2026-05-14T18:27:09-05:00 2025-06-30 205991824 SC&H GROUP INC 226 SCHILLING CIRCLE SUITE 300 HUNT VALLEY MD 21031 990 2024-07-01 521638026 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC DOCT 4434811308 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 MICHELLE LEE CFO 4434811308 2026-05-12 1 1 LORI S BURGHAUSER P00370694 4104031500 2026-05-12 2024 2025-03-06 01:10:19Z VICTORIA W BAYLESS 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 287913877 0 X WWW.LUMINISHEALTH.ORG X 1989 MD TO ENHANCE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.THE MISSION OF LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LHDCMC) IS TO ENHANCE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. OUR TEAM IS DEDICATED TO IMPROVING THE HEALTH OF PRINCE GEORGE'S COUNTY RESIDENTS BY EXPANDING SERVICES, ADDRESSING HEALTH DISPARITIES, AND ADVANCING HEALTH EQUITY. 16 14 1675 157 705416 365648 2046650 2489899 248824253 281764973 1219891 945140 2482259 2713865 254573053 287913877 204055 143657 0 0 111322795 121140395 0 0 0 143398215 170541598 254925065 291825650 -352012 -3911773 214364823 202097661 189922339 180975931 24442484 21121730 X AS A CHARITABLE ORGANIZATION, OUR MISSION IS TO ENHANCE THE HEALTH OF THE PEOPLE WE SERVE. LHDCMC'S VISION IS "LIVING HEALTHIER TOGETHER", PROVIDING A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES, A NUMBER OF SPECIALTY AND SUBSPECIALTY SERVICES, AND A FULL RANGE OF ANCILLARY AND SUPPORT SERVICES. FOR MORE THAN 50 YEARS, WE HAVE SERVED THE CITIZENS OF PRINCE GEORGE'S COUNTY AND THE SURROUNDING COMMUNITIES REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 0 0 205261313 143657 281059557 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LHDCMC) HAS BEEN PROVIDING HIGH-QUALITY, COMPASSIONATE CARE TO PEOPLE IN PRINCE GEORGE'S COUNTY FOR A HALF CENTURY.WITH MORE THAN 340 BEDS ACROSS OUR CAMPUS, OUR REACH EXPANDS BEYOND THAT OF A TYPICAL SMALL COMMUNITY HOSPITAL. SINCE BECOMING PART OF LUMINIS HEALTH, WE'VE EXPANDED TO MEET THE GREATEST HEALTHCARE NEEDS OF THE COMMUNITY AND CONTINUE TO INVEST IN THE SERVICES TO SUPPORT THE DIVERSE COMMUNITY WE SERVE. THE HOSPITAL HAS BEEN RECOGNIZED FOR EXCEPTIONAL CARE IN MANY AREAS, INCLUDING COLON CANCER SURGERY, BREAST CANCER SURGERY AND WOUND CARE. LHDCMC PROVIDES A RANGE OF MEDICAL AND SURGICAL SERVICES, INCLUDING EMERGENCY CARE, REHABILITATION, BEHAVIORAL HEALTH AND OUTPATIENT CARE. RESEARCH FROM PRINCE GEORGE'S COUNTY SHOWS MORE THAN 40 PERCENT OF RESIDENTS RECEIVE THEIR HEALTHCARE OUTSIDE THE COUNTY. TO TACKLE THIS DISPARITY, LHDCMC HAS HIRED ADDITIONAL BREAST, VASCULAR, BARIATRIC, OB-GYN, AND ORTHOPEDIC SURGEONS. WE ALSO OPENED A NEW PRIMARY CARE PRACTICE IN DISTRICT HEIGHTS AND IN GREENBELT.LLUMINIS HEALTH IS COMMITTED TO PROVIDING HIGH-QUALITY COMPREHENSIVE CARE CLOSE TO HOME. SINCE 80 PERCENT OF BABIES ARE BORN OUTSIDE PRINCE GEORGE'S COUNTY, LHDCMC HAS RECEIVED STATE APPROVAL TO ADD INPATIENT OBSTETRICS, LABOR, DELIVERY, AND POSTPARTUM CARE ON ITS CAMPUS. SLATED TO OPEN IN 2028, THE WOMEN'S HEALTH HUB IS EXPECTED TO DELIVER UP TO 2,000 BABIES ONCE FULLY OPERATIONAL. THESE INITIATIVES WILL TRANSFORM HEALTHCARE IN PRINCE GEORGE'S COUNTY AND PLAY A CRUCIAL ROLE IN ELIMINATING MATERNAL AND INFANT MORTALITY, AN AMBITIOUS GOAL OF VISION 2030, THE HEALTH SYSTEM'S STRATEGIC PLAN. AS PART OF OUR OVERALL MATERNAL HEALTH INITIATIVES, LUMINIS HEALTH RECENTLY LAUNCHED CENTERINGPREGNANCY IN GREENBELT, A NATIONALLY RECOGNIZED PROGRAM THAT OFFERS GROUP SESSIONS FOR EXPECTANT MOTHERS AND PERSONALIZED CONSULTATIONS WITH TRUSTED OB-GYNS OR MIDWIVES.IN 2025, LHDCMC CELEBRATED ITS 50TH ANNIVESARY OF SERVING THE COMMUNITY. THROUGHOUT THE YEAR, THE HOSPITAL HOSTED SEVERAL SPECIAL EVENTS AIMED AT ADDRESSING MATERNAL HEALTH DISPARITIES AND SUPPORTING EXPECTANT AND NEW MOTHERS IN THE COMMUNITY. HIGHLIGHTS INCLUDED A COMMUNITY BABY SHOWER AND A DOCUMENTARY SCREENING AND PANEL DISCUSSION ABOUT MATERNAL MORTALITY. LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER FOUNDATION, A SUPPORTING ORGANIZATION OF LHDCMC, HELD A 5OTH ANNIVERSARY GALA TO RAISE MONEY AND AWARENESS ABOUT OUR MATERNAL HEALTH INITIATIVES. LHDCMC CONTINUES TO EARN AN 'A' FROM THE LOWN INSTITUTE HOSPITAL INDEX FOR SOCIAL RESPONSBILITY, WHICH EVALUATES HOSPITALS ON HEALTH EQUITY, VALUE, AND PATIENT OUTCOMES.GUIDED BY OUR RISE VALUES-- RESPECT, INCLUSION, SERVICE, AND EXCELLENCE-- WE PRIORITIZE THE HEALTH AND WELL-BEING OF OUR TEAMMATES. WE'RE PROUD THAT APPROXIMATELY 70 PERCENT OF ALL LHDCMC EMPLOYEES LIVE IN PRINCE GEORGE'S COUNTY, STRENGTHENING OUR DEEP CONNECTION TO THE COMMUNITY WE SERVE.RFEFLECTING OUR COMMITMENT TO CREATING A HEALTHY AND EMPOWERING WORK ENVIRONMENT, LHDCMC HAS EARNED THE PRESTIGIOUS PATHWAY TO EXCELLENCE DESIGNATION FOR NURSING EXCELLENCE FROM THE AMERICAN NURSES CREDENTIALING CENTER.BETWEEN JULY OF 2024 AND JUNE OF 2025, OUR SERVICES INCLUDED:A) MORE THAN 550 PSYCHIATRIC ADMISSIONS.B) 47,000 EMERGENCY ROOM VISITS (44,000 ADULTS AND 3,000 PEDIATRIC CASES) C) 9,500 INPATIENT ADMISSIONSD) 4,700 TOTAL SURGERIES OUR COMMITMENT TO IMPROVE HEALTH AND WELLBEING ACROSS PRINCE GEORGE'S COUNTY EXTENDS BEYOND THE HOSPITAL WALLS. OUR COMMUNITY HEALTH TEAM REGULARLY VISITS UNDERSERVED COMMUNITIES TO PROVIDE FREE HEALTH SCREENINGS, EDUCATION, AND VACCINES. EACH YEAR, WE SCREEN MORE THAN 600 RESIDENTS IN PRINCE GEORGE'S COUNTY, MANY OF WHOM LACK A PRIMARY CARE PHYSICIAN OR THE FINANCIAL RESOURCES FOR CARE. LHDCMC ALSO HOSTS HEALTH EDUCATION PROGRAMS, CLASSES AND SUPPORT GROUPS ADDRESSING A VARIETY OF PHYSICAL AND MENTAL HEALTH CONDITIONS, INCLUDING DIABETES MANAGEMENT, SMOKING CESSATION, AND BREASTFEEDING.WE WORK HAND AND HAND WITH OUR STATE PARTNERS TO ADDRESS HEALTH ISSUES AND REDUCE DISPARITIES. THANKS TO SEVERAL STATE GRANTS, LUMINIS HEALTH PROVIDES NO-COST BREAST CANCER AND COLON CANCER SCREENINGS TO COUNTY RESIDENTS. ONE OF OUR MAJOR FOCUSES IS CANCER SCREENING AND PREVENTION IN COMMUNITIES THAT LACK PRIMARY CARE AND OTHER CRITICAL HEALTH SERVICES. PRINCE GEORGE'S COUNTY IS HOME TO NEARLY ONE MILLION RESIDENTS AND IS ONE OF THE MOST DIVERSE COMMUNITIES IN MARYLAND, WITH APPROXIMATELY 64% AFRICAN AMERICANS AND 23% HISPANIC POPULATIONS. MANY RESIDENTS FACE BARRIERS TO CARE, INCLUDING LIMITED ACCESS TO HEALTH SERVICES, UNEMPLOYMENT, POVERTY, AND LANGUAGE CHALLENGES. THE COUNTY ACCOUNTS FOR 15% OF MARYLAND'S RESIDENTS AND REPRESENTS 93% OF THE HOSPITAL'S SERVICE AREA.TO REDUCE THE INCIDENCE AND MORTALITY RATE OF CANCER. WE PRIORITIZE COMMUNITY OUTREACH AND EDUCATION, INCLUDING VISITS TO FEDERALLY QUALIFIED HEALTH CENTERS, CHURCHES, SCHOOLS, COLLEGES, AND USING SOCIAL MEDIA. WE ALSO HOST COMMUNITY EVENTS, INCLUDING THE PINK RIBBON RALLY IN OCTOBER FOR CANCER AWARENESS AND SCREENING.WE ACTIVELY ENROLL RESIDENTS IN PROGRAMS TO PROVIDE CANCER SCREENING AND TOBACCO CESSATION SERVICES. OUR TEAM MEMBERS ALSO CONNECT PATIENTS WITH ADDITIONAL COMMUNITY RESOURCES TO HELP WITH HEALTH INSURANCE, AND CONNECTING WITH PRIMARY CARE PROVIDERS. CASE MANAGERS WORK CLOSELY WITH PATIENTS TO ADDRESS BARRIERS TO CARE.EMERGENCY CAREHIGH-QUALITY EMERGENCY CARE IS AVAILABLE 24/7, WITH DEDICATED EMERGENCY MEDICINE PHYSICIANS, NURSES, AND CLINICIANS. LHDCMC PROVIDES CARE TO EVERYONE, INCLUDING CHILDREN THROUGH A PARTNERSHIP WITH CHILDREN'S NATIONAL HOSPITAL FOR DEDICATED PEDIATRIC EMERGENCY ROOM CARE.WE ALSO OFFER SPECIALIZED EMERGENCY CARE FOR OLDER PATIENTS, IN PART THROUGH GERIATRIC SOCIAL WORKER SERVICES TO HELP PATIENTS NAVIGATE THEIR CARE AND A UNIT DEDICATED TO THE CARE OF ELDERLY PATIENTS. OUR COMMITMENT HAS EARNED US THE AGE-FRIENDLY HEALTH SYSTEM LEVEL 2: COMMITMENT TO CARE EXCELLENCE DESIGNATION FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT.WE ALSO SUPPORT CARE FOR OUR DIVERSE PATIENT POPULATION WITH CULTURALLY-COMPETENT SOCIAL WORKERS, PATIENT RELATIONS SPECIALISTS, SPIRITUAL CARE RESOURCES AND COMMUNICATION & INTERPRETER SERVICES. BEHAVIORAL HEALTHPRINCE GEORGE'S COMMUNITY HEALTH ASSESSMENT CONTINUES TO IDENTIFY BEHAVIORAL HEALTH AS A MAJOR HEALTH PRIORITY. TO ADDRESS THIS NEED, LHDCMC OPENED A BEHAVIORAL HEALTH PAVILION IN THE FALL OF 2021. LOCATED ON THE HOSPITAL'S CAMPUS, THE PAVILION OFFERS URGENT BEHAVIORAL HEALTH CARE, OUTPATIENT TRANSITIONAL CARE, SUBSTANCE USE DISORDER TREATMENT, A PARTIAL HOSPITALIZATION PROGRAM, A RESIDENTIAL CRISIS UNIT, AND AN INPATIENT UNIT. THROUGH FUNDING FROM THE MARLAND COMMUNITY HEALTH RESOURCES COMISSION, BEHAVIORAL HEALTH EDUCATION AND SUPPORT SERVICES HAVE BEEN SUCCESSFULLY DELIVERED IN SIX HIGH SCHOOLS IN PRINCE GEORGE'S COUNTY. THE PROGRAM WAS DEVELOPED IN CLOSE PARTNERSHIP WITH COUNTY SCHOOLS AND HAS DEMONSTRATED MEANINGFUL IMPACT IN SUPPORTING STUDENT WELL-BEING. DUE TO ITS SUCCESS, THE STATE RENEWED FUNDING FOR THE 2025-2026 SCHOOL YEAR. THIS CONTINUED INVESTMENT UNDERSCORES THE IMPORTANCE OF SCHOOL-BASED BEHAVIORAL HEALTH INITIATIVES AND THE STRENGTH OF COLLABORATIVE COMMUNITY PARTNERSHIPS. 205261313 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 108 0 1675 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MD X MICHELLE LEE 4434811308 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 VICTORIA BAYLESS LH CEO/BOARD MEMBER 1.00 40.00 X X 0 3392300 17114 JEFFREY GELFAND BOARD MEMBER 1.00 40.00 X 0 1304112 33272 ALAN J HYATT ESQ CHAIR 1.00 1.00 X X 0 0 0 GARY MICHAEL VICE CHAIR 1.00 1.00 X X 0 0 0 JAMES CHAMBERS TREASURER 1.00 1.00 X X 0 0 0 PATRICIA ARZUAGA BOARD MEMBER 1.00 1.00 X 0 0 0 DAVID CADE BOARD MEMBER 1.00 1.00 X 0 0 0 KEITH GHEZZI MD BOARD MEMBER 1.00 1.00 X 0 0 0 ATHENA GROVES BOARD MEMBER 1.00 1.00 X 0 0 0 NIELS HOLCH BOARD MEMBER 1.00 1.00 X 0 0 0 GLORIA LAWLAH BOARD MEMBER 1.00 1.00 X 0 0 0 MISTI MUKHERJEE BOARD MEMBER 1.00 1.00 X 0 0 0 TIMOTHY NEWBERRY BOARD MEMBER 1.00 1.00 X 0 0 0 JOYCE PHILLIP BOARD MEMBER 1.00 1.00 X 0 0 0 LEISA C RUSSELL BOARD MEMBER 1.00 1.00 X 0 0 0 MARK WHITLOCK BOARD MEMBER 1.00 1.00 X 0 0 0 DENEEN RICHMOND PRESIDENT OF LHDCMC 0.00 40.00 X 832213 0 83559 TIMOTHY ADELMAN JD GENERAL COUNSEL/SECRETARY 40.00 1.00 X 0 710987 77863 STEPHANIE SCHNITTGER LF CFO 1.00 40.00 X 0 582468 54647 SUNIL MADAN CHIEF MEDICAL OFFICER 40.00 0.00 X 659192 0 37911 CRYSTAL D BECKFORD CHIEF NURSING OFFICER 40.00 0.00 X 349934 0 31118 DAVID PRESS ASSOCIATE CHAIR OF MEDICINE 40.00 0.00 X 308841 0 13392 SALIM JARAWAN DIRECTOR - PHARMACY 40.00 0.00 X 265256 0 9224 MAFEREH SESAY CLINICAL SUPERVISOR 40.00 0.00 X 243768 0 30119 DELPHINE SIRRI STAFF NURSE 40.00 0.00 X 231681 0 21294 REGINA HAMPTON-COLEMAN FORMER BOARD MEMBER 0.00 40.00 X 0 384147 33419 DOUGLAS WOMER FORMER LF CFO/TREASURER 0.00 0.00 X 0 360012 10867 JOYCE HANSCOME FORMER VP/INTERNAL CONSULTANT 0.00 40.00 X 0 187789 30500 KEVIN SMITH FORMER LF CFO 0.00 0.00 X 0 104422 3333 MELISSA YEAGER VP, COO, FORMER KEY 40.00 0.00 X 124529 0 11440 3015414 7026237 499072 311 1 1 0 MEDPRO HEALTHCARE STAFFING 1580 SAWGRASS CORP PKWY SUITE 200 SUNRISE FL 33323 STAFFING SERVICES 5946247 BROWN CROFT & FRAZIER PA 2002 MEDICAL PKWY STE 235 ANNAPOLIS MD 21401 PROFESSIONAL FEES 4449690 ANESTHESIA COMPANY LLC PO BOX 418205 BOSTON MA 02241 PROFESSIONAL FEES 3191629 BIO-MEDICAL APPLICATIONS OF MD INC PO BOX 933510 ATLANTA GA 311933510 DIALYSIS SERVICES 1154930 LEGACY RESTORATION SPECIALIST 13209 TANEY DR BELTSVILLE MD 20705 PROVIDES RESTORATION 914314 32 1212718 1217444 59737 2489899 NET PATIENT REVENUE 621110 281764973 281059557 705416 281764973 940905 940905 781329 0 781329 781329 781329 4235 0 4235 4235 4235 CAFETERIA REVENUE 722514 1144508 1144508 SHARED SERVICES 900099 280368 280368 ANSWERING SERVICE REV. 812900 115557 115557 392103 392103 1932536 287913877 281059557 705416 3659005 X 143657 143657 1612876 1321369 291507 135967 111296 24671 101988380 83844646 18143734 2931122 2315548 615574 7041491 5492561 1548930 7430559 5721530 1709029 1275428 1275428 2312 2312 98922790 51982109 46940681 4974346 3911157 1063189 201830 155409 46421 3102070 2388594 713476 103714 79846 23868 3512289 2704463 807826 20087708 15467535 4620173 300678 231522 69156 INCOME TAX EXPENSE 23067 23067 SUPPLIES 34755800 26761966 7993834 ENERGY COSTS 2756314 2122362 633952 LEASE AMORTIZATION & IN 441330 441330 81922 64413 17509 291825650 205261313 86564337 0 9586 9954 1997310 2980756 37287872 41435900 3461604 3716516 3274579 6735118 215413696 54848386 151748571 160565310 21791202 3558120 585864 455508 -37395125 -38381193 4100000 4100000 27503360 16921672 214364823 202097661 19572317 19346779 27938741 28638360 102312335 96025536 40098946 36965256 189922339 180975931 X 24223050 21899444 219434 -777714 24442484 21121730 214364823 202097661 X -3911773 -139448 730467 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2312 2312 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION. A PORTION OF THESE DUES WERE USED FOR LOBBYING ACTIVITIES. 9274060 9274060 114532211 24182231 90349980 8487913 2623873 5864040 48188432 21609061 26579371 34931080 6433221 28497859 160565310 RIGHT OF USE ASSET 3436681 LIFE INSURANCE 2956480 OTHER RECEIVABLES 9010136 OTHER LONG-TERM ASSETS 1518375 16921672 ROU LIABILITY 4141798 DEFERRED COMPENSATION AND IBNRS 2956480 PENSION OBLIGATION 633517 MARK TO MARKET LIABILITY 4080351 INTERCOMPANY 24422110 TAXES PAYABLE 731000 36965256 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE MANAGEMENT TO EVALUATE UNCERTAIN TAX POSITIONS TAKEN BY THE SYSTEM. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS CONCLUDED THAT AS OF JUNE 30, 2025, AND 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 13914007 13914007 0.04770 13914007 13914007 0.04770 3053052 32200 3020852 0.01040 21366188 21366188 0.07320 2626049 1691513 934536 0.00320 27045289 1723713 25321576 0.08680 40959296 1723713 39235583 0.13450 697980 697980 0.00240 697980 697980 0.00240 1 6585838 74335759 69941068 4394691 X 1 1 1 1 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC 8118 GOOD LUCK ROAD LANHAM MD 20706 SEE PART V, SECTION C 16022 X X X LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 25 1 SEE PART V, SECTION C 0 1 X 300.000000000000 350.000000000000 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 5: LHDCMC TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE PRINCE GEORGE'S COUNTY COMMUNITY, INCLUDING FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, COMMUNITY LEADERS, AND LEADERS OR REPRESENTATIVES OF LOW-INCOME OR UNDERSERVED GROUPS SERVED IN THE COMMUNITY. THE HEALTH DEPARTMENT STAFF AND REPRESENTATIVES FOR THE FOUR MAIN COUNTY HOSPITALS SERVED AS THE CORE TEAM FOR CHNA DEVELOPMENT. THE HOSPITALS WERE: LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER, AND UNIVERSITY OF MARYLAND CAPITAL REGION. ALL FOUR HOSPITAL SYSTEMS AND THE HEALTH DEPARTMENT APPOINTED STAFF TO FACILITATE THE FY 2025 CHA PROCESS. THE HEALTH DEPARTMENT STAFF LED THE CHNA PROCESS IN DEVELOPING THE DATA COLLECTION TOOLS AND ANALYZING THE RESULTS WITH REGULAR MEETING AND INPUT FROM HOSPITAL REPRESENTATIVES THE PROCESS INCLUDED:- A COMMUNITY RESIDENT SURVEY AVAILABLE IN ENGLISH, SPANISH AND FRENCH DISTRIBUTED BY THE HOSPITALS AND HEALTH DEPARTMENT;- SECONDARY DATA ANALYSIS THAT INCLUDED THE COUNTY DEMOGRAPHICS AND POPULATION DESCRIPTION THROUGH SOCIOECONOMIC INDICATORS, AND A COMPREHENSIVE HEALTH INDICATOR PROFILE;- HOSPITAL SERVICE PROFILES TO DETAIL THE RESIDENTS SERVED BY THE CORE TEAM;- A COMMUNITY EXPERT SURVEY AND KEY INFORMANT INTERVIEWS; AND- A PRIORITIZATION PROCESS THAT INCLUDED THE CORE TEAM AND PRINCE GEORGE'S HEALTHCARE ACTION COALITION LEADERSHIP.KEY INFORMANTS INCLUDED:THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PGCHD) CONDUCTED KEY INFORMANT INTERVIEWS WITH 33 COUNTY LEADERS DRAWN FROM DIVERSE BACKGROUNDS WITH VARYING PERSPECTIVES ON HEALTH IN THE COUNTY, THIS INCLUDES COUNTY AGENCIES, NONPROFIT ORGANIZATIONS, AND HEALTHCARE ORGANIZATIONS. LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS A JOINT UNDERTAKING WITH THE PRINCE GEORGE'S HEALTH DEPARTMENT, LHDCMC, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER AND UM CAPITOL REGION HEALTH. LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 6B: - PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT - PRINCE GEORGE'S HEALTHCARE ACTION COALITION LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS. THE FIVE MAIN PRIORITY AREAS IDENTIFIED IN THE CHNA COMPLETED IN 2025 ARE; CHRONIC DISEASE, BEHAVIORAL HEALTH, MATERNAL HEALTH, ACCESS TO CARE, SOCIAL DETERMINANTS OF HEALTH. BEHAVIORAL HEALTH - INCREASE THE KNOWLEDGE AND ACCESSIBILITY OF BEHAVIORAL HEALTH SERVICES. EXPAND EDUCATION AND ACCESS TO CARE, AND STRENGTHEN COMMUNITY PARTNERSHIPS. IN FY 2025 THE BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER INTERVENTIONS FOCUSED ON INCREASING ACCESS TO LIFE-SAVING MEDICATIONS AND CONTINUITY OF PSYCHIATRIC CARE FOR VULNERABLE POPULATIONS. FREE NALOXONE NASAL SPRAY WAS DISPENSED TO PATIENTS WITH A HISTORY OF DRUG USE TO PREVENT OVERDOSE AND IMPROVE HARM-REDUCTION OUTCOMES, RESULTING IN 22 PATIENT ENCOUNTERS. IN ADDITION, LONG-ACTING SCHIZOPHRENIA CARE SERVICES PROVIDED FREE LONG-ACTING ANTIPSYCHOTIC MEDICATIONS TO PSYCHIATRIC PATIENTS TO SUPPORT TREATMENT ADHERENCE, SYMPTOM STABILIZATION, AND REDUCED HOSPITALIZATIONS. THIS INITIATIVE OCCURRED 71 TIMES AND REACHED 41 PATIENTS, HELPING TO ADDRESS GAPS IN MEDICATION ACCESS AND STRENGTHEN ONGOING BEHAVIORAL HEALTH MANAGEMENT WITHIN THE COMMUNITY.CHRONIC DISEASE - REDUCE THE PREVALENCE OF CHRONIC DISEASE AND IMPROVE DISEASE MANAGEMENT BY STRENGTHENING COMMUNITY-BASED AND AMBULATORY EFFORTS FOR THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE. IN FY 2025 LUMINIS HEALTH PRIMARY CARE PARTNERED WITH COLOGUARD TO INCREASE COLORECTAL CANCER SCREENING BY IDENTIFYING PATIENTS IN NEED OF SCREENING SEVERAL TIMES A YEAR, SENDING OUTREACH LETTERS, AND DISTRIBUTING AT-HOME SCREENING KITS. TO REDUCE BREAST CANCER SCREENING DISPARITIES, LUMINIS HEALTH IMAGING COLLABORATES WITH PRIMARY CARE, COMMUNITY HEALTH PRACTICES, AND THE BREAST AND CERVICAL CANCER PROGRAM (BCCP) TO HOST COMMUNITY SCREENING DAYS AND PROVIDE ONGOING ACCESS TO MAMMOGRAPHY, WITH UNINSURED PATIENTS CONNECTED TO BCCP FOR FOLLOW-UP CARE WHEN NEEDED. THE DCMC SURVIVORSHIP PROGRAM OFFERS NURSE NAVIGATION, EDUCATION, AND PSYCHOLOGICAL SUPPORT FOR ONCOLOGY PATIENTS. LUMINIS HEALTH ALSO PROMOTES PREVENTION THROUGH LIFESTYLE EDUCATION TO REDUCE OBESITY AND DIABETES AND CONDUCTS TARGETED MOBILE SCREENING EVENTS IN HIGH-NEED COMMUNITIES. THESE EVENTS INCLUDE A1C AND GLUCOSE SCREENINGS TO IDENTIFY PREDIABETES AND CONNECT PATIENTS TO A FREE DIABETES PREVENTION PROGRAM. IN FY 2025, DCMC HOSTED 21 SCREENING EVENTS, SCREENED 220 RESIDENTS, AND PROVIDED DIABETES AND HEART DISEASE EDUCATION TO 37 COMMUNITY MEMBERS.SOCIAL DETERMINANTS OF HEALTH - IMPROVE COORDINATION OF SDOH SERVICES - ACCESS PATIENT SDOH NEEDS AND CONNECT TO SERVICES. REPORT ON THE COMPLETION RATE OF SDOH SCREENINGS AND THE NUMBER OF THOSE COMPLETED THAT RESULT IN A REFERRAL TO ACM. PILOT AND DETERMINE STRATEGIES TO ADDRESS FOOD INSECURITY AND HOW HEALTHY FOOD ACCESS CAN LIMIT BURDEN OF DISEASE (CANCER, HEART DISEASE, DIABETES). DCMC'S TRANSPORTATION VOUCHER PROGRAM PAYS FOR TAXIS AND BUSES FOR PATIENTS WHO ARE UNABLE TO OBTAIN OR AFFORD TRANSPORTATION POST DISCHARGE. IN FY 2025, THE PROGRAM HAD 86 OCCURRENCES. ACCESS TO CARE - IMPROVE ACCESS AND TIMELINESS OF HEALTHCARE SERVICES. INCREASE ACCESS TO SCREENING AND HEALTH EDUCATION BY PROVIDING AFFORDABLE AND COMMUNITY CENTERED CARE. MATERNAL HEALTH - ADVANCE EQUITABLE MATERNAL HEALTH BY EXPANDING ACCESS TO MATERNAL HEALTH SERVICES. EXPAND CURRENT MATERNAL HEALTH SERVICES TO PROVIDE HOLISTIC CARE ACROSS PRENATAL, PERINATAL, AND POSTNATAL CARE. IN FY 2025, DCMC LAUNCHED CENTERINGPREGNANCY, A GROUP PRENATAL CARE MODEL THAT INCREASES PATIENT-PROVIDER TIME AND EMPOWERS PATIENTS TO ACTIVELY PARTICIPATE IN THEIR CARE. THE PROGRAM INCLUDES EDUCATION ON NUTRITION, STRESS MANAGEMENT, LABOR AND DELIVERY, BREASTFEEDING, AND INFANT CARE, WHILE TEACHING PATIENTS TO CONDUCT SELF-ASSESSMENTS AND TRACK THEIR OWN HEALTH DATA. LUMINIS HEALTH'S DOULA PROGRAM FURTHER ADVANCES MATERNAL HEALTH EQUITY BY PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS SUCH AS HANDS OF MELODY DOULA AGENCY TO PROVIDE CULTURALLY RESPONSIVE LABOR AND POSTPARTUM SUPPORT. BY INTEGRATING DOULAS INTO THE CARE TEAM, THE PROGRAM STRENGTHENS COMMUNICATION, PATIENT ADVOCACY, AND BIRTH OUTCOMES, COMPLEMENTING INITIATIVES LIKE CENTERINGPREGNANCY AND TEAM BIRTH TO CREATE A COMPREHENSIVE, PATIENT-CENTERED PERINATAL CARE EXPERIENCE. IN FY 2025, DCMC HELD A COMMUNITY BABY SHOWER AND PROVIDED EDUCATION AND RESOURCES TO 76 WOMEN IN THE COMMUNITY. LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER, INC. PART V, SECTION A, FACILITY INFORMATION:HTTPS://WWW.LUMINISHEALTH.ORG/EN/FIND-A-LOCATION/LHDCMC PART V, SECTION B, LINE 7A, CHNA WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENT PART V, SECTION B, LINE 7B, OTHER URL:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2025-06/AACHNA_2025_03042025.PDFHTTPS://WWW.PRINCEGEORGESCOUNTYMD.GOV/SITES/DEFAULT/FILES/MEDIA-DOCUMENT/2025%20COMMUNITY%20HEALTH%20ASSESSMENT.PDF PART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY:HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENTPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/EN/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2025-06/MARYLAND-STATE-UNIFORM-FINANCIAL-ASSISTANCE-APPLICATION_0.PDFHTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2025-11/LH-FINANCIAL-ASSISTANCE-BROCHURE.PDFPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2025-02/LH_PFS_HOSPITAL-FINANCIAL-ASSISTANCE_07-2024_ENGLISH.PDF 1 1 - DOCTORS REGIONAL CANCER CENTER 8116 GOOD LUCK ROAD LANHAM MD 20706 CANCER TREATMENT CENTER PART I, LINE 7: CHARITY CARE REPORTED IN LINE 7A WAS CALCULATED USING A COST TO CHARGE RATIO DERIVED USING THE RATIO OF PATIENT CARE COST TO CHARGES AND THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. OTHER COST AMOUNTS INCLUDED IN LINE 7 RELATING TO COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES WERE OBTAINED FROM THE ORGANIZATION'S COMMUNITY BENEFIT REPORT FILING WITH THE HSCRC IN THE STATE OF MARYLAND. THESE COSTS WERE DETERMINED USING A VARIETY OF SOURCES, INCLUDING PAYROLL INFORMATION (FOR DIRECT LABOR COSTS) AND THE ORGANIZATION'S GENERAL LEDGER SYSTEM DETAIL (FOR OTHER DIRECT COSTS E.G. SUPPLIES). INDIRECT COSTS IN THESE AREAS OF BENEFIT WERE DETERMINED BY APPLYING AN INDIRECT COST RATIO TO THE DIRECT COST AMOUNTS OBTAINED. THIS RATIO IS CALCULATED USING SCHEDULE M OF THE HOSPITAL'S ANNUAL COST REPORT FILING WITH THE HSCRC IN THE STATE OF MARYLAND. THE INCREASE IN COST IS RELATED TO BAD DEBTS AND WRITE OFF FOR SERVICES PROVIDED TO THE COMMUNITY. PART I, LINE 7A, COLUMN (D) AND LINE 7F, COLUMNS (C) AND (D): MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR CONSIDERING UNCOMPENSATED CARE IN EACH PAYORS' RATES, AND THEREFORE MARYLAND HOSPITALS ARE UNABLE TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM. PART I, LINE 7G: PHYSICIAN CLINIC COSTS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES BECAUSE THEY WOULD NOT OTHERWISE BE AVAILABLE TO MEET PATIENT DEMAND. THE HOSPITAL MAINTAINS 24/7 INPATIENT COVERAGE WITH THE HOSPITALIST PROGRAM AND PHYSICIAN COVERAGE FOR ANESTHESIOLOGY ,UROLOGY, RADIOLOGY, NEUROLOGY, OTOLARYNGOLOGY, OBSTETRICS & GYNECOLOGY, EMERGENCY MEDICINE, INTERNAL MEDICINE, CARDIOLOGY, SURGERY, PSYCHIATRY, GASTROENTEROLOGIST, INFECTIOUS DISEASE, PULMONARY, ELECTROPHYSIOLOGY, VASCULAR, WOMEN'S CARE SPECIALTY, PEDIATRIC, INTENSIVIST, AND THORACIC, AT A COST INCLUDED IN PART I, LINE 7G OF $21,366,188. THIS COVERAGE PROVIDES AND GUARANTEES ROUND THE CLOCK ACCESS FOR PATIENTS TO NEEDED SERVICES. PHYSICIAN RECRUITMENT, PARTICULARLY PRIMARY CARE RECRUITMENT, CONTINUES TO BE A MAJOR INITIATIVE FOR THE ORGANIZATION. WHILE THE UNINSURED AND UNDERSERVED POPULATION CAN ACCESS CARE THROUGH THE COMMUNITY CLINICS OPERATED BY PHYSICIAN ENTERPRISE, LLC, SPECIALTY CARE REMAINS A CHALLENGE. THEREFORE, LHDCMC FINANCIALLY SUBSIDIZES SPECIALISTS WHO TAKE ON THE CARE OF THE UNDERSERVED/UNINSURED FROM THE CLINICS. THIS INCENTIVE ALLOWS FOR ADDITIONAL CARE FOR THE UNDERSERVED. SINCE HEALTHCARE SYSTEM NAVIGATION IS A CHALLENGE, A CARE MANAGER IN THE CLINICS ASSISTS WITH PLACING THESE PATIENTS IN APPROPRIATE SPECIALTY CARE. LHDCMC CONTINUES TO MONITOR AND ADDRESS THE PROBLEMS ASSOCIATED WITH CARE FOR THE UNINSURED AND UNDERSERVED. PART I, LN 7 COL(F): LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LHDCMC) PROMOTES ACCESS TO ALL MEDICALLY NECESSARY SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. LHDCMC WILL PROVIDE FINANCIAL ASSISTANCE BASED ON INDIGENCE OR HIGH MEDICAL EXPENSES FOR PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE. A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE THAN THE AMOUNT GENERALLY BILLED TO OTHER PAYERS. PART II, COMMUNITY BUILDING ACTIVITIES: THE ENVIRONMENTAL IMPROVEMENTS AND LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS ARE DESIGNED TO PROMOTE THE HEALTH OF THE COMMUNITY RESIDENTS AND THE COMMUNITY AS A WHOLE. THE HOSPITAL ATTENDS MANY HEALTH FAIRS THROUGHOUT THE COMMUNITY AND FOCUSES ON DIABETIC AND HYPERTENSION SCREENING TO EMPOWER THE COMMUNITY ON STATUS. A COUNTY DEPARTMENT HEALTH INITIATIVE. PART III, LINE 2: SEE PART III, LINE 3 FOR EXPLANATION OF METHODOLOGY USED. PART III, LINE 3: THE HOSPITAL HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT #15. THE HOSPITAL'S POLICY IS TO WRITE OFF ALL PATIENT ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. INSURANCE COVERAGE AND CREDIT INFORMATION ARE OBTAINED FROM PATIENTS WHEN AVAILABLE. NO COLLATERAL IS OBTAINED FOR ACCOUNTS RECEIVABLE. BAD DEBT EXPENSE AT COST WAS DETERMINED BY USING A COST-TO-CHARGE RATIO. THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED BY SPECIFIC IDENTIFICATION REVIEWING BAD DEBT RECORDS AND DETERMINING WHO WOULD HAVE BECOME ELIGIBLE FOR CHARITY CARE IF ALL INFORMATION HAD BEEN OBTAINED FROM THE PATIENTS. PART III, LINE 4: SEE FOOTNOTE #2(J) OF AUDITED FINANCIAL STATEMENTS - PAGES 14-17. PART III, LINE 8: THE COMMUNITY BENEFIT QUESTION IS NOT APPLICABLE IN MARYLAND BECAUSE HOSPITALS WITHIN THE STATE ARE REIMBURSED UNDER THE HSCRC WAIVER PROGRAM WHEREIN NET REVENUE (REIMBURSEMENT) IS BASED ON A PERCENTAGE OF REGULATED CHARGES. COSTING METHODOLOGY BASED ON TRIAL BALANCE EXPENSES ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH MEDICARE COST REPORTING RULES AND REGULATIONS. COST NUMBERS REPORTED ARE CONSISTENT WITH LHDCMC'S MEDICARE COST REPORT FILING. PART III, LINE 9B: EACH LHDCMC PATIENT BILL INCLUDES CONTACT INFORMATION FOR FINANCIAL ASSISTANCE AND STATES WHERE TO CALL TO REQUEST A PAYMENT PLAN. SHORT AND LONG-TERM INTEREST FREE PAYMENT PLANS ARE AVAILABLE. THE HOSPITAL TAKES INTO ACCOUNT THE BALANCE OF THE BILL AND THE PATIENTS' FINANCIAL CIRCUMSTANCES IN DETERMINING THE APPROPRIATE AGREEMENT. IF THE PATIENT CONTACTS THE PATIENT FINANCIAL SERVICES CUSTOMER SERVICE UNIT REGARDING INABILITY TO PAY, FINANCIAL ASSISTANCE IS OFFERED. THE AMOUNT OF FINANCIAL ASSISTANCE OFFERED IS BASED ON THE FINANCIAL ASSISTANCE SCREENING PROCESS. IF THERE IS NO INDICATION FROM THE PATIENT OR A REPRESENTATIVE THAT THEY CANNOT PAY AND NO ATTEMPT AT PAYMENT OR REASONABLE PAYMENT ARRANGEMENTS ARE MADE, THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY. THE COLLECTION AGENCY IS EDUCATED ON HOW TO MAKE REFERRALS TO THE FINANCIAL COUNSELING DEPARTMENT FOR INDIVIDUALS INDICATING THEY HAVE AN INABILITY TO PAY. THE HOSPITAL COLLECTION POLICY ALLOWS THE HOSPITAL TO TAKE INTO ACCOUNT PATIENT CIRCUMSTANCES SUCH AS THE AMOUNT OF THE BILL AND AMOUNTS OWED TO OTHER PROVIDERS WHEN DETERMINING THE ULTIMATE AMOUNT THE PATIENT MUST PAY. PART VI, LINE 2: THE 2025 PRINCE GEORGE'S COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) USED A COMPREHENSIVE MIXED-METHODS APPROACH GROUNDED IN THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK TO UNDERSTAND COMMUNITY HEALTH PRIORITIES AND DISPARITIES. THE METHODOLOGY INCLUDED MULTIPLE ASSESSMENT COMPONENTS: A COMMUNITY PARTNER ASSESSMENT, COMMUNITY STATUS ASSESSMENT, AND COMMUNITY CONTEXT ASSESSMENT, ALONG WITH ANALYSIS OF SECONDARY DATA FROM LOCAL, STATE, AND NATIONAL SOURCES SUCH AS THE U.S. CENSUS, MARYLAND DEPARTMENT OF HEALTH, AND HEALTH SYSTEM UTILIZATION DATA. PRIMARY DATA COLLECTION INCORPORATED KEY INFORMANT INTERVIEWS, COMMUNITY SURVEYS, AND FOCUS GROUPS TO CAPTURE COMMUNITY PERSPECTIVES AND LIVED EXPERIENCES. KEY INFORMANTS REPRESENTED DIVERSE SECTORS INCLUDING HEALTHCARE PROVIDERS, PUBLIC HEALTH PROFESSIONALS, BEHAVIORAL HEALTH LEADERS, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICE AGENCIES, AND LOCAL GOVERNMENT PARTNERS. FOCUS GROUP PARTICIPANTS INCLUDED COMMUNITY RESIDENTS AND PRIORITY POPULATIONS SUCH AS WOMEN, OLDER ADULTS, AND INDIVIDUALS IMPACTED BY BEHAVIORAL HEALTH, CHRONIC DISEASE, AND ACCESS-TO-CARE CHALLENGES. THESE ENGAGEMENT STRATEGIES WERE DESIGNED TO ENSURE REPRESENTATION ACROSS DEMOGRAPHIC GROUPS AND GEOGRAPHIC AREAS WITHIN THE COUNTY. DATA FROM INTERVIEWS AND FOCUS GROUPS WERE ANALYZED THEMATICALLY AND INTEGRATED WITH QUANTITATIVE FINDINGS TO IDENTIFY PRIORITY HEALTH NEEDS AND DISPARITIES AFFECTING PRINCE GEORGE'S COUNTY RESIDENTS. THE FY 2025 CHNA DRAWS ON QUALITATIVE DATA GATHERED FROM 33 KEY INFORMANTS AS FOLLOWS:ALICE BLAYNE-ALLARD: MARYLAND DENTAL FOUNDATIONDR. ANDERS PGAR: CCI HEALTH SERVICES JESSICA WILSON: CCI HEALTH SERVICESASHILE RICHARDSON: PRINCE GEORGE'S COUNTY PUBLIC SCHOOLSCASEY DYSON: FOODS AND FRIENDSCHERLY MAXWELL: BLACK MENTAL HEALTH ALLIANCEDR. CHRISTOPHER DEMARCO: GREATER BADEN MEDICAL SERVICEDEDRA SPEARS-JOHNSON: HEART TO HANDFAITH ADEBULE: DYER CARE CENTERFLORENCE NELSON: NATIONAL ALLIANCE ON MENTAL ILLNESSGREGORY TAYLOR: VIBRANT HEALTH AND WELLNESSDR. INGRID WILLIAMS-HORTON: PRINCE GEORGES COUNTY PUBLIC SCHOOLSSHANIKA COOPER: PRINCE GEORGES COUNTY HEALTH DEPARTMENTJAYE SUMMERLOT: PRINCE GEORGES COUNTY DEPARTMENT OF SOCIAL SERVICESJULIA DEMARAIS: PRINCE GEORGES COUNTY PARKS AND RECREATION DEPARTMENT DR. KATHLEEN MCPHAUL: UNIVERSITY OF MARYLAND GLOBAL ENVIRONMENTAL AND OCCUPATIONAL HEALTH DEPARTMENT KRISTINE WILLIAMS: GEORGETOWN'S RODHAM INSTITUTE (CLINTON BAPTIST PARTNER)LINDSAY ESPOSITOE: GREATER DC DIAPER BANKSTEPHANIE PARAISO: GREATER DC DIAPER BANKLISA WALKER: HYATTSVILLE AGING IN PLACENANA DONKOR: PRINCE GEORGES COUNTY PUBLIC SCHOOLSNORBERTO MARTINEZ: PRINCE GEORGES COUNTY CIRCUIT COURT & LANGLEY PARK CIVIC ASSOCIATION DR. SHRYL WHIGHAM: PRINCE GEORGES COUNTY HEALTH DEPARTMENT BRIDGE CENTERRODRIGO STEIN: LA CLINICAL DEL PUEBLOTESSA MORK: YMCADR. TRACI JONES: PRINCE GEORGES COUNTY PUBLIC SCHOOLSDR. AJMES DUAL: PRINCE GEORGES COUNTY VETERANS AFFAIRS MAYUR MODY: AMERICAN DIVERSITY GROUPSYDNEY STEED: PRINCE GEORGES COUNTY BRIDGE CENTER COMMUNITY RE-ENTRY PROGRAMSMARGARET FOWLER: TOTAL LINKING CARE MARYLAND (TLC)NANCY GRIER: LANGLEY PARK COMMUNITY CENTERDR. GREGORY BEARSTOP: PRINCE GEORGES COUNTY DEPARTMENT OF CORRECTIONSJOANNE OPORT: AFRICANS FOR MENTAL HEALTH LHDCMC USES A VARIETY OF STATE AND COUNTY REPORTS FOR HEALTH STATISTICS. THEY ARE AS FOLLOWS:STATE HEALTH INSURANCE ASSISTANCE PROGRAM (SHIP)HTTPS://WWW.PRINCEGEORGESCOUNTYMD.GOV/DEPARTMENTS-OFFICES/STATE-HEALTH-INSURANCE-ASSISTANCE-PROGRAM-SHIP MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) MEASURESHTTPS://HEALTH.MARYLAND.GOV/PHA/PAGES/SHIP-LITE-HOME.ASPXMD VITAL STATISTICS ADMINISTRATION HTTP://DHMH.MARYLAND.GOV/VSA/PAGES/HOME.ASPXROBERT WOOD JOHNSON FOUNDATIONHTTPS://WWW.HEALTH.STATE.MN.US/COMMUNITIES/PRACTICE/RESOURCES/EQUITYLIBRARY/RWJF-NEWWAYTOTALK.HTMLCOUNTY HEALTH RANKINGSHTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/HEALTH-DATA/MARYLAND/PRINCE-GEORGES?YEAR=2024LDCMC USES A VARIETY OF OTHER SOURCES: CRISP AND DISCHARGE INFORMATION ARE ALSO USED TO IDENTIFY TARGET POPULATION AT RISK FOR READMISSION. U.S. CENSUS DATA.THE CHNA CAN BE ACCESSED ONLINE VIAHTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENT PART VI, LINE 3: PUBLIC NOTICE AND INFORMATION REGARDING LHDCMC'S CHARITY CARE POLICY INCLUDES THE FOLLOWING AS WELL AS PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE:A) ANNUAL NOTICE THAT CHARITY CARE IS PROVIDED, AND THE CRITERIA IS PROVIDED AND PUBLISHED IN THE LOCAL NEWSPAPER, THE CAPITAL.B) THE NOTICE PROVIDED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES REGARDING MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY IS POSTED AT THE POINT OF ADMISSION, THE BUSINESS OFFICE, CASHIER AND EMERGENCY ROOM.C) INDIVIDUAL NOTICE IS PROVIDED TO EACH PERSON SEEKING SERVICE AT THE TIME OF ADMISSION OR PRE-ADMISSION TESTING.D) INFORMATION ON HOW TO OBTAIN FINANCIAL ASSISTANCE IS INCLUDED ON EVERY PATIENT LETTER AND STATEMENT.E) THE MEDICAL CENTER'S CALL CENTER REPRESENTATIVES AND COLLECTORS INFORM PATIENTS OF FINANCIAL ASSISTANCE AVAILABILITY IF THE PATIENT INDICATES THEY ARE UNABLE TO PAY THEIR BILL.F) FINANCIAL ASSISTANCE APPLICATION FORMS, IN ENGLISH AND SPANISH, ARE AVAILABLE ON THE MEDICAL CENTER'S WEBSITE.G) THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND SPANISH, IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE.H) PAMPHLETS EXPLAINING FINANCIAL ASSISTANCE ARE AVAILABLE AT THE INFORMATION DESK AS WELL AS REGISTRATION STATIONS, INCLUDING THE EMERGENCY ROOM THROUGHOUT THE MEDICAL CENTER. PART VI, LINE 4: THE HOSPITAL SERVES RESIDENTS OF PRINCE GEORGE'S COUNTY, MARYLAND. BASED ON THE 2025 CHNA PRINCE GEORGE'S COUNTY IS THE SECOND LARGEST JURISDICTION IN MARYLAND WITH 947,430 RESIDENTS AS REPORTED IN 2023. THE COUNTY IS CHARACTERIZED BY A RACIALLY AND ETHNICALLY DIVERSE POPULATION, WITH A MAJORITY OF RESIDENTS IDENTIFYING AS BLACK OR AFRICAN AMERICAN AND A GROWING HISPANIC/LATINO POPULATION, ALONG WITH OTHER RACIAL AND ETHNIC GROUPS CONTRIBUTING TO THE COUNTY'S DIVERSITY. THE RACE AND ETHNICITY COMPOSITION OF THE COMMUNITY IS 64% BLACK, NON-HISPANIC, 22.8% HISPANIC, 10.6% WHITE, NON-HISPANIC, 3.9% ASIAN. THERE WAS A 9% INCREASE OF HISPANIC POPULATION, WHICH IS THE LARGEST DEMOGRAPHIC SHIFT SEEN IN THE COUNTY. THE MEDIAN AGE FOR PRINCE GEORGIANS IS 39.1 PERSONS UNDER 5 REPRESENT 6% THOSE UNDER 18 REPRESENT 22% AND THOSE 65 YEARS AND OVER REPRESENT 16%. FEMALES REPRESENT 52% AND MALES 48%. THE HIGH SCHOOL GRADUATE PERCENTAGE FOR INDIVIDUALS 25 AND OLDER IS 25.30% WITH 20.40% HOLDING A BACHELOR'S DEGREE AND 17.30% WITH A GRADUATE OR PROFESSIONAL DEGREE. WHILE MANY RESIDENTS HAVE ATTAINED HIGH SCHOOL DIPLOMAS OR HIGHER LEVELS OF EDUCATION AND THE COUNTY INCLUDES MIDDLE- AND UPPER-INCOME HOUSEHOLDS, POCKETS OF POVERTY AND ECONOMIC INSTABILITY PERSIST, WITH SOME HOUSEHOLDS LIVING BELOW THE FEDERAL POVERTY LEVEL AND EXPERIENCING FINANCIAL STRAIN RELATED TO HOUSING AND BASIC NEEDS. THE POVERTY RATE IS 8.6%, WHILE THE COUNTY HAS MANY MIDDLE- AND HIGH-INCOME HOUSEHOLDS, INCOME INEQUALITY AND COST-OF-LIVING PRESSURES REMAIN CHALLENGES. THE MEDIAN HOUSEHOLD INCOME IS INCREASED BY 4% TO 98,027. THE COUNTY'S UNEMPLOYMENT RATE IS APPROXIMATELY 5.5%, INDICATING THAT WHILE MANY RESIDENTS ARE EMPLOYED, SOME CONTINUE TO FACE JOB INSTABILITY OR UNDEREMPLOYMENT. OUR COMMUNITY REPRESENTS A DIVERSE POPULATION. GOOD HEALTH IS NOT ATTAINABLE FOR MOST RESIDENTS. PART VI, LINE 5: LHDCMC IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED ALMOST ENTIRELY OF INDEPENDENT PERSONS WHO RESIDE WITHIN THE LHDCMC COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL OF ITS DEPARTMENTS. ALL FINANCIAL SURPLUSES THAT ARE GENERATED ARE USED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSES OF THE HOSPITAL AND PROMOTE THE HEALTH OF THE COMMUNITY. PART VI, LINE 6: LHDCMC OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES, A NUMBER OF SPECIALTY AND SUB-SPECIALTY SERVICES TO MOST OF PRINCE GEORGE'S COUNTY, MARYLAND AND SURROUNDING AREAS. THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THE PATIENTS' ABILITY TO PAY. DURING FISCAL YEAR 2025, LHDCMC PARTICIPATED IN SEVERAL INITIATIVES THAT FOCUSED ON HELPING THE COMMUNITY. MATERNAL HEALTH: LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER OPERATES TWO OB/GYN OFFICES IN PRINCE GEORGE'S COUNTY THAT LAUNCHED THE CENTERINGPREGNANCY PROGRAM. LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER IN LANHAM IS UNDERGOING A MAJOR CAMPUS EXPANSION ANCHORED BY A NEW WOMEN'S HEALTH PAVILION AND FAMILY BIRTH CENTER. THE NEW PAVILION WILL INCLUDE INPATIENT OBSTETRICS SERVICES FOR THE FIRST TIME AT THE HOSPITAL WITH AN EXPECTED OPENING IN 2028 AT APPROXIMATELY 2,000 BIRTHS ANNUALLY. THIS EXPANSION WILL ADDRESS THE SIGNIFICANT GAP IN LOCAL MATERNITY CARE HISTORICALLY, AS 8 OUT OF 10 WOMEN IN PRINCE GEORGE'S COUNTY HAVE HAD TO LEAVE THE COUNTY TO GIVE BIRTH DUE TO LIMITED OBSTETRIC SERVICES. ONCE COMPLETED, THE MATERNAL HEALTH PROGRAM AND NEW PAVILION WILL INCREASE ACCESS TO PRENATAL, DELIVERY, AND POSTPARTUM CARE LOCALLY, REDUCE MATERNAL AND INFANT HEALTH DISPARITIES, IMPROVE CONTINUITY OF CARE FOR FAMILIES, AND CREATE NEW HEALTHCARE JOBS AND STRENGTHEN COMMUNITY HEALTH INFRASTRUCTUREMENTAL HEALTH:ABOUT OUR PARTNERSHIP WITH PRINCE GEORGE'S COUNTYTHIS PROGRAM AND SERVICES ARE MADE POSSIBLE IN PART BY FUNDING FROM THE PRINCE GEORGE'S COUNTY EXECUTIVE OFFICE. IN RESPONSE TO LONG-STANDING BEHAVIORAL HEALTH DISPARITIES, PRINCE GEORGE'S COUNTY EXECUTIVE AND THE COUNTY COUNCIL ALLOCATED $20 MILLION DOLLARS OF CAPITAL FUNDING TO THE BEHAVIORAL HEALTH FACILITY RENOVATION. THESE FUNDS HAVE FINANCED THE MAJORITY OF THE RENOVATION, TRANSFORMING A FORMER REHABILITATION FACILITY ON THE GROUNDS OF LHDCMC INTO A STATE-OF-THE-ART BEHAVIORAL HEALTH PAVILION.AS PART OF OUR COMMITMENT TO PRINCE GEORGE'S COUNTY, LUMINIS HEALTH WILL OPERATIONALIZE THE NEW FACILITY AND PROVIDE CONTINUED INVESTMENT AND SUPPORT NEEDED FOR BEHAVIORAL HEALTH SERVICES.BEHAVIORAL HEALTH CARE, CLOSER TO HOME LOCATED ON THE CAMPUS OF LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER (LHDCMC) IN LANHAM, MARYLAND, A COMPREHENSIVE BEHAVIORAL HEALTH PROGRAM IS HOUSED WITHIN A NEWLY RENOVATED TWO-STORY, 31,200 SQUARE-FOOT-BUILDING. WITH PROGRAMS DESIGNED FOR ALL AGES, PRINCE GEORGIANS WILL RECEIVE SEAMLESS ACCESS TO A WIDE SPECTRUM OF SERVICES. OFFERING THIS CONTINUUM OF SERVICES AT ONE LOCATION ALLOWS FOR COORDINATED CARE AND BETTER OUTCOMES.OUTPATIENT SERVICES-A BEHAVIORAL HEALTH WALK-IN URGENT CARE FOR ALL AGES-OUTPATIENT THERAPY AND MEDICATION MANAGEMENT FOR ALL AGES-AN EIGHT-BED RESIDENTIAL ADDICTION PROGRAM FOR ADULTS-PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS AND ADOLESCENTS-PREVENTION PROGRAMS-FAMILY SUPPORT SERVICESAT LHDCMC, WE CONTINUED TO INTEGRATE PEER RECOVERY COACHES DIRECTLY INTO ED TEAMS TO PROVIDE SCREENING, INTERVENTION, AND TREATMENT REFERRALS FOR PATIENTS AT RISK FOR POTENTIAL OVERDOSE. LHDCMC CONTINUED TO OPERATE THE BEHAVIORAL HEALTH PAVILION, OFFERING URGENT CARE, OUTPATIENT TREATMENT, AND A 16-BED INPATIENT ADULT PSYCHIATRIC UNIT. HEALTH CARE DISPARITIES:LUMINIS HEALTH REMAINS COMMITTED TO IMPROVING HEALTH OUTCOMES AND REDUCING DISPARITIES IN CARE AND ACCESS. IN 2020, THE HEALTH EQUITY AND ANTI-RACISM TASK FORCE (H.E.A.R.T. FORCE) WAS ESTABLISHED AS A MULTIDISCIPLINARY GROUP OF TRUSTEES, PROVIDERS, STAFF, AND COMMUNITY STAKEHOLDERS. IN FY 2024, THE H.E.A.R.T. FORCE REFINED ITS PRIORITIES:LUMINIS HEALTH HAS HAD A LONGSTANDING COMMITMENT TO IMPROVING HEALTH OUTCOMES FOR DIVERSE COMMUNITIES BY REDUCING DISPARITIES IN HEALTH AND ACCESS. DESPITE MULTIPLE ACHIEVEMENTS, WE DETERMINED THAT ADDITIONAL FOCUS WAS NEEDED AND FORMED A MULTI-STAKEHOLDER TASK FORCE, INCLUDING LUMINIS HEALTH TRUSTEES, PROVIDERS, STAFF AND COMMUNITY MEMBERS (E.G., LOCAL GOVERNMENTS, FAITH-BASED, ETC.) IN FY 2025, THE TASK FORCE RECONVENED TO REFLECT ON PROGRESS AND COLLAPSE FURTHER WORK INTO FIVE PRIORITIES; SYSTEMIC PROCESS FOR ASSESSING THE IMPACT OF INEQUITIES, DEVELOP FORMAL COMMUNITY PARTNER NETWORKS, EMBEDDING PRINCIPLES OF JUST CULTURE, ADVANCE PARTNERSHIP AND INVESTMENT IN LOCAL AND MINORITY BUSINESSES, AND ENHANCE OUR COLLECTIVE WORK IN DISPARITY REDUCTION BY REFINING AND REDESIGNING OUR METRICS AND INDICATORS OF SUCCESS. SOME OF THE DISPARITIES WE ARE ADDRESSING INCLUDE BUT ARE NOT LIMITED TO BREAST CANCER SCREENING FOR HISPANIC WOMEN, NTSV C-SECTION RATES FOR BLACK WOMEN, AND COLORECTAL CANCER SCREENING WITH BLACK COMMUNITIES. WE ALSO ESTABLISHED TASK FORCE IN 2020, FOCUSED ON ADDRESSING MATERNAL HEALTH DISPARITIES. IN PRINCE GEORGE'S COUNTY, THE BLACK MATERNAL MORTALITY RATE IS 50% ABOVE THE NATIONAL AVERAGE AND 40% ABOVE MARYLAND'S AVERAGE. IN ADDITION, 8 OUT OF 10 MOMS LEAVE THE COUNTY TO DELIVER THEIR BABIES. TO ADDRESS THESE DISPARITIES AND IMPROVE ACCESS TO CARE, LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER HAS AN APPROVED CERTIFICATE OF NEED TO ADD MATERNAL HEALTH SERVICES, WITH THE CAPACITY TO DELIVER 2,000 BIRTHS ANNUALLY AND THE FIRST DELIVERY EXPECTED TO OCCUR IN LATE 2028. IN FY 2025, THOSE PRIORITIES ARE FURTHER ANCHORED INTO OUR ORGANIZATIONAL STRATEGY AND INDICATORS OF SUCCESS, WE WILL CONTINUE TO IDENTIFY NEEDED INTERVENTIONS AND TRACK OUR PROGRESS ON REDUCING DISPARITIES. OUTCOMES, COMMUNICATION, AND PATIENT SATISFACTIONNOTABLY, BLACK MATERNAL MORTALITY RATES IN PRINCE GEORGE'S COUNTY ARE 50% ABOVE THE NATIONAL AVERAGE AND 40% HIGHER THAN MARYLAND'S AVERAGE. TO ADDRESS THIS, LHDCMC PLANS TO LAUNCH OBSTETRIC SERVICES THROUGH ITS APPROVED CERTIFICATE OF NEED (CON), WITH A PROJECTED CAPACITY FOR 2,000 ANNUAL BIRTHS BEGINNING IN 2028.DOCTOR'S REGIONAL CANCER CENTER:DOCTORS REGIONAL CANCER CENTER WAS FORMED IN 2006. WITH TWO MODERN FACILITIES LOCATED IN BOWIE AND LANHAM, MARYLAND, WE PROVIDE RADIATION THERAPY SERVICES TO THE COMMUNITIES OF PRINCE GEORGE'S, ARUNDEL AND MONTGOMERY COUNTIES.OUR MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR CANCER PATIENTS THROUGH THE SAFE AND PROFESSIONAL DELIVERY OF RADIATION THERAPY USING THE MOST ADVANCED TREATMENT PLANNING AND TECHNOLOGY. WE ARE DEDICATED TO UTILIZING STATE-OF-THE-ART EQUIPMENT, CLINICAL RESOURCES AND PROFESSIONAL PERSONNEL TO TREAT CANCER PATIENTS WITH DIGNITY AND RESPECT.WE ARE COMMITTED TO PROVIDING STATE-OF-THE-ART RADIATION THERAPY FOR PATIENTS WITH DIFFERENT TYPES OF CANCER. WE OFFER 4-D IGRT AND 3-D VOLUMETRIC IMAGING AT OUR LANHAM AND BOWIE LOCATIONS.OUR RADIATION ONCOLOGY SERVICES INCLUDE:ADVANCED CT SIMULATION IS A PROCESS USED TO PRECISELY IDENTIFY AND DEFINE THE TARGET TREATMENT AREA AND DELIVER AN EFFECTIVE RADIATION DOSE WHILE PROTECTING THE SURROUNDING NORMAL TISSUE. THIS IS A VERY IMPORTANT FIRST STEP FOR EVERY PATIENT RECEIVING RADIATION.THREE-DIMENSIONAL (3-D) TREATMENT PLANNING SUPPORTS SAFE AND ACCURATE TREATMENT DELIVERY. SPECIAL COMPUTER PROGRAMS USE CT IMAGES TO DESIGN RADIATION BEAMS THAT CONFORM TO THE SHAPE OF THE TUMOR. DAILY IGRT IMAGES (DESCRIBED BELOW) MONITOR THE ACCURACY OF THE TREATMENT.HIGH DOSE RATE (HDR) BRACHYTHERAPY DELIVERS RADIATION WITHIN THE CONFINES OF THE TUMOR AND IS AVAILABLE AT OUR LANHAM LOCATION. IT IS USED FOR BREAST AND PROSTATE CANCER TREATMENT AND ALLOWS PATIENTS WHO MEET THE CAREFULLY DEFINED CRITERIA TO COMPLETE TREATMENT WITHIN FIVE DAYS. IT IS ALSO USED TO TREAT GYNECOLOGICAL, ESOPHAGEAL AND THORACIC MALIGNANCIES.IMAGE GUIDED RADIATION THERAPY (IGRT) INVOLVES IMAGING THE TUMOR AREA ON A DAILY BASIS WHILE THE PATIENT IS IN THE TREATMENT POSITION. SHOULD THE IMAGE SHOW A CHANGE IS NEEDED TO ACCURATELY MATCH THE TREATMENT FIELD TO THE TUMOR, THE RADIATION ONCOLOGIST IS ABLE TO MAKE THAT MODIFICATION BEFORE THE TREATMENT IS DELIVERED.INTENSITY-MODULATED RADIATION THERAPY (IMRT) USES RADIATION BEAMS OF VARYING INTENSITIES TO DELIVER DIFFERENT DOSES OF RADIATION TO SMALL AREAS OF TISSUE AT THE SAME TIME. THIS TREATMENT ALLOWS ESCALATION OF THE DOSE OF RADIATION TO THE TUMOR WITHOUT EXCESSIVE DAMAGE TO NORMAL TISSUES. IN SELECT SITUATIONS, IMRT ALLOWS RE-TREATMENT FOR RECURRENT DISEASE.TRANS PERINEAL INTERSTITIAL BRACHYTHERAPY (PROSTATE SEED IMPLANTATION) IS PERFORMED BY A RADIATION ONCOLOGIST AND A UROLOGIST FOR TREATMENT OF PROSTATE CANCER. IT CAN BE USED ALONE OR IN CONJUNCTION WITH EXTERNAL BEAM RADIATION, WITH OR WITHOUT HORMONE TREATMENT. PART VI, LINE 7, REPORTS FILED WITH STATES MD 0 PHYSICIAN ENTERPRISE LLC 2000 MEDICAL PARKWAY STE606 ANNAPOLIS MD 21401 270263214 501(C)(3) 143657 0 TO SUPPORT OPERATIONS OF PHYSICIAN ENTERPRISE, LLC X X X X X 1 1 0 0 0 0 0 0 0 VICTORIA BAYLESS LH CEO/BOARD MEMBER 0 1323693 0 497500 0 1571107 0 15225 0 1889 0 3409414 0 889745 JEFFREY GELFAND BOARD MEMBER 0 1281087 0 1575 0 21450 0 15225 0 18047 0 1337384 0 0 DENEEN RICHMOND PRESIDENT OF LHDCMC 568191 0 132566 0 131456 0 56685 0 26874 0 915772 0 25568 0 TIMOTHY ADELMAN JD GENERAL COUNSEL/SECRETARY 0 491561 0 113162 0 106264 0 55032 0 22831 0 788850 0 36459 SUNIL MADAN CHIEF MEDICAL OFFICER 466283 0 94283 0 98626 0 10350 0 27561 0 697103 0 0 0 STEPHANIE SCHNITTGER LF CFO 0 424874 0 134594 0 23000 0 37244 0 17403 0 637115 0 0 REGINA HAMPTON-COLEMAN FORMER BOARD MEMBER 0 384147 0 0 0 0 0 10350 0 23069 0 417566 0 0 CRYSTAL D BECKFORD CHIEF NURSING OFFICER 258610 0 52502 0 38822 0 8862 0 22256 0 381052 0 0 0 DOUGLAS WOMER FORMER LF CFO/TREASURER 0 349887 0 0 0 10125 0 9900 0 967 0 370879 0 0 DAVID PRESS ASSOCIATE CHAIR OF MEDICINE 308841 0 0 0 0 0 5241 0 8151 0 322233 0 0 0 SALIM JARAWAN DIRECTOR - PHARMACY 216354 0 16763 0 32139 0 8202 0 1022 0 274480 0 0 0 MAFEREH SESAY CLINICAL SUPERVISOR 203844 0 38225 0 1699 0 11357 0 18762 0 273887 0 0 0 DELPHINE SIRRI STAFF NURSE 171714 0 52585 0 7382 0 7036 0 14258 0 252975 0 0 0 JOYCE HANSCOME FORMER VP/INTERNAL CONSULTANT 0 156962 0 0 0 30827 0 30500 0 0 0 218289 0 30539 MELISSA YEAGER VP, COO, FORMER KEY 82627 0 0 0 41902 0 2568 0 8872 0 135969 0 0 0 KEVIN SMITH FORMER LF CFO 0 0 0 0 0 104422 0 3333 0 0 0 107755 0 84877 PART I, LINES 4A-B THE FOLLOWING PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: DENEEN RICHMOND - $50,537 TIMOTHY ADELMAN - $39,641 STEPHANIE SCHNITTGER - $26,894 THE FOLLOWING RECEIVED DISTRIBUTIONS FROM THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS - $1,009,876 DENEEN RICHMOND - $45,672 KEVIN SMITH - $37,312 TIMOTHY ADELMAN - $36,459 A MARYLAND HEALTH AND HIGHER EDUCATION 2016A 520936091 574218Y98 2016-06-28 31945000 REFINANCE 2007A AND PARTIAL 2010 0 0 0 B MARYLAND HEALTH AND HIGHER EDUCATION 2017A 520936091 574218Y98 2017-02-23 68309000 REFINANCE BOND 2010 0 0 0 A 2185000 31945000 398892 31546108 2016 0 1 1 1 B 68309000 1163332 67145668 2017 0 1 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 0 A 1 B 1 SCHEDULE K PART IV ARBITRAGE ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION 2016A DATE THE REBATE COMPUTATION WAS PERFORMED : 7/1/2021 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION 2017A DATE THE REBATE COMPUTATION WAS PERFORMED: 10/13/2021 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH, INC. HAS THE EXPRESS POWER AND RESPONSIBILITY TO ELECT AND REMOVE THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH, INC. HAS THE EXPRESS POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 10B: THE POLICIES DESCRIBED IN PART VI, SECTION B, LINES 10A-16B APPLY TO LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC AND ITS AFFILIATE: DOCTORS REGIONAL CANCER CENTER LLC FORM 990, PART VI, SECTION B, LINE 11B RESPONSIBILITY FOR THE DETAILED REVIEW OF THE FORM 990 HAS BEEN ASSIGNED TO THE AUDIT AND COMPLIANCE COMMITTEE OF LUMINIS HEALTH, INC. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS THE FORM 990 AND PROVIDES SUMMARY INFORMATION TO THE FULL BOARD. THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD FOR REVIEW PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT ANY MEMBER OF THE BOARD OF TRUSTEES, MEMBERS OF ANY LUMINIS HEALTH (LH) BOARD OF DIRECTORS, A MEMBER OF A COMMITTEE TO THE BOARD OF TRUSTEES/DIRECTORS, A LH LEADERSHIP MEMBER, AND DESIGNATED EMPLOYEES OF THE ORGANIZATION (COVERED PERSON(S)) REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ATTESTATION WITH A DISCLOSURE OF ANY ACTUAL AND OR POTENTIAL CONFLICTS OF INTEREST. SUBSEQUENT TO THE COMPLETION OF THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IF A COVERED PERSON BECOMES AWARE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON SHALL PROMPTLY DISCLOSE IT TO THE CHIEF EXECUTIVE OFFICER OF LUMINIS HEALTH. IF REASONABLE CAUSE EXISTS TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND PROVIDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. ALL CONFLICT OF INTEREST ATTESTATION FORMS SHALL BE REVIEWED BY THE CHIEF COMPLIANCE OFFICER OR HIS/HER DESIGNEE TO DETERMINE IF A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS. IF THE CHIEF COMPLIANCE OFFICER OR HIS/HER DESIGNEE DETERMINES THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXIST, THE MATTER SHALL BE REFERRED TO THE CEO OF LUMINIS HEALTH FOR REVIEW. THE CEO OF LUMINIS HEALTH SHALL PRESENT THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE BOARD OF TRUSTEES FOR REVIEW AND CONSIDERATION. THE CHAIR OF THE BOARD OF TRUSTEES AND THE CEO MAY DETERMINE THAT A CONFLICT OF INTEREST EXISTS OR THEY MAY PRESENT THE MATTER TO THE BOARD. IF A CONFLICT OR POTENTIAL CONFLICT IS DEEMED TO EXIST, THE COVERED PERSON MUST REMOVE THEMSELF FROM THE ROOM DURING ANY DISCUSSION OF THE MATTER, REFRAIN FROM PARTICIPATING IN DISCUSSION AND VOTING UPON OR OTHER DECISION MAKING IN REGARD TO THE MATTER, AVOID USING THEIR PERSONAL INFLUENCE, AVOID MAKING AN ADMINISTRATIVE DECISION ON THE MATTER, AND, IN THE CASE OF A COVERED PERSON WITH VOTING RIGHTS, MUST NOT BE COUNTED IN DETERMINING THE QUORUM FOR ACTION ON THE MATTER, EVEN WHERE PERMITTED BY THE BY-LAWS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISIONS AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE BOARD DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF LUMINIS HEALTH, THE BOARD MAY IMPOSE SUCH CONDITIONS OR REQUIREMENTS ON THE COVERED PERSON INCLUDING, BUT NOT LIMITED TO, REQUIRING THAT THE COVERED PERSON RECUSE THEMSELF FROM DELIBERATIONS AND DECISIONS RELATING TO THOSE MATTERS WHERE THE COVERED PERSON HAS AN INTEREST WHICH COULD CONFLICT, OR APPEAR TO CONFLICT, WITH THEIR DUTY OF LOYALTY TO THE BEST INTERESTS OF LUMINIS HEALTH. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BOARD HAS ADOPTED A COMPENSATION POLICY FOR COVERED INDIVIDUALS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION. THE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHO OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION PAID MEET THE IRC SECTION 4958 REBUTTABLE PRESUMPTION TEST. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE BY REQUEST TO THE FINANCIAL SERVICES OFFICE OR CAN BE OBTAINED ONLINE VIA WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE RETAINED IN THE FINANCE OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G SHARED SERVICES ALLOCATION: PROGRAM SERVICE EXPENSES 19,290,328. MANAGEMENT AND GENERAL EXPENSES 17,499,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,789,714. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,082,544. MANAGEMENT AND GENERAL EXPENSES 13,582,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,665,457. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 8,815,879. MANAGEMENT AND GENERAL EXPENSES 7,939,332. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,755,211. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,793,358. MANAGEMENT AND GENERAL EXPENSES 7,919,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,712,408. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT -525,837. NET INCREASE IN BENEFICIAL INTEREST IN FOUNDATION -985,668. PENSION ADJUSTMENT FOR ACTUARIAL VALUE 688,707. CHANGE IN VALUE OF INVESTMENT IN SUBSIDIARIES -399. NET ASSETS TR CAPITAL 1,000,000. TRANSFER TO AFFILIATE -2,862,825. INTEREST IN DOCTORS REGIONAL CANCER CENTER, LLC 3,416,489. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DOCTORS REGIONAL CANCER CENTER LLC 8118 GOOD LUCK ROAD LANHAM MD 20706 208889327 CANCER TREATMENT SERVICES FOR RESIDENTS OF PRINCE GEORGE'S COUNTY MD 7005531 2037985 LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC LUMINIS HEALTH RESEARCH INSTITUTE INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 263038406 MEDICAL RESEARCH MD 501(C)(3) LINE 4 LUMINIS HEALTH CLINICAL ENTERPRISE INC 0 PHYSICIAN ENTERPRISE LLC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 270263214 MEDICAL / PHYSICIAN SERVICES MD 501(C)(3) LINE 3 LUMINIS HEALTH CLINICAL ENTERPRISE INC 0 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521169362 MEDICAL/HOSPITAL SERVICES MD 501(C)(3) LINE 3 LUMINIS HEALTH INC 0 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521331298 SUPPORTING ORGANIZATION OF LUMINIS HEALTH, INC. 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