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        <PersonNm>JONATHAN EFRON MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA GIANGIULI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH FLANAGAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <PersonNm>JON SLABAUGH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <PersonNm>MARK FUTROVSKY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <PersonNm>DAVID RUBEN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL A SMITH MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEE WEINSTEIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUE WINGATE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA THOMPSON MELTON MHA</PersonNm>
        <TitleTxt>PRESIDENT THRU 2/5/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER B MANCINO ESQ</PersonNm>
        <TitleTxt>ASSISTANT SECRETARY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIM ELYANOW</PersonNm>
        <TitleTxt>VICE PRESIDENT, FINANCE &amp; TREASURER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEIGHANN SIDONE DNP RN CENP</PersonNm>
        <TitleTxt>PRESIDENT 4/21/24, CNO THRU 4/20/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANU MULLICK</PersonNm>
        <TitleTxt>VP, STRATEGIC INITIAITIVES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VADIM SCHICK</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALVIN D'ANGELO</PersonNm>
        <TitleTxt>VICE PRESIDENT, OPERATIONS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CINDY MERZ MS</PersonNm>
        <TitleTxt>VICE PRESIDENT, DEVELOPMENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE CHEELY MD</PersonNm>
        <TitleTxt>VICE PRESIDENT, MEDICAL AFFAIRS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIFFANY PRATT</PersonNm>
        <TitleTxt>VP, HR, NATIONAL CAP REGION</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER RAYNOR</PersonNm>
        <TitleTxt>DEPARTMENT DIRECTOR PHARMACY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EUNICE D'AUGOSTINE</PersonNm>
        <TitleTxt>DIRECTOR NURSING SYSTEMS &amp; OPERATIONS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW TOVORNIK</PersonNm>
        <TitleTxt>EXEC DIR PERIOPERATIVE SVCS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GRETA CUCCIA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEIMING WANG</PersonNm>
        <TitleTxt>LEAD SPECIALTY APP CARDIAC OR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ATUL ROHATGI MD</PersonNm>
        <TitleTxt>FORMER INTERIM OFFICER</TitleTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>FIRST COLONIES ANESTHESIA ASSOCIATES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12222 MERIT DR STE 700</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75251</ZIPCd>
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        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPECIALTY CARE CARDIOVASCULAR RESOURCES</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO BOX 11407</AddressLine1Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35246</ZIPCd>
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        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE INC</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JEFFREY BROWN CONTRACTING LLC</BusinessNameLine1Txt>
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            <AddressLine1Txt>400 E JOPPA ROAD</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21286</ZIPCd>
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      <GovernmentGrantsAmt>2064625</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>371505562</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>5815235</TotalRevenueColumnAmt>
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        <OtherAmt>96526</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>6158717</SecuritiesAmt>
        <OtherAmt>-96526</OtherAmt>
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        <TotalRevenueColumnAmt>6062191</TotalRevenueColumnAmt>
        <ExclusionAmt>6062191</ExclusionAmt>
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        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
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        <Desc>PARKING</Desc>
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        <TotalRevenueColumnAmt>754388</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>754388</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA INCOME</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>731680</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>731680</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>544935</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>5231654</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>394276311</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>377641773</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>564408</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11877426</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>69722</TotalAmt>
        <ProgramServicesAmt>69722</ProgramServicesAmt>
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        <TotalAmt>152114752</TotalAmt>
        <ProgramServicesAmt>131716164</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20398588</ManagementAndGeneralAmt>
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        <TotalAmt>4227009</TotalAmt>
        <ProgramServicesAmt>3660167</ProgramServicesAmt>
        <ManagementAndGeneralAmt>566842</ManagementAndGeneralAmt>
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        <TotalAmt>15471963</TotalAmt>
        <ProgramServicesAmt>13397173</ProgramServicesAmt>
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        <OwnWebsiteURLTxt>SEE SUPPLEMENTAL INFORMATION</OwnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUBURBAN HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: SUBURBAN HOSPITAL'S FOOTPRINT IS ROOTED IN COMMUNITY HEALTH. IN LIVING OUT ITS MISSION TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY, THE SERVICES AND CARE PROVIDED BY OUR COLLEAGUES EXPAND BEYOND THE WALLS OF THE HOSPITAL TO NURTURE A HEALTHY, VIBRANT AND RESILIENT MONTGOMERY COUNTY. THE FOLLOWING, SPEARHEADED BY THE COMMUNITY HEALTH AND WELLNESS (CHW) DIVISION, DESCRIBES SUBURBAN'S PROCESS FOR COMMUNITY HEALTH IMPROVEMENT, WHICH GUIDES AND INFORMS OUR WORK TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTH EQUITY.THE CHW DIVISION IS A TEAM OF NURSES, PUBLIC HEALTH PROFESSIONALS AND EDUCATORS, ARMED WITH TRAINING, KNOWLEDGE AND EXPERIENCE IN PUBLIC HEALTH PRINCIPLES. THEY SERVE, INDIVIDUALLY AND COLLECTIVELY, AS PUBLIC HEALTH RESOURCES, COACHES AND GUIDES, DUE IN PART TO THEIR EDUCATIONAL BACKGROUND, TRUSTED RELATIONSHIPS BUILT IN THE COMMUNITY, AND FIRSTHAND KNOWLEDGE OF THE MAJOR HEALTH CONCERNS, BARRIERS AND NEEDS. IN SERVING THE SUBURBAN HOSPITAL MISSION OF IMPROVING HEALTH WITH SKILL AND COMPASSION, THE DIVISION LEVERAGES STRATEGIC PARTNERSHIPS WITH LOCAL GOVERNMENT, COALITIONS, COMMUNITY PARTNERS AND LEADERS TO ENSURE COMMON GOALS ARE ESTABLISHED TO PROVIDE RESOURCES TO THE COUNTY'S MOST VULNERABLE RESIDENTS. THE UTILIZATION OF RIGOROUS MEASUREMENT, EVALUATION AND ANALYSIS ENSURE THAT THE REPORTING OF HEALTH IMPROVEMENT OUTCOMES ACHIEVE THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ANNUAL COMMUNITY BENEFIT REQUIREMENTS AND GOALS.AFTER YEARS OF PLANNING AND COLLECTIVE DESIGN, SUBURBAN HOSPITAL'S MOST RECENT CHNA, COMPLETED IN JUNE 2022, IS THE RESULT OF A UNIQUE COLLABORATIVE EFFORT WITH EACH OF THE FOUR HOSPITAL SYSTEMS IN MONTGOMERY COUNTY, MD. THE 2022 CHNA IS REFERRED TO AS THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE, OR MCHC. THE MCHC ADDRESSES 34 ZIP CODES SERVED BY ADVENTIST HEALTHCARE (ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, AND THE ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER), HOLY CROSS HEALTH (HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL), MEDSTAR HEALTH (MEDSTAR MONTGOMERY MEDICAL CENTER) AND SUBURBAN HOSPITAL. THE METHODOLOGY UTILIZED TO IDENTIFY THE GREATEST HEALTH NEEDS WAS THOUGHTFUL AND DELIBERATE. THE MCHC CHNA USED A SYSTEMATIC DATA COLLECTION AND ANALYSIS PROCESS TO IDENTIFY KEY HEALTH NEEDS AND ISSUES THAT PERSIST IN OUR COMMUNITY. IN ADDITION TO USING THE HIGHEST QUALITY DATA AVAILABLE FROM PRIVATE AND PUBLIC SOURCES, THE MCHC CHNA WAS PROACTIVE IN ENGAGING A BROAD AND DIVERSE LEVEL OF STAKEHOLDERS AT KEY STAGES OF THE ASSESSMENT VIA SURVEYS AND COMMUNITY CONVERSATIONS. DATA COLLECTION OCCURRED BETWEEN APRIL 2021 AND MARCH 2022. THE 2022 MCHC CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THOSE SERVED. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRST-HAND INFORMATION, FROM THE FOLLOWING:-HEALTHY MONTGOMERYSERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, HOSPITAL SYSTEMS, MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS.-EXTERNAL ADVISORY GROUPSTHE MCHC CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. PARTICIPANTS INCLUDED MONTGOMERY COUNTY'S HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (MCDHHS), VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDED ONGOING INPUT TO ENSURE THE MCHC IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSION, AND DATA EXPLORATION PROCESS.-COMMUNITY SURVEYS, CONVERSATIONS AND KEY INFORMANT INTERVIEWSIN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION CHNA SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDED COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MCDHHS PROVIDED OVERSIGHT, PARTICIPATION, AND SUPPORT.SUBURBAN HOSPITAL CONVENED ITS OWN AD HOC COMMITTEE TO CONDUCT A PRIORITIZATION PROCESS FOR THE IDENTIFIED UNMET HEALTH NEEDS. THIS GROUP, COMPRISED OF STAKEHOLDERS BOTH INTERNAL AND EXTERNAL TO THE HOSPITAL WERE MEMBERS OF EITHER A DISEASE OR CONDITION-SPECIFIC ADVISORY GROUP REFERRED TO AS THOUGHT LEADERS, OR AS A MEMBER OF THE COMMUNITY HEALTH IMPROVEMENT ADVISORY COUNCIL (CHIAC). ON MAY 13, 2022, REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS CONVENED TO REVIEW AND EVALUATE THE CHNA FINDINGS AS WELL AS ESTABLISH AN ACCEPTABLE PRIORITIZATION PROCESS. THOUGHT LEADERS:BETHESDA NEWTRITION &amp; WELLNESS SOLUTIONSEVERYMINDFRIENDSHIP HEIGHTS NEIGHBOR NETWORKJOHNS HOPKINS COMMUNITY PHYSICIANS HEART CAREMONTGOMERY COUNTY PUBLIC SCHOOLS PHYSICIAN REPRESENTING PRIVATE PRACTICESUBURBAN HOSPITAL PATIENT AND FAMILY ADVISORY COUNCILSUBURBAN HOSPITALCOMMUNITY HEALTH IMPROVEMENT ADVISORY COUNCIL:ALPHA PHI ALPHA FRATERNITY BRADLEY HILLS VILLAGECATHOLIC CHARITIESEVERYMINDGIRLS ON THE RUN MONTGOMERY COUNTYMARY'S CENTERMERCY HEALTHMOBILE MEDICAL CARE, INC.MYFINANCIALPARENT ENCOURAGEMENT PROGRAMSUBURBAN HOSPITALNEEDS ASSESSMENTS AND REPORTS:AS AVAILABLE, THE MCHC USED A RANGE OF NEEDS ASSESSMENTS AND REPORTS TO IDENTIFY UNMET NEEDS, ESPECIALLY FOR POPULATIONS WITH LIMITED ACCESS TO CARE, SENIORS, AND WOMEN AND CHILDREN, INCLUDING: AFRICAN AMERICAN HEALTH PROGRAM ANNUAL REPORT FY2020 AFRICAN AMERICAN HEALTH PROGRAM GEOGRAPHIC HOT SPOT REPORT 2019 ASIAN AMERICAN HEALTH INITIATIVE ANNUAL REPORT FY2021 BLUEPRINT FOR ASIAN AMERICAN HEALTH INITIATIVE 2020-2030 BLUEPRINT FOR LATINO HEALTH IN MONTGOMERY COUNTY 2017-2026 CDC NATIONAL DIABETES STATISTICS REPORT 2020 COMMUNITY ACTION PARTNERSHIP, COMMUNITY NEEDS ASSESSMENT 2019-2022 LATINO HEALTH INITIATIVE ANNUAL REPORT FY2019 MONTGOMERY COUNTY COLLABORATION COUNCIL, COMMUNITY NEEDS ASSESSMENT, 2020 MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES MCDHHS, HEALTH EQUITY IN MONTGOMERY COUNTY 2010-2018 MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, STATUS OF HEALTH IN MONTGOMERY COUNTY FY2018 MONTGOMERY COUNTY FOOD COUNCIL ANNUAL REPORT 2020 PRINCE GEORGE'S COUNTY COMMUNITY HEALTH ASSESSMENT 2019 PRINCE GEORGE'S COUNTY FOOD SECURITY TASK FORCE REPORT 2021 PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, HEALTH REPORT 2018 STATE OF MARYLAND VITAL STATISTICS ANNUAL REPORT 2019 STATE OF MARYLAND, DIABETES IN MARYLAND ACTION PLAN SURVEILLANCE REPORT ON POPULATION HEALTH, HEALTH IN MONTGOMERY COUNTY 2010-2019 THRIVE MONTGOMERY 2050 (DRAFT) TRINITY HEALTH SYSTEM FULL ASSESSMENT REPORT 2021 TRUST FOR AMERICA'S HEALTH, THE STATE OF OBESITY REPORT 2021 P UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS DATA P USDA ECONOMIC RESEARCH REPORT, HOUSEHOLD FOOD SECURITY IN THE US 2020OTHER AVAILABLE DATATHE MCHC ALSO REVIEWED INTERNAL PATIENT DATA, E.G. EMERGENCY ROOM UTILIZATION, PATIENT READMISSIONS, AND WHERE AVAILABLE, ACCESSED PUBLICLY AVAILABLE DATA ON MARKET ANALYSES, HEALTH INDICATORS, AND SOCIAL DETERMINANTS OF HEALTH. THESE SETS OF DATA PROVIDED A DETAILED LOOK AT THE COMMUNITY BY IDENTIFYING DISPARITIES THAT MIGHT NOT SURFACE WHEN LOOKING AT ONLY COUNTY OR STATE DATA. IN ADDITION, MEMBERS OF THE MCHC REGULARLY PARTICIPATE IN COALITIONS, COMMISSIONS, COMMITTEES, PARTNERSHIPS, AND PANELS, AFFORDING A DEEP UNDERSTANDING OF HEALTH OPPORTUNITIES AND CHALLENGES RESONATING WITHIN THE COMMUNITY.THE SUBURBAN HOSPITAL BOARD OF TRUSTEES APPROVED THE 2022 CHNA ON JUNE 2, 2022. IT WAS POSTED ON SUBURBAN'S WEBSITE ON JUNE 28, 2022.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUBURBAN HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE COLLABORATIVE CHNA INCLUDED ALL HOSPITALS IN MONTGOMERY COUNTY:1. ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER2. ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER3. HOLY CROSS HOSPITAL 4. HOLY CROSS GERMANTOWN HOSPITAL 5. MEDSTAR MONTGOMERY MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUBURBAN HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: A FULL COPY OF THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AVAILABLE IN PRINT AT SUBURBAN HOSPITAL AND ON THE HOSPITAL'S WEBSITE. IN ADDITION, COMPONENTS OF THE CHNA WERE MADE AVAILABLE THROUGH THE HOSPITAL'S ELECTRONIC HEALTH AND WELLNESS NEWSLETTER KNOWN AS WELLWORKS. COPIES OF THE CHNA AND IP WERE ALSO DISSEMINATED TO MEMBERS OF SUBURBAN'S COMMUNITY HEALTH IMPROVEMENT ADVISORY COUNCIL, HOSPITAL LEADERSHIP AND IT'S THOUGHT LEADERS COUNCIL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUBURBAN HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE 2022 IMPLEMENTATION STRATEGY IS THE HOSPITAL'S FORMAL RESPONSE TO THE NEEDS ASSESSMENT AND WAS DRAFTED COLLABORATIVELY AMONG ALL SIX MONTGOMERY COUNTY HOSPITALS. IT OUTLINES THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) PLAN TO ADDRESS EACH OF THE NINE PRIORITIZED UNMET HEALTH NEEDS, SPECIFICALLY NOTING THE ACTIONS EACH HOSPITAL INTENDS TO TAKE AND THE ANTICIPATED IMPACT OF THESE ACTIONS. APPROVED AND ADOPTED BY SUBURBAN HOSPITAL'S BOARD OF TRUSTEES ON SEPTEMBER 22, 2022, THE MCHC IMPLEMENTATION STRATEGY REFLECTS AN OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. TO ADDRESS THE UNMET NEEDS, THE MCHC FOCUSES ON PREVENTION, EDUCATION, AND DISEASE MANAGEMENT INITIATIVES. UPSTREAM ISSUES WILL BE ADDRESSED THROUGH POLICY, SYSTEM, AND ENVIRONMENTAL STRATEGIES IN AN EFFORT TO IMPROVE WELLNESS AND ADDRESS CONTRIBUTING FACTORS THAT AFFECT HEALTH OUTCOMES ACROSS THE COMMUNITY. THE COLLABORATIVE APPROACH OF THE 2022 IMPLEMENTATION STRATEGY POSITIONS SUBURBAN AND THE OTHER HOSPITALS TO ADDRESS ALL NINE UNMET NEEDS VIA A COLLECTIVE APPROACH THAT BUILDS ON STRENGTHENING AND EXPANDING EXISTING INFRASTRUCTURE AND SHARED MEASUREMENT SYSTEMS. TO ACHIEVE THIS GOAL, EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION. INTEGRATING BOTH THE MCHC AND HOSPITAL'S IMPLEMENTATION AND INTERNAL STRATEGIC GOALS, THE HOSPITAL'S STRATEGIC PLAN IS ALIGNED TO INCREASE ACCESS OF HEALTHCARE TO OUR MOST VULNERABLE PATIENTS AND COMMUNITIES. DELIBERATELY APPLYING A COLLECTIVE IMPACT APPROACH, THE SUBURBAN HOSPITAL COMMUNITY HEALTH AND WELLNESS (CHW) DIVISION GUIDES AND SUPPORTS THE FOLLOWING POPULATION HEALTH OBJECTIVES: A SEAMLESS TRANSITION AND BETTER MANAGEMENT OF PATIENTS' COMPLEX NEEDS FROM HOSPITAL TO HOME THROUGH THE DEPLOYMENT OF FOUR TRANSITION GUIDE NURSES. A RE-ADMISSIONS REDUCTION STRATEGY THAT SUPPORTS "AGING IN PLACE" VIA A VILLAGE ALLIANCE MODEL WITHIN SUBURBAN HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) ZIP CODES. DATA ANALYTICS TO IDENTIFY VULNERABLE COMMUNITIES IN SUBURBAN HOSPITAL'S CBSA ZIP CODES TO SUPPORT AND INTEGRATE POPULATION HEALTH-SPECIFIC INTERVENTIONS WITH THE GOAL OF REDUCING HEALTH INEQUITIES AS OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. INTEGRATION OF POPULATION HEALTH INTERVENTIONS AIMED AT REDUCING HEALTH INEQUITIES AND COLLABORATING WITH SAFETY NET CLINICS IN MONTGOMERY COUNTY TO INCREASE ACCESS OF CARE TO UNDERSERVED POPULATIONS AND PROVIDE A CONTINUUM OF CARE IN CHRONIC DISEASE MANAGEMENT INTERVENTIONS. LEVERAGING CURRENT STAKEHOLDER RESOURCES TO IDENTIFY AND ADDRESS GAPS WITHIN POPULATION-SPECIFIC BEHAVIORAL HEALTH DISPARITIES AND SEEK TO IMPROVE ACCESS TO URGENT CARE MENTAL HEALTH SERVICES THROUGH HEALTHY MONTGOMERY AND BY PARTNERING WITH SAFETY NET CLINICS. BRIDGING THE NEEDS OF PATIENTS THROUGH A COMMUNITY HEALTH WORKER MODEL THAT FOCUSES ON STRATEGIES THAT INFLUENCE HEALTH OUTCOMES, SUCH AS TRANSPORTATION, FOOD INSECURITY, TOBACCO USE, AND ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES. HEALTHY MONTGOMERY 2016 CHNA IDENTIFIED SIX KEY HEALTH PRIORITIES AND ONE EMERGING ISSUE, RESPECTIVELY: CHRONIC CONDITIONS, CARDIOVASCULAR HEALTH, DIABETES, CANCERS, MATERNAL AND INFANT HEALTH, BEHAVIORAL HEALTH, AND HEROIN AND OPIOID MISUSE. AN IDENTIFIED NEED FOR WHICH SUBURBAN HOSPITAL IS NOT ALIGNED TO ADDRESS IS MATERNAL AND INFANT HEALTH. SUBURBAN HOSPITAL DOES NOT EMPLOY AN OBSTETRICS SERVICE LINE NOR DELIVERS BABIES. ONE REASON FOR NOT SEEKING THIS DESIGNATION IS TO AVOID DUPLICATION OF SERVICES; THERE ARE SEVERAL OTHER COMMUNITY HOSPITALS WITHIN 5-10 MILES OF OUR BETHESDA LOCATION WITH REPUTABLE OBSTETRICS PROGRAMS. WHILE THE HOSPITAL MAY NOT BE ABLE TO ADDRESS THIS HEALTH PRIORITY DIRECTLY, SUBURBAN HOSPITAL DOES INDIRECTLY SUPPORT MATERNAL AND INFANT HEALTH INITIATIVES THROUGH FUNDING AND PROGRAMMING OF SEVERAL OTHER ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES. NOTABLY, SUBURBAN HOSPITAL SUPPORTS PARENT ENCOURAGEMENT PROGRAM (PEP) IN THEIR EFFORTS TO BRING PARENTING EDUCATION TO PARENTS IN MONTGOMERY COUNTY THROUGH THEIR "CRITICAL TOPICS IN PARENTING" WEBINAR SERIES AND THEIR FAMILY RESILIENCY PROGRAM. TOPICS COVERED IN THEIR "CRITICAL TOPICS IN PARENTING" WEBINAR SERIES INCLUDE: "THE POWER OF PRESENCE WITH JOY THOMAS MOORE," "HELPING KIDS FEEL HOPEFUL AND "KIDS, DRUGS &amp; ALCOHOL: WHAT TO KNOW AND HOW TO TALK ABOUT IT," TO NAME A FEW. PEP'S FAMILY RESILIENCY PROGRAM IS A CULTURALLY COMPETENT SUPPORT GROUP-STYLE PROGRAM OFFERED IN ENGLISH AND SPANISH THAT PROVIDES PARENTS AND CAREGIVERS WITH TOOLS TO HELP THEM SUPPORT THEIR CHILDREN COPE WITH STRESS AND ANXIETY. PARENTS ALSO LEARN HOW TO STRENGTHEN THEIR RELATIONSHIPS AND COMMUNICATIONS WITH THEIR CHILDREN; EFFECTIVE LIMIT SETTING; PROBLEM-SOLVING SKILLS; AND HOW TO MANAGE THEIR OWN ANGER. SUPPORTED BY SUBURBAN HOSPITAL, OVER 600 PARENTS AND CAREGIVERS COMPLETED THE PROGRAM IN FY2024. IN ADDITION, SUBURBAN HOSPITAL PROVIDES FINANCIAL SUPPORT TO SAFETY NET CLINICS IN MONTGOMERY COUNTY WHO TREAT SPECIFIC PATIENTS REQUIRING OBSTETRIC OR PEDIATRIC CARE. THE HOSPITAL IS ALSO THE OFFICIAL HEALTH SPONSOR OF GIRLS ON THE RUN MONTGOMERY COUNTY, PROVIDING DISCOUNTED CPR TRAINING CLASSES TO THE COACHES, PURCHASING SHOES AND HEALTHY SNACKS FOR STUDENTS FROM TITLE I SCHOOLS, AND PROVIDING HEALTH TIPS ON THE GIRLS ON THE RUN MONTGOMERY COUNTY WEBSITE.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>WWW.HOPKINSMEDICINE.ORG/ABOUT/COMMUNITY-HEALTH/SUBURBAN-HOSPITAL/NEEDS-ASSESSMENT#NEEDS-REPORT</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>WWW.HOPKINSMEDICINE.ORG/ABOUT/COMMUNITY-HEALTH/SUBURBAN-HOSPITAL/NEEDS-ASSESSMENT#NEEDS-REPORT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16A</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16B</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE DETAILS IN SCH H, PART V, SECTION B, LINE 13.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>-A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM OUR HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO.- LINE 7B - MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED 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.- LINE 7F COLUMN (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 REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO HEALTH PROFESSIONS EDUCATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBURBAN HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBURBAN HOSPITAL ADDRESSES MANY THE COMMUNITY'S UNMET HEALTH NEEDS BY LEVERAGING RESOURCES WITH LONG-STANDING COMMUNITY COALITIONS, PARTNERS, ADVISORY GROUPS, BOARDS, PANELS, AND COMMITTEES, AS WELL AS BY SERVING ON LOCAL COUNTY COMMISSIONS, SUCH AS THE MONTGOMERY CARES PROGRAM ADVISORY BOARD. IN ADDITION, SUBURBAN HOSPITAL WORKS CLOSELY WITH MCDHHS, PUBLIC HEALTH OFFICIALS, AND LEADERS OF ALL SIX MONTGOMERY COUNTY HOSPITALS TO IDENTIFY POTENTIAL GAPS IN LOCAL SERVICES THAT CAN NEGATIVELY INFLUENCE HEALTH AND WELL-BEING. SUBURBAN HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES SUPPORT AND PROMOTE THE HEALTH IMPROVEMENT OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF INITIATIVES THAT LEVERAGE AND HIGHLIGHT THE EXPERTISE AND INSIGHT OF LOCAL AND TRUSTED ORGANIZATIONS. THE GOAL IS TO AVOID DUPLICATION AND RESERVE RESOURCES FOR THOSE WHO NEED THEM THE MOST. THE LIST OF SUBURBAN HOSPITAL'S LONG STANDING PARTNERS INCLUDE: 4MONTGOMERYKIDS, A WIDER CIRCLE, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN RED CROSS, ARCHDIOCESES HEALTHCARE NETWORK/CATHOLIC CHARITIES OF WASHINGTON DC, BETHESDA CARES, BETHESDA CHEVY CHASE ROTARY CLUB, BETHESDA CHEVY CHASE YMCA, CHARLES E. SMITH LIFE COMMUNITIES, CATHOLIC CHARITIES CENTER, EVERYMIND, GREATER BETHESDA CHAMBER OF COMMERCE, IDENTITY INC., LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY CHAMBER OF COMMERCE, MONTGOMERY COUNTY CANCER CRUSADE/TOBACCO COALITION, MONTGOMERY COUNTY HEALTH AND HUMAN SERVICES, MONTGOMERY COUNTY CHAMBER OF COMMERCE, MONTGOMERY COUNTY SENIOR HEALTH AND WELLNESS ADVISORY COUNCIL, MONTGOMERY COUNTY FOOD COUNCIL, MANNA FOOD, MOBILE MEDICAL CARE, INC., NOURISHING NOW, NEXUS MONTGOMERY, PROYECTO SALUD CLINIC, PARENT ENCOURAGEMENT PROGRAM (PEP), SCOTLAND COMMUNITY PARTNERSHIP, STEPPING STONES SHELTER, THE UNITED WAY NATIONAL CAPITAL REGION, WASHINGTON METROPOLITAN OASIS AND AGING IN PLACE VILLAGE ALLIANCES ARE ALL VALUABLE ASSETS TO IDENTIFYING THE DIVERSITY OF COMMUNITY NEED AND ENGAGEMENT.EXAMPLES OF HOW SUBURBAN HOSPITAL DELIVERS PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE UNDERSERVED, VULNERABLE YOUTH AND SENIOR POPULATIONS ACROSS THE THREE OVERARCHING HEALTH PRIORITY AREAS INCLUDE:ACCESS TO CARESUBURBAN HOSPITAL PROVIDES FREE DIAGNOSTIC, OUTPATIENT AND INPATIENT HEALTH SERVICES TO MOBILE MEDICAL CARE, INC., A LOCAL CLINIC THAT PROVIDES FREE AND LOW-COST MEDICAL CARE FOR THE UNINSURED. MOREOVER, SUBURBAN PROVIDES THESE SAME FREE AND WARP AROUND SERVICES MORE TO ADDITIONAL MONTGOMERY CARE CLINICS LOCATED ACROSS MONTGOMERY COUNTY. MONTGOMERY CARES IS A PUBLIC-PRIVATE PARTNERSHIP COMPRISED OF 11 INDEPENDENT SAFETY-NET PRIMARY CARE CLINICS, SIX HOSPITALS, AND THE MCDHHS. AS OF APRIL 2024, SUBURBAN HOSPITAL HAS BEEN APPOINTED BY THE COUNTY EXECUTIVE TO REPRESENT THE SIX HOSPITALS ON THE MONTGOMERY CARES PROGRAM ADVISORY BOARD FOR A THREE-YEAR TERM.IN MONTGOMERY COUNTY AND THROUGHOUT THE STATE OF MARYLAND, THE NEED FOR SPECIALTY CARE IS SUBSTANTIAL. SUBSIDIZED SPECIALTY CARE PROGRAMS IN THE AREA ARE SATURATED WITH LONG WAITING LISTS. AS A RESULT, MANY COUNTY RESIDENTS SUFFER COMPLICATIONS FROM THEIR DISEASES BECAUSE THEY ARE UNABLE TO ACCESS TIMELY SPECIALTY CARE. THIS PROVIDED THE IMPETUS FOR THE MOBILEMED/NIH HEART CLINIC, WHICH STRIVES TO ADDRESS A LEADING CAUSE OF DEATH IN MONTGOMERY COUNTYCARDIOVASCULAR DISEASE. REFERRED FROM SAFETY NET CLINICS IN THE COUNTY, CLINIC PATIENTS ARE EVALUATED BY A SUBURBAN CARDIOLOGIST AND CLINICAL STAFF FROM THE NIH. SINCE 2007, THE CLINIC, IN COLLABORATION WITH MOBILE MEDICAL CARE, INC. THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE, AND SUBURBAN HOSPITAL, HAVE SERVED WELL OVER 8,400 PATIENTS AND HAS CONDUCTED MULTIPLE OPEN-HEART SURGERIES AT NO COST TO PATIENTS WHO ARE IN URGENT NEED OF SPECIALTY CARE AND INPATIENT SERVICES. THIS MODEL HAS SERVED AS A CATALYST FOR ADDRESSING OTHER HEALTH PRIORITIES IN A SIMILAR MANNER. ALARMINGLY HIGH RATES OF DIABETES, ALONG WITH DIFFICULTY ACCESSING SPECIALTY CARE LED TO THE CREATION OF THE MOBILE MED/NIH ENDOCRINE CLINIC AT SUBURBAN HOSPITAL IN 2010. THE ENDOCRINE CLINIC FOLLOWS THE MOBILEMED/NIH HEART CLINIC'S BEST-PRACTICE MODEL BY DRAWING UPON THE EXPERTISE AND RESOURCES OF MOBILE MEDICAL CARE, INC., THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES, AND SUBURBAN HOSPITAL TO OFFER ONE-OF-A-KIND, COMPREHENSIVE ENDOCRINE CARE SPECIALTY SERVICES TO LOW-INCOME, UNINSURED RESIDENTS OF MONTGOMERY COUNTY. STAFF FROM THE THREE INSTITUTIONS VOLUNTEER THEIR TIME ONCE A WEEK BY PROVIDING DIAGNOSTIC TESTS, LABORATORY SERVICES AND FREE MEDICAL EXAMINATIONS. TO DATE, THE CLINIC HAS TREATED OVER 5,400 PATIENTSHEALTHY BEHAVIORSTO ADDRESS THE HIGH NUMBERS OF BOTH PHYSICAL INACTIVITY AND SOCIAL ISOLATION AMONG THE GROWING AGING POPULATION, SUBURBAN HOSPITAL OFFERS SENIOR SHAPE, AN EXERCISE PROGRAM FOR THOSE 55 AND GREATER OLDER DESIGNED TO IMPROVE AND MAINTAIN BALANCE, MUSCLE STRENGTH, FLEXIBILITY, AND ENDURANCE THROUGH VARIOUS FITNESS CLASSES. THE PROGRAM INCLUDES WEIGHT TRAINING, AEROBICS/STRENGTH AND STRETCH, STABILITY BALL, FLEXIBLE STRENGTH, ADVANCED WEIGHT TRAINING, AND ADVANCED AEROBIC/STRENGTH AND STRETCH EXERCISES AND IS OFFERED VIRTUALLY AND IN PERSON IN BOTH MONTGOMERY AND PRINCE GEORGE'S COUNTIES. EDUCATION, INCOME, JOB &amp; ENVIRONMENTTHE MEDICAL EXPLORING PROGRAM (MEP) IS A SIGNATURE, ONE-OF-A-KIND, INTERACTIVE, EDUCATIONAL, AND WORKFORCE DEVELOPMENT PROGRAM DESIGNED FOR HIGH SCHOOL STUDENTS INTERESTED IN PURSUING A CAREER PATH IN HEALTH, SCIENCE AND MEDICINE. OFFERED IN A COMMUNITY HOSPITAL SETTING, HIGH SCHOOL STUDENTS LEARN ABOUT CAREER OPTIONS FROM THE REGION'S TOP PHYSICIANS, SURGEONS, AND HEALTH CARE PROFESSIONALS AS WELL AS OBTAIN CRITICAL HANDS-ON EXPERIENCE AND TRAINING IN AREAS SUCH AS CPR AND BLEEDING CONTROL. THE ACADEMIC YEAR-LONG PROGRAM IS LED BY STUDENT OFFICERS, ELECTED BY THEIR PEERS, WHO HAVE FULL RESPONSIBILITY IN COORDINATING THE ATTENDANCE OF MORE THAN 180 REGISTERED STUDENTS IN EACH OF THE BI-MONTHLY INTERACTIVE SEMINARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>MARYLAND HOSPITALS ARE RATE REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THE RATE REGULATION, SHI CANNOT DETERMINE THE AMOUNT THAT REASONABLE COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 17.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRIAL BALANCE EXPENSES ARE ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH THE MEDICARE COST REPORTING RULES AND REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL CONFORMS TO THE PRINCIPLES AND STANDARDS OF THE MHA HOSPITAL BILLING AND DEBT COLLECTION PRACTICES PRINCIPLES AS WELL AS THE MHA MINIMUM STANDARDS FOR FINANCIAL ASSISTANCE IN MARYLAND HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN PREPARING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), HEALTHY MONTGOMERY WAS USED AS A SECONDARY SOURCE IN THE DATA COLLECTION AND PROVIDED A NECESSARY CROSSWALK, ENSURING THE NEEDS OF THE COMMUNITY HAVE BEEN IDENTIFIED AND MET. AS HEALTHY MONTGOMERY CONCLUDES ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SUBURBAN HOSPITAL IS ACTIVELY AMPLIFYING THE COMMUNITY NEEDS ARE MET. IN THE INTERIM, SUBURBAN IS INVOLVED IN USING HEALTHY MONTGOMERY CHNA TO INFORM, INTEGRATE, AND GUIDE THE PLANNING PROCESS FOR THE HOSPITAL 'S CHNA IN 2025.ADDITIONALLY, SUBURBAN HOSPITAL'S COMMUNITY BENEFIT PLAN IS AN INTEGRAL COMPONENT TO ADDRESS THE COMMUNITY'S HEALTH NEEDS. USING A COLLABORATIVE APPROACH THAT BUILDS ON LONG-STANDING INTERNAL AND EXTERNAL PARTNERSHIPS, SUBURBAN CAN EFFECTIVELY PLAN FOR AND UTILIZE RESOURCES TO ADDRESS IDENTIFIED HEALTH NEEDS. THIS APPROACH STARTS AT THE TOP; THE ADMINISTRATIVE DIRECTOR OF COMMUNITY AFFAIRS &amp; POPULATION HEALTH OF THE CHW DIVISION REPORTS DIRECTLY TO THE PRESIDENT OF SUBURBAN HOSPITAL, ENSURING THE TWO STRATEGIES REMAIN LINKED TO LEVERAGE RESOURCES EFFICIENTLY WHILE MEETING OBJECTIVES. CHW'S COMMITMENT TO THE STRATEGIC PLAN IS ONGOING; QUARTERLY, PROGRESS IS REVIEWED AND REPORTED AS PART OF THE HOSPITAL'S OVERALL OPERATION PERFORMANCE SCORECARD. WITH CONSTANT COMMUNICATION AND CONSIDERATION OF COMMUNITY BENEFIT PLANNING AND STRATEGY, THE CHW DIVISION IS ABLE TO EFFECTIVELY ALIGN AND SUPPORT HOSPITAL OPERATIONS AND OVERALL SYSTEM GOALS. CHW DIVISION HAS A KEY ROLE IN THE OVERSIGHT AND ADMINISTRATION OF THE AMERICAN DIABETES ASSOCIATION ACCREDITED DIABETES SELF-MANAGEMENT TRAINING (DSMT) PROGRAM AT SUBURBAN HOSPITAL AS PART OF THE BALTIMORE METROPOLITAN DIABETES REGIONAL PARTNERSHIP AND SUPPORTED BY THE REGIONAL PARTNERSHIP CATALYST GRANT. LAUNCHED IN DECEMBER OF 2021 AT SUBURBAN AND FACILITATED BY CERTIFIED DIABETES EDUCATORS, PROVIDING THE DSMT PROGRAM TO OUR PATIENTS AND COMMUNITY, IT ALIGNS WITH OUR COMMITMENT IN REDUCING HEALTHCARE COSTS AND SUPPORTING THOSE IN OUR COMMUNITY WHO ARE LIVING WITH DIABETES. SINCE ITS INCEPTION, OVER 6,000 PATIENTS HAVE PARTICIPATED IN THE DSMT PROGRAM. IN ADDITION, THREE COMMUNITY HEALTH WORKERS SERVE AS COMMUNITY LIAISONS BY NAVIGATING LOCAL SERVICES AND RESOURCES TO SUPPORT INDIVIDUAL PATIENT NEEDS AS PART OF THE DIABETES OUTPATIENT PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SHI'S PATIENT ACCESS DEPARTMENT PROVIDES ALL PATIENTS REGISTERED FOR EMERGENCY, OUTPATIENT, OR INPATIENT CARE A COPY OF OUR FINANCIAL ASSISTANCE INFORMATION SHEET. SIGNS ARE POSTED IN ENGLISH AND SPANISH EXPLAINING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHERE TO CALL FOR ASSISTANCE. THE SIGNS ARE LOCATED IN THE EMERGENCY, PEDIATRICS, CATH LAB, AND FINANCIAL COUNSELING DEPARTMENTS, AS WELL AS THE MAIN REGISTRATION DESK. A FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO EVERY SELF-PAY PATIENT WITH INSTRUCTIONS ON HOW TO APPLY AND WHO TO CONTACT FOR ASSISTANCE. THE SAME INFORMATION IS PROVIDED TO ALL OTHER PATIENTS UPON REQUEST. THIS INFORMATION IS ALSO AVAILABLE IN SPANISH. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITALSS WEBSITE.SUBURBAN HOSPITAL'S FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE TRAINED TO ANSWER PATIENTS' QUESTIONS ABOUT FINANCIAL ASSISTANCE AND PROVIDE LINKAGE TO OTHER COMMUNITY ASSISTANCE RESOURCES PRIOR TO DISCHARGE. REGISTRATION AND PATIENT ACCOUNTING STAFF IS TRAINED TO ANSWER QUESTIONS REGARDING FINANCIAL ASSISTANCE AND WHO TO CONTACT TO APPLY. THE PATIENT ACCESS DEPARTMENT ALSO HAS MEDICAID SPECIALISTS ONSITE TO ASSIST PATIENTS IN APPLYING FOR MARYLAND MEDICAL ASSISTANCE. ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID UPON ADMISSION AND PROVIDED WITH INFORMATION AND REFERRAL FOR FINANCIAL ASSISTANCE. IN ADDITION, SINCE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, SUBURBAN HOSPITAL NOW HAS STAFF MEMBERS WHO ARE CERTIFIED APPLICATION COUNSELORS AND AVAILABLE TO ASSIST PATIENTS WHO HAVE QUESTIONS ABOUT ELIGIBILITY REQUIREMENTS FOR THE MARYLAND HEALTH INSURANCE EXCHANGE. OUR CERTIFIED APPLICATION COUNSELORS PROVIDE INFORMATION AND ASSIST PATIENTS WITH INITIATION OF ONLINE HEALTH EXCHANGE PLAN ENROLLMENT WHEN REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBURBAN HOSPITAL IS ONE OF SIX HOSPITALS LOCATED IN MONTGOMERY COUNTY. THE GEOGRAPHIC SERVICE AREA OF SUBURBAN HOSPITAL IS SUBURBAN. THE HOSPITAL DEFINES ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN. THE HOSPITAL DOES NOT LIMIT ITS COMMUNITY SERVICES TO THE PRIMARY SERVICE AREA. SUBURBAN HOSPITAL'S CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING FOURTEEN ZIP CODES: 20814, 20815, 20816, 20817, 20850, 20851, 20852, 20853, 20854, 20895, 20902, 20904, 20906, AND 20910. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS IDENTIFIED TWO MEDICALLY UNDERSERVED AREAS (MUA) IN MONTGOMERY COUNTY, ONE OF WHICH (20906) IS IN SUBURBAN'S CBSA. (HEALTH RESOURCES &amp; SERVICES ADMINISTRATION, N.D.). THE DEMOGRAPHICS FOR THE IDENTIFIED CBSA IN FY2024 CAN BE SUMMARIZED AS FOLLOWS: TOTAL POPULATION IS 561,875 OF WHICH 47.5% ARE MALES AND 52.5% ARE FEMALES; 32.3% ARE GREATER THAN 55 YEARS AND 19.7% ARE GREATER THAN 65 YEARS. 69.73% OF THE POPULATION EARN $75,000 OR MORE; 56.3% OF ADULTS 25 AND OLDER HAVE EARNED A BACHELOR DEGREE OR HIGHER; 6.4% OF RESIDENTS ARE UNINSURED; 18.4% OF RESIDENTS ARE COVERED BY MEDICAID, 18.7% OF RESIDENTS ARE COVERED BY MEDICARE AND 54.3% IDENTIFY AS A RACE OTHER THAN WHITE; 40.56% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME; 5.09% OF THE POPULATION LIVE BELOW THE POVERTY LINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHSC AND AFFILIATES (JHHS). JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, HOWARD COUNTY GENERAL HOSPITAL, INC. (HCGH), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL.- MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARECHARITY CARE AND PATIENT BAD DEBTAND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS. MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORSGOVERNMENTALLY-INSURED, COMMERCIALLYINSURED, OR SELF-PAYARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCYTHE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC)THAT IS REQUIRED TO: PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS; REVIEW AND APPROVE HOSPITAL RATES; COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND, MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS.SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS' COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS' COMMUNITY BENEFIT TOTALS. THAT REPORT IS AVAILABLE ON HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPXBECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>MD</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7910 WOODMONT AVE STE 1204</AddressLine1Txt>
          <CityNm>BETHESDA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20814</ZIPCd>
        </USAddress>
        <RecipientEIN>520545799</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>9500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LOCAL COMMUNITY ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MONTGOMERY COUNTY CHAMBER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>51 MONROE ST STE 1800</AddressLine1Txt>
          <CityNm>ROCKVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20850</ZIPCd>
        </USAddress>
        <RecipientEIN>520735621</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LOCAL COMMUNITY ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE NATIONAL CAPITAL POISON CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3201 NEW MEXICO AVE STE 310</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20016</ZIPCd>
        </USAddress>
        <RecipientEIN>521880478</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LOCAL COMMUNITY ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WOMENS BOARD AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3810 N TAZEWELL ST</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>22207</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LOCAL COMMUNITY ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF HEALTH SERVICES EXECUTIVES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1050 CONNECTICUT AVE NW 5TH FLOOR</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <RecipientEIN>621312239</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LOCAL COMMUNITY ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE COMMUNITY BENEFIT REVIEW PROCESS, SUBURBAN HOSPITAL MONITORS AND REVIEWS SELECTED GRANTS MADE BY THE ORGANIZATION. THIS MONITORING INCLUDES VERIFICATION OF THE NATURE OF THE AWARD AND THE BENEFITING ORGANIZATION. FURTHER, AS A PRECONDITION FOR MAKING ANY DONATIONS, THE JOHNS HOPKINS HOSPITAL REQUIRES THE USE OF FUNDS FOR EACH AWARD TO BE USED ONLY FOR THEIR INTENDED CHARITABLE RECIPIENT.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEORGE CHEELY MD</PersonNm>
        <TitleTxt>VICE PRESIDENT, MEDICAL AFFAIRS</TitleTxt>
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        <PersonNm>TIFFANY PRATT</PersonNm>
        <TitleTxt>VP, HR, NATIONAL CAP REGION</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2023 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2023. KEVIN SOWERS $203,752.20 AND PETER MANCINO $32,522.41</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BARTON LEONARD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>341582</TransactionAmt>
        <TransactionDesc>SEE PART VDR. LEONARD HOLDS AN OWNERSHIP INTEREST IN BETHESDA EMERGENCY ASSOCIATES PLLC ("BEA"). BEA IS THE EXCLUSIVE PROVIDER OF EMERGENCY MEDICINE SERVICES AT SHI, AND SHI PAID BEA FOR PROGRAM SERVICES AND PHYSICIAN SUPPORT. DR. LEONARD ALSO RECEIVES COMPENSATION INDIVIDUALLY FOR CONTRACT PHYSICIAN SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DIANE COLGAN</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>144554</TransactionAmt>
        <TransactionDesc>SEE PART VDR. COLGAN RECEIVED COMPENSATION FOR SERVICE AS THE ASSISTANT VICE PRESIDENT FOR MEDICAL AFFAIRS OF SUBURBAN HOSPITAL INC.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, SUBURBAN HOSPITAL, INC. RECOGNIZED $640,641 OF FUNDING FROM THE EMPLOYEE RETENTION CREDIT (ERC) ADMINISTERED BY THE INTERNAL REVENUE SERVICE, A BUREAUS OF THE U.S. TREASURY DEPARTMENT DURING FY24. THIS AMOUNT HAS BEEN RECOGNIZED AS GRANT REVENUE ON PART I, LINE 8 OF THE ORGANIZATION'S FORM 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>1. MARK FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL. JULIE FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL FOUNDATION. MR. FUTROVSKY AND MS. FUTROVSKY HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>JOHNS HOPKINS HEALTH SYSTEM CORPORATION AN IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SUBURBAN HOSPITAL, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>JOHNS HOPKINS HEALTH SYSTEM CORPORATION, AN IRC 501C (3) TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF SUBURBAN HOSPITAL, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY OF SUBURBAN HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER JOHNS HOPKINS HEALTH SYSTEM CORPORATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TRUSTEES AND APPROPRIATE OFFICERS, WHO ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK BEFORE THE FORM 990 IS FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT-OF-INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT-OF-INTEREST POLICY. CONFLICTS OF INTEREST ARE DETEREMINED AT A HEALTH SYSTEM LEVEL AND INCLUDE THE ORGANIZATION AND ALL OF ITS AFFILIATES. THE ORGANIZATION'S LEGAL DEPARTMENT IS RESPONSIBLE FOR REVIEWING ALL THE ACTUAL OR POTENTIAL CONFLICTS OF INTERESTS AND FOR DETERMINING APPROPRIATE ACTION TO ELIMINATE OR MANAGE THE CONFLICT OF INTEREST. IF A CONFLICT ARISES, THE AFFECTED MEMBER MUST (1) REFRAIN FROM ANY ATTEMPTS TO EITHER DIRECTLY OR INDIRECTLY INFLUENCE THE DECISION MAKING PROCESS IN WHICH THERE EXISTS A POTENTIAL FOR CONFLICTS OF INTEREST; (2) REFRAIN FROM PARTICIPATING IN ANY DISCUSSIONS LEADING TO THE APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING THE CONFLICT, EXCEPT TO DISCLOSE MATERIAL FACTS RELATING TO THE CONFICT; AND (3) ABSTAIN FROM VOTING ON THE TRANSACTION CREATING THE CONFLICT OR TRANSMITTING ANY OTHER OPINION, INCLUDING NOT BEING PRESENT IN THE ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. FURTHERMORE, THE ORGANIZATION'S INTERMEDIATE SANCTIONS TRANSACTION REVIEW COMMITTEE REVIEWS AND DETERMINES WHETHER A PROPOSED TRANSACTION BETWEEN A TRUSTEE, OFFICER, KEY EMPLOYEE OR DISQAULIFIED PERSON AND THE ORGANIZATION WOULD CREATE AN EXCESS BENEFIT TO SUCH TRUSTEE, OFFICER, KEY EMPLOYEE OR A DISQAULIFIED PERSON, OR WHETHER SUCH PROPOSED TRANSACTION QUALIFIES FOR A REBUTABLE PRESUMPTION AGAINST EXCESS BENEFIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF THE BOARD OF JOHNS HOPKINS MEDICINE, ON BEHALF OF THE ORGANIZATION, REVIEWS THE PERFORMANCE AND APPROVES THE COMPENSATION OF THE OFFICERS AND KEY PERSONNEL OF THE ORGANIZATION. IN REVIEWING AND APPROVING COMPENSATION, THE COMMITTEE RELIES ON APPROPRIATE MARKET DATA FOR COMPARABLE JOBS IN ORGANIZATIONS, AND ENSURES THAT SUCH DATA INDICATES THE COMPENSATION ORDINARILY PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES. DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE FORM OF MINUTES OF COMMITTEE MEETINGS, AND COPIES OF ALL COMPARABILITY DATA AND REPORTS RETAINED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERNAL POLICIES, INCLUDING CONFLICT OF INTEREST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATIONS WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FUND STATUS OF DEFINED BENEFIT PLANS -2,839,000. NET ASSETS RELEASED FROM RESTRICTION 2,525,406. CHANGE IN PENSION 59,000. UNREALIZED GAIN ON INVESTMENT 25,502,225. CONTRIBUTIONS TO AFFILIATES -1,448,431.</ExplanationTxt>
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        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TCAS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3910 KESWICK RD SOUTH BLDG 4TH FL S</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <EIN>521979344</EIN>
        <PrimaryActivitiesTxt>NURSING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SUBURBAN HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8600 OLD GEORGETOWN RD</AddressLine1Txt>
          <CityNm>BETHESDA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20814</ZIPCd>
        </USAddress>
        <EIN>522052352</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE LEASING AND RELEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VARIOUS CHARITABLE REMAINDER TRUSTS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3910 KESWICK RD SOUTH BLDG 4TH FL S</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>CHARITABLE REMAINDER TRUSTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>54565</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSA HOLDCO INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3910 KESWICK RD SOUTH BLDG 4TH FL S</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <EIN>811040476</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAFETOWER</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3910 KESWICK RD SOUTH BLDG 4TH FL S</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <EIN>923428577</EIN>
        <PrimaryActivitiesTxt>MEDICAL TECH COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SUBURBAN HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>2100423</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>