2026-05-15T07:37:53-05:00 2025-06-30 990 2024-07-01 520610545 SUBURBAN HOSPITAL INC SUBU 4439975771 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 KATINA WILLIAMS VP FINANCE, TREASURER 4439975771 2026-05-15 1 2024 2025-03-06 01:10:19Z KATINA WILLIAMS 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 441162132 0 X WWW.SUBURBANHOSPITAL.ORG X 1942 MD SUBURBAN HOSPITAL IS A COMMUNITY-BASED HOSPITAL SERVING MONTGOMERY COUNTY AND THE SURROUNDING AREA SINCE 1943. WE ARE A NOT-FOR-PROFIT HEALTHCARE PROVIDER GUIDED BY THE NEEDS OF OUR PATIENTS AND COMMUNITY. ON JUNE 30, 2009, SUBURBAN HOSPITAL BECAME A MEMBER OF JOHNS HOPKINS MEDICINE. THE DESIGNATED TRAUMA CENTER FOR MONTGOMERY COUNTY, SUBURBAN HOSPITAL IS AFFILIATED WITH MANY LOCAL HEALTHCARE ORGANIZATIONS, INCLUDING THE NATIONAL INSTITUTES OF HEALTH. IT IS COMMITTED TO CONTINUOUS IMPROVEMENT AND APPROPRIATE USE OF RESOURCES, AND CREATES AN ENVIRONMENT THAT ENCOURAGES THE SUCCESS AND FULFILLMENT OF OUR PHYSICIANS, STAFF, AND VOLUNTEERS.SUBURBAN HOSPITAL WILL SET THE STANDARD FOR EXCELLENCE IN HEALTHCARE IN THE WASHINGTON METROPOLITAN REGION. THROUGH OUR AFFILIATIONS, WE ASPIRE TO PROVIDE WORLD-CLASS PATIENT CARE, TECHNOLOGY, AND CLINICAL RESEARCH. 20 18 2499 18 562697 0 4192704 2650100 372974527 401323747 11877426 19478510 5231654 4244232 394276311 427696589 69722 52864 0 0 184384047 190594356 0 0 0 206176779 228847179 390630548 419494399 3645763 8202190 694250517 716597237 186646120 179677503 507604397 536919734 X SUBURBAN HOSPITAL WILL DELIVER SUPERIOR HEALTHCARE ENHANCED BY TECHNOLOGY, WELLNESS EDUCATION, RESEARCH, AND INNOVATIVE PARTNERSHIPS WITH PHYSICIANS, HOSPITALS, THE COMMUNITY, AND THE NATIONAL INSTITUTES OF HEALTH. MISSION: IMPROVING HEALTH WITH SKILL AND COMPASSION. 0 0 49008799 56799655 SURGICAL PATIENT SERVICES:SUBURBAN HOSPITAL OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SURGICAL SERVICES. THESE INCLUDE ORTHOPEDIC SERVICES, INCLUDING SPINE, NEUROSURGERY AND JOINT REPLACEMENT, WITH THE JOINT REPLACEMENT PROGRAM SERVING OVER 2,800 PATIENTS ANNUALLY. WITH THE DAVINCI SURGICAL SYSTEM, UROLOGIC, GYNECOLOGIC AND THORACIC PROCEDURES ARE PERFORMED WITH STATE-OF-THE-ART ROBOTIC TECHNOLOGY. SUBURBAN HOSPITAL IS THE ONLY CERTIFIED TRAUMA CENTER IN MONTGOMERY COUNTY. THE LEVEL II TRAUMA CENTER TREATS 3,000 MAJOR TRAUMA CASES ANNUALLY AND HAS AN ORTHOPEDIC TRAUMATOLOGIST ON STAFF. THE FOLLOWING SPECIALISTS ARE ON CALL FOR EMERGENCIES: TRAUMA SURGEONS, NEUROSURGEONS, UROLOGISTS, ENT, OB/GYN, AND CARDIOLOGISTS. DURING 2024, SUBURBAN HOSPITAL ADMITTED 3,500+ SURGICAL INPATIENTS AND 14,400+ OPERATING ROOM CASES WERE PERFORMED. 156595297 156475214 MEDICAL PATIENT SERVICES:SUBURBAN HOSPITAL PROVIDES ACUTE AND CRITICAL CARE FOR A COMPLETE RANGE OF MEDICAL DIAGNOSES. THE HOSPITAL IS A JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER FEATURING A DEDICATED NIH STROKE TEAM, WHICH PROVIDES RAPID DIAGNOSIS AND CUTTING-EDGE TREATMENT OF STROKES. SUBURBAN HOSPITAL ALSO OPERATES A CANCER CARE PROGRAM, WHICH IS ACCREDITED WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE COMPREHENSIVE PROGRAM SERVICES PATIENTS WITH ALL DIAGNOSES AND OFFERS CUTTING-EDGE TECHNOLOGY AND PERSONALIZED CARE. IN 2025, SUBURBAN HOSPITAL ADMITTED APPROXIMATELY 9,300 MEDICAL PATIENTS. SUBURBAN IS ALSO HOME TO BOTH INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS, AS WELL AS AN ADDICTION TREATMENT CENTER, OFFERING DAY TREATMENT PROGRAMS TO ADOLESCENTS AND ADULTS. SUBURBAN OPERATES A FULL-SERVICE EMERGENCY DEPARTMENT, TREATING MORE THAN 56,000 PATIENTS ANNUALLY, WHICH INCLUDES THE SHAW FAMILY PEDIATRIC EMERGENCY CENTER EXCLUSIVELY FOR CHILDREN AND ADOLESCENTS. 88286548 86161441 CARDIOVASCULAR PATIENT SERVICES:SUBURBAN HOSPITAL'S SPECIALIZED CENTER FOR CARDIAC CARE, ANCHORED BY THE NIH HEART CENTER, BRINGS THE CLINICAL AND SCIENTIFIC EXCELLENCE OF TWO RENOWNED MEDICAL INSTITUTIONS TO A COMMUNITY-BASED CARDIAC PROGRAM. THROUGH COLLABORATION WITH THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI) OF THE NATIONAL INSTITUTES OF HEALTH AND JOHNS HOPKINS MEDICINE, SUBURBAN HOSPITAL PROVIDES PATIENTS EASY ACCESS TO ADVANCED CARDIOVASCULAR TREATMENTS AVAILABLE IN VERY FEW MEDICAL CENTERS. IN ADDITION TO STATE-OF-THE-ART CARDIAC SURGERY AND ANGIOPLASTY, THE NIH HEART CENTER AT SUBURBAN HOSPITAL COMPLEMENTS A BROAD RANGE OF EXISTING CARDIAC PROGRAMS AT SUBURBAN HOSPITAL - FROM EMERGENCY CARE TO CARDIAC DIAGNOSTICS AND REHABILITATION. 36744927 52864 105568972 36744927 52864 105568972 330635571 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 2499 1 1 1 0 0 0 0 0 0 0 0 0 X 20 18 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X THE CORPORATION 2026607720 8600 OLD GEORGETOWN RD BETHESDA MD 208141497 KEVIN W SOWERS MSN RN FAA TRUSTEE, CORPORATE VICE CHAIR 1.00 59.00 X X 0 2887047 35481 CAROLYN CARPENTER MHA FACHE TRUSTEE, PRES NATIONAL CAP REGION 30.00 30.00 X X 0 1072517 56095 JANINE LOSSING TRUSTEE 1.00 0.00 X 0 0 0 MARY ELLEN BELIVEAU TRUSTEE, CHAIR 1.00 1.00 X 0 0 0 LARA EISENBERG MD TRUSTEE, VICE CHAIR 1.00 0.00 X 0 0 0 ANDREW CAMERON MD PHD TRUSTEE 1.00 0.00 X 0 0 0 BRIAN COBB TRUSTEE 1.00 0.00 X 0 0 0 LINDA COURIE TRUSTEE 1.00 0.00 X 0 0 0 SARAH JOHNSON CONWAY MD TRUSTEE 1.00 59.00 X 0 0 0 LAURA GIANGIULI THRU 1224 TRUSTEE 1.00 0.00 X 0 0 0 MARIA GOMEZ APPT 924 TRUSTEE 1.00 0.00 X 0 0 0 ELIZABETH FLANAGAN TRUSTEE 1.00 0.00 X 0 0 0 ED HEALY MD TRUSTEE 1.00 0.00 X 0 0 0 JON SLABAUGH TRUSTEE 1.00 0.00 X 0 0 0 MARK FUTROVSKY TRUSTEE 1.00 0.00 X 0 0 0 DAVID RUBEN TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL A SMITH MD TRUSTEE 1.00 0.00 X 0 0 0 LEE WEINSTEIN TRUSTEE 1.00 0.00 X 0 0 0 SUE WINGATE TRUSTEE 1.00 0.00 X 0 0 0 BARTON LEONARD MD TRUSTEE 1.00 0.00 X 0 0 0 PETER B MANCINO ESQ ASSISTANT SECRETARY 1.00 59.00 X 0 619924 49581 LEIGHANN SIDONE DNP RN CENP PRESIDENT 59.00 1.00 X 0 547185 108369 KIMBERLY ELYANOW MBA VP, FINANCE & TREASURER 30.00 30.00 X 0 553308 42391 GEORGE CHEELY MD VP, MEDICAL AFFAIRS 60.00 0.00 X 0 511488 49164 ANU MULLICK VP, STRATEGIC INITIATIVES & PLANNING 60.00 0.00 X 0 392377 55428 ALVIN D'ANGELO VP, OPERATIONS 60.00 1.00 X 0 382016 33086 CINDY MERZ MS VP, DEVELOPMENT 30.00 30.00 X 0 313980 84315 TIFFANY PRATT VP, HR NATIONAL CAP REGION 30.00 30.00 X 0 370000 25995 VADIM SCHICK THRU 325 SECRETARY 1.00 59.00 X 0 351468 20263 COURTNEY CORNELL MSN RN OCN VP, NURSING & CNO 60.00 0.00 X 167725 78576 36938 CHRIS REINARD SECRETARY 1.00 59.00 X 0 75856 10206 JENNIFER RAYNOR DIRECTOR PHARMACY 50.00 0.00 X 276931 0 33502 LEIMING WANG LEAD SPECIALTY APP 50.00 0.00 X 263162 13500 20477 MATTHEW TOVORNIK EXEC DIRECTOR PERIOPERATIVE SVCS 50.00 0.00 X 249770 0 45614 REGINA HOWELL MANAGER ADVANCED PRACTICE 50.00 0.00 X 254486 0 38433 MARK JOSEPH TULIAO NURSE CLINICIAN 50.00 0.00 X 240382 0 47779 JESSICA THOMPSON MELTON MHA FORMER OFFICER 0.00 60.00 X 0 609980 19312 ATUL ROHATGI MD FORMER OFFICER 0.00 60.00 X 0 491422 43456 1452456 9270644 855885 516 1 1 0 FIRST COLONIES ANESTHESIA ASSOCIATES 12222 MERIT DR STE 700 DALLAS TX 75251 MEDICAL SERVICES 3034994 AYA HEALTHCARE INC 5930 CORNERSTONE CT STE 300 SAN DIEGO CA 92121 NURSING SERVICES 1158049 VISION RADIOLOGY PLLC PO BOX 734931 DALLAS TX 75373 RADIOLOGY SERVICES 1109360 WHITING TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 CONTRACTING SERVICES 957889 SPECIALTY CARE CARDIOVASCULAR RESOURCES PO BOX 11407 BIRMINGHAM AL 35246 MEDICAL SERVICES 919812 60 2008566 639334 2200 2650100 NET PATIENT REVENUE 621990 399894701 399894701 LAB REVENUE 541380 1429046 866349 562697 401323747 6133188 6133188 25323000 1487865 13465543 0 11857457 1487865 13345322 13345322 OTHER REVENUE 621990 2000942 2000942 CAFETERIA INCOME 722514 971516 971516 PARKING 812930 755995 755995 515779 515779 4244232 427696589 405005282 562697 19478510 52864 52864 58825 58825 156611786 136800395 19811391 4608104 4025179 582925 16387125 14314154 2072971 12928516 11293059 1635457 80639 80639 71096 71096 149004 149004 204318 178472 25846 7881892 6945751 936141 85213 85213 24085911 19288872 4797039 1096165 957500 138665 4273809 3733172 540637 168221 168221 250608 218906 31702 5017063 5017063 25484392 22260616 3223776 2720733 2205021 515712 MEDICAL SUPPLIES 78330955 78330955 0 PURCHASED SERVICES - AF 64106328 11835054 52271274 PROFESSIONAL FEES 12855452 11488834 1366618 OTHER 1985380 1689704 295676 419494399 330635571 88858828 0 6574 5000 26882921 27895198 50896387 57906377 12896049 13391057 1657559 1639554 519414729 276824636 255891953 242590093 322773593 338470594 23245481 34699364 694250517 716597237 35839528 36968176 150806592 142709327 186646120 179677503 X 507604397 536919734 507604397 536919734 694250517 716597237 X 8202190 21113147 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 149004 149004 0 PART II-B, LINE 1: SUBURBAN HOSPITAL PAID ITS PARENT CORPORATION, JOHNS HOPKINS HEALTH SYSTEM CORPORATION $144,121 DURING FISCAL YEAR ENDED JUNE 30, 2025 TO SUPPORT THEIR LOBBYING ACTIVITIES. JOHNS HOPKINS OFFICE OF GOVERNMENT AND COMMUNITY AFFAIRS (GCA) SERVES JOHNS HOPKINS UNIVERSITY AND MEDICINE, JOHNS HOPKINS HEALTH SYSTEM AND AFFILIATES. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT JOHNS HOPKINS HEALTH SYSTEM AND ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. THE ORGANIZATION ALSO PAID CERTAIN DUES OR MEMBERSHIP FEES TO VARIOUS PROFESSIONAL ASSOCIATIONS, STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL SOCIETIES WHO ALLOCATE A PORTION OF THOSE DUES TOWARDS LOBBYING EXPENSES. FOR FY25, THE ORGANIZATION HAS CONFIRMED THAT $4,883 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES. 1336784 1336784 265649187 131111855 134537332 167309 162969 4340 229912781 136150442 93762339 22348668 9399370 12949298 242590093 LONG TERM INV 338470594 C 338470594 ADVANCES FROM THIRD PARTIES 14445138 CAPITAL ACCUMULATION ACCOUNT 289397 457B FOR DIRECTORS 30229 DUE TO AFFILIATES 118543176 WORKERS COMP INSURANCE LIABILITY 2298933 MALPRACTICE INSURANCE 1859284 L/T MAL LIAB 3207399 L/T FINANCING LEASE 130060 S/T OPERATING LEASE LIABILITY 113368 DEFERRED OPERATING EXPENSE 105343 L/T PENSION LIABILITY 1687000 142709327 X PART X, LINE 2: FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THE HOSPITAL HAS ADOPTED THIS GUIDANCE, AND THERE WAS NO IMPACT ON ITS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2025 AND 2024. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 8090320 0 8090320 0.01930 8090320 8090320 0.01930 28276510 3393935 24882575 0.05930 9647659 0 9647659 0.02300 344379 344379 1435329 8628 1426701 0.00340 39703877 3746942 35956935 0.08570 47794197 3746942 44047255 0.10500 0 0 66254 4314 61940 0.00010 211053 4314 206739 0.00050 132442 0 132442 0.00030 0 0 592925 14380 578545 0.00140 0 0 286826 6379 280447 0.00070 0 0 1289500 29387 1260113 0.00300 0 8415957 145976880 142884620 3092260 X 1 1 1 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN RD BETHESDA MD 15332 WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPI 15-028 X SUBURBAN HOSPITAL INC 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X SEE SUPPLEMENTAL INFORMATION X X 1 24 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X X 1 X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X X X X X X 1 X 0 X X X X 1 X X 0 0 SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 5: SUBURBAN HOSPITAL'S FOOTPRINT IS ROOTED IN COMMUNITY HEALTH. IN LIVING OUT ITS MISSION TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY, THE SERVICES AND CARE PROVIDED BY OUR COLLEAGUES EXPAND BEYOND THE WALLS OF THE HOSPITAL TO NURTURE A HEALTHY, VIBRANT AND RESILIENT MONTGOMERY COUNTY. THE FOLLOWING, SPEARHEADED BY THE COMMUNITY HEALTH AND WELLNESS (CHW) DIVISION, DESCRIBES SUBURBAN'S PROCESS FOR COMMUNITY HEALTH IMPROVEMENT, WHICH GUIDES AND INFORMS OUR WORK TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTH EQUITY.THE CHW DIVISION IS A TEAM OF PUBLIC HEALTH PROFESSIONALS, COMMUNITY HEALTH NURSES, EDUCATORS AND COMMUNITY HEALTH WORKERS, ARMED WITH TRAINING, KNOWLEDGE AND EXPERIENCE IN PUBLIC HEALTH PRINCIPLES. THEY SERVE, INDIVIDUALLY AND COLLECTIVELY, AS PUBLIC HEALTH RESOURCES, COACHES AND GUIDES, DUE IN PART TO THEIR EDUCATIONAL BACKGROUND, TRUSTED RELATIONSHIPS BUILT IN THE COMMUNITY, AND FIRSTHAND KNOWLEDGE OF THE MAJOR HEALTH CONCERNS, BARRIERS AND NEEDS. IN SERVING THE SUBURBAN HOSPITAL'S MISSION OF IMPROVING HEALTH WITH SKILL AND COMPASSION, THE DIVISION LEVERAGES STRATEGIC PARTNERSHIPS WITH LOCAL GOVERNMENT, COALITIONS, COMMUNITY PARTNERS AND LEADERS TO ENSURE COMMON GOALS ARE ESTABLISHED TO PROVIDE RESOURCES TO THE COUNTY'S MOST VULNERABLE RESIDENTS. THE UTILIZATION OF RIGOROUS MEASUREMENT, EVALUATION AND ANALYSIS ENSURES THAT THE REPORTING OF HEALTH IMPROVEMENT OUTCOMES ACHIEVE THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ANNUAL COMMUNITY BENEFIT REQUIREMENTS AND GOALS. PUBLIC HEALTH LEADERS WITHIN THE CHW DIVISION OVERSAW AND MANAGED THE 2025 CHNA PROCESS ON BEHALF OF SUBURBAN HOSPITAL AND INCLUDED DATA COLLECTION, COMMUNITY ENGAGEMENT, EVALUATION AND DRAFTING OF THE CHNA DOCUMENT. THE PROCESS BEGAN IN THE SUMMER OF 2024 AND WAS FINALIZED BY JUNE 30, 2025. IN 2021, THE FOUR MONTGOMERY COUNTY HEALTH SYSTEMS, ADVENTIST HEALTHCARE (ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, AND THE ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER), HOLY CROSS HEALTH (HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL), MEDSTAR HEALTH (MEDSTAR MONTGOMERY MEDICAL CENTER) AND SUBURBAN HOSPITAL, JOHNS HOPKINS MEDICINE, SOUGHT THE OPPORTUNITY TO ALIGN USING THE COLLECTIVE IMPACT MODEL TO CREATE THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE, OR MCHC AND DEVELOPED A JOINT CHNA AND IMPLEMENTATION STRATEGY, ISSUED IN 2022. MCHC BEGAN AS A SHARED PARTICIPATION IN HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS AND LOCAL HEALTH IMPROVEMENT COALITION. ESTABLISHED IN JUNE 2009, HEALTHY MONTGOMERY BRINGS TOGETHER COUNTY GOVERNMENT AGENCIES, COUNTY HOSPITAL SYSTEMS INCLUDING SUBURBAN HOSPITAL, MINORITY HEALTH PROGRAMS AND INITIATIVES, ADVOCACY GROUPS, AND OTHER STAKEHOLDERS TO ACHIEVE OPTIMAL HEALTH AND WELL-BEING FOR ALL MONTGOMERY COUNTY RESIDENTS. THE MONTGOMERY COUNTY HOSPITALS RECOGNIZED THE OPPORTUNITY TO WORK TOGETHER TO LEVERAGE COMMUNITY BENEFIT RESOURCES, IDENTIFY OVERLAPPING IMPLEMENTATION STRATEGIES, AND DECREASE DUPLICATION OF EFFORTS. WHILE MONTGOMERY COUNTY RANKS AS ONE OF THE HEALTHIEST COUNTIES IN MARYLAND, THERE ARE BARRIERS WITHIN THE COUNTY TO IMPROVING THE WELL-BEING FOR MANY IN OUR COMMUNITY. TO ADDRESS THESE, MCHC FOCUSES ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) EFFORTS ON 38 ZIP CODES ACROSS MONTGOMERY AND PRINCE GEORGE'S COUNTIES, WHERE THE NEED IS GREATEST DURING THE CHNA PROCESS IN 2022 AND IN 2025. THE 2025 MCHC CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE, INCLUDING: - FEDERAL, STATE, AND LOCAL HEALTH SURVEILLANCE DATA SETS, COLLECTED FROM JULY 2024 TO NOVEMBER 2024. - EXTERNAL STAKEHOLDERS, COMPRISING OFFICERS FROM LOCAL GOVERNMENT AGENCIES AND LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. - A COMMUNITY ENGAGEMENT COUNCIL, COMPRISING INDIVIDUALS WORKING DIRECTLY WITH COMMUNITIES THAT FACE THE HIGHEST NEEDS. - A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED IN SIX LANGUAGES. - COMMUNITY CONVERSATIONS, KEY INFORMANT INTERVIEWS, AND A FOCUS GROUP. - EXISTING NEEDS ASSESSMENTS FROM LOCAL HEALTH INITIATIVES, GOVERNMENT AGENCIES, AND NONPROFIT COMMUNITY HEALTH ORGANIZATIONS. BUILDING ON PREVIOUS ASSESSMENTS, THIS CHNA INCORPORATES NEW DATA SOURCES AND IMPROVED METHODOLOGIES TO BETTER CAPTURE THE EVOLVING HEALTH NEEDS OF THE COMMUNITY. GUIDED BY THE COUNTY HEALTH RANKINGS MODEL, WHICH OUTLINES FACTORS INFLUENCING LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS HAVE BEEN ASSESSED AND INTEGRATED TO CREATE A COMPREHENSIVE HEALTH PROFILE OF BOTH MONTGOMERY AND PRINCE GEORGE'S COUNTY. THIS ENHANCED APPROACH, SUPPORTED BY THE ONGOING COLLABORATION AND INVESTMENT OF THE MCHC, ENSURES A ROBUST UNDERSTANDING OF HEALTH INEQUITIES AND IDENTIFIES OPPORTUNITIES FOR INTERVENTION TO IMPROVE HEALTH OUTCOMES FOR ALL RESIDENTS. THE PROCESS INCLUDES 1) INFORMATION GATHERED FROM COMMUNITY MEMBERS AND SUBJECT MATTER EXPERTS THROUGH THE HEALTHY MONTGOMERY COMMUNITY HEALTH IMPROVEMENT PROCESS, EXTERNAL ADVISORY BOARD DISCUSSIONS, AND KEY INFORMANT INTERVIEWS; AND 2) THE COLLECTION OF TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS.HEALTHY MONTGOMERY -SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, HOSPITAL SYSTEMS, MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS.ADVISORY AND COMMUNITY ENGAGEMENT GROUPS - MCHC ENHANCED ITS COMMUNITY-CENTERED HEALTH IMPROVEMENT APPROACH BY FORMING A COMMUNITY ENGAGEMENT COUNCIL (CEC). THE CEC COMPRISED OF COMMUNITY MEMBERS FROM SEVERAL FOCUS AREAS WHO CONTRIBUTED THEIR LIVED EXPERIENCES AND INSIGHTS TO ENSURE THE CHNA ACCURATELY REFLECTED THE COMMUNITY'S NEEDS AND STRENGTHS. MEMBERS WERE INTEGRAL IN THE DEVELOPMENT OF A DISTRIBUTION PLAN FOR THE SURVEY AND PROVIDED INPUT ON THE SURVEY CONTENT. IN THE SUMMER OF 2024, MCHC REACHED OUT TO KNOWN LEADERS IN THE COMMUNITY TO HELP IDENTIFY INDIVIDUALS COMMITTED TO THEIR RESPECTIVE COMMUNITIES, INCLUDING FAITH-BASED, OLDER ADULTS, GEOGRAPHICALLY ISOLATED, AND PEOPLE LIVING WITH DISABILITIES. RECRUITMENT FOCUSED ON THOSE LIVING OR WORKING IN DESIGNATED ZIP CODES FROM THE COMMUNITY EQUITY INDEX. MCHC INVITED 10 OF THESE INDIVIDUALS TO JOIN THE CEC, WHICH MET WEEKLY FOR SEVEN WEEKS BETWEEN OCTOBER AND NOVEMBER 2024.THE OBJECTIVE OF THIS GROUP WAS TO DEVELOP A COMMUNITY ENGAGEMENT PLAN (CEP), THAT ONCE IMPLEMENTED, WOULD COLLECT MEANINGFUL AND ACTIONABLE INSIGHTS ABOUT KEY HEALTH CONCERNS, GAPS IN SERVICES, AND COMMUNITY RESOURCES FROM A BROAD AND REPRESENTATIVE SET OF COMMUNITY MEMBERS. TOPICS ON WHICH THE CEC STRATEGIZED OVER THE SEVEN WEEKS INCLUDED IDENTIFYING ADDITIONAL STAKEHOLDERS WITHIN THEIR NETWORKS, TYPES OF ENGAGEMENT ACTIVITIES, CONSIDERATIONS FOR INCENTIVIZATION, COMMUNICATION METHODS, AND HOW TO MAINTAIN ONGOING ENGAGEMENT. KEY OUTCOMES OF THIS PROCESS INCLUDED THE RECOMMENDATION OF SPECIFIC LANGUAGES IN WHICH TO OFFER THE COMMUNITY SURVEY, THE BEST METHOD IN WHICH TO DELIVER SURVEYS TO COMMUNITIES (IN-PERSON VERSUS VIRTUAL OUTREACH), AND OTHER ACCESSIBILITY CONSIDERATIONS. THE RESULTING CEP SET MCHC UP TO SUCCESSFULLY DELIVER THE PRIMARY DATA COLLECTION ACTIVITIES FROM JANUARY THROUGH MARCH 2025; PRIMARY DATA COLLECTION ACTIVITIES INCLUDED A SURVEY AND FOCUS GROUP.THE MCHC USED THIS INFORMATION, IN TANDEM WITH LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS AND COMMUNITY ADVOCATES, TO PRIORITIZE ROOT CAUSES OF HEALTH INEQUITIES OUTLINED INTO THREE HEALTH DOMAINS: 1) EASY ACCESS TO COMPREHENSIVE CARE, 2) PROMOTION OF HEALTHY LIVING AND WELL-BEING FOR ALL, AND 3) SUPPORT FOR ESSENTIAL COMMUNITY SERVICES. ADDRESSING THESE ROOT CAUSES WILL REDUCE THE BURDEN OF HEALTH OUTCOMES ASSOCIATED WITH HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES.-SEE SUPPLEMENTAL INFO FOR CONTINUATION SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE COLLABORATIVE CHNA INCLUDED ALL HOSPITALS IN MONTGOMERY COUNTY:1. ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER2. ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER3. HOLY CROSS HOSPITAL 4. HOLY CROSS GERMANTOWN HOSPITAL 5. MEDSTAR MONTGOMERY MEDICAL CENTER SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 6B: IN CONDUCTING THE 2025 CHNA, MONTGOMERY COUNTY DHHS AND HEALTHY MONTGOMERY WERE VITAL TO THE DATA COLLECTION, ENGAGEMENT AND PRIORITIZATION PROCESS. THE ORGANIZATIONS BELOW SERVED AS STAKEHOLDERS WHO WERE CONSULTED IN THE CHNA ENGAGEMENT AND PRIORITIZATION PROCESS.A WIDER CIRCLE AGE FRIENDLY MONTGOMERY COUNTY AMERICAN DIVERSITY GROUP CHARLES E. SMITH LIFE COMMUNITIES COMMUNITY FARM SHARE EASTERN MONTGOMERY EMERGENCY ASSISTANCE NETWORK EVERYMIND LINKAGES TO LEARNING PROGRAM FAIR ACCESS FOR THE WESTERN COUNTY GIRLS ON THE RUN OF MONTGOMERY COUNTY, MD GREATER STONEGATE VILLAGE GRISWOLD HOME CARE HEALTHCARE INITIATIVE FOUNDATION INTERFAITH WORKS MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC. MUSLIM COMMUNITY CENTER (MCC) MEDICAL CLINIC MONTGOMERY COUNTY RECREATION PRIMARY CARE COALITION RETIRED COMMUNITY MEMBER, FORMERLY WITH CHEER TRINITY HEALTH PACE VILLAGE OF FRIENDSHIP HEIGHTS WASHINGTON METRO OASIS WHOLISTIC BIRTH PROJECT WESTERN UPPER MONTGOMERY COUNTY (WUMCO) HELP, INC. SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 7D: A FULL COPY OF THE MCHC CHNA IS AVAILABLE IN PRINT AT SUBURBAN HOSPITAL AND ON THE HOSPITAL'S WEBSITE. IN ADDITION, COMPONENTS OF THE CHNA WERE MADE AVAILABLE THROUGH THE HOSPITAL'S ELECTRONIC HEALTH AND WELLNESS NEWSLETTER KNOWN AS WELLWORKS. A SUPPLEMENTAL REPORT KNOWN AS THE COMMUNITY HEALTH IMPROVEMENT REPORT (CHI), WHICH HIGHLIGHTS THE HOSPITAL'S CHNA, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT WAS MADE AVAILABLE TO COMMUNITY STAKEHOLDERS AND LEGISLATORS ANNUALLY. THE CHIAC DISSEMINATES THE CHI TO THEIR STAKEHOLDERS AND COMMUNITY. SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 11: 2025-2028 MONTGOMERY COUNTY REGIONAL COLLABORATIVE COMMUNITYHEALTH IMPROVEMENT PLAN (CHIP) IS THE HOSPITAL'S FORMAL RESPONSE TO THE NEEDS ASSESSMENT AND WAS DRAFTED COLLABORATIVELY AMONG ALL SIX MONTGOMERY COUNTY HOSPITALS AS WELL AS MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (MCDHHS). IT IS THE FIRST TIME THAT MCDHHS AND MCHC HAVE MADE ALIGNED EFFORTS TO CREATE THE CHIP AND OUTLINES HOW MCHC AND MCDHHS PLAN TO ADDRESS EACH OF THE THREE PRIORITIZED HEALTH DOMAINS, SPECIFICALLY NOTING THE ACTIONS EACH HOSPITAL AND MCDHHS INTENDS TO TAKE AND THE ANTICIPATED IMPACT OF THESE ACTIONS. THE CHIP REFLECTS AN OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. TO ADDRESS THE UNMET NEEDS, THE CHIP FOCUSES ON PREVENTION, EDUCATION, AND DISEASE MANAGEMENT INITIATIVES. THE COLLABORATIVE APPROACH OF THE 2025 IMPLEMENTATION PLAN POSITIONS SUBURBAN AND THE OTHER HOSPITALS TO ADDRESS ALL THE UNMET NEEDS VIA A COLLECTIVE APPROACH THAT BUILDS ON STRENGTHENING AND EXPANDING EXISTING INFRASTRUCTURE AND SHARED MEASUREMENT SYSTEMS. TO ACHIEVE THIS GOAL, EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION. INTEGRATING BOTH THE MCHC AND HOSPITAL'S IMPLEMENTATION AND INTERNAL STRATEGIC GOALS, THE HOSPITAL'S STRATEGIC PLAN IS ALIGNED TO INCREASE HEALTHCARE ACCESS TO OUR MOST VULNERABLE PATIENTS AND COMMUNITIES. DELIBERATELY APPLYING A COLLECTIVE IMPACT APPROACH, THE SUBURBAN HOSPITAL'S COMMUNITY HEALTH AND WELLNESS (CHW) DIVISION GUIDES AND SUPPORTS THE FOLLOWING POPULATION HEALTH OBJECTIVES: A SEAMLESS TRANSITION AND BETTER MANAGEMENT OF PATIENTS' COMPLEX NEEDS FROM HOSPITAL TO HOME THROUGH THE DEPLOYMENT OF FOUR TRANSITION GUIDE NURSES. A RE-ADMISSIONS REDUCTION STRATEGY THAT SUPPORTS "AGING IN PLACE" VIA A VILLAGE ALLIANCE MODEL WITHIN SUBURBAN HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) ZIP CODES. DATA ANALYTICS TO IDENTIFY VULNERABLE COMMUNITIES IN SUBURBAN HOSPITAL'S CBSA ZIP CODES TO SUPPORT AND INTEGRATE POPULATION HEALTH-SPECIFIC INTERVENTIONS WITH THE GOAL OF REDUCING HEALTH INEQUITIES AS OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. INTEGRATION OF POPULATION HEALTH INTERVENTIONS AIMED AT REDUCING HEALTH INEQUITIES AND COLLABORATING WITH SAFETY NET CLINICS IN MONTGOMERY COUNTY TO INCREASE ACCESS OF CARE AND PROVIDE A CONTINUUM OF CARE IN CHRONIC DISEASE MANAGEMENT INTERVENTIONS. LEVERAGING CURRENT STAKEHOLDER RESOURCES TO IDENTIFY AND ADDRESS GAPS WITHIN POPULATION-SPECIFIC BEHAVIORAL HEALTH DISPARITIES AND SEEK TO IMPROVE ACCESS TO URGENT CARE MENTAL HEALTH SERVICES THROUGH HEALTHY MONTGOMERY AND BY PARTNERING WITH SAFETY NET CLINICS. BRIDGING THE NEEDS OF PATIENTS THROUGH A COMMUNITY HEALTH WORKER MODEL THAT FOCUSES ON STRATEGIES THAT INFLUENCE HEALTH OUTCOMES, SUCH AS TRANSPORTATION, FOOD INSECURITY, TOBACCO USE, AND ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES. IN THE MOST RECENT CHNA, SEVEN KEY HEALTH PRIORITIES WERE IDENTIFIED RESPECTIVELY: BEHAVIORAL HEALTH, CARDIOVASCULAR HEALTH, CANCERS, DIABETES, INFECTIONS, MATERNAL AND INFANT HEALTH AND UNINTENTIONAL INJURIES. AN IDENTIFIED NEED FOR WHICH SUBURBAN HOSPITAL IS NOT ABLE TO ADDRESS IS MATERNAL AND INFANT HEALTH. SUBURBAN HOSPITAL DOES NOT EMPLOY AN OBSTETRICS SERVICE LINE NOR DELIVER BABIES. ONE REASON FOR NOT SEEKING THIS DESIGNATION IS TO AVOID DUPLICATION OF SERVICES AS THERE ARE SEVERAL OTHER COMMUNITY HOSPITALS WITHIN 5-10 MILES OF OUR BETHESDA LOCATION WITH REPUTABLE OBSTETRICS PROGRAMS. WHILE THE HOSPITAL MAY NOT BE ABLE TO PRIORITIZE MATERNAL AND INFANT HEALTH DIRECTLY, SUBURBAN HOSPITAL DOES INDIRECTLY SUPPORT MATERNAL AND INFANT HEALTH INITIATIVES THROUGH FUNDING AND PROGRAMMING OF SEVERAL OTHER ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES. NOTABLY, SUBURBAN HOSPITAL SUPPORTS PARENT ENCOURAGEMENT PROGRAM (PEP) IN THEIR EFFORTS TO BRING PARENTING EDUCATION TO PARENTS IN MONTGOMERY COUNTY THROUGH THEIR FAMILY RESILIENCY PROGRAM AND THEIR "CRITICAL TOPICS IN PARENTING" WEBINAR SERIES. PEP'S FAMILY RESILIENCY PROGRAM IS A CULTURALLY COMPETENT SUPPORT GROUP-STYLE PROGRAM OFFERED IN ENGLISH AND SPANISH THAT PROVIDES PARENTS AND CAREGIVERS WITH TOOLS TO HELP THEM SUPPORT THEIR CHILDREN COPE WITH STRESS AND ANXIETY. OVER 800 PARENTS AND CAREGIVERS LEARN HOW TO STRENGTHEN THEIR RELATIONSHIPS AND COMMUNICATIONS WITH THEIR CHILDREN; EFFECTIVE SETTING LIMITS; PROBLEM-SOLVING SKILLS; AND HOW TO MANAGE THEIR OWN ANGER IN FY2025. TOPICS COVERED IN THEIR "CRITICAL TOPICS IN PARENTING" WEBINAR SERIES INCLUDE "10 TIPS TO HELP STRESSED & ANXIOUS CHILDREN WHEN YOU CAN'T FIND THERAPY AND "3 TIPS FOR CONNECTION FROM PEP DADS" TO NAME A FEW. THESE INITIATIVES ARE TIED TO SUPPORTING THE COUNTY'S FAMILIES AND STRENGTHENING MENTAL HEALTH APPROACHES IN CHILDREN AND FAMILIES. IN ADDITION, SUBURBAN HOSPITAL PROVIDES FINANCIAL SUPPORT TO SAFETY NET CLINICS IN MONTGOMERY COUNTY WHO TREAT SPECIFIC PATIENTS REQUIRING OBSTETRIC OR PEDIATRIC CARE. THE HOSPITAL IS ALSO THE OFFICIAL HEALTH SPONSOR OF GIRLS ON THE RUN MONTGOMERY COUNTY, PROVIDING DISCOUNTED CPR TRAINING CLASSES TO THE COACHES, PURCHASING SHOES AND HEALTHY SNACKS FOR STUDENTS FROM TITLE I SCHOOLS, AND PROVIDING HEALTH TIPS ON THE GIRLS ON THE RUN MONTGOMERY COUNTY WEBSITE. PART V, SECTION B, LINE 5 -CONTINUATION OF PARTV, SECTION B, LINE 5COMMUNITY SURVEYS, CONVERSATIONS AND KEY INFORMANT INTERVIEWS - DURING THE 2025 CHNA PROCESS, A 19-QUESTION CHNA SURVEY WAS WIDELY DISTRIBUTED TO GATHER INSIGHTS ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY WAS MADE AVAILABLE IN VARIOUS LANGUAGES INCLUDING AMHARIC, ENGLISH, FRENCH, MANDARIN, SPANISH, AND VIETNAMESE TO ENSURE INCLUSIVITY. THE SURVEY DISSEMINATION WAS CONDUCTED THROUGH A WELL-COORDINATED DISTRIBUTION PLAN DEVELOPED BY THE CEC. DISSEMINATION OF THE SURVEY OCCURRED FROM JANUARY THROUGH MARCH 2025 THROUGH COMMUNITY EVENTS, PROGRAMS AND HEALTH FAIRS, EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS, AND ORGANIZATIONS. REFER TO APPENDIX G OF THE MCHC CHNA FOR A LIST OF ORGANIZATIONS AND PARTNERS WHO DISTRIBUTED THE SURVEY. A TOTAL OF 715 INDIVIDUALS RESPONDED TO THE SURVEY. SIX HUNDRED AND SIXTEEN (616) OF THOSE RESPONSES MET THE INCLUSION CRITERIA FOR THE ANALYSIS: ADULTS (AGES 18 AND OLDER) WHO RESIDE IN THE 2025 CHNA CBSA. THIS REPRESENTED A 26.2% INCREASE IN RESPONSE RATE ELIGIBILITY FROM 2022 TO 2025. WE CREDIT THE NOTABLE INCREASE IN COMMUNITY SURVEY RESPONSES TO THE DEVELOPMENT OF THE CEC. THE FINDINGS FROM THE COMMUNITY SURVEY WERE COMPARED TO SECONDARY LEVEL DATA AND USED IN THE PRIORITIZATION PROCESS. COMMUNITY CONVERSATIONS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND WITH OVERSIGHT, PARTICIPATION, AND SUPPORT FROM THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (MCDHHS). A TOTAL OF 56 STAKEHOLDERS PARTICIPATED IN 11 KEY INFORMANT INTERVIEWS. IT IS IMPORTANT TO NOTE THAT THESE CONVERSATIONS AND INTERVIEWS WERE ORIGINALLY INCLUDED IN THE 2022 CHNA, AS MONTGOMERY COUNTY OPERATES ON A FIVE-YEAR CHNA CYCLE. THE COUNTY APPROVED THEIR CHNA IN 2024, AND THESE QUALITATIVE INSIGHTS CONTINUE TO PROVIDE VALUABLE CONTEXT TO COMPLEMENT THE SURVEY DATA, OFFERING A DEEPER UNDERSTANDING OF THE COMMUNITY'S NEEDS AND ASSETS.KEY INFORMANT INTERVIEW STAKEHOLDERS - THE KEY INFORMANT INTERVIEWS (KII) INCLUDED REPRESENTATIVES FROM THE FOLLOWING COUNTY ENTITIES: ORGANIZATIONS PRIMARILY SERVING ASIAN AMERICANS, ORGANIZATIONS PRIMARILY SERVING LATINO/A OR HISPANIC INDIVIDUALS, ORGANIZATIONS PRIMARILY SERVING BLACK, AFRICAN OR AFRICAN AMERICANS, FAITH LEADERS, ADVENTIST HEALTHCARE, SUBURBAN HOSPITAL, A MEMBER OF JOHNS HOPKINS MEDICINE, MEDSTAR MONTGOMERY MEDICAL CENTER, HOLY CROSS HEALTH, REPRESENTATIVES FROM THE MONTGOMERY CARES CLINICS, AND MONTGOMERY COUNTY BOARDS, COMMITTEES AND COMMISSIONS (RACIAL EQUITY AND SOCIAL JUSTICE ADVISORY COMMITTEE, FIRE AND EMERGENCY SERVICES COMMISSION, AND BOARD OF PARTICIPANTS). NEEDS ASSESSMENTS AND REPORTS - AS AVAILABLE, THE MCHC USED A RANGE OF NEEDS ASSESSMENTS AND REPORTS TO IDENTIFY UNMET NEEDS. THESE INCLUDE: AFRICAN AMERICAN HEALTH PROGRAM ANNUAL REPORT FY2023 AFRICAN AMERICAN HEALTH PROGRAM HEALTH DISPARITIES HOT SPOT REPORT 2019 ASIAN AMERICAN HEALTH INITIATIVE ANNUAL REPORT FY2023 BLUEPRINT FOR ASIAN AMERICAN HEALTH INITIATIVE 2020-2030 BLUEPRINT FOR LATINO HEALTH IN MONTGOMERY COUNTY 2017-2026 CDC NATIONAL DIABETES STATISTICS REPORT 2022 COMMUNITY ACTION PARTNERSHIP, COMMUNITY NEEDS ASSESSMENT 2022-2025 HEALTHY MONTGOMERY HEALTH SURVEY REPORT 2022 LATINO HEALTH INITIATIVE ANNUAL REPORT FY2023 MATERNAL AND INFANT HEALTH IN MONTGOMERY COUNTY, MD 2012-2021 MARYLAND COMMISSION ON HEALTH EQUITY 2022 ANNUAL REPORT MARYLAND VITAL STATISTICS ANNUAL REPORT 2022 MARYLAND DIABETES ACTION PLAN 2022 MONTGOMERY COUNTY COLLABORATION COUNCIL, COMMUNITY NEEDS ASSESSMENT, 2020 MONTGOMERY COUNTY 2023 COMMUNITY HEALTH NEEDS ASSESSMENT MONTGOMERY COUNTY DHHS, HEALTH EQUITY REPORT 2013-2021 MONTGOMERY COUNTY DHHS, POPULATION HEALTH REPORT 2010-2019 MONTGOMERY COUNTY FOOD COUNCIL ANNUAL REPORT 2022 12 2025 CHNA REPORT PRINCE GEORGE'S COUNTY COMMUNITY HEALTH ASSESSMENT 2022 PRINCE GEORGE'S COUNTY FOOD SECURITY TASK FORCE REPORT 2021 THRIVE MONTGOMERY 2050 PLAN 2022 TRUST FOR AMERICA'S HEALTH, STATE OF OBESITY 2022: BETTER POLICIES FOR A HEALTHIER AMERICA UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS DATA 2023 USDA ECONOMIC RESEARCH REPORT, HOUSEHOLD FOOD SECURITY IN THE UNITED STATES 2022OTHER AVAILABLE DATA - THE MCHC UTILIZED A COMPREHENSIVE APPROACH TO DATA COLLECTION BY REVIEWING PUBLICLY ACCESSIBLE DATA ON MARKET ANALYSES, HEALTH INDICATORS, AND SDOH. THESE DATA SETS PROVIDE A NUANCED UNDERSTANDING OF THE COMMUNITIES WE SERVE, HELPING TO IDENTIFY POTENTIAL DISPARITIES THAT MIGHT NOT EMERGE FROM EXAMINING ONLY COUNTY OR STATE DATA.PRIORITIZATION PROCESS - THE PRIORITIZATION PROCESS WAS CONDUCTED VIA A BRIEF ELECTRONIC SURVEY SHARED WITH OVER 50 INTERNAL AND EXTERNAL HOSPITAL LEADERS, THE COMMUNITY ENGAGEMENT COUNCIL, AND OTHER MCHC EXTERNAL STAKEHOLDERS IN APRIL 2025. BELOW IS THE LIST OF THE ORGANIZATIONS REPRESENTED IN THE PRIORITIZATION PROCESS; SOME ORGANIZATIONS HAD MULTIPLE INDIVIDUALS RESPOND. THESE INDIVIDUALS WERE ASKED TO CONSIDER THEIR EXPERIENCES WORKING IN AND WITH THE COMMUNITY WHILE REVIEWING THE BARRIERS IDENTIFIED DURING THE PRIMARY DATA COLLECTION PROCESS AND SELECT WHAT THEY BELIEVED THE TOP THREE WERE IN EACH OF THREE CATEGORIES. EACH OF THE 50 RESPONDENTS WERE ALSO ASKED TO RANK (LOW, MODERATE, OR HIGH) THE SERIOUSNESS, THE EASE OF ADDRESS, AND THE IMPACT OF EACH OF THEIR RESPONSES.KEY ORGANIZATIONAL STAKEHOLDERS & INFORMANTS FOR PRIORITIZATION PROCESS:A WIDER CIRCLE ADVENTIST HEALTHCARE AGE FRIENDLY MONTGOMERY COUNTY AMERICAN DIVERSITY GROUP CHARLES E. SMITH LIFE COMMUNITIES COMMUNITY FARM SHARE COMMUNITY MEMBER EASTERN MONTGOMERY EMERGENCY ASSISTANCE NETWORK EVERYMIND LINKAGES TO LEARNING PROGRAM FAIR ACCESS FOR THE WESTERN COUNTY GIRLS ON THE RUN OF MONTGOMERY COUNTY, MD GREATER STONEGATE VILLAGE GRISWOLD HOME CARE HEALTHCARE INITIATIVE FOUNDATION HOLY CROSS HEALTH HOLY CROSS HEALTH NETWORK INTERFAITH WORKS MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC. MUSLIM COMMUNITY CENTER (MCC) MEDICAL CLINIC MEDSTAR HEALTH MEDSTAR MONTGOMERY MEDICAL CENTER MONTGOMERY COUNTY DHHS MONTGOMERY COUNTY RECREATION PRIMARY CARE COALITION RETIRED COMMUNITY MEMBER, FORMERLY WITH CHEER SUBURBAN HOSPITAL TRINITY HEALTH PACE VILLAGE OF FRIENDSHIP HEIGHTS WASHINGTON METRO OASIS WHOLISTIC BIRTH PROJECT WESTERN UPPER MONTGOMERY COUNTY (WUMCO) HELP, INC.THE SUBURBAN HOSPITAL BOARD OF TRUSTEES ADOPTED AND APPROVED THE 2025 CHNA ON MAY 7, 2025, WHICH WAS NOTED AND RETAINED IN THE MEETING MINUTES. MEETING MINUTES ARE KEPT ELECTRONICALLY IN THE EXECUTIVE SUITE AT THE HOSPITAL. IT WAS POSTED ON SUBURBAN'S WEBSITE ON JUNE 30, 2025. PART V, SECTION B, LINE 7A HTTPS://WWW.HOPKINSMEDICINE.ORG/-/MEDIA/ABOUT/DOCUMENTS/COMMUNITY-HEALTH/HEALTH-NEEDS-ASSESSMENT/SUBURBAN-CHNA-2025.PDF PART V, SECTION B, LINE 10A HTTPS://WWW.HOPKINSMEDICINE.ORG/-/MEDIA/ABOUT/DOCUMENTS/COMMUNITY-HEALTH/HEALTH-NEEDS-ASSESSMENT/SUBURBAN-CHNA-2025.PDF PART V, SECTION B, LINE 16A HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART I, LINE 3C: SEE DETAILS IN SCH H, PART V, SECTION B, LINE 13. PART I, LINE 7: -A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM OUR HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO.- LINE 7B - MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED 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.- LINE 7F COLUMN (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO HEALTH PROFESSIONS EDUCATION. PART I, LINE 7G: SUBURBAN HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: SUBURBAN HOSPITAL ADDRESSES SEVERAL OF THE COMMUNITY'S UNMET HEALTH NEEDS BY LEVERAGING RESOURCES WITH LONG-STANDING COMMUNITY COALITIONS, PARTNERS, ADVISORY GROUPS, BOARDS, PANELS, AND COMMITTEES, AS WELL AS BY SERVING ON LOCAL COUNTY COMMISSIONS, SUCH AS THE MONTGOMERY CARES PROGRAM ADVISORY BOARD. IN ADDITION, SUBURBAN HOSPITAL WORKS CLOSELY WITH MCDHHS, PUBLIC HEALTH OFFICIALS, AND LEADERS OF ALL SIX MONTGOMERY COUNTY HOSPITALS TO IDENTIFY POTENTIAL GAPS IN LOCAL SERVICES THAT CAN NEGATIVELY INFLUENCE HEALTH AND WELL-BEING. SUBURBAN HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES SUPPORT AND PROMOTE THE HEALTH IMPROVEMENT OF THE COMMUNITY IT SERVES THROUGH SEVERAL INITIATIVES THAT INFLUENCE AND HIGHLIGHT THE EXPERTISE AND INSIGHT OF LOCAL AND TRUSTED ORGANIZATIONS. THE GOAL IS TO AVOID DUPLICATION AND RESERVE RESOURCES FOR THOSE WHO NEED THEM THE MOST. THE LIST OF SUBURBAN HOSPITAL'S LONG STANDING PARTNERS INCLUDE: 4MONTGOMERYKIDS, A WIDER CIRCLE, AMERICAN HEART ASSOCIATION GREATER WASHINGTON REGION, AMERICAN LUNG ASSOCIATION, AMERICAN RED CROSS, ARCHDIOCESES HEALTHCARE NETWORK/CATHOLIC CHARITIES OF WASHINGTON DC, BETHESDA CARES, BETHESDA CHEVY CHASE ROTARY CLUB, BETHESDA CHEVY CHASE YMCA, CHARLES E. SMITH LIFE COMMUNITIES, CATHOLIC CHARITIES CENTER, EVERYMIND, GREATER BETHESDA CHAMBER OF COMMERCE, IDENTITY INC., LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY CHAMBER OF COMMERCE, MONTGOMERY COUNTY CANCER CRUSADE/TOBACCO COALITION, MONTGOMERY COUNTY HEALTH AND HUMAN SERVICES, MONTGOMERY COUNTY CHAMBER OF COMMERCE, MONTGOMERY COUNTY FOOD COUNCIL, MANNA FOOD, MOBILE MEDICAL CARE, INC., NATIONAL ALLIANCE ON MENTAL ILLNESS MONTGOMERY COUNTY (NAMI), NOURISHING BETHESDA, NEXUS MONTGOMERY, PROYECTO SALUD CLINIC, PARENT ENCOURAGEMENT PROGRAM (PEP), RAINBOW PLACE, SCOTLAND COMMUNITY PARTNERSHIP, STEPPING STONES SHELTER, THE UNITED WAY NATIONAL CAPITAL REGION, WASHINGTON METROPOLITAN OASIS AND AGING IN PLACE VILLAGE ALLIANCES ARE ALL VALUABLE ASSETS TO IDENTIFYING THE DIVERSITY OF COMMUNITY NEED AND ENGAGEMENT.EXAMPLES OF HOW SUBURBAN HOSPITAL DELIVERS PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE COMMUNITY AND PROVIDE ACCESS FOR ALL, ACROSS THE THREE OVERARCHING HEALTH PRIORITY AREAS INCLUDE:ACCESS TO CARESUBURBAN HOSPITAL PROVIDES FREE DIAGNOSTIC, OUTPATIENT AND INPATIENT CARDIAC HEALTH SERVICES TO MOBILE MEDICAL CARE, INC., A LOCAL CLINIC THAT PROVIDES FREE AND LOW-COST MEDICAL CARE FOR THE UNINSURED. MOREOVER, SUBURBAN PROVIDES THESE SAME FREE AND WRAP-AROUND SERVICES TO ADDITIONAL MONTGOMERY CARE CLINICS LOCATED ACROSS MONTGOMERY COUNTY. MONTGOMERY CARES IS A PUBLIC-PRIVATE PARTNERSHIP COMPRISED OF 11 INDEPENDENT SAFETY-NET PRIMARY CARE CLINICS, SIX HOSPITALS, AND THE MCDHHS. AS OF APRIL 2024, SUBURBAN HOSPITAL HAS BEEN APPOINTED BY THE COUNTY EXECUTIVE TO REPRESENT THE SIX HOSPITALS ON THE MONTGOMERY CARES PROGRAM ADVISORY BOARD FOR A THREE-YEAR TERM.IN MONTGOMERY COUNTY AND THROUGHOUT THE STATE OF MARYLAND, THE NEED FOR SPECIALTY CARE IS SUBSTANTIAL. SUBSIDIZED SPECIALTY CARE PROGRAMS IN THE AREA ARE SATURATED WITH LONG WAITING LISTS. AS A RESULT, MANY COUNTY RESIDENTS SUFFER COMPLICATIONS FROM THEIR DISEASES BECAUSE THEY ARE UNABLE TO ACCESS TIMELY SPECIALTY CARE. THE MOBILEMED/NIH HEART CLINIC STRIVES TO ADDRESS A LEADING CAUSE OF DEATH IN MONTGOMERY COUNTYCARDIOVASCULAR DISEASE. THE CLINIC, IN COLLABORATION WITH MOBILE MEDICAL CARE, INC., THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE, AND SUBURBAN HOSPITAL, HAVE SERVED WELL OVER 8,900 PATIENTS AND HAVE CONDUCTED MULTIPLE OPEN-HEART SURGERIES AT NO COST TO PATIENTS WHO ARE IN URGENT NEED OF SPECIALTY CARE AND INPATIENT SERVICES SINCE 2007. REFERRED BY MOBILE MEDICAL CARE SAFETY NET CLINICS IN THE COUNTY, EACH PATIENT IS EVALUATED BY A CARDIOLOGIST AND CLINICAL STAFF FROM THE NHBLI AND SUBURBAN. IN ADDITION TO COORDINATING THE CARDIOLOGISTS AND NURSES WHO VOLUNTEER THEIR TIME AND SERVICES, THE HOSPITAL ABSORBS ALL COSTS ASSOCIATED WITH FREE SPECIALTY CARDIOVASCULAR DIAGNOSTIC TESTS, LABORATORY SERVICES, AND MEDICAL EXAMINATIONS. IN FY25, THERE WERE 423 ENCOUNTERS WITH 254 UNDUPLICATED PATIENTS SERVED BY THE MOBILEMED HEART CLINIC AT SUBURBAN HOSPITAL. IN FY25, 348 CARDIAC DIAGNOSTIC TESTS WERE PERFORMED, INCLUDING 221 ELECTROCARDIOGRAMS (ECG), 81 ECHOCARDIOGRAMS, 23 CARDIOVASCULAR STRESS TESTS, AND 21FOR CARDIAC MONITORING. THIS MODEL SERVED AS A CATALYST FOR ADDRESSING OTHER HEALTH PRIORITIES IN A SIMILAR MANNER. DUE TO AN ALARMINGLY HIGH RATE OF DIABETES, ALONG WITH DIFFICULTY ACCESSING SPECIALTY CARE LED TO THE CREATION OF THE MOBILE MED/NIH ENDOCRINE CLINIC AT SUBURBAN HOSPITAL IN 2010. THE ENDOCRINE CLINIC FOLLOWS THE MOBILEMED/NIH HEART CLINIC'S BEST-PRACTICE MODEL BY DRAWING UPON THE EXPERTISE AND RESOURCES OF MOBILE MEDICAL CARE, INC., THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES (NIDDK), AND SUBURBAN HOSPITAL TO OFFER COMPREHENSIVE ENDOCRINE CARE SPECIALTY SERVICES TO LOW-INCOME, UNINSURED RESIDENTS OF MONTGOMERY COUNTY. STAFF FROM THE THREE INSTITUTIONS VOLUNTEER THEIR TIME ONCE A WEEK BY PROVIDING DIAGNOSTIC TESTS, LABORATORY SERVICES AND FREE MEDICAL EXAMINATIONS. TO DATE, THE CLINIC HAS TREATED OVER 5,500 PATIENTS. IN FY25, THERE WERE 179 ENCOUNTERS, WITH 87 UNDUPLICATED PATIENTS WHO ATTENDED THE MOBILEMED/NIH ENDOCRINE CLINIC AT SUBURBAN HOSPITAL. NOTABLY, THE SUCCESS OF THE CLINIC IS MEASURED THROUGH A DECREASE IN HEMOGLOBIN A1C LEVELS AS 56.4% OF PATIENTS WITH DIABETES MELLITUS SHOWED IMPROVEMENT IN THESE LEVELS.CURRENTLY, SIX MILLION PEOPLE IN THE UNITED STATES ARE AFFECTED BY CONGESTIVE HEART FAILURE (CHF), WITH A PROJECTED INCREASE TO EIGHT MILLION BY 2030. POPULATIONS HISTORICALLY FACING BARRIERS TO CARE ARE DISPROPORTIONATELY AFFECTED DUE TO A HIGHER PREVALENCE OF CHF RISK FACTORS, INCLUDING HYPERTENSION, OBESITY, TYPE 2 DIABETES (T2DM), AND CHRONIC KIDNEY DISEASE (CKD). SUBURBAN HOSPITAL'S POPULATION HEALTH DEPARTMENT TARGETED THESE PATIENTS TO RECEIVE ENHANCED EDUCATION AND SUPPORT KNOWN AS HEART FAILURE VIP INITIATIVE (HF VIP), FROM A MULTI-DISCIPLINARY TEAM LED BY COMMUNITY HEALTH NURSES AND SUPPORTED BY A CASE MANAGER ASSISTANT AND COMMUNITY HEALTH WORKERS. THE APPROACH IS HOLISTIC, PATIENT-CENTERED, AND EVIDENCE-BASED, WITH THE AIM OF PROMOTING DISEASE UNDERSTANDING AND SELF-MANAGEMENT TO PREVENT READMISSIONS AND REDUCE OVERALL HEALTHCARE UTILIZATION COSTS. OVER THE COURSE OF THE YEAR, 303 PATIENTS WERE EDUCATED BY THE HEART FAILURE VIP NURSES IN FY25. THESE PATIENTS MAY ALSO EXPERIENCE THEIR OWN CHALLENGES SUCH AS LACK OF SOCIAL SUPPORT, COGNITIVE LIMITATIONS, FINANCIAL STRAIN, AND LACK OF PATIENT/FAMILY READINESS FOR PALLIATIVE CARE/HOSPICE WHICH CONTRIBUTED TO READMISSIONS. AS A RESULT, COMMUNITY HEALTH WORKERS ASSIST THEM IN UTILIZING RESOURCES AND SERVICES SUCH AS FOOD ASSISTANCE, TRANSPORTATION AND UTILITIES PROGRAMS. OF THE 303 PATIENTS SEEN, THERE WERE 1,962 REQUESTS FOR RESOURCE NEEDS. THIS HIGHLIGHTS THAT A PATIENT MAY HAVE SEVERAL BARRIERS AFFECTING THEIR HEALTH AND REQUIRES FURTHER ASSISTANCE. HEALTHY BEHAVIORSTO ADDRESS THE HIGH NUMBERS OF BOTH PHYSICAL INACTIVITY AND SOCIAL ISOLATION AMONG THE GROWING AGING POPULATION, SUBURBAN HOSPITAL OFFERS SENIOR SHAPE, AN EXERCISE PROGRAM FOR THOSE 55 AND OLDER DESIGNED TO IMPROVE THE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING OF OLDER ADULTS WITH PARTICIPANTS RANGING IN AGE FROM 70-90+ THROUGH VARIOUS FITNESS CLASSES. CERTIFIED GROUP FITNESS INSTRUCTORS LEAD PARTICIPANTS IN 45-MINUTE GROUP EXERCISE CLASSES THAT HELP PARTICIPANTS IMPROVE AND MAINTAIN BALANCE, STRENGTH, FLEXIBILITY, AND CARDIOVASCULAR HEALTH. THE PROGRAM INCLUDES WEIGHT TRAINING, AEROBICS/STRENGTH AND STRETCH, STABILITY BALL, FLEXIBLE STRENGTH, ADVANCED WEIGHT TRAINING, AND ADVANCED AEROBIC/STRENGTH AND STRETCH EXERCISES AND IS OFFERED VIRTUALLY AND IN PERSON IN BOTH MONTGOMERY AND PRINCE GEORGE'S COUNTIES REACHING OVER 40,097 PARTICIPANTS IN FY25. BASED ON QUALITATIVE DATA FROM SURVEY RESULTS, OF THOSE WHO COMPLETED, 75 PERCENT AGREED THAT THEIR OVERALL QUALITY OF LIFE HAS IMPROVED SINCE PARTICIPATING IN SENIOR SHAPE. WHILE MAJORITY OF PARTICIPANTS (84%) FEEL THAT SENIOR SHAPE HAS HAD A POSITIVE IMPACT ON THEIR WELL-BEING, EITHER THROUGH PHYSICAL FITNESS, SOCIAL CONNECTION, OR BOTH. OF THOSE IN THAT SURVEY, 93 PERCENT STATED THAT THEY DID NOT EXPERIENCE A FALL WITHIN THE LAST 12 MONTHS. THESE RESULTS SUGGEST THAT SENIOR SHAPE MAY BE PLAYING A ROLE IN FALL PREVENTION AMONG OLDER ADULTS. THE HIGH PERCENTAGE OF PARTICIPANTS WHO HAVE NOT EXPERIENCED A FALL WITHIN THE PAST YEAR, COMBINED WITH THE FACT THAT NO FALLS RESULTED IN HOSPITALIZATION, REFLECTS POSITIVELY ON THE PROGRAM'S IMPACT IN IMPROVING BALANCE, STRENGTH, AND OVERALL PHYSICAL STABILITY.-SEE SUPPLEMENTAL STATEMENTS FOR CONTINUATION PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 3: MARYLAND HOSPITALS ARE RATE REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THE RATE REGULATION, SHI CANNOT DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION FROM PART II, COMMUNITY BUILDING ACTIVITIES:EDUCATION, INCOME, JOB & ENVIRONMENTTHE MEDICAL EXPLORING PROGRAM (MEP) IS A SIGNATURE, ONE-OF-A-KIND, INTERACTIVE, EDUCATIONAL, AND WORKFORCE DEVELOPMENT PROGRAM DESIGNED FOR HIGH SCHOOL STUDENTS INTERESTED IN PURSUING A CAREER PATH IN HEALTH, SCIENCE AND MEDICINE. OFFERED IN A COMMUNITY HOSPITAL SETTING, HIGH SCHOOL STUDENTS LEARN ABOUT CAREER OPTIONS FROM THE REGION'S TOP PHYSICIANS, SURGEONS, AND HEALTH CARE PROFESSIONALS AS WELL AS OBTAIN CRITICAL HANDS-ON EXPERIENCE AND TRAINING IN AREAS SUCH AS CPR AND BLEEDING CONTROL. THE ACADEMIC YEAR-LONG PROGRAM IS LED BY STUDENT OFFICERS, ELECTED BY THEIR PEERS, WHO HAVE FULL RESPONSIBILITY IN COORDINATING THE ATTENDANCE OF 136 REGISTERED STUDENTS IN EACH OF THE BI-MONTHLY INTERACTIVE SEMINARS IN FY25. PART III, LINE 4: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 17. PART III, LINE 8: THE TRIAL BALANCE EXPENSES ARE ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH THE MEDICARE COST REPORTING RULES AND REGULATIONS. PART III, LINE 9B: THE HOSPITAL CONFORMS TO THE PRINCIPLES AND STANDARDS OF THE MHA HOSPITAL BILLING AND DEBT COLLECTION PRACTICES PRINCIPLES AS WELL AS THE MHA MINIMUM STANDARDS FOR FINANCIAL ASSISTANCE IN MARYLAND HOSPITALS. PART VI, LINE 2: SUBURBAN HOSPITAL'S COMMUNITY BENEFIT PLAN IS AN INTEGRAL COMPONENT TO ADDRESS THE COMMUNITY'S HEALTH NEEDS. USING A COLLABORATIVE APPROACH THAT BUILDS LONG-STANDING INTERNAL AND EXTERNAL PARTNERSHIPS, SUBURBAN CAN EFFECTIVELY PLAN FOR AND UTILIZE RESOURCES TO ADDRESS IDENTIFIED HEALTH NEEDS. THIS APPROACH STARTS AT THE TOP; THE ADMINISTRATIVE DIRECTOR OF COMMUNITY AFFAIRS & POPULATION HEALTH OF THE CHW DIVISION REPORTS TO NATIONAL CAPITAL REGION EXECUTIVE DIRECTOR OF COMMUNITY HEALTH AND THE PRESIDENT OF SUBURBAN HOSPITAL, ENSURING THE TWO STRATEGIES REMAIN LINKED TO LEVERAGE RESOURCES EFFICIENTLY WHILE MEETING OBJECTIVES. CHW'S COMMITMENT TO THE STRATEGIC PLAN IS ONGOING; QUARTERLY, PROGRESS IS REVIEWED AND REPORTED AS PART OF THE HOSPITAL'S OVERALL OPERATION PERFORMANCE SCORECARD. WITH CONSTANT COMMUNICATION AND CONSIDERATION OF COMMUNITY BENEFIT PLANNING AND STRATEGY, THE CHW DIVISION CAN EFFECTIVELY ALIGN AND SUPPORT HOSPITAL OPERATIONS AND OVERALL SYSTEM GOALS. PART VI, LINE 3: SHI'S PATIENT ACCESS DEPARTMENT PROVIDES ALL PATIENTS REGISTERED FOR EMERGENCY, OUTPATIENT, OR INPATIENT CARE A COPY OF OUR FINANCIAL ASSISTANCE INFORMATION SHEET. SIGNS ARE POSTED IN ENGLISH AND SPANISH EXPLAINING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHERE TO CALL FOR ASSISTANCE. THE SIGNS ARE LOCATED IN THE EMERGENCY, PEDIATRICS, CATH LAB, AND FINANCIAL COUNSELING DEPARTMENTS, AS WELL AS THE MAIN REGISTRATION DESK. A FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO EVERY SELF-PAY PATIENT WITH INSTRUCTIONS ON HOW TO APPLY AND WHO TO CONTACT FOR ASSISTANCE. THE SAME INFORMATION IS PROVIDED TO ALL OTHER PATIENTS UPON REQUEST. THIS INFORMATION IS ALSO AVAILABLE IN SPANISH. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITAL'S WEBSITE.SUBURBAN HOSPITAL'S FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE TRAINED TO ANSWER PATIENTS' QUESTIONS ABOUT FINANCIAL ASSISTANCE AND PROVIDE LINKAGE TO OTHER COMMUNITY ASSISTANCE RESOURCES PRIOR TO DISCHARGE. REGISTRATION AND PATIENT ACCOUNTING STAFF IS TRAINED TO ANSWER QUESTIONS REGARDING FINANCIAL ASSISTANCE AND WHO TO CONTACT TO APPLY. THE PATIENT ACCESS DEPARTMENT ALSO HAS MEDICAID SPECIALISTS ONSITE TO ASSIST PATIENTS IN APPLYING FOR MARYLAND MEDICAL ASSISTANCE. ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID UPON ADMISSION AND PROVIDED WITH INFORMATION AND REFERRAL FOR FINANCIAL ASSISTANCE. IN ADDITION, SINCE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, SUBURBAN HOSPITAL NOW HAS STAFF MEMBERS WHO ARE CERTIFIED APPLICATION COUNSELORS AND AVAILABLE TO ASSIST PATIENTS WHO HAVE QUESTIONS ABOUT ELIGIBILITY REQUIREMENTS FOR THE MARYLAND HEALTH INSURANCE EXCHANGE. OUR CERTIFIED APPLICATION COUNSELORS PROVIDE INFORMATION AND ASSIST PATIENTS WITH INITIATION OF ONLINE HEALTH EXCHANGE PLAN ENROLLMENT WHEN REQUESTED. PART VI, LINE 4: SUBURBAN HOSPITAL IS ONE OF SIX HOSPITALS LOCATED IN MONTGOMERY COUNTY. THE GEOGRAPHIC SERVICE AREA OF SUBURBAN HOSPITAL IS SUBURBAN. THE HOSPITAL DEFINES ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN. THE HOSPITAL DOES NOT LIMIT ITS COMMUNITY SERVICES TO THE PRIMARY SERVICE AREA. SUBURBAN HOSPITAL'S CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING FOURTEEN ZIP CODES: 20814, 20815, 20816, 20817, 20850, 20851, 20852, 20853, 20854, 20895, 20902, 20904, 20906, AND 20910. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS IDENTIFIED TWO MEDICALLY UNDERSERVED AREAS (MUA) IN MONTGOMERY COUNTY, ONE OF WHICH (20906) IS IN SUBURBAN'S CBSA. (HEALTH RESOURCES & SERVICES ADMINISTRATION, N.D.). THE DEMOGRAPHICS FOR THE IDENTIFIED CBSA IN FY2025 CAN BE SUMMARIZED AS FOLLOWS: TOTAL POPULATION IS 561,875 OF WHICH 47.5% ARE MALES AND 52.5% ARE FEMALES; 32.3% ARE GREATER THAN 55 YEARS AND 19.7% ARE GREATER THAN 65 YEARS. 69.73% OF THE POPULATION EARN $75,000 OR MORE; 56.3% OF ADULTS 25 AND OLDER HAVE EARNED A BACHELOR DEGREE OR HIGHER; 6.4% OF RESIDENTS ARE UNINSURED; 18.4% OF RESIDENTS ARE COVERED BY MEDICAID, 18.7% OF RESIDENTS ARE COVERED BY MEDICARE AND 54.3% IDENTIFY AS A RACE OTHER THAN WHITE; 40.56% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME; 5.09% OF THE POPULATION LIVE BELOW THE POVERTY LINE. PART VI, LINE 5: THROUGHOUT THE CALENDAR YEAR AND BEYOND THE WALLS OF THE HOSPITAL, PHYSICIANS, NURSES, PHARMACISTS, AND OTHER ALLIED HEALTH STAFF VOLUNTEER THEIR TIME AND EXPERTISE TO PRESENT VALUABLE AND CUTTING-EDGE HEALTH AND WELLNESS EDUCATION TO COMMUNITY GROUPS INCLUDING SENIOR COMMUNITIES, LOCAL VILLAGE NETWORKS AND LOCAL YOUTH GROUPS. OUR COLLEAGUES INVEST IN FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS BY SERVING AS PRECEPTORS OR MENTORING UNDERGRADUATE AND GRADUATE STUDENTS IN AN EFFORT TO EXPAND WORKFORCE DEVELOPMENT. SINCE 2007, THE MOBILEMED/NIH HEART CLINIC AT SUBURBAN HOSPITAL HAS BEEN A MODEL OF COMPASSIONATE CARE, SERVING OVER 8,900 PATIENTS WITH EXPERTISE AND CONDUCTING NUMEROUS LIFE-SAVING OPEN-HEART SURGERIES, ALL WITHOUT COST TO THOSE IN URGENT NEED OF SPECIALIZED CARE. THROUGH A COLLABORATIVE EFFORT BETWEEN MOBILE MEDICAL CARE, INC., THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE, AND SUBURBAN HOSPITAL, A DEDICATED CARDIAC CLINIC OPERATES ON-SITE, BRIDGING THE GAP IN SPECIALTY CARE PROVISION FOR CARDIAC PATIENTS. PATIENTS, REFERRED FROM SAFETY NET CLINICS ACROSS THE COUNTY, UNDERGO THOROUGH EVALUATION BY A TEAM OF CARDIOLOGISTS AND CLINICAL STAFF FROM THE NIH. SUBURBAN HOSPITAL EXTENDS ITS SUPPORT BY COVERING THE EXPENSES OF ESSENTIAL CARDIOVASCULAR SCREENINGS AND SURGERIES FOR INDIVIDUALS REQUIRING ADVANCED CARDIAC TREATMENT. BUILDING UPON THIS SUCCESSFUL MODEL, MOBILE MEDICAL CARE, INC. AND THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES (NIDDK) ESTABLISHED A COMPLIMENTARY ENDOCRINE CLINIC IN JULY 2010. THIS CLINIC OFFERS LIFESTYLE MANAGEMENT AND CHRONIC DISEASE CARE TO THOSE GRAPPLING WITH ENDOCRINE DISORDERS, INCLUDING DIABETES. VOLUNTEER CLINICAL PROVIDERS FROM ALL THREE INSTITUTIONS GENEROUSLY DEDICATE THEIR TIME EACH WEEK, PROVIDING DIAGNOSTIC TESTS, LABORATORY SERVICES, AND FREE MEDICAL CONSULTATIONS. TOGETHER, THEY HAVE POSITIVELY IMPACTED THE LIVES OF OVER 5,500 PATIENTS, EMBODYING THE ESSENCE OF COMMUNITY-DRIVEN HEALTHCARE. AS AN ORGANIZATION THAT ADVOCATES BEHAVIORAL HEALTH PREVENTION, AWARENESS, AND TREATMENT, SUBURBAN HOSPITAL HAS COLLABORATED WITH EVERYMIND AND THE HOSPITAL BEHAVIORAL HEALTH WORKGROUP TO BRING POPULATION-SPECIFIC INITIATIVES TO OUR COMMUNITY SINCE 2016. INITIATIVES INCLUDE FILM SCREENINGS OF DOCUMENTARIES SUCH AS ANGST AND THE S WORD, EDUCATIONAL WEBINARS FOR SENIORS AND HEALTHCARE WORKERS ON SELF-CARE, ROUND-TABLE DISCUSSIONS WITH EXPERTS TO SUPPORT FAMILIES DEALING WITH THE MENTAL HEALTH EFFECTS OF THE PANDEMIC AND HELPING THE MOST VULNERABLE INDIVIDUALS NAVIGATE THE EXISTING MENTAL HEALTH SYSTEM. RECENTLY, IN FY25, EVERYMIND AND MCHC HOSTED TWO VIRTUAL WEBINARS FOR 174 HEALTHCARE PROVIDERS ON NAVIGATING 988 LIFELINE AND HOW IT SUPPORTS PATIENTS WHO NEED TO ACCESS MENTAL HEALTH CRISIS SERVICES. MOREOVER, SUBURBAN HOSPITAL'S BEHAVIORAL HEALTH TEAM HAS COLLABORATED THE NATIONAL ALLIANCE OF MENTAL ILLNESS IN MONTGOMERY COUNTY (NAMI), TO OFFER ADDITIONAL SUPPORT AND RESOURCES TO FAMILY MEMBERS VISITING THEIR LOVED ONES IN THE BEHAVIORAL HEALTH UNIT, STARTING IN EARLY 2025. AS PART OF THE NAMI IN THE LOBBY PROGRAM, TRAINED NAMI VOLUNTEERS PROVIDE SUPPORT AND CONNECT VISITORS TO NAMI MONTGOMERY COUNTY PROGRAMS AND ULTIMATELY GIVE HOPE TO LOVED ONES DURING AN UNCERTAIN TIME. ALL VOLUNTEERS HAVE EXPERIENCED CARING FOR AN INDIVIDUAL WITH A MENTAL HEALTH CONDITION OR ARE LIVING WITH A MENTAL HEALTH CONDITION THEMSELVES. IN DECEMBER 2021, SUBURBAN HOSPITAL LAUNCHED THE DIABETES SELF-MANAGEMENT TRAINING (DSMT) PROGRAM TO HELP PEOPLE LIVING WITH DIABETES BETTER MANAGE THEIR CONDITION. THIS AMERICAN DIABETES ASSOCIATION-ACCREDITED PROGRAM USES A COMBINATION OF IN-PERSON AND TELEMEDICINE APPOINTMENTS TO TEACH PEOPLE THE SKILLS NECESSARY FOR MANAGING THEIR DIABETES AND PREVENTING COMPLICATIONS. THE GOAL OF THE PROGRAM IS TO EMPOWER PARTICIPANTS TO MAKE INFORMED DECISIONS ON THE SELF-MANAGEMENT AND TREATMENT OF DIABETES, RESULTING IN IMPROVED A1C LEVELS, BLOOD PRESSURE CONTROL, AND MEDICATION ADHERENCE. SUBURBAN'S DSMT PROGRAM IS TAUGHT BY A TEAM OF DEDICATED PROFESSIONALS, INCLUDING A CERTIFIED DIABETES NURSE EDUCATOR, AND A REGISTERED DIETICIAN. AS EACH PATIENT IN THE PROGRAM HAS THEIR OWN UNIQUE SET OF CHALLENGES, SUBURBAN'S DSMT TEAM WORKS TO DEVELOP A PERSONALIZED PLAN BASED UPON AN INDIVIDUAL'S NEEDS. HEALTH-RELATED SOCIAL NEEDS (HRSN), HEALTH SYSTEM BARRIERS, COMMUNITY LEVEL BARRIERS, AND INDIVIDUAL LEVEL BARRIERS STAND IN THE WAY OF PEOPLE BOTH PARTICIPATING IN DSMT AND CARRYING OUT LIFESTYLE CHANGE BEHAVIORS. TO ADDRESS THESE CHALLENGES, SUBURBAN'S DSMT MODEL INTEGRATES A TRANSITION GUIDE NURSE AND TWO COMMUNITY HEALTH WORKERS TO FOCUS ON ADDRESSING ANY SOCIAL NEEDS THAT MAY PREVENT POSITIVE HEALTH OUTCOMES. THIS TEAM FACILITATES THE SUPPORT OF WRAP AROUND SERVICES, SUCH AS TRANSPORTATION, FOOD SUPPORT, INSURANCE TRANSITIONS, AND MEDICATION COSTS. THE WRAP AROUND SERVICES ARE DESIGNED TO MITIGATE KNOWN BARRIERS THAT STAND IN THE WAY OF PEOPLE WITH DIABETES FROM: 1) ENROLLING IN, ATTENDING, PARTICIPATING IN, AND COMPLETING DSMT; AND 2) HAVING THE ABILITY TO CARRY OUT THE BEHAVIORAL AND LIFESTYLE CHANGE ACTIVITIES THAT ARE THE FOCUS OF DSMT. MOST DOCTORS ARE UNABLE TO SPEND THE TIME NECESSARY TO HELP A PATIENT FULLY UNDERSTAND AND MANAGE THEIR DIABETES. THE DSMT PROGRAM, HOWEVER, DOES EXACTLY THIS. PARTICIPANTS WHO FOLLOW ITS GUIDELINES SEE POSITIVE RESULTS NOT ONLY IN BLOOD SUGAR LEVELS BUT ALSO IN BLOOD PRESSURE AND CHOLESTEROL, BOTH OF WHICH ARE AFFECTED BY DIABETES. THE IMPROVEMENTS LEAD TO FEWER DIABETES-RELATED COMPLICATIONS AND HOSPITALIZATIONS. APPROXIMATELY, 495 PATIENTS WERE SEEN BY THE CERTIFIED DIABETES EDUCATORS IN FY25 WHILE THE CHWS WORKED TO CONNECT OVER 500 PATIENTS TO APPROPRIATE RESOURCES AND SERVICES THAT ADDRESS THEIR UNMET NEEDS. SUBURBAN HOSPITAL'S BOARD OF TRUSTEES APPROVES COMMUNITY FINANCIAL CONTRIBUTIONS TO ELIGIBLE LOCAL NOT-FOR-PROFIT ORGANIZATIONS ON AN ANNUAL BASIS. THE CONTRIBUTIONS ARE ALLOCATED TO ORGANIZATIONS THAT ALIGN WITH THE HOSPITAL'S AREA OF EXPERTISE AS WELL AS ITS COMMUNITY HEALTH IMPROVEMENT PLAN, THEREBY DIRECTLY LINKING TO THE HOSPITAL'S CHNA AND CBR TO EXPAND HEALTH IMPROVEMENT INITIATIVES IN THE COMMUNITY BEYOND THE HOSPITAL'S LEVEL OF STRATEGIC OBJECTIVES OR CAPACITY. FOR EXAMPLE, SUBURBAN PROVIDES PROGRAMMING, IN-KIND SUPPORT, AND FINANCIAL CONTRIBUTIONS TO LOCAL ORGANIZATIONS SUCH AS A WIDER CIRCLE, BETHESDA CHEVY CHASE YMCA, PARENT ENCOURAGEMENT PROGRAM (PEP), EVERYMIND, MANNA FOOD, NAMI MONTGOMERY, NOURISHING BETHESDA, CENTRAL FARMERS MARKETS, AND GIRLS ON THE RUN MONTGOMERY COUNTY AS THE MISSIONS AND VALUES OF THOSE ORGANIZATIONS ALIGN WITH THE HEALTH PRIORITIES SET BY THE HOSPITAL'S CHNA. ANOTHER EXAMPLE INCLUDES THE SUPPORT OF THE BETHESDA CHEVY CHASE YMCA ANNUAL TURKEY CHASE, WHICH DRAWS OVER 10,000 INDIVIDUALS ON THANKSGIVING MORNING AND HOSTS OTHER ENGAGING ACTIVITIES FOR CHILDREN THAT CONNECT COMMUNITY ENGAGEMENT AND PERSONAL WELLNESS. SUBURBAN INVITES AND ENCOURAGES ITS EMPLOYEES TO CONNECT TO THE LOCAL COMMUNITY BY OFFERING DISCOUNTED ENTRY FEES TO PARTICIPATE IN THE WALK OR RUN. IN PARTNERSHIP WITH SUBURBAN HOSPITAL AND MONTGOMERY COUNTY DHHS, SUBURBAN WELCOMED ITS THIRD COHORT OF HEALTH PROMOTERS FROM THE LATINO HEALTH INITIATIVE IN MAY 2025. THE HEALTH PROMOTERS COMPLETED A 40-HOUR PRACTICUM WITH THE COMMUNITY HEALTH AND WELLNESS TEAM IN ADDITION TO 100 HOURS OF CURRICULUM-BASED CLASSROOM INSTRUCTION DEVELOPED BY "VIAS DE LA SALUD HEALTH PROMOTERS TRAINING PROGRAM". THE GOAL OF THE PARTNERSHIP IS TO PROVIDE CAPACITY BUILDING TO COMMUNITY HEALTH WORKERS (CHWS) WHO FOSTER HEALTHY BEHAVIORS, FACILITATE ACCESS TO HEALTH SERVICES, AND ADVOCATE FOR HEALTH POLICIES THAT BENEFIT THE ENTIRE COMMUNITY. THE HEALTH PROMOTERS SPENT THEIR TIME AT SUBURBAN CONNECTING COMMUNITY MEMBERS WITH NECESSARY RESOURCES SUCH AS FOOD ASSISTANCE, TRANSPORTATION AND DISEASE MANAGEMENT EDUCATION. SINCE 2023, A GRADUATE FROM THE HEALTH PROMOTERS TRAINING OFFICIALLY JOINED THE COMMUNITY HEALTH AND WELLNESS DIVISION AND SERVES AS A COMMUNITY HEALTH WORKER, SUPPORTING THE NEEDS OF PATIENTS AND COMMUNITY MEMBERS WHO ARE MANAGING CHRONIC DISEASES SUCH AS DIABETES BY LINKING THEM TO RESOURCES SUCH AS TRANSPORTATION AND FOOD. PART VI, LINE 6: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHSC AND AFFILIATES (JHHS). JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER (JHHCMC), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL.- MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARECHARITY CARE AND PATIENT BAD DEBTAND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS. MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORSGOVERNMENTALLY-INSURED, COMMERCIALLYINSURED, OR SELF-PAYARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCYTHE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC)THAT IS REQUIRED TO: PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS; REVIEW AND APPROVE HOSPITAL RATES; COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND, MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS.SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS' COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS' COMMUNITY BENEFIT TOTALS. THAT REPORT IS AVAILABLE ON HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPXBECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE 7910 WOODMONT AVE STE 1204 BETHESDA MD 20814 520545799 501(C)(6) 10000 0 LOCAL COMMUNITY ASSISTANCE MONTGOMERY COUNTY CHAMBER 51 MONROE ST STE 1800 ROCKVILLE MD 20850 520735621 501(C)(6) 25000 0 LOCAL COMMUNITY ASSISTANCE PARENT ENCOURAGEMENT PROGRAM INC 10100 CONNECTICUT AVE KENSINGTON MD 20895 521379642 501(C)(3) 5500 0 LOCAL COMMUNITY ASSISTANCE 1 2 PART I, LINE 2: AS PART OF THE COMMUNITY BENEFIT REVIEW PROCESS, SUBURBAN HOSPITAL MONITORS AND REVIEWS SELECTED GRANTS MADE BY THE ORGANIZATION. THIS MONITORING INCLUDES VERIFICATION OF THE NATURE OF THE AWARD AND THE BENEFITING ORGANIZATION. FURTHER, AS A PRECONDITION FOR MAKING ANY DONATIONS, THE JOHNS HOPKINS HOSPITAL REQUIRES THE USE OF FUNDS FOR EACH AWARD TO BE USED ONLY FOR THEIR INTENDED CHARITABLE RECIPIENT. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 KEVIN W SOWERS MSN RN FAA TRUSTEE, CORPORATE VICE CHAIR 0 1634273 0 684638 0 568136 0 22464 0 13017 0 2922528 0 123586 CAROLYN CARPENTER MHA FACHE TRUSTEE, PRES NATIONAL CAP REGION 0 739787 0 231917 0 100813 0 22464 0 33631 0 1128612 0 74904 PETER B MANCINO ESQ ASSISTANT SECRETARY 0 426428 0 149504 0 43992 0 23627 0 25954 0 669505 0 9799 LEIGHANN SIDONE DNP RN CENP PRESIDENT 0 449956 0 85544 0 11685 0 74781 0 33588 0 655554 0 0 JESSICA THOMPSON MELTON MHA FORMER OFFICER 0 421739 0 143614 0 44627 0 0 0 19312 0 629292 0 41082 KIMBERLY ELYANOW MBA VP, FINANCE & TREASURER 0 447590 0 95256 0 10462 0 22464 0 19927 0 595699 0 0 GEORGE CHEELY MD VP, MEDICAL AFFAIRS 0 421466 0 86836 0 3186 0 15003 0 34161 0 560652 0 0 ATUL ROHATGI MD FORMER OFFICER 0 467922 0 0 0 23500 0 11694 0 31762 0 534878 0 0 ANU MULLICK VP, STRATEGIC INITIATIVES & PLANNING 0 320509 0 69989 0 1879 0 22464 0 32964 0 447805 0 0 ALVIN D'ANGELO VP, OPERATIONS 0 314835 0 63476 0 3705 0 21312 0 11774 0 415102 0 0 CINDY MERZ MS VP, DEVELOPMENT 0 235673 0 42007 0 36300 0 51830 0 32485 0 398295 0 0 TIFFANY PRATT VP, HR NATIONAL CAP REGION 0 303585 0 64365 0 2050 0 15298 0 10697 0 395995 0 0 VADIM SCHICK THRU 325 SECRETARY 0 293114 0 56905 0 1449 0 7233 0 13030 0 371731 0 0 JENNIFER RAYNOR DIRECTOR PHARMACY 231648 0 16545 0 28738 0 15158 0 18344 0 310433 0 0 0 LEIMING WANG LEAD SPECIALTY APP 261825 0 0 0 1337 13500 15763 0 4714 0 283639 13500 0 0 MATTHEW TOVORNIK EXEC DIRECTOR PERIOPERATIVE SVCS 207110 0 26003 0 16657 0 14547 0 31067 0 295384 0 0 0 REGINA HOWELL MANAGER ADVANCED PRACTICE 246365 0 5778 0 2343 0 15509 0 22924 0 292919 0 0 0 MARK JOSEPH TULIAO NURSE CLINICIAN 238426 0 0 0 1956 0 14981 0 32798 0 288161 0 0 0 COURTNEY CORNELL MSN RN OCN VP, NURSING & CNO 165240 61175 0 15700 2485 1701 10393 3747 18475 4323 196593 86646 0 0 PART I, LINE 1A THE ORGANIZATION WILL PROVIDE TAX GROSS UP PAYMENTS IN CERTAIN CIRCUMSTANCES WITH APPROPRIATE LEVELS OF REVIEW AND APPROVAL. DURING THE TAX YEAR, ONE OF THE HIGHEST PAID EMPLOYEES OF THE ORGANIZATION RECEIVED A GROSS UP PAYMENT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THE LISTED INDIVIDUALS. PART I, LINE 4B A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED IN ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2024 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2024. KEVIN SOWERS $534,431.31; CAROLYN CARPENTER $74,904.26; JESSICA MELTON $41,082.42 AND PETER MANCINO $31,222.37 PART I, LINE 7 ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE. BETHESDA EMERGENCY ASSOCIATES PLLC ENTITY IN WHICH AN SHI TRUSTEE HOLDS AN OWNERSHIP INTEREST 341074 SEE PART VAN SHI TRUSTEE HOLDS AN OWNERSHIP INTEREST IN BETHESDA EMERGENCY ASSOCIATES PLLC, THE EXCLUSIVE PROVIDER OF EMERGENCY MEDICINE SERVICES AT SUBURBAN HOSPITAL. THE TRUSTEE ALSO RECEIVES SEPARATE COMPENSATION INDIVIDUALLY FOR CONTRACT PHYSICIAN SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 2 1. MARK FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL. JULIE FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL FOUNDATION. MR. FUTROVSKY AND MS. FUTROVSKY HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 JOHNS HOPKINS HEALTH SYSTEM CORPORATION AN IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SUBURBAN HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A JOHNS HOPKINS HEALTH SYSTEM CORPORATION, AN IRC 501C (3) TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF SUBURBAN HOSPITAL, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF SUBURBAN HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TRUSTEES AND APPROPRIATE OFFICERS, WHO ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT-OF-INTEREST POLICY. CONFLICTS OF INTEREST ARE DETERMINED AT A HEALTH SYSTEM LEVEL AND INCLUDE THE ORGANIZATION AND ALL OF ITS AFFILIATES. THE ORGANIZATION'S LEGAL DEPARTMENT IS RESPONSIBLE FOR REVIEWING ALL THE ACTUAL OR POTENTIAL CONFLICTS OF INTERESTS AND FOR DETERMINING APPROPRIATE ACTION TO ELIMINATE OR MANAGE THE CONFLICT OF INTEREST. IF A CONFLICT ARISES, THE AFFECTED MEMBER MUST (1) REFRAIN FROM ANY ATTEMPTS TO EITHER DIRECTLY OR INDIRECTLY INFLUENCE THE DECISION MAKING PROCESS IN WHICH THERE EXISTS A POTENTIAL FOR CONFLICTS OF INTEREST; (2) REFRAIN FROM PARTICIPATING IN ANY DISCUSSIONS LEADING TO THE APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING THE CONFLICT, EXCEPT TO DISCLOSE MATERIAL FACTS RELATING TO THE CONFLICT; AND (3) ABSTAIN FROM VOTING ON THE TRANSACTION CREATING THE CONFLICT OR TRANSMITTING ANY OTHER OPINION, INCLUDING NOT BEING PRESENT IN THE ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. FURTHERMORE, THE ORGANIZATION'S INTERMEDIATE SANCTIONS TRANSACTION REVIEW COMMITTEE REVIEWS AND DETERMINES WHETHER A PROPOSED TRANSACTION BETWEEN A TRUSTEE, OFFICER, KEY EMPLOYEE OR DISQUALIFIED PERSON AND THE ORGANIZATION WOULD CREATE AN EXCESS BENEFIT TO SUCH TRUSTEE, OFFICER, KEY EMPLOYEE OR A DISQUALIFIED PERSON, OR WHETHER SUCH PROPOSED TRANSACTION QUALIFIES FOR A REBUTTABLE PRESUMPTION AGAINST EXCESS BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF JOHNS HOPKINS MEDICINE, ON BEHALF OF THE ORGANIZATION, REVIEWS THE PERFORMANCE AND APPROVES THE COMPENSATION OF THE OFFICERS AND KEY PERSONNEL OF THE ORGANIZATION. IN REVIEWING AND APPROVING COMPENSATION, THE COMMITTEE RELIES ON APPROPRIATE MARKET DATA FOR COMPARABLE JOBS IN ORGANIZATIONS, AND ENSURES THAT SUCH DATA INDICATES THE COMPENSATION ORDINARILY PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES. DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE FORM OF MINUTES OF COMMITTEE MEETINGS, AND COPIES OF ALL COMPARABILITY DATA AND REPORTS RETAINED. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTEREST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATIONS WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE. FORM 990, PART XI, LINE 9: CHANGE IN FUND STATUS OF DEFINED BENEFIT PLANS 628,000. NET ASSETS RELEASED FROM RESTRICTION 1,142,330. CHANGE IN PENSION -710,000. UNREALIZED GAIN ON INVESTMENT 20,927,679. CONTRIBUTIONS TO AFFILIATES -348,842. NON OPERATING EXPENSE -526,022. ROUNDING 2. 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