2019-05-10T14:16:33-05:00 2018-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2017-07-01 521369749 National Rehabilitation Hospital % JOEL BRYAN NATI 2028771150 102 IRVING STREET NW WASHINGTON DC 20010 JOEL BRYAN VP/TREASURER 4107726721 2019-05-09 true jg white P01498698 7032868000 2019-05-08 167.68.102.5 54028020191305000006 2019-05-10 P 6EF6BAFE6F8794535CE171707077BDE8ABDF429F EB2737A96B8F377BD085BED9F3BA68158C374A96 2017 2019-02-21 02:37:17Z JOHN ROCKWOOD 102 IRVING STREET NW WASHINGTON DC 20010 144974097 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. 21 15 1533 10 0 221504 3218118 4758782 129284972 137295681 742321 1183282 1456572 1736222 134701983 144973967 0 0 0 0 90210404 95292810 0 0 593916 42652508 44388293 132862912 139681103 1839071 5292864 90952914 93458444 16050276 19356095 74902638 74102349 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 2018, MNRN had 2,038 inpatient admissions and 447,660 outpatient visits. false false 96113450 137026200 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 $35.6M 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. 6692462 269481 MedStar National Rehabilitation Network provided $6.7M in health professions education in fiscal year 2018. This category includes training in graduate medical education, and education for physicians, medical students, nurses, and other health professions. 719507 MedStar National Rehabilitation Network spent $720K on research in fiscal year 2018. Services are intended to go beyond standard patient care and address pertinent health related issues. Services include stroke support groups and community-based clinical services such as health promotion and wellness programs, screenings, and evaluation and treatment of injuries. 103525419 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 1533 true true true false false false false false false false false false X 21 15 false false false false true true true true true false false true true true true true true true true true true 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 6538888 82240 JAMES S JELINEK MD BOARD MEMBER 40.0 0.0 X 598985 0 15226 JACQUELINE A WATSON DO BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES V REYES CHAIR 1.0 0.0 X 0 0 0 SAMUEL J BERGMAN BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL L COHEN VICE CHAIR 1.0 0.0 X 0 0 0 HON CAROL T CRAWFORD BOARD MEMBER 1.0 0.0 X 0 0 0 JEREMY HARDY FITZGERALD BOARD MEMBER (UNTIL 10/17) 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 CANDACE C SOMERVILLE BOARD MEMBER (UNTIL 10/17) 1.0 0.0 X 0 0 0 CHARLES E WAGNER BOARD MEMBER 1.0 0.0 X 0 0 0 John D Rockwood President/Board Member 40.0 0.0 X X 743404 0 45330 Edward A Eckenhoff Board Member (UNTIL 1/2018) 40.0 0.0 X 403580 0 49508 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 1.0 0.0 X 0 0 0 GEORGE CHANG MD BOARD MEMBER 40.0 0.0 X 276246 0 907 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 40.0 0.0 X 478809 0 27659 Mark D French BOARD MEMBER 1.0 0.0 X 0 0 0 William O Brien White III BOARD MEMBER 40.0 0.0 X 134020 0 2994 Michael Boemmel VICE PRESIDENT/CFO 40.0 0.0 X 277206 0 8307 DAWN BENNETT-JOHNSON INTERIM VICE PRESIDENT/CFO 40.0 0.0 X 0 0 0 John Brickley VP - AMBULATORY SERVICES 40.0 0.0 X 331155 0 37653 Ellen Leone VP - CLINICAL SERVICES 40.0 0.0 X 277537 0 1049 Alexander Dromerick MD PHYSICIAN 40.0 0.0 X 425333 0 20353 Arthur Deluigi MD PHYSICIAN 40.0 0.0 X 407575 0 18974 Bryan Murtaugh PHYSICIAN 40.0 0.0 X 440550 0 16386 LUIS GURRERO ATTENDING PHYSICIAN 40.0 0.0 X 432777 0 25576 SCOTT LEPRE DIRECTOR OF REHAB MEDICINE 40.0 0.0 X 375590 0 23605 Michael Yochelson MD Former VP Med Affairs 40.0 0.0 X 370608 0 14229 5973375 6538888 389996 145 true true false CHANGE HEALTHCARE PRACTICE MANAGEME 680 Anderson Dr 10 Foster Plaza PITTSBURGH PA 152202759 BILLING SERVICES 3244772 MORRISON MANAGEMENT SPECIALISTS PO BOX 978794 DALLAS TX 753978794 FOOD SERVICES 2316962 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 756172 AEROTEK PROFESSIONAL SERVICES 3689 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 Staffing services 754164 UP TO DATE LAUNDRY INC 1221 Desoto Rd BALTIMORE MD 212233211 Laundry services 469965 10 1022348 3736434 1379522 4758782 NET PATIENT SERVICE REVENUE 624100 134694777 134694777 OTHER PHYSICIAN FEES 624100 2321906 2321906 MANAGEMENT FEES 900099 249283 249283 OTHER PHYSICIAN FEES 900099 29715 29715 137295681 473831 473831 0 0 53516 53516 0 53516 53516 709581 130 709581 -130 709451 709451 0 0 0 0 0 0 0 0 0 INCOME FROM SUBSIDIARIES 900099 944585 944585 REBATE INCOME 900099 144769 144769 GARAGE/PARKING REVENUE 900099 76113 76113 517239 517239 1682706 144973967 137295681 2919504 0 0 0 0 0 3709575 3204875 499000 5700 384837 333676 50565 596 75188889 65816775 9253220 118894 1020954 1020954 8898879 5793646 3098987 6246 6089676 5335604 754072 10685658 10685658 0 0 26000 26000 0 0 8992102 6183684 2639316 169102 144508 11141 133367 3462626 3175925 276427 10274 0 0 1707574 1597041 110533 492883 265913 111024 115946 0 223388 145266 24870 53252 1550746 7122 1543624 0 5028978 1804256 3224683 39 872619 75725 796894 MED/SURG SUPPLIES 3560826 3508044 -3411 56193 FOOD SERVICES/SUPPLIES 2400721 2313884 57365 29472 MAINTENANCE 2146602 1493094 649729 3779 UTILITIES 1792346 1540804 251423 119 1300716 918944 357468 24304 139681103 103525419 35561768 593916 49444 37396 0 0 3980410 3909627 17578625 17723607 0 0 0 0 0 0 641633 451113 1037353 970922 109066138 87352309 23011356 21713829 40421881 43677671 0 0 0 0 4042600 4042600 189612 931679 90952914 93458444 11932011 13492240 0 0 81728 324168 0 0 0 0 0 0 0 0 0 0 4036537 5539687 16050276 19356095 X 64276205 60653107 8163352 10529788 2463081 2919454 74902638 74102349 90952914 93458444 X 5292864 1196350 -7289503 X X false true X true false X 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. 10626434 5737227 -4953 2909466 13449242 9251886 3461944 27056 2114452 10626434 8438944 2361767 75954 1624779 9251886 6175712 3118200 -5288 849680 8438944 4538233 2450420 77464 890405 6175712 0.21700 0.78300 false true true 60961780 51224442 9737338 774484 198979 575505 45421916 34663808 10758108 1907958 1265080 642878 21713829 0 WORKERS COMPENSATION 1773222 CREDIT BALANCES PATIENT AR 2654402 PATIENT SERVICE REFUNDS-LEGACY 421428 OTHER SHORT TERM LIABILITIES 115585 OTHER LONG TERM LIABILITIES 575050 5539687 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, 2018. true true X true X true X true true true false true true 140093 0 140093 0.00100 11622474 13055556 363035 293198 69837 0.00050 12125602 13348754 209930 0.00150 381124 0 381124 0.00270 6692462 269481 6422981 0.04600 719507 0 719507 0.00520 75684 0 75684 0.00050 7868777 269481 7599296 0.05440 19994379 13618235 7809226 0.05590 26386 0 26386 0.00020 24539 0 24539 0.00020 50925 0 50925 0.00040 true 4912600 21639213 22191723 -552510 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 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 Research Institute 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. 24 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 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. A 28 member Advisory Task Force (ATF) led the MNRH CHNA process. 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. The ATF reviewed national, state, and local health and disparity data, public health priorities and community health improvement plans as well as county-level ZIP code and neighborhood level data (when available). Based on their findings, ATF members designed a CHNA survey tool consisting of open and closed-ended questions about healthcare access, health equity, health condition concerns, social determinants and community strengths and assets. Community members responded to the survey by attending a community input session or completing it online or via hardcopy. Based on the ATF's recommendation, the hospital identified residents living with disabilities in District of Columbia Wards 5, 7 and 8, which includes residents living in ZIP codes 20011, 20019 and 20020. The hospital selected this geographic area based on hospital utilization and secondary public health data as well as the hospital's strengths and primary service area. The ATF used population-level data, community health needs survey findings and feedback from community input sessions to create recommendations for the hospital's health priorities, potential implementation strategies, and to identify key partners. Based on the ATF's recommendation, the hospital health priorities for the CBSA include health and wellness (chronic disease prevention and management), access to care and services (linkage to resources and services, transportation) and social determinants of health (food access and insecurity, employment, housing). The hospital's FY18 CHNA and three-year Implementation Strategies were endorsed by MNRH 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. As a proud member of MedStar Health, representatives from MNRH routinely participate in the MedStar Health community benefit 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 region's 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 Health's facilities 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 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 patient's 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 Health's facilities to properly counsel patients concerning the availability of financial assistance); * Working with the facility's 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 the facility's Patient Advocates or Customer Service Representatives on a timely basis as the patient's 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 Health's 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 patient's family, family size, and the extent of the medical costs to be incurred by the patient. COMMUNITY INFORMATION PART VI, LINE 4: MedStar National Rehabilitation Network is established for non-profit, charitable, health care provision, education, training, and research purposes. As a national specialty hospital, its goal is to serve the community at large by providing the leadership and resources to restore and return physically disabled persons to optimum levels of independent living within an accepting and supporting community. Services are available for persons with Stroke, Traumatic Spinal Cord and Brain Injuries, Musculoskeletal and Orthopedic disorders, and other Neurological and acute physical-medical conditions. Emphasis is placed on prevention and correction of physically disabling conditions and the emotional impact thereof, as well as on development of cost effective care delivery systems. Geographic: The primary communities served by MedStar National Rehabilitation Network are the District of Columbia and Prince George's County, Montgomery County and Greater Baltimore in Maryland. MedStar National Rehabilitation Network's extended service area includes central and southern Maryland, northern Virginia and northern Baltimore regions. MedStar National Rehabilitation Network's CBSA includes residents living with disabilities in the Greater Washington and Greater Baltimore areas. This population was identified because of the hospitals strengths and primary service area. In the District of Columbia, 17 percent of residents reported that their activities were limited by their physical, mental or emotional health problems. 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. The 2015 American Community Survey (ACS) released the following statistics regarding the District of Columbia. 10.6% of residents of all ages reported a disability in 2015. The overall percentage (prevalence rate) of people with a disability ages 65 to 74 in DC was 22.8%, for those over 75 the rate was 45.9%. The highest prevalence rate (out of 6 disability types) was for "Ambulatory Disability," 13.4 percent. Females were more likely to report a disability (11.5%) than males (9.7%). Black/African Americans reported disability at rate of 17.1% compared to 2.7% rate for Whites. Household income for individual with disability was $29,000 compared to a rate of $90,000 for a household without disability - a $61,000 difference. 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. Priority areas of focus, as determined by the 2018 CHNA, are health and wellness, access to care and social determinants of health. * Health and Wellness * Adapted Sports MNRH will provide opportunities for individuals with physical disabilities to participate in specialized adapted sports activities providing qualified coaches, specialized equipment and assistance with travel for competitions. MNRH will also host 3 regional tournaments in adapted sports and two weeks of a junior adapted sports camp. * Adaptive Fitness MNRH will provide adaptive fitness through open gym and classes for individuals with physical disabilities providing specialized equipment and qualified personal trainers in the Greater Washington Area (DC, Maryland and Northern Virginia). * Living Well MNRH will help recruit participants for Living Well, an evidence-based, outcome-focused chronic disease management and prevention program and services in or targeting individuals. MNRH will provide facility and parking for classes as needed. * Access to Care * Transportation Assist MNRH plans to remove the barrier of transportation to medical/health services among individuals who identify transportation as a social need by offering funded taxi rides. * Social Determinants of Health * Job Opportunities MNRH will work with a local DC high school to prepare underserved students for healthcare-related collegiate studies and careers through an internship program. 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 DISTRICT OF COLUMBIA. X X X X X X false false false false false false false false false KENNETH A SAMET Board Member 0 1818529 0 4346350 0 374009 0 49758 0 32482 0 6621128 0 0 JAMES S JELINEK MD BOARD MEMBER 514929 0 79200 0 4856 0 7950 0 7276 0 614211 0 0 0 John D Rockwood President/Board Member 411712 0 331692 0 0 0 18898 0 26432 0 788734 0 0 0 Michael Yochelson MD Former VP Med Affairs 204779 0 129671 0 36158 0 7950 0 6279 0 384837 0 0 0 John Brickley VP - AMBULATORY SERVICES 280699 0 50456 0 0 0 24745 0 12908 0 368808 0 0 0 Ellen Leone VP - CLINICAL SERVICES 237335 0 40202 0 0 0 0 0 1049 0 278586 0 0 0 Alexander Dromerick MD PHYSICIAN 383333 0 42000 0 0 0 6994 0 13359 0 445686 0 0 0 Arthur Deluigi MD PHYSICIAN 393131 0 14444 0 0 0 0 0 18974 0 426549 0 0 0 Edward A Eckenhoff Board Member (UNTIL 1/2018) 245909 0 0 0 157671 0 42689 0 6819 0 453088 0 0 0 GEORGE CHANG MD BOARD MEMBER 256204 0 15000 0 5042 0 0 0 907 0 277153 0 0 0 Bryan Murtaugh PHYSICIAN 363205 0 77345 0 0 0 7950 0 8436 0 456936 0 0 0 Jeffrey S Dubin MD BOARD MEMBER 478809 0 0 0 0 0 25740 0 1919 0 506468 0 0 0 LUIS GURRERO ATTENDING PHYSICIAN 286582 0 146195 0 0 0 7950 0 17626 0 458353 0 0 0 SCOTT LEPRE DIRECTOR OF REHAB MEDICINE 259820 0 115770 0 0 0 6500 0 17105 0 399195 0 0 0 Michael Boemmel VICE PRESIDENT/CFO 235099 0 42107 0 0 0 6500 0 1807 0 285513 0 0 0 SCHEDULE J, PART III MR. SAMET'S COMPENSATION IN PART II, COLUMN (B) INCLUDES $1,914,117 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. X 11 1379522 FMV false false 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 EQUITY TRANSFER.....................$ (7,289,503) 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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