2025-05-09T13:58:50-05:00 2024-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-07-01 522218584 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC MEDS 2027843000 HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 JOEL BRYAN VP/TREASURER/CIO 4107726721 2025-05-09 1 0 RAYMOND LY P01205643 7032868000 2023 2025-03-06 01:10:19Z MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL LISA BOYLE HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 1675757775 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 6792 243 1748046 1385692 34717207 42215767 1415750012 1595798069 1673074 1846728 37864119 35897211 1490004412 1675757775 0 10000 0 0 705900245 732410589 0 0 0 642170906 768900601 1348071151 1501321190 141933261 174436585 1397364429 1522783246 203874974 146709698 1193489455 1376073548 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 2024, MEDSTAR GEORGETOWN HAD 15,872 INPATIENT ADMISSIONS AND 301,374 OUTPATIENT VISITS, INCLUDING 34,899 EMERGENCY VISITS. 0 0 1102880804 10000 1560053690 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 $280.0M 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). 108876107 33996333 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $108.9M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2024. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 9545382 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $9.5M IN CHARITY CARE SERVICES IN FISCAL YEAR 2024. 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. 1221302293 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 6792 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 LISA BOYLE PRESIDENT/DIRECTOR 40.00 0.00 X X 1185263 0 51169 EDWARD B HEALTON DIRECTOR 1.00 0.00 X 0 0 0 SHELLEY HOLT VICE CHAIR 1.00 0.00 X X 0 0 0 NEIL KISHTER DIRECTOR 1.00 0.00 X 0 0 0 PRINCY KUMAR MD DIVISION CHIEF INFECTIOUS DISEASES 40.00 0.00 X 594583 0 25671 LEE JONES MD DIRECTOR 1.00 0.00 X 0 0 0 CATHERINE MELOY CHAIR 1.00 0.00 X X 0 0 0 MARCUS NOEL MD DIRECTOR 40.00 0.00 X 392719 0 30389 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 7083748 106087 MYLES SHEEHAN SJ MD DIRECTOR 1.00 0.00 X 0 0 0 DANIEL SULMASY DIRECTOR 1.00 0.00 X 0 0 0 ROBERTA WAITE EDD DIRECTOR 1.00 0.00 X 0 0 0 EMILY R WINSLOW MD DIRECTOR 40.00 0.00 X 666869 0 32041 DAVID HO TREASURER, CFO 40.00 0.00 X 504872 0 19934 ALLISON RESCHOVSKY SECRETARY 40.00 0.00 X 0 272197 9622 HEATHER NOWAKOWSKI ASSISTANT SECRETARY 40.00 0.00 X 161840 0 13002 LEE BERGMAN FORMER OFFICER 1.00 39.00 X 0 390998 24515 JEAN-MARC VOYADZIS PHYSICIAN 40.00 0.00 X 2406045 0 32596 FRED MO PHYSICIAN 40.00 0.00 X 2243937 0 32102 FAHEEM SANDHU PHYSICIAN 40.00 0.00 X 2083475 0 39645 AMJAD ANAIZI PHYSICIAN 40.00 0.00 X 1923380 0 19868 THOMAS FISHBEIN PHYSICIAN 40.00 0.00 X 1912425 0 41400 MICHAEL C SACHTLEBEN FORMER PRESIDENT 0.00 40.00 X 0 1941891 59112 RICHARD GOLDBERG MD FORMER PRESIDENT 0.00 40.00 X 0 443502 20593 14075408 10132336 557746 1294 1 1 0 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 24500050 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 12078189 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 9603411 STANDARD PARKING CORP 1790 PAYSPHERE CIRCLE CHICAGO IL 606741790 PARKING SERVICES 4290990 ROLYN LLC 5706 FREDERICK AVE ROCKVILLE MD 20852 FACILITIES SERVICES 3865767 95 5048020 37167747 168438 42215767 NET PATIENT SERVICE RE 621400 1540542167 1538794121 1748046 PHARMACY REVENUE 900099 21976105 21976105 TRAINING TUITION 900099 16643158 16643158 OTHER PHYSICIAN REVENU 621400 9645487 9645487 RESIDENT SERVICE REVEN 900099 6991152 6991152 1595798069 1272913 1272913 89377 0 89377 89377 89377 573815 0 573815 573815 573815 INTERCOMPANY SUBSIDY R 900099 24359825 24359825 REBATE INCOME 900099 2450630 2450630 PARKING INCOME 900099 903000 903000 8094379 8094379 35807834 1675757775 1594050023 1748046 37743939 10000 10000 3678351 3443813 234538 624969825 585358856 39610969 9793372 9250085 543287 54425391 50532773 3892618 39543650 37001235 2542415 114155880 114155880 113507 23015 90492 131151438 108799323 22352115 7043725 498973 6544752 8554410 9059877 -505467 7198320 4316208 2882112 1213081 1014803 198278 620082 586741 33341 17471518 171945 17299573 81025849 27706069 53319780 MED/SURG SUPPLIES 239477398 239811381 -333983 IMPLANTS/PROSTHESES 53238916 53238916 MAINTENANCE 43404848 43227694 177154 UTILITIES 21416973 19487471 1929502 42814656 27763115 15051541 1501321190 1221302293 280018897 0 13960105 13100389 277029803 342882612 19460627 21598730 5340993 5207089 1368930782 385790646 923996071 983140136 24294165 35540299 70718228 70718228 62564437 50595763 1397364429 1522783246 133824625 106316449 4500913 4177202 65549436 36216047 203874974 146709698 X 1118538119 1288886138 74951336 87187410 1193489455 1376073548 1397364429 1522783246 X 174436585 3157634 4989874 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 877854469 164371739 713482730 2356120 1025798 1330322 375539265 213859017 161680248 113180928 6534092 106646836 983140136 OPERATING LEASE LIABILITIES 5321304 CREDIT BALANCES - PATIENT AR 5114805 WORKERS COMPENSATION FUNDS 4529360 SETTLEMENTS - MEDICARE -2697480 PENDING PFS REFUNDS 2146 OTHER LIABILITIES 23945912 36216047 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, 2024. 1 1 X 1 X 1 X 1 1 1 0 1 1 9545382 9545382 0.00640 142897109 126788442 16108667 0.01070 10898852 10122590 776262 0.00050 163341343 136911032 26430311 0.01760 1651399 1651399 0.00110 108876107 33996333 74879774 0.04990 64630 64630 0.00000 110592136 33996333 76595803 0.05100 273933479 170907365 103026114 0.06860 34806 34806 0.00000 17002 17002 0.00000 51808 51808 0.00000 1 26025362 235132677 280765842 -45633165 X 1 1 1 1 DBA GEORGETOWN UNIVERSITY HOSPITAL 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 WWW.GEORGETOWNUNIVERSITYHOSPITAL.ORG STATE LICENSE NUMBER: HFD01-0188 X X X X X X DBA GEORGETOWN UNIVERSITY HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X WWW.MEDSTARGEORGETOWN.ORG X 1 23 1 WWW.MEDSTARGEORGETOWN.ORG 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.MEDSTARGEORGETOWN.ORG X WWW.MEDSTARGEORGETOWN.ORG X WWW.MEDSTARGEORGETOWN.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 D/B/A GEORGETOWN UNIVERSITY HOSPITAL PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: KHALEELAH COHENEXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: DAVID H. SONGADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : 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 PEDIATRICSNAME 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, C-ASWCMTITLE/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 2IN 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 SERVED AS A GUIDE FOR 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). REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HEALTH HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES. IN FY24, MGUH CONDUCTED A CHNA AND PRODUCED A THREE-YEAR IMPLEMENTATION STRATEGY. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE BY JUNE 30, 2024, AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027. 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 THE IS 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 UNDERINSURED, UNINSURED, AND LOW-INCOME RESIDENTS.DEMOGRAPHICS:ACCORDING TO THE UNITED STATES CENSUS BUREAU, THERE ARE APPROXIMATELY 678,972 PEOPLE RESIDING IN WASHINGTON, DC, OF WHICH 15.1% ARE LIVING IN POVERTY. FORTY-FOUR PERCENT OF THE POPULATION IDENTIFY AS BLACK, 39.6% IDENTIFY AS WHITE, 11.5% IDENTIFY AS HISPANIC OR LATINO, 7% IDENTIFY AS TWO OR MORE RACES, AND 4% IDENTIFY AS ASIAN. MORE THAN 13% OF THE POPULATION WERE NOT BORN IN THE UNITED STATES (REPORTED AS 'FOREIGN BORN'). FOUR PERCENT 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 RESIDENTS AND THE AVERAGE INCOME IS $65,000, WITH 90% OF REPORTED INCOME COMING FROM WAGES, 17% FROM BUSINESS, 3% FROM PARTNERSHIP AND 12% FROM UNEMPLOYMENT. THE COMMUNITY INCLUDES 5,851 HOUSEHOLDS 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 IN ZIP CODE 20002. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING FOR PRIMARY CARE. MORE THAN 62% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 31.8% ARE WHITE. IN TERMS OF GENDER IDENTITY, 52% IDENTIFY AS FEMALE AND 48% IDENTIFY AS MALE. FORTY PERCENT OF HOUSEHOLDS REPORT BEING SINGLE HOUSEHOLDS, 24% REPORT BEING SINGLE GUARDIAN HOUSEHOLDS, AND 22% OF HOUSEHOLDS REPORT HAVING KIDS. THIS ZIP CODE HAS THE LARGEST PERCENTAGE OF RESIDENTS USING PUBLIC TRANSPORTATION TO GET TO WORK, MORE THAN ALMOST ANYWHERE IN THE COUNTRY. HOWEVER, IT IS NOT UNCOMMON FOR RESIDENTS TO TRAVEL MORE THAN 45 MINUTES TO WORK. 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 RESIDENTS AND THE AVERAGE INCOME IS $54,488, WITH 83% OF INCOME COMING FROM WAGES, 21% FROM BUSINESS, 3% FROM PARTNERSHIP AND 17% FROM UNEMPLOYMENT. FORTY-FIVE PERCENT OF RESIDENTS REPORT WORKING FULL-TIME WITH EARNINGS, 23% REPORT WORKING PART-TIME WITH EARNINGS, AND 32% REPORT RECEIVING NO EARNINGS. THE COMMUNITY INCLUDES 5,546 HOUSEHOLDS 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 IN ZIP CODE 20011. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING FOR PRIMARY CARE. SIXTY-SIX PERCENT OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND 14.8% ARE WHITE. IN TERMS OF GENDER IDENTITY, 53% IDENTIFY AS FEMALE AND 47% IDENTIFY AS MALE. SIXTY-THREE PERCENT OF FAMILIES ARE SINGLE FAMILY HOMES, WITH 28% OF FAMILIES ARE 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 IN ALMOST ANY OTHER PART OF THE COUNTRY. ADDITIONALLY, MOST RESIDENTS IN THIS ZIP CODE HAVE A LONG COMMUTE TO WORK (MORE THAN 45 MINUTES). THIS ZIP CODE HAS ONE OF THE HIGHEST RATES OF RESIDENTS WITH COLLEGE DEGREES, WITH 35% ATTAINING A BACHELOR'S DEGREE OR HIGHER, WHILE 62% OF RESIDENTS HAVE ATTAINED A HIGH SCHOOL DIPLOMA OR LESS. ZIP CODE 20019 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 54,358 RESIDENTS AND THE AVERAGE INCOME IS $34,832. THE COMMUNITY INCLUDES 8,683 HOUSEHOLDS WITH INCOMES BELOW $25,000. THIS COMMUNITY IS LOCATED IN WARD 7 WHERE THERE ARE NO HOSPITALS. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING FOR PRIMARY CARE. MORE THAN 95.6% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 1.1% ARE WHITE. IN TERMS OF GENDER IDENTITY, 56% IDENTIFY AS FEMALE AND 44% IDENTIFY AS MALE. THIRTY-FOUR PERCENT OF HOUSEHOLDS HAVE KIDS, AND 43% OF HOUSEHOLDS ARE LED BY A SINGLE GUARDIAN. IN FACT, THIS ZIP CODE BOASTS A MUCH LARGER NUMBER OF CHILDREN UNDER 18 WHEN COMPARED TO OTHER AREAS OF THE COUNTRY. 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. ONLY 34% OF COMMUNITY MEMBERS LIVING IN THIS ZIP CODE REPORT BEING EMPLOYED FULL TIME, 22% EMPLOYED PART TIME, AND 45% REPORT NO EARNINGS. INCOME RECEIVED WAS REPORTED AS 86% COMING FROM WAGES, 17% FROM BUSINESSES, 1% FROM PARTNERSHIP AND 18% FROM UNEMPLOYMENT. 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 INCLUDING THE KIDS MOBILE MEDICAL CLINIC, THE FOOD AS MEDICINE PROGRAM AND SCHOOL BASED HEALTH CLINICS AT TWO HIGH SCHOOL SITES IN WARDS 4 AND 8. COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS DELIVERED THESE EVIDENCE-BASED, OUTCOME-FOCUSED CHRONIC DISEASE MANAGEMENT AND PREVENTION PROGRAMS IN, OR TARGETED INDIVIDUALS LIVING IN, MGUH'S CBSA. THE FOOD AS MEDICINE PROGRAM REPLACED WHAT WAS FORMERLY KNOWN AS THE FITNESS PROGRAM: FUN IN TEACHING NUTRITION AND EXERCISE TO SUCCESSFUL STUDENTS. FITNESS WAS REBRANDED TO THE WELLBEING PROGRAM IN MARCH 2024, WHICH INCLUDES THE FOOD AS MEDICINE PROGRAM. THE PROGRAM PROVIDED 1,010 GROCERY AND PRODUCE BOXES TO FAMILIES, SOCIAL WORK SERVICES, AND PARENT EDUCATION SESSIONS. THE KIDS MOBILE MEDICAL CLINIC PROVIDED 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 759 UNIQUE PATIENTS; AND COMPLETED 423 BODY MASS INDEX (BMI) SCREENINGS.PHYSICIANS PROVIDE CARE AT SAFETY-NET CLINICS AND SCHOOL-BASED HEALTH CENTERS IN THE COMMUNITY. SCHOOL-BASED HEALTH CENTERS AIM TO IMPROVE ACCESS TO CARE FOR MEDICALLY VULNERABLE ADOLESCENTS. 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 FY24, SCHOOL BASED HEALTH CENTERS PROVIDED HEALTH CARE SERVICES TO 482 STUDENTS, THROUGH 1,014 PATIENT VISITS, AND PROVIDED 811 BLOOD PRESSURE SCREENINGS FOR STUDENTS. STAFF PROVIDE SCREENINGS AND HEALTH EDUCATION AT COMMUNITY HEALTH EVENTS SUCH AS HEALTH FAIRS, FESTIVALS, AND EXPOSITIONS. OUTREACH IS ALSO PROVIDED IN-PERSON AND VIRTUALLY THROUGH INTERVIEWS, SEMINARS, BLOGS, AND VIDEOS.THE GOAL OF THE SCREENING BRIEF INTERVENTION, REFERRAL TO TREATMENT (SBIRT) PROGRAM IS TO IDENTIFY PEOPLE WITH AT-RISK AND DEPENDENT SUBSTANCE AND/OR ALCOHOL USE BEHAVIORS, AND TO PROVIDE BRIEF EARLY INTERVENTION SERVICES TO THOSE WHO SCREEN POSITIVELY FOR RISKY DRUG AND ALCOHOL USE. MGUH'S SBIRT PROGRAM IS OPERATED WITHIN THE EMERGENCY DEPARTMENT IN COLLABORATION WITH A COMMUNITY-BASED OVERDOSE SURVIVOR OUTREACH PROGRAM (OSOP) RECOVERY COACH, LINKING OVERDOSE SURVIVORS INTO CARE. IN FY24 A TOTAL OF 37,078 SCREENS WERE COMPLETED, OF WHICH 1,576 SCREENED POSITIVELY. 1,230 OF THOSE WHO SCREENED POSITIVE RECEIVED BRIEF INTERVENTIONS AND 253 WERE REFERRED TO TREATMENT.ACCESS TO CAREMGUH PARTNERS WITH DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (DCPCA) TO IMPROVE ACCESS TO HEALTH SERVICES AND CANCER SCREENINGS FOR UNDERSERVED RESIDENTS IN WASHINGTON, DC THROUGH THE CANCER SCREENING & PATIENT NAVIGATION PROGRAM. IN FY24, A TOTAL OF 2,468 INDIVIDUALS RECEIVED CANCER SCREENINGS AND PATIENT NAVIGATION SERVICES. OF THOSE, 1,504 RECEIVED COLORECTAL SCREENINGS AND 964 RECEIVED BREAST CANCER SCREENINGS. DELIVERING SCREENINGS IS THE PRIMARY FOCUS OF THE PROGRAM, NAVIGATING RESIDENTS THROUGH ONGOING MEDICAL CARE IS A KEY PRIORITY FOR IMPROVING OVERALL HEALTH OUTCOMES. AS A RESULT, MGUH FUNDS TWO FULL-TIME CANCER PATIENT NAVIGATORS TO PROVIDE ONE-ON-ONE SUPPORT. MGUH ALSO EXPANDED ACCESS TO CARE THROUGH THE HOMECARE NURSE PRACTITIONER PROGRAM BY OFFERING ELIGIBLE COMMUNITY MEMBERS THE OPPORTUNITY TO RECEIVE CARE AT HOME, REMOVING BARRIERS ASSOCIATED WITH GETTING MEDICAL CARE, SUCH AS LIMITED MOBILITY OR LACK OF TRANSPORTATION OR CHILDCARE. THE HOYA CLINIC, ON-SITE CLINICS PROVIDING CARE TO INDIGENT AND HOUSELESS COMMUNITY MEMBERS, CONTINUED TO OPERATE OUT OF TWO LOCATIONS: THE TRIUMPH AND THE HARRIET TUBMAN SHELTER, WHICH FOCUSES ON FOOT CARE. COMBINED, BOTH CLINICS PROVIDED CARE TO OVER 172 PATIENTS AND CHILDREN IN NEED. STAFF PROVIDED CLINICAL SERVICES, HEALTH EDUCATION, BLOOD PRESSURE CHECKS, AND ASSESSED CHILDREN FOR DEVELOPMENTAL DELAYS. THE CLINICS PROVIDED CARE TO MORE THAN 172 PATIENTS AND CHILDREN IN NEED. THE HARRIET TUBMAN SHELTER HELD FOUR FOOT CLINICS SERVING 79 PARTICIPANTS, OF WHICH 24 WERE REFERRED TO PRIMARY CARE.WASHINGTON, DC RANKS AMONG THE WORST STATES IN CHILD AND MATERNAL HEALTH OUTCOMES. AS A RESULT, THE DC SAFE BABIES, SAFE MOMS INITIATIVE WAS ESTABLISHED BY MGUH AND MWHC IN PARTNERSHIP WITH THE A. JAMES & ALICE B. CLARK FOUNDATION D.C. FOUR MEDSTAR HEALTH CLINICAL PROGRAMS WORKED TOGETHER TO CREATE A SUITE OF SERVICES THAT ADDRESS THE NEEDS OF PREGNANT WOMEN, INFANTS AND TODDLERS. IN FY24, 16,335 PARTICIPANTS BENEFITED FROM PRENATAL AND POSTPARTUM CARE, NUTRITION COUNSELING, BREASTFEEDING SUPPORT, SOCIAL SERVICES AND LEGAL SERVICES. ADDITIONALLY, 1,587 PREGNANT WOMEN WERE SCREENED FOR DRUGS AND ALCOHOL, 277 INFANT AND TODDLERS WERE SCREENED FOR DEVELOPMENTAL MILESTONES, AND 164 FAMILIES RECEIVED MENTAL HEALTH SCREENINGS. THROUGH THIS PROGRAM SOCIAL NEEDS SCREENINGS WERE CONDUCTED: 670 PRECONCEPTION, 938 PRENATAL, 562 POSTPARTUM, AND 291 INFANT AND TODDLER.SOCIAL DETERMINANTS OF HEALTHTHE HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, MGUH PROVIDED 43,035 UBER RIDES TO FINANCIALLY INSECURE RESIDENTS IN FY24, WITH A FINANCIAL CONTRIBUTION OF $895,234. SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR ISSUES SUCH AS FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. OUR COMMUNITY PARTNER, FIND HELP, PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS, AND LINK PARTICIPANTS TO COMMUNITY RESOURCES. IN FY24, THERE WERE 10,518 SOCIAL NEEDS SCREENINGS CONDUCTED, OF WHICH 155 WERE REFERRED TO COMMUNITY ORGANIZATIONS THROUGH THIS SOCIAL NEEDS TOOL. MGUH ALSO PROVIDES SCREENINGS AND REFERRALS THROUGH GEORGETOWN UNIVERSITY'S HEALTH JUSTICE ALLIANCE (HJA). HJA IS A MEDICAL-LEGAL PARTNERSHIP THAT EMBEDS LEGAL SERVICES IN HEALTHCARE SETTINGS TO HELP DOCTORS AND HEALTHCARE PROFESSIONALS ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO POOR HEALTH AND HEALTH DISPARITIES. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 MGUH IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HEALTH HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES 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 HEALTH'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 THE COMMUNITY BENEFIT REPORT FOR MGUH IS FILED IN THE DISTRICT OF COLUMBIA. X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2308151 0 3403165 0 1372432 0 68539 0 37548 0 7189835 0 0 JEAN-MARC VOYADZIS PHYSICIAN 2214683 0 191362 0 0 0 9150 0 23446 0 2438641 0 0 0 FRED MO PHYSICIAN 760103 0 1483834 0 0 0 9150 0 22952 0 2276039 0 0 0 FAHEEM SANDHU PHYSICIAN 1875019 0 208456 0 0 0 16199 0 23446 0 2123120 0 0 0 MICHAEL C SACHTLEBEN FORMER PRESIDENT 0 994316 0 947575 0 0 0 24673 0 34439 0 2001003 0 0 THOMAS FISHBEIN PHYSICIAN 1912425 0 0 0 0 0 18021 0 23379 0 1953825 0 0 0 AMJAD ANAIZI PHYSICIAN 1775491 0 147889 0 0 0 9150 0 10718 0 1943248 0 0 0 LISA BOYLE PRESIDENT/DIRECTOR 727098 0 458165 0 0 0 22374 0 28795 0 1236432 0 0 0 EMILY R WINSLOW MD DIRECTOR 666869 0 0 0 0 0 9150 0 22891 0 698910 0 0 0 PRINCY KUMAR MD DIVISION CHIEF INFECTIOUS DISEASES 549641 0 44942 0 0 0 9150 0 16521 0 620254 0 0 0 DAVID HO TREASURER, CFO 342396 0 162476 0 0 0 9150 0 10784 0 524806 0 0 0 RICHARD GOLDBERG MD FORMER PRESIDENT 0 384800 0 58702 0 0 0 20593 0 0 0 464095 0 0 MARCUS NOEL MD DIRECTOR 317492 0 75227 0 0 0 7800 0 22589 0 423108 0 0 0 LEE BERGMAN FORMER OFFICER 0 293985 0 97013 0 0 0 9150 0 15365 0 415513 0 0 ALLISON RESCHOVSKY SECRETARY 0 228180 0 44017 0 0 0 8035 0 1587 0 281819 0 0 HEATHER NOWAKOWSKI ASSISTANT SECRETARY 161840 0 0 0 0 0 4335 0 8667 0 174842 0 0 0 SCHEDULE J, PART III: DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A PAYMENT OF $1,372,432, WHICH REPRESENTS THE CASH VALUE OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. ALLISON RESCHOVSKY'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO MEDSTAR-GEORGETOWN MEDICAL CENTER, MEDSTAR HEALTH RESEARCH INSTITUTE, AND NATIONAL REHABILITATION HOSPITAL. THE BIALEK CORPORATION OF MARYLAND SEE PART V 4346911 CONSTRUCTION 0 HUNTER CONTRACTING LLC SEE PART V 3735399 CONSTRUCTION 0 VANGUARD MEDICAL SEE PART V 3806097 MEDICAL 0 BFPE INTERNATIONAL SEE PART V 411668 FIRE, SAFETY & SECURITY 0 BUSINESS TRANSACTION INVOLVING INTERESTED PERSON SCHEDULE L, PART IVTHE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO THE ABOVE-MENTIONED HOSPITAL VALUED IN EXCESS OF $100,000: THE BIALEK CORPORATION OF MARYLAND, HUNTER CONTRACTING, LLC, VANGUARD MEDICAL, BFPE INTERNATIONAL, AND INDIVIDUAL SUBSTANTIAL CONTRIBUTORS. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 5 168438 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 4,989,874. MGMC LLC 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 522228444 PHYSICIANS DC 316509441 44105407 N/A GUHKIDS MOBILE MEDICAL CLINIC PROGRAM 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 710958897 PHYSICIANS DC 0 0 N/A FRANKLIN SQUARE HOSPITAL CENTER INC 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 520608007 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 0 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 520646893 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(C)(3) LINE 3 N/A 0 MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 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