2023-05-10T10:11:37-05:00 2022-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2021-07-01 520646893 MONTGOMERY GENERAL HOSPITAL INC MONT 3017748640 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 JOEL BRYAN VP/TREASURER 4107726721 2023-05-09 1 JOEL BRYAN 999009999 SHAWN HUTCHINSON P01048557 7032868000 2023-05-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MEDSTAR MONTGOMERY MEDICAL CENTER THOMAS SENKER 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 196756176 0 X WWW.MONTGOMERYGENERAL.ORG X 2000 MD SEE SCHEDULE OMEDSTAR MONTGOMERY MEDICAL CENTER IS DEDICATED TO ENHANCING OUR COMMUNITY'S HEALTH BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. 17 13 1153 29 111279 0 5663812 3654276 177437971 190172022 141915 151633 1755976 2778245 184999674 196756176 0 46000 0 0 102392556 118056568 0 0 0 81888723 87576165 184281279 205678733 718395 -8922557 107942731 108855088 62226079 38472203 45716652 70382885 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR MONTGOMERY MEDICAL CENTER'S (MEDSTAR MONTGOMERY) MISSION IS TO ENHANCE OUR COMMUNITY'S HEALTH AND WELL-BEING BY OFFERING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. MEDSTAR MONTGOMERY IS LOCATED IN OLNEY, IN NORTHEASTERN MONTGOMERY COUNTY, MARYLAND, A SUBURB OF WASHINGTON, D.C. AFTER OVER 90 YEARS, THE HOSPITAL REMAINS TRUE TO ITS ROOTS, OFFERING A WIDE RANGE OF WELLNESS PROGRAMS AND OUTPATIENT SERVICES IN ADDITION TO INPATIENT TREATMENT. IN FISCAL YEAR 2022, MEDSTAR MONTGOMERY HAD 5,578 INPATIENT ADMISSIONS AND 106,470 OUTPATIENT VISITS INCLUDING 31,492 EMERGENCY VISITS. 0 0 142125521 46000 180217160 SEE SCHEDULE OMEDSTAR MONTGOMERY'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF NORTHEASTERN MONTGOMERY COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR MONTGOMERY INCURRED $44.8M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. THE ACUTE CARE HOSPITAL OFFERS A CARDIAC AND VASCULAR PROGRAM, GENERAL SURGERY, ORTHOPEDICS, CANCER CARE, AND OBSTETRICS. WITH THE ADDITION OF SPECIALISTS FROM MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL AND MEDSTAR WASHINGTON HOSPITAL CENTER, MEDSTAR MONTGOMERY BRINGS SPECIALTY CARE CLOSER TO ITS PATIENTS. MEDSTAR MONTGOMERY DELIVERS SPECIALIZED CARE FOR SENIORS AND IS NATIONALLY RECOGNIZED FOR ITS COMMITMENT TO PROVIDING HIGH QUALITY STROKE CARE, AS WELL AS OFFERING INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES. MEDSTAR MONTGOMERY INCLUDES AN EMERGENCY DEPARTMENT WITH A DEDICATED PEDIATRIC CENTER, A FAST-TRACK UNIT AND A SEPARATE UNIT FOR CRISIS EVALUATION. MEDSTAR MONTGOMERY IS A BABY-FRIENDLY DESIGNATED HOSPITAL, HAS ACHIEVED NICHE EXEMPLAR STATUS, AND HAS BEEN NOTED AS ONE OF BLUE DISTINCTION CENTERS FOR BARIATRIC SURGERY.SINCE MARCH 2020, MEDSTAR HEALTH HAS CARED FOR 1 IN 4 COVID-19 PATIENTS IN THE REGION. OPERATING AS ONE MEDSTAR AND ALIGNING WITH GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND LOCAL DEPARTMENTS OF HEALTH, MEDSTAR HEALTH COVID-19 PREPARATIONS AND RESPONSE CONTINUE TO BE GUIDED BY THREE CRITICAL DRIVERS: PROVIDE A SAFE CARE ENVIRONMENT FOR PATIENTS AND ASSOCIATES; MITIGATE COMMUNITY SPREAD OF COVID-19; AND ENSURE OPERATIONAL CONTINUITY TO FULFILL OUR CORE MISSION OF CARING FOR OUR COMMUNITIES.THESE EFFORTS HAVE EVOLVED AND TRANSITIONED IN MULTIPLE WAYS THROUGHOUT THE DURATION OF THE COVID-19 PANDEMIC, LEADING TO A NUMBER OF INTEGRATED CARE APPROACHES IN PLACE TODAY: UTILIZATION OF MEDSTAR HEALTH URGENT CARE, MEDSTAR EVISIT AND OUR DIGITAL CAPABILITIES TO CREATE ACCESS, TESTING SITES, AND TELEHEALTH FOR PRIMARY CARE AND FOLLOW-UP VISITS; EXPANDED MANAGEMENT OF CARE CONTINUUM NEEDS FOR PATIENTS THROUGH MEDSTAR HEALTH HOME CARE; EXECUTION OF INNOVATIVE LABORATORY APPROACHES INTEGRATED WITH OCCUPATIONAL HEALTH TO BETTER SUPPORT ASSOCIATES MANAGING THROUGH COVID-19 EXPOSURES; DEPLOYMENT OF COMMUNITY MOBILE UNITS AND CLINICS FOR COVID-19 VACCINATIONS/BOOSTERS; INCREASED MANAGEMENT OF SUPPLY AND ACQUISITION OF PERSONAL PROTECTIVE EQUIPMENT (PPE), N95 RESPIRATORS, COVID-19 VACCINES AND BOOSTERS; REINFORCEMENT OF A MANDATORY COVID-19 VACCINATION POLICY RESULTING IN COMPLIANCE OF 99% OF ASSOCIATES AND PHYSICIANS; AND ADMINISTRATION OF MORE THAN 36,800 COVID-19 VACCINATIONS/BOOSTERS TO MEDSTAR HEALTH ASSOCIATES AND PHYSICIANS AND MORE THAN 74,500 TO PATIENTS ACROSS THE REGION IN FY 2022. 14016359 9954862 MEDSTAR MONTGOMERY PROVIDED $14.0M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2022. THESE CRITICAL SERVICES, WHICH ARE DRIVEN BY COMMUNITY NEEDS, OPERATE AT A LOSS. THEY ADDRESS PRIORITIES PRIMARILY THROUGH DISEASE PREVENTION AND IMPROVEMENT OF HEALTH STATUS. SERVICES PROVIDED INCLUDE HOSPITALISTS, WOMEN'S AND CHILDREN'S CARE, AND HOSPICE AND CONTINUING CARE. 4696963 MEDSTAR MONTGOMERY PROVIDED $4.7M IN CHARITY CARE SERVICES IN FISCAL YEAR 2022. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOME IS BELOW CERTAIN THRESHOLDS AND FOR WHICH THE HOSPITAL IS NOT COMPENSATED. UNDER MARYLAND'S UNIQUE PAYER SYSTEM, THE AMOUNT REPORTED REPRESENTS MEDSTAR MONTGOMERY'S CHARITY CARE EXPENSE AND REVENUES REPRESENT DIRECT PAYMENTS FROM THE STATE'S CHARITY CARE POOL. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. 160838843 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 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 1 1153 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 15771396 96287 THOMAS SENKER HOSPITAL PRESIDENT & SVP M 40.00 0.00 X X 856806 0 42392 SUJITHRA JAYARAJ-SUDARSAN MD DIRECTOR 40.00 0.00 X 572091 0 29680 JOSEPH BELL DIRECTOR 1.00 0.00 X 0 0 0 RICHARD WEINSTEIN MD DIRECTOR 40.00 0.00 X 461698 0 28796 JOHN FERGUSON VICE CHAIR 1.00 0.00 X 0 0 0 JAMES BONIFANT DIRECTOR (UNTIL 10/31/2021) 1.00 0.00 X 0 0 0 KATHERINE W FARQUHAR PHD CHAIR 1.00 0.00 X 0 0 0 RICHARD KURNOT DIRECTOR (UNTIL 10/31/2021) 1.00 0.00 X 0 0 0 STEVEN SHIMOURA MD DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINE HILL WILSON DIRECTOR 1.00 0.00 X 0 0 0 ALOK MATHUR MD DIRECTOR 1.00 0.00 X 0 0 0 RICHARD HOFFMAN DIRECTOR 1.00 0.00 X 0 0 0 GARY FERNANDES DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH ELLINGHAUS DIRECTOR 1.00 0.00 X 0 0 0 MARK KOZAM MD DIRECTOR 1.00 0.00 X 0 0 0 NEIL R OHORA DPM DIRECTOR 1.00 0.00 X 0 0 0 DAVID HAVRILLA CFO/TREASURER 40.00 0.00 X 430559 0 34712 CAROLINA CHAVARRIA SECRETARY 40.00 0.00 X 91225 0 24012 NATHANIEL BARBO AVP, PROFESSIONAL SERVICES 40.00 0.00 X 257756 0 18474 CLAIRE PICCIRILLO CNO, VP PATIENT CARE SVCS 40.00 0.00 X 267004 0 33555 NAA AMARTEOKOR EVANS-ANFOM HEALTH CARE PROVIDER 40.00 0.00 X 193816 0 26549 DEREK PROCHNICKI REGISTERED NURSE 40.00 0.00 X 249007 0 17428 DENISE KINGSBURY SR DIR, CLIN SUPPORT SVCS 40.00 0.00 X 212073 0 7266 NGOZI WEXLER DIRECTOR 40.00 0.00 X 407014 0 11474 KEVIN MELL FORMER VP, OPERATIONS 0.00 40.00 X 0 135559 9589 3999049 15906955 380214 105 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 6986130 ROLYN COMPANIES INC 5706 FREDERICK AVE ROCKVILLE MD 20852 FACILITIES SERVICES 861584 COMMUNITY RADIOLOGY ASSOCIATES INC 10215 FERNWOOD RD 620 BETHESDA MD 20817 MEDICAL SERVICES 674023 SODEXO INC & AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FOOD & FACILITIES MANAGEMENT 659456 CROTHALL SVCS GROUP 1500 LIBERTY RIDGE DR 210 WAYNE PA 19087 ENVIRONMENTAL SERVICES 639528 26 225000 1131381 2297895 1940053 3654276 PATIENT SERVICE REVENU 621300 190138171 190138171 PHYSICIAN BILLING REVE 621110 33851 33851 190172022 81876 81876 634628 0 634628 634628 634628 69757 0 69757 69757 69757 OTHER REVENUE 900099 1469197 111279 1357918 REBATE INCOME 900099 486395 486395 EQUITY INTEREST IN AFF 900099 188025 188025 2143617 196756176 190172022 111279 2818599 46000 46000 2848202 2511674 336528 98083655 86409305 11674350 1149166 1009018 140148 10684890 9561797 1123093 5290655 4746671 543984 15788466 15788466 7230 7230 12687580 11216429 1471151 626868 27674 599194 252525 720456 -467931 272710 1031219 -758509 16990 14781 2209 41323 37409 3914 968882 968882 10511155 4447938 6063217 4126660 56314 4070346 MED /SURG SUPPLIES 23079604 23171616 -92012 MAINTENANCE 5660022 4952882 707140 IMPLANTS/PROSTHESES 4092637 4077520 15117 UTILITIES 2874875 2798425 76450 6568638 4001715 2566923 205678733 160838843 44839890 0 0 75116 395115 383350 26204040 26375529 3662608 4160538 524559 395247 249932761 175661682 73604762 74271079 3551647 3194229 0 0 107942731 108855088 11457302 12411968 2967532 2884845 47801245 23175390 62226079 38472203 X 45716652 70382885 45716652 70382885 107942731 108855088 X -8922557 -486273 34075063 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 146581 146581 111400827 62248838 49151989 2545753 2607647 -61894 118950161 99381958 19568203 16889439 11423239 5466200 74271079 ADVANCES 13639835 OPERATING LEASE LIABILITIES 4075072 CREDIT BALANCES PATIENT AR 1978982 WORKERS COMPENSATION 1007342 GBR LIABILITY 408577 UCC POOL LIABILITY 243104 OTHER LIABILITIES 1822478 23175390 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, 2022. 1 1 X 1 X 1 X 1 1 1 0 1 1 4696963 4696963 0.02280 4696963 4696963 0.02280 1319808 125000 1194808 0.00580 166696 166696 0.00080 14016359 9954862 4061497 0.01970 192018 192018 0.00090 15694881 10079862 5615019 0.02720 20391844 10079862 10311982 0.05000 8124 8124 0.00000 33881 33881 0.00020 42005 42005 0.00020 1 4257554 X 1 1 1 1 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 X X X MONTGOMERY GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X 1 20 1 HTTP://WWW.MEDSTARMONTGOMERY.ORG/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X HTTP://WWW.MEDSTARMONTGOMERY.ORG/ X X X X X X 1 X 0 X X X X 1 X 0 0 MONTGOMERY GENERAL 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: DIANA SALADINI AND ANDREA MOCCA/DAIRY MARROQUINEXECUTIVE 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: NGOZI WEXLER, MD ADVISORY 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 : DIANA SALADINITITLE/AFFILIATION WITH HOSPITAL : DIRECTOR, POPULATION HEALTH (LEAD)NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : ANDREA MOCCATITLE/AFFILIATION WITH HOSPITAL : COMMUNITY OUTREACH COORDINATOR (LEAD)NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : DAIRY MARROQUINTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY OUTREACH COORDINATOR (LEAD)NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : NGOZI WEXLER, MDTITLE/AFFILIATION WITH HOSPITAL : VP, MEDICAL AFFAIRS (EXECUTIVE SPONSOR)NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : DEANA CHOTITLE/AFFILIATION WITH HOSPITAL : SOCIAL WORKER, CENTER FOR SUCCESSFUL AGING NAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : DEBBIE OTANITITLE/AFFILIATION WITH HOSPITAL : CANCER NURSE NAVIGATORNAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : LISA KINGTITLE/AFFILIATION WITH HOSPITAL : PATIENT FAMILY ADVISORY COUNCIL MEMBERNAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : LYNDA SUHTITLE/AFFILIATION WITH HOSPITAL : DIRECTOR, QUALITY AND RISKNAME OF ORGANIZATION : MEDSTAR MONTGOMERY MEDICAL CENTERNAME : AUDREY PARTINGTON TITLE/AFFILIATION WITH HOSPITAL : CHAIR, OUTREACH NAME OF ORGANIZATION : OLNEY HOME FOR LIFENAME : DANIELLE DENNISTITLE/AFFILIATION WITH HOSPITAL : READMISSIONS REDUCTION CASE MANAGERNAME OF ORGANIZATION : MINDOULANAME : DEBBIE ELLINGHAUSTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY REPRESENTATIVENAME OF ORGANIZATION : OLNEY THEATER NAME : EDITH WILLIAMSTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY REPRESENTATIVENAME OF ORGANIZATION : MILLIAN UNITED METHODIST CHURCH NAME : FELICIA HUGEETITLE/AFFILIATION WITH HOSPITAL : PLANNING SPECIALISTNAME OF ORGANIZATION : HEALTHY MONTGOMERY/ DHHS OFFICE NAME : JACQUELINE WILLIAMS-HUBBARDTITLE/AFFILIATION WITH HOSPITAL : CENTER ADMINISTRATORNAME OF ORGANIZATION : HOLY CROSS HEALTH CENTER-ASPEN HILLNAME : MARSHA BATISTATITLE/AFFILIATION WITH HOSPITAL : RESIDENT COUNSELOR IIINAME OF ORGANIZATION : HOUSING OPPORTUNITIES COMMISSION NAME : MARY JANE JOSEPHTITLE/AFFILIATION WITH HOSPITAL : PROJECT MANAGERNAME OF ORGANIZATION : PRIMARY CARE COALITIONNAME : PAOLA FERNAN-ZAGARRATITLE/AFFILIATION WITH HOSPITAL : PLANNING AND QUALITY ASSURANCE MANAGER NAME OF ORGANIZATION : LATINO HEALTH INITIATIVE NAME : REINA GUERREROTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY SCHOOL COORDINATOR NAME OF ORGANIZATION : EVERYMIND-LINKAGES TO LEARNING NAME : SANJANA QUSEMTITLE/AFFILIATION WITH HOSPITAL : PROGRAM MANAGERNAME OF ORGANIZATION : ASIAN AMERICAN HEALTH INITIATIVENAME : SUSAN MONTGOMERYTITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF SOCIAL SERVICESNAME OF ORGANIZATION : LEISURE WORLD OF MARYLAND CORPORATION MONTGOMERY GENERAL 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. PART I, LINE 7: CHARITY CARE AT COSTMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.UNREIMBURSED MEDICAIDPART I, LINE 7BMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. 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 III, LINE 4: MEDSTAR 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. PART III, LINE 8: MEDICAREMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B: IF 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. PART VI, LINE 2 IN FY21, MEDSTAR MONTGOMERY MEDICAL CENTER (MMMC) 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 MMMC'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 ITS CBISA AS ALL RESIDENTS LIVING IN ZIP CODE 20906. 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, BEHAVIORAL HEALTH AND AGING AND OLDER ADULT HEALTH), ACCESS TO HEALTH CARE SERVICES (ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (FOOD INSECURITY). 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. 1 HOLY CROSS HEALTH NETWORK 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 520738041 501(C)(3) 40000 0 SUPPORT HOLY CROSS ASPEN HILL HEALTH CENTER 1 0 PART I, LINE 2: EACH YEAR, THE ORGANIZATION AWARDS SCHOLARSHIPS TO QUALIFIED INDIVIDUALS WISHING TO SEEK AN EDUCATION OR DEGREE IN THE HEALTHCARE FIELD. CLINICAL AND MEDICAL STAFF, NURSES AND PHYSICIANS ARE ESSENTIAL TO THE HOSPITAL'S GOAL TO PROVIDE HIGH QUALITY PATIENT CARE. SCHOLARSHIPS ARE AWARDED ON THE BASIS OF FINANCIAL NEED, ACADEMIC ACHIEVEMENT, AND THE GOAL OF PURSUING A HEALTHCARE CAREER. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2030199 0 7462050 0 6279147 0 59518 0 36769 0 15867683 0 0 THOMAS SENKER HOSPITAL PRESIDENT & SVP M 425960 0 430846 0 0 0 8700 0 33692 0 899198 0 0 0 SUJITHRA JAYARAJ-SUDARSAN MD DIRECTOR 436343 0 84998 0 50750 0 8700 0 20980 0 601771 0 0 0 RICHARD WEINSTEIN MD DIRECTOR 377323 0 83625 0 750 0 7656 0 21140 0 490494 0 0 0 DAVID HAVRILLA CFO/TREASURER 278111 0 140771 0 11677 0 17781 0 16931 0 465271 0 0 0 NGOZI WEXLER DIRECTOR 309311 0 83703 0 14000 0 8700 0 2774 0 418488 0 0 0 CLAIRE PICCIRILLO CNO, VP PATIENT CARE SVCS 203756 0 53248 0 10000 0 12703 0 20852 0 300559 0 0 0 NATHANIEL BARBO AVP, PROFESSIONAL SERVICES 205817 0 51939 0 0 0 7769 0 10705 0 276230 0 0 0 DEREK PROCHNICKI REGISTERED NURSE 244177 0 4080 0 750 0 2525 0 14903 0 266435 0 0 0 NAA AMARTEOKOR EVANS-ANFOM HEALTH CARE PROVIDER 193066 0 0 0 750 0 5998 0 20551 0 220365 0 0 0 DENISE KINGSBURY SR DIR, CLIN SUPPORT SVCS 206323 0 5000 0 750 0 6362 0 904 0 219339 0 0 0 KEVIN MELL FORMER VP, OPERATIONS 0 135559 0 0 0 0 0 4121 0 5468 0 145148 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)(II) AND (III) INCLUDES A PAYMENT OF $4,215,823, WHICH REPRESENTS BENEFITS ACCRUED THROUGH AN EXECUTIVE RETIREMENT PLAN THAT IS COMPRISED OF TARGET BENEFITS CALCULATED ANNUALLY USING COMPENSATION AND YEARS OF SERVICE, $1,500,823, WHICH REPRESENTS THE EXERCISED VALUE OF OPTION PLAN SHARES, BASED ON DEFERRED COMPENSATION EARNED APPROXIMATELY 20 YEARS AGO AND INVESTMENT RETURNS ON THIS COMPENSATION EARNED OVER THIS PERIOD OF TIME, AND $4,740,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. X 6 1940053 FMV 0 1 0 SCHEDULE M, PART I, COLUMN (B): THIS COLUMN REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS CONTRIBUTED. 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. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF 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 FORM 990 REVIEW PROCESS 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, STRATEGIC PLANNING, 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) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). FORM 990, PART VI, SECTION B, LINE 15 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, OFFICERSAND 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 34,075,063. 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