2024-05-07T07:27:55-05:00 2023-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2022-07-01 522218584 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC MEDS 2027843000 HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 JOEL BRYAN VP/TREASURER/CIO 4107726721 2024-05-02 1 JOEL BRYAN 999009999 0 SHAWN HUTCHINSON P01048557 7032868000 2024-04-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL MICHAEL SACHTLEBEN HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 1490004412 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. 13 8 5026 181 2102991 1599560 75282338 34717207 1310527087 1415750012 1695323 1673074 16958789 37864119 1404463537 1490004412 46190 0 0 0 662534444 705900245 0 0 0 565999452 642170906 1228580086 1348071151 175883451 141933261 1236273178 1397364429 210097673 203874974 1026175505 1193489455 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 2023, MEDSTAR GEORGETOWN HAD 15,097 INPATIENT ADMISSIONS AND 257,182 OUTPATIENT VISITS, INCLUDING 30,125 EMERGENCY VISITS. 0 0 1023539938 1380631940 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 $232.5M 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). 85856727 33015081 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $85.9M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2023. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 6215310 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $6.2M IN CHARITY CARE SERVICES IN FISCAL YEAR 2023. 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. 1115611975 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 0 0 0 1 0 0 5026 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 13 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 DC X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 5361626 97941 MICHAEL C SACHTLEBEN PRESIDENT/DIRECTOR 40.00 0.00 X X 1865649 0 55447 MATTHEW COOPER MD DIRECTOR (UNTIL 10/30/22) 40.00 0.00 X 567296 0 29734 CIRRELDA COOPER MD VICE CHAIR (UNTIL 10/31/22) 1.00 0.00 X X 5692 0 15769 PRINCY KUMAR MD DIVISION CHIEF INFECTIOUS DISEASES 40.00 0.00 X 534333 0 43732 LEE JONES DIRECTOR 1.00 0.00 X 0 0 0 MARCUS NOEL DIRECTOR 40.00 0.00 X 392040 0 25226 RICHARD H FRANK DIRECTOR (UNTIL 10/31/22) 1.00 0.00 X 0 0 0 ROBERTA WAITE EDD DIRECTOR (AS OF 11/2/22) 1.00 0.00 X 0 0 0 DALBERT B GINSBERG DIRECTOR (UNTIL 10/31/22) 1.00 0.00 X 0 0 0 EMILY R WINSLOW MD DIRECTOR (AS OF 4/6/23) 40.00 0.00 X 717566 0 29441 MYLES SHEEHAN SJ MD DIRECTOR (AS OF 4/6/23) 1.00 0.00 X 0 0 0 EDWARD B HEALTON DIRECTOR 1.00 0.00 X 0 0 0 MARY BETH CONNELL MD DIRECTOR (UNTIL 10/31/22) 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 CATHERINE MELOY CHAIR 1.00 0.00 X X 0 0 0 DANIEL P SULMASY MD DIRECTOR 1.00 0.00 X 0 0 0 DAVID HO CHIEF FINANCIAL OFFICER 40.00 0.00 X 487721 0 21850 LEE BERGMAN SECRETARY 1.00 39.00 X 0 357098 31637 HEATHER NOWAKOWSKI ASSISTANT SECRETARY 40.00 0.00 X 141878 0 17029 EILEEN FERRELL CHIEF NURSING OFFICER 40.00 0.00 X 568856 0 24636 BRINDER SINGH CHIEF OPERATING OFFICER 40.00 0.00 X 730380 0 30326 BERNADETTE NWANERI OP ROOM PROCEDURAL NURSE 40.00 0.00 X 517447 0 34884 OANH PHU NGUYEN OP ROOM PROCEDURAL NURSE 40.00 0.00 X 453561 0 24630 REGGIE PEARSON VP OPERATIONS 40.00 0.00 X 446630 0 25394 NADIM HADDAD MD FORMER DIRECTOR 40.00 0.00 X 1332695 0 41180 ALLISON RESCHOVSKY FORMER OFFICER 1.00 39.00 X 0 267260 9338 RICHARD GOLDBERG MD FORMER PRESIDENT 0.00 40.00 X 0 499420 27202 8761744 6485404 585396 616 1 1 0 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 19610680 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 18153006 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 9095812 STANDARD PARKING CORP 1790 PAYSPHERE CIRCLE CHICAGO IL 606741790 PARKING SERVICES 4358702 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LABORATORY SERVICES 2572590 88 17698137 17019070 1328502 34717207 NET PATIENT SERVICE RE 621400 1370578441 1368475450 2102991 TRAINING TUITION 900099 16192865 16192865 PHARMACY REVENUE 900099 11552005 11552005 OTHER PHYSICIAN REVENU 621400 10866447 10866447 RESIDENT SERVICE REVEN 900099 6560254 6560254 1415750012 1365972 1365972 158267 0 158267 158267 158267 307102 0 307102 307102 307102 INTERCOMPANY SUBSIDY R 900099 26915936 26915936 REBATE INCOME 900099 1654185 1654185 PARKING INCOME 900099 780827 780827 8354904 8354904 37705852 1490004412 1413647021 2102991 39537193 4950405 4666421 283984 1373875 1294996 78879 596132659 561859026 34273633 5299287 4842147 457140 60249745 56945437 3304308 37894274 35687596 2206678 115293022 115293022 31953 1259 30694 103831315 89323762 14507553 4411773 458343 3953430 8490663 10452514 -1961851 7651967 4220546 3431421 1090617 952378 138239 573194 538097 35097 5930144 16249 5913895 37656836 20239766 17417070 21827873 21827873 MED/SURG SUPPLIES 196648763 197033377 -384614 IMPLANTS/PROSTHESES 48333761 48333761 MAINTENANCE 34807823 35903560 -1095737 UTILITIES 19612474 18027400 1585074 35978728 24815340 11163388 1348071151 1115611975 232459176 0 10982456 13960105 292206984 277029803 17222932 19460627 4850163 5340993 1444648475 520652404 738345222 923996071 22753489 24294165 70718228 70718228 79193704 62564437 1236273178 1397364429 118295158 133824625 2972867 4500913 88829648 65549436 210097673 203874974 X 950371302 1118538119 75804203 74951336 1026175505 1193489455 1236273178 1397364429 X 141933261 1309803 24070886 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 229873230 144527896 85345334 3117793 1623378 1494415 459188008 370616653 88571355 752469444 3884477 748584967 923996071 OPERATING LEASE LIABILITIES 22925206 CREDIT BALANCES - PATIENT AR 17360469 WORKERS COMPENSATION FUNDS 5162215 SETTLEMENTS - MEDICARE 3013887 PENDING PFS REFUNDS 180474 OTHER LIABILITIES 16907185 65549436 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, 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 6215310 6215310 0.00460 135514436 128878388 6636048 0.00490 6929126 6852343 76783 0.00010 148658872 135730731 12928141 0.00960 1335090 1335090 0.00100 85856727 33015081 52841646 0.03920 55014 55014 0.00000 87246831 33015081 54231750 0.04020 235905703 168745812 67159891 0.04980 32084 32084 0.00000 47209 47209 0.00000 79293 79293 0.00000 1 19145251 222097027 255994391 -33897364 X 1 1 1 1 DBA GEORGETOWN UNIVERSITY HOSPITAL 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 X X X X X X DBA GEORGETOWN UNIVERSITY HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.MEDSTARGEORGETOWN.ORG X 1 20 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 : ANNIE PARKER, CRNP TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF NURSE RECRUITMENT NAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : 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 : DONCELLA "DONNIE" HAMPTON, LICSWTITLE/AFFILIATION WITH HOSPITAL : ASSOCIATE DIRECTOR, SOCIAL SERVICES (SE LOCATION)NAME OF ORGANIZATION : BREAD FOR THE CITYNAME : 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 PEDIATRICS, PRIMARY CARE REPRESENTATIONNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : KHALEELAH COHEN, MA TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY BENEFIT SPECIALIST, COMMUNITY HEALTH HOSPITAL 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, CASWCMTITLE/AFFILIATION WITH HOSPITAL : CLINICAL SOCIAL WORK MANAGERNAME 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. 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 2:IN FY21, 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, 2021 AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024.THE CATEGORIES HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. TWO TO THREE STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. ALL OTHER PROGRAMMING WAS INTEGRATED AS PART OF THE HOSPITAL'S OVERALL COMMUNITY HEALTH PORTFOLIO. THESE ADDITIONAL PROGRAMS WERE CAPTURED IN THE INVENTORY FOR THE WHOLE PICTURE OF CONTRIBUTING TO THE HEALTH OF THE COMMUNITIES SERVED AS WELL AS SORTED FOR WHAT COUNTS AS COMMUNITY BENEFIT FOR REGULATORY REPORTING.THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS BASED ON THE ADVISORY TASK FORCE (ATF) RECOMMENDATION. THE HOSPITAL IDENTIFIED DISTRICT OF COLUMBIA WARDS 7 AND 8 AS ITS 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 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.HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT AND BEHAVIORAL HEALTH), ACCESS TO HEALTH CARE SERVICES (TRANSPORTATION AND ACCESS TO PROVIDERS, AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING, EMPLOYMENT AND RACIAL DISCRIMINATION). AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES. 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 THE COMMUNITIES WE SERVE 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.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 THE COMMUNITIES THAT WE SERVE. IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL:. DETERMINE WHETHER THE PATIENT HAS HEALTH INSURANCE.. DETERMINE WHETHER THE PATIENT IS PRESUMPTIVELY ELIGIBLE FOR FREE OR REDUCED-COST CARE.. DETERMINE WHETHER UNINSURED PATIENTS ARE ELIGIBLE FOR PUBLIC OR PRIVATE HEALTH INSURANCE. . TO THE EXTENT POSSIBLE, OFFER ASSISTANCE TO UNINSURED PATIENTS IF THE PATIENT CHOOSES TO APPLY FOR PUBLIC OR PRIVATE HEALTH INSURANCE.. TO THE EXTENT PRACTICABLE, DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR OTHER PUBLIC PROGRAMS THAT MAY ASSIST WITH HEALTH CARE COSTS. . USE INFORMATION IN THE POSSESSION OF THE HOSPITAL, IF AVAILABLE, TO DETERMINE WHETHER THE PATIENT IS QUALIFIED FOR FREE OR REDUCED-COST CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.MEDSTAR HEALTH WILL WIDELY PUBLICIZE THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:. PROVIDING ACCESS TO THE MEDSTAR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND MEDSTAR PATIENT INFORMATION SHEET ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST BY MAIL AND WITHOUT CHARGE.. PROVIDING NOTIFICATION AND INFORMATION ABOUT THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:* OFFERING COPIES AS PART OF ALL REGISTRATION OR DISCHARGES PROCESSES, AND ANSWERING QUESTIONS ON HOW TO APPLY FOR ASSISTANCE.* PROVIDING WRITTEN NOTICES ON BILLING STATEMENTS.* DISPLAYING MEDSTAR FINANCIAL ASSISTANCE POLICY INFORMATION AT ALL HOSPITAL REGISTRATION POINTS, INCLUDING THE BUSINESS OFFICE, INFORMING PATIENTS OF THEIR RIGHTS TO APPLY FOR FINANCIAL ASSISTANCE AND WHO TO CONTACT AT THE HOSPITAL FOR ADDITIONAL INFORMATION. * TRANSLATING THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES THAT CONSTITUTE THE LESSER OF 1000 INDIVIDUALS OR 5% OF THE OVERALL POPULATION WITHIN THE CITY OR COUNTY IN WHICH THE HOSPITAL IS LOCATED AS MEASURED BY THE MOST RECENT CENSUS.. MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.THE MEDSTAR HEALTH PATIENT INFORMATION SHEET SHALL BE PROVIDED TO THE PATIENT, THE PATIENT'S FAMILY, OR THE PATIENT'S AUTHORIZED REPRESENTATIVE: . BEFORE DISCHARGE;. WITH THE HOSPITAL BILL; . ON REQUEST; AND . IN EACH WRITTEN COMMUNICATION TO THE PATIENT REGARDING COLLECTION OF THE HOSPITAL BILL.MEDSTAR HEALTH WILL PROVIDE A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION. FINAL ELIGIBILITY DETERMINATIONS ARE MADE AND COMMUNICATED TO THE PATIENT BASED ON RECEIPT AND REVIEW OF A COMPLETED APPLICATION. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. FINANCIAL ASSISTANCE AND PERIODIC PAYMENT 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 HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. . MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. . PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR HOSPITAL PATIENT ADVOCATES OR CUSTOMER SERVICE REPRESENTATIVES ON A TIMELY BASIS AS THE PATIENT'S FINANCIAL CIRCUMSTANCES MAY CHANGE. . IT IS A PATIENT'S RESPONSIBILITY, DURING THEIR 12-MONTH ELIGIBILITY PERIOD, TO NOTIFY MEDSTAR HEALTH OF THEIR EXISTING HOUSEHOLD ELIGIBILITY FOR FREE CARE, REDUCED COST-CARE, AND/OR ELIGIBILITY UNDER FINANCIAL HARDSHIP PROVISIONS FOR MEDICAL NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.. IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT BILLING, AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE 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 THE UNDERINSURED, UNINSURED, AND LOW-INCOME.DEMOGRAPHICS:IN WASHINGTON, DC, 4% OF THE POPULATION IS UNINSURED AND 314,702 ARE MEDICAID RECIPIENTS. 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 ORGANIZATION SERVES INCLUDE: ZIP CODE 20002 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 52,370 PEOPLE AND THE AVERAGE INCOME IS $65,000. THE COMMUNITIES INCLUDE 5,851 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000, WHICH IS JUST ABOVE THE POVERTY GUIDELINE FOR A THREE-PERSON HOUSEHOLD. THIS COMMUNITY COVERS AREAS IN WARDS 4 AND 5 WHICH HAS A TOTAL OF 5 HOSPITALS, HOWEVER, THERE IS ONLY 1 HOSPITAL SERVING THE COMMUNITY IN THIS ZIP CODE. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. MORE THAN 62% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 31.8% ARE WHITE. SIXTY-FOUR PERCENT OF HOUSEHOLDS REPORT BEING SINGLE HOUSEHOLDS, WITH 24% BEING SINGLE GUARDIAN FAMILIES. IN TERMS OF EDUCATIONAL ATTAINMENT, 49% OF RESIDENTS IN THIS ZIP CODE HAVE A HIGH SCHOOL DIPLOMA OR LESS. ZIP CODE 20011 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 58,536 PEOPLE AND THE AVERAGE INCOME IS $54,488. THE COMMUNITIES INCLUDE 5,546 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000. THIS COMMUNITY COVERS AREAS IN WARDS 4 AND 5 WHICH HAS A TOTAL OF 5 HOSPITALS, HOWEVER, THERE IS ONLY 1 HOSPITAL SERVING THE COMMUNITY IN THIS ZIP CODE. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. SIXTY-SIX PERCENT OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND 14.8% ARE WHITE. SIXTY-THREE PERCENT OF FAMILIES ARE SINGLE FAMILY HOMES, WITH 28% OF FAMILIES LED BY A SINGLE GUARDIAN. RESIDENTS IN THIS ZIP CODE EARN LESS THAN OTHER PARTS OF THE CITY AND THEY USE PUBLIC TRANSPORTATION TO GET TO WORK MORE THAN ALMOST ANY PART OF THE COUNTRY. ADDITIONALLY, MOST WORKING RESIDENTS IN THIS ZIP CODE HAVE LONG COMMUTE TIMES TO WORK (OVER 45 MINUTES) INDICATING THEY LIVE FAR FROM WORK OR EXPERIENCE BAD TRAFFIC DURING COMMUTES. ONLY SIXTY-TWO PERCENT OF RESIDENTS HAVE ATTAINED A HIGH SCHOOL DIPLOMA OR LESS, YET DESPITE HAVING A HIGH PERCENTAGE OF RESIDENTS WITH LOWER EDUCATION LEVELS, THIS ZIP CODE HAS SOME OF THE HIGHEST LEVELS OF COLLEGE DEGREES COMPARED TO ANY ZIP CODE, WITH 35% ATTAINING A BACHELOR'S DEGREE OR HIGHER (MASTERS THROUGH DOCTORATE). ZIP CODE 20019 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 54,358 PEOPLE AND THE AVERAGE INCOME IS $34,832. THE COMMUNITIES INCLUDE 8,683 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000. THIS COMMUNITY IS LOCATED IN WARD 7 AND ALTHOUGH THERE ARE HOSPITALS IN NEIGHBORING WARDS, THERE ARE NO HOSPITALS SERVING THE COMMUNITY IN THIS WARD. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. MORE THAN 95.6% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 1.1% ARE WHITE. FORTY-THREE PERCENT OF FAMILIES INCLUDE A SINGLE GUARDIAN, AND THIS ZIP CODE BOASTS A MUCH LARGER NUMBER OF CHILDREN UNDER 18 WHEN COMPARED TO OTHER AREAS OF THE COUNTRY. FORTY-TWO PERCENT OF RESIDENTS IN THIS ZIP CODE RELY ON PUBLIC TRANSPORTATION TO WORK AND EXPERIENCE LONGER COMMUTE TIMES THAN MOST AREAS IN THE COUNTRY, WITH EXPECTED COMMUTE TIMES OVER 45 MINUTES. THIS ZIP CODE HAS A MUCH HIGHER PERCENTAGE OF PEOPLE WITH LOW EDUCATION LEVELS, HIGHER THAN MOST AREAS IN THE COUNTRY, WITH 82.2% EARNING A HIGH SCHOOL DIPLOMA OR LESS. 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 WELLBEING 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: THE KIDS MOBILE MEDICAL CLINIC, THE MOBILE FITNESS 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 MOBILE FITNESS (FUN IN TEACHING NUTRITION AND EXERCISE TO SUCCESSFUL STUDENTS) PROGRAM IS A HEALTHY WEIGHT AND ACTIVITY MANAGEMENT PROGRAM LED BY A MULTIDISCIPLINARY TEAM INCLUDING A PEDIATRICIAN, EXERCISE PHYSIOLOGIST, REGISTERED DIETITIAN, AND COMMUNITY HEALTH EDUCATOR. THE FITNESS PROGRAM AIMS TO ENGAGE STUDENTS AND FAMILIES IN HEALTHIER NUTRITION AND PHYSICAL ACTIVITY HABITS, TO REDUCE THE BURDEN OF CHRONIC DISEASE AND IMPROVE QUALITY OF LIFE. THE FITNESS PROGRAM PIVOTED TO THE HEALTHY CHILDREN AND FAMILIES INITIATIVE TO BETTER SUPPORT FAMILIES IN NEED DURING THESE CHALLENGING TIMES BY PROVIDING WEEKLY NUTRITIOUS MEALS AND GROCERY BOXES FOR ELIGIBLE FAMILIES WITH CHILDREN. OVER THE COURSE OF THE YEAR, PARTICIPANTS RECEIVED EDUCATIONAL INFORMATION AND OVER 500 DELIVERIES OF HOT MEALS AND GROCERY BOXES. THE KIDS MOBILE MEDICAL CLINIC PROVIDES OUTPATIENT 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 FOCUSES ON THE FIVE PILLARS OF HEALTH MODEL INCLUDING ORAL, NUTRITION, PHYSICAL, MENTAL, AND SOCIAL DETERMINANTS OF HEALTH. THE KIDS MOBILE MEDICAL CLINIC SERVED 817 UNIQUE PATIENTS; AND COMPLETED 437 SOCIAL DETERMINANTS OF HEALTH SCREENINGS.PHYSICIANS ASSIST AT SAFETY-NET CLINICS AND SCHOOL-BASED HEALTH CENTERS. SCHOOL-BASED HEALTH CENTERS AIM TO IMPROVE ACCESS TO CARE FOR MEDICALLY VULNERABLE ADOLESCENTS BY CREATING AN ADOLESCENT-FRIENDLY WELLNESS ENVIRONMENT. THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL IS IMPLEMENTED BY ENSURING ACCESS TO ADOLESCENT HEALTH, PRIMARY CARE, MENTAL HEALTH SCREENINGS AND HEALTH EDUCATION. IN FY23, SCHOOL BASED HEALTH CENTERS PROVIDED HEALTH CARE SERVICES TO 731 STUDENTS, THROUGH 1,345 PATIENT VISITS, AND PROVIDED 1,010 BLOOD PRESSURE SCREENINGS FOR STUDENTS. THESE CLINICS CONTINUED TO PROVIDE INTENSIVE CASE MANAGEMENT, CARE COORDINATION AND TELEHEALTH SERVICES FOR STUDENTS DESPITE COVID-19.STAFF PARTICIPATE IN COMMUNITY HEALTH EVENTS SUCH AS HEALTH FAIRS, FESTIVALS, AND EXPOSITIONS WHERE SCREENINGS ARE PERFORMED, AND HEALTH INFORMATION IS SHARED. OUTREACH IS ALSO PROVIDED IN-PERSON AND VIRTUALLY, HOSPITAL STAFF SHARE THEIR KNOWLEDGE WITH THE COMMUNITY THROUGH ENGAGING INTERVIEWS, SEMINARS, BLOGS, AND VIDEOS.THE GOAL OF THE SCREENING BRIEF INTERVENTION, REFERRAL TO TREATMENT (SBIRT) PROGRAM, WHICH LAUNCHED IN FEBRUARY 2021, 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. MEDSTAR GEORGETOWN'S SBIRT PROGRAM IS OPERATED WITHIN THE EMERGENCY DEPARTMENT IN COLLABORATION WITH A COMMUNITY-BASED OVERDOSE SURVIVOR OUTREACH PROGRAM (OSOP) RECOVERY COACH, LINKING OVERDOSE SURVIVORS INTO CARE. IN FY23, A TOTAL OF 24,830 SCREENS WERE COMPLETED IN THE ED, OF WHICH 1,629 SCREENED POSITIVELY AND WERE REFERRED TO TREATMENT. ACCESS TO CAREMGUH PARTNERS WITH DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (DCPCA) TO IMPROVE ACCESS TO HEALTH SERVICES AMONG PATIENTS BY INCREASING CANCER SCREENING RATES FOR UNDERSERVED PATIENTS IN DC. THROUGH THE CANCER SCREENING & PATIENT NAVIGATION PROGRAM, PATIENTS ARE SCREENED FOR BREAST, COLORECTAL AND CERVICAL CANCER. IN FY23, A TOTAL OF 2,383 INDIVIDUALS RECEIVED CANCER SCREENINGS AND PATIENT NAVIGATION SERVICES. OF THOSE, 1,235 RECEIVED COLORECTAL SCREENINGS AND 1,148 RECEIVED BREAST CANCER SCREENINGS. ALTHOUGH PATIENT SCREENING IS THE PRIMARY FOCUS, NAVIGATING PATIENTS THROUGH ONGOING MEDICAL CARE IS A KEY PRIORITY FOR IMPROVING OVERALL HEALTH OUTCOMES. PATIENTS ALSO RECEIVE ONE-ON-ONE SUPPORT FROM TWO FULL TIME CANCER PATIENT NAVIGATORS FUNDED BY MGUH. IN RESPONSE TO COVID-19, MGUH CONTINUED TO EXPAND ACCESS TO CARE BY OFFERING INNOVATIVE PROGRAMS AND SERVICES THAT ALLOWED PATIENTS TO RECEIVE CARE FROM THEIR HOMES, REDUCING BARRIERS ASSOCIATED WITH TRANSPORTATION AND OTHER DETERRENTS. THE HOMECARE NURSE PRACTITIONER PROGRAM PROVIDED SERVICES TO OVER 149 PARTICIPANTS. THE HOYA CLINICS, ON-SITE CLINICS PROVIDING CARE TO INDIGENT AND HOUSELESS COMMUNITY MEMBERS, EXPANDED SERVICES TO A NEW LOCATION, THE HARRIET TUBMAN SHELTER, FOCUSED ON FOOT CARE. COMBINED, BOTH CLINICS, PROVIDED CARE TO OVER 166 PATIENTS IN NEED. MGUH AND MWHC PARTNERED TO ADDRESS THE MATERNAL AND INFANT HEALTH CRISIS IN THE DISTRICT, THROUGH THE DC SAFE BABIES, SAFE MOMS INITIATIVE. IN PARTNERSHIP WITH A. JAMES & ALICE B. CLARK FOUNDATION D.C, THIS COLLABORATIVE VENTURE IS FULFILLING AN ESSENTIAL NEED TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES IN THE NATION'S CAPITAL, AN AREA THAT CURRENTLY RANKS AMONG THE LOWEST RATED IN THE UNITED STATES. THIS INITIATIVE IS A COMBINED EFFORT AMONG FOUR MEDSTAR HEALTH CLINICAL PROGRAMS TO CREATE A VARIETY OF SERVICES AND PROGRAMS THAT ADDRESS THE NEEDS FACING PREGNANT WOMEN, AS WELL AS THEIR INFANTS AND TODDLERS. SERVICES INCLUDE EVERYTHING FROM DIABETES CONTROL AND MENTAL HEALTH SERVICES FOR MOTHERS AS WELL AS PRENATAL AND POSTPARTUM CARE, BREAST FEEDING, HEALTH SCREENINGS, AND NUTRITION. IN FY23, 16,684 PARTICIPANTS WERE SERVED. ADDITIONALLY, 1,220 PREGNANT WOMEN WERE SCREENED FOR DRUGS AND ALCOHOL, 310 INFANT AND TODDLERS WERE SCREENED FOR DEVELOPMENTAL MILESTONES, AND 124 FAMILIES RECEIVED MENTAL HEALTH SCREENINGS. THROUGH THIS PROGRAM SOCIAL NEEDS SCREENINGS WERE CONDUCTED: 432 PRECONCEPTION, 1,156 PRENATAL, 600 POSTPARTUM, AND 297 INFANT AND TODDLER.SOCIAL DETERMINANTS OF HEALTHTHE HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO PATIENTS AND/OR FAMILIES WITH FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES PATIENTS TO ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS. THROUGH THIS PARTNERSHIP, MGUH PROVIDED 9,004 UBER RIDES IN FY23. SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR 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, AUNT BERTHA (FIND HELP), PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS. THERE WERE 1,294 SOCIAL NEEDS SCREENINGS CONDUCTED AND 441 REFERRALS TO COMMUNITY ORGANIZATIONS THROUGH THIS SOCIAL NEEDS TOOL. MGUH ALSO PARTNERS WITH GEORGETOWN UNIVERSITY'S HEALTH JUSTICE ALLIANCE TO CONDUCT SOCIAL NEEDS SCREENINGS AND SUPPORT LINKAGES TO SOCIAL NEED SERVICES AS PART OF CARE DELIVERY AND CHRONIC DISEASE SELF-MANAGEMENT THROUGH THE COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS PROGRAMMING. THE HEALTH JUSTICE ALLIANCE IS A MEDICAL-LEGAL PARTNERSHIP FOLLOWING AN INTER-PROFESSIONAL HEALTHCARE DELIVERY MODEL 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. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6AS A PROUD MEMBER OF MEDSTAR HEALTH, MGUH IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MGUH WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7THE COMMUNITY BENEFIT REPORT FOR MGUH IS FILED IN THE DISTRICT OF COLUMBIA. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2106059 0 3176567 0 79000 0 62059 0 35882 0 5459567 0 0 MICHAEL C SACHTLEBEN PRESIDENT/DIRECTOR 962561 0 903088 0 0 0 22647 0 32800 0 1921096 0 0 0 NADIM HADDAD MD FORMER DIRECTOR 1232695 0 100000 0 0 0 20064 0 21116 0 1373875 0 0 0 BRINDER SINGH CHIEF OPERATING OFFICER 397750 0 232630 0 100000 0 8700 0 21626 0 760706 0 0 0 EMILY R WINSLOW MD DIRECTOR (AS OF 4/6/23) 667566 0 50000 0 0 0 8700 0 20741 0 747007 0 0 0 MATTHEW COOPER MD DIRECTOR (UNTIL 10/30/22) 567296 0 0 0 0 0 8700 0 21034 0 597030 0 0 0 EILEEN FERRELL CHIEF NURSING OFFICER 360613 0 208243 0 0 0 14665 0 9971 0 593492 0 0 0 PRINCY KUMAR MD DIVISION CHIEF INFECTIOUS DISEASES 497653 0 36680 0 0 0 24255 0 19477 0 578065 0 0 0 BERNADETTE NWANERI OP ROOM PROCEDURAL NURSE 515262 0 2000 0 185 0 14814 0 20070 0 552331 0 0 0 RICHARD GOLDBERG MD FORMER PRESIDENT 0 381840 0 117580 0 0 0 27202 0 0 0 526622 0 0 DAVID HO CHIEF FINANCIAL OFFICER 330380 0 157341 0 0 0 8700 0 13150 0 509571 0 0 0 OANH PHU NGUYEN OP ROOM PROCEDURAL NURSE 447561 0 6000 0 0 0 8700 0 15930 0 478191 0 0 0 REGGIE PEARSON VP OPERATIONS 334501 0 112129 0 0 0 8700 0 16694 0 472024 0 0 0 MARCUS NOEL DIRECTOR 303758 0 88282 0 0 0 4800 0 20426 0 417266 0 0 0 LEE BERGMAN SECRETARY 0 274003 0 83095 0 0 0 10628 0 21009 0 388735 0 0 ALLISON RESCHOVSKY FORMER OFFICER 0 219366 0 47894 0 0 0 7632 0 1706 0 276598 0 0 HEATHER NOWAKOWSKI ASSISTANT SECRETARY 133378 0 8500 0 0 0 6922 0 10107 0 158907 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 CASH LUMP-SUM PAYMENT OF $79,000, WHICH REPRESENTS THE ANNUAL PREMIUM FOR A SPLIT DOLLAR LIFE INSURANCE POLICY. ALLISON RESCHOVSKY'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO MEDSTAR-GEORGETOWN MEDICAL CENTER, MEDSTAR HEALTH RESEARCH INSTITUTE, AND MEDSTAR NATIONAL REHABILITATION NETWORK. MR. SINGH'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $100,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. CLARK CONSTRUCTION GROUP LLC SEE PART V 97880362 CONSTRUCTION 0 HUNTER CONTRACTING LLC SEE PART V 3455007 CONSTRUCTION 0 DEERFIELD CONSTRUCTION GROUP INC SEE PART V 5550177 CONSTRUCTION 0 MOREDIRECT DBA CONNECTION SEE PART V 2666995 IT SERVICE MANAGEMENT 0 CERASOLI STAFFORD LLC DBA CSBIMPACT SEE PART V 2106195 MARKETING AND MEDIA MANAGEMENT 0 BUSINESS TRANSACTION INVOLVING INTERESTED PERSON SCHEDULE L, PART IVTHE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL VALUED IN EXCESS OF $100,000: CLARK CONSTRUCTION GROUP, LLC, HUNTER CONTRACTING, LLC, DEERFIELD CONSTRUCTION GROUP, INC., MOREDIRECT, AND CERASOLI STAFFORD LLC. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 17 1328502 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 XI, LINE 9: EQUITY TRANSFERS 24,070,886. MGMC LLC 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 522228444 PHYSICIANS DC 32573579 38308831 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 1 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 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 1 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 20010 526056274 HOSPITAL DC 501(C)(3) LINE 4 N/A 1 WASHINGTON HOSPITAL CENTER CORPORATION 110 IRVING STREET NW WASHINGTON DC 20010 521272129 HOSPITAL DC 501(C)(3) LINE 3 N/A 1 HH MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521542230 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 1 MEDSTAR AMBULATORY SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521132992 ADMIN SVCS MD 501(C)(3) LINE 12C, III-FI N/A 1 BAY LIFE SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521496539 MENTAL HEALTH MD 501(C)(3) LINE 10 N/A 1 CHURCH HOME AND HOSPITAL OF THE CITY OF 10980 GRANTCHESTER WAY COLUMBIA MD 21044 520591600 MEDICAL FUND MD 501(C)(3) LINE 12A, I N/A 1 GOOD SAMARITAN NURSING CENTER INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521672866 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 GS HOUSING INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521481656 ELDER HOUSING MD 501(C)(3) LINE 10 N/A 1 GS PROPERTIES INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521429853 ADMIN SVCS MD 501(C)(3) LINE 12A, I N/A 1 MEDSTAR HEALTH VISITING NURSES ASSOCIATI 4061 POWDERMILL ROAD CALVERTON MD 20705 530196597 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 MEDSTAR VNA HEALTHCARE 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521458516 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 MGH WOMEN'S BOARD 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 526039600 FOUNDATION MD 501(C)(3) 11C III N/A 1 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 521369749 HOSPITAL DC 501(C)(3) LINE 3 N/A 1 NRH REGIONAL REHAB AT OLNEY INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 522310902 MEDICAL SVCS MD 501(C)(3) LINE 3 N/A 1 SUBURBAN NRH MEDICAL REHABILITATION I 102 IRVING STREET NW WASHINGTON DC 20010 521931151 MEDICAL SVCS DC 501(C)(3) LINE 3 N/A 1 THE THOMAS O'NEIL CATHOLIC HEALTH CARE F 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521104382 FOUNDATION MD 501(C)(3) LINE 12D, III-O N/A 1 VNA INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521332411 ADMIN SVCS MD 501(C)(3) LINE 12A, I N/A 1 WOODBOURNE WOODS INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 522299070 ELDER HOUSING MD 501(C)(3) LINE 10 N/A 1 HOSPICE OF ST MARY'S INC PO BOX 527 LEONARDTOWN MD 20650 522153926 SUPPORT ORG MD 501(C)(3) LINE 12A, I N/A 1 ST MARY'S HOSPITAL OF ST MARY'S COUNTY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 520619006 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 MEDSTAR HEALTH INC AND AFFILIATES MASTER 10980 GRANTCHESTER WAY COLUMBIA MD 21044 467454613 RET. 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