2015-05-06T15:32:10-05:00 2014-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2013-07-01 521369749 National Rehabilitation Hospital % JOEL BRYAN NATI 2028771150 102 IRVING STREET NW Suite WASHINGTON DC 20010 Joel Bryan Vice President/Treasurer 4107726721 2015-04-30 true Margaret A Bradshaw P00501222 4107726721 2013 2016-02-25 16:41:14Z JOHN ROCKWOOD 102 IRVING STREET NW WASHINGTON DC 20010 118347633 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. 25 21 1343 25 0 3499040 2450420 99261782 112727996 1207633 1833918 1576232 992792 105544687 118005126 0 0 0 0 65048116 72302593 0 0 442754 33318975 35365742 98367091 107668335 7177596 10336791 75502204 88493360 17176098 19932728 58326106 68560632 X AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR NATIONAL REHABILITATION NETWORK'S (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 45 OUTPATIENT REHABILITATION CENTERS THROUGHOUT WASHINGTON, D.C., MARYLAND AND VIRGINIA. IN FISCAL YEAR 2014, MNRN HAD 2,221 INPATIENT ADMISSIONS, AND 278,119 OUTPATIENT VISITS. false false 63654770 110157756 MEDSTAR NATIONAL REHABILITATION NETWORK'S 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 $36.4M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. FOR MORE INFORMATION, SEE SCHEDULE O. 4648568 0 419059 MEDSTAR NATIONAL REHABILITATION NETWORK PROVIDED $4.6M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2014. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 2476708 0 2151181 MEDSTAR NATIONAL REHABILITATION NETWORK SPENT $2.5M ON RESEARCH ACTIVITIES IN FISCAL YEAR 2014. CLINICAL AND COMMUNITY RESEARCH ACTIVITIES ARE BASED OUT OF FOUR SCIENTIFIC CENTERS: APPLIED BIOMECHANICS AND REHABILITATION, POST ACUTE INNOVATION, NEUROSCIENCE AND ASSISTIVE TECHNOLOGY. 70780046 true true false true false false false false false true true false false true true true true true false false false false false false true 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 89 0 true 1343 true false false false false false true true false false false false X 25 21 true false false false true true true true true false false true true true true true true true true true true X JOEL BRYAN 4107726721 5565 STERRETT PLACE 5TH FL COLUMBIA MD 21044 X Abdul Q Ahad MD Board Member 1.0 X 0 0 0 JENNIFER Sheehy-Keller PRESIDENT OF THE BOA 1.0 X 0 0 0 RAFAEL J CONVIT MD BOARD MEMBER 1.0 X 0 0 0 JULIA CREIGHTON Board Member 1.0 X 0 0 0 KENNETH SAMET Board Member 1.0 X 0 3334799 61007 E CLAIBORNE IRBY MD BOARD MEMBER 1.0 X 0 0 0 JAMES S JELINEK MD BOARD MEMBER 1.0 X 0 0 0 JACQUELINE A WATSON DO BOARD MEMBER 1.0 X 0 0 0 THOMAS J COLLAMORE BOARD MEMBER 1.0 X 0 0 0 JAMES V REYES BOARD MEMBER 1.0 X 0 0 0 SAMUEL J BERGMAN BOARD MEMBER 1.0 X 0 0 0 JOHN R CLARK III BOARD MEMBER 1.0 X 0 0 0 DANIEL L COHEN BOARD MEMBER 1.0 X 0 0 0 HON CAROL T CRAWFORD BOARD MEMBER 1.0 X 0 0 0 SCOTT FECHNAY BOARD MEMBER 1.0 X 0 0 0 JEREMY HARDY FITZGERALD BOARD MEMBER 1.0 X 0 0 0 LEONARD GREENBERG BOARD MEMBER 1.0 X 0 0 0 JOEL JANKOWSKY BOARD MEMBER 1.0 X 0 0 0 DANIEL L KORENGOLD BOARD MEMBER 1.0 X 0 0 0 WILLIAM M LANE BOARD MEMBER 1.0 X 0 0 0 THENE MARTIN MERNICK SECRETARY/BOARD MEMBER 1.0 X X 0 0 0 ROBERT B OURISMAN TREASURER/BOARD MEMBER 1.0 X X 0 0 0 CANDACE C SOMERVILLE BOARD MEMBER 1.0 X 0 0 0 STEPHEN G KALINSKY BOARD MEMBER 1.0 X 0 0 0 CHARLES E WAGNER BOARD MEMBER 1.0 X 0 0 0 John Rockwood President/Board Member 40.0 X X 585595 0 34105 Edward Eckenhoff Board Member 1.0 X 276743 0 45241 Edward Healton Board Member 1.0 39.0 X 0 409923 17841 Michael Yochelson MD VP - Medical Affairs 40.0 X 480313 0 19442 Michael Boemmel Vice President/CFO 40.0 X 240309 0 691 Pamela Ashby VP-Human Resources 40.0 X 184286 0 4336 John Brickley VP - AMBULATORY SERVICES 40.0 X 286901 0 20624 Rosemary Welch VP - PATIENT CARE SERVICES 40.0 X 164707 0 18797 Paul Rao VP - CLINICAL SERVICES 40.0 X 241346 0 24552 Alexander Dromerick MD PHYSICIAN 40.0 X 410924 0 7500 Robert Bunning MD PHYSICIAN 40.0 X 404852 0 39095 Arthur Deluigi MD PHYSICIAN 40.0 X 386365 0 0 John Toerge DO PHYSICIAN 40.0 X 332547 0 41496 Howard Gilmer MD Physician 40.0 X 320135 0 7500 4315023 3744722 342227 13 false true false MED3000 PO Box 1236 BUTLER PA 16003 Outpatient Billings 3659501 MORRISON P O Box 102289 ATLANTA GA 30368 Patient Meals 1953477 SLEEP SERVICES OF AMERICA P O Box 198320 ATLANTA GA 30384 Medical Services 1181605 NURSE FINDERS PO Box 9107338 DALLAS TX 75391 Temporary Staff 306713 POWER SERVICES INC 5800 Woodcliff Road Suite 108 BOWIE MD 20720 Construction & ntwk 293378 5 309651 2140769 273234 2450420 PATIENT SERVICES 624100 112727996 112727996 112727996 390491 390491 0 0 0 0 0 1443427 1443427 1443427 0 1443427 237917 309651 342507 -104590 -104590 0 0 MISCELLANEOUS 900099 1097382 1097382 1097382 118005126 112727996 0 2826710 0 0 0 0 3416540 1672935 1733161 10444 0 56978281 50716807 5945023 316451 1012750 1012750 5965846 -49694 6015540 4929176 4321203 583489 24484 0 -3107 -3107 0 0 0 0 392914 246538 143911 2465 199822 5501 194321 7246057 4882814 2291094 72149 137029 18717 118312 0 3480727 1881375 1599352 70250 68858 1392 0 429311 267944 155173 6194 1938786 1938786 0 4553108 821991 3729288 1829 1515834 1515834 PROFESSIONAL SERVICES PURCHASE 6500433 3134313 3362382 3738 MEDSTAR SHARED & POOLED SERVIC 4224740 4224740 BILLINGS/COLLECTIONS 2531558 2531288 270 ALL OTHER EXPENSES 2148280 259456 1883824 5000 107668335 70780046 36445535 442754 472825 167350 0 0 1945518 2678557 14702507 19697345 0 0 0 0 0 0 609179 628887 324923 342465 90473661 72638198 19449419 17835463 28794485 33710163 0 0 0 0 0 4042600 9203348 9390530 75502204 88493360 11353750 13347835 0 0 457375 151750 0 0 0 0 0 0 0 0 0 0 5364973 6433143 17176098 19932728 X 53787873 62384920 3317969 4955448 1220264 1220264 58326106 68560632 75502204 88493360 X 10336791 2095106 -2197371 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 false LOBBYING FOOTNOTE PART II-B, LINE 1I THE LOBBYING EXPENSES INCURRED RELATE TO AMOUNTS PAID TO AN OUTSIDE CONSULTING GROUP FOR THEIR LOBBYING ACTIVITIES ON BEHALF OF THE ORGANIZATION. THE LOBBYING WORK RELATED TO ASSISTING THE ORGANIZATION WITH LEGISLATIVE ISSUES RELATING TO REHABILITATIVE MEDICINE. 4538233 2450420 77464 890405 6175712 2244380 3146507 26662 879316 4538233 1439448 1230956 155768 581792 2244380 1449863 -7475 2940 1439448 1398174 -51689 1449863 false true true 57868624 48287210 9581414 32242301 24350988 7891313 362736 362736 17835463 OTHER RECEIVABLES 7728841 OTHER ASSETS 1661689 9390530 0 SELF INSURANCE LIABILITY 2614950 DUE TO MEDSTAR HEALTH-PENSION 31072 OTHER LIABILITIES 3787121 6433143 X 122251413 2095106 2151181 4246287 118005126 118005126 109820116 2151781 2151781 107668335 107668335 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, 2014. PART XI, LINE 2D OTHER REVENUE INCLUDED IN AUDITED FINANCIALS BUT NOT ON FORM 990 RESEARCH GRANT REVENUE...........................$ 2,151,181 Part XII, Line 2D Other Expenses Included in Audited Financials but not on Form 990 RESEARCH GRANT EXPENDITURES.................$ 2,151,181 Income Tax Provision........................$ 600 Total ......................................$ 2,151,781 Las Vegas Night 34786 10420 24366 59984 Gala 470675 299231 171444 273848 1 42107 0 42107 8675 547568 309651 237917 342507 342507 -104590 true true X true X true X true true true false true true 816653 816653 0.00800 9774451 10938682 -1164231 0.01100 10591104 10938682 -347578 0.00300 196135 196135 0.00180 4648568 419059 4229509 0.04000 2476708 2151181 325527 0.00300 24046 24046 0.00020 7345457 2570240 4775217 0.04500 17936561 13508922 4427639 0.04200 26385 26385 0.00020 26385 26385 0.00020 true 3122122 20096151 18612122 1484029 X true true 1 1 NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 X X X X X NATIONAL REHABILITATION HOSPITAL 1 true X X X X X X X X X 11 true false true X WWW.MEDSTARNRH.ORG X X X X X X X X X false false true true 200. true 400. true X X X X X X true true X X X X true false true X false false 30 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 Ballston 3833 N Fairfax Drive Arlington VA 22203 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 Regional Rehab at Peninsula 1655 Woodbrooke Drive Suite 102 Salisbury MD 21804 Outpatient Physical Therapy NRH Regional Rehab at Dunkirk 10845 Town Center Blvd Suite 100 Dunkirk MD 20754 Outpatient Physical Therapy NRH Regional Rehab at Pr Frederick N 120 Hospital Road Suite 100 Prince Frederick MD 20678 Outpatient Physical Therapy NRH Regional Rehab at Pr Frederick S 220 Solomon Island Road South Prince Frederick MD 20678 Outpatient Physical Therapy NRH Regional Rehab at Solomons 14090 Solomons Island Road South Prince Frederick MD 20678 Outpatient Physical Therapy BAD DEBT PART III, LINE 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 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 REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. MEDICARE PART III, LINE 8 THE AMOUNT REPORTED ON PART III, LINE 6 WAS DETERMINED USING THE COST DATA FROM THE FY 2012 MEDICARE COST REPORT. CHNA INPUT Part V, Section B, Line 3 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 hospital's Community Health Needs Assessment and Implementation Strategy. He/she works collaboratively with representatives from the Corporate Community Health Department and Georgetown University. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: Derek Berry & 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 hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: Michael Yochelson 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 hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants Name: TITLE: AFFLIATION WITH HOSPITAL HOSPITAL(I.E., EMPLOYEE BOARD MEMBER, (YES/NO) VOLUNTEER, COMMUNITY ADVOCATE, STAFF). DREEK BERRY COMMUNICATIONS DIRECTOR STAFF YES (CO-LEAD) JOAN JOYCE (CO-LEAD) RECREATION SPORTS MANAGER STAFF YES Michael VP, Medical Affairs & Chief staff yes Yochelson medical officer Mary Babcock, Physiatrist, Northern COMMUNITY ADVOCATE YES DO VIRGINIA CAROL BARLETT MANAGER OF CARE STAFF YES COORDINATION DAN GRIFFIN SUPPORTER COMMUNITY ADVOCATE NO SUZANNE GROAH,DIRECTOR OF SCI RESEARCH STAFF YES MD AND CONSULTATIONS, MNRH; ASSOCIATE PROFESSOR OF REHABILITATION MEDICINE ADAM FORMER PATIENT COMMUNITY ADVOCATE NO HALBERLIN KENT KEYSER FORMER PATIENT COMMUNITY ADVOCATE NO JOHN ROCKWOOD PRESIDENT STAFF YES JENNIFER BOARD MEMBER, MNRH; BOARD MEMBER NO SHEEHY FORMER PATIENT TIMOTHY FORMER PATIENT COMMUNITY ADVOCATE NO STRACHAN JACKIE WATSON EXECUTIVE DIRECTOR, DC BOARD MEMBER NO DO BOARD OF MEDICINE; BOARD SECRETARY, MNRH LISA WILLS FORMER PATIENT COMMUNITY ADVOCATE NO NEEDS ASSESSMENT PART V, SECTION B, LINE 7 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. PART VI, Line 2 IN FY12, MEDSTAR NATIONAL REHABILITATION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA WAS LED BY 12 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING COMMUNITY RESIDENTS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, THE ATF DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. 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 WASHINGTON, D.C., AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) - A GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITY FOR THE CBSA IS SECONDARY STROKE AMONG SPANISH-SPEAKING STROKE SURVIVORS AND THEIR CAREGIVERS. THE HOSPITAL'S FY12 CHNA AND 3-YEAR IMPLEMENTATION STRATEGY WAS ENDORSED BY MEDSTAR NATIONAL REHABILITATION HOSPITAL'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S OFFICIAL WEBSITE ON JUNE 30, 2012. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR NATIONAL REHABILITATION HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL NINE 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 within the communities we serve who lack financial resources have access to necessary hospital services. MedStar Health and its healthcare facilities will: " Treat all patients equitably, with dignity, with respect and with compassion. " Serve the emergency health care needs of everyone who presents at our facilities regardless of a patient's ability to pay for care. " Assist those patients who are admitted through our admissions process for non-urgent, medically necessary care who cannot pay for part of all of 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 to gain an understanding of each patient's financial resources prior to admission (for scheduled services) or prior to billing (for emergency services). Based on this information and patient eligibility, MedStar Health's facilities will assist 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). " Assist with enrollment in publicly-funded programs for the uninsured (e.g., D.C. Healthcare Alliance). " Assist with consideration of funding that may be available from other charitable organizations. " Provide charity care and financial assistance according to applicable guidelines. " Provide financial assistance for payment of facility charges using a sliding scale based on patient family income and financial resources. " Offer periodic payment plans to assist patients with financing their healthcare services. Each MedStar Health facility (in cooperation and consultation with the finance division of MedStar Health) will specify the communities it serves based on the geographic areas it has served historically for the purpose of implementing this policy. Each facility will post the policy, including a description of the applicable communities it serves, in each major patient registration area and in any other areas required by applicable regulations, will communicate the information to patients as required by this policy and applicable regulations and will make a copy of the policy available to all patients. MedStar Health believes that its patients have personal responsibilities related to the financial aspects of their healthcare needs. The charity care, 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: " Completing financial disclosure forms necessary 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 financial counselors and other financial services staff to ensure there is a complete understanding of the patient's financial situation and constraints. " Completing appropriate applications for publicly-funded healthcare programs. This responsibility includes responding in a timely fashion to requests for documentation to support eligibility. " 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 financial counselors on a timely basis as the patient's circumstances may change. COMMUNITY INFORMATION PART VI, LINE 4 MedStar National Rehabilitation Hospital 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 are the District of Columbia, Prince George's County, Maryland, and parts of Montgomery County and Baltimore, Maryland. MedStar National Rehabilitation's extended service area includes upper Montgomery County and Howard County in Maryland, and Charles County and surrounding areas in Southern Maryland. Demographic: As a specialty hospital, MedStar National Rehabilitation serves a large, diverse population of approximately 3.9 million people, 44.8% of whom are white, 41.5% African American, 6.0% Asian, 4.2% Other, 0.3% American Indian/Alaska Native, and 0.1% Native Hawaiian/Pacific Islander. The average household income across the region the hospital serves is $66,974. According to the Centers for Disease Control and Prevention (CDC), approximately 19.6% of adults in DC are living with a disability. According to the American Community Survey (ACS), approximately 8.6%, 6.8%, and 10.0% of adults ages 16-64 in Prince George's County, Montgomery County, Baltimore County, MD, respectively, live with a disability. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 As a community partner, MedStar National Rehabilitation Hospital engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. Activities include but are not limited to: o Conducting community outreach, awareness, education, support, and preventive care programs related to physical and medical rehabilitation. Some of the programs offered to the community included participation in health fairs, presentations at local schools, lectures to various community, educational, and professional groups, and counseling and advocacy to support groups for the disabled community. o Providing presentations to various community and academic groups, non-profit organizations and governmental agencies for education, and orientation on assistive technology, work-site accommodations, and vocational opportunities for persons with disabilities, and how to comply with provisions of the Americans with Disabilities Act. o Supporting for various sports and recreational events for participating athletes with disabilities. o Hosting and sponsoring workshops, conferences, and networking meetings for persons with disabilities and others interested in assisting such persons, including the National Head Injury Foundation, Washington Amputee Society, National Stroke Association, National Arthritis Foundation, and the Spinal Cord Injury Network. o 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, MedStar National Rehabilitation Hospital 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 MedStar National Rehabilitation Hospital with technical support to enhance community health programming and evaluation. MedStar's corporate philanthropy division identifies 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 MedStar National Rehabilitation Hospital is only filed in the District of Columbia. X X X X X X false false false false false false false false false KENNETH SAMET Board Member 0 1447427 0 1873804 0 13568 0 41896 0 19111 0 3395806 0 0 John Rockwood President/Board Member 328873 0 256722 0 0 0 16507 0 17598 0 619700 0 0 0 Michael Yochelson MD VP - Medical Affairs 316530 0 163783 0 0 0 7500 0 11942 0 499755 0 0 0 Michael Boemmel Vice President/CFO 203667 0 36642 0 0 0 0 0 691 0 241000 0 0 0 Pamela Ashby VP-Human Resources 156841 0 27445 0 0 0 4336 0 0 0 188622 0 0 0 John Brickley VP - AMBULATORY SERVICES 236795 0 50106 0 0 0 20624 0 0 0 307525 0 0 0 Rosemary Welch VP - PATIENT CARE SERVICES 132561 0 32146 0 0 0 18797 0 0 0 183504 0 0 0 Paul Rao VP - CLINICAL SERVICES 202835 0 38511 0 0 0 24552 0 0 0 265898 0 0 0 Alexander Dromerick MD PHYSICIAN 358057 0 52867 0 0 0 7500 0 0 0 418424 0 0 0 Robert Bunning MD PHYSICIAN 404852 0 0 0 0 0 39095 0 0 0 443947 0 0 0 Arthur Deluigi MD PHYSICIAN 313537 0 72828 0 0 0 0 0 0 0 386365 0 0 0 John Toerge DO PHYSICIAN 332547 0 0 0 0 0 41496 0 0 0 374043 0 0 0 Edward Eckenhoff Board Member 251743 0 25000 0 0 0 40284 0 4957 0 321984 0 0 0 Edward Healton Board Member 0 409923 0 0 0 0 0 0 0 0 0 409923 0 0 Howard Gilmer MD Physician 292718 0 27417 0 0 0 7500 0 0 0 327635 0 0 0 X 72200 FMV X MISCELLANEOUS 0 201034 FMW false true true Third Parties used to solicit and sell non-cash contributions Schedule M, Part I, Line 32a JULIE VAN ZETTA (VAN ZETTA ASSOCIATES) Mrs. Van Zetta was engaged to help organize The Gala as well as to solicit, acquire, organize and account for in-kind donations including prizes and auction items. EXEMPT PURPOSE ACHIEVEMENTS PART III, LINE 4A 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 CHILDREN'S 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. IN 2014, US NEWS AND WORLD REPORT RECOGNIZED MEDSTAR NRN AS ONE OF THE NATION'S best IN REHABILITATION. FAMILY/BUSINESS RELATIONSHIPS PART VI, LINE 3 ROBERT OURISMAN AND DANIEL KORENGOLD HAVE A FAMILY RELATIONSHIP AND ARE BUSINESS PARTNERS IN AN UNRELATED CORPORATION. THE UNRELATED CORPORATION DOES NOT TRANSACT ANY BUSINESS WITH NATIONAL REHABILITATION HOSPITAL. ORGANIZATION MEMBERS Part VI, Line 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS Part VI, Line 7a AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. DECISIONS OF GOVERNING BODY PART VI, LINES 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. 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 INFORCEMENT 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. 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 OTHER CHANGES TO NET ASSETS FORM 990, PART XI, LINE 9 TRANSFER TO PARENT..............................$ (2,196,771) INCOME TAX PROVISION............................$ (600) ============= TOTAL: $ (2,197,371) CHURCH HOME CORPORATION 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 237374724 MEDICAL FUND MD 501(c)(3) PF NA true FRANKLIN SQUARE HOSPITAL CENTER INC 9000 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 520608007 HOSPITAL MD 501(c)(3) 3 NA true HARBOR HOSPITAL INC 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 520491660 HOSPITAL MD 501(c)(3) 3 NA true MEDSTAR HEALTH INC 5565 STERRETT PLACE 5TH FLOOR COLUMBIA MD 21044 522087445 MEDICAL SVCS MD 501(c)(3) 11B II NA false MONTGOMERY GENERAL HOSPITAL 18101 PRINCE PHILIP DRIVE OLNEY MD 20832 520646893 HOSPITAL MD 501(c)(3) 3 NA true THE GOOD SAMARITAN HOSPITAL OF MARYLAND 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 520591607 HOSPITAL MD 501(c)(3) 3 NA true THE UNION 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