2025-05-01T14:33:02-05:00 2024-06-30 205991824 SC&H GROUP INC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2023-07-01 521638026 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC DOCT 4434811308 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 STEPHANIE SCHNITTGER CFO 4434811308 2025-05-01 1 1 LORI S BURGHAUSER P00370694 4104031500 2025-05-01 2023 2025-03-06 01:10:19Z VICTORIA W BAYLESS 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 254573053 0 X WWW.LUMINISHEALTH.ORG X 1989 MD TO ENHANCE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.THE MISSION OF LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER IS TO PROVIDE HIGH-QUALITY COMPREHENSIVE HEALTHCARE TO THE LOCAL AND REGIONAL COMMUNITIES WE SERVE, WITH A FOCUS ON BREAKING DOWN BARRIERS TO ACCESS TO CARE. 15 13 1566 137 301977 92100 4136072 2046650 228730210 248824253 930465 1219891 1873846 2482259 235670593 254573053 0 204055 0 0 108563504 111322795 0 0 0 138289736 143398215 246853240 254925065 -11182647 -352012 213681125 214364823 182693657 189922339 30987468 24442484 X AS A CHARITABLE ORGANIZATION, OUR MISSION IS TO ENHANCE THE HEALTH OF THE PEOPLE WE SERVE. LHDCMC'S VISION IS "LIVING HEALTHIER TOGETHER", PROVIDING A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES, A NUMBER OF SPECIALTY AND SUBSPECIALTY SERVICES, AND A FULL RANGE OF ANCILLARY AND SUPPORT SERVICES. WE SERVICE THE CITIZENS OF PRINCE GEORGE'S COUNTY AND THE SURROUNDING COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 0 0 181006808 204055 248522276 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LHDCMC) HAS BEEN PROVIDING HIGH-QUALITY, COMPASSIONATE CARE TO PEOPLE IN PRINCE GEORGE'S COUNTY FOR A HALF CENTURY.WITH MORE THAN 340 BEDS ACROSS OUR CAMPUS, OUR REACH EXPANDS BEYOND THAT OF A TYPICAL SMALL COMMUNITY HOSPITAL. SINCE BECOMING PART OF LUMINIS HEALTH, WE'VE EXPANDED TO MEET THE GREATEST HEALTHCARE NEEDS OF THE COMMUNITY AND CONTINUE TO INVEST IN THE SERVICES TO SUPPORT THE DIVERSE COMMUNITY WE SERVE. THE HOSPITAL HAS BEEN RECOGNIZED FOR EXCEPTIONAL CARE IN MANY AREAS, INCLUDING COLON CANCER SURGERY, BREAST CANCER SURGERY AND WOUND CARE. WE WERE THE FIRST HOSPITAL IN THE COUNTY TO HAVE AN ACCREDITED SLEEP CENTER, AND A RANGE OF MEDICAL AND SURGICAL SERVICES, INCLUDING EMERGENCY CARE, REHABILITATION, BEHAVIORAL HEALTH AND OUTPATIENT CARE.BETWEEN JULY OF 2023 AND JUNE OF 2024, OUR SERVICES INCLUDED:A) MORE THAN 550 PSYCHIATRIC ADMISSIONS.B) 47,000 EMERGENCY ROOM VISITS (44,000 ADULTS AND 3,000 PEDIATRIC CASES) C) 1,700 SLEEP CENTER VISITS D) 200 BREAST SURGERIES E) 4,800 TOTAL SURGERIES OUR COMMITMENT TO IMPROVE HEALTH AND WELLBEING ACROSS PRINCE GEORGE'S COUNTY EXTENDS TO FREE HEALTH SCREENINGS, INCLUDING AIC TESTING FOR PREDIABETES AND DIABETES, AS WELL AS CHOLESTEROL AND BLOOD PRESSURE TESTS PROVIDED AT COMMUNITY CLINICS TO MAKE THEM ACCESSIBLE TO THE LARGEST NUMBER OF COUNTY RESIDENTS. HEALTH EDUCATION PROGRAMS INCLUDE CLASSES AND SUPPORT GROUPS ON A WIDE RANGE OF HEALTH AND MENTAL HEALTH TOPICS, INCLUDING DIABETES MANAGEMENT, SMOKING CESSATION, AND BREASTFEEDING. WE ALSO BRING HEALTHCARE SERVICES TO COUNTY RESIDENTS THROUGH REGULAR MOBILE HEALTH CLINICS HELD IN NEIGHBORHOODS, SCHOOLS, AND COMMUNITY CENTERS. BREAST & CERVICAL CANCER PROGRAM (BCCP) AND CANCER PREVENTION EDUCATION SCREENING TREATMENT GRANT (CPEST) ONE CORE FOCUS OF OUR WORK IS CANCER SCREENING AND PREVENTION IN COMMUNITIES THAT LACK PRIMARY CARE AMONG OTHER CRITICAL HEALTH SERVICES. PRINCE GEORGE'S COUNTY HAS A DIVERSE POPULATION WITH NEARLY A MILLION RESIDENTS 75% AFRICAN AMERICANS AND 23% HISPANICS. MANY LACK ADEQUATE HEALTHCARE AND FACE UNEMPLOYMENT, POVERTY AND LANGUAGE BARRIERS. PRINCE GEORGE'S COUNTY ACCOUNTS FOR 15% OF ALL MARYLAND RESIDENTS AND REPRESENTS 93% OF THE HOSPITAL'S SERVICE AREA. IN SERVING THIS POPULATION, WE FOCUS ON IMPROVING RISK FACTORS AND SCREENING RATES.TO REDUCE THE INCIDENCE AND MORTALITY FROM CANCER. THIS WORK INVOLVES COMMUNITY OUTREACH AND EDUCATION, INCLUDING VISITS TO FEDERALLY QUALIFIED HEALTH CENTERS, CHURCHES, SCHOOLS, COLLEGES, AND THROUGH SOCIAL MEDIA. WE ALSO HOST COMMUNITY EVENTS, INCLUDING THE PINK RIBBON RALLY, FOR CANCER AWARENESS AND SCREENING.WE ALSO HELP ENROLL RESIDENTS IN PROGRAMS TO PROVIDE CANCER SCREENING AND TOBACCO CESSATION SERVICES. PATIENT ARE CONNECTED WITH ADDITIONAL COMMUNITY RESOURCES TO SECURE ACCESS TO HEALTH INSURANCE, PRIMARY CARE PROVIDERS, AND FOOD PROGRAMS, AS NEEDED. CASE MANAGERS WORK CLOSELY WITH PATIENTS TO ADDRESS BARRIERS TO CARE.EMERGENCY CAREHIGH-QUALITY EMERGENCY CARE IS AVAILABLE 24/7, WITH DEDICATED EMERGENCY MEDICINE PHYSICIANS, NURSES, AND CLINICIANS AT THE READY.WE TREAT ALL AGES, INCLUDING CHILDREN THROUGH A PARTNERSHIP WITH CHILDREN'S NATIONAL TO OFFER DEDICATED PEDIATRIC EMERGENCY ROOM CARE.WE ALSO OFFER SPECIALIZED EMERGENCY CARE FOR OLDER PATIENTS, IN PART THROUGH GERIATRIC SOCIAL WORKER SERVICES TO HELP PATIENTS NAVIGATE THEIR CARE AND A UNIT DEDICATED TO THE CARE OF ELDERLY PATIENTS.WE ALSO SUPPORT CARE FOR OUR DIVERSE PATIENT POPULATION WITH CULTURALLY-SENSITIVE SOCIAL WORKERS, PATIENT RELATIONS SPECIALISTS, SPIRITUAL CARE RESOURCES AND COMMUNICATION & INTERPRETER SERVICES. BEHAVIORAL HEALTHWITH A POPULATION OF NEARLY ONE MILLION RESIDENTS, IT USED TO BE THAT MORE THAN HALF OF THE ADULT PSYCHIATRIC ADMISSIONS FROM PRINCE GEORGE'S COUNTY WERE FORCED TO GO TO FACILITIES FARTHER FROM HOME.WE RESPONDED TO A 2019 PRINCE GEORGE'S COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT THAT IDENTIFIED BEHAVIORAL HEALTH AS A LEADING HEALTH PRIORITY WITH LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER BEHAVIORAL HEALTH PAVILION. THIS CENTER, OPENED IN 2022, OFFERS PRINCE GEORGE'S COUNTY RESIDENTS ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. THESE INCLUDE A 16-BED INPATIENT PSYCHIATRIC UNIT, OUTPATIENT THERAPY AND MEDICATION MANAGEMENT, WALK-IN URGENT CARE FOR NON-LIFE-THREATENING BEHAVIORAL HEALTH ISSUES, PSYCHIATRIC DAY PROGRAM, PREVENTION PROGRAMS AND FAMILY SUPPORT SERVICES.THESE SERVICES, PROVIDED IN PARTNERSHIP AND WITH FUNDING FROM PRINCES GEORGE'S COUNTY EXECUTIVE OFFICE, HELPED MEET COMMUNITY NEEDS WITH A STATE-OF-THE ART FACILITY FOR RESIDENTS OF THE COUNTY AND BEYOND. 181006808 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 105 0 1566 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 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 2088080 379779 JEFFREY GELFAND BOARD MEMBER 1.00 40.00 X 0 1285336 14850 LEISA C RUSSELL CHAIR 1.00 2.00 X X 0 0 0 RENE LAVIGNE VICE CHAIR (PART YEAR) 1.00 1.00 X X 0 0 0 ALAN J HYATT ESQ VICE CHAIR & TREASURER 1.00 1.00 X X 0 0 0 PATRICIA ARZUAGA BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES CHAMBERS BOARD MEMBER 1.00 1.00 X 0 0 0 KEITH GHEZZI MD BOARD MEMBER 1.00 1.00 X 0 0 0 ATHENA GROVES BOARD MEMBER 1.00 1.00 X 0 0 0 NIELS HOLCH BOARD MEMBER 1.00 3.00 X 0 0 0 GLORIA LAWLAH BOARD MEMBER 1.00 1.00 X 0 0 0 GARY MICHAEL BOARD MEMBER 1.00 0.00 X 0 0 0 MISTI MUKHERJEE BOARD MEMBER 1.00 1.00 X 0 0 0 TIMOTHY NEWBERRY BOARD MEMBER 1.00 1.00 X 0 0 0 JOYCE PHILLIP BOARD MEMBER 1.00 3.00 X 0 0 0 MARK WHITLOCK BOARD MEMBER 1.00 3.00 X 0 0 0 DENEEN RICHMOND PRESIDENT OF LHDCMC 0.00 40.00 X 694694 0 90681 TIM ADELMAN GENERAL COUNSEL/SECRETARY 40.00 1.00 X 0 624046 81824 KEVIN SMITH LF CFO/TREASURER (PART YEAR) 40.00 1.00 X 0 552106 68409 DOUGLAS WOMER LF CFO/TREASURER (PART YEAR) 1.00 40.00 X 0 223930 5950 STEPHANIE SCHNITTGER LF CFO/TREASURER 1.00 40.00 X 0 0 0 MELISSA YEAGER VP, CHIEF OPERATING OFFICER DCMC 40.00 0.00 X 363015 0 32518 SUNIL MADAN CHIEF MEDICAL OFFICER 40.00 0.00 X 558996 0 50782 CRYSTAL D BECKFORD CHIEF NURSING OFFICER 40.00 0.00 X 327728 0 35194 BEVERLY R SCRUGGS-DIGGS ADMIN NURSE SUPERVISOR 40.00 0.00 X 254891 0 12261 DAVID PRESS ASSOCIATE CHAIR OF MEDICINE 40.00 0.00 X 320904 0 10239 SALIM JARAWAN DIRECTOR - PHARMACY 40.00 0.00 X 233269 0 8107 DELPHINE SIRRI STAFF NURSE 40.00 0.00 X 233332 0 20470 REGINA HAMPTON-COLEMAN FORMER BOARD MEMBER 0.00 40.00 X 0 367100 43334 JOYCE HANSCOME FORMER VP/INTERNAL CONSULTANT 40.00 0.00 X 0 196709 0 2986829 5337307 854398 288 1 1 0 MEDPRO HEALTHCARE STAFFING 1580 SAWGRASS CORPORATE PKWY SUITE SUNRISE FL 33323 STAFFING SERVICES 3854834 ANETHESIA COMPANY LLC 700 MELVIN AVENUE STE 7A ANNAPOLIS MD 21401 ANESTHESIOLOGISTS 2217754 DIAGNOSTIC IMAGING ASSOCIATES 251 NAJOLES ROAD SUITE A MILLERSVILLE MD 21108 RADIOLOGY SERVICES 1495747 BIO-MEDICAL APPLICATIONS OF MD INC 16313 COLLECTION CENTER DR CHICAGO IL 60693 DIALYSIS SERVICES 1466009 BROWN CROFT & FRAZIER PA 2002 MEDICAL PKWY STE 235 ANNAPOLIS MD 21401 DIAGNOSTIC RADIOLOGY 741736 11 747151 1219584 79915 2046650 NET PATIENT REVENUE 621110 248824253 248522276 301977 248824253 1174001 1174001 665319 0 665319 665319 665319 45890 0 45890 45890 45890 CAFETERIA REVENUE 722514 933687 933687 SHARED SERVICES 900099 210719 210719 ANSWERING SERVICE REV. 812900 122700 122700 549834 549834 1816940 254573053 248522276 301977 3702150 X 204055 204055 1790685 1465239 325446 93875309 77174891 16700418 2804389 2217018 587371 5527737 4294325 1233412 7324675 5640000 1684675 3750 3750 2341 2341 33640 33640 83494002 43832705 39661297 4723167 3713664 1009503 595978 458903 137075 2438677 1877781 560896 57753 44462 13291 3820899 2942092 878807 10699337 8238489 2460848 305150 234965 70185 SUPPLIES 34030547 26203523 7827024 ENERGY COSTS 2575413 1983068 592345 LEASE AMORTIZATION & IN 461797 461797 INCOME TAX EXPENSE 135933 135933 19831 19831 254925065 181006808 73918257 0 8786 9586 2028876 1997310 36211917 37287872 4675350 3461604 3242759 3274579 194547434 42798863 143673020 151748571 20493464 21791202 601960 585864 -33039106 -37395125 4100000 4100000 31684099 27503360 213681125 214364823 21715229 19572317 14937807 27938741 107790728 102312335 38249893 40098946 182693657 189922339 X 28708307 24223050 2279161 219434 30987468 24442484 213681125 214364823 X -352012 214885 -6407857 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 2341 2341 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 109857345 19858407 89998938 1622350 802255 820095 38804653 16545140 22259513 34989026 5593061 29395965 151748571 RIGHT OF USE ASSET 13994579 LIFE INSURANCE 2956480 OTHER RECEIVABLES 9010136 OTHER LONG-TERM ASSETS 1542165 27503360 ROU LIABILITY 14687020 DEFERRED COMPENSATION AND IBNRS 2956480 PENSION OBLIGATION 1862570 MARK TO MARKET LIABILITY 4368351 INTERCOMPANY 15493525 INCOME TAXES PAYABLE 731000 40098946 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, 2024, AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 FUNDRAISING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE F, PART I, LINE 3 THE ORGANIZATION RECEIVED $87,500 IN MONETARY SUPPORT FROM COTTAGE INSURANCE COMPANY, LTD, A RELATED ENTITY, FOR TECHNOLOGY ASSISTED PATIENT SAFETY INITIATIVES, PATIENT EXPERIENCE INITIATIVES, STAFF WELL-BEING, AND STAFF EDUCATION AND EVIDENCE BASED PRACTICE SUPPORT. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 11989722 11989722 0.04700 11989722 11989722 0.04700 2788471 2788471 0.01090 1442600 1442600 0.00570 17876521 17876521 0.07010 999685 999685 0.00390 23107277 23107277 0.09060 35096999 35096999 0.13760 23551 23551 0.00010 734211 734211 0.00290 757762 757762 0.00300 1 5434947 77032084 68222561 8809523 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 22 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: LHDCMC TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE PRINCE GEORGE'S COUNTY COMMUNITY, INCLUDING FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, COMMUNITY LEADERS, AND LEADERS OR REPRESENTATIVES OF LOW INCOME OR UNDERSERVED GROUPS SERVED IN THE COMMUNITY. THE HEALTH DEPARTMENT STAFF LED THE CHNA PROCESS IN DEVELOPING THE DATA COLLECTION TOOLS AND ANALYZING THE RESULTS WITH INPUT FROM THE HOSPITAL REPRESENTATIVES. THE PROCESS INCLUDED: - A COMMUNITY RESIDENT SURVEY AVAILABLE IN ENGLISH, SPANISH AND FRENCH DISTRIBUTED BY THE HOSPITALS AND HEALTH DEPARTMENT; - SECONDARY DATA ANALYSIS THAT INCLUDED THE COUNTY DEMOGRAPHICS AND POPULATION DESCRIPTION THROUGH SOCIOECONOMIC INDICATORS, AND A COMPREHENSIVE HEALTH INDICATOR PROFILE; - HOSPITAL SERVICE PROFILES TO DETAIL THE RESIDENTS SERVED BY THE CORE TEAM; - A COMMUNITY EXPERT SURVEY AND KEY INFORMANT INTERVIEWS; AND - A PRIORITIZATION PROCESS THAT INCLUDED THE CORE TEAM AND PRINCE GEORGE'S HEALTHCARE ACTION COALITION LEADERSHIP. 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. LHDCMC WILL FOCUS ON:(1) METABOLIC SYNDROME PREVENTION - EXPAND DIABETES PREVENTION PROGRAMS VIA CDC PARTNERSHIP; INCREASE PARTNER PARTICIPATION, DEVELOP HEALTH EDUCATION MATERIALS; CONDUCT WORKSHOPS; CONTINUE/EXPAND SCREENINGS AND SERVICES PROVIDED BY THE WELL-MOBILE CLINIC TO PROVIDE FREE SCREENING TO VULNERABLE RESIDENTS.(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 - IN COLLABORATION WITH PRINCE GEORGE'S GOVERNMENT, INITIATE PLANNING FOR BEHAVIORAL HEALTH PROGRAMS TO PROVIDE ENHANCED SERVICES THAT ADDRESS NEEDS THROUGH THE DCMC 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/LHDCMCPART V, SECTION B, LINE 7A, CHNA WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-11/2022-PRINCE-GEORGES-COUNTY-CHA-LUMINIS.PDFPART V, SECTION B, LINE 7B, OTHER URL:HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-10/LUMINIS-HEALTH-CHNA-IMPLEMENTATION-PLAN-FY22-24.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/EN/FINANCIAL-ASSISTANCE 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 14-17. 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: STATE HEALTH INSURANCE ASSISTANCE PROGRAM (SHIP) HTTPS://WWW.PRINCEGEORGESCOUNTYMD.GOV/DEPARTMENTS-OFFICES/STATE-HEALTH-INSURANCE-ASSISTANCE-PROGRAM-SHIPMARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) MEASURES HTTPS://HEALTH.MARYLAND.GOV/PHA/PAGES/SHIP-LITE-HOME.ASPX MD VITAL STATISTICS ADMINISTRATION HTTP://DHMH.MARYLAND.GOV/VSA/PAGES/HOME.ASPX ROBERT WOOD JOHNSON FOUNDATION HTTPS://WWW.HEALTH.STATE.MN.US/COMMUNITIES/PRACTICE/RESOURCES/EQUITYLIBRARY/RWJF-NEWWAYTOTALK.HTMLCOUNTY HEALTH RANKINGS HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/HEALTH-DATA/MARYLAND/PRINCE-GEORGES?YEAR=2024LDCMC 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 2024, 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. IN THE LAST YEAR, WE SERVICED 1,096 PATIENTS FOR BREAST AND CERVICAL CANCER, 340 PATIENTS FOR COLORECTAL CANCER, AND CONDUCTED 42 TOBACCO CESSATION COUNSELING SESSIONS. HELD THE PINK RIBBON RALLY COMMUNITY EVENTS TO INCREASE THE AWARENESS OF BREAST CANCER. DIABETES:THE DIABETES EDUCATION PREVENTION INITIATIVE FOCUSED ON IMPLEMENTING DIABETES PREVENTION PROGRAMS. AS A RESULT, TWO NEW COHORTS WERE STARTED DURING FY2024. IN ADDITION LUMINIS HEALTH HAS A MOBILE HEALTH CLINIC FOR SCREENINGS. THE MOBILE HEALTH CLINIC PROVIDES FREE SCREENINGS TO VULNERABLE POPULATIONS ACROSS THE COUNTY. THE MOBILE HEALTH CLINIC FOCUSES ON LOW-INCOME, IMMIGRANT, AND MINORITY NEIGHBORHOODS TO IMPROVE HEALTH AWARENESS, ACCESS TO CARE, AND HEALTH OUTCOMES. HELD 26 MOBILE CLINICS IN PRINCE GEORGY'S COUNTY, AND REACHED 425 PATIENTS THROUGH SCREENINGS FOR BLOOD PRESSURE, A1C, RANDOM BLOOD GLUCOSE, AND CHOLESTEROL IN 2024.MENTAL HEALTH:ABOUT OUR PARTNERSHIP WITH PRINCE GEORGE'S COUNTYTHIS PROGRAM AND SERVICES ARE MADE POSSIBLE IN PART BY FUNDING FROM THE PRINCE GEORGE'S COUNTY EXECUTIVE OFFICE. IN RESPONSE TO LONG-STANDING BEHAVIORAL HEALTH DISPARITIES, PRINCE GEORGE'S COUNTY EXECUTIVE AND THE COUNTY COUNCIL ALLOCATED $20 MILLION DOLLARS OF CAPITAL FUNDING TO THE BEHAVIORAL HEALTH FACILITY RENOVATION. THESE FUNDS HAVE FINANCED THE MAJORITY OF THE RENOVATION, TRANSFORMING A FORMER REHABILITATION FACILITY ON THE GROUNDS OF LHDCMC INTO A STATE-OF-THE-ART BEHAVIORAL HEALTH PAVILION. AS PART OF OUR COMMITMENT TO PRINCE GEORGE'S COUNTY, LUMINIS HEALTH WILL OPERATIONALIZE THE NEW FACILITY AND PROVIDE CONTINUED INVESTMENT AND SUPPORT NEEDED FOR BEHAVIORAL HEALTH SERVICES.BEHAVIORAL HEALTH CARE, CLOSER TO HOMELOCATED ON THE CAMPUS OF LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LHDCMC) IN LANHAM, MARYLAND, A COMPREHENSIVE BEHAVIORAL HEALTH PROGRAM IS HOUSED WITHIN A NEWLY RENOVATED TWO-STORY, 31,200 SQUARE-FOOT-BUILDING. WITH PROGRAMS DESIGNED FOR ALL AGES, PRINCE GEORGIANS WILL RECEIVE SEAMLESS ACCESS TO A WIDE SPECTRUM OF SERVICES. OFFERING THIS CONTINUUM OF SERVICES AT ONE LOCATION ALLOWS FOR COORDINATED CARE AND BETTER OUTCOMES.OUTPATIENT SERVICES -A BEHAVIORAL HEALTH WALK-IN URGENT CARE FOR ALL AGES-OUTPATIENT THERAPY AND MEDICATION MANAGEMENT FOR ALL AGES-AN EIGHT-BED RESIDENTIAL ADDICTION PROGRAM FOR ADULTS-PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS AND ADOLESCENTS-PREVENTION PROGRAMS-FAMILY SUPPORT SERVICESINPATIENT SERVICES -A 16-BED ADULT INPATIENT PSYCHIATRIC UNITHEALTH CARE DISPARITIES:1. LUMINIS HEALTH REMAINS COMMITTED TO IMPROVING HEALTH OUTCOMES AND REDUCING DISPARITIES IN CARE AND ACCESS. IN 2020, THE HEALTH EQUITY AND ANTI-RACISM TASK FORCE (H.E.A.R.T. FORCE) WAS ESTABLISHED AS A MULTIDISCIPLINARY GROUP OF TRUSTEES, PROVIDERS, STAFF, AND COMMUNITY STAKEHOLDERS. IN FY24, THE H.E.A.R.T. FORCE REFINED ITS PRIORITIES TO FOCUS ON:A. IMPLEMENTING SYSTEMIC PROCESSES TO ASSESS THE IMPACT OF INEQUITIES.B. BUILDING FORMAL NETWORKS WITH COMMUNITY PARTNERS.C. EMBEDDING JUST CULTURE PRINCIPLES THROUGHOUT THE ORGANIZATION.D. ADVANCING PARTNERSHIPS AND INVESTMENTS IN LOCAL AND MINORITY-OWNED BUSINESSES.E. REFINING METRICS AND INDICATORS TO TRACK PROGRESS IN REDUCING DISPARITIES.2. LHDCMC ALSO ADDRESSES SPECIFIC HEALTH DISPARITIES, INCLUDING BREAST CANCER SCREENING FOR HISPANIC WOMEN, NTSV C-SECTION RATES FOR BLACK WOMEN, AND COLORECTAL CANCER SCREENING WITHIN BLACK COMMUNITIES.3. THE WOMEN'S HEALTH EQUITY ALLIANCE TASKFORCE (WHEAT), FORMERLY THE WOMEN'S AND CHILDREN'S COUNTER RACISM TASKFORCE, COLLABORATES WITH THE STATEWIDE MDMOM INITIATIVE TO ADDRESS MATERNAL HEALTH DISPARITIES. IN FY24, WHEAT DEVELOPED AN ACTION PLAN FOCUSED ON IMPROVING MATERNAL HEALTH OUTCOMES, COMMUNICATION, AND PATIENT SATISFACTION. NOTABLY, BLACK MATERNAL MORTALITY RATES IN PRINCE GEORGE'S COUNTY ARE 50% ABOVE THE NATIONAL AVERAGE AND 40% HIGHER THAN MARYLAND'S AVERAGE. TO ADDRESS THIS, LHDCMC PLANS TO LAUNCH OBSTETRIC SERVICES THROUGH ITS APPROVED CERTIFICATE OF NEED (CON), WITH A PROJECTED CAPACITY FOR 2,000 ANNUAL BIRTHS BEGINNING IN 2028.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 0 PHYSICIAN ENTERPRISE LLC 2000 MEDICAL PARKWAY STE606 ANNAPOLIS MD 21401 270263214 501(C)(3) 204055 0 TO SUPPORT OPERATIONS OF PHYSICIAN ENTERPRISE, LLC 1 X X X X X 1 1 0 0 0 0 0 0 0 VICTORIA BAYLESS LH CEO/BOARD MEMBER 0 1321219 0 322005 0 444856 0 379779 0 0 0 2467859 0 244500 JEFFREY GELFAND BOARD MEMBER 0 1263886 0 0 0 21450 0 14850 0 0 0 1300186 0 0 DENEEN RICHMOND PRESIDENT OF LHDCMC 555465 0 102964 0 36265 0 52273 0 38408 0 785375 0 11564 0 TIM ADELMAN GENERAL COUNSEL/SECRETARY 0 474324 0 101556 0 48166 0 51860 0 29964 0 705870 0 18231 KEVIN SMITH LF CFO/TREASURER (PART YEAR) 0 385064 0 0 0 167042 0 32499 0 35910 0 620515 0 0 SUNIL MADAN CHIEF MEDICAL OFFICER 469167 0 73230 0 16599 0 9900 0 40882 0 609778 0 0 0 REGINA HAMPTON-COLEMAN FORMER BOARD MEMBER 0 367100 0 0 0 0 0 9900 0 33434 0 410434 0 0 MELISSA YEAGER VP, CHIEF OPERATING OFFICER DCMC 273889 0 69372 0 19754 0 9900 0 22618 0 395533 0 0 0 CRYSTAL D BECKFORD CHIEF NURSING OFFICER 264370 0 40778 0 22580 0 9693 0 25501 0 362922 0 0 0 DAVID PRESS ASSOCIATE CHAIR OF MEDICINE 309222 0 0 0 11682 0 1402 0 8837 0 331143 0 0 0 BEVERLY R SCRUGGS-DIGGS ADMIN NURSE SUPERVISOR 201243 0 49198 0 4450 0 11504 0 757 0 267152 0 0 0 DELPHINE SIRRI STAFF NURSE 171576 0 61756 0 0 0 7069 0 13401 0 253802 0 0 0 SALIM JARAWAN DIRECTOR - PHARMACY 210517 0 12631 0 10121 0 8107 0 0 0 241376 0 0 0 DOUGLAS WOMER LF CFO/TREASURER (PART YEAR) 0 223930 0 0 0 0 0 5880 0 70 0 229880 0 0 JOYCE HANSCOME FORMER VP/INTERNAL CONSULTANT 0 196709 0 0 0 0 0 0 0 0 0 196709 0 0 PART I, LINES 4A-B THE FOLLOWING RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: KEVIN SMITH $ 82,192 THE FOLLOWING PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $364,929 DENEEN RICHMOND $ 46,333 TIM ADELMAN $ 37,010 KEVIN SMITH $ 22,599 THE FOLLOWING RECEIVED DISTRIBUTIONS FROM THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $ 280,257 TIMOTHY ADELMAN $ 19,803 DENEEN RICHMOND $ 12,735 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 2155000 31945000 398892 31546108 2016 0 1 1 1 B 68309000 1163332 67145668 2017 0 1 1 1 C 36015000 41500000 510722 40938278 2017 1 0 1 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 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 17,157,401. MANAGEMENT AND GENERAL EXPENSES 15,635,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,792,639. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 14,853,166. MANAGEMENT AND GENERAL EXPENSES 13,379,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,232,541. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 6,701,989. MANAGEMENT AND GENERAL EXPENSES 6,035,622. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,737,611. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,120,149. MANAGEMENT AND GENERAL EXPENSES 4,611,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,731,211. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT -1,489,237. NET INCREASE IN BENEFICIAL INTEREST IN FOUNDATION -2,143,930. PENSION ADJUSTMENT FOR ACTUARIAL VALUE 1,776,162. CHANGE IN VALUE OF INVESTMENT IN SUBSIDIARIES -2,212,089. NET ASSETS TR CAPITAL 1,011,480. TRANSFER TO AFFILIATE -3,350,243. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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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