2024-05-07T07:29:21-05:00 2023-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2022-07-01 521369749 NATIONAL REHABILITATION HOSPITAL NATI 2028771150 102 IRVING STREET NW WASHINGTON DC 20010 JOEL BRYAN VP/TREASURER/CIO 4107726721 2024-05-02 1 JOEL BRYAN 999009999 0 SHAWN HUTCHINSON P01048557 7032868000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN ROCKWOOD 102 IRVING STREET NW WASHINGTON DC 20010 176011123 0 X WWW.NRHREHAB.ORG X 1983 DC SEE SCHEDULE OSERVE THE COMMUNITY AS A LEADER IN REHABILITATION SERVICES THROUGH QUALITY PATIENT CARE, RESEARCH, EDUCATION AND TRAINING, ASSISTANCE TECHNOLOGY, AND ADVOCACY. 15 9 2199 11 0 0 9437326 6294851 154328434 167037910 1513427 1144888 1815901 1533474 167095088 176011123 0 0 0 0 116467754 124634951 0 0 533778 45362506 51264304 161830260 175899255 5264828 111868 115639778 124370923 29034825 31746265 86604953 92624658 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR NATIONAL REHABILITATION NETWORK'S (MEDSTAR NRN) MISSION IS TO SERVE THE COMMUNITY AS A REGIONAL AND NATIONAL LEADER IN REHABILITATIVE SERVICES THROUGH QUALITY PATIENT CARE, REHABILITATION RESEARCH, EDUCATION AND TRAINING, ASSISTIVE TECHNOLOGY AND ADVOCACY. MEDSTAR NRN INCLUDES A SPECIALTY HOSPITAL LOCATED DIRECTLY ADJACENT TO MEDSTAR WASHINGTON HOSPITAL CENTER, IN NORTHWEST WASHINGTON, D.C. AND OVER 55 OUTPATIENT REHABILITATION CENTERS THROUGHOUT WASHINGTON, D.C., MARYLAND AND VIRGINIA. IN FISCAL YEAR 2023, MNRN HAD A TOTAL OF 611,092 OUTPATIENT VISITS. 0 0 117331171 166634020 SEE SCHEDULE OMEDSTAR NATIONAL REHABILITATION NETWORK'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF REHABILITATION HOSPITAL SERVICES TO THE COMMUNITIES OF WASHINGTON, D.C. AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR NRN INCURRED $52.6M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR NRH IS A COMPREHENSIVE MEDICAL REHABILITATION FACILITY OFFERING A FULL RANGE OF TREATMENTS AND SERVICES FOR THE PHYSICAL REHABILITATION OF INDIVIDUALS WITH DISABLING INJURIES AND ILLNESSES SUCH AS STROKE, TRAUMATIC BRAIN AND SPINAL CORD INJURIES, ARTHRITIS, AMPUTATIONS, POST-POLIO SYNDROME, CEREBRAL PALSY, MULTIPLE SCLEROSIS, CHRONIC PAIN, BACK AND NECK PAIN, OCCUPATIONAL INJURIES, CANCER AND CARDIAC DISEASE THAT REQUIRES MEDICAL REHABILITATION. IN PARTNERSHIP WITH CHILDREN'S NATIONAL HEALTH NETWORK, THE HOSPITAL ALSO OFFERS SPECIALIZED PEDIATRIC CARE. MEDSTAR NRN OWNS, OPERATES, OR PARTICIPATES AS A JOINT VENTURE PARTNER IN THE OUTPATIENT CENTERS WHICH OFFER GENERAL REHABILITATIVE CARE AS WELL AS DISTINCT PROGRAMS SUCH AS HAND THERAPY, OCCUPATIONAL REHABILITATION, CANCER REHABILITATION AND SPORTS MEDICINE. MEDSTAR NRN IS NATIONALLY KNOWN FOR ITS RESEARCH AND BODY OF KNOWLEDGE ON IMPROVING THE LIVES OF PEOPLE WITH SPINAL CORD INJURY AND DISEASE AS ONE OF 18 MODEL SYSTEMS IN THE COUNTRY. 5155259 403890 MEDSTAR NATIONAL REHABILITATION NETWORK PROVIDED $5.2M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2023. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 299577 MEDSTAR NATIONAL REHABILITATION NETWORK SPENT $300K ON RESEARCH IN FISCAL YEAR 2023. THIS CATEGORY INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY THAT ARE GENERALIZABLE AND SHARED WITH THE PUBLIC. 122786007 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 2199 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 5361626 97941 JOHN ROCKWOOD PRESIDENT/DIRECTOR 40.00 0.00 X X 957229 0 55747 SUSAN O'MARA DIRECTOR 40.00 0.00 X 465708 0 35872 RAFAEL J CONVIT MD DIRECTOR 1.00 0.00 X 0 0 0 SAMUEL J BERGMAN CHAIR 1.00 0.00 X X 0 0 0 THENE M MARTIN DIRECTOR 1.00 0.00 X 0 0 0 RENIE B FREEDMAN DIRECTOR 1.00 0.00 X 0 0 0 CRISTINA ARAGONA DIRECTOR 1.00 0.00 X 73053 0 3639 JAMES C DINEGAR DIRECTOR 1.00 0.00 X 0 0 0 DAWN M SWEENEY VICE CHAIR 1.00 0.00 X X 0 0 0 STEPHEN J CALDEIRA DIRECTOR (AS OF 4/6/23) 1.00 0.00 X 0 0 0 SELENA E BRIGGS MD PHD DIRECTOR (AS OF 4/6/23) 40.00 0.00 X 414823 0 24004 ROHIT SATOSKAR DIRECTOR 40.00 0.00 X 682489 0 29768 MELVIN F HALL DIRECTOR 1.00 0.00 X 0 0 0 SETH INGALL DIRECTOR 1.00 0.00 X 0 0 0 MARK MEGINNIS CFO 1.00 39.00 X 0 470768 53746 JEN CLARKE SECRETARY 40.00 0.00 X 273129 0 28477 JOHN BRICKLEY VP - AMBULATORY OPS 40.00 0.00 X 389792 0 46981 ADRIENNE SARNECKI VP CLINICAL SVS & CNO 40.00 0.00 X 294785 0 41733 NANCY DIBENEDETTO VP QUALITY SAFETY IS & CMPLNC 40.00 0.00 X 259767 0 33838 RICHARD KELLY DIR PROF & ELITE SPORT THERAPY 40.00 0.00 X 222450 0 23353 PAMELA GRAY AVP SUPPORT SVCS 40.00 0.00 X 211052 0 31483 ERIC PITTS DIRECTOR OF PHARMACY 40.00 0.00 X 210600 0 20487 ALLISON RESCHOVSKY FORMER OFFICER 1.00 39.00 X 0 267260 9338 4454877 6099654 536407 147 1 1 0 CHILDRENS NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW STE 2200 WASHINGTON DC 200102970 PROFESSIONAL SERVICES 3794621 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 1728986 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 1018708 QUALITY ELEVATOR COMPANY INC 4808 UPSHUR STREET BLADENSBURG MD 20710 ELEVATOR MAINTENANCE SERVICES 836216 CRITICAL CONNECTION INC 2401 RESEARCH BOULEVARD ROCKVILLE MD 20850 STAFFING SERVICES 835247 12 4170064 2124787 19048 6294851 NET PATIENT SERVICE RE 624100 164028305 164028305 OTHER PHYSICIAN FEES 624100 2726162 2726162 MANAGEMENT FEES 900099 283443 283443 167037910 744733 744733 48171 0 48171 48171 48171 398524 1631 0 0 398524 1631 400155 400155 INCOME FROM SUBSIDIARI 900099 738346 738346 REBATE INCOME 900099 199256 199256 GARAGE/PARKING REVENUE 900099 70068 70068 477633 477633 1485303 176011123 167037910 0 2678362 3480710 3064289 410920 5501 100170061 89704935 10295891 169235 1956763 -6372199 8328962 11380716 7516013 3864703 7646701 6968037 678664 20208780 45 20208735 77750 77750 29000 29000 9250596 1159094 7953648 137854 1164104 32571 1131533 4063505 3994762 66217 2526 3014450 2971838 42612 357960 263213 16261 78486 213680 146445 35395 31840 1333933 9864 1324069 5294178 2366039 2928072 67 1611494 277168 1334326 MED/SURG SUPPLIES 4156633 4125126 6901 24606 UTILITIES 1856693 1636579 219683 431 MISCELLANEOUS 793555 1562602 -837178 68131 MAINTENANCE -3565728 1913481 -5479209 1403721 1368355 20265 15101 175899255 122786007 52579470 533778 812137 -15829 2126046 1509764 18698515 19630180 523280 493204 866597 602227 137093475 106865427 30046561 30228048 49972183 54519503 5025337 5025337 7569122 12378489 115639778 124370923 15848417 16401485 671166 1287498 12515242 14057282 29034825 31746265 X 67036457 74373037 19568496 18251621 86604953 92624658 115639778 124370923 X 111868 2934340 2973497 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 29000 29000 0 PART II-B, LINE 1: THE LOBBYING EXPENSES INCURRED RELATE TO MEMBERSHIP DUES PAID TO DCHA AND VARIOUS ORGANIZATIONS FOR LOBBYING ACTIVITIES. 19731520 1678830 120898 3279627 18251622 19064410 1378220 -252229 458881 19731520 17440093 1619401 311826 306910 19064410 17329886 1081542 182852 1154187 17440093 13449242 1081542 96203 4157467 10469520 0.84170 0.15830 0 1 1 73783903 57053898 16730005 717231 498589 218642 58485986 47705363 10780623 4106355 1607577 2498778 30228048 OPERATING LEASE ROU ASSETS 7461548 MISCELLANEOUS RECEIVABLES 1641687 INTERCOMPANY RECEIVABLES 3275254 12378489 LT OPERATING LEASE LIABILITY 6564984 CREDIT BALANCES PATIENT AR 3846720 WORKERS COMPENSATION 2171678 ST OPERATING LEASE LIABILITY 1721486 PATIENT SERVICE REFUNDS-LEGACY -303604 OTHER SHORT-TERM LIABILITIES 56018 14057282 X PART V, LINE 4: ENDOWMENT FUNDS THE ENDOWMENT FUNDS WERE HELD TO SUPPORT MNRN MISSION TO PROVIDE QUALITY PATIENT CARE SERVICES. THE FUNDS WILL ALSO BE USED FOR THE PURCHASES OF NEW TREATMENT EQUIPMENT, HEALTH POLICY RESEARCH, EDUCATION AND TRAINING SUCH AS TRAUMA PREVENTION, PATIENT DRIVER TRAINING AND CANCER REHABILITATION. 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, 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 211450 0 211450 0.00120 13036509 14438807 0 0.00000 807068 922094 0 0.00000 14055027 15360901 211450 0.00120 416984 7686 409298 0.00230 5155259 403890 4751369 0.02700 299577 299577 0.00170 81969 81969 0.00050 5953789 411576 5542213 0.03150 20008816 15772477 5753663 0.03270 32083 32083 0.00020 233 233 0.00000 32316 32316 0.00020 1 3440135 21655109 20086125 1568984 X 1 1 1 1 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 X X X X X NATIONAL REHABILITATION HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.MEDSTARNRH.ORG X 1 20 1 WWW.MEDSTARNRH.ORG 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.MEDSTARNRH.ORG X WWW.MEDSTARNRH.ORG X WWW.MEDSTARNRH.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 NATIONAL REHABILITATION HOSPITAL 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: HARSH THAKKAREXECUTIVE 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: JENNIFER SEMEL, MDADVISORY 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 MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS.NAME : JENNIFER SEMEL, MD TITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT OF MEDICAL AFFAIRS CHIEF MEDICAL OFFICER NAME OF ORGANIZATION : MEDSTAR NATIONAL REHABILITATION HOSPITALNAME : SUZANNE GROAH, MD, MSPH TITLE/AFFILIATION WITH HOSPITAL : CHIEF, PARALYSIS REHABILITATION AND RECOVERY PROGRAM AT MEDSTAR NRH; DIRECTOR, SPINAL CORD INJURY RESEARCH; PROFESSOR, REHABILITATION MEDICINE AT GEORGETOWN UNIVERSITY HOSPITAL; PRESIDENT-ELECT, AMERICAN SPINAL INJURY ASSOCIATIONNAME OF ORGANIZATION : MEDSTAR NATIONAL REHABILITATION HOSPITALNAME : HARSH THAKKARTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY HEALTH HOSPITAL LEAD, COMMUNITY OUTREACH MANAGER, CPT NAME OF ORGANIZATION : MEDSTAR NATIONAL REHABILITATION HOSPITALNAME : LAKE NEGASSA TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBERNAME OF ORGANIZATION : COMMUNITY MEMBERNAME : BEVERLIE BETTS ACREE TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBERNAME OF ORGANIZATION : COMMUNITY MEMBERNAME : JENNIFER SHEEHY TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBER NAME OF ORGANIZATION : COMMUNITY MEMBERNAME : RUSSELL ROGERSTITLE/AFFILIATION WITH HOSPITAL : PARTNERSHIPS & DEVELOPMENT DIVISIONNAME OF ORGANIZATION : DC DEPARTMENT OF PARKS AND RECREATION (DPR)NAME : MARK AGUSTO TITLE/AFFILIATION WITH HOSPITAL : SUPERVISOR, INTAKE AND OUTREACHNAME OF ORGANIZATION : DDS - DC RSANAME : SARA BECKWITHTITLE/AFFILIATION WITH HOSPITAL : DIRECTORNAME OF ORGANIZATION : DISABILITY SUPPORT SERVICESNAME : LORNA OWEHTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBER NAME OF ORGANIZATION : COMMUNITY MEMBERNAME : JEN FINKTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBER NAME OF ORGANIZATION : COMMUNITY MEMBER NATIONAL REHABILITATION HOSPITAL 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. 40 1 - NRH REGIONAL REHAB AT MITCHELLVILLE 12140 CENTRAL AVENUE MITCHELLVILLE MD 20721 OUTPATIENT PHYSICAL THERAPY 2 - UNION MEMORIAL SPORT MEDICINE AT BEL AIR 658 BOULTON STREET BEL AIR MD 21014 OUTPATIENT PHYSICAL THERAPY 3 - NRH REGIONAL REHAB AT DUNDALK 1576 MERRITT BOULEVARD DUNDALK MD 21222 OUTPATIENT PHYSICAL THERAPY 4 - CURTIS NATIONAL HAND CENTER AT LUTHER 1400 FRONT AVENUE LUTHERVILLE MD 21093 OUTPATIENT PHYSICAL THERAPY 5 - NRH REGIONAL REHAB AT GOOD SAMARITAN 5601 LOCK RAVEN BLVD WALKER BLDG BALTIMORE MD 21239 OUTPATIENT PHYSICAL THERAPY 6 - UNION MEMORIAL SPORT MEDICINE AT LUTHER 1407 YORK ROAD LUTHERVILLE MD 21093 OUTPATIENT PHYSICAL THERAPY 7 - NRH REGIONAL REHAB AT WHITE MARSH 5009 HONEYGO CENTER DRIVE SUITE 209 PERRY HALL MD 21128 OUTPATIENT PHYSICAL THERAPY 8 - NRH REGIONAL REHAB AT PASADENA 8109 RITCHIE HIGHWAY PASADENA MD 21122 OUTPATIENT PHYSICAL THERAPY 9 - NRH REGIONAL REHAB AT WILKENS AVENUE 3455 WILKENS AVENUE BALTIMORE MD 21229 OUTPATIENT PHYSICAL THERAPY 10 - NRH REGIONAL REHAB AT DORSEY HALL 9501 OLD ANNAPOLIS ROAD ELLICOTT CITY MD 21042 OUTPATIENT PHYSICAL THERAPY 11 - UNION MEMORIAL SPORT MEDICINE AT STADIUM 900 EAST 33RD STREET BALTIMORE MD 21218 OUTPATIENT PHYSICAL THERAPY 12 - HARBORVIEW SPORTS MEDICINE & PHYSICIAN 2900 SOUTH HANOVER STREET SUITE 102 BALTIMORE MD 21225 OUTPATIENT PHYSICAL THERAPY 13 - NRH REGIONAL REHAB AT OXON HILL 6196 OXON HILL ROAD OXON HILL MD 20745 OUTPATIENT PHYSICAL THERAPY 14 - NRH REGIONAL REHAB AT K STREET 2021 K STREET NW WASHINGTON DC 20006 OUTPATIENT PHYSICAL THERAPY 15 - NRH REGIONAL REHAB AT 19TH STREET 1145 19TH STREET NW WASHINGTON DC 20036 OUTPATIENT PHYSICAL THERAPY 16 - NRH REGIONAL REHAB AT BETHESDA 6410 ROCKLEDGE DRIVE BETHESDA MD 20817 OUTPATIENT PHYSICAL THERAPY 17 - NRH REGIONAL REHAB AT FRIENDSHIP HEIGHTS 5530 WISCONSIN AVENUE CHEVY CHASE MD 20815 OUTPATIENT PHYSICAL THERAPY 18 - NRH REGIONAL REHAB AT SUB WELLNESS CNTR 20500 SENECA MEADOWS PARKWAY GERMANTOWN MD 20874 OUTPATIENT PHYSICAL THERAPY 19 - NRH REGIONAL REHAB AT GERMANTOWN NRH REGIONAL REHAB AT GERMANTOWN GERMANTOWN MD 20874 OUTPATIENT PHYSICAL THERAPY 20 - NRH REGIONAL REHAB AT MONTROSE 6001 MONTROSE ROAD ROCKVILLE MD 20852 OUTPATIENT PHYSICAL THERAPY 21 - NRH REGIONAL REHAB AT WHEATON 2730 UNIVERSITY BLVD WEST WHEATON MD 20902 OUTPATIENT PHYSICAL THERAPY 22 - NRH REGIONAL REHAB AT OLNEY 18109 PRINCE PHILIP DRIVE OLNEY MD 20832 OUTPATIENT PHYSICAL THERAPY 23 - NRH REGIONAL REHAB AT WALDORF 3 POST OFFICE ROAD WALDORF MD 20602 OUTPATIENT PHYSICAL THERAPY 24 - NRH REGIONAL REHAB AT ST MARY'S 24035 THREE NOTCH ROAD HOLLYWOOD MD 20636 OUTPATIENT PHYSICAL THERAPY 25 - NRH REHABILITATION NETWORK- BRANDYWINE 13950 BRANDYWINE ROAD BRANDYWINE MD 20613 OUTPATIENT PHYSICAL THERAPY 26 - NRH REHABILITATION NETWORK- CLINTON 8926 WOODYARD ROAD SUITE 501 CLINTON MD 20613 OUTPATIENT PHYSICAL THERAPY 27 - NRH REHABILITATION NETWORK- HYATTSVILLE 6401 AMERICAN BOULEVARD SUITE 204 HYATTSVILLE MD 20782 OUTPATIENT PHYSICAL THERAPY 28 - NRH REHAB NETWORK- WALDORF PAMBROOKE 11325 PEMBROOKE SQUARE SUITE 115 WALDORF MD 20603 OUTPATIENT PHYSICAL THERAPY 29 - NRH REHABILITATION NETWORK-LEISURE WORLD 3305 N LEISURE WORLD BLVD SUITE 200 SILVER SPRING MD 20906 OUTPATIENT PHYSICAL THERAPY 30 - MEDSTAR NRH REHABILITATION NETWORK- API 740 ROUTE 3 SOUTH GAMBRILLS MD 21054 OUTPATIENT PHYSICAL THERAPY 31 - NRH REHABILITATION NETWORK- WAUGH CHAPEL 2410 EVERGREEN ROAD SUITE 100 GAMBRILLS MD 21054 OUTPATIENT PHYSICAL THERAPY 32 - NRH REHABILITATION NETWORK- WESTMINSTER 412 MALCOLM DRIVE SUITE 200 WESTMINSTER MD 21157 OUTPATIENT PHYSICAL THERAPY 33 - NRH REHABILITATION NETWORK- FEDERAL HILL 1420 KEY HIGHWAY SUITE 300 BALTIMORE MD 21230 OUTPATIENT PHYSICAL THERAPY 34 - NRH REHABILITATION NETWORK-HUNT VALLEY 2 LOVETON CIRCLE SUITE G100 SPARKS MD 21152 OUTPATIENT PHYSICAL THERAPY 35 - NRH REHAB NETWORK- LAFAYETTE CENTRE 1120 20TH STREET NW SUITE 116 WASHINGTON DC 20036 OUTPATIENT PHYSICAL THERAPY 36 - NRH REHABILITATION NETWORK - ALEXANDRIA 6355 WALKER LANE SUITE 512 ALEXANDRIA VA 22310 OUTPATIENT PHYSICAL THERAPY 37 - NRH REHAB NETWORK- BALLSTON-MARYMOUNT 4040 NORTH FAIRFAX DRIVE SUITE 120 ARLINGTON VA 22203 OUTPATIENT PHYSICAL THERAPY 38 - NRH REHABILITATION NETWORK- LAKE RIDGE 12825 MINNIEVILLE ROAD SUITE 201 WOODBRIDGE VA 22192 OUTPATIENT PHYSICAL THERAPY 39 - NRH REHABILITATION NETWORK-LORTON 9455 LORTON MARKET STREET SUITE 201 LORTON VA 22079 OUTPATIENT PHYSICAL THERAPY 40 - NRH REHABILITATION NETWORK- MCLEAN 6858 OLD DOMINION DRIVE SUITE 200 MCLEAN VA 22101 OUTPATIENT PHYSICAL THERAPY BAD DEBT PART III, LINES 2 & 4MEDSTAR 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 REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT. 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 FY21, MEDSTAR NATIONAL REHABILITATION HOSPITAL (MNRH) 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 MNRH'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, 2021 AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024.THE CATEGORIES HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. TWO TO THREE STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. 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'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS BASED ON THE ADVISORY TASK FORCE (ATF) RECOMMENDATION. THE HOSPITAL IDENTIFIED THE CBSA AS ALL RESIDENTS WITH A DISABILITY LIVING IN WASHINGTON, D.C., MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND AND ARLINGTON AND FAIRFAX COUNTIES IN VIRGINIA. 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 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.HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC PAIN, INJURY PREVENTION, WELLNESS AND HEALTH EDUCATION AND BEHAVIORAL HEALTH), ACCESS TO HEALTH CARE SERVICES (TRANSPORTATION, ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE AND FEAR/MISTRUST OF PROVIDERS) AND SOCIAL DETERMINANTS OF HEALTH (EMPLOYMENT AND RACIAL DISCRIMINATION). AS A PROUD MEMBER OF MEDSTAR HEALTH, 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 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 THE COMMUNITIES WE SERVE 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.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 THE COMMUNITIES THAT WE SERVE. 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 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 FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR 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 A 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. FINAL ELIGIBILITY DETERMINATIONS ARE 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 PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . 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 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 MEDICAL 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 AT 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:GEOGRAPHIC:THE COMMUNITIES SERVED BY MNRH IS THE GREATER DISTRICT OF COLUMBIA AREA, WHICH INCLUDES ALL OF WASHINGTON DC., MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND, AND ARLINGTON AND FAIRFAX COUNTIES IN VIRGINIA. THIS POPULATION WAS IDENTIFIED BECAUSE OF THE HOSPITAL'S STRENGTHS AND PRIMARY SERVICE AREA. DEMOGRAPHICS:IN 2021, ACCORDING TO CDC'S DISABILITY AND HEALTH DATA SYSTEM (DHDS), 36% OF DISTRICT OF COLUMBIA RESIDENTS REPORTED INACTIVITY IN THEIR AEROBIC PHYSICAL ACTIVITY LEVELS (INCLUDING VISUAL, HEARING, MOBILITY, COGNITIVE, SELF-CARE AND INDEPENDENT LIVING DISABILITIES). BASED ON CDC'S DISABILITY AND HEALTH PROMOTION, 1 IN 4 ADULTS OVER THE AGE OF 18 ARE IDENTIFIED AS HAVING A DISABILITY, 11% OF HAVE PRIMARILY PHYSICAL/MOBILITY DISABILITIES. ADULTS WITH DISABILITIES IN DC EXPERIENCE HEALTH DISPARITIES: 34% HAVE DEPRESSION COMPARED TO 16% FOR NON-DISABLED RESIDENTS, 42% HAVE OBESITY COMPARED TO 21% FOR NON-DISABLED RESIDENTS, AND 13% HAVE DIABETES COMPARED TO 7% FOR NON-DISABLED RESIDENTS. ACCORDING TO THE 2021 (BRFSS), 42% OF DC RESIDENTS WITH A DISABILITY DO NOT MEET THE PHYSICAL ACTIVITY GUIDELINES. RESIDENTS WITH A DISABILITY STRUGGLE TO OBTAIN AND MAINTAIN EMPLOYMENT. ONLY 22% OF WORKING AGE PEOPLE WITH DISABILITIES WERE WORKING, COMPARED TO 69% OF WORKING AGE PEOPLE WITHOUT DISABILITIES. THE POVERTY RATE OF WORKING AGE PEOPLE WITH DISABILITIES WAS 33%. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5:AS A COMMUNITY PARTNER, MNRH ENGAGES IN COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE CHNA, FALL UNDER THREE AREAS OF FOCUS INCLUDING HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH. MNRH ENGAGES IN SERVICES AIMED TO PROMOTE THE HEALTH AND WELLNESS OF PERSONS WITH DISABILITIES. THE HOSPITAL FOCUSES ON PROVIDING PHYSICAL ACTIVITIES TO FACILITATE A HEALTHY LIFESTYLE FOR INDIVIDUALS WITH DISABILITIES THROUGH HOSTING ADAPTIVE SPORTS PROGRAMS/TEAMS AND WEEKLY FITNESS CLASSES. WE HAVE INCREASED OUR JUNIOR SPORTS PROGRAM BY HOSTING TWO SUMMER CAMPS, AND WEEKLY JUNIOR SPORTS TEAMS. MNRH HAS SUCCESSFULLY INCORPORATED THE SPINAL CORD INJURY (SCI) AND PATHWAY TO PRIMARY CARE PROGRAM, PROVIDING EDUCATIONAL RESOURCES FOR TREATMENT OF INDIVIDUALS WITH SCI TO ENABLE MORE ACCESS TO HEALTH CARE SERVICES. OUR STAFF CONTINUES TO VOLUNTEER AND PROVIDE ADDITIONAL SUPPORT THROUGH MANY AVENUES THROUGHOUT THE AREA PROVIDING MEDICAL SUPPORT AND EDUCATION TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. ADAPTIVE SPORTS AND FITNESS: MNRH OFFERS WEEKLY ADAPTIVE SPORTS PROGRAMS AND ADAPTIVE FITNESS CLASSES IN MARYLAND, AND WASHINGTON DC THAT ARE FREE FOR ANYONE IN THE COMMUNITY WITH A PHYSICAL DISABILITY. MNRH CONDUCTED WEEKLY ADAPTIVE SPORTS CLINICS, TWO SUMMER SPORTS CAMPS, IN ADDITION TO TWO POP UP ACTIVITIES AND SPORTING EVENTS. MNRH ALSO OFFERS FITNESS CLASSES FOR INDIVIDUALS WITH A NEUROLOGICAL PHYSICAL DISABILITY, PROVIDING PERSONAL TRAINERS AND SPECIALIZED EQUIPMENT. WE CONTINUE TO MEET THE NEEDS OF THE COMMUNITY BY PROVIDING VIRTUAL AND IN-PERSON OPTIONS FOR INDIVIDUALS WITH PHYSICAL DISABILITIES DUE TO NEUROLOGICAL IMPAIRMENTS. IN THESE OFFERINGS, WE ALSO PROVIDE INJURY PREVENTION EDUCATION, CORRECTIVE EXERCISES AND OVERALL HEALTH EDUCATION. THE SPINAL CORD INJURY (SCI) AND PATHWAY TO PRIMARY CARE PROGRAM CONNECTS RESIDENTS WITH SCI AND PRIMARY CARE PRACTITIONERS WITH RESOURCES TO ADVANCE THE PRIMARY CARE NEEDS OF PEOPLE WITH SCI (AND OTHER MOBILITY IMPAIRMENTS). IN ADDITION, THERE WERE STATE OF THE ART ONLINE VIDEOS AND MODULES CREATED TO ADDRESS KEY IDENTIFIED SECONDARY COMPLICATIONS FOR INDIVIDUALS WITH SCI. THESE MODULES AND VIDEOS WILL BE USED TO EDUCATED STAFF AND DISTRIBUTED TO PATIENTS. SOCIAL DETERMINANTS OF HEALTH WERE ADDRESSED THROUGH VARIOUS CHANNELS TO INCREASE AWARENESS IN THE COMMUNITY AND TO HELP NARROW THE BRIDGE FOR MISTRUST OF PROVIDERS AND MUCH MORE, HIGHLIGHTED BELOW AND NOT LIMITED TO: . THE EQUITY PRACTICE INTEREST COMMITTEE (EPIC) CONTINUES TO STRIVE TO BUILD AWARENESS, EDUCATION, COMMUNITY INVOLVEMENT AND ENHANCE HEALTH EQUITY. . HOST A DRUG TAKE BACK DAY AT MNRH TO ADDRESS ISSUES RELATING TO ADDICTION-BASED CONDITIONS, AND ALSO MEDICATION SAFETY EDUCATION. . CONDUCTING COMMUNITY OUTREACH, AWARENESS, EDUCATION, SUPPORT, AND PREVENTIVE CARE PROGRAMS RELATED TO PHYSICAL AND MEDICAL REHABILITATION. PROGRAMS OFFERED TO THE COMMUNITY INCLUDE VIRTUAL PRESENTATIONS AT LOCAL SCHOOLS, VIRTUAL LECTURES TO VARIOUS COMMUNITY, EDUCATIONAL, AND PROFESSIONAL GROUPS AND PARTICIPATION ON DISABILITY RELATED BOARDS. . PROVIDING VIRTUAL PRESENTATIONS AND SUPPORT TO VARIOUS COMMUNITY AND ACADEMIC GROUPS, NON-PROFIT ORGANIZATIONS AND GOVERNMENTAL AGENCIES FOR EDUCATION, AND ORIENTATION ON ASSISTIVE TECHNOLOGY, ADAPTIVE SPORTS, DISABILITY AWARENESS, CONCUSSION AWARENESS AND HOW TO COMPLY WITH PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT.. PROVIDING MEDICAL COVERAGE BY ATHLETIC TRAINERS AT SCHOOLS IN THE LOCAL COMMUNITY DURING SPORTING EVENTS. . PROVIDING PROFESSIONAL INTERNSHIPS/RESIDENCY/FELLOWSHIPS TO STUDENTS IN PHYSIATRY, NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE PATHOLOGY, AND RECREATION THERAPY.. HOSTING VIRTUAL SUPPORT GROUPS FOR PERSONS WITH DISABILITIES AND OTHERS INTERESTED IN ASSISTING SUCH PERSONS, INCLUDING THE BRAIN INJURY ASSOCIATION OF WASHINGTON DC, AMPUTEE COALITION OF DC, UNITED SPINAL DC METRO CHAPTER, AND NATIONAL STROKE ASSOCIATION. OFFERINGS ARE IN PERSON AND VIRTUAL TO BE EQUITABLE FOR ALL. . PROVIDING SPEAKERS, LECTURERS, AND CONSULTING SERVICES TO NUMEROUS PUBLIC SERVICE TELEVISION PROGRAMS, PROFESSIONAL AND EDUCATIONAL MEETINGS REGARDING PERSONS WITH DISABILITIES, AND PROVIDING FREE PUBLICATIONS ON THE SUBJECT FOR THE BENEFIT OF THOUSANDS OF INDIVIDUALS IN THE COMMUNITY.. ASK A HEALTHCARE PROVIDER PROGRAM WAS DEVELOPED AND IMPLEMENTED IN PARTNERSHIP WITH MWHC AND MGUH, TO FACILITATE HEALTH CONVERSATIONS BETWEEN THE COMMUNITY AND OUR HEALTH CARE PROVIDERS. THE PURPOSE OF THEM WAS TO ADDRESS THE CONCERNS OF HEALTH DISPARITIES BASED ON RACE, ETHNICITY, GENDER AND MANY MORE SUCH AS: - MATERNAL AND INFANT HEALTH DISPARITIES - DISPARITIES IN MENTAL HEALTH AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6:AS A PROUD MEMBER OF MEDSTAR HEALTH, MNRH IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MNRH WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'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 MNRH IS FILED IN THE DISTRICT OF COLUMBIA. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2106059 0 3176567 0 79000 0 62059 0 35882 0 5459567 0 0 JOHN ROCKWOOD PRESIDENT/DIRECTOR 484832 0 472397 0 0 0 22673 0 33074 0 1012976 0 0 0 ROHIT SATOSKAR DIRECTOR 587489 0 95000 0 0 0 8700 0 21068 0 712257 0 0 0 MARK MEGINNIS CFO 0 320397 0 150371 0 0 0 33946 0 19800 0 524514 0 0 SUSAN O'MARA DIRECTOR 452583 0 13125 0 0 0 15033 0 20839 0 501580 0 0 0 SELENA E BRIGGS MD PHD DIRECTOR (AS OF 4/6/23) 396823 0 18000 0 0 0 3125 0 20879 0 438827 0 0 0 JOHN BRICKLEY VP - AMBULATORY OPS 316348 0 73444 0 0 0 30135 0 16846 0 436773 0 0 0 ADRIENNE SARNECKI VP CLINICAL SVS & CNO 228359 0 66426 0 0 0 20436 0 21297 0 336518 0 0 0 JEN CLARKE SECRETARY 220528 0 52601 0 0 0 8091 0 20386 0 301606 0 0 0 NANCY DIBENEDETTO VP QUALITY SAFETY IS & CMPLNC 210633 0 49134 0 0 0 17427 0 16411 0 293605 0 0 0 ALLISON RESCHOVSKY FORMER OFFICER 0 219366 0 47894 0 0 0 7632 0 1706 0 276598 0 0 RICHARD KELLY DIR PROF & ELITE SPORT THERAPY 218328 0 4122 0 0 0 2876 0 20477 0 245803 0 0 0 PAMELA GRAY AVP SUPPORT SVCS 201052 0 0 0 10000 0 11007 0 20476 0 242535 0 0 0 ERIC PITTS DIRECTOR OF PHARMACY 210600 0 0 0 0 0 0 0 20487 0 231087 0 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 CASH LUMP-SUM PAYMENT OF $79,000, WHICH REPRESENTS THE ANNUAL PREMIUM FOR A SPLIT DOLLAR LIFE INSURANCE POLICY. ALLISON RESCHOVSKY'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO MEDSTAR-GEORGETOWN MEDICAL CENTER, MEDSTAR HEALTH RESEARCH INSTITUTE, AND MEDSTAR NATIONAL REHABILITATION NETWORK. MARK MEGINNIS' COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO MEDSTAR NATIONAL REHABILITATION HOSPITAL, MEDSTAR URGENT CARE, AND NUMEROUS MEDSTAR HEALTH AMBULATORY BUSINESSES. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC.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.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. 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. 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 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 ENFORCEMENT 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) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO 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 EXECUTIVE COMPENSATION PROCESS 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 XI, LINE 9: NET EQUITY TRANSFER 2,973,497. 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