727 77760367 75351481 1460318 813755 9449566 11284235 4460102 7668594 136029917 146335098 11851151 10916645 208661 214226 10670491 8470689 22730303 19601560 X 111840813 124839415 1458801 1894123 113299614 126733538 136029917 146335098 X 6538288 10262 6885374 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 809381 30 3323 36 812698 685711 121486 2184 809381 115377 570305 29 685711 115347 30 115377 114569 778 115347 0.00000 0.85120 0.14880 0 0 5733422 5733422 105863447 58592163 47271284 237567 315016 -77449 47366386 29041077 18325309 4471386 372471 4098915 75351481 INVESTMENTS IN CONSOLIDATED 7035255 F INVESTMENTS IN UNCONSOLIDATED 4248980 F 11284235 INTERCOMPANY DUE TO/FROM 5981415 OPERATING LEASE ROU ASSETS 1687179 7668594 ADVANCES 4606049 OPERATING LEASE LIABILITY 1789658 CREDIT BALANCES PATIENT A/R 639004 UCC POOL LIABILITY 483951 SHORT TERM LIAB-OTHER RESERVE 445523 OTHER LIABILITIES 253432 GBR LIABILITY 253072 8470689 X PART V, LINE 4: ENDOWMENT FUNDS EARNINGS FROM ENDOWMENT FUNDS ARE USED FOR SCHOLARSHIPS FOR RESIDENTS OF SOUTHERN MARYLAND PURSUING CAREERS IN THE HEALTHCARE INDUSTRY AND TO FUND THE NEEDS OF THE HOSPITAL. 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, 2024. GALA 403742 60115 343627 4000 110575 11000 35107 403742 60115 343627 4000 110575 11000 35107 160682 182945 1 1 X 1 X 1 X 1 1 0 1 1 4452862 4452862 0.02240 4452862 4452862 0.02240 1548008 7940 1540068 0.00770 184286 184286 0.00090 18511982 10232869 8279113 0.04170 115570 115570 0.00060 20359846 10240809 10119037 0.05090 24812708 10240809 14571899 0.07330 142190 142190 0.00070 454119 454119 0.00230 3500 3500 0.00000 7751 7751 0.00000 34806 34806 0.00020 410655 410655 0.00210 1053021 1053021 0.00530 1 5100364 X 1 1 1 1 ST MARYS HOSPITAL OF ST MARYS COUNTY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 WWW.STMARYSHOSPITALMD.ORG STATE LICENSE NUMBER: 18001 X X X ST MARYS HOSPITAL OF ST MARYS COUNTY 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X HTTP://WWW.MEDSTARSTMARYS.ORG/ X 1 23 1 HTTP://WWW.MEDSTARSTMARYS.ORG/ 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.MEDSTARSTMARYS.ORG/ X HTTP://WWW.MEDSTARSTMARYS.ORG/ X HTTP://WWW.MEDSTARSTMARYS.ORG/ X X X X X X 1 X 0 X X X X 1 X 0 0 ST MARYS HOSPITAL OF ST MARYS COUNTY 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: LORI WERRELLEXECUTIVE 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: MIMI NOVELLO, 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 : ALEXIS ZOSSTITLE : DIRECTORNAME OF ORGANIZATION : ST. MARY'S COUNTY DEPT. OF SOCIAL SERVICESNAME : ANNA COTTONTITLE : BOARD CO-CHAIR- LOCAL MANAGEMENT BOARDNAME OF ORGANIZATION : ST. MARY'S COUNTY GOVT./COMMUNITY MEMBERNAME : ASHLEY LAGANATITLE : MATERNAL AND CHILD HEALTHNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : CHRISIE MULCAHEYTITLE : DIRECTORNAME OF ORGANIZATION : HEALTH PARTNERS, INC.NAME : CYNTHIA BROWNTITLE : HUMAN SERVICES DIV. MANAGERNAME OF ORGANIZATION : ST. MARY'S COUNTY GOVERNMENTNAME : DANA WESTTITLE : DIRECTOR OF OPERATIONSNAME OF ORGANIZATION : MEDSTAR MEDICAL GROUPNAME : DENNIS NICHOLSONTITLE : PRESIDENT, EXECUTIVE DIRECTORNAME OF ORGANIZATION : ST. MARY'S HOUSING AUTHORITYNAME : GERARD MCGLOINTITLE : VICE PRESIDENTNAME OF ORGANIZATION : PATHWAYSNAME : GLENN IVESTITLE : BOARD OF TRUSTEESNAME OF ORGANIZATION : ST. MARY'S COLLEGE OF MARYLANDNAME : GREGORY REUSSTITLE : COMMUNITY REPRESENTATIVENAME OF ORGANIZATION : AMERICAN FOUNDATION FOR SUICIDE PREVENTIONNAME : SASHA SEENATHTITLE : CEONAME OF ORGANIZATION : THREE OAKS SHELTERNAME : JACQUELINE HEANEY-WELLSTITLE : DIRECTOR OF THE OFFICE OF COMMUNITY ENGAGEMENT & POLICYNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : JAMES DAMALOUJI, M.D.TITLE : ASSOCIATE MEDICAL DIRECTOR OF MEDICAL AFFAIRSNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : JUANITA BUTLERTITLE : FOOD PANTRY COORDINATORNAME OF ORGANIZATION : GOSPEL TABERNACLE OF PRAYERNAME : JOHN HARTLINETITLE : EXECUTIVE DIRECTORNAME OF ORGANIZATION : TRI-COUNTY COUNCIL OF SOUTHERN MARYLANDNAME : LAURA STEWART-WEBBTITLE : DIRECTOR OF ENGAGEMENT AND SPECIAL PROJECTSNAME OF ORGANIZATION : WALDEN-A PYRAMID HEALTHCARE COMPANYNAME : LORI JENNINGS-HARRISTITLE : DIRECTOR OF AGING AND HUMAN SERVICESNAME OF ORGANIZATION : ST. MARY'S COUNTY GOVERNMENTNAME : LORI WERRELLTITLE : ASST. VICE PRESIDENT OF CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : LT. KRYSTLE ROSSIGNOLTITLE : BARRACK COMMANDERNAME OF ORGANIZATION : MARYLAND STATE POLICENAME : MEENAKSHI BREWSTER, M.D.TITLE : HEALTH OFFICERNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : MIKE BROWNTITLE : COMMUNITY MEMBERNAME OF ORGANIZATION : COMMUNITY RESIDENTNAME : MIMI NOVELLO, M.D.TITLE : EXECUTIVE SPONSOR CHIEF OPERATING/ MEDICAL OFFICERNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : NATHANIEL SCROGGINSTITLE : PRESIDENTNAME OF ORGANIZATION : MINORITY OUTREACH COALITION MEMBERNAME : RACHEL SOLOMONTITLE : DIVERSITY AND INCLUSION COORDINATORNAME OF ORGANIZATION : PATHWAYS, INC.NAME : RENEE GRUBBS, NPTITLE : WOCN CLINICAL SPECIALISTNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : DR. SCOTT SMITHTITLE : SUPERINTENDENTNAME OF ORGANIZATION : ST. MARY'S COUNTY PUBLIC SCHOOLSNAME : SHANNON HEANEYTITLE : DIRECTOR, CHRONIC DISEASE PREVENTION & CONTROLNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : SHAWN KINGSTONTITLE : DIRECTORNAME OF ORGANIZATION : CALVERT HOUSING AUTHORITYNAME : SIMONE ROSSTITLE : EXECUTIVE DIRECTORNAME OF ORGANIZATION : HOUSING AUTHORITY OF ST. MARY'S COUNTYNAME : SONYA POLLACKTITLE : DIRECTORNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : TAMMY LOEWETITLE : DIRECTOR, BEHAVIORAL HEALTHNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : TIMOTHY CAMERONTITLE : SHERIFFNAME OF ORGANIZATION : ST. MARY'S COUNTY SHERIFF'S DEPARTMENT ST MARYS HOSPITAL OF ST MARYS COUNTY 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 7AMARYLAND'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 BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. UNREIMBURSED MEDICAID PART I, LINE 7BMARYLAND'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 BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. 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 8MARYLAND'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 BREAKOUT 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 2IN FY21, MEDSTAR ST. MARY'S HOSPITAL (MSMH) 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 MSMH'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 SERVED AS A GUIDE FOR 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 LEXINGTON PARK AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODE 20653. 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 AND BEHAVIORAL HEALTH), ACCESS TO HEALTH CARE AND SERVICES (TRANSPORTATION AND ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING AND EMPLOYMENT). 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. IN FY24, MSMH CONDUCTED A CHNA AND PRODUCED A THREE-YEAR IMPLEMENTATION STRATEGY. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE BY JUNE 30, 2024, AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3AS 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 4THE COMMUNITY THE ORGANIZATION SERVES INCLUDES ZIP CODE 20653. ZIP CODE 20653 IS A RURAL GEOGRAPHIC SERVICE AREA. THERE ARE 24,481 RESIDENTS AND THE MEDIAN HOUSEHOLD INCOME IS $63,676. THE COMMUNITY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (15%), UNINSURED RESIDENTS (7%), AND MEDICAID RECIPIENTS (25%). THERE IS ONE HOSPITAL SERVING THE COMMUNITY AND TWO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT. BASED ON PATIENT RATIOS, ACCESS TO CARE CONTINUES TO BE A COMMUNITY-WIDE CHALLENGE WITH PRIMARY CARE PROVIDERS (2,440:1), DENTISTS (1,974:1), AND MENTAL HEALTH PROVIDERS (715:1). BEYOND THE DEFICIENCY OF HEALTHCARE RESOURCES, THERE ARE ALSO TRANSPORTATION BARRIERS TO ACCESSING SERVICES. RESIDENTS ARE HINDERED BY A DEFINED BUS ROUTE THAT LACKS ACCESSIBILITY IN TERMS OF COST, LOCATION OR ACCOMMODATION TO MOBILITY LIMITATIONS OR DISABILITIES. FROM AN ECONOMIC PERSPECTIVE, 35% OF SCHOOL-AGED CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED-COST LUNCH AND 20% OF CHILDREN ARE FROM SINGLE-PARENT HOMES. HOUSING COSTS ARE ALSO A BURDEN FOR 12% OF THE COMMUNITY, WHO SPEND 50% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING. ADULT OBESITY IS AN ONGOING HEALTH CHALLENGE IMPACTING MORE THAN ONE-THIRD OF ADULTS (36%) IN THE COUNTY AND 9% HAVE BEEN OFFICIALLY DIAGNOSED WITH DIABETES PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5AS A COMMUNITY PARTNER, MSMH 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 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 NATIONAL DIABETES PREVENTION PROGRAM (NDPP) IS A YEARLONG PROGRAM THAT PROVIDES LIFESTYLE CHANGE EDUCATION FOR RESIDENTS WHO HAVE ELEVATED A1C LEVELS, THOUGH ARE NOT DIAGNOSED WITH TYPE 2 DIABETES. THE PROGRAM IS AIMED AT PREVENTING THE DEVELOPMENT OF TYPE 2 DIABETES THROUGH WEIGHT LOSS, PHYSICAL ACTIVITY AND FOOD TRACKING. THESE LIFESTYLE CHANGES HELP TO FURTHER DELAY THE ONSET OF DIABETES AND OTHER CHRONIC DISEASES. CONVERSATION MAPS, A FREE FOUR-WEEK SELF-MANAGEMENT WORKSHOP, IS OFFERED TO FACILITATE GUIDED DISCUSSIONS ON DIABETES MANAGEMENT, MEDICATIONS, NUTRITION, AND PHYSICAL ACTIVITY. ADDITIONALLY, MSMH CONTINUES TO OFFER TOBACCO CESSATION CLASSES AND THE PARENTS TO BE WORKSHOP, A FULL-DAY PROGRAM THAT OFFERS HEALTH EDUCATION ON INFANT CPR, CHILDBIRTH, BREASTFEEDING BASICS, AND BABY CARE BASICS.SUPPORT GROUPS ARE OFFERED TO COMMUNITY MEMBERS FOR A VARIETY OF TOPICS INCLUDING CANCER, PARKINSON'S DISEASE, BARIATRIC, DIABETES PREVENTION, BREASTFEEDING, AND STROKE. STAFF ALSO SHARE THEIR KNOWLEDGE WITH THE COMMUNITY THROUGH INTERVIEWS, SEMINARS, BLOGS, VIDEOS, AS WELL AS DISCUSSIONS OR SCREENINGS AT COMMUNITY HEALTH FAIRS. ACCESS TO CARE EAST RUN MEDICAL CENTER IS HOME TO A PRIMARY CARE SAFETY-NET DENTAL CLINIC AND A VETERAN'S AFFAIRS CLINIC. THESE SERVICES, ALONG WITH TRANSITIONAL CARE OUTPATIENT NURSES AND COMMUNITY HEALTH ADVOCATES ASSIST IN BRIDGING THE GAPS IN SERVICE THAT OUR MOST VULNERABLE COMMUNITY MEMBERS FACE. THE HOSPITAL ALSO SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED. THE HOSPITAL PARTNERS WITH THE CENTER FOR LIFE ENRICHMENT TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, TRANSPORTATION IS PROVIDED TO RESIDENTS WITH FINANCIAL NEED. THIS TRANSPORTATION ASSISTANCE ALLOWS RESIDENTS TO ACCESS HEALTH CARE PROVIDERS AND OTHER COMMUNITY-BASED SERVICES, LIKE FOOD BANKS, TO IMPROVE HEALTH OUTCOMES. SOCIAL DETERMINANTS OF HEALTH THE 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. THIS TEAM WORKS IN COORDINATION WITH OUR COMMUNITY HEALTH WORKERS AS WELL AS TRANSITIONAL CARE NURSES TO SUPPORT COMMUNITY MEMBERS WITH THE RESOURCES NEEDED TO MANAGE THEIR ADDICTIONS AND PROMOTE RECOVERY.COMMUNITY HEALTH WORKERS IMPROVE THE HEALTH OF THEIR COMMUNITIES BY CONNECTING VULNERABLE RESIDENTS TO LOCAL RESOURCES INCLUDING PRIMARY CARE PROVIDERS, HEALTH INSURANCE, AND SOCIAL SERVICES, INCLUDING FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE. COMMUNITY HEALTH WORKERS REFER INDIVIDUALS TO RESOURCES THROUGH THE FINDHELP.ORG RESOURCE DATABASE THAT HELPS BRIDGE THE GAP FOR A VARIETY OF NEEDS INCLUDING FINANCIAL RESOURCES, HOUSING, UTILITIES, CHILDCARE, AND FOOD PANTRIES. THE WORKFORCE DEVELOPMENT PROGRAM PROVIDED ROBUST STUDENT INTERNSHIP EXPERIENCES FOR HIGH SCHOOL-LEVEL YOUTH. THIS EIGHT-WEEK SUMMER INTERNSHIP CONNECTED THE COURSE CURRICULUM WITH TANGIBLE ONSITE EXPERIENCE. THIS OFFERED STUDENTS THE ABILITY TO DEVELOP SKILLS WHILE RECEIVING RELEVANT WORK EXPERIENCE IN THE MEDICAL FIELD.SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR ISSUES SUCH AS FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY A COMMUNITY HEALTH WORKER CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER COMMUNITY RESOURCES. THE FINDHELP.ORG ONLINE PLATFORM ALLOWS OUR ASSOCIATES THE ABILITY TO REFER, TRACK, AND MANAGE CONNECTIONS WITH LOCAL NONPROFIT GROUPS AND PUBLIC SERVICE AGENCIES THAT MAY BE ABLE TO AID THOSE REQUIRING SUPPORT. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6MSMH IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, 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 MSMH 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 7THE COMMUNITY BENEFIT REPORT FOR MSMH IS FILED IN THE STATE OF MARYLAND. 1 0 0 SCHOLARSHIPS 10 51038 MONITORING FUNDS WE HAVE AN EMPLOYEE SCHOLARSHIP ("ES") PROGRAM AT ST. MARY'S HOSPITAL. THE EMPLOYEE SCHOLARSHIPS UNDERGO A THOROUGH REVIEW AND APPROVAL PHASE DEPENDENT UPON PROPER SUBMISSIONS BY THE REQUESTING RECIPIENT. ANY CHANGES TO THE ES PROGRAM MUST GO THROUGH THE PRESIDENT'S OFFICE FOR APPROVAL. ALL APPLICANTS WILL BE ASSIGNED A HRD ASSOCIATE THAT WILL RECEIVE AND STAMP APPLICATIONS WHEN RECEIVED. ALL APPLICANTS WILL BE INTERVIEWED BY HRD DEPARTMENT LEADER OF THE NURSING RECRUITER/HR GENERALIST FOR REVIEW OF THE APPLICATION AND AGREEMENT EXPECTATIONS. APPLICANTS MAY BE INTERVIEWED IF NEEDED BY THE SELECTION COMMITTEE. WITHIN 10 DAYS APPLICANT IS NOTIFIED IN WRITING OF SCHOLARSHIP DECISION AND THE HRD ASSOCIATE WILL REVIEW WITH EACH RECIPIENT THE REQUIREMENTS OF THE PROGRAM. ALL INVOICES WILL BE REVIEWED FOR REQUIRED INFORMATION AND VERIFICATION BEFORE PROCESSING, THE PAYMENT IS REQUESTED. X X X X X X 1 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2308151 0 3403165 0 1372432 0 68539 0 37548 0 7189835 0 0 STEPHEN MICHAELS MD FORMER SECRETARY 0 579655 0 450662 0 0 0 9150 0 19358 0 1058825 0 0 MIMI NOVELLO MD PRESIDENT/DIRECTOR 538066 0 417172 0 0 0 9150 0 2371 0 966759 0 0 0 ANNE BANFIELD DIRECTOR 461596 0 135799 0 111562 0 0 0 9362 0 718319 0 0 0 JOHN HARVEY MD DIRECTOR 419866 0 212811 0 0 0 9150 0 23040 0 664867 0 0 0 YAHIA TAGOURI MD DIRECTOR 417587 0 111731 0 0 0 9150 0 20821 0 559289 0 0 0 ANNA CHOI MD DIRECTOR (UNTIL 10/2023) 489695 0 42000 0 0 0 9150 0 18245 0 559090 0 0 0 TARA SAGGAR MD DIRECTOR 360039 0 91559 0 25000 0 9150 0 23580 0 509328 0 0 0 DAVID HAVRILLLA FORMER CFO 0 294810 0 130187 0 0 0 9150 0 18500 0 452647 0 0 MICHAEL MEISEL CFO/TREASURER (UNTIL 08/2023) 0 307987 0 105892 0 0 0 9150 0 21102 0 444131 0 0 JAMES DAMALOUJI MD DIRECTOR 403708 0 0 0 0 0 2750 0 22723 0 429181 0 0 0 DANIEL FEELEY FORMER CFO 0 294324 0 60093 0 0 0 9129 0 23236 0 386782 0 0 PURVI JANI CFO/TREASURER 0 320315 0 0 0 0 0 8956 0 10013 0 339284 0 0 ANNETTE BRONER SECRETARY 0 241602 0 55746 0 0 0 8573 0 22675 0 328596 0 0 JOHN GREELY VP OF OPERATIONS 231794 0 56760 0 0 0 8484 0 22999 0 320037 0 0 0 DAWN YEITRAKIS CNO 238358 0 48947 0 0 0 1300 0 18217 0 306822 0 0 0 HEATHER SWAN-JONES REGISTERED NURSE 240575 0 0 0 0 0 9150 0 15626 0 265351 0 0 0 MARY IBEGBU DIRECTOR OF PHARMACY 226616 0 0 0 0 0 5772 0 17928 0 250316 0 0 0 LORI WERRELL AVP, CARE TRANSFORMATION 189142 0 33502 0 0 0 6071 0 1449 0 230164 0 0 0 ROBERT LALLY FORMER CFO 0 9348 0 0 0 204382 0 0 0 0 0 213730 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 PAYMENT OF $1,372,432, WHICH REPRESENTS THE CASH VALUE OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. ANNE BANFIELD'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $40,000 REPRESENTING RETENTION BONUS PAYMENTS RECEIVED BY DR. BANFIELD. MICHAEL MEISEL'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR ST. MARY'S HOSPITAL AND MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. ROBERT LALLY'S COMPENSATION IS FOR SERVICES PREVIOUSLY PROVIDED AS CFO TO MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR HARBOR HOSPITAL, MEDSTAR ST. MARY'S HOSPITAL, AND MEDSTAR SOUTHERN MARYLAND HOSPITAL. ROBERT LALLY'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $204,382 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MR. LALLY. CMI GENERAL CONTRACTORS INC SEE PART V 270556 CONSTRUCTION 0 MARYLAND HOSPITAL ASSOCIATION SEE PART V 101569 MEMBERSHIP DUES 0 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IVTHE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THATALSO PROVIDED SERVICES TO MEDSTAR ST. MARY'S HOSPITAL VALUED IN EXCESSOF $100,000: CMI GENERAL CONTRACTORS, INC. AND MARYLAND HOSPITAL ASSOCIATION. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 2 28076 FMV 0 0 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., 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 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 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) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. 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 OTHER: PROGRAM SERVICE EXPENSES 19,067,865. MANAGEMENT AND GENERAL EXPENSES 3,032,436. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,100,301. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS 3,933,934. MINIMUM PENSION LIABILITY ADJUSTMENT 2,951,440. PART XII, LINE 2 ST. MARYS HOSPITAL OF ST. MARYS COUNTY INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. 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