2023-05-10T07:26:52-05:00 2022-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2021-07-01 520608007 FRANKLIN SQUARE HOSPITAL CENTER INC FRAN 4107726721 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 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 FRANKLIN SQUARE MEDICAL CTR STUART LEVINE 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 547008613 0 X WWW.FRANKLINSQUARE.ORG X 1898 MD SEE SCHEDULE O MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, A MEMBER OF MEDSTAR HEALTH, PROVIDES THE HIGHEST QUALITY HEALTHCARE AND EDUCATION TO OUR COMMUNITIES. 20 14 3243 184 0 0 25545746 10789800 593242072 533271972 221488 282379 2959234 2664462 621968540 547008613 222225 194471 0 0 331305439 267911084 0 0 0 282469009 291554705 613996673 559660260 7971867 -12651647 352871142 353571239 169769131 98320312 183102011 255250927 X SEE SCHEDULE O 0 0 408626426 194471 501081392 SEE SCHEDULE OMEDSTAR FRANKLIN SQUARE'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF EASTERN BALTIMORE COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR FRANKLIN SQUARE INCURRED $82.2M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR FRANKLIN SQUARE OFFERS CLINICAL SERVICES IN MEDICINE, SURGERY, ONCOLOGY, CARDIOLOGY (INCLUDING ANGIOPLASTY), OBSTETRICS AND GYNECOLOGY, PEDIATRICS, EMERGENCY SERVICES, BEHAVIORAL HEALTH, NEURO-STROKE CARE, AND A VARIETY OF AMBULATORY SERVICES. MEDSTAR FRANKLIN SQUARE EXPANDED CAPABILITIES IN THE TREATMENT OF NEUROVASCULAR/STROKE CARE WITH A NEUROVASCULAR CENTER, STROKE CARE CENTER, AND NEUROCARE ICU. MEDSTAR FRANKLIN SQUARE ALSO CONSTRUCTED A HELIPAD ON THE ROOF OF THE HOSPITAL TO FACILITATE PATIENT CARE. ACCREDITED BY THE JOINT COMMISSION, MEDSTAR FRANKLIN SQUARE IS PROUD TO HAVE EARNED SOME OF THE REGION'S AND NATION'S MOST PRESTIGIOUS HONORS AND ACCOLADES, INCLUDING: MAGNET DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) FOR EXCELLENCE IN NURSING; THE AMERICAN HEART ASSOCIATION'S "MISSION: LIFELINE - STEMI RECEIVING CENTER" GOLD AWARD; THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S "GET WITH THE GUIDELINES" STROKE GOLD PLUS ACHIEVEMENT AWARD, THE CRIB FOR KIDS NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION; BALTIMORE MAGAZINE RECOGNIZED 78 MEDSTAR HEALTH PHYSICIANS AS "TOP DOCTORS" IN NOVEMBER 2021; BALTIMORE MAGAZINE RECOGNIZED 5 MEDSTAR FRANKLIN SQUARE NURSES FOR EXCELLENCE IN NURSING IN 2021; CARDIOPULMONARY REHABILITATION CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION; MARYLAND PATIENT SAFETY CENTER'S NEONATAL ABSTINENCE SYNDROME CENTER OF EXCELLENCE AWARD; NURSE IMPROVING CARE FOR HEALTHSYSTEM ELDERS (NICHE) SENIOR FRIENDLY, AND RECOGNITION BY US NEWS AND WORLD REPORT AS HIGH PERFORMING IN HEART FAILURE, DIABETES CARE, STROKE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND LUNG CANCER.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. 50090143 32190580 MEDSTAR FRANKLIN SQUARE PROVIDED $50.1M 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 INCLUDE HOSPITALISTS, BEHAVIORAL HEALTH, NEUROLOGY, EMERGENCY MEDICINE, WOMEN'S AND CHILDREN'S HEALTH, AND PALLIATIVE CARE. 18749719 MEDSTAR FRANKLIN SQUARE PROVIDED $18.7M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2022. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 477466288 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 3243 1 0 0 0 0 0 0 0 0 0 0 1 0 X 20 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 15771396 96287 DIANA PANCU MD DIRECTOR & VP EMERG MED. 1.00 39.00 X 0 437758 29818 STUART M LEVINE MD PRESIDENT/DIRECTOR 40.00 0.00 X X 1156749 0 42306 MARYELLEN GOODELL MD DIRECTOR 40.00 0.00 X 300962 0 33567 RAYMOND A NAIMOLI DIRECTOR 1.00 0.00 X 0 0 0 MOHAMAD M ALABRASH MD DIRECTOR (UNTIL 10/2021) 40.00 0.00 X 36630 0 0 NICOLA LONDON MD DIRECTOR (AS OF 6/22) 40.00 0.00 X 445964 0 40236 WILLIAM D MCLAUGHLIN DIRECTOR 1.00 0.00 X 0 0 0 HOWARD L GOLDMAN MD CHAIR 1.00 0.00 X 0 0 0 DENISE M MATRICCIANI DIRECTOR 1.00 0.00 X 0 0 0 CAROL L NICOLETTE ANTILL VICE CHAIR 1.00 0.00 X 0 0 0 ERIC C WASHINGTON DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL P RODRIGUES MD DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL J BERNA DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL MCDERMOTT DIRECTOR (UNTIL 10/2021) 1.00 0.00 X 0 0 0 TAMLA OLIVIER DIRECTOR (UNTIL 03/2022) 1.00 0.00 X 0 0 0 MARLA T OROS DIRECTOR 1.00 0.00 X 0 0 0 LESLIE R KAMINSKI DIRECTOR 1.00 0.00 X 0 0 0 AIMAN SHAMMAS MD DIRECTOR 1.00 0.00 X 0 0 0 AMARIS UMBAGER DIRECTOR 1.00 0.00 X 0 0 0 ROBERT LALLY VP/CFO/TREASURER 20.00 0.00 X 238073 238073 54729 KEITH SHINER SECRETARY 20.00 20.00 X 140592 140592 29732 DEANA STOUT CFO 1.00 39.00 X 0 534335 50923 DAVID LISLE MD ORTHOPEDIC SURGEON 40.00 0.00 X 839641 0 18092 SHWETA KURIAN MD ORTHOPEDIC SURGEON 40.00 0.00 X 610437 0 29893 ALAIN ABDO MD MEDICAL DOCTOR 40.00 0.00 X 445552 0 29436 JILL JOHNSON SR. V.P. OF OPERATIONS 40.00 0.00 X 425506 0 33907 MIMI NOVELLO MD VP OF MEDICAL AFFAIRS AND CMO 20.00 20.00 X 397538 397538 11082 5037644 17519692 500008 426 0 1 0 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 14447456 AYA HEALTHCARE INC 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 921213772 STAFFING SERVICES 1734004 SODEXO INC & AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FOOD & FACILITIES MANAGEMENT 1665973 PULMONARY & CRITICAL CARE ASSOCIATES 400 REDLAND COURT OWINGS MILLS MD 211173292 MEDICAL SERVICES 1242900 CROTHALL SVCS GROUP 1500 LIBERTY RIDGE DR 210 WAYNE PA 19087 ENVIRONMENTAL SERVICES 1230364 39 8446086 2343714 17872 10789800 NET PATIENT SERVICE RE 621300 526090837 526090837 PHARMACY 900099 7173019 7173019 OTHER HEALTH REVENUE 900099 8116 8116 533271972 120146 120146 468165 0 468165 468165 468165 84439 77794 0 0 84439 77794 162233 162233 REBATE INCOME 900099 1147946 1147946 PARKING AND VALET REVE 812930 464837 464837 INTERCOMPANY REVENUE 900099 112689 112689 470825 470825 2196297 547008613 533271972 0 2946841 X 139937 139937 54534 54534 2519540 2346264 173276 225183189 209635495 15547694 3821200 3557367 263833 23153514 21633963 1519551 13233641 12240381 993260 49810294 15345 49794949 47090 47090 67813502 64495284 3318218 272213 41342 230871 899340 2326035 -1426695 438368 130135 308233 145442 88912 56530 27353 24801 2552 7986085 7986085 27194984 27194099 885 9569504 8718393 851111 MED/SURG SUPPLIES 80197660 80326500 -128840 MAINTENANCE 11316516 11133374 183142 IMPLANTS/PROSTHESES 9626626 9626626 UTILITIES 5418005 4514788 903217 20791723 11236628 9555095 559660260 477466288 82193972 0 4010061 9532 78019518 74759968 10069508 10791844 1623445 927352 639290462 396167053 247062830 243123409 3846589 3548825 8239191 20410309 352871142 353571239 31132883 31075910 3393220 2529105 135243028 64715297 169769131 98320312 X 179313118 251878105 3788893 3372822 183102011 255250927 352871142 353571239 X -12651647 -573445 85374008 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 386702 386702 241760586 136154441 105606145 2279199 2174021 105178 361971237 243527722 118443515 32892738 14310869 18581869 243123409 INTERCOMPANY RECEIVABLES 13506037 OPERATING LEASE ROU ASSET 6902272 OTHER ASSETS 2000 20410309 ADVANCES FROM 3RD PARTY PAYORS 41920511 OPERATING LEASE LIABILITY 7555027 CREDIT BALANCES PATIENT AR 5171800 WORKERS COMPENSATION 4422579 UCC POOL LIABILITY 698352 OTHER LIABILITIES 4947028 64715297 X PART X, LINE 2: FIN 48 FOOTNOTE INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2022. 1 1 X 1 X 1 X 1 1 1 0 1 1 15474795 15474795 0.02770 15474795 15474795 0.02770 2048398 2048398 0.00370 18749719 18749719 0.03350 50090143 32190580 17899563 0.03200 188722 188722 0.00030 71076982 32190580 38886402 0.06950 86551777 32190580 54361197 0.09720 67494 29005 38489 0.00010 35270 35270 0.00010 102764 29005 73759 0.00020 1 17438078 X 1 1 1 1 FRANKLIN SQUARE HOSPITAL CENTER 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 212373901 X X X X X X FAST TRACKER FRANKLIN SQUARE HOSPITAL CENTER 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG/ X 1 20 1 HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG/ 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG X HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG X HTTP://WWW.MEDSTARFRANKLINSQUARE.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 FRANKLIN SQUARE HOSPITAL CENTER PART V, SECTION B, LINE 5: HOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: PATRICIA ISENNOCKROLE 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: JILL DONALDSON AND STUART LEVINE, MDROLE 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 : LYN ELIOTTTITLE : CEOORGANIZATION : ABILITIES NETWORK HEALTHY FAMILIESNAME : AIMEE SMITHTITLE : COMMUNITY SERVICES COORDINATORORGANIZATION : BALTIMORE COUNTY DEPT SOCIAL SERVICESNAME : DON SCHLIMMTITLE : ADMINISTRATORORGANIZATION : BALTIMORE COUNTY HEALTH & HUMAN SERVICES/LOCAL MGT BOARDNAME : LAURA CULBERTSONTITLE : CHIEF QUALITYORGANIZATION : BALTIMORE COUNTY DEPT HEALTHNAME : CONSTANCE NOTAROTITLE : PUBLIC HEALTH NURSE ADMINISTRATORORGANIZATION : BALTIMORE COUNTY DEPT HEALTHNAME : LEE OHNMACHTTITLE : BEHAVIORAL HEALTH PROGRAM MANAGERORGANIZATION : BALTIMORE COUNTY DEPT HEALTH NAME : RENE YOUNGFELLOW TITLE : DIVISION CHIEF, CLINICAL SERVICES-CENTER BASED SERVICESORGANIZATION : BALTIMORE COUNTY DEPT HEALTHNAME : COLLEEN MAHONEYTITLE : CHIEF OF POLICY, PLANNING AND ADMINISTRATIONORGANIZATION : BALTIMORE COUNTY DEPT PLANNINGNAME : SUSAN HAHNTITLE : PROGRAM SPECIALISTORGANIZATION : BALTIMORE COUNTY PUBLIC SCHOOLSNAME : PAM BROWNTITLE : DIRECTOR MATERNAL CHILD HEALTHORGANIZATION : BALTIMORE MEDICAL SYSTEMSNAME : MITCH POSNERTITLE : EXECUTIVE DIRECTORORGANIZATION : COMMUNITY ASSISTANCE NETWORKNAME : ERIC WASHINGTONTITLE : BOARD MEMBERORGANIZATION : COMMUNITY COLLEGE BALTIMORE COUNTYNAME : NANCY MATTUCCITITLE : HEALTH SERVICESORGANIZATION : BALTIMORE COUNTY PUBLIC SCHOOLSNAME : JUANITA IGNACIOTITLE : DIRECTORORGANIZATION : CREATIVE KIDSNAME : DIANA FERTSCH, M.D.TITLE : PEDIATRICIANORGANIZATION : DUNDALK PEDIATRICSNAME : JENNIE FUMAROLATITLE : DIRECTORORGANIZATION : EPIPHANY COMMUNITY SERVICESNAME : GAIL REIDTITLE : DIRECTOR COMMUNITY OUTREACHORGANIZATION : FAMILY CRISIS CENTERNAME : PATRICIA BARGERTITLE : COMMUNITY SERVICES MANAGER ORGANIZATION : FAMILY TREENAME : AMELIA JACKSON, N.P.TITLE : FAMILY NURSE PRACTITIONERORGANIZATION : HEALTH CARE FOR THE HOMELESSNAME : PAM NEWLANDTITLE : SR. VP, CEOORGANIZATION : HENDERSON WEBBNAME : NAISHA VINSONTITLE : SR. PHILANTHROPY OFFICERORGANIZATION : MEDSTAR HEALTH PHILANTHROPYNAME : MOLLY FIELDSTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : EMILY SHEELERTITLE : DIR. FINANCIAL SERVICES MULTISITEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : LUCAS CARLSON, M.D.TITLE : MEDICAL DIRECTOR CARE TRANSFORMATIONORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : MIKE HARTNETTTITLE : VP MARKETING ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : REBECCA LANDRETHTITLE : SR. DIR. NURSING OPERATIONSORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : PATRICIA ISENNOCKTITLE : RN REG. DIR POPULATION HEALTH ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : KAREN POLITE-LAMMATITLE : RN PROGRAM MANAGER ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JERRICK JONESTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : STUART LEVINE, M.D.TITLE : PRESIDENTORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : LESLIE KAMINSKITITLE : BOARD MEMBERORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : FERNANDO MENA, M.D.TITLE : CHIEF PEDIATRICS NICUORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : DESTINY MURDOCKTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JESSICA PAGUIRIGANTITLE : SOCIAL WORKORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : CORNELIU SANDA, M.D.TITLE : BEHAVIORAL HEALTHORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JACQUE WIENECKETITLE : DIRECTOR CASE MANAGEMENTORGANIZATION : MFSMC CASE MANAGEMENTNAME : NANCY BARR, M.D.TITLE : MEDIAL DIRECTORORGANIZATION : MFSMC FAMILY HEALTH CENTERNAME : ROBIN HOLTTITLE : MANAGER COMMUNICATIONSORGANIZATION : MFSMC MARKETINGNAME : ALBERT ABOULAFIA, M.D.TITLE : PHYSICIAN DIRECTORORGANIZATION : MFSMC ONCOLOGYNAME : DAVID GHADISHA, M.D.TITLE : DEPARTMENT CHAIR ORGANIZATION : MFSMC WOMEN'SNAME : STEPHANIE DETTERLINE, M.D.TITLE : VP MEDICAL AFFAIRS ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JAIME CLARKTITLE : DIRECTOR OF OUTREACHORGANIZATION : NATIONAL ALLIANCE MENTAL ILLNESS METRO BALTIMORENAME : CHRISTOPHER BURNETTTITLE : PASTORORGANIZATION : ST. STEPHEN AME CHURCHNAME : KATIE MCELROYTITLE : ASSISTANT PROFESSORORGANIZATION : UNIVERSITY OF MD SCHOOL OF NURSING FAMILYNAME : BETH LITTRELLTITLE : DIRECTOR OF COMMUNITY ENGAGEMENTORGANIZATION : UNITED WAYNAME : JOHN GONTRUMTITLE : ATTORNEY/PARTNERORGANIZATION : WHITEFORD, TAYLOR, PRESTON, LLPNAME : PEGGY GAGEN TITLE : COMMUNITY MEMBERORGANIZATION : COMMUNITY NAME : PHYLLIS GRAYTITLE : AVP CARE TRANSFORMATIONORGANIZATION : MEDSTAR HEALTH - BALTIMORENAME : RAQUEL LAMPTEYTITLE : COMMUNITY HEALTH SYSTEM MGR.ORGANIZATION : MEDSTAR HEALTHNAME : DIANA QUINNTITLE : SR. DIR. COMMUNITY HEALTHORGANIZATION : MEDSTAR HEALTH FRANKLIN SQUARE HOSPITAL CENTER PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. CHARITY CARE 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, LINE 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 2:IN FY21, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER (MFSMC) 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 MFSMC'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 SOUTHEAST BALTIMORE COUNTY AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODES 21220 AND 21221. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE ATF INCLUDED A DIVERSE GROUP OF INDIVIDUALS, INCLUDING HOSPITAL LEADERS, GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS.HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, BEHAVIORAL HEALTH, MATERNAL AND CHILD HEALTH), ACCESS TO HEALTH CARE SERVICES (TRANSPORTATION AND ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING, EMPLOYMENT AND RACIAL DISCRIMINATION). AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3:AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY CRITERIA, AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH HOSPITALS AND HOSPITAL BASED-PHYSICIAN PRACTICES WILL:* TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT, AND COMPASSION. * SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS TO OUR MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE.* ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSION PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR THE CARE THEY RECEIVE.* BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL MAKE ELIGIBILITY DETERMINATIONS FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO RESIDE WITHIN THE COMMUNITIES THAT WE SERVE. IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL:* DETERMINE WHETHER THE PATIENT HAS HEALTH INSURANCE. * DETERMINE WHETHER THE PATIENT IS PRESUMPTIVELY ELIGIBLE FOR FREE OR REDUCED-COST CARE. * DETERMINE WHETHER UNINSURED PATIENTS ARE ELIGIBLE FOR PUBLIC OR PRIVATE HEALTH INSURANCE. * TO THE EXTENT POSSIBLE, OFFER ASSISTANCE TO UNINSURED PATIENTS IF THE PATIENT CHOOSES TO APPLY FOR PUBLIC OR PRIVATE HEALTH INSURANCE. * TO THE EXTENT PRACTICABLE, DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR OTHER PUBLIC PROGRAMS THAT MAY ASSIST WITH HEALTH CARE COSTS. * USE INFORMATION IN THE POSSESSION OF THE HOSPITAL, IF AVAILABLE, TO DETERMINE WHETHER THE PATIENT IS QUALIFIED FOR FREE OR REDUCED-COST CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.MEDSTAR HEALTH WILL WIDELY PUBLICIZE THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:* PROVIDING ACCESS TO THE MEDSTAR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND MEDSTAR PATIENT INFORMATION SHEET ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS.* PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST.* PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST BY MAIL AND WITHOUT CHARGE.* PROVIDING NOTIFICATION AND INFORMATION ABOUT THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:. OFFERING COPIES AS PART OF ALL REGISTRATION OR DISCHARGES PROCESSES, AND ANSWERING QUESTIONS ON HOW TO APPLY FOR ASSISTANCE. . PROVIDING WRITTEN NOTICES ON BILLING STATEMENTS.. DISPLAYING MEDSTAR FINANCIAL ASSISTANCE POLICY INFORMATION AT ALL HOSPITAL REGISTRATION POINTS, INCLUDING THE BUSINESS OFFICE, INFORMING PATIENTS OF THEIR RIGHTS TO APPLY FOR FINANCIAL ASSISTANCE AND WHO TO CONTACT AT THE HOSPITAL FOR ADDITIONAL INFORMATION. . TRANSLATING THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES THAT CONSTITUTE THE LESSER OF 1000 INDIVIDUALS OR 5% OF THE OVERALL POPULATION WITHIN THE CITY OR COUNTY IN WHICH THE HOSPITAL IS LOCATED AS MEASURED BY THE MOST RECENT CENSUS.* MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.THE MEDSTAR HEALTH PATIENT INFORMATION SHEET SHALL BE PROVIDED TO THE PATIENT, THE PATIENT'S FAMILY, OR THE PATIENT'S AUTHORIZED REPRESENTATIVE: * BEFORE DISCHARGE;* WITH THE HOSPITAL BILL; * ON REQUEST; AND * IN EACH WRITTEN COMMUNICATION TO THE PATIENT REGARDING COLLECTION OF THE HOSPITAL BILL.MEDSTAR HEALTH WILL PROVIDE A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION. FINAL ELIGIBILITY DETERMINATIONS ARE MADE AND COMMUNICATED TO THE PATIENT BASED ON RECEIPT AND REVIEW OF A COMPLETED APPLICATION. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. FINANCIAL ASSISTANCE AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: * COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE.* WORKING WITH MEDSTAR HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS.* MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. * PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR HOSPITAL PATIENT ADVOCATES OR CUSTOMER SERVICE REPRESENTATIVES ON A TIMELY BASIS AS THE PATIENT'S FINANCIAL CIRCUMSTANCES MAY CHANGE. * IT IS A PATIENT'S RESPONSIBILITY, DURING THEIR 12-MONTH ELIGIBILITY PERIOD, TO NOTIFY MEDSTAR HEALTH OF THEIR EXISTING HOUSEHOLD ELIGIBILITY FOR FREE CARE, REDUCED COST-CARE, AND/OR ELIGIBILITY UNDER FINANCIAL HARDSHIP PROVISIONS FOR MEDICAL NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.* IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT BILLING, AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE , OR BY CALLING CUSTOMER SERVICE AT 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4THE COMMUNITIES THE ORGANIZATION SERVES INCLUDES ZIP CODES 21220 AND 21221, BOTH SUBURBAN GEOGRAPHIC SERVICE AREAS. THERE ARE 12 HOSPITALS SERVING BALTIMORE COUNTY, AND TWO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY. THERE ARE 39,199 PEOPLE IN 21220 AND THE MEDIAN INCOME IS $61,672. THERE ARE 42,154 PEOPLE IN 21221 AND THE MEDIAN INCOME IS $52,355. BALTIMORE COUNTY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (6.0%), UNINSURED (6.7%) AND MEDICAID RECIPIENTS (24%). PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5:AS A COMMUNITY PARTNER, MFSMC 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 WELLNESSCHRONIC DISEASE PREVENTION AND MANAGEMENT - NO COST PROGRAMS OFFERED TO SUPPORT HEALTHY LIFESTYLE CHANGES FOR COMMUNITY MEMBERS, PROGRAMS INCLUDE, CDC DIABETES PREVENTION PROGRAM, STOP SMOKING TODAY! TOBACCO CESSATION PROGRAM, AND THE STROKE SUPPORT GROUP. MFSMC ACTIVELY PARTICIPATES IN PROVIDING HEALTH EDUCATION ACROSS THE CBSA. SUPPORT GROUPS ARE OFFERED TO COMMUNITY MEMBERS FOR A VARIETY OF TOPICS INCLUDING ALZHEIMER'S CAREGIVERS, MENTAL HEALTH, DIABETES, BREASTFEEDING, CANCER, AND STROKE.BEHAVIORAL 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. SBIRT IS CONDUCTED IN THE EMERGENCY DEPARTMENT, PRIMARY CARE, FAMILY HEALTH AND WOMEN'S HEALTH SETTINGS. PEER RECOVERY COACHES ARE INTEGRAL TO HOSPITAL CARE TEAMS TO ASSIST WITH IMPROVING ACCESS TO SUBSTANCE USE TREATMENT AND SOCIAL SERVICE LINKAGE, AND SUPPORT COMMUNITY EDUCATION EFFORTS. THE OPIOID SURVIVOR OUTREACH PROGRAM (OSOP) SENDS PEER RECOVERY COACHES IN THE FIELD TO SEE RECENT OVERDOSE SURVIVORS AND LINK THEM TO TREATMENT SERVICES, NALOXONE TRAININGS AND PROVIDE CONSISTENT POINT OF CONTACT SHOULD SOMEONE WISH TO ENTER CARE.MATERNAL AND CHILD HEALTH - THE HOSPITAL SUPPORTS POSITIVE BIRTH OUTCOMES IN ITS ROLE AS THE BACKBONE ORGANIZATION FOR THE HEALTHY BABIES COLLABORATIVE. ACTIVITIES INCLUDE A BREASTFEEDING MOMS SUPPORT GROUP.ACCESS TO CARECONNECTFEST! OFFERS A VARIETY OF BASIC MAINSTREAM RESOURCES AND PROVIDES DIRECT SERVICES APPLICATION ASSISTANCE AND REFERRALS FOR MANY BASIC NEEDS TO HELP MAINTAIN AND IMPROVE COMMUNITY HEALTH. CONNECTFEST! IS A COLLABORATION OF MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, BALTIMORE COUNTY DEPARTMENTS OF HEALTH, PLANNING, SOCIAL SERVICES, BALTIMORE COUNTY PUBLIC SCHOOLS AND SOUTHEAST NETWORK SERVICE PROVIDERS.PATIENT FINANCIAL SERVICES PROVIDES FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITY BY ASSISTING WITH ENROLLMENT IN PUBLICLY FUNDED ENTITLEMENT PROGRAMS, REFERRING PATIENTS TO STATE OR FEDERAL INSURANCE EXCHANGE NAVIGATOR RESOURCES AND ASSISTING WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. OUR HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO PATIENTS AND/OR FAMILIES WITH FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES PATIENTS TO ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS.THE HOSPITAL SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED.SOCIAL DETERMINANTS OF HEALTHSOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. OUR COMMUNITY PARTNER, AUNT BERTHA, PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS.THROUGH THE BALTIMORE POPULATION HEALTH WORKFORCE COLLABORATIVE PROGRAM COMMUNITY RESIDENTS ARE HIRED AND TRAINED AS COMMUNITY HEALTH ADVOCATES OR PEER RECOVERY COACHES. PARTICIPANTS BENEFIT FROM THE EMPLOYMENT OPPORTUNITY WHILE THE COMMUNITY BENEFITS THROUGH THEIR WORK DELIVERING BRIEF INTERVENTIONS AND CONNECTING THOSE IN NEED TO SOCIAL SERVICES, PROVIDING HEALTH EDUCATION, SUPPORTING CARE DELIVERY, AND PROMOTING SELF-ADVOCACY.COMMUNITY HEALTH WORKERS IMPROVE THE HEALTH OF THEIR COMMUNITIES BY CONDUCTING SOCIAL NEEDS SCREENING, EDUCATING PATIENTS ON DISEASE AND INJURY PREVENTION AND LINKING COMMUNITY MEMBERS TO HEALTHCARE AND SOCIAL SERVICES, INCLUDING FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE.HOUSING - ASSESS ROLE OF HOSPITAL IN HOUSING RELATED TO HEALTH. SUPPORT HOUSING PARTNERS AND INITIATIVES.DISASTER READINESSTHE HOSPITAL STRENGTHENED THE COMMUNITY HEALTH RESILIENCE BY IMPROVING THE ABILITY OF THE COMMUNITY TO WITHSTAND AND RECOVER FROM CORONAVIRUS, A PUBLIC HEALTH EMERGENCY THAT SURFACED IN MARCH 2020. LEADERSHIP PARTICIPATED IN COMMUNITY-WIDE TASK FORCES AND STAFF IMPLEMENTED PROGRAMS ASSOCIATED WITH ADDRESSING HEALTH NEEDS ARISING FROM CORONAVIRUS. STAFF PLANNED AND IMPLEMENTED COMMUNITY RESPONSE EFFORTS INCLUDING COVID-19 TESTING AND VACCINATION EVENTS AND PUBLIC EDUCATION EFFORTS. EVENTS AND OUTREACH OCCURRED AT HOSPITAL CAMPUSES AND AT TARGETED COMMUNITY LOCATIONS SUCH AS SENIOR COMPLEXES, CHURCHES AND COMMUNITY CENTERS TO BEST REACH UNDERSERVED AND AT-RISK POPULATIONS. PPE (PERSONAL PROTECTIVE EQUIPMENT) AND CLINICAL EQUIPMENT WERE ALSO DONATED TO OTHER NON-PROFITS SUPPORTING DISASTER RELIEF EFFORTS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6:AS A PROUD MEMBER OF MEDSTAR HEALTH, MFSMC 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 MFSMC WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7:THE COMMUNITY BENEFIT REPORT FOR MFSMC IS FILED IN THE STATE OF MARYLAND. 1 Y IN CENTRAL MARYLAND INC 303 W CHESAPEAKE AVE BALTIMORE MD 21204 520591699 501(C)(3) 45114 0 FIT AND FUN PROGRAM ABILITIES NETWORK 8503 LA SALLE RD TOWSON MD 21286 526060453 501(C)(3) 32271 0 PEDIATRIC COMMUNITY HEALTH GRANT FAMILY CRISIS CENTER OF BALTIMORE COUNTY PO BOX 3909 BALTIMORE MD 21222 521793894 501(C)(3) 31197 0 ENHANCED CHILDREN'S SERVICES PROJECT ASSOCIATED CATHOLIC CHARITIES INC 2300B DULANEY VALLEY ROAD TIMONIUM MD 21093 520591538 501(C)(3) 8225 0 OUTREACH AT VILLA MARIA COMMUNITY RESOURCES 4 0 SCHOLARSHIPS 39 54534 SCHEDULE I, PART I, LINE 2 EACH YEAR, THE ORGANIZATION AWARDS SCHOLARSHIPS TO QUALIFIED INDIVIDUALS WISHING TO SEEK AN EDUCATION OR DEGREE IN THE HEALTHCARE FIELD. CLINICAL AND MEDICAL STAFF, NURSES AND PHYSICIANS ARE ESSENTIAL TO THE HOSPITAL'S GOAL TO PROVIDE HIGH QUALITY PATIENT CARE. SCHOLARSHIPS ARE AWARDED ON THE BASIS OF FINANCIAL NEED, ACADEMIC ACHIEVEMENT, AND THE GOAL OF PURSUING A HEALTHCARE CAREER. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2030199 0 7462050 0 6279147 0 59518 0 36769 0 15867683 0 0 STUART M LEVINE MD PRESIDENT/DIRECTOR 577625 0 579124 0 0 0 8700 0 33606 0 1199055 0 0 0 DAVID LISLE MD ORTHOPEDIC SURGEON 610067 0 228824 0 750 0 8700 0 9392 0 857733 0 0 0 MIMI NOVELLO MD VP OF MEDICAL AFFAIRS AND CMO 227003 227003 170535 170535 0 0 8700 0 2382 0 408620 397538 0 0 SHWETA KURIAN MD ORTHOPEDIC SURGEON 433290 0 176397 0 750 0 8700 0 21193 0 640330 0 0 0 DEANA STOUT CFO 0 323946 0 166195 0 44194 0 29388 0 21535 0 585258 0 0 ROBERT LALLY VP/CFO/TREASURER 162936 162937 75137 75136 0 0 37559 0 17170 0 292802 238073 0 0 NICOLA LONDON MD DIRECTOR (AS OF 6/22) 392692 0 52522 0 750 0 24021 0 16215 0 486200 0 0 0 ALAIN ABDO MD MEDICAL DOCTOR 331759 0 113043 0 750 0 8700 0 20736 0 474988 0 0 0 DIANA PANCU MD DIRECTOR & VP EMERG MED. 0 404432 0 32576 0 750 0 8700 0 21118 0 467576 0 0 JILL JOHNSON SR. V.P. OF OPERATIONS 318586 0 106920 0 0 0 8700 0 25207 0 459413 0 0 0 MARYELLEN GOODELL MD DIRECTOR 278300 0 21912 0 750 0 8700 0 24867 0 334529 0 0 0 KEITH SHINER SECRETARY 112639 112639 27953 27953 0 0 8700 0 21032 0 170324 140592 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. ROBERT LALLY'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR FRANKLIN SQUARE MEDICAL CENTER AND MEDSTAR HARBOR HOSPITAL. KEITH SHINER'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO BOTH MEDSTAR FRANKLIN SQUARE MEDICAL CENTER AND MEDSTAR HARBOR HOSPITAL. DEANA STOUT'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO, RESPECTIVELY, AT BOTH MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL. HORD COPLAN MACHT SEE PART V 303342 ARCHITECTURE 0 WHITING-TURNER CONTRACTING COMPANY SEE PART V 301808 CONSTRUCTION 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 FRANKLIN SQUARE MEDICAL CENTER VALUED IN EXCESS OF $100,000: HORD COPLAN MACHT AND WHITING TURNER. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. FORM 990, PART III, LINE 1 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER'S (MEDSTAR FRANKLIN SQUARE) MISSION IS TO PROVIDE SAFE, HIGH QUALITY CARE, EXCELLENT SERVICE, AND EDUCATION TO IMPROVE THE HEALTH OF THE COMMUNITY. MEDSTAR FRANKLIN SQUARE IS AN ACUTE-CARE TEACHING HOSPITAL LOCATED IN EASTERN BALTIMORE COUNTY, MARYLAND. IT IS AMONG THE LARGEST COMMUNITY TEACHING HOSPITALS IN MARYLAND, OFFERING A FULL RANGE OF SERVICES FOR CHILDREN AND ADULTS AND INCLUDES A SEVEN-STORY PATIENT TOWER WITH 291 PRIVATE PATIENT ROOMS, INCLUDING AN EMERGENCY DEPARTMENT. THE HOSPITAL'S WEINBERG CANCER INSTITUTE IS A 64,000-SQUARE-FOOT FACILITY PROVIDING CANCER PATIENTS AND THEIR FAMILIES WITH A BROAD RANGE OF ONCOLOGY SERVICES, INCLUDING SCREENING, DIAGNOSIS AND TREATMENT. IN AUGUST OF 2020, THE HOSPITAL OPENED AN 82,000-SQUARE-FOOT SURGICAL PAVILION, DESIGNED TO REVOLUTIONIZE THE PROCESS OF SURGICAL CARE FOR PATIENTS AND THEIR FAMILIES. THE SURGICAL PAVILION IS THE ONLY HOSPITAL IN THE STATE OF MARYLAND TO HOUSE A "HYBRID" OPERATING ROOM: A SPECIALTY SURGICAL SUITE FEATURING ADVANCED IMAGING TECHNOLOGY THAT ALLOWS AN INTERVENTIONAL CARDIOLOGIST, RADIOLOGIST, AND VASCULAR SURGEON TO COLLABORATE AND MULTI-TASK, ALL AT ONE TIME, DURING A SURGICAL CASE. IN FISCAL YEAR 2022, MEDSTAR FRANKLIN SQUARE HAD 19,054 INPATIENT ADMISSIONS AND 193,569 OUTPATIENT VISITS INCLUDING 66,660 EMERGENCY DEPARTMENT VISITS. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENTS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. FORM 990, PART VI, SECTION B, LINE 11B 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 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. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). FORM 990, PART VI, SECTION B, LINE 15 DESCRIPTION OF EXECUTIVE COMPENSATION THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 4,389,477. MANAGEMENT AND GENERAL EXPENSES 503,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,893,430. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 689,736. MANAGEMENT AND GENERAL EXPENSES -13,675. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 676,061. TESTING & DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 156,762. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,762. LAB SERVICES: PROGRAM SERVICE EXPENSES 1,275,810. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,275,810. PATIENT INCENTIVES: PROGRAM SERVICE EXPENSES 165. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 165. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 50,723,099. MANAGEMENT AND GENERAL EXPENSES 109,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,832,607. NON-PHYS INTERCO PURCH SRVS: PROGRAM SERVICE EXPENSES 2,078,089. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,078,089. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 166,544. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,544. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 5,182,146. MANAGEMENT AND GENERAL EXPENSES 2,551,888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,734,034. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS 85,374,008. 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