2023-05-10T07:32:32-05:00 2022-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2021-07-01 520619006 ST MARYS HOSPITAL OF ST MARYS COUNTY INC STMA 3014756003 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 JOEL BRYAN VP/TREASURER 4107726721 2023-05-09 1 JOEL BRYAN 999009999 SHAWN HUTCHINSON P01048557 7032868000 2023-05-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MEDSTAR ST MARY'S HOSPITAL CHRISTINE WRAY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 204372929 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. 15 8 1361 20 0 0 5931451 3310931 189800278 197081152 173234 63845 2637376 3902831 198542339 204358759 26360 38793 0 0 88379335 102360056 0 0 -38263 87923935 87491370 176329630 189890219 22212709 14468540 128011172 131223376 57151292 29385962 70859880 101837414 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 2022, MSMH HAD 8,044 INPATIENT ADMISSIONS AND 117,841 OUTPATIENT VISITS INCLUDING 38,123 EMERGENCY VISITS. 0 0 126501411 38793 191479605 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 $44.7M 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. THE HOSPITAL OFFERS KIDNEY TRANSPLANT SERVICES THROUGH THE MEDSTAR GEORGETOWN TRANSPLANT INSTITUTE AND ORTHOPAEDIC SERVICES THROUGH THE MEDSTAR ORTHOPAEDIC INSTITUTE. IT ALSO PROVIDES HOSPICE CARE AND IS PARTNERED IN A JOINT VENTURE THAT PROVIDES HOME CARE. IN ADDITION TO EMERGENCY ROOM CARE, IT OPERATES AN URGENT CARE FACILITY LOCATED 15 MILES NORTH OF CAMPUS AS WELL AS ON-CAMPUS AND MOBILE COMMUNITY BASED HEALTH SERVICES. AN OUTPATIENT PAVILION INCLUDES CANCER CARE AND INFUSION SERVICES, IMAGING AND WOMEN'S HEALTH SERVICES, AND COMMUNITY OUTREACH AND PHYSICIAN OFFICE SPACE. SERVICES ALSO INCLUDE A CENTER FOR WOUND HEALING. SINCE MARCH 2020, MEDSTAR HEALTH HAS CARED FOR 1 IN 4 COVID-19 PATIENTS IN THE REGION. OPERATING AS ONE MEDSTAR AND ALIGNING WITH GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND LOCAL DEPARTMENTS OF HEALTH, MEDSTAR HEALTH COVID-19 PREPARATIONS AND RESPONSE CONTINUE TO BE GUIDED BY THREE CRITICAL DRIVERS: PROVIDE A SAFE CARE ENVIRONMENT FOR PATIENTS AND ASSOCIATES; MITIGATE COMMUNITY SPREAD OF COVID-19; AND ENSURE OPERATIONAL CONTINUITY TO FULFILL OUR CORE MISSION OF CARING FOR OUR COMMUNITIES.THESE EFFORTS HAVE EVOLVED AND TRANSITIONED IN MULTIPLE WAYS THROUGHOUT THE DURATION OF THE COVID-19 PANDEMIC, LEADING TO A NUMBER OF INTEGRATED CARE APPROACHES IN PLACE TODAY: UTILIZATION OF MEDSTAR HEALTH URGENT CARE, MEDSTAR EVISIT AND OUR DIGITAL CAPABILITIES TO CREATE ACCESS, TESTING SITES, AND TELEHEALTH FOR PRIMARY CARE AND FOLLOW-UP VISITS; EXPANDED MANAGEMENT OF CARE CONTINUUM NEEDS FOR PATIENTS THROUGH MEDSTAR HEALTH HOME CARE; EXECUTION OF INNOVATIVE LABORATORY APPROACHES INTEGRATED WITH OCCUPATIONAL HEALTH TO BETTER SUPPORT ASSOCIATES MANAGING THROUGH COVID-19 EXPOSURES; DEPLOYMENT OF COMMUNITY MOBILE UNITS AND CLINICS FOR COVID-19 VACCINATIONS/BOOSTERS; INCREASED MANAGEMENT OF SUPPLY AND ACQUISITION OF PERSONAL PROTECTIVE EQUIPMENT (PPE), N95 RESPIRATORS, COVID-19 VACCINES AND BOOSTERS; REINFORCEMENT OF A MANDATORY COVID-19 VACCINATION POLICY RESULTING IN COMPLIANCE OF 99% OF ASSOCIATES AND PHYSICIANS; AND ADMINISTRATION OF MORE THAN 36,800 COVID-19 VACCINATIONS/BOOSTERS TO MEDSTAR HEALTH ASSOCIATES AND PHYSICIANS AND MORE THAN 74,500 TO PATIENTS ACROSS THE REGION IN FY 2022. 15349365 5601547 MEDSTAR ST. MARY'S PROVIDED $15.3M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2022. 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. 3410777 MEDSTAR ST. MARY'S PROVIDED $3.4M IN CHARITY CARE SERVICES IN FISCAL YEAR 2022. 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. 145261553 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 1 1361 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 15 8 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 A SAMET DIRECTOR 1.00 39.00 X 0 15771396 96287 CHRISTINE R WRAY PRESIDENT/DIRECTOR (UNTIL 01/2022) 20.00 20.00 X X 615555 615556 38776 JOHN HARVEY MD DIRECTOR 40.00 0.00 X 739710 0 29828 YAHIA TAGOURI MD DIRECTOR 40.00 0.00 X 650636 0 33647 ANNA CHOI MD DIRECTOR 40.00 0.00 X 475229 0 25441 KRISHNA P JAYARAMAN MD DIRECTOR (UNTIL 10/2021) 40.00 0.00 X 0 0 0 TARA SAGGAR MD DIRECTOR 40.00 0.00 X 341297 0 29694 TRACY HARRIS PHD DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER L BLAKE CHAIR 1.00 0.00 X 0 0 0 CHRISTINA L BROOM DIRECTOR (UNTIL 10/2021) 1.00 0.00 X 0 0 0 KAREN T GARNER DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN A SCHMEISER DIRECTOR 1.00 0.00 X 0 0 0 VINCE WHITTLES VICE CHAIR 1.00 0.00 X 0 0 0 BONNIE BOWES DIRECTOR 1.00 0.00 X 0 0 0 GLEN IVES DIRECTOR 1.00 0.00 X 0 0 0 SONYA POLLOCK DIRECTOR 1.00 0.00 X 0 0 0 JAMES DAMALOUJI MD DIRECTOR 40.00 0.00 X 198538 0 7615 STEPHEN MICHAELS MD SECRETARY (UNTIL 01/2022) 40.00 0.00 X 880555 0 31433 MICHAEL MEISEL CFO/TREASURER 40.00 0.00 X 168204 168204 30143 MIMI NOVELLO MD PRESIDENT 1.00 0.00 X 795075 0 11082 ANNETTE BRONER SECRETARY (AS OF 01/2022) 40.00 0.00 X 137435 137435 30562 DAWN YEITRAKIS CNO 40.00 0.00 X 259137 0 17857 JOHN GREELY VP OF OPERATIONS 40.00 0.00 X 256894 0 28818 MARY IBEGBU PHARMACIST (PHARM D) 40.00 0.00 X 184177 0 21971 MICHELLE FORREST-SMITH CLINICAL PHARMACY COORDINATOR 40.00 0.00 X 175666 0 28622 HEATHER SWAN-JONES PHYSICIAN 40.00 0.00 X 237805 0 25979 DANIEL FEELEY FORMER CFO 0.00 40.00 X 0 295272 29682 ROBERT LALLY FORMER CFO (AS OF 05/2020) 1.00 39.00 X 0 476146 54729 DAVID HAVRILLA FORMER CFO (AS OF 02/2020) 10.00 30.00 X 0 430559 34712 6115913 17894568 606878 77 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 1423710 DIVERSIFIED CLINICAL SERVICES 5220 BELFORT ROAD JACKSONVILLE FL 32256 MEDICAL SERVICES 792371 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD & FACILITIES MANAGEMENT 639608 ALLIANCE HEALTHCARE SERVICES INC 18201 VON KARMAN AVE STE 600 IRVINE CA 92612 MEDICAL SERVICES 638074 AXIS HEALTHCARE GROUP PC 1117 E WEST HWY SILVER SPRING MD 20910 MEDICAL SERVICES 443650 31 1642716 1668215 28569 3310931 NET PATIENT SERVICE RE 621400 197000871 197000871 OTHER HEALTH REVENUE 621400 53418 53418 PHARMACY REVENUE 621400 26863 26863 197081152 61421 61421 241833 0 241833 241833 241833 1710 714 0 0 1710 714 2424 2424 209928 14170 195758 195758 REBATE INCOME 900099 377287 377287 EQUITY IN SUBSIDIARIES 900099 42349 42349 GIFT SHOP AND VENDING 900099 18792 18792 3026812 3026812 3465240 204358759 197081152 0 3966676 38793 38793 5251066 4737688 513378 81995826 74583294 7412532 967684 860544 107140 9117585 6876232 2241353 5027895 4469878 558017 16164116 7000 16157116 7363 7363 11312732 8867577 2445155 372830 3782 369048 910509 853560 94431 -37482 805823 686093 119730 212449 213907 -1458 33076 29016 4060 589963 589963 10072840 3947384 6125456 4472713 3494 4469219 MED/SURG SUPPLIES 23851682 23947340 -95658 MAINTENANCE 5375236 5140839 234550 -153 IMPLANTS/PROSTHESES 4065878 4065878 UTILITIES 2371262 2149375 221887 6872898 3779879 3093647 -628 189890219 145261553 44666929 -38263 1089068 789566 379893 378781 20241930 19285590 3200938 3809469 9038692 11287606 198279838 115444558 80993226 82835280 1159283 1444269 8292463 8335338 3615679 3057477 128011172 131223376 10921442 11182910 403836 154905 45826014 18048147 57151292 29385962 X 69116474 100606483 1743406 1230931 70859880 101837414 128011172 131223376 X 14468540 -10615 16519609 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 115377 29 115406 115347 30 115377 114569 778 115347 113317 1252 114569 112815 502 113317 0.86690 0.13310 0 0 5733422 5733422 98536786 51364057 47172729 447740 519053 -71313 86582643 62213265 24369378 6979247 1348183 5631064 82835280 INVESTMENTS IN CONSOLIDATED 4537669 F INVESTMENTS IN UNCONSOLIDATED 3797669 F 8335338 ADVANCES 10024485 OPERATING LEASE LIABILITY 3146550 SHORT TERM LIAB-OTHER RESERVE 1427857 CREDIT BALANCES PATIENT A/R 1325604 GBR LIABILITY 224353 UCC POOL LIABILITY 249140 OTHER LIABILITIES 1650158 18048147 X PART V, LINE 4: ENDOWMENT FUNDS THE ENDOWMENT IS USED 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, 2022. 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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, MDADVISORY 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 MILCETICTITLE : MATERNAL AND CHILD HEALTHNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : BRENDA WOLCOTTTITLE : DIRECTOR, POPULATION & COMMUNITY HEALTHNAME OF ORGANIZATION : MSMHNAME : BRIAN ABELLTITLE : CO-CHAIR CHRONIC DISEASE TEAMNAME OF ORGANIZATION : HEALTHY ST. MARY'S PARTNERSHIPNAME : CHRISIE MULCAHEYTITLE : DIRECTORNAME OF ORGANIZATION : HEALTH PARTNERS, INC.NAME : CYNTHIA BROWNTITLE : HUMAN SERVICES DIV. MANAGERNAME OF ORGANIZATION : ST. MARY'S COUNTY GOVERNMENTNAME : DANA WESTTITLE : REGIONAL MANAGERNAME OF ORGANIZATION : MEDSTAR MEDICAL GROUPNAME : GERARD MCGLOINTITLE : CEONAME OF ORGANIZATION : PATHWAYSNAME : GREGORY REUSSTITLE : COMMUNITY REPRESENTATIVENAME OF ORGANIZATION : AMERICAN FOUNDATION FOR SUICIDE PREVENTIONNAME : SASHA SEENTAHTITLE : CEONAME OF ORGANIZATION : THREE OAKS SHELTERNAME : IVANICE TORRESTITLE : PROGRAM COORDINATORNAME OF ORGANIZATION : SEEDCONAME : JACQUELINE HEANEYTITLE : LOCAL HEALTH IMPROVEMENT COORDINATORNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : JENNA GUZMANTITLE : DIRECTOR OF THE OFFICE OF COMMUNITY ENGAGEMENT & POLICYNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : 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 : MSMH & MSMHCNAME : LT. KRYSTLE ROSSIGNOLTITLE : BARRACK COMMANDERNAME OF ORGANIZATION : MARYLAND STATE POLICENAME : MARYELLEN KRAESETITLE : PREVENTION & OUTREACH SUPERVISORNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : MEENAKSHI BREWSTER, MDTITLE : HEALTH OFFICERNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : MIKE BROWNTITLE : COMMUNITY MEMBERNAME OF ORGANIZATION : COMMUNITY RESIDENTNAME : MIMI NOVELLO, MDTITLE : EXECUTIVE SPONSOR CHIEF OPERATING/ MEDICAL OFFICERNAME OF ORGANIZATION : MSMHNAME : NATHANIEL SCROGGINSTITLE : PRESIDENTNAME OF ORGANIZATION : MINORITY OUTREACH COALITION MEMBERNAME : RACHEL SOLOMONTITLE : DIVERSITY AND INCLUSION COORDINATORNAME OF ORGANIZATION : PATHWAYS, INC.NAME : 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 : SONYA POLLACKTITLE : BOARD CHAIRNAME OF ORGANIZATION : MSMHNAME : 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 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 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). 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 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 13,317 PEOPLE AND THE MEDIAN HOUSEHOLD INCOME IS $72,920. THE COMMUNITIES INCLUDE RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (12.0%), UNINSURED (7.6%) AND MEDICAID RECIPIENTS (29.3%). THERE IS ONE HOSPITAL SERVING THE COMMUNITY, AND TWO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY. ACCESS TO CARE CONTINUES TO BE A COMMUNITY WIDE CHALLENGE WITH PRIMARY CARE PROVIDERS TO PATIENT RATIOS AT 2,682:1, DENTISTS AT 1,880:1, AND MENTAL HEALTH PROVIDERS ARE 830:1 ON A COUNTY LEVEL. BEYOND THE HIGHER VOLUMES THE PROVIDERS SEE, THERE ARE ALSO TRANSPORTATION BARRIERS TO ACCESSING THESE SERVICES. MANY ARE HINDERED BY A DEFINED BUS ROUTE THAT MAY NOT BE ACCESSIBLE AND WITHIN THE PARAMETERS EXPECTED BY THE TRANSPORTATION AUTHORITY. FROM AN ECONOMIC PERSPECTIVE, 34% OF SCHOOL-AGED CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED COST LUNCH AND 30.7% OF CHILDREN ARE FROM SINGLE-PARENT HOMES. HOUSING COSTS ARE ALSO A BURDEN FOR 11% OF THE COMMUNITY POPULATION, SPENDING 50% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING COSTS. ADULT OBESITY CONTINUES TO BE AN ONGOING HEALTH CHALLENGE IMPACTING MORE THAN ONE-THIRD OF ADULTS (36%) IN THE COUNTY AND 12% OF ADULT'S SELF-REPORT A DIAGNOSIS OF DIABETES WHEREAS, 10% HAVE BEEN OFFICIALLY DIAGNOSED. 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 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 NATIONAL DIABETES PREVENTION PROGRAM (NDPP) IS A YEARLONG PROGRAM THAT PROVIDES LIFESTYLE CHANGE EDUCATION FOR PATIENTS WHO HAVE ELEVATED A1C LEVELS, THOUGH ARE NOT OFFICIALLY IDENTIFIED AS A TYPE 2 DIABETIC. OFTEN, AND BEYOND THE BENEFIT OF STAVING OFF A DIAGNOSIS OF TYPE 2 DIABETES, PARTICIPANTS ACHIEVE WEIGHT LOSS THOUGH INCREASED ACTIVITY AND FOOD TRACKING WHICH HELPS TO FURTHER DELAY THE ONSET OF DIABETES AND OTHER CHRONIC DISEASES. OFFERING THE LIVING WELL WITH DIABETES PROGRAM, A FREE SEVEN-WEEK HEALTH EDUCATION AND BEHAVIOR CHANGE PROGRAM, IS FOCUSED ON THE MANAGEMENT OF THEIR DIABETES FOR THOSE ALREADY LIVING WITH THIS CONDITION. BOTH PROGRAMS HAVE BEEN OFFERED THROUGHOUT THE COMMUNITY AND IN PARTNERSHIP WITH THE LEXINGTON PARK LIBRARY AND MINORITY OUTREACH COALITION WHERE THEY PROVIDE THE SERVICES IN THE COMMUNITY BENEFIT SERVICE AREA. SUPPORT GROUPS ARE OFFERED TO COMMUNITY MEMBERS FOR A VARIETY OF TOPICS INCLUDING CANCERS, PARKINSON'S, BARIATRIC AND STROKE. IN RESPONSE TO COVID-19, THESE SUPPORT GROUPS BEGAN IN A TELEHEALTH PLATFORM THOUGH SOME WERE ABLE TO MOVE TO A HYBRID OFFERING WHERE APPROPRIATE AND SAFE. TOWARD THE END OF FY 2022, ASSOCIATES BEGAN TO RE-ENGAGE IN COMMUNITY SPONSORED EVENTS, SUCH AS EDUCATIONAL DAYS, HEALTH EXPOSITIONS WHERE SCREENINGS ARE PERFORMED, AND HEALTH INFORMATION IS SHARED, AND COMMUNITY HEALTH RESOURCE EVENTS FOR DESIGNATED POPULATIONS. OUTREACH IS ALSO PROVIDED IN-PERSON AND VIRTUALLY, HOSPITAL STAFF SHARE THEIR KNOWLEDGE WITH THE COMMUNITY THROUGH ENGAGING INTERVIEWS, SEMINARS, BLOGS AND VIDEOS. ACCESS TO CARE EAST RUN MEDICAL CENTER IS HOME TO A PRIMARY CARE, SAFETY-NET DENTAL CLINIC, AND VETERAN'S AFFAIRS CLINIC IN THE CBSA. THESE SERVICES, ALONG WITH TRANSITIONAL CARE OUTPATIENT NURSES AND COMMUNITY HEALTH ADVOCATES ASSIST IN BRIDGING THE GAPS IN SERVICES OUR MOST VULNERABLE COMMUNITY MEMBERS FACE. THE HOSPITAL ALSO SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED. BEYOND THESE SERVICES, THE DIABETES SELF-MANAGEMENT PROGRAM AND DIABETES PREVENTION PROGRAMS WERE OFFERED IN A TELEHEALTH AND HYBRID CAPACITIES AFFORDING THE SAME LEVEL OF SERVICES PROVIDED AT THE HOSPITAL HAD WE NOT BEEN IN A PANDEMIC. THE SEVEN-WEEK PROGRAM WAS OFFERED TO RESIDENTS WHO HAD A VESTED INTEREST IN MANAGING THEIR DIABETES AND WAS WELL-RECEIVED WHERE ADDITIONAL COHORTS WERE ADDED. TOBACCO CESSATION CONTINUED TO BE OFFERED IN A VIRTUAL CAPACITY TO BETTER SERVE THE ENTIRE COMMUNITY, ESPECIALLY AS WE CONTINUED TO NAVIGATE THE PANDEMIC. FINALLY, THE PARENTS TO BE WORKSHOP, A FULL DAY PROGRAM THAT OFFERS THE BASICS FOR NEW PARENTS INCLUDING, INFANT CPR, CHILDBIRTH, BREASTFEEDING BASICS AND BABY CARE BASICS, WAS OFFERED THROUGH LIMITED IN-PERSON SETTINGS. THE VIRTUAL OPTION CONTINUES TO BE AVAILABLE FOR THOSE WHO PREFER SELF-PACED, ONLINE LEARNING. OUR HOSPITAL PARTNERS WITH A LOCAL ENTITY TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, TRANSPORTATION IS PROVIDED TO RESIDENTS THAT HAVE AN IDENTIFIED FINANCIAL NEED. THIS TRANSPORTATION ASSISTANCE ALLOWS RESIDENTS TO ACCESS HEALTH CARE PROVIDERS AND OTHER COMMUNITY-BASED SERVICES, LIKE FOOD BANKS, IN AN EFFORT 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 AS THEY RE-ENTER THE COMMUNITY SETTING, EQUIPPED WITH THE NEEDED RESOURCES 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, SOCIAL SERVICES, INCLUDING FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE. CHWS REFER INDIVIDUALS TO RESOURCES THROUGH THE FINDHELP.ORG RESOURCE DATABASE THAT WILL HELP BRIDGE THE GAP FOR A VARIETY OF NEEDS INCLUDING, FINANCIAL RESOURCES, HOUSING, UTILITIES, CHILDCARE, AND FOOD PANTRIES. JOB OPPORTUNITIES/WORKFORCE DEVELOPMENT EXPANDED THIS YEAR BEYOND PREVIOUS COVID-19 RESTRICTIONS. THIS PROGRAM PROVIDED ROBUST STUDENT INTERNSHIP EXPERIENCES FOR HIGH SCHOOL LEVEL YOUTH, MANY LOCATED IN OUR CBSA. THIS EIGHT-WEEK SUMMER INTERNSHIP CONNECTS THE COURSE CURRICULUM WITH TANGIBLE ONSITE EXPERIENCE. THIS OFFERED STUDENTS THE ABILITY TO DEVELOP SKILLS WHILE RECEIVING RELEVANT WORK EXPERIENCE IN THE MEDICAL FIELD AND EARNING A WAGE.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 AS WELL AS FOLLOWING THEIR CARE THROUGH THE COMMUNITY HEALTH WORKER TEAM, ACCESSHEALTH. UTILIZING 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 PROVIDE ASSISTANCE TO THOSE REQUIRING SUPPORT. DISASTER READINESS THE HOSPITAL CONTINUES TO MAINTAIN RESILIENCE AND STRONG RESPONSE TO THE PANDEMIC BY IMPROVING THE ABILITY OF THE COMMUNITY TO WITHSTAND AND RECOVER FROM CORONAVIRUS. STAFF CONTINUED TO PROVIDE VACCINATION OPPORTUNITIES FOR THE GENERAL PUBLIC AND HOME-BOUND PATIENTS. EVENTS AND OUTREACH OCCURRED AT HOSPITAL CAMPUSES AND AT TARGETED COMMUNITY LOCATIONS SUCH AS SENIOR HOUSING, CHURCHES AND LONG-TERM CARE FACILITIES TO BEST REACH UNDERSERVED AND AT-RISK POPULATIONS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6AS A PROUD MEMBER OF MEDSTAR HEALTH, MSMH 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'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 COLLEGE OF SOUTHERN MD 8730 MITCHELL RD LA PLATA MD 20646 237279944 501(C)(3) 31668 0 TUITION, FEES, AND COURSEWORK BOOKS SALISBURY UNIVERSITY 1101 CAMDEN AVE SALISBURY MD 21801 526002033 N/A 6618 0 TUITION, FEES, AND COURSEWORK BOOKS 2 0 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 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2030199 0 7462050 0 6279147 0 59518 0 36769 0 15867683 0 0 CHRISTINE R WRAY PRESIDENT/DIRECTOR (UNTIL 01/2022) 301186 301187 314369 314369 0 0 4350 4350 15038 15038 634943 634944 0 0 STEPHEN MICHAELS MD SECRETARY (UNTIL 01/2022) 495332 0 385223 0 0 0 8700 0 22733 0 911988 0 0 0 MIMI NOVELLO MD PRESIDENT 454006 0 341069 0 0 0 8700 0 2382 0 806157 0 0 0 JOHN HARVEY MD DIRECTOR 417259 0 321701 0 750 0 8700 0 21128 0 769538 0 0 0 YAHIA TAGOURI MD DIRECTOR 413412 0 236474 0 750 0 8700 0 24947 0 684283 0 0 0 ROBERT LALLY FORMER CFO (AS OF 05/2020) 0 325873 0 150273 0 0 0 37559 0 17170 0 530875 0 0 ANNA CHOI MD DIRECTOR 435479 0 39000 0 750 0 8700 0 16741 0 500670 0 0 0 DAVID HAVRILLA FORMER CFO (AS OF 02/2020) 0 278111 0 140771 0 11677 0 17781 0 16931 0 465271 0 0 TARA SAGGAR MD DIRECTOR 310547 0 30000 0 750 0 8700 0 20994 0 370991 0 0 0 MICHAEL MEISEL CFO/TREASURER 126444 126444 41760 41760 0 0 5199 0 24944 0 198347 168204 0 0 DANIEL FEELEY FORMER CFO 0 233607 0 61665 0 0 0 8700 0 20982 0 324954 0 0 ANNETTE BRONER SECRETARY (AS OF 01/2022) 108610 108611 28825 28824 0 0 9948 0 20614 0 167997 137435 0 0 JOHN GREELY VP OF OPERATIONS 204112 0 52782 0 0 0 7909 0 20909 0 285712 0 0 0 DAWN YEITRAKIS CNO 206559 0 52578 0 0 0 1300 0 16557 0 276994 0 0 0 HEATHER SWAN-JONES PHYSICIAN 213479 0 23576 0 750 0 7236 0 18743 0 263784 0 0 0 JAMES DAMALOUJI MD DIRECTOR 197788 0 0 0 750 0 0 0 7615 0 206153 0 0 0 MARY IBEGBU PHARMACIST (PHARM D) 183427 0 0 0 750 0 5718 0 16253 0 206148 0 0 0 MICHELLE FORREST-SMITH CLINICAL PHARMACY COORDINATOR 174916 0 0 0 750 0 4329 0 24293 0 204288 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)(II) AND (III) INCLUDES A PAYMENT OF $4,215,823, WHICH REPRESENTS BENEFITS ACCRUED THROUGH AN EXECUTIVE RETIREMENT PLAN THAT IS COMPRISED OF TARGET BENEFITS CALCULATED ANNUALLY USING COMPENSATION AND YEARS OF SERVICE, $1,500,823, WHICH REPRESENTS THE EXERCISED VALUE OF OPTION PLAN SHARES, BASED ON DEFERRED COMPENSATION EARNED APPROXIMATELY 20 YEARS AGO AND INVESTMENT RETURNS ON THIS COMPENSATION EARNED OVER THIS PERIOD OF TIME, AND $4,740,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. CHRISTINE WRAY'S COMPENSATION IS FOR SERVICES PROVIDED AS PRESIDENT TO BOTH MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND MEDSTAR ST. MARY'S HOSPITAL. MICHAEL MEISEL'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR ST. MARY'S HOSPITAL AND MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. CMI GENERAL CONTRACTORS INC SEE PART V 3234026 CONSTRUCTION 0 21165 MEDICAL DEVELOPMENT LLC SEE PART V 513041 OFFICE LEASED 0 BURCH OIL CO INC SEE PART V 468169 FUEL SUPPLY 0 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IVTHE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THAT ALSO PROVIDES SERVICES TO MEDSTAR ST. MARY'S HOSPITAL VALUED IN EXCESS OF $100,000: CMI GENERAL CONTRACTORS, INC., 21165 MEDICAL DEVELOPMENT LLC, AND BURCH OIL CO., INC. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 2 28569 FMV 0 0 0 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, STRATEGIC PLANNING, 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 XI, LINE 9: EQUITY TRANSFERS 15,535,151. MINIMUM PENSION LIABILITY ADJUSTMENT 984,458. 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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