2025-05-09T13:35:07-05:00 2024-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-07-01 460726303 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC MEDS 3018688000 7503 SURRATTS ROAD CLINTON MD 20735 JOEL BRYAN VP/TREASURER/CIO 4107726721 2025-05-09 1 0 RAYMOND LY P01205643 7032868000 2023 2025-03-06 01:10:19Z STEPHEN T MICHAELS MD 7503 SURRATTS ROAD CLINTON MD 20735 288784421 0 X MEDSTARSOUTHERNMARYLAND.ORG X 2012 MD MEDSTAR SOUTHERN MD HOSPITAL CENTER UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. 11 7 1651 1 0 0 9284426 12202450 269969884 275359833 45266 130624 970790 1091514 280270366 288784421 0 0 0 0 164967623 149274175 0 0 0 142187319 170892907 307154942 320167082 -26884576 -31382661 170463790 170007829 35521640 35214531 134942150 134793298 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER'S (MEDSTAR SOUTHERN MARYLAND) MISSION IS TO UPHOLD ITS COMMITMENT TO THE COMMUNITY BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING FISCAL INTEGRITY. MEDSTAR SOUTHERN MARYLAND IS LOCATED IN SOUTHERN PRINCE GEORGE'S COUNTY, MARYLAND.IN FISCAL YEAR 2024, MSMHC HAD 10,311 INPATIENT ADMISSIONS, 80,462 OUTPATIENT VISITS, AND 45,461 EMERGENCY VISITS. 0 0 189101788 247513809 SEE SCHEDULE OMEDSTAR SOUTHERN MARYLAND'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF PRINCE GEORGE'S, CHARLES AND CALVERT COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR SOUTHERN MARYLAND INCURRED $84.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. THE HOSPITAL OFFERS A FULL RANGE OF SERVICES AND IS KNOWN FOR ITS CARDIOVASCULAR AND ORTHOPAEDIC PROGRAMS. THE HOSPITAL ALSO HAS THE WOMEN & NEWBORNS CENTER, WHICH INCLUDES AN OBSTETRICS AND GYNECOLOGY PROGRAM WITH A LEVEL 2 SPECIAL CARE NURSERY AND PRIVATE PATIENT ROOMS. OTHER SPECIALTY SERVICES INCLUDE AN EMERGENCY DEPARTMENT AND CRITICAL CARE UNIT, BREAST HEALTH PROGRAM, SURGICAL CENTER, SLEEP DISORDERS LAB, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS, AND REHABILITATIVE MEDICINE. THE HOSPITAL HAS SEVERAL RECOGNITIONS AND CERTIFICATIONS. MEDSTAR SOUTHERN MARYLAND HAS A COMMISSION ON CANCER ACCREDITATION FOR OUR CANCER PROGRAM. THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) RE-DESIGNATED MEDSTAR SOUTHERN MARYLAND AS A PRIMARY STROKE CENTER IN APRIL 2022. THIS IS THE FOURTH TIME MIEMSS HAS AWARDED THE PRIMARY STROKE CENTER TO MSMHC SINCE 2007. THE PROGRAM ALSO RECEIVED THE AMERICAN HEART ASSOCIATION'S GOLD PLUS GET WITH THE GUIDELINES STROKE QUALITY ACHIEVEMENT AWARD. MSMHC WAS DESIGNATED A BABY-FRIENDLY HOSPITAL IN JUNE 2023. MSMHC RECEIVED DESIGNATION AS A PATHWAY TO EXCELLENCE ORGANIZATION FROM THE AMERICAN NURSES CREDENTIALING CENTER IN OCTOBER 2022. MIEMSS HAS ALSO DESIGNATED MSMHC AS A CARDIAC INTERVENTION CENTER. MSMHC RECEIVED HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION AWARD (2023) FOR SUPERIOR CLINICAL OUTCOMES IN CORONARY INTERVENTION PROCEDURES. THE CORONARY INTERVENTION PROGRAM ALSO RECEIVED HEALTHGRADES CORONARY INTERVENTION EXCELLENCE AWARD FOR SUPERIOR CLINICAL OUTCOMES IN CORONARY INTERVENTION PROCEDURES. 38097777 27846024 MEDSTAR SOUTHERN MARYLAND PROVIDED $38.1M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2024. THESE CRITICAL SERVICES, WHICH ARE DRIVEN BY COMMUNITY NEEDS, OPERATE AT A LOSS. THEY ADDRESS PRIORITIES PRIMARILY THROUGH DISEASE PREVENTION AND IMPROVEMENT OF HEALTH STATUS. SERVICES PROVIDED INCLUDE EMERGENCY SERVICES, NEONATAL INTENSIVE CARE, WOMEN'S AND CHILDREN'S CARE, AND BEHAVIORAL HEALTH. 8668661 MEDSTAR SOUTHERN MARYLAND PROVIDED $8.7M IN CHARITY CARE SERVICES IN FISCAL YEAR 2024. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOME IS BELOW CERTAIN THRESHOLDS AND FOR WHICH THE HOSPITAL IS NOT COMPENSATED. UNDER MARYLAND'S UNIQUE PAYER SYSTEM, THE AMOUNT REPORTED REPRESENTS MEDSTAR SOUTHERN MARYLAND'S CHARITY CARE EXPENSE AND REVENUES REPRESENT DIRECT PAYMENTS FROM THE STATE'S CHARITY CARE POOL. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. 235868226 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1651 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 7083748 106087 STEPHEN T MICHAELS MD PRESIDENT/DIRECTOR 40.00 0.00 X X 1030317 0 28508 WILLIAM O SUDDATH MD DIRECTOR (UNTIL 1/2024) 40.00 0.00 X 396444 0 22239 SEEMA PAI MD DIRECTOR 40.00 0.00 X 622298 0 19132 CLYDE PRAY MD DIRECTOR 40.00 0.00 X 710079 0 27556 ROSALIND E BISHOP VICE CHAIR 1.00 0.00 X X 0 0 0 TAMMY L JONES DIRECTOR (UNTIL 10/31/2023) 1.00 0.00 X 0 0 0 THOMAS GRAHAM DIRECTOR 1.00 0.00 X 0 0 0 KERRY R WATSON JR CHAIR 1.00 0.00 X X 0 0 0 SONYA WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 DEBBORAH T COLLINS DIRECTOR 1.00 0.00 X 0 0 0 DAVID H MICHAEL DIRECTOR 1.00 0.00 X 0 0 0 VENARD WRIGHT DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL MEISEL CFO/TREASURER (UNTIL 08/2023) 1.00 39.00 X 0 413879 30252 ANNETTE BRONER SECRETARY 1.00 39.00 X 0 297348 31248 PURVI JANI CFO/TREASURER 1.00 39.00 X 0 320315 18969 KELLY HAYNIE VP, OPERATIONS 40.00 0.00 X 298716 0 12908 EMILY HALEY PHYSICIAN ASSISTANT 40.00 0.00 X 252536 0 28662 FRANCISCA SARFO PHARMACY DIRECTOR 40.00 0.00 X 249162 0 24859 SALLU MUNU REGISTERED NURSE 40.00 0.00 X 235906 0 7802 BELEN BASILAN REGISTERED NURSE 40.00 0.00 X 230963 0 31342 ROBERT LALLY FORMER OFFICER 0.00 40.00 X 0 213730 0 DAVID HAVRILLA FORMER OFFICER 0.00 40.00 X 0 424997 27650 DANIEL FEELEY FORMER OFFICER 0.00 40.00 X 0 354417 32365 4026421 9108434 449579 245 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 21104018 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 11151373 DIAMOND HEALTHCARE OF NORTHERN VA PO BOX 670755 DALLAS TX 752670755 MEDICAL STAFFING 6913292 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 4342055 TOTAL RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA PA 191781607 MEDICAL SERVICES 1513263 33 12088568 113882 12202450 NET PATIENT SERVICE RE 621300 275359833 275359833 275359833 116073 116073 14551 0 14551 14551 14551 REBATE INCOME 900099 767132 767132 GIFT SHOP SALES 900099 71955 71955 CAFETERIA AND VENDING 900099 48581 48581 203846 203846 1091514 288784421 275359833 0 1222138 X 2856573 2566481 290092 125929285 116804022 9125263 1269700 1269700 11749014 877862 10871152 7469603 6845797 623806 28752437 28752437 57608437 49774219 7834218 383415 383415 1993177 1557797 435380 437966 435127 2839 44311 32944 11367 7198258 7198258 15139284 5381959 9757325 3878687 -59566 3938253 MED/SURG SUPPLIES 28955219 29025698 -70479 IMPLANTS/PROSTHESES 8149633 8149633 MAINTENANCE 6115877 5787964 327913 UTILITIES 3378684 2826313 552371 8857522 5861976 2995546 320167082 235868226 84298856 0 6729 7243 71822 9190 31512530 34275956 4755472 5661688 654384 729726 235809424 122175253 111719072 113634171 737378 786044 16673811 14903811 4332592 0 170463790 170007829 18640471 19221352 512779 589515 16368390 15403664 35521640 35214531 X 134135398 133997873 806752 795425 134942150 134793298 170463790 170007829 X -31382661 96196 31137613 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3140000 3140000 107093484 31539194 75554290 3620887 2135590 1485297 115315924 88000343 27315581 6639129 500126 6139003 113634171 ADVANCES 8400057 CREDIT BALANCES PATIENT AR 1141244 PENDING PFS REFUNDS 592 OTHER LIABILITIES 5861771 15403664 X PART X, LINE 2: FIN 48 FOOTNOTE INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024. 1 1 X 1 X 1 X 1 1 1 0 1 1 8668661 8668661 0.02710 8668661 8668661 0.02710 1762899 1762899 0.00550 1014368 1014368 0.00320 38097777 27846023 10251754 0.03200 50154 50154 0.00020 40925198 27846023 13079175 0.04090 49593859 27846023 21747836 0.06800 3487 3487 0.00000 34806 34806 0.00010 82089 82089 0.00030 120382 120382 0.00040 1 10404153 X 1 1 1 1 MEDSTAR SOUTHERN MD HOSPITAL CENTER 7503 SURRATTS ROAD CLINTON MD 20735 MEDSTARSOUTHERNMARYLAND.ORG STATE LICENSE NUMBER: 16041 X X X MEDSTAR SOUTHERN MD HOSPITAL CENTER 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X WWW.MEDSTARHEALTH.ORG/MSMHC X 1 23 1 WWW.MEDSTARHEALTH.ORG/MSMHC 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X WWW.MEDSTARHEALTH.ORG/MSMHC X X X X X X 1 X 0 X X X X 1 X 0 0 MEDSTAR SOUTHERN MD HOSPITAL CENTER PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: JESSICA GAMEROEXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: DR. CHILEDUM AHAGHOTUADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKE UP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : DR. CHILEDUM AHAGHOTUTITLE : VP OF MEDICAL AFFAIRSNAME OF ORGANIZATION : MSMHCNAME : DR. STEPHEN MICHAELSTITLE : PRESIDENT MSMHC, SR. VP MEDSTAR HEALTHNAME OF ORGANIZATION : MSMHCNAME : RAQUEL LAMPTEYTITLE : SR. DIR., COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTH CORP.NAME : DR. KEVIN REEDTITLE : PHYSICIAN, EDNAME OF ORGANIZATION : MSMHCNAME : GLORIA BROWN-BURNETTTITLE : DIR. OF SOCIAL SERVICESNAME OF ORGANIZATION : PRINCE GEORGE'S HEALTH DEPT.NAME : CHERYL RICHARDSONTITLE : DIR. MARKETINGNAME OF ORGANIZATION : MSMHCNAME : LORI WERRELLTITLE : REGIONAL DIR. POPULATION AND COMMUNITY HEALTHNAME OF ORGANIZATION : MSMHCNAME : JEAN (JB) MOORETITLE : EXECUTIVE DIR.NAME OF ORGANIZATION : NATIONAL ALLIANCE ON MENTAL ILLNESS - PRINCE GEORGE'S COUNTYNAME : JESSICA GAMEROTITLE : PROGRAM MANAGERNAME OF ORGANIZATION : MSMHCNAME : LINDA WRIGHTTITLE : NURSE II, NSG-OBSTETRICS NAME OF ORGANIZATION : MSMHCNAME : KRISTIN QUADETITLE : NURSING DIR., EDNAME OF ORGANIZATION : MSMHCNAME : REV. DR. DARRELL GASKINTITLE : REVEREND/PASTORNAME OF ORGANIZATION : BETH SHALOM AME ZION CHURCHNAME : ROBYN OWENSTITLE : COMMUNITY RESOURCE SPECIALISTNAME OF ORGANIZATION : PRINCE GEORGE'S COUNTY OFFICE OF COMMUNITY RELATIONSNAME : DOROTHY CAROLYN LOWETITLE : DISTRICT V COFFEE CLUB FACILITATORNAME OF ORGANIZATION : DISTRICT V COFFEE CLUBNAME : EURAINE BROOKSTITLE : CLINTON RESIDENTNAME OF ORGANIZATION : CLINTON RESIDENTNAME : DAVINA RICHARDSONTITLE : COMMUNITY HEALTH COORDINATORNAME OF ORGANIZATION : ELAINE ELLIS NAME : PAULA HUGHESTITLE : CLINTON RESIDENTNAME OF ORGANIZATION : CLINTON RESIDENTNAME : PASTOR COLIN PUGHTITLE : PASTORNAME OF ORGANIZATION : CLINTON BAPTIST CHURCHNAME : PASTOR SAM TARVERTITLE : PASTORNAME OF ORGANIZATION : MAPLE SPRINGS BAPTIST CHURCHNAME : ELDER GWENDOLYN GANTTTITLE : COMMUNITY OUTREACH AND SPECIAL EVENTS DIR.NAME OF ORGANIZATION : ST. STEVEN'S BAPTIST CHURCH NAME : ROSALIND BISHOPTITLE : STATESIDE RETAIL OPERATIONS MANAGERNAME OF ORGANIZATION : ANDREWS FCUNAME : JULIA DEMARAISTITLE : HEALTH & WELLNESS COORDINATOR, SPECIAL PROGRAMS DIVISIONNAME OF ORGANIZATION : M-NCPPCNAME : NANA DONKORTITLE : HEALTH EDUCATION SUPERVISORNAME OF ORGANIZATION : PGCPSNAME : DR. TRACI JONESTITLE : SUPERVISOR, NURSING SERVICESNAME OF ORGANIZATION : PGCPSNAME : DR. INGRID HORTONTITLE : DIRECTOR OF COMMUNITY SCHOOLSNAME OF ORGANIZATION : PGCPSNAME : DR. REGINA SPRUILLTITLE : EDUCATIONAL LEADERNAME OF ORGANIZATION : PGCPS CTENAME : JOHN BAILEYTITLE : EXECUTIVE DIR.NAME OF ORGANIZATION : THE ARCH OF KNOWLEDGE NAME : TITIANA BAILEYTITLE : PRESIDENTNAME OF ORGANIZATION : THE ARCH OF KNOWLEDGE NAME : DENISE WOODSTITLE : PARTNERSHIP MANAGERNAME OF ORGANIZATION : DMV FOOD JUSTICENAME : SANAH JIVANITITLE : COLLEGE AND CAREER SUCCESS MANAGERNAME OF ORGANIZATION : GENERATION HOPENAME : MELONEE CLARKTITLE : DIR. OF EDUCATION & COMMUNITY ENGAGEMENT NAME OF ORGANIZATION : ARC OF PRINCE GEORGE'S COUNTYNAME : GREG TAYLORTITLE : FOUNDER AND PRESIDENTNAME OF ORGANIZATION : VIBRANT HEALTH AND WELLNESS FOUNDATIONNAME : ANGELA BROWNTITLE : CLINTON RESIDENTNAME OF ORGANIZATION : CLINTON RESIDENTNAME : JELANI GINYARDTITLE : AQUATIC ASSISTANT FACILITY MANAGERNAME OF ORGANIZATION : SOUTHERN AQUATIC CENTERNAME : VANECIA DAVISTITLE : PROGRAM SPECIALIST NAME OF ORGANIZATION : PG PARKS AND RECNAME : DENISE PEAKTITLE : CANCER PROGRAM COORDINATORNAME OF ORGANIZATION : MSMHCNAME : ISIEJAH ALLENTITLE : OUTREACH AND DEVELOPMENT MANAGERNAME OF ORGANIZATION : HOPE CONNECTIONSNAME : DEACON TILLMANTITLE : FAITH BASED LEADERNAME OF ORGANIZATION : NEW HOPE BAPTIST CHURCHNAME : KRISTINA WILLIAMSTITLE : PROGRAM AND COMMUNITY HEALTH COORDINATORNAME OF ORGANIZATION : THE RODHAM INSTITUTE NAME : KIMBERLY ELLIOTTTITLE : CENTER DIR.NAME OF ORGANIZATION : JOHN E. HOWARD SENIOR CENTER NAME : RACHEL STAFFORDTITLE : WELLNESS MINISTRY COORDINATORNAME OF ORGANIZATION : ZION BAPTIST CHURCH NAME : CORPORAL TERRY GORDONTITLE : POLICE CORPORALNAME OF ORGANIZATION : PRINCE GEORGE'S COUNTY POLICE DEPARTMENT RISK MANAGEMENT UNIT(CONTINUED IN SECTION C) MEDSTAR SOUTHERN MD HOSPITAL CENTER PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE.THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS.ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. PART V, SECTION B, LINE 5: CHNA INPUT (CONTINUED) NAME : DR. TORRANCE BROWNTITLE : THE MEN'S HEALTH FORUM COMMITTEE CHAIRNAME OF ORGANIZATION : KAPPA ALPHA PSINAME : CINDY CONANTTITLE : COMMUNITY MEMBER & COMMUNITY ADVOCATENAME OF ORGANIZATION : DMV FOOD JUSTICENAME : ANGELICA CARPENTER TITLE : MINISTRY LEADNAME OF ORGANIZATION : MAPLE SPRINGS BAPTIST CHURCHNAME : SHEENA LEWIS & CARLA GIBSONTITLE : CHAIRPERSON/CEO & PRESIDENTNAME OF ORGANIZATION : POWERFUL DIVASNAME : KELLY HAYNIETITLE : DIR. OF OPERATIONSNAME OF ORGANIZATION : MSMHCNAME : DR. CHARMAINE IVEYTITLE : COMMUNITY HEALTH LEADNAME OF ORGANIZATION : MSMHCNAME : ANGELA R. JONES TITLE : DIRECTOR OF CONSTITUENT SERVICES, COUNCIL MEMBER SYDNEY J. HARRISON, DISTRICT 9NAME OF ORGANIZATION : PRINCE GEORGE'S COUNTY COUNCILNAME : CICILEY FREDERICKSTITLE : OUTREACH MANAGERNAME OF ORGANIZATION : HOPE CONNECTIONSNAME : SAVANNAH NIELSEN TITLE : HEALTH & WELLNESS ASSISTANT NAME OF ORGANIZATION : PG COUNTY PARKS AND RECREATION NAME : ROBIN HOLLARTITLE : CTO SOCIAL WORKER SOCIAL NEEDS TEAMNAME OF ORGANIZATION : MEDSTAR ACCOUNTABLE CARE: MDPCPNAME : BILL BARNESTITLE : DISTRICT 5 CITIZEN ADVISORY COUNCILNAME OF ORGANIZATION :DISTRICT 5 CITIZEN ADVISORY COUNCIL NAME : LATEEF CLEMENCIA & LARRY BURSEY TITLE : EVENT PLANNERNAME OF ORGANIZATION : FORT WASHINGTON (MD) ALUMNI CHAPTER (E), KAPPA ALPHA PSI FRATERNITY, INC.NAME : CHANTRELL M. MCCORMICKTITLE : DIR. BUSINESS DEVELOPMENTNAME OF ORGANIZATION : THE ARC OF PG COUNTYNAME : CYNTHIA A. ROSCOETITLE : MEDSTAR PFACQS COMMUNITY MEMBER (CO-CHAIR)NAME OF ORGANIZATION : MEDSTAR PFACQSNAME : JOANN TINNERTITLE : POPULATION HEALTH EQUITY COORDINATORNAME OF ORGANIZATION : MEDSTAR FAMILY CHOICENAME : OCTAVIA PETERSONTITLE : DIR. OF POPULATION HEALTH EQUITYNAME OF ORGANIZATION : MEDSTAR FAMILY CHOICENAME : IYABODE FAPARUSITITLE : COMMUNITY HEALTH EDUCATORNAME OF ORGANIZATION : MEDSTAR FAMILY CHOICENAME : FELIPE URQUILLATITLE : HUMAN TRAFFICKING DIVISION MANAGERNAME OF ORGANIZATION : PRINCE GEORGE'S COUNTY OFFICE OF HUMAN RIGHTSNAME : JHOSELYN RODRIGUEZTITLE : CEO AND FOUNDERNAME OF ORGANIZATION : COACHING SALUD HOLISTICANAME : AMY SWOBODATITLE : STROKE COORDINATORNAME OF ORGANIZATION : MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTERNAME : MARGARET FOWLERTITLE : EXECUTIVE DIR.NAME OF ORGANIZATION : TLC MARYLANDNAME : PRISCILLA THOMASTITLE : PROJECT MANAGERNAME OF ORGANIZATION : TLC MARYLANDNAME : SONIA HASKINSTITLE : DOULA, L&D NURSE, COUNTY COMMUNITY MEMBERNAME OF ORGANIZATION : CLINTON RESIDENTNAME : JENIFER ALVAREZTITLE : HEALTH EDUCATORNAME OF ORGANIZATION : COACHING SALUD HOLISTICANAME : FRANCES ROSSTITLE : FOUNDER AND POSTPARTUM MENTAL HEALTH THERAPISTNAME OF ORGANIZATION : R&R WELLNESSNAME : SCARLETH CASTROTITLE : HEALTH PRACTITIONER & NUTRITIONISTNAME OF ORGANIZATION : SYOA INTEGRATIVE WELLNESSNAME : FABIANA NEVESTITLE : HEALTH EDUCATORNAME OF ORGANIZATION : COACHING SALUD HOLISTICANAME : CYNTHIA FIELDSTITLE : ADMINISTRATIVE COORDINATORNAME OF ORGANIZATION : TLC MDNAME : MATTHEW LEVY TITLE : HEALTH OFFICERNAME OF ORGANIZATION : PRINCE GEORGE'S COUNTY HEALTH DEPT. CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST PART I, LINE 7MEDICARE COST REPORT DATA AS WELL AS COST-TO-CHARGE RATIO WERE USED TO CALCULATE FIGURES REPORTED (WHERE APPLICABLE). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGES.BAD DEBTPART III, LINES 2 & 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 REVENUERECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE.MEDICAREPART III, LINE 8MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO.PART III, LINE 9BIF 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 2IN FY21, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER (MSMHC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MSMHC'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE ON JUNE 30, 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 SOUTHERN PRINCE GEORGES COUNTY AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODE 20748. 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.MSMHC'S HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT AND BEHAVIORAL HEALTH), ACCESS TO HEALTH CARE AND SERVICES (TRANSPORTATION AND ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (EMPLOYMENT). 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. IN FY24, MSMHC CONDUCTED A CHNA AND PRODUCED A THREE-YEAR IMPLEMENTATION STRATEGY. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE BY JUNE 30, 2024, AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3AS 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 HOSPITALS 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 PATIENT'S 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 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 PLAN AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH MEDSTAR HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. . MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. . PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR 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, COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE ON 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4GEOGRAPHIC:THE HOSPITAL PRIMARILY SERVES ZIP CODE 20748 (TEMPLE HILLS) IN PRINCE GEORGE'S COUNTY. THIS COUNTY IS A DIVERSE AREA THAT INCLUDES URBAN, SUBURBAN, AND RURAL REGIONS, AND IT IS HOME TO AROUND 966,689 RESIDENTS WITH AN AVERAGE INCOME OF $94,507. 8.59% OF RESIDENTS HAVE AN INCOME BELOW THE FEDERAL POVERTY GUIDELINE, WHICH IS LOWER THAN THE NATIONAL AVERAGE OF 12.8%. IN ADDITION, 10.8% OF THE POPULATION IS UNINSURED, WHILE 17.2% RECEIVE MEDICAID AND 8.77% RECEIVE MEDICARE. BETWEEN 2019 AND 2020, THE PERCENTAGE OF UNINSURED CITIZENS IN TEMPLE HILLS, MARYLAND GREW FROM 9.54% TO 9.76%. THERE ARE EIGHT HOSPITALS IN THE COMMUNITY, AND THERE ARE SIX AREAS OR POPULATIONS IN THE COUNTY THAT ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED. THE TEMPLE HILLS POPULATION GREW BY 3.72% FROM 2019 TO 2020, REACHING 8,220 PEOPLE WITH A MEDIAN AGE OF 36. THE MEDIAN HOUSEHOLD INCOME IS $62,112. THE LARGEST ETHNIC GROUP IN TEMPLE HILLS IS BLACK OR AFRICAN AMERICAN (NON-HISPANIC), ACCOUNTING FOR 86.9% OF THE POPULATION. HISPANIC OR LATINO IS THE SECOND-LARGEST ETHNIC GROUP. ADDITIONALLY, 9.9% OF TEMPLE HILLS RESIDENTS HAVE NOT EARNED A HIGH SCHOOL DIPLOMA AND 63.3% ARE HIGH SCHOOL GRADUATES. APPROXIMATELY 25% OF RESIDENTS RELY ON PUBLIC TRANSPORTATION. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5MSMHC IS COMMITTED TO BEING A COMMUNITY PARTNER AND ENGAGING IN VARIOUS COMMUNITY BENEFIT ACTIVITIES TO ENHANCE AND PROMOTE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. THESE ACTIVITIES ARE DETERMINED BASED ON THE CHNA'S PRIORITY AREAS, WHICH INCLUDE HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH. A WIDE RANGE OF PROGRAMS ARE OFFERED, INCLUDING BUT NOT LIMITED TO:HEALTH AND WELLNESSEDUCATIONAL PROGRAMS ARE OFFERED WITH THE GOAL OF IMPROVING COMMUNITY HEALTH AND WELL-BEING. FOR EXAMPLE, THE NATIONAL DIABETES PREVENTION PROGRAM IS A FREE YEAR-LONG PROGRAM THAT IS DELIVERED IN PERSON, ONLINE, OR THROUGH A COMBINATION APPROACH. THE GOAL IS FOR PRE-DIABETIC PARTICIPANTS TO MAKE LIFESTYLE CHANGES SUCH AS EATING HEALTHIER, REDUCING STRESS, AND GETTING MORE PHYSICAL ACTIVITY TO REDUCE THE RISK OF DEVELOPING TYPE 2 DIABETES. OUR STAFF ACTIVELY ENGAGES IN COMMUNITY AND FAITH-BASED HEALTH EVENTS, INCLUDING HEALTH FAIRS, PANELS, FESTIVALS, AND EXPOSITIONS. WE PROVIDE SCREENINGS, SHARE HEALTH INFORMATION, AND EDUCATION WITH ATTENDEES. OUR OUTREACH EFFORTS EXTEND BOTH IN-PERSON AND VIRTUALLY THROUGH ENGAGING INTERVIEWS, SEMINARS, BLOGS, AND VIDEOS, ENABLING OUR HOSPITAL STAFF TO SHARE THEIR KNOWLEDGE WITH THE COMMUNITY.WE HOST "ASK THE DOC" SESSIONS THAT FEATURE HOSPITAL STAFF, PROVIDERS, AND SUBJECT MATTER EXPERTS AS GUEST SPEAKERS. THESE SESSIONS PROVIDE COMMUNITY MEMBERS WITH VALUABLE INFORMATION ON A VARIETY OF HEALTH TOPICS, RANGING FROM PREVENTIVE CARE AND NUTRITION TO CHRONIC DISEASE MANAGEMENT AND MENTAL HEALTH. BY PARTICIPATING IN THESE SESSIONS, COMMUNITY MEMBERS CAN GAIN A BETTER UNDERSTANDING OF THEIR HEALTH AND WELL-BEING, AS WELL AS LEARN HOW TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTHCARE.ACCESS TO CAREPATIENT FINANCIAL SERVICES OFFERS INVALUABLE FINANCIAL AID TO UNINSURED INDIVIDUALS LIVING WITHIN THE COMMUNITY BY FACILITATING ENROLLMENT IN PUBLICLY FUNDED ENTITLEMENT PROGRAMS, DIRECTING PATIENTS TO STATE OR FEDERAL INSURANCE EXCHANGE NAVIGATOR RESOURCES, AND ASSISTING WITH EXPLORING FUNDING FROM OTHER CHARITABLE ORGANIZATIONS. THE HOSPITAL PROVIDES SUBSIDIES FOR HEALTH SERVICES TO GUARANTEE THAT RESIDENTS CAN OBTAIN ESSENTIAL CLINICAL CARE. TO ENHANCE PUBLIC HEALTH, MSMHC PARTNERED WITH THE AMERICAN RED CROSS TO HOST BI-MONTHLY BLOOD DRIVES ON THE HOSPITAL CAMPUS TO MEET THE INCREASING DEMAND AND HELP REMEDY THE CRUCIAL BLOOD SHORTAGE. THE RED CROSS PROVIDES ABOUT 40% OF THE NATION'S BLOOD AND BLOOD COMPONENTS, ALL FROM VOLUNTEER DONORS - SUCH AS THE ONES ATTENDING OUR BLOOD DRIVES. SUPPLY CANNOT ALWAYS MEET THE DEMAND BECAUSE ONLY ABOUT 3% OF AGE-ELIGIBLE PEOPLE DONATE BLOOD YEARLY. PROVIDING A SPACE AND TIME FOR DONORS TO GIVE BACK CAN MAKE DONATING MORE ACCESSIBLE. ON AVERAGE, EACH DRIVE BRINGS IN ABOUT 25-30 DONORS AND COLLECTS ABOUT 25 UNITS OF BLOOD. EACH UNIT HAS THE POTENTIAL TO HELP THREE RECIPIENTS. TO ADDRESS TRANSPORTATION BARRIERS, WE PARTNERED WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO RESIDENTS WITH FINANCIAL NEED. THE HOSPITAL ALSO PROVIDES CAB VOUCHERS. SOCIAL DETERMINANTS OF HEALTH WE PROVIDE THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM TO SUPPORT THOSE STRUGGLING WITH SUBSTANCE ABUSE AND TO ENSURE THEY HAVE ACCESS TO BEHAVIORAL HEALTH PROGRAMS. THIS PROGRAM CONSISTS OF THREE MAIN COMPONENTS: SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THOSE WHO ARE IDENTIFIED AS HIGH-RISK ARE CONNECTED WITH PEER RECOVERY COACHES WHO PROVIDE A BRIEF INTERVENTION AND REFERRAL TO TREATMENT IF NECESSARY. TO PREVENT FUTURE OVERDOSES, THE OPIOID OVERDOSE SURVIVOR OUTREACH AND PEER RECOVERY COACHES CONNECT COMMUNITY MEMBERS WITH A HISTORY OF SUBSTANCE ABUSE TO THE RESOURCES THEY NEED.THE COMMUNITY HEALTH ADVOCATES, ALSO KNOWN AS COMMUNITY HEALTH WORKERS, WORK TOWARDS IMPROVING THEIR COMMUNITY'S HEALTH BY EDUCATING OTHERS ABOUT DISEASE AND INJURY PREVENTION AND LINKING COMMUNITY MEMBERS TO HEALTHCARE AND SOCIAL SERVICES. THESE SERVICES INCLUDE FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE. WE ALSO PROVIDE SOCIAL NEEDS SCREENINGS TO IDENTIFY AND ADDRESS FOOD AND HOUSING INSECURITY, TRANSPORTATION, EMPLOYMENT, AND UTILITY BARRIERS. FINDHELP.ORG, OUR COMMUNITY PARTNER, OFFERS AN ONLINE PLATFORM TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS.TO ADDRESS FOOD INSECURITY, WE HAVE PARTNERED WITH A COMMUNITY ORGANIZATION, FOOD JUSTICE DMV, WHO PROVIDES SHELF-STABLE PANTRY STAPLES, SUCH AS BEANS, RICE AND OIL, AND OCCASIONAL PRODUCE AND BREAD TO DISTRIBUTE FOOD TO INSECURE RESIDENTS. WE HAVE ALSO PARTNERED WITH THE GREATER DC DIAPER BANK. THROUGH THIS PARTNERSHIP WE RECEIVE DIAPERS, FEMININE PRODUCTS AND TOILETRIES THAT WE DISTRIBUTE TO COMMUNITY MEMBERS WHO HAVE TROUBLE ACCESSING THESE ESSENTIALS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6MSMHC IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HEALTH HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES 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 MSMHC WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR HEALTH'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7THE COMMUNITY BENEFIT REPORT FOR MSMHC IS FILED IN THE STATE OF MARYLAND. X X X X X X 1 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2308151 0 3403165 0 1372432 0 68539 0 37548 0 7189835 0 0 STEPHEN T MICHAELS MD PRESIDENT/DIRECTOR 579655 0 450662 0 0 0 9150 0 19358 0 1058825 0 0 0 CLYDE PRAY MD DIRECTOR 640079 0 30000 0 40000 0 9150 0 18406 0 737635 0 0 0 SEEMA PAI MD DIRECTOR 466842 0 155456 0 0 0 9150 0 9982 0 641430 0 0 0 DAVID HAVRILLA FORMER OFFICER 0 294810 0 130187 0 0 0 9150 0 18500 0 452647 0 0 MICHAEL MEISEL CFO/TREASURER (UNTIL 08/2023) 0 307987 0 105892 0 0 0 9150 0 21102 0 444131 0 0 WILLIAM O SUDDATH MD DIRECTOR (UNTIL 1/2024) 285576 0 83462 0 27406 0 9150 0 13089 0 418683 0 0 0 DANIEL FEELEY FORMER OFFICER 0 294324 0 60093 0 0 0 9129 0 23236 0 386782 0 0 PURVI JANI CFO/TREASURER 0 320315 0 0 0 0 0 8956 0 10013 0 339284 0 0 ANNETTE BRONER SECRETARY 0 241602 0 55746 0 0 0 8573 0 22675 0 328596 0 0 KELLY HAYNIE VP, OPERATIONS 239711 0 59005 0 0 0 2614 0 10294 0 311624 0 0 0 EMILY HALEY PHYSICIAN ASSISTANT 252536 0 0 0 0 0 8536 0 20126 0 281198 0 0 0 FRANCISCA SARFO PHARMACY DIRECTOR 239162 0 0 0 10000 0 2110 0 22749 0 274021 0 0 0 BELEN BASILAN REGISTERED NURSE 230963 0 0 0 0 0 9150 0 22192 0 262305 0 0 0 SALLU MUNU REGISTERED NURSE 235906 0 0 0 0 0 7365 0 437 0 243708 0 0 0 ROBERT LALLY FORMER OFFICER 0 9348 0 0 0 204382 0 0 0 0 0 213730 0 0 SCHEDULE J, PART III DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A PAYMENT OF $1,372,432, WHICH REPRESENTS THE CASH VALUE OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. MICHAEL MEISEL'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR ST. MARY'S HOSPITAL AND MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. ROBERT LALLY'S COMPENSATION IS FOR SERVICES PREVIOUSLY PROVIDED AS CFO TO MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR HARBOR HOSPITAL, MEDSTAR ST. MARY'S HOSPITAL, AND MEDSTAR SOUTHERN MARYLAND HOSPITAL. ROBERT LALLY'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $204,382 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MR. LALLY. CLYDE PRAY'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $40,000 REPRESENTING RETENTION BONUS PAYMENTS RECEIVED BY DR. PRAY. CMI GENERAL CONTRACTORS INC SUBSTANTIAL CONTRIBUTOR 986801 CONSTRUCTION 0 FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. FORM 990, PART VI, SECTION B, LINE 11B PROCESS FOR REVIEWING FORM 990 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). FORM 990, PART VI, SECTION B, LINE 15 DESCRIPTION OF EXECUTIVE COMPENSATION THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. FORM 990, PART IX, LINE 11G PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 6,663. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,663. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 32,968,845. MANAGEMENT AND GENERAL EXPENSES 70,416. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,039,261. PURCHASED PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 10,619,331. MANAGEMENT AND GENERAL EXPENSES 1,580,906. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,200,237. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,943,979. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,943,979. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,530. MANAGEMENT AND GENERAL EXPENSES 2,651,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,682,125. NON-PHYS INTERCO PURCH SRVS: PROGRAM SERVICE EXPENSES 98,734. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,734. COMMERCIAL LAUNDRY: PROGRAM SERVICE EXPENSES 484,262. MANAGEMENT AND GENERAL EXPENSES 4,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 488,865. PROTECTION SERVICES: PROGRAM SERVICE EXPENSES 290,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 290,306. LAB SERVICES: PROGRAM SERVICE EXPENSES 508,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 508,250. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 318. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 44,945. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,945. COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 41,329. MANAGEMENT AND GENERAL EXPENSES 2,956. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,285. BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 80,526. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,526. MISCELLLANEOUS FEES FOR SVCS: PROGRAM SERVICE EXPENSES 2,656,505. MANAGEMENT AND GENERAL EXPENSES 3,443,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,099,721. SECURITY SYSTEM-CONTRACT SVC: PROGRAM SERVICE EXPENSES 80,222. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,222. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS 31,137,613. 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