2022-05-13T17:54:08-05:00 2021-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2020-07-01 520608007 FRANKLIN SQUARE HOSPITAL CENTER INC FRAN 4107726721 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 JOEL BRYAN VP/TREASURER 4107726721 2022-05-11 1 JOEL BRYAN 999009999 ANDREW ROE P01876391 7032868000 2022-05-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MEDSTAR FRANKLIN SQUARE MEDICAL CTR STUART LEVINE 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 621968540 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 15 3240 0 0 0 15993958 25545746 587160757 593242072 243415 221488 2424075 2959234 605822205 621968540 264109 222225 0 0 288731433 331305439 0 0 0 260818783 282469009 549814325 613996673 56007880 7971867 351159004 352871142 166749998 169769131 184409006 183102011 X SEE SCHEDULE O 0 0 469579068 130271 574520588 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 $88.6M 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 87 MEDSTAR HEALTH PHYSICIANS AS "TOP DOCTORS" IN NOVEMBER 2020; BALTIMORE MAGAZINE RECOGNIZED 5 MEDSTAR FRANKLIN SQUARE NURSES FOR EXCELLENCE IN NURSING; 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 HEALTHGRADES AS ONE OF THE NATION'S LEADING HOSPITALS.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 ARE GUIDED BY THREE CRITICAL DRIVERS: PROVIDING A SAFE CARE ENVIRONMENT FOR PATIENTS AND ASSOCIATES; MITIGATING COMMUNITY SPREAD OF COVID-19; AND ENSURING OPERATIONAL CONTINUITY TO FULFILL OUR CORE MISSION OF CARING FOR OUR COMMUNITIES.THESE EFFORTS HAVE EVOLVED AND TRANSITIONED IN MULTIPLE WAY 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, EVISITS AND OUR DIGITAL CAPABILITIES TO CREATE ACCESS, RAPID STAND-UP OF TESTING SITES, USE OF TELEHEALTH FOR PRIMARY CARE AND FOLLOW-UP VISITS, UTILIZATION OF MEDSTAR HEALTH HOME CARE TO SAFELY MANAGE THE CARE CONTINUUM NEEDS FOR PATIENTS, DEPLOYMENT OF INNOVATIVE LABORATORY APPROACHES INTEGRATED WITH OCCUPATIONAL HEALTH TO BETTER SUPPORT ASSOCIATES MANAGING THROUGH COVID-19 EXPOSURES, STAND-UP OF A BUDDY PROGRAM WHERE NON-CLINICAL ASSOCIATES TAKE SHIFTS TO PROVIDE SUPPORT SERVICES FOR NURSING AND CARE TEAMS, ESTABLISHMENT OF COMMUNITY MOBILE UNITS AND CLINICS FOR COVID-19 VACCINATIONS/BOOSTERS, SUPPLY AND MAINTAIN PERSONAL PROTECTIVE EQUIPMENT (PPE), N95 RESPIRATORS, COVID-19 VACCINES AND BOOSTERS, EXECUTION OF A MANDATORY COVID-19 VACCINATION POLICY RESULTING IN 99% OF ASSOCIATES AND PHYSICIANS VACCINATED AGAINST COVID-19, AND ADMINISTRATION OF MORE THAN 253,000 COVID-19 VACCINATIONS/BOOSTERS ACROSS THE REGION. 34953780 0 18721484 MEDSTAR FRANKLIN SQUARE PROVIDED $35.0M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2021. 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 AND WOMEN'S AND CHILDREN'S SERVICES. 20816061 0 0 MEDSTAR FRANKLIN SQUARE PROVIDED $20.8M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2021. THIS INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 525348909 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 3240 1 0 0 0 0 0 0 0 0 0 0 1 0 X 20 15 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 X KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 9408672 92948 STUART M LEVINE MD PRESIDENT/DIRECTOR 1.00 39.00 X X 0 1061609 40490 STEPHEN R SELINGER MD DIRECTOR (04/20-04/21) 40.00 0.00 X 467679 0 27386 MARYELLEN GOODELL MD DIRECTOR 40.00 0.00 X 290216 0 32442 RAYMOND A NAIMOLI DIRECTOR 1.00 0.00 X 0 0 0 SAVITHA SHIVANANDA MD DIRECTOR (UNTIL 09/20) 1.00 0.00 X 0 0 0 MOHAMAD M ALABRASH MD DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM D MCLAUGHLIN CHAIR 1.00 0.00 X 0 0 0 COLLEEN LOPRESTO DIRECTOR (UNTIL 10/20) 1.00 0.00 X 0 0 0 CHARLES PICCININI VICE CHAIR (UNTIL 10/20) 1.00 0.00 X 0 0 0 HOWARD L GOLDMAN MD DIRECTOR 1.00 0.00 X 0 0 0 JUDITH NEEDHAM ESQ DIRECTOR (UNTI 01/21) 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 1.00 0.00 X 0 0 0 LESLIE R KAMINSKI DIRECTOR 1.00 0.00 X 0 0 0 AIMAN SHAMMAS DIRECTOR 1.00 0.00 X 0 0 0 AMARIS UMBAGER DIRECTOR 1.00 0.00 X 0 0 0 TAMLA OLIVIER DIRECTOR (AS OF 11/20) 1.00 0.00 X 0 0 0 MARLA T OROS DIRECTOR (AS OF 04/21) 1.00 0.00 X 0 0 0 DIANA PANCU MD DIRECTOR & VC EMERG MED.(AS OF 04/21) 1.00 39.00 X 0 422763 29227 ROBERT LALLY VP/CFO/TREASURER 20.00 20.00 X 247136 247136 26335 KEITH SHINER SECRETARY 20.00 20.00 X 135405 135405 28581 DAVID LISLE MD ORTHOPEDIC SURGEON 40.00 0.00 X 572059 0 17540 JEROLD FLEISHMAN MD NEUROLOGIST 40.00 0.00 X 479524 0 24678 SHWETA KURIAN ORTHOPEDIC SURGEON 40.00 0.00 X 443688 0 29295 JILL JOHNSON SR. V.P. OF OPERATIONS (AS OF 04/20) 40.00 0.00 X 391143 0 32728 DEBORAH KISNER CHIEF NURSING OFFICER 40.00 0.00 X 294531 0 45368 SAMUEL MOSKOWITZ FORMER OFFICER 0.00 0.00 X 217647 0 7768 3539028 11275585 434786 448 1 1 0 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 5896222 SODEXO INC & AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FOOD SERVICES 2681658 PULMONARY & CRITICAL CARE ASSOCIATES 400 REDLAND COURT OWINGS MILLS MD 211173292 MEDICAL SERVICES 2407328 VISION TECHNOLOGIES INC 6704 CURTIS CT GLEN BURNIE MD 21060 IT SERVICES 1253130 CROTHALL SVCS GROUP 1500 LIBERTY RIDGE DR 210 WAYNE PA 19087 ENVIRON. SVCS & FACILITIES MGMT 1028248 49 24223726 1322020 6067 25545746 NET PATIENT SERVICE RE 621300 585713903 585713903 PHARMACY 900099 7505851 7505851 OTHER HEALTH REVENUE 900099 22318 22318 593242072 70130 70130 544346 0 544346 544346 544346 83861 67497 0 0 83861 67497 151358 151358 REBATE INCOME 900099 1258675 1258675 OTHER REVENUE 900099 679864 679864 PARKING AND VALET REVE 812930 372222 372222 104127 104127 2414888 621968540 593242072 0 3180722 130271 130271 91954 91954 1255181 1191539 63642 225415 213986 11429 277300895 263240726 14060169 3584428 3402684 181744 32880326 31213174 1667152 16059194 14939845 1119349 58834682 3404 58831278 170138 170138 32039097 28982503 3056594 514255 56893 457362 4970012 5746904 -776892 1849809 1516022 333787 167986 142823 25163 67575 67271 304 7784110 7784110 25763693 25763693 14116870 13508910 607960 MED/SURG SUPPLIES 88968499 89197773 -229274 MAINTENANCE 11683982 11526584 157398 IMPLANTS/PROSTHESES 9590830 9590830 UTILITIES 5323289 4453096 870193 20624182 12583914 8040268 613996673 525348909 88647764 0 4055623 4010061 79786942 78019518 9761844 10069508 830858 1623445 616325472 369262642 238535202 247062830 10122627 3846589 8065908 8239191 351159004 352871142 36690752 31132883 2352295 3393220 127706951 135243028 166749998 169769131 X 173719812 179313118 10689194 3788893 184409006 183102011 351159004 352871142 X 7971867 1336713 -10615575 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 386702 386702 236425193 128842678 107582515 2890029 2666900 223129 343346087 224313483 119032604 33277461 13439581 19837880 247062830 ADVANCES FROM 3RD PARTY PAYORS 94526667 OPERATING LEASE LIABILITY 8824803 CREDIT BALANCES PATIENT AR 5729896 WORKERS COMPENSATION 4261716 UCC POOL LIABILITY 677806 OTHER LIABILITIES 21222140 135243028 X FIN 48 FOOTNOTE SCHEDULE D, PART X 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, 2021. 1 1 X 1 X 1 X 1 1 1 0 1 1 8351137 8351137 0.01360 8351137 8351137 0.01360 2203054 267726 1935328 0.00320 20816061 20816061 0.03390 34953780 18721484 16232296 0.02640 465438 465438 0.00080 58438333 18989210 39449123 0.06430 66789470 18989210 47800260 0.07790 75387 29005 46382 0.00010 43625 43625 0.00010 164510 164510 0.00030 21848 21848 0.00000 305370 29005 276365 0.00050 1 14728623 X 1 1 1 1 FRANKLIN SQUARE HOSPITAL CENTER 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 212373901 X X X X X X FAST TRACK ER 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: TRICIA 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: MIMI NOVELLO 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 : MONE'T MCQUAYTITLE : ADMIN. MANAGERORGANIZATION : 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 : PHYLLIS JOHNSONTITLE : DIRECTOR OF SPECIAL PROJECTSORGANIZATION : COMMUNITY ASSISTANCE NETWORKNAME : JUANITA IGNACIOTITLE : DIRECTORORGANIZATION : CREATIVE KIDSNAME : DIANA FERTSCHTITLE : 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 JACKSONTITLE : FAMILY NURSE PRACTITIONERORGANIZATION : HEALTH CARE FOR THE HOMELESSNAME : PAM NEWLANDTITLE : SR. VP, CEOORGANIZATION : HENDERSON WEBBNAME : LINDA FRISCHTITLE : SR. PHILANTHROPY OFFICERORGANIZATION : MEDSTAR HEALTH PHILANTHROPYNAME : MOLLY FIELDSTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JASON GORDONTITLE : SR. FINANCIAL ANALYSTORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : ROB GREENWALDTITLE : PHYSICIAN ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : MIKE HARTNETTTITLE : VP MARKETING ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : ROSE HEBERMEHLTITLE : TEAM LEADER SOCIAL WORK ED ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : PATRICIA ISENNOCKTITLE : ADM 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 LEVINETITLE : PRESIDENTORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : DENISE MATRICCIANITITLE : BOARDORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : FERNANDO MENATITLE : CHIEF PEDIATRICS NICUORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : DESTINY MURDOCKTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : MIMI NOVELLOTITLE : CMOORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JESSICA PAGUIRIGANTITLE : SOCIAL WORKORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : CORNELIU SANDATITLE : BEHAVIORAL HEALTHORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : ELIZABETH SEBASTIAOTITLE : REG, PROGRAM MGR COMMUNITY HEALTHORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : MEREDITH THANNERTITLE : BOARD MEMBERORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JACQUE WIENECKETITLE : DIRECTOR CASE MANAGEMENTORGANIZATION : MFSMC CASE MANAGEMENTNAME : NANCY BARRTITLE : MEDIAL DIRECTORORGANIZATION : MFSMC FAMILY HEALTH CENTERNAME : ROBIN HOLTTITLE : MANAGER COMMUNICATIONSORGANIZATION : MFSMC MARKETINGNAME : ALBERT ABOULAFIATITLE : PHYSICIAN DIRECTORORGANIZATION : MFSMC ONCOLOGYNAME : DAVID GHADISHATITLE : DEPARTMENT CHAIR ORGANIZATION : MFSMC WOMEN'SNAME : JAIME CLARKTITLE : DIRECTOR OF OUTREACHORGANIZATION : NATIONAL ALLIANCE MENTAL ILLNESS METRO BALTIMORENAME : BARBARA HOWARDTITLE : TOTAL CHILD HEALTHORGANIZATION : PEDIATRICIANNAME : CHRISTOPHER BURNETTTITLE : PASTORORGANIZATION : ST. STEPHEN AME CHURCHNAME : KATIE GRESIA 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, LLP 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 FY18, 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 FY18 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, 2018.DURING FY19, KEY REVISIONS WERE MADE ACROSS MEDSTAR HEALTH TO MORE EFFECTIVELY IMPACT THE COMMUNITIES SERVED THROUGHOUT MARYLAND AND WASHINGTON, DC. SEVERAL INTERNAL MEETINGS WERE CONVENED WITH LEADERSHIP FROM EACH MEDSTAR HEALTH HOSPITAL TO REVIEW CURRENT PRACTICES AND STRATEGIES. AS A RESULT OF THESE MEETINGS, THE APPROACH TO THE CURRENT CHNA FOR THE REMAINDER OF THE THREE-YEAR CYCLE (FY19-FY21) WAS REVISED.A KEY REVISION TO THE CHNA IS A GREATER FOCUS ON HOSPITAL AREA STRATEGIES THAT ARE MOST APPROPRIATE FOR THE LOCAL COMMUNITIES SERVED. THE NUMBER OF STRATEGIES EACH HOSPITAL IS ACCOUNTABLE FOR EXECUTING WAS REDUCED TO ENCOURAGE MORE MEANINGFUL REACH WITHIN KEY AREAS CONTRASTED WITH BROADER REACH WITH REDUCED IMPACT.USING THE STANDARD CATEGORIES, HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH TO DETERMINE WHAT TO PRIORITIZE FOR THE CHNA IRS REQUIREMENTS, EACH HOSPITAL AGREED TO SELECT TWO TO THREE STRATEGIES AS PRIORITIES THAT HAVE SIZE AND SCALE 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) REMAINS THE SAME, 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.MFSMC'S HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, BEHAVIORAL HEALTH, HEALTHY BABIES AND CHILDREN COLLABORATIVE) AND SOCIAL DETERMINANTS OF HEALTH (SOCIAL NEEDS SCREENINGS, BALTIMORE JOBS).AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MFSMC 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.IN FY21, MFSMC CONDUCTED A CHNA AND PRODUCED A THREE-YEAR IMPLEMENTATION STRATEGY. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE BY JUNE 30, 2021 AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024. 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 PATIENTS; UNDERINSURED PATIENTS MEETING MEDICAL HARDSHIP CRITERIA; AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO EMERGENCY AND MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR 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 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 HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR UNINSURED PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION AND ELIGIBILITY DETERMINATION, MEDSTAR HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL PROVIDE FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITIES WE SERVE IN ONE OR MORE OF THE FOLLOWING WAYS:* ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED ENTITLEMENT PROGRAMS (E.G., MEDICAID).* REFER PATIENTS TO STATE OR FEDERAL INSURANCE EXCHANGE NAVIGATOR RESOURCES.* ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS.* PROVIDE FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE POLICY GUIDELINES.* PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF MEDSTAR HOSPITAL AND HOSPITAL-BASED PHYSICIAN PRACTICE CHARGES USING A SLIDING-SCALE BASED ON THE PATIENT'S HOUSEHOLD INCOME AND FINANCIAL RESOURCES.* OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES.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.. TRANSLATING THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES OF ALL SIGNIFICANT POPULATIONS WITH LIMITED ENGLISH PROFICIENCY.* MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.MEDSTAR HEALTH PROVIDES A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL 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 MEDICAL 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 CALL 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 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 ONE 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 2018 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 BREASTFEEDING MOMS SUPPORT GROUPS, MOMS ON THE MOVE-NUTRITION AND ACTIVITY EDUCATION AND PEER SUPPORT.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.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.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.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 ABILITIES NETWORK 8503 LA SALLE RD TOWSON MD 21286 526060453 501(C)(3) 58294 PEDIATRIC COMMUNITY HEALTH GRANT MARCH OF DIMES 1550 CRYSTAL DRIVE STE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 35000 NICU SUPPORT PROGRAM COMMITMENT EPISCOPAL HOUSING CORPORATION 3986 ROLAND AVE BALTIMORE MD 212112018 521939344 501(C)(3) 25550 PEDIATRIC COMMUNITY HEALTH GRANT FAMILY CRISIS CENTER OF BALTIMORE COUNTY PO BOX 3909 BALTIMORE MD 21222 521793894 501(C)(3) 11427 ENHANCED CHILDREN'S SERVICES PROJECT 4 0 SCHOLARSHIPS 53 91954 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 1 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 1997518 0 4558041 0 2853113 0 56948 0 36000 0 9501620 0 0 STUART M LEVINE MD PRESIDENT/DIRECTOR 0 553751 0 507858 0 0 0 8550 0 31940 0 1102099 0 0 DAVID LISLE MD ORTHOPEDIC SURGEON 358269 0 213790 0 0 0 8550 0 8990 0 589599 0 0 0 ROBERT LALLY VP/CFO/TREASURER 167663 167663 79473 79473 0 0 18017 0 8318 0 273471 247136 0 0 JEROLD FLEISHMAN MD NEUROLOGIST 446588 0 32936 0 0 0 8550 0 16128 0 504202 0 0 0 STEPHEN R SELINGER MD DIRECTOR (04/20-04/21) 442319 0 25360 0 0 0 8550 0 18836 0 495065 0 0 0 SHWETA KURIAN ORTHOPEDIC SURGEON 423328 0 20360 0 0 0 8550 0 20745 0 472983 0 0 0 DIANA PANCU MD DIRECTOR & VC EMERG MED.(AS OF 04/21 0 344907 0 77856 0 0 0 8550 0 20677 0 451990 0 0 JILL JOHNSON SR. V.P. OF OPERATIONS (AS OF 04/20) 274829 0 78814 0 37500 0 8550 0 24178 0 423871 0 0 0 DEBORAH KISNER CHIEF NURSING OFFICER 232131 0 62400 0 0 0 21146 0 24222 0 339899 0 0 0 MARYELLEN GOODELL MD DIRECTOR 269856 0 20360 0 0 0 8550 0 23892 0 322658 0 0 0 KEITH SHINER SECRETARY 109288 109288 26117 26117 0 0 8383 0 20198 0 163986 135405 0 0 SAMUEL MOSKOWITZ FORMER OFFICER 183595 0 0 0 34052 0 0 0 7768 0 225415 0 0 0 SCHEDULE J, PART III MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(II) AND (III) INCLUDES A PAYMENT OF $1,483,604, WHICH REPRESENTS BENEFITS ACCRUED THROUGH AN EXECUTIVE RETIREMENT PLAN THAT IS COMPRISED OF TARGET BENEFITS CALCULATED ANNUALLY USING COMPENSATION AND YEARS OF SERVICE AND $2,853,113, 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. 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. WHITING-TURNER CONTRACTING COMPANY SEE PART V 11954349 CONSTRUCTION 0 HORD COPLAN MACHT SEE PART V 454175 ARCHITECTURE 0 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IVTHE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR FRANKLIN SQUARE HOSPITAL CENTER VALUED IN EXCESS OF $100,000: WHITING-TURNER AND HORD COPLAN MACHT. 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 MEDSTAR GEORGETOWN CANCER INSTITUTE AT MEDSTAR FRANKLIN SQUARE MEDICAL CENTER 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 WHICH INCLUDES 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 2021, MEDSTAR FRANKLIN SQUARE HAD 19,557 INPATIENT ADMISSIONS AND 416,754 OUTPATIENT VISITS, INCLUDING 64,247 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 OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. FORM 990, PART XI, LINE 9: DIFFERENCES EQUITY TRANSFERS -10,623,397. INCOME TAX PROVISION 7,822. 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