2019-11-15T15:21:49-06:00 2018-12-31 540737372 PBMARES LLP 150 BOUSH STREET SUITE 400 NORFOLK VA 23510 990 2018-01-01 521682858 FORT WASHINGTON MEDICAL CENTER FORT 3012927000 11711 LIVINGSTON ROAD FORT WASHINGTON MD 20744 JOSEPH B TUCKER SR. VP/CFO/ACTING PRESIDENT & CEO 3012927000 2019-11-15 1 JENNIFER N FRENCH P00659678 7576274644 2019-11-15 X 209.10.80.132 2019-11-15 15:50:52 ES P 89D56321E5BD240AE65E23F242A0E0C3A1AA6112 21C28D60A8ED76385B0479133D3497972B8EC478 2018 2020-03-31 21:24:44Z JOSEPH B TUCKER 11711 LIVINGSTON ROAD FORT WASHINGTON MD 20744 50072804 0 X WWW.FORTWASHINGTONMC.ORG X 1989 MD TO ENSURE HIGHEST QUALITY, RESPONSIVE HEALTH CARE SERVICES DEDICATED TO ADVANCING THE HEALTH OF OUR COMMUNITY CUSTOMERS. 14 13 496 14 0 0 312966 281003 43056719 46962835 -54722 34017 2558274 2794949 45873237 50072804 0 0 0 0 24547350 25066899 0 0 62697 22107216 23615967 46654566 48682866 -781329 1389938 19708881 21762494 15316664 15980339 4392217 5782155 TO ENSURE HIGH QUALITY, COMPASSIONATE AND RESPONSIVE HEALTH CARE SERVICES DEDICATED TO ADVANCING THE HEALTH OF OUR COMMUNITY CUSTOMERS. 0 0 42889168 49700827 IN 2018, FORT WASHINGTON MEDICAL CENTER, INC., AN ACUTE CARE HOSPITAL PROVIDED MEDICAL AND SURGICAL SERVICES TO THE COMMUNITY. IN ADDITION, THEY PROVIDED BENEFITS TO THE COMMUNITY THAT INCLUDED, CHARITY CARE, TEACHING PERCEPTOR OPPORTUNITIES, HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION, COMMUNITY SPONSORSHIP OPPORTUNITIES, AND COMMUNITY ENGAGEMENT ACTIVITIES. 279353 FORT WASHINGTON MEDICAL CENTER, INC., APPLIED FOR AND WAS AWARDED A GRANT FROM GILEAD. THIS FOCUS GRANT OBJECTIVE IS TO ADDRESS THE GROWING CONCERN OF INCREASING CASES OF HIV AND HEPITITIS (HEP.C) IN THE COMMUNITY. AS A RESULT, FORT WASHINGTON MEDICAL CENTER, FURTHER SERVES THE COMMUNITY THROUGH OFFERING HIV AND HEP.C TESTING TO THE COMMUNITY THROUGH IT'S EMERGENCY ROOM DEPARTMENT. THIS BENEFITS PATIENTS, WHO MAY OTHERWISE NOT HAVE ACCESS TO THIS FREE SCREENING. THIS PROGRAM NOT ONLY PROVIDES DIAGNOSTIC AWARENESS, BUT IT ALSO PROVIDES NAVIGATIONAL SERVICES FOR FOLLOW UP AND CONTINUED CARE BASED ON THE TEST RESULTS. 43168521 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 71 0 1 496 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X THERESA PITTMAN 3016861523 174 WATERFRONT STREET SUITE 225 NATIONAL HARBOR MD 20745 YVONNE S MAGEE PHD IMMEDIATE PAST CHAIR 1.50 0.70 X X 0 0 0 KIMBERLY D ROBERTSON DIRECTOR 1.50 0.70 X 0 0 0 HENRY W MOSLEY BOARD CHAIR 1.50 0.70 X X 0 0 0 MANERVIA W RIDDICK TREASURER 1.50 0.70 X X 0 0 0 PAMELA B CREEKMUR DIRECTOR 1.50 0.70 X 0 0 0 CHARLES E DAY SR EXECUTIVE SECRETARY 1.50 0.70 X 0 0 0 REGINALD A JONES ACTING PRESIDENT UNTIL 1/2018 40.00 0.70 X X 40000 0 0 MICHELLE D HEREFORD CHAIR ELECT 1.50 0.70 X 0 0 0 MICHAEL A JACKSON DIRECTOR/UNTIL 4/2018 1.50 0.70 X 0 0 0 ERIC ODDERSTOL DIRECTOR 1.50 0.70 X 0 0 0 JOHN A PETTY DIRECTOR 1.50 0.70 X 0 0 0 IKE PUZON DIRECTOR 1.50 0.70 X 0 0 0 VIMLA BHOOSHAN MD DIRECTOR 1.50 0.70 X 498082 0 0 SAMEER B SHAMMAS MD PRESIDENT, MEDICAL STAFF 1.50 0.70 X 0 0 0 KENNETH K FISHER MD ELECT-PRESIDENT MEDICAL STAFF 0.70 1.50 X 0 0 0 JOSEPH B TUCKER SR.VP/CFO/ACTING PRESIDENT/CEO 40.00 16.00 X 193850 0 7299 HOWARD AINSLEY CHIEF OPERATING OFFICER 40.00 X 179832 0 24874 GRIFFIN L DAVIS CHIEF MEDICAL OFFICER 40.00 X 310493 0 38773 WANDA WATLINGTON CHIEF NURSING OFFICER 40.00 X 173246 0 24416 SHARNELL S SMITH SURGEON 40.00 X 293070 0 42233 TAMMY WOODFORK HR DIRECTOR 40.00 X 143547 0 11460 FREDERICK L ASHBY IT DIRECTOR 40.00 X 145553 0 10630 CORAZON DELACRUZ RN 40.00 X 147297 0 16522 MARY O BATES CLINICAL NURSE 40.00 X 162227 0 987 2287197 0 177194 10 0 1 0 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB MANAGEMENT 1381119 VESPER PHYSICIANS 8480 ADLER COURT MILLERSVILLE MD 21108 HOSPITALIST COVERAGE 540000 ALLIED UNIVERSAL PO BOX 828854 PHILADELPHIA PA 19812 SECURITY SERVICES 375557 SAFE SEDATION 4330 EAST WEST HWY SUITE 1100 BETHESDA MD 20814 ANESTHESIA GROUP 338090 MDICS AT FORT WASHINGTON 6934 AVIATION BLVD SUITE B GLEN BURNIE MD 21601 HOSPITALIST AND INTERNALIST COVERAGE 286500 16 281003 281003 PATIENT SERVICES 621400 46897595 46897595 DIETARY SERVICES 900099 65240 65240 46962835 27310 27310 56957 0 56957 56957 56957 6707 0 6707 6707 6707 MD UNCOMPENSATED CARE 621400 2551189 2551189 MANAGEMENT FEES 900099 42409 42409 REBATES, DISCOUNTS & O 900099 40671 40671 103723 103723 2737992 50072804 49700827 0 90974 X 992783 459261 533522 20239631 17759759 2479872 264626 240604 24022 2062732 1579807 482925 1507127 1306227 200900 434626 10020 424606 233613 233613 11150965 10743075 349208 58682 1704 1704 353654 298168 54925 561 900855 659587 241268 44129 12556 31573 84745 4331 79422 992 347377 347377 1045199 952700 92499 644842 583775 61067 BAD DEBT, NET OF RECOVE 4242105 4242105 MEDICAL SUPPLIES 3858637 3852077 6560 OTHER SUPPLIES 273516 117092 153962 2462 48682866 43168521 5451648 62697 1796413 2670132 580546 111864 63000 46000 5529952 7459858 1169790 1200986 766799 686865 28490513 20972135 7775652 7518378 2026729 2068411 19708881 21762494 7416882 8660985 6434812 6087663 342612 340847 1122358 890844 15316664 15980339 X 4285217 5675155 107000 107000 4392217 5782155 19708881 21762494 1389938 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2473 2473 0 PART II-B, LINE 1: DUES PAID TO MARYLAND HOSPITAL ASSOCIATION RELATING TO LOBBYING ACTIVITIES. 122528 122528 9959384 7390070 2569314 848700 667217 181483 15449116 12914848 2534268 2110785 2110785 7518378 DUE FROM AFFILIATES 209695 MISCELLANEOUS ACCOUNTS RECEIVABLE 199451 MORTGAGE RESERVE FUND 1659265 2068411 ADVANCES FROM THIRD PARTY PAYEE 708020 CAPITAL LEASE 182824 890844 X 45830699 0 45830699 4242105 4242105 50072804 44440761 0 44440761 4242105 4242105 48682866 PART X, LINE 2: : THE HOSPITAL IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). INCOME THAT IS NOT RELATED TO EXEMPT PURPOSES, LESS APPLICABLE DEDUCTIONS, IS SUBJECT TO FEDERAL AND STATE CORPORATE INCOME TAXES. THE HOSPITAL HAD NO NET UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017. THE HOSPITAL HAS ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED THE HOSPITAL'S TAX POSITIONS AND HAS CONCLUDED THAT THE HOSPITAL HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. GENERALLY, THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2015. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,690,916. MD UNCOMPENSATED CARE 2,551,189. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,690,916. MD UNCOMPENSATED CARE 2,551,189. 1 1 1 X 1 X 1 1 0 1 1 914495 0 914495 0.01880 2077851 2025755 52096 0.00110 10181348 9926081 255267 0.00520 13173694 11951836 1221858 0.02510 1122279 0 1122279 0.02310 141801 0 141801 0.00290 0 0 0.00000 0 0 0.00000 8100 0 8100 0.00020 1272180 1272180 0.02620 14445874 11951836 2494038 0.05130 1 4242105 1042403 16714253 15045654 1668599 X 1 1 1 1 FORT WASHINGTON MEDICAL CENTER INC 11711 LIVINGSTON ROAD FORT WASHINGTON MD 20744 HTTPS://WWW.FORTWASHINGTONMC.ORG/16003 X X X FORT WASHINGTON MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTPS://WWW.FORTWASHINGTONMC.ORG/SERVICES/COMMUNITY-HEALTH/ X 1 16 1 HTTPS://WWW.FORTWASHINGTONMC.ORG/SERVICES/COMMUNITY-HEALTH/ 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X HTTPS://WWW.FORTWASHINGTONMC.ORG/PATIENTS/BILLING-INSURANCE/ X HTTPS://WWW.FORTWASHINGTONMC.ORG/PATIENTS/BILLING-INSURANCE/ X HTTPS://WWW.FORTWASHINGTONMC.ORG/PATIENTS/BILLING-INSURANCE/ X X X X X 1 X 0 X X X X 1 0 0 FORT WASHINGTON MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: IN 2015, THE PRINCE GEORGE'S COUNTY GOVERNMENT AND MARYLAND-NATIONAL CAPITAL PARKS AND PLANNING COMMISSION CONDUCTED A SPECIAL STUDY TO DEVELOP A PRIMARY HEALTHCARE STRATEGIC PLAN IN PREPARATION FOR ENHANCING THE HEALTHCARE DELIVERY NETWORK. A KEY RECOMMENDATION FROM THE PLAN WAS TO "BUILD COLLABORATION AMONG PRINCE GEORGE'S COUNTY HOSPITALS" WHICH INCLUDED CONDUCTING A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT.FORT WASHINGTON MEDICAL CENTER INC. ALONG WITH THE OTHER FOUR HOSPITALS LOCATED IN PRINCE GEORGE'S COUNTY TEAMED UP WITH THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT TO CREATE A "CORE TEAM" TO FACILITATE THE 2016 CHNA PROCESS. THE PROCESS WAS DEVELOPED TO 1) MAXIMIZE COMMUNITY INPUT, 2) LEARN FROM THE COMMUNITY EXPERTS, 3) UTILIZE EXISTING DATA, AND 4) TO ENSURE A COMPREHENSIVE COMMUNITY PRIORITIZATION.THE PROCESS INCLUDED: 1) A COMMUNITY RESIDENT SURVEY IN BOTH ENGLISH AND SPANISH, 2) AN ANALYSIS OF DEMOGRAPHICS AND POPULATION DESCRIPTIONS THROUGH SOCIOECONOMIC INDICATORS AND COMPREHENSIVE HEALTH INDICATOR PROFILE, 3) HOSPITAL SERVICE PROFILES OF RESIDENTS SERVICED BY THE CORE TEAM, 4) A COMMUNITY-BASED ORGANIZATION SURVEY AND KEY INFORMANT INTERVIEWS, AND 5) A COMMUNITY PRIORITIZATIONS PROCESS THAT INCLUDED FORTY REPRESENTATIVES FROM ACROSS THE COUNTY WHICH ARE IDENTIFIED BELOW. KLEINMAN, DDS, MSCD, DUSHANKA, UMD-PUBLIC HEALTH, DEPT. OF EPIDEMIOLOGY & BIOSTATISTICS TERRY, MILLY, AFRICAN WOMEN'S CANCER AWARENESS ASSOCIATION GRANT, TERESA, PGC DEPARTMENT OF FAMILY SERVICES CARVANA, ANTHONY, COMMUNITY COUNSELING AND MENTORING SERVICES, INC. MCDONOUGH, MARY LOU, PGC DEPARTMENT OF CORRECTIONS HOWELL, MICHELLE, THE ARC SHIVER, SANDERS, PGC PUBLIC SCHOOLS HOBAN, EVELYN, PGC HEALTH DEPARTMENTHALL, PHD, MPH, CLARENCE, PACANET USA BELON-BUTLER, ELANA, PGC DEPARTMENT OF FAMILY SERVICES GOMEZ, MARIA, MARY'S CENTER LOBRANO, MD, MARCIA, COMMUNITY CLINIC, INC. MALLOY, COLENTHIA, GREATER BADEN MEDICAL CENTER MATTHEWS, SAUNDRA, COMMUNITY CLINIC, INC. DEMUS, LESLIE, HEART TO HAND SPANN, MONICA, PGC HEALTH DEPARTMENT HEALTH ENTERPRISE ZONE ALDOORY, PHD, LINDA, UNIVERSITY OF MARYLAND, DEPARTMENT OF COMMUNICATION, WILSON, ALICIA, LA CLINICA DEL PUEBLO MOORE, MAJOR ELAINE, PGC POLICE DEPARTMENT COOPER, MD, CARNELL, DIMENSIONS HEALTHCARE SYSTEM/PRINCE GEORGE'S HOSPITAL CENTERHALL, MD, TRUDY, LAUREL REGIONAL HOSPITAL CENTER JOHNSON-THREAT, MD, YVETTE, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTERMOORE, SHERRI, DOCTORS COMMUNITY HOSPITAL SMITH, MD, SHARNELL, FORT WASHINGTON MEDICAL CENTER/NEXUS SULLIVAN, TIFFANY, DIMENSIONS HEALTHCARE SYSTEMWATERS, MD, JD, FCLM, VICTOR, FORT WASHINGTON MEDICAL CENTER/NEXUSPROCTOR, NATALIE STANDINGONTHEROCK, WILD TURKEY CLAN, CEDARVILLE BAND OF PISCATAWAY CONOYDODO, KODJO, PGC HEALTH DEPARTMENT, WIC PROGRAMHEWLETT, ELIZABETH, MARYLAND NATIONAL PARK AND PLANNING COMMISSIONBRYANT, TRACY, UNITED HEALTHCARE COMMUNITY PLANMOOREHEAD, CREIGHTON, NORVARTIS (FORMERLY WITH KAISER)AMIN, MENA, THE COMMUNITY FOUNDATION, PRINCE GEORGE'S COUNTYBARRON, EREK, HOUSE OF DELEGATESOWUSU-ASCHEAW, POKUAA, FOR SENATOR JOANNE BENSONCREEKMUR, PAMELA B., PGC HEALTH DEPARTMENTHARRINGTON, DAVID, PGC CHAMBER OF COMMERCECARTER, MD, PHD, ERNEST, PGC HEALTH DEPARTMENTBROWN, ERIC, PGC DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENTWOOD, DENNIS, PGC FIRE/EMS DEPARTMENTBATES, RN, MS, KAREN, OFFICE OF SCHOOL HEALTH, PRINCE GEORGE'S COUNTY PUBLIC SCHOOLSBROWN, GLORIA, PGC DEPARTMENT OF SOCIAL SERVICESBRUCE, GERALYN, PGC DEPT. PUBLIC WORKS & TRANSPORTATIONSNOWDEN, CAROL LYNN, PGC DEPARTMENT OF FAMILY SERVICES FORT WASHINGTON MEDICAL CENTER, INC. PART V, SECTION B, LINE 6A: DOCTORS COMMUNITY HOSPITAL, LAUREL REGIONAL HOSPITAL, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER, PRINCE GEORGE'S HOSPITAL CENTER FORT WASHINGTON MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, SOUTHERN MARYLAND REGIONAL COALITION FOR CARE TRANSITIONS, PRINCE GEORGE'S COMMUNITY COLLEGE HEALTH BUSINESS SCHOOL, FRIENDLY HIGH SCHOOL, BEHAVIORAL HEALTH, RIVER JORDAN PROJECT, PRINCE GEORGE'S COUNTY DISTRICT 8 HEALTH, COMMUNITY COALITION, PRINCE GEORGE'S CHAMBER OF COMMERCE AND AMERICAN DIABETES ASSOCIATION FORT WASHINGTON MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE HOSPITAL ALONE CANNOT ADDRESS ALL COMMUNITY NEEDS DUE TO BUDGET CONSTRAINTS. HOWEVER, TO ENSURE THAT ALL HEALTH NEEDS WERE MET, FWMC, ALONG WITH THE OTHER FOUR HOSPITALS IN PRINCE GEORGE'S COUNTY AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, IDENTIFIED AT LEAST ONE AND OFTEN MULTIPLE RESOURCES AVAILABLE TO MEET EACH IDENTIFIED COMMUNITY HEALTH NEED. WHILE THE CORE TEAM LEAD THE DATA GATHERING PROCESS OF THE CHNA, THERE WAS RECOGNITION THAT THERE MUST BE SHARED OWNERSHIP OF THE COUNTY'S COMMUNITIES HEALTH.FWMC IS DIRECTLY ADDRESSING NEEDS RELATED TO DIABETES AND HEART DISEASE THROUGH DIABETIC EDUCATION AND TRAINING CLASSES, AN EXERCISE AND FITNESS PROGRAM, AND COMMUNITY OUTREACH SCREENING PROGRAMS. IN ADDITION, THE HOSPITAL ADDED INPATIENT DIALYSIS AND LITHOTRIPSY SERVICES. FWMC PARTNERS WITH PG COUNTY HEALTH DEPARTMENT AND GILEAD SCIENCES TO ADDRESS THE GROWING CONCERN OF HIV AND HEPATITIS C IN THE COMMUNITY THROUGH FREE HIV AND HEPATITIS C TESTING THE EMERGENCY ROOM DEPARTMENT. IN ORDER TO ASSURE THAT THE COMMUNITY HAS ACCESS TO ALL IDENTIFIED NEEDS, THOSE SERVICES THAT CANNOT BE DIRECTLY DONE BY FWMC ARE SERVICES THAT THE HOSPITAL HAS DEVELOPED A LINK TO CARE TO ASSURE THAT THEY CAN REFER ANY PATIENT TO THE SERVICES THAT ARE IDENTIFIED OR NEEDED. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT FOR FORT WASHINGTON MEDICAL CENTER IS FILED ANNUALLY WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION WHICH ALLOWS FOR PUBLIC ACCESS TO INFORMATION FILED, IT IS ALSO AVAILABLE FOR REVIEW ON THE HOSPITAL WEBSITE:WWW.FORTWASHINGTONMC.ORG/OURSERVICES/COMMUNITYHEALTH/COMMUNITYOUTREACH.ASPX. PART I, LN 7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. LINE 7A, COLUMN D: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR INCLUDING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. LINE 7B, COLUMNS B,C,D, AND F: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR INCLUDING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT TO THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM. THE HOSPITAL PORTION OF THE MEDICAID ASSESSMENT FOR FORT WASHINGTON MEDICAL CENTER WAS $167,174 IN 2017. LINE 7F, COLUMNS C AND D: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR INCORPORATING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. PART III, LINE 2: BAD DEBT $5,239,989LESS RECOVERIES ($997,884)NET BAD DEBT $4,242,105 PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL ROUTINELY PARTICIPATES IN COMMUNITY HEALTH FAIRS PROVIDING EDUCATION AND BLOOD PRESSURE SCREENINGS AT VARIOUS LOCATIONS THROUGHOUT THE SERVICE AREA. CLASSES ARE ALSO HELD TO EDUCATE THE COMMUNITY ON DIABETES, HEART DISEASE AND SMOKING CESSATION. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARISE FROM HEALTH CARE SERVICES PROVIDED PRIMARILY TO RESIDENTS OF MARYLAND. THE PRINCIPAL PAYORS FOR THESE SERVICES ARE THE PATIENTS, INSURANCE COMPANIES (INCLUDING CAREFIRST) AND MEDICARE AND CERTAIN MEDICAID PROGRAMS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: A COST-TO-CHARGE METHODOLOGY WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: ONCE THE COLLECTION PROCESS HAS BEGUN, THE ORGANIZATION CONTINUES TO MONITOR WHETHER THE PATIENT QUALIFIES FOR CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY. IF THE ORGANIZATION DETERMINES THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING ONCE THE COLLECTION PROCESS HAS BEGUN, THE ORGANIZATION WILL APPROVE THE PATIENT FOR CHARITY CARE. ONCE CHARITY CARE HAS BEEN APPROVED, THERE IS NO FURTHER ATTEMPT MADE BY THE ORGANIZATION TO COLLECT. PART VI, LINE 2: FORT WASHINGTON MEDICAL CENTER (FWMC) PARTICIPATED AS A MEMBER OF A "CORE TEAM" COMPRISED OF 5 HOSPITALS IN PRINCE GEORGE'S COUNTY AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016. AS REQUIRED TO IDENTIFY THE NEEDS OF THOSE LIVING IN ITS PRIMARY AND SECONDARY SERVICE AREAS IN PRINCE GEORGE'S COUNTY, CHARLES COUNTY, AND WASHINGTON, D.C. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED TO IDENTIFY HEALTH NEEDS AND DEVELOP STRATEGIES TO IMPROVE HEALTH CONDITIONS IN THE SURROUNDING COMMUNITIES SERVICED BY THE HOSPITAL.IN ADDITION, WE ARE ACTIVELY INVOLVED WITH THE PRINCE GEORGE'S COUNTY HEALTHCARE ACTION COALITION (PGHAC) DEVELOPED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE TO ASSIST IN MAKING MARYLAND HEALTHIER. PGHAC'S MISSION IS TO IMPROVE THE HEALTH OF THE RESIDENTS OF PRINCE GEORGE'S COUNTY BY INCREASING ACCESS TO CARE, PROMOTING COLLABORATION AMONG HEALTH CARE PROVIDERS AND KEY STAKEHOLDERS, AND INTEGRATING AND COORDINATING PATIENT CARE TO REDUCE DUPLICATION OF AND ENHANCE SEAMLESS HEALTH SERVICE DELIVERY.FWMC IS INVOLVED WITH THE "ACCESS TO CARE" WORK GROUP WITH A FOCUS ON ENSURING RESIDENTS RECEIVE NEEDED HEALTH CARE, PARTICULARLY LOW INCOME, UNINSURED/UNDERINSURED ADULTS AND CHILDREN. THE ORGANIZATION HAS BEEN INVOLVED FROM THE BEGINNING OF THE INITIATIVE WORKING WITH PUBLIC HEALTH EXPERTS, AGENCIES, HOSPITAL PERSONNEL AND COMMUNITY ORGANIZATIONS TO LAY A FOUNDATION FOR ADDRESSING THIS ISSUE AND ESTABLISHING WAYS TO PROMOTE AND COMMUNICATE THE INITIATIVE AND MONITOR AND MEASURE ITS OVERALL EFFECTIVENESS. PART VI, LINE 3: FORT WASHINGTON MEDICAL CENTER COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE HOSPITAL WEBSITE AND IN HOSPITAL PUBLICATIONS. FINANCIAL ASSISTANCE PROGRAM NOTICES ARE POSTED FOR PUBLIC VIEW IN THE ADMITTING AREA, REGISTRATION AREA, PATIENT ACCOUNTS OFFICE, THE EMERGENCY DEPARTMENT AND ADMINISTRATION. A COPY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS OR THEIR FAMILIES AS PART OF THE ADMISSION PROCESS. ALSO, ONCE THE PATIENT IS DISCHARGED, EACH BILLING STATEMENT CONTAINS A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.STAFF HAS BEEN TRAINED TO ASSIST PATIENTS WHO WISH TO UTILIZE THE FINANCIAL ASSISTANCE PROGRAM BY REFERRING THEM TO FINANCIAL COUNSELORS THAT HELP THE PATIENTS TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: FORT WASHINGTON, OXON HILL AND TEMPLE HILLS COMPRISE FORT WASHINGTON MEDICAL CENTER'S COMMUNITY BASED SERVICE AREA (CBSA) AND ARE LOCATED IN PRINCE GEORGE'S COUNTY. THE SUBURBAN CITIES ARE WITHIN A SHORT DISTANCE FROM THE WASHINGTON, D.C./MARYLAND LINE.FORT WASHINGTON ENCOMPASSES A 14-SQUARE MILE RADIUS. ACCORDING TO CLARITAS.COM, IT HAS A POPULATION OF 54,890 PEOPLE. THE RACIAL DYNAMIC OF FORT WASHINGTON IS PRIMARILY AFRICAN-AMERICAN WITH 73.6% RESIDENTS; 10.49% WHITE RESIDENTS; 6.4% ASIAN, AND THE REMAINDER OF OTHER RACES ARE, NATIVE HAWAIIAN, AMERICAN INDIAN, AND PACIFIC ISLANDER.THE MEDIAN FORT WASHINGTON HOUSEHOLD INCOME IS $59,291 AND THE MEDIAN AGE OF THE FORT WASHINGTON RESIDENT IS 44 YEARS.SURROUNDING PORTIONS OF FORT WASHINGTON IS 9-SQUARE MILES OF LAND IN OXON HILL, MARYLAND. IT EXTENDS ALONG THE 210 NORTH CORRIDORS AND ALONG SOUTHERN AVENUE, WHICH SEPARATES IT FROM WASHINGTON, D.C. ACCORDING TO THE CLARITAS.COM, ITS POPULATION IS 30,187 RESIDENTS. THE RACIAL MAKE-UP OF OXON HILL IS 74.95% AFRICAN-AMERICANS; 9.56% WHITE RESIDENTS AND 5.10% ASIAN RESIDENTS.THE MEDIAN OXON HILL HOUSEHOLD INCOME IS $86,714 AND THE AVERAGE AGE OF THE OXON HILL RESIDENT IS 38 YEARS.ANOTHER COMPONENT OF THE FWMC SERVICE AREA IS TEMPLE HILLS, WHICH IS 1.4 SQUARE MILES, AND IS WEST OF OXON HILL AND SOUTHEAST OF WASHINGTON, D.C. TEMPLE HILLS HAS A POPULATION OF 37,588 PEOPLE, AFRICAN-AMERICAN COMPRISE THE MAJORITY OF THE POPULATION WITH 85.36% RESIDENTS, 6.48% WHITE RESIDENTS AND 6.80% HISPANIC RESIDENTS. THERE IS A SMALL POPULATION OF NATIVE HAWAIIAN, ASIANS, AMERICAN INDIAN AND PACIFIC ISLANDERS. NEARLY 16.8% OF THE POPULATION IS CONSIDERED BELOW THE POVERTY LINE.THE MEDIAN TEMPLE HILLS HOUSEHOLD INCOME IS $60,920 AND THE AVERAGE AGE OF THE TEMPLE HILLS RESIDENT IS 31 YEARS. PART VI, LINE 7: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:MARYLAND 0 0 0 0 0 0 0 0 0 VIMLA BHOOSHAN MD DIRECTOR 498082 0 0 0 0 0 0 0 0 0 498082 0 0 0 JOSEPH B TUCKER SR.VP/CFO/ACTING PRESIDENT/CEO 193850 0 0 0 0 0 5816 0 1483 0 201149 0 0 0 HOWARD AINSLEY CHIEF OPERATING OFFICER 179832 0 0 0 0 0 436 0 24438 0 204706 0 0 0 GRIFFIN L DAVIS CHIEF MEDICAL OFFICER 310493 0 0 0 0 0 1321 0 37452 0 349266 0 0 0 WANDA WATLINGTON CHIEF NURSING OFFICER 173246 0 0 0 0 0 0 0 24416 0 197662 0 0 0 SHARNELL S SMITH SURGEON 293070 0 0 0 0 0 7945 0 34288 0 335303 0 0 0 TAMMY WOODFORK HR DIRECTOR 143547 0 0 0 0 0 0 0 11460 0 155007 0 0 0 FREDERICK L ASHBY IT DIRECTOR 145553 0 0 0 0 0 4410 0 6220 0 156183 0 0 0 CORAZON DELACRUZ RN 147297 0 0 0 0 0 4518 0 12004 0 163819 0 0 0 MARY O BATES CLINICAL NURSE 162227 0 0 0 0 0 0 0 987 0 163214 0 0 0 PART I, LINE 3 DURING 2018, THE ORGANIZATION DID NOT HAVE A PERMANENT PRESIDENT AND CEO. WHEN THE ORGANIZATION CONCLUDES ITS SEARCH FOR A PERMANENT PRESIDENT AND CEO. A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WILL BE USED. VIMLA BHOOSHAN BOARD MEMBER 498082 CONTRACTED RADIOLOGIST 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS NEXUS HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A NEXUS HEALTH, INC. HAS THE RIGHT TO RATIFY THE PRESIDENT OR OTHER MEMBERS OF THE CORPORATION, TO REMOVE THE PRESIDENT OR OTHER OFFICERS OF THE CORPORATION, TO ELECT MEMBERS OF THE BOARD OF DIRECTORS, AND TO REMOVE ANY OR ALL MEMBERS FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B NEXUS HEALTH, INC. HAS THE RIGHT TO AMEND THE ORGANIZATION'S CHARTER OR BYLAWS, DISSOLVE OR MERGE THE CORPORATION, AND TO ISSUE ANY ADDITIONAL STOCK IN THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF THE FORM 990 BY THE EXTERNAL ACCOUNTING FIRM, A REVIEW OF THE RETURN IS COMPLETED BY THE CORPORATE CONTROLLER AS WELL AS THE SENIOR VICE PRESIDENT FOR FINANCE AND THE PRESIDENT & CEO. IT IS THEN SUBMITTED TO THE FINANCE & AUDIT COMMITTEE FOR REVIEW AND APPROVAL. ONCE APPROVED FOR FILING THE FINAL 990 RETURN IS SUBMITTED TO THE REMAINING GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH THE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE PRESIDENT, DIRECTORS AND/OR MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. INTERESTED PERSONS ALSO SHOULD BE ALERT TO DISCLOSE ANY SITUATION THAT, BY VIRTUE OF A TRANSACTION OR ARRANGEMENT UNDER CONSIDERATION, COULD BE PERCEIVED BY ANYONE AS A CONFLICT OF INTEREST. A. DURING THE YEAR ALL INTERESTED PERSONS ARE OBLIGATED TO MONITOR THEIR OUTSIDE ACTIVITIES WITH REGARD TO ENTITIES THAT DO BUSINESS WITH NEXUS HEALTH, INC OR ITS SUBSIDIARIES. AT ANY TIME DURING THE YEAR, INTERESTED PERSONS MAY HAVE A CHANGE IN A FINANCIAL ARRANGEMENT OR ADDITION OF A NEW POTENTIAL CONFLICT OF INTEREST THAT MAY HAVE AN EFFECT ON BUSINESS. IT IS THE RESPONSIBILITY OF THE INDIVIDUAL TO REPORT THIS INFORMATION TO THE CHAIR PERSON OF THE BOARD OF TRUSTEES, PRESIDENT OR COMPLIANCE OFFICER. THE INDIVIDUAL WILL BE PROVIDED WITH THE APPROPRIATE DOCUMENTS TO REPORT THE POTENTIAL CONFLICT. B. ANNUAL REPORTING ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER, SENIOR MANAGER, DIRECTOR, MEMBER OF THE MEDICAL STAFF EXECUTIVE COMMITTEE, OR MEDICAL DIRECTOR, SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND REVIEW THE CONFLICTS OF INTEREST POLICY. TRUSTEES SHOULD ALSO REVIEW THE CORPORATION BYLAWS. THE CONFLICT OF INTEREST DISCLOSURE AND POLICY WILL BE ISSUED TO EACH INTERESTED PERSON DURING THE MONTH OF NOVEMBER BY THE EXECUTIVE ASSISTENT TO THE CEO. ALL FORMS ARE TO BE RETURNED TO THE EXECUTIVE ASSISTANT TO THE CEO NO LATER THAN DECEMBER 31ST. MANAGEMENT OF CONFLICTS: IF AN INTERESTED PERSON HAS A POTENTIAL CONFLICT OF INTEREST, IT MUST BE DISCLOSED. THE INTERESTED PERSON INVOLVED IN THE CONFLICT MAY NOT PARTICIPATE IN ANY PROCESS LEADING TO THE APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING THE CONFLICT, INCLUDING ANY VOTE OR OTHER SUBMISSION OF OPINION. IN ADDITION, THE INTERESTED PERSON MUST NOT INDIRECTLY ATTEMPT TO INFLUENCE THE DECISION-MAKING PROCESS, INTERESTED PERSONS WHO FAIL TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AND AVOID ANY DIRECT OR INDIRECT INFLUENCE IN ACCORDANCE WITH THIS POLICY SHALL BE APPROPRIATELY DISCIPLINED. VIOLATION OF THIS POLICY WILL SUBJECT THE INDIVIDUAL TO DISCIPLINARY ACTION INCLUDING POSSIBLE DISMISSAL AND MEMBERS OF THE BOARD OF TRUSTEES WILL BE SUBJECT TO REMOVAL. DISCIPLINE WILL BE COMMENSURATE WITH THE SERIOUSNESS OF THE ACTION. ALL REPORTS OF CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST WILL BE REVIEWED BY THE CHAIRMAN OF THE BAORD OF TRUSTEES, PRESIDENT AND THE COMPLIANCE OFFICER. CONFLICT DISCLOSURES WILL ALSO BE REVIEWED BY LEGAL COUNSEL. THE CHAIRMAN, PRESIDENT, COMPLIANCE OFFICER, AND LEGAL COUNSEL WILL DETERMINE IF ANY ACTION MUST BE TAKEN TO PROTECT NEXUS HEALTH, INC. OR ITS AFFECTED AFFILIATES. A REPORT OF ALL CONFLICTS OF INTEREST SHALL BE SHARED WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION: PURPOSE: THE WAGE AND SALARY STRUCTURE GOVERNING EXECUTIVE COMPENSATION IS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS OF NEXUS HEALTH, INC. VIA THE EXECUTIVE COMPENSATION COMMITTEE IN CONSULTATION WITH THE CEO. PHILOSOPHY: THE INTENT OF THIS POLICY IS TO GUIDE THE EXECUTIVE COMPENSATION PRACTICES OF THE ORGANIZATION TO ASSURE A FAIR AND EQUITABLE, WELL-DEFINED PROCESS FOR DETERMINING COMPENSATION, AND TO PROVIDE A STANDARDIZED STRUCTURE FOR MANAGING THIS ISSUE. 1. COMPENSATION OF THE PRESIDENT AND CEO OF THE ORGANIZATION IS GOVERNED BY CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT STUDY AS PART OF THEIR PROCESS IN DETERMINING THE COMPENSATION OF THE CEO. 2. COMPENSATION FOR THE SENIOR EXECUTIVE STAFF IS ESTABLISHED AS FOLLOWS: THE HUMAN RESOURCES DEPARTMENT, OR AN EXTERNAL ORGANIZATION WILL DETERMINE THE CURRENT MARKET SALARY RANGES FOR EXECUTIVE LEVEL POSITIONS BY CONDUCTING PERIODIC SALARY SURVEYS. A RANGE SHALL BE ESTABLISHED FOR EACH EXECUTIVE POSITION. THIS SHALL BE PRESENTED TO THE BOARD THROUGH THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS AT THE APRIL BOARD MEETING 3. THE CEO HAS THE AUTHORITY TO SET EXECUTIVE COMPENSATION AND SALARY INCREASES WITHIN THE RANGES DETERMINED BY THE HR DEPARTMENT AND APPROVED BY THE BOARD. SENIOR EXECUTIVE STAFF IS DEFINED AS AN INDIVIDUAL WITH THE TITLE VICE PRESIDENT, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT, OR CORPORATE DIRECTOR. 4. EXECUTIVES SHALL BE ENTITLED TO ALL BENEFITS BEYOND SALARY AS EXTENDED TO OTHER EMPLOYEES OF THE CORPORATION. THESE INCLUDE HEALTH AND MEDICAL BENEFITS, 403B MATCH FOR RETIREMENT SAVINGS, LIFE, SHORT AND LONG-TERM DISABILITY INSURANCES OR ANY OTHER BENEFITS THAT MAY BE OFFERED AT SOME FUTURE DATE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104 (D). FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,185,926. MANAGEMENT AND GENERAL EXPENSES 219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,186,145. OTHER FEES: PROGRAM SERVICE EXPENSES 441,925. MANAGEMENT AND GENERAL EXPENSES 104,884. FUNDRAISING EXPENSES 602. TOTAL EXPENSES 547,411. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,115,224. MANAGEMENT AND GENERAL EXPENSES 244,105. FUNDRAISING EXPENSES 58,080. TOTAL EXPENSES 8,417,409. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS. CAROLYN BOONE LEWIS HEALTH CARE CENTER 174 WATERFRONT STREET SUITE 225 NATIONAL HARBOR MD 20745 521127260 NURSING HOME DC 501(C)(3) LINE 10 NEXUS HEALTH 0 NEXUS CONSULTING SERVICES INC 174 WATERFRONT STREET SUITE 225 NATIONAL HARBOR MD 20745 521602159 CURRENTLY INACTIVE DE C 0 NEXUS HEALTH INC 174 WATERFRONT STREET SUITE 225 NATIONAL HARBOR MD 20745 520238460 PARENT ORGANIZATION MD C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0