2025-05-09T13:41:37-05:00 2024-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-07-01 520646893 MONTGOMERY GENERAL HOSPITAL INC MONT 3017748640 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 JOEL BRYAN VP/TREASURER/CIO 4107726721 2025-05-09 1 0 RAYMOND LY P01205643 7032868000 2023 2025-03-06 01:10:19Z MEDSTAR MONTGOMERY MEDICAL CENTER EMILY BRITON 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 192590042 0 X WWW.MONTGOMERYGENERAL.ORG X 2000 MD SEE SCHEDULE OMEDSTAR MONTGOMERY MEDICAL CENTER IS DEDICATED TO ENHANCING OUR COMMUNITY'S HEALTH BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. 16 9 1216 175 133035 0 6900342 6678514 173715543 184075068 79571 185298 1636625 1651162 182332081 192590042 68260 55000 0 0 98044396 96568002 0 0 0 100106831 106750019 198219487 203373021 -15887406 -10782979 105857222 115290418 23408080 23425040 82449142 91865378 X SEE SCHEDULE O 0 0 125770782 55000 167776114 SEE SCHEDULE OMEDSTAR MONTGOMERY'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF NORTHEASTERN MONTGOMERY COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR MONTGOMERY INCURRED $47.0M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. THE ACUTE CARE HOSPITAL OFFERS A CARDIAC AND VASCULAR PROGRAM, GENERAL SURGERY, ORTHOPEDICS, CANCER CARE, AND OBSTETRICS. WITH THE ADDITION OF SPECIALISTS FROM MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL AND MEDSTAR WASHINGTON HOSPITAL CENTER, MEDSTAR MONTGOMERY BRINGS SPECIALTY CARE CLOSER TO ITS PATIENTS. THE HOSPITAL'S CENTER FOR SUCCESSFUL AGING PRIMARY CARE AND HIGH INTENSITY OUTPATIENT CLINIC CONTINUES TO PLAY A VITAL ROLE IN ADDRESSING THE EVOLVING NEEDS OF OUR COMMUNITY'S GROWING SENIOR AND AGING POPULATION. ACHIEVING NICHE EXEMPLAR STATUS (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS), MEDSTAR MONTGOMERY IS DEDICATED TO PROVIDING SPECIALIZED CARE FOR SENIORS, PLACING A STRONG EMPHASIS ON ENHANCING THE OVERALL WELL-BEING OF OUR OLDER COMMUNITY MEMBERS. MEDSTAR MONTGOMERY HAS BEEN DESIGNATED AS A MAGNET HOSPITAL FOR NURSING EXCELLENCE; HONORED BY MODERN HEALTHCARE AS ONE OF THE YEAR'S INNOVATORS FOR DEDICATION TO ADVANCING TELEHEALTH PROGRAMS; GRANTED A THREE YEAR ACCREDITATION BY THE INTERSOCIETAL ACCREDITATION COMMISION (IAC) IN ECHOCARDIOGRAPHY; HONORED BY MANNA FOODS CORPORATE AS HERO OF THE YEAR. MEDSTAR MONTGOMERY HAS ALSO BEEN ACKNOWLEDGED AS A METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). 25069704 16298954 MEDSTAR MONTGOMERY PROVIDED $25.1M 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 WOMEN'S AND CHILDREN'S CARE, HOSPITAL OUTPATIENT, AND BEHAVIORAL HEALTH. 5510874 MEDSTAR MONTGOMERY PROVIDED $5.5M 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 MONTGOMERY'S CHARITY CARE EXPENSE AND REVENUES REPRESENT DIRECT PAYMENTS FROM THE STATE'S CHARITY CARE POOL. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. 156351360 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 1216 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 9 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 KENNETH SAMET DIRECTOR 1.00 39.00 X 0 7083748 106087 SUJITHRA JAYARAJ-SUDARSAN MD DIRECTOR 40.00 0.00 X 657795 0 32250 RICHARD HOFFMAN DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH ELLINGHAUS DIRECTOR 1.00 0.00 X 0 0 0 JOHN BARNHARDT PHD DIRECTOR (AS OF 10/2023) 1.00 0.00 X 0 0 0 GARY FERNANDES CHAIR 1.00 0.00 X X 0 0 0 JOHN FERGUSON VICE CHAIR 1.00 0.00 X X 0 0 0 MARC KOZAM MD DIRECTOR 1.00 0.00 X 20000 0 0 DAVID LITTLE DIRECTOR 1.00 0.00 X 0 0 0 ALOK MATHUR MD DIRECTOR 1.00 0.00 X 0 0 0 NEIL R OHORA DPM DIRECTOR 1.00 39.00 X 139079 0 9678 AMY COHEN DIRECTOR 1.00 0.00 X 0 0 0 STEVEN SHIMOURA MD DIRECTOR 1.00 0.00 X 0 0 0 APRIL TWEEDT DO DIRECTOR (AS OF 1/2024) 40.00 0.00 X 330939 0 31855 EMILY BRITON HOSPITAL PRESIDENT/DIRECTOR 40.00 0.00 X X 808829 0 30801 ESTELLE D JEAN MD DIRECTOR (AS OF 10/2023) 40.00 0.00 X 624586 0 32217 DAVID HAVRILLA CFO/TREASURER (UNTIL 2/2024) 40.00 0.00 X 424997 0 27650 EMILY SHEELER TREASURER (AS OF 2/2024) 1.00 39.00 X 0 169399 26579 CAROLINA CHAVARRIA SECRETARY 1.00 39.00 X 0 119094 19999 CLAIRE PICCIRILLO CNO, VP PATIENT CARE SVCS 40.00 0.00 X 283723 0 37369 DEREK PROCHNICKI REGISTERED NURSE 40.00 0.00 X 300903 0 16501 THOMAS BREAKEY VP, OPERATIONS 40.00 0.00 X 316522 0 23135 DENISE KINGSBURY SR DIR, CLIN SUPPORT SVCS 40.00 0.00 X 230974 0 7464 COURTNEY HOFFMAN PHARMACY MANAGER 40.00 0.00 X 201750 0 7114 THOMAS SENKER FORMER DIRECTOR/OFFICER 0.00 40.00 X 0 994732 39640 NATHANIEL BARBO FORMER AVP, PROFESSIONAL SERVICES 40.00 0.00 X 338133 0 17758 4678230 8366973 466097 170 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 6306790 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 3558144 VISITING ANGELS 971 RUSSELL AVENUE GAITHERSBURG MD 20879 MEDICAL SERVICES 1218831 LAZ KARP ASSOCIATES LLC ONE FINANCIAL PLAZA 14TH FLOOR HARTFORD CT 06103 PARKING SERVICES 919628 COMMUNITY RADIOLOGY ASSOCIATES INC 27424 NETWORK PLACE CHICAGO IL 606731274 FACILITIES SERVICES 846643 30 350000 4751862 1576652 160186 6678514 NET PATIENT SERVICE RE 621300 184074559 184074559 PHYSICIAN BILLING REVE 621110 509 509 184075068 124854 124854 624492 0 624492 624492 624492 60444 0 60444 60444 60444 REBATE INCOME 900099 541152 541152 OTHER REVENUE 900099 284910 133035 151875 EQUITY INTEREST IN AFF 900099 200608 200608 1026670 192590042 184075068 133035 1703425 X 55000 55000 3170677 2751956 418721 851513 739006 112507 77163408 67070493 10092915 1274289 1097737 176552 8679682 7333349 1346333 5428433 4720468 707965 19591413 19591413 28265522 24027404 4238118 494330 31106 463224 -353569 571945 -925514 -431968 345052 -777020 25722 19608 6114 18679 14780 3899 971765 971765 10270468 4189183 6081285 2203259 -59559 2262818 MED/SURG SUPPLIES 26811807 26880935 -69128 IMPLANTS/PROSTHESES 5016970 5016882 88 MAINTENANCE 4922193 4380659 541534 UTILITIES 3006578 3105417 -98839 5936850 4059939 1876911 203373021 156351360 47021661 0 377724 363837 3201423 2937139 20537130 23086446 3879851 4099561 426945 530413 196139393 119071277 68478698 77068116 3468214 4060342 5487237 3144564 105857222 115290418 13164734 12113873 442802 463270 9800544 10847897 23408080 23425040 X 74573417 82452938 7875725 9412440 82449142 91865378 105857222 115290418 X -10782979 368895 19830320 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 146581 146581 108097422 60199744 47897678 173069 212988 -39919 73019204 51534982 21484222 14703117 7123563 7579554 77068116 ADVANCES 5792486 OPERATING LEASE LIABILITIES 2473372 CREDIT BALANCES PATIENT AR 539717 WORKERS COMPENSATION 1091550 UCC POOL LIABILITY 342187 GBR LIABILITY 279450 OTHER LIABILITIES 329135 10847897 X 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 5510874 5510874 0.02710 5510874 5510874 0.02710 1403892 5112 1398780 0.00690 368784 368784 0.00180 25069704 16298954 8770750 0.04310 188733 188733 0.00090 27031113 16304066 10727047 0.05270 32541987 16304066 16237921 0.07980 5076 5076 0.00000 34806 34806 0.00020 39882 39882 0.00020 1 3902535 X 1 1 1 1 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 WWW.MONTGOMERYGENERAL.ORG STATE LICENSE NUMBER: 15020 X X X MONTGOMERY GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X 1 23 1 HTTP://WWW.MEDSTARMONTGOMERY.ORG/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X X X X X X 1 X 0 X X X X 1 X 0 0 MONTGOMERY GENERAL HOSPITAL 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: DIANA SALADINI, DAIRY MARROQUIN-PEREZEXECUTIVE 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: NGOZI WEXLER, 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 : DIANA SALADINITITLE/AFFILIATION WITH HOSPITAL : DIRECTOR, POPULATION HEALTH (LEAD)NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : DAIRY MARROQUIN-PEREZTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY OUTREACH COORDINATOR (LEAD)NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : NGOZI WEXLER, M.D.TITLE/AFFILIATION WITH HOSPITAL : VP, MEDICAL AFFAIRS (EXECUTIVE SPONSOR)NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : DEANA CHOTITLE/AFFILIATION WITH HOSPITAL : SOCIAL WORKER, CENTER FOR SUCCESSFUL AGING NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : DEBBIE OTANITITLE/AFFILIATION WITH HOSPITAL : CANCER NURSE NAVIGATORNAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : SAMANTHA FALZOITITLE/AFFILIATION WITH HOSPITAL : ONCOLOGY SOCIAL WORKERNAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : SARAH VALENTIN TITLE/AFFILIATION WITH HOSPITAL : GLYCEMIC CLINICIAN NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : DINA MACDONALD TITLE/AFFILIATION WITH HOSPITAL : NURSING DIRECTOR NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : LYNDA SUHTITLE/AFFILIATION WITH HOSPITAL : DIRECTOR, QUALITY AND RISKNAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : AUDREY PARTINGTON TITLE/AFFILIATION WITH HOSPITAL : CHAIR, OUTREACH NAME OF ORGANIZATION : GREATER OLNEY RIDES NAME : DANIELLE DENNISTITLE/AFFILIATION WITH HOSPITAL : READMISSIONS REDUCTION CASE MANAGERNAME OF ORGANIZATION : MINDOULA BEHAVIORAL HEALTH SERVICESNAME : ELIZABETH BECKTITLE/AFFILIATION WITH HOSPITAL : PROGRAM MANAGER IINAME OF ORGANIZATION : HEALTHY MONTGOMERY/DHHS OFFICE NAME : FLAVIE JOHNSTON TITLE/AFFILIATION WITH HOSPITAL : CLINICAL MANAGER NAME OF ORGANIZATION : HOLY CROSS HEALTH CENTER- ASPEN HILL NAME : MARSHA BATISTATITLE/AFFILIATION WITH HOSPITAL : RESIDENT COUNSELOR IIINAME OF ORGANIZATION : HOUSING OPPORTUNITIES COMMISSION NAME : MARY JANE JOSEPHTITLE/AFFILIATION WITH HOSPITAL : PROJECT MANAGERNAME OF ORGANIZATION : PRIMARY CARE COALITIONNAME : PAOLA FERNAN-ZAGARRATITLE/AFFILIATION WITH HOSPITAL : PLANNING AND QUALITY ASSURANCE MANAGER NAME OF ORGANIZATION : LATINO HEALTH INITIATIVE NAME : ALISON SIERRATITLE/AFFILIATION WITH HOSPITAL : COMMUNITY SCHOOL COORDINATOR NAME OF ORGANIZATION : EVERYMIND-LINKAGES TO LEARNING NAME : SANJANA QUASEMTITLE/AFFILIATION WITH HOSPITAL : PROGRAM MANAGERNAME OF ORGANIZATION : ASIAN AMERICAN HEALTH INITIATIVENAME : STEPHAN BILLSTEIN TITLE/AFFILIATION WITH HOSPITAL : LEISURE WORLD COMMUNITY REPRESENTATIVE NAME OF ORGANIZATION : LEISURE WORLD OF MARYLAND MONTGOMERY GENERAL HOSPITAL 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. PART I, LINE 7: CHARITY CARE AT COSTMARYLAND'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 MEDICAIDPART 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. PART III, LINE 4: MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. PART III, LINE 8: MEDICAREMARYLAND'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 MONTGOMERY MEDICAL CENTER (MMMC) 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 MMMC'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 TO PRESENT A FULL PICTURE OF PROGRAMS CONTRIBUTING TO THE HEALTH OF THE COMMUNITIES SERVED AND WERE SORTED BASED ON WHAT COULD BE COUNTED 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 ITS CBISA AS ALL RESIDENTS LIVING IN ZIP CODE 20906. 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 AND AGING AND OLDER ADULT HEALTH), ACCESS TO HEALTH CARE SERVICES (ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (FOOD INSECURITY). 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, MMMC 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. 1 HOLY CROSS HEALTH NETWORK 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 520738041 501(C)(3) 40000 0 ORGANIZATIONAL SUPPORT HOLY CROSS ASPEN HILL HEALTH CENTER OLNEY THEATRE CENTER 2001 OLNEY-SANDY SPRING ROAD OLNEY MD 20832 521149571 501(C)(3) 10000 0 2024 OPENING NIGHT SPONSORSHIP AND GALA 2 0 PART I, LINE 2: OUR GRANT MONITORING PROCEDURE BRINGS TOGETHER ALL KEY PERSONNEL INVOLVED IN THE GRANT AT THE ONSET OF THE AWARD TO DISCUSS MANAGEMENT, RESPONSIBILITIES, BUDGETS, AND REPORTING. THIS INITIAL MEETING IS DOCUMENTED AND DISBURSED TO ALL INVOLVED. THE ACTUAL GRANT MONITORING IS DONE BY THE HOSPITAL DEPARTMENT IMPLEMENTING THE GRANT. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ENSURES THAT EACH GRANT HAS A COST CENTER AND/OR GRANT ACCOUNT SET UP BASED ON THE TERMS OF THE GRANT AWARD. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ALSO TRACKS AND REMINDS HOSPITAL DEPARTMENTS WHEN PROGRESS REPORTS ARE DUE THROUGHOUT THE LIFE OF THE GRANT. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH SAMET DIRECTOR 0 2308151 0 3403165 0 1372432 0 68539 0 37548 0 7189835 0 0 THOMAS SENKER FORMER DIRECTOR/OFFICER 0 564759 0 429973 0 0 0 9150 0 30490 0 1034372 0 0 EMILY BRITON HOSPITAL PRESIDENT/DIRECTOR 475034 0 253795 0 80000 0 9150 0 21651 0 839630 0 0 0 SUJITHRA JAYARAJ-SUDARSAN MD DIRECTOR 565059 0 92736 0 0 0 9150 0 23100 0 690045 0 0 0 ESTELLE D JEAN MD DIRECTOR (AS OF 10/2023) 392595 0 231991 0 0 0 9150 0 23067 0 656803 0 0 0 DAVID HAVRILLA CFO/TREASURER (UNTIL 2/2024) 294810 0 130187 0 0 0 9150 0 18500 0 452647 0 0 0 APRIL TWEEDT DO DIRECTOR (AS OF 1/2024) 284169 0 46770 0 0 0 9150 0 22705 0 362794 0 0 0 NATHANIEL BARBO FORMER AVP, PROFESSIONAL SERVICES 275044 0 63089 0 0 0 8277 0 9481 0 355891 0 0 0 THOMAS BREAKEY VP, OPERATIONS 259884 0 56638 0 0 0 0 0 23135 0 339657 0 0 0 CLAIRE PICCIRILLO CNO, VP PATIENT CARE SVCS 232915 0 50808 0 0 0 14422 0 22947 0 321092 0 0 0 DEREK PROCHNICKI REGISTERED NURSE 300903 0 0 0 0 0 2600 0 13901 0 317404 0 0 0 DENISE KINGSBURY SR DIR, CLIN SUPPORT SVCS 230974 0 0 0 0 0 6499 0 965 0 238438 0 0 0 COURTNEY HOFFMAN PHARMACY MANAGER 201750 0 0 0 0 0 5597 0 1517 0 208864 0 0 0 EMILY SHEELER TREASURER (AS OF 2/2024) 0 169399 0 0 0 0 0 4117 0 22462 0 195978 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. EMILY BRITON'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $80,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. THOMAS J. SENKER'S COMPENSATION IS FOR SERVICES PROVIDED AS PRESIDENT TO BOTH MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL. ROJEK WELDING & MECHANICAL SERVICES LLC SEE PART V 853943 MECHANICAL SERVICES 0 LAZ PARKING SEE PART V 344810 PARKING MANAGEMENT SERVICES 0 SCHEDULE L, PART IV THE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR MONTGOMERY GENERAL HOSPITAL VALUED IN EXCESS OF $100,000: ROJEK WELDING & MECHANICAL SERVICES LLC AND LAZ PARKING. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 1 160186 FMV 0 1 0 SCHEDULE M, PART I, COLUMN (B): THIS COLUMN REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART III, LINE 1 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR MONTGOMERY MEDICAL CENTER'S (MEDSTAR MONTGOMERY) MISSION IS TO ENHANCE OUR COMMUNITY'S HEALTH AND WELL-BEING BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. MEDSTAR MONTGOMERY IS LOCATED IN OLNEY, IN NORTHEASTERN MONTGOMERY COUNTY, MARYLAND, A SUBURB OF WASHINGTON, D.C. AS MONTGOMERY COUNTY'S FIRST ACUTE CARE HOSPITAL, MEDSTAR MONTGOMERY HAS BEEN SERVING THE GREATER OLNEY COMMUNITY FOR MORE THAN 100 YEARS. IN FISCAL YEAR 2024, MEDSTAR MONTGOMERY HAD 6,154 INPATIENT ADMISSIONS AND 68,709 OUTPATIENT VISITS INCLUDING 35,237 EMERGENCY VISITS. 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 DECISIONS 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 FORM 990 REVIEW PROCESS 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) 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, OFFICERSAND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM,OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE ("TAX-EXEMPT HEALTHCARE ORGANIZATIONS"). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 3,982,493. MANAGEMENT AND GENERAL EXPENSES 800,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,783,191. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 246,105. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 246,105. LAB SERVICES: PROGRAM SERVICE EXPENSES 475,656. MANAGEMENT AND GENERAL EXPENSES 24,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 499,924. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 464,748. MANAGEMENT AND GENERAL EXPENSES 126,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 591,548. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 15,772,835. MANAGEMENT AND GENERAL EXPENSES 543,002. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,315,837. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 3,043. MANAGEMENT AND GENERAL EXPENSES 2,727. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,770. COURIER SERVICES: PROGRAM SERVICE EXPENSES 128,207. MANAGEMENT AND GENERAL EXPENSES 405. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,612. NON-PHYS INTERCO PURCH SRVS: PROGRAM SERVICE EXPENSES 1,543,564. MANAGEMENT AND GENERAL EXPENSES 4,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,548,264. BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 110,115. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,115. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,039,897. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,039,897. MISCELLANEOUS EXPENSES: PROGRAM SERVICE EXPENSES 1,656,858. MANAGEMENT AND GENERAL EXPENSES 339,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,996,259. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS 19,830,320. CHURCH HOME CORPORATION 10980 GRANTCHESTER WAY COLUMBIA MD 21044 237374724 MEDICAL FUND MD 501(C)(3) PF N/A 0 FRANKLIN SQUARE HOSPITAL CENTER INC 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 520608007 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 20010 526056274 HOSPITAL DC 501(C)(3) LINE 4 N/A 0 THE MEDSTAR-GEORGETOWN MEDICAL CENTER I HOPSITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 522218584 HOSPITAL DC 501(C)(3) LINE 3 N/A 0 WASHINGTON HOSPITAL CENTER 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