2012-05-10T11:48:16-05:00 2011-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235102674 990 2010-07-01 521369749 National Rehabilitation Hospital NATI 2028771150 102 Irving Street NW Washington DC 20010 Marc R Berger 4107726719 2012-05-07 true 7576167000 2010 2016-02-24 21:20:13Z MedStar National Rehabilitation Netw JOHN ROCKWOOD 102 IRVING STREET NW WASHINGTON DC 20010 99084780 false X www.nrhrehab.org X 1983 DC SERVE THE COMMUNITY AS A REGIONAL AND NATIONAL LEADER IN REHABILITATION SERVICES THROUGH QUALITY PATIENT CARE, REHABILITATION RESEARCH, EDUCATION AND TRAINING, ASSISTANCE TECHNOLOGY, AND ADVOCACY. 32 25 1319 27 0 0 1034426 3940980 86097398 92159594 2543623 1071867 97147 1775319 89772594 98947760 0 0 0 0 56673599 57151788 0 0 286456 30911615 35816976 87585214 92968764 2187380 5978996 76529872 74943487 12454168 12345077 64075704 62598410 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR NATIONAL REHABILITATION NETWORK'S 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 NATIONAL REHABILITATION NETWORK (MNRN) IS LOCATED DIRECTLY ADJACENT TO MEDSTAR HEALTH'S WASHINGTON HOSPITAL CENTER, IN NORTHWEST WASHINGTON, D.C. IN PARTNERSHIP WITH CHILDREN'S NATIONAL MEDICAL CENTER, MNRN ALSO OFFERS SPECIALIZED PEDIATRIC CARE. IN FISCAL YEAR 2011, MNRN HAD 2,184 INPATIENT ADMISSIONS, AND 215,694 OUTPATIENT VISITS. false false 62920354 0 91787743 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, MNRN INCURRED $21.8M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MNRN IS A COMPREHENSIVE MEDICAL REHABILITATION HOSPITAL WITH CENTERS OF EXCELLENCE IN BRAIN INJURY AND DISEASE, SPINAL CORD INJURY AND DISEASE, STROKE RECOVERY, CARDIAC REHABILITATION, ORTHOPEDICS AND PEDIATRIC REHABILITATION. FOR MORE INFORMATION, SEE SCHEDULE O. 4452650 0 371851 MEDSTAR NATIONAL REHABILITATION NETWORK PROVIDED $4.5M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2011. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 3461603 3368620 0 MEDSTAR NATIONAL REHABILITATION NETWORK SPENT $3.5M ON RESEARCH ACTIVITIES IN FISCAL YEAR 2011. CLINICAL AND COMMUNITY RESEARCH ACTIVITIES ARE BASED OUT OF FOUR SCIENTIFIC CENTERS: APPLIED BIOMECHANICS AND REHABILITATION, POST ACUTE INNOVATION, NEUROSCIENCE AND ASSISTIVE TECHNOLOGY. 70834607 true true false true false false false false true true false false true true true false true false false false false false false true false true true false false true false false false false false false false false true false false false false true true true false false true 144 0 true 1319 true false false false false false true true false false false false X 32 25 true false false false true true true true true false false true true true true true true true true true true X NATIONAL REHAB HOSPITAL 2028771150 102 IRVING STREET WASHINGTON DC 20010 X SAMUEL J BERGMAN 1.0 X 0 0 0 JOHN R CLARK III 1.0 X 0 0 0 DANIEL L COHEN 1.0 X 0 0 0 THOMAS J COLLAMORE 1.0 X 0 0 0 RAFAEL J CONVIT MD 1.0 X 0 0 0 CAROL T CRAWFORD 1.0 X 0 0 0 JAMES J CROMWELL 1.0 X 0 0 0 M JOY DRASS MD 1.0 X 0 1247987 35303 JEREMY H FITZGERALD 1.0 X 0 0 0 ELLIOTT S HALL 1.0 X 0 0 0 WEBB C HAYES IV 1.0 X 0 0 0 ELIZABETH ANN HORTON 1.0 X 0 0 0 E CLAIBORNE IRBY MD 1.0 X 0 0 0 JOEL JANKOWSKY 1.0 X 0 0 0 JAMES JELINEK MD 1.0 X 0 0 0 TREAZURE R JOHNSON 1.0 X 0 0 0 DANIEL L KORENGOLD 1.0 X 0 0 0 WILLIAM M LANE 1.0 X 0 0 0 THENE MARTIN MERNICK 1.0 X 0 0 0 ROBERT B OURISMAN 1.0 X 0 0 0 NANCY L PIERCE 1.0 X 0 0 0 JAMES V REYES 1.0 X 0 0 0 KENNETH A SAMET 1.0 X 0 3125094 132265 CANDACE C SOMERVILLE 1.0 X 0 0 0 JAMES M UNDERHILL 1.0 X 0 0 0 CHARLES E WAGNER 1.0 X 0 0 0 JACQUELINE A WATSON 1.0 X 0 0 0 EDWARD B HEALTON 40.0 X X 485663 0 13907 DENNIS J WERNER 40.0 X X 272478 0 33285 JOHN D ROCKWOOD 40.0 X X 378131 0 23177 MICHAEL YOCHELSON 40.0 X X 296136 0 21293 JOHN BRICKLEY 40.0 X 260406 0 22897 ROSEMARY C WELCH 40.0 X 175813 0 18688 PAUL RAO 40.0 X 200047 0 23632 Robert Bunning 40.0 X 387341 0 29396 JOHN TOERGE 40.0 X 327255 0 38805 alexander dromerick 40.0 X 304738 0 23723 BRENDA CONROY 40.0 X 289280 0 25569 EDWARD A ECKENHOFF 40.0 X 485521 0 40426 3862809 4373081 482366 13 true true false MED3000 PO BOX 1236 BUTLER PA 160031236 OUTPATIENT BILLINGS 2997608 MORRISONS MANAGEMENT 3761 COMMERCE DRIVE SUITE 401 BALTIMORE MD 21227 DIETARY SERVICES 2123884 BUCH CONSTRUCTION INC 10945 JOHNS HOPKINS ROADS LAUREL MD 20723 CONSTRUCTION SERVICE 2058028 SLEEP SERVICES OF AMERICA INC-MAS PO BOX 198320 ATLANTA GA 30384 MEDICAL SERVICES 1149241 CROTHALL 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MANAGEMENT SERVICES 399636 6 25433 10000 3368620 536927 167013 3940980 PATIENT SERVICES 621400 92159594 92159594 92159594 603889 603889 0 0 467978 467978 467978 467978 248857 25433 137020 111837 111837 0 0 EQUITY INTEREST IN AFFILIATES 900099 1434479 1434479 MISCELLANEOUS 900099 229003 229003 1663482 98947760 92159594 0 2847186 0 0 0 0 1090438 0 1090438 0 0 46270035 40466772 5618556 184707 1943967 1943967 0 3847863 3847863 0 3999485 3395957 588405 15123 0 60132 0 60132 0 0 0 0 0 103914 80290 23624 0 439503 6190 430313 3000 7056963 5007812 2010986 38165 144106 20103 124003 0 0 2417687 1108072 1309615 0 77755 75518 2217 20 0 312391 203393 107997 1001 2218628 2218628 0 0 3962076 716862 3202158 43056 1414086 1414086 0 PERSONNEL SERVICES PURCHASED 6212388 2967057 3244402 929 SHARED & POOLED SERVICES 3417865 3417865 EXPENSES RELATED TO GRANTS 3368620 3368620 BAD DEBT EXPENSE 2087278 2087278 BILLING/COLLECTIONS 1906139 1906139 617445 616990 455 92968764 70834607 21847701 286456 1906167 848059 671693 504498 16004707 17125993 817884 657295 209130 331943 78497911 58680198 20631027 19817713 23889879 25758012 12399385 9899974 76529872 74943487 7405440 9929055 1890717 832609 3158011 1583413 12454168 12345077 X 60886848 60549744 1968592 828402 1220264 1220264 64075704 62598410 76529872 74943487 X 5978996 -7456290 X X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 120000 120000 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 LINE ITEM APPROPRIATION FUNDING FROM A PROGRAM FUNDED BY THE DEPARTMENT OF DEFENSE IN ORDER TO ASSIST THE ORGANIZATION WITH ITS ASSISTIVE TECHNOLOGY RESEARCH CENTER. 1449863 -7475 2940 1439448 1398174 -51689 1449863 1381979 10261 -5934 1398174 55543862 41604260 13939602 22796501 17075938 5720563 157548 157548 19817713 INVESTMENT IN SUBURBAN/NRH 1530230 ADVANCE DEPOSITS 359183 INVESTMENT IN NRH-AMBULATORY 37178 OTHER RECEIVABLES 7973383 9899974 0 SELF INSURANCE LIABILITY 1079277 DUE TO MEDSTAR HEALTH - PENSION 504136 1583413 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 TH 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, 2011. GALA 193093 17622 175471 73882 LAS VEGAS NIGHT 60073 1515 58558 54038 1 21124 6296 14828 9100 274290 25433 248857 137020 137020 111837 true true X true X true X true true true false true true 928547 0 928547 0.01020 11892777 13709925 -1817148 0.02000 0 0 0 0.00000 12821324 13709925 -888601 0.00980 231204 8000 223204 0.00250 4452650 371851 4080799 0.04490 0 0 0 0.00000 3461603 3368620 92983 0.00100 62615 0 62615 0.00070 8208072 3748471 4459601 0.04910 21029396 17458396 3571000 0.03930 36520 0 36520 0.00040 36520 0 36520 0.00040 true 1139654 0 18813501 16428053 2385448 X true true 1 1 NATIONAL REHABILITATION HOSPITAL

102 IRVING STREET NW WASHINGTON DC 20010

X X X X X NATIONAL REHABILITATION HOSPITAL 1 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 PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE OF $2,087,278 HAS BEEN REMOVED FROM TOTAL EXPENSE TO CALCUATE THE PERCENTAGES IN COLUMN (F). BAD DEBT PART III, LINE 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND HFMA 15. AMOUNTS THAT ARE NOT EXPECTED TO BE COLLECTED, FOR PATIENTS QUALIFYING UNDER MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY, ARE WRITTEN OFF TO CHARITY CARE AND REPORTED AS A REDUCTION TO REVENUE. BAD DEBT EXPENSE RESULTS FROM MANAGEMENT'S INABILITY TO COLLECT REVENUES THAT MEET THE GAAP CRITERIA FOR REVENUE RECOGNITION. BAD DEBT REPRESENTS AN OPERATING EXPENSE AND IS REFLECTED AS A SEPARATE LINE ITEM ON THE ORGANIZATION'S STATEMENT OF OPERATIONS. 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 THE AMOUNT REPORTED ON PART III, LINE 6 WAS DETERMINED USING THE COST DATA FROM THE FY 2010 MEDICARE COST REPORT. DEBT COLLECTION POLICY PART III, LINE 9 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 OUR COMMUNITY BENEFIT SPENDING CONTINUES TO BE DRIVEN BY NEEDS BROUGHT TO THE SENIOR LEADERSHIP TEAM WHICH FIT INTO ONE OF OUR CORE MISSIONS: PATIENT CARE, REHABILITATION RESEARCH, EDUCATION AND TRAINING, ADVOCACY AND ASSISTIVE TECHNOLOGY. THE DECISION TO EXTEND OUR RESOURCES TO HELP A PARTICULAR PART OF THE COMMUNITY IS HELD BY OUR SENIOR LEADERSHIP TEAM IN CONJUNCTION WITH COMMITTEES WITHIN THE ORGANIZATION AND AS DIRECTED BY OUR BOARD OR LEADERSHIP FROM MEDSTAR HEALTH. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR NATIONAL REHABILITATION NETWORK (MNRN) ALSO PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL NINE 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 OR 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 WILL 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 WILL ASSIST 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) WILL SPECIFY THE COMMUNITIES IT SERVES BASED ON THE GEOGRAPHIC AREAS IT HAS SERVED HISTORICALLY FOR THE PURPOSE OF IMPLEMENTING THIS POLICY. EACH FACILITY WILL POST 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, WILL COMMUNICATE THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND WILL MAKE 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 WILL NOT BE 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 (MNRN) 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 WITHIN THE NATION'S CAPITAL 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 MNRN ARE THE DISTRICT OF COLUMBIA, PRINCE GEORGE'S COUNTY, MARYLAND, AND PARTS OF MONTGOMERY COUNTY AND BALTIMORE, MARYLAND. MNRN'S EXTENDED SERVICE AREA INCLUDES UPPER MONTGOMERY COUNTY AND HOWARD COUNTY IN MARYLAND, AND CHARLES COUNTY AND SURROUNDING AREAS IN SOUTHERN MARYLAND. DEMOGRAPHIC: AS A SPECIALTY HOSPITAL, MNRN SERVES A LARGE, DIVERSE POPULATION OF APPROXIMATELY 3.9 MILLION PEOPLE, 44.8% OF WHOM ARE WHITE, 41.5% AFRICAN AMERICAN, 6.0% ASIAN, 4.2% OTHER, 0.3% AMERICAN INDIAN/ALASKA NATIVE, AND 0.1% NATIVE HAWAIIAN/PACIFIC ISLANDER. THE AVERAGE HOUSEHOLD INCOME ACROSS THE REGION NRH SERVES IS $66,974. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), APPROXIMATELY 19.6% OF ADULTS IN DC ARE LIVING WITH A DISABILITY. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (ACS), APPROXIMATELY 8.6%, 6.8%, AND 10.0% OF ADULTS AGES 16-64 IN PRINCE GEORGE'S COUNTY, MONTGOMERY COUNTY, BALTIMORE COUNTY, MD, RESPECTIVELY, LIVE WITH A DISABILITY. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 DURING FY2011 MNRN ENGAGED IN THE FOLLOWING ACTIVITIES IN FURTHERANCE OF ITS CHARITABLE PURPOSES AND IN STEP WITH THE NEEDS IDENTIFIED BY THE HOSPITAL AS MAJOR NEEDS WITHIN THE COMMUNITY. THESE ACTIVITIES INCLUDED, BUT WERE NOT LIMITED TO: o CONDUCTING COMMUNITY OUTREACH, AWARENESS, EDUCATION, SUPPORT, AND PREVENTIVE CARE PROGRAMS RELATED TO PHYSICAL AND MEDICAL REHABILITATION. SOME OF THE PROGRAMS OFFERED TO THE COMMUNITY INCLUDED 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. o 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. o SUPPORT FOR VARIOUS SPORTS AND RECREATIONAL EVENTS FOR PARTICIPATING ATHLETES WITH DISABILITIES. o HOSTING AND SPONSORING WORKSHOPS, CONFERENCES, AND NETWORKING MEETINGS FOR PERSONS WITH DISABILITIES AND OTHERS INTERESTED IN ASSISTING SUCH PERSONS, INCLUDING THE NATIONAL HEAD INJURY FOUNDATION, WASHINGTON AMPUTEE SOCIETY, NATIONAL STROKE ASSOCIATION, NATIONAL ARTHRITIS FOUNDATION, AND THE SPINAL CORD INJURY NETWORK. o 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 MNRN 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 true false false false false false false false M JOY DRASS MD 0 681636 0 566351 0 0 0 16263 0 19040 0 1283290 0 0 KENNETH A SAMET 0 1180163 0 1354791 0 590140 0 112797 0 19468 0 3257359 0 0 EDWARD A ECKENHOFF 244516 0 116206 0 124799 0 30324 0 10102 0 525947 0 0 0 EDWARD B HEALTON 418153 0 67510 0 0 0 7999 0 5908 0 499570 0 0 0 DENNIS J WERNER 219919 0 52559 0 0 0 23366 0 9919 0 305763 0 0 0 JOHN D ROCKWOOD 277997 0 100134 0 0 0 7781 0 15396 0 401308 0 0 0 JOHN BRICKLEY 207153 0 53253 0 0 0 11936 0 10961 0 283303 0 0 0 ROSEMARY C WELCH 168313 0 7500 0 0 0 12625 0 6063 0 194501 0 0 0 PAUL RAO 190047 0 10000 0 0 0 14859 0 8773 0 223679 0 0 0 Robert Bunning 374032 0 13309 0 0 0 27241 0 2155 0 416737 0 0 0 JOHN TOERGE 311102 0 16153 0 0 0 29367 0 9438 0 366060 0 0 0 alexander dromerick 296856 0 7882 0 0 0 12250 0 11473 0 328461 0 0 0 BRENDA CONROY 248358 0 40922 0 0 0 14361 0 11208 0 314849 0 0 0 MICHAEL YOCHELSON 287979 0 8157 0 0 0 12039 0 9254 0 317429 0 0 0 OTHER REPORTABLE COMPENSATION SCHEDULE J, PART I, LINE 4B KENNETH SAMET KENNETH SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $568,506 REPRESENTING MR. SAMET'S ACCRUED BENEFIT IN A SUPPLEMENTAL RETIREMENT PLAN, WHICH WAS EARNED DURING THE PAST 22 YEARS OF SERVICE. THIS AMOUNT WAS NOT ACTUALLY PAID TO MR. SAMET, BUT WAS REPORTED AS COMPENSATION UNDER FICA TAX-REPORTING RULES. EDWARD ECKENHOFF EDWARD ECKENHOFF'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $124,799 RELATING TO INCOME REALIZED IN THE CURRENT YEAR ON THE APPRECIATION OF CERTAIN INVESTMENTS THAT WERE GRANTED TO MR. ECKENHOFF IN PRIOR YEARS AND WHICH RELATED TO SERVICES PERFORMED IN PRIOR YEARS. X 1 32284 FMV X AUCTION ITEMS 1 134729 FMV 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 Las Vegas Nights as well as to solicit, acquire, organize and account for in-kind donations including prizes and auction items related to the 2011 Las Vegas Night event. EXEMPT PURPOSE ACHIEVEMENTS PART III, LINE 4A MNRN OWNS, OPERATES, OR PARTICIPATES AS A JOINT VENTURE PARTNER IN 36 OUTPATIENT REHABILITATION CENTERS THROUGHOUT WASHINGTON, MARYLAND AND VIRGINIA. THESE CENTERS OFFER GENERAL REHABILITATIVE CARE AS WELL AS DISTINCT PROGRAMS SUCH AS HAND THERAPY, OCCUPATIONAL REHABILITATION AND SPORTS MEDICINE. US NEWS AND WORLD REPORT RECOGNIZED MNRN AS ONE OF THE NATION'S TOP 50 HOSPITALS IN REHABILITATION. FAMILY/BUSINESS RELATIONSHIPS PART VI, LINE 3 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, 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 INFORCEMENT 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) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. 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 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 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 5 TRANSFER OF NRH AMBULATORY TO AFFILIATES........$ (1,515,497) TRANSFER TO PARENT..............................$ (8,085,286) UNREALIZED GAIN ON INVESTMENT...................$ 2,272,390 INCOME TAX PROVISION............................$ (127,897) ============= TOTAL: $ (7,456,290) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:M JOY DRASS MD TITLE:BOARD MEMBER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KENNETH A SAMET TITLE:BOARD MEMBER HOURS:40 Church Home Corporation 5565 Sterrett Place 5th Floor Columbia MD 21044 237374724 Medical Fund MD 501(c)(3) PF NA Franklin Square Hospital Center Inc 9000 Franklin Square Drive Baltimore MD 21237 520608007 Hospital MD 501(c)(3) 3 NA Harbor Hospital Inc 3001 South Hanover Street Baltimore MD 21225 520491660 Hospital MD 501(c)(3) 3 NA Medstar Health Inc 5565 Sterrett Place 5th Floor Columbia MD 21044 522087445 Medical Svcs MD 501(c)(3) 11b II NA 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