2016-05-11T15:52:38-05:00 2015-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2014-07-01 521369749 National Rehabilitation Hospital % JOEL BRYAN NATI 2028771150 102 IRVING STREET NW WASHINGTON DC 20010 Joel Bryan Vice President/Treasurer 4107726721 2016-04-26 true Margaret A Bradshaw P00501222 7032868000 2016-04-26 2014 2016-08-17 19:52:53Z JOHN ROCKWOOD 102 IRVING STREET NW WASHINGTON DC 20010 118542862 false X WWW.NRHREHAB.ORG X 1983 DC SERVE THE COMMUNITY AS A LEADER IN REHABILITATION SERVICES THROUGH QUALITY PATIENT CARE, RESEARCH, EDUCATION AND TRAINING, ASSISTANCE TECHNOLOGY, AND ADVOCACY. 27 23 1669 13 0 0 2450420 3261382 112727996 111590628 1833918 1710595 992792 1672519 118005126 118235124 0 0 0 0 72302593 80003137 0 0 338606 35365742 37293603 107668335 117296740 10336791 938384 88493360 88000375 19932728 21811281 68560632 66189094 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR NATIONAL REHABILITATION NETWORK'S (MEDSTAR NRN) MISSION IS TO SERVE THE COMMUNITY AS A REGIONAL AND NATIONAL LEADER IN REHABILITATIVE SERVICES THROUGH QUALITY PATIENT CARE, REHABILITATION RESEARCH, EDUCATION AND TRAINING, ASSISTIVE TECHNOLOGY AND ADVOCACY. MEDSTAR NRN INCLUDES A SPECIALTY HOSPITAL LOCATED DIRECTLY ADJACENT TO MEDSTAR WASHINGTON HOSPITAL CENTER, IN NORTHWEST WASHINGTON, D.C. AND OVER 50 OUTPATIENT REHABILITATION CENTERS THROUGHOUT WASHINGTON, D.C., MARYLAND AND VIRGINIA. IN FISCAL YEAR 2015, MNRN HAD 2,077 INPATIENT ADMISSIONS, AND 344,543 OUTPATIENT VISITS. false false 74726248 109904450 MEDSTAR NATIONAL REHABILITATION NETWORK'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF REHABILITATION HOSPITAL SERVICES TO THE COMMUNITIES OF WASHINGTON, D.C. AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR NRN INCURRED $36.6M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR NRN IS A COMPREHENSIVE MEDICAL REHABILITATION FACILITY OFFERING A FULL RANGE OF TREATMENTS AND SERVICES FOR THE PHYSICAL REHABILITATION OF INDIVIDUALS WITH DISABLING INJURIES AND ILLNESSES SUCH AS STROKE, TRAUMATIC BRAIN AND SPINAL CORD INJURIES, ARTHRITIS, AMPUTATIONS, POST-POLIO SYNDROME, CEREBRAL PALSY, MULTIPLE SCLEROSIS, CHRONIC PAIN, BACK AND NECK PAIN, OCCUPATIONAL INJURIES, CANCER AND CARDIAC DISEASE THAT REQUIRES MEDICAL REHABILITATION. IN PARTNERSHIP WITH CHILDREN'S NATIONAL HEALTH NETWORK, THE HOSPITAL ALSO OFFERS SPECIALIZED PEDIATRIC CARE. MEDSTAR NRN OWNS, OPERATES, OR PARTICIPATES AS A JOINT VENTURE PARTNER IN THE OUTPATIENT CENTERS WHICH OFFER GENERAL REHABILITATIVE CARE AS WELL AS DISTINCT PROGRAMS SUCH AS HAND THERAPY, OCCUPATIONAL REHABILITATION, CANCER REHABILITATION AND SPORTS MEDICINE. MEDSTAR NRN IS NATIONALLY KNOWN FOR ITS RESEARCH AND BODY OF KNOWLEDGE ON IMPROVING THE LIVES OF PEOPLE WITH SPINAL CORD INJURY AND DISEASE. IN 2014, US NEWS AND WORLD REPORT RECOGNIZED IT AS ONE OF THE NATION'S BEST IN REHABILITATION. 4128120 390405 MEDSTAR NATIONAL REHABILITATION NETWORK PROVIDED $4.1M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2015. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 1254750 1295773 MEDSTAR NATIONAL REHABILITATION NETWORK SPENT $1.3M ON COMMUNITY HEALTH IMPROVEMENT SERVICES IN FISCAL YEAR 2015. SERVICES ARE INTENDED TO GO BEYOND STANDARD PATIENT CARE AND ADDRESS PERTINENT HEALTH RELATED ISSUES. SERVICES INCLUDE STROKE SUPPORT GROUPS AND COMMUNITY-BASED CLINICAL SERVICES SUCH AS HEALTH PROMOTION AND WELLNESS PROGRAMS, SCREENINGS, AND EVALUATION AND TREATMENT OF INJURIES. 80109118 true true false true false false false false false true true false false true true true true true false false false false false false true false true true false false true false false false false false true false false true false false false false true true true false false true 0 0 true 1669 true false false false false false true true false false false false X 27 23 true false false false true true true true true false false true true true true true true true true true true X JOEL BRYAN 4107726721 5565 STERRETT PLACE 5TH FL COLUMBIA MD 21044 X Abdul Q Ahad MD Board Member 1.0 0.0 X 0 0 0 JENNIFER Sheehy-Keller BOARD MEMBER (UNTIL 10/2014) 1.0 0.0 X 0 0 0 RAFAEL J CONVIT MD BOARD MEMBER 1.0 0.0 X 0 0 0 KENNETH SAMET Board Member 1.0 39.0 X 0 4325505 64424 E CLAIBORNE IRBY MD BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES S JELINEK MD BOARD MEMBER 1.0 0.0 X 0 0 0 JACQUELINE A WATSON DO BOARD MEMBER 1.0 0.0 X 0 0 0 THOMAS J COLLAMORE BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES V REYES BOARD MEMBER 1.0 0.0 X 0 0 0 SAMUEL J BERGMAN BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN R CLARK III BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL L COHEN BOARD MEMBER 1.0 0.0 X 0 0 0 HON CAROL T CRAWFORD BOARD MEMBER 1.0 0.0 X 0 0 0 JEREMY HARDY FITZGERALD BOARD MEMBER 1.0 0.0 X 0 0 0 LEONARD GREENBERG BOARD MEMBER 1.0 0.0 X 0 0 0 JOEL JANKOWSKY BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL L KORENGOLD BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM M LANE BOARD MEMBER 1.0 0.0 X 0 0 0 THENE MARTIN MERNICK SECRETARY/BOARD MEMBER 1.0 0.0 X X 0 0 0 ROBERT B OURISMAN TREASURER/BOARD MEMBER 1.0 0.0 X X 0 0 0 CANDACE C SOMERVILLE BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES E WAGNER BOARD MEMBER 1.0 0.0 X 0 0 0 John Rockwood President/Board Member 40.0 0.0 X X 676990 0 36628 Edward Eckenhoff Board Member 40.0 0.0 X 329228 0 50039 Edward Healton Board Member 40.0 0.0 X 0 415896 18527 Renie B Freedman BOARD MEMBER (AS OF 11/2014) 1.0 0.0 X 0 0 0 S Gregory Kalinsky BOARD MEMBER 1.0 0.0 X 0 0 0 Steven J Quamme BOARD MEMBER 1.0 0.0 X 0 0 0 Michael Yochelson MD VP - Medical Affairs 40.0 0.0 X 540697 0 26976 Michael Boemmel Vice President/CFO 40.0 0.0 X 251294 0 22347 Pamela Ashby VP-Human Resources 40.0 0.0 X 192904 0 0 John Brickley VP - AMBULATORY SERVICES 40.0 0.0 X 298363 0 5669 Ellen Leone VP - CLINICAL SERVICES 40.0 0.0 X 246024 0 3098 Alexander Dromerick MD PHYSICIAN 40.0 0.0 X 403756 0 0 Robert Bunning MD PHYSICIAN 40.0 0.0 X 403416 0 0 Arthur Deluigi MD PHYSICIAN 40.0 0.0 X 429083 0 0 John Toerge DO PHYSICIAN 40.0 0.0 X 330822 0 0 Howard Gilmer MD Physician 40.0 0.0 X 331310 0 0 4433887 4741401 227708 155 false true false MED3000 PO Box 1236 BUTLER PA 16003 Outpatient Billings 3932779 MORRISON MANAGEMENT SPECIALISTS P O Box 102289 ATLANTA GA 30368 Food Services 2131518 SLEEP SERVICES OF AMERICA P O Box 198320 ATLANTA GA 30384 Medical Services 1090440 NURSE FINDERS PO Box 9107338 DALLAS TX 75391 TEMPORARY STAFFING 310383 CHILDREN'S NATIONAL MEDICAL CENTER 111 Michigan Ave NW 800 WASHINGTON DC 20010 medical services 304968 5 354625 2906757 139676 3261382 PATIENT SERVICES 624100 111590628 111590628 111590628 454014 454014 0 0 263856 263856 0 263856 263856 1256581 1256581 1256581 1256581 164556 354625 307738 -143182 -143182 0 0 0 MISCELLANEOUS 900099 1551845 1551845 1551845 118235124 111590628 0 3383114 0 0 0 0 3308755 1998675 1301367 8713 0 63701335 57657725 5792319 251291 609137 609137 7044795 -37873 7082668 5339115 4690716 629408 18991 0 -76823 -76823 0 0 0 0 346041 128563 211853 5625 126182 8075 118107 7929345 5642005 2244754 42586 120030 21418 98612 0 4126225 2658289 1467769 167 98435 95402 2635 398 0 442796 280844 155970 5982 1797797 1797797 0 3505746 920132 2584027 1587 1119913 1119913 PROFESSIONAL SVCS PURCHASED 6646456 3008862 3634328 3266 MEDSTAR SHARED SERVICES 5734209 5734209 BILLINGS/COLLECTIONS 3032857 3032857 ALL OTHER EXPENSES 2344394 3428 2340966 117296740 80109118 36849016 338606 167350 16800 0 0 2678557 3883959 19697345 19503926 0 0 0 0 0 0 628887 779983 342465 338298 93970545 76036196 17835463 17934349 33710163 34708676 0 0 0 0 4042600 4042600 9390530 6791784 88493360 88000375 13347835 14374035 0 0 151750 0 0 0 0 0 0 0 0 0 0 0 6433143 7437246 19932728 21811281 X 62384920 57750150 4955448 7218680 1220264 1220264 68560632 66189094 88493360 88000375 X 938384 -1692862 -1617060 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false LOBBYING FOOTNOTE PART II-B, LINE 1I THE LOBBYING EXPENSES INCURRED RELATE TO AMOUNTS PAID TO AN OUTSIDE CONSULTING GROUP FOR THEIR LOBBYING ACTIVITIES ON BEHALF OF THE ORGANIZATION. THE LOBBYING WORK RELATED TO ASSISTING THE ORGANIZATION WITH LEGISLATIVE ISSUES RELATING TO REHABILITATIVE MEDICINE. 6175712 3118200 -5288 849680 8438944 4538233 2450420 77464 890405 6175712 2244380 3146507 26662 879316 4538233 1439448 1230956 155768 581792 2244380 1449863 -7475 2940 1439448 0.14460 0.85540 false true true 57436116 48365720 9070396 31902766 24520135 7382631 4631663 3150341 1481322 17934349 OTHER RECEIVABLES 4529760 OTHER ASSETS 2262024 6791784 0 SELF INSURANCE LIABILITY 3892661 DUE TO MEDSTAR HEALTH - PENSION 380221 OTHER LIABILITIES 3164364 7437246 X 117838034 -1692862 1295772 -397090 118235124 118235124 118592512 1295772 1295772 117296740 117296740 FIN 48 FOOTNOTE SCHEDULE D, PART X INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2015. PART XI, LINE 2D OTHER REVENUE INCLUDED IN AUDITED FINANCIALS BUT NOT ON FORM 990 RESEARCH GRANT REVENUE...........................$ 1,295,772 Part XII, Line 2D Other Expenses Included in Audited Financials but not on Form 990 RESEARCH GRANT EXPENDITURES.................$ 1,295,772 GALA AWARDS 473825 328118 145707 299480 SUPER H 5K 45356 26507 18849 8258 0 519181 354625 164556 307738 307738 -143182 true true X true X true X true true true false true true 518952 518952 0.00440 11216757 12378255 -1161498 0.00990 11735709 12378255 -642546 0.00550 832410 294116 538294 0.00460 4128120 390405 3737715 0.03190 1254750 1295773 -41023 0.00030 42393 42393 0.00040 6257673 1980294 4277379 0.03660 17993382 14358549 3634833 0.03110 29317 29317 0.00020 29317 29317 0.00020 true 4725654 20735517 20544782 190735 X true true 1 1 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 X X X X X NATIONAL REHABILITATION HOSPITAL 1 false false true X X X X X X X X X 14 true false false true X WWW.MEDSTARNRH.ORG X true 14 true www.medstarnrh.org false false true X 200. 400. X X X X X true true X X X X true X WWW.MEDSTARNRH.ORG X WWW.MEDSTARNRH.ORG X WWW.MEDSTARNRH.ORG X X X X X true X false true X false false 30 NRH Regional Rehab at Mitchellville 12140 Central Avenue Mitchellville MD 20721 Outpatient Physical Therapy Union Memorial Sport Medicine at Bel Air 658 Boulton Street Bel Air MD 21014 Outpatient Physical Therapy NRH Regional Rehab at Dundalk 1576 Merritt Boulevard Dundalk MD 21222 Outpatient Physical Therapy Curtis National Hand Center at Luther 1400 Front Avenue Lutherville MD 21093 Outpatient Physical Therapy NRH Regional Rehab at Good Samaritan 5601 Lock Raven Blvd Walker Bldg Baltimore MD 21239 Outpatient Physical Therapy Union Memorial Sport Medicine at Luther 1407 York Road Lutherville MD 21093 Outpatient Physical Therapy NRH Regional Rehab at White Marsh - Perr 5009 Honeygo Center Drive Suite 20 Perry Hall MD 21128 Outpatient Physical Therapy NRH Regional Rehab at Pasadena 8109 Ritchie Highway Pasadena MD 21122 Outpatient Physical Therapy NRH Regional Rehab at Wilkens Avenue 3455 Wilkens Avenue Baltimore MD 21229 Outpatient Physical Therapy NRH Regional Rehab at Dorsey Hall 9501 Old Annapolis Road Ellicott City MD 21042 Outpatient Physical Therapy Union Memorial Sport Medicine at Stadium 900 East 33rd Street Baltimore MD 21218 Outpatient Physical Therapy Harborview Sports Medicine & Physician T 2900 South Hanover Street Suite 10 Baltimore MD 21225 Outpatient Physical Therapy NRH Regional Rehab at Oxon Hill 6196 Oxon Hill Road Oxon Hill MD 20745 Outpatient Physical Therapy NRH Regional Rehab at Ballston 3833 N Fairfax Drive Arlington VA 22203 Outpatient Physical Therapy NRH Regional Rehab at K Street 2021 K Street NW Washington DC 20006 Outpatient Physical Therapy NRH Regional Rehab at 19th street 1145 19th Street NW Washington DC 20036 Outpatient Physical Therapy NRH Regional Rehab at Bethesda 6410 Rockledge Drive Bethesda MD 20817 Outpatient Physical Therapy NRH Regional Rehab at Friendship Heights 5530 Wisconsin Avenue Chevy Chase MD 20815 Outpatient Physical Therapy NRH Regional Rehab at Sub Wellness Cntr 20500 Seneca Meadows Parkway Germantown MD 20874 Outpatient Physical Therapy NRH Regional Rehab at Germantown NRH Regional Rehab at Germantown Germantown MD 20874 Outpatient Physical Therapy NRH Regional Rehab at Montrose 6001 Montrose Road Rockville MD 20852 Outpatient Physical Therapy NRH Regional Rehab at Wheaton 2730 University Blvd West Wheaton MD 20902 Outpatient Physical Therapy NRH Regional Rehab at Olney 18109 Prince Philip Drive Olney MD 20832 Outpatient Physical Therapy NRH Regional Rehab at Waldorf 3 Post Office Road Waldorf MD 20602 Outpatient Physical Therapy NRH Regional Rehab at St Mary's 24035 Three Notch Road Hollywood MD 20636 Outpatient Physical Therapy NRH Regional Rehab at Peninsula 1655 Woodbrooke Drive Suite 102 Salisbury MD 21804 Outpatient Physical Therapy NRH Regional Rehab at Dunkirk 10845 Town Center Blvd Suite 100 Dunkirk MD 20754 Outpatient Physical Therapy NRH Regional Rehab at Pr Frederick N 120 Hospital Road Suite 100 Prince Frederick MD 20678 Outpatient Physical Therapy NRH Regional Rehab at Pr Frederick S 220 Solomon Island Road South Prince Frederick MD 20678 Outpatient Physical Therapy NRH Regional Rehab at Solomons 14090 Solomons Island Road South Prince Frederick MD 20678 Outpatient Physical Therapy BAD DEBT PART III, LINE 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. 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 AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION. NAME OF HOSPITAL LEAD: JOAN JOYCE 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: MICHAEL YOCHELSON 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 NAME OF ORGANIZATION HOSPITAL DREEK BERRY COMMUNICATIONS DIRECTOR MedStar National Rehabilitation Network JOAN JOYCE RECREATION SPORTS MANAGER MedStar National Rehabilitation Network Michael VP, Medical Affairs & Chief MedStar National Yochelson medical officer Rehabilitation Network Mary Babcock, Physiatrist, Northern National Spine & DO VIRGINIA Pain Centers CAROL BARLETT MANAGER OF CARE MedStar National COORDINATION Rehabilitation Network DAN Griffin SUPPORTER COMMUNITY ADVOCATE Suzanne Groah DIRECTOR OF SCI RESEARCH MedStar National MD AND CONSULTATIONS, MNRH; Rehabilitation Network ASSOCIATE PROFESSOR OF Georgetown University REHABILITATION MEDICINE ADAM FORMER PATIENT COMMUNITY ADVOCATE HALBERLIN KENT KEYSER FORMER PATIENT COMMUNITY ADVOCATE JOHN ROCKWOOD PRESIDENT MedStar National Rehabilitation Network JENNIFER SECRETARY MedStar National SHEEHY FORMER PATIENT Rehabilitation Network, Board of Associates TIMOTHY FORMER PATIENT COMMUNITY ADVOCATE STRACHAN JACKIE WATSON EXECUTIVE DIRECTOR, DC Board of Medicine DO BOARD MEMBER MedStar National Rehabilitation Network LISA WILLS FORMER PATIENT COMMUNITY ADVOCATE NEEDS ASSESSMENT: PART VI, LINE 2: IN FY15, MEDSTAR NATIONAL REHABILITATION NETWORK CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA WAS LED BY 15 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING COMMUNITY RESIDENTS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, THE ATF DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. 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 RESIDENTS LIVING WITH DISABILITIES IN THE GREATER WASHINGTON AREA AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) - A GEOGRAPHY AREA WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. THE HEALTH PRIORITY IDENTIFIED WAS ACCESS TO PHYSICAL ACTIVITY PROGRAMS. THE HOSPITAL'S FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGY WAS ENDORSED BY MEDSTAR NATIONAL REHABILITATION HOSPITAL'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S OFFICIAL WEBSITE ON JUNE 30, 2015. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR NATIONAL REHABILITATION NETWORK 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 REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED PATIENTS WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH AND ITS HEALTHCARE FACILITIES WILL: * TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, WITH RESPECT AND WITH COMPASSION. * SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS AT OUR FACILITIES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE. * ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSIONS PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR PART OF ALL OF THE CARE THEY RECEIVE. * BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY. IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH'S FACILITIES WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTH'S FACILITIES ASSISTS 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). * ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED PROGRAMS FOR THE UNINSURED (E.G., D.C. HEALTHCARE ALLIANCE). * ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. * PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE GUIDELINES. * PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF FACILITY CHARGES USING A SLIDING SCALE BASED ON PATIENT FAMILY INCOME AND FINANCIAL RESOURCES. * OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES. EACH MEDSTAR HEALTH FACILITY (IN COOPERATION AND CONSULTATION WITH THE FINANCE DIVISION OF MEDSTAR HEALTH) SPECIFIES THE COMMUNITIES IT SERVES BASED ON THE GEOGRAPHIC AREAS IT HAS SERVED HISTORICALLY FOR THE PURPOSE OF IMPLEMENTING THIS POLICY. EACH FACILITY POSTS THE POLICY, INCLUDING A DESCRIPTION OF THE APPLICABLE COMMUNITIES IT SERVES, IN EACH MAJOR PATIENT REGISTRATION AREA AND IN ANY OTHER AREAS REQUIRED BY APPLICABLE REGULATIONS, COMMUNICATES THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND MAKES A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. THE CHARITY CARE, FINANCIAL ASSISTANCE, AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY ARE NOT AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: * COMPLETING FINANCIAL DISCLOSURE FORMS NECESSARY 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 THE FACILITY'S FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. * COMPLETING APPROPRIATE APPLICATIONS FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS. THIS RESPONSIBILITY INCLUDES RESPONDING IN A TIMELY FASHION TO REQUESTS FOR DOCUMENTATION TO SUPPORT ELIGIBILITY. * 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 FACILITY'S FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENT'S CIRCUMSTANCES MAY CHANGE. COMMUNITY INFORMATION PART VI, LINE 4: MEDSTAR NATIONAL REHABILITATION NETWORK IS ESTABLISHED FOR NON-PROFIT, CHARITABLE, HEALTH CARE PROVISION, EDUCATION, TRAINING, AND RESEARCH PURPOSES. AS A NATIONAL SPECIALTY HOSPITAL, ITS GOAL IS TO SERVE THE COMMUNITY AT LARGE BY PROVIDING THE LEADERSHIP AND RESOURCES TO RESTORE AND RETURN PHYSICALLY DISABLED PERSONS TO OPTIMUM LEVELS OF INDEPENDENT LIVING WITHIN AN ACCEPTING AND SUPPORTING COMMUNITY. SERVICES ARE AVAILABLE FOR PERSONS WITH STROKE, TRAUMATIC SPINAL CORD AND BRAIN INJURIES, MUSCULOSKELETAL AND ORTHOPEDIC DISORDERS, AND OTHER NEUROLOGICAL AND ACUTE PHYSICAL-MEDICAL CONDITIONS. EMPHASIS IS PLACED ON PREVENTION AND CORRECTION OF PHYSICALLY DISABLING CONDITIONS AND THE EMOTIONAL IMPACT THEREOF, AS WELL AS ON DEVELOPMENT OF COST EFFECTIVE CARE DELIVERY SYSTEMS. GEOGRAPHIC: THE PRIMARY COMMUNITIES SERVED BY MEDSTAR NATIONAL REHABILITATION NETWORK ARE THE DISTRICT OF COLUMBIA AND PRINCE GEORGE'S COUNTY, MONTGOMERY COUNTY AND BALTIMORE IN MARYLAND. MEDSTAR NATIONAL REHABILITATION NETWORK'S EXTENDED SERVICE AREA INCLUDES CENTRAL AND SOUTHERN MARYLAND, NORTHERN VIRGINIA AND SOUTHERN DELAWARE. MEDSTAR NATIONAL REHABILITATION NETWORK'S CBSA INCLUDES RESIDENTS LIVING WITH DISABILITIES IN THE GREATER WASHINGTON AREA. THIS POPULATION WAS IDENTIFIED BECAUSE OF THE HOSPITALS STRENGTHS AND PRIMARY SERVICE AREA. IN THE DISTRICT OF COLUMBIA, 17 PERCENT OF RESIDENTS REPORTED THAT THEIR ACTIVITIES WERE LIMITED BY THEIR PHYSICAL, MENTAL OR EMOTIONAL HEALTH PROBLEMS. DEMOGRAPHICS: ACCORDING TO THE U.S DEPARTMENT OF HEALTH AND HUMAN SERVICES, PEOPLE WITH DISABILITIES ARE MORE LIKELY TO HAVE CERTAIN CHRONIC DISEASES, SUCH AS OBESITY AND HIGH BLOOD PRESSURE, AND MORE LIKELY TO EXPERIENCE HIGH LEVELS OF PSYCHOLOGICAL DISTRESS AND RECEIVE LESS SOCIAL SUPPORT.5 IN THE DISTRICT OF COLUMBIA 17% OF RESIDENTS REPORTED THAT THEIR ACTIVITIES WERE LIMITED BY THEIR PHYSICAL, MENTAL OR EMOTIONAL HEALTH PROBLEMS. HOWEVER, 9% OF RESIDENTS REPORTED THAT THEY HAVE HEALTH PROBLEMS THAT REQUIRE THEM TO USE SPECIAL EQUIPMENT, SUCH AS A CANE OR WHEELCHAIR, COMPARED TO ONLY 8% NATIONALLY. ADULTS 55 AND OLDER WERE MORE LIKELY THAN YOUNGER ADULTS TO REPORT DISABILITY IN THE DISTRICT OF COLUMBIA. ACROSS GENDER AND RACIAL/ETHNIC GROUPS IN THE CITY, MALES AND BLACKS/AFRICAN AMERICANS WERE MOST LIKELY TO REPORT DISABILITY. A LARGER PORTION OF INDIVIDUALS WITH LESS THAN A HIGH SCHOOL DIPLOMA AND THOSE EARNING LESS THAN $15,000 ANNUALLY REPORTED DISABILITY COMPARED TO THE CITYWIDE AVERAGE.5 RESIDENTS IN WARDS 5 (15.9%), 7 (16.0%) AND 8 (22.3%) ARE THE MOST LIKELY TO USE ASSISTIVE DEVICES. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5: AS A COMMUNITY PARTNER, MEDSTAR NATIONAL REHABILITATION NETWORK ENGAGES IN A NUMBER OF SERVICES AIMED TO PROMOTE THE HEALTH OF PERSONS WITH DISABILITIES. THE HOSPITAL WILL HAVE A SPECIFIC FOCUS ON PROVIDING PHYSICAL ACTIVITIES AND HELP CURB OBESITY FOR INDIVIDUALS WITH DISABILITIES THROUGH HOSTING ADAPTIVE SPORTS PROGRAMS/TEAMS AND WEEKLY FITNESS CLASSES. OTHER ACTIVITIES INCLUDE BUT WILL NOT BE LIMITED TO: * CONDUCTING COMMUNITY OUTREACH, AWARENESS, EDUCATION, SUPPORT, AND PREVENTIVE CARE PROGRAMS RELATED TO PHYSICAL AND MEDICAL REHABILITATION. SOME OF THE PROGRAMS THAT WILL BE OFFERED TO THE COMMUNITY INCLUDE PARTICIPATION IN HEALTH FAIRS, PRESENTATIONS AT LOCAL SCHOOLS, LECTURES TO VARIOUS COMMUNITY, EDUCATIONAL, AND PROFESSIONAL GROUPS, AND COUNSELING AND ADVOCACY TO SUPPORT GROUPS FOR THE DISABLED COMMUNITY. * PROVIDING PRESENTATIONS TO VARIOUS COMMUNITY AND ACADEMIC GROUPS, NON-PROFIT ORGANIZATIONS AND GOVERNMENTAL AGENCIES FOR EDUCATION, AND ORIENTATION ON ASSISTIVE TECHNOLOGY, WORK-SITE ACCOMMODATIONS, AND VOCATIONAL OPPORTUNITIES FOR PERSONS WITH DISABILITIES, AND HOW TO COMPLY WITH PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT. * SUPPORT FOR ADAPTIVE SPORTS, ADAPTIVE FITNESS AND ADAPTIVE RECREATIONAL EVENTS FOR PARTICIPATING INDIVIDUALS WITH DISABILITIES. * HOSTING AND SPONSORING WORKSHOPS, CONFERENCES, AND NETWORKING MEETINGS FOR PERSONS WITH DISABILITIES AND OTHERS INTERESTED IN ASSISTING SUCH PERSONS, INCLUDING THE AMPUTEE COALITION OF DC, NATIONAL SPINAL CORD ASSOCIATION, UNITED SPINAL CHAPTER, NATIONAL STROKE ASSOCIATION, THE SPINAL CORD INJURY NETWORKS OF MARYLAND AND THE DISTRICT OF COLUMBIA, MS WHEELCHAIR MARYLAND, MS WHEELCHAIR DC AND THE PARALYMPIC SPORTS CLUBS OF AMERICA. * PROVIDING SPEAKERS, LECTURERS, AND CONSULTING SERVICES TO NUMEROUS PUBLIC SERVICE TELEVISION PROGRAMS, PROFESSIONAL AND EDUCATIONAL MEETINGS REGARDING PERSONS WITH DISABILITIES, AND PROVIDING FREE PUBLICATIONS ON THE SUBJECT FOR THE BENEFIT OF THOUSANDS OF INDIVIDUALS IN THE COMMUNITY. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6: AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR NATIONAL REHABILITATION NETWORK 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 NATIONAL REHABILITATION HOSPITAL WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DIVISION IDENTIFIES 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 NATIONAL REHABILITATION NETWORK IS ONLY FILED IN THE DISTRICT OF COLUMBIA. X X X X X X false false false false false false false false false KENNETH SAMET Board Member 0 1526829 0 2783911 0 14765 0 43766 0 20658 0 4389929 0 0 John Rockwood President/Board Member 352269 0 324721 0 0 0 17107 0 19521 0 713618 0 0 0 Michael Yochelson MD VP - Medical Affairs 325913 0 214784 0 0 0 7650 0 19326 0 567673 0 0 0 Michael Boemmel Vice President/CFO 208830 0 42464 0 0 0 5710 0 16637 0 273641 0 0 0 Pamela Ashby VP-Human Resources 159913 0 32991 0 0 0 0 0 0 0 192904 0 0 0 John Brickley VP - AMBULATORY SERVICES 245555 0 52808 0 0 0 0 0 5669 0 304032 0 0 0 Ellen Leone VP - CLINICAL SERVICES 217812 0 28212 0 0 0 0 0 3098 0 249122 0 0 0 Alexander Dromerick MD PHYSICIAN 351832 0 51924 0 0 0 0 0 0 0 403756 0 0 0 Robert Bunning MD PHYSICIAN 381560 0 21856 0 0 0 0 0 0 0 403416 0 0 0 Arthur Deluigi MD PHYSICIAN 305717 0 123366 0 0 0 0 0 0 0 429083 0 0 0 John Toerge DO PHYSICIAN 308008 0 22814 0 0 0 0 0 0 0 330822 0 0 0 Edward Eckenhoff Board Member 304228 0 25000 0 0 0 44509 0 5530 0 379267 0 0 0 Edward Healton Board Member 0 415821 0 0 0 75 0 17372 0 1155 0 434423 0 0 Howard Gilmer MD Physician 265653 0 65657 0 0 0 0 0 0 0 331310 0 0 0 SCHEDULE J, PART I, LINE 4B MR. SAMET'S BONUS AND INCENTIVE COMPENSATION IN PART II, COLUMN (B) (II) INCLUDES $620,610, REPRESENTING BENEFITS RECEIVED FROM EXECUTIVE RETIREMENT PLANS THAT ARE COMPRISED OF TARGET BENEFITS DETERMINED ANNUALLY BASED ON COMPENSATION AND YEARS OF SERVICE. MORRISON HEALTHCARE FOOD SERVICES See Part V 2131518 FOOD SERVICES false BUSINESS TRANSACTION INVOLVING INTERESTED PERSON SCHEDULE L, PART IV MORRISON HEALTHCARE FOOD SERVICES IS A SUBSTANTIAL CONTRIBUTOR THAT ALSO PROVIDED FOOD SERVICES TO THE HOSPITAL. PER THE CONFLICT OF INTEREST POLICY, ALL TRANSACTIONS BETWEEN THE HOSPITAL AND OUTSIDE VENDORS SHOULD BE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 15246 FMV X MISCELLANEOUS 0 124430 FMW false true true Third Parties used to solicit and sell non-cash contributions Schedule M, Part I, Line 32a JULIE VAN ZETTA (VAN ZETTA ASSOCIATES) Mrs. Van Zetta was engaged to help organize The Gala as well as to solicit, acquire, organize and account for in-kind donations including prizes and auction items. FAMILY/BUSINESS RELATIONSHIPS PART VI, LINE 2 ROBERT OURISMAN AND DANIEL KORENGOLD HAVE A FAMILY RELATIONSHIP AND ARE BUSINESS PARTNERS IN AN UNRELATED CORPORATION. THE UNRELATED CORPORATION DOES NOT TRANSACT ANY BUSINESS WITH NATIONAL REHABILITATION HOSPITAL. 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, LINES 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. 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. PROCESS FOR REVIEWING FORM 990 Part VI, Line 11B 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 ENFORCEMENT 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 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 STATEMENTS AND REPORTING 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 2 NATIONAL REHABILITATION HOSPITAL IS PART OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD OTHER CHANGES TO NET ASSETS FORM 990, PART XI, LINE 9 TRANSFER TO PARENT..............................$ (1,617,060) CHURCH HOME CORPORATION 5565 STERRETT PLACE 5TH FLOOR 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 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(c)(3) 11C III NA false MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 520646893 HOSPITAL MD 501(c)(3) 3 NA true THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(c)(3) 3 NA true THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(c)(3) 3 NA true MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 20010 526056274 HOSPITAL DC 501(c)(3) 4 NA true THE MEDSTAR-GEORGETOWN MEDICAL CENTER I HOPSITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 522218584 HOSPITAL DC 501(c)(3) 3 NA true WASHINGTON HOSPITAL CENTER CORPORATION 110 IRVING STREET NW WASHINGTON DC 20010 521272129 HOSPITAL DC 501(c)(3) 3 NA true HH MEDSTAR HEALTH INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 521542230 MEDICAL SVCS MD 501(c)(3) 11C III NA true MEDSTAR AMBULATORY SERVICES INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 521132992 ADMIN SVCS MD 501(c)(3) 11B II NA true BAY LIFE SERVICES INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 521496539 MENTAL HEALTH MD 501(c)(3) 9 NA true MEDSTAR SURGERY CENTER INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521061679 MEDICAL SVCS MD 501(c)(3) 9 NA true CHURCH HOME AND HOSPITAL OF THE CITY OF 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 520591600 MEDICAL FUND MD 501(c)(3) 11B II NA true FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 522329546 FOUNDATION MD 501(c)(3) 7 NA true GOOD SAMARITAN HOSPITAL FOUNDATION INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 522307122 FOUNDATION MD 501(c)(3) 11A I NA true GOOD SAMARITAN NURSING CENTER INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521672866 MEDICAL SVCS MD 501(c)(3) 9 NA true GS HOUSING INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521481656 ELDER HOUSING MD 501(c)(3) 9 NA true GS PROPERTIES INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521429853 ADMIN SVCS MD 501(c)(3) 11A I NA true HARBOR HOSPITAL FOUNDATION INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 521284532 FOUNDATION MD 501(c)(3) 11A I NA true MEDSTAR HEALTH INFUSION INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521980510 MEDICAL SVCS MD 501(c)(3) 9 NA true MEDSTAR HEALTH VISITING NURSES ASSOCIATI 4061 POWDERMILL ROAD CALVERTON MD 20705 530196597 MEDICAL SVCS MD 501(c)(3) 9 NA true MEDSTAR VNA HEALTHCARE 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521458516 MEDICAL SVCS MD 501(c)(3) 9 NA true MGH COMMUNITY HEALTH INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521372467 MEDICAL SVCS MD 501(c)(3) 9 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) 11B II NA true MGH WOMEN'S BOARD 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 526039600 FOUNDATION MD 501(c)(3) 11B II NA true 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) 11D III NF NA true VNA INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521332411 ADMIN SVCS MD 501(c)(3) 11B II NA true WHC FOUNDATION INC 110 IRVING STREET NW WASHINGTON DC 20010 521791670 FOUNDATION DC 501(c)(3) 7 NA true WOODBOURNE WOODS INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 522299070 ELDER HOUSING MD 501(c)(3) 9 NA true HOSPICE OF ST MARY'S INC PO BOX 527 LEONARDTOWN MD 20650 522153926 SUPPORT ORG MD 501(c)(3) 11A I NA true ST MARY'S HOSPITAL OF ST MARY'S COUNTY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 520619006 HOSPITAL MD 501(c)(3) 3 NA true ST MARY'S HOSPITAL FOUNDATION INC PO BOX 527 LEONARDTOWN MD 20650 521051368 SUPPORT ORG MD 501(c)(3) 11A I NA true MEDSTAR SOUTHERN MD HOSPITAL CENTER INC 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) 3 NA true MEDSTAR HEALTH INC AND AFFILIATES MASTER 5565 STERRETT PLACE COLUMBIA MD 21044 467454613 RET. 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