2022-05-13T17:54:08-05:00 2021-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2020-07-01 522218584 THE MEDSTAR-GEORGETOWN MEDICAL CENTER INC MEDS 2027843000 HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 JOEL BRYAN VP/TREASURER 4107726721 2022-05-11 1 JOEL BRYAN 999009999 ANDREW ROE P01876391 7032868000 2022-05-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL MICHAEL SACHTLEBEN HOSPITAL ADMIN 1 MAIN BLDG WASHINGTON DC 20007 1350604827 0 X WWW.GEORGETOWNUNIVERSITYHOSPITAL.ORG X 2000 DC SEE SCHEDULE OTO PROVIDE PHYSICAL AND SPIRITUAL COMFORT TO OUR PATIENTS AND THEIR FAMILIES IN THE JESUIT TRADITION OF CURA PERSONALIS, CARING FOR THE WHOLE PERSON. 18 12 5374 0 1191607 1008967 34796181 58252001 1113688521 1258693522 1273597 1069846 26685431 32589458 1176443730 1350604827 0 40000 0 0 567276509 616393719 0 0 2197 520454368 553756969 1087730877 1170190688 88712853 180414139 760336597 988810390 272205910 270327911 488130687 718482479 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 2021, MEDSTAR GEORGETOWN HAD 15,886 INPATIENT ADMISSIONS AND 726,426 OUTPATIENT VISITS, INCLUDING 28,006 EMERGENCY VISITS. 0 0 821274210 40000 1230944167 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 $261.1M 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 4 CONSECUTIVE MAGNET DESIGNATIONS (2004, 2008, 2014, 2018). MEDSTAR GEORGETOWN IS IN THE PROCESS OF THE JOURNEY TOWARDS A FIFTH MAGNET DESIGNATION.SINCE MARCH 2020, MEDSTAR HEALTH HAS CARED FOR 1 IN 4 COVID-19 PATIENTS IN THE REGION. OPERATING AS ONE MEDSTAR AND ALIGNING WITH GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND LOCAL DEPARTMENTS OF HEALTH, MEDSTAR HEALTH COVID-19 PREPARATIONS AND RESPONSE ARE GUIDED BY THREE CRITICAL DRIVERS: PROVIDING A SAFE CARE ENVIRONMENT FOR PATIENTS AND ASSOCIATES; MITIGATING COMMUNITY SPREAD OF COVID-19; AND ENSURING OPERATIONAL CONTINUITY TO FULFILL OUR CORE MISSION OF CARING FOR OUR COMMUNITIES.THESE EFFORTS HAVE EVOLVED AND TRANSITIONED IN MULTIPLE WAY THROUGHOUT THE DURATION OF THE COVID-19 PANDEMIC, LEADING TO A NUMBER OF INTEGRATED CARE APPROACHES IN PLACE TODAY: UTILIZATION OF MEDSTAR HEALTH URGENT CARE, EVISITS AND OUR DIGITAL CAPABILITIES TO CREATE ACCESS, RAPID STAND-UP OF TESTING SITES, USE OF TELEHEALTH FOR PRIMARY CARE AND FOLLOW-UP VISITS, UTILIZATION OF MEDSTAR HEALTH HOME CARE TO SAFELY MANAGE THE CARE CONTINUUM NEEDS FOR PATIENTS, DEPLOYMENT OF INNOVATIVE LABORATORY APPROACHES INTEGRATED WITH OCCUPATIONAL HEALTH TO BETTER SUPPORT ASSOCIATES MANAGING THROUGH COVID-19 EXPOSURES, STAND-UP OF A BUDDY PROGRAM WHERE NON-CLINICAL ASSOCIATES TAKE SHIFTS TO PROVIDE SUPPORT SERVICES FOR NURSING AND CARE TEAMS, ESTABLISHMENT OF COMMUNITY MOBILE UNITS AND CLINICS FOR COVID-19 VACCINATIONS/BOOSTERS, SUPPLY AND MAINTAIN PERSONAL PROTECTIVE EQUIPMENT (PPE), N95 RESPIRATORS, COVID-19 VACCINES AND BOOSTERS, EXECUTION OF A MANDATORY COVID-19 VACCINATION POLICY RESULTING IN 99% OF ASSOCIATES AND PHYSICIANS VACCINATED AGAINST COVID-19, AND ADMINISTRATION OF MORE THAN 253,000 COVID-19 VACCINATIONS/BOOSTERS ACROSS THE REGION. 83607698 27749355 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $83.6M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2021. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 4188446 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $4.2M IN CHARITY CARE SERVICES IN FISCAL YEAR 2021. 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. 909070354 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 1 5374 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 18 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 DC X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 9408672 92948 MICHAEL C SACHTLEBEN PRESIDENT/DIRECTOR 40.00 0.00 X X 1425416 0 53273 NADIM HADDAD MD DIRECTOR 40.00 0.00 X 1431043 0 39999 MATTHEW COOPER MD DIRECTOR 40.00 0.00 X 782730 0 29056 CIRRELDA COOPER MD VICE CHAIR 40.00 0.00 X 409816 0 24136 KENNETH A SHARIGIAN PHD DIRECTOR 1.00 0.00 X 0 0 0 JUDSON W STARR CHAIR 1.00 0.00 X 0 0 0 STEPHEN L URBANCZYK DIRECTOR 1.00 0.00 X 0 0 0 RICHARD H FRANK DIRECTOR 1.00 0.00 X 0 0 0 DALBERT B GINSBERG DIRECTOR 1.00 0.00 X 0 0 0 HON GILBERT R CHAGOURY DIRECTOR 1.00 0.00 X 0 0 0 EDWARD B HEALTON DIRECTOR 1.00 0.00 X 0 0 0 PATRICIA A CLOONAN PHD DIRECTOR (UNTIL 06/2021) 1.00 0.00 X 0 0 0 MARY BETH CONNELL MD DIRECTOR 1.00 0.00 X 0 0 0 SHELLEY HOLT DIRECTOR 1.00 0.00 X 0 0 0 NEIL KISHTER DIRECTOR 1.00 0.00 X 0 0 0 CATHERINE MELOY DIRECTOR 1.00 0.00 X 0 0 0 DANIEL P SULMASY MD DIRECTOR 1.00 0.00 X 0 0 0 MARY KAY SIDAWY MD DIRECTOR 40.00 0.00 X 522015 0 17581 DAVID HO CHIEF FINANCIAL OFFICER 40.00 0.00 X 470199 0 22193 LEE BERGMAN SECRETARY 1.00 39.00 X 0 269980 30284 HEATHER NOWAKOWSKI ASSISTANT SECRETARY 40.00 0.00 X 116690 0 14778 EILEEN FERRELL PHYSICIAN 40.00 0.00 X 524181 0 23467 BRINDER SINGH PHYSICIAN 40.00 0.00 X 469462 0 29754 REGGIE PEARSON PHYSICIAN 40.00 0.00 X 428476 0 24962 KAREN ALCORN PHYSICIAN 40.00 0.00 X 322612 0 39974 DALONG PANG PHYSICIAN 40.00 0.00 X 288448 0 21791 RICHARD GOLDBERG MD FORMER PRESIDENT 0.00 40.00 X 0 1505962 36273 KERRY RICHARD FORMER SECRETARY 0.00 40.00 X 0 626766 24778 7191088 11811380 525247 458 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 11293030 STANDARD PARKING CORP 201 EAST UNIVERSITY PKWY BALTIMORE MD 21218 PARKING SERVICES 4220296 SODEXO INC & AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 FOOD&FACILITIES MGMT 3179373 ROLYN LLC 5706 FREDERICK AVE ROCKVILLE MD 20852 FACILITIES SERVICES 2802894 HKS-SHALOM BARANES JOINT VENTURE 1010 WISCONSIN AVE NW STE 900 WASHINGTON DC 20007 PROFESSIONAL SVCS 2678919 91 29556649 28695352 2424157 58252001 NET PATIENT SERVICE RE 621400 1221454578 1220262971 1191607 TRAINING TUITION 900099 14231712 14231712 OTHER PHYSICIAN REVENU 621400 8184700 8184700 PHARMACY REVENUE 900099 8108464 8108464 RESIDENT SERVICE REVEN 900099 6921835 6921835 -207767 -207767 1258693522 533067 533067 149941 0 149941 149941 149941 536779 0 536779 536779 536779 INTERCOMPANY SUBSIDY R 900099 21722161 21722161 REBATE INCOME 900099 1635847 1635847 PARKING INCOME 900099 636678 636678 8444831 8444831 32439517 1350604827 1257501915 1191607 33659304 40000 40000 5358926 4656973 701953 511088678 444261924 66826754 7974380 6981554 992826 54992723 47459411 7533312 36979012 32104109 4874903 101292303 101292303 957731 33816 923915 88620683 67241224 21377262 2197 2713446 224322 2489124 8481794 9344699 -862905 7835111 1936415 5898696 808653 391741 416912 247484 217032 30452 8898920 8898920 37473202 19547950 17925252 16365923 16365923 MED/SURG SUPPLIES 170205311 168038428 2166883 IMPLANTS/PROSTHESES 42158441 42158372 69 MAINTENANCE 23742354 24146354 -404000 UTILITIES 15231569 13546107 1685462 28724044 26739923 1984121 1170190688 909070354 261118137 2197 9185226 11431914 197310970 282663254 38796 25864 15353115 15283106 3898954 4462938 994003833 452936646 400281749 541067187 21375340 32135448 70718228 70718228 42174219 31022451 760336597 988810390 200873728 196493524 4053665 4160756 67278517 69673631 272205910 270327911 X 458945125 666082391 29185562 52400088 488130687 718482479 760336597 988810390 X 180414139 5768138 -16229 44185744 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 213649068 130080682 83568386 2363812 2116702 247110 414409963 318318743 96091220 363580990 2420519 361160471 541067187 OPERATING LEASE LIABILITIES 24176470 CREDIT BALANCES - PATIENT AR 13300572 PENDING PFS REFUNDS 7009998 WORKERS COMPENSATION FUNDS 5240295 SETTLEMENTS - MEDICARE 3031871 OTHER LIABILITIES 16914425 69673631 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, 2021. 1 1 X 1 X 1 X 1 1 1 0 1 1 4188446 4188446 0.00360 121506727 114962105 6544622 0.00560 4594657 4465123 129534 0.00010 130289830 119427228 10862602 0.00930 1195606 1750 1193856 0.00100 83607698 27749355 55858343 0.04770 201653 201653 0.00020 85004957 27751105 57253852 0.04890 215294787 147178333 68116454 0.05820 67852 67852 0.00010 67852 67852 0.00010 1 16727268 225333437 253725484 -28392047 X 1 1 1 1 DBA GEORGETOWN UNIVERSITY HOSPITAL 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 X X X X X X DBA GEORGETOWN UNIVERSITY HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.MEDSTARGEORGETOWN.ORG X 1 20 1 WWW.MEDSTARGEORGETOWN.ORG 0 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: LISA BOYLE, MDADVISORY 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 : AMBER PENNEL, MHA, BSN, RN TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF CASE MANAGEMENTNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : ANDREA TALHAMITITLE/AFFILIATION WITH HOSPITAL : PRODUCE RX PROGRAM MANAGER NAME OF ORGANIZATION : DC GREENSNAME : ANJALI TALWALKER TITLE/AFFILIATION WITH HOSPITAL : SR. DEPUTY DIRECTOR NAME OF ORGANIZATION : DC COMMUNITY HEALTH ADMINISTRATIONNAME : 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 : CORY FELDMAN TITLE/AFFILIATION WITH HOSPITAL : ADMINISTRATOR II, DEPARTMENT OF PATHOLOGY & LABORATORY ASSOCIATE FACULTY, MEDSTAR INSTITUTE FOR QUALITY & SAFETYNAME 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 : JANINE RETHY, MD, MPH TITLE/AFFILIATION WITH HOSPITAL : DIVISION CHIEF OF COMMUNITY PEDIATRICS NAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : JEROME JOHNSON TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF PARTNERSHIPS NAME OF ORGANIZATION : DC PARKS & RECREATIONNAME : JILLIAN GRIFFITH, MSPH, RDN, LDN TITLE/AFFILIATION WITH HOSPITAL : IN-STORE NUTRITIONIST NAME OF ORGANIZATION : GIANT FOODNAME : JOANNE ODOM, LICSWTITLE/AFFILIATION WITH HOSPITAL : PROGRAM ADMINISTRATOR FOR COMMUNITY PEDIATRICS, PRIMARY CARE REPRESENTATIONNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : KHALEELAH COHEN, MA TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY BENEFIT SPECIALIST, COMMUNITY HEALTH HOSPITAL LEADNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : LISA BOYLE, MD TITLE/AFFILIATION WITH HOSPITAL : CHIEF MEDICAL OFFICER & VICE PRESIDENT OF MEDICAL AFFAIRS NAME 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 : MEGAN LOUCKS TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF QUALITY IMPROVEMENT NAME OF ORGANIZATION : DC PRIMARY CARE ASSOCIATIONNAME : 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 : NATALIE LIMA-GARCIA, RNC, BSN, MPH TITLE/AFFILIATION WITH HOSPITAL : OUTPATIENT PEDIATRIC NURSE MANAGERNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : REGINA KNOX WOODSTITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT OF GOVERNMENT AFFAIRS FOR DISTRICT OF COLUMBIANAME OF ORGANIZATION : MEDSTAR HEALTH D/B/A GEORGETOWN UNIVERSITY HOSPITAL PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. BAD DEBT PART III, LINES 2 & 4MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT. DEBT COLLECTION POLICY PART III, LINE 9BIF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT PART VI, LINE 2:IN FY18, 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 FY18 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, 2018.DURING FY19, KEY REVISIONS WERE MADE ACROSS MEDSTAR HEALTH TO MORE EFFECTIVELY IMPACT THE COMMUNITIES SERVED THROUGHOUT MARYLAND AND WASHINGTON, DC. SEVERAL INTERNAL MEETINGS WERE CONVENED WITH LEADERSHIP FROM EACH MEDSTAR HEALTH HOSPITAL TO REVIEW CURRENT PRACTICES AND STRATEGIES. AS A RESULT OF THESE MEETINGS, THE APPROACH TO THE CURRENT CHNA FOR THE REMAINDER OF THE THREE-YEAR CYCLE (FY19-FY21) WAS REVISED.A KEY REVISION TO THE CHNA IS A GREATER FOCUS ON HOSPITAL AREA STRATEGIES THAT ARE MOST APPROPRIATE FOR THE LOCAL COMMUNITIES SERVED. THE NUMBER OF STRATEGIES EACH HOSPITAL IS ACCOUNTABLE FOR EXECUTING WAS REDUCED TO ENCOURAGE MORE MEANINGFUL REACH WITHIN KEY AREAS CONTRASTED WITH BROADER REACH WITH REDUCED IMPACT.USING THE STANDARD CATEGORIES, HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH TO DETERMINE WHAT TO PRIORITIZE FOR THE CHNA IRS REQUIREMENTS, EACH HOSPITAL AGREED TO SELECT TWO TO THREE STRATEGIES AS PRIORITIES THAT HAVE SIZE AND SCALE 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) REMAINS THE SAME, 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 20020. 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.MGUH'S HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (COMMUNITY PEDIATRIC AND FAMILY HEALTH AND WELLNESS), ACCESS TO CARE (CANCER SCREENINGS AND LINKAGE) AND SOCIAL DETERMINANTS OF HEALTH (HEALTH JUSTICE ALLIANCE).AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MGUH ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES.IN FY21, THE HOSPITAL CONDUCTED A CHNA AND PRODUCED A THREE-YEAR IMPLEMENTATION STRATEGY. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE BY JUNE 30, 2021 AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024. 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 PATIENTS; UNDERINSURED PATIENTS MEETING MEDICAL HARDSHIP CRITERIA; AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO EMERGENCY AND MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR 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 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 HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR UNINSURED PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION AND ELIGIBILITY DETERMINATION, MEDSTAR HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL PROVIDE FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITIES WE SERVE IN ONE OR MORE OF THE FOLLOWING WAYS:. ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED ENTITLEMENT PROGRAMS (E.G., MEDICAID).. REFER PATIENTS TO STATE OR FEDERAL INSURANCE EXCHANGE NAVIGATOR RESOURCES.. ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS.. PROVIDE FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE POLICY GUIDELINES.. PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF MEDSTAR HOSPITAL AND HOSPITAL-BASED PHYSICIAN PRACTICE CHARGES USING A SLIDING-SCALE BASED ON THE PATIENT'S HOUSEHOLD INCOME AND FINANCIAL RESOURCES.. OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES.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.* TRANSLATING THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES OF ALL SIGNIFICANT POPULATIONS WITH LIMITED ENGLISH PROFICIENCY.. MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.MEDSTAR HEALTH PROVIDES A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL 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 MEDICAL 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 CALL 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 UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. COMMUNITY INFORMATION PART VI, LINE 4GEOGRAPHIC:THE HOSPITAL IDENTIFIED DISTRICT OF COLUMBIA WARDS 4, 5, 6 AND 7 AS ITS CBSA, SPECIFICALLY, RESIDENTS LIVING IN ZIP CODES 20002, 20011, 20019. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL WITH THE GOAL OF EXPANDING SERVICES AND PROGRAMS TO VULNERABLE POPULATIONS, SUCH AS THE UNDERINSURED, UNINSURED, AND LOW-INCOME.DEMOGRAPHICS:IN WASHINGTON, DC, 4% OF THE POPULATION IS UNINSURED AND 281,542 ARE MEDICAID RECIPIENTS. ACCORDING TO THE COUNTY HEALTH RANKINGS, THE LIFE EXPECTANCY IN THE DISTRICT OF COLUMBIA IS 78.6 YEARS, 16% OF ADULTS SMOKE, 24% OF ADULTS ARE OBESE, 11% ARE FOOD INSECURE, AND 27% OF ADULTS DRINK EXCESSIVELY. ADDITIONALLY, 52% OF CHILDREN RESIDE IN SINGLE-PARENT HOUSEHOLDS AND 27% LIVE IN POVERTY.THE COMMUNITIES THE ORGANIZATION SERVES INCLUDE:ZIP CODE 20002 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 52,370 PEOPLE AND THE AVERAGE INCOME IS $65,000. THE COMMUNITIES INCLUDE 5,851 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000, WHICH IS JUST ABOVE THE POVERTY GUIDELINE FOR A THREE-PERSON HOUSEHOLD. THIS COMMUNITY COVERS AREAS IN WARDS 5 AND 6 WHICH HAS A TOTAL OF 5 HOSPITALS, HOWEVER, THERE IS ONLY 1 HOSPITAL SERVING THE COMMUNITY IN THIS ZIP CODE. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. MORE THAN 62% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 32% ARE WHITE. TWENTY-FOUR PERCENT OF FAMILIES INCLUDE A SINGLE GUARDIAN AND 37% RELY ON PUBLIC TRANSPORTATION TO WORK. THIS ZIP CODE HAS A MUCH HIGHER PERCENTAGE OF PEOPLE WITH LOW EDUCATION LEVELS THAN AVERAGE (49% HAVE A HIGH SCHOOL DIPLOMA OR LESS).ZIP CODE 20011 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 58,536 PEOPLE AND THE AVERAGE INCOME IS $54,488. THE COMMUNITIES INCLUDE 5,546 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000. THIS COMMUNITY COVERS AREAS IN WARDS 4 AND 5 WHICH HAS A TOTAL OF 5 HOSPITALS, HOWEVER, THERE IS ONLY 1 HOSPITAL SERVING THE COMMUNITY IN THIS ZIP CODE. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. MORE THAN 66% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 15% ARE WHITE. TWENTY-EIGHT PERCENT OF FAMILIES INCLUDE A SINGLE GUARDIAN AND 39% RELY ON PUBLIC TRANSPORTATION TO WORK. THIS ZIP CODE HAS A MUCH HIGHER PERCENTAGE OF PEOPLE WITH LOW EDUCATION LEVELS THAN AVERAGE (62% HAVE A HIGH SCHOOL DIPLOMA OR LESS).ZIP CODE 20019 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 54,358 PEOPLE AND THE AVERAGE INCOME IS $34,832. THE COMMUNITIES INCLUDE 8,683 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000. THIS COMMUNITY IS LOCATED IN WARD 7 AND ALTHOUGH THERE ARE HOSPITALS IN NEIGHBORING WARDS, THERE ARE NO HOSPITALS SERVING THE COMMUNITY IN THIS WARD. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. MORE THAN 95.6% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 1% ARE WHITE. FORTY-THREE PERCENT OF FAMILIES INCLUDE A SINGLE GUARDIAN AND 42% RELY ON PUBLIC TRANSPORTATION TO WORK. THIS ZIP CODE HAS A MUCH HIGHER PERCENTAGE OF PEOPLE WITH LOW EDUCATION LEVELS THAN AVERAGE (82.2% HAVE A HIGH SCHOOL DIPLOMA OR LESS). PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5:AS A COMMUNITY PARTNER, MGUH ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE 2018 CHNA, FALL UNDER THREE AREAS OF FOCUS INCLUDING HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE (BUT ARE NOT LIMITED TO):HEALTH AND WELLNESSMGUH EXECUTED THREE PROGRAMS THROUGH THE COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS (CPFHW) INITIATIVE: THE KIDS MOBILE MEDICAL CLINIC, THE MOBILE FITNESS PROGRAM AND SCHOOL BASED HEALTH CLINICS AT TWO HIGH SCHOOL SITES IN WARDS 4 AND 8. COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS DELIVERED THESE EVIDENCE-BASED, OUTCOME-FOCUSED CHRONIC DISEASE MANAGEMENT AND PREVENTION PROGRAMS IN, OR TARGETED INDIVIDUALS LIVING IN, MGUH'S CBSA.THE MOBILE FITNESS (FUN IN TEACHING NUTRITION AND EXERCISE TO SUCCESSFUL STUDENTS) PROGRAM IS A HEALTHY WEIGHT AND ACTIVITY MANAGEMENT PROGRAM LED BY A MULTIDISCIPLINARY TEAM INCLUDING A PEDIATRICIAN, EXERCISE PHYSIOLOGIST, REGISTERED DIETITIAN, AND COMMUNITY HEALTH EDUCATOR. THE FITNESS PROGRAM AIMS TO ENGAGE STUDENTS AND FAMILIES IN HEALTHIER NUTRITION AND PHYSICAL ACTIVITY HABITS, TO REDUCE THE BURDEN OF CHRONIC DISEASE AND IMPROVE QUALITY OF LIFE. DUE TO COVID-19, FITNESS PIVOTED AND CONDUCTED VIRTUAL NUTRITION AND PHYSICAL ACTIVITY PROGRAMMING INCLUDING YOGA AND MINDFULNESS VIDEOS BY AN EXERCISE PHYSIOLOGIST AND A VIRTUAL COOKING MATTERS PROGRAM FOR THE SBHC TEEN PARENTS LED BY A HEALTH EDUCATOR. THE CPFHW ALSO LAUNCHED THE HEALTHY CHILDREN AND FAMILIES INITIATIVE TO BETTER SUPPORT FAMILIES IN NEED DURING THESE CHALLENGING TIMES BY PROVIDING WEEKLY NUTRITIOUS MEALS AND GROCERY BOXES FOR ELIGIBLE FAMILIES WITH CHILDREN. THROUGH THIS PROGRAM, 40 BMI SCREENINGS WERE CONDUCTED. OVER THE COURSE OF THE YEAR, 30 55 FAMILIES WERE SUPPORTED EACH QUARTER WITH WEEKLY DELIVERIES OF HOT MEALS AND GROCERY BOXES. IN FY21, OVER 9,962 HOT MEALS AND 565 GROCERY BOXES WERE DELIVERED.THE KIDS MOBILE MEDICAL CLINIC PROVIDES OUTPATIENT SERVICES TO CHILDREN AND ADOLESCENTS LIVING IN THE UNDERSERVED COMMUNITIES OF WASHINGTON, D.C., WHO ARE AT RISK OR HAVE POOR ACCESS TO COMPREHENSIVE PEDIATRIC HEALTH CARE SERVICES. THIS PROGRAM FOCUSES ON THE FIVE PILLARS OF HEALTH MODEL INCLUDING ORAL, NUTRITION, PHYSICAL, MENTAL, AND SOCIAL DETERMINANTS OF HEALTH. THE KIDS MOBILE MEDICAL CLINIC PROVIDED 957 PATIENT VISITS, SERVING 414 UNIQUE PATIENTS; AND COMPLETED 485 SOCIAL DETERMINANTS OF HEALTH SCREENINGS.PHYSICIANS ASSIST AT SAFETY-NET CLINICS AND SCHOOL-BASED HEALTH CENTERS. SCHOOL-BASED HEALTH CENTERS AIM TO IMPROVE ACCESS TO CARE FOR MEDICALLY VULNERABLE ADOLESCENTS BY CREATING AN ADOLESCENT-FRIENDLY WELLNESS ENVIRONMENT. THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL IS IMPLEMENTED BY ENSURING ACCESS TO ADOLESCENT HEALTH, PRIMARY CARE, MENTAL HEALTH SCREENINGS AND HEALTH EDUCATION. IN FY21, SCHOOL BASED HEALTH CENTERS REGISTERED 46 NEW STUDENTS, BRINGING THE TOTAL SERVED TO 433 STUDENTS, WITH 806 PATIENT VISITS. THESE CLINICS CONTINUED TO PROVIDE INTENSIVE CASE MANAGEMENT, CARE COORDINATION AND TELEHEALTH SERVICES FOR STUDENTS DESPITE COVID-19, ALTHOUGH THE PROGRAM WAS LIMITED DURING THE SUMMER OF 2020.STAFF PARTICIPATE IN COMMUNITY HEALTH EVENTS SUCH AS HEALTH FAIRS, FESTIVALS, AND EXPOSITIONS WHERE SCREENINGS ARE PERFORMED, AND HEALTH INFORMATION IS SHARED. OUTREACH IS ALSO PROVIDED IN-PERSON AND VIRTUALLY, HOSPITAL STAFF SHARE THEIR KNOWLEDGE WITH THE COMMUNITY THROUGH ENGAGING INTERVIEWS, SEMINARS, BLOGS, AND VIDEOS.THE SCREENING BRIEF INTERVENTION, REFERRAL TO TREATMENT (SBIRT) PROGRAM LAUNCHED IN FEBRUARY 2021. THE GOAL OF THE 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. MEDSTAR GEORGETOWN'S SBIRT PROGRAM IS OPERATED WITHIN THE EMERGENCY DEPARTMENT IN COLLABORATION WITH A COMMUNITY-BASED OVERDOSE SURVIVOR OUTREACH PROGRAM (OSOP) RECOVERY COACH, LINKING OVERDOSE SURVIVORS INTO CARE. SINCE ITS LAUNCH, A TOTAL OF 7,698 SCREENS WERE COMPLETED IN THE ED, OF WHICH 403 SCREENED POSITIVELY, 265 RECEIVED BRIEF INTERVENTION, 54 WERE REFERRED TO TREATMENT, AND 9 WERE LINKED TO TREATMENT.ACCESS TO CAREMGUH PARTNERS WITH DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (DCPCA) TO IMPROVE ACCESS TO HEALTH SERVICES AMONG PATIENTS BY INCREASING CANCER SCREENING RATES FOR UNDERSERVED PATIENTS IN DC. THROUGH THE CANCER SCREENING & PATIENT NAVIGATION PROGRAM, PATIENTS ARE SCREENED FOR BREAST, COLORECTAL AND CERVICAL CANCER. IN FY21, A TOTAL OF 1,542 INDIVIDUALS PARTICIPATED IN CANCER SCREENINGS AND PATIENT NAVIGATION SERVICES. OF THOSE, 636 RECEIVED COLORECTAL SCREENINGS, 23 RECEIVED CERVICAL SCREENINGS AND 883 RECEIVED BREAST CANCER SCREENINGS. ALTHOUGH PATIENT SCREENING IS THE PRIMARY FOCUS, NAVIGATING PATIENTS THROUGH ONGOING MEDICAL CARE IS A KEY PRIORITY FOR IMPROVING OVERALL HEALTH OUTCOMES. PATIENTS ALSO RECEIVE ONE-ON-ONE SUPPORT FROM TWO FULL TIME CANCER PATIENT NAVIGATORS FUNDED BY MGUH.SOCIAL DETERMINANTS OF HEALTHTHE HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO PATIENTS AND/OR FAMILIES WITH FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES PATIENTS TO ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS. THROUGH THIS PARTNERSHIP, MGUH PROVIDED 4,875 UBER RIDES IN FY21.SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. OUR COMMUNITY PARTNER, AUNT BERTHA, PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS. MGUH ALSO PARTNERS WITH GEORGETOWN UNIVERSITY'S HEALTH JUSTICE ALLIANCE TO CONDUCT SOCIAL NEEDS SCREENINGS AND SUPPORT LINKAGES TO SOCIAL NEED SERVICES AS PART OF CARE DELIVERY AND CHRONIC DISEASE SELF-MANAGEMENT THROUGH THE COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS PROGRAMMING. THE HEALTH JUSTICE ALLIANCE IS A MEDICAL-LEGAL PARTNERSHIP FOLLOWING AN INTER-PROFESSIONAL HEALTHCARE DELIVERY MODEL THAT EMBEDS LEGAL SERVICES IN HEALTHCARE SETTINGS TO HELP DOCTORS AND HEALTHCARE PROFESSIONALS ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO POOR HEALTH AND HEALTH DISPARITIES.DISASTER READINESSTHE HOSPITAL STRENGTHENED THE COMMUNITY HEALTH RESILIENCE BY IMPROVING THE ABILITY OF THE COMMUNITY TO WITHSTAND AND RECOVER FROM CORONAVIRUS, A PUBLIC HEALTH EMERGENCY THAT SURFACED IN MARCH 2020. LEADERSHIP PARTICIPATED IN COMMUNITY-WIDE TASK FORCES AND STAFF IMPLEMENTED PROGRAMS ASSOCIATED WITH ADDRESSING HEALTH NEEDS ARISING FROM CORONAVIRUS. STAFF PLANNED AND IMPLEMENTED COMMUNITY RESPONSE EFFORTS INCLUDING COVID-19 TESTING AND VACCINATION EVENTS AND PUBLIC EDUCATION EFFORTS. EVENTS AND OUTREACH OCCURRED AT HOSPITAL CAMPUSES AND AT TARGETED COMMUNITY LOCATIONS SUCH AS SENIOR COMPLEXES, CHURCHES AND COMMUNITY CENTERS TO BEST REACH UNDERSERVED AND AT-RISK POPULATIONS. PPE (PERSONAL PROTECTIVE EQUIPMENT) AND CLINICAL EQUIPMENT WERE ALSO DONATED TO OTHER NON-PROFITS SUPPORTING DISASTER RELIEF EFFORTS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6AS A PROUD MEMBER OF MEDSTAR HEALTH, MGUH IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MGUH WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7THE COMMUNITY BENEFIT REPORT FOR MGUH IS FILED IN THE DISTRICT OF COLUMBIA. 1 HOPE FOR HENRY FOUNDATION 2440 WISCONSIN AVE NW 201 WASHINGTON DC 20007 200244173 501(C)(3) 40000 ANNUAL SUPPORT FOR HOPE FOR HENRY FOUNDATION 1 0 X X X X X X 0 0 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 1997518 0 4558041 0 2853113 0 56948 0 36000 0 9501620 0 0 RICHARD GOLDBERG MD FORMER PRESIDENT 0 718361 0 687601 0 100000 0 25332 0 10941 0 1542235 0 0 MICHAEL C SACHTLEBEN PRESIDENT/DIRECTOR 722603 0 702813 0 0 0 21200 0 32073 0 1478689 0 0 0 NADIM HADDAD MD DIRECTOR 1330683 0 360 0 100000 0 18858 0 21141 0 1471042 0 0 0 MATTHEW COOPER MD DIRECTOR 581447 0 201283 0 0 0 8550 0 20506 0 811786 0 0 0 KERRY RICHARD FORMER SECRETARY 0 373424 0 253342 0 0 0 8550 0 16228 0 651544 0 0 EILEEN FERRELL PHYSICIAN 347239 0 176942 0 0 0 13961 0 9506 0 547648 0 0 0 MARY KAY SIDAWY MD DIRECTOR 309270 0 212745 0 0 0 8550 0 9031 0 539596 0 0 0 BRINDER SINGH PHYSICIAN 343428 0 126034 0 0 0 8550 0 21204 0 499216 0 0 0 DAVID HO CHIEF FINANCIAL OFFICER 316147 0 154052 0 0 0 8550 0 13643 0 492392 0 0 0 REGGIE PEARSON PHYSICIAN 313898 0 114578 0 0 0 8550 0 16412 0 453438 0 0 0 CIRRELDA COOPER MD VICE CHAIR 372157 0 37649 0 10 0 22853 0 1283 0 433952 0 0 0 KAREN ALCORN PHYSICIAN 258560 0 64052 0 0 0 16045 0 23929 0 362586 0 0 0 DALONG PANG PHYSICIAN 288088 0 360 0 0 0 8550 0 13241 0 310239 0 0 0 LEE BERGMAN SECRETARY 0 219276 0 50704 0 0 0 10086 0 20198 0 300264 0 0 SCHEDULE J, PART III MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(II) AND (III) INCLUDES A PAYMENT OF $1,483,604, WHICH REPRESENTS BENEFITS ACCRUED THROUGH AN EXECUTIVE RETIREMENT PLAN THAT IS COMPRISED OF TARGET BENEFITS CALCULATED ANNUALLY USING COMPENSATION AND YEARS OF SERVICE AND $2,853,113, WHICH REPRESENTS THE EXERCISED VALUE OF OPTION PLAN SHARES, BASED ON DEFERRED COMPENSATION EARNED APPROXIMATELY 20 YEARS AGO AND INVESTMENT RETURNS ON THIS COMPENSATION EARNED OVER THIS PERIOD OF TIME. DR. GOLDBERG'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B) (III) INCLUDES $100,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT RECEIVED BY DR. GOLDBERG. CLARK CONSTRUCTION GROUP LLC SEE PART V 114309699 CONSTRUCTION 0 KCI USA INC SEE PART V 958344 MEDICAL SERVICES 0 BUSINESS TRANSACTION INVOLVING INTERESTED PERSON SCHEDULE L, PART IVTHE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO THE ABOVE-MENTIONED HOSPITAL VALUED IN EXCESS OF $100,000: CLARK CONSTRUCTION GROUP, LLC, KCI USA, INC. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. X 19 2424157 FMV 0 1 0 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, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST.SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) 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 OVER 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 44,185,744. MGMC LLC 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 522228444 PHYSICIANS DC 263930873 39655462 N/A GUHKIDS MOBILE MEDICAL CLINIC PROGRAM 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522228444 HOSPITAL MD 0 0 N/A FRANKLIN SQUARE HOSPITAL CENTER INC 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 520608007 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 0 MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 520646893 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 THE UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 520591685 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 MEDSTAR HEALTH RESEARCH INSTITUTE 108 IRVING STREET NW WASHINGTON DC 20010 526056274 HOSPITAL DC 501(C)(3) LINE 4 N/A 1 WASHINGTON HOSPITAL CENTER CORPORATION 110 IRVING STREET NW WASHINGTON DC 20010 521272129 HOSPITAL DC 501(C)(3) LINE 3 N/A 1 HH MEDSTAR HEALTH INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521542230 MEDICAL SVCS MD 501(C)(3) LINE 12C, III-FI N/A 1 MEDSTAR AMBULATORY SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521132992 ADMIN SVCS MD 501(C)(3) LINE 12C, III-FI N/A 1 BAY LIFE SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521496539 MENTAL HEALTH MD 501(C)(3) LINE 10 N/A 1 MEDSTAR SURGERY CENTER INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521061679 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 CHURCH HOME AND HOSPITAL OF THE CITY OF 10980 GRANTCHESTER WAY COLUMBIA MD 21044 520591600 MEDICAL FUND MD 501(C)(3) LINE 12A, I N/A 1 GOOD SAMARITAN NURSING CENTER INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521672866 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 GS HOUSING INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521481656 ELDER HOUSING MD 501(C)(3) LINE 10 N/A 1 GS PROPERTIES INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521429853 ADMIN SVCS MD 501(C)(3) LINE 12A, I N/A 1 MEDSTAR HEALTH INFUSION INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521980510 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 MEDSTAR HEALTH VISITING NURSES ASSOCIATI 4061 POWDERMILL ROAD CALVERTON MD 20705 530196597 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 MEDSTAR VNA HEALTHCARE 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521458516 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 MGH COMMUNITY HEALTH INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521372467 MEDICAL SVCS MD 501(C)(3) LINE 10 N/A 1 MGH HEALTH SERVICES INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521366812 FOUNDATION MD 501(C)(3) LINE 12B, II N/A 1 MGH WOMEN'S BOARD 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 526039600 FOUNDATION MD 501(C)(3) 11C III N/A 1 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 521369749 HOSPITAL DC 501(C)(3) LINE 3 N/A 1 NRH REGIONAL REHAB AT OLNEY INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 522310902 MEDICAL SVCS MD 501(C)(3) LINE 3 N/A 1 SUBURBAN NRH MEDICAL REHABILITATION I 102 IRVING STREET NW WASHINGTON DC 20010 521931151 MEDICAL SVCS DC 501(C)(3) LINE 3 N/A 1 THE THOMAS O'NEIL CATHOLIC HEALTH CARE F 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 521104382 FOUNDATION MD 501(C)(3) LINE 12D, III-O N/A 1 VNA INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521332411 ADMIN SVCS MD 501(C)(3) LINE 12A, I N/A 1 WOODBOURNE WOODS INC 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 522299070 ELDER HOUSING MD 501(C)(3) LINE 10 N/A 1 HOSPICE OF ST MARY'S INC PO BOX 527 LEONARDTOWN MD 20650 522153926 SUPPORT ORG MD 501(C)(3) LINE 12A, I N/A 1 ST MARY'S HOSPITAL OF ST MARY'S COUNTY 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 520619006 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 MEDSTAR SOUTHERN MD HOSPITAL CENTER INC 7503 SURRATTS ROAD CLINTON MD 20735 460726303 HOSPITAL MD 501(C)(3) LINE 3 N/A 1 MEDSTAR HEALTH INC AND AFFILIATES MASTER 10980 GRANTCHESTER WAY COLUMBIA MD 21044 467454613 RET. TRUST MD 501(A) N/A N/A 1 CHURCH HOME CORPORATION 10980 GRANTCHESTER WAY COLUMBIA MD 21044 237374724 MEDICAL FUND MD 501(C)(3) PF N/A 1 MEDSTAR SHAH MSO LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 462700536 MGMT SVCS MD N/A N/A 0 0 22590 SHADY COURT LLC 24035 THREE NOTCH ROAD HOLLYWOOD MD 20636 473361777 REAL ESTATE MD N/A N/A 0 0 24035 THREE NOTCH ROAD LLC 24035 THREE NOTCH ROAD HOLLYWOOD MD 20636 473375076 REAL ESTATE MD N/A N/A 0 0 37767 MARKET DRIVE LLC 37767 MARKET DRIVE CHARLOTTE HALL MD 20622 REAL ESTATE MD N/A N/A 0 0 26840 POINT LOOKOUT ROAD LLC 24035 THREE NOTCH ROAD HOLLYWOOD MD 20636 473393670 REAL ESTATE MD N/A N/A 0 0 MONTGOMERY COMMUNITY MRI LP 4110 ASPEN HILL RD ROCKVILLE MD 20853 521534253 MRI SCREENING MD N/A N/A 0 0 PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 522212036 PHYSIOTHERAPY PA N/A N/A 0 0 PHYSICIAN IMAGING OF WASHINGTON 840 CRESCENT CENTRE DR FRANKLIN TN 37067 562616090 RADIOLOGY SVC TN N/A N/A 0 0 FRANKLIN IMAGING LLC 7253 AMBASSADOR RD BALTIMORE MD 21244 521588688 IMAGING MD N/A N/A 0 0 MEDSTAR HEALTHSURGCENTER DEVELOPMENT JV 10980 GRANTCHESTER WAY COLUMBIA MD 21044 821073412 SURGERY MD N/A N/A 0 0 10 ST PATRICK'S DRIVE LLC 10 ST PATRICKS DRIVE WALDORF MD 20603 832261766 REAL ESTATE MD N/A N/A 0 0 MEDSTAR ENDOSCOPY CTR AT LUTHERVILLE L 1300 BELLONA AVE LUTHERVILLE MD 21093 823193901 SURGERY MD N/A N/A 0 0 CAPITAL ENDOSCOPY LLC 6475 NEW HAMPSHIRE AVE HYATTSVILLE MD 20783 134244093 SURGERY MD N/A N/A 0 0 GREATER CHESAPEAKE SURGERY CENTER LLC 1212 YORK ROAD LUTHERVILLE MD 21093 841479788 SURGERY MD N/A N/A 0 0 NRH CPT REGIONAL REHAB LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 522107062 REHAB SERVICES MD N/A N/A 0 0 4240 ALTAMONT PLACE LLC 103 CENTENNIAL STREET SUITE K LA PLATA MD 20646 861202310 REAL ESTATE MD N/A N/A 0 0 MEDSTAR PHARMACIES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521513056 DRUG SALES MD N/A C 0 EXTENCARE INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521556228 MEDICAL SCVS MD N/A C 0 HELIX RESOURCES MANAGEMENT INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521913070 ADMIN SCVS MD N/A C 0 HELIXCARE MEDICAL GROUP LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521955580 MEDICAL SCVS MD N/A C 0 HELIXCARE PROPERTIES LLC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521966695 MEDICAL SCVS MD N/A C 0 PARKWAY VENTURES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521893569 HOLDING CO. MD N/A C 0 PHYSICIANS ADMINISTRATIVE SERVICES INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 237042074 BILLING SCVS MD N/A C 0 MEDSTAR FAMILY CHOICE INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 521995521 MANAGED CARE MD N/A C 0 MEDSTAR ENTERPRISES INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522139841 ADMIN SCVS MD N/A C 0 STAR BILLING INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 521850113 BILLING SCVS MD N/A C 0 WASHINGTON RISK NETWORK MANAGEMENT INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522132677 MEDICAL SCVS MD N/A C 0 WASHINGTON HOSPITAL CENTER PHYSICIAN HOS 100 IRVING STREET NW WASHINGTON DC 20010 521931000 MEDICAL SCVS MD N/A C 0 MEDSTAR PHYSICIAN PARTNERS INC 4061 POWDERMILL ROAD SUITE 210 CALVERTON MD 20705 522030809 MEDICAL SCVS MD N/A C 0 FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA 10980 GRANTCHESTER WAY COLUMBIA MD 21044 760756352 CONDOMINIUMS MD N/A C 0 MGH DIVERSIFIED SERVICES INC 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 521943602 MEDICAL SCVS MD N/A C 0 ST MARY'S HEALTH ALLIANCE INC 25500 POINT LOOKOUT ROAD LEONARDTOWN MD 20650 521930331 MEDICAL SCVS MD N/A C 0 ST MARY'S CONDO ASSOCIATION 25500 POINT LOOKOUT RD LEONARDTOWN MD 20650 273377216 CONDOMINIUMS MD N/A C 0 SITEL INC 10980 GRANTCHESTER WAY COLUMBIA MD 21044 900753340 EDUCATIONAL MD N/A C 0 GREENSPRING FINANCIAL INSURANCE LIMITED 878 WEST BAY RD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980188617 INSURANCE CJ N/A C 0 MEDSTAR HEALTH MASTER RETIREMENT TRUST 103 SOUTH CHURCH ST GRAND CAYMAN CJ KY1-1002 981371657 INVESTMENTS CJ N/A C 0 MEDSTAR HEALTH INC - INVESTMENT FUND I 103 SOUTH CHURCH ST GRAND CAYMAN CJ 981310273 INVESTMENTS CJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 HH MEDSTAR HEALTH P 289895302 FMV FRANKLIN SQUARE HOSPITAL CENTER INC P 16436206 FMV THE UNION MEMORIAL HOSPITAL Q 9861873 FMV THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC P 708653 FMV HARBOR HOSPITAL INC P 615682 FMV WASHINGTON HOSPITAL CENTER CORPORATION Q 26761469 FMV NATIONAL REHABILITATION HOSPITAL Q 1365755 FMV MONTGOMERY GENERAL HOSPITAL Q 30488600 FMV ST MARY'S HOSPITAL OF ST MARY'S COUNTY INC P 152163 FMV VNA INC P 82219 FMV MEDSTAR HEALTH RESEARCH INSTITUTE Q 528479 FMV BAY LIFE SERVICES INC P 140649 FMV