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FORT WASHINGTON MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FORT WASHINGTON MEDICAL CENTER INC (EIN 52-1682858)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349303663
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T09:45:26-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHEN RUTHERFORD KNIGHT PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16903 ROCKLEDGE DRIVE SUITE 500AddressLine1
CityBETHESDACity
StateMDState
ZIP Code208171800ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521682858EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Fort Washington Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFORTNameControl
Phone3012927000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111711 Livingston RdAddressLine1
CityFort WashingtonCity
StateMDState
ZIP Code20744ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH B TUCKERName
TitleSR VP/CFOTitle
Phone3016869010Phone
Date Signed2011-11-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3018281008Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVERNA MEACHAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16196 Oxon Hill RdAddressLine1
CityOxon HillCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41357073GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.fortwashingtonmc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTo make a positive difference in the lives of those we serve by providing quality, responsive health care services and treating each patient with dignity, care and compassion.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees453TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year50605ContributionsGrantsPriorYear
Contributions Grants Current Year41631ContributionsGrantsCurrentYear
Program Service Revenue Prior Year43959094ProgramServiceRevenuePriorYear
Program Service Revenue CY40838196ProgramServiceRevenueCY
Investment Income Prior Year5716InvestmentIncomePriorYear
Investment Income Current Year5495InvestmentIncomeCurrentYear
Other Revenue Prior Year410460OtherRevenuePriorYear
Other Revenue Current Year451226OtherRevenueCurrentYear
Total Revenue Prior Year44425875TotalRevenuePriorYear
Total Revenue Current Year41336548TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21701797SalariesEtcPriorYear
Salaries Etc Current Year21344913SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year72320TotalFundrsngExpCurrentYear
Other Expense Prior Year21313571OtherExpensePriorYear
Other Expenses Current Year19589557OtherExpensesCurrentYear
Total Expenses Prior Year43015368TotalExpensesPriorYear
Total Expenses Current Year40934470TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1410507RevenuesLessExpensesPriorYear
Revenues Less Expenses CY402078RevenuesLessExpensesCY
Total Assets BOY19057763TotalAssetsBOY
Total Assets EOY19054558TotalAssetsEOY
Total Liabilities BOY18516169TotalLiabilitiesBOY
Total Liabilities EOY18110886TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY541594NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY943672NetAssetsOrFundBalancesEOY
Mission DescriptionTO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF THOSE WE SERVE BY PROVIDING QUALITY, RESPONSIVE HEALTH CARE SERVICES AND TREATING EACH PATIENT WITH DIGNITY, CARE AND COMPASSION. TO BE THE HEALTH CARE SYSTEM OF CHOICE IN OUR COMMUNITY BY EXERCISING OUR CORE VALUES OF SAFETY, COMPASSION, CARING, TEAMWORK, DIGNITY, DIVERSITY, AND EXCELLENCE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense31193047Expense
Revenue41339947Revenue
DescriptionDuring reporting year 2009-2010, Fort Washington Medical Center (FWMC) provided benefits to the community that included charity care, teaching-preceptor opportunities, health screenings, community health education, community sponsorship opportunities, and community engagement activities. The benefits were in four areas: (a) increased participation in nursing and allied health preceptor ship programs; (b) charity care reporting (c) increased health screenings in partnership with community organizations and (d) increased community awareness. Fort Washington Medical Center (FWMC) is currently licensed for 42 beds. The hospital utilizes 33 acute-care beds; with four beds designated for intensive care use. During this reporting year, Fort Washington Medical Center saw close to 46,000 patients in its Emergency Room; admitted 3,119 as inpatients, and because of a lack of beds, transferred out approximately 2,700 patients to other hospitals during this period. Many of the transfers were by ambulance that was subsidized by the Hospital. Fort Washington Medical Center serves primarily the areas of Fort Washington, Maryland, where it is directly located; and the cities of Oxon Hill and Temple Hills, Maryland. These three areas constitute almost 70% of the entire patient base for the hospital. All three cities are suburban in nature and are within a short distance of the Washington, D.C./Maryland line and are based in Prince George's County. Many residents cross into the District on a daily basis en route to work at District and Federal government sites, and to private sector locations. Of the three cities, Fort Washington is furthest south and is 14 square miles. It has a population of almost 24,000 people and has approximately 8,000 households. The racial make-up is 67% African-American; 18% White; 10% Asian (mostly Filipino) and the remainder other races, including Native-American Indian, Pacific Islander, Hispanic and Latino. According to the 2000 Census, the median age is 39 years; the median household income is $81,000; and the median household income for a family is $88,000. About 2.8% of families and 3.7% of the population are below the poverty line, including 5% of those under 18 and 4.5% of those 65 or over. Oxon Hill is 9 square miles. It surrounds parts of Fort Washington, and extends along the 210 North corridors and along Southern Avenue which separates it from Washington, D.C. Its population is 35,000; with 13,700 households and 9,069 families. The racial make-up is 86.68% African -American; 7.64% White; 2.78% Asian; and the remainder consisting of Native American, Pacific Islander, Hispanic/Latino and other. The median income per household is $46,500; and the median income per family is $52,227. About 6.7% of families and 8.8% of the population are below the poverty line including 12.3% of those under age 18 and 8.2% of that age that are 65 and over. Temple Hills is 1.4 square miles, and is west of Oxon Hill and southeast of Washington, DC. It has a population of almost 8,000 people; 3,156 households and 1,937 families. African-Americans comprise 85% of the population; 9.32% are White; and the remainder consist of Native American, Asian, Latino/Hispanic, Pacific Islander and other. The median income per household is $44,868, and the median income for a family is $49,318. Almost 10% of families and 10.4% of the population are below the poverty line including 16.4 of those under age 18 and 2.9% of those 65 or over. FWMC gauges community need from a variety of sources that include studies, reports, face to face meetings, community engagement activities and dialogue with FWMC clinicians. The Prince George's County Council, which also serves as the County's Health Board, contracted with the RAND research organization in 2008 to conduct a landmark study. Called "Assessing Health and Health Care in Prince George's County," the purpose of the study was to ascertain the changing health care needs of County residents and to better understand if in fact those needs were being met through the health care system. In April of 2010, the Council formally adopted the study during the 2010 legislative session by establishing Resolution CR-12-2010, for the purpose of creating a blueprint for the future to help address the health disparities in Prince George's County. Following are the salient highlights of the study: " Prince George's County has a disproportionate presence of chronic disease, i.e. diabetes, heart disease, asthma, and obesity, than any other jurisdiction in the state of Maryland; and that these conditions outpace neighboring jurisdictions (District of Columbia and Virginia). " Primary care physicians are in short supply in Prince George's County compared with neighboring jurisdictions. " Demographically Prince George's is comprised of 7 geographic areas (100,000 people) defined by the U.S. Census Bureau as non-overlapping Public Use Microdata Areas or PUMAs. Four of the 7 areas, are located inside of the Capitol Beltway, and reflect cities that are lower income, losing population, majority African-American, and a growing Hispanic population. All four are considered lower income. *Note: 2 of FWMC's 3 primary service areas (Oxon Hill and Temple Hills), are within these 4 PUMAS. " There is limited access to quality health care services in Prince George's County. " Although hospital capacity is in compliance with population numbers, there is a low supply per capita of medical/surgical, pediatric, psychiatric and obstetric beds. " Prince George's lacks a primary care safety net. Against the backdrop of the RAND study, data taken from the Maryland Vital Statistics Annual Report 2009, confirmed that Prince George's County ranked significantly higher than the Maryland average for deaths due to heart disease. The Report indicates that the leading causes of death in rank order for the state of Maryland were (1) diseases of the heart (25%); cancer (24%); cerebrovascular diseases; followed by chronic lower respiratory diseases; and accidents. While deaths from diabetes have been falling, particularly for African-Americans, it was the sixth leading cause of death in 2009, 20.7 per 100,000. In previous data taken from PGHD's Core Public Health Funding Plan (FY 2006), it was revealed that Maryland ranked fourth highest in the nation for diabetes prevalence. A review of the top 10 DRGs at Fort Washington Medical Center revealed that five of those conditions can be significantly impacted by lifestyle. Lifestyle is considered those factors that can positively impact health including (a) diet and nutrition (b) stress management (c) behavior modification (d) education and (e.) exercise. Listed below are 5 of the top 10 conditions presented at FWMC during this period. a. Chest Pain b. Malignant Hypertension c. Hypertension {Unspecified} d. Issues related to congestive heart failure e. Issues related to diabetes* Each year FWMC meets with stakeholder groups to ascertain community need. In fall of 2009, Fort Washington held it's first publicly held annual meeting for the purpose of dialoguing with community members, many of whom were themselves community health advocates. Members of the FWMC Board of Trustees served as the facilitators during the roundtable discussions. As a result of that meeting, a follow-up meeting was held with community leaders to further discuss health care and service delivery issues. From those discussions, the following were observed: " There is a need for additional specialists, i.e. pediatricians obstetricians and cardiologists " There is a need for additional services, i.e. dialysis and outpatient-rehabilitation " Increased health screenings, i.e. prostate, blood pressure " More health education is needed, i.e. HIV, heart health " Support mechanisms for caregivers " Opportunities to partner around health fairs and screenings " Parent training " Opportunities to work with churches " FWMC needs to be expanded into a larger facility " Increased awareness of FWMC's services The major needs that were identified from the studies and meetings, and actualized through this reporting period were as follows: " ongoing health education, i.e. heart health, diabetes management, respiratory care and lifestyle management, i.e., nutrition, stress management, exercise and obesity management " ongoing health screenings, i.e. blood pressure, diabetes, " ongoing community engagement and collaboration opportunities to discuss health matters with community members around health issues. An internal committee which consists of representatives from the FWMC Emergency Room, the Education/Performance Improvement Department, Patient Care Services and Corporate Development discuss the best ways of addressing health conditions impacting the community as seen by the Hospital. The Committee provides guidance on outreach efforts that the Hospital undertakes to support the community benefit program. During this reporting period, a Community Advisory GroupDescription
Total Program Service Expense31193047TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees453NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHERESA PITTMANNamePerson
Telephone Number3016861523TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16196 OXON HILL RDAddressLine1
CityOxon HillCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Samir Azer
Director1.0X000
ELIAS DEBBAS
Director1.0X000
Monica Holman Evans
Director1.0X000
Althea Hayward
Director1.0X000
Yvonne Magee
Director1.0X000
John Petty
executive secretary1.0X000X
Nancy Lee
Director1.0X000
Sue Ward
Director0.0X000
Kimberly Robertson
Treasurer1.0X000X
Manervia Riddick
chair - elect1.0X000X
Virgil McDonald
Immediate Past Chair1.0X000
Beverly Anderson
Chair1.0X000X
Verna Meacham
President & CEO40.0X218916016888X
CHARLES E DAY
Director1.0X000
Joseph Tucker
SR VP/CFO40.017445207005X
Socorro Obedoza
OR CLINICAL COORDINATOR40.015748905936X
Beverly Arciaga
Clinical Nurse II40.013183405653X
HOWARD ROBINSON
DIRECTOR40.0121033010232X
LILLIAN PARAOAN
CLINICAL NURSE II40.011846405201X
Judith Burk
VP CLINICAL SERVICES/ADMIN40.0119729015668X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1041917TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation66583TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Vimla Bhooshan
9739 Avenel Farm DrPOTOMACMD20854physician662836
Alpha Security
12805 Old Fort Rd Ste 302FORT WASHINGTONMD20744security340749
QUEST DIAGNOSTICS INC
14225 NEW BROOK DRCHANTILLYVA20153LAB340840
AMERICAN RADIOLOGY INC
10373A REISTERSTOWN RDOWINGS MILLSMD21117RADIOLOGY274478
CPSI
6600 WALL STREETMOBILEAL36695COMPUTER SERVICES325014
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
All Other Contributions41631AllOtherContributions
Total Contributions41631TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES4080641340806413
DIETARY SERVICES2522325223
PHONE65606560
FieldValueIRS element (for citing)
Total Program Service Revenue40838196TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5495TotalRevenueColumn
Exclusion$5,495ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

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Real72405Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real20525Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real51880Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column51880TotalRevenueColumn
Related Or Exempt Function Income51880RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REPORT AND RECORD FEES4103441034
MISCELLANEOUS358312358312
FieldValueIRS element (for citing)
Total Other Revenue399346TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41336548TotalRevenueColumn
Related Or Exempt Function Income41289422RelatedOrExemptFunctionIncome
Exclusion$5,495ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total399772Total
Program Services0ProgramServices
Management And General399772ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17894354Total
Program Services14251019ProgramServices
Management And General3591582ManagementAndGeneral
Fundraising51753Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1716485Total
Program Services1405598ProgramServices
Management And General295748ManagementAndGeneral
Fundraising15139Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1334302Total
Program Services1081232ProgramServices
Management And General248511ManagementAndGeneral
Fundraising4559Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12670Total
Program Services0ProgramServices
Management And General12670ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total85668Total
Program Services0ProgramServices
Management And General85668ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total354773Total
Program Services2645ProgramServices
Management And General352053ManagementAndGeneral
Fundraising75Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total8379Total
Program Services0ProgramServices
Management And General8379ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total323464Total
Program Services82029ProgramServices
Management And General241435ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total412308Total
Program Services23511ProgramServices
Management And General388797ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total12646Total
Program Services90ProgramServices
Management And General12556ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total39850Total
Program Services10135ProgramServices
Management And General29715ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total626526Total
Program Services0ProgramServices
Management And General626526ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1148369Total
Program Services1136885ProgramServices
Management And General11484ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total859592Total
Program Services99130ProgramServices
Management And General760462ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES52843505273355109950
PURCHASED SERVICES494058231285271811261794
PROFESSIONAL FEES6880346877762580
BAD DEBT3242721324272100
OTHER429545342135874100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1120080Total
Program Services426259ProgramServices
Management And General693821ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40934470Total
Program Services31193047ProgramServices
Management And General9669103ManagementAndGeneral
Fundraising72320Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1732584BOY
EOY1664694EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY46000BOY
EOY48093EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5278553BOY
EOY5762382EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY952811BOY
EOY937878EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2222813BOY
EOY2206417EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21903798LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16396438LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6069233BOY
EOY5507360EOY

Intangible Assets IntangibleAssets

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Schedule D IRS990ScheduleD

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Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
RECONCILIATION OF REVENUERENTAL EXPENSES $20,525
reconciliation of expensesrental expenses $20,525

Schedule H IRS990ScheduleH

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Cash And In Kind Contributions CashAndInKindContributions

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Costing Methodology Used CostingMethodologyUsed

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Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 5FORT WASHINGTON MEDICAL CENTER WILL PROVIDE CHARITY CARE TO EVERY PATIENT THAT QUALIFIES FOR FINANCIAL ASSISTANCE, REGARDLESS OF THE BUDGETED AMOUNT OF CHARITY CARE. FORT WASHINGTON MEDICAL CENTER DOES NOT SET A LIMIT AS TO THE AMOUNT OF CHARITY CARE IT WILL PROVIDE.
PART I, LINE 6ATHE COMMUNITY BENEFIT REPORT FOR FORT WASHINGTON MEDICAL CENTER IS FILED ANNUALLY WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION WHICH ALLOWS FOR PUBLIC ACCESS TO INFORMATION FILED.
PART I, LINE 7A, COLUMN DMARYLAND'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.
PART I, LINE 7B, COLUMNS B, C, D, AND FMARYLAND'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. THE HOSPITAL PORTION OF THE MEDICAID ASSESSMENT FOR FORT WASHINGTON MEDICAL CENTER WAS $131,405 IN 2010.
PART I, LINE 7F, COLUMNS C AND DMARYLAND'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.
PART I, LINE 7FBAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART III, LINE 4FORT WASHINGTON MEDICAL CENTER ENCOURAGES ALL PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE TO SUBMIT A FINANCIAL ASSISTANCE APPLICATION. THE AVAILABILITY OF FINANCIAL ASSISTANCE HAS BEEN PUBLICIZED BY FORT WASHINGTON MEDICAL CENTER BY POSTING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE, POSTING NOTICES THROUGHOUT THE EMERGENCY DEPARTMENT, ADMITTING AREA, REGISTRATION AREA, PATIENT ACCOUNTS OFFICE, AND ADMINISTRATION AND INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH INFORMATION HANDED OUT AT ADMISSION AND WITH EACH BILL AFTER DISCHARGE. ADDITIONALLY, STAFF AT FORT WASHINGTON MEDICAL CENTER HAS BEEN TRAINED TO ASSIST PAITENTS WHO WISH TO UTILIZE THE PROGRAM AND FORT WASHINGTON MEDICAL CENTER ENGAGES AN OUTSIDE COMPANY, AT FORT WASHINGTON MEDICAL CENTER'S EXPENSE, TO COMMUNICATE WITH DISCHARGED PATIENTS THAT FORT WASHINGTON MEDICAL CENTER BELIEVES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND CONTINUES TO OFFER FINANCIAL ASSISTANCE TO THOSE PATIENTS. ALTHOUGH FORT WASHINGTON MEDICAL CENTER MAKES A CONCERTED EFFORT TO ENROLL ALL QUALIFYING PATIENTS INTO ITS FINANCIAL ASSISTANCE POLICY, SOME PATIENTS THAT MAY HAVE QUALIFIED DO NOT SIGN UP, AND WHEN THEY SUBSEQUENTLY DO NOT PAY FOR SERVICES PROVIDED, SUCH ACCOUNTS ARE ACCOUNTED FOR AS BAD DEBTS. AS A RESULT, FORT WASHINGTON MEDICAL CENTER ESTIMATES THAT APPROXIMATELY 60% OF REPORTED BAD DEBT EXPENSE MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART III, LINE 8A COST-TO-CHARGE METHODOLOGY WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS.
PART III, LINE 9BONCE THE COLLECTION PROCESS HAS BEGUN, THE ORGANIZATION CONTINUES TO MONITOR WHETHER THE PATIENT QUALIFIES FOR CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY. IF THE ORGANIZATION DETERMINES THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING ONCE THE COLLECTION PROCESS HAS BEGUN, THE ORGANIZATION WILL APPROVE THE PATIENT FOR CHARITY CARE. ONCE CHARITY CARE HAS BEEN APPROVED, THERE IS NO FURTHER ATTEMPT MADE BY THE ORGANIZATION TO COLLECT.
NEEDS ASSESSMENTFWMC gauges community need from a variety of sources that include studies, reports, face to face meetings, community engagement activities and dialogue with FWMC clinicians. The Prince George's County Council, which also serves as the County's Health Board, contracted with the RAND research organization in 2008 to conduct a landmark study. Called "Assessing Health and Health Care in Prince George's County," the purpose of the study was to ascertain the changing health care needs of County residents and to better understand if in fact those needs were being met through the health care system. In April of 2010, the Council formally adopted the study during the 2010 legislative session by establishing Resolution CR-12-2010, for the purpose of creating a blueprint for the future to help address the health disparities in Prince George's County. Following are the salient highlights of the study: " Prince George's County has a disproportionate presence of chronic disease, i.e. diabetes, heart disease, asthma, and obesity, than any other jurisdiction in the state of Maryland; and that these conditions outpace neighboring jurisdictions (District of Columbia and Virginia). " Primary care physicians are in short supply in Prince George's County compared with neighboring jurisdictions. " There are 80,000 (some believe as many as 140,000) residents in Prince George County who are medically uninsured. " Demographically Prince George's is comprised of 7 geographic areas (100,000 people) defined by the U.S. Census Bureau as non-overlapping Public Use Microdata Areas or PUMAs. Four of the 7 areas, are located inside of the Capitol Beltway, and reflect cities that are lower income, losing population, majority African-American, and a growing Hispanic population. All four are considered lower income. *Note: 2 of FWMC's 3 primary service areas (Oxon Hill and Temple Hills), are within these 4 PUMAS. " There is limited access to quality health care services in Prince George's County. " Although hospital capacity is in compliance with population numbers, there is a low supply per capita of medical/surgical, pediatric, psychiatric and obstetric beds. " Prince George's lacks a primary care safety net. Against the backdrop of the RAND study, data taken from the Maryland Vital Statistics Annual Report 2009, confirmed that Prince George's County ranked significantly higher than the Maryland average for deaths due to heart disease. The Report indicates that the leading causes of death in rank order for the state of Maryland were (1) diseases of the heart (25%); cancer (24%); cerebrovascular diseases; followed by chronic lower respiratory diseases; and accidents. While deaths from diabetes have been falling, particularly for African-Americans, it was the sixth leading cause of death in 2009, 20.7 per 100,000. In previous data taken from PGHD's Core Public Health Funding Plan (FY 2006), it was revealed that Maryland ranked fourth highest in the nation for diabetes prevalence. A review of the top 10 DRGs at Fort Washington Medical Center revealed that five of those conditions can be significantly impacted by lifestyle. Lifestyle is considered those factors that can positively impact health including (a) diet and nutrition (b) stress management (c) behavior modification (d) education and (e.) exercise. Listed below are 5 of the top 10 conditions presented at FWMC during this period. a. Chest Pain b. Malignant Hypertension c. Hypertension {Unspecified} d. Issues related to congestive heart failure e. Issues related to diabetes* In fall of 2009, Fort Washington held it's first publicly held annual meeting for the purpose of dialoguing with community members, many of whom were themselves community health advocates. Members of the FWMC Board of Trustees served as the facilitators during the roundtable discussions. As a result of that meeting, a follow-up meeting was held with community leaders to further discuss health care and service delivery issues. From those discussions, the following were observed: " There is a need for additional specialists, i.e. pediatricians obstetricians and cardiologists " There is a need for additional services, i.e. dialysis and outpatient-rehabilitation " Increased health screenings, i.e. prostate, blood pressure " More health education is needed, i.e. HIV, heart health " Support mechanisms for caregivers " Opportunities to partner around health fairs and screenings " Parent training " Opportunities to work with churches " FWMC needs to be expanded into a larger facility " Increased awareness of FWMC's services The major needs that were identified from the studies and meetings, and actualized through this reporting period were as follows: " ongoing health education, i.e. heart health, diabetes management, respiratory care and lifestyle management, i.e., nutrition, stress management, exercise and obesity management " ongoing health screenings, i.e. blood pressure, diabetes, " ongoing community engagement and collaboration opportunities to discuss health matters with community members around health issues. An internal committee which consists of representatives from the FWMC Emergency Room, the Education/Performance Improvement Department, Patient Care Services and Corporate Development discuss the best ways of addressing health conditions impacting the community as seen by the Hospital. The Committee provides guidance on outreach efforts that the Hospital undertakes to support the community benefit program. During this reporting period, a Community Advisory Group was also established. The Hospital continues to work with strategic partners to carry out its programming. The Hospital continues to partner with a host of churches, schools and community and civic associations to provide health education and or screenings. The Hospital serves as an ambassador with the American Heart Association, and coordinates events with both the YMCA-Potomac Overlook, and Maryland Park and Planning's Harmony Hall. All of these organizations have a health outreach focus. They work with FWMC to provide venues to access specific, and sometimes hard to reach audiences. The recommendations of internal and external groups for incorporation into the overall community benefit program are shared with the Board of Trustees, through its Community Relations Committee.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFORT WASHINGTON MEDICAL CENTER COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE HOSPITAL WEBSITE AND IN HOSPITAL PUBLICATIONS. FINANCIAL ASSISTANCE PROGRAM NOTICES ARE POSTED FOR PUBLIC VIEW IN THE ADMITTING AREA, REGISTRATION AREA, PATIENT ACCOUNTS OFFICE, THE EMERGENCY DEPARTMENT AND ADMINISTRATION. FURTHERMORE, A COPY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS OR THEIR FAMILIES AS PART OF THE ADMISSION PROCESS. ALSO, ONCE THE PATIENT IS DISCHARGED, EACH BILLING STATEMENT CONTAINS A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. STAFF HAS BEEN TRAINED TO ASSIST PATIENTS WHO WISH TO UTILIZE THE FINANCIAL ASSISTANCE PROGRAM BY REFERRING THEM TO FINANCIAL COUNSELORS THAT HELP THE PATIENTS TO COMPLETE THE FINANCIAL ASSITANCE APPLICATIONS.
COMMUNITY INFORMATIONFort Washington Medical Center serves primarily the areas of Fort Washington, Maryland, where it is directly located; and the cities of Oxon Hill and Temple Hills, Maryland. These three areas constitute almost 70% of the entire patient base for the hospital. All three cities are suburban in nature and are within a short distance of the Washington, D.C./Maryland line and are based in Prince George's County. Many residents cross into the District on a daily basis en route to work at District and Federal government sites, and to private sector locations. Of the three cities, Fort Washington is furthest south and is 14 square miles. It has a population of almost 24,000 people and has approximately 8,000 households. The racial make-up is 67% African-American; 18% White; 10% Asian (mostly Filipino) and the remainder other races, including Native-American Indian, Pacific Islander, Hispanic and Latino. According to the 2000 Census, the median age is 39 years; the median household income is $81,000; and the median household income for a family is $88,000. About 2.8% of families and 3.7% of the population are below the poverty line, including 5% of those under 18 and 4.5% of those 65 or over. Oxon Hill is 9 square miles. It surrounds parts of Fort Washington, and extends along the 210 North corridors and along Southern Avenue which separates it from Washington, D.C. Its population is 35,000; with 13,700 households and 9,069 families. The racial make-up is 86.68% African -American; 7.64% White; 2.78% Asian; and the remainder consisting of Native American, Pacific Islander, Hispanic/Latino and other. The median income per household is $46,500; and the median income per family is $52,227. About 6.7% of families and 8.8% of the population are below the poverty line including 12.3% of those under age 18 and 8.2% of that age that are 65 and over. Temple Hills is 1.4 square miles, and is west of Oxon Hill and southeast of Washington, DC. It has a population of almost 8,000 people; 3,156 households and 1,937 families. African-Americans comprise 85% of the population; 9.32% are White; and the remainder consist of Native American, Asian, Latino/Hispanic, Pacific Islander and other. The median income per household is $44,868, and the median income for a family is $49,318. Almost 10% of families and 10.4% of the population are below the poverty line including 16.4 of those under age 18 and 2.9% of those 65 or over.
COMMUNITY BUILDING ACTIVITIESTHE HOSPITAL ROUTINELY PARTICIPATES IN COMMUNITY HEALTH FAIRS PROVIDING EDUCATION AND BLOOD PRESSURE SCREENINGS AT VARIOUS LOCATIONS THROUGHOUT THE SERVICE AREA. CLASSES ARE ALSO HELD TO EDUCATE THE COMMUNITY ON DIABETES, HEART DISEASE AND SMOKING CESSATION.
OTHER INFORMATIONTHE HOSPITAL HAS A BOARD THAT IS MADE UP OF MEMBERS OF THE COMMUNITY WHO SERVE AS THE OVERSIGHT BODY FOR THE ACTIVITIES OF THE HOSPITAL. SURPLUS HOSPITAL FUNDS ARE REINVESTED IN THE OPERATION TO SECURE REQUIRED REPLACEMENT EQUIPMENT AND BUILDING UPGRADES/REPAIRS. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL OF ITS DEPARTMENTS.
PROMOTION OF COMMUNITY HEALTHFORT WASHINGTON MEDICAL CENTER ROUTINELY PARTICIPATES IN COMMUNITY HEALTH FAIRS, PROVIDING EDUCATION AND BLOOD PRESSURE SCREENINGS AT VARIOUS LOCATIONS THROUGH THE PATIENT SERVICE AREA. IN ADDITION, CLASSES ARE HELD TO EDUCATE THE COMMUNITY ON A NUMBER OF HEALTH ISSUES, INCLUDING: DIABETES, HEART DISEASE AND SMOKING CESSATION. FORT WASHINGTON MEDICAL CENTER HAS A BOARD OF DIRECTORS COMPRISED PREDOMINANTLY FROM MEMBERS OF THE COMMUNITY WHO SERVE AS THE OVERSIGHT BODY FOR THE ACTIVITIES OF THE HOSPITAL. SURPLUS FUNDS ARE REINVESTED IN THE HOSPITAL TO PROVIDE REQUIRED REPLACEMENT EQUIPMENT AND BUILDING UPGRADES/REPAIRS AS WELL AS TO CONTINUE TO PROVIDE COMMUNITY BENEFIT ACTIVITIES FOR THE COMMUNITY. It is believed that at least 90% of the emergency room cases at FWMC are linked to diabetes. In an effort to help patients better manage diabetes, and to reduce the incidence of recidivism, patients now seen at FWMC or through the Emergency Room, or if hospitalized, are recruited to participate in the classes. During this reporting year, FWMC provided the following programmatic activities related to community need: " Conducted (2) 4-week diabetes management series held in the spring and fall. " Provided a health education presentation specifically on heart health focusing on hypertension, congestive heart failure, and lifestyle elements. " Provided a health education presentation on respiratory ailments, including asthma, emphysema and bronchitis. " Provided nearly 30 community-based events to 450 participants. " Partnered with churches, community and social groups, schools, and service organizations to provide health education and screenings. " Established a framework to hold community engagement activities. " Worked with other health care providers, including the Prince George's Health Department, the American Heart Association, and the FWMC medical staff. " Provided professional health education to 108 participants. Evaluations are done on parts of the program, which have included the Diabetes Awareness Program, major community offerings and special meetings. The Diabetes Program at FWMC has been highly successful. Participants themselves rate the program highly, noting the expertise of the instructors, the design of the class and the easy access to the class. Health fairs and screening programs are evaluated on a case-by-case basis to ascertain community participation, sponsor feedback, clinical follow-up, educational materials, community awareness and affirmation, and general feedback. Evaluation of preceptor-ship programs are built in and are done on a continual basis. Fort Washington Medical Center's teaching - preceptor program continues to be a major portion of community benefit. In reporting year 2009-2010, nursing and allied training preceptor opportunities have increased at FWMC. Under the direction of the FWMC's Performance Improvement Department, which adheres to the standard established by JACHO, students are required to meet certain hospital standards. The Department works with the nursing and allied health schools to insure that the standards are met and that there is appropriate reporting, as required from all participants.
AFFILIATED HEALTH CARE SYSTEMTHE NEXUS HEALTH CARE SYSTEM PROVIDES MEDICAL CARE TO COMMUNITIES IN PRINCE GEORGES COUNTY, MARYLAND AND WASHINGTON, D.C. THROUGH ITS OWNERSHIP IN FORT WASHINGTON MEDICAL CENTER AND CAROLYN BOONE LEWIS HEALTH CARE CENTER. CAROLYN BOONE LEWIS HEALTH CENTER IS A 183-BED TEACHING NURSING HOME LOCATED ON THE MARYLAND-WASHINGTON, D.C. LINE IN SOUTHEAST WASHINGTON D.C. IT PROVIDES SKILLED NURSING, REHABILITATION SERVICES, AND LONG-TERM CARE. FORT WASHINGTON MEDICAL CENTER IS A 37-BED HOSPITAL, CURRENTLY LICENSED FOR 42 BEDS. THE HOSPITAL UTILIZES 33 ACUTE CARE BEDS, WITH FOUR BEDS DESIGNATED FOR INTENSIVE CARE. THE HOSPITAL PROVIDES MEDICAL AND SURGICAL SERVICES, INCLUDING SPECIALTY SERVICES SUCH AS ENDOCRINOLOGY, PATHOLOGY AND HEMATOLOGY ON BOTH AN INPATIENT AND OUTPATIENT BASIS. ADDITIONALLY, THE HOSPITAL PROVIDES 24/7 EMERGENCY ROOM SERVICES.
STATE FILING OF COMMUNITY BENEFIT REPORTMD,990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Socorro Obedoza
1574890000047300120601634250
Joseph Tucker
1744520000052430176201814570
Verna Meacham
21891600000233701455102358040

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (25 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Process for the review of 990Part VIUPON COMPLETION OF THE FORM 990 BY THE EXTERNAL ACCOUNTING FIRM, A REVIEW OF THE RETURN IS COMPLETED BY THE CORPORATE FINANCE DEPARTMENT AS WELL AS THE SENIOR VICE PRESIDENT FOR FINANCE AND THE PRESIDENT & CEO. THE 990 IS THEN REVIEWED BY THE audit committee OF THE BOARD OF TRUSTEES AND THE COMMITTEE REPORTS ON THEIR REVIEW OF THE 990 TO THE FULL BOARD AT A REGULARLY SCHEDULED MEETING PRIOR TO THE FILING DEADLINE. THE FINAL VERSION OF THE DOCUMENTS ARE THEN MADE AVAILABLE TO ALL BOARD MEMBERS FOR INSPECTION/REVIEW PRIOR TO FILING WITH THE IRS.
Conflict of Interest PolicyPart VI, Section BConflict of Interest: Disclosure In connection with actual or possible conflicts of interest, an Interested Person must disclose the existence of and nature of his or her financial interest to the President, directors and/or members of committees with Board delegated powers considering the proposed transaction or arrangement. Interested Persons also should be alert to disclose any situation that, by virtue of a transaction or arrangement under consideration, could be perceived by anyone as a conflict of interest. A. During the Year All Interested Persons are obligated to monitor their outside activities with regard to entities that do business with Nexus Health, Inc or its subsidiaries. At any time during the year, Interested Persons may have a change in a financial arrangement or addition of a new potential conflict of interest that may have an effect on business. It is the responsibility of the individual to report this information to the Chair Person of the Board of Trustees, President or Compliance Officer. The individual will be provided with the appropriate documents to report the potential conflict. B. Annual Reporting On an annual basis, each Trustee, Officer, Senior Manager, Director, Member of the Medical Staff Executive Committee, or Medical Director, shall complete a Conflict of Interest Disclosure and review the Conflicts of Interest Policy. Trustees should also review the Corporation Bylaws. The Conflict of Interest Disclosure and Policy will be issued to each Interested Person during the month of November by the Executive Assistant to the CEO. All forms are to be returned to the Executive Assistant to the CEO no later than December 31st. MANAGEMENT OF CONFLICTS If an interested person has a potential conflict of interest, it must be disclosed. The Interested Person involved in the conflict may not participate in any process leading to the approval or disapproval of the transaction creating the conflict, including any vote or other submission of opinion. In addition, the Interested Person must not indirectly attempt to influence the decision-making process. Interested persons who fail to disclose potential conflicts of interest and avoid any direct or indirect influence in accordance with this policy shall be appropriately disciplined. Violation of this policy will subject the individual to disciplinary action including possible dismissal and members of the Board of Trustees will be subject to removal. Discipline will be commensurate with the seriousness of the action. All reports of conflicts or potential conflicts of interest will be reviewed by the Chairman of the Board of Trustees, President and the Compliance Officer. Conflict disclosures will also be reviewed by Legal Counsel. The Chairman, President, Compliance Officer, and Legal Counsel will determine if any action must be taken to protect Nexus Health, Inc. or its affected affiliates. A report of all Conflicts of Interest shall be shared with the Executive Committee of the Board of Trustees annually.
Determining Executive CompensationPart VI, Section B, 15THE SALARY OF THE ORGANIZATIONS PRESIDENT AND CEO HAS BEEN ESTBALISHED THROUGH A MULTI-STEP PROCESS. AN OUTSIDE, INDEPENDENT CONTRACTOR HAS PREVIOUSLY BEEN ENGAGED BY THE ORGANIZATION TO EVALUATE COMPETITIVE, FAIR MARKET VALUE COMPENSATION. THE BOARD OF TRUSTEES CONSIDERS THE PRIOR RECOMMENDATION OF THE INDEPENDENT CONTRACTOR AS WELL AS AN ASSESSMENT OF PERCENTILE RANKING TO MARKET FOR PERSONS IN SIMILAR POSITIONS BASED ON ORGANIZATON SIZE. ANNUAL FAIR MARKET VALUE SALARY ADJUSTMENTS FOR THE CEO ARE ALSO CONSIDERED BY THE BOARD, IN CONJUCTION WITH THE ANNUAL PERFORMANCE EVALUATION FOR THE POSITION. THE SALARY OF THE ORGANIZATIONS PRSIDENT AND CEO MUST THEN BE APPROVED BY THE BOARD OF TRUSTEES. THE SALARY OF THE OTHER EXECUTIVES AND KEY EMPLOYEES ARE MANAGED BY THE CEO AND ARE SUBJECT TO COST OF LIVING ADJUSTMENTS. THESE SALARIES ARE BENCHMARKED AGAINST OTHER ORGANIZATIONS OF SIMILAR SIZE IN THE INDUSTRY FOR FAIR MARKET VALUE PERIODICALLY.
Document AvailabilityPart vi, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
BLANK LINESTHE ORGANIZTION DID NOT COMPLETE PART V, LINES 8 & 9 BECAUSE IT DID NOT SPONSOR ANY DONOR ADVISED FUNDS.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Samir Azer TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ELIAS DEBBAS TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Monica Holman Evans TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Althea Hayward TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Yvonne Magee TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:John Petty TITLE:executive secretary HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Nancy Lee TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Sue Ward TITLE:Director HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Kimberly Robertson TITLE:Treasurer HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Manervia Riddick TITLE:chair - elect HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Virgil McDonald TITLE:Immediate Past Chair HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Beverly Anderson TITLE:Chair HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Verna Meacham TITLE:President & CEO HOURS:16
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHARLES E DAY TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Joseph Tucker TITLE:SR VP/CFO HOURS:16
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Socorro Obedoza TITLE:OR CLINICAL COORDINATOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Beverly Arciaga TITLE:Clinical Nurse II HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HOWARD ROBINSON TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LILLIAN PARAOAN TITLE:CLINICAL NURSE II HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Judith Burk TITLE:VP CLINICAL SERVICES/ADMIN HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Nexus Health Inc
6196 Oxon Hill Rd STE 210Oxon HillMD20745520238460Parent orgMD501(c)(3)509(a)(2)N/A
Carolyn Boone Lewis Health Care Center
1380 Southern Ave SEWashingtonDC20032521127260Nursing HomeDC501(c)(3)509(a)(2)Nexus Health

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CONSULTING INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16196 OXON HILL RD STE 210AddressLine1
CityOXON HILLCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
EIN521602159EIN
Primary ActivityCURRENT INACTPrimaryActivity
Legal Domicile StateDELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg