2024-04-30T10:19:49-05:00 2023-06-30 205991824 SC&H GROUP INC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2022-07-01 521638026 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC DOCT 4434811308 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 STEPHANIE SCHNITTGER CFO 4434811308 2024-04-26 1 STEPHANIE SCHNITTGER 999009999 0 LORI S BURGHAUSER P00370694 4104031500 2024-04-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z VICTORIA W BAYLESS 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 235670593 0 X WWW.LUMINISHEALTH.ORG X 1989 MD TO ENHANCE THE COMPREHENSIVE HEALTH CARE WE PROVIDE TO THE LOCAL AND REGIONAL COMMUNITY WE SERVE. X 14 12 1548 82 410765 164693 6559321 4136072 221247458 228730210 771484 930465 1038110 1873846 229616373 235670593 0 0 0 0 101584949 108563504 0 0 0 142187715 138289736 243772664 246853240 -14156291 -11182647 234379734 213681125 192750607 182693657 41629127 30987468 X AS A CHARITABLE ORGANIZATION, LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER'S (LHDCMC) MISSION IS TO ENHANCE THE HEALTH OF THE PEOPLE WE SERVE AND ITS VISION "LIVING HEALTHIER TOGETHER." IN ADDITION TO TRADITIONAL PATIENT SERVICES LIKE DIAGNOSIS, TREATMENT AND REHABILITATION, THIS VISION IS ACCOMPLISHED BY ENSURING THAT HEALTH AND WELLNESS ARE FUNDAMENTAL TO EVERYONE, THAT WORKING SIDE-BY-SIDE WITH OUR COMMUNITY AND PATIENTS TO EMPOWER THEM TO TAKE CONTROL OF THEIR HEALTH, THAT PARTNERSHIPS AND CONNECTIVITY FORM THE FOUNDATION OF CARE, THAT EVIDENCE-BASED CARE IS CENTERED AROUND PEOPLE AND FAMILY, THAT ACCESS TO CARE SHOULD BE REFRESHINGLY EASY, AND THAT LUMINIS HEALTH WILL GENERATE A POSITIVE IMPACT FOR ALL. 0 0 176285096 0 228319445 PROVIDING ACCESSIBLE, HIGH-QUALITY INPATIENT AND AMBULATORY HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY, WHICH INCLUDES MOST OF PRINCE GEORGE'S COUNTY, MARYLAND AND SURROUNDING AREAS. THE HOSPITAL PROVIDES HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THE PATIENTS' ABILITY TO PAY. 176285096 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 71 0 1548 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MD X STEPHANIE SCHNITTGER 4434811308 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 VICTORIA BAYLESS LH CEO/BOARD MEMBER 1.00 40.00 X X 0 1988889 290314 JEFFREY GELFAND BOARD MEMBER 1.00 0.00 X 0 1294095 8700 DENEEN RICHMOND PRESIDENT/FORMER BOARD MEMBER 40.00 1.00 X 730856 0 83581 TIMOTHY ADELMAN ESQ LH CHIEF COUNSEL/SECRETARY 1.00 40.00 X 0 616996 89055 KEVIN L SMITH LH CFO/TREASURER 1.00 40.00 X 0 611683 91736 SUNIL MADAN CHIEF MEDICAL OFFICER 40.00 0.00 X 608294 0 47940 REGINA HAMPTON-COLEMAN FORMER BOARD MEMBER 0.00 1.00 X 0 392289 45491 ANGELA WILSON VP, ADMINISTRATION & SUPPORT 40.00 0.00 X 405037 0 7314 JOYCE HANSCOME FORMER VP/INTERNAL CONSULTANT 40.00 0.00 X 0 388345 3296 MELISSA YEAGER VP, CHIEF OPERATING OFFICER 40.00 0.00 X 345560 0 21843 CRYSTAL D BECKFORD CHIEF NURSING OFFICER 40.00 0.00 X 326193 0 35959 BEVERLY R SCRUGGS-DIGGS ADMIN NURSE SUPERVISOR 40.00 0.00 X 351110 0 10465 DAVID PRESS INTERNAL MEDICINE PHYSICIAN 40.00 0.00 X 307721 0 13319 MAFEREH Y SESAY RN TEAM LEADER 40.00 0.00 X 287706 0 24073 PAUL GRENALDO FORMER CHIEF OPERATING OFFICER 0.00 0.00 X 0 121156 1242 PHILIP DOWN FORMER CHIEF EXECUTIVE OFFICER 0.00 0.00 X 0 102763 0 LEISA RUSSELL CHAIR 1.00 1.00 X X 0 0 0 RENE LAVIGNE VICE CHAIR 1.00 1.00 X X 0 0 0 ALICIA WILSON VICE CHAIR (PART YEAR) 1.00 0.00 X X 0 0 0 TIMOTHY J ADAMS BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 ALAN HYATT TREASURER 1.00 0.00 X X 0 0 0 PATRICIA ARZUAGA BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES CHAMBERS BOARD MEMBER 1.00 0.00 X 0 0 0 LAURA CLINE BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 JAMES ELLIOTT MD BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 MICHAEL P ERRICO BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 CARLESA R FINNEY BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 KEITH GHEZZI BOARD MEMBER 1.00 0.00 X 0 0 0 ATHENA GROVES BOARD MEMBER 1.00 0.00 X 0 0 0 NIELS HOLCH BOARD MEMBER 1.00 0.00 X 0 0 0 GARY MICHAEL BOARD MEMBER 1.00 1.00 X 0 0 0 MISTI MUKHERJEE BOARD MEMBER 1.00 0.00 X 0 0 0 JOYCE PHILLIP BOARD MEMBER 1.00 0.00 X 0 0 0 RODERICK WELLINGTON PHD BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 MARK WHITLOCK REV BOARD MEMBER 1.00 0.00 X 0 0 0 FALECIA WILLIAMS ED D BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 3362477 5516216 774328 268 1 1 0 ALTEON HEALTH PO BOX 645849 CINCINNATI OH 45264 ACUTE CARE SERVICES 1625530 KEZLO GROUP LLC PO BOX 419 COCHRANVILLE PA 19330 CONSTRUCTION, ARCHITECTURE AND DESIGN 708292 VISION RADIOLOGY 2825 OAK LAWN AVENUE DALLAS TX 75219 ACADEMIC TELERADIOLOGY 483342 DUMP 4 ME LLC 128 BASS TRACK COURT CHESTERTOWN MD 21620 WASTE MANAGEMENT 435767 D AND W CONTRACTORS 7322 GLEN ALBIN ROAD LA PLATA MD 20646 CONSTRUCTION 382794 12 2591 4133481 4136072 NET PATIENT REVENUE 621110 228730210 228319445 410765 228730210 930465 930465 355916 0 355916 355916 355916 CAFETERIA REVENUE 722514 880480 880480 SHARED SERVICES 900099 243810 243810 ANSWERING SERVICE REV. 812900 125865 125865 267775 267775 1517930 235670593 228319445 410765 2804311 X 1838073 1505163 332910 90578461 74464552 16113909 2564813 2027621 537192 6561353 5097309 1464044 7020804 5406019 1614785 2807 2807 3335 3335 46401 46401 76907119 40465253 36441866 4841820 3826324 1015496 169561 130562 38999 2158462 1662016 496446 142866 109987 32879 3490097 2687375 802722 11465273 8828260 2637013 3032042 2334672 697370 SUPPLIES 33780562 26011032 7769530 ENERGY COSTS 2245391 1728951 516440 EXCISE TAXES 4000 4000 246853240 176285096 70568144 0 9986 8786 24922907 2028876 44709023 36211917 5534904 4675350 432942 3242759 177571409 33898389 120862573 143673020 19062409 20493464 290202 601960 -33893941 -33039106 4100000 4100000 48348729 31684099 234379734 213681125 21839367 21715229 25875364 14937807 113434472 107790728 31601404 38249893 192750607 182693657 X 41476903 28708307 152224 2279161 41629127 30987468 234379734 213681125 X -11182647 -695864 1236852 X 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 3335 3335 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION. A PORTION OF THESE DUES WERE USED FOR LOBBYING ACTIVITIES. 9274060 9274060 109676889 15739189 93937700 1622350 641853 980497 32187837 12732632 19455205 24810273 4784715 20025558 143673020 RIGHT OF USE ASSET 16174945 LIFE INSURANCE 4027486 OTHER RECEIVABLES 9010136 OTHER LONG-TERM ASSETS 2471532 31684099 ROU LIABILITY 17144702 DEFERRED COMPENSATION AND IBNRS 4027486 PENSION OBLIGATION 2296095 MARK TO MARKET LIABILITY 4656351 INTERCOMPANY 10114259 OTHER LONG-TERM LIABILITIES 11000 38249893 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE MANAGEMENT TO EVALUATE UNCERTAIN TAX POSITIONS TAKEN BY THE SYSTEM. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS CONCLUDED THAT AS OF JUNE 30, 2023, AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 11564488 11564488 0.04680 11564488 11564488 0.04680 2690640 2690640 0.01090 1595131 1595131 0.00650 13926614 13926614 0.05640 731085 731085 0.00300 18943470 18943470 0.07680 30507958 30507958 0.12360 769354 769354 0.00310 769354 769354 0.00310 1 7388849 80591662 72766100 7825562 X 1 1 1 1 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC 8118 GOOD LUCK ROAD LANHAM MD 20706 SEE PART V, SECTION C 16022 X X X LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 300.000000000000 350.000000000000 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 5: THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH PRINCE GEORGE'S COUNTY COMMUNITY LEADERS. THESE LEADERS DRAW FROM A DIVERSE RANGE OF BACKGROUNDS AND PERSPECTIVES ON THE HEALTH OF THE COMMUNITY. KEY INFORMANT INTERVIEWS WERE CONDUCTED TO INCLUDE A DIVERSE PERSPECTIVE FROM THE POPULATION THAT MIGHT HAVE BEEN UNDER-REPRESENTED THROUGH OTHER COLLECTION METHODS. THESE INDIVIDUALS INCLUDED VETERANS, SENIORS, INDIVIDUALS EXPRESSING HOMELESSNESS OR HOUSING INSECURITIES, IMMIGRANTS, AND HISPANIC AND FILIPINO COMMUNITIES.KEY INFORMANTS INCLUDED:MICHELLE LARUE - REPRESENTATIVE FROM CASAALLISON FLORES - PRINCE GEORGE'S COUNTY EXECUTIVE LATINO AFFAIRS LIAISONPATRICIA CHIANCONE - PRINCE GEORGE'S COUNTY PUBLIC SCHOOLSLISA WALKER - HYATTSVILLE AGING IN PLACETISA HOLLEY - PRINCE GEORGE'S COUNTY PUBLIC SCHOOLSPATRICIA FLETCHER - AERS PROGRAMJAMES DULA - OFFICE OF VETERANS AFFAIRS, DEPARTMENT OF FAMILY SERVICESANTHONY SMITH - OFFICE OF VETERANS AFFAIRS, DEPARTMENT OF FAMILY SERVICESSTACEY LITTLE - UNIVERSITY OF MARYLAND CAPITAL REGION HEALTHDUSHANKA KLEINMAN - UNIVERSITY OF MARYLAND, COLLEGE PARK, SCHOOL OF PUBLIC HEALTHNORBERTO MARTINEZ - LANGLEY PARK CIVIC ASSOCIATIONGUY MERRITT - DEPARTMENT OF CORRECTIONSANNA CAZES - FORT WASHINGTON MEDICAL CENTERCOL. JIMMY SLADE - COMMUNITY MINISTRIESJEAN DRUMMOND - HCDI, INC.ANDRE PITTMAN - FIRST BAPTIST CHOURCH OF GLENARDEN MILITARY CARE MINISTRY LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS A JOINT UNDERTAKING WITH THE PRINCE GEORGE'S HEALTH DEPARTMENT, LHDCMC, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND UM CAPITOL REGION HEALTH. LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 6B: - PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT - PRINCE GEORGE'S HEALTHCARE ACTION COALITION LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS. THE FOUR MAIN PRIORITY AREAS IDENTIFIED IN THE FISCAL YEAR 2016 CHNA CONTINUE TO BE THE FOUR PRIORITY AREAS FOR THE CURRENT CHNA (1) SOCIAL DETERMINANTS OF HEALTH, (2) BEHAVIORAL HEALTH, (3) OBESITY AND METABOLIC SYNDROME AND (4) CANCER. DCMC WILL FOCUS ON:(1) METABOLIC SYNDROME PREVENTION - EXPAND DIABETES PREVENTION PROGRAMS VIA CDC PARTNERSHIP; INCREASE PARTNER PARTICIPATION, DEVELOP HEALTH EDUCATION MATERIALS; CONTINUE/EXPAND SCREENINGS AND SERVICES PROVIDED BY THE WELL-MOBILE CLINIC TO PROVIDE FREE SCREENING TO VULNERABLE RESIDENTS ACROSS THE COUNTY. THE WELL-MOBILE CLINIC FOCUSES ON LOW-INCOME, IMMIGRANT, AND MINORITY NEIGHBORHOODS TO IMPROVE HEALTH AWARENESS, ACCESS TO CARE, AND HEALTH OUTCOMES. THROUGH THESE PROGRAMS, LHDCMC CAN PROVIDE PREVENTATIVE INTERVENTIONS THAT REDUCE THE PREVALENCE OF CHRONIC DISEASE IN OUR COMMUNITY. (2) CANCER - CONTINUE TO PROVIDE AND EXPAND FREE EDUCATION, SCREENINGS AND SUPPORT PROGRAMS FOR BREAST, CERVICAL AND COLORECTAL CANCERS, PROGRAMS TARGETED TO UNINSURED AND UNDER-INSURED MEN AND WOMEN. THESE CANCER-PREVENTATIVE PROGRAMS AIM TO ADDRESS THE DISPARITIES FACED AMONG THE BLACK AND BROWN POPULATIONS AS RELATED TO CANCER MORTALITY RATES, THROUGH EARLY DETECTION. TOBACCO CESSATION PROGRAMS ARE CONDUCTED TO IMPROVE THE HEALTH AND WELLNESS OF LHDCMC'S COMMUNITY.(3) BEHAVIORAL HEALTH - LHDCMC RECENTLY OPENED AN INPATIENT PSYCHIATRIC UNIT TO PROVIDE A SPECIALIZED 24 HOUR TREATMENT CENTER FOR ADULTS WHO NEED INTENSE MENTAL HEALTH SERVICE AND CRITICAL PSYCHIATRIC CARE. THIS HAS PROVIDED A MUCH NEEDED SERVICE TO THE COMMUNITY. IN COLLABORATION WITH PRINCE GEORGE'S GOVERNMENT, INITIATE PLANNING FOR BEHAVIORAL HEALTH PROGRAMS TO PROVIDE ENHANCED SERVICES THAT ADDRESS NEEDS THROUGH THE LHDCMC EMERGENCY DEPARTMENT AND THE COMMUNITY. DEVELOP AND IMPLEMENT IN-PATIENT, OUT-PATIENT, AND URGENT CARE PROGRAMS. - UNMET HEALTH NEEDS ILLITERACY-ILLITERACY WAS IDENTIFIED IN THE CHNA. THE HOSPITAL DOES NOT HAVE THE SPECIALIZED RESOURCES CAPABILITIES NEEDED TO PROVIDE THIS TYPE OF PROGRAM. THE HOSPITAL WILL CONTINUE TO WORK WITH THE PRINCE GEORGE'S COUNTY OFFICIALS TO SEE HOW WE CAN ASSIST. LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER, INC. PART V, SECTION A, FACILITY INFORMATION:HTTPS://WWW.LUMINISHEALTH.ORG/EN/LOCATIONS/LHDCMC?LANGUAGE_CONTENT_ENTITY=ENPART V, SECTION B, LINE 7A, CHNA WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENTPART V, SECTION B, LINE 7B, OTHER URL:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-11/2022-PRINCES-GEORGES-COUNTY-CHA-LUMINIS.PDFPART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-06/DCMC-CHNA-IP.PDFPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/EN/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-06/MARYLAND-STATE-UNIFORM-FINANCIAL-ASSISTANCE-APPLICATION_0.PDFPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2023-11/LH-FINANCIAL-ASSISTANCE-BROCHURE.PDF 1 1 - DOCTORS REGIONAL CANCER CENTER 8116 GOOD LUCK ROAD LANHAM MD 20706 CANCER TREATMENT CENTER PART I, LINE 7: CHARITY CARE REPORTED IN LINE 7A WAS CALCULATED USING A COST TO CHARGE RATIO DERIVED USING THE RATIO OF PATIENT CARE COST TO CHARGES AND THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. OTHER COST AMOUNTS INCLUDED IN LINE 7 RELATING TO COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES WERE OBTAINED FROM THE ORGANIZATION'S COMMUNITY BENEFIT REPORT FILING WITH THE HSCRC IN THE STATE OF MARYLAND. THESE COSTS WERE DETERMINED USING A VARIETY OF SOURCES, INCLUDING PAYROLL INFORMATION (FOR DIRECT LABOR COSTS) AND THE ORGANIZATION'S GENERAL LEDGER SYSTEM DETAIL (FOR OTHER DIRECT COSTS E.G. SUPPLIES). INDIRECT COSTS IN THESE AREAS OF BENEFIT WERE DETERMINED BY APPLYING AN INDIRECT COST RATIO TO THE DIRECT COST AMOUNTS OBTAINED. THIS RATIO IS CALCULATED USING SCHEDULE M OF THE HOSPITAL'S ANNUAL COST REPORT FILING WITH THE HSCRC IN THE STATE OF MARYLAND. THE INCREASE IN COST IS RELATED TO BAD DEBTS AND WRITE OFF FOR SERVICES PROVIDED TO THE COMMUNITY. PART I, LINE 7A, COLUMN (D) AND LINE 7F, COLUMNS (C) AND (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 CONSIDERING UNCOMPENSATED CARE IN EACH PAYORS' RATES, AND THEREFORE MARYLAND HOSPITALS ARE UNABLE TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM. PART I, LINE 7G: PHYSICIAN CLINIC COSTS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES BECAUSE THEY WOULD NOT OTHERWISE BE AVAILABLE TO MEET PATIENT DEMAND. PART I, LN 7 COL(F): LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LHDCMC) PROMOTES ACCESS TO ALL MEDICALLY NECESSARY SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. LHDCMC WILL PROVIDE FINANCIAL ASSISTANCE BASED ON INDIGENCE OR HIGH MEDICAL EXPENSES FOR PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE. A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE THAN THE AMOUNT GENERALLY BILLED TO OTHER PAYERS. PART II, COMMUNITY BUILDING ACTIVITIES: THE ENVIRONMENTAL IMPROVEMENTS AND LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS ARE DESIGNED TO PROMOTE THE HEALTH OF THE COMMUNITY RESIDENTS AND THE COMMUNITY AS A WHOLE. THE HOSPITAL ATTENDS MANY HEALTH FAIRS THROUGHOUT THE COMMUNITY AND FOCUSES ON DIABETIC AND HYPERTENSION SCREENING TO EMPOWER THE COMMUNITY ON STATUS. A COUNTY DEPARTMENT HEALTH INITIATIVE. PART III, LINE 2: SEE PART III, LINE 3 FOR EXPLANATION OF METHODOLOGY USED. PART III, LINE 3: THE HOSPITAL HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT #15. THE HOSPITAL'S POLICY IS TO WRITE OFF ALL PATIENT ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. INSURANCE COVERAGE AND CREDIT INFORMATION ARE OBTAINED FROM PATIENTS WHEN AVAILABLE. NO COLLATERAL IS OBTAINED FOR ACCOUNTS RECEIVABLE. BAD DEBT EXPENSE AT COST WAS DETERMINED BY USING A COST-TO-CHARGE RATIO. THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED BY SPECIFIC IDENTIFICATION REVIEWING BAD DEBT RECORDS AND DETERMINING WHO WOULD HAVE BECOME ELIGIBLE FOR CHARITY CARE IF ALL INFORMATION HAD BEEN OBTAINED FROM THE PATIENTS. PART III, LINE 4: SEE FOOTNOTE #2 OF AUDITED FINANCIAL STATEMENTS - PAGES 15-17. PART III, LINE 8: THE COMMUNITY BENEFIT QUESTION IS NOT APPLICABLE IN MARYLAND BECAUSE HOSPITALS WITHIN THE STATE ARE REIMBURSED UNDER THE HSCRC WAIVER PROGRAM WHEREIN NET REVENUE (REIMBURSEMENT) IS BASED ON A PERCENTAGE OF REGULATED CHARGES. COSTING METHODOLOGY BASED ON TRIAL BALANCE EXPENSES ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH MEDICARE COST REPORTING RULES AND REGULATIONS. COST NUMBERS REPORTED ARE CONSISTENT WITH LHDCMC'S MEDICARE COST REPORT FILING. PART III, LINE 9B: EACH LHDCMC PATIENT BILL INCLUDES CONTACT INFORMATION FOR FINANCIAL ASSISTANCE AND STATES WHERE TO CALL TO REQUEST A PAYMENT PLAN. SHORT AND LONG-TERM INTEREST FREE PAYMENT PLANS ARE AVAILABLE. THE HOSPITAL TAKES INTO ACCOUNT THE BALANCE OF THE BILL AND THE PATIENTS' FINANCIAL CIRCUMSTANCES IN DETERMINING THE APPROPRIATE AGREEMENT. IF THE PATIENT CONTACTS THE PATIENT FINANCIAL SERVICES CUSTOMER SERVICE UNIT REGARDING INABILITY TO PAY, FINANCIAL ASSISTANCE IS OFFERED. THE AMOUNT OF FINANCIAL ASSISTANCE OFFERED IS BASED ON THE FINANCIAL ASSISTANCE SCREENING PROCESS. IF THERE IS NO INDICATION FROM THE PATIENT OR A REPRESENTATIVE THAT THEY CANNOT PAY AND NO ATTEMPT AT PAYMENT OR REASONABLE PAYMENT ARRANGEMENTS ARE MADE, THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY. THE COLLECTION AGENCY IS EDUCATED ON HOW TO MAKE REFERRALS TO THE FINANCIAL COUNSELING DEPARTMENT FOR INDIVIDUALS INDICATING THEY HAVE AN INABILITY TO PAY. THE HOSPITAL COLLECTION POLICY ALLOWS THE HOSPITAL TO TAKE INTO ACCOUNT PATIENT CIRCUMSTANCES SUCH AS THE AMOUNT OF THE BILL AND AMOUNTS OWED TO OTHER PROVIDERS WHEN DETERMINING THE ULTIMATE AMOUNT THE PATIENT MUST PAY. PART VI, LINE 2: LHDCMC USES A VARIETY OF STATE AND COUNTY REPORTS FOR HEALTH STATISTICS. THEY ARE AS FOLLOWS: HTTPS://WWW.PRINCEGEORGESCOUNTYMD.GOV/2561/DATA-REPORTS MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) MEASURES HTTPS://POPHEALTH.HEALTH.MARYLAND.GOV/PAGES/SHIP-LITE-HOME.ASPX MD VITAL STATISTICS ADMINISTRATION HTTP://DHMH.MARYLAND.GOV/VSA/PAGES/HOME.ASPX ROBERT WOOD JOHNSON FOUNDATION - COUNTY HEALTH RANKINGS HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/ LDCMC USES A VARIETY OF OTHER SOURCES: CRISP AND DISCHARGE INFORMATION ARE ALSO USED TO IDENTIFY TARGET POPULATION AT RISK FOR READMISSION. U.S. CENSUS DATA.THE CHNA CAN BE ACCESSED ONLINE VIA HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-11/2022-PRINCE-GEORGES-COUNTY-CHA-LUMINIS.PDF PART VI, LINE 3: PUBLIC NOTICE AND INFORMATION REGARDING LHDCMC'S CHARITY CARE POLICY INCLUDES THE FOLLOWING:A) ANNUAL NOTICE THAT CHARITY CARE IS PROVIDED, AND THE CRITERIA IS PROVIDED AND PUBLISHED IN THE LOCAL NEWSPAPER, THE CAPITAL.B) THE NOTICE PROVIDED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES REGARDING MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY IS POSTED AT THE POINT OF ADMISSION, THE BUSINESS OFFICE, CASHIER AND EMERGENCY ROOM.C) INDIVIDUAL NOTICE IS PROVIDED TO EACH PERSON SEEKING SERVICE AT THE TIME OF ADMISSION OR PRE-ADMISSION TESTING.D) INFORMATION ON HOW TO OBTAIN FINANCIAL ASSISTANCE IS INCLUDED ON EVERY PATIENT LETTER AND STATEMENT.E) THE MEDICAL CENTER'S CALL CENTER REPRESENTATIVES AND COLLECTORS INFORM PATIENTS OF FINANCIAL ASSISTANCE AVAILABILITY IF THE PATIENT INDICATES THEY ARE UNABLE TO PAY THEIR BILL.F) FINANCIAL ASSISTANCE APPLICATION FORMS, IN ENGLISH AND SPANISH, ARE AVAILABLE ON THE MEDICAL CENTER'S WEBSITE.G) THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND SPANISH, IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE.H) PAMPHLETS EXPLAINING FINANCIAL ASSISTANCE ARE AVAILABLE AT THE INFORMATION DESK AS WELL AS REGISTRATION STATIONS, INCLUDING THE EMERGENCY ROOM THROUGHOUT THE MEDICAL CENTER. PART VI, LINE 4: THE HOSPITAL SERVES RESIDENTS OF PRINCE GEORGE'S COUNTY, MARYLAND. PRINCE GEORGE'S COUNTY IS THE SECOND LARGEST JURISDICTION IN MARYLAND WITH 955,306 RESIDENTS AS REPORTED IN 2021, WHICH REPRESENTS AN INCREASE OF 150,000 SINCE 2000. THE RACE AND ETHNICITY COMPOSITION OF THE COMMUNITY IS 59% BLACK, NON-HISPANIC, 18% HISPANIC, 15% WHITE, NON-HISPANIC, 4% ASIAN, NON-HISPANIC AND 4% OTHER, NON-HISPANIC. THE MEDIAN HOUSEHOLD INCOME IS 91,124. THE POVERTY RATE IS 11.5%. THE HIGH SCHOOL GRADUATE PERCENTAGE FOR INDIVIDUALS 25 AND OLDER IS 26.9% WITH 34.9% HOLDING A BACHELOR'S DEGREE.OUR COMMUNITY REPRESENTS A DIVERSE POPULATION. GOOD HEALTH IS NOT ATTAINABLE FOR MOST RESIDENTS. PART VI, LINE 5: LHDCMC IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED ALMOST ENTIRELY OF INDEPENDENT PERSONS WHO RESIDE WITHIN THE LHDCMC COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL OF ITS DEPARTMENTS. ALL FINANCIAL SURPLUSES THAT ARE GENERATED ARE USED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSES OF THE HOSPITAL AND PROMOTE THE HEALTH OF THE COMMUNITY. PART VI, LINE 6: LHDCMC OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES, A NUMBER OF SPECIALTY AND SUB-SPECIALTY SERVICES TO MOST OF PRINCE GEORGE'S COUNTY, MARYLAND AND SURROUNDING AREAS. THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THE PATIENTS' ABILITY TO PAY. DURING FISCAL YEAR 2023, LHDCMC PARTICIPATED IN SEVERAL INITIATIVES THAT FOCUSED ON HELPING THE COMMUNITY.CANCER:NUMEROUS CANCER INITIATIVES INCLUDED REDUCING THE MORTALITY OF BREAST, CERVICAL AND COLORECTAL CANCERS IN UNDERSERVED COMMUNITIES BY INCREASING THE NUMBER OF SCREENINGS. UNDERSERVED COMMUNITIES ARE TARGETED TO ADDRESS THE DISPARITIES FACED WITHIN THESE COMMUNITIES. DIABETES:THE DIABETES EDUCATION PREVENTION INITIATIVE FOCUSED ON IMPLEMENTING DIABETES PREVENTION PROGRAMS. AS A RESULT, TWO NEW COHORTS WERE STARTED DURING FY2023.MENTAL HEALTH:IN RESPONSE TO LONG-STANDING BEHAVIORAL HEALTH DISPARITIES, PRINCE GEORGE'S COUNTY EXECUTIVE ANGELA ALSOBROOKS AND THE COUNTY COUNCIL ALLOCATED $20 MILLION OF CAPITAL FUNDING TO A BEHAVIORAL HEALTH PAVILION RENOVATION ON THE CAMPUS OF LHDCMC.LUMINIS HEALTH OPERATES THE NEW FACILITY, WHICH INCLUDES A MENTAL HEALTH WALK-IN URGENT CARE, MENTAL HEALTH OUTPATIENT CLINIC AND PARTIAL HOSPITALIZATION PROGRAM. INPATIENT SERVICES THAT OPENED IN SPRING 2023 AND AN 8-BED RESIDENTIAL SUBSTANCE USE TREATMENT PROGRAM THAT OPENED LATER IN THE YEAR.HEALTH CARE DISPARITIES:LUMINIS HEALTH HAS RELEASED A BOLD PLAN TO BECOME A NATIONAL MODEL FOR JUSTICE, EQUITY, DIVERSITY AND INCLUSION (JEDI). THE GROUNDWORK FOR THE PLAN BEGAN IN 2020 WITH THE FORMATION OF THE HEALTH SYSTEM'S HEALTH EQUITY AND ANTI-RACISM TASK (HEART) FORCE, A MULTIDISCIPLINARY GROUP CONSISTING OF MEMBERS OF THE BOARDS OF TRUSTEES, SENIOR LEADERS, MEDICAL STAFF, COMMUNITY PARTNERS AND STAKEHOLDERS. THE EVENTS OF THE YEAR 2020 PROMPTED LUMINIS HEALTH TO ASSESS DATA AND INFORMATION TO IDENTIFY GREATER OPPORTUNITIES TO AFFECT CHANGE IN CONFRONTING RACISM, ADDRESSING THE EFFECTS OF SYSTEMIC INEQUITY AND DISMANTLING STRUCTURAL INJUSTICE. THE RECOMMENDATIONS ARE STRUCTURED BY THREE MAJOR CATEGORIES:-LEAD AS AN ANTI-RACIST ORGANIZATION AND CONFRONT RACISM AND ERADICATE INEQUITIES IN HEALTH CARE.-ENHANCE CULTURALLY INFORMED COMMUNICATIONS AND COMMUNITY COLLABORATION.-MEASURE AND INTEGRATE ACCOUNTABILITY.WHILE LUMINIS HEALTH/ LHDCMC TRACKS UTILIZATION PATTERNS BY RACE AND ETHNICITY, THERE ARE ADDITIONAL PLANS TO MEASURE EFFORTS TO REDUCE DISPARITIES. THIS YEAR AND MOVING FORWARD, DCMC WILL STRUCTURE THE PROCESS TO TRACK AND REDUCE DISPARITIES IN THE COMMUNITIES WE SERVE.DOCTOR'S REGIONAL CANCER CENTER:DOCTORS REGIONAL CANCER CENTER WAS FORMED IN 2006. WITH TWO MODERN FACILITIES LOCATED IN BOWIE AND LANHAM, MARYLAND, WE PROVIDE RADIATION THERAPY SERVICES TO THE COMMUNITIES OF PRINCE GEORGE'S, ARUNDEL AND MONTGOMERY COUNTIES.OUR MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR CANCER PATIENTS THROUGH THE SAFE AND PROFESSIONAL DELIVERY OF RADIATION THERAPY USING THE MOST ADVANCED TREATMENT PLANNING AND TECHNOLOGY. WE ARE DEDICATED TO UTILIZING STATE-OF-THE-ART EQUIPMENT, CLINICAL RESOURCES AND PROFESSIONAL PERSONNEL TO TREAT CANCER PATIENTS WITH DIGNITY AND RESPECT.WE ARE COMMITTED TO PROVIDING STATE-OF-THE-ART RADIATION THERAPY FOR PATIENTS WITH DIFFERENT TYPES OF CANCER. WE OFFER 4-D IGRT AND 3-D VOLUMETRIC IMAGING AT OUR LANHAM AND BOWIE LOCATIONS.OUR RADIATION ONCOLOGY SERVICES INCLUDE:ADVANCED CT SIMULATION IS A PROCESS USED TO PRECISELY IDENTIFY AND DEFINE THE TARGET TREATMENT AREA AND DELIVER AN EFFECTIVE RADIATION DOSE WHILE PROTECTING THE SURROUNDING NORMAL TISSUE. THIS IS A VERY IMPORTANT FIRST STEP FOR EVERY PATIENT RECEIVING RADIATION.THREE-DIMENSIONAL (3-D) TREATMENT PLANNING SUPPORTS SAFE AND ACCURATE TREATMENT DELIVERY. SPECIAL COMPUTER PROGRAMS USE CT IMAGES TO DESIGN RADIATION BEAMS THAT CONFORM TO THE SHAPE OF THE TUMOR. DAILY IGRT IMAGES (DESCRIBED BELOW) MONITOR THE ACCURACY OF THE TREATMENT.HIGH DOSE RATE (HDR) BRACHYTHERAPY DELIVERS RADIATION WITHIN THE CONFINES OF THE TUMOR AND IS AVAILABLE AT OUR LANHAM LOCATION. IT IS USED FOR BREAST AND PROSTATE CANCER TREATMENT AND ALLOWS PATIENTS WHO MEET THE CAREFULLY DEFINED CRITERIA TO COMPLETE TREATMENT WITHIN FIVE DAYS. IT IS ALSO USED TO TREAT GYNECOLOGICAL, ESOPHAGEAL AND THORACIC MALIGNANCIES.IMAGE GUIDED RADIATION THERAPY (IGRT) INVOLVES IMAGING THE TUMOR AREA ON A DAILY BASIS WHILE THE PATIENT IS IN THE TREATMENT POSITION. SHOULD THE IMAGE SHOW A CHANGE IS NEEDED TO ACCURATELY MATCH THE TREATMENT FIELD TO THE TUMOR, THE RADIATION ONCOLOGIST IS ABLE TO MAKE THAT MODIFICATION BEFORE THE TREATMENT IS DELIVERED.INTENSITY-MODULATED RADIATION THERAPY (IMRT) USES RADIATION BEAMS OF VARYING INTENSITIES TO DELIVER DIFFERENT DOSES OF RADIATION TO SMALL AREAS OF TISSUE AT THE SAME TIME. THIS TREATMENT ALLOWS ESCALATION OF THE DOSE OF RADIATION TO THE TUMOR WITHOUT EXCESSIVE DAMAGE TO NORMAL TISSUES. IN SELECT SITUATIONS, IMRT ALLOWS RE-TREATMENT FOR RECURRENT DISEASE.TRANS PERINEAL INTERSTITIAL BRACHYTHERAPY (PROSTATE SEED IMPLANTATION) IS PERFORMED BY A RADIATION ONCOLOGIST AND A UROLOGIST FOR TREATMENT OF PROSTATE CANCER. IT CAN BE USED ALONE OR IN CONJUNCTION WITH EXTERNAL BEAM RADIATION, WITH OR WITHOUT HORMONE TREATMENT. PART VI, LINE 7, REPORTS FILED WITH STATES MD X 1 0 X X X X X 1 1 0 0 0 0 0 0 0 VICTORIA BAYLESS LH CEO/BOARD MEMBER 0 1205852 0 478758 0 304279 0 290064 0 250 0 2279203 0 200600 JEFFREY GELFAND BOARD MEMBER 0 1273595 0 0 0 20500 0 8700 0 0 0 1302795 0 0 DENEEN RICHMOND PRESIDENT/FORMER BOARD MEMBER 528396 0 165004 0 37456 0 62524 0 21057 0 814437 0 11666 0 TIMOTHY ADELMAN ESQ LH CHIEF COUNSEL/SECRETARY 0 451357 0 139501 0 26138 0 61251 0 27804 0 706051 0 0 KEVIN L SMITH LH CFO/TREASURER 0 463815 0 137573 0 10295 0 60894 0 30842 0 703419 0 0 SUNIL MADAN CHIEF MEDICAL OFFICER 442557 0 117354 0 48383 0 9150 0 38790 0 656234 0 0 0 REGINA HAMPTON-COLEMAN FORMER BOARD MEMBER 0 391789 0 500 0 0 0 8700 0 36791 0 437780 0 0 ANGELA WILSON VP, ADMINISTRATION & SUPPORT 160988 0 57725 0 186324 0 3610 0 3704 0 412351 0 0 0 JOYCE HANSCOME FORMER VP/INTERNAL CONSULTANT 0 171592 0 62290 0 154463 0 2299 0 997 0 391641 0 0 MELISSA YEAGER VP, CHIEF OPERATING OFFICER 254519 0 65312 0 25729 0 2835 0 19008 0 367403 0 0 0 CRYSTAL D BECKFORD CHIEF NURSING OFFICER 240646 0 65348 0 20199 0 8053 0 27906 0 362152 0 0 0 BEVERLY R SCRUGGS-DIGGS ADMIN NURSE SUPERVISOR 225501 0 120743 0 4866 0 8458 0 2007 0 361575 0 0 0 DAVID PRESS INTERNAL MEDICINE PHYSICIAN 301380 0 500 0 5841 0 3520 0 9799 0 321040 0 0 0 MAFEREH Y SESAY RN TEAM LEADER 194680 0 92958 0 68 0 7604 0 16469 0 311779 0 0 0 PAUL GRENALDO FORMER CHIEF OPERATING OFFICER 0 0 0 0 0 121156 0 0 0 1242 0 122398 0 0 PHILIP DOWN FORMER CHIEF EXECUTIVE OFFICER 0 0 0 0 0 102763 0 0 0 0 0 102763 0 0 PART I, LINE 1A LUMINIS HEALTH, INC., THE PARENT CORPORATION, MADE THESE PAYMENTS FOR CALENDAR YEAR 2022. PART I, LINE 1B LUMINIS HEALTH DOCTOR'S COMMUNITY MEDICAL CENTER INC., FORMERLY DOCTOR'S COMMUNITY MEDICAL CENTER INC.'S BOARD APPROVED A COMPENSATION ARRANGEMENT WITH PHILIP DOWN IN 2014. UNDER THIS ARRANGEMENT, AN ANNUAL PAYMENT IS MADE FOR CERTAIN INCOME TAXES ON THE INCOME IMPUTED TO HIM ANNUALLY UNDER A LIFE INSURANCE ARRANGEMENT ADOPTED IN THE EARLY 1990S. MR. DOWN PARTICIPATES IN A SPLIT DOLLAR PLAN UNDER WHICH DOCTORS COMMUNITY ADVANCED PREMIUMS INTO LIFE INSURANCE POLICIES OWNED BY MR. DOWN. THESE PAYMENTS ARE INCLUDED IN MR. DOWN'S TAXABLE WAGES. PART I, LINES 4A-B THE FOLLOWING RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: PAUL GRENALDO $ 121,156 JOYCE HANSCOME $ 124,519 ANGELA WILSON $ 173,176 THE FOLLOWING PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $277,014 DENEEN RICHMOND $ 62,524 TIMOTHY ADELMAN $ 52,551 KEVIN SMITH $ 52,194 THE FOLLOWING RECEIVED DISTRIBUTIONS FROM THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $215,140 DENEEN RICHMOND $ 16,007 A MAYLAND HEALTH AND HIGHER EDUCATION 2016A 520936091 574218Y98 2016-06-28 31945000 REFINANCE 2007A AND PARTIAL 2010 0 0 0 B MAYLAND HEALTH AND HIGHER EDUCATION 2017A 520936091 574218Y98 2017-02-23 68309000 REFINANCE BOND 2010 0 0 0 C MAYLAND HEALTH AND HIGHER EDUCATION 2017B 520936091 5742158L6 2017-03-23 41500000 REFINANCE BOND 2010 0 0 0 A 1705000 31945000 398892 31546108 2016 0 1 0 1 B 68309000 1163332 67145668 2017 0 1 0 1 C 30765000 41500000 561722 40938278 2017 1 0 0 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 SCHEDULE K PART IV ARBITRAGE ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION 2016A DATE THE REBATE COMPUTATION WAS PERFORMED : 6/30/2021 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION 2017A DATE THE REBATE COMPUTATION WAS PERFORMED: 10/13/2021 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION 2017A DATE THE REBATE COMPUTATION WAS PERFORMED: 9/24/2020 EXPENDITURES FOR EXEMPT PURPOSE 2023-06-30 176285096 COST 999999999 SEE SUPPLEMENTAL NARRATIVE 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 501(C)(3) 0 0 0 0 PART II LINE 1(A), 1(F) THE ORGANIZATION INCURRED SIGNIFICANT COSTS IN MEETING ITS EXEMPT PURPOSE. THESE EXPENDITURES RESULTED IN A 25% DECREASE IN THE ORGANIZATION'S NET ASSETS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH, INC. HAS THE EXPRESS POWER AND RESPONSIBILITY TO ELECT AND REMOVE THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH, INC. HAS THE EXPRESS POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B RESPONSIBILITY FOR THE DETAILED REVIEW OF THE FORM 990 HAS BEEN ASSIGNED TO THE AUDIT AND COMPLIANCE COMMITTEE OF LUMINIS HEALTH, INC. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS THE FORM 990 AND PROVIDES SUMMARY INFORMATION TO THE FULL BOARD. THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD FOR REVIEW PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT ANY MEMBER OF THE BOARD OF TRUSTEES, MEMBERS OF ANY LUMINIS HEALTH (LH) BOARD OF DIRECTORS, A MEMBER OF A COMMITTEE TO THE BOARD OF TRUSTEES/DIRECTORS, A LH LEADERSHIP MEMBER, AND DESIGNATED EMPLOYEES OF THE ORGANIZATION (COVERED PERSON(S)) REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ATTESTATION WITH A DISCLOSURE OF ANY ACTUAL AND OR POTENTIAL CONFLICTS OF INTEREST. SUBSEQUENT TO THE COMPLETION OF THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IF A COVERED PERSON BECOMES AWARE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON SHALL PROMPTLY DISCLOSE IT TO THE CHIEF EXECUTIVE OFFICER OF LUMINIS HEALTH. IF REASONABLE CAUSE EXISTS TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND PROVIDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. ALL CONFLICT OF INTEREST ATTESTATION FORMS SHALL BE REVIEWED BY THE CHIEF COMPLIANCE OFFICER OR HIS/HER DESIGNEE TO DETERMINE IF A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS. IF THE CHIEF COMPLIANCE OFFICER OR HIS/HER DESIGNEE DETERMINES THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXIST, THE MATTER SHALL BE REFERRED TO THE CEO OF LUMINIS HEALTH FOR REVIEW. THE CEO OF LUMINIS HEALTH SHALL PRESENT THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE BOARD OF TRUSTEES FOR REVIEW AND CONSIDERATION. THE CHAIR OF THE BOARD OF TRUSTEES AND THE CEO MAY DETERMINE THAT A CONFLICT OF INTEREST EXISTS OR THEY MAY PRESENT THE MATTER TO THE BOARD. IF A CONFLICT OR POTENTIAL CONFLICT IS DEEMED TO EXIST, THE COVERED PERSON MUST REMOVE THEMSELF FROM THE ROOM DURING ANY DISCUSSION OF THE MATTER, REFRAIN FROM PARTICIPATING IN DISCUSSION AND VOTING UPON OR OTHER DECISION MAKING IN REGARD TO THE MATTER, AVOID USING THEIR PERSONAL INFLUENCE, AVOID MAKING AN ADMINISTRATIVE DECISION ON THE MATTER, AND, IN THE CASE OF A COVERED PERSON WITH VOTING RIGHTS, MUST NOT BE COUNTED IN DETERMINING THE QUORUM FOR ACTION ON THE MATTER, EVEN WHERE PERMITTED BY THE BY-LAWS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISIONS AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE BOARD DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF LUMINIS HEALTH, THE BOARD MAY IMPOSE SUCH CONDITIONS OR REQUIREMENTS ON THE COVERED PERSON INCLUDING, BUT NOT LIMITED TO, REQUIRING THAT THE COVERED PERSON RECUSE THEMSELF FROM DELIBERATIONS AND DECISIONS RELATING TO THOSE MATTERS WHERE THE COVERED PERSON HAS AN INTEREST WHICH COULD CONFLICT, OR APPEAR TO CONFLICT, WITH THEIR DUTY OF LOYALTY TO THE BEST INTERESTS OF LUMINIS HEALTH. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BOARD HAS ADOPTED A COMPENSATION POLICY FOR COVERED INDIVIDUALS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION. THE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHO OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION PAID MEET THE IRC SECTION 4958 REBUTTABLE PRESUMPTION TEST. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE BY REQUEST TO THE FINANCIAL SERVICES OFFICE OR CAN BE OBTAINED ONLINE VIA WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE RETAINED IN THE FINANCE OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G SHARED SERVICES ALLOCATION: PROGRAM SERVICE EXPENSES 15,365,066. MANAGEMENT AND GENERAL EXPENSES 13,837,345. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,202,411. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 16,550,249. MANAGEMENT AND GENERAL EXPENSES 14,904,687. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,454,936. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 6,072,215. MANAGEMENT AND GENERAL EXPENSES 5,468,466. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,540,681. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,477,723. MANAGEMENT AND GENERAL EXPENSES 2,231,368. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,709,091. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT -994,052. NET INCREASE IN BENEFICIAL INTEREST IN FOUNDATION 518,999. PENSION ADJUSTMENT FOR ACTUARIAL VALUE 1,376,463. CHANGE IN VALUE OF INVESTMENT IN SUBSIDIARIES 335,442. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DCH INTEGRATED HEALTHCARE NETWORK LLC 8118 GOOD LUCK ROAD LANHAM MD 20706 465664423 SHARED SERVICE ORGANIZATION - DISSOLVED 3/20/2023 MD 0 0 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC LUMINIS HEALTH RESEARCH INSTITUTE INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 263038406 MEDICAL RESEARCH MD 501(C)(3) LINE 4 LUMINIS HEALTH CLINICAL ENTERPRISE INC 0 PHYSICIAN ENTERPRISE LLC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 270263214 MEDICAL / PHYSICIAN SERVICES MD 501(C)(3) LINE 3 LUMINIS HEALTH CLINICAL ENTERPRISE INC 0 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521169362 MEDICAL/HOSPITAL SERVICES MD 501(C)(3) LINE 3 LUMINIS HEALTH INC 0 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521331298 SUPPORTING ORGANIZATION OF LUMINIS HEALTH, INC. 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