2026-05-11T07:12:25-05:00 2025-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2024-07-01 522218584 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC MEDS 2027843000 HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 ROSS DARROW VP, TREASURER & CIO 4107726721 2026-05-08 1 0 ISAAC IRBY P02444754 7032868000 2024 2025-03-06 01:10:19Z MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL LISA BOYLE HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 1902689707 0 X WWW.GEORGETOWNUNIVERSITYHOSPITAL.ORG X 2000 DC TO PROVIDE PHYSICAL AND SPIRITUAL COMFORT TO OUR PATIENTS AND THEIR FAMILIES IN THE JESUIT TRADITION OF CURA PERSONALIS, CARING FOR THE WHOLE PERSON. 15 10 7435 210 2071993 1654616 42215767 48393541 1595798069 1759058696 1846728 2713619 35897211 92523851 1675757775 1902689707 10000 20741 0 0 732410589 798925663 0 0 0 768900601 945233562 1501321190 1744179966 174436585 158509741 1522783246 1623796096 146709698 187673470 1376073548 1436122626 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL'S (MEDSTAR GEORGETOWN) MISSION IS TO PROVIDE PHYSICAL AND SPIRITUAL COMFORT TO OUR PATIENTS AND THEIR FAMILIES IN THE JESUIT TRADITION OF CURA PERSONALIS, CARING FOR THE WHOLE PERSON. MEDSTAR GEORGETOWN IS AN ACUTE CARE TEACHING AND RESEARCH HOSPITAL LOCATED IN NORTHWEST WASHINGTON, D.C.IN FISCAL YEAR 2025, MEDSTAR GEORGETOWN HAD 17,006 INPATIENT ADMISSIONSAND 315,245 OUTPATIENT VISITS, INCLUDING 39,594 EMERGENCY VISITS. 0 0 1332209480 20741 1722424939 SEE SCHEDULE OMEDSTAR GEORGETOWN UNIVERSITY HOSPITAL'S LARGEST PROGRAM IS THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF THE NORTHWEST WASHINGTON, D.C. AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR GEORGETOWN INCURRED $287.7M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR GEORGETOWN'S CENTERS OF EXCELLENCE INCLUDE NEUROSCIENCES, TRANSPLANTATION, CANCER AND GASTROENTEROLOGY. THE HOSPITAL IS ONE OF A FEW CENTERS IN THE WORLD PROVIDING LIVING-DONOR LIVER TRANSPLANTATION. MEDSTAR GEORGETOWN'S NEUROSCIENCES PROGRAM IS RECOGNIZED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION AND IS A NATIONAL PARKINSON FOUNDATION CENTER OF EXCELLENCE FOR PARKINSON'S DISEASE AND OTHER MOVEMENT DISORDERS. MEDSTAR GEORGETOWN'S LOMBARDI COMPREHENSIVE CANCER CENTER IS ONE OF ONLY 52 CENTERS IN THE U.S., AND THE ONLY ONE DESIGNATED AS A COMPREHENSIVE CANCER CENTER BY THE NATIONAL CANCER INSTITUTE IN WASHINGTON, D.C. MEDSTAR GEORGETOWN WAS THE FIRST HOSPITAL IN WASHINGTON, D.C. TO ATTAIN MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC), AND NOW HAS ACHIEVED FIVE CONSECUTIVE MAGNET DESIGNATIONS (2004, 2008, 2014, 2018, 2022). 111546346 36633757 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $111.5M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2025. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 12724881 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $12.7M IN CHARITY CARE SERVICES IN FISCAL YEAR 2025. 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. 1456480707 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 0 0 0 1 0 0 7435 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 DC X ROSS DARROW 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 LISA BOYLE PRESIDENT/DIRECTOR 40.00 0.00 X X 1467394 0 51974 EDWARD B HEALTON DIRECTOR (UNTIL 7/2024) 1.00 0.00 X 0 0 0 SHELLEY HOLT VICE CHAIR 1.00 0.00 X X 0 0 0 NEIL KISHTER DIRECTOR 1.00 0.00 X 0 0 0 PRINCY KUMAR MD DIRECTOR 40.00 0.00 X 519423 0 46747 LEE JONES MD DIRECTOR 1.00 0.00 X 0 0 0 CATHERINE MELOY CHAIR 1.00 0.00 X X 0 0 0 MARCUS NOEL MD DIRECTOR 40.00 0.00 X 368879 0 28770 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 6456778 105996 MYLES SHEEHAN SJ MD DIRECTOR 1.00 0.00 X 0 0 0 DANIEL SULMASY MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERTA WAITE EDD DIRECTOR 1.00 0.00 X 0 0 0 MARC N DUBER DIRECTOR (AS OF 11/2024) 1.00 0.00 X 0 0 0 NORMAN J BEAUCHAMP JR MD DIRECTOR (AS OF 7/2024) 1.00 0.00 X 0 0 0 ROBERT B OURISMAN DIRECTOR (AS OF 11/2024) 1.00 0.00 X 0 0 0 ANDREW B STEMER MD DIRECTOR (AS OF 7/2024) 40.00 0.00 X 775892 0 35313 DAVID HO TREASURER, CFO 40.00 0.00 X 505659 0 19867 ALLISON RESCHOVSKY SECRETARY 40.00 0.00 X 0 291533 10006 HEATHER NOWAKOWSKI ASSISTANT SECRETARY 40.00 0.00 X 156661 0 17303 JEAN-MARC VOYADZIS PHYSICIAN 40.00 0.00 X 2446594 0 35902 FRED MO PHYSICIAN 40.00 0.00 X 2396543 0 35048 FAHEEM SANDHU PHYSICIAN 40.00 0.00 X 2261857 0 44288 AMJAD ANAIZI PHYSICIAN 40.00 0.00 X 2013057 0 42544 THOMAS FISHBEIN PHYSICIAN/MMG DIVISION CHIEF 40.00 0.00 X 1983394 0 21488 MICHAEL C SACHTLEBEN FORMER OFFICER 0.00 40.00 X 0 2063010 61976 LEE BERGMAN FORMER OFFICER 1.00 39.00 X 0 410168 28829 14895353 9221489 586051 1403 1 1 0 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 19471103 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 11130631 SP PLUS CORPORATION 1790 PAYSPHERE CIRCLE CHICAGO IL 606741790 PARKING SERVICES 5759892 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 5729206 CERASOLI STAFFORD LLC PO BOX 9186 RANCHO SANTA FE CA 92067 ADVERTISING & MARKETING 3883944 89 5486221 42907320 207280 48393541 NET PATIENT SERVICE RE 621400 1704453726 1702381733 2071993 PHARMACY REVENUE 900099 23050391 23050391 TRAINING TUITION 900099 17185435 17185435 OTHER PHYSICIAN REVENU 621400 7386161 7386161 RESIDENT SERVICE REVEN 900099 6982983 6982983 1759058696 1907950 1907950 109226 0 109226 109226 109226 805669 0 805669 805669 805669 INTERCOMPANY SUBSIDY R 900099 77629657 77629657 REBATE INCOME 900099 2662721 2662721 PARKING INCOME 900099 1307951 1307951 10814296 10814296 92414625 1902689707 1756986703 2071993 95237470 X 20741 20741 3993880 3752551 241329 673299529 633015212 40284317 9837794 9300428 537366 65530706 60833290 4697416 46263754 43289311 2974443 136887662 53605 136834057 14700 14700 204696616 187893852 16802764 4787538 -3549615 8337153 8483256 8371763 111493 7148431 5414710 1733721 1385539 1163747 221792 690189 526926 163263 24693944 22553909 2140035 78172042 76856202 1315840 27740766 27740766 MED/SURG SUPPLIES 259423216 260251571 -828355 IMPLANTS/PROSTHESES 52251802 52251802 MAINTENANCE 48764723 47829875 934848 UTILITIES 23559256 21253087 2306169 66533882 25397740 41136142 1744179966 1456480707 287699259 0 13100389 12130887 342882612 423576151 21598730 21912698 5207089 6047227 1424866084 467763756 983140136 957102328 35540299 68547880 70718228 70718228 50595763 63760697 1522783246 1623796096 106316449 116527028 4177202 2825019 36216047 68321423 146709698 187673470 X 1288886138 1320893488 87187410 115229138 1376073548 1436122626 1522783246 1623796096 X 158509741 6098339 -104559002 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 91172 91172 0 PART II-B, LINE 1: THE EXPENSES INCURRED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES REFLECTS THE PORTION OF MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION (DCHA) THAT WERE USED FOR LOBBYING PURPOSES. 883066676 196897264 686169412 6391891 3851495 2540396 410453490 255793841 154659649 124954027 11221156 113732871 957102328 OPERATING LEASE LIABILITIES 5839034 CREDIT BALANCES - PATIENT AR 7456950 WORKERS COMPENSATION FUNDS 4744930 SETTLEMENTS - MEDICARE 1873844 PENDING PFS REFUNDS 1585911 OTHER LIABILITIES 46820754 68321423 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, 2025. 1 1 X 1 X 1 X 1 1 1 0 1 1 12724881 12724881 0.00730 164946316 149789320 15156996 0.00870 12276483 11676303 600180 0.00030 189947680 161465623 28482057 0.01630 2165576 325 2165251 0.00120 111546346 36633757 74912589 0.04300 876104 876104 0.00050 114588026 36634082 77953944 0.04470 304535706 198099705 106436001 0.06100 34478 34478 0.00000 34112 180 33932 0.00000 68590 180 68410 0.00000 1 13937839 272962942 304252069 -31289127 X 1 1 1 1 DBA GEORGETOWN UNIVERSITY HOSPITAL 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 WWW.GEORGETOWNUNIVERSITYHOSPITAL.ORG STATE LICENSE NUMBER: HFD01-0188 X X X X X X DBA GEORGETOWN UNIVERSITY HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X WWW.MEDSTARGEORGETOWN.ORG X 1 23 1 WWW.MEDSTARGEORGETOWN.ORG 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.MEDSTARGEORGETOWN.ORG X WWW.MEDSTARGEORGETOWN.ORG X WWW.MEDSTARGEORGETOWN.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 D/B/A GEORGETOWN UNIVERSITY HOSPITAL PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: KHALEELAH COHENEXECUTIVE 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: DAVID H. SONGADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : AZA NEDHARI, LM, CPM, MS TITLE/AFFILIATION WITH HOSPITAL : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : MAMATOTO VILLAGENAME : BEVERLY JOHN TITLE/AFFILIATION WITH HOSPITAL : FOUNDER, COMMUNITY LEADER NAME OF ORGANIZATION : THE TALKING DRUM, INC.NAME : CATHERINE MELOY TITLE/AFFILIATION WITH HOSPITAL : PRESIDENT, CEO NAME OF ORGANIZATION : GOODWILL OF GREATER WASHINGTON, MGUH BOARD MEMBERNAME : CHIRANJEEV DASH, MBBS, PHD TITLE/AFFILIATION WITH HOSPITAL : ASSOCIATE PROFESSOR OF ONCOLOGY, ASSISTANT DIRECTOR, OFFICE OF MINORITY HEALTH & HEALTH DISPARITIES RESEARCH NAME OF ORGANIZATION : GEORGETOWN UNIVERSITYNAME : DAVID H. SONG, MD, MBA, FACSTITLE/AFFILIATION WITH HOSPITAL : CHIEF MEDICAL OFFICER & VICE PRESIDENT OF MEDICAL AFFAIRSNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : DENA HASAN TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF POLICY AND PROGRAM SUPPORT NAME OF ORGANIZATION : DC DEPARTMENT OF HUMAN SERVICESNAME : ERICA MCCLASKEY, MDTITLE/AFFILIATION WITH HOSPITAL : FAMILY HEALTH BUREAU CHIEF NAME OF ORGANIZATION : DEPARTMENT OF HEALTHNAME : GEORGE C. GILBERT, JR.TITLE/AFFILIATION WITH HOSPITAL : ASSISTANT PROFESSOR, EXECUTIVE DIRECTORNAME OF ORGANIZATION : HOLY TRINITY UNITED BAPTIST CHURCH CENTER FOR RACIAL EQUITY AND JUSTICENAME : HARALD STELLWAGTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBER, MGTI TRANSPLANT RECIPIENT, MGUH PFACQS MEMBERNAME OF ORGANIZATION : COMMUNITY MEMBERNAME : JANINE RETHY, MD, MPH TITLE/AFFILIATION WITH HOSPITAL : DIVISION CHIEF OF COMMUNITY PEDIATRICS NAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : JOANNE ODOM, LICSWTITLE/AFFILIATION WITH HOSPITAL : PROGRAM ADMINISTRATOR FOR COMMUNITY PEDIATRICSNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : DEBRA WRIGHTTITLE/AFFILIATION WITH HOSPITAL : EI&D COMMUNITY INVOLVEMENT LEADNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : LISA K. FITZPATRICK, MD, MPH, MPA TITLE/AFFILIATION WITH HOSPITAL : FOUNDER AND CEO OF GRAPEVINE HEALTHNAME OF ORGANIZATION : GRAPEVINE HEALTHNAME : MICHELLE ROETT, MD, MPH, FAAFP, CPE TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR, DC AREA HEALTH EDUCATION CENTER, PROFESSOR AND CHAIR, DEPARTMENT OF FAMILY MEDICINENAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, GEOREGETOWN UNIVERSITY MEDICAL CENTERNAME : REGINA KNOX WOODSTITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT OF GOVERNMENT AFFAIRS FOR DISTRICT OF COLUMBIANAME OF ORGANIZATION : MEDSTAR HEALTHNAME : TAMARA ELLIS, MSW, LICSW, C-ASWCMTITLE/AFFILIATION WITH HOSPITAL : CLINICAL SOCIAL WORK MANAGERNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : GENESIS CRUZ, MPHTITLE/AFFILIATION WITH HOSPITAL : CANCER NAVIGATION MANAGERNAME OF ORGANIZATION : DC PRIMARY CARE ASSOCIATIONNAME : JESSICA IKARD-BANKS, MPHTITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF CLINICAL QUALITY & PRACTICE TRANSFORMATIONNAME OF ORGANIZATION : DC PRIMARY CARE ASSOCIATIONNAME : KHALEELAH COHEN, MATITLE/AFFILIATION WITH HOSPITAL : COMMUNITY BENEFIT SPECIALIST, COMMUNITY HEALTH HOSPITAL LEADNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : KIMBERLY BULLOCK, MDTITLE/AFFILIATION WITH HOSPITAL : ASSOCIATE PROFESSOR OF FAMILY MEDICINE; DIRECTOR OF COMMUNITY HEALTH DIVISION DIRECTOR; COMMUNITY HEALTH LEADERSHIP DEVELOPMENT FELLOWSHIP; ASSISTANT DIRECTOR, COMMUNITY-BASED LEARNINGNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : MOSI TOMLINSONTITLE/AFFILIATION WITH HOSPITAL : PROGRAM DIRECTORNAME OF ORGANIZATION : WASHINGTON SENIORS WELLNESS CENTERNAME : S. SABRINA ST. CLAIR, DMIN, GC-CTITLE/AFFILIATION WITH HOSPITAL : CO-CHAIRNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL D/B/A GEORGETOWN UNIVERSITY HOSPITAL PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. BAD DEBT PART III, LINES 2 & 4MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT. DEBT COLLECTION POLICY 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 FY24, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL (MGUH) 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 MGUH'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, 2024, AND SERVED AS A GUIDE FOR PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027.THE CATEGORIES OF HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DRIVERS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. A SMALL NUMBER OF STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. HEALTH PRIORITIES INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, CHRONIC PAIN AND ARTHRITIS, AGING AND OLDER ADULTS AND BEHAVIORAL HEALTH), ACCESS TO CARE (COST OF HEALTH CARE AND ACCESS TO HEALTH INSURANCE AND PROVIDERS, APPOINTMENTS AND TRANSPORTATION) AND SOCIAL DETERMINANTS OF HEALTH (FOOD INSECURITY, HOUSING AND HOMELESSNESS AND VIOLENCE). 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 IDENTIFIED DISTRICT OF COLUMBIA WARDS 7 AND 8 AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA), WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODES 20011, 20019 AND 20002. 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 ADVISORY TASK FORCE (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 WHO ARE INSTRUMENTAL IN THE ENTIRE CHNA PROCESS.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 HEALTH HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY CRITERIA, AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH HOSPITALS AND HOSPITAL BASED-PHYSICIAN PRACTICES WILL: . TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT, AND COMPASSION. . SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS TO OUR MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE.. ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSION PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR THE CARE THEY RECEIVE.. BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.MEDSTAR HEALTH WILL NOT WITHHOLD FINANCIAL ASSISTANCE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE ON THE BASIS OF RACE, COLOR, RELIGION, ANCESTRY OR NATIONAL ORIGIN, SEX, AGE, MARITAL STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, GENETIC INFORMATION, OR ON THE BASIS OF DISABILITY. IN ADDITION, MEDSTAR HEALTH WILL NOT USE A PATIENT'S CITIZENSHIP OR IMMIGRATION STATUS AS AN ELIGIBILITY REQUIREMENT FOR FINANCIAL ASSISTANCE.IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL MAKE ELIGIBILITY DETERMINATIONS FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO RESIDE WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA. 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. . THE FINAL ELIGIBILITY DETERMINATION WILL BE 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 PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH MEDSTAR HEALTH 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 MEDICALLY NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.. IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT, BILLING AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR HEALTH BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE AT 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4GEOGRAPHIC:THE HOSPITAL IDENTIFIED DISTRICT OF COLUMBIA WARDS 4, 5, 6 AND 7 AS ITS CBSA, SPECIFICALLY, RESIDENTS LIVING IN ZIP CODES 20002, 20011, 20019. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL WITH THE GOAL OF EXPANDING SERVICES AND PROGRAMS TO VULNERABLE POPULATIONS, SUCH AS UNDERINSURED, UNINSURED, AND LOW-INCOME RESIDENTS.DEMOGRAPHICS:ACCORDING TO THE UNITED STATES CENSUS BUREAU, THERE ARE APPROXIMATELY 702,250 PEOPLE RESIDING IN WASHINGTON, DC, OF WHICH 17.3% ARE LIVING IN POVERTY. IN THE DISTRICT OF COLUMBIA, 40.9% OF THE POPULATION IDENTIFY AS BLACK, 36.7% IDENTIFY AS WHITE, 12.3% IDENTIFY AS HISPANIC OR LATINO, 6.3% IDENTIFY AS TWO OR MORE RACES, AND 3.8% IDENTIFY AS ASIAN. ABOUT 257,000 DC RESIDENTS ARE ON MEDICAID, OF WHICH 27% ARE CHILDREN. ACCORDING TO THE COUNTY HEALTH RANKINGS, THE LIFE EXPECTANCY IN THE DISTRICT OF COLUMBIA IS 78 YEARS, 14% OF ADULTS SMOKE, 28% OF ADULTS ARE OBESE, 15% ARE IN POOR OR FAIR HEALTH, 10% ARE FOOD INSECURE, AND 24% OF ADULTS DRINK EXCESSIVELY. ADDITIONALLY, 47% OF CHILDREN RESIDE IN SINGLE-PARENT HOUSEHOLDS AND 22% LIVE IN POVERTY.THE COMMUNITIES THE HOSPITAL SERVES INCLUDE:ZIP CODE 20002 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 69,422 RESIDENTS AND THE AVERAGE INCOME IS $114,482, WITH 91% OF REPORTED INCOME COMING FROM WAGES, 18% FROM BUSINESS, 13% FROM RETIREMENT, 4% FROM SOCIAL SECURITY, AND 2% UNEMPLOYMENT. THE COMMUNITY HAS 32,311 OCCUPIED HOUSING UNITS, AND 3,969 HOUSEHOLDS WITH INCOMES BELOW $25,000, WHICH IS JUST ABOVE THE POVERTY GUIDELINE FOR A THREE-PERSON HOUSEHOLD. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY, INCLUDING PRIMARY CARE. SIXTY-ONE PERCENT OF ALL RESIDENTS ARE EMPLOYED FULL-TIME WITH EARNINGS; WHILE 19% WORK PART-TIME AND 20% REPORT HAVING NO EARNINGS. MORE THAN 41% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 40% ARE WHITE. FORTY-TWO PERCENT OF HOUSEHOLDS REPORT BEING SINGLE HOUSEHOLDS, 16% REPORT BEING SINGLE GUARDIAN HOUSEHOLDS, AND 19% OF HOUSEHOLDS REPORT HAVING CHILDREN. IN TERMS OF EDUCATIONAL ATTAINMENT, 27% OF RESIDENTS IN THIS ZIP CODE HAVE A HIGH SCHOOL DIPLOMA OR LESS. ZIP CODE 20011 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 67,815 RESIDENTS AND THE AVERAGE INCOME IS $108,377 WITH 83% OF INCOME COMING FROM WAGES AND 3% FROM UNEMPLOYMENT. FIFTY-ONE PERCENT OF RESIDENTS REPORT WORKING FULL-TIME WITH EARNINGS, 22% REPORT WORKING PART-TIME WITH EARNINGS, AND 27% REPORT RECEIVING NO EARNINGS. THE COMMUNITY INCLUDES 3,261 HOUSEHOLDS WITH INCOMES BELOW $25,000. THERE ARE FIVE HOSPITALS LOCATED IN WARDS 4 AND 5, HOWEVER, THERE IS ONLY ONE HOSPITAL IN ZIP CODE 20011. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY, INCLUDING PRIMARY CARE. RESIDENTS ARE PRIMARILY BLACK OR AFRICAN AMERICAN, WITH 48% IDENTIFYING AS BLACK OR AFRICAN AMERICAN AND 22% AS WHITE. TWENTY-FIVE PERCENT OF FAMILIES ARE LED BY A SINGLE GUARDIAN; AND THE MEDIAN AGE OF RESIDENTS IN THIS ZIP CODE IS 37. RESIDENTS IN THIS ZIP CODE EARN LESS THAN OTHER PARTS OF THE CITY. PUBLIC TRANSPORTATION IS USED TO GET TO WORK MORE THAN IN ALMOST ANY OTHER PART OF THE COUNTRY. THIS ZIP CODE HAS ONE OF THE HIGHEST RATES OF RESIDENTS WITH COLLEGE DEGREES, WITH 25% ATTAINING A BACHELOR'S DEGREE OR HIGHER, WHILE 42% OF RESIDENTS HAVE ATTAINED A HIGH SCHOOL DIPLOMA OR LESS. ZIP CODE 20019 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 59,601 RESIDENTS AND THE MEDIAN HOUSEHOLD INCOME IS $57,031. THE COMMUNITY INCLUDES 7,647 HOUSEHOLDS WITH INCOMES BELOW $25,000. THIS COMMUNITY IS LOCATED IN WARD 7 WHERE THERE ARE NO HOSPITALS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY, INCLUDING PRIMARY CARE. MORE THAN 90% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 3% ARE WHITE. THIRTY-TWO PERCENT OF HOUSEHOLDS HAVE KIDS, AND 41% OF HOUSEHOLDS ARE LED BY A SINGLE GUARDIAN. IN FACT, THIS ZIP CODE BOASTS A MUCH LARGER NUMBER OF CHILDREN UNDER 18 COMPARED TO OTHER AREAS OF THE COUNTRY; AND AN EXTREMELY LOW NUMBER OF FAMILIES. THIS ZIP CODE HAS A MUCH HIGHER PERCENTAGE OF PEOPLE WITH LOW EDUCATION LEVELS, WITH 69% EARNING A HIGH SCHOOL DIPLOMA OR LESS. ONLY 38% OF COMMUNITY MEMBERS LIVING IN THIS ZIP CODE REPORT BEING EMPLOYED FULL TIME, 22% EMPLOYED PART-TIME, AND 41% REPORT NO EARNINGS. FURTHERMORE, THIS ZIP CODE BOASTS ONE OF THE HIGHEST PERCENTAGES IN THE COUNTRY FOR RESIDENTS WORKING REMOTELY FROM HOME. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A COMMUNITY PARTNER, MGUH ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE CHNA, FALL UNDER THREE AREAS OF FOCUS INCLUDING HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE (BUT ARE NOT LIMITED TO):HEALTH AND WELLNESSMGUH EXECUTED THREE PROGRAMS THROUGH THE COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS (CPFHW) INITIATIVE INCLUDING THE KIDS MOBILE MEDICAL CLINIC, THE FOOD AS MEDICINE PROGRAM AND SCHOOL BASED HEALTH CLINICS AT TWO HIGH SCHOOL SITES IN WARDS 4 AND 8. COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS DELIVERED THESE EVIDENCE-BASED, OUTCOME-FOCUSED CHRONIC DISEASE MANAGEMENT AND PREVENTION PROGRAMS IN, OR TARGETED INDIVIDUALS LIVING IN, MGUH'S CBSA. THE FOOD AS MEDICINE PROGRAM PROVIDES PRODUCE BOXES TO FAMILIES ON A WEEKLY BASIS TO ENSURE FAMILIES AND CHILDREN HAVE ACCESS TO HEALTHY FOOD. IN FY25, THIS PROGRAM SUPPORTED 38 FAMILIES WITH WEEKLY PRODUCE DELIVERIES FROM THE DEPARTMENT OF LABOR. CPFHW ALSO LAUNCHED A NEW PARTNERSHIP WITH FRESH FARM, PROVIDING MORE THAN 21 FAMILIES WITH PRODUCE RX CARDS TO PURCHASE FRESH PRODUCE AT MORE THAN 50 FARMERS' MARKETS.THE KIDS MOBILE MEDICAL CLINIC PROVIDES SERVICES TO CHILDREN AND ADOLESCENTS LIVING IN THE UNDERSERVED COMMUNITIES OF WASHINGTON, D.C., WHO ARE AT RISK OR HAVE POOR ACCESS TO COMPREHENSIVE PEDIATRIC HEALTH CARE SERVICES. THIS PROGRAM IS GUIDED BY THE FIVE PILLARS OF HEALTH MODEL FOCUSING ON ORAL, NUTRITION, PHYSICAL, MENTAL, AND SOCIAL DETERMINANTS OF HEALTH. THE KIDS MOBILE MEDICAL CLINIC SERVED 608 UNIQUE PATIENTS THROUGH 1,142 VISITS AND COMPLETED 650 BODY MASS INDEX (BMI) SCREENINGS. PHYSICIANS PROVIDE CARE AT SAFETY-NET CLINICS AND SCHOOL-BASED HEALTH CENTERS IN THE COMMUNITY. SCHOOL-BASED HEALTH CENTERS IMPROVE ACCESS TO CARE FOR MEDICALLY VULNERABLE ADOLESCENTS. THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL IS IMPLEMENTED TO ENHANCE ACCESS TO ADOLESCENT HEALTH, PRIMARY CARE, MENTAL HEALTH SCREENINGS, AND HEALTH EDUCATION. IN FY25, SCHOOL BASED HEALTH CENTERS PROVIDED HEALTH CARE SERVICES TO 392 STUDENTS, THROUGH 736 PATIENT VISITS, AND PROVIDED 441 BLOOD PRESSURE SCREENINGS FOR STUDENTS. STAFF PROVIDE SCREENINGS AND HEALTH EDUCATION AT COMMUNITY HEALTH EVENTS SUCH AS HEALTH FAIRS, FESTIVALS, AND EXPOSITIONS. OUTREACH IS ALSO PROVIDED IN-PERSON AND VIRTUALLY THROUGH INTERVIEWS, SEMINARS, BLOGS, AND VIDEOS.THE GOAL OF THE SCREENING BRIEF INTERVENTION, REFERRAL TO TREATMENT (SBIRT) PROGRAM IS TO IDENTIFY PEOPLE WITH AT-RISK AND DEPENDENT SUBSTANCE AND/OR ALCOHOL USE BEHAVIORS, AND TO PROVIDE BRIEF EARLY INTERVENTION SERVICES TO THOSE WHO SCREEN POSITIVELY FOR RISKY DRUG AND ALCOHOL USE. MGUH'S SBIRT PROGRAM IS OPERATED WITHIN THE EMERGENCY DEPARTMENT, SELECT INPATIENT UNITS AND WOMEN'S HEALTH IN COLLABORATION WITH A COMMUNITY-BASED OVERDOSE SURVIVOR OUTREACH PROGRAM (OSOP) RECOVERY COACH, LINKING OVERDOSE SURVIVORS TO CARE. IN FY25, 36,286 SCREENS AND 670 BRIEF INTERVENTIONS WERE COMPLETED.ACCESS TO CAREMGUH PARTNERS WITH THE DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (DCPCA) TO IMPROVE ACCESS TO HEALTH SERVICES AND CANCER SCREENINGS FOR UNDERSERVED RESIDENTS IN WASHINGTON, DC THROUGH THE CANCER SCREENING & PATIENT NAVIGATION PROGRAM. THROUGH THIS PROGRAM, COMPREHENSIVE SERVICES AND SCREENINGS WERE PROVIDED AT COMMUNITY OF HOPE AND BREAD FOR THE CITY. MGUH FUNDS TWO FULL-TIME CANCER PATIENT NAVIGATORS TO PROVIDE ONE-ON-ONE SUPPORT. IN FY25, THE PROGRAM PROVIDED 564 COLORECTAL SCREENINGS, 1,176 BREAST CANCER SCREENINGS, 2,024 LUNG CANCER SCREENINGS, 1,250 COLORECTAL REFERRALS, 1,242 BREAST CANCER REFERRALS, AND 2,143 LUNG REFERRALS. MGUH ALSO EXPANDED ACCESS TO CARE THROUGH THE HOMECARE NURSE PRACTITIONER PROGRAM BY OFFERING ELIGIBLE COMMUNITY MEMBERS CARE AT HOME. THIS PROGRAM REMOVES THE BARRIERS ASSOCIATED WITH GETTING MEDICAL CARE, SUCH AS LIMITED MOBILITY, TRANSPORTATION OR CHILDCARE. IN FY25, THIS PROGRAM SERVED 46 PATIENTS.THE HOYA CLINIC PROVIDED CARE TO INDIGENT AND HOUSELESS COMMUNITY MEMBERS AT TWO LOCATIONS: THE TRIUMPH AND THE HARRIET TUBMAN SHELTER. STAFF PROVIDED CLINICAL SERVICES, HEALTH EDUCATION, BLOOD PRESSURE CHECKS, AND ASSESSED CHILDREN FOR DEVELOPMENTAL DELAYS. THE MENTORSHIP PROGRAM, BIG HOYA LITTLE SAXA, HOSTED EVENTS AT THE TRIUMPH BENEFITING 61 CHILDREN THROUGH ACTIVITIES SUCH AS ARTS, CRAFTS, PUZZLES AND GAMES. SIX CHILDREN WERE ASSESSED FOR DEVELOPMENTAL DELAYS, NINE CHILDREN PARTICIPATED IN SUMMER CAMP ACTIVITIES, 25 PEOPLE RECEIVED HEALTH EDUCATION AND SCREENINGS, AND 12 WERE PROVIDED CLINICAL SERVICES. THE HARRIET TUBMAN SHELTER HELD SIX-FOOT CARE CLINICS SERVING 110 PARTICIPANTS. FIVE PARTNERS RECEIVED AND DISTRIBUTED 116 GOODIE BAGS INCLUDING HARRIET TUBMAN WOMEN'S SHELTER, FAITH UNITED CHURCH OF CHRIST, N STREET VILLAGE, CARLOS ROSARIO, SHIRLEY'S PLACE WITH EVERYONE HOME DC. THE DC SAFE BABIES, SAFE MOMS INITIATIVE WAS ESTABLISHED BY MGUH, MEDSTAR WASHINGTON HOSPITAL CENTER AND THE A. JAMES & ALICE B. CLARK FOUNDATION D.C TO IMPROVE CHILD AND MATERNAL HEALTH OUTCOMES IN WASHINGTON, DC. FOUR MEDSTAR HEALTH CLINICAL PROGRAMS WORKED TOGETHER TO CREATE A SUITE OF SERVICES THAT ADDRESS THE NEEDS OF PREGNANT WOMEN, INFANTS AND TODDLERS. IN FY25, 18,231 PARTICIPANTS BENEFITED FROM PRENATAL AND POSTPARTUM CARE, NUTRITION COUNSELING, BREASTFEEDING SUPPORT, SOCIAL SERVICES AND LEGAL SERVICES. ADDITIONALLY, 1,738 PREGNANT WOMEN WERE SCREENED FOR SUBSTANCE USE, 285 INFANT AND TODDLERS WERE SCREENED FOR DEVELOPMENTAL MILESTONES, AND 172 HIGH-RISK FAMILIES RECEIVED MENTAL HEALTH SCREENINGS. THROUGH THIS PROGRAM, SOCIAL NEEDS SCREENINGS WERE CONDUCTED: 571 PRE-CONCEPTION, 922 PRENATAL, 544 POSTPARTUM, AND 271 INFANT AND TODDLER. ADDITIONALLY, THIS PROGRAM GARNERED A PUBLICATION IN THE NEW ENGLAND JOURNAL OF MEDICINE: D.C. SAFE BABIES SAFE MOMS: A NOVEL, MULTIGENERATIONAL MODEL TO REDUCE MATERNAL AND INFANT HEALTH DISPARITIES (2025). THE HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, MGUH PROVIDED 9,904 UBER RIDES TO FINANCIALLY INSECURE RESIDENTS IN FY25, WITH A FINANCIAL CONTRIBUTION OF $287,116.SOCIAL DETERMINANTS OF HEALTHSOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR ISSUES SUCH AS FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. OUR COMMUNITY PARTNER, FIND HELP, PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS, AND LINK PARTICIPANTS TO COMMUNITY RESOURCES. IN FY25, MEDSTAR GEORGETOWN CONDUCTED 2,095 SDOH SCREENINGS, WITH A 4% POSITIVITY RATE. MGUH ALSO PROVIDES SCREENINGS AND REFERRALS THROUGH GEORGETOWN UNIVERSITY'S HEALTH JUSTICE ALLIANCE (HJA). HJA IS A MEDICAL-LEGAL PARTNERSHIP THAT EMBEDS LEGAL SERVICES IN HEALTHCARE SETTINGS TO HELP DOCTORS AND HEALTHCARE PROFESSIONALS ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO POOR HEALTH AND HEALTH DISPARITIES. HJA SCREENED 536 PATIENTS AND PROVIDED 30 REFERRALS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 MGUH 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 SUPPORT THE HOSPITAL'S COMMUNITY HEALTH PLANNING EFFORTS TO ADDRESS THE NEEDS OF UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MGUH 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 7 THE COMMUNITY BENEFIT REPORT FOR MGUH IS FILED IN THE DISTRICT OF COLUMBIA. 1 GEORGETOWN UNIVERSITY 2115 WISCONSIN AVENUE NW WASHINGTON DC 20007 530196603 501(C)(3) 15000 0 ANNUAL LOMBARDI GALA 1 0 PART I, LINE 2: OUR GRANT MONITORING PROCEDURE BRINGS TOGETHER ALL KEY PERSONNEL INVOLVED IN THE GRANT AT THE ONSET OF THE AWARD TO DISCUSS MANAGEMENT, RESPONSIBILITIES, BUDGETS, AND REPORTING. THIS INITIAL MEETING IS DOCUMENTED AND DISBURSED TO ALL INVOLVED. THE ACTUAL GRANT MONITORING IS DONE BY THE HOSPITAL DEPARTMENT IMPLEMENTING THE GRANT. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ENSURES THAT EACH GRANT HAS A COST CENTER AND/OR GRANT ACCOUNT SET UP BASED ON THE TERMS OF THE GRANT AWARD. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ALSO TRACKS AND REMINDS HOSPITAL DEPARTMENTS WHEN PROGRESS REPORTS ARE DUE THROUGHOUT THE LIFE OF THE GRANT. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2415571 0 3962207 0 79000 0 68897 0 37099 0 6562774 0 0 JEAN-MARC VOYADZIS PHYSICIAN 2253784 0 192810 0 0 0 9900 0 26002 0 2482496 0 0 0 FRED MO PHYSICIAN 638440 0 1758103 0 0 0 9900 0 25148 0 2431591 0 0 0 FAHEEM SANDHU PHYSICIAN 2149717 0 112140 0 0 0 18712 0 25576 0 2306145 0 0 0 MICHAEL C SACHTLEBEN FORMER OFFICER 0 1024159 0 1038851 0 0 0 25320 0 36656 0 2124986 0 0 AMJAD ANAIZI PHYSICIAN 1805100 0 207957 0 0 0 16902 0 25642 0 2055601 0 0 0 THOMAS FISHBEIN PHYSICIAN/MMG DIVISION CHIEF 1983394 0 0 0 0 0 9900 0 11588 0 2004882 0 0 0 LISA BOYLE PRESIDENT/DIRECTOR 769040 0 698354 0 0 0 22279 0 29695 0 1519368 0 0 0 ANDREW B STEMER MD DIRECTOR (AS OF 7/2024) 630037 0 145855 0 0 0 9900 0 25413 0 811205 0 0 0 PRINCY KUMAR MD DIRECTOR 476047 0 43376 0 0 0 27098 0 19649 0 566170 0 0 0 DAVID HO TREASURER, CFO 353246 0 152413 0 0 0 9900 0 9967 0 525526 0 0 0 LEE BERGMAN FORMER OFFICER 0 307170 0 102998 0 0 0 12026 0 16803 0 438997 0 0 MARCUS NOEL MD DIRECTOR 331220 0 37659 0 0 0 3975 0 24795 0 397649 0 0 0 ALLISON RESCHOVSKY SECRETARY 0 240974 0 50559 0 0 0 8172 0 1834 0 301539 0 0 HEATHER NOWAKOWSKI ASSISTANT SECRETARY 152161 0 4500 0 0 0 8505 0 8798 0 173964 0 0 0 SCHEDULE J, PART III: DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A PAYMENT OF $79,000, WHICH REPRESENTS THE PREMIUM PAYMENT OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. ALLISON RESCHOVSKY'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO MEDSTAR-GEORGETOWN MEDICAL CENTER, AND MONTGOMERY GENERAL HOSPITAL, INC. INDIVIDUAL SUBSTANTIAL CONTRIBUTOR SEE PART V 0 ACME PAPER & SUPPLY CO INC SEE PART V 1644861 PACKAGING 0 VANGUARD MEDICAL SEE PART V 879309 MEDICAL 0 VIZIENT INC SEE PART V 256628 MEDICAL 0 TRANS TIME EXPRESS LLC SEE PART V 298232 DELIVERY SERVICES 0 WSP USA PROPERTY AND BUILDINGS INC SEE PART V 157656 CONSTRUCTION 0 BUSINESS TRANSACTION INVOLVING INTERESTED PERSON SCHEDULE L, PART IVTHE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO THE ABOVE-MENTIONED HOSPITAL VALUED IN EXCESS OF $100,000: ACME PAPER & SUPPLY CO., INC., VANGUARD MEDICAL, VIZIENT, INC., TRANS TIME EXPRESS, LLC, WSP USA PROPERTY AND BUILDINGS, INC., AND AN INDIVIDUAL SUBSTANTIAL CONTRIBUTOR. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 7 207280 FMV 0 1 0 PART I, COLUMN (B). THIS COLUMN IS REPORTING THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. 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 THE GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. 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. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 30,284,411. MANAGEMENT AND GENERAL EXPENSES 3,712,461. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,996,872. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 73,156,067. MANAGEMENT AND GENERAL EXPENSES 893,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,049,330. MISC FIXED PURCH SRVCS: PROGRAM SERVICE EXPENSES 49,956,600. MANAGEMENT AND GENERAL EXPENSES 1,914,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,871,570. BILLING SERVICES-INTERCO: PROGRAM SERVICE EXPENSES 9,568,964. MANAGEMENT AND GENERAL EXPENSES 360,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,929,197. LAB SERVICES: PROGRAM SERVICE EXPENSES 4,971,454. MANAGEMENT AND GENERAL EXPENSES 1,477. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,972,931. ASK A NURSE ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,976,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,976,398. NON-PHYS INTERCO PURCH SRVS: PROGRAM SERVICE EXPENSES 5,196,900. MANAGEMENT AND GENERAL EXPENSES 39,181. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,236,081. MISC EXPENSES: PROGRAM SERVICE EXPENSES 14,759,456. MANAGEMENT AND GENERAL EXPENSES 4,904,781. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,664,237. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS -103,983,861. INCOME TAX PROVISION -575,141. MGMC LLC 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 522228444 PHYSICIANS DC 388955719 43398869 N/A GUHKIDS MOBILE MEDICAL CLINIC PROGRAM 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 710958897 PHYSICIANS DC 0 0 N/A FRANKLIN SQUARE HOSPITAL CENTER INC 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 520608007 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 0 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 520646893 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 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