2020-07-10T16:04:41-05:00 2019-06-30 KPMG LLP 8350 Broad Street Suite 900 McLean VA 22102 990 2018-07-01 521369749 National Rehabilitation Hospital % JOEL BRYAN NATI 2028771150 102 IRVING STREET NW WASHINGTON DC 20010 JOEL BRYAN VP/TREASURER 4107726721 2020-07-10 true jg white P01498698 7032868000 2020-06-15 199.206.0.5 54028020201925000008 2020-07-10 P D160CDB606117D3BA0F7F0AC5249F06B9A524E89 EB2737A96B8F377BD085BED9F3BA68158C374A96 2018 2020-09-23 17:36:50Z JOHN ROCKWOOD 102 IRVING STREET NW WASHINGTON DC 20010 148791545 false X WWW.NRHREHAB.ORG X 1983 DC SERVE THE COMMUNITY AS A LEADER IN REHABILITATION SERVICES THROUGH QUALITY PATIENT CARE, RESEARCH, EDUCATION AND TRAINING, ASSISTANCE TECHNOLOGY, AND ADVOCACY. 18 14 1905 4 0 0 4758782 5961865 137295681 140520869 1183282 797671 1736222 1511122 144973967 148791527 0 0 0 0 95292810 101108779 0 0 803274 44388293 44556885 139681103 145665664 5292864 3125863 93458444 93051290 19356095 19590263 74102349 73461027 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR NATIONAL REHABILITATION NETWORKS (MEDSTAR NRN) MISSION IS TO SERVE THE COMMUNITY AS A REGIONAL AND NATIONAL LEADER IN REHABILITATIVE SERVICES THROUGH QUALITY PATIENT CARE, REHABILITATION RESEARCH, EDUCATION AND TRAINING, ASSISTIVE TECHNOLOGY AND ADVOCACY. MEDSTAR NRN INCLUDES A SPECIALTY HOSPITAL LOCATED DIRECTLY ADJACENT TO MEDSTAR WASHINGTON HOSPITAL CENTER, IN NORTHWEST WASHINGTON, D.C. AND OVER 50 OUTPATIENT REHABILITATION CENTERS THROUGHOUT WASHINGTON, D.C., MARYLAND AND Virginia. In Fiscal Year 2019, MNRN had 1,948 inpatient admissions and 452,215 outpatient visits. false false 93329654 140247884 MedStar National Rehabilitation Networks largest program is access to and the provision of rehabilitation hospital services to the communities of Washington, D.C. and the surrounding areas. In addition to the program service expenses listed above, MedStar NRN incurred $44.2M of management and general expenses in providing services to its communities. MedStar NRN is a comprehensive medical rehabilitation facility offering a full range of treatments and services for the physical rehabilitation of individuals with disabling injuries and illnesses such as stroke, traumatic brain and spinal cord injuries, arthritis, amputations, post-polio syndrome, cerebral palsy, multiple sclerosis, chronic pain, back and neck pain, occupational injuries, cancer and cardiac disease that requires medical rehabilitation. In partnership with Childrens National Health Network, the hospital also offers specialized pediatric care. MedStar NRN owns, operates, or participates as a joint venture partner in the outpatient centers which offer general rehabilitative care as well as distinct programs such as hand therapy, occupational rehabilitation, cancer rehabilitation and sports medicine. MedStar NRN is nationally known for its research and body of knowledge on improving the lives of people with spinal cord injury and disease. 6423937 272985 MedStar National Rehabilitation Network provided $6.4M in health professions education in fiscal year 2019. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions. 881101 MedStar National Rehabilitation Network spent $881K on research in fiscal year 2019. This category includes clinical and community health research, as well as studies on health care delivery that are generalizable and shared with the public. 100634692 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true false false false false false false false false true false false false false true true true false false true 0 0 true 1905 true false false false false false false false false false false false false X 18 14 false false false false true true true true true false false true true true true true true true true true false MD X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 X RAFAEL J CONVIT MD BOARD MEMBER 1.0 0.0 X 0 0 0 KENNETH A SAMET Board Member 1.0 39.0 X 0 6910499 87839 JACQUELINE A WATSON DO BOARD MEMBER (Until 10/18) 1.0 0.0 X 0 0 0 JAMES V REYES Board Member (Until 10/18) 1.0 0.0 X 0 0 0 SAMUEL J BERGMAN BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL L COHEN Chair 1.0 0.0 X 0 0 0 HON CAROL T CRAWFORD BOARD MEMBER 1.0 0.0 X 0 0 0 LEONARD A GREENBERG BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM M LANE BOARD MEMBER 1.0 0.0 X 0 0 0 THENE MARTIN MERNICK BOARD MEMBER(AS OF 4/19) 1.0 0.0 X 0 0 0 CHARLES E WAGNER BOARD MEMBER 1.0 0.0 X 0 0 0 Edward B Healton MD Board Member 1.0 0.0 X 0 0 0 Renie B Freedman BOARD MEMBER 1.0 0.0 X 0 0 0 Steven J Quamme BOARD MEMBER (Until 11/18) 1.0 0.0 X 0 0 0 GEORGE CHANG MD BOARD MEMBER 20.0 20.0 X 176267 153456 965 CRISTINA ARAGONA BOARD MEMBER 1.0 0.0 X 0 0 0 Stephen G Kalinsky BOARD MEMBER 1.0 0.0 X 0 0 0 Jeffrey S Dubin MD BOARD MEMBER (Until 12/18) 1.0 39.0 X 0 495082 29077 Mark D French BOARD MEMBER (Until 5/19) 1.0 0.0 X 0 0 0 William OBrian White III BOARD MEMBER 1.0 0.0 X 0 0 0 James C Dinegar Board Member (As of 4/19) 1.0 0.0 X 0 0 0 James S Jelinek MD BOARD MEMBER 1.0 39.0 X 0 589148 17310 John Rockwood President/Board Member 40.0 0.0 X X 813454 0 52307 DAWN BENNETT-JOHNSON VP/CFO (UNTIL 2/19) 1.0 0.0 X 0 0 0 Mark Meginnis VP/CFO (AS OF 2/19) 1.0 39.0 X 0 382956 53000 Allie Reschovsky Secretary 1.0 39.0 X 0 174541 23926 John Brickley VP - AMBULATORY OPS 40.0 0.0 X 380125 0 43218 Ellen Leone VP - CLINICAL SERVICES 40.0 0.0 X 344245 0 8859 Alexander Dromerick MD VP Research 40.0 0.0 X 491655 0 25963 John Toerge DO PHYSICIAN 40.0 0.0 X 526159 0 37347 Bryan Murtaugh PHYSICIAN 40.0 0.0 X 397340 0 18499 LUIS GURRERO PHYSICIAN 40.0 0.0 X 397938 0 37354 SCOTT LEPRE PHYSICIAN 40.0 0.0 X 365788 0 28099 3892971 8705682 463763 151 false true false MORRISON MANAGEMENT SPECIALISTS PO BOX 978794 DALLAS TX 753978794 FOOD SERVICES 2150005 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 1567057 CRITICAL CONNECTION INC 2401 Research Blvd109 ROCKVILLE MD 20850 STAFFING SERVICES 513012 UP TO DATE LAUNDRY INC 1221 DESOTO RD BALTIMORE MD 212233211 LAUNDRY SERVICES 487122 CHILDRENS NATIONAL MEDICAL CENTER 111 Michigan Ave NW WASHINGTON DC 20010 PROFESSIONAL SVCS 379936 15 851112 5110753 4143509 5961865 NET PATIENT SERVICE REVENUE 624100 137811758 137811758 OTHER PHYSICIAN FEES 624100 2444891 2444891 MANAGEMENT FEES 900099 264220 264220 140520869 528246 528246 0 0 66893 66893 0 66893 66893 269443 18 269443 -18 269425 269425 0 0 0 0 0 0 0 0 0 INCOME FROM SUBSIDIARIES 900099 745209 745209 REBATE INCOME 900099 152601 152601 GARAGE/PARKING REVENUE 900099 71767 71767 474652 474652 1444229 148791527 140520869 2308793 0 0 0 0 1819439 1504696 312201 2542 0 81778605 71194238 10464561 119806 1248406 576 1247830 9857483 1165485 8689155 2843 6404846 5555958 848888 14036208 14036208 0 0 26000 26000 0 0 7067413 4682529 1894887 489997 181737 37571 143666 500 3469821 3358376 110315 1130 0 0 1732467 1628679 103788 506722 301974 128927 75821 0 215184 214088 -19857 20953 1532443 7311 1525132 0 4496394 1887073 2609254 67 1096648 210478 886170 MED/SURG SUPPLIES 3826239 3740295 14454 71490 FOOD SERVICES/SUPPLIES 1095474 1040441 43277 11756 MAINTENANCE 2247912 1623387 624525 0 UTILITIES 1639816 1396673 243143 0 1386407 1084864 295174 6369 145665664 100634692 44227698 803274 37396 17241 0 0 3909627 3660725 17723607 18076966 0 0 0 0 0 0 451113 529317 970922 1163612 113893788 91771668 21713829 22122120 43677671 43300910 0 0 0 0 4042600 4042600 931679 137799 93458444 93051290 13492240 13446421 0 0 324168 243822 0 0 0 0 0 0 0 0 0 0 5539687 5900020 19356095 19590263 X 60653107 56131142 10529788 14427479 2919454 2902406 74102349 73461027 93458444 93051290 X 3125863 394554 -4161739 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 26000 26000 false LOBBYING FOOTNOTE PART II-B, LINE 1I THE LOBBYING EXPENSES INCURRED RELATE TO MEMBERSHIP DUES PAID TO DCHA AND VARIOUS ORGANIZATIONS FOR LOBBYING ACTIVITIES. 13449242 7941908 96203 4157467 17329886 10626434 5737227 -4953 2909466 13449242 9251886 3461944 27056 2114452 10626434 8438944 2361767 75954 1624779 9251886 6175712 3118200 -5288 849680 8438944 0.16700 0.83300 false true true 61904573 52292198 9612375 802625 295400 507225 47026221 37835175 9191046 4160369 14348895 2811474 22122120 0 CREDIT BALANCES PATIENT AR 2925750 WORKERS COMPENSATION 2067017 PATIENT SERVICE REFUNDS-LEGACY 318050 OTHER SHORT TERM LIABILITIES 225717 OTHER LONG TERM LIABILITIES 363486 5900020 X ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4: THE ENDOWMENT FUNDS WERE HELD TO SUPPORT MNRN MISSION TO PROVIDE QUALITY PATIENT CARE SERVICES. THE FUNDS WILL ALSO BE USED FOR THE PURCHASES OF NEW TREATMENT EQUIPMENT, HEALTH POLICY RESEARCH, EDUCATION AND TRAINING SUCH AS TRAUMA PREVENTION, PATIENT DRIVER TRAINING AND CANCER REHABILITATION. FIN 48 FOOTNOTE SCHEDULE D, PART X 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, 2019. true true X true X true X true true true false true true 25026 0 25026 0.00020 11473750 11737638 0 190367 139584 50783 0.00030 11689143 11877222 75809 0.00050 360540 0 360540 0.00250 6423937 272985 6150952 0.04220 0 0 0 0.00000 881101 0 881101 0.00600 51010 0 51010 0.00040 7716588 272985 7443603 0.05110 19405731 12150207 7519412 0.05160 26386 0 26386 0.00020 17960 0 17960 0.00010 44346 0 44346 0.00030 true 2288767 20617622 21332536 -714914 X true true 1 1 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 X X X X X NATIONAL REHABILITATION HOSPITAL 1 false false true X X X X X X X X X 17 true false false true X WWW.MEDSTARNRH.ORG X true 17 true www.medstarnrh.org false true X 200. 400. X X X X X X true true X X X X true X WWW.MEDSTARNRH.ORG X WWW.MEDSTARNRH.ORG X WWW.MEDSTARNRH.ORG X X X X X X true X false X X X X true X false false CHNA INPUT Part V, Section B, Line 5 Hospital Lead Role Description The 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 hospitals 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: JOAN JOYCE EXECUTIVE SPONSOR ROLE DESCRIPTION The 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 hospitals clinical strengths and program priorities to diverse audiences. NAME OF EXECUTIVE SPONSOR: CURTIS WHITEHAIR, MD ADVISORY TASK FORCE ROLE DESCRIPTION The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospitals 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: TITLE ORGANIZATION Donna Arbogast VP, Public Affairs & Marketing MWHC Gregory Argyros, MD Executive Sponsor MWHC Chief Medical Officer & SVP, Medical Affairs C. Anneta Arno, PhD, Director, Office of DC Department MPH Health Equity of Health Lindsay Arrington Manager, Community Health MWHC Outreach Dianne Barnes Commissioner ANC Richard Benson, MD Associate Medical Director MWHC Stroke Center Lisa Boyle, MD Executive Sponsor MGUH Vice President, Medical Affairs Shirley DeWitt, RN RN Coordinator MWHC Geri Feaster-Bethea Community Member Israel Baptist Church Sara Field, LICSW Oncology Representation, MGUH MGUH Melissa Fries, MD Section Director, MWHC Obstetrics and Gynecology, Board Member Natalie Lima-Garcia, Outpatient Pediatrics MedStar RNC,BSN,MPH Tenleytown Georgetown Medical Group Brie Garner Cancer Patient Navigator Bread for the City Khaleelah Hardie Community Health Hospital Lead MGUH Beverly John Community Member The Talking Drum, Inc. Joan Joyce Community Health Hospital Lead, MNRN Director, Therapeutic Recreation & Community Outreach Michelle Magee, MD Director, MedStar Diabetes MGUH Institute Catherine Meloy MGUH Board Member, President/CEO Goodwill of Greater Washington Edward Morris, MD Physician, Cardiology MWHC Representation Joanne Odom, LICSW Program Administrator, Community MGUH Pediatrics,Primary Care Representation Sullivan Robinson Executive Director Leadership Council for Healthy Communities Michelle Roett, MD Professor and Chair, Department MGUH of Family Medicine Kassie Savoy Assistant Director, Physician MWHC Performance Improvement & Population Health Jennifer Sheehy Community Representative Community Member Jacqueline Watson, MNRN Board Member, Chief of DC Department of DO, MBA Staff, Office of the Director Health Deliya Wesley Health Equity Scientist MedStar Health ResearchInstitute and MedStar Institute for Innovation Arthur West President, Medical & Dental Staff MWHC Curtis Whitehair, MD Executive Sponsor MNRN Interim Vice President, Medical Affairs IMPLEMENTATION STRATEGIES PART V, SECTION B, LINE 11 THE 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. 40 NRH Regional Rehab at Mitchellville 12140 Central Avenue Mitchellville MD 20721 Outpatient Physical Therapy Union Memorial Sport Medicine at Bel Air 658 Boulton Street Bel Air MD 21014 Outpatient Physical Therapy NRH Regional Rehab at Dundalk 1576 Merritt Boulevard Dundalk MD 21222 Outpatient Physical Therapy Curtis National Hand Center at Luther 1400 Front Avenue Lutherville MD 21093 Outpatient Physical Therapy NRH Regional Rehab at Good Samaritan 5601 Lock Raven Blvd Walker Bldg Baltimore MD 21239 Outpatient Physical Therapy Union Memorial Sport Medicine at Luther 1407 York Road Lutherville MD 21093 Outpatient Physical Therapy NRH Regional Rehab at White Marsh - Perr 5009 Honeygo Center Drive Suite 20 Perry Hall MD 21128 Outpatient Physical Therapy NRH Regional Rehab at Pasadena 8109 Ritchie Highway Pasadena MD 21122 Outpatient Physical Therapy NRH Regional Rehab at Wilkens Avenue 3455 Wilkens Avenue Baltimore MD 21229 Outpatient Physical Therapy NRH Regional Rehab at Dorsey Hall 9501 Old Annapolis Road Ellicott City MD 21042 Outpatient Physical Therapy Union Memorial Sport Medicine at Stadium 900 East 33rd Street Baltimore MD 21218 Outpatient Physical Therapy Harborview Sports Medicine & Physician T 2900 South Hanover Street Suite 10 Baltimore MD 21225 Outpatient Physical Therapy NRH Regional Rehab at Oxon Hill 6196 Oxon Hill Road Oxon Hill MD 20745 Outpatient Physical Therapy NRH Regional Rehab at K Street 2021 K Street NW Washington DC 20006 Outpatient Physical Therapy NRH Regional Rehab at 19th street 1145 19th Street NW Washington DC 20036 Outpatient Physical Therapy NRH Regional Rehab at Bethesda 6410 Rockledge Drive Bethesda MD 20817 Outpatient Physical Therapy NRH Regional Rehab at Friendship Heights 5530 Wisconsin Avenue Chevy Chase MD 20815 Outpatient Physical Therapy NRH Regional Rehab at Sub Wellness Cntr 20500 Seneca Meadows Parkway Germantown MD 20874 Outpatient Physical Therapy NRH Regional Rehab at Germantown NRH Regional Rehab at Germantown Germantown MD 20874 Outpatient Physical Therapy NRH Regional Rehab at Montrose 6001 Montrose Road Rockville MD 20852 Outpatient Physical Therapy NRH Regional Rehab at Wheaton 2730 University Blvd West Wheaton MD 20902 Outpatient Physical Therapy NRH Regional Rehab at Olney 18109 Prince Philip Drive Olney MD 20832 Outpatient Physical Therapy NRH Regional Rehab at Waldorf 3 Post Office Road Waldorf MD 20602 Outpatient Physical Therapy NRH Regional Rehab at St Mary's 24035 Three Notch Road Hollywood MD 20636 Outpatient Physical Therapy NRH Rehabilitation Network- Brandywind 13950 Brandywine Road Brandywine MD 20613 Outpatient Physical Therapy NRH Rehabilitation Network- Clinton 8926 Woodyard Road Suite 501 Clinton MD 20613 Outpatient Physical Therapy NRH Rehabilitation Network- Hyattsville 6401 American Boulevard Suite 204 Hyattsville MD 20782 Outpatient Physical Therapy NRH Rehab Network- Waldorf Pambrooke 11325 Pembrooke Square Suite 115 Waldorf MD 20603 Outpatient Physical Therapy NRH Rehabilitation Network-Leisure World 3305 N Leisure World Blvd Suite Silver Spring MD 20906 Outpatient Physical Therapy MedStar NRH Rehabilitation Network- API 740 Route 3 South Gambrills MD 21054 Outpatient Physical Therapy NRH Rehabilitation Network- Waugh Chapel 2410 Evergreen Road Suite 100 Gambrills MD 21054 Outpatient Physical Therapy NRH Rehabilitation Network- Westminster 412 Malcolm Drive Suite 200 Westminster MD 21157 Outpatient Physical Therapy NRH Rehabilitation Network- Federal Hill 1420 Key Highway Suite 300 Baltimore MD 21230 Outpatient Physical Therapy NRH Rehabilitation Network-Hunt Valley 2 Loveton Circle Suite G100 Sparks MD 21152 Outpatient Physical Therapy NRH Rehab Network- Lafayette Centre 1120 20th Street NW Suite 116 Washington DC 20036 Outpatient Physical Therapy NRH Rehabilitation Network - Alexandria 6355 Walker Lane Suite 512 Alexandria VA 22310 Outpatient Physical Therapy NRH Rehab Network- Ballston-Marymount 4040 North Fairfax Drive Suite 120 Arlington VA 22203 Outpatient Physical Therapy NRH Rehabilitation Network- Lake Ridge 12825 Minnieville Road Suite 201 Woodbridge VA 22192 Outpatient Physical Therapy NRH Rehabilitation Network-Lorton 9455 Lorton Market Street Suite 20 Lorton VA 22079 Outpatient Physical Therapy NRH Rehabilitation Network- McLean 6858 Old Dominion Drive Suite 200 McLean VA 22101 Outpatient Physical Therapy BAD DEBT PART III, LINES 2 & 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8 THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT. PART III, LINE 9B IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT: PART VI, LINE 2: In FY18, MedStar National Rehabilitation Hospital (MNRH) 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 hospitals FY18 CHNA and three-year Implementation Strategies were endorsed by MNRHs Board of Directors and approved by the MedStar Health Board of Directors. The document became available on the hospitals 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 hospitals 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 hospitals Community Benefit Service Area (CBSA) remains the same, based on the Advisory Task Force (ATF) recommendation. The hospital identified the District of Columbia residents with physical disabilities as their focus 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. MNRHs health priorities for the CBSA include health and wellness (Spinal Cord Injury and UTI Pathway program, Adaptive Sports and Fitness program). As a proud member of MedStar Health, representatives from MNRH routinely participate in the MedStar Health community health workgroup. The workgroup is comprised of community health professionals who represent all ten MedStar hospitals. The team analyzes local and regional community health data, establishes system-wide community health programming performance and evaluation measures and shares best practices. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3: As one of the regions leading not-for-profit healthcare systems, MedStar Health is committed to ensuring that uninsured patients and underinsured patients meeting medical hardship criteria within the communities we serve who lack financial resources have access to emergency and medically necessary hospital services. MedStar Health and its healthcare facilities will: * Treat all patients equitably, with dignity, respect, and compassion; * Serve the emergency health care needs of everyone who presents to our facilities 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 Healths facilities will work with their uninsured patients seeking emergency and medically necessary care to gain an understanding of each patients financial resources. Based on this information and eligibility determination, MedStar Health facilities 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 facility charges using a sliding-scale based on the patients household income and financial resources; * Offer periodic payment plans to assist patients with financing their healthcare services. Each facility publicizes 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 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 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: * Complying 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 Healths facilities to properly counsel patients concerning the availability of financial assistance); * Working with the facilitys Patient Advocates and Patient Financial Services staff to ensure there is a complete understanding of the patients 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 the facilitys Patient Advocates or Customer Service Representatives on a timely basis as the patients financial circumstances may change. * It is the responsibility of the patient to inform the MedStar hospital of their existing eligibility under a medical hardship during the 12-month 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 or by calling customer service at 1-800-280-9006. Uninsured patients of MedStar Healths facilities 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 patients family, family size, and the extent of the medical costs to be incurred by the patient. COMMUNITY INFORMATION PART VI, LINE 4: Geographic: The communities served by MNRH are the District of Columbia; Harford, Baltimore, Carroll, Prince George, Montgomery, Charles, St Mary, Howard, Anne Arundel counties in Maryland; and Arlington, Fairfax, Prince William Counties in Northern Virginia. MedStar National Rehabilitation Networks includes residents living with disabilities in the Greater Washington area. MNRHs CBSA includes residents living with disabilities in the Greater Washington area. This population was identified because of the hospitals strengths and primary service area. Demographics: According to the U.S. Department of Health and Human Services, people with disabilities are more likely to have certain chronic diseases, such as obesity and high blood pressure, and more likely to experience high levels of psychological distress and receive less social support. In the District of Columbia, 13.3 percent of residents reported that their activities were limited by a physical disability (including visual, hearing, ambulatory, cognitive, self-care and independent living disabilities). Adults 55 and older were more likely than younger adults to report disability in the District of Columbia. Across gender and racial/ethnic groups in the city, females and Blacks/African Americans were most likely to report disability. Only 45% of working age people with disabilities were working, compared to 82% of ones without disabilities. Average household income with disability was $47,000 compared to $99,000 for ones with out disabilities. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5: As a community partner, MNRH engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. The priority area of focus, as determined by the 2018 CHNA is Health and Wellness. As a community partner, MNRH engages in a number of services aimed to promote the health of persons with disabilities. The hospital focuses on providing physical activities to facilitate a healthy lifestyle for individuals with disabilities through hosting adaptive sports programs/teams and weekly fitness classes. MNRH has also started the Spinal Cord Injury and Pathway to Primary Care Program. Adaptive sports and Fitness: In FY19, MNRH had over 400 individuals participate in MNRHs weekly adapted sports programs and adapted fitness classes which are free for anyone in the community with a physical disability. Weekly we hosted 15 fitness hours: 8 in Washington DC, 6 in Northern Virginia and 1 in Maryland, for a total of 15 hours/weekly. Hosted two 10-week Heath Wellness class for individuals with physical disability, with 8- 10 participants in each. We conduct 7 weekly sports clinics for a total of 15 weekly hours. The hospital also ran a 2-week summer sports camp for 25 juniors, hosted 2 regional competitions in Quad Rugby and Basketball and 2 Introductory Sports clinics. Spinal Cord Injury and Pathway to Primary Care Program The goal of this program is to connect consumers with SCI and primary care practitioners with resources to advance the primary care needs of people with SCI (and other mobility impairments). The primary impact will be decreased utilization of emergency departments for primary care needs and for episodic care needs. Written resources are being developed for this program. Other activities include but are not limited to: * Conducting community outreach, awareness, education, support, and preventive care programs related to physical and medical rehabilitation. Programs offered to the community include participation in health fairs, presentations at local schools, lectures to various community, educational, and professional groups and participation on disability related boards. In partnership with MedStar Washington Hospital Center, MNRH is part of the local Think First chapter providing programs to schools and YMCA to reduce head injuries and spinal cord injuries. * Providing presentations and support to various community and academic groups, non-profit organizations and governmental agencies for education, and orientation on assistive technology, adaptive sports, disability awareness, concussion awareness and how to comply with provisions of the Americans with Disabilities Act. In FY19, MNRH hosted the United Spinal DC Metro Chapter board consisting of MNRH employees and community members. As part of this chapter, the hospital participates in Roll on Capitol Hill advocating for spinal cord injury/disease legislation and run a SCI Peer Support group. * Providing medical coverage by athletic trainers at schools in the local community during sporting events. * Providing professional internships/residency/fellowships to students in physiatry, nursing, physical therapy, occupational therapy, speech and language pathology, and recreation therapy. * Hosting and sponsoring workshops, conferences, and support groups for persons with disabilities and others interested in assisting such persons, including the Brain Injury Association of Washington DC, Amputee Coalition of DC, United Spinal DC Metro Chapter, and National Stroke Association. * Providing speakers, lecturers, and consulting services to numerous public service television programs, professional and educational meetings regarding persons with disabilities, and providing free publications on the subject for the benefit of thousands of individuals in the community. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6: As a proud member of MedStar Health, MNRH 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 MNRH with technical support to enhance community health programming and evaluation. MedStars corporate philanthropy department identifies and seeks public and private funding sources to ensure the availability of high quality health services, regardless of ability to pay. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7: The community benefit report for MNRH is filed in the state of Maryland. X X X X X X false true false false false false false false false KENNETH A SAMET Board Member 0 1887489 0 5002733 0 20277 0 52149 0 35690 0 6998338 0 0 John Brickley VP - AMBULATORY OPS 289853 0 63787 0 26485 0 25885 0 17333 0 423343 0 0 0 Ellen Leone VP - CLINICAL SERVICES 245224 0 54021 0 45000 0 8250 0 609 0 353104 0 0 0 Alexander Dromerick MD VP Research 456153 0 35502 0 0 0 8250 0 17713 0 517618 0 0 0 John Toerge DO PHYSICIAN 358139 0 0 0 168020 0 8039 0 29308 0 563506 0 0 0 GEORGE CHANG MD BOARD MEMBER 122795 147956 15000 0 38472 5500 0 0 965 0 177232 153456 0 0 Bryan Murtaugh PHYSICIAN 330922 0 66418 0 0 0 8250 0 10249 0 415839 0 0 0 Jeffrey S Dubin MD BOARD MEMBER (Until 12/18) 0 478067 0 17015 0 0 0 26772 0 2305 0 524159 0 0 LUIS GURRERO PHYSICIAN 335173 0 62765 0 0 0 8250 0 29104 0 435292 0 0 0 SCOTT LEPRE PHYSICIAN 298893 0 66895 0 0 0 6500 0 21599 21599 393887 21599 0 0 James S Jelinek MD BOARD MEMBER 0 539148 0 50000 0 0 0 8250 0 9060 0 606458 0 0 Mark Meginnis VP/CFO (AS OF 2/19) 0 258661 0 124295 0 0 0 29020 0 23980 0 435956 0 0 Allie Reschovsky Secretary 0 174541 0 0 0 0 0 5362 0 18564 0 198467 0 0 John Rockwood President/Board Member 424493 0 388961 0 0 0 19745 0 32562 0 865761 0 0 0 SCHEDULE J, PART III MR. SAMET'S COMPENSATION IN PART II, COLUMN (B) INCLUDES $1,950,307 REPRESENTING BENEFITS RECEIVED FROM EXECUTIVE RETIREMENT PLANS THAT ARE COMPRISED OF TARGET BENEFITS DETERMINED ANNUALLY BASED ON COMPENSATION AND YEARS OF SERVICE AND LONG-TERM RETENTION ARRANGEMENTS. John Toerges Other reportable compensation in Part II, Column (B) (iii) includes $126,000 representing 457(f) distributions received by Mr. Toerge. X 6 4143509 FMV false true false ORGANIZATION MEMBERS Part VI, Line 6 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. DESCRIPTION OF MEMBERS Part VI, Line 7a 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. DECISIONS OF GOVERNING BODY PART VI, LINES 7B 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. 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. PROCESS FOR REVIEWING FORM 990 Part VI, Line 11B 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. CONFLICT OF INTEREST POLICY ENFORCEMENT PART VI, LINE 12C 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). DESCRIPTION OF COMPENSATION PROCESS PART VI, LINE 15 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. FINANCIAL STATEMENTS AND REPORTING PART VI, LINE 19 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. OTHER CHANGES TO NET ASSETS PART XI, LINE 9 NET EQUITY TRANSFER .......$(3,953,049) Income Tax Provision .......$(208,690) =============== total.......$ (4,161,739) FINANCIAL STATEMENTS AND REPORTING PART XII, LINE 2 NATIONAL REHABILITATION HOSPITAL IS PART OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. 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