2022-05-13T17:58:54-05:00 2021-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2020-07-01 521272129 WASHINGTON HOSPITAL CENTER CORPORATION WASH 2028777000 110 IRVING STREET NW WASHINGTON DC 20010 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 WASHINGTON HOSPITAL CENTER GREGORY ARGYROS MD 110 IRVING STREET NW WASHINGTON DC 20010 1590954895 0 X WWW.WHCENTER.ORG X 1949 DC SEE SCHEDULE OMWHC IS DEDICATED TO PROVIDING THE REGION WITH THE HIGHEST QUALITY AND LATEST MEDICAL ADVANCES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, AND RESEARCH. 16 8 6894 0 5316427 0 45974382 45149937 1373353442 1523118173 4383309 3453222 25025063 19233563 1448736196 1590954895 1850600 1784985 0 0 756925904 802902886 0 0 0 650613534 716455002 1409390038 1521142873 39346158 69812022 640886719 751863092 405785900 393778453 235100819 358084639 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR WASHINGTON HOSPITAL CENTER'S (MWHC) MISSION IS TO DELIVER EXCEPTIONAL PATIENT FIRST HEALTH CARE TO THE REGION WITH THE HIGHEST QUALITY AND LATEST MEDICAL ADVANCES THOUGH EXCELLENCE IN PATIENT CARE, EDUCATION AND RESEARCH. MWHC IS AN ACUTE CARE TEACHING AND RESEARCH HOSPITAL LOCATED IN NORTHWEST WASHINGTON, D.C. IT IS THE LARGEST PRIVATE HOSPITAL IN THE NATION'S CAPITAL AND AMONG THE 50 LARGEST HOSPITALS IN THE NATION. IN FISCAL YEAR 2021, MWHC HAD APPROXIMATELY 34,239 INPATIENT ADMISSIONS AND 597,392 OUTPATIENT VISITS, INCLUDING 79,047 EMERGENCY VISITS. 0 0 1041936000 1784985 1430733167 SEE SCHEDULE OMEDSTAR WASHINGTON HOSPITAL CENTER'S IS THE CITY'S LARGEST AND BUSIEST HOSPITAL, PROVIDING ACUTE CARE SERVICES TO THE COMMUNITIES OF NORTHEAST WASHINGTON, D.C. AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MWHC INCURRED $317.4M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. IT OFFERS PRIMARY, SECONDARY AND TERTIARY HEALTH SERVICES TO ADULT AND NEONATAL PATIENTS AND IS A MAJOR REFERRAL CENTER FOR THE MOST COMPLEX TERTIARY SERVICES. THE HOSPITAL IS ALSO HOME TO MEDSTAR, A NATIONALLY VERIFIED LEVEL I TRAUMA CENTER WITH A STATE-OF-THE-ART FLEET OF HELICOPTERS AND AMBULANCES AND OPERATES THE REGION'S ONLY ADULT BURN CENTER. MEDSTAR WASHINGTON HOSPITAL CENTER HAS CONSISTENTLY BEEN RECOGNIZED AS ONE OF THE NATION'S TOP 50 CARDIOVASCULAR CENTERS BY U.S. NEWS & WORLD REPORT. IT IS THE ONLY HOSPITAL IN THE WASHINGTON, D.C. REGION WITH A NATIONALLY RANKED CARDIOLOGY AND HEART SURGERY PROGRAM. IT WAS ALSO NAMED AS ONE OF THE BEST REGIONAL HOSPITALS AND ITS NEPHROLOGY AND UROLOGY CARE WAS NAMED AS HIGH PERFORMING SPECIALTIES BY THE PUBLICATION. MEDSTAR WASHINGTON HOSPITAL CENTER'S CANCER INSTITUTE OFFERS CANCER TREATMENT, THERAPIES AND ACCESS TO CUTTING-EDGE CLINICAL TRIALS. IT ALSO OFFERS COMPREHENSIVE AMBULATORY CARE THROUGH A WIDE RANGE OF MEDICAL AND SURGICAL SPECIALTY OUTPATIENT CLINIC PROGRAMS. MEDSTAR WASHINGTON HOSPITAL CENTER OPERATES A COMPREHENSIVE STROKE CENTER AS WELL AS THE REGION'S ONLY JOINT COMMISSION-CERTIFIED CARDIAC VENTRICULAR ASSIST DEVICE PROGRAM. THE HOSPITAL IS KNOWN FOR INNOVATION AND IS OFTEN THE FIRST IN THE REGION TO UTILIZE NEW LIFESAVING EQUIPMENT AND PROCEDURES.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. 92563344 62630829 MEDSTAR WASHINGTON HOSPITAL CENTER PROVIDED $92.6M 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 PROVIDED INCLUDE OUTPATIENT PRIMARY CARE, PSYCHIATRY, TRAUMA, DIABETES AND STROKE TREATMENT, EMERGENCY CARE, WOMEN'S HEALTH, AND CARDIOLOGY. 69236349 28443429 MEDSTAR WASHINGTON HOSPITAL CENTER PROVIDED $69.2M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2021. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 1203735693 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 1 6894 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 16 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 DC X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET BOARD MEMBER 1.00 39.00 X X 0 9408672 92948 GREGORY ARGYROS MD BOARD MEMBER/PRESIDENT 40.00 0.00 X X 1345760 0 45438 STANLEY CHIA BOARD MEMBER 40.00 0.00 X 855520 0 29010 MELISSA H FRIES BOARD MEMBER 40.00 0.00 X 583492 0 10590 KRISTEN M NELSON BOARD MEMBER 40.00 0.00 X 209142 0 21689 JOHN J GORMAN BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM M KELLY CHAIR 1.00 0.00 X X 0 0 0 PAMELA D RANDOLPH JACKSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 MARTIN W RODGERS BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN A SARGENT BOARD MEMBER (AS OF 11/20) 1.00 0.00 X 0 0 0 MICHELLE S LEE BOARD MEMBER 1.00 0.00 X 0 0 0 LISA M MASCOLO BOARD MEMBER 1.00 0.00 X 0 0 0 STANLEY J GUTKOWSKI VICE CHAIR/TREASURER 1.00 0.00 X X 0 0 0 DAVID MOORE MD BOARD MEMBER 1.00 0.00 X 0 0 0 DORETHA F LEA BOARD MEMBER 1.00 0.00 X 0 0 0 HAROLD ZIRKIN BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM GAYNE CHIEF FINANCIAL OFFICER 20.00 20.00 X 242995 242995 29244 CATHERINE MONGE SVP OF OPERATIONS 40.00 0.00 X 472325 0 24954 STUART SEIDES PHYSICIAN 40.00 0.00 X 863387 0 19030 HIROTO KITAHARA PHYSICIAN 40.00 0.00 X 863268 0 11219 ABDULLAH ALFAWAZ PHYSICIAN 40.00 0.00 X 742929 0 8527 JEFFREY DUBIN SR. VP, MEDICAL AFFAIRS & CMO 40.00 0.00 X 860878 0 40641 TONYA WASHINGTON PHYSICIAN 40.00 0.00 X 462699 0 37548 JOHN SULLIVAN FORMER PRESIDENT 40.00 0.00 X 116929 0 0 7619324 9651667 370838 786 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 19162780 DIAMOND HEALTHCARE OF NORTHERN VIRGINIA PO BOX 670755 DALLAS TX 752670755 MEDICAL STAFFING 14195817 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD&FACILITIES MGMT 5853740 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 PROFESSIONAL SERVICE 5668188 ROLYN LLC 5706 FREDERICK AVENUE ROCKVILLE MD 20852 FACILITIES SERVICES 4394757 100 37306025 7843912 834978 45149937 PATIENT SERVICE REVENU 621400 1505793908 1504483160 1310748 PHARMACY INCOME 621400 14271209 14271209 OTHER PHYSICIAN REVENU 621400 3555196 3555196 CME AND MEANINGFUL USE 900099 -502140 -502140 1523118173 1330792 1330792 271587 0 271587 271587 271587 2122430 0 2122430 2122430 2122430 SALE OF STEAM 900099 3955630 3955630 PARKING 900099 3461832 3461832 REBATE INCOME 900099 3397149 3397149 8147365 50049 8097316 18961976 1590954895 1521807425 5316427 18681106 1784985 1784985 3870157 3476717 393440 116929 105155 11774 671171566 603586945 67584621 9721007 8516866 1204141 75406083 66065536 9340547 42617144 38710125 3907019 154251964 16814494 137437470 138347 756 137591 150 150 85070733 70160054 14910679 4096132 26196 4069936 13923244 13043753 879491 8811366 7273960 1537406 738392 620113 118279 578560 526543 52017 9295471 10279 9285192 43075105 22607925 20467180 22974146 6316059 16658087 MED/SURG SUPPLIES 217218341 222189213 -4970872 IMPLANTS/PROSTHESES 57082450 57082450 MAINTENANCE 40259278 26132583 14126695 UTILITIES 18777992 14401680 4376312 40163331 24283306 15880025 1521142873 1203735693 317407180 0 146768 101922 8671909 5905042 193936498 295780886 22783208 24859194 4292588 3859386 1061201475 810746173 259172814 250455302 120937292 144699881 30945642 26201479 640886719 751863092 96732660 105294396 2868372 4135180 306184868 284348877 405785900 393778453 X 212631302 334227172 22469517 23857467 235100819 358084639 640886719 751863092 X 69812022 18885575 34286223 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8255702 100000 648367 9004069 8359531 5000 -108829 8255702 8024044 286500 48987 8359531 7647125 25000 351919 8024044 7186744 460381 7647125 0.80000 0.10000 0.10000 0 0 497547227 360049184 137498043 3843532 3317114 526418 536751490 441757998 94993492 23059226 5621877 17437349 250455302 BOARD DESIGNATED INVESTMENTS 82488763 F OTHER LONG TERM INVESTMENTS 39847394 F ENDOWMENT FUNDS 9684148 F TEMPORARILY RESTRICTED INVEST 8683108 F JOINT VENTURES 3713195 F GIFT ANNUITIES 283273 F 144699881 ADVANCES-MEDICARE 150231428 INTERCOMPANY PAYABLES 39909450 SETTLEMENTS-MEDICARE 37875906 OPERATING LEASE LIABILITY 16584116 WORKERS COMPENSATION LIABILITY 12630158 CREDIT BALANCES PATIENT AR 15407648 ASBESTOS ABATEMENT LIABILITY 7060449 OTHER LIABILITIES 4649722 284348877 X PART V, LINE 4: INTENDED USE FOR ENDOWMENT FUNDS THE ENDOWMENT FUNDS AT MEDSTAR WASHINGTON HOSPITAL CENTER COMPRISE MULTIPLE GIFTS AND BEQUESTS RECEIVED FROM VARIOUS DONORS OVER MANY YEARS. THE INCOME GENERATED FROM THE ENDOWMENTS IS USED TO PROVIDE SUPPORT AND FUNDING TO THE DELIVERY OF PATIENT CARE SERVICES AT THE HOSPITAL CENTER TO ITS PATIENTS. 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, 2021. 1 1 X 1 X 1 X 1 1 1 0 1 1 7794763 7794763 0.00510 277836357 260638766 17197591 0.01130 22319327 22985687 0 0.00000 307950447 283624453 24992354 0.01640 3152978 771696 2381282 0.00160 69236349 28443429 40792920 0.02680 92563344 62630829 29932515 0.01970 1824699 1824699 0.00120 170950 170950 0.00010 166948320 91845954 75102366 0.04940 474898767 375470407 100094720 0.06580 42701 42701 0.00000 42701 42701 0.00000 1 54459916 352856558 388488999 -35632441 X 1 1 1 1 WASHINGTON HOSPITAL CENTER 110 IRVING STREET NW WASHINGTON DC 20010 X X X X WASHINGTON HOSPITAL CENTER 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.MEDSTARWASHINGTON.ORG X 1 20 1 WWW.MEDSTARWASHINGTON.ORG 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.MEDSTARWASHINGTON.ORG X WWW.MEDSTARWASHINGTON.ORG X WWW.MEDSTARWASHINGTON.ORG X X X X X 1 X 0 X X X X 1 X 0 0 WASHINGTON HOSPITAL CENTER PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: FELICIA HUGEE AND KATHRYN POWERS, MSN, RN, CCMEXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: GREGORY ARGYROS, MDADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME: MIA AFOWERKTITLE: COMMUNITY HEALTH ADVOCATEORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: STEPHANYE WHITE TITLE: COMMUNITY HEALTH ADVOCATEORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: C. ANNETA ARNO, PH.D., MPHTITLE: DIRECTOR, OFFICE OF HEALTH EQUITYORGANIZATION: DEPARTMENT OF HEALTHNAME: J.J. CURRENTTITLE: TRAUMA PREVENTION OUTREACH COORDINATORORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: TORA DAVIS, MS TITLE: PROJECT MANAGEMENT CONSULTANTORGANIZATION: STRATEGIC MANAGEMENT SERVICES, LLCNAME: SHIRLEY DEWITT, RN, BSN, CLNC TITLE: DIRECTOR, AMBULATORY SURGICAL SERVICING NURSING ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: JEFF DUBIN, MD, MBATITLE: SENIOR VICE PRESIDENT, MEDICAL AFFAIRS & CHIEF MEDICAL OFFICERORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: LOURDES G. GRIFFINTITLE: AVP BEHAVIORAL HEALTHORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: FELICIA HUGEE TITLE: COMMUNITY HEALTH OUTREACH MANAGER ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: HASAANI M. HYLTONTITLE: TRAINING & DEVELOPMENT COORDINATOR ORGANIZATION: GEORGIA AVENUE FAMILY SUPPORT COLLABORATIVENAME: BEVERLY JOHNTITLE: FOUNDERORGANIZATION: THE TALKING DRUM, INC.NAME: DR. MICHELLE MAGEE, MD TITLE: MEDICAL DIRECTOR ORGANIZATION: MEDSTAR DIABETES INSTITUTE NAME: SASHA MCNEELY, MSN, RN, CCCTM, DN/CMTITLE: NURSING PROFESSIONAL PRACTICE PROGRAM SPECIALISTORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTER NAME: TASHA B. MOSHES, MPATITLE: PRESIDENT AND MANAGING PRINCIPALORGANIZATION: STRATEGIC MANAGEMENT SERVICES, LLC NAME: DAN SCHIFFTITLE: ASSISTANT DIRECTOR, INSTITUTIONAL DEVELOPMENTORGANIZATION: MARTHA'S TABLENAME: DAVID POMS, MPHTITLE: POLICY ANALYSTORGANIZATION: DC PRIMARY CARE ASSOCIATIONNAME: KATHRYN POWERS, MSN, RN, CCM TITLE: DIRECTOR CARE COORDINATION, UTILIZATION, POPULATION HEALTH; CLINICAL RESOURCE MANAGEMENT ORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: PATRICIA QUINN TITLE: DIRECTOR OF POLICY AND EXTERNAL AFFAIRSORGANIZATION: DC PRIMARY CARE ASSOCIATIONNAME: JOE WEEDEN, MBATITLE: COMMUNICATIONS DIRECTOR ORGANIZATION: WASHINGTON TEACHERS UNIONNAME: GERI FEASTER-BETHEATITLE: HEALTH MINISTER, HEALTH COORDINATORORGANIZATION: ISRAEL BAPTIST CHURCHNAME: SHYMEE DAVIS, MA LNTITLE: NUTRITIONISTORGANIZATION: WASHINGTON SENIOR WELLNESS CENTER NAME: TIARA ANDERSON TITLE: DIRECTOR ORGANIZATION: WASHINGTON SENIOR WELLNESS CENTER NAME: KRISTY MCCARRON, MPH TITLE: ASSOCIATION DIRECTOR OF COMMUNITY HEALTH ORGANIZATION: YMCA OF METROPOLITAN WASHINGTONNAME: AMBER RIEKE, MPHTITLE: DIRECTOR OF EXTERNAL AFFAIRSORGANIZATION: DC HEALTH MATTERS COLLABORATIVENAME: CARRIE STOLTZFUS ,MPHTITLE: EXECUTIVE DIRECTORORGANIZATION: FOOD & FRIENDSNAME: MAKEDA VANDERPUIJE, MPH CPHTITLE: PUBLIC HEALTH ANALYSTORGANIZATION: OFFICE OF HEALTH EQUITYNAME: CARRIE MILLER, LICSW, CCTPTITLE: CLINICAL SOCIAL WORKER COORDINATORORGANIZATION: MEDSTAR WASHINGTON HOSPITAL CENTERNAME: SARA RICHMAN, LICSWTITLE: CLINICAL SOCIAL WORK COORDINATORORGANIZATION: MEDSTAR WASHINGTON CANCER INSTITUTENAME: TITILAYO OGUNMAKINWATITLE: EXECUTIVE DIRECTORORGANIZATION: DC NATIONAL CAPITAL AREANAME: AMA K. BAIDU-FORSON, MS, RDN, LDTITLE: MANAGER, FOOD & INNOVATIONSORGANIZATION: CAPITAL AREA FOOD BANKNAME: ARTHUR DOE, MSHAI, CSA,CELTITLE: COMMUNITY SUPPORT WORKERORGANIZATION: MBI HEALTH SERVICES LLCNAME: FESEHA WOLDUTITLE: VP POPULATION PROGRAMING, AND COMMUNITY AFFAIRS ORGANIZATION: MEDSTAR HEALTH, CORPORATE MANAGED CARE NAME: KIMBERLY M. HARRIS, MATITLE: DIRECTOR ORGANIZATION: DC PRIMARY CARE OFFICE NAME: LAURA BELAZIS, MPHTITLE: DIRECTOR OF FOOD ACCESS AND EDUCATIONORGANIZATION: D.C. CENTRAL KITCHEN WASHINGTON 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 AND CERTAIN OTHER BENEFITS AT COST PART I, LINE 7MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES. BAD DEBT PART III, LINES 2 & 4MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT. DEBT COLLECTION POLICY PART III, LINE 9IF 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 WASHINGTON HOSPITAL CENTER (MWHC) 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 MWHC'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 DISTRICT OF COLUMBIA WARDS 7 AND 8 AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODES 20011, 20019 AND 20020. 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.MWHC'S HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT) AND SOCIAL DETERMINANTS OF HEALTH (SOCIAL NEEDS SCREENING).AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MWHC 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, THE HOSPITAL 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 4:MWHC'S CBSA INCLUDES ADULTS AGE 18 OR OLDER WHO RESIDE IN ZIP CODES 20011, 20019, AND 20010; ADDITIONALLY THE HOSPITAL SUPPORTS CITYWIDE EFFORTS TO IMPROVE SERVICES IN 20020 AND 20032 IN THE DISTRICT OF COLUMBIA. THIS GEOGRAPHIC AREA WAS SELECTED BASED ON THE HOSPITAL UTILIZATION AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL, COUPLED WITH AN OPPORTUNITY TO BUILD UPON LONGSTANDING PROGRAMS AND SERVICES.ZIP CODE 20011 IS AN URBAN GEOGRAPHIC SERVICE AREA WITHIN WARD 4 OF WASHINGTON DC. THERE ARE 69,170 PEOPLE AND THE MEDIAN HOUSEHOLD INCOME IS $79,153. THE COMMUNITY INCLUDES 27,718 HOUSEHOLDS WITH 7.9% FAMILIES LIVING BELOW POVERTY. ZIP CODE 20011 IS THE HOME OF 35,047 AFRICAN AMERICAN RESIDENTS, THE LARGEST REPRESENTED RACE IN THIS AREA, AND 22.9% HISPANIC RESIDENTS. IN THE AREA OF HEALTH CARE ACCESS AND INSURANCE, 10.8% OF ADULTS DO NOT HAVE HEALTH INSURANCE COVERAGE. THERE ARE NO FULL-SERVICE HOSPITALS LOCATED IN WARD. REGARDING FOOD INSECURITY, 42.6% OF HOUSEHOLDS WITH CHILDREN RECEIVE SNAP BENEFITS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY.ZIP CODE 20019 IS AN URBAN GEOGRAPHIC SERVICE AREA WITHIN WARD 7 OF WASHINGTON DC. THERE ARE 61,448 PEOPLE AND THE MEDIAN HOUSEHOLD INCOME IS $40,791. THE COMMUNITY INCLUDES 25,302 HOUSEHOLDS WITH 23.5% FAMILIES LIVING BELOW POVERTY. ZIP CODE 20019 IS THE HOME OF 57,053 (92.85%) AFRICAN AMERICAN RESIDENTS THE LARGEST REPRESENTED RACE IN THIS AREA; AND 4.5% HISPANIC RESIDENTS. IN THE AREA OF HEALTH CARE ACCESS AND INSURANCE COVERAGE, 12.8% OF ADULTS DO NOT HAVE HEALTH INSURANCE COVERAGE. ALSO, THERE ARE NO FULL-SERVICE HOSPITALS LOCATED IN THIS COMMUNITY. IN SEVERAL NEIGHBORHOODS WITHIN WARDS 7, UP TO HALF OF ALL HOUSEHOLDS HAVE NO ACCESS TO A VEHICLE. WITH ECONOMIC MOBILITY LINKED WITH GEOGRAPHIC MOBILITY, OPPORTUNITIES FOR SOCIAL AND ECONOMIC SUCCESS AS WELL AS HEALTH ITSELF CAN BE DEPENDENT ON TRANSPORTATION ACCESS, OPPORTUNITIES, AND COST. COMPARED TO OTHER DISTRICT WARDS, RESIDENTS OF WARD 7 ARE ABOUT 15% LESS LIKELY TO WORK IN THE CITY'S LABOR FORCE. REGARDING FOOD INSECURITY, 45% OF HOUSEHOLDS WITH CHILDREN RECEIVE SNAP BENEFITS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY.ZIP CODE 20010 IS AN URBAN GEOGRAPHIC SERVICE AREA WITHIN WARD 1 OF WASHINGTON DC. THERE ARE 33,931 PEOPLE AND THE MEDIAN HOUSEHOLD INCOME IS $91,337. THE COMMUNITY INCLUDES 14,559 HOUSEHOLDS WITH 12.1% FAMILIES LIVING BELOW POVERTY. ZIP CODE 20010 IS THE HOME OF 17,268 (50.8%) WHITE RESIDENTS, 7,533 (22.2%) AFRICAN AMERICAN RESIDENTS AND 11,466 (33.79%) HISPANIC RESIDENTS. IN THE AREA OF HEALTH CARE ACCESS AND INSURANCE COVERAGE, 10.8% OF ADULTS DO NOT HAVE HEALTH INSURANCE COVERAGE. THERE ARE TWO FULL-SERVICE HOSPITALS IN WARD 1 AND 2 SPECIALTY HOSPITALS SERVICING THIS COMMUNITY. REGARDING FOOD INSECURITY, 44.2% OF HOUSEHOLDS WITH CHILDREN RECEIVE SNAP BENEFITS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5:AS A COMMUNITY PARTNER, MWHC 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 WELLNESSEDUCATIONAL PROGRAMS ARE OFFERED WITH THE GOAL OF IMPROVING COMMUNITY HEALTH AND WELL-BEING. FOR EXAMPLE, THE LIVING WELL CHRONIC DISEASE PREVENTION AND MANAGEMENT IS A FREE SEVEN-WEEK HEALTH EDUCATION AND BEHAVIOR CHANGE PROGRAM FOCUSED ON CHRONIC DISEASE SELF-MANAGEMENT. THE PROGRAM IS DESIGNED FOR ADULTS LIVING WITH A CHRONIC CONDITION, SUCH AS HEART DISEASE, DIABETES, CANCER, DEPRESSION, CHRONIC PAIN, ARTHRITIS, LUNG DISEASE, MULTIPLE SCLEROSIS OR ANY CHRONIC HEALTH CONCERN. IN ADDITION, ADDITIONAL CLASSES ARE OFFERED SUCH AS DIABETES SELF-MANAGEMENT, SMOKING CESSATION, NUTRITION, AND WEIGHT MANAGEMENT CLASSES. THIS PROGRAM TRANSITIONED TO A VIRTUAL PLATFORM DUE TO COVID 19 SAFETY PRECAUTIONS AND RESTRICTIONS FOR IN-PERSON SESSIONS.ASK A HEALTHCARE PROFESSIONAL INITIATIVE COORDINATES HOSPITAL PHYSICIANS AND ALLIED HEALTH PROFESSIONALS ARE COMMITTED TO SHARING THEIR KNOWLEDGE ON VARIOUS TOPICS WITH MEMBERS OF THE COMMUNITY TO IMPROVE THEIR HEALTH. THE COMMUNITY HEALTH TEAM WORKS TO ARRANGE OPPORTUNITIES FOR OUR PROFESSIONALS TO SPEAK AT COMMUNITY SITES TO MEMBERS OF COMMUNITY. THIS PROGRAM TRANSITIONED TO A VIRTUAL PLATFORM DUE TO COVID 19 SAFETY PRECAUTIONS AND RESTRICTIONS FOR IN-PERSON SESSIONS.COMMUNITY VIOLENCE INTERVENTION PROGRAM PROVIDES SERVICES TO INDIVIDUALS, AND THEIR FAMILIES, WHO HAVE EXPERIENCED A LIFE-THREATENING INTENTIONAL INJURY. THE PROGRAM ENGAGES WITH VICTIMS AND THEIR FAMILIES TO CREATE A SUPPORT SYSTEM THAT CAN LEAD TO LONG-TERM CHANGE. TEAM MEMBERS CONNECT PROGRAM PARTICIPANTS WITH GOVERNMENT AND COMMUNITY-BASED SERVICES TO PROMOTE HEALING, REDUCE REVICTIMIZATION, AND PREVENT FUTURE VIOLENCE.SUPPORT GROUPS ARE OFFERED TO COMMUNITY MEMBERS FOR A VARIETY OF TOPICS INCLUDING MENTAL HEALTH, PROSTATE CANCER, MULTIPLE SCLEROSIS, DIABETES, BREASTFEEDING, CANCER, AND STROKE.DUE TO THE COVID 19 PANDEMIC AND SAFETY PRECAUTIONS, STAFF PARTICIPATED IN A LIMITED NUMBER OF COMMUNITY HEALTH EVENTS SUCH AS HEALTH FAIRS, FESTIVALS AND EXPOSITIONS WHERE SCREENINGS ARE PERFORMED, AND HEALTH INFORMATION IS SHARED. OUTREACH IS ALSO PROVIDED IN-PERSON AND VIRTUALLY, HOSPITAL STAFF SHARE THEIR KNOWLEDGE WITH THE COMMUNITY THROUGH ENGAGING INTERVIEWS, SEMINARS, BLOGS AND VIDEOS.ACCESS TO CAREPATIENT 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.THE RYAN WHITE PROGRAM OFFERS FREE OF CHARGE SERVICES FOR INDIVIDUALS AND ELIGIBLE FAMILIES LIVING WITH HIV. SERVICES INCLUDE MEDICAL AND NON-MEDICAL CASE MANAGEMENT, HOME AND COMMUNITY HEALTH-BASED SERVICES, EARLY INTERVENTION SERVICES, HIV COUNSELING AND TESTING WITH SEX EDUCATION/RISK REDUCTION, DENTAL CARE, PSYCHOLOGICAL COUNSELING, TRANSITION FROM INPATIENT TO OUTPATIENT CARE AND FROM YOUTH TO ADULT CARE; REFERRALS TO CLINICAL TRIALS AND LINKAGE TO WOMEN'S HEALTH SERVICES, PEDIATRIC SERVICES, AND FAMILY SUPPORT SERVICES.SOCIAL DETERMINANTS OF HEALTHTHE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM IS PROVIDED TO SUPPORT SUBSTANCE ABUSE RECOVERY IN THE COMMUNITY AND PROMOTE ACCESS TO BEHAVIORAL HEALTH PROGRAMS. THIS PROGRAM INCLUDES THREE MAIN COMPONENTS: SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THOSE WHO SCREEN POSITIVE FOR HIGH-RISK BEHAVIORS ARE CONNECTED TO PEER RECOVERY COACHES WHO CONDUCT A BRIEF INTERVENTION AND REFER TO TREATMENT IF APPROPRIATE. OPIOID OVERDOSE SURVIVOR OUTREACH COACHES LINK COMMUNITY MEMBERS WITH A HISTORY OF SUBSTANCE ABUSE TREATMENT WITH THE RESOURCES THEY NEED TO PREVENT A FUTURE OVERDOSE.THE 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.TRAINING PHYSICIANS IN THE COMMUNITY IS A TRAINING PROGRAM FOR FUTURE PHYSICIANS, NURSES AND OTHER CLINICAL LEADERS THAT PROVIDES TRAINING OPPORTUNITIES WITH EXPOSURE TO THE DIVERSE NEEDS OF THE POPULATIONS THEY WILL CARE FOR. EACH YEAR, 12 RESIDENT PHYSICIANS AT MWHC ROTATE THROUGH BREAD FOR THE CITY'S CLINIC TO LEARN ABOUT HOW SOCIAL DETERMINANTS OF HEALTH PLAY A ROLE IN THE OVERALL WELLNESS OF THE PATIENT AND IMPACT THE CARE AND SERVICES PATIENTS NEED.COMMUNITY HEALTH WORKERS IMPROVE THE HEALTH OF THEIR COMMUNITIES BY EDUCATING OTHERS ON DISEASE AND INJURY PREVENTION AND LINKING COMMUNITY MEMBERS TO HEALTHCARE AND SOCIAL SERVICES, INCLUDING FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE.RX FOR SUCCESS PROVIDES ROBUST STUDENT INTERNSHIP EXPERIENCES FOR HIGH-RISK YOUTH ATTENDING A LOCAL HIGH SCHOOL LOCATED IN OUR CBSA. THIS EIGHT-WEEK SUMMER INTERNSHIP CONNECTS THE COURSE CURRICULUM WITH TANGIBLE ONSITE EXPERIENCE. THIS ALLOWS STUDENTS TO DEMONSTRATE SKILL DEVELOPMENT AND EXPERIENCE WORKING IN THE MEDICAL FIELD. THIS PROGRAM WAS POSTPONED DUE TO COVID 19 SAFETY PRECAUTIONS AND RESTRICTIONS.SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. OUR COMMUNITY PARTNER, AUNT BERTHA, PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS.THE HOSPITAL FOOD INSECURITY INITIATIVE LEAD BY THE CLINICAL RESOURCE MANAGEMENT DEPARTMENT ASSISTS PATIENTS THAT IDENTIFY AS FOOD INSECURE AT DISCHARGE BY PROVIDING A MEAL BOX -TO- GO. BOXES CONTAIN NON-PERISHABLE BREAKFAST, LUNCH AND DINNER ITEMS. ALL PATIENTS THAT IDENTIFY AS FOOD INSECURE ARE REFERRED TO A COMMUNITY HEALTH ADVOCATE FOR ASSISTANCE WITH RESOURCES TO OBTAIN ADDITIONAL FOOD. SECONDLY, MWHC EMPLOYEES MAY VISIT THE IN-HOUSE FOOD PANTRY TO OBTAIN NONPERISHABLE FOOD ITEMS AS NEEDED.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, MWHC 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 MWHC 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 MWHC IS FILED IN THE DISTRICT OF COLUMBIA. 1 SCHOLARSHIPS 96 1784985 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 BOARD MEMBER 0 1997518 0 4558041 0 2853113 0 56948 0 36000 0 9501620 0 0 GREGORY ARGYROS MD BOARD MEMBER/PRESIDENT 700519 0 645241 0 0 0 8550 0 36888 0 1391198 0 0 0 JEFFREY DUBIN SR. VP, MEDICAL AFFAIRS & CMO 540754 0 320124 0 0 0 28971 0 11670 0 901519 0 0 0 STANLEY CHIA BOARD MEMBER 755160 0 100360 0 0 0 8550 0 20460 0 884530 0 0 0 STUART SEIDES PHYSICIAN 763027 0 100360 0 0 0 8550 0 10480 0 882417 0 0 0 HIROTO KITAHARA PHYSICIAN 398811 0 464457 0 0 0 0 0 11219 0 874487 0 0 0 ABDULLAH ALFAWAZ PHYSICIAN 241509 0 483962 0 17458 0 0 0 8527 0 751456 0 0 0 MELISSA H FRIES BOARD MEMBER 543851 0 39641 0 0 0 8550 0 2040 0 594082 0 0 0 WILLIAM GAYNE CHIEF FINANCIAL OFFICER 160383 160383 82612 82612 0 0 8550 0 20694 0 272239 242995 0 0 TONYA WASHINGTON PHYSICIAN 301499 0 161200 0 0 0 16418 0 21130 0 500247 0 0 0 CATHERINE MONGE SVP OF OPERATIONS 311368 0 160957 0 0 0 8550 0 16404 0 497279 0 0 0 KRISTEN M NELSON BOARD MEMBER 208782 0 360 0 0 0 11815 0 9874 0 230831 0 0 0 JOHN SULLIVAN FORMER PRESIDENT 0 0 65380 0 51549 0 0 0 0 0 116929 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. WILLIAM GAYNE'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR WASHINGTON HOSPITAL CENTER AND MEDSTAR HEALTH RESEARCH INSTITUTE. JOHN SULLIVAN'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $15,103 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MR. SULLIVAN. LIBERTY LANGUAGE SERVICES SEE PART V 135901 LANGUAGE SERVICES 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 WASHINGTON HOSPITAL CENTER VALUED IN EXCESS OF $100,000: LIBERTY LANGUAGE SERVICES. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THIS TRANSACTION IS AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 7 834978 FMV 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISION 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 ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT 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: EQUITY TRANSFERS - NET ASSETS 34,279,569. INCOME TAX PROVISION 6,654. CHURCH HOME CORPORATION 10980 GRANTCHESTER WAY COLUMBIA MD 21044 237374724 MEDICAL FUND MD 501(C)(3) PF N/A 1 FRANKLIN SQUARE HOSPITAL CENTER INC 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 520608007 HOSPITAL MD 501(C)(3) 3 N/A 1 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(C)(3) 3 N/A 1 MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) 12C III N/A 0 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 520646893 HOSPITAL MD 501(C)(3) 3 N/A 1 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) 3 N/A 1 THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(C)(3) 3 N/A 1 MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 20010 526056274 HOSPITAL DC 501(C)(3) 4 N/A 1 THE MEDSTAR-GEORGETOWN MEDICAL CENTER I HOPSITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 522218584 HOSPITAL DC 501(C)(3) 3 N/A 1 HH MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521542230 MEDICAL SVCS MD 501(C)(3) 12C III N/A 1 MEDSTAR AMBULATORY SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521132992 ADMIN SVCS MD 501(C)(3) 12C III N/A 1 BAY LIFE SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521496539 MENTAL HEALTH MD 501(C)(3) 10 N/A 1 MEDSTAR SURGERY CENTER INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521061679 MEDICAL SVCS MD 501(C)(3) 10 N/A 1 CHURCH HOME AND HOSPITAL OF THE CITY OF 10980 GRANTCHESTER WAY COLUMBIA MD 21044 520591600 HOSPITAL MD 501(C)(3) 12A I N/A 1 GOOD SAMARITAN NURSING CENTER INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521672866 MEDICAL SVCS MD 501(C)(3) 10 N/A 1 GS HOUSING INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521481656 ELDER HOUSING MD 501(C)(3) 10 N/A 1 GS PROPERTIES INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521429853 ADMIN SVCS MD 501(C)(3) 12A I N/A 1 MEDSTAR HEALTH INFUSION INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521980510 MEDICAL SVCS MD 501(C)(3) 10 N/A 1 MEDSTAR HEALTH VISITING NURSES ASSOCIATI 4061 POWDERMILL ROAD CALVERTON MD 20705 530196597 MEDICAL SVCS MD 501(C)(3) 10 N/A 1 MEDSTAR VNA HEALTHCARE 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521458516 MEDICAL SVCS MD 501(C)(3) 10 N/A 1 MGH COMMUNITY HEALTH INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521372467 MEDICAL SVCS MD 501(C)(3) 10 N/A 1 MGH HEALTH SERVICES INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521366812 FOUNDATION MD 501(C)(3) 12B II N/A 1 MGH WOMEN'S BOARD 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 526039600 FOUNDATION MD 501(C)(3) 12C III N/A 1 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 521369749 HOSPITAL DC 501(C)(3) 3 N/A 1 REGIONAL REHAB AT OLNEY INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 522310902 MEDICAL SVCS MD 501(C)(3) 3 N/A 1 SUBURBAN NRH MEDICAL REHABILITATION I 102 IRVING STREET NW WASHINGTON DC 20010 521931151 MEDICAL SVCS DC 501(C)(3) 3 N/A 1 THE THOMAS O'NEIL CATHOLIC HEALTH CARE F 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521104382 FOUNDATION MD 501(C)(3) 12D III N/A 1 VNA INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521332411 ADMIN SVCS MD 501(C)(3) I2 A I N/A 1 WOODBOURNE WOODS INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 522299070 ELDER HOUSING MD 501(C)(3) 10 N/A 1 HOSPICE OF ST MARY'S INC PO BOX 527 LEONARDTOWN MD 20650 522153926 SUPPORT ORG MD 501(C)(3) 12A I N/A 1 ST MARY'S HOSPITAL OF ST MARY'S COUNTY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 520619006 HOSPITAL MD 501(C)(3) 3 N/A 1 MEDSTAR SOUTHERN MD HOSPITAL CENTER 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) 3 N/A 1 MEDSTAR HEALTH INC AND AFFILIATES MASTER 10980 GRANTCHESTER WAY COLUMBIA MD 21044 467454613 RET. 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