2019-05-10T13:27:47-05:00 2018-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2017-07-01 520591607 The Good Samaritan Hospital of Maryland Inc % JOEL BRYAN GOOD 4107726721 5601 LOCH RAVEN BLVD Baltimore MD 21239 JOEL BRYAN VP/Treasurer 4107726721 2019-05-09 true JG WHITE P01498698 7032868000 2019-05-08 167.68.102.5 54028020191305000003 2019-05-10 P 10E350CB4544110E48AF6BF87AFDA83D31FAC73D EB2737A96B8F377BD085BED9F3BA68158C374A96 2017 2019-02-21 02:37:17Z BRADLEY CHAMBERS 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 280505103 false X www.goodsam-md.org X 1920 MD WE ARE GOOD SAMARITANS, GUIDED BY CATHOLIC TRADITION AND TRUSTED TO TRADITION AND TRUSTED TO DELIVER IDEAL HEALTHCARE EXPERIENCES FOR THE PATIENTS WE SERVE. 22 16 1751 88 134788 8877130 4207562 293106645 271059633 85722 187320 2508632 5043838 304578129 280498353 0 0 0 0 152162034 138876874 0 0 0 134882158 123285544 287044192 262162418 17533937 18335935 171590429 168684419 44142984 35137835 127447445 133546584 X As a proud member of MedStar Health, MedStar Good Samaritan Hospitals (MedStar Good Samaritan) mission is to be Good Samaritans, guided by catholic tradition and trusted to deliver ideal health experiences. MedStar Good Samaritan, located in northeast Baltimore City, Maryland, is known for its specialties in orthopaedics, rheumatology, nephrology, and physical medicine and rehabilitation programs. In addition to general adult acute care services, MedStar Good Samaritan has a comprehensive inpatient rehabilitation unit and a sub-acute care unit. Through MGSHs Center for Successful Aging, integrated care is provided to patients who experience age-related health conditions. In fiscal year 2018, MedStar Good Samaritan had approximately 13,181 inpatient admissions and observation cases, and approximately 279,309 outpatient visits including 48,268 emergency visits. false false 185786872 271059633 MedStar Good Samaritans largest program is access to and the provision of acute hospital services to the communities of northeastern Baltimore City, Maryland and the surrounding areas. In addition to the program service expenses listed above, MedStar Good Samaritan incurred $63.8M of management and general expenses in providing services to its communities. It also offers community-based health services through the Good Health Center and two senior housing complexes located on its 43-acre campus. MedStar Good Samaritans stroke care program has received the Gold Seal of Approval from the Joint Commission for Primary Stroke Centers. MedStar Good Samaritan has received the Bronze Performance Achievement award from the American Stroke Association for its exceptional care for stroke patients. The Stroke Center at MedStar Good Samaritan Hospital has received both the honored Bronze Award and Silver Plus Award from the American Heart Association for the outstanding work of the center as well as its preventive and community education programs. Practice Greenhealth awarded MedStar Good Samaritan Hospital the Greenhealth Emerald Award, which is given to healthcare facilities that have achieved improvements in mercury elimination, waste reduction, recycling, and source reduction programs. Winning facilities are further along the path to sustainability and show leadership in the local community and in the healthcare sector. 4556183 MedStar Good Samaritan provided $4.6M in charity care services in fiscal year 2018. Charity care is provided pursuant to MedStar Healths Financial Assistance Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. Under Marylands unique payer system, the amount reported represents MedStar Good Samaritans charity care expense and revenues represent direct payments from the states charity care pool. Other charity care expenses are indirectly reimbursed via the state of Marylands payment system. 8011301 MedStar Good Samaritan provided $8M in health professions education in fiscal year 2018. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions. 198354356 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false true false false false true true true true false false true 0 0 true 1751 true true true false false false false false false false false false X 22 16 false false false false true true true true true false false true true true true true true true true false MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 X DANIEL P CAHILL VICE CHAIR 1.0 0.0 X 0 0 0 MOIRA P LARSEN MD BOARD MEMBER 40.0 0.0 X 0 453087 20800 KENNETH A SAMET BOARD MEMBER 1.0 39.0 X 0 6538888 82240 HOWARD S FREELAND MD BOARD MEMBER 40.0 0.0 X 14164 269412 20457 LUIS GIMENEZ MD BOARD MEMBER 1.0 0.0 X 0 0 0 KAY G BEE BOARD MEMBER 1.0 0.0 X 0 0 0 SONYA H GRAY BOARD MEMBER 1.0 0.0 X 0 0 0 Most Rev Denis J Madden BOARD MEMBER 1.0 0.0 X 0 0 0 ALLAN NOONAN MD BOARD MEMBER(UNTIL 10/2017) 1.0 0.0 X 0 0 0 REV PM SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN C SMYTH CHAIR 1.0 0.0 X 0 0 0 KATHLEEN J WHITING BOARD MEMBER 1.0 0.0 X 0 0 0 DAVID WEISMAN DO BOARD MEMBER 40.0 0.0 X 217781 0 25048 ELIAS SHAYA MD BOARD MEMBER 40.0 0.0 X 432582 0 1682 MICHAEL JACOBS MD BOARD MEMBER (UNTIL 10/2017) 40.0 0.0 X 830520 0 20332 BRADLEY CHAMBERS President/BOARD MEMBER 20.0 20.0 X X 579804 579803 49452 ANTHONY READ BOARD MEMBER 1.0 0.0 X 0 0 0 Anthony DAgostino BOARD MEMBER 1.0 0.0 X 0 0 0 Kevin E Wesner BOARD MEMBER 1.0 0.0 X 0 0 0 Holly A Tilford BOARD MEMBER 1.0 0.0 X 0 0 0 David Zachary Martin MD board member 1.0 0.0 X 0 0 0 Leo Gallagher board member 1.0 0.0 X 0 0 0 Herbert Hansen board member 1.0 0.0 X 0 0 0 Kim Dobson Sydnor board member 1.0 0.0 X 0 0 0 DEANA STOUT CHIEF FINANCIAL OFFICER 20.0 20.0 X 221253 221251 40368 STEPHEN KOENIGSBERG vice president 20.0 20.0 X 129762 129763 14700 ROBERT PEROUTKA MD PHYSICIAN 40.0 0.0 X 1521029 0 15023 DALE BUCHBINDER MD MED dir of vascular SURGERY 40.0 0.0 X 957357 0 15550 Carmen Pichard-Encina PHYSICIAN 40.0 0.0 X 511024 0 18076 Steven Kulik Physician 40.0 0.0 X 946512 0 12738 Dana Frank Physician 24.0 16.0 X 257987 171992 20153 JEFFREY A MATTON former PRESIDENT 0.0 40.0 X 0 1026237 41727 THOMAS SENKER FORMER SECRETARY 0.0 40.0 X 0 572153 33717 JENNIFER WILKERSON FORMER OFFICER 40.0 0.0 X 289347 0 25048 6909122 9962586 457111 254 true true false HUNT VALLEY ANES ASSOC PA PO BOX 20284 TOWSON MD 21284 MEDICAL SERVICES 5565664 MORRISON HEALTHCARE FOOD SERVICES PO BOX 20284 TOWSON MD 21284 FOOD SERVICES 3558878 AMN HEALTHCARE INC 4721 MORRISON DRIVE MOBILE AL 36609 STAFFING SERVICES 2298903 CROTHALL SVCS GROUP 1500 Liberty Ridge DriveSuite 210 WAYNE PA 19087 Environmental SVCS 1463563 SMITHGROUP JJR INC 1700 New York Ave NW 100 WASHINGTON DC 20006 PROFESSIONAL SVCS 992257 37 302279 3905283 52118 4207562 NET PATIENT SERVICE REVENUE 621400 263004444 263004444 PHARMACY INCOME 900099 8031439 8031439 MEANINGFUL USE INCOME 900099 19467 19467 OTHER HEALTH REVENUE 900099 4283 4283 271059633 119781 119781 0 0 656486 656486 0 656486 656486 74289 6750 74289 -6750 67539 67539 0 0 0 0 0 0 0 0 0 REBATE INCOME 900099 607868 607868 CHILD DAY CARE 900099 590098 590098 REFERRAL LAB INCOME 900099 134788 134788 3054598 3054598 4387352 280498353 271059633 134788 5096370 0 0 0 0 0 2545646 2302853 242793 347657 313435 34222 111792590 101568662 10223928 1866781 1696058 170723 14795998 12209773 2586225 7528202 6850921 677281 33267692 75 33267617 676 676 0 0 0 0 23516176 20003282 3512894 361426 3879 357547 2161718 1357400 804318 0 0 1245154 1008446 236708 196886 164220 32666 0 78335 64038 14297 2151058 2151058 0 12150914 7100699 5050215 2957291 2889158 68133 MED/SURG SUPPLIES 25744896 25874148 -129252 MAINTENANCE 5467575 4982101 485474 FOOD SERVICES/SUPPLIES 3692975 3583066 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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, 2018. true true X true X true X true true true false true true 4556183 0 4556183 0.01740 4556183 0 4556183 0.01740 1646653 131635 1515018 0.00580 8011301 8011301 0.03060 4350650 1980640 2370010 0.00900 40898 40898 0.00020 14049502 2112275 11937227 0.04560 18605685 2112275 16493410 0.06300 976173 590098 386075 0.00150 26386 26386 0.00010 51542 51542 0.00020 1054101 590098 464003 0.00180 true 9009232 true true 1 1 GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 X X X X GOOD SAMARITAN HOSPITAL OF MARYLAND 1 false false true X X X X X X X X X 17 true false false true X WWW.MEDSTARGOODSAM.ORG X true 17 true WWW.MEDSTARGOODSAM.ORG false false true X 200. 400. X X X X X X true true X X X X true X WWW.MEDSTARGOODSAM.ORG X WWW.MEDSTARGOODSAM.ORG X WWW.MEDSTARGOODSAM.ORG X X X X X X true X false X X X X true X false false CHNA INPUT PART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION The 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 on all Schedule Hs. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: Deborah Bena Executive Sponsor Role Description The 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: Bradley Chambers AND MARTIN BINSTOCK, MD Advisory Task Force Role Description The 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: Title/Affiliation with Hospital: Name of Organization Aaron Kaufman Community Leader Central Baltimore Partnership Allan Noonan, MD Board Member MGSH Bernie Ravitz,MD Physician Advisor MGSH Brad Chambers Executive Sponsor MGSH, MUMH President Carmel Roques CEO Keswick - Maryland Dana Frank, MD Chairman, Medicine MGSH, MUMH Dawn Motovidlak Board Member MUMH Deborah Director, Marketing and MGSH Bangledorf Communications Deborah Bena Community Health and MGSH, MUMH Ministry Coordinator Emilie Gilde Former Director, Tobacco Baltimore City Health Use/CVD/Diabetes/Cancer Department Prevention Evangeline Community Representative St. Matthew's Church Waihenya George Farley AVP, Mission Integration MGSH Ken Walsch Assistant Vice President, MGSH Quality, Safety, Risk Management Kerry Martinez Director Shepherd's Joy Wellness Kim Sydnor, PhD Dean Morgan State University Kimberly Mays Sr. Director, Multicultural American Heart Affairs Association Lisa Ghinger Executive Director Hampden Family Center Mark Fletcher Community Leader Baltimore City EMS Martin Binstock, Executive Sponsor MGSH MD Vice President, Medical Affairs Melvin Wilson Executive Director Turnaround Tuesday Nichole Battle CEO GEDCO Nilesh Chief Health Officer Healthcare for Homeless Kalyanaraman Pat Jones Director, Immigration St. Matthew's Church Outreach Service Center Peggy Thomas Community Representative Community Resident Randolph Rowel Associate Professor, Chair of Morgan State University Department of Behavioral Health Sciences Ritu Prasad, MD Physician Advisor MUMH Ryan Moran Director, Community Health MGSH, MHH, MUMH Savas Karas Board Member MUMH Sheila Williams Community Representative Huber Memorial Church Shely Choo Senior Medical Advisor Baltimore City Health Department Sonia Fierro- Community Leader Spanish Speaking Health Luperini Leaders of Maryland Sonya Gray Board Member MGSH Stu Bell, MD Vice President, Medical MUMH Affairs Tracy Holcomb RN, CDE Shepherd's Clinic IMPLEMENTATION STRATEGY PART V, SECTION B, LINE 11 THE 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 HOSPITALS STRENGTHS. 3 Transitional Care at Good Samaritan 5601 Loch Raven Blvd Baltimore MD 21239 Comprehensive Care Facility ManorCare 6600 Ridge Rd Baltimore MD 21239 Renal Dialysis facility Lorien Frankford 5009 Frankford Ave Baltimore MD 21206 Renal Dialysis facility CHARITY CARE AT COST PART I, LINE 7A MARYLAND'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 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. BAD DEBT PART III, LINES 2 & 4 MEDSTAR 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 8 MARYLAND'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 Good Samaritan Hospital (MGSH) 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. A 34 member Advisory Task Force (ATF) led the MGSH CHNA process. 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. The ATF reviewed national, state, and local health and disparity data, public health priorities and community health improvement plans as well as county-level ZIP code and neighborhood level data (when available). Based on their findings, ATF members designed a CHNA survey tool consisting of open and closed-ended questions about healthcare access, health equity, health condition concerns, social determinants and community strengths and assets. Community members responded to the survey by attending a community input session or completing it online or via hardcopy. Based on the ATF's recommendation, the hospital identified Govans as its Community Benefit Service Area (CBSA), which includes residents living in ZIP codes 21206 and 21239. The hospital selected this geographic area based on hospital patient utilization and secondary public health data as well as its close proximity to the hospital, coupled with a high density of residents with low incomes. The ATF used population-level data, community health needs survey findings and feedback from community input sessions to create recommendations for the hospital's health priorities, potential implementation strategies, and to identify key partners. Based on the ATF's recommendation, the hospital health priorities for the CBSA include health and wellness (chronic disease prevention and management, behavioral health), access to care and services (mental health services, linkage to resources and services, transportation) and social determinants of health (employment, neighborhood violence and street safety, housing). The hospital's FY18 CHNA and three-year Implementation Strategies were endorsed by MGSH 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. As a proud member of MedStar Health, representatives from MGSH routinely participate in the MedStar Health community benefit workgroup. The workgroup is comprised of community health professionals who represent all ten MedStar hospitals. The team analyzes local and regional community health data, establishes system-wide community health programming performance and evaluation measures and shares best practices. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 As one of the regions leading not-for-profit healthcare systems, MedStar Health is committed to ensuring that uninsured patients and underinsured patients meeting medical hardship criteria within the communities we serve who lack financial resources have access to emergency and medically necessary hospital services. MedStar Health and its healthcare facilities will: * Treat all patients equitably, with dignity, respect, and compassion; * Serve the emergency health care needs of everyone who presents to our facilities 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 Healths facilities will work with their uninsured patients seeking emergency and medically necessary care to gain an understanding of each patients financial resources. Based on this information and eligibility determination, MedStar Health facilities 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 facility charges using a sliding-scale based on the patients household income and financial resources; * Offer periodic payment plans to assist patients with financing their healthcare services. Each facility publicizes 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 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 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: * Complying 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 Healths facilities to properly counsel patients concerning the availability of financial assistance); * Working with the facilitys Patient Advocates and Patient Financial Services staff to ensure there is a complete understanding of the patients 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 the facilitys Patient Advocates or Customer Service Representatives on a timely basis as the patients financial circumstances may change. * It is the responsibility of the patient to inform the MedStar hospital of their existing eligibility under a medical hardship during the 12-month 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 or by calling customer service at 1-800-280-9006. Uninsured patients of MedStar Healths facilities 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 patients family, family size, and the extent of the medical costs to be incurred by the patient. COMMUNITY INFORMATION PART VI, LINE 4 Geographic: COMMUNITY BENEFIT SERVICE AREA (CBSA): GOVANS AREA MedStar Good Samaritan Hospitals CBSA includes residents in zip codes 21206 and 21239. This geographic area was selected based on hospital utilization and secondary public health data as well as its close proximity to the hospital, coupled with a high density of residents with low incomes. COMMUNITY Demographics: According to statistics from the Baltimore City 2017 Neighborhoods Health Profile, the total population in Govans (ZIP code 21212) is 10,762, the majority of which is African American (90.4%). Whites account for 6.4% of the population, and 2.6% of the population self-reports as two or more races. Slightly more than one percent (2.3%) of the population is of Hispanic or Latino origin. Median household income in the Govans area is 36,531 while Baltimore City reports a median income of 41,819. Data also shows that the percentage of households with incomes below the federal poverty guideline in Govans is 30.5% and in Baltimore City is 28.8%. Life expectancy in Govans is 73.3 (deaths per 10,000 residents) just slightly lower than the Baltimore City at 73.6. Govans is considered a food dessert-data shows the percentage of land area that is covered by a food desserts is 36.2% as compared to baltimore city overall 11.4%. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 As a community partner, MUMH engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. Priority areas of focus, as determined by the 2018 CHNA, are behavioral health services (substance use and mental health), chronic disease management, neighborhood safety, access to medical services, and job opportunities. For behavioral health services, the following implementation strategies have been developed: * Provide Screening, Brief Intervention, and Referral to Treatment (SBIRT) program and peer recovery coaches * Offer naloxone training to community * Develop and implement opioid survivor outreach program to provide support and resources to opioid survivors that visit hospital-based emergency departments * Provide mental health services as part of the primary care model For chronic disease management, the following implementation strategies have been developed: * Conduct Living Well Chronic Disease Self-Management Courses * Conduct Diabetes Prevention Programs * Conduct Smoking Cessation Programs * Conduct Cancer Screening programs For those areas related to the social determinants of health, the following implementation strategies have been developed: * Launch a uniform social needs screening tool to connect patients with resources related to transportation, food access, employment opportunities, etc. * Hire individuals from underserved communities as community health advocates and peer recovery coaches * Prepare local underserved students for health care related studies and careers * Leverage partnership with UBER for transportation to medical related services AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GOOD SAMARITAN 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 MEDSTAR GOOD SAMARITAN WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTARS 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 MEDSTAR GOOD SAMARITAN HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND. X true true X X X X X X true false false false false false false false false MOIRA P LARSEN MD BOARD MEMBER 0 399077 0 54010 0 0 0 7950 0 12850 0 473887 0 0 JEFFREY A MATTON former PRESIDENT 0 545554 0 480683 0 0 0 17533 0 24194 0 1067964 0 0 KENNETH A SAMET BOARD MEMBER 0 1818529 0 4346350 0 374009 0 49758 0 32482 0 6621128 0 0 HOWARD S FREELAND MD BOARD MEMBER 14164 248484 0 20928 0 0 7950 0 12507 0 34621 269412 0 0 DAVID WEISMAN DO BOARD MEMBER 193993 0 23788 0 0 0 10240 0 14808 0 242829 0 0 0 ELIAS SHAYA MD BOARD MEMBER 386582 0 46000 0 0 0 553 0 1129 0 434264 0 0 0 MICHAEL JACOBS MD BOARD MEMBER (UNTIL 10/2017) 829520 0 1000 0 0 0 7950 0 12382 0 850852 0 0 0 THOMAS SENKER FORMER SECRETARY 0 352462 0 219691 0 0 0 7950 0 25767 0 605870 0 0 DEANA STOUT CHIEF FINANCIAL OFFICER 147210 147209 74043 74042 0 0 12485 12485 7700 7699 241438 241435 0 0 ROBERT PEROUTKA MD PHYSICIAN 212267 0 221920 0 1086842 0 7950 0 7073 0 1536052 0 0 0 DALE BUCHBINDER MD MED dir of vascular SURGERY 429095 0 0 0 528262 0 7950 0 7600 0 972907 0 0 0 JENNIFER WILKERSON FORMER OFFICER 230842 0 58505 0 0 0 6149 0 18899 0 314395 0 0 0 BRADLEY CHAMBERS President/BOARD MEMBER 299821 299820 279983 279983 0 0 9908 9908 14818 14818 604530 604529 0 0 STEPHEN KOENIGSBERG vice president 57592 57591 17458 17459 54712 54713 3826 3826 3524 3524 137112 137113 0 0 Carmen Pichard-Encina PHYSICIAN 486024 0 25000 0 0 0 6250 0 11826 0 529100 0 0 0 Steven Kulik Physician 139857 0 80000 0 726655 0 0 0 12738 0 959250 0 0 0 Dana Frank Physician 226753 151169 31234 20823 0 0 4770 3180 7322 4881 270079 180053 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1 THE ORGANIZATION PAID BUSINESS CLUB DUES FOR ONE OF ITS OFFICERS DURING THIS YEAR. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSES. SCHEDULE J, PART III Mr. Samet's compensation in Part II, Column (B) includes $1,914,117, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service and long-term retention arrangements. Bradley Chambers compensation is for services provided as President to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Deana Stouts compensation is for services provided as CFO to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Stephen Koenigsbergs compensation is for services provided as a Key Employee to both MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. DANA FRANK'S COMPENSATION IS FOR SERVICES PROVIDED AS A PHYSICIAN TO BOTH MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL. SCHEDULE J, PART I, LINE 4A Dale Buchbinders Other reportable compensation in Part II, Column (B) (iii) includes $470,629 representing severance payments received by Mr. Buchbinder. Stephen Koenigsbergs Other reportable compensation in Part II, Column (B) (iii) includes $101,370 representing severance payments received by Mr. Koenigsberg. Steven Kuliks Other reportable compensation in Part II, Column (B) (iii) includes $692,809 representing severance payments received by Mr. Kulik. Robert Peroutkas Other reportable compensation in Part II, Column (B) (iii) includes $1,035,765 representing severance payments received by Mr. Peroutka. Peroutka. Robert Peroutkas Other reportable compensation in Part II, Column (B) (iii) includes $1,035,765 representing severance payments received by Mr. Peroutka. X 2 52118 FMV false false false ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. DECISIONS OF GOVERNING BODY PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. PROCESS FOR REVIEWING FORM 990 PART VI, LINE 11A 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. CONFLICT OF INTEREST POLICY PART VI, LINE 12C 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). DESCRIPTION OF EXECUTIVE COMPENSATION PROCESS PART VI, LINE 15 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. FINANCIAL STATEMENT AVAILABILITY PART VI, LINE 19 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. FINANCIAL STATEMENTS AND REPORTING PART XII, LINE 2C THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. OTHER CHANGES IN NET ASSETS PART XI, LINE 9 EQUITY TRANSFERS - NET ASSETS.....................$(33,934,752) O'NEILL EQUITY....................................$ 3,186,912 Accumulated Net assets............................$ 18,345,499 ------------- TOTAL OTHER CHANGES IN NET ASSETS.................$ (12,402,341) MEDSTAR HEALTH ANESTHESIA SERVICES A LLC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 205909017 HEALTHCARE MD 2473700 223660 Church Home Corporation 10980 GRANTCHESTER WAY Columbia MD 21044 237374724 Medical Fund MD 501(C)(3) PF NA true Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(C)(3) 3 NA true Harbor Hospital Inc 3001 South Hanover Street Baltimore MD 21225 520491660 Hospital MD 501(C)(3) 3 NA true Medstar Health Inc 10980 GRANTCHESTER WAY Columbia MD 21044 522087445 Medical Svcs MD 501(C)(3) 12C III NA false Montgomery General Hospital 18101 Prince Philip Drive Olney MD 20832 520646893 Hospital MD 501(C)(3) 3 NA true 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MD 20705 521458516 Medical Svcs MD 501(C)(3) 10 NA true MGH Community Health Inc 18101 Prince Philip Drive Olney MD 20832 521372467 Medical Svcs MD 501(C)(3) 10 NA true MGH Health Foundation Inc 18101 Prince Philip Drive Olney MD 20832 521129959 Foundation MD 501(C)(3) 7 NA true MGH Health Services Inc 18101 Prince Philip Drive Olney MD 20832 521366812 Foundation MD 501(C)(3) 12B II NA true MGH Women's Board 18101 Prince Philip Drive Olney MD 20832 526039600 Foundation MD 501(C)(3) 12C III NA true National Rehabilitation Hospital 102 Irving Street NW Washington DC 20010 521369749 Hospital DC 501(C)(3) 3 NA true NRH REGIONAL REHAB at Olney Inc 18101 Prince Philip Drive Olney MD 20832 522310902 Medical Svcs MD 501(C)(3) 3 NA true Suburban NRH Medical Rehabilitation I 102 Irving Street NW Washington DC 20010 521931151 Medical Svcs DC 501(C)(3) 3 NA true The Thomas O'Neil Catholic Health Care F 5601 Loch Raven Blvd Baltimore MD 21239 521104382 Foundation MD 501(C)(3) 12D III NA true VNA 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