2025-05-09T13:29:15-05:00 2024-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-07-01 520491660 HARBOR HOSPITAL INC HARB 4107726721 3001 SOUTH HANOVER STREET BALTIMORE MD 212251233 JOEL BRYAN VP/TREASURER/CIO 4107726721 2025-05-09 1 0 RAYMOND LY P01205643 7032868000 2023 2025-03-06 01:10:19Z MEDSTAR HARBOR HOSPITAL JILL DONALDSON 3001 SOUTH HANOVER STREET BALTIMORE MD 212251233 209851179 0 X WWW.MEDSTARHARBOR.ORG X 1903 MD HARBOR HOSPITAL IS COMMITTED TO QUALITY, CARING, AND SERVICE FOR OUR PATIENTS AND OUR COMMUNITIES. 13 7 1431 28 1208481 0 6941391 8145411 182280177 194804318 76467 28097 6773798 6873353 196071833 209851179 18609 52175 0 0 104683867 107812219 0 0 0 97445741 105899908 202148217 213764302 -6076384 -3913123 89870851 95165095 37658248 41111268 52212603 54053827 X SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR HARBOR HOSPITAL'S (MEDSTAR HARBOR) MISSION IS TO BE COMMITTED TO ALWAYS PROVIDING A QUALITY, CARING EXPERIENCE FOR OUR PATIENTS, OUR COMMUNITIES, AND THOSE WHO SERVE THEM. MEDSTAR HARBOR IS LOCATED JUST SOUTH OF BALTIMORE'S INNER HARBOR, IN BALTIMORE CITY. IT IS AN ACUTE CARE HOSPITAL OFFERING CLINICAL SERVICES IN BEHAVIORAL HEALTH, INTERNAL MEDICINE, SURGERY, CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, AND ORTHOPAEDICS. IN FISCAL YEAR 2024, MEDSTAR HARBOR HAD 7,741 INPATIENT ADMISSIONS AND 67,874 OUTPATIENT VISITS INCLUDING 42,332 EMERGENCY VISITS. 0 0 145444407 52175 181598446 SEE SCHEDULE OMEDSTAR HARBOR'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES, PRIMARILY TO THE COMMUNITIES OF SOUTHERN BALTIMORE CITY, SOUTHWESTERN BALTIMORE COUNTY AND NORTHERN ANNE ARUNDEL COUNTY, MARYLAND. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR HARBOR INCURRED $37.1M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. THE RELATIONSHIP WITH THE NATIONAL INSTITUTE ON AGING (ONE OF THE NATIONAL INSTITUTES OF HEALTH) MAKES MEDSTAR HARBOR THE HOME OF THE BALTIMORE LONGITUDINAL STUDY ON AGING, THE NATION'S LONGEST RUNNING STUDY OF AGING AND CONDITIONS AFFECTING THE ELDERLY. IN JANUARY 2024, MEDSTAR HARBOR HOSPITAL EARNED THE COVETED MAGNET DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) MAGNET RECOGNITION PROGRAM COMMISSION. THIS ACHIEVEMENT IS THE HIGHEST LEVEL OF RECOGNITION AN ORGANIZATION CAN OBTAIN FOR EXCELLENCE IN NURSING AND SIGNIFIES THAT OUR PATIENT CARE IS AMONG THE BEST IN THE COUNTRY. IN OCTOBER 2024, MEDSTAR HEALTH INTRODUCED A SECOND MOBILE HEALTH CENTER TO THE COMMUNITY FOR THE BALTIMORE REGION. A PARTNERSHIP BETWEEN THE FOUR MEDSTAR HEALTH BALTIMORE REGION HOSPITALS AND MEDSTAR SPORTS MEDICINE, THESE MOBILE HEALTH CENTER VEHICLES PROVIDE CARE TO THE UNDERSERVED COMMUNITIES OF BALTIMORE.MEDSTAR HARBOR HOSPITAL EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR STROKE CARE. MEDSTAR HARBOR HOSPITAL RECEIVED THE NURSES IMPROVING CARE FOR HEALTH-SYSTEM ELDERS (NICHE) SENIOR FRIENDLY AWARD, THE LEADING NURSE DRIVEN PROGRAM DESIGNED TO HELP HOSPITALS AND HEALTHCARE ORGANIZATIONS IMPROVE THE CARE OF OLDER ADULTS. MEDSTAR HARBOR HOSPITAL ACHIEVED SILVER PLUS RECOGNITION IN THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE PROGRAM. BALTIMORE MAGAZINE RECOGNIZED 83 MEDSTAR HEALTH PHYSICIANS AS "TOP DOCTORS" IN NOVEMBER 2024, BALTIMORE MAGAZINE RECOGNIZED FIVE MEDSTAR HARBOR HOSPITAL NURSES FOR EXCELLENCE IN NURSING IN MAY 2024. MEDSTAR HARBOR HOSPITAL HOLDS THE "PARTNER FOR CHANGE" AWARD BESTOWED BY PRACTICE GREENHEALTH. MEDSTAR HARBOR HOSPITAL HAS ACHIEVED MEMBER STATUS FOR THE MARYLAND GREEN REGISTRY. 23675218 13205872 MEDSTAR HARBOR PROVIDED $23.7M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2024. 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 INCLUDE EMERGENCY MEDICINE, HOSPITAL OUTPATIENT, WOMEN'S AND CHILDREN'S CARE, AND BEHAVIORAL HEALTH. 7583033 MEDSTAR HARBOR PROVIDED $7.6M 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. UNDER MARYLAND'S UNIQUE PAYER SYSTEM, THE AMOUNT REPORTED REPRESENTS MEDSTAR HARBOR'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. 176702658 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 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1431 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 MEREDITH CHAIKEN DIRECTOR 1.00 0.00 X 0 0 0 MOHSEN GHARIB MD DIRECTOR 40.00 0.00 X 525239 0 25677 JAMES H FIELDS DIRECTOR 1.00 0.00 X 0 0 0 SWATA J GANDHI DIRECTOR 1.00 0.00 X 0 0 0 SAVAS KARAS VICE CHAIR 1.00 0.00 X X 0 0 0 DAWN M GRETZ DP DIRECTOR 1.00 0.00 X 10000 0 0 SAMANTHA PRICE DIRECTOR 1.00 0.00 X 0 0 0 KERUNNE S KETLOGETSWE MD DIRECTOR 40.00 0.00 X 639503 0 11057 JILL DONALDSON DIRECTOR/PRESIDENT 40.00 0.00 X X 879241 0 45105 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 7083748 106087 CARLOS D ZIGEL MD DIRECTOR (UNTIL 10/2023) 1.00 0.00 X 0 0 0 THOMAS A GEDDES DIRECTOR (UNTIL 10/2023) 1.00 0.00 X 0 0 0 VINCENT CONNELLY CHAIR 1.00 0.00 X X 0 0 0 DAVID D HAGER DIRECTOR (AS OF 10/2023) 39.00 1.00 X 634800 0 32324 DAVID GHADISHA MD DIRECTOR 1.00 39.00 X 521060 0 32233 DEANA STOUT CFO/TREASURER 1.00 39.00 X 0 565600 32895 ANNETTE BRONER SECRETARY 1.00 39.00 X 0 297348 31248 KAREN ELLIOTT CNO 40.00 0.00 X 266797 0 20372 WAJID RANA REGISTERED NURSE 40.00 0.00 X 229076 0 24663 DANIEL TESFAMARIAM REGISTERED NURSE 40.00 0.00 X 199267 0 24366 CHRIS MUSKELLY PROGRAM DIRECTOR 40.00 0.00 X 198651 0 20806 CARA MILLER SR. DIRECTOR, NURSING OPS. 40.00 0.00 X 189959 0 19401 KEITH SHINER FORMER SECRETARY 0.00 40.00 X 0 302028 32118 STUART LEVINE MD FORMER OFFICER 1.00 39.00 X 0 1217764 44287 ROBERT LALLY FORMER TREASURER 1.00 39.00 X 0 213730 0 4293593 9680218 502639 202 1 1 0 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 2524357 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 2319737 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 1280906 CROTHALL SVCS GROUP 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 ENVIRONMENTAL SERVICES 1013412 ROLYN COMPANIES INC 5706 FREDERICK AVE ROCKVILLE MD 20852 FACILITIES SERVICES 860212 25 7290001 855410 8145411 NET PATIENT SERVICE RE 621400 189793005 189793005 PHARMACY 621400 5011313 5011313 194804318 18263 18263 3041117 0 3041117 3041117 3041117 8334 1500 0 0 8334 1500 9834 9834 OPERATING EXPENSE RECO 900099 1981542 1981542 OUTSIDE LAB REVENUE 621500 1208481 1208481 REBATE INCOME 900099 279267 279267 362946 362946 3832236 209851179 194804318 1208481 5692969 X 46310 46310 5865 5865 3356239 3028059 328180 86434638 77984634 8450004 1099486 991956 107530 10838584 9773965 1064619 6083272 5492996 590276 20234231 58681 20175550 74009 74009 36270847 32294308 3976539 112907 32899 80008 516757 998740 -481983 -951760 36616 -988376 166533 52706 113827 27982 21294 6688 1475643 1475643 10016749 9528642 488107 6257170 5777193 479977 MED/SURG SUPPLIES 16510641 16428182 82459 UTILITIES 3652767 3324641 328126 MAINTENANCE 3226238 3571231 -344993 MAINTENANCE CONTRACTS 1667500 2330644 -663144 6641694 3447453 3194241 213764302 176702658 37061644 0 2847 7328 923808 647007 20477116 21232089 2446977 2379497 448134 188301 260661589 194350262 62910052 66311327 703853 267275 95640 2330840 1862424 1801431 89870851 95165095 12941560 10859875 3792901 10442241 20923787 19809152 37658248 41111268 X 51488749 53771496 723854 282331 52212603 54053827 89870851 95165095 X -3913123 55991 5698356 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3415538 3415538 98784330 70147633 28636697 8442443 1075541 7366902 138539341 118321462 20217879 11479937 4805626 6674311 66311327 ADVANCES FROM THIRD PARTIES 6072611 ASBESTOS ABATEMENT LIABILITY 4755887 CREDIT BALANCES PATIENT A/R 967224 WORKERS COMPENSATION 1188891 OTHER SHORT TERM LIABILITIES 6522908 OTHER LONG TERM LIABILITIES 301631 19809152 X PART X, LINE 2: 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 7583033 7583033 0.03550 7583033 7583033 0.03550 7498252 2476563 5021689 0.02350 2903432 2903432 0.01360 23675218 13205872 10469346 0.04900 194458 194458 0.00090 34271360 15682435 18588925 0.08700 41854393 15682435 26171958 0.12250 16310 16310 0.00010 5392 5392 0.00000 4868 4868 0.00000 35137 35137 0.00020 89521 89521 0.00040 151228 151228 0.00070 1 4640666 X 1 1 1 1 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 WWW.MEDSTARHARBOR.ORG STATE LICENSE NUMBER: 30064 X X X X HARBOR HOSPITAL INC 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X HTTP://WWW.MEDSTARHARBOR.ORG/ X 1 23 1 HTTP://WWW.MEDSTARHARBOR.ORG/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTP://WWW.MEDSTARHARBOR.ORG/ X HTTP://WWW.MEDSTARHARBOR.ORG/ X HTTP://WWW.MEDSTARHARBOR.ORG/ X X X X X X 1 X 0 X X X X 1 X 0 0 HARBOR HOSPITAL, INC. 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: TRACY HOLCOMB, RNEXECUTIVE 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: JILL DONALDSONADVISORY 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 : TIA BRISBONTITLE/AFFILIATION : OUT OF SCHOOL TIME COORDINATORNAME OF ORGANIZATION : ARUNDEL ELEMENTARY/MIDDLE SCHOOLNAME : JASMIN KIMBLE TITLE/AFFILIATION : PLANNING SUPERVISOR NAME OF ORGANIZATION : BALTIMORE CITY PLANNING DEPT - SOUTHERN DISTRICTNAME : JILL BRADLEY PALMORE TITLE/AFFILIATION : COMMUNITY SCHOOL COORDINATORNAME OF ORGANIZATION : UNITED WAY CENTRAL MARYLANDNAME : KELLY G.E. OGLESBEE TITLE/AFFILIATION : COMMUNITY SCHOOL COORDINATORNAME OF ORGANIZATION : BENJAMIN FRANKLIN HIGH SCHOOLNAME : MICHAEL MIDDLETONTITLE/AFFILIATION : CEO CHERRY HILL DEVELOPMENT CORPORATION (CHDC)NAME OF ORGANIZATION : 7 (SB7) CHDCNAME : OCTAVIA HIKETITLE/AFFILIATION : COMMUNITY SCHOOL COORDINATORNAME OF ORGANIZATION : CHERRY HILL ELEMENTARY/MIDDLE SCHOOLNAME : ZEEVELLE NOTTINGHAMTITLE/AFFILIATION : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : CHERRY HILL STRONGNAME : CRYSTAL BRANCHTITLE/AFFILIATION : TENANT COUNCIL PRESIDENTNAME OF ORGANIZATION : CHERRY HILL TENANT HOMESNAME : BILLY HUMPHREYTITLE/AFFILIATION : EXECUTIVE DIRECTORNAME OF ORGANIZATION : CITY OF REFUGE, BALTIMORENAME : MANDY MEMMELTITLE/AFFILIATION : EXECUTIVE DIRECTORNAME OF ORGANIZATION : DRINK AT THE WELLNAME : MEREDITH CHAIKENTITLE/AFFILIATION : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : GREATER BAYBROOK ALLIANCENAME : ELISE BOWMANTITLE/AFFILIATION : BALTIMORE CITY HEALTH DEPARTMENTNAME OF ORGANIZATION : BALTIMORE CITY HEALTH DEPARTMENTNAME : ELLEN RAPPAPORTTITLE/AFFILIATION : HEALTHCARE ACCESS MARYLANDNAME OF ORGANIZATION : HEALTHCARE ACCESS MARYLANDNAME : ANA ZANDARINTITLE/AFFILIATION : PROGRAM COORDINATORNAME OF ORGANIZATION : LAKELAND STEAM CENTERNAME : DIANA C. QUINNTITLE/AFFILIATION : SENIOR DIRECTOR COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : ANANTHAKUMAR NUTHALAPATI, M.D.TITLE/AFFILIATION : VICE PRESIDENT, MEDICAL AFFAIRSNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : MATT TROJANOWSKITITLE/AFFILIATION : VICE PRESIDENT, OPERATIONSNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : ANTOINE N. LANGLEYTITLE/AFFILIATION : LEAD COMMUNITY HEALTH ADVOCATENAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : JILL DONALDSON TITLE/AFFILIATION : PRESIDENT, MHHNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : KERUNNE KETLEGETWE, M.D.TITLE/AFFILIATION : CARDIOLOGY, MHHNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : LUCAS CARLSON, M.D.TITLE/AFFILIATION : REGIONAL MEDICAL DIRECTOR, CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : NAISHA VINSON TITLE/AFFILIATION : DIRECTOR OF PHILANTHROPY, MHH NAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : PHYLLIS GRAYTITLE/AFFILIATION : AVP CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : ROBERT DART, M.D.TITLE/AFFILIATION : MEDICAL DIRECTOR, MEDSTAR FEDERAL HILL NAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : SWATA GANDHITITLE/AFFILIATION : MHH BOARD MEMBERNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : TRICIA ISENNOCKTITLE/AFFILIATION : POPULATION AND COMMUNITY HEALTH CONSULTANTNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : TRACY HOLCOMBTITLE/AFFILIATION : RN PROGRAM MANAGERNAME OF ORGANIZATION : MEDSTAR HARBOR HOSPITALNAME : MALLORY ZIMMERMANTITLE/AFFILIATION : ASSISTANT EXECUTIVE DIRECTORNAME OF ORGANIZATION : THE TRANSFORMATION CENTERNAME : FANON HILL TITLE/AFFILIATION : CO-FOUNDER/EXECUTIVE DIRECTORNAME OF ORGANIZATION : THE YOUTH RESILIENCY INSTITUTENAME : MIKE GOITOMTITLE/AFFILIATION : COMMUNITY MEMBERNAME OF ORGANIZATION : BP GAS STATION - POTEE ST HOMELESS ENCAMPMENTNAME : SUSANNA VIZCARATITLE/AFFILIATION : PROJECT MANAGERNAME OF ORGANIZATION : CAREFIRST HARBOR HOSPITAL, INC. 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. CHARITY CARE AT COST PART I, LINE 7AMARYLAND'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 MEDICAID 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 (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. 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 8MARYLAND'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 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 HARBOR HOSPITAL 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 MEDSTAR HARBOR HOSPITAL'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 SOUTHERN BALTIMORE CITY AND NORTHERN ANNE ARUNDEL COUNTY AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODE 21225. 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, MATERNAL AND CHILD HEALTH), ACCESS TO HEALTH CARE SERVICES (TRANSPORTATION, FEAR AND MISTRUST OF PROVIDERS AND ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING, FOOD INSECURITY AND NEIGHBORHOOD SAFETY AND COMMUNITY VIOLENCE). 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, MEDSTAR HARBOR HOSPITAL 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 3AS 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 4THE COMMUNITY SERVICED BY MEDSTAR HARBOR HOSPITAL INCLUDES ZIP CODE 21225. THE ZIP CODE SPANS SOUTHERN BALTIMORE CITY AND NORTHERN ANNE ARUNDEL COUNTY, AND INCLUDES THE NEIGHBORHOODS OF BROOKLYN, BROOKLYN PARK, AND CHERRY HILL. THERE ARE 17 HOSPITALS SERVING BALTIMORE CITY, AND 15 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY.THE CURRENT POPULATION IN ZIP CODE 21225 IS 33,545 AND THE MEDIAN HOUSEHOLD INCOME IS $37,487. BALTIMORE CITY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (15.3%), UNINSURED (5.9%) AND MEDICAID RECIPIENTS (49.8%). ANNE ARUNDEL COUNTY HAS A HIGHER ADULT SMOKER (11%) AND ADULT OBESITY (36%) RATE COMPARED TO THE STATE (10%) AND (34%). IN THE SAME, BALTIMORE CITY HAS HIGHER ADULT OBESITY (37%) IN COMPARISON TO STATE AND NATIONAL (34%) RATES. ADDITIONALLY, THE COMMUNITY STRUGGLES WITH ADULT SMOKING (13%), DRUG OVERDOSE DEATHS (51 PER 100,000), UNEMPLOYMENT (3.3%), HOUSING COST BURDEN (15%), AND CHILDHOOD POVERTY (15%).FOR A VARIETY OF REASONS, INCLUDING THE HIGH POVERTY RATE AND LOW RATE OF HEALTH INSURANCE COVERAGE, MANY RESIDENTS OFTEN USE THE MEDSTAR HARBOR HOSPITAL EMERGENCY DEPARTMENT FOR PRIMARY CARE SERVICES. DEMOGRAPHICS: CHERRY HILL IS HISTORICALLY A BLACK/AFRICAN AMERICAN NEIGHBORHOOD, WITH ROOTS GOING BACK TO THE 17TH CENTURY. AFTER WORLD WAR II, MORE THAN 600 HOUSING UNITS WERE BUILT THERE BY THE UNITED STATES WAR HOUSING ADMINISTRATION, SPECIFICALLY FOR AFRICAN AMERICAN WAR WORKERS. SHORTLY AFTER THE WAR, THESE UNITS WERE MADE INTO LOW-INCOME HOUSING. ADDITIONAL LOW-INCOME HOUSING UNITS HAVE BEEN ADDED THROUGHOUT THE YEARS, MAKING CHERRY HILL ONE OF THE LARGEST HOUSING PROJECTS EAST OF CHICAGO.FOR A VARIETY OF REASONS, INCLUDING THE HIGH POVERTY RATE AND LOW RATE OF HEALTH INSURANCE COVERAGE, MANY RESIDENTS OFTEN USE THE MEDSTAR HARBOR HOSPITAL EMERGENCY DEPARTMENT FOR PRIMARY CARE SERVICES. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5AS A COMMUNITY PARTNER, MEDSTAR HARBOR HOSPITAL 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 WELLNESS MEDSTAR HARBOR HOSPITAL ADDRESSES HEALTH AND WELLNESS BY OFFERING A VARIETY OF PROGRAMS AND RESOURCES THAT SEEK TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT. MEDSTAR HARBOR HOSPITAL SERVES AS A HUB TO SCREEN INDIVIDUALS FOR BREAST, CERVICAL AND COLON CANCER. A DISTINCTIVE ASPECT OF THIS PROGRAM IS THAT IT PROVIDES SCREENING TO INDIVIDUALS WITHOUT INSURANCE AND/OR DOCUMENTATION. AS A RESULT, THE PROGRAM HAS BECOME A VITAL RESOURCE FOR THE HISPANIC/LATINO COMMUNITY, WITH OVER 50% OF PARTICIPANTS IDENTIFYING AS HISPANIC/LATINO. MEDSTAR HARBOR HOSPITAL'S COMMUNITY-BASED EDUCATION COURSES, SUCH AS HIGH BLOOD PRESSURE SELF-MANAGEMENT AND SMOKING CESSATION PROGRAMS ARE OFFERED TO SUPPORT HEALTHY LIFESTYLE CHANGES FOR COMMUNITY MEMBERS. ADDITIONALLY, THE HOSPITAL ACTIVELY PARTICIPATES IN PROVIDING HEALTH EDUCATION AT EVENTS ACROSS ITS CBSA SUCH AS COMMUNITY HEALTH FAIRS, EMPLOYEE WELLNESS FAIRS, ETC. ACCESS TO CARE MEDSTAR HARBOR HOSPITAL'S CONNECT FEST PROVIDED SOCIAL NEEDS RESOURCES TO THE COMMUNITY AND RESULTED IN THE INTEGRATION OF SOCIAL NEEDS ASSESSMENT INTO CARE DELIVERY, THROUGH SCREENINGS, RESOURCE LINKAGE, AND NAVIGATION ASSISTANCE. PATIENTS ARE SCREENED FOR SUBSTANCE USE IN THE EMERGENCY DEPARTMENT THROUGH THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM. MEDSTAR HARBOR HOSPITAL EXPANDED ITS SBIRT PROGRAM TO INPATIENT LABOR AND DELIVERY, AS WELL AS FOUR OUTPATIENT OB/GYN CLINICS ASSOCIATED WITH THE HOSPITAL. MEDSTAR HARBOR HOSPITAL'S MOBILE HEALTH UNIT PROVIDED PRIMARY CARE SERVICES TO RESIDENTS. TARGETING VULNERABLE POPULATIONS, THE MOBILE HEALTH UNIT PROVIDED CARE TO INSURED, UNINSURED, UNDERINSURED, AND UNDOCUMENTED RESIDENTS WITHIN THE COMMUNITY. MEDSTAR HARBOR HOSPITAL ALSO ADDRESSES ACCESS TO CARE BY HELPING TO REDUCE THE FINANCIAL BURDEN FOR PATIENTS AND THEIR FAMILIES. PATIENT FINANCIAL SERVICES PROVIDES FINANCIAL ASSISTANCE TO UNINSURED RESIDENTS WITHIN THE COMMUNITY BY ASSISTING WITH ENROLLMENT IN PUBLICLY FUNDED ENTITLEMENT PROGRAMS, REFERRING PATIENTS TO STATE OR FEDERAL INSURANCE EXCHANGE NAVIGATOR RESOURCES AND ASSISTING WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS.THE HOSPITAL SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED. SOCIAL DETERMINANTS OF HEALTH MEDSTAR HARBOR HOSPITAL IS COMMITTED TO ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH OF THE COMMUNITY. INITIATED BY THE BALTIMORE POPULATION HEALTH WORKFORCE COLLABORATIVE PROGRAM AND CONTINUED WITH HOSPITAL RESOURCES, COMMUNITY RESIDENTS ARE HIRED AND TRAINED AS COMMUNITY HEALTH ADVOCATES OR PEER RECOVERY COACHES. THESE POSITIONS SERVE TO EMPOWER INDIVIDUALS AND THEIR FAMILIES INTO BETTER ECONOMIC CONDITIONS. AS PART OF THEIR RESPONSIBILITIES, THE COMMUNITY HEALTH ADVOCATE CONDUCTS SOCIAL NEEDS SCREENINGS. 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. MEDSTAR HARBOR HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO RESIDENTS AND/OR FAMILIES WITH FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES RESIDENTS TO ACCESS COMMUNITY RESOURCES AND ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS. FURTHER, MEDSTAR HARBOR HOSPITAL ADDRESSES FOOD INSECURITY THROUGH A FOOD PRESCRIPTION DELIVERY PROGRAM IN PARTNERSHIP WITH HUNGRY HARVEST. THIS TEMPORARY SOURCE OF FOOD ASSISTANCE ALLOWS COMMUNITY HEALTH ADVOCATES TO IDENTIFY A LONG-TERM STRATEGY FOR FOOD ACCESS (E.G. MEALS ON WHEELS, ETC.). THE MEDSTAR HARBOR HOSPITAL FOOD RX PROGRAM PROVIDES PERSONALIZED NUTRITION COUNSELING, COOKING MATERIALS AND FRESH FOOD, AT NO COST TO ELIGIBLE PERSONS LIVING WITH DIABETES. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6MEDSTAR HARBOR HOSPITAL IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, CAN 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 MEDSTAR HARBOR HOSPITAL 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 7THE COMMUNITY BENEFIT REPORT FOR MEDSTAR HARBOR HOSPITAL IS FILED IN THE STATE OF MARYLAND. 0 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 40000 0 BALTIMORE HEART WALK/GRWL AND ES HW F23 BALTIMORE MD BALTIMORE CIVIC FUND ONE NORTH CHARLES STREET STE 1600 BALTIMORE MD 21202 521212473 501(C)(3) 6310 0 HOUSING INVESTMENT FUND 2 0 SCHOLARSHIPS 3 5865 SCHEDULE I, 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. OUR GRANT MONITORING PROCEDURE BRINGS TOGETHER ALL KEY PERSONNEL INVOLVED IN THE GRANT AT THE ONSET OF THE AWARD TO DISCUSS MANAGEMENT, RESPONSIBILITIES, BUDGETS, AND REPORTING. THIS INITIAL MEETING IS DOCUMENTED AND DISBURSED TO ALL INVOLVED. THE ACTUAL GRANT MONITORING IS DONE BY THE HOSPITAL DEPARTMENT IMPLEMENTING THE GRANT. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ENSURES THAT EACH GRANT HAS A COST CENTER AND/OR GRANT ACCOUNT SET UP BASED ON THE TERMS OF THE GRANT AWARD. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ALSO TRACKS AND REMINDS HOSPITAL DEPARTMENTS WHEN PROGRESS REPORTS ARE DUE THROUGHOUT THE LIFE OF THE GRANT. X 1 1 X X X X X X 1 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 STUART LEVINE MD FORMER OFFICER 0 622930 0 594834 0 0 0 9150 0 35137 0 1262051 0 0 JILL DONALDSON DIRECTOR/PRESIDENT 483533 0 395708 0 0 0 18702 0 26403 0 924346 0 0 0 DAVID D HAGER DIRECTOR (AS OF 10/2023) 559800 0 75000 0 0 0 9150 0 23174 0 667124 0 0 0 KERUNNE S KETLOGETSWE MD DIRECTOR 400868 0 238635 0 0 0 9150 0 1907 0 650560 0 0 0 DEANA STOUT CFO/TREASURER 0 381181 0 184419 0 0 0 9150 0 23745 0 598495 0 0 DAVID GHADISHA MD DIRECTOR 521060 0 0 0 0 0 9150 0 23083 0 553293 0 0 0 MOHSEN GHARIB MD DIRECTOR 475739 0 49500 0 0 0 9150 0 16527 0 550916 0 0 0 KEITH SHINER FORMER SECRETARY 0 243851 0 58177 0 0 0 9053 0 23065 0 334146 0 0 ANNETTE BRONER SECRETARY 0 241602 0 55746 0 0 0 8573 0 22675 0 328596 0 0 KAREN ELLIOTT CNO 218407 0 48390 0 0 0 2254 0 18118 0 287169 0 0 0 WAJID RANA REGISTERED NURSE 229076 0 0 0 0 0 4709 0 19954 0 253739 0 0 0 DANIEL TESFAMARIAM REGISTERED NURSE 199267 0 0 0 0 0 2600 0 21766 0 223633 0 0 0 CHRIS MUSKELLY PROGRAM DIRECTOR 198651 0 0 0 0 0 10937 0 9869 0 219457 0 0 0 ROBERT LALLY FORMER TREASURER 0 9348 0 0 0 204382 0 0 0 0 0 213730 0 0 CARA MILLER SR. DIRECTOR, NURSING OPS. 148411 0 0 0 41548 0 6003 0 13398 0 209360 0 0 0 PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES: THE ORGANIZATION PAID SOCIAL CLUB DUES FOR ONE OF ITS OFFICERS. PARTICIPATION IN THESE ACTIVITIES BY THE OFFICER WAS FOR BUSINESS PURPOSES AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSE. 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. ROBERT LALLY'S COMPENSATION IS FOR SERVICES PREVIOUSLY PROVIDED AS CFO TO MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR HARBOR HOSPITAL, MEDSTAR ST. MARY'S HOSPITAL, AND MEDSTAR SOUTHERN MARYLAND HOSPITAL. ROBERT LALLY'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $204,382 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MR. LALLY. CARA MILLER'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $21,495 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MS. MILLER. DEANA STOUT'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO/TREASURER AT MEDSTAR HARBOR HOSPITAL, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL. BEHAVIORAL HEALTH SYSTEM BALTIMORE INC SEE PART V 193390 STAFFING SERVICES 0 CROTHALL HEALTHCARE INC SEE PART V 1174641 ENVIRONMENTAL SERVICES 0 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IVTHE FOLLOWING ARE SUBSTANTIAL CONTRIBUTORS (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR HARBOR HOSPITAL VALUED IN EXCESS OF $100,000: BEHAVIORAL HEALTH SYSTEM, CROTHALL HEALTHCARE, INC., AND INDIVIDUAL SUBSTANTIAL CONTRIBUTORS. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. 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., 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 DESCRIPTION OF DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, 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 ENFORCEMENT 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 DESCRIPTION OF EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 3,025,882. MANAGEMENT AND GENERAL EXPENSES 867,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,893,061. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES -13,159. MANAGEMENT AND GENERAL EXPENSES 364,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 351,488. TESTING & DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 634,879. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 634,879. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 15,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,808. LAB SERVICES: PROGRAM SERVICE EXPENSES 348,189. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,189. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 24,902,594. MANAGEMENT AND GENERAL EXPENSES 67,581. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,970,175. MISC FIXED PURCH SRVCS: PROGRAM SERVICE EXPENSES 120,784. MANAGEMENT AND GENERAL EXPENSES 16,254. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,038. CONSULTING FEES: PROGRAM SERVICE EXPENSES 78,156. MANAGEMENT AND GENERAL EXPENSES 2,076,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,154,306. MISCELLANEOUS:: PROGRAM SERVICE EXPENSES 3,181,175. MANAGEMENT AND GENERAL EXPENSES 584,728. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,765,903. FORM 990, PART XI, LINE 9: EQUITY TRANSFER-NET ASSETS 5,698,356. 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