2026-05-08T15:28:24-05:00 2025-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2024-07-01 460726303 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC MEDS 3018688000 7503 SURRATTS ROAD CLINTON MD 20735 ROSS DARROW VP, TREASURER & CIO 3018688000 2026-05-08 1 0 ISAAC IRBY P02444754 7032868000 2024 2025-03-06 01:10:19Z STEPHEN T MICHAELS MD 7503 SURRATTS ROAD CLINTON MD 20735 325672957 0 X MEDSTARSOUTHERNMARYLAND.ORG X 2012 MD MEDSTAR SOUTHERN MD HOSPITAL CENTER UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. 12 7 1739 0 0 0 12202450 6069869 275359833 318559047 130624 71958 1091514 972083 288784421 325672957 0 0 0 0 149274175 145991988 0 0 0 170892907 175118734 320167082 321110722 -31382661 4562235 170007829 182699965 35214531 30814406 134793298 151885559 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER'S (MEDSTAR SOUTHERN MARYLAND) MISSION IS TO UPHOLD ITS COMMITMENT TO THE COMMUNITY BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING FISCAL INTEGRITY. MEDSTAR SOUTHERN MARYLAND IS LOCATED IN SOUTHERN PRINCE GEORGE'S COUNTY, MARYLAND.IN FISCAL YEAR 2025, MEDSTAR SOUTHERN MARYLAND HAD 9,511 INPATIENT ADMISSIONS, 81,605 OUTPATIENT VISITS, AND 45,125 EMERGENCY VISITS. 0 0 193194295 284783943 SEE SCHEDULE OMEDSTAR SOUTHERN MARYLAND'S LARGEST PROGRAM IS PROVIDING ACCESS TO ACUTE HOSPITAL SERVICES FOR THE COMMUNITIES OF PRINCE GEORGE'S, CHARLES, AND CALVERT COUNTIES IN MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR SOUTHERN MARYLAND INCURRED $67.7M IN MANAGEMENT AND GENERAL EXPENSES IN SUPPORT OF DELIVERING THESE SERVICES TO THE COMMUNITY.THE HOSPITAL OFFERS A FULL RANGE OF SERVICES AND IS KNOWN FOR ITS CARDIOVASCULAR PROGRAM, WHICH INCLUDES AN ADVANCED HEART FAILURE CLINIC; ORTHOPEDICS, INCLUDING SPINE SURGERY; NEUROSCIENCES, INCLUDING NEUROSURGERY; AND ADVANCED GASTROINTESTINAL SERVICES. THE HOSPITAL ALSO HAS A WOMEN & NEWBORNS CENTER, WHICH INCLUDES AN OBSTETRICS AND GYNECOLOGY PROGRAM WITH A LEVEL II SPECIAL CARE NURSERY. CANCER SERVICES ARE PROVIDED THROUGH THE MEDSTAR GEORGETOWN CANCER INSTITUTE AT MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. OTHER SPECIALTY SERVICES INCLUDE AN EMERGENCY DEPARTMENT, A CRITICAL CARE UNIT, A BREAST HEALTH PROGRAM, ADVANCED SURGICAL SERVICES, A SLEEP DISORDERS LAB, A BEHAVIORAL HEALTH DEPARTMENT WITH BOTH INPATIENT AND OUTPATIENT PROGRAMS, CARDIOPULMONARY REHABILITATION, AND REHABILITATIVE THERAPY SERVICES.THE HOSPITAL HAS RECEIVED SEVERAL AWARDS AND RECOGNITIONS. MEDSTAR SOUTHERN MARYLAND WAS RECOGNIZED BY U.S. NEWS & WORLD REPORT AS HIGH PERFORMING IN CANCER CARE, HEART ATTACK, HEART FAILURE, KIDNEY FAILURE, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) FOR 2025-2026. U.S. NEWS & WORLD REPORT ALSO NAMED MEDSTAR SOUTHERN MARYLAND A BEST REGIONAL HOSPITAL FOR EQUITABLE ACCESS IN 2024.IN 2025, THE AMERICAN HEART ASSOCIATION RECOGNIZED THE HOSPITAL WITH MULTIPLE AWARDS, INCLUDING GET WITH THE GUIDELINES - STROKE PLUS WITH TARGET: TYPE 2 DIABETES HONOR ROLL; GET WITH THE GUIDELINES - CORONARY ARTERY DISEASE NSTEMI SILVER WITH TARGET: TYPE 2 DIABETES HONOR ROLL; AND GET WITH THE GUIDELINES - CORONARY ARTERY DISEASE STEMI RECEIVING BRONZE.THE HOSPITAL WAS ALSO RECOGNIZED BY HEALTHGRADES WITH SEVERAL 2026 AWARDS, INCLUDING THE CORONARY INTERVENTION EXCELLENCE AWARD FOR OUTSTANDING OUTCOMES IN ANGIOPLASTY WITH STENT PROCEDURES AND THE GASTROINTESTINAL CARE EXCELLENCE AWARD FOR SUPERIOR OUTCOMES IN COLORECTAL SURGERIES, GALLBLADDER REMOVAL, UPPER GASTROINTESTINAL SURGERY, AND THE TREATMENT OF BOWEL OBSTRUCTION, GASTROINTESTINAL BLEEDS, AND PANCREATITIS.MEDSTAR SOUTHERN MARYLAND WAS RANKED #1 IN MARYLAND BY THE LOWN INSTITUTE HOSPITALS INDEX FOR SOCIAL RESPONSIBILITY AND RECEIVED "A" GRADES IN MULTIPLE CATEGORIES, INCLUDING SOCIAL RESPONSIBILITY, PATIENT OUTCOMES, CLINICAL OUTCOMES, COMMUNITY BENEFIT, AND COST EFFICIENCY. MEDSTAR SOUTHERN MARYLAND WAS ALSO RECOGNIZED AS A HEALTHIEST MARYLAND BUSINESS IN 2025, EARNING STANDOUT BUSINESS DESIGNATION FOR ITS EMERGING WORKPLACE WELLNESS INITIATIVES.THE HOSPITAL MAINTAINS MULTIPLE ACCREDITATIONS AND DESIGNATIONS THAT REFLECT COMPLIANCE WITH NATIONAL QUALITY, SAFETY, AND CLINICAL STANDARDS. THESE INCLUDE ACCREDITATION BY THE JOINT COMMISSION; COMMISSION ON CANCER (COC) ACCREDITATION; PRIMARY STROKE CENTER AND MARYLAND STEMI CENTER DESIGNATIONS BY THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS; PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER; NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS (NICHE) DESIGNATION; ACCREDITATION BY THE COMMISSION ON COLLEGIATE NURSING EDUCATION (CCNE); AMERICAN ACADEMY OF SLEEP MEDICINE ACCREDITATION; AMERICAN COLLEGE OF RADIOLOGY ACCREDITATIONS FOR NUCLEAR MEDICINE AND BREAST IMAGING, INCLUDING BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION; COLLEGE OF AMERICAN PATHOLOGISTS ACCREDITATION; ASSOCIATION FOR THE ADVANCEMENT OF BLOOD AND BIOTHERAPIES (AABB) ACCREDITATION; ECHOCARDIOGRAPHY IAC ACCREDITATION; AND DESIGNATION AS A COMPREHENSIVE MULTIPLE SCLEROSIS CARE CENTER THROUGH THE NATIONAL MULTIPLE SCLEROSIS SOCIETY'S PARTNERS IN MS CARE PROGRAM. 49489947 33775104 MEDSTAR SOUTHERN MARYLAND PROVIDED $49.5M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2025. THESE CRITICAL SERVICES, WHICH ARE DRIVEN BY COMMUNITY NEEDS, OPERATE AT A LOSS. THEY ADDRESS PRIORITIES PRIMARILY THROUGH DISEASE PREVENTION AND IMPROVEMENT OF HEALTH STATUS. SERVICES PROVIDED INCLUDE EMERGENCY SERVICES, NEONATAL INTENSIVE CARE, WOMEN'S AND CHILDREN'S CARE, AND BEHAVIORAL HEALTH. 10761392 MEDSTAR SOUTHERN MARYLAND PROVIDED $10.8M IN CHARITY CARE SERVICES IN FISCAL YEAR 2025. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOME IS BELOW CERTAIN THRESHOLDS AND FOR WHICH THE HOSPITAL IS NOT COMPENSATED. UNDER MARYLAND'S UNIQUE PAYER SYSTEM, THE AMOUNT REPORTED REPRESENTS MEDSTAR SOUTHERN MARYLAND'S CHARITY CARE EXPENSE AND REVENUES REPRESENT DIRECT PAYMENTS FROM THE STATE'S CHARITY CARE POOL. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. 253445634 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1739 1 0 0 0 0 0 0 0 0 0 0 1 0 X 12 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X ROSS DARROW 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 6456778 105996 STEPHEN T MICHAELS MD PRESIDENT/DIRECTOR 40.00 0.00 X X 1125917 0 30969 SEEMA PAI MD DIRECTOR 40.00 0.00 X 492781 0 23002 CLYDE PRAY MD DIRECTOR 40.00 0.00 X 716241 0 30038 ROSALIND E BISHOP VICE CHAIR 1.00 0.00 X X 0 0 0 THOMAS GRAHAM DIRECTOR 1.00 0.00 X 0 0 0 KERRY R WATSON JR CHAIR 1.00 0.00 X X 0 0 0 SONYA WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 DEBBORAH T COLLINS DIRECTOR (UNTIL 9/2024) 1.00 0.00 X 0 0 0 DAVID H MICHAEL DIRECTOR 1.00 0.00 X 0 0 0 VENARD WRIGHT DIRECTOR 1.00 0.00 X 0 0 0 GREGORY S PROCTOR DIRECTOR (AS OF 4/2025) 1.00 0.00 X 0 0 0 NAHID MAZAREI MD DIRECTOR (AS OF 1/2025) 40.00 0.00 X 513044 0 10799 ANNETTE BRONER SECRETARY 1.00 39.00 X 0 318408 35809 PURVI JANI CFO/TREASURER 20.00 20.00 X 191185 191184 21212 KELLY HAYNIE VP, OPERATIONS 40.00 0.00 X 315207 0 20062 FRANCISCA SARFO PHARMACY DIRECTOR 40.00 0.00 X 232610 0 32660 KAREN WYCHE VP, CNO 40.00 0.00 X 304357 0 36805 SUNITA WADDELL SR DIR, NURSING OPERATIONS 40.00 0.00 X 222931 0 5961 MIRANDA MUMA CLINICAL PHARMACIST 40.00 0.00 X 214473 0 31376 MICHAEL MEISEL FORMER OFFICER 0.00 40.00 X 0 453930 31372 DAVID HAVRILLA FORMER OFFICER 0.00 40.00 X 0 133278 3433 4328746 7553578 419494 268 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 8673956 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 7540596 DIAMOND HEALTHCARE CORPORATION PO BOX 670755 DALLAS TX 752670755 HEALTHCARE MGMT SERVICES 6895884 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 4941907 TOTAL RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA PA 191781607 MEDICAL SERVICES 1754660 31 6018488 51381 6069869 NET PATIENT SERVICE RE 621300 318559047 318559047 318559047 60204 60204 5000 0 5000 5000 5000 11754 0 11754 11754 11754 REBATE INCOME 900099 523644 523644 GIFT SHOP SALES 900099 95889 95889 CAFETERIA AND VENDING 900099 34634 34634 312916 312916 967083 325672957 318559047 0 1044041 X 3144582 2777493 367089 119928910 109306254 10622656 1440637 1440637 13302123 948645 12353478 8175736 7494099 681637 31158551 31158551 50000 50000 57577634 55339828 2237806 341908 10670 331238 2104678 1704405 400273 207652 196020 11632 41635 33905 7730 7232633 6658063 574570 15219912 14010822 1209090 3049599 -61048 3110647 MED/SURG SUPPLIES 29768622 30039633 -271011 IMPLANTS/PROSTHESES 8652942 8652942 MAINTENANCE 6652787 6492203 160584 UTILITIES 3863941 3425267 438674 9196240 6416433 2779807 321110722 253445634 67665088 0 7243 6327 9190 9433 34275956 45681848 5661688 5866675 729726 793820 250701337 137198804 113634171 113502533 786044 790906 14903811 13133811 0 2914612 170007829 182699965 19221352 16566286 589515 140259 15403664 14107861 35214531 30814406 X 133997873 151086267 795425 799292 134793298 151885559 170007829 182699965 X 4562235 75823 12454203 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 21573 21573 0 PART II-B, LINE 1: THE EXPENSES INCURRED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES REFLECTS THE PORTION OF MEMBERSHIP DUES PAID TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) THAT WERE USED FOR LOBBYING PURPOSES. 3140000 3140000 108809116 36550200 72258916 4515550 2922387 1593163 126933734 97099801 29833933 7302937 626416 6676521 113502533 ADVANCES 10480805 CREDIT BALANCES PATIENT AR 1407068 PENDING PFS REFUNDS 29733 LEASE LIABILITIES 1951280 OTHER LIABILITIES 238975 14107861 X PART X, LINE 2: FIN 48 FOOTNOTE INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2025. 1 1 X 1 X 1 X 1 1 1 0 1 1 10761392 10761392 0.03350 10761392 10761392 0.03350 2253380 2253380 0.00700 979258 979258 0.00300 49489947 33775104 15714843 0.04890 69536 69536 0.00020 52792121 33775104 19017017 0.05910 63553513 33775104 29778409 0.09260 16673 16673 0.00010 34478 34478 0.00010 139076 139076 0.00040 190227 190227 0.00060 1 10881539 X 1 1 1 1 MEDSTAR SOUTHERN MD HOSPITAL CENTER 7503 SURRATTS ROAD CLINTON MD 20735 MEDSTARSOUTHERNMARYLAND.ORG STATE LICENSE NUMBER: 16041 X X X MEDSTAR SOUTHERN MD HOSPITAL CENTER 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X WWW.MEDSTARHEALTH.ORG/MSMHC X 1 23 1 WWW.MEDSTARHEALTH.ORG/MSMHC 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X X X X X X 1 X 0 X X X X 1 X 0 0 MEDSTAR SOUTHERN MD HOSPITAL CENTER PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: JESSICA GAMEROEXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: DR. CHILEDUM AHAGHOTUADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKE UP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : DR. CHILEDUM AHAGHOTUTITLE : VP OF MEDICAL AFFAIRSNAME OF ORGANIZATION : MSMHCNAME : DR. STEPHEN MICHAELSTITLE : PRESIDENT NAME OF ORGANIZATION : MSMHCNAME : RAQUEL LAMPTEYTITLE : SR. DIR., COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : DR. KAREN WYCHETITLE : VICE PRESIDENT & CHIEF NURSING OFFICERNAME OF ORGANIZATION : MSMHCNAME : CHERYL RICHARDSONTITLE : DIR. MARKETINGNAME OF ORGANIZATION : MSMHCNAME : LORI WERRELLTITLE : REGIONAL VICE PRESIDENT, POPULATION AND COMMUNITY HEALTHNAME OF ORGANIZATION : MSMHCNAME : JESSICA GAMEROTITLE : PROGRAM MANAGERNAME OF ORGANIZATION : MSMHCNAME : DR. CHARMAINE IVEYTITLE : COMMUNITY HEALTH DIRECTOR NAME OF ORGANIZATION : MSMHCNAME : KRISTIN QUADETITLE : SENIOR DIRECTOR OF NURSING OPERATIONS AND PATIENT CARE SERVICESNAME OF ORGANIZATION : MSMHCNAME : REV. DR. DARRELL GASKINTITLE : REVEREND/PASTORNAME OF ORGANIZATION : BETH SHALOM AME ZION CHURCHNAME : DOROTHY CAROLYN LOWETITLE : FACILITATORNAME OF ORGANIZATION : DISTRICT V COFFEE CLUBNAME : EURAINE BROOKSTITLE : CLINTON RESIDENTNAME OF ORGANIZATION : CLINTON RESIDENTNAME : DAVINA RICHARDSONTITLE : COMMUNITY HEALTH COORDINATORNAME OF ORGANIZATION : ELAINE ELLIS NAME : PAULA HUGHESTITLE : CLINTON RESIDENTNAME OF ORGANIZATION : CLINTON RESIDENTNAME : PASTOR COLIN PUGHTITLE : PASTORNAME OF ORGANIZATION : CLINTON BAPTIST CHURCHNAME : PASTOR SAM TARVERTITLE : PASTORNAME OF ORGANIZATION : MAPLE SPRINGS BAPTIST CHURCHNAME : ELDER GWENDOLYN GANTTTITLE : COMMUNITY OUTREACH AND SPECIAL EVENTS DIR.NAME OF ORGANIZATION : ST. STEVEN'S BAPTIST CHURCH NAME : ROSALIND BISHOPTITLE : STATESIDE RETAIL OPERATIONS MANAGERNAME OF ORGANIZATION : ANDREWS FEDERAL CREDIT UNIONNAME : JULIA DEMARAISTITLE : HEALTH & WELLNESS COORDINATOR, SPECIAL PROGRAMS DIVISIONNAME OF ORGANIZATION : THE MARYLAND-NATIONAL CAPITAL PARK AND PLANNING COMMISSIONNAME : SILVIA PENATETITLE : HEALTHY START PROGRAM COORDINATORNAME OF ORGANIZATION : MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER NAME : NANA DONKORTITLE : HEALTH EDUCATION SUPERVISORNAME OF ORGANIZATION : PGCPSNAME : BRITTANY ECHOLS, ED.D.TITLE : INSTRUCTIONAL SPECIALIST, HEALTH EDUCATIONNAME OF ORGANIZATION : PGCPSNAME : MELYNDA MAYNARD TITLE : EDUCATIONAL LEADERNAME OF ORGANIZATION : PGCPS CTENAME : JOHN BAILEYTITLE : EXECUTIVE DIR.NAME OF ORGANIZATION : FIRST CHOICE COMMUNITY COUNSELING NAME : TITIANA BAILEYTITLE : PRESIDENTNAME OF ORGANIZATION : THE ARCH OF KNOWLEDGE NAME : DENISE WOODSTITLE : PARTNERSHIP MANAGERNAME OF ORGANIZATION : FOOD JUSTICE DMVNAME : LYDIA WOODTITLE : MINISTRY LEADER NAME OF ORGANIZATION : FROM THE HEART CHURCH MINISTRIES OF WALDORFNAME : ELENA GOMEZ REY TITLE : SENIOR OPERATIONS MANAGER NAME OF ORGANIZATION : HOPE CONNECTIONSNAME : DEMITRICE G. BOOZERTITLE : HEALTH AND WELLNESS MINISTRY CO-CHAIRNAME OF ORGANIZATION : KETTERING BAPTIST CHURCH NAME : LENA STEPPTITLE : HEALTH AND WELLNESS MINISTRY CO-CHAIRNAME OF ORGANIZATION : KETTERING BAPTIST CHURCH NAME : ANGELA BROWNTITLE : CLINTON RESIDENTNAME OF ORGANIZATION : CLINTON RESIDENTNAME : VANECIA DAVISTITLE : PROGRAM SPECIALIST NAME OF ORGANIZATION : PRINCE GEORGE'S PARKS AND RECREATIONNAME : DENISE PEAKTITLE : CANCER PROGRAM COORDINATORNAME OF ORGANIZATION : MSMHCNAME : DEACON TILLMANTITLE : FAITH BASED LEADERNAME OF ORGANIZATION : NEW HOPE BAPTIST CHURCHNAME : WHITNEY ASHEADTITLE : DIRECTOR OF SOCIAL IMPACT NAME OF ORGANIZATION : HUNGRY HARVESTNAME : KIMBERLY ELLIOTTTITLE : CENTER DIRECTORNAME OF ORGANIZATION : JOHN E. HOWARD SENIOR CENTER NAME : RACHEL STAFFORDTITLE : WELLNESS MINISTRY COORDINATORNAME OF ORGANIZATION : ZION BAPTIST CHURCH (CONTINUED IN SECTION C) MEDSTAR SOUTHERN MD HOSPITAL CENTER PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE.THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. PART V, SECTION B, LINE 5: CHNA INPUT (CONTINUED): NAME : DR. TORRANCE BROWNTITLE : THE MEN'S HEALTH FORUM COMMITTEE CHAIRNAME OF ORGANIZATION : KAPPA ALPHA PSINAME : CINDY CONANTTITLE : OUTREACH SPECIALISTNAME OF ORGANIZATION : CARE FOR YOUR HEALTHNAME : ANGELICA CARPENTER TITLE : MINISTRY LEADNAME OF ORGANIZATION : MAPLE SPRINGS BAPTIST CHURCHNAME : SHEENA LEWISTITLE : CHAIRPERSONNAME OF ORGANIZATION : POWERFUL DIVAS WITH A PURPOSENAME : CARLA GIBSONTITLE : CEO & PRESIDENTNAME OF ORGANIZATION : POWERFUL DIVAS WITH A PURPOSENAME : SHERINA LINDSEY-STEWARTTITLE : CO-CHAIR AND CHIEF OPERATING OFFICERNAME OF ORGANIZATION : POWERFUL DIVAS WITH A PURPOSENAME : STEPHANIE YOUNGTITLE : ADMIN MANAGER FOR MEDICAL STAFFNAME OF ORGANIZATION : MSMHCNAME : BILL BARNESTITLE : DISTRICT 5 CITIZEN ADVISORY COUNCILNAME OF ORGANIZATION : DISTRICT 5 CITIZEN ADVISORY COUNCIL NAME : LATEEF CLEMENCIA TITLE : EVENT PLANNERNAME OF ORGANIZATION : KAPPA ALPHA PSI FRATERNITYNAME : LARRY BURSEY TITLE : EVENT PLANNERNAME OF ORGANIZATION : KAPPA ALPHA PSI FRATERNITYNAME : LASHAWN LANCASTERTITLE : EVENT COORDINATORNAME OF ORGANIZATION : MT. ENNON BAPTIST CHURCHNAME : LENA STEPPTITLE : EVENT COORDINATORNAME OF ORGANIZATION : KETTERING BAPTIST CHURCH NAME : JOANN TINNERTITLE : POPULATION HEALTH EQUITY COORDINATORNAME OF ORGANIZATION : MEDSTAR FAMILY CHOICENAME : OCTAVIA PETERSONTITLE : DIR. OF POPULATION HEALTH EQUITYNAME OF ORGANIZATION : MEDSTAR FAMILY CHOICENAME : JHOSELYN RODRIGUEZTITLE : CEO AND FOUNDERNAME OF ORGANIZATION : COACHING SALUD HOLISTICANAME : MARGARET FOWLERTITLE : EXECUTIVE DIR.NAME OF ORGANIZATION : TLC MARYLANDNAME : REBECCA CARTERTITLE : HEALTH AND WELLNESS COORDINATORNAME OF ORGANIZATION : FORT FOOTE BAPTIST CHURCH NAME : PRINCE MICHAEL RAWLINGTITLE : HEALTH AND WELLNESS COORDINATORNAME OF ORGANIZATION : FORT FOOTE BAPTIST CHURCH NAME : JENIFER ALVAREZTITLE : HEALTH EDUCATOR PROGRAM COORDINATORNAME OF ORGANIZATION : COACHING SALUD HOLISTICANAME : SCARLETH CASTROTITLE : HEALTH PRACTITIONER & NUTRITIONIST NAME OF ORGANIZATION : SPIN YOUR OWN AXISNAME : DEBRA COLLIERTITLE : SENIOR EPIDEMIOLOGIST, OFFICE OF ASSESSMENT AND PLANNINGNAME OF ORGANIZATION : PRINCE GEORGE COUNTY HEALTH DEPARTMENT NAME : CYNTHIA FIELDSTITLE : ADMINISTRATIVE COORDINATORNAME OF ORGANIZATION : TLC MDNAME : LATIA JONESTITLE : VICE PRESIDENTNAME OF ORGANIZATION : AMERICAN LEGION AUXILIARY CLINTON UNIT 259 & NCNW PRINCE GEORGE'S COUNTY SECTIONNAME : CHYNAE VICKS, CCHW, MSPHTITLE : MANAGER, PRINCE GEORGE'S HEALTH ACTION COALITIONNAME OF ORGANIZATION : PRINCE GEORGE'S COUNTY HEALTH DEPARTMENTNAME : JADE MCNEILLTITLE : HOMELESS SOLUTIONS COORDINATORNAME OF ORGANIZATION : UNITED COMMUNITIES AGAINST POVERTY, INC.NAME : TAYLOR PALMERTITLE : HEALTH POLICY ANALYST, OFFICE OF ASSESSMENT AND PLANNINGNAME OF ORGANIZATION : PRINCE GEORGE'S COUNTY HEALTH DEPARTMENTNAME : SHANNON EDWARDSTITLE : SENIOR FACULTY SPECIALIST NAME OF ORGANIZATION : UMD SCHOOL OF PUBLIC HEALTH NAME : LISA POTILLOTITLE : COMMUNITY RELATIONS SPECIALISTNAME OF ORGANIZATION : MARYLAND WELLNESS (OMHC)NAME : PAULA HUGHESTITLE : MASS CARE COORDINATOR, SOUTHERN MARYLANDNAME OF ORGANIZATION : AMERICAN RED CROSS CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST PART I, LINE 7:MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES.BAD DEBTPART III, LINES 2 & 4:MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF-PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUERECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF-PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE.MEDICAREPART III, LINE 8:MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO.PART III, LINE 9B:IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT PART VI, LINE 2:IN FY24, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER (MSMHC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MSMHC'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2024, AND SERVED AS A GUIDE FOR PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027.THE CATEGORIES OF HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DRIVERS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. A SMALL NUMBER OF STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. HEALTH PRIORITIES INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, BEHAVIORAL HEALTH, AND MATERNAL HEALTH), ACCESS TO HEALTH CARE SERVICES (ACCESS TO HEALTH INSURANCE AND PROVIDERS AND TRANSPORTATION) AND SOCIAL DRIVERS OF HEALTH (FOOD INSECURITY). ALL OTHER PROGRAMMING WAS INTEGRATED AS PART OF THE HOSPITAL'S OVERALL COMMUNITY HEALTH PORTFOLIO. THESE ADDITIONAL PROGRAMS WERE CAPTURED IN THE INVENTORY FOR THE WHOLE PICTURE OF CONTRIBUTING TO THE HEALTH OF THE COMMUNITIES SERVED AS WELL AS SORTED FOR WHAT COUNTS AS COMMUNITY BENEFIT FOR REGULATORY REPORTING.THE HOSPITAL IDENTIFIED SOUTHERN PRINCE GEORGES COUNTY AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA), WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODES 20748, 20735, AND 20772. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE ADVISORY TASK FORCE (ATF) INCLUDED A DIVERSE GROUP OF INDIVIDUALS, INCLUDING HOSPITAL LEADERS, GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS.REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HEALTH HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES, AND SHARES BEST PRACTICES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3:AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY CRITERIA, AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH HOSPITALS AND HOSPITAL BASED-PHYSICIAN PRACTICES WILL:. TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT, AND COMPASSION.. SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS TO OUR MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE.. ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSION PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR THE CARE THEY RECEIVE.. BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.MEDSTAR HEALTH WILL NOT WITHHOLD FINANCIAL ASSISTANCE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE BASED ON RACE, COLOR, RELIGION, ANCESTRY OR NATIONAL ORIGIN, SEX, AGE, MARITAL STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, GENETIC INFORMATION, OR BASED ON DISABILITY. IN ADDITION, MEDSTAR HEALTH WILL NOT USE A PATIENT'S CITIZENSHIP OR IMMIGRATION STATUS AS AN ELIGIBILITY REQUIREMENT FOR FINANCIAL ASSISTANCE.IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL MAKE ELIGIBILITY DETERMINATIONS FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO RESIDE WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA. IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL:. DETERMINE WHETHER THE PATIENT HAS HEALTH INSURANCE. . DETERMINE WHETHER THE PATIENT IS PRESUMPTIVELY ELIGIBLE FOR FREE OR REDUCED-COST CARE. . DETERMINE WHETHER UNINSURED PATIENTS ARE ELIGIBLE FOR PUBLIC OR PRIVATE HEALTH INSURANCE. . TO THE EXTENT POSSIBLE, OFFER ASSISTANCE TO UNINSURED PATIENTS IF THE PATIENT CHOOSES TO APPLY FOR PUBLIC OR PRIVATE HEALTH INSURANCE. . TO THE EXTENT PRACTICABLE, DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR OTHER PUBLIC PROGRAMS THAT MAY ASSIST WITH HEALTH CARE COSTS. . USE INFORMATION IN THE POSSESSION OF THE HOSPITAL, IF AVAILABLE, TO DETERMINE WHETHER THE PATIENT IS QUALIFIED FOR FREE OR REDUCED-COST CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.MEDSTAR HEALTH WILL WIDELY PUBLICIZE THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:. PROVIDING ACCESS TO THE MEDSTAR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND MEDSTAR PATIENT INFORMATION SHEET ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST BY MAIL AND WITHOUT CHARGE.. PROVIDING NOTIFICATION AND INFORMATION ABOUT THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:- OFFERING COPIES AS PART OF ALL REGISTRATION OR DISCHARGES PROCESSES AND ANSWERING QUESTIONS ON HOW TO APPLY FOR ASSISTANCE.- PROVIDING WRITTEN NOTICES ON BILLING STATEMENTS.- DISPLAYING MEDSTAR HEALTH FINANCIAL ASSISTANCE POLICY INFORMATION AT ALL HOSPITAL REGISTRATION POINTS, INCLUDING THE BUSINESS OFFICE, INFORMING PATIENTS OF THEIR RIGHTS TO APPLY FOR FINANCIAL ASSISTANCE AND WHO TO CONTACT AT THE HOSPITAL FOR ADDITIONAL INFORMATION. - TRANSLATING THE MEDSTAR HEALTH FINANCIAL ASSISTANCE POLICY, MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR HEALTH PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES THAT CONSTITUTE THE LESSER OF 1000 INDIVIDUALS OR 5% OF THE OVERALL POPULATION WITHIN THE CITY OR COUNTY IN WHICH THE HOSPITAL IS LOCATED AS MEASURED BY THE MOST RECENT CENSUS.. MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.. THE MEDSTAR HEALTH PATIENT INFORMATION SHEET SHALL BE PROVIDED TO THE PATIENT, THE PATIENT'S FAMILY, OR THE PATIENT'S AUTHORIZED REPRESENTATIVE: - BEFORE DISCHARGE;- WITH THE HOSPITAL BILL; - ON REQUEST; AND - IN EACH WRITTEN COMMUNICATION TO THE PATIENT REGARDING COLLECTION OF THE HOSPITAL BILL.MEDSTAR HEALTH WILL PROVIDE FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION. . THE FINAL ELIGIBILITY DETERMINATION WILL BE MADE AND COMMUNICATED TO THE PATIENT BASED ON RECEIPT AND REVIEW OF A COMPLETED APPLICATION. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. FINANCIAL ASSISTANCE AND PAYMENT PLAN AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH MEDSTAR HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. . MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. . PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR HEALTH HOSPITAL PATIENT ADVOCATES OR CUSTOMER SERVICE REPRESENTATIVES ON A TIMELY BASIS AS THE PATIENT'S FINANCIAL CIRCUMSTANCES MAY CHANGE. . IT IS A PATIENT'S RESPONSIBILITY, DURING THEIR 12-MONTH ELIGIBILITY PERIOD, TO NOTIFY MEDSTAR HEALTH OF THEIR EXISTING HOUSEHOLD ELIGIBILITY FOR FREE CARE, REDUCED COST-CARE, AND/OR ELIGIBILITY UNDER FINANCIAL HARDSHIP PROVISIONS FOR MEDICALLY NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.. IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT, BILLING AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE ON 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4:PRINCE GEORGE'S COUNTY OVERVIEWPRINCE GEORGE'S COUNTY IS A DIVERSE AND RAPIDLY EVOLVING COMMUNITY WITHIN THE WASHINGTON, D.C. METROPOLITAN REGION. HOME TO APPROXIMATELY 955,000 RESIDENTS, THE COUNTY HAS A MEDIAN AGE OF 38.5 YEARS AND FEATURES A DYNAMIC BLEND OF URBAN, SUBURBAN, AND SEMI-RURAL NEIGHBORHOODS. THE COUNTY IS A MAJORITY AFRICAN AMERICAN COMMUNITY (59%), WITH INCREASING DIVERSITY REFLECTED IN ITS HISPANIC/LATINO (21%), WHITE (11%), ASIAN (4%), AND MULTIRACIAL OR OTHER RACIAL GROUPS (3%). APPROXIMATELY 24% OF RESIDENTS ARE FOREIGN-BORN, UNDERSCORING THE COUNTY'S RICH MULTICULTURAL CHARACTER.THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $100,700, THOUGH SIGNIFICANT VARIATION EXISTS ACROSS ZIP CODES AND DEMOGRAPHIC GROUPS. ABOUT 10.2% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY GUIDELINE, INDICATING ONGOING ECONOMIC DISPARITIES THAT INFLUENCE HEALTH AND ACCESS TO CARE. EDUCATIONAL ATTAINMENT IS RELATIVELY HIGH - 86% OF ADULTS HAVE AT LEAST A HIGH SCHOOL DIPLOMA, AND NEARLY 30% HOLD A BACHELOR'S DEGREE OR HIGHER. HOWEVER, SPECIFIC AREAS OF THE COUNTY CONTINUE TO EXPERIENCE UNEMPLOYMENT, LIMITED HEALTH LITERACY, AND INEQUITABLE ACCESS TO HEALTHCARE SERVICES.COUNTYWIDE, THE UNINSURED RATE IS 11.2%, WHILE PUBLIC INSURANCE COVERAGE (MEDICAID AND MEDICARE) RANGES FROM 21-24%. THE UNINSURED RATE INCREASED FROM 10.5% IN 2022 TO 11.2% IN 2023, AND PROJECTIONS SUGGEST IT MAY CONTINUE TO RISE THROUGH 2025. FOUR ACUTE-CARE HOSPITALS PRIMARILY SERVE COUNTY RESIDENTS: MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER (CLINTON), ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER (FORT WASHINGTON), LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LANHAM), AND UM CAPITAL REGION MEDICAL CENTER (LARGO). PRINCE GEORGE'S COUNTY ALSO CONTAINS MULTIPLE FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AND MEDICALLY UNDERSERVED AREAS/POPULATIONS (MUA/P), PARTICULARLY FOR PRIMARY CARE AND MENTAL HEALTH IN THE SOUTHERN AND INNER-BELTWAY REGIONS.CHRONIC DISEASES CONTINUE TO BE THE LEADING CAUSES OF MORBIDITY AND MORTALITY IN PRINCE GEORGE'S COUNTY. HEART DISEASE, CANCER, DIABETES, AND STROKE ACCOUNT FOR THE MAJORITY OF PREMATURE DEATHS, REFLECTING BOTH LIFESTYLE AND STRUCTURAL HEALTH DISPARITIES. APPROXIMATELY 12% OF ADULTS LIVE WITH DIABETES, 36% ARE CLASSIFIED AS OBESE, AND ONE IN FOUR ADULTS' REPORTS HAVING HIGH BLOOD PRESSURE. THESE RATES EXCEED BOTH THE MARYLAND STATE AND NATIONAL AVERAGES, EMPHASIZING THE NEED FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS. CANCER AND CARDIOVASCULAR DISEASE REMAIN AMONG THE TOP CAUSES OF DEATH IN THE COUNTY, WITH HIGHER RATES OBSERVED IN AFRICAN AMERICAN POPULATIONS. PREVENTIVE SCREENINGS AND COMMUNITY EDUCATION INITIATIVES SUCH AS BLOOD PRESSURE CHECKS, NUTRITION CLASSES, AND CHRONIC DISEASE AWARENESS WORKSHOPSARE ESSENTIAL STRATEGIES FOR ADDRESSING THESE PERSISTENT DISPARITIES. SOCIAL AND ECONOMIC FACTORS SIGNIFICANTLY SHAPE HEALTH OUTCOMES ACROSS THE COUNTY. THE UNEMPLOYMENT RATE AVERAGES 4.5%, BUT CERTAIN ZIP CODES EXPERIENCE RATES MORE THAN TWICE THAT. APPROXIMATELY 9.5% OF HOUSEHOLDS SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING, AND TRANSPORTATION BARRIERS REMAIN A LEADING FACTOR IN MISSED MEDICAL APPOINTMENTS. IN TEMPLE HILLS (20748), ONE IN FOUR RESIDENTS RELY ON PUBLIC TRANSPORTATION OR LIVE IN HOUSEHOLDS WITHOUT A PRIVATE VEHICLE. FOOD INSECURITY AND ACCESS TO HEALTHY FOOD CONTINUE TO CHALLENGE MANY RESIDENTS. SOUTHERN COMMUNITIES, INCLUDING CLINTON AND TEMPLE HILLS, HAVE FEWER FULL-SERVICE GROCERY STORES AND RELY HEAVILY ON SMALLER CONVENIENCE OR FAST-FOOD OUTLETS. THESE LIMITATIONS INCREASE THE RISK FOR OBESITY, DIABETES, AND CARDIOVASCULAR DISEASE. EDUCATION AND DIGITAL ACCESS ALSO CONTRIBUTE TO DISPARITIESNEARLY 10% OF TEMPLE HILLS RESIDENTS HAVE NOT COMPLETED HIGH SCHOOL, AND GAPS IN INTERNET ACCESS IMPACT HEALTH LITERACY AND EMPLOYMENT OPPORTUNITIES. MATERNAL AND INFANT HEALTH INDICATORS REFLECT BROADER HEALTH EQUITY CHALLENGES IN PRINCE GEORGE'S COUNTY. THE INFANT MORTALITY RATE STANDS AT 7.4 PER 1,000 LIVE BIRTHS, WHICH IS HIGHER THAN THE MARYLAND AVERAGE OF 5.7. ADDITIONALLY, 10.5% OF INFANTS ARE BORN AT A LOW BIRTH WEIGHT, AND NEARLY 15% OF MOTHERS RECEIVE LATE OR NO PRENATAL CARE, WITH THE HIGHEST RATES CONCENTRATED IN THE 20748 (TEMPLE HILLS) AND 20735 (CLINTON) ZIP CODES. PERSISTENT DISPARITIES IN MATERNAL OUTCOMES AMONG BLACK WOMENINCLUDING PRETERM BIRTHS AND HYPERTENSIVE DISORDERSUNDERSCORE THE IMPORTANCE OF TARGETED PRENATAL EDUCATION, LACTATION SUPPORT, AND PERINATAL CARE COORDINATION EFFORTS ACROSS THESE COMMUNITIES.BEHAVIORAL HEALTH IS A GROWING AREA OF CONCERN WITHIN PRINCE GEORGE'S COUNTY. APPROXIMATELY 24% OF ADULTS REPORT SYMPTOMS OF DEPRESSION OR ANXIETY, AND EMERGENCY DEPARTMENT VISITS RELATED TO MENTAL HEALTH OR SUBSTANCE USE HAVE RISEN OVER THE PAST FIVE YEARS. ACCESS TO MENTAL HEALTH PROFESSIONALS IS REPORTED TO BE LIMITED, PARTICULARLY IN SOUTHERN PRINCE GEORGE'S COUNTY, WHERE PROVIDER-TO-POPULATION RATIOS FALL BELOW STATE TARGETS.COMMUNITY BENEFIT SERVICE AREASTHE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREAS INCLUDE ZIP CODES 20748 (TEMPLE HILLS), 20735 (CLINTON), AND 20772 (UPPER MARLBORO)EACH REFLECTING DISTINCT DEMOGRAPHIC AND SOCIOECONOMIC PROFILES WITHIN THE COUNTY.ZIP CODE 20748 - TEMPLE HILLSTEMPLE HILLS IS A SUBURBAN SERVICE AREA WITH 40,094 RESIDENTS, A MEDIAN AGE OF 40, AND A MEDIAN HOUSEHOLD INCOME OF $82,160. APPROXIMATELY 12.2% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY GUIDELINE. THE COMMUNITY IS PREDOMINANTLY BLACK OR AFRICAN AMERICAN (78%), WITH A GROWING HISPANIC/LATINO POPULATION (14.5%), HIGHLIGHTING A SHIFT TOWARD INCREASED CULTURAL DIVERSITY AND BILINGUAL NEEDS.ZIP CODE 20735 - CLINTONCLINTON IS A SUBURBAN COMMUNITY OF APPROXIMATELY 38,000 RESIDENTS, WITH A MEDIAN AGE OF 46 YEARS AND A MEDIAN HOUSEHOLD INCOME OF $123,125. DESPITE OVERALL AFFLUENCE, ABOUT 9% OF RESIDENTS LIVE IN POVERTY, AND THE AREA EXPERIENCES TRANSPORTATION CHALLENGES THAT CAN HINDER ACCESS TO HEALTHCARE AND COMMUNITY RESOURCES.ZIP CODE 20772 - UPPER MARLBOROUPPER MARLBORO IS A LARGELY SUBURBAN SERVICE AREA WITH NEARLY 53,000 RESIDENTS, A MEDIAN AGE OF 42 YEARS, AND A MEDIAN HOUSEHOLD INCOME OF $135,576. ALTHOUGH THE AREA IS RELATIVELY AFFLUENT, 2% OF FAMILIES LIVE BELOW THE POVERTY LEVEL, AND RESIDENTS MAY EXPERIENCE LIMITED ACCESS TO SERVICES DUE TO DISTANCE AND TRANSPORTATION BARRIERS. THE POPULATION MIRRORS BROADER COUNTY DEMOGRAPHICS: 78% BLACK OR AFRICAN AMERICAN, 10.4% WHITE, AND 6.7% HISPANIC/LATINO. ALTHOUGH UPPER MARLBORO IS A RELATIVELY AFFLUENT AREA, ITS INCLUSION IN THE COMMUNITY BENEFIT SERVICE AREA IS SUPPORTED BY SEVERAL KEY FACTORS; 20772 ENCOMPASSES A GEOGRAPHICALLY LARGE, SEMI-RURAL REGION WITH LIMITED ACCESS TO PUBLIC TRANSPORTATION, AND WELLNESS RESOURCES, RESULTING IN BARRIERS TO PREVENTIVE CARE AND CHRONIC DISEASE MANAGEMENT. THE AREA ALSO HAS A GROWING AGING POPULATION, POCKETS OF RESIDENTS FACING TRANSPORTATION AND SOCIAL ISOLATION CHALLENGES, AND PERSISTENT HEALTH DISPARITIES AMONG BLACK AND HISPANIC HOUSEHOLDS. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5:MSMHC IS DEEPLY COMMITTED TO ADVANCING HEALTH EQUITY AND IMPROVING THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS ACROSS PRINCE GEORGE'S COUNTY. GUIDED BY THE HOSPITAL'S CHNA, MSMHC'S COMMUNITY BENEFIT PRIORITIES FOCUS ON THREE KEY AREAS: HEALTH AND WELLNESS, ACCESS TO HEALTH CARE AND SERVICES, AND SOCIAL DRIVERS OF HEALTH. THROUGH A RANGE OF HIGH-IMPACT PROGRAMS, PARTNERSHIPS, AND OUTREACH EFFORTS, THE HOSPITAL WORKS TO ADDRESS BARRIERS TO CARE, PROMOTE PREVENTIVE HEALTH, AND MEET THE UNIQUE NEEDS OF THE COMMUNITIES IT SERVES.HEALTH AND WELLNESSMSMHC DELIVERS A ROBUST PORTFOLIO OF HEALTH EDUCATION, PREVENTION, AND WELLNESS PROGRAMS DESIGNED TO EMPOWER RESIDENTS WITH THE KNOWLEDGE AND TOOLS TO LEAD HEALTHIER LIVES. THE HOSPITAL PROVIDES ONGOING DIABETES EDUCATION AND SUPPORT THROUGH GROUP SESSIONS, AND A COMMUNITY-BASED DIABETES SUPPORT GROUP, WHICH OFFERS EDUCATION, ENCOURAGEMENT, AND PEER CONNECTION FOR INDIVIDUALS LIVING WITH TYPE 2 DIABETES. PARTICIPANTS LEARN STRATEGIES FOR EFFECTIVE SELF-MANAGEMENT, NUTRITION, PHYSICAL ACTIVITY, AND STRESS REDUCTION TO IMPROVE LONG-TERM OUTCOMES.TO FURTHER STRENGTHEN COMMUNITY ENGAGEMENT, MSMHC REGULARLY HOSTS ASK THE HEALTHCARE PROFESSIONAL, OR ASK THE DOC SPEAKER SERIES. THESE ARE EDUCATIONAL SESSIONS FEATURING HOSPITAL PROVIDERS AND SUBJECT MATTER EXPERTS WHO DISCUSS A RANGE OF TOPICS FROM CANCER PREVENTION AND CHRONIC DISEASE MANAGEMENT TO MATERNAL HEALTH, STROKE AND SEPSIS AWARENESS.MSMHC'S OUTREACH TEAM REGULARLY PARTICIPATES IN COMMUNITY HEALTH FAIRS, SCHOOL WELLNESS DAYS, SENIOR CENTER EVENTS, AND FAITH-BASED PROGRAMS, OFFERING BLOOD PRESSURE SCREENINGS, HEALTH EDUCATION, AND BILINGUAL HEALTH MATERIALS TO ENSURE INFORMATION IS ACCESSIBLE TO ALL RESIDENTS. THESE ENGAGEMENTS ARE COMPLEMENTED BY VIDEOS, AND ONLINE CAMPAIGNS THAT EXTEND EDUCATIONAL REACH TO DIGITAL AUDIENCES.IN ADDITION TO WELLNESS AND PREVENTION EFFORTS, MSMHC CONTINUES TO EXPAND ITS FOCUS ON IMPROVING MATERNAL AND CHILD HEALTH. THE PRINCE GEORGE'S HEALTHY START PROGRAM PLAYS A PIVOTAL ROLE IN IMPROVING HEALTH OUTCOMES FOR WOMEN, INFANTS, AND FAMILIESBEFORE, DURING, AND AFTER PREGNANCY. IN COLLABORATION WITH LOCAL CLINICS, HOSPITALS, AND COMMUNITY PARTNERS, HEALTHY START PROVIDES WRAPAROUND SERVICES AIMED AT PROMOTING HEALTHY PREGNANCY, SAFE DELIVERIES, AND THRIVING FAMILIES. THE PROGRAM CURRENTLY SERVES MORE THAN 500 PARTICIPANTS, INCLUDING 351 ADULTS AND 151 INFANTS, WHO RECEIVE PERSONALIZED SUPPORT FROM COMMUNITY HEALTH ADVOCATES, PUBLIC HEALTH NURSES, AND LACTATION CONSULTANTS. FAMILIES ENROLLED IN HEALTHY START BENEFIT FROM DEPRESSION SCREENINGS, SAFE SLEEP EDUCATION, DEVELOPMENTAL SCREENINGS, LACTATION COUNSELING, AND NEWLY LAUNCHED INFANT CPR CLASSES. PARTICIPANTS ALSO RECEIVE CONNECTIONS TO RESOURCES ADDRESSING FOOD INSECURITY AND TRANSPORTATION BARRIERS. THE PROGRAM'S FOCUS ON EQUITY AND ACCESS ENSURES THAT WOMEN ACROSS PRINCE GEORGE'S COUNTY PARTICULARLY THOSE IN UNDERSERVED AREASRECEIVE COMPREHENSIVE, COMPASSIONATE CARE THAT EMPOWERS THEM TO MAKE INFORMED HEALTH DECISIONS AND FOSTERS HEALTHY BEGINNINGS FOR THEIR CHILDREN.BEHAVIORAL HEALTH CONTINUES TO BE A GROWING PRIORITY FOR MSMHC, AS COMMUNITY FEEDBACK CONSISTENTLY IDENTIFIES MENTAL HEALTH ACCESS AND SUBSTANCE USE SUPPORT AS KEY NEEDS. THE HOSPITAL'S BEHAVIORAL HEALTH INITIATIVES FOCUS ON EARLY IDENTIFICATION, EDUCATION, AND CONNECTION TO SERVICES. THROUGH PUBLIC EDUCATION CAMPAIGNS AND RESOURCE DISSEMINATION, MSMHC WORKS TO REDUCE STIGMA AROUND MENTAL ILLNESS AND SUBSTANCE USE DISORDERS WHILE ENCOURAGING INDIVIDUALS TO SEEK HELP BEFORE A CRISIS OCCURS. THE SCREENING, BRIEF INTERVENTION , AND REFERRAL TO TREATMENT (SBIRT) PROGRAM PROVIDES EARLY IDENTIFICATION AND INTERVENTION FOR INDIVIDUALS AT RISK OF SUBSTANCE USE DISORDERS. THOSE IDENTIFIED AS HIGH-RISK ARE CONNECTED WITH PEER RECOVERY COACHES WHO PROVIDE BRIEF COUNSELING AND REFERRALS TO TREATMENT AND COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS. MSMHC'S OPIOID OVERDOSE SURVIVOR OUTREACH PROGRAM EXTENDS THIS APPROACH BY ENGAGING OVERDOSE SURVIVORS AND CONNECTING THEM TO LONG-TERM RECOVERY RESOURCES. THE PEER RECOVERY COACH TEAM PLAYS AN INSTRUMENTAL ROLE IN BRIDGING GAPS BETWEEN EMERGENCY CARE AND LONG-TERM RECOVERY SERVICES, ENSURING ONGOING ENGAGEMENT FOR INDIVIDUALS NAVIGATING ADDICTION AND MENTAL HEALTH CHALLENGES. THROUGH THESE COLLECTIVE INITIATIVES, MSMHC DEMONSTRATES A HOLISTIC AND ENDURING COMMITMENT TO THE HEALTH OF PRINCE GEORGE'S COUNTY. BY INTEGRATING MEDICAL CARE WITH PREVENTION, EDUCATION, AND SOCIAL SUPPORT, MSMHC ADDRESSES THE FULL SPECTRUM OF COMMUNITY NEEDS FROM MATERNAL HEALTH AND CHRONIC DISEASE MANAGEMENT TO BEHAVIORAL HEALTH AND SOCIAL EQUITY. EACH PROGRAM REFLECTS THE HOSPITAL'S MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, AND EQUITABLE CARE, ENSURING THAT ALL RESIDENTS HAVE THE OPPORTUNITY TO ACHIEVE THEIR HIGHEST LEVEL OF HEALTH AND WELL-BEING.ACCESS TO CAREACCESS TO CARE REMAINS ONE OF MSMHC'S FOREMOST COMMUNITY PRIORITIES. THE HOSPITAL'S PATIENT FINANCIAL SERVICES DEPARTMENT PROVIDES CRITICAL SUPPORT TO UNINSURED AND UNDERINSURED RESIDENTS BY ASSISTING WITH ENROLLMENT IN MEDICAID, MEDICARE, AND MARKETPLACE PLANS AND CONNECTING INDIVIDUALS TO AVAILABLE FINANCIAL AID OR CHARITABLE RESOURCES. MSMHC ALSO PROVIDES CHARITY CARE AND SUBSIDIZES HEALTH SERVICES TO ENSURE THAT ALL RESIDENTS, REGARDLESS OF FINANCIAL CIRCUMSTANCES, CAN ACCESS THE MEDICAL CARE THEY NEED.TRANSPORTATION IS ANOTHER SIGNIFICANT BARRIER TO CARE THAT MSMHC HAS ACTIVELY ADDRESSED THROUGH INNOVATIVE PARTNERSHIPS. THROUGH UBER HEALTH AND LOCAL CAB VOUCHER PROGRAMS, THE HOSPITAL PROVIDES NO-COST RIDES TO PATIENTS WHO WOULD OTHERWISE FACE CHALLENGES ATTENDING APPOINTMENTS OR FOLLOWING UP ON CARE. THIS INITIATIVE HAS PROVEN ESPECIALLY BENEFICIAL FOR ELDERLY PATIENTS, NEW MOTHERS, AND INDIVIDUALS MANAGING CHRONIC CONDITIONS WHO REQUIRE FREQUENT MEDICAL VISITS.TO STRENGTHEN REGIONAL HEALTHCARE CAPACITY AND ENHANCE PUBLIC HEALTH, MSMHC PARTNERED WITH THE AMERICAN RED CROSS TO HOST BI-MONTHLY BLOOD DRIVES ON THE HOSPITAL CAMPUS TO MEET THE INCREASING DEMAND AND HELP REMEDY THE CRUCIAL BLOOD SHORTAGE. THE RED CROSS PROVIDES ABOUT 40% OF THE NATION'S BLOOD AND BLOOD COMPONENTS, ALL FROM VOLUNTEER DONORS - SUCH AS THE ONES ATTENDING OUR BLOOD DRIVES. SUPPLY CANNOT ALWAYS MEET THE DEMAND BECAUSE ONLY ABOUT 3% OF AGE-ELIGIBLE PEOPLE DONATE BLOOD YEARLY. PROVIDING SPACE AND TIME FOR DONORS TO GIVE BACK CAN MAKE DONATIONS MORE ACCESSIBLE. ON AVERAGE, EACH BLOOD DRIVE WELCOMES ABOUT 25-30 DONORS AND COLLECTS ABOUT 25 UNITS OF BLOOD. EACH UNIT HAS THE POTENTIAL TO HELP THREE RECIPIENTS. HEALTHY START PERINATAL AND LACTATION SUPPORT SERVICES ENSURE THAT NEW AND EXPECTING MOTHERS RECEIVE ESSENTIAL EDUCATION AND CARE THROUGH PRENATAL CLASSES, LACTATION CONSULTATIONS, AND POSTPARTUM EDUCATION ON SAFE INFANT PRACTICES IN A SUPPORTIVE, COMMUNITY-BASED ENVIRONMENT.SOCIAL DRIVERS OF HEALTHRECOGNIZING THAT HEALTH IS SHAPED BY MORE THAN CLINICAL CARE, MSMHC IS ACTIVELY ADDRESSING THE SOCIAL DRIVERS OF HEALTH (SDOH) THAT IMPACT COMMUNITY WELL-BEING. THE HOSPITAL'S COMMUNITY HEALTH ADVOCATES (CHAS) TRAINED COMMUNITY HEALTH WORKERS SERVE AS TRUSTED LIAISONS WITHIN THE COMMUNITY. THEY CONDUCT SOCIAL NEEDS SCREENINGS TO ASSESS CHALLENGES SUCH AS FOOD INSECURITY, HOUSING INSTABILITY, TRANSPORTATION ACCESS, AND UTILITY ASSISTANCE. CHAS PULL RESOURCES FROM A VARIETY OF LOCAL PLATFORMS AND COMMUNITY-BASED ORGANIZATIONS TO CONNECT RESIDENTS TO NEEDED SERVICES. THEY OFTEN PROVIDE IN-PERSON MEET-AND-GREETS, IN-HOME VISITS, AND ONGOING TOUCHPOINTS TO ENSURE INDIVIDUALS RECEIVE SUPPORT THAT IS BOTH PERSONAL AND EFFECTIVE. CHAS ALSO CONDUCT OUTREACH AND DELIVER HEALTH EDUCATION AT COMMUNITY EVENTS THROUGHOUT THE COUNTY.TO COMBAT FOOD INSECURITY, MSMHC OPERATES AN IN-HOUSE HEALTHY HELPINGS FOOD AND DIAPER PANTRY, WHICH SERVES OVER 600 RESIDENTS ANNUALLY BY PROVIDING NUTRITIOUS FOOD AND ESSENTIAL ITEMS. FOR RESIDENTS WITH TRANSPORTATION BARRIERS, HOME DELIVERIES ARE AVAILABLE.THE HOSPITAL'S COMMITMENT TO HEALTH EQUITY EXTENDS THROUGH ITS EQUITY, INCLUSION & DIVERSITY (EI&D) INITIATIVES AND COMMUNITY INVOLVEMENT SUBCOMMITTEE, WHICH ENGAGES HOSPITAL ASSOCIATES AS VOLUNTEERS AND COMMUNITY AMBASSADORS. THESE TEAMS SPEARHEAD LOCAL DRIVES, OUTREACH PROJECTS, AND COLLABORATIONS WITH LOCAL SCHOOLS AND NONPROFITS, REINFORCING MSMHC'S MISSION OF SERVICE AND INCLUSION. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6:MSMHC IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HEALTH HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES SUPPORT THE HOSPITAL'S COMMUNITY HEALTH PLANNING EFFORTS TO ADDRESS THE NEEDS OF UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MSMHC WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR HEALTH'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7:THE COMMUNITY BENEFIT REPORT FOR MSMHC IS FILED IN THE STATE OF MARYLAND. X X X X X X 1 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2415571 0 3962207 0 79000 0 68897 0 37099 0 6562774 0 0 STEPHEN T MICHAELS MD PRESIDENT/DIRECTOR 599545 0 526372 0 0 0 9900 0 21069 0 1156886 0 0 0 CLYDE PRAY MD DIRECTOR 676241 0 30000 0 10000 0 9900 0 20138 0 746279 0 0 0 NAHID MAZAREI MD DIRECTOR (AS OF 1/2025) 396044 0 57000 0 60000 0 0 0 10799 0 523843 0 0 0 SEEMA PAI MD DIRECTOR 398151 0 54448 0 40182 0 9900 0 13102 0 515783 0 0 0 MICHAEL MEISEL FORMER OFFICER 0 335252 0 118678 0 0 0 9900 0 21472 0 485302 0 0 PURVI JANI CFO/TREASURER 148648 148648 42537 42536 0 0 4877 4877 5729 5729 201791 201790 0 0 ANNETTE BRONER SECRETARY 0 254006 0 64402 0 0 0 10872 0 24937 0 354217 0 0 KAREN WYCHE VP, CNO 243809 0 60548 0 0 0 16858 0 19947 0 341162 0 0 0 KELLY HAYNIE VP, OPERATIONS 251954 0 63253 0 0 0 8834 0 11228 0 335269 0 0 0 FRANCISCA SARFO PHARMACY DIRECTOR 232610 0 0 0 0 0 7715 0 24945 0 265270 0 0 0 MIRANDA MUMA CLINICAL PHARMACIST 214473 0 0 0 0 0 6520 0 24856 0 245849 0 0 0 SUNITA WADDELL SR DIR, NURSING OPERATIONS 56548 0 74691 0 91692 0 5431 0 530 0 228892 0 0 0 DAVID HAVRILLA FORMER OFFICER 0 120778 0 0 0 12500 0 0 0 3433 0 136711 0 0 SCHEDULE J, PART III: DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A PAYMENT OF $79,000, WHICH REPRESENTS THE PREMIUM PAYMENT OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. NAHID MAZAREI'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $60,000 REPRESENTING RETENTION BONUS PAYMENTS RECEIVED BY DR. MAZAREI. PURVI JANI'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR ST. MARY'S HOSPITAL AND MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. ANNETTE BRONER'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO MEDSTAR ST. MARY'S HOSPITAL, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND MEDSTAR HARBOR HOSPITAL. SUNITA WADDELL'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $74,691 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MS. WADDELL. CMI GENERAL CONTRACTORS INC SUBSTANTIAL CONTRIBUTOR 115421 CONSTRUCTION 0 HENKELS & MCCOY INC SUBSTANTIAL CONTRIBUTOR 223101 CONSTRUCTION 0 SCHEDULE L, PART IV: THE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THAT ALSO PROVIDES SERVICES TO MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER VALUED IN EXCESS OF $100,000: CMI GENERAL CONTRACTORS, INC., AND HENKELS & MCCOY, INC. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. FORM 990, PART VI, SECTION B, LINE 11B PROCESS FOR REVIEWING FORM 990 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). FORM 990, PART VI, SECTION B, LINE 15 DESCRIPTION OF EXECUTIVE COMPENSATION THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. FORM 990, PART IX, LINE 11G PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 13,548. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,548. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 35,669,201. MANAGEMENT AND GENERAL EXPENSES 107,372. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,776,573. PURCHASED PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 11,186,114. MANAGEMENT AND GENERAL EXPENSES 1,518,649. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,704,763. MEDICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 3,264,409. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,264,409. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 185,131. MANAGEMENT AND GENERAL EXPENSES 2,167,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,352,558. NON-PHYS INTERCO PURCH SRVS: PROGRAM SERVICE EXPENSES 553,003. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 553,003. COMMERCIAL LAUNDRY: PROGRAM SERVICE EXPENSES 511,481. MANAGEMENT AND GENERAL EXPENSES 3,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 514,659. PROTECTION SERVICE: PROGRAM SERVICE EXPENSES 292,004. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 292,004. LAB SERVICES: PROGRAM SERVICE EXPENSES 625,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 625,239. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 270. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 270. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 243,443. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 243,443. COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 42,693. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,693. BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 82,468. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,468. MISCELLLANEOUS FEES FOR SVCS: PROGRAM SERVICE EXPENSES 2,672,912. MANAGEMENT AND GENERAL EXPENSES -1,641,288. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,031,624. SECURITY SYSTEM-CONTRACT SVC: PROGRAM SERVICE EXPENSES 80,380. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,380. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS 12,477,807. INCOME TAX PROVISION -23,604. 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