2023-05-15T19:37:37-05:00 2022-06-30 202153727 SB & COMPANY LLC 10200 GRAND CENTRAL AVE SUITE 250 OWINGS MILLS MD 21117 990 2021-07-01 530204707 THE HOWARD UNIVERSITY HOWA 2028066100 2400 6TH STREET NW WASHINGTON DC 20059 STEPHEN GRAHAM CFO & TREASURER 2028066100 2023-05-15 1 STEPHEN GRAHAM 999009999 PAMELA GRAY P01237506 4105840060 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z STEPHEN GRAHAM 2400 6TH STREET NW WASHINGTON DC 20059 2058097957 0 X WWW.HOWARD.EDU X 1867 DC WE EDUCATE STUDENTS, DEVELOP PROFESSIONALS, CONDUCT RESEARCH, AND SERVE PATIENTS. 22 21 7190 105 6114999 0 420218000 391465000 711488000 803116000 109631135 168213000 51702064 38411000 1293039199 1401205000 152135991 175556204 0 0 479774618 476834836 0 0 3838265 388956964 520983960 1020867573 1173375000 272171626 227830000 2110254000 2607941000 972885374 1318028000 1137368626 1289913000 THE HOWARD UNIVERSITY WAS ESTABLISHED BY AN ACT OF CONGRESS IN 1867. THE UNIVERSITY IS AN INSTITUTION THAT EDUCATES STUDENTS, DEVELOPS PROFESSIONALS, CONDUCTS RESEARCH, AND SERVES PATIENTS THROUGH 13 SCHOOLS OF HIGHER EDUCATION AND AN ACADEMIC MEDICAL CENTER. 0 0 517623000 175556204 449543000 EDUCATION, GENERAL/OTHER - HOWARD UNIVERSITY IS A COMPREHENSIVE RESEARCH-ORIENTED HISTORICALLY BLACK PRIVATE UNIVERSITY PROVIDING AN EDUCATIONAL EXPERIENCE OF EXCEPTIONAL QUALITY TO STUDENTS OF HIGH ACADEMIC POTENTIAL WITH PARTICULAR EMPHASIS UPON THE PROVISION OF EDUCATIONAL OPPORTUNITIES TO ALL STUDENTS. HOWARD UNIVERSITY IS THE NATION'S TOP PRODUCER OF MINORITY LAWYERS, DENTISTS, PHYSICIANS AND AFRICAN AMERICAN PHDS IN THE SCIENCE AND TECHNOLOGY FIELDS. THE UNIVERSITY SERVES A COMMUNITY OF MORE THAN 12,000 STUDENTS. 260366000 312719000 A PRIVATE, NONPROFIT INSTITUTION, HOWARD UNIVERSITY HOSPITAL IS THE NATION'S ONLY TEACHING HOSPITAL LOCATED ON THE CAMPUS OF A HISTORICALLY BLACK UNIVERSITY. IT OFFERS MEDICAL STUDENTS A SUPERIOR LEARNING ENVIRONMENT AND OPPORTUNITIES TO OBSERVE OR PARTICIPATE IN CLINICAL AND RESEARCH WORK WITH PROFESSIONALS THAT UNIQUELY ADDRESSES THE SPECIAL HEALTH CARE NEEDS OF MEDICALLY UNDERSERVED COMMUNITIES. HOWARD UNIVERSITY HOSPITAL ADMITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 41895459 32773807 THE UNIVERSITY OFFERS EDUCATIONAL SUPPORT THROUGH ITS AUXILIARY SERVICES FOR THE BENEFIT OF STAFF, FACULTY AND STUDENTS AND TO COMPLEMENT THE QUALITY OF THE ACADEMIC LIFE. AUXILIARY SERVICES INCLUDE STUDENT HOUSING, FOOD SERVICES, PARKING, TRANSPORTATION SERVICES AND PUBLIC TELEVISION STATION. 819884459 1 1 0 0 0 0 1 1 0 1 1 1 0 1 1 1 0 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1466 0 1 7190 1 1 1 1 NI MI SF 0 0 0 1 1 0 0 0 0 0 0 1 0 X 22 21 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 DC NY X X X STEPHEN GRAHAM 2028062411 2244 10TH STREET NW WASHINGTON DC 20059 DR LAURENCE C MORSE CHAIRMAN 1.00 X 0 0 0 MS LESLIE D HALE VICE CHAIR 1.00 X 0 0 0 MR MARK A L MASON VICE CHAIR 1.00 X 0 0 0 MINNIE BAYLOR-HENRY ESQ BOARD TRUSTEE 1.00 X 0 0 0 DR CHARLES M BOYD BOARD TRUSTEE 1.00 X 0 0 0 MR CHRIS CARR BOARD TRUSTEE 1.00 X 0 0 0 DONALD B CHRISTIAN CPA CISA BOARD TRUSTEE 1.00 X 0 0 0 MR GODFREY GILL BOARD TRUSTEE 1.00 X 0 0 0 DR RICHARD GOODMAN BOARD TRUSTEE 1.00 X 0 0 0 REV DR MICHELE V HAGANS BOARD TRUSTEE 1.00 X 0 0 0 DR DANETTE G HOWARD BOARD TRUSTEE 1.00 X 0 0 0 THE HONORABLE ALPHONSO JACKSON BOARD TRUSTEE 1.00 X 0 0 0 THE HONORABLE MARIE C JOHNS BOARD TRUSTEE 1.00 X 0 0 0 MS TYRA A MARIANI BOARD TRUSTEE 1.00 X 0 0 0 MR JAMES J MURREN BOARD TRUSTEE 1.00 X 0 0 0 MS HILARY ROSEN BOARD TRUSTEE 1.00 X 0 0 0 THE HONORABLE RONALD ROSENFELD BOARD TRUSTEE 1.00 X 0 0 0 MR SHELLEY STEWART JR BOARD TRUSTEE 1.00 X 0 0 0 MR BRUCE E THOMPSON BOARD TRUSTEE 1.00 X 0 0 0 DR REED V TUCKSON BOARD TRUSTEE 1.00 X 0 0 0 MR CHRIS WASHINGTON BOARD TRUSTEE 1.00 X 0 0 0 DR JOHN E JACOB CHAIRMAN EMERITUS 1.00 X 0 0 0 MR ROBERT L LUMPKINS TRUSTEE EMERITUS 1.00 X 0 0 0 THE HONORABLE GABRIELLE K MCDONALD TRUSTEE EMERITUS 1.00 X 0 0 0 STACEY J MOBLEY ESQ CHAIRMAN EMERITUS 1.00 X 0 0 0 RICHARD D PARSONS ESQ TRUSTEE EMERITUS 1.00 X 0 0 0 MARTIN D PAYSON ESQ TRUSTEE EMERITUS 1.00 X 0 0 0 THE HONORABLE M KASIM REED TRUSTEE EMERITUS 1.00 X 0 0 0 MR FRANK SAVAGE CHAIRMAN EMERITUS 1.00 X 0 0 0 THE HONORABLE L DOUGLAS WILDER TRUSTEE EMERITUS 1.00 X 0 0 0 MRS BENAREE P WILEY TRUSTEE EMERITUS 1.00 X 0 0 0 THE HONORABLE MIGUEL CARDONA PATRON EX OFFICIO 1.00 X 0 0 0 WAYNE A I FREDERICK MD MBA PRESIDENT 40.00 X X 1254408 0 41696 ANTHONY WUTOH PHD PROVOST AND CHIEF ACADEMIC OFFICER 40.00 X 440000 0 40457 TASHNI DUBROY PHD MBA EVP COO & INTERIM CHIEF HR OFFICER 40.00 X 597500 0 32058 FLORENCE PRIOLEAU ESQ GENERAL COUNSEL 40.00 X 385524 0 31337 HUGH MIGHTY MD VP CLINICAL AFFAIRS 40.00 X 717151 0 35297 DAVID BENNETT VP OF DEVELOPMENT 40.00 X 363635 0 31213 BRUCE JONES PHD VP OF RESEARCH 40.00 X 308500 0 25983 FRANK TRAMBLE VP COMMUNICATIONS FROM 8/2/21 40.00 X 220000 0 29958 CYNTHIA EVERS VP STUDENT AFFAIRS 40.00 X 211796 0 14840 RASHAD YOUNG SVP & CHIEF STRATEGY OFFICER 40.00 X 397500 0 40265 CHRISTIE TAYLOR SECRETARY OF THE BOARD 40.00 X 135000 0 7868 STEPHEN GRAHAM CHIEF FINANCIAL OFFICER, FROM 9/26/21 40.00 X 86854 0 8466 ROBERT WILSON MD ASSOCIATE PROFESSOR OF ORTHOPEDIC SURGERY 40.00 X 522985 0 43530 EDWARD CORNWELL MD SURGEON-IN-CHIEF 40.00 X 670839 0 39971 GUOYANG LUO MD CHAIR OF OB/GYN 40.00 X 555450 0 42057 GINETTE OKOYE MD CHAIR OF DERMATOLOGY 40.00 X 489323 0 24755 TERRENCE FULLUM MD CLINICAL PROFESSOR 40.00 X 500551 0 40830 ANNEMIEKE MARTINEZ INTERIM CFO, ENDED 12/4/21 40.00 X 302864 0 18631 DEBORAH JARVIS SVP CORPORATE RELATIONS, ENDED 3/25/22 40.00 X 132500 0 16543 8292380 0 565755 1120 1 1 0 GILBANE BUILDING COMPANY 1215 E FORT AVE 100 BALTIMORE MD 21230 CONSTRUCTION SERVICES 19784362 SODEXO INC AND AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FOOD SERVICE 11518038 BOLAND 30 W WATKINS MILL RD GAITHERSBURG MD 20878 STEAM PLANT MODERNIZATION 9016711 ENGIE SERVICES US INC 500 12TH STREET SUITE 300 OAKLAND CA 95607 STEAM PLANT MODERNIZATION 8601269 THOMPSON FACILITIES SERVICES LLC 1741 BUSINESS CENTER DR RESTON VA 20190 FACILITY MANAGEMENT SERVICE 7369715 298 657793 244018000 146789207 1164200 391465000 ACADEMIC SERIVCES 611710 449543000 449543000 PATIENT SERVICES 611710 312719000 312719000 AUXILIARY SERVICES 611710 40854000 32773807 8080193 803116000 21376000 -1965194 23341194 3213000 0 3213000 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956326000 608485000 347841000 33428000 28699000 4729000 362173000 315273000 46900000 430986000 215199000 215787000 678803000 PRIVATE EQUITY AND VENTURE CAPITAL 356445796 F REAL ESTATE 46556754 F 403002550 UNEXPENDED BOND PROCEEDS 347715000 DEPOSITS WITH TRUSTEES 29283000 BENEFICIAL INTEREST IN TRUST 6437000 OPERATING RIGHT OF USE ASSETS 39375000 FINANCING RIGHT OF USE ASSETS 54362000 HEALTHCARE CONTRACT ASSETS 2153000 OVERFUNDED DEFINED BENEFIT PENSION PLAN 20900000 SELF-INSURED ASSETS 5328000 INTELLECTUAL PROPERTY COSTS 1035000 OTHER 9073000 515661000 RESERVE SELF-INSURED LIABILITIES 63496000 REFUNDABLE ADVANCES 4028000 ENVIRONMENTAL LIABILITIES 1800957 RESIDENCE HALL 6258385 UNCLAIMED PROPERTY 6666460 STUDENT DEPOSITS AND REFUNDS 7531147 RESERVES FOR LEGAL CONTINGENCIES 2583231 DEPOSITS HELD IN CUSTODY FOR OTHERS 2655436 OTHER 9731384 104751000 X 1142742000 -110770000 35485000 -75285000 1218027000 19556000 163622000 183178000 1401205000 990197000 0 990197000 19556000 163622000 183178000 1173375000 PART II, LINE 9: THE ORGANIZATION DOES NOT REPORT ITS CONSERVATION EASEMENTS IN ITS FINANCIAL STATEMENTS. PART III, LINE 4: THE UNIVERSITY'S COLLECTIONS OF ART, HISTORICAL TREASURES, AND OTHER SIMILAR ASSETS INCLUDE A VARIETY OF ARTIFACTS AS WELL AS SCHOLARLY PAPERS AND ARCHIVES. THESE ITEMS ARE HOUSED IN VARIOUS FACILITIES AROUND CAMPUS AND THEIR PRESERVATION IS FOR THE BENEFIT OF FUTURE GENERATIONS. PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND IS TO SUPPLY A SOURCE OF INCOME FOR OPERATIONS, SCHOLARSHIPS, PROFESSORSHIPS, STUDENT LOANS, AND OTHER PURPOSES IN ORDER TO ADVANCE THE ORGANIZATION'S MISSION AND TAX-EXEMPT PURPOSE. PART X, LINE 2: HOWARD IS RECOGNIZED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (THE CODE) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512(A)(1) OF THE CODE, IS SUBJECT TO FEDERAL INCOME TAX. ANY UNRELATED BUSINESS INCOME TAX GENERATED BY HOWARD IS RECORDED AS INCOME TAX USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. AS OF JUNE 30, 2022, AND 2021, HOWARD HAD NO UNRELATED BUSINESS INCOME AND THEREFORE HAD NO DEFERRED TAX ASSETS OR LIABILITIES. IN ADDITION, HOWARD ANALYZED ITS TAX POSITIONS FOR THE YEARS ENDED JUNE 30, 2022 AND 2021 AND DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL IMPACT ON HOWARD'S CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PENSION PLAN 22,678,000. UNREALIZED CHANGE IN OBLIGATION FOR POST RETIREMENT BENEFIT PLAN 5,713,000. NET PERIOD BENEFIT COST OTHER THAN SERVICE COST 7,016,000. CHANGE IN FUNDED STATUS OF SUPPLEMENTAL BENEFIT COST 78,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: SCHOLARSHIPS AND GRANTS 163,622,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: SCHOLARSHIPS AND GRANTS 163,622,000. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE UNIVERSITY MAINTAINS A WELL-PUBLICIZED RACIALLY NONDISCRIMINATORY POLICY. THE POLICY IS AVAILABLE IN WRITTEN BROCHURES, AS WELL AS AVAILABLE VIA THE ORGANIZATION'S WEBSITE (WWW.HOWARD.EDU). SCHEDULE E, PART I, LINE 6 THE ORGANIZATION RECEIVES FINANCIAL ASSISTANCE FROM GOVERNMENTAL AGENCIES IN THE FORM OF SCHOLARSHIP, LOANS AND GRANT FUNDS FOR STUDENTS' TUITION AND RELATED EXPENSES. 1 SUB-SAHARAN AFRICA 8 51 PROGRAM SERVICES MEDICAL AND EDUCATIONAL SERVICES 6039321 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 57248869 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 15224261 8 51 0 0 8 51 78512451 0 78512451 SUB-SAHARAN AFRICA SUPPORT RESEARCH AND EDUCATION 47702 CHECK 0 FMV EUROPE (INCLUDING ICELAND AND SUPPORT RESEARCH AND EDUCATION 54010 CHECK 0 FMV NORTH AMERICA SUPPORT RESEARCH AND EDUCATION 30000 CHECK 0 FMV NORTH AMERICA SUPPORT RESEARCH AND EDUCATION 10000 CHECK 0 FMV SCHOLARSHIPS CENTRAL AMERICA AND THE CARIBBEAN 113 2858848 CHECK BOOK VALUE SCHOLARSHIPS EAST ASIA AND THE PACIFIC 56 1456402 CHECK BOOK VALUE SCHOLARSHIPS EUROPE (INCLUDING ICELAND AND GREENLAND) 6 182456 CHECK BOOK VALUE SCHOLARSHIPS MIDDLE EAST 14 207031 CHECK BOOK VALUE SCHOLARSHIPS NORTH AMERICA 15 382445 CHECK BOOK VALUE SCHOLARSHIPS SOUTH AMERICA 7 133368 CHECK BOOK VALUE SCHOLARSHIPS SUB-SAHARAN AFRICA 167 3933503 CHECK BOOK VALUE 1 0 0 1 1 0 PART I, LINE 2: MONITORING USE OF GRANT FUNDS OUTSIDE THE UNITED STATES: HOWARD UNIVERSITY USES PROGRAM-SPECIFIC GUIDELINES TO MONITOR THE PROGRESS OF GRANT ACTIVITIES CONDUCTED OUTSIDE THE UNITED STATES. THE GUIDELINES OUTLINE THE SCOPE OF WORK, ESTABLISHED DEADLINES, AND THE CONTENT OF SPECIFIC REPORTS/DELIVERABLES IN A MANNER CONSISTENT WITH THE TERMS AND CONDITIONS OF THE FUNDING AGENCY AND GRANT AWARD. PRINCIPAL INVESTIGATORS PREPARE PROGRAMMATIC PROGRESS REPORTS (MONTHLY, QUARTERLY, ANNUALLY AS REQUIRED) THAT ASSESS PROGRAM ACTIVITIES, IDENTIFY PROBLEMS OR ISSUES AND MODIFY THE DESIGN OR IMPLEMENTATION OF THE PROJECT AS NECESSARY. THE GRANTS AND CONTRACTS ACCOUNTING OFFICE PREPARES MONTHLY FINANCIAL AND BILLING REPORTS FOR INTERNAL AND EXTERNAL REVIEW. THIS OVERSIGHT ENSURES ACCURACY AND COMPLIANCE IN FINANCIAL MANAGEMENT, PROPER MAINTENANCE OF GRANT MANAGEMENT DOCUMENTATION, AND THE ACHIEVEMENT OF PROGRAMMATIC DELIVERABLES AND MILESTONES. PART I, LINE 3: BOOK VALUE PART III ACCOUNTING METHOD: BISON AT THE BEACH 932750 657793 274957 169609 83378 21970 932750 657793 274957 169609 83378 21970 274957 0 1 1 1 X 1 X 600.000000000000 0 0 1 1 1655535 1655535 0.00140 142015813 166069423 8133655 5944974 2188681 0.00190 151805003 172014397 3844216 0.00330 48446582 33349374 15097208 0.01290 49697117 33816361 15880756 0.01350 36349000 0 36349000 0.03100 8514 325339 0 325339 0.00030 8514 134818038 67165735 67652303 0.05770 8514 286623041 239180132 71496519 0.06100 325339 325339 0.00030 325339 325339 0.00030 1 4347431 59818051 98322710 -38504659 X 1 1 1 1 HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVENUE WASHINGTON DC 20060 X X X X X X HOWARD UNIVERSITY HOSPITAL 1 0 0 1 X X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.HUHEALTHCARE.COM/ABOUT-US/CHNA/ X HTTP://WWW.DCHEALTHMATTERS.ORG X 1 16 1 SEE PART V, PAGE 8 0 1 X 150.000000000000 600.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X 1 X 0 0 HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 3J: THROUGH THE WORK OF THE DC HEALTH MATTERS COLLABORATIVE, A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN JUNE 2022. THE COLLABORATIVE WAS FOUNDED IN 2012 IN RESPONSE TO NEW REQUIREMENTS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (ACA), WHICH MANDATED NONPROFIT HOSPITALS TO ISSUE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CORRESPONDING COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) EVERY THREE YEARS. TO REDUCE REDUNDANCY, COMBINE RESOURCES, AND IMPROVE PARTNERSHIPS, A GROUP OF HOSPITALS AND HEALTH CENTERS CAME TOGETHER TO PRODUCE A JOINT DISTRICT-WIDE CHNA AND CHIP IN 2013, 2016, 2019, AND 2022. SINCE 2016, THE WORK OF THE COLLABORATIVE HAS CENTERED ON THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS: MENTAL HEALTH, CARE COORDINATION, HEALTH LITERACY, AND PLACE-BASED CARE. DC HEALTH MATTERS COLLABORATIVE RECOGNIZES THAT MOST OF HEALTH IS DRIVEN BY SOCIAL FACTORS OUTSIDE OF HEALTHCARE, SUCH AS HOUSING, EDUCATION, AND ENVIRONMENT.THE CHIEF INFLUENCE ON COMMUNITY HEALTH IN THE LAST THREE YEARS HAS BEEN THE COVID-19 PANDEMIC. LIKEWISE, THE SHAPE AND SCOPE OF THE CHNA WAS GOVERNED BY CONSTRAINTS OF THE PUBLIC HEALTH CRISIS AND CHANGED SEVERAL TIMES SINCE PLANNING BEGAN IN 2020. THIS FINAL DOCUMENT INCLUDED AN ABBREVIATED CHNA PROCESS, AND INCLUDES THREE MAIN ELEMENTS: 1) DESCRIPTIONS OF THE WORK OF THE D.C. HEALTH MATTERS COLLABORATIVE SINCE THE 2019 CHNA WAS RELEASED, 2) SUMMARIES OF THE DIVERSE LANDSCAPE OF EXISTING LOCAL RESEARCH DOCUMENTING COMMUNITY HEALTH AND OTHER SOCIAL FACTORS, INCLUDING THOSE BY D.C. HEALTH, GEORGETOWN UNIVERSITY, D.C. APPLESEED, MEDSTAR AND CHILDREN'S NATIONAL HOSPITAL, AMONG OTHERS, 3) INTERVIEWS WITH LEADERS IN HEALTH PROVIDER ORGANIZATIONS, INCLUDING FQHCS, WHICH SERVE AND REPRESENT LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED RESIDENTS IN OUR COMMUNITY, TO IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY.FOR THE CHNA, COMMUNITY WAS DEFINED BY THE GEOGRAPHIC BOUNDARIES OF THE DISTRICT OF COLUMBIA.AFTER TWO YEARS OF PROVIDING SERVICES DURING THE PUBLIC HEALTH EMERGENCY, HEALTH SYSTEM STAKEHOLDERS HAD A UNIQUE AND IMPORTANT OPPORTUNITY TO TAKE STOCK TOGETHER. CONCERNS ABOUT WELL-BEING, SOCIAL NEEDS, WORKFORCE BURN-OUT, AND EQUITY ARE TOP OF MIND FOR HEALTHCARE LEADERS. STAND-OUT THEMES INCLUDE: 1) WORSENED BEHAVIORAL HEALTH AND MENTAL WELL-BEING (INCLUDING, BUT NOT LIMITED TO, SOCIAL ISOLATION, SUBSTANCE ABUSE, STRESS CREATED DURING THE COVID-19 PANDEMIC, POOR LIFE SATISFACTION), 2) RECOGNITION OF THE SIGNIFICANT IMPACT OF SOCIAL NEEDS AND CONDITIONS THAT IMPACT WELL- BEING (ACCESS TO CHILDCARE, HOUSING, EMPLOYMENT, FOOD INSECURITY, TRANSPORTATION), 3) DECREASED NEIGHBORHOOD SAFETY AND NEED FOR VIOLENCE PREVENTION, 4) BARRIERS IN ACCESSING HEALTHCARE (SUCH AS ACCESS TO AND GAPS IN INSURANCE COVERAGE, FEAR OR MISTRUST OF PROVIDERS, INSTITUTIONAL RACISM AND EXPERIENCE OF DISCRIMINATION, COMMUNICATION CHALLENGES, LIFE CIRCUMSTANCES), 5) ACUTE AND DISPARATE SOCIAL AND HEALTHCARE NEEDS OF BLACK D.C. RESIDENTS, WHICH LEADS TO WORSE CHRONIC DISEASE BURDEN, HIGHER MORTALITY RATES FROM COVID-19, LESS ACCESS TO WEALTH AND INCOME OPPORTUNITIES, AND LOWER LIFE EXPECTANCY, 6) IMPACT OF PATIENT/RESIDENT ACCESS TO TECHNOLOGY AND ONLINE PLATFORMS TO ACCESS HEALTHCARE, SOCIAL AND EDUCATIONAL SERVICES, AS WELL AS NEED FOR PROVIDERS TO MAXIMIZE HEALTH INFORMATION EXCHANGE FOR CARE AND COORDINATION, 7) THE IMPORTANCE OF EMERGENCY PREPAREDNESS FOR GOVERNMENT SYSTEMS, HEALTH PROVIDERS, AND INDIVIDUALS, 8) URGENT NEED FOR ADEQUATE LABOR POOL HEALTH AND BEHAVIORAL HEALTH PROFESSIONS, INCLUDING TRADITIONAL AND NONTRADITIONAL POSITIONS, 9) ESSENTIALITY OF CULTURAL AND LINGUISTIC COMPETENCE AND TRAUMA-INFORMED CARE AMONG PROVIDERS, AND APPROPRIATE, RESPECTFUL COMMUNICATION WITH COMMUNITIES.LEVERAGING EXISTING ASSESSMENTS RESULTED IN REDUCED DUPLICATION AND ALIGNMENT OF PRIORITIES WITH OTHER INITIATIVES TO ACHIEVE SHARED OUTCOMES FOR OUR COMMUNITY. GOING FORWARD, THE COLLABORATIVE WILL CONTINUE TO HAVE DISCUSSIONS ABOUT AREAS FOR PARTNERSHIP IN THE DEVELOPMENT AND EXECUTION OF OUR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT WORK. HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 5: GIVEN THE FATIGUE IN THE HEALTH SYSTEM AND THE COMMUNITY DURING THE COVID-19 PANDEMIC, AND THE LIMITATIONS TO COMMUNITY ENGAGEMENT POSED BY COVID INFECTION RISK, SUCH ALIGNMENT WAS EVEN MORE IMPORTANT IN 2022.THE 2022 CHNA INCLUDES THREE MAIN ELEMENTS: DESCRIPTIONS OF THE WORK OF THE D.C. HEALTH MATTERS COLLABORATIVE SINCE THE 2019 CHNA WAS RELEASED; SUMMARIES OF THE DIVERSE LANDSCAPE OF EXISTING LOCAL RESEARCH ON COMMUNITY HEALTH AND OTHER SOCIAL FACTORS; INTERVIEWS WITH LEADERS IN HEALTH PROVIDER ORGANIZATIONS.THE COLLABORATIVE REVIEWED 16 LOCAL REPORTS RELEASED 2019-2022 FOCUSED ON HEALTH, INCLUSIVE OF BEHAVIORAL HEALTH, COVID-19 IMPACTS, AND RELEVANT SOCIAL ISSUES RELATED TO HEALTH SUCH AS HOUSING AND TRANSPORTATION. AMONG OTHERS, THIS INCLUDED: 1) THE D.C. COMMUNITY HEALTH NEEDS ASSESSMENT PUBLISHED IN 2019 BY D.C. HEALTH 2) THE "HEALTH DISPARITIES IN THE BLACK COMMUNITY" REPORT PUBLISHED JUNE 2020 BY GEORGETOWN UNIVERSITY'S SCHOOL OF NURSING AND HEALTH STUDIES. 3) "D.C. FRONTLINE AND ESSENTIAL WORKERS' NEEDS DURING COVID-19" PUBLISHED IN NOVEMBER 2020 BY D.C. APPLESEED 4) MEDSTAR HEALTH'S CHNA REPORT PUBLISHED IN JUNE 2021 BY MEDSTAR HEALTH 5) D.C. HEALTH'S "COVID-19 PANDEMIC HEALTH AND HEALTHCARE RECOVERY REPORT" RELEASED IN MAY 2021. 6) "A PATH FORWARD: TRANSFORMING THE PUBLIC BEHAVIORAL HEALTH SYSTEM FOR CHILDREN, YOUTH, AND THEIR FAMILIES" PUBLISHED IN 2021 BY CHILDREN'S LAW CENTER, CHILDREN'S NATIONAL HOSPITAL, D.C. BEHAVIORAL HEALTH ASSOCIATION, EARLY CHILDHOOD INNOVATION NETWORK, HEALTH ALLIANCE NETWORK, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL DIVISION OF CHILD AND ADOLESCENT PSYCHIATRY, PARENT WATCH, AND TOTAL FAMILY CARE COALITION 6) CHILDREN'S NATIONAL HOSPITAL (CNH) AND HSC PEDIATRIC CENTER (HSC) PEDIATRIC CHNA RELEASED IN JUNE 2022.INTERVIEWS WITH OUR MEMBER ORGANIZATION'S LEADERSHIP HAVE BEEN A KEY ELEMENT OF OUR NEEDS ASSESSMENT PROCESS THROUGH THE LAST DECADE. AFTER TWO YEARS OF PROVIDING SERVICES DURING THE PUBLIC HEALTH EMERGENCY, HEALTH SYSTEM STAKEHOLDERS HAD A UNIQUE AND IMPORTANT OPPORTUNITY TO TAKE STOCK. IN 18 INTERVIEWS, STEERING COMMITTEE MEMBERS SPOKE WITH THEIR LEADERSHIP ABOUT WHERE WE ARE AS A HEALTH SYSTEM AND AS A CITY, WHERE WE WANT TO BE, AND HOW TO BEST GET THERE.LASTLY, A WEALTH OF UP-TO-DATE QUANTITATIVE DATA ARE CONTINUALLY UPDATED ON THE D.C. HEALTH MATTERS DATA DASHBOARD. THIS PORTAL, SPONSORED BY THE D.C. HEALTH MATTERS COLLABORATIVE, INCLUDES THOUSANDS OF INDICATORS ACROSS DOZENS OF DATA SOURCES, SERVES AS A LIVE NEEDS ASSESSMENT FREE FOR PUBLIC USE. HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH FOUR OTHER HOSPITAL FACILITIES AS FOLLOWS: CHILDREN'S NATIONAL HEALTH SYSTEM, HSC HEALTHCARE SYSTEM, PROVIDENCE HEALTH SYSTEM, AND SIBLEY MEMORIAL HOSPITAL. HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS): BREAD FOR THE CITY, COMMUNITY OF HOPE, MARY'S CENTER, AND UNITY HEALTH CARE. HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED IN RESPONSE TO THE 2022-2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SELECTED THREE PRIORITY AREAS OF FOCUS: MENTAL WELL-BEING, EQUITABLE ACCESS TO CARE (AND EVERYTHING PATIENTS NEED INCLUDING COORDINATION OF THAT CARE, HOUSING AND SOCIAL SUPPORT SERVICES), AND COMMUNITY-BASED WORKFORCE DEVELOPMENT (INCLUDING RETENTION AND DEVELOPMENT OF THE HEALTHCARE WORKFORCE). THE CHNA IDENTIFIED SALIENT AND IMPORTANT FINDINGS, AND COLLABORATIVE MEMBERS COMPLETED A MATRIX TO IDENTIFY STRATEGIES MOST ALIGNED WITH THEIR ORGANIZATION GOALS AND RESOURCES. THROUGH A STRUCTURED PROCESS, THE COLLABORATIVE SELECTED NINE STRATEGIES FOR THE 2020 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT OFFER THE OPPORTUNITY TO INFLUENCE POLICIES, SYSTEMS, OR SOCIAL CONDITIONS THAT CAN MAKE A DIFFERENCE IN THE LIVES OF DC RESIDENTS. THE COLLABORATIVE CONSOLIDATED STRATEGIES BEING ADDRESSED BY OTHER GROUPS TO ELIMINATE REDUNDANCY. FINDINGS THAT THE CHIP WILL NOT ADDRESS WILL BE ADDRESSED WITH ONGOING WORK SUCH AS DC HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT, THE MAYOR'S COMMISSION ON HEALTHCARE SYSTEM TRANSFORMATION FORTHCOMING RECOMMENDATIONS, AND THE COMMUNITY HEALTH IMPROVEMENT EFFORTS OF THE DC HOSPITAL ASSOCIATION AND DC PRIMARY CARE ASSOCIATION. THE MENTAL WELL-BEING GOALS FOR HOWARD UNIVERSITY HOSPITAL ARE: 1) IMPLEMENTATION OF ADDICTION CONSULT SERVICES (ACS) AND INPATIENT WITHDRAWAL MANAGEMENT, 2) PROVIDE ADDICTION CONSULTS TO PATIENTS WITH SUBSTANCE USE OR CO-OCCURRING DISORDERS, 3) ADDICTION CONSULTS INCLUDE EVALUATION AND DIAGNOSIS, TREATMENT PLAN, MOTIVATIONAL ENHANCEMENT THERAPY, RECOVERY COACHING, PATIENT NAVIGATION, AND LINKAGE TO COMMUNITY-BASED SUPPORTS, 4) IMPLEMENT MOTHERS FIRST, AN HUH COLLABORATIVE MATERNAL BEHAVIORAL HOME-BASED CARE SERVCE. THE EQUITABLE ACCESS TO CARE COORDINATION GOALS ARE: 1) EXPAND OPEN ACCESS AMBULATORY SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING SUD AND PSYCHIATRIC DISORDER CLINICS, 2) INCREASE ACCESS TO CULTURALLY APPROPRIATE COMMUNITY-BASED SUD TREATMENT SERVICS IN COMMUNITIES AT HIGH RISK FOR SUBSTANCE USE DISORDERS.THE COMMUNITY-BASED WORKFORCE DEVELOPMENT GOALS ARE: 1) HELP STRENGTHEN D.C. COMMUNITY WORKFORECE. THE COLLABORATIVE WILL CONTINUE TO HOST THE DATA DASHBOARD OF COMMUNITY HEALTH INDICATORS AND RESOURCES TAILORED TO D.C. FOR THE PURPOSE OF TRACKING AND MONITORING COLLABORATIVE WORK. HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 13B: IF THE PATIENT IS ABOVE THE FPG, THE HOSPITAL ASSESSES THE ABILITY TO PAY AND WILL SET UP A PAYMENT PLAN IN COORDINATION WITH THE PATIENT. HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL ALSO REVIEWS OTHER DOCUMENTS, SUCH AS CREDIT CARD REPORTS, PAYSTUBS, AND LIVING EXPENSE REPORTS, ETC AS CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. HOWARD UNIVERSITY HOSPITAL PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES NOTIFICATION ON THE PATIENT'S BILLING STATEMENT THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE WHO QUALIFY. A TOLL-FREE NUMBER IS PROVIDED FOR PATIENTS TO CALL FOR ADDITIONAL INFORMATION. THE HOSPITAL EMPLOY'S AND PROVIDES FINANCIAL COUNSELORS AND PATIENT ACCOUNT CUSTOMER SERVICE REPRESENTATIVES WHO ASSIST PATIENT'S IN IDENTIFYING ELIGIBILITY FOR FEDERAL AND/OR DISTRICT PROGRAMS THAT CAN PROVIDE FINANCIAL ASSISTANCE FOR QUALIFIED PATIENTS.IN ADDITION TO THE FINANCIAL COUNSELORS AND PATIENT ACCOUNT CUSTOMER SERVICE REPRESENTATIVES, THE HOSPITAL UTILIZES A THIRD-PARTY ELIGIBILITY VENDOR TO COMPLETE PATIENT FINANCIAL ASSISTANCE INTERVIEWS WITH UNINSURED PATIENTS. THIS VENDOR ALSO ASSISTS PATIENTS WITH THE COMPLETION OF HOSPITAL FINANCIAL ASSISTANT APPLICATION IF THE PATIENT IS DETERMINED INELIGIBLE FOR FEDERAL AND/OR DISTRICT MEDICAL FINANCIAL ASSISTANT PROGRAMS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A THE HOSPITAL FACILITY'S MOST RECENT ADOPTED IMPLEMENTATION STRATEGY IS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE:HTTPS://WWW.HUHEALTHCARE.COM/ABOUT-US/CHNA/FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A, LINE 16B AND LINE 16CTHE FINANCIAL ASSISTANCE POLICY (FAP) WAS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE: HTTPS://WWW.HUHEALTHCARE.COM/APP/FILES/PUBLIC/5DC557E3-5C9F-4D10-8521-686DD8888CF3/CFO_011_16_FINANCIAL%20ASSISTANCE%20POLICY%20WEBSITE%2001272023.PDFTHE FINANCIAL ASSISTANCE POLICY (FAP) APPLICATION WAS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE:HTTP://HUHEALTHCARE.COM/HEALTHCARE/HOSPITAL/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-APPLICATIONA PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP) WAS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE:HTTPS://WWW.HUHEALTHCARE.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ PART I, LINE 6A: HOWARD UNIVERSITY HOSPITAL (HUH) IS PART OF HOWARD UNIVERSITY. SERVICE TO THE NATION HAS BEEN, AND CONTINUES TO BE, ONE OF THE PRIMARY MISSIONS OF HOWARD UNIVERSITY. A COMMUNITY BENEFIT REPORT IS PREPARED ANNUALLY BY THE OFFICE OF UNIVERSITY RESEARCH AND PLANNING, AND THE HOWARD UNIVERSITY COMMUNITY ASSOCIATION, WHICH ILLUSTRATES A FRACTION OF THE MANY CIVIC AND COMMUNITY ACTIVITIES IN WHICH THE HOWARD UNIVERSITY FACULTY, STAFF, STUDENTS, AND ALUMNI ARE ENGAGED. HOWARD UNIVERSITY OFFERS OVER 100 PROGRAMS, SERVICES, AND ACTIVITIES THAT ARE AVAILABLE TO THE PUBLIC. SOME OF THESE INCLUDE: HEALTH EDUCATION, SCREENING AND CLINICAL SERVICES, ACTIVITIES IN COORDINATION WITH THE DISTRICT OF COLUMBIA PUBLIC SCHOOLS, BOARDER BABIES PROGRAM, AND A TOBACCO CONTROL PROGRAM. THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOWARD UNIVERSITY WEBSITE. PART I, LINE 7: PART I, 7A: CHARITY CARE AT COST - FREE OR DISCOUNTED HEALTH CARE SERVICES PROVIDED TO PERSONS WHO MET THE ORGANIZATIONS CRITERIA FOR FINANCIAL ASSISTANCE AND ARE THEREFORE DEEMED UNABLE TO PAY FOR ALL OR A PORTION OF SUCH SERVICES. PART I, 7B: MEDICAID - WHEN MEDICAID, A STATE HEALTH CARE PROGRAM FOR QUALIFYING LOW-INCOME RESIDENTS, DOES NOT REIMBURSE HUH FOR THE FULL COST OF HEALTH CARE SERVICES PROVIDED TO PATIENTS, HUH THEN COVERS THE ADDITIONAL COSTS AT A FINANCIAL LOSS.PART I, 7B: COSTS - OTHER MEANS-TESTED GOVERNMENT PROGRAMS - GOVERNMENT PROGRAMS FOR WHICH ELIGIBILITY FOR BENEFITS OR COVERAGE IS DETERMINED BY THE RECIPIENT'S INCOME OR ASSET LEVEL.PART I, 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES ACTIVITIES AND SERVICES FOR WHICH THERE IS NO ABILITY TO GENERATE BILLS FOR SERVICES TO BE REIMBURSED. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR OTHER MEANS OF FUNDING. SOME EXAMPLES INCLUDE FREE CLINIC SERVICES, PROGRAMS DIRECTED AT IMPROVING WOMEN'S HEALTH, FREE OR LOW COST PRESCRIPTION MEDICATIONS, AND RURAL AND URBAN OUTREACH PROGRAMS.COMMUNITY BENEFIT OPERATIONS COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSESSMENTS, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS.PART I, LINE 7F: HEALTH PROFESSIONALS EDUCATION PROGRAMS THAT RESULT IN A DEGREE, CERTIFICATE, OR TRAINING THAT IS NECESSARY TO BE LICENSED TO PRACTICE AS A HEALTH PROFESSIONAL, AS REQUIRED BY STATE LAW; OR CONTINUING EDUCATION THAT IS NECESSARY TO RETAIN STATE LICENSE OR CERTIFICATION BY A BOARD IN THE INDIVIDUAL'S HEALTH PROFESSION SPECIALTY.PART I, LINE 7G: CLINICAL SERVICES THAT ARE PROVIDED, DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COSTS, ASSOCIATED WITH BAD DEBT, CHARITY CARE ELIGIBLE ALLOWANCES, MEDICAID NON OR UNDER-REIMBURSED SERVICES, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. DESPITE THE FINANCIAL LOSS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED, SUCH AS PROVIDING ACCESS THAT IS NEEDED TO CARE FOR LOW-INCOME INDIVIDUALS. IF THE SERVICE WAS NO LONGER OFFERED, ACCESS TO HEALTH SERVICES WOULD BE IMPAIRED; OR PROVIDING THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATION.THIS AMOUNT INCLUDES SUBSIDIZED HEALTH SERVICES PROVIDED AS A PART OF THE HOSPITAL'S EMERGENCY DEPARTMENT, NEONATAL INTENSIVE CARE UNIT, AND INPATIENT PSYCHIATRIC UNIT (WHICH ALSO INCLUDES SUBSIDIZED SUBSTANCE ABUSE TREATMENT PROGRAMS).PART I, LINE 7H: ANY STUDY OR INVESTIGATION OF WHICH THE GOAL IS TO GENERATE GENERALIZED KNOWLEDGE MADE AVAILABLE TO THE PUBLIC, SUCH AS KNOWLEDGE ABOUT: 1. UNDERLYING BIOLOGICAL MECHANISMS OF HEALTH AND DISEASE, NATURAL PROCESSES OR PRINCIPLES AFFECTING HEALTH OR ILLNESS;2. EVALUATION OF SAFETY AND EFFICACY OF INTERVENTIONS FOR DISEASE SUCH AS CLINICAL TRIALS AND STUDIES OF THERAPEUTIC PROTOCOLS;3. LABORATORY-BASED STUDIES, EPIDEMIOLOGY, HEALTH OUTCOMES, AND EFFECTIVENESS4. BEHAVIORAL OR SOCIOLOGICAL STUDIES RELATED TO HEALTH AND DELIVERY OF CARE, OR PREVENTION STUDIES RELATED TO CHANGES IN THE HEALTH CARE DELIVERY SYSTEM; AND 5. COMMUNICATION OF FINDINGS AND OBSERVATIONS (INCLUDING PUBLIC IN A MEDICAL JOURNAL)THIS CATEGORY ONLY INCLUDES RESEARCH INTERNALLY FUNDED, OR RESEARCH FUNDED BY A TAX-EXEMPT OR GOVERNMENT AGENCY.PART I, LINE 7I: CASH CONTRIBUTIONS MADE TO ENTITIES AND COMMUNITY GROUPS THAT SHARE THE ORGANIZATION'S GOALS AND MISSION. IN-KIND CONTRIBUTIONS INCLUDE THE COST OF HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON THE ORGANIZATION'S PAYROLL, INDIRECT COST OF SPACE DONATED TO TAX-EXEMPT COMMUNITY GROUPS (SUCH AS FOR MEETINGS), AND THE FINANCIAL VALUE OF DONATED FOOD, EQUIPMENT AND SUPPLIES. PART I, LINE 7G: CLINICAL SERVICES THAT ARE PROVIDED, DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COSTS, ASSOCIATED WITH BAD DEBT, CHARITY CARE ELIGIBLE ALLOWANCES, MEDICAID NON OR UNDER-REIMBURSED SERVICES, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. DESPITE THE FINANCIAL LOSS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED, SUCH AS PROVIDING ACCESS THAT IS NEEDED TO CARE FOR LOW-INCOME INDIVIDUALS. IF THE SERVICE WAS NO LONGER OFFERED, ACCESS TO HEALTH SERVICES WOULD BE IMPAIRED; OR PROVIDING THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATION.THIS AMOUNT INCLUDES SUBSIDIZED HEALTH SERVICES PROVIDED AS A PART OF THE HOSPITAL'S EMERGENCY DEPARTMENT, NEONATAL INTENSIVE CARE UNIT, AND INPATIENT PSYCHIATRIC UNIT (WHICH ALSO INCLUDES SUBSIDIZED SUBSTANCE ABUSE TREATMENT PROGRAMS).PART I, LINE 7H: ANY STUDY OR INVESTIGATION OF WHICH THE GOAL IS TO GENERATE GENERALIZED KNOWLEDGE MADE AVAILABLE TO THE PUBLIC, SUCH AS KNOWLEDGE ABOUT: 1. UNDERLYING BIOLOGICAL MECHANISMS OF HEALTH AND DISEASE, NATURAL PROCESSES OR PRINCIPLES AFFECTING HEALTH OR ILLNESS;2. EVALUATION OF SAFETY AND EFFICACY OF INTERVENTIONS FOR DISEASE SUCH AS CLINICAL TRIALS AND STUDIES OF THERAPEUTIC PROTOCOLS;3. LABORATORY-BASED STUDIES, EPIDEMIOLOGY, HEALTH OUTCOMES, AND EFFECTIVENESS4. BEHAVIORAL OR SOCIOLOGICAL STUDIES RELATED TO HEALTH AND DELIVERY OF CARE, OR PREVENTION STUDIES RELATED TO CHANGES IN THE HEALTH CARE DELIVERY SYSTEM; AND 5. COMMUNICATION OF FINDINGS AND OBSERVATIONS (INCLUDING PUBLIC IN A MEDICAL JOURNAL)THIS CATEGORY ONLY INCLUDES RESEARCH INTERNALLY FUNDED, OR RESEARCH FUNDED BY A TAX-EXEMPT OR GOVERNMENT AGENCY.PART I, LINE 7I: CASH CONTRIBUTIONS MADE TO ENTITIES AND COMMUNITY GROUPS THAT SHARE THE ORGANIZATION'S GOALS AND MISSION. IN-KIND CONTRIBUTIONS INCLUDE THE COST OF HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON THE ORGANIZATION'S PAYROLL, INDIRECT COST OF SPACE DONATED TO TAX-EXEMPT COMMUNITY GROUPS (SUCH AS FOR MEETINGS), AND THE FINANCIAL VALUE OF DONATED FOOD, EQUIPMENT AND SUPPLIES. PART II, COMMUNITY BUILDING ACTIVITIES: HOWARD UNIVERSITY PARTICIPATES IN SEVERAL HOUSING AND URBAN DEVELOPMENT (HUD) PROGRAMS WHOSE MISSION IS TO CREATE STRONG, SUSTAINABLE, INCLUSIVE COMMUNITIES AND QUALITY, AFFORDABLE HOMES FOR ALL. HUD IS WORKING TO STRENGTHEN THE HOUSING MARKET TO BOLSTER THE ECONOMY AND PROTECT CONSUMERS; MEET THE NEED FOR QUALITY, AFFORDABLE RENTAL HOMES; UTILIZE HOUSING AS A PLATFORM FOR IMPROVING QUALITY OF LIFE; AND BUILD INCLUSIVE AND SUSTAINABLE COMMUNITIES FREE FROM DISCRIMINATION. AFFORDABLE HOUSING AND ECONOMIC STABILITY ARE INTRINSICALLY LINKED TO THE PREVENTION OF HEALTH PROBLEMS ASSOCIATED WITH POVERTY, HOMELESSNESS, AND OTHER ENVIRONMENTAL CHALLENGES. PART III, LINE 2: BAD DEBT WRITE OFFS REPRESENT ACTUAL WRITE OFFS MULTIPLIED BY THE RATIO OF COST TO CHARGES (RCC) AS REPORTED ON THE MEDICARE COST REPORT PART III, LINE 3: HOWARD UNIVERSITY HOSPITAL IS COMMITTED TO PROVIDING, WITHIN THE LIMITS OF ITS RESOURCES, FINANCIAL ASSISTANCE FOR NON-ELECTIVE MEDICALLY NECCESARY TREATEMENT TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT HAVE THE MEANS TO PAY FOR SUCH SERVICES. THE HOSPITAL USES A STANDARD POLICY THAT EVALUATES WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UTILIZING EVALUATION CRITERIA SUCH AS: PATIENT MEDICAID ELIGIBLITY, ELIGIBILITY FOR OTHER PUBLICLY-FUNDED PROGRAM ASSISTANCE, PATIENT ESTIMATED HOUSEHOLD INCOME, AND PATIENT ESTIMATED FEDERAL POVERTY LEVEL (FPL). THE POLICY CAN ALSO PRESUME PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE EVEN IF FINANCIAL COUNSELING EFFORTS ARE UNABLE ABLE TO BE COMPLETED AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. HOWARD UNIVERSITY HOSPITAL IS REPORTING AMOUNTS AS CHARITY CARE INSTEAD OF BAD DEBT BASED UPON THE FINANCIAL ASSISTANCE POLICY EVALUATION. THE HOSPITAL IS REPORTING AN AMOUNT OF ZERO FOR SECTION A, LINE THREE BECAUSE THE FINANCIAL ASSISTANCE POLICY INCLUDES A PROVISION THAT ALLOWS FOR PRESUMPTIVE ELIGIBLITY EVEN IF FINANCIAL COUNSELING EFFORTS ARE UNABLE TO BE COMPLETED. PART III, LINE 4: THE HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE CRITERIA FOR CHARITY SERVICES ARE COMPRISED OF FAMILY INCOME, NET WORTH, AND ELIGIBILITY AT THE TIME OF APPLICATION. IN ADDITION THE HOSPITAL PROVIDES SERVICES TO PATIENTS UNDER THE DISTRICT OF COLUMBIA CHARITY CARE PROGRAM, DC ALLIANCE. PART III, LINE 8: MEDICARE IS AN ENTITLEMENT PROGRAM IN WHICH THE HOSPITAL DOES NOT HAVE THE ABILITY TO NEGOTIATE PAYMENT RATES. THEREFORE, ANY SHORTFALL FOR SERVICES PROVIDED SHOULD BE CONSIDERED A CONTRIBUTION TO THE COMMUNITY. PART III, LINE 9B: HOWARD UNIVERSITY HOSPITAL (HUH) WILL FORGO EXTRAORDINARY COLLECTION ACTIONS AGAINST PATIENTS UNTIL MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOWARD UNIVERSITY HOSPITAL FINANCIAL ASSISTANCE POLICY. HOWARD UNIVERSITY HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT WILL IDENTIFY ALL ACCOUNTS TO BE PLACED IN COLLECTIONS USING THE FOLLOWING CRITERIA:NO ACCOUNTS WILL BE SENT FOR COLLECTIONS UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER HUH'S FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: NEEDS ASSESSMENT-IN ORDER TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, HOWARD UNIVERSITY HOSPITAL (HUH) COMPETED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A MEMBER OF THE DC HEALTH MATTERS COLLABORATIVE (DCHMC). AS REQUIRED, THE 2019 AND 2022 CHNA ARE UTILIZED TO IDENTIFY THE NEEDS THAT ARE THE MOST SIGNIFICANT TO THE COMMUNITY. APPROXIMATELY 75-80% OF ALL COMMUNITY OUTREACH INITIATIVES THAT ARE OFFERED BY THE HOSPITAL ARE THE RESULT OF A DIRECT REQUEST OF AN INDIVIDUAL WITHIN THE COMMUNITY OR A COMMUNITY ORGANIZATION. HUH IS OFTEN CONTACTED TO PARTNER WITH OR PARTICIPATE IN MANY OF THE PROGRAMS THAT ARE INCLUDED AS PART OF THIS SCHEDULE. PART VI, LINE 3: HOWARD UNIVERSITY HOSPITAL (HUH) IS A PRIVATE, NON-PROFIT HOSPITAL WITH A COMMITMENT TO PROVIDE, WITHIN THE LIMITS OF THE RESOURCES OF THE INSTITUTION, CHARITABLE MEDICAL CARE FOR:- UNINSURED PATIENTS HOW DO NOT HAVE THE ABILITY TO PAY FOR MEDICAL SERVICES AT THE TIME SERVICES ARE RENDERED.- INSURED PATIENTS WHO'S COVERAGE IS INADEQUATE TO COVER A CATASTROPHIC SITUATION.- EMERGENCY PATIENTS WHO FINANCIAL ABILITY TO PAY COULD NOT BE DETERMINED PRIOR TO DELIVERING SERVICES.- PATIENTS WHO'S INCOME IS SUFFICIENT TO PAY FOR BASIC LIVING COSTS BUT NOT MEDICAL CARE, AND ALSO THOSE PERSONS WITH GENERALLY ADEQUATE INCOMES WHO ARE SUDDENLY FACED WITH CATASTROPHICALLY LARGE MEDICAL BILLS.- PATIENTS WHO DEMONSTRATE ABILITY TO PAY PART BUT NOT ALL OF THEIR LIABILITY.HOWARD UNIVERSITY HOSPITAL (HUH) WILL PROVIDE ANNUALLY NO LESS THAN 3% OF ITS TOTAL OPERATING EXPENSE IN COMPENSATED CARE MEASURED COST. THE COST OF PROVIDING UNCOMPENSATED CARE SHALL BE DETERMINED BY APPLYING ANNUAL FAMILY INCOME AND MAINTENANCE NEED LEVEL CALCULATED AGAINST AN EXPECTED PAYOR PAYMENT. DC MEDICAID FEE SCHEDULE WILL BE UTILIZED AS THE EXPECTED PAYOR PAYMENT IN CASES WHERE APPLICANT IS UNINSURED. THIS OPPORTUNITY IS MADE AVAILABLE TO ALL INDIVIDUALS HAVING RECEIVED HEALTH CARE SERVICES WITHIN HUH.ALL HUH EMPLOYEES IN BUSINESS OPERATIONS (I.E. PATIENT ACCESS, BILLING, CREDIT AND COLLECTIONS, CASH PROCESSING, AND CUSTOMER SERVICE) ARE TRAINED IN HUH'S UNCOMPENSATED CARE POLICY AND ITS APPLICATION IN ORDER TO DIRECT PATIENT INQUIRIES TO THE APPROPRIATE FACILITY REPRESENTATIVES.HUH FINANCIAL COUNSELORS AND PATIENT ACCOUNT CUSTOMER SERVICE OFFICES ARE RESPONSIBLE FOR DETERMINING A PATIENT'S ELIGIBILITY FOR DISCOUNTED DEBT OR CHARITY ALLOCATION THROUGH THE UNCOMPENSATED CARE/CHARITY CARE POLICY AND ARE RESPONSIBLE FOR NOTIFYING PATIENTS IN WRITING OF THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MAD AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. IN THE EVENT THAT A PATIENT DOES NOT QUALITY FOR MEDICAL ASSISTANCE UNDER STATE, DISTRICT, OR FEDERAL PROGRAMS, A "PATIENT REQUEST FOR UNCOMPENSATED CARE" APPLICATION WILL BE PROVIDED TO THE PATIENT FOR COMPLETION AND SUBMISSION TO THE FINANCIAL COUNSELOR'S OFFICE IN ACCORDANCE WITH THE HOSPITAL'S UNCOMPENSATED CARE/CHARITY CARE POLICY. PART VI, LINE 4: COMMUNITY INFORMATION-HOWARD UNIVERSITY HOSPITAL (HUH) IS LOCATED IN WASHINGTON, DC AND IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES FOR THE RESIDENTS OF THE DISTRICT OF COLUMBIA AND SURROUNDING STATES. THE MAJORITY OF THE HOSPITAL'S PATIENT POPULATION HAS HEALTH CARE COVERAGE PROVIDED BY LOCAL MEDICAID, DC ALLIANCE (A PROGRAM PROVIDING MEDICAL ASSISTANCE TO QUALIFYING DISTRICT RESIDENTS WHO ARE NOT ELIGIBLE FOR OTHER FEDERAL OR LOCAL MEDICAL BENEFITS), MEDICARE PATIENTS, AND INDIGENT AND UNINSURED PATIENTS.HUH IS A LEVEL ONE (1) TRAUMA CENTER OFFERING COMPREHENSIVE HEALTH CARE FACILITIES IN WASHINGTON, DC. HUH SERVES THE WASHINGTON, DC POPULATION OF MORE THAN 712,000 PEOPLE, AND THE MORE THAN 6.3 MILLION PEOPLE IN THE GREATER WASHINGTON METROPOLITAN AREA (DMV). HUH IS A DISPROPORTIONATE SHARE HOSPITAL AND IN FY 2022 OUR GENERAL ADMITTANCE PAYOR MIX FOR MEDICARE AND MEDICAID BENEFIT COVERED PATIENTS WAS 32% AND 54% RESPECTIVELY. HOWARD UNIVERSITY IS HISTORICALLY AMONG THE TOP PRODUCERS OF BLACK MEDICAL STUDENTS IN THE NATION. IN FURTHERANCE OF THE HOSPITAL'S COMMITMENT TO EDUCATION, THE HOSPITAL MAINTAINS AN ENVIRONMENT THAT SUPPORTS THE TRAINING OF POSTGRADUATE TRAINEES, MEDICAL, DENTAL, NURSING, ALLIED HEALTH PROFESSIONALS, AND OTHER STUDENTS BY HEALTH CARE PRACTITIONERS. THE DISTRICT OF COLUMBIA HAS HISTORICALLY HAD SOME OF THE HIGHEST RATES IN THE NATION FOR CANCER RELATED DEATHS. HOWARD UNIVERSITY HOSPITAL'S (HUH) CANCER CENTER WAS ESTABLISHED IN TO ADDRESS HEALTH DISPARITIES IN THE LOCAL COMMUNITY, SPECIFICALLY FOR MINORITIES AND HISTORICALLY UNDERSERVED POPULATIONS. THE CANCER CENTERS MISSION IS TO REDUCE THE BURDEN OF CANCER THROUGH RESEARCH, EDUCATION, AND SERVICE, WITH AN EMPHASIS ON THE UNIQUE ETHNIC AND CULTURAL ASPECTS OF MINORITY AND UNDERSERVED POPULATIONS. UNDER A GRANT FROM THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH AND THE DC CANCER CONSORTIUM, THE CANCER CENTER OFFERS FREE COLON SCREENING TO DISTRICT OF COLUMBIA RESIDENTS BETWEEN THE AGES OF 50 AND 64 AT HOWARD UNIVERSITY HOSPITAL.HOWARD UNIVERSITY'S CENTER FOR SICKLE CELL DISEASE (SCD) WAS FOUNDED BY THE LATE DR. ROLAND B. SCOTT IN 1971 WITH THE INTENT TO ADDRESS THE NEEDS OF PATIENTS AND FAMILIES IN THE WASHINGTON METROPOLITAN AREA AFFECTED BY SCD. THE CENTER CONTINUES TO ADVANCE THE TREATMENT OF PATIENTS AND FAMILIES BY OFFERING COMPREHENSIVE MEDICAL CARE, RESEARCH, TESTING, EDUCATION, COUNSELING, AND COMMUNITY OUTREACH.HOWARD UNIVERSITY'S CENTER FOR WELLNESS AND WEIGHT LOSS SURGERY IS AN ACCREDITED CENTER OF EXCELLENCE BY THE BARIATRIC SURGERY CENTER NETWORK (BSCN) ACCREDITATION PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS). THE CENTER PROVIDES A WELLNESS AND WEIGHT LOSS PROGRAM CUSTOMIZED TO FIT PATIENTS' NEEDS THROUGH BOTH SURGICAL AND MEDICAL WEIGHT LOSS PROGRAMS. THE CENTER ALSO PROVIDES PATIENTS TREATMENT TO ASSIST WITH THE PATIENTS EMOTIONAL SUPPORT NEEDS DURING THE WEIGHT LOSS PROGRAM AND TREATMENT.ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), ALMOST 23% OF THE POPULATION IN DC ARE LIVING WITH SOME TYPE OF DISABILITY. BASED ON INFORMATION FROM THE DISTRICT OF COLUMBIA HEALTH REPORT IN 2020, 1.8% OF THE POPULATION IN THE DISTRICT OF COLUMBIA WERE LIVING WITH HIV, AND BLACK RESIDENTS HAD DISPROPORTIONATELY HIGHER RATES AT 2.8%. PART VI, LINE 5: HOWARD UNIVERSITY HOSPITAL (HUH) IS A PRIVATE, NON-PROFIT INSTITUTION AND ONE OF THE NATION'S ONLY TEACHING HOSPITALS LOCATED ON THE CAMPUS OF A HISTORICALLY BLACK UNIVERSITY. IT OFFERS MEDICAL STUDENTS A SUPERIOR LEARNING ENVIRONMENT AND OPPORTUNITIES TO OBSERVE OR PARTICIPATE IN CLINICAL AND RESEARCH WORK WITH PRACTICING PROFESSIONALS. HUH WAS ORIGINALLY ESTABLISHED ON THE BASIS OF BEING ABLE TO PROVIDE HEALTH CARE SERVICES TO THE UNDERSERVED BY PROVIDING A REFUGE WHERE EX-SLAVES RECEIVED THE MEDICAL CARE THEY WERE DENIED ELSEWHERE. IN THIS REGARD, HOWARD UNIVERSITY AND HUH HAVE OFFERED THE FOLLOWING PROGRAMS DURING THE YEAR:HOWARD UNIVERSITY COLLEGE OF MEDICINE PROVIDES STUDENTS OF HIGH ACADEMIC POTENTIAL WITH A MEDICAL EDUCATION OF EXCEPTIONAL QUALITY AND PREPARES PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS TO SERVE THE UNDERSERVED. THE EMPHASIS IS ON DEVELOPING SKILLS AND HABITS OF LIFE-LONG LEARNING AND PRODUCING WORLD LEADERS IN MEDICINE. THE COLLEGE'S LIVING ALUMNI, MORE THAN 4,000, ARE A TESTIMONY THAT AN EXCELLENT MEDICAL EDUCATION CAN BE OBTAINED AT HOWARD UNIVERSITY. ALTHOUGH OPPORTUNITIES FOR MINORITY STUDENTS HAVE INCREASED AT OTHER MEDICAL SCHOOL, THE COLLEGE UNIQUELY ADDRESSES THE SPECIAL HEALTHCARE CARE NEEDS OF MEDICALLY UNDERSERVED COMMUNITIES AND CONTINUES TO PRODUCE A SIGNIFICANT NUMBER OF THE NATION'S MINORITY PHYSICIANS. THE COLLEGE IS A PART OF HOWARD UNIVERSITY, A COMPREHENSIVE RESEARCH UNIVERSITY. WHILE THE UNIVERSITY COMMUNITY HAS TRADITIONALLY BEEN PREDOMINATELY BLACK, HOWARD UNIVERSITY HAS BEEN AN INTERRACIAL AND COSMOPOLITAN INSTITUTION THROUGHOUT ITS HISTORY, WITH STUDENTS, FACULTY, AND STAFF OF ALL RACES AND FROM MANY FOREIGN NATIONS. ALL MUST MEET THE HIGH STANDARDS OF EXCELLENCE OF HOWARD UNIVERSITY, WHICH HAS THE LARGEST CONCENTRATION OF BLACK FACULTY AND STUDENT SCHOLARSHIPS IN THE COUNTRY. IN ADDITION TO THE COLLEGE OF MEDICINE, THE HOWARD UNIVERSITY HEALTH SCIENCES CENTER INCLUDES THE HOWARD UNIVERSITY HOSPITAL, THE COLLEGE OF DENTISTRY, THE COLLEGE OF PHARMACY, THE COLLEGE OF NURSING, THE COLLEGE OF ALLIED HEALTH SCIENCES, THE LOUIS STOKES HEALTH SCIENCES LIBRARY, AND THE STUDENT HEALTH CENTER.THE COMMUNITY DENTISTRY PROGRAM INCLUDES A DENTAL OUTREACH PROGRAM THAT PROVIDES HEALTH EDUCATION AND DENTAL SCREENING FOR HOMELESS CHILDREN AGES 6 TO 12 YEARS OLD WHO RESIDE IN SHELTERS. THE OUTREACH PROGRAM ALSO PROVIDES HEALTH SCREENINGS AND DENTAL CARE FOR PARENTS AND YOUNG CHILDREN WHO ARE ATTENDING HEAD START PROGRAMS IN THE DISTRICT OF COLUMBIA. EDUCATION AND TRAINING IS PROVIDED FOR NURSING HOME CAREGIVERS IN THE PROPER CARE FOR THE DENTAL NEEDS OF THE ELDERLY, INCLUDING ASSESSMENTS OF DENTAL PROSTHESIS. OTHER OUTREACH PROGRAMS AIMED AT PROVIDING DENTAL SCREENINGS FOR PATIENTS WITH MENTAL HEALTH CONCERNS AND OTHER HANDICAP PATIENTS ARE ALSO PROVIDED.A SIX WEEK HIGH SCHOOL ENRICHMENT PROGRAM IS PROVIDED FOR HIGH SCHOOL STUDENTS WITH A STRONG INTEREST IN THE HEALTH PROFESSIONS. PARTICIPANTS OBTAIN INSTRUCTION IN SCIENCE, MATH, RESEARCH, WRITING, AND COLLEGE PREPARATION SKILLS. RISING SENIORS RESIDE ON CAMPUS AND RECEIVE STIPENDS PROVIDED THAT FUNDS ARE AVAILABLE.THE MULTIDISCIPLINARY CENTER FOR GERONTOLOGY SEEKS TO IMPROVE THE QUALITY OF LIFE FOR MINORITY SENIORS THROUGH RESEARCH, TRAINING, AND EDUCATIONAL PROGRAMS FOR FACULTY, STUDENTS, AND COMMUNITY RESIDENTS. THE CENTER WAS ESTABLISHED IN 1994 WITH A $1 MILLION GRANT FROM THE U.S. ADMINISTRATION ON AGING. CURRENTLY, THE CENTER IS FUNDED PRIMARILY BY EXTERNAL GRANTS. THE CENTER HAS CONTINUED TO DEVELOP AND PRODUCE POSITIVE OUTCOMES AND RESULTS IN THE FIELD OF GERONTOLOGY. THE SPEECH AND HEARING CLINIC PROVIDES COMPREHENSIVE RESEARCH-ORIENTED CLINICAL SERVICES TO INDIVIDUALS WHO REQUIRE SPEECH, LANGUAGE, AND HEARING EVALUATIONS AND/OR TREATMENT.THE BOARDER BABIES PROGRAM PROVIDES SUPPORT FOR BABIES AND CHILDREN FROM BIRTH TO 12 YEARS OLD WHO HAVE BEEN ABANDONED AT HOWARD UNIVERSITY HOSPITAL. THE CHILDREN WERE ABUSED OR NEGLECTED, AND ARE NOW IN FOSTER CARE OR ARE LIVING WITH GRANDPARENTS OR OTHER RELATIVES.EDUCATION GRAND ROUNDS ARE OPEN TO COMMUNITY PHYSICIANS AT NO CHARGE AND ALLOWS THE OPPORTUNITY TO EARN CATEGORY 1 CREDITS THAT ARE REQUIRED FOR RE-LICENSURE. THE PROGRAM FOCUS IS ON IMPROVING PATIENT CARE AND OUTCOMES.HEALTH FAIRS ARE PROVIDED TO THE PUBLIC WITH HEALTH CARE INFORMATION AND SCREENING SERVICES IN VARIETY OF VENUES THROUGHOUT THE YEAR. HOWARD UNIVERSITY HOSPITAL HAS OFTEN CO-SPONSORED SUCH FAIRS WITH COMMUNITY ORGANIZATIONS AND CHURCHES.THE TOBACCO CONTROL PROGRAM AIMS TO EDUCATE THE COMMUNITY ON THE DANGERS OF TOBACCO PRODUCTS. INFORMATION, SUPPORT, AND ASSISTANCE ARE PROVIDED TO SMOKERS WHO ARE TRYING TO QUIT SMOKING. THE PROGRAM ALSO SUPPORTS INITIATIVES TO PREVENT YOUTH SMOKING AND ADVOCACY CAMPAIGNS TO REDUCE TOBACCO USE AND EXPOSURE. PART VI, LINE 6: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: THE DISTRICT OF COLUMBIA PART VI, LINE 7, REPORTS FILED WITH STATES DC 1 UNIVERSITY OF MARYLAND GLOBAL CAMPUS 7315 WISCONSIN AVE STE 400W BETHESDA MD 20814 526002033 1402422 0 SUPPORT RESEARCH & EDUCATION UNIVERSITY OF KENTUCKY RESEARCH 109 KINKEAD HALL LEXINGTON KY 40506 616033693 501(C)(3) 45563 0 SUPPORT RESEARCH & EDUCATION UNIVERSITY OF PITTSBURGH 116 ATWOOD STREET SUITE 201 PITTSBURGH PA 15260 250965591 501(C)(3) 9358 0 SUPPORT RESEARCH & EDUCATION ANACOSTIA ECONOMIC DEVELOPMENT CORP 1800 MARTIN LUTHER KING JR AVE SE PO BOX 69142 WASHINGTON DC 20020 520897780 501(C)(3) 196403 0 SUPPORT RESEARCH & EDUCATION TEXAS SOUTHERN UNIVERSITY 3100 CLEBURNE ST HOUSTON TX 770044598 746001391 159621 0 SUPPORT RESEARCH & EDUCATION UNIVERSITY OF HOUSTON 5000 GULF FWY HOUSTON TX 77204 746001399 125055 0 SUPPORT RESEARCH & EDUCATION GILBANE BUILDING COMPANY 7 JACKSON WALKWAY STE 2 PROVIDENCE RI 029033694 050495530 1661236 0 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71755 0 SUPPORT RESEARCH & EDUCATION HARVARD MEDICAL SCHOOL 25 SHATTUCK ST BOSTON MA 021156092 042103580 501(C)(3) 71533 0 SUPPORT RESEARCH & EDUCATION PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION 11720 BELTSVILLE DRIVE SUITE 900 BELTSVILLE MD 20705 942243283 501(C)(3) 66960 0 SUPPORT RESEARCH & EDUCATION CYBERGREEN GROUP 12138 CENTRAL AVENUE SUITE 949 BOWIE MD 20721 461497979 501(C)(3) 65800 0 SUPPORT RESEARCH & EDUCATION FLORIDA A & M UNIVERSITY 1601 S MARTIN L KING JR BLVD TALLAHASSEE FL 323070001 590977035 501(C)(3) 60870 0 SUPPORT RESEARCH & EDUCATION BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY 900 SOUTH NORMAL AVE CARBONDALE IL 62901 376005961 501(C)(3) 60739 0 SUPPORT RESEARCH & EDUCATION ZANE NETWORKS LLC 1205 GOOD HOPE ROAD SE WASHINGTON DC 20020 522221847 60000 0 SUPPORT RESEARCH & EDUCATION SAN FRANCISCO STATE UNIVERSITY 1600 HOLLOWAY AVE FRANCISCO CA 94132 931137247 55460 0 SUPPORT RESEARCH & EDUCATION VIRGINIA STATE UNIVERSITY 1 HAYDEN DRIVE PO BOX 9075 PETERSBURG 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ACADEMIC DEPARTMENTS DETERMINE ELIGIBILITY AND AWARDS ACADEMIC MERIT BASED SCHOLARSHIPS WITH ASSISTANCE FROM THE OFFICE OF FINANCIAL AID. BOTH OFFICES PERFORM POST AWARD MONITORING TO DETERMINE CONTINUED ELIGIBILITY. THE RESEARCH AND ADMINISTRATIVE SERVICES OFFICE (RAS) PERFORMS SUB-RECIPIENT MONITORING IN ACCORDANCE WITH UNIVERSITY POLICY. RAS AND PRINCIPAL INVESTIGATORS MONITOR STATEMENT OF WORK COMPLETION, PROGRESS REPORTS, DELIVERABLES, CHANGE TO SCOPE AND BUDGETS. THEY ALSO REVIEW AND APPROVE SUB-RECIPIENT INVOICES. X X X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 WAYNE A I FREDERICK MD MBA PRESIDENT 929408 0 150000 0 175000 0 23200 0 18496 0 1296104 0 0 0 ANTHONY WUTOH PHD PROVOST AND CHIEF ACADEMIC OFFICER 400000 0 40000 0 0 0 23200 0 17257 0 480457 0 0 0 TASHNI DUBROY PHD MBA EVP COO & INTERIM CHIEF HR OFFICER 555000 0 42500 0 0 0 23200 0 8858 0 629558 0 0 0 FLORENCE PRIOLEAU ESQ GENERAL COUNSEL 360192 0 25000 0 332 0 23200 0 8137 0 416861 0 0 0 HUGH MIGHTY MD VP CLINICAL AFFAIRS 675901 0 41250 0 0 0 17400 0 17897 0 752448 0 0 0 DAVID BENNETT VP OF DEVELOPMENT 307135 0 56500 0 0 0 23200 0 8013 0 394848 0 0 0 BRUCE JONES PHD VP OF RESEARCH 296000 0 12500 0 0 0 17400 0 8583 0 334483 0 0 0 FRANK TRAMBLE VP COMMUNICATIONS FROM 8/2/21 220000 0 0 0 0 0 13200 0 16758 0 249958 0 0 0 CYNTHIA EVERS VP STUDENT AFFAIRS 206796 0 5000 0 0 0 13744 0 1096 0 226636 0 0 0 RASHAD YOUNG SVP & CHIEF STRATEGY OFFICER 375000 0 22500 0 0 0 23200 0 17065 0 437765 0 0 0 ROBERT WILSON MD ASSOCIATE PROFESSOR OF ORTHOPEDIC SU 522985 0 0 0 0 0 23903 0 19627 0 566515 0 0 0 EDWARD CORNWELL MD SURGEON-IN-CHIEF 636414 0 34425 0 0 0 22167 0 17804 0 710810 0 0 0 GUOYANG LUO MD CHAIR OF OB/GYN 552930 0 2520 0 0 0 23200 0 18857 0 597507 0 0 0 GINETTE OKOYE MD CHAIR OF DERMATOLOGY 489323 0 0 0 0 0 23200 0 1555 0 514078 0 0 0 TERRENCE FULLUM MD CLINICAL PROFESSOR 500551 0 0 0 0 0 23200 0 17630 0 541381 0 0 0 ANNEMIEKE MARTINEZ INTERIM CFO, ENDED 12/4/21 289364 0 7500 0 6000 0 17788 0 843 0 321495 0 0 0 PART I, LINE 1A QUESTIONS REGARDING COMPENSATION: TRAVEL FOR COMPANIONS: THE UNIVERSITY REIMBURSES REASONABLE AND NECESSARY TRAVEL EXPENSES WHEN THE PRESIDENT'S SPOUSE'S PRESENCE IS IN THE BEST INTEREST OF THE UNIVERSITY ON BUSINESS RELATED TRIPS IN ACCORDANCE WITH PRESIDENT'S EMPLOYMENT AGREEMENT. HOUSING ALLOWANCES OR RESIDENCE FOR PERSONAL USE: THE UNIVERSITY PROVIDES A HOUSING ALLOWANCE PAYMENT TO THE PRESIDENT FOR SIGNIFICANT USE OF HIS PERSONAL RESIDENCE FOR OFFICIAL UNIVERSITY RELATED BUSINESS TO DEFRAY COSTS RELATED TO THE UPKEEP, UTILIZATION AND MAINTENANCE OF HIS PERSONAL RESIDENCE. ALLOWANCE PAYMENT WAS INCLUDED IN THE PRESIDENT'S W-2 AS COMPENSATION AND IS REPORTED IN SCHEDULE J PART II AS OTHER REPORTABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES: THE UNIVERSITY PAID OR REIMBURSED THE PRESIDENT FOR THE DUES AND NORMAL PERIODIC ASSESSMENTS INCURRED FOR MEMBERSHIP FOR TWO CLUBS. THE USE OF THE MEMBERSHIP IN BOTH BUSINESS CLUBS IS LIMITED TO UNIVERSITY BUSINESS AND NOT REPORTED AS TAXABLE INCOME. PERSONAL SERVICES: AN AUTOMOBILE (ALONG WITH DRIVER) ARE PROVIDED TO THE PRESIDENT BY THE UNIVERSITY AS NEEDED FOR UNIVERSITY-RELATED BUSINESS. THESE SERVICES ARE FOR BUSINESS PURPOSES ONLY, AND AS SUCH, HAVE NOT BEEN REPORTED AS TAXABLE INCOME. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE UNIVERSITY FUNDED A NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR THE PRESIDENT IN THE AMOUNT OF $200,000 FOR THE YEAR ENDED JUNE 30, 2022. A DISTRICT OF COLUMBIA 536001131 2010-08-26 10400000 SEE PART VI 0 0 0 A 6431613 10400000 196236 10400000 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, BOND ISSUES (A) ISSUER NAME: DISTRICT OF COLUMBIA DESCRIPTION OF PURPOSE: FINANCE AND REFINANCE THE COST OF INSTALLING, REPAIRING, AND REPLACING ENERGY EFFICIENT ELECTRICAL AND MECHANICAL SYSTEMS IN MULTIPLE BUILDINGS LOCATED ON THE MAIN CAMPUS, EAST CAMPUS AND WEST CAMPUS. X 242 1164200 EXPERT OPINION 0 1 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION EXECUTED A MANAGEMENT SERVICES AGREEMENT WITH ADVENTIST HEALTHCARE IN FEBRUARY 2020 TO BRING IN A SENIOR LEADERSHIP TEAM TO STRENGTHEN THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE HOSPITAL. ANITA JENKINS SERVES AS CEO OF THE HOSPITAL AND SHE IS AN EMPLOYEE OF ADVENTIST HEALTHCARE. JOE PERRY, THE HOSPITAL CFO, IS ALSO EMPLOYED BY ADVENTIST HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE DRAFT OF THE FORM 990 IS SENT TO THE CHAIR OF THE AUDIT AND LEGAL COMMITTEE OF THE BOARD OF TRUSTEES, PRESIDENT, AND CHIEF FINANCIAL OFFICER FOR REVIEW. THIS PROVIDES THE OPPORTUNITY TO FORWARD ANY QUESTIONS THEY MAY HAVE AS PART OF THEIR REVIEW. ONCE QUESTIONS HAVE BEEN ANSWERED AND THEIR REVIEW IS COMPLETE, A FINAL DRAFT OF THE FORM 990 IS THEN POSTED TO THE BOARD OF TRUSTEES PORTAL FOR ONE WEEK TO ALLOW EACH MEMBER TO REVIEW AND ASK QUESTIONS. UPON COMPLETION OF BOARD OF TRUSTEES REVIEW AND COMMENTS OF THE FORM 990, ANY REQUIRED CHANGES ARE DOCUMENTED AND UPDATED TO THE FORM 990. THE FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE UNIVERSITY HAS ADOPTED A CODE OF ETHICS AND CONDUCT. EACH TRUSTEE, OFFICER, AND OTHER SENIOR ADMINISTRATIVE PERSONNEL ARE REQUIRED TO COMPLETE A PERSONAL DISCLOSURE STATEMENT ON AT LEAST AN ANNUAL BASIS. DISCLOSURE STATEMENTS TAKE SUCH FORM AND CONTAIN QUERIES TO ELICIT INFORMATION REQUIRED UNDER THE CODE OF ETHICS AND CONDUCT AND ARE FILED WITH THE OFFICE OF SECRETARY (FOR TRUSTEES) OR THE CHIEF COMPLIANCE OFFICER (FOR ALL OTHER PERSONNEL). THE DISCLOSURES ARE SHARED WITH THE OFFICE OF COMPLIANCE, THE OFFICE OF GENERAL COUNSEL, THE OFFICE OF THE SECRETARY AND ARE REQUIRED BY THE BY-LAWS TO BE REPORTED TO THE AUDIT AND LEGAL COMMITTEE. ANY DISCLOSURE WHICH REVEALS FACTS THAT INDICATE A DUALITY OF INTEREST, ACTUAL CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST ARE REVIEWED AND WHERE APPROPRIATE A PLAN IS DEVELOPED AND IMPLEMENTED TO REMEDY, MANAGE OR MINIMIZE SUCH CONFLICT. THESE PLANS ARE MONITORED AND ENFORCED THROUGH ONGOING OVERSIGHT COORDINATED BY THE UNIVERSITY'S OFFICE OF COMPLIANCE, OR WITH RESPECT TO ANY TRUSTEE, THE OFFICE OF THE SECRETARY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, OR OTHER TOP MANAGEMENT OFFICIAL: THE UNIVERSITY BY-LAWS AUTHORIZE THE BOARD OF TRUSTEES' COMPENSATION AND SUCCESSION SUBCOMMITTEE TO MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE REGARDING THE PRESIDENT'S ANNUAL SALARY AND INCENTIVE OPPORTUNITY COMPENSATION. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO REVIEW AND RATIFY OR APPROVE THESE ACTIONS AND ALL OF ITS MEMBERS ARE INDEPENDENT. THE BOARD OF TRUSTEES HAS USED QUATT AND ASSOCIATES, AN EXECUTIVE COMPENSATION CONSULTANT, TO BENCHMARK THE PRESIDENT'S COMPENSATION WITH COMPARABLE INSTITUTIONS AND REVIEW THE REASONABLENESS OF THE COMPENSATION TERMS BEFORE THEY ARE FINALIZED AND SET FORTH IN THE PRESIDENT'S EMPLOYMENT AGREEMENT WITH THE UNIVERSITY. IN ADDITION, THE BOARD OF TRUSTEES CONDUCTS AN ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT WHICH PROVIDES THE BASIS UPON WHICH ANY BONUS/INCENTIVE PAYMENTS BASED ON ACHIEVEMENT OF AGREED UPON GOALS AND OBJECTIVES ARE AWARDED. THE PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE BYLAWS OF THE UNIVERSITY AUTHORIZE THE COMPENSATION AND SUCCESSION SUBCOMMITTEE TO REVIEW THE PRESIDENT'S RECOMMENDED COMPENSATION, BONUS/INCENTIVE AWARDS, TITLES, POWERS, AND DUTIES FOR THE OFFICERS, KEY EMPLOYEES AND OTHER TOP MANAGEMENT OFFICIALS OF THE UNIVERSITY AND TO MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE FOR APPROVAL REGARDING SUCH MATTERS. IN MAKING ITS ASSESSMENTS, THE SUBCOMMITTEE OBTAINS COMPENSATION INFORMATION THAT INCLUDES MARKET DATA, AND PERFORMANCE, GOALS AND ACCOMPLISHMENTS, LENGTH OF SERVICE, AND PRIOR SALARY HISTORY IN REVIEWING THE REASONABLENESS OF THE OFFICERS', KEY EMPLOYEES', AND OTHER TOP MANAGEMENT OFFICIALS' COMPENSATION. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO REVIEW AND RATIFY OR APPROVE SUCH RECOMMENDATIONS OF THE COMPENSATION AND SUCCESSION SUBCOMMITTEE. FORM 990, PART VI, SECTION C, LINE 18 THE UNIVERSITY WAS NOT REQUIRED TO SUBMIT FORM 1023 BECAUSE IT WAS GRANTED EXEMPTION BY ITS ESTABLISHMENT AS AN EDUCATIONAL INSTITUTION BY AN ACT OF CONGRESS IN 1867. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 82,382,141. MANAGEMENT AND GENERAL EXPENSES 80,021,012. FUNDRAISING EXPENSES 244,258. TOTAL EXPENSES 162,647,411. FORM 990, PART XI, LINE 9: UNREALIZED CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PENSION PLAN 22,678,000. UNREALIZED CHANGE IN OBLIGATION FOR POST RETIREMENT BENEFIT PLAN 5,713,000. NET PERIOD BENEFIT COST OTHER THAN SERVICE COST 7,016,000. CHANGE IN FUNDED STATUS OF SUPPLEMENTAL BENEFIT COST 78,000. NET ASSET RECONCILIATION -626. FORM 990, PART XII, LINE 2C: THE PROCESS HASN'T BEEN CHANGED FROM THE PRIOR YEAR. HOWARD UNIVERSITY GLOBAL INITIATIVE- NIGERIA 2400 6TH STREET NW WASHINGTON DC 20059 EDUCATION NI 1962726 HOWARD UNIVERSITY WASHINGTON RESEARCH LIBRARY CONSORTIUM 901 COMMERCE DRIVE UPPER MARLBORO MD 20774 521559828 LIBRARY SERVICES DC 501 (C)(3) LINE 11B, II N/A 0 HOWARD UNIVERSITY INTERNATIONAL 2400 6TH STREET NW WASHINGTON DC 20059 EDUCATION DC 501 (C)(3) HOWARD UNIVERSITY 0 HOWARD UNIVERSITY CAPITOL INSURANCE COMPANY CAPTIVE INSURANCE CJ HOWARD UNIVERSITY C 100314 440614 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 WASHINGTON RESEARCH LIBRARY CONSORTIUM M 602285 CASH HOWARD UNIVERSITY GLOBAL INITIATIVE - NIGERIA R 1962726 CASH